• 제목/요약/키워드: Manual Function

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혈관성 치매에 대한 근거기반 의한 협진 매뉴얼 제안 (Proposal of Evidence-based East-West Integrative Medicine Manual for Vascular Dementia)

  • 김보민;조희근;강형원;최성열;송민영;설재욱;임정태
    • 대한한의학회지
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    • 제40권1호
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    • pp.46-62
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    • 2019
  • Objectives: This study was made by Chung Yeon Korean Medicine Hospital in order to perform appropriate East-West integrative medicine. The purpose of this manual is to support decision-making and communication in the implementation of the East-West cooperative treatment of vascular dementia. Methods: In order to carry out this study, it is based on search terms such as 'vascular dementia', 'acupuncture', 'herbal medicine', 'integrative medicine', 'chinese traditional medicine', and 'cognitive function' in databases such as MEDLINE, EMBASE, OASIS and CNKI We collected references. The drafting proceeded with the collaboration of two specialists of the Korean medicine, and the disagreement on the basis of the quotation was determined through a two person agreement. After, The draft was reviewed by a western medical doctor(rehabilitation specialist). Then, The opinions of the entire medical staff of the committee were reflected in the draft and finalized the agreement. Results: Through this study, manuals for diagnosis, treatment, and other considerations in the process of applying East-West integrative medicine to vascular dementia were derived. Conclusions: This study has significance in that it provides manual information about the decision structure, treatment contents, role distribution, etc. of East-West integrative medicine within the medical institution that conducts the vascular dementia consultation. In order for this study to function as a generalized medical guideline, it is necessary to improve the research methodology and carry out professional consensus procedures.

뉴로 다이나믹 기법이 만성 뇌졸중 환자의 균형과 보행에 미치는 즉각적 영향 (The Immediate Effect of Neuro-Dynamics Technique on Balance and Gait in Chronic Stroke Patients)

  • 정주리;양영식;박재명
    • 대한정형도수물리치료학회지
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    • 제22권1호
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    • pp.27-34
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    • 2016
  • Background: The purpose of this study was to investigate the immediate effects of neuro-dynamics technique (NDT) to the balance and gait for chronic stroke patients. Methods: This study was composed of the cross-sectional design. Nine patients with chronic stroke applied to NDT. Balance ability function was measured using the Good Balance System device for static balance, timed up and go test (TUG) and functional reach test (FRT) for dynamic balance. The 10 meter walk test (10MWT) and GAITRite device were used for measurement of gait ability for patients. Results: There were significant improvements were observed on dynamic balance ability (p<.05) and gait ability function (p<.05). Conclusions: This research shows that the NDT is immediate effective on dynamic balance and gait ability of the chronic stroke patients. Further studies may be needed to continuously intervention of NDT for more patients.

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고관절 가동술이 만성요통환자의 통증, 체간 유연성 및 기능에 미치는 영향 (The Effects of Hip Mobilization on Pain, Trunk Flexibility, Function for Chronic Low Back Pain Patients)

  • 정의용
    • 대한정형도수물리치료학회지
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    • 제24권1호
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    • pp.23-29
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    • 2018
  • Background: This study aimed to the effects of hip mobilization on pain, trunk flexibility, function for chronic low back pain patients. Methods: Patients were randomly assigned to control group (n=15) and experimental group (n=15). Both groups received conventional physical therapy, three times a week for four weeks. Experimental group was performed additional hip mobilization, three times a week for four weeks. All measurement of each subject were measured at pre-intervention and post-intervention (after 4 weeks). Results: Assessed items included the visual analog scale score (VAS), Korean version of the Oswestry disability Index (KODI) a significant reduction was observed post intervention compared to pre-intervention values in both group (p<.01). Trunk flexibility was significant increased post intervention compared to pre-intervention values in both group (p<.01). There were significant difference between two groups in VAS (p<.01), trunk flexibility (p<.05) and except KODI. Conclusions: Our results indicate that conventional physical therapy with the hip mobilization may be useful for improving chronic low back pain patient.

Smovey 운동이 유방암 절제술을 한 여성의 견관절 관절가동범 위, 통증, 기능수준, 근력에 미치는 영향 (The Smovey Exercise is the Effect of Range of Motion, Pain, Function, Muscle Strength of the Shoulder with Women Breast Cancer)

  • 이민지;정성관;김용진
    • 대한정형도수물리치료학회지
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    • 제24권1호
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    • pp.47-55
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    • 2018
  • Background: The Purpose of this study was investigate the Smovey exercise is the effect of range of motion, pain, function, muscle strength of th shoulder with women breast cancer. Methods: This study was carried out with a total 24 breast cancer survivors. By drawing lots women a breast cancer Smovey exercise group (BS, n=11), a breast cancer general therapy group (BG, n=10). Outcomes such as the range of motion(ROM), visual analogue scale(VAS), the shoulder pain and disability index (SI), the muscle strength (MS) were measured pre- and post-intervention for both groups. Results: A significant increase was found ROM, Pain, functional disability level and MS within the two groups (p<.05). There were ROM, pain, functional disability level and MS post test then invention were significant between the two groups (p<.05). Conclusions: Applying Smovey exercise treatment to breast cancer patients proved to have a positive effect.

정상인의 지신근 근육기능에 대한 천자와 심자의 효과 비교 : 무작위 배정 임상연구 (Comparison of the Effect of Superficial Acupuncture and Deep Acupuncture on Finger Extensor Muscle Function of Normal Person : Randomized controlled trial)

  • 조융기;김성수;이종수;정석희
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.97-104
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    • 2011
  • Objectives : The purpose of this study is to compare the effect of superficial acupuncture to deep acupuncture on normal muscle function. Methods : In Group A, 12 healthy subjects had been treated by deep acupuncture(10mm). In Group B, 12-healthful subjects had been treated by superficial acupuncture(5mm). Each session took 10 minutes. Before and after the treatment, outcomes were assessed by Algometer for muscle tenderness, dynamometer for grasping power and Meridian-Electromyograph(MEMG) for extensor muscles. Results : The Contraction power of finger extensor muscles assessed by MEMG had decreased significantly in both groups. The muscle fatigue of finger extensor muscles assessed by MEMG had increased significantly in Deep acupuncture group. Grasping power assessed by dynamometer had no significant change in both groups. Conclusions : According to above results, superficial acupuncture is more effective on reducing muscle fatigue.

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슬개대퇴통증 증후군 환자에게 적용한 고관절 견인과 근력 강화 운동이 무릎 통증, 관절가동범위, 하지기능에 미치는 영향-사례 연구 (A Case Study of a Female Patient with Patellofemoral Pain Syndrome for Effect of Hip Joint Traction and Hip Posterolateral Muscles Strengthening on Knee Pain, Range of Motion, and Lower Extremity Function Scale)

  • 홍현표
    • 대한정형도수물리치료학회지
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    • 제20권1호
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    • pp.35-38
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    • 2014
  • Background: The case study examined the effect of a hip joint traction and hip posterolateral muscles strengthening on knee pain, range of motion, and lower extremity function scale of patients with patellofemoral pain syndrome (PFPS). Although PFPS has previously been attributed to quadriceps dysfunction, more recent research has linked this condition to impairment of the hip musculature and kinematic. Methods: Subject is a 27-years-old female with PFPS. Performed hip joint traction with belt and posterolateral muscles(hip abductors, external rotators) strengthening for 4 weeks, 3 times a week, once a day. Before and after the therapy, measurements were made on the visual analog scale (VAS) and of the ROM, and a lower extremity functional scale (LEFS) was conducted. Results: The results showed positive changes in VAS and range of motion and lower extremity functional scale. First VAS of knee changed from 6 to 2. Second hip joint range of motion showed that internal rotation recored from $53^{\circ}$ to $58^{\circ}$ and external rotation recorded from $32^{\circ}$ to $37^{\circ}$. Third The lower extremity functional scale showed before therapy of 44; after therapy, 63. Conclusion: The hip joint traction and hip posterolateral muscles strengthening was effective in alleviating knee pain, increasing ROM and Lower extremity functional scale of the PFPS patients.

스펜서 테크닉이 유착성 관절낭염 환자의 어깨관절 가동범위와 통증, 기능에 미치는 영향 (The Effects of Spencer Technique on the ROM, Pain, Function in Patients with Shoulder Adhesive Capsulitis)

  • 박기숙;정기용
    • 대한정형도수물리치료학회지
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    • 제24권2호
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    • pp.37-42
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    • 2018
  • Background: The Purpose of this study was to evaluate the value of Spencer technique on the range of motion (ROM), Pain, function in patients with shoulder adhesive capsulitis. Methods: subjects consisted of 30patients who were diagnosed shoulder adhesive capsulitis. All subjects are randomly assigned to 2groups: Spencer technique (ST) group (n=15), self assistive ROM exercise(S-A ROM E) group (n=15). The subjects performed an intervention program 30 minuets per day and was repeated 3 times a week for 4 weeks a total of 12 times. ROM of flexion, abduction, external rotation, internal rotation were measured using a goniometer. The visual analog scale (VAS), Shoulder pain and disability index (SPADI) were used to measure pain, functional ability. Results: In the intergroup comparisons after the intervention, ROM of flexion, abduction, internal rotation, VAS, SPADI were significantly different(p<.05). Spencer technique was more effective for improving ROM, pain, functional ability than self assistive ROM exercise. Conclusions: Our study suggest that considering Spencer technique for the patient with shoulder adhesive capsulitis. Further studies on Spencer technique are needed in the future.

목 견인과 근 에너지 기법이 목 신경뿌리병증 환자의 통증, 목 기능장애지수, 관절가동범위에 미치는 영향 (Effects of Cervical traction and Muscle Energy Technique on Pain, Neck Disability Index, Function, Range of Motion in Patients with Cervical Radiculopathy)

  • 홍진기;김영민
    • 대한정형도수물리치료학회지
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    • 제27권3호
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    • pp.57-67
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    • 2021
  • Background: This study examined the effects of the muscle energy technique and cervical traction after applying conservative physical therapy in patients with cervical radiculopathy. Methods: Patients were randomly divided into two groups muscle energy technique (8 subjects) and cervical traction (8 subjects). Each group performed their exercise 70 minutes per day, three times week for four weeks. Pain intensity was measured with a visual analogue scale (VAS). Function was measured with the neck disability index (NDI). Cervical range of motion (ROM) was measured with a cervical range of motion (CROM) goniometer. Results: After four weeks of therapy, VAS (p<.05) and NDI (p<.05) significantly decreased, and ROM significantly increased in both groups (p<.05). There were also significant differences between the two groups for these three measures (p<.05). Conclusion: The muscle energy technique and cervical traction are more effective than cervical traction alone in reducing VAS and NDI and increasing ROM in patients with cervical radiculopathy.

체외충격파 치료가 동결견 환자의 통증과 견관절 기능에 미치는 영향 (Effect of Pain and Shoulder Joint Function on Extracorporeal Shock Wave Therapy of Patients with Frozen Shoulder)

  • 조남정;박지환
    • 대한정형도수물리치료학회지
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    • 제13권2호
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    • pp.69-78
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    • 2007
  • Purpose: The purpose of this study was to assess the effectiveness of Extracorporea Shock - Wave Therapy (ESWT) on the pain and improvement of shoulder joint function which is one of the available medical treatment in patients with frozen shoulder. Object and Methods: 26 patients with frozen shoulder, with 26 patients assigned to two groups; a control treatment group (n=12) and a ESWT application group (n=14). In the ESWT application group, the patients received general physical therapy, and then they received ESWT. In the control treatment group, the patients received only general physical therapy. These medical treatments was conducted total 6 time for 3 weeks. To investigate the effectiveness of the treatment after the each group's treatment. Pain was measured by Visual Analogue Scale (VAS) which is divided into 10 ranks and shoulder joint function was measured by CSA(Constant Shoulder Assessment scale). Results: 1. There was a statistical significance of measured by shoulder pain degree in both group but, the result of a ESWT application group shows more significance than that of a control treatment group. 2. There was a statistical significance of measured by CSA in both group but, the result of a ESWT application group shows more significance than that of a control treatment group. Conclusion: We think that treatment with General physical therapy and ESWT together for the patients with frozen shoulder is more effective and more safe method to shoulder joint function improvement and decrease of pain.

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된장으로부터 혈전용해능을 가진 Bacillus sp.의 분리 및 동정 (lsolation of Bacillus Strains Secreting Fibrinolytic Enzymes from Doen-Jang)

  • 김승호;최낙식;이우일;이종우;김동호
    • 미생물학회지
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    • 제34권3호
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    • pp.87-90
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    • 1998
  • 우리 나라의 전통 대두발효식품인 된장으로부터 혈전용해능을 가진 미생물을 분리하였다. 그 중 5종류의 균주를 Bergey's manual of systematic bacteriology에 의거하여 동정한 결과 Bacillus sp. 균주로 밝혀졌다. 분리된 Bacillus 속 미생물을 효소 유도배지에서 배양한 결과 B. amyloliquefaciens는 2.46 plasmin unit/ml, B pantothenticus는 3.82 plasmin unit/ml 의 혈전용해능을 가지고 있었고, B. subtilis는 4.94 plasmin unti/ml의 높은 혈전용해효소 생산능을 보여주었다. 분리 균주에 의하여 생산된 세포외 단백질을 SDS-PAGE와 reverse fibrin zymogram 활성측정법에 의해 확인한 결과 각 균주별로 서로 다른 혈전용해효소가 생산되었음을 확인하였다.

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