• Title/Summary/Keyword: Myofascial release

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Combination of Korean Medicine Therapy to Treat Posttraumatic Knee Stiffness: A Case Report (외상 후 슬관절 강직에 대한 복합 한의치료의 경과: 증례보고)

  • Lee, Geon-Yeong;Seol, Jae-Uk;Jo, Hee-Geun;Kwon, Min-Gu;Jeong, Sin-Yeong;Kim, Jong-Hwan;Park, Eo-Jin
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.2
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    • pp.109-115
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    • 2017
  • The purpose of this study is to illustrate the potential for clinical improvement in treating a patient with a case of Posttraumatic Knee Stiffness with a combination of Korean medicine therapy. We treated the patient with acupuncture, electroacupuncture, CHUNA manual therapy and Interferential Current Therapy from $5^{th}$ December 2016 to $13^{th}$ January 2017 (total 29 times) by evaluating knee function with VAS score. After six weeks of treatment, this patient achieved effective outcome following the technique, showing that clinical symptom as able to walked and pain was relieved, VAS changed from 10 to 2 and the knee flexion ROM (active/passive) changed from 30/60 degrees to 120/140 degrees. This result shows that Korean Medicine therapy may be an effective option for Posttraumatic Knee Stiffness. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on Posttraumatic Knee Stiffness.

Acupuncture in Sport Recovery: A Brief Review

  • CHAPLEAU, Christopher
    • The Korean Journal of Food & Health Convergence
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    • v.6 no.2
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    • pp.23-26
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    • 2020
  • Active and therapeutic sport recovery is becoming a popular and important component in approving performance for pro and recreational athletes alike. It is also helping in the realm of injury prevention. In the search of finding modalities that are widely effective, natural, and safe, acupuncture is a viable and cost-effective treatment for helping athletes achieve this goal. More direct related research is needed, but testimonials from pro athletes and the body of research that currently exists provides powerful evidence on acupunctures ability to help with enhancing recovery. Specializing in acupuncture and exercise science, Chris integrates acupuncture into musculoskeletal rehabilitation therapy or fitness training for pain modulation, speedy recovery, and enhanced performance. Clients can choose to focus on one-on-one corrective exercise therapy, manual and massage therapy, or acupuncture. However, for best results, Chris recommends all three. Other modalities that he uses in therapy are acu-taping, herbal therapy, nutrition supplementation, cupping, guasha, and stretching techniques. The corrective exercise component is one-on-one body balancing management, focusing on strength and conditioning, post physical rehab - exercise therapy, integrative sport specific exercise, weight loss, core strengthening, dynamic lumbar stabilization, active recovery techniques, and myo-fascial release techniques. The acupuncture component focuses on sport injuries, myofascial pain, peripheral neuropathy, arthritis, facial rejuvenation, stress, smoking cessation, addiction detoxification program, weight management, sport recovery and performance.

Efficacy of Muscle Energy Technique for Temporomandibular Disorders: A Systematic Review and Meta-analysis (턱관절 장애에 대한 근에너지 기법의 효과: 체계적 문헌 고찰 및 메타분석)

  • HongRyoul Yoon;JungWon Byun;SoonJoong Kim
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.18 no.2
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    • pp.31-42
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    • 2023
  • Objectives This study aimed to conduct a systematic review evaluating the effectiveness of muscle energy technique(MET) in temporomandibular joint disorders (TMD). Methods Searches were conducted in 11 electronic databases until October 2023. Randomized controlled trials(RCT) comparing the effect of MET for TMD were included. All studies were evaluated using the Cochrane Risk of Bias tool. Results Nine documents that fulfilled all the criteria were obtained for analysis. All studies showed some concerns in high risk of bias, but showed a significant improvement in pain and maximum mouth opening compared to baseline of MET or control group. MET was not better than extracorporeal shock wave therapy or myofascial release in some outcomes. Conclusions MET seems to be an effective treatment for TMD in some regards, however, can be considered as an adjunct therapy which has weak evidence. Further studies are required due to the inconclusive data and poor homogeneity found in this review.

How Promoting Proprioceptive Exercises Affects Pediatric Cobb's Angle (고유수용성감각기관들을 자극하는 운동법들이 소아 측만 각도 변화에 미치는 효과)

  • Jae-Man Yang;Han-Wook Kang
    • PNF and Movement
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    • v.21 no.3
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    • pp.367-376
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    • 2023
  • Purpose: The purpose of this study was to compare changes in pediatric Cobb's angle resulting from using the modified scoliosis exercise method to promote proprioception. Methods: There were 32 participants in this study. Cobb's angle was measured automatically using a ZeTTA PACS Viewer through a digital computer program with whole-body x-ray anterior to posterior. Scoliosis was diagnosed by a Cobb's angle of 10° or higher. Modified scoliosis exercises were used as the program for the three-stage method used in the study: the preparation phase (warm-up), actual exercise phase (main exercise), and final clean-up phase (cool-down). In this study, exercises that can promote proprioception, including muscle strengthening, stretching, equilibrium, myofascial release, balance taping, and traction, were applied, and their effects before and after treatment were compared. After implementing the exercise methods once a week-15 times total for about 4 months-the changes in Cobb's angle were measured. Results: After having the pediatric scoliosis patients practice the modified scoliosis exercises for four months, it was found that the Cobb's angle of the spine significantly decreased. Conclusion: The results of this study show that the modified pediatric scoliosis exercise, which is capable of promoting proprioception, is also effective in improving Cobb's angle.

The Effect of STM using Instrument or Manual Therapy on Muscle Activity (도구나 수기를 이용한 연부조직 가동술이 근활성도에 미치는 영향)

  • Kim, Chung-Yoo;Kang, Jong-Ho
    • Journal of Convergence for Information Technology
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    • v.10 no.9
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    • pp.200-205
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    • 2020
  • This study investigates the effects of instrument-assisted soft mobilization (IASTM) and manual myofascial release (MFR) on the muscle activity of the biceps brachii. This study was conducted on 10 men and women in their 20s, and all subjects participated in the experiment for 3 days and measured muscle activity of the upper forearm muscles. On the first day, the muscle activity value was measured before the intervention, and the remaining two days were measured for muscle activity after the intervention of each manual therapy in a random order. All muscle activity values were compared and analyzed through the dependent t test and the independent t test. The before and after comparison of muscle activity values before and after each intervention was verified by performing the dependent t test and comparing the values of muscle activity between groups between each intervention after intervention by performing an independent t test. According to the results of this study, both interventions significantly increased muscle activity of the biceps brachii before and after intervention, and there was no significant difference in muscle activity values between groups after intervention. Therefore, both manual therapy (IASTM, MFR) are thought to be effective in improving neuromuscular control ability.

Case report : Anterior Open bite after injection of Botulinum Toxin on Masseter Muscles (보툴리눔 톡신 교근 주입 후 발생한 전방 개교합 증례보고)

  • Ryu, Ji-won
    • Journal of Oral Medicine and Pain
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    • v.38 no.4
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    • pp.325-331
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    • 2013
  • Botulinum neurotoxin(BoNT) is a protease exotoxin produced from Clostridium botulinum. It works by blocking the release of acetylcholine from cholinergic nerve endings causing inactivity of muscles or glands. Recently, the therapeutic use of BoNT have expanded to include a wide range of medical and dental conditions. Botulinum neurotoxin type A(BoNT/A) is used off-label in the orofacial region to treat primary and secondary masticatory and facial muscle spasm, severe bruxism, facial tics, orofacial dyskinesias, dystonias, and hypertrophy of the masticatory muscles. Local hematoma, infection, and persistent pain in the injection site are the site-of-injection side effects. Medication-related side effects are adjacent muscle weakness, slurred speech, an alteration in the character of the saliva, and severe headaches. In most cases, these complications are not persistent and bothersome. We reported a case report of a patient who had transient anterior open bite after BoNT/A injection on masseter muscles to treat the refractory myofascial pain.

Comparison of the effects of temporomandibular joint and cervical vertebra treatment on pain and functional improvement in persons with tension-type headaches

  • Kwon, Junghyun;Yu, Wonjong
    • Physical Therapy Rehabilitation Science
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    • v.8 no.4
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    • pp.202-209
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    • 2019
  • Objective: The purpose of this study was to evaluate the effects of temporomandibular joint and cervical vertebra treatment in persons with tension-type headaches on pain, tenderness, and functional improvement. Design: Three-group pretest-posttest design. Methods: Subjects with tension-type headaches were divided into the temporomandibular joint and cervical vertebra treatment group (n=11), temporomandibular joint treatment group (n=11), and cervical vertebra treatment group (n=11), and pre- and post-evaluation was performed. The temporomandibular joint treatment group underwent compression massage and joint ply of the muscles around the temporomandibular joint. The cervical vertebra group received deep tendon massage and Myofascial Release of the cervical muscles. The temporomandibular joint and cervical vertebra treatment group performed both types of treatment. Treatment was performed for 50 minutes, three times a week for 4 weeks. Measurement tools included the Korean version of the short form-McGill Pain Questionnaire (SF-MPQ, K), Headache Impact test-6 (HIT-6), Neck Disability Index (NDI), and the Digital Algometer FPX25. Results: The groups showed significant differences in SF-MPQ, HIT-6 test, NDI, and Alogometer FPX25 test scores before and after intervention (p<0.05). The differences between the groups were most significant in the group that received treatment of the temporomandibular joint and cervical vertebra (p<0.05). Conclusions: In this study, the treatment of the temporomandibular joint and cervical vertebra was shown to be effective for improving pain, quality of life, and cervical vertebra in persons with tension-type headaches. This data may be helpful in identifying treatment techniques for tension-type headaches in the future.

Analysis of Osteopathic Manipulation and Study on Relationship with Chuna Manual Therapy for Meridian Sinew System (정골의학적(Osteopathic) 수기요법 분석 및 경근추나와의 관련성 연구)

  • Kweon, Jeong-Ju;Lim, Hyung-Ho;Song, Yun-Kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.2
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    • pp.171-188
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    • 2011
  • Objectives : The aim of this study is to analyze the actual investigation and classification of osteopathic manipulation by investigation of the various literature of the inside and outside of the country, and to present the application plan of osteopathy in chuna manual therapy for meridian sinew system. Methods : I referred to the domestic and foreign books about osteopathy and chiropractic. In order to investigate domestic dissertations, I searched 4 Korean medical databases and 4 Korean medical journals of osteopathy. Search terms used were osteopathy, osteopathic, fascia, proprioreceptor, mechanoreceptor, muscle spindle, golgi tendon organ, osteopathic manipulation technics. And I classified all the searched studies into principle and region and etc. In order to investigate foreign dissertations, I search 'NCBI pubmed'. Search terms used were osteopathy, osteopathic technique, osteopathic manipulative technique. Results : 1. Osteopathy do not regard the systems which compose the human body in individual territory, but regard whole. It is diagnosis, prevention and medicine which treats 2. Osteopathic manipulation techniques are classified into direct techniques, indirect techniques, and compound techniques. 3. Osteopathic manipulation techniques are classified into fascia, muscle, ligament-joint in applied region. 4. I could search clinical cases in domestic and foreign study. I found cases about myofascial release technique(MFR), postisometric relaxation(PIR), proprioceptive neuromuscular fascilitation(PNF), muscle energy technique(MET), joint mobilization in domestic studies, and strain-counterstrain technique(SCS), MET, AK in foreign studies. Conclusions : Osteopathic manipulation techniques can be used in diagnosis and treatment of meridian muscle theory, because osteopathy and the oriental medicine have many similarities in theoretical background. So osteopathic manipulation technique can be useful in oriental medicine treatment techniques.

Effects of Muscle Relaxation Approach and Joint Movement Approach on Neck Movement and Comfort of Daily Living in Patients with Tension-type Headache of Forward Head Posture (근육 이완 접근과 관절 가동 접근이 긴장성 두통을 가진 두부 전방 전위 자세 환자의 목의 움직임 및 일상생활 편안함에 미치는 영향)

  • Kim, In-Gyun;Lee, Sang-Yeol
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.1
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    • pp.7-20
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    • 2019
  • Objectives The purpose of this study was to improve the comfort of daily life such as reduction of headache and increase of movement of neck by using muscle relaxation approach and joint movement approach for office worker with tension type headache of foward head posture sitting over 5 hours. Methods For this, 9 male and 15 female participated in the foward head posture with tension type headache. Each group consisted of 3 male and 5 female. Groups are divided into groups, such as muscle relaxation therapy, joint movement therapy, muscle relaxation and joint movement therapy. After intervention for each group for a month, we measured neck movement and head disability index and neck disability index 2 week. SPSS 23.0 (IBM Corp., Armonk, NY, USA) was used for data analysis. The one-way repeated analysis of variance (ANOVA), one-way ANOVA, compared t-test was used for statistical analysis. Results Three intervention groups have brought improvements in neck movement and daily life comfort. There is significant difference in the improvement of neck extension and change in neck disability index between 2 and 4 weeks in the joint movement approach compared to muscle relaxation approach, muscle relaxation and joint movement approach. Conclusions Office workers are exposed to tension type headache. However, muscle relaxation approach and joint movement approach can improve neck movement and daily life comfort.

Effects of Combined Cervical Stabilization and Stretching Exercises on Craniovertebral Angle, Respiration, Disability, and Range of Motion in Office Workers with Forward Head Posture : A Randomized Control Trial

  • Kim, Kyung;Kang, Na-Yeon
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.13-25
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    • 2022
  • Purpose : The purpose of this study was to investigate the effects of combined cervical stabilization exercise (CSE) and stretching exercise (SE) on office workers with forward head posture (FHP). Methods : A total of 32 office workers with forward head posture were randomly assigned to experimental (n=16) and control (n=16) groups. The experimental group underwent combined CSE and SE, and the control group underwent cervical self-myofascial release and SE. Both groups performed exercises for 40 min per day, thrice per week for a total of 6 weeks. Craniovertebral angle (CVA), respiration, disability, and joint range of motion (ROM) before and 6 weeks after intervention were measured and compared. Results : There was no significant between-group difference in the general characteristics (p>.05). The intra-group comparison showed significant differences in the visual analog scale (VAS) and neck disability index (NDI) of both groups post-intervention (p<.05). CVA and forced expiratory volume in 1 seconds (FEV1) were significantly improved post-intervention in the experimental group only (p<.05). In the experimental group, all ROM variables were significantly improved post-intervention. In contrast, in the control group, all ROM variables improved significantly post-intervention, except for extension (p<.05). The inter-group comparison showed significant differences in NDI, left lateral flexion, right lateral flexion, and left rotation between the two groups (p<.05). Conclusion : The combination of CSE and SE, which stabilizes the cervical spine, had positive effects on cranial rotation angle, respiration, disability, and joint ROM in office workers with forward head posture. Therefore, the combination of the two exercises may be an effective option to reduce symptoms and prevent postural problems in office workers with FHP.