• The Journal of Korean Physical Therapy
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• v.35 no.1
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• pp.19-23
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• 2023

Purpose: The purpose of this study is to analyze the brain waves and develop various exercise programs to improve the physical and mental aspects of stroke patients when neurological physical therapy and sitting table tennis exercise are applied to stroke patients. Methods: In this study, an experiment was conducted on 15 patients diagnosed with stroke, and training was performed after changing the ping-pong table to a sitting position to apply ping-pong exercise to stroke patients. After training was conducted for 40 minutes twice a week for 4 weeks, brain waves were measured before and after. EEG was measured using Laxtha's DSI-24 equipment as a measurement tool, and data values were extracted through the Telescan program. Results: Most of the relative beta waves showed a significant difference before and after the intervention. As for the characteristics of beta waves, this result can be seen as being highly activated during exercise or other activities. Conclusion: Ping-pong exercise in a sitting position is a good intervention method for stroke patients, and it can help to use it as basic data in clinical practice by showing brain activity.

• The Journal of Korean Physical Therapy
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• v.15 no.2
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• pp.85-99
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• 2003

Muscle tone is the force with which a muscle resists being lengthened. Muscle tone is often tested clinically by passively extending and flexing a relaxed patient's limbs and feeling the resistance offered by the muscle. Both nonneural and neural mechanism contribute to muscle tone. Muscle tone is the mechanisms that contribute to the generation of tone in individual muscles when a person is in a relaxed state. This background level of activity changes in a certain antigravity posture muscle when we stand upright, thus counteracting the force of gravity. This increased level of activity in antigravity muscles is known as postural tone. The evidence from experiments showing that lesions of the dorsal(sensory) roots of the spinal cord reduced muscle(postural) tone is influenced by inputs from the somatosensory system. Patients with neurological damage have several state of muscle(postural) tone, which display from flaccidity to rigidity. This review article deal with muscle tone and somatosensory system acting on this. The understanding about this contribute to a better therapeutic approach for the rehabilitation of patients to have an abnormal muscle(postural) tone due to neurological damage.

• Physical Therapy Korea
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• v.29 no.2
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• pp.147-155
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• 2022

Background: Although various conventional approaches have been employed to reduce spasticity in neurological rehabilitation, only a few studies have shown scientific evidence for its effectiveness. Thus, we introduced a different concept (Ueda method) of rehabilitation therapy that can complement the limitations of conventional therapy. Objects: This study aimed to investigate the immediate effects of the application of the Ueda method on patients with spasticity after stroke via an electrophysiological study. Methods: We conducted a randomized double-blind pilot study in two rehabilitation hospitals involving 30 stroke patients who were randomly allocated to the Ueda (n = 15) and convention (n = 15) groups. Electromyographic data of six examined muscles in both upper extremities of all patients were recorded. The A-ApA index and activation ratios of upper extremity muscles were evaluated and compared between the groups to confirm post-intervention changes in upper-extremity flexor spasticity and flexion synergies. Repeated-measures analysis of variance was conducted to confirm the therapeutic effect (2 × 2) as a function of group (Ueda vs. convention) and time (pre-/post-intervention) on all outcome measures (p < 0.05). Results: In the Ueda group, the mean A-ApA index values differed significantly before and after the intervention (p = 0.041), indicating a weak evidence level; however, the effect size was medium (d = -0.503). The interaction effects of the A-ApA index between the Ueda and convention groups and between pre-intervention and post-intervention stages were significant (p = 0.012). The effect size was large (n_p² = 0.220). In the Ueda group, the activation ratios of the anterior deltoid fiber significantly decreased after the intervention in all reaching tasks. Conclusion: The Ueda method reduces upper-extremity flexor spasticity and changes its synergy in stroke patients and should be considered a rehabilitation therapy for spastic stroke patients.

• Journal of International Academy of Physical Therapy Research
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• v.10 no.2
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• pp.1785-1790
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• 2019

Background: Lumbar disc herniation (LDH) causes neurological symptoms by compression of the dura mater and nerve roots. Due to the changed in proprioception inputs that can result in abnormal postural pattern, delayed reaction time, and changed in deep tendon reflex. Objective: To investigate the effects of lumbar stabilization exercises on motor neuron excitability and neurological symptoms in patients with LDH. Design: Randomized Controlled Trial (single blind) Methods: Thirty patients with LDH were recruited; they were randomly divided into the balance center stabilization resistance exercise group (n=15) and the Nordic walking group (n=15). Each group underwent their corresponding 20-minute intervention once a day, four times a week, for four weeks. Participants' motor neuron excitability and low back pain were assessed before and after the four-week intervention. Results: There were significant differences in all variables within each group (p<.05). There were significant differences between the experimental and control groups in the changes of upper motor neuron excitability and pain (p<.05), but not in the changes of lower motor neuron excitability and Korean Oswestry Disability Index. Conclusion: Lumbar stabilization exercises utilizing concurrent contraction of deep and superficial muscles improved low back function in patients with LDH by lowering upper motor neuron excitability than compared to exercises actively moving the limbs. Lumbar stabilization exercises without pain have a positive impact on improving motor neuron excitability.

• Physical Therapy Korea
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• v.19 no.3
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• pp.72-80
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• 2012

The purpose of the present study was to investigate the effects of familiar exercise and novel exercise on motor function after intracerebral hemorrhage (ICH) in rats. The rats were subjected to a unilateral striatal ICH via collagenase infusion. The rats were randomly divided into the following three groups: the CON (control group; rested one week post-ICH), the FE (familiar exercise group; familiar exercise was performed two weeks after one-week post-ICH period), and NE (novel exercise group; novel exercise was performed two weeks after one-week post-ICH period). We measured neurological behavior using a ladder rung walking test and a beam walking test; we measured the level of nerve growth factor (NGF) using immunohistochemistry and western blot analysis. We performed a one-way ANOVA test to analyze the scores obtained from the neurological behavior tests and the differences of NGF protein levels among the three groups. In the present study, the FE group and the NE group showed significant improvement during the neurological behavior tests and in their expression of NGF protein level, as compared to the CON group. Especially, NE group more increase than FE group in neurological behavior tests, the expression of NGF on motor cortex. In conclusion, these results suggest that, after ICH, familiar exercise and novel exercise enhance motor function and, novel exercise is more effective than familiar exercise.

• Journal of Korean Physical Therapy Science
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• v.3 no.1
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• pp.895-905
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• 1996

A whiplash injury of cervical spine is typically caused by a special kind of accident. It usually involves a driver of an automobile who experiences a direct impact from behind. There are no external signs of the injury, but shearing forces from the rapid flexion and extension momement result in segmental lesions. The extent of injury to the tissue depends upon the force of impact, the exact position of head at the moment of impact, the awareness of impending injury in order to "prepare" the musculature, and the normalcy of all the tissues of the neck. Diagnosis demend a carefully detailed history and a through musculo-skeletal--neurological examination. Whenever possible, the symptoms claimed must be verified by a carefule neurological examination.

• The Journal of Korean Physical Therapy
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• v.24 no.5
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• pp.370-376
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• 2012

Purpose: This study examined whether there are differences in cognitive styles between orthopedic and neurological physical therapists, and whether these differences change with clinical experience in clinical reasoning. Methods: A survey study was conducted on 88 orthopedic and neurologic physical therapists working in South Korea. The survey items used by May and Dennis (1991) were translated, and only those items related to data-gathering and information-processing were used. Results: The cognitive style was similar in the orthopedic and neurologic physical therapists, but the clinical experience affected the cognitive styles of clinical reasoning. Physical therapists with more than 60 months clinical experience responded most positively to the preceptive and systematic styles in clinical reasoning. Conclusion: These results suggest that physical therapy education should provide physical therapy students with a clinical reasoning process related specifically to a particular clinical field.

• Journal of Korean Physical Therapy Science
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• v.2 no.4
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• pp.793-805
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• 1995

The purposes of this review are to know the characteristics and physical changes of elderly person, and to give the information about elderly person when the geriatric physical therapy will be needed in Korea. Current literature on physiological changes that occur in humans owing to aging is reviewed. The musculoskeletal, cardiopulmonary, neurological, perceptual, gastrointestinal, endocrine and immunological systems are discussed. Also, The cognition, personality, and role changes are discussed. We are discussed the changes of aging; biological theory, psychosocial theory and environmental theory. The effects of disuse and of exercise are reviewed. Implications for geriatric physical therapy are suggested.

• Physical Therapy Korea
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• v.5 no.1
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• pp.51-62
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• 1998

Conversion disorder is defined as a specific and enduring sensorimotor dysfunction that contradicts known neurological or musculoskeletal pathology or physical findings. The patient with conversion symptoms unconsciously adopts these symptoms to convert their psychological stress to a physical phenomenon. Conversion disorder often involves the mimicry of organic symptoms similar to those experienced by a relative or an acquaintance. Because conversion symptoms are produced by psychological stress, specific treatment strategy and reinforcement program are needed for treatment. Treatment comprises avoiding unnecessary medical tests and removing symptoms by using graded exercises given by physical therapists. Clinical therapists must maintain a continuous and detailed follow-up to completely recover from conversion symptoms. The goal of treatment is to emphasize health rather than disease, to resolve physical symptoms, and to prevent recurrence. This study looks into the case reports of 4 patients diagnosed with conversion disorder.

• Journal of Korean Physical Therapy Science
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• v.25 no.3
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• pp.32-42
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• 2018

Background: The purpose of this study is to provide students with the opportunity to thing about the career of physical therapist and career after graduation through the survey on the perception and career preference of physical therapy service for college students majoring in physical therapy. and to provide guidance for employment guidance. Methods: A total of 271 students majoring in physical therapy at A University in Gyeonggi-do were surveyed. After the preliminary explanation of the questionnaire, the questionnaire was distributed and prepared. of the 271 data, 270 were collected and used as the final analysis data. Results: The results of this study were as follows: 1) The higher the age and the higher the grade, the higher the perceived job recognition rate of the agencies. (p<.05), respectively. In other occupational awareness surveys, there was no significant difference in gender, age, and grade (p>.05). 2) In the preference survey, men preferred orthopedic physical therapy and female preferred neurological physical therapy. The preference for the desired institution after graduation was highest for general hospitals by gender, age, and grade. Conclusion: In conclusion, the higher the age and grade, the higher was the physical therapy profession awareness and overall had a positive perception of physical therapy jobs.