• 제목/요약/키워드: Functional therapy

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기능적 전기자극을 병행한 거울치료가 만성 뇌졸중 환자의 균형 및 보행능력에 미치는 영향에 관한 융합적 연구 (A Convergence Study on the Effects of functional electrical stimulation with mirror therapy on balance and gait ability in chronic stroke patients.)

  • 김동훈;김경훈
    • 한국융합학회논문지
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    • 제9권10호
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    • pp.109-120
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    • 2018
  • 본 연구의 목적은 기능적 전기자극을 병행한 거울치료가 만성 뇌졸중 환자의 균형과 보행능력에 미치는 영향을 알아보기 위함이다. 선정기준에 따라 만성 뇌졸중 환자를 35명을 대상으로 세군으로 실시하였다. FMT군은 기능적 전기자극을 병행한 거울치료(n=11), MT군은 거울치료를 시행하였고(n=12), CON군(n=12)은 일반적인 물리치료를 시행하였다. 훈련은 1일 30분, 1주 5번, 총 4주간 시행하였다. 중재 전 훈련 4주 후에 균형과 보행능력을 검사실시하였다. 훈련결과 기능적 전기자극을 병행한 거울치료 훈련군이 버그균형척도, 신체의 이동거리, 활보장, 분속수, 그리고 평균보행속도에서는 거울치료군과 대조군에 비해 통계학적으로 유의한 차이를 보였다. 그러므로 기능적 전기자극 치료와 거울치료 융합은 뇌졸중 환자의 균형과 보행능력을 위한 효과적인 중재로 활용 될 수 있으며, 다양한 뇌졸중 환자를 위한 지속적인 융합중재개발이 요구된다.

부모-자녀모래놀이치료가 모-자의 애착안정성과 의사소통에 미치는 효과 (The Effect of Sandplay Therapy with Parent-Children on Mother-Child's Attachment Security and Communication)

  • 오애니아;유승은;박부진
    • 아동학회지
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    • 제34권6호
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    • pp.31-55
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    • 2013
  • This study aimed to look into the effect of sandplay therapy with parent-children on mother-child's attachment security and communication. This study first conducted a scale of attachment security targeting child and mother who is bringing children in the age of 5 to 6 years in two kindergartens located in Seodaemun-gu, Seoul, and composed experimental group and control group of four couples respectively by selecting randomly from eight mother-child couples that received low grades. Sandplay therapy with parent-children was conducted for 12weeks on a weekly basis for 50minutes each. To study the attachment security, we used the Klabsbrun-Bowlby(1976)' Separation Anxiety Test and Mother's attachment scale. In this study, it is Seperated in based on Lee Na Gueng(2001) by functional communication and dysfuctional communication in order to measure changes in communication for situation that may occur during Sand play theraphy and record of observation about changes in each session. Data logging makes watching videos that recorded parent-children sand play therapy every situations. When observes the functional communication or dysfunctional communication between mother and the child, checking the corresponding to each entries, the frequency is recorded and qualitatively analyzed by each sessions. To study mother and child have been enhanced stability of the attachment and the relationship had improved results. Also, in each session the observation of increased functional communication, and dysfunctional communication results appear to reduce in parent-children sand play therapy. As a result, a couple sand play therapy has positive impact to improved the relationship between the mother and the child.

Correlation Between Functional Movement Screen Scores, Lower Limb Strength, Y-Balance Test, Grip Strength, and Vertical Jump and Incidence of Injury Due to Musculoskeletal Injury Among Abu Dhabi Police Recruits

  • Hamad Alkaabi;Everett Lohman;Mansoor Alameri;Noha Daher;Aleksandar Cvorovic;Hatem Jaber
    • Physical Therapy Rehabilitation Science
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    • 제12권3호
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    • pp.222-228
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    • 2023
  • Objective: Training-related injuries and attrition put an additional burden on police and military institutions. Preventing and minimizing musculoskeletal injuries is the primary concern of the Abu Dhabi Police. Therefore, this study aimed to evaluate the correlation between functional movement screen, lower-limb strength, Y-balance test, grip strength and vertical jump and the incidence of musculoskeletal injuries among Abu Dhabi police recruits. Design: Observational analytical study. Methods: An observational study was conducted on 400 male police recruits of Abu Dhabi Police Academy. Physical performance was assessed before the 16-weeks basic police training. Spearman's correlation evaluated the correlation between the performance parameters and the outcome measures and logistic regression predicted the risk factors associated with musculoskeletal injuries. Results: 149 (34.4%) participants reported at least one injury during the basic police training. Comparison between injured and non-injured participants showed significant difference in mean right Y-balance, back-leg-chest dynamometer, and vertical jump (p=0.02, p=0.02, and p=0.04, respectively). Spearman's correlation showed a significant negative correlation between risk of injury and back-leg-chest dynamometer and right Y balance (ρ= -0.11, p=0.03). Logistic regression showed that back-leg-chest dynamometer and right Y balance were significant predictors of injury (p =.036 and p=0.037; Odds ratio=0.96; 95% CI (0.92, 0.99) and Odds ratio=0.99; 95% CI (0.98,0.99). Conclusions: Our findings suggest functional movement screen and grip strength may not independently predict injury rates, balance and lower-limb strength needs to be considered in injury prevention strategies to reduce musculoskeletal injuries.

일부 20대 여대생의 넙다리네갈래근 각이 기능적 다리길이 차이 및 하지근력과의 상관관계 (Correlations Between Quadriceps Angle, Functional Leg Length Discrepancy and Lower Extremity Muscle Strength of Women University Students in Their Twenties)

  • 정연우;김여진;이재근;두영택
    • 대한정형도수물리치료학회지
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    • 제20권2호
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    • pp.9-14
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    • 2014
  • Background: This study aims to examine correlations between quadriceps angle, lower extremity muscle strength and leg length discrepancy. Methods: This study selected 96 healthy women university students as the subjects of research. Quadriceps angle, lower extremity muscle strength and leg length discrepancy were measured. The statistical analysis of the data SPSS/window (version 12.0) were analyzed using the pearson correlation analysis. Results: There were negative correlations between the muscle strength of the right hamstring muscles and the right quadriceps angle in supine and standing positions. Functional leg length discrepancy of left and right quadriceps angle in supine and standing position showed positive correlations. Conclusions: The quadriceps angle affect the knee. An abnormal angle caused weakening of balance. Muscle strength, leg length discrepancy, and affected lower extremity alignment and knee function. These conclusions may prevent exercise limitation or disorders in the subjects and treating the patients with knee injury or patellofemoral pain syndrome with basic therapy intervention.

척수손상 흰쥐에서 자하거 약침과 침전기 자극이 신경성장인자 발현에 미치는 영향 (Effects of Hominis Placenta Pharmacopuncture and Electroacupuncture Neuroprotection in Contused Spinal Cord of Rats)

  • 김은정;김계엽
    • 동의생리병리학회지
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    • 제25권2호
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    • pp.257-263
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    • 2011
  • This study was designed to investigate the effects of Hominis placenta pharmacopuncture treatment and electroacupuncture therapy on the functional recovery and histological change, protein expression in spinal cord injury(SCI) rats. Experimental groups were divided into the Group I(normal control rat), Group II(Non-treatment after spinal cord injury induction), Group III(Hominis placenta pharmacopuncture treatment after SCI induction), Group IV (Electroacupuncture therapy after SCI induction), Group V(Hominis placenta pharmacopuncture treatment and electroacupuncture therapy after SCI induction). After operation, rats were tested at modified Tarlov test at 1 to 3 days with divided into 4 groups, and motor behavior test(BBB locomotor rating scale, Grid walk test) was examined at 3, 7, 14, and 21 days. For the observation of damage change and size of the organized surface in muscle and spinal cord, histopathological studies were performed at 21 days by H & E stain, and BDNF & NT-3 protein expression studies were performed at 21 days. Acco rding to the results, Hominis placenta pharmacopuncture treatment and electroacupuncture therapy can play a role in facilitating recovery of locomotion following spinal cord injury. Specially, Hominis placenta pharmacopuncture treatment and electroacupuncture combimed therapy after SCI induction was most improvement in functional recovery, BDNF, and NT-3 protein synthesis.

다양한 발목 경사를 통한 균형 훈련이 건강한 성인의 동적 균형에 미치는 영향 (Effects of Balance Training through Various Ankle Inclination on Dynamic Balance in Healthy Adults)

  • 김누리;김강미;이정은;이하경;차유리
    • 대한물리치료과학회지
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    • 제25권3호
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    • pp.61-67
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    • 2018
  • Background: The purpose of this study is to report the effect of balance training through various ankle inclination on dynamic balance in healthy adults. Methods: This study was participated in 20 healthy subjects. Twenty healthy adults were randomly divided into 10 ankle inclination group and 10 flat group, 3 kinds of exercised were performed in $30^{\circ}$ of the plantar flexion, $0^{\circ}$ of the neutral angle and $30^{\circ}$ of the dorsiflexion. Above 3 kinds of exercises were also performed in the flat group. Dynamic balance of each group was evaluated using a Figure-of-8 hop test, Up-down hop test, and Functional reach test before and after the experiment. Results: In the ankle inclination, the post-experiment showed a significant difference in Figure-of-8 hop test, Up-down hop test, and Functional reach test in comparison to pre-experiment(p<.05). Conclusion: The exercise applied in the ankle inclination is effective in improvement of the dynamic balance.

추간판의 퇴행성 변화와 생활기능의 관련성 분석 (Analysis of the Degenerative Disc Change and Its Relationship to Living Function)

  • 신정섭;윤세원
    • The Journal of Korean Physical Therapy
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    • 제18권6호
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    • pp.43-49
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    • 2006
  • Purpose: Changes of degenerative disc have been analyzed or with the Magnetic Resonance Imaging (MRI) to assign appropriate meaning, and the relationship between the degenerative changes of the discs and its living function has been evaluated through the living function evaluation scores collected by functional rating index. Methods: in April, 2006, a physical examination was conducted for physical laborers to be employed as on-site laborer in a steel industrial complex located at a region. A month later, these 20 laborers who participated in lumbar vertebra MRI tests have been investigated for one-to-one mobile phone functional rating index test. Excluding 3 of 14 respondents whom scored 0 in functional rating index, the rest of respondents' degenerative disc grade changes shown in MRI and its relationship to living functional rating index have been performed. Results: The Dabbs method of measuring disc height resulted to show significant increase as the disc height changes from L1-2 level to L5-S1 level (p<0.01). However, there was no statistical significance with a relationship between disc height and functional rating index, and disc height average. The Magnetic Resonance Imaging analysis regard on the degree of disc degeneration and its relationship to living functional rating proved to have significant relationship (p<0.05). Conclusion: The degenerative changes monitored by Magnetic Resonance Imaging show significant relationship (p<0.05) to living function. However, this relationship could vary depend upon the characteristics of study population. So, it suggested that the future studies should be performed by considering population's age and job career.

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운전시뮬레이터 훈련이 시 지각 및 운전 반응 속도에 미치는 효과 (The Effects of Driving Rehabilitation Functional Training on Visual Perception and Driving Reaction Velocity)

  • 이정숙;김성원
    • 대한통합의학회지
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    • 제5권4호
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    • pp.77-81
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    • 2017
  • Purpose : This study examined the effects of driving rehabilitation functional training on visual perception ability and driving reaction velocity. Those subjects were put under MVPT-3 test to see their visual perceptual functions before and after the 4weeks' driving rehabilitation function training and then put to TMT A-type test to see their driving reaction velocity performance. The followings are the results of this study. Methods : Using a driving simulator, driving rehabilitation functional training was performed targeting men and women aged in 20s 20 minutes per time, two times per week, for a month. Results : As for the change in visual perception, the Raw Score of MVPT-3 very significantly increased (p<.01), and the Standard Score also very significantly increased (p<.01). As for the change in reaction velocity, TMT A-type very significantly decreased (p<.01), and TMT B-type also very significantly decreased (p<.01). Conclusion : It could be found that driving rehabilitation functional training should be effective for both visual perception and reaction velocity. Consequently, the driving rehabilitation function training can be applied to clinics as training method for functional recovery and improvement of visual perceptual functions and driving reaction velocity performance ability of the patients. Thus, various functional programs should be studied in the future.

The Effects of Functional Electrical Stimulation on Forced Vital Capacity and Phonation Capabilities in Children with Spastic Cerebral Palsy

  • Ju, Joung-Youl;Kang, Kwon-Young;Shin, Hee-Joon
    • 국제물리치료학회지
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    • 제2권2호
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    • pp.339-343
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    • 2011
  • The purpose of this study is to see the effect of functional electrical stimulation on forced vital capacity and alternating motion rate in children with spastic cerebral palsy. This study divided 20 children with spastic cerebral palsy into two groups; functional electrical stimulation treatment group and control group. Functional electrical stimulation treatment group had 20min per day treatment three times a week for four weeks and the control group did not have any treatment. Before and after intervention, this study measured forced vital capacity and alternate motion rate(/peo/,/teo/) for all children. Forced vital capacity showed statistically significant increase for the group with functional electrical stimulation(p<.05) while the control group did not show any significant increase(p>.05). Alternate motion rate showed statistically significant increase for the group with functional electrical stimulation(p<.05) while the control group did not show any significant increase(p>.05). This result shows that functional electrical stimulation affected the ability of the children with spastic cerebral palsy who have decreased breathing and phonation capability.

낙상 경험 유무에 따른 노인의 기능적 보행성취도 점수(FAP score) 비교 (Comparison of the Functional Ambulation Performance Scores of Senior Adults With or Without a History of Falls)

  • 권혁철;공진용
    • 한국전문물리치료학회지
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    • 제10권1호
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    • pp.1-13
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    • 2003
  • The purpose of the study was to determine if there was a difference in the Functional Ambulation Performance score of senior adults with or without a history of falls during walking at a preferred velocity. Twelve subjects with a history of falling (mean age=73.8) and eight subjects with no history of falling (mean age=70.4) participated in the study. Temporal and spatial parameters of gait were analyzed using the computerized GAITRite system. The GAITRite system integrates specific components of locomotion to provide a single, numerical representation of gait, the Functional Ambulation Performance score. The Functional Ambulation Performance score is a Quantitative means of assessing gait based on specific temporal and spatial parameters. Statistical analysis of the two groups demonstrated a significant decrease in Functional Ambulation Performance score for those with a history of falls. They had lower values for step/extremity ratios, mean normalized velocity, and greater values for step times, percent in double support. These results indicate that the GAITRite system can be useful in detecting footfall patterns and selected time and distance measurements of persons with a history of falls and the Functional Ambulation Performance score can be used as indicators of gait performance for senior adults with a history of falls.

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