• Title/Summary/Keyword: Orthopedic manual therapy

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The Related Factor of Job Characteristics and Occupational Stress on Musculoskeletal Symptom for Caregiver Working in Hospital (병원에 근무하는 간병인의 업무적 특성과 직무스트레스가 근골격계 자각증상에 미치는 요인)

  • Choi, Yul-Jung;Sim, Hyun-Po
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.19-29
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    • 2012
  • Background: This study was conducted to investigate subjective musculoskeletal symptom and the related factor of caregiver. Methods: For 300 caregiver, we used the self-administered questionnaires to examine occupational stress and subjective musculoskeletal symptom designed by KOSHA. The collected data were analyzed chi-square test, independent t-test and multiple logistic regression analysis using SPSS 12.0. Results: The multiple logistic regression analysis showed that the caregiver working in the general hospital significantly increased the subjective musculoskeletal symptom in their neck, shoulder, hand/wrist/finger, back, leg/foot. For the caregiver working in hospital showed significantly increased the subjective musculoskeletal symptom in their hand/wrist/finger and leg/foot. Conclusions: With the above results, continuous and systematic prevention program should be established, which include the ergonomics and psychosocial factor for the caregiver's musculoskeletal symptom.

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Clinical Importance and Measurement in Thoracic Kyphosis (흉추 후만증에 관한 임상적 중요성과 측정법)

  • Kim, Suhn-Yeop;Jang, Hyun-Jeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.1-10
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    • 2012
  • Thoracic kyphosis is occasionally used to describe someone with accentuated thoracic curvature, hyperkyphosis is preferred since kyphosis itself refers to the normal sagittal angle of thoracic curvature. The angle of thoracic kyphosis tends to increase with age resulting in hyperkyphosis in some individuals. The persons who suffer from hyperkyphosis are at increased risk for a variety of adverse health outcomes that include musculoskeletal alteration, physical functional limitations, poor quality of life, falls, and even earlier mortality. Hyperkyphosis may develop from vertebral fractures, degenerative disc disease, either muscle weakness, decreased mobility and sensory deficits. The gold-standard orthopaedic technique for assessment of thoracic kyphosis is standing lateral spine radiographs. Other clinical measures are Debrunner kyphometer, inclinometer, flexicurve ruler, arcometer, flexible electrogoniometer and spinal mouse.

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The Effect of Trampoline Training on Balance and Position Sense of Knee Joint in Elderly Women (트렘폴린훈련이 여성노인의 균형과 무릎관절 위치감각에 미치는 영향)

  • Song, Hyun-Seung;Kim, Jin-Young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.11-17
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    • 2012
  • Background: This study was conducted to examine the effect of application of trampolin training elderly women by position sense of knee joint and balance. Methods: Ten subjects with elderly women were randomly assigned to trampolin training group (n=5) or control group (n=5). Experimental group received for 15 minutes three times during 4 weeks. Outcomes was made using One-Leg Stance Test, Time Up and Go Test and position sense of knee joint. Assessment was before training and one week, two week, three week after training. Results: Applied to the trampolin training group showed significant differences in all tests and for the interaction between time and group (p<.05). Conclusions: Those results indicate that trampolin training is effective in elderly women to promoting a position sense of knee joint and balance ability.

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Elbow Orthopaedic Physical Therapy (주관절의 정형 물리치료)

  • Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.1 no.1
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    • pp.65-74
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    • 1995
  • There is no line of demarcation between the shoulder and elbow regions. Pain In the arm may originate at the shoulder with reference downwards or less often at the elbow with reference upwards. Most pains indicated by the patient at the elbow or forearm have a local origin, since at the more distal part of the upper limb the capacity for correct localization is good. Once it is clear that the elbow region is at fault, the joint and the muscles about it are tested by ten movements. 1. Four. Passive extension, flexion, pronation, supination-full range, LOM, painful, painless. 2. Four. Resisted extension, flexion, pronation, supination-strong, weak, painful, painless. 3. Two. Resisted flexion, extension at the wrist-painful, painless. The muscles that perform theses two movements arise from the humeral epicondyles and a lesion in either often causes pain felt at the elbow although the tissuse affected is not functionally a part of the elbow (i. e. Tennis elbow and Golfer's elbow).

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Unilateral Traction Effects for a Herniated Nucleus Pulposus in the Lumbar Disk (요추추간판 수핵탈출증에 대한 편측견인의 치료효과)

  • Park, Ji-Whan;Kwon, Hyeok-Su
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.1 no.1
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    • pp.99-104
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    • 1995
  • Markolf and Morris suggests that the deranged disk and torn annulus have an exellent recovery ability from the position of spine extension, where the posterior annulus is not under stress and the gel can move anterioly. McKenzie explains side gliding as a combination of rotation and side bending, his clinical studies indicate that side-gliding can gel laterally. In conclusion, the prone unilateral traction on the opposite side from the patient's pain along with the other treatment appered to have helped reduce those patient's pain. The method of treatment described in this report is suggested for Korean physical therapists who treat patients suspected of posterolateral herniated nucleus pulposus.

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The Effect of Neurodynamic Technique and Self Management Exercise for Carpal Tunnel Syndrome Patients (신경역동적 기법과 자가 신경 운동법이 수근관증후군 환자에게 미치는 영향)

  • Park, Hyun-Sik
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.2
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    • pp.48-52
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    • 2010
  • Object: The aim of this study is to descrive the effect of neurodynamic technique and self management exercise for carpal tunnel syndrome patients(CTS) Method: 13 patients with CTS participated in this study. They were from 18 to 70 years old and mean age was 25.3. In the evalutaion, gripping with grip dynamometer, strength of gripping with precision pinchmeter, pain level with visual analogue scale. All measurement of each subject were measure at pre- treatment and post treatment(after 1week) and post treattment(after 2 weeks) stage. The physical therapy program consisted of neurodynamic technique and self management exercise. SPSS 12.0 program was used to compile result. Result: The grip, pinch, VAS-P were significantly difference between pre-treatment and post treatment(after 2weeks)(p<.05) Conclusion: This study suggest that 3weeks neurodynamic technique and self management exercise improved grip and pinch strength and decrease pain score.

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Positional Release Muscle Energy Technique Method for Psoas Major Muscle: Case Study (대요근에 대한 근에너지기법을 이용한 자세이완기법 적용: 사례연구)

  • Choi, Sung-hwan;Hong, Hyun-pyo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.23 no.1
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    • pp.59-62
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    • 2017
  • Background: Positional release muscle energy technique (PRMET) is a method joined positional release technique and muscle energy technique. Methods: Subjects those who have low back pain from the acute to chronic phase, were applied PRMET method on psoas major muscle and measured the changes in pain and disfunction. Results: PRMET method is effective for reducing pain and disfunction on psoas major muscle. Conclusions: The advantages of PRMET method are minimized patient inconvenience, shortening of treatment time and effective for improvement. In the future research, methods need to be improved so that this can be applied to other muscles.

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Clinical Reasoning In Physical Therapy (물리치료에서의 임상추론)

  • Kim, Young-Min
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.41-49
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    • 2008
  • 임상추론은 환자를 평가하고 관리하는데 사용되는 임상가의 필수적인 생각 또는 동적인 인지과정이라고 할 수 있다. 임상추론은 환자의 문제를 인식하고 식별하며 더 나은 환자관리가 이루어지도록 환자의 상태에 대처하며 정보를 해석하고 분석하는 것으로서 이를 위해 임상가는 적절한 지식을 가지고 있어야 하며 임상추론 기술과 관련된 폭넓은 이해가 요구된다. 임상추론은 치료사, 환자, 그리고 환경간의 상호관계를 가진 복잡한 과정으로 임상추론과정에서 치료사와 환자간에는 충분한 협조가 이루어져야 한다. 임상추론에서의 해석적 모델로는 진단적 추론, 상호작용의 추론, 이야기적 추론, 협조적 추론, 예언적 추론, 윤리적 추론, 추론의 교육 등이 제시된다. 임상추론 과정에서 필수적인 주요 요소는 충분한 지식, 인지와 초인지 기술을 포함하며 이들 요소는 치료사와 환자간의 관계에서 발달되어야 한다. 이들 기술 중에 어떠한 실수라도 임상추론의 오류를 초래할 수 있다. 추론에서 오류의 원인으로는 암시된 정보의 잘못된 인지, 임상페턴에 대한 지식부족, 특정 상태에 대해 알려진 사실을 잘못 적용하는 경우를 들 수 있다. 오류는 임상추론 과정의 어떤 단계에서도 일어날 수 있으므로 효과적인 학습전략을 통하여 이들 오류를 예방할 수 있을 것이다.

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The Effects of Schroth Exercise on Postural Alignment of Sagittal Plane in the Visually Impaired Students (슈로스 운동이 시각장애학생의 시상면 자세 정렬에 미치는 효과)

  • Kim, Gi-chul;Hwangbo, Pil-neo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.1
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    • pp.1-6
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    • 2018
  • Background: This study was conducted to prove the effects of the Schroth exercise on sagittal postural alignment to the visually impaired students. Methods: The subjects were 8 students who attend the special school in Daegu and performed the Schroth exercise 3 times per week for 3 weeks. Craniovertebral angle and pelvic alignment were measured to compare the effects of the exercise. Results: Craniovertebral angle and pelvic alignment on sagittal plane showed significant differences (p<.05). Conclusions: Schroth exercise was effective to improve postural alignment of sagittal plane to the visually impaired students and these results will have a positive impact on future study of improvement of postural alignment on sagittal plane to the visually impaired students.

The Effect of Various Interventions on an Adult with Scoliosis (척추측만증 치료를 위한 다양한 중재의 적용-사례연구)

  • Choi, Woon-Ho
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.2
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    • pp.57-63
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    • 2011
  • Background: To investigate the effect of various intervention application on idiopathic scoliosis patient. Methods: One 20-years-old female subject underwent various intervention 3 times per week for 7 weeks. Modality physical therapy, muscle energy technique, combined pelvic tilt exercise and self exercise was performed for 50minutes. Degree of pain, axial trunk rotation, Cobb's angle, kyphotic angle, lumbar lordotic angle, and sacral angle were measured. Results: The subject decreased in degree of pan, axial trunk rotation, Cobb's angle, thoracic kyphotic angle, lumbar lordotic angle and sacral angle. Conclusions: The various interventions for scoliosis patients are effective in the pain and the improvement of angle on radiograph. However, any method is difficult to determine effective interventions.

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