• 제목/요약/키워드: Physical Therapy Patient

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The Effects of High Intensity Laser Therapy on Pain and Function of Patients with Frozen Shoulder

  • Jeon, Chun-Bae;Choi, Seok-Joo;Oh, Hyun-Ju;Jeong, Mu-Geun;Lee, Kwan-Sub
    • The Journal of Korean Physical Therapy
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    • 제29권4호
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    • pp.207-210
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    • 2017
  • Purpose: This study was to identify the effectiveness of high-intensity laser therapy on pain and function of a frozen shoulder. Methods: Thirty patients were assigned to two groups: the experimental group (n=15) and the control group (n=15). Both groups received traditional therapy for 4 weeks, 3 days a week. The experimental group, however, received an additional high intensity laser therapy. Pain was measured using the visual analogue scale (VAS). The functional ability was measured using the patient specific functional scale (PSFS). A paired t-test was used to determine any differences before and after the treatment, and an independent t-test was used to determine any differences between treatment groups. Results: Both groups showed a statistically significant difference for VAS and PSFS score (p<0.05). In comparison between two groups, more experimental group than control group statistically significant difference (p<0.05). Conclusion: There seems to be a positive effect on pain and function of frozen shoulder from using high intensity laser therapy.

Case study of application on manual therapy of knee pain cause of Sacroiliac joint dysfunction (천장관절기능부전으로 인해 발생된 무릎 통증환자의 도수치료 적용사례)

  • Choi, Sung-Hwan;Park, Huyn-Sik;Shin, Young-Il
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • 제14권1호
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    • pp.61-65
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    • 2008
  • Purpose : The purpose of the study was to determine Effects of application on manual therapy of knee pain cause of Sacroiliac joint dysfunction. Methods : The patient with knee pain was 59years female. Muscle Energy Techniques, high-velocity, low-amplitude and modality(Hot pack, ultrasound, TENS) using during one month. Results : The patient has improve pain, muscle strength and function.

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Strategy for Clinical Progress Note of Physical Therapy (물리치료 임상기록 전략)

  • Bae Sung-Soo;Kim Chung-Sun
    • The Journal of Korean Physical Therapy
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    • 제10권2호
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    • pp.133-148
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    • 1998
  • Documentation of patient care has much emphasis during the past few years. As reviewing the orthopedic, neurosurgery, rehabilitation medicine of progress note, SOAP note, modified SOAP note and have been integrated a model of Korean clinical progress note of physical therapy. Academically, educationally and clinically development of physical therapy depend upon writing clinical progress note. Based on the research results, the following considerations and guideline are presented. 1. Include writing a clinical progress note of physical therapy in the school curriculums. 2. Physical therapist write the clinical progress note their procedure to the patients. 3. Korean Physical Therapy Association can provide a model of clinical progress note of physical therapy.

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A Case Report of Progressive Intervention Strategy Applied ICF Tool about Gait for TBI Patient (ICF Tool을 적용한 외상성 뇌손상 환자의 보행능력 증진을 위한 점진적 중재전략의 증례)

  • Kang, Tae-Woo;No, Hyun-Jung
    • Journal of the Korean Society of Physical Medicine
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    • 제7권2호
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    • pp.137-147
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    • 2012
  • Objective : The purpose of this study was to describe the Progressive Intervention strategy applied ICF (International Classification of Functioning, Disability and Health) Tool about Gait for TBI(Traumatic Brain Injury) patient. Methods : The data was collected by TBI patient. We applied the progressive Intervention strategy applied ICF Tool to TBI patient. Parameters of result were collected for using the Berg balance scale, TETRAX, Timed up and go test, Sit to stand test and ICF Evaluation Display Results : Significant differences were observed the TBI patient for Berg balance scale, TETRAX, Timed up and go test, Sit to stand test and ICF Evaluation. TBI patient improved all test. Conclusion : Progressive Intervention strategy applied ICF Tool is very useful and effective. It is effective in clinical practice.

Effect of Arm Sling on Walk Speed and Energy Consumption in Patients with Stroke (팔걸이가 뇌졸중 환자의 보행속도 및 에너지 소모량에 미치는 영향)

  • Yoon, Seoung-Ic;Kim, Yoon-Shin;Shim, Jae-Hun;Oh, Kyung-Ah;Oh, Duck-Won;Chon, Seung-Chul
    • Journal of Korean Physical Therapy Science
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    • 제15권1호
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    • pp.39-45
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    • 2008
  • This study was undertaken to identify the influence which affect on gait speed and energy consumption regarding putting on arm sling during gait of the 40 hemiplegic patients selected from University Hospital and rehabilitation center in seoul during two months. The analysis of data was performed using the paired samples ttest to compare the differences of gait velocity, heart rate, oxygen consumption and oxygen cost in gait of preand post- arm sling. The results of this study were as follows; 1. When comparing the result before putting on arm sling in the gait of hemiplegic patient, gait velocity after putting on arm sling was statistically significantly increased(p<.05). 2. When comparing the result before putting on arm sling in the gait of hemiplegic patient, heart rate after putting on arm sling was statistically significantly decreased(p<.05). 3. When comparing the result before putting on arm sling in the gait of hemiplegic patient, oxygen consumption per weight after putting on arm sling was statistically significantly decreased(p<.05). 4. When comparing the result before putting on arm sling in the gait of hemiplegic patient, oxygen consumption rate per weight after putting on arm sling was statistically significantly decreased(p<.05). When putting together the above result, the gait with arm sling in comparison with the gait without arm sling was to increase gait velocity, decrease heart rate, decrease oxygen consumption and was finally to decrease energy consumption in the gait of hemiplegic patient.

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A Study of Postural Sway and Dynamic Standing Balance with Low Back Pain (요통환자의 자세동요와 동적기립균형에 관한 연구)

  • Yang, Dae-Jung;Song, Tae-Ho;Lim, Ho-Yong;Ahn, Yeon-Jun;Park, Seung-Kyu;Kim, Yeong-Rok
    • Journal of Korean Physical Therapy Science
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    • 제11권2호
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    • pp.18-26
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    • 2004
  • The purpose of this study was to compare difference of the static and dynamic balance in normal subject and LBP subject and recognizes about postural sway. The subjects of this study included 30 normal subjects and 30 LBP subjects. By using Active balance system, the static balance was measured by unit path length, circumference area, weight bearing, stabilometry length, while the dynamic balance was measured by step evaluation. Statistically analyzed using independent t-test to search static balance and dynamic balance difference in two groups. Postural sway appeared greatly in patient group than normal group in analysis result of static balance and postural sway was big in patient group of when closed eye and normal group and patient group did show statistical significance in unit path length, circumference area. Weight support of normal group was shared equally in weight bearing rate, but weight support of patient group stewed less to pain side. Anterior step time and Task achieve time of dynamic balance were spent more in patient group than normal group. Desire to be used to useful information to lay treatment policy about set-up and action of when quantification result of valued postural balance treats low back pain patient by objective tool, in the fixture, more researches in postural estimation desire that is enforced abuzz.

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Effects of Proprioceptive Neuromuscular Facilitation on Gait Speed and Lower Extremity Strength for Genu Recurvatum in Patient with Stroke: A Case Report

  • Tae-Woo Kang;Beom-Ryong Kim;Seo-Yoon Park
    • The Journal of Korean Physical Therapy
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    • 제36권1호
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    • pp.33-38
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    • 2024
  • Purpose: This study investigated the effect of proprioceptive neuromuscular facilitation (PNF) on gait speed in a stroke patient with genu recurvatum. Methods: The subject was a 52-year-old female diagnosed with stroke. Information on health was collected through client Interview based on the International Classification of Functioning, Disability and Health (ICF). The ICF was used to identify connections between functional problems, and for diagnosis, and functional problems were described using ICF terms. For prognostic purposes, comprehensive goals for functional activity and participation level are presented as long- and short-term goals. Intervention was performed using an exercise program composed of techniques and principles based on PNF concepts for 50 minutes a day, 3 times a week, for 6 weeks. Gait speed and lower limb strength before to after intervention differences were used as study outcomes. Results: Clinical advantages were observed in body function (3.6kg increase in knee extension strength, 1.4kg increase in knee flexion strength, 0.9kg increase in hip abduction). Gait speed, which was the patient's primary limitation, was improved by 0.2m/sec. Conclusion: Based on the results of this study, application of the PNF concept would appear to improve gait speed and genu recurvatum in stroke patients.

Trend of Physical Therapy Research and Future Study (물리치료 연구동향과 미래연구)

  • Kim, Yong-Chun;Oh, Kyung-Hwan;Hwang, Seong-Soo;Oh, Kyung-A;Kown, Hei-Jeoung
    • Journal of Korean Physical Therapy Science
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    • 제1권2호
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    • pp.251-263
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    • 1994
  • This article considers the trend of Korea physical therapy reaearch. Because physical therapy research is important for the continued growth of the physical therapy profesion. Such research results in improved patient care and heightens the professional standing of the physical therapy field. The purpose of this article is to discuss a current research trend and to suggest a direction for developing a physical therapy research. We discussed a research design, purposes, and methods. Measurement are fundamental to the practice of physical therapy. The physical therapy evaluation is the foundation for the measurement of the outcome of our therapertic intervention. And we must measure thess outcomes. Achieving a high quality of physical therapy practice requires us to evaluate the client, selecting and adminstering a variety of tests and measurent. For the future study, physical therapist has a good treatment model and research program for evaluating and assessment.

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Transcallosal Ipsilateral Motor Pathway from the Unaffected Hemisphere in a Patient with Traumatic Brain Injury

  • Jang, Woo-Hyuk;Lee, Mi-Young;Kwon, Yong-Hyun;Jang, Sung-Ho
    • The Journal of Korean Physical Therapy
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    • 제26권3호
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    • pp.216-219
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    • 2014
  • Purpose: We presented with a patient with traumatic brain injury who showed a transcallosal ipsilateral motor pathway from unaffected motor cortex to affected extremities, as evaluated by diffusion tensor tractography (DTT). Methods: One patient and six age-matched normal subjects were enrolled. A 42-year-old left hemiparetic male who suffered from brain injury by motor vehicle accident 9 years ago showed a leukomalactic lesion in the right corona radiata and parieto-temporal lobe. His left extremities were completely paralyzed initially, but recovered slowly over 2 years. At the time of the evaluation, he was able to grasp and release an object, and to walk with spastic gait pattern. DTT was performed using 1.5 T with a Synergy-L Sensitivity Encoding head coil. DTT was obtained with termination criteria of FA <0.2 and an angle change > $45^{\circ}c$. Results: The motor tracts of the unaffected (left) hemisphere of the patient and control subjects originated from the motor cortex and descended along the known corticospinal tract without any transcallosal tract. By contrast, the tract of the affected (right) hemisphere originated from the left premotor cortex, descended through the left corona radiata, and then crossed the mid-portion of the corpus callosum. The tract then descended through the known corticospinal tract pathway to the right medulla. Conclusion: We conclude that the transcallosal ipsilateral motor pathway from the unaffected hemisphere appeared to contribute to the motor recovery in this patient.

Effect of Balance Ability of Knee Osteoarthritis with Lower Extremity Strengthening Exercise (퇴행성 슬관절염 환자의 하지 근력 강화운동이 균형능력에 미치는 영향)

  • Jang, Won-Sug;Bae, Sung-Soo;Jung, Yeon-Woo
    • Journal of the Korean Society of Physical Medicine
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    • 제2권1호
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    • pp.31-39
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    • 2007
  • Purpose : The main purpose of this study was to investigate the influence of lower extremity strengthening on balance ability of knee osteoarthritis. Methods : The walking exercise group with modality treatment and strengthening exercise group with modality treatment. The walking exercise and strengthening for 40 minutes per day and three times a week during 6 weeks period. Short Form McGill Pain Questionnaire(SFMPQ) was used to measure patient's pain level. Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. BPM was used to measure sway area. Global Perceived Effect Scale(GPES) was used to measure recovery or worse of patient's condition. Results : 1. SFMPQ was strengthening exercise group showed significantly decreased more than walking exercise group(p<.05). 2. PSFS was strengthening exercise group showed significantly increased more than walking exercise group(p<.05). 3. Sway area was strengthening exercise group showed significantly limited area more than walking exercise group(p<.05). 4. GPES was strengthening exercise group showed significantly increased more than walking exercise group(p<.05). Conclusion : This study will be used as exercise method of patient with osteoarhtritis.

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