• Physical Therapy Rehabilitation Science
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• 제12권3호
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• pp.310-319
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• 2023

Objective: The purpose of this study was to investigate the effects of a combination of progressive scapular stabilization exercises, neck and thoracic spine mobilization, and thermoelectric physical therapy on pain, range of motion, muscle strength, and function in patients with acute whiplash injury. Design: A randomized controlled trial design. Methods: A total of 24 subjects were included in this study. They were randomly assigned to an experimental group (n=12) that performed scapular stabilization exercises, neck and thoracic spine mobilization, and physiotherapy, and a control group (n=12) that only performed neck and thoracic spine mobilization and physiotherapy. The pre-test was conducted before the intervention and consisted of a total of 12 treatment sessions of 60 minutes each, three times a week. A posttest was conducted 4 weeks later. Pain, range of motion, muscle strength, and function were assessed before and after intervention. Results: The results of the study showed that there was a significant difference in pain reduction and range of motion and muscle strength improvement in the experimental group, and a significant difference was also found between the experimental group and the control group in terms of functional evaluation. Conclusions: The combination of exercise therapy and joint mobilization technique and physical therapy resulted in greater improvements in pain, range of motion, strength, and function assessment, contributing to improved overall function.

• 국제물리치료학회지
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• 제7권1호
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• pp.908-914
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• 2016

The purpose of this study is to explore the effects of mobilization of C0-C1 and C7-T1 applied to asymptomatic individuals with reduced upper cervical rotation during the FRT. Design: parallel randomized controlled trial. 48 subjects(38.52 years${\pm}15.13$) with C1-C2 rotation hypomobility in TFR joined the study and were randomized into three groups(C0, C7, control group). FRT in both directions was measured before and after the intervention. C0 intervention consisted of a dorsal translatoric mobilization of C0-C1 in the cervical neutral position. C7 intervention consisted of a ventral cranial translatoric mobilization of C7-T1 in neutral position and the control group maintained a supine position. C0 group experienced a FRT ROM to the restricted side increase of $17.64^{\circ}$(SD=4.55), that was significantly greater (P<0.001) than $5.95^{\circ}$(SD=4.81) of the C7 group and $2.45^{\circ}$(SD=5.05) of the control group. The results showed that a dorsal translatoric mobilization of C0-C1 in neutral position restored the physiological FRT mobility in subjects with C1-C2 hypomobility and experienced statistical significant improvement in FRT as compared to a C7-T1 translatoric mobilization and a control group. (Level of evidence: 1b).

• 대한물리치료과학회지
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• 제2권2호
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• pp.545-562
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• 1995

The purpose of this paper was to provide the understanding of theory, technique, clinical use about arthro kinematic approach. Difference between AKA and Joint mobilization was seen through Table 1, and the relation between AKA and Athro kinematics was seen through Table 2. Examples of AKA techniques were as follow ; 1. Cervical intervertebral joint, left $C_{2/3}$ 2. Thoracic intervertebral joint, left $T_{5/6}$ 3. Sacroiliac joint, left (1) Nutation-upward gliding (2) Nutation-downward gliding (3) Superior distraction (4) Inferior distraction 4. 1st. costovertebral joint, left 5. 2nd. sternocostal joint, left 6. AKA-streching exercise 7. AKA - resistive exercise Symptoms, diagnosis, treatment were discribed for clinical use, and they were expected further that clinical application of AKA might clarify many of joint dysfunction.

• 대한정형도수물리치료학회지
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• 제27권2호
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• pp.69-76
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• 2021

Background: Degenerative arthritis accounts for a large portion of the elderly, causing a lot of inconvenience in daily life. Total knee replacement (TKR) are performed to relieve pain in the knee joint. The purpose of this study was to determine whether knee joint stabilization exercises are effective in improving balance and walking ability in degenerative arthritis patients who have undergone TKR. Methods: A total of 30 TKR patients participated in this study. They were assigned to two groups. The experimental group, the group that underwent knee stabilization exercises, joint mobilization and general physical therapy. On the other hand, and the controlled group, the group that underwent joint mobilization and general physical therapy. All exercises were conducted thrice a week, for four weeks. The main balance outcomes were evaluated using the posture balance training system, while walking ability was assessed using a wireless 3-axis accelerometer. Results: The experimental group had significantly higher scores in postural stability testing (PST), limits stability testing, and waling ability. The post-intervention evaluation, there were significant differences in all variables between the two groups. However, no significant difference was noted in the foam eyes closed test in PST. Conclusion: This study suggests that knee joint stabilization exercises effectively improve the balance and walking ability of TKR patients. Thus, it could be presented as useful in clinical practice.

• 대한물리치료과학회지
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• 제5권3호
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• pp.707-715
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• 1998

The technique of AKA were devised and modified several times after clinical trials to obtain better result and were though to be few years ago. The published literatures on joint mobilization were unsatisfactory to me since the subject of treatment was not confined to the synovial joint and techniques seemed too violent to treat diseased joints. Among the techniques distraction gliding and the use of convex-concave rule by F. M. Kaltenborn were acceptable theoretically but they required considerable technical modification. By that time it was evident that pain in numerous painful conditions including organic regions could be eliminated by AKA new disease entitles such as aseptic arthritis of the sacroiliac joint, hip joint, shoulder joint, 1st costovertebral joint etc and periradiculitis were elucidated.

• The Journal of Korean Physical Therapy
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• 제17권2호
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• pp.1-10
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• 2005

This study is going to have been recognized a change of Cervical range of motion with the object 40 persons who sat for many hours before computer. According to the therapy term, sling used joint mobility exercise and Mckenzie was executed by 20 persons Shared. The study results about the effect that Cervical exercise had on joint Range of motion of a VDT syndrome patient were as follows. 1. There was a similar difference a sling used in Cervical Range of motion of joint mobility exercise cure after one-week, two-weet and three-week. 2. The change Cervical Range of motion of Mckenzie exercise has not been after one-week and two-week but a similar difference happens after three-week. 3. There has not been difference between joint mobility exercise and Mckenzie exercise in cure ferm sling used.

• PNF and Movement
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• 제7권4호
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• pp.17-23
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• 2009

Purpose : The objective of this study was conducted to find out treatment of weight bearing joint problems. Method : This is a literature study with books, seminar note and international PNF course books. Result : In joint therapy have to consider that what kind joint mechanics during movement, what kind relation between rotatory component of the force and translatory component of the force, what kind muscles are in the global mobilizer(GM) and local stabilizer(LS). One joint has muscle imbalance between GM and LS. It will make joint surface degenerative change which will make joint pain. Conclusion : Joint therapy is not only joint mobilization but also biomechanics of joint and GM's and LS's role. Total knee of hip joint replacement is not perfect. Before surgery have to be find out problem solving method within the physical medicine.

• 대한통합의학회지
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• 제8권1호
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• pp.1-14
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• 2020

Purpose : The purpose of this study was to investigate the effect of an exercise program with patella mobilization on range of motion, muscle strength, and gait in patients with total knee arthroplasty. Methods : Thirty patients under the age of 65 who visited the T hospital in Daegu Metropolitan City and underwent total knee arthroplasty surgery were selected for this study. Fifteen patients were randomly assigned to the experimental group and took part in an exercise program with patella mobilization, and fifteen patients were randomly assigned to the control group and took part in just the exercise program. Each group took part in their intervention three times a week for four weeks. The measurement tools used included a goniometer, handheld dynamometer, and 10-meter walking test. In the statistical analysis results, to compare the about pre and post test differences within each group, a paried t-test was used, and to compare the differences between each group, an independent t-test was used. Results : There was a significant difference (p<.05) in the range of motion, muscle strength of the quadriceps femoris and, hamstrings, and 10-meter walking test within each individual group and between the two groups before and after the intervention (p<.05). Conclusion : All the results for the experimental group were significant. Therefore, it is expected that an exercise program with patella mobilization will be helpful for the recovery of the knee joint in patients who have undergone total knee arthroplasty.

• 대한정형도수물리치료학회지
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• 제28권2호
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• pp.35-44
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• 2022

Background: This study aimed to compare the effects of the Mulligan mobilization with movement and McKenzie exercise after applying conservative physical therapy to patients with knee pain. Methods: Patients were randomly allocatied into two groups: the Mulligan mobilization with movement (10 subjects) and the McKenzie technique (10 subjects). Each group was givenr conservative physical therapy and manual therapy sessions, three times week, for four weeks. The pain intensity was measured using the visual analogue scale (VAS). The cervical range of motion (ROM) was measured with a goniometer. Balance was measured using the modified Berg balance scale (BBS). Results: After four weeks of therapy, VAS (p<.05) decreased significantly, and ROM and balance increased siginficantly in both groups(p<.05). There was a significant improvement in knee extension (p<.05) in the McKenzie group compared to the Mulligan group. No intergroup differences were found with respect to the knee flex, VAS, and BBS (p>.05). Conclusion: The McKenzie exercises are more effective than Mulligan mobilization with movement for improving knee extension. Both interventions have the same effects on pain relief, in increasing knee flexion ROM and improving balance in patients with knee pain.

• 한국터널지하공간학회 논문집
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• 제7권4호
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• pp.269-283
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• 2005

기존의 전단강도 모델에서 거칠기와 전단강도를 실제보다 과소평가 하고 있는 문제의 원인을 파악하기 위하여 먼저 거칠기의 발현 특성, 거칠기 계수의 특성, 거칠기 계수에 미치는 측정 간격과 만곡 (waviness)의 효과 등을 검토하였다. 그 결과, 이러한 문제에는 거칠기의 발현특성의 고려 부족, 거칠기 계수의 오용, 거칠기의 측정 과정에서의 엘리어싱 (aliasing)이 중요한 역할을 하는 것으로 확인하였다. 확인된 결과를 토대로 문제점을 개선하기 위한 실질적인 방법을 제안하였다. 거칠기 측정 방법에서는 카메라 방식의 3D 스캐너를 사용하는 것이 기존의 방법보다 유효한 것으로 확인하였다. 측정간격은 엘리어싱을 막기 위하여 전단강도에 영향을 주는 작은 돌출부의 1/4 이하가 되어야 한다. 거칠기 정량화 면에서는 거칠기 계수를 돌출부의 규모별로 2개의 성분으로 구분하여 전단 모델에 적용하여야 하는 것으로 분석되었다. 이를 위하여 돌출부의 소성파괴 개념에 근거하여 거칠기를 만곡과 요철로 구분할 수 있는 구분 기준을 제시하였으며, 새로운 전단강도 모델을 제안하기 위한 토대를 마련하였다.