• Title/Summary/Keyword: Mechanical Intervention

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The Effect of Mechanical Traction on Pain and Physical Function in Patients With Knee Osteoarthritis (기계적 견인이 슬관절 골관절염 환자의 통증과 신체 기능에 미치는 효과)

  • Lee, Nam-yong;Kwon, Chun-suk;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.22 no.3
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    • pp.23-32
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    • 2015
  • The purpose of this study was to identify the effects of mechanical traction applied to the knee joint on pain, knee range of motion (ROM), timed up and go (TUG) and Western Ontario and MacMaster Universities Osteoarthritis (WOMAC) in patients with knee osteoarthritis (KOA) of Kellgren-Lawrence radiological rating scale II or III. Twenty three patients participated in the experiment for a period of four weeks. After baseline assessment, the patients with KOA were randomized into two groups: the traction group ($n_1=12$), which received traction with general physical therapy; and the control group ($n_2=11$), which received general physical therapy only on unilateral knee joints. Patients received interventions once a day, three times a week, for four weeks. Wilcoxon signed-rank test was used to analyze the change of dependent variances within the group during pre and post intervention. Mann-Whitney U test was used to analyze the change of dependent variances as TUG and passive ROM between the two groups. Analysis of covariance was used to analyze the change of dependent variances as numeric pain rating scale (NPRS) and WOMAC score between the two groups. In Wilcoxon signed-rank test, the traction group improved significantly with regard to NPRS (p<.01), passive knee flexion ROM (p<.01), passive knee extension (p<.05), TUG (p<.01) and WOMAC scores (p<.01) after intervention for four weeks, but not for the control group. In the Mann-Whitney U test and analysis of covariance, no significant difference was seen among all the dependent variances after intervention for four weeks between the two groups. These outcomes suggest that further studies should be carried out to determine the effects of mechanical traction prior to using it for the treatment of patients with knee osteoarthritis.

Comparison of between Upper Thoracic Manipulation and Cervical Stability Training on Range of Motion and Neck Disability in Patients with Chronic Mechanical Neck Pain (상부등뼈도수교정과 목뼈부위안정화운동이 만성 목뼈부위 기계학적 통증 환자의 관절가동범위와 장애지수에 미치는 효과 비교)

  • Lee, Byoung-Kwon;Yang, Jin-Mo;Kang, Keung-Hwan
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.2
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    • pp.35-45
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    • 2015
  • PURPOSE: The aim of this study is to investigate how upper thoracic manipulation and cervical stability training affects cervical range of motion and neck disability index of patients with chronic mechanical neck pain. METHODS: 30 patients with chronic mechanical neck pain, and randomly divided into the upper thoracic manipulation and the cervical stability training group. Upper thoracic manipulation group was conducted to the upper thoracic manipulation, and cervical stability training was conducted to the cervical stability training. Intervention period was 6 weeks, and 3 sessions, each of which was run for 5~10 minutes. The subjects were measured neck range of motion before and after intervention by electro-goniometer. Neck disability index was used to measure neck disability index Korean version. RESULTS: Comparison within groups, there were significant difference in neck range of motion before and after intervention, and Neck disability index significantly reduced in the cervical stability training group. The comparison between groups, there were no significant difference in neck range of motion and neck disability index. CONCLUSION: Upper thoracic manipulation and cervical stability training to the patients with chronic neck pain was helpful to improve neck range of motion and cervical stability training was helpful to improve neck disability index.

Construction Ergonomic Intervention to Reduce Musculoskeletal Disorders in Aluminum Formworkers

  • Kim, Dae Young;Yi, Hak;Lee, Sang Ryong;Kim, Bubryur;Lee, Dong-Eun
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.465-472
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    • 2022
  • Manual material handling is the one of the leading causes for musculoskeletal disorders (MSDs) and lower back discomfort. According to a study, construction formworkers suffer greater rates of muscular injuries and related illness due to manual activities. However, there is still a paucity of information on MSD, preventive posture issues, and corresponding solutions for construction aluminum formworkers. As a result, MSD and disregard of worker health and safety continue to exist at construction sites. Although preventive measures and strategies have been studied in previous research, we believe it is imperative to shed light on this problem through this study. This study aims to 1) implement a simple and cost-effective elevated bench to reduce MSDs, and 2) determine the rapid upper limbs assessment (RULA) and Ovako working posture analyzing system (OWAS) action catagory of workers in different postures to assess their MSD conditions and obtain an optimal position and posture using the Jack human modeling software and simulation tool. The study findings reveal a considerable reduction in MSD discomfort and which posture is acceptable in post-intervention instances.Thus results provide inexpensive and simple ergonomic interventions with favorable RULA and OWAS ratings that can be applied at construction sites. This study demonstrates workstation ergonomic intervention cases that can aid in understanding the urgency of applying existing research strategies into practice.

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Effects of mechanical intervention on cutaneous sensory change and pressure pain threshold in the same spinal segment of myofascial pain

  • Kim, Do Hyung;Lee, Su-Hyun;Lee, Byoung Hee
    • Physical Therapy Rehabilitation Science
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    • v.8 no.1
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    • pp.15-21
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    • 2019
  • Objective: The purpose of this study was to identify whether cutaneous sensory (CS) changes induced by mechanical intervention (MI) increases the trigger point threshold of the same spinal segment as well as to investigate the relationship between the amounts of change in CS pressure pain thresholds (PPT). Design: Randomized controlled trial. Methods: Thirty-nine persons with myofacial pain (MFP) were recruited in this experiment. The subjects consisted of 20 men and 19 women (age 20-39). MI was applied on the subjects using the Graston technique for 5 minutes to induce CS changes. The CS changes were measured with sensory tests by using the Von Frey Filament, and PPT changes were estimated by using the pressure threshold meter. For the observation of sensory and PPT changes with time, the test was conducted for 15 minutes including a pre, post, and after intervention session. Results: CS threshold increased significantly when MI was applied (p<0.001). On the same spinal segment, changes in the right infraspinatus PPT was observed (p<0.001) but the PPT changes in other muscles were not significantly different. Furthermore, the control group CS and PPT were not significantly different. In addition, regression analysis showed that the CS changes have a larger impact on PPT in the same spinal segment (p<0.001). Conclusions: CS changes induced by MI make to change PPT on the same spinal segment. In other words, it is possible to identify PPT changes following CS changes except for the muscle which belongs to a different spinal segment. Therefore, application of MI is necessary for the CS changes in the same spinal segment. Furthermore, it can be useful in the clinical fields as a method of providing pain control and increasing the PPT.

Flack Test in Pregnant Women (임부(姙婦)의 Flack test에 관(關)하여)

  • Kim, Won-Jae;Nam, Tae-Hyun;Kim, Kyu-Soo;Chae, E-Up
    • The Korean Journal of Physiology
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    • v.10 no.1
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    • pp.49-54
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    • 1976
  • The change of heart rates during Flack Test was observed in the pregnant women, $24{\sim}48$weeks, of gestational age, to analyze mechanical and neural regulatory factors in responses to the positive lung inflation. The results obtained were summarized as followings: 1) Endurance tine of Flack Test was 37.6 sec, in the nonpregnant women, and 25.1 sec. in the pregnant women. 2) When Flack Test was employed, heart rate was decreased in early stage of Flack Test in the pregnant women, while heart rate was increased in the nonpregnant women. 3) In the pregnant women bradycardia due to abdominal mechanical intervention in early stage of Flack Test was prominent, while tachycardia was found in the nonpregnant women. 4) During Flack Test, tachycardia due to sympathetic central reflex activation was observed immediately after bradycardia in early stage of Flack Test. 5) It may be noted that Flack Test employed in the present study is a useful model to evaluate and analyze the neural and mechanical abdominal intervention factor in response to the positive inflation of lung in pregnant women.

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The Effect of Oral Hygiene for Ventilator-Associated Pneumonia(VAP) Incidence (구강간호가 인공호흡기관련 폐렴 발생률에 미치는 효과)

  • Seo, Hyo-Kyung;Choi, Eun-Hee;Kim, Jin-Hee
    • Journal of Korean Critical Care Nursing
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    • v.4 no.2
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    • pp.39-46
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    • 2011
  • Purpose: The purpose of this study was to examine the effect of oral hygiene for ventilator-associated pneumonia (VAP) incidence. Methods: This study was used a nonequivalent control group posttest design. This study was performed in two groups, experimental group and control group. The experimental group (36 patients) had performed oral care for 6 times a day. The control group (39 patients) had followed and 3 times oral care a day. Participants were patients of 20 years of age or older on mechanical ventilation more than 48 hours from July 5 to October 31 in 2007 at the medical and surgical ICU of C university hospital. Results: VAP occurred in 5 cases in the control group, while only 1 case occurred in the experimental group. Incidence for 1000 ventilator day was 12.59 in the control group and 2.18 in the experimental group. Conclusion: Nursing intervention of 6 times oral care a day proved to decrease incidence of VAP. A guideline should be made using the above nursing intervention for the critical ill patients receiving mechanical ventilation.

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Effects of Mechanical Horseback Riding Training on Trunk Control and Balance function in Stroke patients (뇌졸중 환자의 체간조절, 균형능력에 기계적 승마치료가 미치는 영향)

  • Song, Myung-Soo;Kang, Tae-Woo;Kim, Su-Mi;Noh, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.487-494
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    • 2013
  • The purpose of this study was to determine the effect of mechanical horseback riding training on trunk control, balance function in stroke patients. 15 stroke patients were recruited for this study. The subjects were randomly assigned to two groups: experimental(n=7) and control(n=8). All subjects received a routine physical therapy. The mechanical horseback riding training was for 30 min in the case of the EG subjects. This study was carried out approximately 8 weeks from March 4 to May 3. The assessment tools of this study involved the trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test. The measurements were recorded before the intervention and after the intervention. In the cases of the EG subjects and CG subjects, the variables measured after the intervention significantly differed from trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test before the intervention (p<.05). Also, there were significant differences in trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test at post test between the 2 groups (p<.05). The findings indicate that mechanical horseback riding training exerts a positive effect on trunk control, balance function in stroke patients. Further studies are required to generalize the result of this study.

Effects of Two Different Joint Mobilization Positions on Neck Pain, Function and Treatment Satisfaction in Patient with Acute Mechanical Neck Pain (급성 역학적 경부 통증 환자에서 관절가동술적용 자세가 경부 통증과 기능과 치료만족도에 미치는 영향)

  • Lee, Nam-Yong;Song, Hyeon-Seung;Kim, Suhn-Yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.69-80
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    • 2015
  • PURPOSE: The purpose of the present study was to apply joint mobilization in a sitting position and in a prone position to patients with acute mechanical neck pain and compare the immediate treatment effects in these two positions. METHODS: After the baseline was assessed, 46 patients were randomly assigned to two groups: experimental group I ($n_1=23$) for joint mobilization in the sitting position and experimental group II ($n_2=23$) for joint mobilization in the prone position at the symptomatic cervical level. The patients in both groups received treatment by unilateral posterior-anterior gliding for 30 seconds per trial, 10 trials per session, for a total of 5 minutes, and two trials of 10 active extending motions with distraction per trial. RESULTS: In the Wilcoxon signed-rank test, all the pain and physical function variables were significantly improved after intervention in both groups (p<.05). In the Mann-Whitney U test, which compared the differences before and after the intervention between the two groups, experimental group I showed significant improvement over experimental group II in resting pain (p<.01), satisfaction with the treatment (p=.01), left rotation (p<.01) and CCFE (p<.01). In the analysis of covariance results, experimental group I showed significant improvement over experimental group II in the most painful motion pain (p<.01) and the most painful quadrant motion pain (p<.01). CONCLUSION: These outcomes suggest that joint mobilization should be applied in sitting positions for patients with acute mechanical neck pain that feel pain during sustained positions, extension or rotation.

A Study on Development of Real-Time Simulator for Electric Traction Control System (TCS(Traction Control System)을 위한 실시간 시뮬레이터 개발에 관한 연구)

  • Kim, Tae Un;Cheon, Seyoung;Yang, Soon Young
    • Journal of Drive and Control
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    • v.16 no.3
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    • pp.67-74
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    • 2019
  • The automotive market has recently been investing much time and costs in improving existing technologies such as ABS (Anti-lock Braking System) and TCS (Traction Control System) and developing new technologies. Additionally, various methods have been applied and developed to reduce this. Among them, the development method using the simulation has been mainly used and developed. In this paper, we have studied a method to develop SILS (Software In the Loop Simulation) for TCS which can test various environment variables under the same conditions. We modeled hardware (vehicle engine and ABS module) and software (control logic) of TCS using MATLAB/Simulink and Carsim. Simulation was performed on the climate, road surface, driving course, etc. to verify the TCS logic. By using SILS to develop TCS control logic and controller, it is possible to verify before production and reduce the development period, manpower and investment costs.

Development of an Inspection System for Car Seat Bottom Cushion Frame Using Machine Vision (머신 비전을 이용한 카 시트 쿠션 프레임 검사 시스템 개발)

  • Tucit, Joselito;Jung, Ho;Jang, Bong-Choon
    • Proceedings of the KAIS Fall Conference
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    • 2007.05a
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    • pp.253-255
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    • 2007
  • The increasing requirement for consistency and quality in the automotive industry started the development of a Machine Vision Inspection System (MVIS) for a car seat bottom cushion frame with the goal of providing a higher precision Inspection System with minimal components and less human intervention. The modifications made to an existing PC-based MVIS were shown to improve the accuracy and precision of the system. By using four monochrome cameras, the working distance was lowered and the image distortions were lessened without resorting to extensive image processing. The inspection scripts were evaluated if it could recognize good and bad products and were shown to be robust and able to reach an acceptable level of precision. It was also shown that the amount of human interaction was lessened.

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