• Title/Summary/Keyword: Effective intervention

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2-Year Follow up of Balance in Stroke Patients after Myofascial Release using a Tennis Ball -Four Case Reports-

  • Hwang, Young-In;Yoon, Jang-Whon;Park, Du-Jin
    • PNF and Movement
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    • v.16 no.1
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    • pp.1-6
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    • 2018
  • Purpose: Myofascial release (MFR) is an effective treatment for improving muscle stiffness and balance in neurological patients. This study examined long-term effects of MFR on the balance ability of stroke patients. Methods: MFR using a tennis ball was applied to the lower extremity and sacroiliac joint of the affected side of four stroke patients. The four subjects performed the Berg balance scale (BBS) and Timed up and go (TUG) test at the beginning of an 8-week intervention, directly after the intervention, and 2 years later. Results: The BBS scores indicated a trend toward maintenance of balance (p=0.05), but there was no difference in the TUG time (p=0.47). Conclusion: MFR may be a clinically meaningful intervention to maintain balance in stroke patients over a long period. However, the sample size in this study was too small to draw general conclusions. A larger study with more participants is needed.

A Comparison of the Immediate Effects of Alternate Methods to Medication in Lowering the Blood Pressure in Prehypertensive Patients

  • Moon, Hyun-Ju;Cho, Sung-Hak
    • The Journal of Korean Physical Therapy
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    • v.28 no.3
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    • pp.201-204
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    • 2016
  • Purpose: The purpose of this study was to compare the immediate effects of alternative treatment methods in lowering the blood pressure and pulse of prehypertensive patients. Methods: A total of 48 prehypertensive patients were randomly divided into 4 groups of 12 patients and each group received a different intervention. The control group was made to rest, the heat pack (HP) group received heat pack treatment, the ultrasound (US) group received an ultrasound massage, and the myofascial release (MFR) group received myofascial release. The blood pressure and pulse rate were measured before and after intervention. Results: Following intervention, the patients of the MFR group showed a decrease in systolic pressure, diastolic pressure, and pulse rate. Although blood pressure was similar in all groups, a significant decrease in pulse rate was seen in the MFR group compared to others. Conclusion: The application of MFR was shown to be an effective method for lowering the blood pressure and pulse rate in prehypertensive patients.

Proprioception After Total Knee Replacement (슬관절 전치환술 이후의 고유수용성 감각 변화)

  • Kim, Jae-Hun
    • PNF and Movement
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    • v.9 no.1
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    • pp.39-45
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    • 2011
  • Purpose : The purpose of this article was to review the literature on change of knee position sense after total knee replacement intervention in knee rehabilitation. Methods : This review outlines scientific findings regarding different literature data in knee rehabilitation, and discusses proprioceptive change of knee joints after total knee replacement intervention. Result : Severe pain and diminished joint sensation may precipitate degenerative changes of knees joint, and a strong association between decreased proprioception and function has been identified in elderly patients with knee osteoarthritis. Total knee replacement(TKR) of the knee joint are effective surgical procedures in osteoarthritis patients, resulting in decreased pain, and improved physical function and quality of life in patients. After total knee replacement, joint position sensation is partially recovered, which may improve functional stability of the knee, but aspects of physical functioning are not fully restored to preoperative status. Conclusions : Thus, recovery rate in proprioception after TKR also is considered to be important because it may be a significant risk factor in failure of total knee replacement and knee rehabilitation intervention.

Nutrition Intervention in a Gastric Cancer Patient With Gastrectomy for 12 Months: A Case Report

  • So Young Youn;Bo Eun Kim;Eun Mee Kim
    • Clinical Nutrition Research
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    • v.12 no.1
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    • pp.1-6
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    • 2023
  • Gastrectomy is the most effective method of treating gastric cancer, but it is commonly associated with weight loss, nutritional deficiencies, and the increased risk of malnutrition due to post-surgery complications, including gastric stasis, dumping syndrome, malabsorption, and maldigestion. Malnutrition is a risk factor for postoperative complications and poor prognosis. To prevent it and guarantee a quick recovery after surgery, continuous and individualized nutrition intervention should be performed both before surgery and postoperatively. The Department of Dietetics at Samsung Medical Center (SMC) performed nutritional status assessment before gastrectomy, initial nutritional assessment within 24 hours of admission, description of therapeutic diet after surgery, nutrition counselling before discharge, and nutritional status assessment and individual nutrition counselling after 1, 3, 6, and 12 months from surgery. This is a case report of a patient who underwent gastrectomy as well as intensive nutrition intervention in SMC.

Tailored Dietary Counseling Using Self-Administered Diet History Questionnaire is Effective for Health Promotion : Japanese Experience

  • Satoshi Sasaki;Yoshiko Takahashi;Kim, Mi-Kyung
    • Journal of Community Nutrition
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    • v.5 no.2
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    • pp.112-119
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    • 2003
  • Dietary counseling is undoubtedly important for prevention and treatment of chronic diseases. Several dietary counseling methods have been developed and used in Japan to promote healthier diets. However, in Japan, few studies have established effective counseling methods. We developed a computer-assisted tailored dietary counseling system with self-administered diet history questionnaire (DHQ) to assess nutrient intakes and the feedbacks for counseling. We examined the effectiveness of the system in three studies , two among mildly-hypercholesterolemic and one among healthy subjects. We observed significant changes in intakes of targeted nutrients in all three studies. We also observed favorable changes in the corresponding serum and urinary biomarkers in two studies, i.e., non-significant change in serum cholesterol, serum carotene and vitamin C, and a significant change in 24-hour urinary excretion of sodium. In addition, one of the studies observed a significant modified dietary habit for one-year after the intervention was completed. No unfavorable change was observed for non-targeted nutrients in all three studies. The dietary counseling system with DHQ was concluded to be effective among motivated high-risk and healthy subjects. The system's application to other diseases and populations such as children, adolescents, and elderly, should be examined further. (J Community Nutrition 5(2) : 112-119, 2003)

The Effectiveness of Smoking Cessation Program in Adults: Systematic Review of Randomized Controlled Trials (성인 흡연자의 금연 프로그램 효과: 무작위대조군 실험연구의 체계적 문헌고찰)

  • Park, Seong-Hi;Hwang, Jeong-Hae;Choi, Yun-Kyoung;Kang, Chang-Bum
    • Korean Journal of Health Education and Promotion
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    • v.29 no.3
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    • pp.1-14
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    • 2012
  • Objectives: The purpose of this study was to determine if smoking cessation programs (SCPs) are effective for adults through a systematic review of the results of such programs in large randomized controlled trials (RCTs). Methods: The PICO (Patient, Intervention, Comparator, Outcome) strategy was established, 1,160 literature from domestic and foreign electronic databases was reviewed, and 22 references were selected based on the inclusion and exclusion criteria. The quality of each reference was evaluated using the Scottish Intercollegiate Guidelines Network tool, and meta-analysis was carried out. Results: The SCPs were significantly effective for adult smokers. Smoking cessation counseling, education, and smoking cessation medications such as nicotine patch were more effective than the other interventions. However, the results showed short-term effects (within six months), and differences were observed among the SCPs. For the outcome measures for SCPs, the abstinence rate of seven days was mainly used, but differences were identified between the CO level and the cotinine-verified abstinence rate of smoking cessation. Conclusions: For a smoking cessation program for adult smokers, the strength of the evidence of the program's effectiveness in RCTs that provide the identified intervention strategies should be considered.

Effects of Aroma-foot-reflexology on Premenstrual Syndrome, Dysmenorrhea and Lower Abdominal Skin Temperature of Nursing Students (아로마발반사요법이 간호학생의 월경전증후군, 생리통 및 하복부 피부온도에 미치는 효과)

  • Lee, Young-Mee
    • Korean Journal of Adult Nursing
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    • v.23 no.5
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    • pp.472-481
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    • 2011
  • Purpose: The aim of the study was to identify the effects of aroma-foot-reflexology on premenstrual syndrome, dysmenorrhea and lower abdominal skin temperature of nursing students. Methods: This study used a pretest-posttest quasi-experimental study design. The participants were divided into two groups, a control group with 37 students and a treatment with 24 students. A 35 minute three times a week aroma-foot-reflexology was carried out for the treatment group. The data were analyzed using SPSS/WIN 17.0 program. Results: The results showed that aroma-foot reflexology was significantly effective in reducing premenstrual syndrome and dysmenorrhea, and raised lower abdominal skin temperature of the students. Conclusion: The results of this study indicated that aroma-foot-reflexology is an effective nursing intervention in reducing premenstrual syndrome and dysmenorrhea and in improving lower abdominal skin temperature. It is, therefore, recommended that the aroma-foot reflexology should be a clinical practice as an effective nursing intervention to reduce premenstrual syndrome and dysmenorrhea and to improve lower abdominal skin temperature of nursing students.

Effects of Self-Foot Reflexology on Stress, Fatigue, Skin Temperature and Immune Response in Female Undergraduate Students (자가발반사요법이 여대생의 스트레스, 피로, 피부온도 및 면역반응에 미치는 효과)

  • Lee, Young-Mee
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.110-118
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effects of self-foot reflexology on stress (perceived stress, urine cortisol level, and serum cortisol level), fatigue, skin temperature and immune response in female undergraduate students. Methods: The research design was a nonequivalent control group pretest-post test design. Participants were 60 university students: 30 in the experiment group and 30 in the control group. The period of this study was from April to June 2010. The program was performed for 1 hr a session, three times a week for 6 weeks. The data were analyzed using the SPSS/WIN 17.0 program. Results: The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue, and raised skin temperature in female undergraduate students. But cortisol levels and immune response were not statistically significant different. Conclusion: The results of this study indicate that self-foot reflexology is an effective nursing intervention in reducing perceived stress and fatigue and, in improving skin temperature. Therefore, it is recommended that this be used in clinical practice as an effective nursing intervention for in female undergraduate students.

Acupuncture for Endometriosis; A Systemic Review (자궁내막증의 침치료 효과에 대한 체계적 문헌 고찰)

  • Kwon, Na-Yoen;Lee, Dong-Nyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.2
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    • pp.48-61
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    • 2021
  • Objectives: This study was aimed to review the effect of acupuncture on endometriosis related pain in patients. Methods: Researchers searched data through 6 online databases up to November 2020. The data was limited to randomized controlled trial studies on endometriosis patients diagnosed with laparoscopy. Results: 7 Randomized controlled trials were included in this study. All of studies were published in Chinese, in China. Intervention of treatment group were composed of simple acupuncture and electroacupuncture. Intervention of control group were made up with mifepristone, herbal medicine and acupuncture. Outcome measurements were effective rate, serum Cancer antigen-125 (CA-125), Visual analogue scale (VAS)/pain score, and recurrence rate in 1 year. In all outcome measurements, treatment group were more effective than control group and it was statistically significant. Conclusions: Acupuncture therapy is effective in decreasing endometriosis related pain and preventing recurrence. However, because endometriosis is easy to recur, additional long-term research is needed.

Effect of Kinesio Taping and Proprioception Training on Pain, Neck Disability, Craniovertebral Angle, and Muscle Activity in Forward Head Posture

  • Yoo, Hyo Jin;Choi, Jung Hyun
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.4
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    • pp.1619-1625
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    • 2018
  • To examine the changes in pain, the severity of the neck disorder, craniovertebral angle, and muscle activity in young adults with forward head posture. 37 "N" University students in their 20s with forward head posture, including both male and female participants. Measurement of pain, NDI (neck disorder index) craniovertebral angle, and muscle activity were taken before and after the 6 week intervention period. The pain was measured using the visual analog scale. The severity of the neck disorder was measured using the NDI The craniovertebral angle was measured by taking a photo. The muscle activity was measured using surface electromyography. Neck posture correction exercises paired with proprioceptive training is the most effective intervention for reducing pain. Both neck posture correction exercises paired with Kinesio taping or proprioceptive training are effective interventions for addressing neck disability, craniocervical angle, and muscle activity. Neck posture correction exercises paired with Kinesio taping or proprioceptive training are more effective at addressing pain, neck disorder, craniocervical angle, and muscle activity than performing the neck posture correction exercises alone.