• 제목/요약/키워드: Multi-therapy

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운동치료의 변화와 발전 (Change and Development of Therapeutic Exercise)

  • 배성수;김승준;이근희
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.751-760
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    • 2001
  • Therapeutic exercise had developed with human being. It depend upon development of physiology, anatomy, kinesiology and biomechanics. There are two categories in therapeutic exorcise. One is classical therapeutic exercise which is a activity of one muscle group, one axis and one plane motion. It is ROM, FRE. osteokinematics, arthrokinematics. Another is neurophysiological approach which is multi muscle group, multi axis and plane exercise. It is PNF and Bobath that start from 1940 to early 1950. Classical therapeutic exorcise develop from ROM to osteokinematics and arthrokinematics. It is foundation of the joint mobilization and orthopaedic manual physical therapy. Neurophysiological therapeutic approaching has more theory and skills than before. Bobath methods had changed from reflex-inhibiting posture to key points of control and added the theory of musculoskeletal, biomechanics, motor behaviour and cognition. We call it motor control.

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복부근력강화운동, 배부근 스트레칭 및 복합운동이 20대 성인의 허리 유연성에 미치는 영향 (The Impact of Abdominal Muscle Strengthening Exercises, Back Muscle Stretching and Multi-Training on the Lumbar Flexibility of 20s Adults)

  • 홍기훈;안지혜;유선욱;윤현주;이춘엽;김희정
    • 대한지역사회작업치료학회지
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    • 제3권2호
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    • pp.57-65
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    • 2013
  • 목적 : 본 연구의 목적은 복부근력강화운동, 배부근 스트레칭 및 복합운동이 20대 성인의 허리 유연성에 미치는 효과의 차이를 알아보기 위함이다. 연구방법 : 2013년 5월 29일부터 6월 14일까지 K대학교에 재학 중인 21명을 대상으로 복부근력강화운동, 배부근 스트레칭 및 복합운동을 3주간(17일) 총 9회 실시하였다. 유연성의 측정은 앉아 윗몸 앞으로 굽히기(Sit and Reach Test)로 실험 전, 후 측정하였고, 측정된 자료는 SPSS program WIN 12.0K를 통해 운동 방법의 효과 유무에 대한 검정은 Wilcoxon signed rank test를 이용하였고, 각 그룹 별 운동 효과의 차이에 대한 검정을 위해 Kruskal-Wallis test와 Mann-Whitney test를 실시하였다. 결과 : Wilcoxon signed rank test 분석 결과 복부근력강화운동 그룹, 배부근 스트레칭 그룹 및 복합운동 그룹 모두 운동 전과 후에 통계학적 차이가 있었다(p<0.05). Kruskal-Wallis test와 Mann-Whitney test를 통한 각 그룹 간 유연성 향상 정도의 차이를 분석한 결과 배부근 스트레칭 그룹과 복부근력강화운동 그룹, 배부근 스트레칭 그룹과 복합운동 그룹 사이에 차이가 있었다(p<0.017). 결론 : 복부근력강화운동, 배부근 스트레칭 및 복합운동 모두 유연성 향상에 긍정적인 영향을 미쳤으나, 배부근 스트레칭에 비하여 복부근력강화운동과 복합운동이 유연성 향상에 더 효과적인 것으로 나타났다.

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Evaluation of Diffuse Reflectance in Multi-layered Tissue for High Intensity Laser Therapy

  • Lee, Sangkwan;Youn, Jong-In
    • Journal of the Optical Society of Korea
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    • 제17권2호
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    • pp.205-212
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    • 2013
  • Pain is one of the quite common symptoms in clinics and many treatment methods have been applied to relieve pain. Among the treatments, high-intensity light therapy for pain has been introduced, but this therapy has not been fully supported by confirmed efficacy due to the absence of quantitative assessments and treatment feedback data in real time. In this study, the evaluation of light distribution in tissue was performed with current high-intensity light sources quantitatively using light-tissue interaction simulations. The diffuse reflectance in tissue was generated using Monte Carlo simulation that traces photons as they undergo multiple scattering and absorption within each tissue layer (skin, fat, and muscle) and within multi-layered tissue. The results showed that the highest diffuse reflectance and the deepest penetration of tissue were achieved at ${\lambda}$=830 nm when compared with other wavelengths like ${\lambda}$=650 nm, 980 nm and 1064 nm.

멀티 테라피를 적용한 치유 환경적 종합병원 로비공간 계획에 관한 연구 (A Study on the plan of the Main Entrance and the Concourse in General Hospitals for Healthcare Environments as Multi-therapy)

  • 노은정;오은진;김정기
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 2005년도 추계학술발표대회 논문집
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    • pp.115-118
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    • 2005
  • Korea has experienced many changes since modern hospitals started to be built. Among these changes, interest in 'Promotion of Curing environment', which is the most fundamental one of the hospital functions, has increased more and more. The lobby makes the first impression of a medical building and that is an important function. Recently, the lobby became highly valued not only as a waiting area or a pathway only but as a cultural area. The lobby is considered simply as a complex and busy area because it plays an important role in the building' communications and access systems and has various uses and functions. Based on the concept of curing environment, the lobby can be planned as a facility combining culture and medical functions by applying multi therapy.

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Far Beyond Cancer Immunotherapy: Reversion of Multi-Malignant Phenotypes of Immunotherapeutic-Resistant Cancer by Targeting the NANOG Signaling Axis

  • Se Jin Oh;Jaeyoon Lee;Yukang Kim;Kwon-Ho Song;Eunho Cho;Minsung Kim;Heejae Jung;Tae Woo Kim
    • IMMUNE NETWORK
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    • 제20권1호
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    • pp.7.1-7.11
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    • 2020
  • Cancer immunotherapy, in the form of vaccination, adoptive cellular transfer, or immune checkpoint inhibitors, has emerged as a promising practice within the field of oncology. However, despite the developing field's potential to revolutionize cancer treatment, the presence of immunotherapeutic-resistant tumor cells in many patients present a challenge and limitation to these immunotherapies. These cells not only indicate immunotherapeutic resistance, but also show multi-modal resistance to conventional therapies, abnormal metabolism, stemness, and metastasis. How can immunotherapeutic-resistant tumor cells render multi-malignant phenotypes? We reasoned that the immune-refractory phenotype could be associated with multi-malignant phenotypes and that these phenotypes are linked together by a factor that acts as the master regulator. In this review, we discussed the role of the embryonic transcription factor NANOG as a crucial master regulator we named "common factor" in multi-malignant phenotypes and presented strategies to overcome multi-malignancy in immunotherapeutic-resistant cancer by restraining the NANOG-mediated multi-malignant signaling axis. Strategies that blunt the NANOG axis could improve the clinical management of therapy-refractory cancer.

Cancer Treatment Using Multiphoton Photodynamic Therapy

  • Zakir Hossain, S.M.;Golam Azam, S.M.;Enayetul Babar, S.M.
    • Molecular & Cellular Toxicology
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    • 제2권1호
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    • pp.1-6
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    • 2006
  • Photodynamic therapy (PDT), a newly established treatment for solid tumors, involves the systemic administration of a tumor localizing photosensitizer that is only activated when exposed to light of appropriate wavelength. Photoactivation of photosensitizer in the presence of oxygen results in the formation of highly cytotoxic molecular species, which precipitates necrosis. PDT has now become a promising means for the treatment of cancer due to its specificity, relatively minimal side effects, and inexpensive. However, the application of PDT has been restricted to the treatment of superficial lesions or the use of interstitial light delivery. A single photon generally activates the photochemical reaction in traditional PDT. However the use of multi photon excitation, where two or more photons simultaneously excite a photosensitizer, allows for the use of wavelengths twice as long. Such wavelengths exhibit better transmittance through tissue and thereby deeper penetration is achieved. This paper will review theoretical principles of multi photon excitation, challenges associated with multi photon PDT and update the current and future role of multi photon PDT in cancer.

Effects of Differential Stability on Control of Multi-Joint Coordination in the Upper Extremity: A Torque Component Analysis

  • Ryu, Young Uk;Shin, Hwa Kyung
    • The Journal of Korean Physical Therapy
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    • 제28권1호
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    • pp.8-13
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    • 2016
  • Purpose: The purpose of the present current study was to examine control of upper limb multi-joint movements with differential coordination stability. To achieve the goals of the study, torque analyses were utilized to answer questions about how torque components were differed among various elbow-wrist coordination patterns. Methods: Eight self-reported right-handed college students (3 males and 5 females, mean age=20.6 yr) were volunteered. The task required participants to rhythmically coordinate the flexion-extension motions of their elbow and wrist with coordination relationship of $0^{\circ}$, $90^{\circ}$, and $180^{\circ}$relative phases between the two joints. Mean relative phase and phase stability (standard deviation of relative phase) were computed to for analysisze of overall coordination performance. To determine the figure out characteristics of torque components in elbow and wrist joints, impulse values of muscle torque (MT) and interactive torque (IT) and MT as a percentage of cycle duration (MT-PCD) were analyzed. Results: Torque results showed that the proximal elbow joint generated motions with mainly muscle efforts regardless of coordination patterns, while the distal wrist joint adjusted the coordination patterns by changing amount of MT. Impulse analyses showed that the least stable $90^{\circ}$ pattern was performed by utilizing a similar coordination strategy of the most stable $0^{\circ}$ pattern. Conclusion: The present current study suggests that the roles of distal and proximal joints differ in order to achieve various multi-joint coordination movements. This study provides information for use in gives an idea to development of rehabilitation or training programs for to persons with an impaired upper limb motor ability.

학령기 아동을 위한 멀티에이전트 비만관리 프로그램의 효과 (The Effects of a Multi Agent Obesity Control Program in Obese School Children)

  • 안혜영;임숙빈;홍경자;허명행
    • 대한간호학회지
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    • 제37권1호
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    • pp.105-113
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    • 2007
  • Purpose: The purpose of this study was to identify the effects of a multi agent obesity control program in obese school children. This program was composed of strategies to modify diet and exercise habits and to change cognitive behavior variables(stress, coping, and self-efficacy). Method: The subjects were 40 obese school children who participated in our project voluntarily via homepage, TV, newspaper, public paper and school official documents. The program was implemented daily for 4 sessions per day for ten days from August 16 to 26, 2004. The daily program consisted of exercise therapy, dance therapy, cognitive behavior therapy and aroma therapy. The data was analyzed by paired t-test using the SPSSWIN program. Result: There was a significant decrease in children's waist-hip ratio(p=.04) and in children's stress(p=.00) after the program. There was a significant increase in children's self-confidence after the program(p=.02) and a significant decrease in children's diet habit after the program(p=.02). Conclusion: This study provides evidence that a multiagent obese control program is effective in changing waist-hip ratio, stress, self-confidence, and diet habits in obese school children.