• 제목/요약/키워드: Physical Therapy Patient

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요추 추간판탈출증 환자에 대한 통합적 중재접근의 효과: 단일사례연구 (The Effects of Integrative Intervention Approach on a Patient with Lumbar HNP : A Case Report)

  • 이재홍;손종찬;구성린;이석훈;이동훈;신용웅;최자은;한재경;김동한;김정민;김민철;장진아;황성현;권원안
    • PNF and Movement
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    • 제10권2호
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    • pp.33-39
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    • 2012
  • Purpose : The purpose of this case report was to examine the effects of intergrative intervention approach on a patient with lumbar herniated nucleus pulposus (HNP). Methods : The subject was a 53 years old woman with lumbar HNP. The subject received conventional physical therapy combined with exercise therapy and manual therapy. Pain on visual analog scale (VAS), finger to floor (FTF), lumbar lateral flexion, L5 motor, and straight Leg-Raising (SLR) were evaluated at baseline and after 4 weeks. Results : The change of VAS, FTF, left lateral flexion, and right lateral flexion were decreased (9 vs. 5, 41 vs, 25, 56 vs. 42, 54 vs. 41, respectively) and the change of L5 motor and SLR were increased (Fair vs. Fair+, 60 vs. 75, respectively). Conclusion : Our findings suggest that Integrative intervention may be considered in patient with lumbar HNP.

물리치료 분야에서 인공지능 및 바이오센싱 기술의 현장적용 및 전망에 관한 연구: 맞춤형 재활치료를 중심으로 (A Study on the Field Application and Prospect of Artificial Intelligence and Bio-Sensing Technology in Physical Therapy: Focusing on Customized Rehabilitation Treatment)

  • 유경태
    • 대한물리의학회지
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    • 제18권3호
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    • pp.73-84
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    • 2023
  • PURPOSE: This study analyzed the impact of AI and biosensors on physical therapy, identifying the stage of customized technology development and future prospects. AI and biosensors improve the efficiency, establish customized treatment plans, and expand patient treatment opportunities. The study employed a literature review by searching databases and collecting research. METHODS: This study searched various databases related to the topic, collected existing research, papers, and reports, evaluated the literature, and summarize the results. RESULTS: Exercise therapy utilizing artificial intelligence can provide personalized and optimal exercise plans while monitoring rehabilitation progress. In addition, biosensors such as EMG sensors and accelerometers can monitor the individual progress in physical therapy, particularly in stroke patients, which can help improve physical therapy strategy and promote patient recovery. CONCLUSION: This study suggested that artificial intelligence can be applied in many areas of physical therapy, such as exercise therapy, customized treatment plans, rehabilitation and management, pain management, neuro rehabilitation, and auxiliary devices. Using AI technology, it is possible to analyze and improve exercise and posture, retrain the central nervous system, establish customized treatment plans for individual patients, predict and compare patient progress before and after treatment, and provide customized pain analysis and treatment methods. In addition, AI can provide neuro rehabilitation programs and customized auxiliary devices.

익상견갑에 대한 전거근 운동: 증례 보고 1. (Serratus anterior muscle exercise for The Winging Scapula: Case Study)

  • 장준혁;구봉오;김선엽
    • 대한정형도수물리치료학회지
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    • 제9권2호
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    • pp.69-77
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    • 2003
  • Objective: The purpose of this study is to describe the effect of the serratus anterior muscle exercise in a patient with winging of the scapular. Background and Purpose: The patient was a 33-year-old man with an 3 years history of the left deltoid region. He had not responded to previous treatments of rest, TENS and medicine. Materials and Methods: After Surgical operation of the shoulder, the patient was treated for 6 months in 144 visits. treatment consisted of push-up with plus in the standing position with his hands against the wall and unique push-up with quadruped position at mat. Also, Sling exercise therapy was utilized to control scapular stabilization and reduce stress on the scapulohumeral joint. Result: Following 104 physical therapy visits, the patient was able to full range of motion of the shoulder without shrug motion. Conclusion and Discussion: Scapular winging and serratus anterior muscle function are important consider in the rehabilitation of the shoulder dysfunction. Therefore, specific exercise program for people with the winging scapular should be considered.

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물리치료 약어와 기호의 제정 (Enactment of Physical Therapy Abbreviations and Symbols in Korea)

  • 배성수
    • The Journal of Korean Physical Therapy
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    • 제14권3호
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    • pp.116-128
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    • 2002
  • Physical therapy record what the therapist dose to manage the individual patients case. The rights of the therapist and patients are protected should any question occur in the future regarding the care provided to the patient. Physical therapy note is a method of communicating with the patient's physician, other health care professionals and including other therapists. Abbreviations and symbols are used as a time and space saver while writing physical therapy Progress note. In order to ensure that everyone in the hospital need understand what has been written in the chart by others. Therefore, we need a enactment of physical therapy abbreviations and symbols in Korea. There are 468 abbreviations and symbols. It will be change with development of medical science, physical therapy and culture.

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물리치료 약어와 기호의 제정 (Enactment of Physical Therapy Abbreviations and Symbols in Korea)

  • 배성수
    • The Journal of Korean Physical Therapy
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    • 제14권4호
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    • pp.234-259
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    • 2002
  • Physical therapy record what the therapist dose to manage the individual patients case. The rights of the therapist and patients are protected should any question occur in the future regarding the care provided to the patient. Physical therapy note is a method of communicating with the patient's physician, other health care professionals and including other therapists. Abbreviations and symbols are used as a time and space saver while writing physical therapy progress note. In order to ensure that everyone in the hospital need understand what has been written in the chart by others. Therefore, we need a enactment of physical therapy abbreviations and symbols in Korea. There are 468 abbreviations and symbols. It will be change with development of medical science, physical therapy and culture.

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정상인과 편마비 환자의 주관절 등척성 운동시 우력양상과 심혈관계에 미치는 영향 (Torque Curves and Cardiovascular Response to Isometric Exercise at the Elbow Joint in Normal and Hemiplegic Subjects)

  • 신형수;황보각;임원식;김중선
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.537-549
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    • 2001
  • The isometric torque of the elbow flexor and extensor muscles were measured for 6 seconds at a joint angle of 90$^{\circ}$ , in 10 normal subjects (control group) and 10 hemiplegic subjects(patient group), using the Cybex NORMTM System. The peak torque, the time to peak torque were measured for each exercise. In addition, heart rate and blood pressure were recorded simultaneously at rest and immediately following exercise completion at 1 and 3m mutes. Statistical analysis was performed using SPSS 8.0 for Windows software and mean and standard deviations were calculated. The results are as follows. 1) In the patient involved group. the isometric values for flexors and extensors were significantly lower than in the normal nondominant group(p<.05). 2) The extensor to flexor strength ratio in the isometric mode was 121.0% in the patient involved group compared with 78.7%in the normal nondominant group, a significant difference(p<.05). 3) The mean increment ratio was increased 19.0% for systolic blood pressure and 25.2% for disatolic blood pressure in the patient group. 4) The mean increment ratio was increased 36.0% heart rate in the patient group.

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어깨 부딪힘 증후군 환자에 대한 PNF 개념을 이용한 물리치료 사례보고 (Case Report of Physical Therapy Using the PNF Concept in a Patient with Shoulder Impingement Syndrome)

  • 김좌준;신재욱
    • PNF and Movement
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    • 제12권3호
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    • pp.189-199
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    • 2014
  • Purpose: The objective of this case report is to examine the impact of physical therapy using the proprioceptive neuromuscular facilitation (PNF) concept for a patient with shoulder impingement syndrome. Methods: The patient is a 35-year-old female who has felt pain in the right shoulder for one month. The physical examination evaluated sensory integration, pain, joint integration and mobility, posture, reflex integration, range of motion, muscular strength, analysis of movement, and shoulder function. Comprehensive physical therapy was given to the patient, including stretching, mobilization, strengthening, posture correction, coordination improvement, daily activities, and sports exercises. The therapy was given 5 times a week for the first 5 weeks, then 3 times a week for the next 5 weeks. In all, the intervention lasted for 10 weeks. Results: The patient's senses, posture, and muscular strength all improved to a normal level. The degree of pain fell from 3/10 to 0/10 for activities taking place below shoulder height, and from 8/10 to 1/10 for activities above the head. Additionally, joint integration, motility, range of motion, and movements also improved. The disabilities of the arm, shoulder and hand (DASH) for functional evaluation improved from 27.5 to 10.3. Conclusion: Physical therapy using the PNF concept is effective in improving the body structure, function, activity, and participation of patients with motor disorders of the shoulder impingement syndrome.

상지 및 하지절단 환자의 의지보행훈련 증례연구 (A Case Study of Prosthetic Ambulation Training for Upper and Both Lower Extremity Amputated Patient)

  • 홍도선;박창주
    • 대한물리치료과학회지
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    • 제7권1호
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    • pp.367-375
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    • 2000
  • The purpose of this study is to announce the present condition, walking training, and adaptable training of a limb amputated patient. The study is a successful report of the limb amputated patient through the medical treatment of the physical therapy. A cause of the limb amputated patient, a truck driver, was that the patient was hit by a train when the driver alight from the truck. Then, the driver was surgical operated on left AK (Above Knee) amputation and left AE (Above Elbow) amputation by orthopedics at the Young Dong Severance Hospital on Dec.7, 1996. Two weeks after the operation (Dec., 22, 1996), the patient was trained at the Yonsei Medical Center Physical Therapy Hospital for the walking and temper adjust training. It was possible to do a flat surface walking and a slope surface walking without helping due to the patients optimistic personal character and motivation. However, the patient struggled to a dull surface walking and his weak endurance. the patient has several problems when the patient wears artificial legs and hands, fears on fall down, and mentally worries on noise when he walks. It is necessary to approach for this problems by many fields of the helpers, such as Rehabilitation medical doctor, physical therapist, occupational therpist, artificial limbs makers, psychologists, and etc. Therefore, in order for recovering from the amputated parts function after the surgical operation, more approved reports have to be for the amputated patients due to increasing traffic accidents, industrial disaster, cancer, diabetes, obstacles of the peripheral nervous system, and etc.

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Kaltenborn-Evjenth 정형물리치료에 대한 문헌적고찰(정형물리치료의 역사와 관련된 문헌을 중심으로) (Considerations in Kaltenborn-Evjenth Concept Related History of Orthopedic Physical Therapy)

  • 윤정규
    • 대한물리치료과학회지
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    • 제7권1호
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    • pp.275-284
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    • 2000
  • Orthopedic medicine specializes in the diagnosis and treatment of musculoskeletal conditions. The physical therapy speciality, Orthopedic Manipulative Therapy(OMT) is an important part of orthopedic medicine. Much of OMT is devoted to the evaluation and treatment of joint and related soft tissue disorders and one of the primary treatment methods is mobilization. When examination reveals joint dysfunction, especially decreased range of motion, joint mobilization techniques are often utilized. Soft tissue mobilization techniques are used to improve mobility and other soft tissues. The therapist should have precautions for a patient. These precautions are based on the patient's concurrent medical and surgical diagnosis. Lastly, the literature describing therapeutic interventions in patients with musculoskeletal problem is poor because the painful conditions are poorly characterized and the therapeutic interventions are poorly described; so, where Kaltenborn-Evjenth concept for patient with musculoskeletal problem were identified, the treatment concept are introduced.

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연축성 사경환자에 대한 도수 치료적 접근 - 사례연구 (Manual Therapy for Patient with Spasmodic Torticollis - Case Study)

  • 김동야;신의주;전재국
    • 대한정형도수물리치료학회지
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    • 제19권1호
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    • pp.79-83
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    • 2013
  • Background: Spasmodic torticollis is a disorder that is described by sustained muscle contractions causing repetitive and twisting movements, and abnormal postures in a single body region. The purpose of this case is to describe the manual therapy for a patient with spasmodic torticollis. Methods: The patient was a 64 years old man with an 3 month history of left side laterocollis spasmodic torticollis. No known genetic history or trauma. Prior to intervention, his score on the Western Spasmodic Torticollis Rating Scale (TWSTRS) severity score was 24, disability score was 20, pain score was 11. There is a noticeable distinction between left and right side cervical range of motion. The intervention consisted of manual therapy (MET, PNF) 3 times per week for the treatment during 4 weeks. Results: After intervention for 4weeks, his TWSTRS score and range of motion was improved quite a bit before therapeutic exercise. But symptoms are not improving sufficiently fast. Conclusions: Manual therapy is that MET and PNF is effective in improving for patient had spasmodic torticollis with laterocollis of neck.

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