• Title/Summary/Keyword: Motor Rehabilitation

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Bilateral Femoral Neuropathy Combined with Multifocal Abscesses (다발성 농양과 동반한 양측성 대퇴신경 마비)

  • Kim, Chul Hyun;Lee, Yang Soo;Byun, Seung Deuk;Lee, Zee Ihn
    • Annals of Clinical Neurophysiology
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    • v.7 no.2
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    • pp.127-129
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    • 2005
  • We report a 29-year old female who developed bilateral femoral neuropathy combined with multiple abscesses in both thigh muscles. She was present with weakness in both lower extremities for 15 days and intermittent chilling sense for 3 months. Nerve conduction study showed complete absence of compound muscle action potentials in bilateral femoral nerves when stimulated at inguinal area. Electromyographic examination revealed no motor unit action potentials in both rectus femoris and vastus medialis muscles. CT revealed multifocal abscesses in bilateral thigh muscles. After antibiotic treatment, the patient's neurologic symptoms were improved.

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Biomechanical Analysis of Scapular Pattern in Proprioceptive Neuromuscular Facilitation (고유수용성 신경근촉진법 견갑골패턴의 생역학적 분석)

  • Bae Sung-Soo;Choi Jae-Won;Chung Hyun-Ae;Seo Hyun-Kyu
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.65-69
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    • 1999
  • Proprioceptive neuromusculat facilitation(PNF), scapular patterns are very important for orthopaedic and neurologic patients. It is an essential treatment techniques for motor developmental disorder, CVA, cervical disk, frozen shoulder and pain control of cervical, shoulder girdle and upper extremity. Scapular patterns of PNF has 4 different type of pattern. each of them in combining of movement plane and functional movement. Biomechanically, most of PNF patterns are a concentric contraction with third-claw lever. But the movement pattern have a technique of combination of isotonic that should make a eccentric contraction with second-claw lever.

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Effect of High Voltage Pulsed Current on Edema Reduction (고전압 전기 자극의 부종 감소 효과)

  • Kim, Youn-Jung;Kim, Choel-Yong;Hong, Ju-Wan;Ahn, Duk-Hyun
    • Physical Therapy Korea
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    • v.1 no.1
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    • pp.61-66
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    • 1994
  • The purpose of this study was to investigate the effect of a single treatment o voltage pulsed current (HVPC) on edema reduction. Hind limbs of 23 anesthetized were injured by dropping a 400 g weight onto the plantar aspects of the feet. On limb of each frog was randomly selected to receive 30 minutes of continuous, 12 cathodal HVPC at voltages 10 % less than motor threshold levels. Limb volumes measured by water displacement before trauma and at predetermined intervals hours posttrauma. Sources of significant differences were determined by t-test HVPC significantly (p<0.05) reduced edema formation. We hypothesize that HVP also be effective in controlling edema formation after impact injuries in humans.

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Diagnosis of Ulnar Neuropathy Caused by Intraneural Ganglion at Elbow with Ultrasound (신경내 결절종과 연관된 척골 신경병증의 초음파 진단)

  • Kang, Inhyun;Bae, Minjoon;Hur, Yangrok;Hwang, Kihun
    • Clinical Pain
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    • v.19 no.2
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    • pp.97-100
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    • 2020
  • An intraneural ganglion in the peripheral nerve and the resulting ulnar neuropathy at the elbow are uncommon and may show various symptoms ranging from local pain to motor and sensory impairment. We report a case of a 76-year-old man who was diagnosed with ulnar neuropathy caused by an intraneural ganglion derived from the elbow. We also discuss the pathophysiology, treatment, prognosis, and diagnostic value of ultrasonography in neuropathy caused by a ganglion.

Three-dimensional kinematic motion analysis of door handling task in people with mild and moderate stroke

  • Lee, Jung Ah;Kim, Eun Joo;Hwang, Pil Woo;Park, Han Ram;Bae, Jae Hyuk;Kim, Jae Nam
    • Physical Therapy Rehabilitation Science
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    • v.5 no.3
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    • pp.143-148
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    • 2016
  • Objective: This study aimed to quantify one of the useful upper extremity movements to evaluate motor control abilities between the groups of people with mild and moderate arm impairments performing a door handling task. Design: Cross-sectional study. Methods: Twenty-one healthy participants and twenty-one persons with chronic stroke (9 mild stroke and 12 moderate stroke) were recruited for this study. Stroke participants were divided into 2 groups based on Fugle-Meyer Assessment scores of 58-65 (mild arm) and 38-57 (moderate arm). All they performed door handling task including the pronation and supination phases 3 times. We measured some movement factors which were reaction time, movement time, hand of peak velocity, hand of movement units to perform door handling task using the three-dimensional motion analysis. Results: The majority of kinematic variables showed significant differences among study groups (p<0.05). The reaction time, total and phase of movement time, hand of peak velocity, the number of movement units discriminated between healthy participants and persons with moderate upper limb stroke (p<0.05). In addition, reaction time, total and phase of movement time, the number of movement units discriminated between those with moderate and mild upper limbs of stroke patients (p<0.05). Conclusions: Three-dimensional kinematic motion analysis in this study was a useful tool for assessing the upper extremity function in different subgroups of people with stroke during the door handling task. These kinematic variables may help clinicians understand the arm movements in door handling task and consist of discriminative therapeutic interventions for stroke patients on upper extremity rehabilitation.

A game-type rehabilitation system that can be helpful for exercise and cognitive rehabilitation for the elderly or patients with mild brain disease (노인 또는 경증 뇌질환 환자들의 운동 및 인지재활에 도움이 될 수 있는 게임형 재활 시스템)

  • Choi, Goon-Ho
    • Journal of Convergence for Information Technology
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    • v.11 no.2
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    • pp.229-237
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    • 2021
  • Among the elderly and patients with mild brain diseases (such as dementia and stroke), when there is a certain degree of self-acting ability and cognitive ability, exercise and cognitive rehabilitation are often required. However, since most of the existing rehabilitation systems are separated or specialized in exercise or cognitive rehabilitation, there is a need for a form linking both. In this paper, we propose a game-type rehabilitation system that enables both exercise and cognitive rehabilitation using CAN communication protocol, one of ICT technologies. This system uses the CAN BUS structure to separate and combine each individual module constituting the rehabilitation system in various forms. A prototype of the proposed system was actually produced to show that various types of rehabilitation environments can be implemented according to the degree of cognitive ability and motor ability of the patient (or the elderly). In addition, through several experiments using this system, it is possible to implement exercise/cognitive parallel rehabilitation applicable to various environments.

A Study on Awareness of Tele Exercise Rehabilitation According to Demographic Characteristics of Physical Therapists (물리치료사의 인구사회학적 특성에 따른 원격운동재활에 대한 인식도에 대한 연구)

  • Park, Se-jin;Yu, Seung-hun;Park, Sung-doo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.2
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    • pp.15-24
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    • 2022
  • Background: This study investigated the perception of community care-based tele exercise rehabilitation according to demographic characteristics of physical therapists and presented basic data for the spread of tele exercise rehabilitation within community care. Methods: The study collected and analyzed data from 195 physical therapists. The analysis was performed using frequency analysis with 10 general characteristics, 13 tele exercise rehabilitation recognition questions, and a total of 23 questions. Analysis of general characteristics of study subjects and recognition of tele exercise rehabilitation were expressed in terms of frequency and percentage using frequency analysis. Chi-squared test was used to compare general characteristics and tele exercise rehabilitation recognition. Correlation analysis of major sociodemographic variables affecting the perception of remote exercise rehabilitation was conducted. Results: The awareness level of physical therapists for remote exercise rehabilitation was confirmed. The difference in the recognition of remote motor rehabilitation in the number of therapists, career, hospital form according to the sociodemographic characteristics showed statistically significant differences. Conclusion: It is necessary to first raise awareness of therapists through the promotion of tele exercise rehabilitation, and furthermore, in the future, it will be necessary to find a policy direction and plan on how tele exercise rehabilitation can be applied to rehabilitation services in local communities care.

A Case Report of Upper Extremities Rehablitation of 2 Cervical Spinal Cord Injured Patients by Functional Electrical Stimulation with Korean Medical Interventions (경추부 척수손상 사지마비 환자의 한방치료와 기능적 전기 자극요법을 통한 상지 재활 치험 2례)

  • Lee, Jong-Hoon;Cho, Sung-Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.3
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    • pp.91-102
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    • 2015
  • Two patients, diagnosed as cervical spinal cord injury, were hospitalized and treated by Korean medical interventions with Functional Electrical Stimulation (FES). The range of motion of the shoulder joint, manual muscle test were adopted to measure the resulting motor recovery after treatment. And the Korean version of Barthel index (K-MBI) was adopted as a method of measuring the improvement of quality of life after treatment. The range of motions and muscle strengths of the shoulder joints were improved. The activities of daily living were slightly improved in case 2, but showed no improvement in case 1. FES was effective for upper extremities rehabilitation of spinal cord injured patients. Further studies are needed to set up an Korean medical protocol for spinal cord injury rehabilitation.

The Effect of Acupuncture combined with Conventional Rehabilitation Treatment for Cerebral palsy: A Systematic review of Randomized Controlled Trials(RCTs) (뇌성마비(Cerebral palsy) 소아의 재활치료와 재활과 침치료의 병행치료를 비교한 체계적 문헌 고찰)

  • Chang, Seok Joo;Seong, Eun Hak;Kim, Jang Hyun;Min, Sang Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.34 no.3
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    • pp.81-96
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    • 2020
  • Objectives This study aims to evaluate the effect of acupuncture combined with rehabilitation treatment for cerebral palsy in children. Methods 7 electro-database (PubMed, CENTRAL, CNKI, DBpia, KISS, OASIS, KJTK) were searched for using the keywords "cerebral palsy AND acupuncture" which study is designed in randomized controlled trials (RCTs). Results 10 out of 303 studies were included in analysis after screened. Acupuncture combined with rehabilitation treatment had a significant effect on motor function. Only 1 study reported minor adverse effects. Conclusions All of the studies have shown acupuncture combined with conventional rehabilitation treatment was effective in cerebral palsy. Additional well-designed studies are needed to justify the effectiveness of acupuncture in cerebral palsy.

Inter-Rater Reliability of Stroke Rehabilitation Assessment of Movement for Patients With Stroke (뇌졸중 환자 평가를 위한 Stroke Rehabilitation Assessment of Movement의 측정자간 신뢰도)

  • Yun, Sung-Joon;Weon, Jong-Hyuck;Lee, Chung-Hwi
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.48-58
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    • 2010
  • The aim of this study was performed to determine the inter-rater reliability of the Stroke Rehabilitation Assessment of Movement (STREAM) translated in Korean. This was a new clinical measurement tool for evaluating the recovery of voluntary movement and basic mobility following stroke. A direct-observation reliability study was conducted on 20 patients who had strokes and were in a rehabilitation setting. Subjects were assessed by two physical therapists. The reliability of the STREAM scores was demonstrated by weighted kappa statistics for inter-rater agreement on scores for individual items ranged from .83 to 1.0, intraclass correlation coefficients for total score was .99, and for subscale scores was ranged from .96 to .99. The internal consistency of the STREAM scores was demonstrated by Cronbach alphas of greater than .99 on the subscales and overall. These high levels of reliability support the use of the STREAM translated in Korean instrument for the measurement of motor recovery following stroke.