• 제목/요약/키워드: Functional therapy

검색결과 2,073건 처리시간 0.034초

뇌졸중 환자군을 대상으로 한 작업대 높이가 수행도에 미치는 영향에 대한 연구 (Study on How the Height of the Table Influences of the Functional Ability Perfomence to Patients Group with Stroke)

  • 유영열;김희수
    • 대한인간공학회지
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    • 제28권4호
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    • pp.9-15
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    • 2009
  • Our study goal is to find out how the table height influences functional ability of upper extremity to patients with stroke when they are having therapy. In this study, we tested forty patients with stroke at the age of over sixty-five who do not have visual, auditory disability and have no difficulty in communicating and moving things by using upper extremity. And they were able to pinch grip in hospital. We used occupational table for occupational therapy as Lab Materials. We also used cube and pegs board to test upper extremity functional ability. We used occupational table for occupational therapy as Lab Materials and we used cube and pegs board to test upper extremity functional ability. The method is that we measured the recommended table height that takes the subjects' size into consideration and patients' preferred table height and therapists' preferred table height and we applied them and then we have done a comparative analysis and set significance level(p<0.05). As the result, we found the Statistically significant between the recommended height and the other two, which are patients' preferred height and therapists' preferred height. We also discovered that functional ability of upper extremity varies significantly depending on each table height. We came to a conclusion that the table height had effects on the upper extremity functional ability of patients with stroke who are over sixty-five years old. It is therefore considered that the proper table height is important to improve upper extremity functional ability of patients with stroke for their physical therapy.

소아 기능성 요실금의 진단과 치료 (Diagnosis and therapy for functional urinary incontinence in childhood)

  • 강주형
    • Clinical and Experimental Pediatrics
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    • 제51권11호
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    • pp.1147-1151
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    • 2008
  • Functional urinary incontinence, the absence of any neurologic or structural abnormality as a cause of urinary incontinence in children, is one of the most common clinical problems encountered in pediatric and urologic departments, and it can be socially and emotionally distressing for the affected children. The prevalence rates of functional urinary incontinence in school-aged children are not very high and differ between boys and girls. The underlying mechanisms of functional urinary incontinence are heterogenous and can be associated with the following dysfunctions of both the storage and voiding patterns of the bladder: overactive bladder, dysfunctional voiding, lazy bladder syndrome, HinmanAllen syndrome, giggle incontinence, and vaginal voiding. Treatment methods for urinary incontinence in children should be chosen according to these clinical conditions. Treatment modalities generally consist of the treatment of comorbid conditions such as urinary infection and constipation, behavior therapy to modify learned voiding patterns, and pharmacotherapy primarily with anticholinergics and ${\alpha}$-adrenergic blockers. This review discusses the optimal treatment modalities, including treatment of the underlying voiding disorders, and diagnostic approaches related to functional urinary incontinence in children.

노인에게 있어서 Berg 균형척도, Timed Up & Go 검사, 기능적 독립평가(FIM)의 상관관계 (The Correlation of the Berg Balance Scale, Timed Up & Go Test, and Functional Independent Measure in the Elderly People)

  • 황수진;이수영;이정아
    • 한국전문물리치료학회지
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    • 제11권1호
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    • pp.27-34
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    • 2004
  • This study aims to compare the relationship between the Berg Balance Scale (BBS) scores, Timed Up & Go (TUG), Functional Independent Measure (FIM), and subject characteristics. All of the 18 subjects were women between the ages of 68 and 91 (mean=80.2, SD=5.43), and they all lived at the nursing home in Wonju. Balance was measured using BBS, and functional mobility was measured using TUG. FIM was used to evaluate functional independence. Data were analyzed using Spearman correlation. Statistically significant differences were noted between BBS and TUG (r=-.486, p<.05). There were no significant statistical differences between total FIM and BBS, TUG. The FIM items "locomotion" and "communication" showed significant statistical differences between BBS and TUG. The results suggest that FIM may be able to predict dangerous falls in elderly people.

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기능적 하지길이 차이에 따른 동적 족저압의 분석 (The Analysis of Dynamic Foot Pressure on Difference of Functional Leg Length Inequality)

  • 공원태;김중휘;김태호
    • The Journal of Korean Physical Therapy
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    • 제21권4호
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    • pp.43-49
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    • 2009
  • Purpose: This study examined the dynamic peak plantar pressure under the foot areas in those with a functional leg length inequality. Methods: The dynamic peak plantar pressure under the foot areas in an experimental group with a functional leg length inequality (n=20) and a control group (n=20) was assessed a using the Mat-Scan system (Tekscan, USA). The peak plantar pressure under the hallux, 1st, 2nd, 3-4th and 5th metatarsal head (MTH), mid foot, and heel was measured while the subject was walking on the Mat-Scan system. Results: The experimental group had significantly higher peak plantar pressure under all foot areas when the dynamic peak plantar pressure in the short leg and long leg sides was compared. The control group had a significantly higher peak plantar pressure under the 1st, 2nd, 3-4th, and 5th MTH when the dynamic peak plantar pressure in the short leg and long leg sides were compared. The experimental group showed a significantly larger difference in the dynamic peak plantar pressure under the hallux, 1st, 2nd, 3-4th and 5th MTH, mid foot and heel than the control group. Conclusion: A functional leg length inequality leads to an increase in the weight distribution and dynamic peak plantar pressure in the side of the short leg.

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기능적 전기 자극을 적용한 전동식 보행 훈련이 편마비 환자의 보행에 미치는 영향 (Effectiveness of Gait Training Using an Electromechanical Gait Trainer Combined With Simultaneous Functional Electrical Stimulation in Chronic Stroke Patients)

  • 안승헌;이윤미;양경희
    • The Journal of Korean Physical Therapy
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    • 제20권1호
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    • pp.41-47
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    • 2008
  • Purpose: This study aimed to assess the effectiveness of gait training with the use of an electromechanical gait trainer with functional electrical stimulation (FES) for patients that had undergone subacute stroke. Methods: The study subjects included nine subacute stroke patients of the Korea National Rehabilitation Center in Seoul, Korea. Outcome was measured using the timed Up and Go test, Fugl-Meyer-L/E assesment, with determination of the comfortable maximal gait speed, composite spasticity score, functional ambulatory category and Berg balance scale. All measured scores were recorded before, during, and after rehabilitation and at an eight-week follow-up. Results: Patients who received electromechanical-assisted gait training in combination with FES after subacute stroke were more likely to achieve independent walking, functional activities, balance and gait speed. Conclusion: The outcome of our gait-training program demonstrates that it may be practical to integrate FES into electromechanical gait training without any adverse effects. However, further randomized controlled studies are needed to evaluate if patient outcome after combined training is superior to outcome after the use of electromechanical gait trainer treatment alone or conventional gait training alone.

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Effect of Home Exercise with Taping on the Pain and Functional Disability in Patients with Carpal Tunnel Syndrome

  • In, Tae-sung;Kim, Kyung-hun;Jung, Kyoung-sim
    • Physical Therapy Rehabilitation Science
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    • 제10권3호
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    • pp.351-355
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    • 2021
  • Objective: Carpal tunnel syndrome is one of the most common upper extremity compressive nerve disorders in modern people. Various conservative treatments such as taping, exercise, and electrotherapy have been applied to carpal tunnel syndrome and their effectiveness has been proven. This study aims to determine whether home exercise combined with taping is effective for pain and functional disability in patients with carpal tunnel syndrome. Design: Randomized controlled study Methods: 21 patients were recruited and were randomly divided into HEx+T (Home exercise+taping) group (n=10) and HEx (Home exercise) group (n=11). All participants performed Home exercise(tendon and neural gliding exercise) 5 times a week for 6 weeks. Additionally, subject in the HEx group, taping was applied over the wrist and forearm during the training period. Wrist pain was measured by VAS (Visual Analogue Scale). Functional disability was measured using a BCTSQ(The Boston Carpal Tunnel Syndrome Questionnaire). Results: Both the HEx+T group and the HEx group showed a significant improvement in wrist pain(p<0.05), and the HEx+T group showed a more significant decrease in pain than the HEx group(p<0.05). There was a significant improvement in both groups in functional disability (p<0.05), and the HEX+T group showed more improvement than the HEX group(p<0.05). Conclusions: This study suggests that home exercise combined with taping is effective for pain and functional disability in patients with carpal tunnel syndrome.

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

  • Kang, Jeongil;Jeong, Daekeun;Heo, Sinhaeng
    • 국제물리치료학회지
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    • 제12권2호
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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.

요통환자의 도수교정 전.후의 기능적 다리길이 편차 비교 (A Comparison of Functional Leg Length Inequality Before and After Manipulation of patients with Low Back Pain)

  • 마상렬
    • 대한물리치료과학회지
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    • 제13권1호
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    • pp.21-27
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    • 2006
  • The purpose of this study was to identify the above mentioned therapy on the reduction of functional leg length inequality, by the manipulation(Thonpson technique). In 8 patients who have been chronically ill with low back pain and functional leg length inequality, for past 12 weeks, we analyzed and observed the progress of symptom and sign on pelvis(femur head line level, ilium length, ilium rotation), using by X-ray. The results after 12 week treatment, compared with before treatment, were as follows : 1. The improved in femur head line in the manipulation after 12 week treatment was very significant(p<.01) 2. The improved in ilium length in the manipulation after 12 week treatment was very significant(p<.01) 3. The improved in ilium rotation in the manipulation after 12 week treatment was significant(p<.05).

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턱관절자세음양교정술(Functional Cerebro-Spinal Therapy, FCST)을 이용한 어지럼증 치료 1예 (One Dizziness Case Managed by Functional Cerebro-Spinal Therapy (FCST))

  • 최재민;이영준
    • 턱관절균형의학회지
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    • 제5권sup호
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    • pp.19-24
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    • 2015
  • A dizziness case with functional cerebro-spinal therapy (FCST) was reviewed to explore the effect of FCST. The case was managed with Yinyang Balancing Appliance (YBA) and the TMJ Balancing Appliance (TBA), combined with acupuncture, cupping and herbal medicine. Clinical outcome measurement was performed based on subjective measures and clinical observation. The patient showed positive changes starting after the first treatment. Futher clinical and biological research on FCST is expected.

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Effects of Hippotherapy on Functional Ability for The Children with Cerebral Palsy

  • Kang, Kwon Young
    • 국제물리치료학회지
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    • 제8권2호
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    • pp.1195-1200
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    • 2017
  • The purpose of this study was to effects of hippotherapy on functional ability of children with cerebral palsy (CP). Fifty-seven children with CP participated were randomly divided into two groups. All of the groups received thirty minutes of conventional physical therapy program for three times a week per twelve weeks, however experimental group received additional fifteen minutes of the hippotherapy. Gross Motor Function Measure(GMFM) was used to compare the effects of hippotherapy. The results were as followings: GMFM score in dimensions A and B significantly increased in the control group after intervention. All dimensions of GMFM was significantly increased in experimental group after intervention. All dimensions of GMFM were significantly different between experimental group and control group. These results suggest that hippotherapy can be considered as a therapeutic method for physical therapy for the children with CP to improve the functional movements.