• 제목/요약/키워드: Gait

검색결과 2,438건 처리시간 0.03초

Parry-Romberg syndrome with ipsilateral hemipons involvement presenting as monoplegic ataxia

  • Lee, Yun-Jin;Chung, Kee-Yang;Kang, Hoon-Chul;Kim, Heung Dong;Lee, Joon Soo
    • Clinical and Experimental Pediatrics
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    • 제58권9호
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    • pp.354-357
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    • 2015
  • Parry-Romberg syndrome (PRS) is a rare, acquired disorder characterized by progressive unilateral facial atrophy of the skin, soft tissue, muscles, and underlying bony structures that may be preceded by cutaneous induration. It is sometimes accompanied by ipsilateral brain lesions and neurological symptoms. Here we present the case of a 10-year-old girl with right-sided PRS and recurrent monoplegic ataxia of the left leg. At 4 years of age, she presented with localized scleroderma over the right parietal region of her scalp; her face gradually became asymmetric as her right cheek atrophied. Brain magnetic resonance imaging revealed hemiatrophy of the face and skull base, and T2-weighted images showed increased signal in the right hemipons and hemicerebellar peduncle. Magnetic resonance angiography findings were unremarkable. She was treated with oral prednisolone, and her recurrent gait ataxia diminished within 2 months of the follow-up period. To the best of our knowledge, this is only the second case of PRS presenting with an abnormal involvement of the ipsilateral hemipons.

The Effect of Inspiratory Muscle Training on Respiratory Function in Stroke Patient

  • Jung, Nam Jin;Ju, Jung Yeol;Choi, Seok Ju;Shin, Hyung Soo;Shin, Hee Joon
    • 국제물리치료학회지
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    • 제6권1호
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    • pp.795-801
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    • 2015
  • The purpose of this study was to find out an inspiratory muscles training program's therapeutic effects on stroke patients' respiratory function. For the purpose, this study targeted 20 stroke patients being hospitalized in K hospital in Daegu, and diveded the patients into the both groups of Inspiratory muscle training(IMT) group and control group, randomization. The 10 patients in the IMT group was applied the inspiratory muscles training. The control group was composed of other 10 patients. IMT group was given a inspiratory muscle training program for 30 minutes per times, 5 times a week for 6 weeks. The investigator measured the patients' respiratory function compared changes in the function and ability before and after the IMT. The results of this study are as follows. Investigating the inspiratory muscle training group's lung functions, there appeared some significant differences in the tests the FVC(Forced vital capacity), FEV1(Forced expired volume in one second) before and after the training(p<.05), but the control group had no significant in the same tests before and after(p<.05). The differences in the both groups after depending the inspiratory muscles training were significantly found in the tests of FVC, FEV1, FEV1/FVC(p<.05). The maximum inspiratory pressure showed some significant differences in the inspiratory muscle training group(p<.05), but didn't show any significant difference in the control group(p>.05). Conclusionally, it will be judged that the inspiratory muscles training program will improve stroke patients' respiratory function, and it is considered that will move up stroke patients' gait and body function.

Effect of Dual Task Training in Visual Control and Unstable Base on the Gait of Stroke Patient

  • Lee, Sa Gyeom;Kim, Yang Rae
    • 국제물리치료학회지
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    • 제6권1호
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    • pp.788-794
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    • 2015
  • This study examines changes in walking ability among patients with stroke after applying dual-task training under the condition of visual control and unstable supporting ground; the purpose is to provide reference data for selecting intervention methods that enhance the walking ability of patients with stroke. Among the patients with stroke who received rehabilitation treatment(at Rehabilitation Hospital B in Gyeonggi, South Korea from May 2014 to July 2014), 29 patients were selected as research subjects; all of them understood the purpose and contents of this research and agreed to participate in the experiment. The research subjects were divided into a visual control and unstable supporting ground dual-task(VUDT) group(10 patients), a visual control dual-task(VDT) group(10 patients), and an unstable supporting ground dual-task(UDT) group(9 patients); all of the subjects received 30-minute trainings, three times a week for a total of four weeks. A Timed-Up-and-Go(TUG) test was performed to investigate the change of walking function among the subjects, and a 10m walking test was conducted to measure their walking speed. According to the study results, all three groups showed significant differences after dual-task training; the dual-task training group under the condition of visual control and unstable supporting ground showed the most prominent change. This study confirmed that dual-task training using visual control and unstable supporting ground has a positive impact on the walking ability of patients with stroke. Through the study results, we found that implementing dual-task training under the condition of visual control and unstable supporting ground can more effectively improve the walking ability of patients with stroke, rather than performing visual control dual-task training or unstable supporting ground dual-task training only.

The Effect of Therapeutic Intervention Using Motivation on Chronic Stroke Patients' Balance

  • Kim, Yeon Ju;Choi, Yoo Rim;Choi, Wan Suk;Kim, Bo Kyung;Oh, Hyun Ju;Kim, Hong Rae;Hwang, Byeong Jun
    • 국제물리치료학회지
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    • 제5권1호
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    • pp.683-690
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    • 2014
  • This study purposed to provide a scientific base for understanding the effect of therapeutic intervention using motivation on chronic stroke patients' balance and determining whether it is applicable as a new therapeutic intervention. For this study, we sampled 38 chronic stroke patients, and divided them randomly into a motivation training group(n=20) and a control group(n=18). To the control group was applied neurological physiotherapy 5 times a week, and 30 minutes each time, and to the motivation training group was applied neurological physiotherapy and then, additionally, a Nintendo Wii-Fit program 3 times a week, and 30 minutes each time. Before and after the experiment, the subjects' dynamic balance was measured with functional reach test(FRT), timed up & go test(TUG), and 10m gait test, and their static balance was measured with the Romberger Test. When dynamic balance ability was compared between before and after the experiment and between the motivation training group and the control group, significant difference was observed in the results of FRT, TUG, and 10m walking test between before and after the intervention(p<.05). As to static balance, in addition, body balance movement distance was not significantly different. Therapeutic intervention using dynamic motivation was found to be more effective than the control group in improving dynamic balance.

뒷목 근육통 증상을 보인 소뇌의 해면 혈관종 1예 (Cerebellar cavernous hemangioma that presented with posterior neck myalgia)

  • 백승아;윤경림;심계식;방재승
    • Clinical and Experimental Pediatrics
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    • 제51권12호
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    • pp.1363-1367
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    • 2008
  • 해면 혈관종은 비교적 양성의 병변이며 다량의 뇌출혈을 일으키는 것은 드물어서 수술의 적응증에 대해 논란의 여지가 있다. 그러나 특히 소뇌 같은 후두와나 뇌간에서 발생한 해면 혈관종에서의 출혈은 제한된 공간으로 인해 비가역적인 뇌손상을 일으킬 수 있으며 이로 인해 사망한 경우도 보고되고 있어서 소뇌의 압박증상이 있으면 응급수술을 해야 한다. 병변으로부터 반복되는 출혈로 인해 뒷목 근육통으로 오인되었던, 소아에서는 드물게 소뇌에 생긴 해면 혈관종 1예를 보고하는 바이다.

지역사회중심재활에 대한 거점 보건소 물리치료사들의 인식도 조사 (A Recognition Research of Physical Therapist in the Strong Point Public Health Center about Community Based Rehabilitation)

  • 김찬문;전유진
    • The Journal of Korean Physical Therapy
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    • 제12권3호
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    • pp.491-495
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    • 2000
  • This research is due to know the transformation after Physical Therapist(PT) was educated the Comunity Based Rehabilitation(CBR) at the strong point by Public Health Center(PHC) of the CBR. It was the education of physical therapist of strong point by PHC of the CBR from April 17 to April 29 of 2000 in National Rehabilitation Center. The following is the result of Questionnaire educated 39 peoples. First. male and female are same rate. average age, 33 years old, In the position, regular position $86.3\%$. irregular position $13.2\%$. Second, the $76.3\%$was only working PHC one PT, thc main patients were $73.7\%$ of chronic degeneration and over 65 years old who are treated. they are treating $60.5\%$ under 20person in each day. Third. We asked three Questionnaire. these are, first need CBR education. second, participating of the PT of the CBR projects, third. suggesting the CBR the another in the PHC. The most of $97.4\%$ was answered the Positive. $89.5\%$ agreed that they can offer physical therapy to handicapped man without responsibility. And all of these answered $100\%$ that they want to ewer the physical therapy when they meet the Handicapped. Are you can aviable to assess the part of handicapped they answered $77.1\%$, to therapeutic exercise $52.6\%$, to transfer and family education $47.4\%$, to gait training and family education $15.3\%$. In the welfare policy. introduce job and rehabilitation information side, having answer $44.7\%$. It was negative. In the filed of social welfare also is it possible for them to educate for the another medical staffs and volunteers is PHC. It was $52.6\%$. In Conclusion, needs and participant's rate was high all the people but it was the less in professional physical therapy.

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결합조직마사지를 통한 변비개선에 관한 연구 (A Study on Therapeutic Approach of Constipation with Connective Tissue Massage)

  • 남건우;배성수;이현옥;김수민
    • The Journal of Korean Physical Therapy
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    • 제12권3호
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    • pp.475-489
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    • 2000
  • This research is due to know the transformation after Physical Therapist(PT) was educated the Comunity Based Rehabilitation(CBR) at the strong point by Public Health tenter(PHC) of the CBR. It was the education of physical therapist of strong point by PHC of the CBR from April 17 to April 29 of 2000 in National Rehabilitation Center. The fellowing is the result of Questionnaire educated 39 peoples. First, male and female are same rate, average age, 33 years old, In the position, regular position $86.3\%$. irregular position $13.2\%$. Second. the $76.3\%$ was only working PHC one PT. the main patients were $73.7\%$ of chronic degeneration and over 65 years old who are treated, they are treating $60.5\%$ under 20 person in each day. Third. We asked thru Questionnaire, these are first, need CBR education. second. participating of the PT of the CBR projects. third. suggesting the CBR the another in the PHC. The most of $97.4\%$ was answered the positive. $89.5\%$ agreed that they can offer physical therapy to Handicapped man without responsibility. And all of these answered $100\%$ that they want to offer the physical therapy when they meet the handicapped. Are you can aviable to assess the part of handicapped they answered $71.1\%$, to therapeutic exorcise $52.6\%$, to transfer and family education $47.4\%$, to gait training and family education $55.3\%$. In the welfare policy, introduce job and rehabilitation information side. having answer$44.7\%$. It was negative. In the filed of social welfare also is it possible for them to educate far the another medical staffs and volunteers is PHC. It was $52.6\%$. In Conclusion, needs and participant's rate was high all the people but it was the less in professional physical therapy.

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The Effect of Gaze Angle on Muscle Activity and Kinematic Variables during Treadmill Walking

  • Kim, Bo-Suk;Jung, Jae-Hu;Chae, Woen-Sik
    • 한국운동역학회지
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    • 제27권1호
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    • pp.35-43
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    • 2017
  • Objective: The purpose of this study was to determine how gaze angle affects muscle activity and kinematic variables during treadmill walking and to offer scientific information for effective and safe treadmill training environment. Method: Ten male subjects who have no musculoskeletal disorder were recruited. Eight pairs of surface electrodes were attached to the right side of the body to monitor the upper trapezius (UT), rectus abdominis (RA), erector spinae (ES), rectus femoris (RF), bicep femoris (BF), tibialis anterior (TA), medialis gastrocnemius (MG), and lateral gastrocnemius (LG). Two digital camcorders were used to obtain 3-D kinematics of the lower extremity. Each subject walked on a treadmill with a TV monitor at three different heights (eye level; EL, 20% above eye level; AE, 20% below eye level; BE) at speed of 5.0 km/h. For each trial being analyzed, five critical instants and four phases were identified from the video recording. For each dependent variable, one-way ANOVA with repeated measures was used to determine whether there were significant differences among three different conditions (p<.05). When a significant difference was found, post hoc analyses were performed using the contrast procedure. Results: This study found that average and peak IEMG values for EL were generally smaller than the corresponding values for AE and BE but the differences were not statically significant. There were also no significant changes in kinematic variables among three different gaze angles. Conclusion: Based on the results of this study, gaze angle does not affect muscle activity and kinematic variables during treadmill walking. However, it is interesting to note that walking with BE may increase the muscle activity of the trapezius and the lower extremity. Moreover, it may hinder proper dorsiflexion during landing phase. Thus, it seems to reasonable to suggest that inappropriate gaze angle should be avoided in treadmill walking. It is obvious that increased walking speed may cause a significant changes in biomechanical parameters used in this study. It is recommended that future studies be conducted which are similar to the present investigation but using different walking speed.

Systemic and Local Anaphylaxis is Not Induced by Korean Red Ginseng Mixture in Guinea Pigs

  • Hyun, Sun Hee;Kyung, Jong Soo;Song, Yong Bum;So, Seung-Ho;Kim, Young Sook
    • Toxicological Research
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    • 제34권3호
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    • pp.183-189
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    • 2018
  • Currently, injuries to customers due to health functional foods are annually increasing. To evaluate the antigenicity of Korean red ginseng mixture (KRGM), we tested for systemic anaphylactic shock and passive cutaneous anaphylaxis in guinea pigs. Based on a comparison of measured body weights, there were no changes in body weight for the KRGM treatment group compared with the control group. In the ovalbumin treated group, however, there was a statistically significant decrease in body weight. For the active systemic anaphylaxis test, after the induction, there were no symptoms that suggested anaphylactic shock in the control and KRGM treatment group. In the ovalbumin treated group, there were symptoms that suggested severe anaphylaxis, and those symptoms included restlessness, piloerection, tremor, rubbing or licking the nose, sneezing, coughing, hyperpnea, dyspnea, staggering gait, jumping, gasping and writhing, convulsion, side position and Cheyne-stokes respiration. All animals died within thirty minutes in the ovalbumin treated group. For the passive cutaneous anaphylaxis test in guinea pigs sensitized to KRGM, each anti-serum was diluted in a stepwise manner. This was followed by an intravenous injection of a mixture of KRGM and Evans blue. The results of the test showed that all the responses were negative in the control and the low-dose and high-dose administration groups. However, in the ovalbumin treated group, all the responses were positive. Based on the above results, there were no anaphylactic responses for up to 12 times the amount of human intake of KRGM in Hartley Guinea-pigs. The results suggest that KRGM is safe as measured by the systemic and local antigenicity in guinea pigs.

전신진동을 결합한 스쿼트운동이 중증 만성폐쇄성폐질환 환자의 폐기능과 넙다리네갈래근 활성도에 미치는 영향 (Effects of Squat Exercise Combined with Whole-Body Vibration on the Pulmonary Function and the Quadriceps Femoris Activity of Patients with Severe Chronic Obstructive Pulmonary Disease)

  • 강정일;정대근
    • 대한물리의학회지
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    • 제15권4호
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    • pp.121-129
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    • 2020
  • PURPOSE: This study aimed to propose an exercise technique that helps improve the skeletal muscle function while suppressing the symptoms of respiratory distress, by mediating squat exercises in whole-body vibration for patients with severe COPD, and comparing the post intervention pulmonary function and activity of quadriceps. METHODS: Totally, 21 patients with severe COPD were randomly assigned to two groups through clinical sampling: experimental group I included 11 patients (Squat exercise combined with whole-body vibration exercise), and experimental group II included 10 patients (Only squat exercise). Before intervention, we measured pulmonary function using a pulmonary function tester, muscle activity of quadriceps using surface EMG, and gait ability using the 6MWT. RESULTS: Comparison of intra-group changes in both experimental groups showed a significant increase in the activity of rectus femoris, vastus medialis, and vastus lateralis, and also in the 6MWT. Intra-group comparisons also revealed significant difference in the activity of rectus femoris, vastus medialis, and vastus lateralis (p < .05). CONCLUSION: Squat exercise combined with whole-body vibration significantly increased the activity of the quadriceps muscle, suggesting that this intervention helps maintain the function of skeletal muscles and prevent muscle atrophy. Therefore, studies to develop protocols using whole body vibration in clinical practice as an exercise method can safely be performed in severe COPD patients, as considered necessary.