• 한국전문물리치료학회지
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• 제2권2호
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• pp.98-107
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• 1995

Physical therapists use assumptions about motor control in every aspect of their work in treating stroke patients. An understanding of the recovery process after stroke, some neural mechanism of recovery and therapeutic model is critical factor for physical therapist to evaluate and obtain a higher final stage of recovery. The purpose of this article was to review the recovery process after stroke, some neural mechanism of recovery, the role of rehabilitation in the process of recovery, therapeutic model and its limitation. This article will help understanding of recovery process. evaluation, and treatment of the stroke patients. Each therapeutic method consists of a different set of assumptions and they are not completely independent of one another. Therefore specializing in any techniques of physical therapy will not be enough to treat stroke, so we are in need of integrated approach and objective measurement instrument to adequately evaluate and treat stroke patients.

• 대한물리치료과학회지
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• 제31권3호
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• pp.51-65
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• 2024

Background: The patients common have side effects of cognitive and function dysfunction after a stroke. According to specific factors which influence quality of life(QoL), the QoL of stroke survivors are impacted resulting from diverse interactions. Therefore, This study aims to suggest that we determines the relationship between cognitive function and stage of physical recovery and the quality of life as well as the degree of recovery by cluster analysis of the relationship between the degree of physical recovery and the quality of life Design: Randomized Methods: The following tests were used in this study to evaluate cognitive function, recovery stages and quality of life respectively: Cognitive function was measured using Korea-Mini Mental State Examination(K-MMSE). For evaluation of recovery stages, Brunnstrom Rrecovery Stage(BRS), quality of life was measured using Stroke Specific -Quality Of Life(SS-QOL). The sample size of this study was calculated using G*Power Version 3.1.9.7 (Franz Faul, University kiel, Germany, 2020). Based on moderate effect size of 0.15, a significance level (α) of 0.05, and power of 0.90 in the two-sided test, the calculation revealed that 88 patients were required for questionnaires. Results: The results of this study showed significant positive correlation(p<0.05). As a result of cluster analysis, in the case of the physical recovery stage, the degree of physical recovery improves from cluster 1 to cluster 3 and in the case of the quality of life, the quality of life improves from cluster 1 to cluster 3. However, it was confirmed that the change in the quality of life of cluster 1 and cluster 2 was not significant. These results show that the degree of physical recovery has a greater impact on the quality of life in the late stages of physical recovery, while the degree of physical recovery does not have a significant effect on the quality of life in the early and mid-term of the physical recovery stage. Conclusion: This study confirms that cognitive function, recovery stages and quality of life have significant correlations, and the recovery status has impacted on quality of life.

• 기본간호학회지
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• 제6권1호
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• pp.51-63
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• 1999

This study examined two differences in physical and psychological recovery patterns after surgery in the elderly. The sample consisted of 40 patients with abdominal surgery In five large hospitals in Seoul. The data for this study were collected from Apr. 20 to Nov. 26 by structured questionnaire, chart review and call. Physical recovery was assessed by ADL, a Cantril Ladder Scale and a Visual Analogue Scale. Psychological recovery was measured by the Geriatric depression Scale and a Cantril Ladder Scale. The data were analyzed using frequency, percentage, Pearson Correlation Coefficient, and MANOVA by SPSS/WIN. The result are as follows : 1. Physical recovery indicated significant improvement over time with the exception of ADL(F=.812 p=.449). Perceived physical health were significantly improved(F=6.189 p=.004). Pain & discomfort was significantly decreased(F=3.927 p=.025). 2. Perceived psychological health was significantly improved over time(F=20.648 p=.000), but depression showed no statistical significance improvement over time(F=1.393 p=.256). 3. There were no significant effects of sex, age, complication and combined chronic diseases on physical and psychological recovery patterns. 4. There were significant correlations between operation time and pain(r=-.331 p=.020), recovery time and perceived psychological health(r=-.320 p=.024), recovery time and pain(r=.404 p=.005). There were significant correlations between admision period and ADL(r=-.418 p=.004), perceived physical health(r=-.354 p=.014), depression(r=.280 p=.042), and perceived psychological health(r=-.447 p=.002). BRAS showed significant correlation with ADL(r=-.458 p=.002). 5. With an increase in the degree of perceived health(physical and psychological), ADL was significantly increased. With an increased in the degree of depression and pain, ADL and perceived health(physical and psychological) were significantly decreased. In conclusion, the elderly patient recovered significantly over time with the exception of ADL and depression. It these we suggested to considered when planning care for elderly patients.

• 한국전문물리치료학회지
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• 제30권1호
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• pp.78-85
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• 2023

Background: Despite fall prevention strategies suggested by researchers, falls are still a major health concern in older adults. Understanding factors that differentiate successful versus unsuccessful balance recovery may help improve the prevention strategies. Objects: The purpose of this review was to identify biomechanical factors that differentiate successful versus unsuccessful balance recovery in the event of a fall. Methods: The literature was searched through Google Scholar and PubMed. The following keywords were used: 'falls,' 'protective response,' 'protective strategy,' 'automated postural response,' 'slips,' 'trips,' 'stepping strategy,' 'muscle activity,' 'balance recovery,' 'successful balance recovery,' and 'failed balance recovery.' Results: A total of 64 articles were found and reviewed. Most of studies included in this review suggested that kinematics during a fall was important to recover balance successfully. To be successful, appropriate movements were required, which governed by several things depending on the direction and characteristics of the fall. Studies also suggested that lower limb muscle activity and joint moments were important for successful balance recovery. Other factors associated with successful balance recovery included fall direction, age, appropriate protective strategy, overall health, comorbidity, gait speed, sex and anticipation of the fall. Conclusion: This review discusses biomechanical factors related to successful versus unsuccessful balance recovery to help understand falls. Our review should help guide future research, or improve prevention strategies in the area of fall and injuries in older adults.

• 대한물리치료과학회지
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• 제15권1호
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• pp.21-28
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• 2008

The purposes of this study are to quantify energy expenditure by measuring oxygen consumption while performing occupational therapy activities most commonly used for adult hemiplegia patients, to recommend a optimal dosage of exercise by comparing energy expenditure according to the recovery stage, and to suggest a precaution in the treatment of patients with cardiac disorders. According to Brunnstrom recovery stages in hand function, subjects were allocated to group I(3rd and 4th Brunnstrom recovery stages) and group II(5th and 6th Brunnstrom recovery stages). Outcome measures included oxygen consumption, energy expenditure rate, and heart rate during each activity and in recovery period after the activity. Occupational activities including sanding activity, putty activity, and skateboard activity were carried out for all patients. In sanding and putty activities, there were significant differences of oxygen consumption and energy expenditure during the activity between groupⅠandⅡ(p<0.05), but there were not significant differences of oxygen consumption, energy expenditure and heart rate in the recovery period(p>0.05). In skateboard activity, there were no significant differences in oxygen consumption, energy expenditure and heart rates between the two groups during the activity and in the recovery period(p>0.05). The findings indicates that cardiovascular demands for basic activities usually peformed for a treatment may be depended on the physical recovery of patients with hemiplegia. Therefore, therapeutic activities for patients should be selected with the great care.

• 한국임상보건과학회지
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• 제4권3호
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• pp.634-643
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• 2016

Purpose. The purpose of this study was to progress the effect of gastrocnemius strength when groups are applicated on low-dye taping group and without taping group of flatfoot with arch-recovery exercise. Methods. Subjects were measured navicular drop test to confirm of 16 university student in J city, low-dye taping group and without taping group were applicated both with arch-recovery exercise, three times per a week for four weeks. The power track were measured four weeks, total 3 times. Comparative analysis of the control group and experimental group were investigated of gastrocnemius strength. Results. The results, we found that after of arch-recovery exercise were significantly increased than before of arch-recovery exercise in each foot. And application of low-dye taping(experimental group) in flatfoot with arch-recovery exercise were significantly increased than control group. Conclusions. In conclusion, the arch-recovery exercise application were effective to low-dye taping significantly increase the gastrocnemius strength of flatfoot.

• The Journal of Korean Physical Therapy
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• 제9권1호
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• pp.147-156
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• 1997

The purpose of this study is to determine the difference of reduction in lactic acid of blood in the course of time 1)whoa applying the blood cleaning therapy during recovery after anaerobic exercise, 2)when applying the massage during recovery after anaerobic exercise, and 3)while taking a rest during recovery after anaerobic exercise, respectively. The subject of this study consists of 30 men who are divided into three groups such as group 1(n=10) for the blood cleaning therapy, group 2(n=10) for the massage and group 3(n=10) for rest. The blood-gathering was performed over four times ; during rest, immediately after unaerobic exercise, and at 10 and 15 minutes during recovery. The results were summarized as fellows. 1. There was reduction in lactic acid when applying the blood cleaning therapy during recovery after anaerobic exercise. And remarkable differences were shown from immediately after exercise to at 10 and 15 minutes during recovery(p<0.01 and p<0.001, respectively). 2. There was also reduction in lactic acid when applying the massage during recovery after anaerobic exercise. No difference wan shown from immediately after exercise to at 10 minutes during recovery. However a remarkable difference was shown from immediately after exercise to at 15 minutes during recovery(p<0.05). 3. The rest group which took a rest during recovery after anaerobic exercise did not show any difference from immediately after exercise to at 10 and 15 minutes during recovery.

• Journal of Yeungnam Medical Science
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• 제22권2호
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• pp.119-130
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• 2005

Stroke is a leading cause of chronic physical disability. The recent randomized controlled trials have that motor function of chronic stroke survivors could be improved through physical or pharmacologic intervention in the stroke rehabilitation setting. In addition, several functional neuroimaging techniques have recently developed, it is available to study the functional topography of sensorimotor area of the brain. However, the mechanisms involved in motor recovery after stroke, are still poorly understood. Four motor recovery mechanisms have been suggested, such as reorganization into areas adjacent to the injured primary motor cortex (M1), unmasking of the motor pathway from the unaffected motor cortex to the affected hand, attribution of secondary motor areas, and recovery of the damaged contralateral corticospinal tract. Understanding the motor recovery mechanisms would provide neurorehabilitation specialists with more information to allow for precise prognosis and therapeutic strategies based on the scientific evidence; this may help promote recovery of motor function. This review introduces several methodologies for neuroimaging techniques and discusses theoretical issues that impact interpretation of functional imaging studies of motor recovery after stroke. Perspectives, for future research are presented.

• 대한물리치료과학회지
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• 제4권1호
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• pp.229-242
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• 1997

This study was performed to figure out effects of stroke rehabilitation on education using isokinetic exercise on physical function recovery. It is considered isokinetic exercise will playa primary role in muscle strength, ROM of joint, and body balance recovery for stroke rehabilitation and so far can be used as a basic references to increase the health of all people. The study consisted of 42 stroke patient(21 training group, 21 control group) diagnosed as cerebral hemorrhage from Oriental Rehabilitation Department of Kyung Hee University. Upper extremity and lower extremity exercise was performed in the training group using isokinetic ergometer. The recovery of physical function(muscle strength, ROM of joint, body balance) data between the two groups were compared and ana lysed by paired t-test are as followed. 1. Muscle testing record showed increased in the strength of elbow flexion, knee flexion, knee extension, ankle extension of the training group com paired to control group(p < .05). In the measurement of ROM, however other parts of the body motion showed no significant changes, only shoulder extension of the training group was increased(p < .05). 2. Body balance increase was highly significant in all training group compaired to control group(p<001). Based on these findings, stroke rehabilitation education with isokinetic ergometer showed available effects on recovery of physical function rehabilitation program with isokinetic exercise will play a primary role in the recovery of physical function of stroke or brain injury patients as well as to promote the health of all people.

• 대한물리치료과학회지
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• 제7권1호
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• pp.333-352
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• 2000

The objective of this study was to identify the effects of the cognitive performance of stroke patients on their motor function recovery after comprehensive rehabilitation management. The subjects of this study were 41 stroke in-patients of the Rehabilitation Hospital, College of Medicine, Yonsei University, hospitalized during the period from September 1, 1997 to May 5, 1998. The cognitive performance was measured using a Mini-Mental State Examination(MMSE) and the motor function recovery using Motor Assessment Scale(MAS). The data were analyzed by the paired t-test, independent t-test, a one way ANOVA, and Pearson's correlation coefficiency. The findings were as follows: 1. There was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 2. There was no significant difference found in relation to sex, age, cause of stroke, laterality of paralysis and the level of spasticity. However, there was a big difference between pre- and post-treatment regarding the treatment period. 3. In line with the cognitive performance level, there was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 4. The correlation between the elements of the cognitive performance and the motor recovery was found to be high in orientation, attention, calculation, and language. Those elements were expected to give larger effects on motor recovery after the comprehensive rehabilitation management. Based on this study, the cognitive performance level was found to play an important role in bringing effects on motor recovery after the comprehensive rehabilitation management of stroke patients. And the evaluation on the motor recovery based on quality would be also expected to be examined, as well as the cognitive performance level test accompanied by Intelligence Quality(IQ) test.