• Title/Summary/Keyword: Physical Therapy Patient

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Case Report on Churg-Strauss Syndrome (Churg Strauss 증후군 중풍 환자의 치험 1례)

  • Lee Sang Gyu;Lee Joung Hoon;Yeom Seung-Ryong;Kwon Young Dal
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.5
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    • pp.1527-1532
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    • 2004
  • There are few case reports on the treatment of churg strauss syndrome by oriental medicine. We experienced one case of a female patient, 47 ages, who had symptoms; Rt. hemiplegia, aphasia, M/S dull, Rt. facial palsy. We used acupuncture, physical therapy, herbal medication and taping therapy. After 6 months of Acupuncture therapy, Herbal medication, physical therapy and taping therapy, a remarkable improvement was made for cerebral infarction patient who accompany churg strauss syndrome. The patient could take self-ambulation after treatment and many symptoms have improved. Cerebral infarction patient who accompany churg strauss syndrome is not common ,but in case the treatment by korean traditional medicine, there was improvement in patient's state. We think that it need the further study and clinical practice for Churg Strauss Syndrome.

Effect of Chest Physical Therapy in Pediatric Patients (소아 폐염 환자에서 시행한 흉부 물리치료의 효과)

  • Ahn, Mi-Kyung;Woo, Kwang-Seog
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.831-836
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    • 1998
  • Object: We evaluated the efficacy of chest physical therapy in pediatric patients with pneumonia. Method: Retrospective study was performed in 89 pneumonia patients admitted to pediatric unit. The subjects were divided into two groups: control group; treatment group. Control group included 42 patients who didn't receive chest physical therapy. Treatment group included 47 patients who received chest physical therapy. The chest physcial therapy employed were postural drainage, chest percussion, deep breathing training and enhancement of coughings. The efficacy was evaluated by x-ray outcome before discharge. Results: There were no significant difference in age, sex, type of pneumonia, and symptom duration between two groups. However the duration of fever after admission, duration of antibiotic use and hospital stay were longer in treatment group. In treatment group, longer the day to initiate chest physical therapy, longer the hospital stay. The final outcome was not different between groups. Conclusion: The results suggest that the referred patients for chest physical therapy tends to be of severe cases. Nevertheless, the result that the outcome was not different in two groups means that the chest physical therapy could be used as a effective treatment method in pediatric patient with pneumonia.

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The Effect of Extension Exercise on the Reduction of Pain in Patients with Low Back Pain (요통환자에 있어 신전운동이 통증감소에 미치는 효과)

  • Kim, Ji-Sun;Kim, Myung-Hoe;Yu, Byoung-Kyu
    • Journal of Korean Physical Therapy Science
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    • v.3 no.1
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    • pp.843-853
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    • 1996
  • The purpose of this study was to determine whether extension exercise is effective in reducing low back pain. Nine patients with low back pain were randomly assigened to one of two groups-one was an experimental group in which the patient were treated with extension exercise(McKenzie method) and conservative therapy. The other was a control group in which the patients were treated with conservative therapy only. Treatment was performed for a period of ten days during Which we examed each patient three times: the first exam was done at the begining of treatment, the second after fives days, and the third after ten days. We used 'The Oswestry low back pain disability questionnaire'(r=.99) as the examination tool. The results were as follows: 1. Both experimental and control groups showed nonsignificant differences before and after treatment, and the between group difference was also non-significant(P>.05). 2. There was no effective reduction of low back pain by MecKenzie's extension exercise(p>.05). We admit that our study protocol had several shortcomings. If they had been accounted for, the result might have been different. Further study should be done with a better experimental design, a larger sample, and a longer experimental duration.

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Effect on Balance Ability of Knee Osteoarthritis by modality (보존적 물리치료가 퇴행성 슬관절염 환자의 균형 능력에 미치는 영향)

  • Jung, Hyun-Sung;Bae, Sung-Soo;Jeon, Ho-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.67-75
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    • 2006
  • Purpose : The main purpose of this study was to investigate the effect on Balance Ability of Knee Osteoarthritis(OA) by modality. Methods : The subjects were consisted of 30 women patients with knee OA. All subjects were randomly assigned to modality group. Each group had a treatment for 45 minutes per day and three times a week during 8 weeks period. Was used to measure recovery or worse of patient's condition, muscle assessment questionnaire(MAQ) was used to measure patient's muscular strength, Endurance, coordination/balance, KWOMAC was used to pain, stiffness, and physical function, and BPM was used to measure velocity, anterior-posterior. Results : This study results in following conclusions. 1. MAQ score was significantly decreased in modality group(p<.05). 2. KWOMAC score was significantly decreased in modality group(p<.05). 3. BPM were score was significantly decreased in modality group(p<.05). Conclusions : From this result the modality treatment retrogression characteristic will be effective in treatment of patient.

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Analysis of Ultrasonography on Biceps Brachii Muscle of Hemiplegic Patient (만성 편마비 환자의 상완이두근에 대한 초음파 영상구조의 특성 분석)

  • Kim, Hyun-Jin;Yang, Ga-Ae;Kim, Su-Hyon;Kim, Tae-Youl
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.7 no.1
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    • pp.11-15
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    • 2009
  • Purpose : This study aims to comparison of ultrasonography on both sides of biceps brachii muscle of hemiplegic patient. Methods : The biceps brachii muscle of fifteen subjects (5 male, 10 female) with stroke were scanned with ultrasonography at the muscle belly at rest at elbow angles of 90 deg. The echogenicity (density, white area index; WAI, anatomic cross-sectional area; ACSA, volume) of ultrasonography was examined. Results : In the biceps brachii muscle, there were significant differences of density, WAI, ACSA, and volume between affected side and non-affected side. biceps brachii muscle, echogenicity (density, WAI) of the affected side was higher than non-affected side. biceps brachii muscle, echogenicity (ACSA, volume) of the non-affected side was higher than affected side. Conclusion : This study showed that change of skeletal muscle architecture properties occurred biceps brachii muscle of the affected side muscle of hemiplegic patient.

The Problem-Solving Approach for Improving Walking Ability in Patient with Total Hip Replacement: Applied ICF Tool for Case Study (고관절 인공관절 치환술 환자의 보행능력 증진을 위한 문제해결 접근: ICF Tool을 적용한 단일사례연구)

  • Song, Hyun-seung;Kim, Suhn-yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.63-71
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    • 2015
  • Background: The purpose of the study, using the ICF Tool in the process of rehabilitation of artificial joint replacement surgery of the hip joint, goal setting and understanding of the problem, through the process of creating intervention strategies, useful clinical practical course for rehabilitation I try to present the data. Methods: Fracture was the left total hip replacement (THR) surgery due to women of 76 years old. I proceed in order screening, evaluation, diagnosis, prognosis, treatment planning and intervention, re-screening. Needs of the patient was walking short distances for using the toilet. In order to improve was carried out arbitration, after you have created a list of issues that limit the ability to walk short distances. Results: It was revealed improved results in self-paced walk test (SPWT) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to examine whether the goals. In addition, MMT VAS, DGI, and TUG is a detailed goal was improved. Conclusions: It can be shown objectively the results of interventions performed for the purpose of solving the problem which is grasped through clinical Practical course for short-range walking ability enhance patient THR. I considered practical clinical course using the ICF Tool would be useful.

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The correlation of Oswestry Disability Index and Hendler 10-Minute Screening Test in the patient of low back pain about pain strength (요통(low back pain) 환자의 통증강도와 Oswestry의 요통 장애 지수, Hendler의 10분 판별검사간 상관성에 관한 연구)

  • Kim, Soon-Ja
    • Journal of Korean Physical Therapy Science
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    • v.6 no.4
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    • pp.221-227
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    • 1999
  • This study is about the correlation of pain strength between Oswestry Disability Index and Hendler 10-Minute Screening Test in the patient of low back pain. The subject were 66, in and out patient who had recieved physical therapy on low back pain in several hospitals at Seoul and Kyungkido. during July 5.-August 27. 1999 1. The average score of Oswestry Disability Index was $24.06{\pm}8.16$ and that of Hendler 10-Minute Screening Test was $24.82{\pm}4.31$. 2. The Pearson's R score between each questionnaires of Oswestry Disability Index and pain strength was .5692. p<0.0001. So it is very high. But, that between each questionnaires of Hendler 10-Minute Screening Test and pain strength was not significant.. 2261 p<0.05 3. The Pearson's R score between Pain strength of Oswestry and person care was .3391, sex life was .3756, social life was .4637 (p<0.005) and that between Pain factor of Hendler, pain area of Hendler and sleeping(4358), sex(.6198), position change(2767), (p<0.005). So it is significant. 4. The categories where we could see the correlation between Pain strenth of Oswestry and Hendler each questionnaires were sleeping(.3222), sex(5524), position change(4291). (p<0.005).

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Recovery of an Injured Corticospinal Tract in a Patient With Infarction on the Corona Radiata

  • Lee, Sook;Lim, Hyoung-Won;Yeo, Sang-Seok
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.78-80
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    • 2015
  • Purpose: Many studies have attempted to elucidate the motor recovery mechanisms of stroke. In the current study, we report on a patient with infarction who showed recovery of an injured corticospinal tract (CST), using diffusion tensor imaging (DTI). Methods: A 20-year-old male presented with severe paralysis of the left extremities following an infarction in the right corona radiate and basal ganglia. The patient showed good motor recovery as much as being able to manipulate object using his left hand and could walk independently on stairs at 9 months after onset. Results: At 1 month after onset, the right CST showed decreased fiber volume due to the partial injury at the level of the corona radiate, and no (motor evoked potential) MEP was evoked from the right hemisphere. By contrast, the results at 9 months showed increased fiber volume of the right CST and the amplitude of MEP had improved to normal range on TMS. Conclusion: These results suggest that the severely injured right CST and MEP amplitude had been recovered during 9 months. Therefore, this result has important implications for brain plasticity and brain rehabilitation in patients with infarction.

A Comparison of Lumbar Lordotic Curves between Herniated Nucleus Pulposus Patients and Normal Subject Using a Flexible Curve Ruler

  • Jung, Yong-Mi;Choi, Jong-Duk
    • The Journal of Korean Physical Therapy
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    • v.24 no.3
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    • pp.208-215
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    • 2012
  • Purpose: We attempt to assess the differences in the degree of lumbar lordosis in patients with lower back pain caused by the herniation of the nucleus pulposus and in normal people (divided into male and female groups). Methods: This study was conducted with 14 patients (7 males, 7 females) diagnosed with, and being treated for, lumbar herniated nucleus pulposus and 14 normal people (7 males, 7 females). In order to examine the degree of lumbar lordosis in these subjects, hip flexor lengthening tests were conducted and the lumbar curves were measured in three postures (supine, sitting, and prone) and the results were compared. Results: The measured values of the curves for the standing and prone postures showed statistically significant differences between the normal group and the patient group, between the normal male group and the male patient group, and between the normal female group and the female patient group (p<0.05). Conclusion: The measurement method that uses flexible curve rulers in the standing or prone postures can be usefully utilized in assessing the lumbar lordosis of patients with lumbar herniation of the nucleus pulposus.

Effects of standing position of the trunk stabilization exercise on balance and gait of Guillain-Barre patients, case report (선 자세 몸통 안정화 운동이 길리안 바레 환자의 균형과 보행에 미치는 효과: 증례보고)

  • Kim, Dong-hoon;Zhang, Rong;Kim, Kyoung-hun
    • Journal of Korean Physical Therapy Science
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    • v.27 no.2
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    • pp.88-95
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    • 2020
  • Background: In the present study to investigate the immediate effects of standing position of the trunk stabilization exercise on Guillain-Barre syndrome patient's balance and gait abilities were examined. Design: Case report and conducted as a single-blind. Methods: Standing position of trunk stabilization exercise was conducted for five Guillain-Barre syndrome patient's who met the selection criteria were recruited. The subjects were conducted conservative exercise and trunk stabilization exercise. Conservative exercise was implemented for thirty min, five times for 8 weeks, and trunk stabilization exercise was implemented for 15 min. The participants' balance was measured via force plate (COP), functional reach test (FRT), timed up and go test (TUG), gait was measured using the 10 m walk test, and 6 minute walk test. Results: After training, the change values of the balance and gait ability in the subjects were significantly greater than pre-test. participants showed significant improvements in COP, FRT, TUG, 10 m walk test and 6 minute walk test pre and post the training (p<0.05). Conclusions: standing position of the trunk stabilization exercise was effective on Guillain-Barre syndrome patient's balance (COP, FRT, TUG) and gait (10 m walk test and 6 minute walk test) abilities were examined.