• 제목/요약/키워드: Journal of the Korean Society of Physical Medicine

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Utilization of Virtual Moving Surround on Static Balance in the Patients With Balance Dysfunction

  • Woo, Young-Keun;Hwang, Ji-Hye;Kim, Yun-Hee;Lee, Peter K.W.;Kim, Nam-Gyun
    • 한국전문물리치료학회지
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    • 제12권4호
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    • pp.12-19
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    • 2005
  • The purpose of this study was to investigate the possibility of virtual moving surround (VMS) on static balance in the patients with balance dysfunction. Eighty three subjects who were admitted or treated as an outpatient, or a family member, at the department of rehabilitation unit of university hospital were recruited to participate. Subjects were three groups based on their overall medical status: healthy, diabetic neuropathy and stroke. Each group was tested for static balance with a forceplate during static standing with VMS. The virtual movement was simulated with a head mounted display. The parameters for static balance were total sway path. In this study, the parameters of postural control for patients with diabetic neuropathy and stroke subjects were significantly increased in conditions elicited with the VMS. In the healthy elderly participants, the total sway path was not significantly different under virtual movement conditions. Therefore, VMS could be used in the evaluation and treatment of the patients with balance dysfunction.

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Are steroids required in the treatment of ganglion impar blockade in chronic coccydynia? a prospective double-blinded clinical trial

  • Sencan, Savas;Edipoglu, Ipek Saadet;Demir, Fatma Gul Ulku;Yolcu, Gunay;Gunduz, Osman Hakan
    • The Korean Journal of Pain
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    • 제32권4호
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    • pp.301-306
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    • 2019
  • Background: Ganglion impar blockade is a reliable and effective treatment option used in patients with coccydynia. Our primary objective was to specify the role of corticosteroids in impar blockade. We compared applications of local anesthetic with the local anesthetic + corticosteroid combination in terms of treatment efficiency in patients with chronic coccydynia. Methods: Our study was a prospective randomize double-blind study. The patients were divided into 2 groups after randomization. The first group (group SL) was made up of patients where a corticosteroid + local anesthetic were used during ganglion impar blockade. In the second group (group L) we used only local anesthetic. We evaluated numeric rating scale (NRS) and Beck depression scale, which were employed before the procedure and in 1st and 3rd months after the procedure. Results: Seventy-three patients were included in the final analysis. We detected a significantly greater decrease in NRS values in the 1st month in group SL than in group L (P = 0.001). In the same way, NRS values in the 3rd month were significantly lower in the group with steroids (P = 0.0001). During the evaluation of the Beck test, we detected significantly greater decreases in the 1st month (P = 0.017) and 3rd month (P = 0.021) in the SL group than in the L group. Conclusions: Ganglion impar blockade decreases pain in the treatment of chronic coccydynia and improve depression. Addition of steroids in a ganglion impar blockade is required for treatment response that should accumulate over a long period of time.

척추 안정화를 위한 호흡패턴 훈련에 대한 고찰 (The Review of Breathing Pattern Training for The Spinal Stabilization.)

  • 박민철;구봉오;배성수
    • 대한물리의학회지
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    • 제2권2호
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    • pp.173-182
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    • 2007
  • Purpose : The purpose of this study was carried out to review for the importance of breathing pattern training for the spinal stabilization. Methods : This is a literature study with books and thesis. Results : Breathing with normal respiratory mechanics has a potent role in neuro-musculo-skeletal system. The evaluation of respiratory mechanics should be a routine part of every physical examination. And respiratory mechanics must be intact for both normal posture and spinal stabilization to be possible. Conclusion : The spinal stabilization exercise with the breathing pattern training is more efficient therapeutic exercise program for the patient with neuro-musculo-skeletal system disorder.

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Comparison of Aerobic Exercise and Combination Exercise Program on Overall Physical Fitness and Mental Health in 20 Aged Subjects with Obesity

  • Lee, Eun-Sang;Kim, Gyeong-Tae;Lee, Seung-Won
    • 대한물리의학회지
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    • 제11권3호
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    • pp.89-96
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    • 2016
  • PURPOSE: The purpose of this study is to compare the effects of aerobic exercise and combination exercise on physical fitness, body composition, and depression and to observe the relationship between obesity and depression. METHODS: A total of 40 obese people were divided into an aerobic exercise group ($n_1$=20) and a combination exercise group ($n_2$=20) that was performed swiss ball exercise and aerobic exercise. Each group exercised three times per week for eight weeks. Outcome measures were basic physical fitness, body composition, and depression. RESULTS: After completion of the exercise, there was a significant difference in overall physical fitness factors of percentage body fat (%body fat), strength, muscle endurance, flexibility, cardiovascular endurance in the combination exercise group (p<.05). Strength, muscle endurance, flexibility, and cardiovascular endurance were more improved in the combination exercise group than aerobic exercise group (p<.05). However, changes of %body fat and psychological factor between the two groups were not significant. CONCLUSION: Combination exercise program has an effect on the solution of obesity in physical development and strength. Therefore, it seems to that use with better perform both aerobic exercise and Swiss ball exercise. In addition, the Swiss ball exercise, which is an easy, convenient and economical self-exercise that can be done at home, is recommended due to its positive effects on physical establishment and fitness.

요추 추간판 탈출증에 대한 고찰 (A Review of Lumbar Herniated Intervertebral Disc)

  • 김형수;김은영;배성수
    • 대한물리의학회지
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    • 제1권1호
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    • pp.125-137
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    • 2006
  • Purpose : The purpose of the study was to examine lumbar pain through literature reviews about herniated intervertebral disc (HIVD). Methods : Diagnosis was made by patient's history, physical examination, simple radiography, myelography, spinal computerized tomography, electromyography, somatosensory evoked potential, etc. Results : There are two treatment modalities, one is conservative and the other is operative. About 90% of patients with HIVD have been recovered only by conservative treatment and therapeutic exercise was the most effective one among these conservative treatments. Conclusion : We consider HIVD can be treated with therapeutic exercise which can correct muscular imbalance and facet joint problems and make the degenerative process of intervertebral disc slower.

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퇴행성 슬관절염 환자에 대한 침, 부항, 물리치료, 강활제통음의 한방 복합 치료 효과: 사례군 연구(예비연구) (A Clinical Study of Knee Joint Osteoarthritis Patients on the Effect of Korean Traditional Medicine Treatment with Acupuncture, Cupping, Physical Therapy and Ganghwalijetong-yeum(Qianghuochutong-yin): Case Series)

  • 정해창;정수현
    • 대한한의진단학회지
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    • 제19권2호
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    • pp.125-132
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    • 2015
  • Objective This study investigated the effect of Korean Traditional medicine treatment with Acupuncture, Cupping, Physical Therapy and Ganghwalijetong-yeum(Qianghuochutong-yin) on Knee joint Osteoarthritis patients. Methods 5 Knee joint Osteoarthritis patients were treated with Ganghwalijetong-yeum(Qianghuochutong-yin), acupunture, cupping, physical therapy and exercise for Knee joint Osteoarthritis. K-WOMAC(Western Ontario and McMasters Universitis) Index, VAS(Visual Analogue Scale) were checked to evaluate the effectiveness of the treatment. Results K-WOMAC of patients treated with Ganghwalijetong-yeum(Qianghuochutong-yin) is improved from $67.00{\pm}24.41$ to $44.80{\pm}21.18$ and there was statistical significance(p<0.05). VAS of patients treated with Ganghwalijetong-yeum(Qianghuochutong-yin) is also improved from $4.20{\pm}1.79$ to $2.30{\pm}1.10$ but there was no statistical significance(p>0.05). Conclusions According to the study, Korean Traditional complex therapy with Ganghwalijetong-yeum(Qianghuochutong-yin) might improve Knee joint Osteoarthritis.

퇴행성 슬관절염 환자에 대한 한글판 WOMAC Index의 신뢰도와 타당성에 관한 연구 (Reliability and Validity of the Korean Western Ontario and McMaster Universities(WOMAC) Osteoarthritis Index in Patients with Osteoarthritis of the Knee)

  • 고태성;김성렬;이종수
    • 한방재활의학과학회지
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    • 제19권2호
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    • pp.251-260
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    • 2009
  • Objectives : To investigate reliability and validity of Korean translation of Western Ontario and McMaster Universities(WOMAC) osteoarthritis index. Methods : The reliablity, construct validity of the Korean WOMAC Index in the patient of knee osteoarthritis was investigated. Test-retest reliability was quantified with pearson's correlation coefficient and intraclass correlation coefficient. Internal consistency was quantified with Cronbach's ${\alpha}$. and construct validity with pearson's correlation coefficient by correlating of the Visual Analog Scale(VAS). Results : Test-retest reliability of Korean WOMAC Index for pain was 0.76 to 0.95, stiffness was 0.89 to 0.94, and physical function was 0.71 to 0.95. Intraclass correlation coefficient for pain was 0.76 to 0.94, stiffness was 0.54 to 0.89, and physical function was 0.70 to 0.95. Internal consistency were 0.94 and 0.94 for the first and second time, respectively. Construct validity for pain was 0.79, for stiffness was 0.66, and physical function was 0.67. Conclusions : The Korean translation of Western Ontario and McMaster Universities(WOMAC) osteoarthritis index is reliable, valid assessment tool in knee osteoarthritis.

고지방식이로 유도된 비만 렛트에서 외이침 자극과 유산소 운동의 효과 (Effect of Auricular Acupuncture and Aerobics Exercise in High Fat Diet-induced Obesity Rats)

  • 이대식;김사열;장미경;신민철;김은정;심기철;남기원;오명화;정현우;김계엽
    • 동의생리병리학회지
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    • 제20권5호
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    • pp.1174-1179
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    • 2006
  • In order to study auricular acupuncture and treadmill exercise involved in high fat diet-induced obesity rats. Thirty Sprague-Dawley rats which were divided into five group. Group I : Normal diet-induced group, Group II : high fat diet-induced group, Group III: high fat diet-induced group and auricular acupuncture, Group IV : high fat diet-induced group and treadmill exercise, Group V : high fat diet-induced group and auricular acupuncture and treadmill exercise. In each group, body weight, serum lipid, histologic obserations, and fat tissue were observed and analyzed. The following results were obtained. Body weights were significantly increase in group II than group I. The level of total cholesterol, LDL-C and TG were significantly lower in experimental groups than group I. Only auricular acupuncture was tended to body weight change but not significantly different between experimental group. The above result suggest that auricular acupuncture and treadmill exercise effectively repressed in obesity. It would be considered that auricular acupuncture and treadmill exercise have an effects on relieving obesity.

두충 추출물 투여와 트레드밀 운동이 골다공증 유발 백서의 골대사에 미치는 영향 (Effects of Eucommia Ulmoides Oliver and Treadmill Exercise on the Osteoporosis of Rats Caused by Glucocorticoid Induction)

  • 윤석주;김경윤;김계엽;남기원;심기철;김은정;정현우;김형우;김기도
    • 동의생리병리학회지
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    • 제22권4호
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    • pp.884-890
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    • 2008
  • This study classified 40 of 10 weeks-old male Sprague Dawley rats which have osteoporosis caused by glucocorticoid(GC) induction into four groups of 10 rats and made the subjects medicated them Eucommia ulmoides Oliver and participate in treadmill exercise. Group I was non-treatment after GC induction; Group II was treadmill exercise after GC induction; Group III was Eucommia ulmoides Oliver feeding after GC induction; Group IV was treadmill exercise and Eucommia ulmoides Oliver feeding after GC induction. In the bone mineral density and bone strength test, there was a statistically significant difference between the group I, II, III compared to group IV(p<0.05). In the osteocalcin level as one of bone formation indexes, there was a statistically significant difference between the group I, II, III compared to group IV(p<0.05). In respect to the calcium there was a statistically significant difference between group I, II, III compared to group IV(p<0.05). In respect to histological findings, the group IV showed mild femur disruption and lytic change on femur section. The above results suggests that Eucommia ulmoides Oliver medicated and treadmill exercise is effective to prevention and treatment of osteoporosis.

직장 생활에서 비롯된 스트레스로 인하여 해역 겸(兼) 열격증을 보인 태양인(太陽人) 치험례 (A Case Report about the Taeyangin Hae Yuk with Yul Gyuk Syndrome due to her Work Stress)

  • 이희승;강태곤;김정주;유종호;한경석;배효상;박성식
    • 사상체질의학회지
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    • 제18권3호
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    • pp.185-194
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    • 2006
  • 1. Objecrives Although Lee Je-Ma emphasized it is important to be aware of our own Nature & Emotion(性情) and control them properly, there is few case report about Taeyangin focused on their psychological sides. This report is about a Taeyangin patient who had Hae Yuk and Yul Gyuk syndrome caused by her stress from the work place and relationship with her seniors 2. Methods We observed the female patient had hospitalized in the Oriental Hospital of Dongguk University more than twice has been followed up for the last one year. We prescripted Mi-hoo-teung-shik-chang Tang as her physical symptom. The improvement of her physical conditions were checked through her sleep, meal, menstruation, stool and urine. And MMPI has been tested three times for the last one year to analyze her psychological progress. 3. Results and Conclusions Working in a group can cause hard stress for Taeyangin who is not good at adjusting themselves to whatever environment they are in. Mi-hoo-teung-shik-chang Tang could improve Taeyangin's physical conditions such as Hae Yuk, Yul Gyuk, insomnia, nausea, anorexia and hypouresis. But as her psychological aspect, she was getting more anxious, depressed and avoiding contact with others due to the stress. It is necessary to rake care of patients' psychological sides as well as physical conditions through managing their Nature & Emotion(性情).

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