• 제목/요약/키워드: Manual therapies

검색결과 59건 처리시간 0.033초

정형물리치료의 임상적 특성에 대한 비교 (Clinical Characteristics of the Orthopaedic Manual Physical Therapy)

  • 김무기
    • 대한물리치료과학회지
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    • 제10권2호
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    • pp.236-245
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    • 2003
  • As one of the effective therapies for musculoskeletal diseases, orthopedic manual physical therapy has been watched with keen interest. In Korea, orthopedic manual physical therapy has been widely spread and applied in the field of clinical medicine since the mid-nineties. Since then, the clinical efficacy of orthopedic manual physical therapy has been approved, and orthopedic manual physical therapy has been gradually spread in the filed of clinical medicine. However, it should be noted that clinically available therapies are not well recognized. Therefore, this study was conducted to allude diagnostic and therapeutic characteristics of these therapies including deep tissue massage, manual therapy, Cyriaxs method combining manual reduction and chemotherapy, Kaltenborn-Evjenth method based on concave-convex rule for joint and soft tissue, Maitlands method based on patients sign and symptom, stress due to the posture, intraarticualr disturbance and Mckenzies method for pain due to the dysfunction.

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A Facial Chuna Manual Therapy for Peripheral Facial Nerve Palsy

  • Park, Yu-Kyeong;Lee, Cho In;Lee, Jung Hee;Lee, Hyun-Jong;Lee, Yun-kyu;Seo, Jung-Chul;Kim, Jae Soo
    • Journal of Acupuncture Research
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    • 제36권4호
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    • pp.197-203
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    • 2019
  • The purpose of this study was to investigate useful manual therapy techniques for peripheral facial nerve palsy and to propose guidelines to be applied for current manual therapy techniques. Several databases were searched to find manual therapies for facial palsy. These therapies included cervical, and temporomandibular joint chuna manual therapy, proprioceptive neuromuscular facilitation, neuromuscular re-education, facial exercise, and mime therapy. Both cervical, and temporomandibular joint chuna manual therapy release nerve compression, helping blood circulation and nerve conduction. Proprioceptive neuromuscular facilitation uses irradiation, bilateral activation, and eccentric facilitation to improve muscle power and symmetry. Neuromuscular re-education, as a retraining tool for facial movement patterns, enhances neuromuscular feedback. Facial exercise helps the patient continuously move and massage facial muscle themselves. Mime therapy aims to develop a conscious connection between the use of certain muscles and facial expressions. The use of facial chuna manual therapy for peripheral facial nerve palsy can stimulate the proprioceptive neuromuscular receptors in the face. Peripheral facial nerve palsy has 4 phases; progress phase, plateau phase, recovery phase, and sequelae phase. Each phase needs different treatments which include relaxation, assistance, resistance, origin-insertion extension, and nerve pathway expansion.

상지의 단일신경병증에 대한 수기치료의 국내외 동향 (Literature Review of Manual Therapy for Mononeuropathies of Upper Limb)

  • 김형석;신우철;전준영;박재현;배준형;김세윤;박혜성;윤예지;윤정민;조재흥;정원석
    • 한방재활의학과학회지
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    • 제27권4호
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    • pp.21-31
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    • 2017
  • Objectives This study aimed to review manual therapies for mononeuropathies of upper limb through domestic and foreign studies designed for human body. Methods We searched databases (KMbase, OASIS, RISS, NDSL, KISS, KoreaMed, MEDLINE/Pubmed, CENTRAL, EMBASE) on the 1st to 31th of July 2017 to find related literatures that published after 2000. Results Twenty-eight studies were finally included. Of these, 13 articles were published after 2010. Twenty-two studies were clinical trials and 6 were observational studies. Carpal tunnel syndrome were the most researched type of diseases (85.7%). Most frequently used method of manual therapies was neurodynamic mobilization (35.7%). Pain scales and questionnaires were generally employed for evaluation. Significantly effective studies were 72.2% in controlled trials and 90% in the studies without control group. Conclusions In this study, we reviewed literatures concerning manual therapies on mononeuropathies of upper limb. Further studies are needed on the various diseases of mononeuropathies of upper limb to retain the evidence for the effectiveness of manual therapies.

근막이완술과 Mulligan 기법이 경부성 두통환자의 통증과 기능회복에 미치는 영향 (Effects of Myofacial Release and Mulligan Technique on Pain and Disability for Cervicogenic Headache Patients)

  • 전재국;김명준
    • 대한정형도수물리치료학회지
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    • 제18권2호
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    • pp.87-93
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    • 2012
  • Background: Headaches arising from cervical musculoskeletal disorders are common. Conservative therapies are recommended as the choice of first treatment. Evidence to the effects of manual therapy is inconclusive and available only during the short term. There is no evidence to exercise, and no study has investigated the effect of combined therapies for cervicogenic headache. Methods: In this study, 30 participants who met the diagnostic criteria for cervicogenic headache were randomized into two groups: experimental group and control group. The experimental group was performed myofascial release (MFR), Mulligan technique and self stretching exercises. The control group was performed electrical therapy and self stretching exercises. Assessments were performed to 30 participants before and after 4 weeks therapy. The components of assessments were headache intensity(HI), headcahe duration (HD), neck pain (NP) and neck disability index (NDI). Results: After 4 weeks therapy, HI, HD, neck pain and NDI were significantly reduced in both groups (p<.01). The HI, HD, neck pain and NDI were significantly reduced in experimental group more than in the control group (p<.01). Conclusions: Manual therapy could reduce the symptoms of cervicogenic headache.

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디스크 탈출증 진단 환자에 있어서 장요근 치료군과 비치료군의 호전도 비교연구 (A Comparative Study of Improvement of Patients Who Were Diagnosed Disc Herniation with Treatment of Iliopsoas Muscles and without Treatment)

  • 김석;윤현석;반효정;정해찬;염선규;진은석;김한겸;정성엽
    • 척추신경추나의학회지
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    • 제4권2호
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    • pp.31-38
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    • 2009
  • Objectives : This study is designed to find out the influence of acupuncture treatments on Iliopsoas muscles of disc herniated patients. Method : Control group took usual acupuncture therapies and sample group took acupuncture therapies on their Iliopsoas muscles and usual acupuncture therapies. To Conclude the results, we studied Numerical Rating Scale(NRS) score and changes of SLR-test angle statistically. Results : The improvement rate of the group who took Iliopsoas muscles and usual acupuncture therapies was higher than the group who only took usual acupuncture therapies. Conclusion : In this study, we found out that the treatment on Iliopsoas muscles is effective to low back pain patients.

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무릎관절에서의 단계별 도수견인에 따른 견인력과 연성변이와의 관계 (Relationship between Traction Force and Elongated Displacement Under Graded Manual Traction of Knee Joint)

  • 배태수;허현;김경훈;안재용
    • 한국정밀공학회지
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    • 제25권4호
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    • pp.148-153
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    • 2008
  • Although manual traction, one of pain therapies, was applied in clinic to relief pain, the study was rare on the manual force and displacement of ligaments at knee joint during manual traction. The aim of this study is to quantify not only manual force at knee joint but also elongated displacement of joint ligament by C-arm scanning and motion analysis. Twenty-one healthy subjects were tested with manual traction from grade I to grade III under neutral position by a physical therapist. We calculated traction force using joint farces of both hands and elongated displacement of joint ligament were measured. The results showed that traction forces by C-arm scanning analysis were averagely 1.67-fold greater than those by motion analysis, but elongated displacements were instead averagely 2.36-fold smaller than motion analysis. Finally, we could estimate relationship between traction force and elongated displacement at knee joint by two methods.

복합적 한방 치료를 시행한 마미증후군 수술 실패 환자 1례에 대한 증례 보고 (The Clinical Report on the Case of Cauda Equina Syndrome Using Multiple Korean Medicine Therapies)

  • 김정섭;조성우
    • 척추신경추나의학회지
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    • 제10권2호
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    • pp.73-85
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    • 2015
  • Objectives : The purpose of this study is to evaluate clinical effect of Korean medical treatments for the patient who were diagnosed as the Cauda Equina Syndrome. Methods : The patient was treated by Korean medical treatments including acupuncture, pharmacopuncture, herbal medication. The Improvement of clinical symptoms was assessed by Visual Analog Scale(VAS), Oswestry Disability Index(ODI) and Muscle Manual Test(MMT). Results : After treatments, VAS and ODI were generally decreased, MMT was improved in case. Conclusions : The Oriental medical treatments might be effective methods to treat the patient who were diagnosed as the Cauda Equina Syndrome.

근골격계 질환의 치료(어깨-수평모음과 벌림) (Manual Therapy of Musculoskeletal Diseases(Shoulder-Horizontal Adduction and Abduction))

  • 김도관;신성윤;이현창;이양원;박기홍
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2016년도 춘계학술대회
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    • pp.138-139
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    • 2016
  • 본 논문에서는 근골격계 질환에서 어깨에서 나타나는 질환을 살펴본다. 특히 어깨의 수평 벌림과 수평 모음에 대한 측정 방법을 살펴본다. 여기서 일정한 임계값보다 크게 나타나는 값은 도수 치료가 필요하다고 판단한다.

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한의 의료행위 급여 항목 확대 방안 모색을 위한 전자우편 설문조사 (An E-mail survey for expanding the basic benefit package of Korean medicine in Korean national health insurance)

  • 김미경;김가희;한창호
    • 대한한의학회지
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    • 제39권3호
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    • pp.51-60
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    • 2018
  • Objectives: This study aimed to investigate the opinions of Korean medical doctors on how to elucidate possible remedial measures for expanding the health insurance benefits coverage item of Korean medicine (KM). Methods: An online survey was conducted to all members who had registered e-mail address in the association of Korean medicine from 1 to 17 November, 2016. Statistical analysis was performed and odds ratio with 95% confidence interval were calculated by each subgroup. Results: A total of 743 members answered the questions and the response rate was 4.1%. The priorities for expanding health insurance benefits were as follows: thermographic imaging, Sasang constitution typing test, and pulse wave among examinations; pharamacopuncture, embedding acupuncture, and acupotomy among procedures; Chuna manual therapy, manual therapy for meridian muscle, and Daoyin exercise therapy among manual therapies; low-frequency electrical therapy, traction, paraffin bath, and light therapy among physical therapies; and aromatherapy, enema therapy, and color therapy among activities of KM. Conclusions: It should be covered by the national health insurance (NHI) of KM that thermographic imaging, pharmacoacupuncture, Chuna manual therapy, low-frequency electrical therapy, aromatherapy as a top priority. We also suggest that basic medical tests, such as blood, urine, or imaging, should be included in the coverage of the NHI of KM. It is necessary to review the expertise and public opinions about the plans and priorities for the conversion of the desired medical services to be covered by the NHI.

한방부인과 영역에 활용되는 수기요법의 국내외 연구 동향 (Research Trends Using Manual Therapy in Obstetrics and Gynecological Diseases)

  • 김순아;김민경;김수진;경다현;백지원;권미리
    • 대한한방부인과학회지
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    • 제33권4호
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    • pp.127-142
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    • 2020
  • Objectives: The purpose of this study is to analyze the research trends using manual therapy in obstetrics and gynecological diseases. Methods: We searched for studies that performed manual therapy on diseases related to obstetrics and gynecology. All relevant papers were selected and extracted to be analyzed. Results: 12 Randomized controlled trials, 8 cases, 3 pilot studies, 3 non-comparative studies, and 1 before-after comparative study were collected. The study subjects, results, techniques of manual therapy used were analyzed. There were studies related to pregnancy-related symptoms, postpartum pain, dysmenorrhea, chronic pelvic pain, abnormal uterine bleeding, sexual dysfunction, and childbirth. Conclusions: It has been found that various manual therapies can be used for obstetrics and gynecological diseases.