• Title/Summary/Keyword: Musculoskeletal intervention

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The Effects of Image Training and Vibration on Performance of Vertical Jumping (상상 훈련과 진동 운동의 적용이 수직점프의 수행력에 미치는 영향)

  • Bang, Hyun-Soo;Jung, Byeong-Ok;Kim, Jin-Sang
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.1
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    • pp.49-56
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    • 2009
  • Purpose : The Purpose of this study was to investigate the effects of image training and vibration on performance of vertical jumping. Methods : Subjects was classified into two groups, which were image training group(n=20) and vibration application group(n=20). The standard methods of each intervention were image training with listening recorded indication for 5 minute and vibration with speed of $1200{\pm}200\;rpm$. Muscle strength was measured using vertical jump performance. Results : The vertical jump performance was significantly increased after image training and vibration application(p<.05), however, it was more significantly after image training(p<.05). Conclusion : This study showed that image training and vibration application were effective treatment strategy on increase of muscle strength. Therefore, it could be considered as a treatment method in the patients with musculoskeletal disease including fracture, chronic degenerative disease and disuse atrophy.

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The Effect of Stair Exercise with Restriction Blood Flow on Knee Extensor Muscle (하지혈류제한과 병행한 계단운동이 무릎 폄근에 미치는 영향)

  • Jun, Je-Yoon;Park, Min-Chull
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.9-14
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    • 2015
  • PURPOSE: Low-intensity exercise with restriction of blood flow has been proposed as an alternative exercise to secure the disadvantage of a high-intensity resistance exercise. However, studies of how affects the muscle using functional exercise are lacking. Thus, the purpose of this study was to investigate knee extensor muscle strength during stair exercise of functional exercise with leg blood flow restriction. METHODS: Twenty two healthy young adults with no history of musculoskeletal or neurogical disorder were participated in this study. participant were randomized into either non-restriction group(11 subject) or restriction group (11 subject). The restriction blood cuff attached to the proximal end of the leg. Measurement of knee extensor strength was used by cybex dynamometer. Data analyzed in independent t-test and paired t-test. RESULTS: Knee extensor muscle strength was significantly different between groups. Also, there were significant differences in the strength of knee extensor within the group. CONCLUSION: This study found that stair exercise with restriction of blood flow did influence to knee extensor muscle strength. These results will also be able to promote the effect of increasing the muscle power applied to functional exercise. Henceforth, studies will be made in the intervention method that can be applied to health vulnerable person.

Effects of Intramuscular Electrical Stimulation Using Inversely Placed Electrodes on Myofascial Pain Syndrome in the Shoulder - A Case Series

  • Shanmugam, Sukumar;Mathias, Lawrence;Thakur, Ajay;Kumar, Dhanesh
    • The Korean Journal of Pain
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    • v.29 no.2
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    • pp.136-140
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    • 2016
  • Myofascial pain syndrome (MPS) is one of the common musculoskeletal conditions of the shoulder which may develop sensory-motor and autonomic dysfunctions at the various level of the neuromuscular system. The pain and dysfunction caused by MPS were primarily treated with physical therapy and pharmacological agents in order to achieve painfree movements. However, in recent years intramuscular electrical stimulation (IMES) with conventional electrode placement was used by researchers to maximise therapeutic values. But, in this study an inverse electrode placement was used to deliver electrical impulses intramuscularly to achieve neuro-modulation at the various level of the nervous system. Nine patients with MPS were treated with intramuscular electrode stimulation using inversely placed electrodes for a period of three weeks. All nine subjects recovered from their shoulder pain and disability within the few weeks of intervention. So, this inverse electrode placement may be more appropriate for chronic pain management.

Effect of Short Foot Exercise Using an Imagery Technique on Chronic Ankle Instability (심상 기법을 이용한 단축발 운동이 만성 발목 불안정성에 미치는 효과)

  • Lee, Dongjin;Ji, Sungha
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.1-10
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    • 2017
  • Purpose : This study was aimed at investgating the effect of short foot exercise(SFE) using an imagery technique on chronic ankle instability(CAI). Methods : Twenty subjects with chronic ankle instability were selected by using the Cumberland ankle instability tool. They were randomly assigned to one of two groups(10 in each group) : namely the short foot exercise group and imagery technique group. The short foot exercise group performed short foot exercise for 6 weeks(3 times a week, 15 min per session). The imagery technique group performed short foot exercise(3 times a week, 15 min per session) and the imagery technique(3 times a week, 5 min per session) for 6 weeks. We measured chronic ankle instability, balance and threshold of vibration sensation before and after exercise by using the Cumberland ankle instability tool, Biodex Balance System and VSA-II, respectively. Results : We found statistically significant differences in cumberland ankle instability tool, balance and threshold of vibration sensation between the groups(p<.05). Conclusion : We confirmed the effect of short foot exercise using an imagery technique. Thus, we thought these results could be used as basic data and reference for musculoskeletal therapy or intervention using an imagery technique.

Effects of Tai Chi Exercise and Auricular Acupressure in Patients with Rheumatoid Arthritis (류마티스 관절염환자를 위한 타이치운동과 이압요법의 효과 - 영국 옥크셔지역을 중심으로 -)

  • Lee, Hea-Young;Hale, Claire
    • Journal of muscle and joint health
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    • v.18 no.1
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    • pp.103-112
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effects of a program of Tai Chi and auricular acupressure in patients with rheumatoid arthritis. Methods: The study design was a one-group pretest-posttest design. The subjects were 14 outpatients with a diagnosis of rheumatoid arthritis based on the American College of Rheumatology Standards. The setting was a Academic Section of Musculoskeletal Disease in the Leeds Institute of Molecular Medicine in United Kingdom. The program was Tai Chi exercise with auricular acupressure per two times a week, for twelve weeks. Results: A program of Tai Chi with auricular acupressure showed significant improvements in amount of pain of RADAI, 28 Joint count swollen, fatigue, physical, affect and symptom of AIMS2, function and symptom of ASES (p<0.05). However, no differences were found in the score of self-efficacy relate to the pain, and quality of healthy related life to social interaction. Conclusion: In order to improve the quality of healthy related life and self-efficacy relate to the pain, it requires long-term intervention. Also different research designs are needed to confirm the effect of this study.

Promoting Mobility in Older People

  • Rantanen, Taina
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.sup1
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    • pp.50-54
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    • 2013
  • Out-of-home mobility is necessary for accessing commodities, making use of neighborhood facilities, and participation in meaningful social, cultural, and physical activities. Mobility also promotes healthy aging as it relates to the basic human need of physical movement. Mobility is typically assessed either with standardized performance-based tests or with self-reports of perceived difficulty in carrying out specific mobility tasks. Mobility declines with increasing age, and the most complex and demanding tasks are affected first. Sometimes people cope with declining functional capacity by making changes in their way or frequency of doing these tasks, thus avoiding facing manifest difficulties. From the physiological point of view, walking is an integrated result of the functioning of the musculoskeletal, cardio-respiratory, sensory and neural systems. Studies have shown that interventions aiming to increase muscle strength will also improve mobility. Physical activity counseling, an educational intervention aiming to increase physical activity, may also prevent mobility decline among older people. Sensory deficits, such as poor vision and hearing may increase the risk of mobility decline. Consequently, rehabilitation of sensory functions may prevent falls and decline in mobility. To promote mobility, it is not enough to target only individuals because environmental barriers to mobility may also accelerate mobility decline among older people. Communities need to promote the accessibility of physical environments while also trying to minimize negative or stereotypic attitudes toward the physical activity of older people.

Understanding the Left Right Judgement Test: A Literature Review

  • Kim, Asall;Yi, Chung-hwi
    • Physical Therapy Korea
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    • v.28 no.4
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    • pp.235-244
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    • 2021
  • Background: The body schema, which is constantly updated using somatosensory information, enables accurate movement. Since pain is reported as a possible source to alter the body schema, the left right judgement test (LRJT) has been widely used in the pain rehabilitation. However, there was a lack of consistency in the effect of the pain on the LRJT results, and for the effect of the LRJT as a part of intervention programs for pain patients. The deeper understand of the LRJT is necessary for better reproducibility, and to expand the therapeutic applications of the LRJT in the pain and musculoskeletal rehabilitation. Objects: This literature review aimed to understand the LRJT and to study the potential of the LRJT for therapeutic applications. Methods: The PubMed database was searched for studies relevant to LRJT. To establish the query set, the term was regarded from various perspectives. Results: The selected studies were classified into three categories: LRJT development, factors influencing LRJT, and therapeutic applications. Conclusion: Left right judgement test is the evaluation tool for the integrity of body schema as well as a tool for implicit motor imagery. Pain, proprioception, and other factors influence the performance of the LRJT.

The Effects of Flipped Learning on Self-Directed Learning and Class Satisfaction in a Class of College Physical Therapy Students (플립 러닝(Flipped learning)이 전문대학교 물리치료과 학생들의 자기주도 학습과 수업만족도에 미치는 영향)

  • Chung, Eunjung
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.4
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    • pp.63-73
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    • 2018
  • Purpose : This study aims to verify the effects of flipped learning on self-directed learning and class satisfaction in a class of college physical therapy students. Methods : The subjects were 97 students in College A who had registered for musculoskeletal examination and assessment and practice at the second semester of 2017. All subjects were measured with the self-directed learning questionnaire for college student proposed by Lee et al., and the class satisfaction questionnaire proposed by Lee et al., before and after intervention. The collected data were processed using a computerized statistical program SPSS Win version 21.0. Mean, standard deviation, paired t-test and Cronbach's alpha coefficient were calculated. Results : The results showed significant differences in goal setting, identify resources for learning, effort attributed to results, self-reflection of self-directed learning and problem solving excellence, class methods and contents attention and understanding(p<.05), class interest of class satisfaction(p<.05). Conclusion : These results suggest that flipped learning improves learning motivation and attitudes. Therefore, follow-up study is necessary to investigate further the application of flipped learning in various students and teaching methods.

Manual Handling in Aged Care: Impact of Environment-related Interventions on Mobility

  • Coman, Robyn L.;Caponecchia, Carlo;McIntosh, Andrew S.
    • Safety and Health at Work
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    • v.9 no.4
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    • pp.372-380
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    • 2018
  • The manual handling of people (MHP) is known to be associated with high incidence of musculoskeletal disorders for aged care staff. Environment-related MHP interventions, such as appropriate seated heights to aid sit-to-stand transfers, can reduce staff injury while improving the patient's mobility. Promoting patient mobility within the manual handling interaction is an endorsed MHP risk control intervention strategy. This article provides a narrative review of the types of MHP environmental controls that can improve mobility, as well as the extent to which these environmental controls are considered in MHP risk management and assessment tools. Although a range of possible environmental interventions exist, current tools only consider these in a limited manner. Development of an assessment tool that more comprehensively covers environmental strategies in MHP risk management could help reduce staff injury and improve resident mobility through auditing existing practices and guiding the design of new and refurbished aged care facilities.

Comparative Study of the Biomechanical Factors in Range of Motion, Muscle Activity, and Vertical Ground Reaction Force between a Forward Lunge and Backward Lunge

  • Park, Samho;Huang, TianZong;Song, Junyoung;Lee, Myungmo
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.98-105
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    • 2021
  • Objective: The purpose of this study was to examined the kinematic relationship and differences through the range of motion (ROM), muscle activity, and vertical ground reaction force (VGRF) during forward and backward lunge movements, which are effective in improving muscle strength and balance ability of the lower extremities, and to provide clinical information on more efficient lunge movements. Design: Cross-sectional study Methods: Fifteen adult males who met the selection criteria were tested for their dominant feet.Forward and backward lunges were then performed, and the ROM, muscle activity, and VGRF were measured for kinematic analysis during the lunge movement.The differences betweenthe forward lunge and backward lunge intervention were examined using a paired t-test. Results: A significant increase in the ROM of the knee and ankle was observed during the forward and backward lunges (p<0.05). In addition, in terms of the muscle activity, the peak values of the vastus medialis oblique (VMO) and VGRF also showed a significant increase in the forward lunge compared to the backward lunge (p<0.05). Conclusions: This study showed an increase in VGRF peak value, knee and ankle ROM, and VMO muscle activity during forward lunge. Based on these results, it is considered necessary to apply differently depending on the direction of progress in consideration of the musculoskeletal situation and physical ability during the lunge movement.