• Title/Summary/Keyword: Incorporated therapy

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The Impact of Manual Therapy on Pain Catastrophizing in Chronic Pain Conditions: A Systematic Review and Meta-analysis

  • Hyunjoong Kim;Seungwon Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.177-184
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    • 2023
  • Objective: Manual therapy is a commonly utilized approach in managing chronic pain, but its specific impact on pain catastrophizing remains uncertain. The objective of this systematic review and meta-analysis was to examine the effects of manual therapy on pain catastrophizing in individuals with chronic pain. Design: A systematic review and meta-analysis Methods: A comprehensive search was conducted in electronic databases to identify relevant studies published from 2014 onwards. Studies that evaluated the impact of manual therapy on pain catastrophizing in individuals with chronic pain were incorporated. The risk of bias in the selected studies was evaluated using the Cochrane tool for risk of bias in qualitative analysis. For the quantitative analysis, RevMan 5.4 software was utilized, employing a random-effects model as the analysis model. The effect measure used in the analysis was the standardized mean difference (SMD). Results: In total, 26 studies were collected, and following the screening process, three of them were incorporated into the final analysis. The included studies involved a total of 153 patients with chronic pain. The interventions comprised various manual therapy techniques targeting different areas of the body. Pain catastrophizing and pain intensity were the primary outcomes of interest. The meta-analysis revealed a significant reduction in pain catastrophizing scores following manual therapy intervention compared to control conditions (SMD = -0.91, 95% CI: -1.25 to -0.58). However, heterogeneity between the studies was observed. Conclusions: Despite the limited quantity and heterogeneity of studies, it has been demonstrated that manual therapy intervention is effective in reducing pain catastrophizing in individuals with chronic pain.

Physical Therapy Approaches for Respiratory Diseases (호흡계 질환의 물리치료적 접근방법)

  • Kim, Ki-Song
    • Journal of Korean Physical Therapy Science
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    • v.16 no.3
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    • pp.67-74
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    • 2009
  • Background: Various functional factors should be incorporated during assessment and intervention for patient rehabilitation. Stable respiratory function is one of required factors for functional restoration. To maximize respiratory physical therapy intervention outcome, it is required to understand clinical features of respiratory diseases and physical therapy approaches. Methods: Previous studies were systematically reviewed through computerized search. Methodological qualities of selected studies were evaluated and the levels of recommendations were determined. Results: Assessment for respiratory pattern and thoracic mobility is of importance to improve cardiopulmonary fitness during physical reconditioning. Application of optimal therapeutic protocol can increase thoracic mobility and respiratory function. Interdisciplinary communication is critical during rehabilitation for respiratory patients. Health care provider should have professional knowledge and experience for cardiopulmonary fitness and obligation to endeavor for patients' respiratory rehabilitation. It is necessary to standardize therapeutic intervention, and rehabilitative respiratory exercise should be applied to confirm the effects of intervention. Conclusion: Respiratory diseases that may reduce patients' quality of life and cardiopulmonary fitness should be resolved through physical therapy approaches. Through conducting research, effect of evidence-based and patients' function-oriented intervention can be determined.

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Physical Therapy in Hospice (호스피스와 물리치료)

  • Chu Min;Im Bok-Hee
    • The Journal of Korean Physical Therapy
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    • v.3 no.1
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    • pp.189-201
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    • 1991
  • Hospice, a concept of care for dying patients, focuses on providing comfort measures rather than aggressively searching for a cure. Hospice addresses symptom control from a wholistic view under the direction of an interdisciplinary team. Physical therapy fits with many of the tenets of hospice, such as the interdisciplinary team, inclusion of the patient and family as the care unit, provision of treatment in various in and out patient settings, and attention to the comfort of the patient. Physical therapy educators must recognize the need for medical ethics, psychosocial and medicolegal issues to be incorporated throughout the curriculum.

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A Hermeneutic Phenomenological Study of Art Therapy Supervisors' integration of Art as Part of Supervision

  • Boram Park
    • International Journal of Advanced Culture Technology
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    • v.11 no.2
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    • pp.132-141
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    • 2023
  • The purpose of this study was to understand the vivid realities of important technical and relational aspects of visual art that were emphasised during training by art therapy supervisors and educators. Max van Manen's hermeneutic phenomenological methodology was incorporated into the study. Summarising their main experiences, art therapy supervisors enabled experiences of reproducibility and immediacy in their supervision, and allowed visual art to be used as a tool to foster inner contact with their supervisees. To enable this experience, art therapy supervisors provided a creative foundation and a receptive environment that promoted creativity for supervisees to use and experience art beyond the role of passive viewers. The results of this research clarified how the participating supervisors interpreted the value of art therapy as a method to nurture the professional growth of trainees. Their contributions suggest experiences and methods that may effectuate future advancements in the field of art therapy supervision.

A non-replicating oncolytic vector as a novel therapeutic tool against cancer

  • Kaneda, Yasufumi
    • BMB Reports
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    • v.43 no.12
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    • pp.773-780
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    • 2010
  • Cancers are still difficult targets despite recent advances in cancer therapy. Due to the heterogeneity of cancer, a single-treatment modality is insufficient for the complete elimination of cancer cells. Therapeutic strategies from various aspects are needed. Gene therapy has been expected to bring a breakthrough to cancer therapy, but it has not yet been successful. Gene therapy also should be combined with other treatments to enhance multiple therapeutic pathways. In this view, gene delivery vector itself should be equipped with intrinsic anti-cancer activities. HVJ (hemagglutinating virus of Japan; Sendai virus) envelope vector (HVJ-E) was developed to deliver therapeutic molecules. HVJ-E itself possessed anti-tumor activities such as the generation of anti-tumor immunities and the induction of cancer-selective apoptosis. In addition to the intrinsic anti-tumor activities, therapeutic molecules incorporated into HVJ-E enabled to achieve multi-modal therapeutic strategies in cancer treatment. Tumor-targeting HVJ-E was also developed. Thus, HVJ-E will be a novel promising tool for cancer treatment.

Current method of Functional Electric Stimulation and Direction of Henceforth Expansion (기능적 전기자극 치료의 최근 기법과 향후 발전 방향)

  • Chung, Jin-Woo;Kim, Soon-Ja;Lim, Jong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.167-175
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    • 2002
  • Functional Electrical Stimulation is the clinical application of a small electric current to the intact nerves of the body, in order to trigger a muscle contraction. This contraction is then incorporated into a functional activity, for example walling. A clear distinction needs to be made between therapeutic stimulation and functional stimulation. The former being of an exercise orientation, where one would relax while the stimulation works on its own. Functional electrical stimulation on the other hand, incorporates this elicited muscle movement into an everyday activity, like standing, walking, reaching out etc. But recently, New method used to FES which updated electrode insult in muscle and small nerve branch. A lot of new research build up many countries such as England, USA, Japan, Spain, Canada. So I had been write this paper for introduce new FES method, and I hope to more enhanced motivation of therapist for the functional electric stimulation.

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Radiopharmaceuticals for Imaging of Cellular Proliferation (세포 증식 영상용 방사성의약품)

  • Oh, Seung-Jun
    • The Korean Journal of Nuclear Medicine
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    • v.36 no.4
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    • pp.209-223
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    • 2002
  • By considering the biological properties of a tumor, it should be possible to realize better results in cancer therapy. PET imaging offers the opportunity to measure tumor growth non-invasively and repeatedly as an early assessment of response to cancer therapy. Measuring cellular growth instead of energy metabolism showed offer significant advantages in evaluating therapy. Thymidine and its derivative nucleoside compounds can be changed to mono, di- and tri- phosphate compounds by thymidine kinase and then be incorporated into DNA. Their bindings are increased in highly proliferating cells due to the high DNA synthesis rate. To evaluate cell proliferation, many kinds of thymidine and uridine derivatives have been labeled with positron emitter and radioactive iodine. Compared to radiopharmaceuticals which have radioisotope labeled base ring such as pyirmidine, the radiopharmacuticals which have radioisotope labeled sugar ring are more stable in vivo and have metabolic resistance. The biological properties such as DNA incorporation ratios are highly dependent on their chemical structures and metabolic processes. This overview describes synthesis of radiopharmaceuticals and their biological properties for imaging of tumor cell proliferation.

Convenient Therapy with Specially Designed Radionuclide, 166Ho Skin Patch for Skin Cancer

  • Ryu, Jei-Man;Seong, Seung-Kyoo;Kim, You-Eun;Shin, Dong-Hyuk;Jung, Yong-Ho;Shin, Byong-Chul;Park, Kyong-Bae;Lee, Jong-Du
    • Proceedings of the PSK Conference
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    • 2003.04a
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    • pp.156.1-156.1
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    • 2003
  • 166Ho, a $\beta$-emitting radionuclide, was incorporated within polyurethane film for possible application for the therapy of skin cancers. The aim of this study was to investigate skin irritant after radiation with 166Ho patch in rabbits and to estimate the efficacy of this therapy for skin cancer patients. Six NZW rabbits were used for skin irritant in this study. The dorsal hair of rabbits was removed with an electric clipper and blade. (omitted)

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Growth Factor Releasing Porous Poly (${\varepsilon}-caprolactone$)-Chitosan Matrices for Enhanced Bone Regenerative Therapy

  • Im, Su-Yeon;Cho, Seon-Hye;Hwang, Jeong-Hyo;Lee, Seung-Jin
    • Archives of Pharmacal Research
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    • v.26 no.1
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    • pp.76-82
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    • 2003
  • Drug releasing porous poly($\varepsilon$-caprolactone) (PCL)-chitosan matrices were fabricated for bone regenerative therapy. Porous matrices made of biodegradable polymers have been playing a crucial role as bone substitutes and as tissue-engineered scaffolds in bone regenerative therapy. The matrices provided mechanical support for the developing tissue and enhanced tissue formation by releasing active agent in controlled manner. Chitosan was employed to enhance hydrophilicity and biocompatibility of the PCL matrices. PDGF-BB was incorporated into PCL-chitosan matrices to induce enhanced bone regeneration efficacy. PCL-chitosan matrices retained a porous structure with a 100-200 $\mu$m pore diameter that was suitable for cellular migration and osteoid ingrowth. $NaHCO_3$ as a porogen was incorporated 5% ratio to polymer weight to form highly porous scaffolds. PDGF-BB was released from PCL-chitosan matrices maintaining therapeutic concentration for 4 week. High osteoblasts attachment level and proliferation was observed from PCL-chitosan matrices. Scanning electron microscopic examination indicated that cultured osteoblasts showed round form and spread pseudopods after 1 day and showed broad cytoplasmic extension after 14 days. PCL-chitosan matrices promoted bone regeneration and PDGF-BB loaded matrices obtained enhanced bone formation in rat calvarial defect. These results suggested that the PDGF-BB releasing PCL-chitosan porous matrices may be potentially used as tissue engineering scaffolds or bone substitutes with high bone regenerative efficacy.

Comparison of Helical TomoTherapy with Linear Accelerator Base Intensity-modulated Radiotherapy for Head & Neck Cases (두경부암 환자에 대한 선량체적 히스토그램에 따른 토모치료외 선형가속기기반 세기변조방사선치료의 정량적 비교)

  • Kim, Dong-Wook;Yoon, Myong-Geun;Park, Sung-Yong;Lee, Se-Byeong;Shin, Dong-Ho;Lee, Doo-Hyeon;Kwak, Jung-Won;Park, So-Ah;Lim, Young-Kyung;Kim, Jin-Sung;Shin, Jung-Wook;Cho, Kwan-Ho
    • Progress in Medical Physics
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    • v.19 no.2
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    • pp.89-94
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    • 2008
  • TomoTherapy has a merit to treat cancer with Intensity modulated radiation and combines precise 3-D imaging from computerized tomography (CT scanning) with highly targeted radiation beams and rotating beamlets. In this paper, we comparing the dose distribution between TomoTherapy and linear accelerator based intensity modulated radiotherapy (IMRT) for 10 Head & Neck patients using TomoTherapy which is newly installed and operated at National Cancer Center since Sept. 2006. Furthermore, we estimate how the homogeneity and Normal Tissue Complication Probability (NTCP) are changed by motion of target. Inverse planning was carried out using CadPlan planning system (CadPlan R.6.4.7, Varian Medical System Inc. 3100 Hansen Way, Palo Alto, CA 94304-1129, USA). For each patient, an inverse IMRT plan was also made using TomoTherapy Hi-Art System (Hi-Art2_2_4 2.2.4.15, TomoTherapy Incorporated, 1240 Deming Way, Madson, WI 53717-1954, USA) and using the same targets and optimization goals. All TomoTherapy plans compared favorably with the IMRT plans regarding sparing of the organs at risk and keeping an equivalent target dose homogeneity. Our results suggest that TomoTherapy is able to reduce the normal tissue complication probability (NTCP) further, keeping a similar target dose homogeneity.

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