• Title/Summary/Keyword: Exercise Injury

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Neural Plasticity after Brain Injury (뇌 손상 후 신경 가소성)

  • Kwon, Young-Shil;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.791-797
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    • 2001
  • After brain injury, patients show a wide range in the degree of recovery. By a variety of mechanisms, the human brain is constantly undergoing plastic changes. Spontaneous recovery from brain injury in the chronic stage omes about because of plasticity. The brain regions are altered. resulting in functionally modified cortical network. This review cnsidered the neural plasticity from cellular and molecular mechanisms of synapse formation to behavioural recovery from brain injury in elderly humans. The stimuli required to elicit plasticity are thought to be activity-dependent elements. especially exercise and learning. Knowledge about the physiology of brain plasticity has led to the development of methods for rehabilitation.

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Brachial Plexus Injury after Deep Sleep (깊은 수면 이후 발생한 상완신경총 손상)

  • Kwak, Jung Min;Choi, Jun Ho;Park, Dong Yoon
    • Clinical Pain
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    • v.18 no.1
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    • pp.44-47
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    • 2019
  • Lying on the side while falling asleep deeply after drinking or taking a sleeping pill can cause compressive neuropathy. We report a 70-year-old male patient of medial cord of left brachial plexus injury (BPI) after deep sleep. The mechanism of the injury might be compression and stretching of brachial plexus. The electrodiagnostic study was performed and the medial cord lesion of BPI was suggested. The ultrasonography image of compression site revealed the nerve swelling of medial cord of brachial plexus and median nerve at the mid-arm level. Pharmacologic treatment including oral prednisolone and exercise training were prescribed. On 6 months after initial visit, neurologic symptom and pain were improved but mild sequelae was remained.

Comparison of the Effectiveness of Sling Exercise and McKenzie Exercise in Patients with Acute Cervical Whiplash Associated Disorder Following Rear-end Collision

  • Jeong, Mo-Beom;Kim, Jae-Yun;Lee, Dong-Woo
    • The Journal of Korean Physical Therapy
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    • v.28 no.5
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    • pp.314-320
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    • 2016
  • Purpose: This study compared the effectiveness of sling exercise and McKenzie exercise in patients with acute cervical whiplash associated disorder (WAD) caused by rear-end collision. Methods: Thirty WAD patients were randomly assigned to one of three groups; a sling exercise (SE) group, a McKenzie exercise (McE) group, and a control group. Members of the SE and McE exercised three times a week for four weeks under the researcher's guidance. Three groups performed TENS treatment three times a week for four weeks. Diagnostic radiological equipment was used to measure whiplash injury. Visual analog scale (VAS), neck disability index (NDI), and range of motion (ROM) were used in this study. Results: The three groups showed a significant pre-post treatment difference in measures of VAS and NDI (p<0.05). The SE group showed a significant pre-post treatment difference in measures of flexion and extension changes compared to the McE and control group (p<0.05). The SE group also showed significantly greater improvement in the VAS, NDI, and ROM changes than the control group (p<0.05). Conclusion: These findings indicate that sling exercise is a stronger and more aggressive intervention for treatment of acute WAD patients.

The Effects of Open Kinetic Chain Exercise on the Motor Function of the Lower Limb in Middle School Soccer Players (열린 사슬 운동이 중학교 축구 선수 하지 운동 기능에 미치는 영향)

  • Kim, Jiyu;Jeong, Yeonwoo
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.3
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    • pp.49-55
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    • 2017
  • Purpose: The purpose of this study was to investigate effect of open kinetic chain exercise on the motor function of the lower limb in middle school soccer players. Method: The subjects consisted of 14 soccer players who attend middle school in Gwangju. All subjects received open kinetic chain exercise for 3 weeks. The muscle strength of the ankle was measured by a commander muscle tester. Postural control ability was measured using a hopping test. All measurements for each subject were conducted pre-intervention and 3 weeks post-intervention. Result: There were significant differences post-intervention in the muscle strength and-the postural control ability of the open kinetic chain exercise group(p<.05). Conclusion: Open kinetic chain exercise had a significant positive effect on the motor function of the lower limb in soccer players. Therefore, open kinetic chain exercise may prevent and resolve injury with careful management while soccer players are training or playing games. It could be helpful to extend the lives of athletes and improve their records.

Effect of Bridge Exercise Combined with Functional Electrical Stimulation on Trunk Muscle Activity and Balance in Stroke Patients

  • Kang, Jeongil;Jeong, Daekeun;Heo, Sinhaeng
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.2
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    • pp.2323-2330
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    • 2021
  • Background: Stroke patients have weak trunk muscle strength due to brain injury, so a single type of exercise is advised for restoring functionality. However, even after intervention, the problem still lies and it is suggested that another intervention method should be applied with exercise in order to deal with such problem. Objectives: To Investigate the effect of bridge exercise combined with functional electrical stimulation (FES) on trunk muscle activity and balance in stroke patients. Design: Randomized controlled trial. Methods: From July to August 2020, twenty stroke patients was sampled, ten patients who mediated bridge exercises combined with functional electrical stimulation were assigned to experiment group I, and ten patients who mediated general bridge exercises were assigned to experiment groupII. For the pre-test, using surface EMG were measured paralyzed rectus abdominis, erector spinae, transverse abdominis/internal oblique muscle activity, and using trunk impairment scale were measured balance. In order to find out immediate effect after intervention, post-test was measured immediately same way pre-test. Results: Change in balance didn't show significant difference within and between groups, but muscle activity of trunk was significant difference rectus abdominis and erector spinae within groups I (P<.01), also between groups was significant difference (P<.05). Conclusion: Bridge exercise combined with FES could improve trunk function more effectively than general bridge exercise due to physiological effect of functional electrical stimulation.

Rectus Sheath Hematoma Caused by Noncontact Strenuous Exercise

  • Kim, Gil Hwan;Kim, Jae Hun;Kim, Ho Hyun
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.227-230
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    • 2017
  • Rectus sheath hematoma (RSH) is an uncommon but well-documented clinical condition. It is usually caused by direct trauma or anticoagulation, although there are many other causes. However, RSH after noncontact strenuous exercise is very rare. We present a rare case of RSH after playing volleyball without direct trauma that was successfully treated by angiographic embolization.

Nutrition requirements in child and adolescent athletes (소아청소년의 스포츠 영양)

  • Park, Jae Ock
    • Clinical and Experimental Pediatrics
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    • v.52 no.12
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    • pp.1327-1336
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    • 2009
  • Increasing numbers of children and adolescents prefer undertaking physical exercise to overcome overweight or obesity. Children and adolescents are in the growth stage and require adequate nutrient supply. More calories and nutrients are required especially when they are engaged in physical exercise. Exercise is the only means to increase lean body mass and decrease body fat, but adequate nutrient supply is also essential. Lack of adequate nutrient supply causes muscle mass loss, menstruation irregularity, reduced bone density, fatigue, or frequent injury in children undertaking physical exercise. Here, I have introduced some guidelines on the nutrient requirement for child and adolescent athletes.

Exercise-induced traumatic muscle injuries with active bleeding successfully treated by embolization: three case reports

  • Heo, Yoonjung;Kang, Hye Lim;Kim, Dong Hun
    • Journal of Trauma and Injury
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    • v.35 no.3
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    • pp.219-222
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    • 2022
  • Muscle injuries caused by indirect trauma during exercise are common. Most of these injuries can be managed conservatively; however, further treatment is required in extreme cases. Although transcatheter arterial embolization is a possible treatment modality, its role in traumatic muscle injuries remains unclear. In this case series, we present three cases of exercise-induced muscle hemorrhage treated by transcatheter arterial embolization with successful outcomes. The damaged muscles were the rectus abdominis, adductor longus, and iliopsoas, and the vascular injuries were accessed via the femoral artery during the procedures.

Therapeutic Exercise for Low Back Pain (요부통증에 대한 운동치료)

  • Jung, Mun-Boung
    • Journal of Korean Physical Therapy Science
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    • v.2 no.4
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    • pp.817-822
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    • 1995
  • Even though back pain therapy has greatly improved as spinal bio-mechanics is introduced, many patients still have difficulties due to low back pain. At the initial therapeutic stage, the aim of rehabilitation therapy for low back pain is pain control, but, at the later therapeutic stage, the prime aims are to reduce the late complication and to prevent the recurrence of low back pain. Accurate diagnosis should be a first step before any therapy is planned. Thus, accurate physical, neurologic, E.M.G. and radiologic tests are required to give prescription for therapeutic exercise to the patients. In addition to this, the roles of theraphists and therapeutic exercise should be re-evaluated after the therapeutic exercise is performed. Fist of all, the most important things are to educate the patients to understand the low back pain and to let the patients join the therapeutical planning. 1. Bed rest and muscle relaxing exercise for releasing the muscle tention are required for the treatment of acute low back pain. An active exercise is recommended rather than a passive exercise. If the therapeutic exercise depravate the low back pain, the exercise should be immediately terminated and the therapeutical exercise should be replanned. 2. For the treatment of the chronic back pain, stretching exercise and para-spinal muscle strengthening exercise should be performed steadily and actively to prevent the recurrence of low back pain and the low back injury due to minor damage. The patients should be educated to do proper exercise and to maintain good posture in everyday life. 3. As the low back pain is released and the body function is recovered, control of whole body function is necessary. Swiming, bicycling and walking for $30\sim40$ minutes a day and $3\sim4$ days a week are recommended. Other exercise could be recommended depending on the patients condition.

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Effect of Elastic Aids (Bands) on Functional Reach Test in Patients with Spinal Cord Injury: Pilot Study

  • Jong Ho Kang;Tae Sung Park
    • The Journal of Korean Physical Therapy
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    • v.34 no.6
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    • pp.317-320
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    • 2022
  • Purpose: This study aimed: to confirm the balance ability of patients with spinal cord injury in the sitting state through a functional reach test using an elastic aid; and to propose a balance improvement plan. Methods: The study evaluated seven patients with spinal cord injury who could maintain a sitting posture through minimum assistance. A functional reach test was performed before and after wearing an elastic aid while sitting on a chair, and the effects before and after use of the elastic aid were compared and analyzed through a motion analyzer. Results: In the functional reach test, the forward movement distance of the hand was 97.45 mm before wearing the elastic aid, but significantly increased to 131 mm after wearing the aid (p<0.05). Corresponding forward movement distances for the shoulder were 81.26 mm and 113 mm (p<0.05 for the increase). There was no statistically significant change in lateral functional arm extension. Conclusion: It was confirmed, through a functional reach test, that trunk stability in patients with spinal cord injury increased with use of an elastic aid. In future, more efficient rehabilitation treatment programs will be possible if trunk stability in patients with spinal cord injury is improved by using elastic aids, and if various exercise treatments are also included in the rehabilitation programs.