• Title/Summary/Keyword: Manual stabilization

Search Result 75, Processing Time 0.02 seconds

Medical Exercise Therapy Theory and Its application (Medical Exercise Therapy의 이론과 적용에 관한 연구)

  • Koo hee-seo
    • The Journal of Korean Physical Therapy
    • /
    • v.12 no.3
    • /
    • pp.361-368
    • /
    • 2000
  • MET is one of the few physical therapy having its own criteria. Mr. Holten approached the Norwegian Health Authority in 1967 to get his MET System recognized as a treatment method of its own. He was granted his approval for his exercise system's specivic criteria connecteed with the treatment method. In MET, the patient exercises himself without manual participation by physiotherapists, however, under continuous supervision.. The apparatus should be designed that functional quality (arthrogenous, circulatory, respiratory, neuromuscular) in question is optimally influenced when the patient carries out exercise in a certain range against a graded resistance. The therapy reassesses the scheme of treatment at least every fifth session and the maximum number of patients being 5 person per hour. The important principles in medical exercise Therapy are stabilization of hyperfunction through the system of autostabilization and mobilization of hypofunction through automobilization. In MET excrcises are adjusted to the patient's reactions. MET equipment is therefore made to meet requirements for treating patients with painful pathological dysfunction in the musculo-skeletal system.

  • PDF

A Study on Improvement of Electronic Library Services Using User Review Data in Mobile App Market

  • Noh, Younghee;Ro, Ji Yoon
    • International Journal of Knowledge Content Development & Technology
    • /
    • v.11 no.1
    • /
    • pp.85-111
    • /
    • 2021
  • This study aims to analyze users' assessment of electronic libraries in the mobile app market and promote service improvement based on this. To this end, the basic background and purpose of the research, research method, and research scope were first set, and the relevant literature and empirical prior studies were analyzed. Next, users' evaluations of electronic libraries were collected and analyzed from Google Play Store. Based on the results analyzed, measures to improve the quality of electronic libraries were discussed. Based on the results of the study, the following improvement measures are proposed. Need for systemic improvement and stabilization. Provision of applications suitable for multi-device environments. Resumption of services after systematic inspection after updating. Simplification of sign up, log in, and authentication procedures. User support through real-time chat. Introduction of a detailed assessment of reviews. Provision of guidance and user manual for electronic libraries. Improvements to expand user convenience, and Securing differentiation from other similar services.

The Effect of Lumbar Stabilization Exercises on an Acute Lower Back Pain Reduction (요부 안정화 운동이 급성기 요통 경감에 미치는 영향)

  • Kang, Kyung-Hwa;Kim, Dong-Uk;Kim, Mi-Jung;Mun, Hyun-Ju;Park, Yung-Hui;Park, Sun-Duck;Kim, Suhn-Yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.10 no.1
    • /
    • pp.67-81
    • /
    • 2004
  • The purpose of this study was to investigate between low back pain scale and disability index owing to gait pattern. For the period of February 1 to February 29, 2004, we had conducted a questionnaire and direct interview with 100 persons lived in Daejeon. The result were as follows: 1. The stride length of experimental group, the male was $49.9{\pm}12.9cm$, the female $45.7{\pm}12.9cm$ and the width of feet. the male was $13.5{\pm}5.7cm$, the female $12.2{\pm}4.8cm$. 2. The Fick angle of all subjects was showed in external disposition, the left angle showed in asymmetry, the male was $11.0{\pm}5.7^{\circ}$, the female $8.5{\pm}1.3^{\circ}$. 3. The foot arch was similar to sex as a weight bearing and non-weight bearing, the male was $1.3{\pm}0.8cm$, the female $1.3{\pm}0.9cm$. 4. The impedimental index according to back pain grade, men was a lower than women, the male was $5.7{\pm}6.9$ and the female $7.2{\pm}5.3$. 5. The relation to difference between foot arch and disability index according to back pain grade as a weight bearing and non-weight bearing, the higher foot arch, the higher back pain grade was statistically significance(p<.05). 6. The relation between width of feet and disability index according to back pain grade, the wider width of feet, the higher back pain grade was statistically significance(p<.01). 7. The relation between stride length and disability index according to back pain grade, the wider stride length, the higher back pain grade was statistically significance (p<.05).

  • PDF

Slope Stability Analysis and Suggestion of Stabilization Methods on Failed Cut-Slopes Interbedded with Weakness Layer (연약층이 협재된 절개면의 안정성 해석 및 대책)

  • 구호본;이대영;김학준
    • The Journal of Engineering Geology
    • /
    • v.13 no.2
    • /
    • pp.157-170
    • /
    • 2003
  • This study is performed to investigate the cause of slope failure and to suggest suitable stabilization methods for the failed rock slopes. The slope which is located along the national highway between Maesan and Kakok in Dangjin-gun failed during the construction of roads. Site investigation, drilling program, field measurements, rainfall records, and stability analyses are used to investigate the cause of the slope failure. The problem determining the cut-slope angle based on the existing design manual for the construction of roads is reviewed based on the case history given in this paper. If weakness layer and geological structures such as folds and faults are developed in a slope, slope failure is possible even though the direction of slope and the direction of discontinuities depart more than $30^{\circ}$.

A Case Study of a 53-year-old Female Patient with Frozen Shoulder for Effect of Scapular Stabilizing Exercise on Shoulder Pain, Active Range of Motion and Position of Shoulder Blade (오십견이 있는 53세 여성환자에게 견갑골 안정화 운동 적용 후 견부 통증, 능동관절가동범위, 견갑골의 위치 변화에 미치는 영향-사례연구)

  • Jung, Min-Keun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.18 no.1
    • /
    • pp.83-86
    • /
    • 2012
  • Background: The research examined the effect of a scapular stabilizing exercise on shoulder pain, active range of motion (AROM) and changes in the position of the shoulder blade of patients with frozen shoulder. Methods: General physical therapy and a scapular stabilizing exercise were applied to a 53-year-old female patient with frozen shoulder three times a week for four weeks. Before and after the therapy, measurements were made on the visual analog scale (VAS) and of the AROM, and a lateral scapular slide test was conducted. Results: Following the therapy, VAS fell from 7 to 3. Before therapy, flexion, abduction, internal rotation, and external rotation recorded $133^{\circ}$, $102^{\circ}$, $45^{\circ}$, and $53^{\circ}$ respectively; after the therapy they increased to $150^{\circ}$, $123^{\circ}$, $55^{\circ}$, and $65^{\circ}$ respectively. The lateral scapular slide test showed sliding distances before therapy of 8.5cm at $0^{\circ}$, 9.2cm at $45^{\circ}$, and 11.3cm at $90^{\circ}$; after therapy, the distances decreased to 6.8 cm at $0^{\circ}$, 8.2 cm at $45^{\circ}$, and 9cm at $90^{\circ}$. Conclusion: The scapular stabilizing exercise was effective in alleviating shoulder pain, increasing AROM, and reducing changes in the position of the shoulder blade of frozen shoulder patients.

  • PDF

The Spinal Flexibility and Response Time of Erector Spinae Muscle Following Stabilization Exercise (만성 요통 환자에서 척추 유연성과 허리 근육 반응속도 분석)

  • Sung, Paul S.
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.6 no.1
    • /
    • pp.35-49
    • /
    • 2000
  • 허리 근육손상은 기대치 못한 상황에서 신체의 적절한 반응이 지연될 경우 근육 염좌와 같은 상해나 요통으로 연결된다. 이 연구는 척추 안정 운동 후 척추의 유연성과 척추 근육의 반응 속도를 만성 요통 환자와 정상인을 대상으로 비교 연구 하였다. 만성 요통 환자 군은 척추 안정 운동을 4주간 20회 시행하였으며 이와 비슷한 특성을 가진 대조군을 비교하였다. 신체 유연성은 환자가 앉은 자세에서 척추를 축으로 신체의 회전 정도를 측정하였다. 척추 반응 속도 측정은 환자가 선 자세에서 두 손으로 판을 들고있는 동안 정구공이 1.8 m (6.4 N)에서 낙하시 좌, 우측 척추 근육의 반응 속도를 Wavelet 분석으로 측정하였다. 연구 결과 척추 안정 운동을 행한 만성 요통 환자군의 신체 유연성과 척추 근육 반응 속도가 통계적으로 유의하게 증가하였다. 척추 유연성은 만성 요통 환자 군에서 131.0cm에서 척추안정 운동후 144.1cm으로 증가하였다 (p<0.05). 척추 근육 반응 속도는 척추 안정 운동을 행한 만성 요통 환자 군에서 90.00msec에서 68.55msec로 (p<0.05), 정상 군에서는 86.28msec에서 75.64msec로 (p>0.05) 단축되었다. 척추 안정 운동은 근, 신경 조직의 반응속도를 증가시키며 특히 만성 요통 환자에서 척추의 안정성을 회복시킨다. 특히 척추의 안정성 증가는 기대치 못한 상황에서 선체의 적절한 반응의 속도를 회복시키며 결과적으로 허리 손상을 예방 할 수 있다. 물리치료학에서 근 골격 신경계의 반응 속도측정을 위한 연구로 Wavelet 분석과 같은 첨단장비를 통한 운동 치료의 질에 관한 연구의 도입이 필요하다. 또한 구체적인 치료적 운동결과의 측정을 통해 물리 치료의 효과성과 효율성을 높이기 위한 생체 의학적 연구가 요망된다.

  • PDF

Analysis of the Muscle Activity of the Trunk and the Lower Extremities in Relation to the Initial Bending Angle of the Hip Joint During Bridge Exercise (교각운동시 엉덩관절 초기 굽힘 각도에 따른 체간 및 하지의 근활성도 분석)

  • Kim, Eun-Young;Jeong, Young-June;Song, Myung-Hwan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.18 no.2
    • /
    • pp.23-29
    • /
    • 2012
  • Background: The present study was conducted with 30 adult males in order to examine the muscle activity of the trunk and the lower extremities at diverse initial bending angles of the hip joint during bridge exercise on a stable surfaces and on an unstable surface that is widely performed for stabilization. Methods: The initial angles of the hip joint used were $0^{\circ}$, $45^{\circ}$ and $90^{\circ}$ and the subjects were divided into a matt experimental group and a balance training group. Results: In maximum values of muscle activity at different exercise methods and angles, the matt experimental group showed statistically significant differences in the muscle activity values of the rectus abdominis muscle, the erector spinae muscle, the rectus femoris muscle and the peroneus muscles between different angles while the balance training group showed significant differences only in the muscle activity values of the erector spinae muscle between different initial angles of the hip joint. The matt experimental group showed significant differences in muscle activity between initial angles $0^{\circ}$ and $90^{\circ}$, between $45^{\circ}$ and $90^{\circ}$ in the rectus abdominis muscle, between $0^{\circ}$ and $90^{\circ}$ in the erector spinae muscle, between $45^{\circ}$ and $90^{\circ}$ in the rectus femoris muscle and between $0^{\circ}$ and $90^{\circ}$ in the peroneus muscles while the balance training group showed significant differences between $0^{\circ}$ and $90^{\circ}$ in the erector spinae muscle. Conclusions: Therefore, it is thought that bridge exercises should be applied to patients using diverse methods.

  • PDF

The Effects of Combined Exercise Program to Intra-City Bus Driver With Chronic Neck Pain : Case Report (만성 경부통을 가진 시내버스 운전기사에게 복합 운동프로그램의 효과 : 사례연구)

  • Ahn, Seung-won;Jung, Young-june
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.21 no.1
    • /
    • pp.49-56
    • /
    • 2015
  • Background: Although many of those who drive for a living are exposed to repetitive and awkward posture and whole body vibration which cause them cumulative trauma disorder, therapeutic studies related to the problems from the transport unit are still somewhat inadequate. The purpose of this case report is to identify the effect of combined exercise program on patients suffering chronic neck pain caused by long hour of intra-city bus driving. Method: A total of 4 subjects are selected as patients, all of whom have more than 10 years of experience in intra-city bus transportation services. These people have suffered from neck pain for years. We ran the combined exercise program 3 times a week for 4 weeks and respectively evaluated the results after the 2nd and 4th week. We implemented conventional physiotherapy for 40 minutes, another 40 minutes of combined exercise program, and then educated the patients to enable themselves to do active stretching program as a home program. The combined exercise program contained 3 different stages. 1st stage: active stretching program, 2nd stage combined stabilization exercise and strengthening exercise, 3rd stage: proprioceptive exercise Result: After 4 weeks of intervention, there was enhance in the range of motion. $12^{\circ}$ increase in flexion, $10^{\circ}$ in extension, $6^{\circ}$ in lateral flexion respectively, and $10^{\circ}$ in rotation on average. VAS(visual analgue scale) decreased by 33% on average, NDI(neck diability index) by 28% and fatigability by 23%. Conclusion: There were improved results in the range of motion, NDI, VAS, and in fatigability after applying combined exercise program to intra-city bus drivers exposed to whole body vibration and cumulative trauma disorder.

  • PDF

The Effect of Legs Difference on The Trunk Muscle Activities With and Without Winging Scapular During Scapular Protraction in Prone-Bridge Position (엎드린 교각운동 자세에서 견갑골 전인 운동 시 익상 유무에 따른 다리 들기 차이가 체간근의 근 활성도에 미치는 영향)

  • Kim, Hee-gon;Hwang, Byeong-jun;Kim, Jong-woo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.24 no.2
    • /
    • pp.29-36
    • /
    • 2018
  • Background: The purpose of this study was to investigate the effect of leg lift difference on serratus and upper trapezius when exercising in a scapula in a prone position, a typical waist stabilization exercise for subjects with a winged scapula. Method: Twenty normal adults and 20 subjects with winged scapula participated in the experiment. The surface EMG recordings were obtained from external oblique muscle and internal oblique muscle during scapula protraction exercise. The presence or absence of winging of the shoulder bone was measured using an electronic digital caliper for the distance the medial border of the scapula is lifted to the rear. In prostrate pier movement posture in both groups, both legs supporting, dominant leg lifting, and non-dominant leg lifting including the scapula protraction were conducted respectively. Results: In the results of comparison between the two groups, the dominant external oblique muscle and the non-dominant internal oblique muscle tended to increase according to the difference of the leg lifting of normal people. In the winged scapula group, internal oblique muscle showed increased muscle activity more than external oblique muscle. Conclusion: It was most effective to exercise with lifting the same position leg for strengthening the same external oblique muscle, and the opposite internal oblique muscle. Also, it is effective to exercise in prone pier movement posture for trunk stability. In addition, internal oblique muscle shows increased muscle activity in subjects with winged scapula. Therefore, appropriate adjustment of external oblique muscle and internal oblique muscle may have a positive effect on scapula dysfunction for trunk stability.

Pelvic Compression Using a Compression Belt and Non-elastic Taping on Trunk and Hip Extensor Muscle Activity during Prone Hip Extension: A Comparative Study of Experienced and Non-experienced Low Back Pain Group (압박 벨트와 비탄력 테이프를 이용한 골반압박이 엎드려 고관절 신전 시 체간과 고관절 신전근의 근 작용에 미치는 영향: 요통 경험군과 요통 비경험군 비교 연구)

  • Park, So-hyun;Kim, Suhn-yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.27 no.2
    • /
    • pp.27-36
    • /
    • 2021
  • Background : Prone hip extension (PHE) is commonly used for exercises and tests in patients with low back pain. Previous studies have shown that pelvic compression belts (PCB) and non-elastic taping (NET) contribute greatly to improvements in lumbopelvic stability. This study aimed to compare the effect of two lumbopelvic stability methods such as PCB and NET on the trunk and hip extensor muscle activities during PHE tests. Methods: Subjects who experienced low back pain (low back pain group, LBPG; n=20) and those who did not experience low back pain (non-LBPG; n=20) participated in this study. The subjects were instructed to perform PHE with and without a PCB and NET. PHE tests were performed in the condition wherein the two stabilization methods were applied, and the actions of the muscles at that time were measured using surface electromyography (EMG). EMG data were collected from the hamstring, gluteus maximus, erector spine (ES), and multifidus (MF) muscles. The data were collected three times for 5 s with a 1-min rest between each of the three sets. Results: In the LBPG, EMG of the ES muscle was significantly reduced when NET or a PCB was applied (p<.05). There was no difference in the change in the ES muscle activity when NET and a PCB were applied. The ratio of MF/ES muscleactivity showed a significant increase in the LBPG with NET (p<.05). Conclusion: Both NET and PCB applied to subjects who experienced low back pain significantly reduced the ES muscle activity during PHE exercises and helped control the balance of the superficial and deep trunk extensor muscles.