• Title/Summary/Keyword: Physical Therapy Patient

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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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Unilateral Traction Effects for a Herniated Nucleus Pulposus in the Lumbar Disk (요추 추간판 수핵 탈출증에 대한 편측 견인의 치료효과)

  • Park, Ji-Whan;Kwon, Hyeok-Su
    • Journal of Korean Physical Therapy Science
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    • v.2 no.2
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    • pp.481-486
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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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Management of Diabetic Foot Problems (당뇨병성 족부병변의 관리)

  • Park, Yoon-Jeong;Yun, So-Young
    • Physical Therapy Korea
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    • v.5 no.2
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    • pp.98-105
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    • 1998
  • The purposes of this article are to review the pathogenesis, prevention, and management of amputation due to diabetes mel1itus complications, and to report one case who had lost his toes due to diabetes mellitus. A primary cause for hospital admission of the patient was foot ulcer. Since many amputations in diabetic patients are precipitated by such ulcers, a program for active prevention and optimal treatment of diabetic foot lesions might decrease the risk of amputation. Diabetic foot ulcers and, ultimately, amputation can stem from a variety of pathways. The combination of peripheral neuropathy, peripheral vascular disease and infections is the harbinger of the final cataclysmic events of gangrene and amputation. As the physical therapist is often involved in the treatment of diabetic patients, the therapist should be aware of the followings: the patient's type of diabetes and the severity of the diabetes, the complications of the disease, the effects of exercise, the importance of wearing proper shoes and education to patients about appropriate diabetic foot care.

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The Effects of Neuromuscular Re-education on Physical Composition, Blood Lipid Levels and Physical Motor Function in Stroke Patients (신경근 재교육이 뇌졸중 환자의 신체구성, 혈액점도 및 신체운동기능에 미치는 영향)

  • Kang Jeong-IL;Beak Heon-Hee;Shin Hong-Cheul
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.208-234
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    • 2003
  • This study aims to investigate the effect of Neuromuscular Re-education Program and Traditional Intervention Program and is focusing on the difference between changes of experimental before and after on 30 stroke patient's body composition, blood lipid levels, physical motor function. The obtained results are as follows; 1. Change in body composition 1) The change due to the Neuromuscular Re-education Program and Traditional Intervention Program before and after, the Fat Mass and Soft Lean Mass were changed but not significantly. 2) In the comparison of change according to duration, Significant differences were not shown in Fat Mass and Soft Lean Masss between The experimental group and control group. 2. Change in blood lipid levels 1) The change due to the Neuromuscular Re-education Program and Traditional intervention Program before and after, the Cholesterol, Glucose and TG were changed but not significantly. 2) In the comparison of change according to duration, Significant differences were not shown in the Cholesterol, Glucose and TG between the Experimental group and Control group. 3. Change in physical motor function 1) The change due to Neuromuscular Reeducation Program before and after. The physical motor function was significantly changed(p<0.01; p<0.05). but Traditional Intervention Program was changed but not significantly. 2) In the comparison of change according to duration, Signicant differences between the Experimental group and Control group was significantly changed in only the Neuromuscular Reeducation Program(p<0.05). In conclusion, The Neuromuscular Reeducation Program were not changed significantly but it can be said that the Neuromuscular Reeducation Program was more suitable for intervention to improve physical motor function of stroke patients than Traditional Intervention Program. Therefore if further studies increase the experimental duration of Reeducation Program and make the patient's reeducation continuously for improvement of physical motor function in stroke patient are needed.

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The Approach of Robot-assisted Gait Therapy for Locomotor Recovery of Chronic Stroke Patients: a Case Report

  • Shin, Hee-Joon;Lee, Ju-Hyeok;Seo, Dong-Kyu;Kim, Hong-Rae;Moon, Ok-Kon;Park, Si-Eun;Park, Joo-Hyun;Kim, Nyeon-Jun;Min, Kyung-Ok
    • Journal of International Academy of Physical Therapy Research
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    • v.2 no.1
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    • pp.207-213
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    • 2011
  • In this case report, we investigated the effects of robot-assisted gait therapy in a chronic stroke patient using motor assessment and gait analysis. A patient who suffered from the right hemiparesis following the left corona radiata and basal ganglia infarction received 30 minutes of robot-assisted gait therapy, 3 times a week for 4 weeks. Outcome was measured using Motoricity index(MI), Fugl-Meyer assessment(FMA), modified motor assessment scale(MMAS), isometric torque, body tissue composition, 10-meter gait speed and gait analysis. After robot-assisted gait therapy, the patient showed improvement in motor functions measured by MI, FMA, MMAS, isometric torque, skeletal muscle mass, 10-meter gait speed. In gait analysis, cadence, single support time, double support time, step length, walking speed improvement in after robot-assisted gait therapy. The results of this study showed that robot-assisted gait therapy is considered to facilitate locomotor recovery of the chronic hemiparetic stroke patient.

The Effects of Therapeutic Approach of Patellofemoral Pain Syndrome with Asymmetrical Hip Rotation : Case Study (비대칭성 고관절 회전각을 지닌 슬개대퇴통증증후군 환자의 치료적 접근 - 사례연구)

  • Jang, Hyun-Jeong;Kim, Suhn-Yeop;Kim, Ho-Bong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.2
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    • pp.41-48
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    • 2011
  • Background: Patellofemoral pain syndrome is very common knee problem and altered hip rotation may play a role in patellofemoral pain. The purpose of this case study is to describe the manual therapy of and the therapeutic exercise for a patient with asymmetrical hip rotation and patellofemoral pain. Method: The patient was a 29 years old woman with an 3 month history of anterior right knee pain, without known trauma or injury. Prior to intervention, her score on the VAS was Max 6 to Min 4. Left hip internal rotation was less than right hip internal rotation, and manual muscle testing showed weakness of the left hip internal rotator and abductor muscles. The intervention consisted of manual therapy and therapeutic exercise for three times a weeks, two weeks for increasing right hip medial rotation, improving left hip muscle strength, and eliminating anterior right knee pain. Result: After intervention for 2weeks, passive left and right hip medial rotations were symmetrical, and her right hip internal rotator and abductor muscle grades were Good plus. Her VAS score was Max 2 to Min 0. Conclusion: Manual therapy and therapeutic exercise is effective in improving for patient had patellofemoral pain with pattern of asymmetrical hip rotation.

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Physical Therapy Approaches for Respiratory Diseases (호흡계 질환의 물리치료적 접근방법)

  • Kim, Ki-Song
    • Journal of Korean Physical Therapy Science
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    • v.16 no.3
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    • pp.67-74
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    • 2009
  • Background: Various functional factors should be incorporated during assessment and intervention for patient rehabilitation. Stable respiratory function is one of required factors for functional restoration. To maximize respiratory physical therapy intervention outcome, it is required to understand clinical features of respiratory diseases and physical therapy approaches. Methods: Previous studies were systematically reviewed through computerized search. Methodological qualities of selected studies were evaluated and the levels of recommendations were determined. Results: Assessment for respiratory pattern and thoracic mobility is of importance to improve cardiopulmonary fitness during physical reconditioning. Application of optimal therapeutic protocol can increase thoracic mobility and respiratory function. Interdisciplinary communication is critical during rehabilitation for respiratory patients. Health care provider should have professional knowledge and experience for cardiopulmonary fitness and obligation to endeavor for patients' respiratory rehabilitation. It is necessary to standardize therapeutic intervention, and rehabilitative respiratory exercise should be applied to confirm the effects of intervention. Conclusion: Respiratory diseases that may reduce patients' quality of life and cardiopulmonary fitness should be resolved through physical therapy approaches. Through conducting research, effect of evidence-based and patients' function-oriented intervention can be determined.

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Comparison of the Mulligan Method and Electrotherapy in Pain Reduction and ROM Increase in Patients With Frozen Shoulder (동결견 환자의 관절범위 회복과 통증감소에 있어서 Mulligan 치료와 전기치료의 효과 비교)

  • Yoon, Jung-Gyu;Park, Ho-Joon;Chung, Bo-In
    • Physical Therapy Korea
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    • v.7 no.2
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    • pp.66-75
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    • 2000
  • A single subject experimental design (alternating treatment design) was used to compare the effects of Mulligan method and electrotherapy on the pain and limitation of range of motion in patients with frozen shoulder. In the Mulligan method sessions, the physiotherapist performed a posterior and caudal glide on the patient while the patient was performing shoulder flexion and abduction. In the electrotherapy sessions, the patient received ultrasound and interference current treatments. Mulligan method and electrotherapy were alternately performed on each patient. Pain was measured by visual analogue scale (VAS) and range of motion (ROM) was measured by modified finger ladder. The results showed that both Mulligan method and electrotherapy were effective in pain reduce and ROM increase, but Mulligan method was superior to electrotherapy in ROM increase while electrotherapy was superior to Mulligan method in pain reduce.

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Clinical Study on One Patient with Diabetes-associated Oculomotor Nerve Palsy (당뇨병에 합병된 눈돌림신경마비 환자 치료 1례에 대한 증례보고)

  • Jo, Seoung Eun;Kang, Jae Hui;Kim, Yun Joo;Hong, Seo Jin;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.213-221
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    • 2014
  • Objectives : We report a case of a patient with oculomotor nerve palsy accompanied by diabetes mellitus complication to show the efficacy of a treatment with Korean medical complex therapy. Methods & Results : We treated one patient by acupuncture, electroacupuncture, pharmacopuncture, herbal medication and Korean medical physical therapy. We measured the severity change in physical examination and had a result that the patient's symptom had improved. Conclusions : We suggest that Korean medical therapy including acupuncture, electroacupuncture, pharmacopuncture, herbal medication and Korean medical physical therapy have an effect with diabetes-associated oculomotor nerve palsy.

A Study for Evaluation and Treatment of Thoracic Outlet Syndrome (흉곽출구 증후군의 평가 및 물리치료에 대한 고찰)

  • Lim, In-Hyuk
    • Journal of Korean Physical Therapy Science
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    • v.6 no.2
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    • pp.943-951
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    • 1999
  • Thoracic outlet syndrome's chief symptom has numbness and tingling sensation of tharm, hand and fingers. In the morning, patient complain of pins and needles of the hands and weakness. TOS classified three categories : Anterior scalene syndrome, Claviculocostal syndrome, Pectoralis minor syndrome Physical therapy of the TOS is heat, massage for soft tissue, stretching exercise for scalene muscles and pectoralis minor muscles, and strengthening exercise for upper trapezius and levator scapular and neck muscles. A main problem of soft tissue is mechanical causes, so physical therapists have to solve that problem by mechanical manual methods.

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