• Title/Summary/Keyword: Musculoskeletal rehabilitation

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Analysis of Risk Factors of Musculoskeletal Disorder for Child-care Teachers' Job

  • Kim, Jin
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.3
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    • pp.409-418
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    • 2011
  • Objective: This study was performed to evaluate the child-care teachers' job in relation to physical work. Background: Child-care teacher is directly related to the quality of child care. And their physical activity is higher than general education teachers because the proportion of day care is high. But analyzes of child-care teachers' job burdens and the work environment associated with physical activity is not well established. Method: To conduct this study, the child-care teachers' job was classified into 18 physical works. After classification, posture was evaluated by ergonomic posture evaluation schemes of OWAS, RULA, REBA and evaluated for each physical part. Next, musculoskeletal subjective symptoms were analyzed. Results: The results showed the following: The highest assessment on the posture evaluation was "helping children to ride a school bus", "feeding: meal/snack", "brushing children's teeth" and "arrangement of nap-stuff". The rank of high-risk assessment on the neck/trunk/leg part was arranged by: "feeding: meal/snack", "helping children to ride a school bus", "making nap", "arrangement nap-stuff" and "brushing children's teeth". The rank of high-risk assessment on the upper limbs part was arranged by: "helping children to ride a school bus", "the bust - group activity", "meal/snack time - preparing, feeding, arrangement", "nap time - preparing, arrangement", "brushing children's teeth", and "using the toilet". According to the results of each musculoskeletal subjective symptom, teachers ordered the pain area as follows: waist, shoulder, leg/feet, and neck, and they showed more pain on trunk than the upper limbs. Conclusion: To sum up the results from ergonomic posture evaluation and a subjective symptom, the following are high working pressures: "feeding: meal/snack", "the bust - group activity", "making nap", "brushing children's teeth" with deep bending and waist twisting, "helping children to ride a school bus", "brushing children's teeth" with lifting shoulder; "meal/snack time - preparing, arrangement", "nap time - preparing, arrangement", and "using the toilet" with moving or an up-down position in their job. Application: The results of this study might be information for improvement of the child-care teachers' job environment.

Musculoskeletal Disorders Among Greek Physiotherapists: Traditional and Emerging Risk Factors

  • Anyfantis, I.D.;Biska, A.
    • Safety and Health at Work
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    • v.9 no.3
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    • pp.314-318
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    • 2018
  • Background: Musculoskeletal disorders (MSDs) in the health industry are quite common, however, there have only been a few studies regarding physiotherapists, while in Greece, there is an apparent lack of research and data. The aim of this study is to investigate MSDs experienced by physiotherapists in Greece, their causes and specific measures, and good practices followed. Additional emerging risk factors will be examined. Methods: A questionnaire of MSDs followed by individual and workplace characteristics was completed by 252 physiotherapists. It covered the major workplace categories such as public hospitals, private rehabilitation centers, and private practices. Results: Analysis indicated that 89% of the respondents had experienced a work-related MSD; 32.2% of those injuries occurred within the first 5 years of working. The most lumbered physiotherapists were those working as private practitioners and almost half of the injured respondents chose to work while injured. The most common measure taken to tackle work related MSDs was found to be physical therapy sessions. Job satisfaction and psychosocial issues were also identified as side-effects of the economic slowdown. Conclusion: Physiotherapists in Greece were found to suffer from MSDs; workplace musculoskeletal injuries were quite common but under-reported. The body parts most affected were the lower back, the upper back, the shoulders, and the neck. There was a strong correlation between the workplace setting and the number of MSDs. A well-defined occupational safety and health management system and strict administration steering were found to reduce MSDs. The economic slowdown experienced in Greece during the execution of this study placed additional pressure on physiotherapists.

Treatment of Congenital Muscular Torticollis with Unipolar Release (단극개방완화를 이용한 선천성 근육성 사경의 치료)

  • Park, Myong Chul;Song, Hyun Suk;Kim, Chee Sun;Yim, Shin Young;Park, Dong Ha;Pae, Nam Suk;Lee, Il Jae
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.38-45
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    • 2009
  • Purpose: The congenital muscular torticollis is a neck deformity involving shortening of the sternocleidomastoid muscle, which is detected at birth or shortly after birth. This childhood disease is the third most common congenital musculoskeletal anomaly. The indication for surgery is a persistent head tilt with dificit of passive rotation and lateral bending of the neck and a tight band or tumor in the sternocleidomastoid muscle even after physical therapy. The purpose of this article is to report surgical outcomes with patients who had no or little response to physical therapy. Methods: Surgery was performed on 29 patients and their average age was 4.1 years (from 6 months to 20.1 years). The unipolar open release and partial myectomy were done in 28 cases and the muscle lengthening was done in 1 case. Physical therapy was started from postoperative seventh day. Follow - up period was ranged from 2 months to 5.4 years(mean follow - up, 20.4 months). Result: There were neither rotation nor lateral bending deficit after surgical treatment. Mild head tilt was noticed in 3 cases and residual bend was observed in 4 cases. The subjective assessments of surgical results by parents were excellent. Conclusion: Our surgical outcome encourages the surgical treatment of congenital muscular torticollis for patients who failed to respond to physical therapy.

Review of Studies on Fire Needle (화침에 대한 국내외 연구 경향 고찰)

  • Moon, Su-Jeong;Kong, Jae-Cheol;Jo, Dong-Chan;Kim, Esther;Song, Young-Sun;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.67-76
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    • 2011
  • Objectives: The aim of this review was to investigate studies on fire needle and to propose for the better method of studies in the future. Methods: Studies related to fire needle were searched with electric database for this study, and 10 domestic and overseas databases were included. Results: 19 clinical studies were analyzed in terms of condition, time of heating, number and frequency of treatment, number of heating, safety procedure or device aid reports of adverse events. Also 3 review studies were summarized. The number of studies was increasing and the kind of diseases to treat with fire noodle were various. Especially musculoskeletal diseases like ligament lesion and lumbago were noticeable. Heating-after-insertion method was recently proposed but the use of term was confusing. The report of adverse events or safety procedure was rare. Also there was an effort to develop more convenient and safer device. Conclusions: High quality clinical trial en fire needle is needed especially to compare 2 methods, heating-after-insertion and heating-before-insertion. And studies need to report safety procedures and adverse events to evaluate the safety of fire needle therapy.

Musculoskeletal Diseases in 119 Rescuers (119구급대원 구급활동에 따른 근골격계 질환 연구)

  • Shin, Dong-Min;Hong, Eun-Jeong;Kim, Gyung-Yong;Kim, Jee-Hee;Moon, Tae-Young
    • Journal of Digital Convergence
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    • v.11 no.9
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    • pp.209-219
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    • 2013
  • The purpose of this study is to investigate the prevalence and to describe the correlation between the working period and musculoskeletal diseases of 119 rescuers. We conducted 485 surveys from 547 rescuers working in Gyeonggi-do from November 5 to December 20, 2011. The collected data were analyzed by cross tabulation analysis, chi-square test, and correlation analysis using PASW 18.0. The p value was set at p<.05. The prevalence of musculoskeletal diseases, 328(67.6%) rescuers suffering from musculoskeletal diseases. General characteristics included gender(p<.01), age(p<.01), marriage(p<.001),household chores(p<.05), working period(p<.001). The correlation between physical loading of subjects and musculoskeletal diseases was significant(p<.001). The rescuers felt the pain at lower back(36.4%), shoulders(19.2%), neck(14.9%), hip/ankles(13.2%), hand/wrist/fingers(12.0%), elbow(4.3%). This study showed that working period and physical loading affect musculoskeletal diseases.

The Study on Clinical Application of Osteopathy to Oriental Medicine (Osteopathy 의 한의학적 임상활용 방안에 관한 소고)

  • Hong, Seo-Young;Lim, Hyung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.3 no.1
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    • pp.85-96
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    • 2002
  • Objectives : The purpose of this study is to get knowledge about osteopathy and to applicate the osteopathy to oriental medicine. Methods: We investigated several books and literatures on osteopathy related sites explored by internet to know the general theories and present conditions of osteopathy in Korea and other countries. Results & Conclusion : 1. The principles of osteopathy are as follows. First, the human being is a dynamic unit of function. Second, the body possesses self regulating mechanisms which are self healing in nature. Third, structure and function are reciprocally interrelated. Fourth, the body rational therapy is based upon knowledge and use of the above three principles. 2. Doctors of osteopathy evaluate the musculoskeletal system to identify structural problems and to support the body's natural tendency toward health and self healing. 3. We can applicate the osteopathy to oriental clinical medicine based on interpreting the principles of osteopathy.

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A literature study about utilization of oriental medical services (한방의료 이용에 대한 문헌적 고찰)

  • Lim, Jung-Hun;Lim, Sung-Min
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.2
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    • pp.11-22
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    • 2012
  • Objectives : This study aimed to analyze and summarize the utilization of oriental medical services in korea. Methods : From 3 Korean databases (National Assembly Library, Korea Education Research Information Sharing Service, and National Discovery for Science Leaders), published between 2001 and 2011, we were obtained 17 studies that involved the utilization of oriental medical services. Results : We found that women, elderly patients, and patients with low education levels and those with musculoskeletal and cerebrovascular diseases preferred to use oriental medical services. Other variables such as trust and kindness of staff and positive perceptions of the treatment effect were found to be significant determinants for utilizing oriental medical services. Conclusions : The utilization of oriental medical services would be related with gender, age, education levels and diseases. Also to confirm the reasons for patients to choose oriental medical services, further studies should be conducted using the highest methodological standards.

A Review of Lateral epicondylitis (외측상과염에 관한 고찰)

  • Lee Mun-Hwan;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.202-217
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    • 2004
  • Lateral epicondylitis is characterized by pain at the lateral aspect of the elbow, commonly associated with resisted wrist or finger extension and gripping activities. Lateral epicondylitis is also known such as lateral epicondylosis, tennis elbow, or tendonitis of the wrist extensor muscles, especially extensor carpi radialis brevis. Lateral epicondylitis is a common musculoskeletal lesion in the clinical states, so physical therapist usually meet a patients who has the lateral epicondylitis. But many of physical therapists are treating patients based on a self know-how, so I want to describe a systematically about lateral epicondylitis and give a objective information on the lateral epicondylitis. And now I want that they will be treat patients with lateral epicondylitis not a self-experience but based on a objective information.

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A Study on Obesity Management by Body Shape Correction Program (체형교정을 통한 비만치료에 대한 소고(小考))

  • Lim, Hyung-Ho;Song, Yun-Kyung
    • Journal of Korean Medicine for Obesity Research
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    • v.5 no.1
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    • pp.133-140
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    • 2005
  • The prevalence of obesity at all ages in increasing epidemically worldwide. There were many study of an indirect method on fat mass measurement in obesity, but were few study to determine the possible relationships between local fat deposition and health-related fitness parameters in overweight and obesity. We has reviewed on the somatotype characteristics, ideal posture and biomechanics, and adipose tissue of connective tissue, myofacia continuity. We consider that these unique 'whole systems' view is of vital importance to understanding the role of adipose tissue in musculoskeletal system and to application of body shape correction program.

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The Effects of One-time Aerobic Exercise on Pulmonary Function and Oxygen Saturation in Male Smoking College Students (남자 흡연 대학생 대상 일회성 유산소 운동이 폐기능과 산소포화도에 미치는 영향)

  • Lee, SeokJoo;Lim, Jongmin
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.9-15
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of the one-time aerobic exercise on pulmonary function, oxygen saturation, and smoking in male college students in their 20's. Methods: The experiment was performed on 11 healthy men who had no musculoskeletal or neurological diseases and who smoked. The subjects performed an aerobic exercise for 30 minutes, using a step box. Before and after the exercise, forced vital capacity (FVC), forced expiratory volume for one second (FEV1), and oxygen saturation were measured. Results: Between the two measurements, there were no significant differences in oxygen saturation (p>.05). However, the differences in FVC and FEV1 were statistically significant (p<.05). Conclusions: The results of this study demonstrate that a one-time aerobic exercise improves pulmonary function.