• Title/Summary/Keyword: NPRS

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Multiple Relationships Between Impairment, Activity and Participation-based Clinical Outcome Measures in 200 Low Back Pain

  • Chanhee Park
    • Physical Therapy Korea
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    • v.30 no.2
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    • pp.136-143
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    • 2023
  • Background: The International Classification of Functioning, Disability and Health (ICF) model, created by the World Health Organization, provides a theoretical framework that can be applied in the diagnosis and treatment of various disorders. Objects: Our research purposed to ascertain the relationship between structure/function, activity, and participation domain variables of the ICF and pain, pain-associated disability, activities of daily living (ADL), and quality of life in patients with chronic low back pain (LBP). Methods: Two-hundred patients with chronic LBP (mean age: 35.5 ± 8.8 years, females, n = 40) were recruited from hospital and community settings. We evaluated the body structure/function domain variable using the Numeric Pain Rating Scale (NPRS) and Roland-Morris disability (RMD) questionnaire. To evaluate the activity domain variable, we used the Oswestry Disability Index (ODI) and Quebec Back Pain Disability Scale (QBDS). For clinical outcome measures, we used Short-form 12 (SF-12). Pearson's correlation coefficient was used to ascertain the relationships among the variables (p < 0.05). All the participants with LBP received 30 minutes of conventional physical therapy 3 days/week for 4 weeks. Results: There were significant correlations between the body structure/function domain (NPRS and RMD questionnaire), activity domain (ODI and QBDS), and participation domain variables (SF-12), rending from pre-intervention (r = -0.723 to 0.783) and postintervention (r = -0.742 to 0.757, p < 0.05). Conclusion: The identification of a significant difference between these domain variables point to important relationships between pain, disability, performance of ADL, and quality in participants with LBP.

Effects of Breathing Re-education Training on Pain and Dysfunction Levels, Posture, Quality of Life, Pulmonary Function in Patients with Chronic Neck Pain: A Randomized Controlled Trial (호흡 재교육 훈련이 만성 목통증 환자의 통증과 기능장애 수준, 자세, 삶의 질, 폐 기능에 미치는 영향: 무작위 대조군 실험)

  • Sang-hyu Lee;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.30 no.1
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    • pp.29-42
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    • 2024
  • Background: This study aimed to determine the effects of training on breathing re-education on pain and dysfunction levels, posture, quality of life (QoL), and pulmonary function in patients. Methods: This study included 34 patients with chronic neck pain and upper thoracic breathing pattern were included. The participants were assigned to either the routine physical therapy program (RPTP) (CG; n=17) or RPTP and breathing pattern re-education training (EG; n=17). The CG and EG groups performed RPTP for 40 minutes, and only the EG groups performed breathing re-education training for 10 minutes. Exercises were performed thrice weekly for both groups. Level of pain and dysfunction, posture, QoL and pulmonary function status were assessed before and after the intervention. Results: After four weeks of intervention, numeric pain rating scale (NPRS), Korean version of neck disability index, cranio-vertebral angle, cranial rotation angle, and 12-item short form health survey-physical and mental component summaries had significant differences before and after intervention in both groups (p<.01). However, only NPRS, forced vital capacity, forced expiratory volume in 1s, and maximum voluntary ventilation showed significant interactions between the two groups and measurement time (p<.01). Conclusion: Breathing re-education training and RPTP may be optimal for patients with chronic neck pain and may be more effective in improving neck pain and pulmonary function.

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The effect of prepositioned upper cervical traction mobilization and therapeutic exercise on cervicogenic headache: A case study

  • Creighton, D;Gammons, T;Monahan, J;Rochester, MI
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.3
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    • pp.1564-1570
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    • 2018
  • The International Headache Society (IHS) has validated cervicogenic headache (CGH) as a secondary headache type that is hypothesized to originate due to nociception in the cervical area. CGH is a common form of headache and accounts for 15% to 20% of all chronic and recurrent headaches. CGH is commonly treated with manual and exercise therapy. To date, no studies have isolated only one manual intervention in an attempt to determine its effectiveness. In this case study we present a 28-year-old patient with right upper cervical (UC) and occipital pain who responded well to a single manual intervention technique. This technique was applied in isolation for the first three visits and two therapeutic exercises prescribed on the fourth and fifth visit. In total, manual and exercise intervention occurred over 8 visits at which point in time the patient was discharged with no UC motion impairments, an NPRS rating of 0, a NDI and HDI demonstrating a 100% improvement and a 37% improvement in FOTO score. The traction based manual intervention and two therapeutic exercises prescribed for this patient were successful in relieving UC pain and CGH. At six months follow up, the patient was still symptom free.

Effect of Cytoskeletal Manual Therapy, a Novel Soft Tissue Mobilization Technique, on Axillary Web Syndrome after Axillary Lymph Node Dissection: A Case Report

  • Hyun-Joong Kim;Seong-Hyeok Song;Seungwon Lee
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.464-470
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    • 2022
  • Objective: Axillary web syndrome (AWS) is a condition comprising fibrous band-like cords that appear in the axilla of patients after axillary lymph node dissection (ALND) during breast cancer surgery and result in pain and reduced mobility. The cords appearing with AWS are hardened veins or lymphatic vessels. Manual therapy and stretching are recommended for pain control and mobility improvement. Therefore, this study investigated the effect of cytoskeletal manual therapy (CMT), which is a new soft tissue mobilization technique. Design: A case report Methods: A 41-year-old woman with AWS after breast cancer surgery and ALND visited a physical therapy clinic because of shoulder pain, decreased function, and decreased mobility. The cords were palpable and pain occurred 2 weeks after surgery. CMT was performed three times per week for a total of 6 weeks. Her pain intensity, range of motion (ROM), and shoulder function were measured. Results: Measurements were performed after 2 weeks and 6 weeks of CMT and evaluated using the numeric pain rating scale (NPRS). Her pain intensity largely decreased after 2 weeks (4-point score reduction) and after 6 weeks (5-point score reduction) of CMT. After CMT, her full ROM was restored and her shoulder function was improved (7-point score reduction). Conclusions: CMT is effective for pain control, mobility improvement, and functional improvement of patients with AWS.

Research on the Suitability of Nuclear Sharing Strategy of South Korea through the Nuclear Strategy of U.S. NPR

  • Dong-Kwon Cho;Sin-Young Yu;Sung-Gil Kim
    • Journal of Radiation Industry
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    • v.17 no.4
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    • pp.451-456
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    • 2023
  • The subject of this research is what is the most effective strategy of the nuclear sharing strategy of South Korea through the nuclear strategy that the U.S. is pursuing now. The U.S. Nuclear Strategy-related change can be found in a Nuclear Posture Review (NPR) report released by the U.S. The first NPR was announced in 1994 and after that, the U.S. has additionally announced a total of four NPRs along with administration changes. The change in the U.S. nuclear strategy and nuclear power are considered both deterrence and offset strategies. It can be summarized in two ways. First, by maintaining overwhelming nuclear power against the enemy, the U.S. is to lead nuclear advantage that is the core of the U.S. nuclear strategy. Second, the U.S. is to limit the competition of nuclear power with nations seeking to challenge the U.S. nuclear power advantage. Additionally, the U.S. is to actively sign an agreement with nations on the reduction and restriction of nuclear weapons. Through the NPR of the U.S., South Korea should know its unclear power and strategy and have an effective nuclear strategy of South Korea. Therefore, this research is to deal with the suitability of the nuclear sharing strategy with the U.S., which is one of the various nuclear strategies of South Korea.

Protein Quality Evaluation of Cooked Hagfish (Eptatretus burgeri) Meats

  • Hwang, Eun-Young;Lee, Jin-Hwa;Ryu, Hong-Soo;Park, Nam-Gyu;Chun, Soon-Sil
    • Preventive Nutrition and Food Science
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    • v.7 no.3
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    • pp.287-292
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    • 2002
  • The effect of cooking methods on in vivo and in vivo indices of the protein quality of hagfish meat were investigated. In vivo protein digestibilities of cooked meats (81.3~83.5 %) were not significant different (p<0.05) from those of van meat (82.9%), with the exception of steamed (11$0^{\circ}C$, 15 min) meat (86.3 %). Convection oven cooking (22$0^{\circ}C$, IS min) resulted in a higher trypsin indigestible substrate (TIS, 49.2 mg/g solid) compared with that of raw meat (38.9 mg/g solid). free amino acid content of raw meat was decreased after boiling (10$0^{\circ}C$, 10min). Both convection oven and microwave cooking (2,450 MHz, 3 min) decreased available lysine from 4.9g/16g N to 3.8~4.1g/16g N. In vivo apparent protein digestibilites (AD) of hagfish meat were similar fur raw (92.4%) and cooked meats, but were somewhat lower than ANRC (Animal Nutrition Research Council) casein (945%). The PERs (3.7~4.1) and NPRs (3.7~4.9) of cooked meats were significantly higher (p<0.05) than those of raw meat (PER 3.3, NPR 3.6 and ANRC casein (PER 2.5, NPR 2.6), despite their lower in vivo protein digestibilities. These results demonstrate that cooking at optimal conditions resulted in remarkably positive effects on in vivo and in vivo protein qualities of hagfish meats. Therefore, steamed hagfish meat is an excellent source of high quality protein from seafood products.

Experimental Study on the Supersonic Jets at Low Operating Pressure Ratio (낮은 작동 압력비의 초음속 제트에 대한 실험적 연구)

  • Lee, Jae Hyeok;Zhang, Guang;Kim, Tae Ho;Kim, Heuy Dong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.41 no.7
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    • pp.489-495
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    • 2017
  • An experimental study on supersonic jets produced by supersonic nozzles at low operating pressure ratio is conducted. In the present experiments, particle image velocimetry (PIV) was employed to quantitatively specify the jet flowfield, and a color Schlieren optical method was applied to observe the same jets qualitatively. Convergent-divergent nozzles were used to generate the jet flow with design Mach numbers of 1.5 and 1.8. Nozzle pressure ratios (NPRs) were varied from 4 to 7. A good comparison of the jet size from the Schlieren images with the theoretical values is obtained. The obtained images clearly showed the major features of the under-expanded jet and over-expanded jet.

Protein Nutritional Qualities of Fish Meat Extracts and Their Residues (양식어류 고음과 잔사의 단백질 품질평가)

  • 류홍수;조현경;황은영;문정혜
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.28 no.2
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    • pp.277-284
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    • 1999
  • To confirm the food quality of conventionally processed fish extracts, protein quality of boiled crucian carp(Carassius carassius) and bastard halibut(Paralichthys olivaceus) extracts and their residues were evaluated. For the both fish extracts, some of the essential amino acids were lowered significantly but two times more proline and glycine were detected in extracts than those in raw fish meats. Boiling(100oC, 5 hours) caused 1.8(crucian carp)~2.4(bastard halibut) times more total free amino acid contents in fish extracts as compared to those in original fish meats. Taurine, glutamic acid, proline, lysine, and ammonia were the predominant free amino acids released in fish extracts. In vitro digestibility of boiled fish extracts were lower at a level of 4~6% than those of raw fish meats. Fish extraction residue had a higher in vitro digestibility and had a 60% lower level of TI than that of original fish meats. 18(bastard halibut)~ 24%(crucian carp) of available lysine was reduced in boiled fish extracts but a remarkable variation was not noted between extracts and residues. PERs and NPRs of fish extracts were significantly lower than those of casein, while those values of extraction residue were slightly higher as compared to those of control(ANRC casein). In vivo apparent digestibility exhibited a similar trend to in vitro digestibility. Hematological properties in serum of rat fed with fish extracts and residue were not changed significantly but the serum cholesterol concentration were reduced in rats fed fish extraction residue comparing with those of control. These results suggest that body weight loss due to fish extracts may not affect physiological changes.

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PIV Measurement and Color Schlieren Observation of Supersonic Jets (PIV 및 컬러 쉴리렌 기법을 이용한 초음속 제트 관측)

  • Lee, Jae Hyeok;Zhang, Guang;Kim, Tae Ho;Kim, Heuy Dong
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2017.05a
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    • pp.604-605
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    • 2017
  • The present work aims at visualization of the supersonic air jet flows discharged from C-D nozzles. In the present experiments, Prticle Image Velocimetry (PIV) was employed to specify the jet flow field quantitatively, and a color Schlieren optical method was applied to observe the same jets qualitatively. The $0.5{\mu}s$ duration of spark light source was used for Schlieren and it can be controled as $0.5{\mu}s$, $1{\mu}s$, $2{\mu}s$ and focusing mode. The convergent-divergent nozzles were used to generate the jet flow with the design Mach number of 2.0, 2.2. Nozzle pressure ratios (NPRs) were varied from 5 to 8. A good comparison of the jet size and shock location from the Schlieren images with the PIV quantitative values is obtained. The obtained images clearly showed the major features of the under-expanded jet, over-expanded jet, sound wave, turbulent eddies and so on.

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Association between body composition parameters and non-specific low back pain in sedentary workers

  • Kim, Wondeuk;Park, Dongchun;Shin, Doochul
    • Physical Therapy Rehabilitation Science
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    • v.10 no.1
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    • pp.64-68
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    • 2021
  • Objective: In clinical practice, there are a lot of exercise to reduce body weight or reduce the amount of body fat in order to solve back pain. However, many studies have contradicted the relationship between back pain and weight or body fat mass. The purpose of this study was to investigate the relationship between fat mass, body mass index and low back pain of office worker. Design: Crossed-sectional study Methods: Among the white-collar workers diagnosed with non-specific back pain by doctors, subjects who were not included in the exclusion criteria were selected to measure the subject's body fat mass, body mass index, pain intensity, and disability index due to back pain. The NPRS was used for the intensity of back pain of office workers, and the ODI was used for the degree of disability due to back pain. A body composition analyzer was used to measure the body fat mass and body mass index of white-collar workers. Results: There was no significant difference between the two groups in the comparison between the normal group and the excessive group according to the criteria of fat mass and body mass index. In the correlation analysis of fat mass, body mass index, pain intensity, and disability index, it was found that there was a significant correlation between fat mass and body mass index. However, neither fat mass nor body mass index had a significant correlation with pain intensity and disability index. Conclusions: The fat mass and body mass index of office worker do not affect low back pain.