• 제목/요약/키워드: Orthopedic manual therapy

검색결과 491건 처리시간 0.021초

요통의 요골반부 안정화(lumbo-pelvic stabilization) 접근법 (Lumbo-pelvic stabilization approach for lower back dysfunction)

  • 김선엽
    • 대한정형도수물리치료학회지
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    • 제4권1호
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    • pp.7-20
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    • 1998
  • Activity of the trunk muscles is essential for maintaining stability of the lumbar spine because of the unstable structure of that portion of the spine. The central nervous system deals with stabilization of the spine by contraction of the abdominal and multifidus muscles in anticipations of reactive forces produced by limb movement. Recent evidence indicates that the lumbar multifidus muscle and transversus abdominis muscle may be involved in controlling spinal stability. Stabilization training in neutral spine is an integrated approach of education in proper posture and body mechanics along with exercise to improve strength, flexibility, muscular and cardiovascular endurance, and coordination of movement.

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전기치료, 테이핑과 관절가동기법이 급성기 편타증 손상환자에게 미치는 영향-사례연구 (The Effects of Modality, Taping and Joint Mobilization for Patients with Acute Whiplash-Associated Disorder : Case Study)

  • 안승원
    • 대한정형도수물리치료학회지
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    • 제18권1호
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    • pp.73-82
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    • 2012
  • Background: The purpose of this study was to investigate the effects of modality, taping and joint mobilization for patients with acute whiplash-associated disorders. Methods: Joint mobilization technique and kinesio taping was done to the patients who diagnosed with acute whiplash-associated disorders due to traffic accidents. Results: We got the results that it is quite effective to increase cervical range of motion and decrease the pain, according to the results, present study was performed to assess the impact on the neck disability index and fatigability. Conclusion: Joint mobilization technique applied to a person and taping applied to the other person then both people increasing cervical range of motion and reducing pain for the treatment of patients with acute whiplash-associated disorders was effective.

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골반의 기능평가 및 치료에 관한 고찰 (A Study on Pelvic Girdle Function Assessment and Treatment)

  • 구희서
    • 대한정형도수물리치료학회지
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    • 제1권1호
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    • pp.37-48
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    • 1995
  • The correlation between mobility abnormalities and positional findings(pelvic asymmetry) is essential for complete pelvic girdle evaluation. For mobility tests, there are four tests include : 1. Standing forward bending test. 2. Seated forward bending test. 3. Posterior anterior sacral pressures. 4. Kinetic test. To determine specific pelvic dysfunction, positional findings should bo assessed with bony landmarks. According to the assessment findings, the suggested order of treatment is as follows. 1. Pubic malalignment. 2. Sacroiliac dysfunction. 3. Iliosacral dysfunction. Many of the pelvic dysfunctions will respond to the simplified approach as shown in this paper but some dysfunctions will require more specific treatment.

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도수교정의 검사원리 (Examination Principles of Manipulation)

  • 박지환
    • 대한정형도수물리치료학회지
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    • 제1권1호
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    • pp.49-63
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    • 1995
  • Examination at the spine is dependent on assessment of function. At all spine levels a number of general anatomical considerations hold sway which together dictate the format of the evaluation. Because disc lesions are common and generally responsive to treatment, the examination sets out to differentiate between disc lesions and the other sources of pain as well as establishing the particular treatment that will benefit any given displacement. As elsewhere in the body, displacements give rise to certain characteristic symtoms and signs. First, the history is indicative. Second, any loose fragment in the joint restricts spinal movement in some but not all directions, producing the non-capsular pattern characteristic of internal derangement. Third, a displacement protruding posteriorly interferes with the dura mater ; apart from pain, this adversely affects the dura's normal painless mobility. Fourth, a displacement protruding laterally connects with the appropriate nerve root emerging from the dura mater. Finally, compression of the spinal cord strongly contraindicates manipulation, the primary treatment for cartilaginous displacements.

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Dr. Cyriax의 Orthopaedic Medicine에 관한 연구 (A Study on Dr. Cyriax's Orthopaedic Medicine)

  • 구희서
    • 대한정형도수물리치료학회지
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    • 제1권1호
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    • pp.85-97
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    • 1995
  • Orthopaedic medicine was developed and published by James Cyriax, a British Orthopaedic Physician on 1929. Orthopaedic medicine is concerned with the diagnosis and treatment of soft tissue lesions. These disorders affect a substantial proportion of all patients in general and in particular, physiotherapy and sports clinics. In broad terms these disorders em trace conditions. such as arthritis. rheumatism. fibrositis. backache. lumbago, sciatica, frozen shoulder, tennis elbow, strained wrist, sprains, aches, inflanmation and sports injuries generally. The soft Moving tissues share one thing in common - they are all radiotranslucent and the tissues in question are the joint capsule, the ligaments, the fasciae, dural sheath. These structures can cause pain but none of them is visible on the radiograph. Dr. Cyriax divided all soft tissues into two basic types : 1) Contractile tissue, 2) Inert or noncontractile tissue. The mechanism of diagnosis is tension applied manually. The physician subjects each tissue about the incriminated joint to tension in turn which they call 'Selective tension' with Cyriax's assessment, a more definitive diagnosis can be obtained and proper treatment can be implemented.

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통증과 불안의 관계분석 (Correlation of Pain and Anxiety)

  • 강점덕
    • 대한정형도수물리치료학회지
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    • 제8권2호
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    • pp.19-29
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    • 2002
  • Objectives: This study was to analysis of pain using visual analogue scale and self rating anxiety scale questionnaire. Methods: Questionnaire were completed by 83 adult patients of department relation to pain in hospitals of Daegu from June 20, to August 10, 2001. The information was used to estimate multiple regression for the pain and anxiety scale related factors association. Results: Women visual analogue scale 4.6 scores of mean was higher than man 4.3 scores. Man self rating anxiety scale 30.2 scores of mean was higher than women 26.8 scores. The scores of 6 months above was discomfort 51.8, 1 month below was mild 22.1%, 2-3 months was discomfort 10.5%, and 4-5 months was discomfort 9.3% in association between present pain index and duration. Conclusion: Visual analogue scale scores was significantly associated with frequency of present pain index. Self rating anxiety scale scores was significantly associated with frequency of occupation and present pain index.

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밀착성 외측 쐐기 스트랩 깔창이 내반슬 골관절염 환자의 대퇴경골각에 미치는 영향 (The Effects of Femorotibial Angle of a Contact Lateral-Wedged Insole with Strapping in Patients with Varus Deformity Osteoarthritis of the Knee)

  • 이상용
    • 대한정형도수물리치료학회지
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    • 제12권2호
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    • pp.1-10
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    • 2006
  • The purpose are to assess the efficacy of a contact lateral-wedged insole with strapping on the femorotibial angle in patients with varus deformity osteoarthritis of the knee after treatment period. 25 outpatients with knee osteoarthritis (OA) were randomized to be treated with a contact lateral-wedge insole with strapping. Standing radiographs were used to analyze the femorotibial angle for each subject. The result of repeated two-way ANOVA's reveled that a contact lateral-wedged insole with strapping produced significantly differences in the femorotibial angle between groups after treatment period (P<0.05). and repeated one-way ANOVA's reveled that it produced significantly differences in the femorotibial angle between experimental groups after treatment period (P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.

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족저근막염에 대한 임상적 고찰 (A Clinical study on plantar fasciitis)

  • 정병옥
    • 대한정형도수물리치료학회지
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    • 제7권2호
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    • pp.57-64
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    • 2001
  • Plantar fasciitis is a common pathological condition of the foot and often be a challenge for clinicans to successfully treat. The purpose of this article is to present and discuss selected literature on the function and anatomy, causes, symptoms and clinical treating methods of plantar fasciitis. A majority of patients with plantar fasciitis present with either a pronated or a cave foot. Pain is usually localized to the plantar medial heel at the attachment of the plantar fascia to the calcaneus. Surgical and nonsurgical techniques have been used in the treatment of plantar fasciitis. Nonsurgical management for the treatment of the symptoms and discomfort associated with plantar fasciitis can be classified into brod categories: reducing pain and inflammation. reducing tissue stress to a tolerable level, and restoring muscle strength and flexibility of involved tissue.

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고관절 외전근의 원심성 운동이 보행시 균형에 미치는 효과 (Effects of Eccentric Exercise of Hip Abductors on Gait Balance)

  • 최원호;김명종
    • 대한정형도수물리치료학회지
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    • 제9권2호
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    • pp.59-67
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    • 2003
  • The purpose of this study was to identify the effects of eccentric exercise of affected hip abductor muscles on Gait balance in patient with hemiplegia. 30 patients with hemiplegia were recruited among in and out patients of Gil Hospital(age x=50.5, SD=10.1, range 37-80. post stroke days x=383.2, SD=309.3, range 57-1165). These patients were divided into eccentric and control groups by random sampling. TUG were used for this study. Paired t- test was used to identify the effects of eccentric exercise of hip. The results were stastically significantly differences in the effect of exercise between experimental and control groups by TUG(p<0.05). The results indicate that the eccentric exercise of affected hip abductor muscles is effects on gait balance in patient with hemiplegia.

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밀착형 외측 쐐기 스트랩 깔창의 높이에 따라 대퇴경골각에 미치는 영향 (The Effects of Femorotibial Angle of Contact laterally Wedged Insoles With Strapping of varying elevations)

  • 이상용;박성진
    • 대한정형도수물리치료학회지
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    • 제12권1호
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    • pp.44-50
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    • 2006
  • The purpose of this study is to assess the radiographic effects of normal person with contact laterally wedged insoles with strapping of varying elevations. Eight person who were randomized into group according to their birth dates and wedge elevation, participants wore contact laterally wedged insoles with strapping with elevation of 9, 15, 21mm. Standing radiographs were used to analyze the femorotibial angle for each subject, The result of repeated measures ANOVA's reveled that laterally wedged insoles with strapping of varying elevations produced significantly the femorotibial angle. The degree of change in femorotibial angle with the insole with strapping was effected by the tilt of the lateral wedge(P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.

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