• Physical Therapy Rehabilitation Science
• /
• 제10권4호
• /
• pp.463-469
• /
• 2021

Objective: If non-surgical treatment fails, arthroscopic rotator cuff repair (ARCR) is recommended, and ARCR considers graft augmentation in consideration of size, direction, and re-tear. It is reported to have potential benefits by improving the healing rate as it can fill the gaps that have been left behind. The purpose of this study is to investigate the effect of structural changes observed after ARCR on muscle action through magnetic resonance imaging and to investigate the effect of appropriate physical therapy required for graft augmentation in the general ARCR rehabilitation protocol. Case presentation: A 47-year-old male hospitalized for postoperative rehabilitation following ARCR participated in a 5-week physical therapy intervention. The postoperative day was 6 months, but due to shooting pain and shoulder dysfunction,and the movement of the shoulder was compensatory motion, not normal motion. Physical agents, manual therapy, and supervised exercise for 110 minutes per session were performed 3 times a week, and pain intensity, range of motion, function, and strength were evaluated. Results: As a result of the study, the patient showed positive improvement in pain intensity, range of motion, function, and strength. In addition, normal scapulohumeral rhythm movement was observed. Conclusions: According to the results of this case, appropriate physical therapy according to the compensatory motion shown in the structural changes after ARCR can positively improve the pain intensity, range of motion, function, and strength of ARCR patients.

• 한국정보통신학회논문지
• /
• 제14권5호
• /
• pp.1209-1216
• /
• 2010

당뇨 합병증 등으로 인한 말초혈류 및 신경장애, 수족냉증 및 손가락 관절염, 통증 질환이 증가하고 있으며, 이러한 문제를 개선할 수 있는 손가락 질환 전용 치료기기가 전무한 상태로 이와 관련된 치료기의 개발이 필요하다. 본 연구에서는 시변 미약자기장을 이용하여 비침습적으로 말초혈류/신경개선과 손가락 류마티스 치료를 위한 솔레노이드 원통형 코일을 제작하고, 다양한 치료목적에 사용하기 위해서 3가지 자극모드(N, S, N/S)와 자극주파수(0.25, 0.5, 1hz)를 선택할 수 있는 시스템을 설계하였다. 자속밀도 측정 프로브를 솔레노이드의 중심에서부터 거리를 0 ~ 3cm 단계로 자극방식과 주파수별로 자속밀도를 측정하였다. 자속밀도를 측정한 결과, 모든 자극방식과 주파수에서 솔레노이드 내부의 중심(0cm)에 근접할수록 자속밀도가 급격히 증가하였다. 솔레노이드 중심 자속밀도는 N자극 (294.3mT)과 S자극(293.8mT)에서는 1Hz, N/S자극(275.4mT)에서는 0.25Hz에서 가장 높게 측정되었다. 본 논문에서는 다양한 패턴과 강도의 자기장을 이용하여 다양한 손가락 질환을 치료할 수 있는 솔레노이드형 치료기기를 개발하였다. 솔레노이드 내부 자속밀도를 측정함으로써 손가락 말초질환 개선을 위한 미약자기장 시스템의 임상 적용 가능성을 확인하였다.

• Annals of Rehabilitation Medicine
• /
• 제42권6호
• /
• pp.788-797
• /
• 2018

Objective To investigate the effect of upper limb rehabilitation combining robot with low-frequency repetitive transcranial magnetic stimulation (rTMS) on unilateral spatial neglect in stroke patients. Methods Patients who had hemispatial neglect after right hemisphere stroke were randomly divided into rTMS only group, robot only group, and combined group. All groups received conventional neglect therapy and additional treatment for each group. rTMS group received rTMS therapy. Robot group received robot therapy, while combined group received both therapies. The effect of therapy was assessed with Motor-Free Visual Perception Test-3 (MVPT-3), line bisection test, star cancellation test, Catherine Bergego Scale (CBS), Mini-Mental State Examination (MMSE), and the Korean version of Modified Barthel Index (K-MBI). These measurements were evaluated before and after treatment. Results For each group, 10 patients were recruited. There were no significant differences in baseline characteristics or initial values among the three groups. Two weeks after the therapy, all groups showed significant improvement in MVPT-3, line bisection test, star cancellation test, CBS, MMSE, and K-MBI. However, changes in measurements showed no significant differences among groups. Conclusion Treatment effect of the combined therapy of robotic therapy and low-frequency rTMS therapy for hemispatial neglect was not statistically different from that of each single treatment. Results of this study did not prove the superiority of any of the three treatments. Further study with large number of patients is needed to evaluate the superiority of these treatments.

• 한국산학기술학회논문지
• /
• 제16권11호
• /
• pp.7367-7376
• /
• 2015

본 연구는 경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과를 파악하여 여고생들에게 효율적인 자가 간호 중재로써의 활용가능성을 검증하고자 시도된 무작위 할당 대조군 전후설계이다. 자료수집기간은 2006년 3월부터 4월까지로, 보건실을 방문한 여고생에게 실험 전, 설문지에 통증척도인 도표 평정 척도(Grapic Rating Scale, GRS)와 분만어휘 평정척도(Adjective Labor Pain Rating Scale, ALPRS)를 작성하게 한 뒤 각 군에게 직경 12mm, 두께 3mm의 원형 자석에 800~1200Gauss의 자력이 있는 의료용 자석을 3시간동안 적용하였다. 설문지는 각각 자석 적용 직후 3시간과 제거 후 3시간에 설문지인 GRS와 ALPRS를 작성하게 하였다. 연구결과 경혈점에 자장요법을 적용한 실험군은 적용하지 않은 대조군보다 월경통 GRS와 ALPRS가 유의하게 감소하였다. 이상의 결과로 경혈점에 적용한 자장요법이 여고생의 월경통에 통증경감에 효과가 있는 것으로 확인되었다. 따라서 비약물요법으로서의 월경통 완화를 위한 간호중재법으로 활용할 것을 기대한다. 또한 본 연구에서 ALPRS가 월경통에 대해 타당성이 제시되었으므로 추후 연구를 통해 ALPRS의 타당도 검증을 위한 반복 연구가 필요하다. 여고생들의 월경통 경감을 위한 보완대체요법으로 적용하게 될 것을 제언한다.

• Journal of Magnetics
• /
• 제19권4호
• /
• pp.353-356
• /
• 2014

The aim of the present study was to examine whether mental practice (MP) in conjunction with repetitive transcranial magnetic stimulation (rTMS) can improve the upper limb function of sub-acute stroke patients. This study was conducted with 32 subjects who were diagnosed with hemiparesis by stroke. The experimental group consisted of 16 members upon each of whom was performed MP in conjunction with rTMS, whreas the control group consisted of 16 members upon each of whom was performed MP and sham rTMS. Both groups received traditional physical therapy for 30 minutes a day, 5 days a week, for 6 weeks; additionally, they received mental practice for 15 minutes a day. The experimental group was instructed to perform rTMS, and the control group was instructed to apply sham rTMS for 15 minutes. A motor cortex excitability analysis was performed by motor evoked potentials (MEPs), and upper limb function was evaluated by Fugl-Meyer Assessment (FMA) and the Box and Block test (BBT). Results showed that the amplitude, latency, FMA, and BBT of the experimental group and the latency, FMA, and BBT of the control group were significantly improved after the experiment (p<0.05). Significant differences were found between the groups in amplitude and latency after the experiment (p<0.05). The results showed that MP in conjunction with rTMS is more effective in improving upper limb function than MP alone.

• 한국컴퓨터산업학회논문지
• /
• 제7권3호
• /
• pp.263-270
• /
• 2006

자계신경 자극치료는 다른 분야에 비해 많이 낙후된 실정이다. 특히, 자기장(MF)의 성공적인 의료도입이 Avicenna의 연구에서 오래전에 언급되었고, 최근에 의학 magnetology 발달의 시대로 생각될 수 있다. 이러한 발달은 공학자와 생물학자 그리고 임상의의 접합부분 노력을 통하여 이루어지고 있으며, 새로운 장비들과 BT기술은 꾸준히 발전되고 있다. 자계신경 자극치료분야는 CMF, VMF, PMF분야 등이 대표적이나 본 연구에서는 HPMT기술인 장파 high-amplitude(전통적인 magneto-therapy의 크게 대단한 강렬) 짧은시간 치료용 시스템을 각 기능별로 설계하고 제작하여 특성을 비교분석 하였다.

• 한국자기학회:학술대회 개요집
• /
• 한국자기학회 2004년도 동계학술연구발표회 논문개요집
• /
• pp.120-120
• /
• 2004

• 한국자기학회:학술대회 개요집
• /
• 한국자기학회 2003년도 하계학술연구발표회 및 한.일 공동심포지엄
• /
• pp.234-235
• /
• 2003

• Journal of Acupuncture Research
• /
• 제19권3호
• /
• pp.77-87
• /
• 2002

Like acupuncture, magnetic therapy has been known to yield effectiveness when it is applied to relieve from fatigue, musculoskelectal diseases, sore sites, rheumatic arthritis and chronic pain syndromes. However, combined application of acupuncture and magnet has not yet been studied. This study is designed to investigate effectiveness of acupuncture therapy when in the magnetic field for the pain relief. Magnetic field was made by magnetic ring ($7{\psi}{\times}2.3{\psi}{\times}1.5mm$). Twenty-one male swimmers with latent muscular pain at the GB21 area in the university course of physical education in Daegu were chosen and divided into three groups; 1) acupuncture treatment group (n=7), 2) acupuncture treatment with iron ring group (n=7), 3) acupuncture treatment with magnetic ring group (n=7). Manual Acupuncture was given to the GB21 point for 20 minutes. The degree of pressure pain threshold (PPT, $kg/cm^2$) in GB21 was measured with algometer. Before acupuncture treatment, the PPT values were $6.08{\pm}1.69$, $6.39{\pm}1.72$ and $5.59{\pm}1.11$ in acupuncture treatment group, acupuncture treatment with iron ring group, acupuncture treatment with magnetic ring group, respectively. After acupuncture treatment, the PPT values were $6.48{\pm}2.33$, $6.31{\pm}1.31$ and $6.59{\pm}1.80$, respectively. Pressure threshold was significantly increased in the acupuncture treatment with magnetic ring group compared to the other groups. Based on these results, acupuncture treatment with magnetic ring produced better effects on pain threshold, and these effects can be considered to be associated with the currents or voltages induced by the acupuncture needle and magnetic ring at present.

• The Journal of Korean Physical Therapy
• /
• 제26권6호
• /
• pp.379-385
• /
• 2014

Purpose: This study was to determine the immediate effects of pulsed magnetic field (PMF) in subjects with upper trapezius (UT) trigger point (TrP). Methods: Fifteen subjects with UT TrP were recruited for the study's PMF group (pain threshold=$2.29kg/cm^2$), and 15 age-, weight-, and gender-matched subjects with UT TrP were recruited for control group (pain threshold=$2.25kg/cm^2$). Pressure algometer was used to measure pressure pain threshold on UT TrP and, cervical range of motion (ROM) inclinometer was used to measure cervical ROM. Surface electromyography was used to record UT, lower trapezius, and serratus anterior muscle activity and relative ratio during scapular plane abduction between pre- and post-treatment. Results: The PMF effectively improved pain threshold and concurrently increased ROM (rotation to the painful side, lateral flexion to the nonpainful side). In addition, the PMF may effectively deactivate UT activity during abduction and the muscle activity ratio between UT and serratus anterior. Conclusion: These findings provided empirical evidence that PMF can be an effective treatment method to reduce pain threshold, to increase cervical ROM, and deactivate UT activity in individuals with TrP.