• Title/Summary/Keyword: Physical rehabilitation

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The Effects of Lower Limb Training Using Sliding Rehabilitation Machine on the Foot Motion and Stability in Stroke Patients

  • Lee, Kwan-Sub;Kim, Kyoung;Lee, Na-Kyung
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.24-29
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    • 2015
  • Purpose: The purpose of this study was to investigate the effect of lower limb training using a sliding rehabilitation machine on the foot motion and stability in stroke patients. Methods: Thirty participants were allocated to two groups: Training group (n=15) and Control group (n=15). Subjects in the control group received physical therapy for 30 minutes, five times per week, and those in the training group received lower limb training using a sliding rehabilitation machine for 30 minutes, five times per week, with physical therapy for 30 minutes, five times per week, during a period of six weeks. Heel rotation, hallux stiffness, foot balance, metatarsal load, toe out angle, and subtalar joint flexibility were measured by RS-scan. Results: Significant improvement of the foot motion (hallux stiffness, meta load) and the foot stability (toe out angle, subtalar joint flexibility) was observed in the training group. Conclusion: This study demonstrated that lower limb training using a sliding rehabilitation machine is an effective intervention to improve the foot motion and stability.

A Study of Physical Therapy Curriculum (물리치료학과 교육과정 연구)

  • Kim On-Ju;Nam Jae-Man;Lee Seung-Min;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.241-251
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    • 1998
  • This research has been studied proper physical therapy curriculum to produce 21 century physical therapist according to the change of the times by industrialization and specialization. The curriculums of 13 colleges and 5 universities was analysed. The curriculum analysis was made up the comparision and the analysis by a liberal arts point the teaching profession point a major point a clinical practice paint the rates of total opening subjects. The analyzing results were as follows: 1. A point of the credits a liberal elective subject is the small number 2. To deeping of major by spreading major foundation 3. Lack of the time for the clinical practice education.

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Preliminary Study on the Effects of Virtual Reality-based Cognitive Rehabilitation and Computer-based Cognitive Rehabilitation on Function and Prefrontal Cortex in Convalescent Stroke Patients (가상현실기반 인지재활훈련과 컴퓨터기반 인지재활훈련이 회복기 뇌졸중 환자의 기능과 전전두엽 피질에 미치는 영향에 대한 사전연구)

  • Hyun-Min Lee;Soo-San Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.103-114
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    • 2023
  • PURPOSE: This study compared the effects of computer-based and virtual reality-based cognitive rehabilitation programs on the cognitive function, upper limb function, activities of daily living, and their impact on the prefrontal cortex in convalescent stroke patients. METHODS: Ten recovering stroke patients were assessed for their cognitive function, upper limb function, and daily living activities using the Neurobehavioral Cognitive Status Examination, the Korean version of the Fugl-Meyer Assessment, and the Korean version of the Modified Barthel Index. The prefrontal cortex activity was measured with functional Near Infrared Spectroscopy. The virtual reality-based cognitive rehabilitation group utilized a program of daily living activities delivered via a laptop and Oculus Rift. The computer-based cognitive rehabilitation group performed various cognitive tasks on an all-in-one PC. Both groups underwent cognitive rehabilitation training for 30 minutes per day, three times a week, for six weeks, with identical conventional rehabilitation therapies in the hospital. RESULTS: Both programs positively impacted the cognitive and physical functions. On the other hand, the virtual reality-based cognitive rehabilitation program had a larger influence on improving the cognitive and physical functions of convalescing stroke patients. CONCLUSION: The virtual reality program suggests its potential to enhance cognitive and physical functions in convalescent stroke patients through increased engagement, focus, real-time feedback, and game elements, making it a promising rehabilitation approach.

The effects of hallux valgus on ankle plantarflexor and dorsiflexor torque (무지외반이 족관절 저굴근과 배굴근의 우력에 미치는 영향)

  • Lee, Yun-Seob;Kown, Young-Shil;Song, Ju-Young;Nam, Ki-Won;Song, Ju-Min;Gu, Sang-Hun;Choi, Hyun-Im;Choi, Jin-Ho;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.325-333
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    • 2001
  • The purpose of this study was to find out the effects of hallux valgus on the ankle plantarflexor and dorsiflexor peak torque, on the total work, on the average power, and on the Peak torque of plantarflexor to dorsiflexor ratio values. Isokinetic ankle plantarflexor and dorsiflexor strength was evaluated in 30 women(control: 15, hallux valgus: 15) by Cybex NORM System. Test data was gathered in the right ankle at a speed of 60/sec, 90/sec, 120/sec in the control group and the hallux valgus group. Statistical analysis was performed using SPSS 10.0 for windows software. Mean and standard deviations were measured and calculated for the General characterristic of subjects. A paired t-test was used to examine the differnces in the means for the ankle plantarflexor and dorsiflexor between two groups. Pearson coefficient correlation was used to examine the correlation of the hallux valgus and the peak torque. Analysis of variance indicated that isokinetic values of the control group were greater than the hallux valgus group(p<.05, p<.01).

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Treatment of Congenital Muscular Torticollis with Unipolar Release (단극개방완화를 이용한 선천성 근육성 사경의 치료)

  • Park, Myong Chul;Song, Hyun Suk;Kim, Chee Sun;Yim, Shin Young;Park, Dong Ha;Pae, Nam Suk;Lee, Il Jae
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.38-45
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    • 2009
  • Purpose: The congenital muscular torticollis is a neck deformity involving shortening of the sternocleidomastoid muscle, which is detected at birth or shortly after birth. This childhood disease is the third most common congenital musculoskeletal anomaly. The indication for surgery is a persistent head tilt with dificit of passive rotation and lateral bending of the neck and a tight band or tumor in the sternocleidomastoid muscle even after physical therapy. The purpose of this article is to report surgical outcomes with patients who had no or little response to physical therapy. Methods: Surgery was performed on 29 patients and their average age was 4.1 years (from 6 months to 20.1 years). The unipolar open release and partial myectomy were done in 28 cases and the muscle lengthening was done in 1 case. Physical therapy was started from postoperative seventh day. Follow - up period was ranged from 2 months to 5.4 years(mean follow - up, 20.4 months). Result: There were neither rotation nor lateral bending deficit after surgical treatment. Mild head tilt was noticed in 3 cases and residual bend was observed in 4 cases. The subjective assessments of surgical results by parents were excellent. Conclusion: Our surgical outcome encourages the surgical treatment of congenital muscular torticollis for patients who failed to respond to physical therapy.

Physical Therapy Approach and Management for Lymphedema : Expert Opinion (림프부종의 물리치료적 접근과 관리 : 전문가 견해)

  • Lee, Hwa-Gyeong;Kim, Seong-Yeol;Choi, Kyoung-Wook
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.73-84
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    • 2022
  • Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care. Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema. Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient. Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

Rehabilitation Strategies in Lifestyle Intervention for Improving the Physical Function of the Knee (무릎의 신체 기능 개선을 위한 생활방식 중재 재활 전략)

  • Lim, Jongmin;Yoon, Bumchul
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.65-72
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    • 2018
  • Purpose: Lifestyle intervention (LSI) provides basic recommendations that improve the quality of life and health of patients with minor disabilities. The LSI intervention strategies are associated with active living, healthy weight, healthy eating, and emotional stability. These intervention strategies can change an unhealthy lifestyle to a healthy lifestyle and provide important health care information. Main issue: This study focused on a new LSI-based knee rehabilitation protocol and proved the effect of exercise prescription on the knee. The clinical significance of this study demonstrated that continuous rehabilitation, effective rehabilitation, and recurrence prevention can be achieved by prescribing the appropriate exercise for patients after discharge. Therefore, practical lifestyle medicine knowledge and information are provided by the home-based rehabilitation self-exercise program with the new LSI-based knee rehabilitation protocol. Conclusions: The LSI-based protocol can improve and maintain health conditions and knee function. With the aim of improving self-care abilities, this program is expected to make significant contributions recurrence prevention, reduced mortality, and improved quality of life, physical function, and fitness.

Correlation of Neuropsychological Symptoms and Incidence for Hemiplegia with Pusher Syndrome (편마비 환자의 밀기증후군 발생빈도와 신경정신학적 증상과의 관계)

  • Park, Yi-Su;Lee, Kang-Noh;Jang, Kee-Woo;Park, Sung-Il
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.1-7
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    • 1999
  • The objectives of this study was to investigate the incidence and any correction between hemiplegia with pusher syndrome and neuropsychological symptoms such as hemineglect and anosognosia. Pusher syndrome defines that the patient leans toward the hemiplegic side regardless of the position that patient was placed on and resists any attempt for passive correction of posture that would move his weight toward the midline of the body. The subjects of this study were 69 acute hemiplegia who had been rehabilitated at department of rehabilitation medicine, Asan Medical Center from May 1. 1999 through July 31. 1999. The data were analyzed by researchers who were trained for assessment of anosognosia and hemineglect. 12 subjects were excluded for confusion. The method of statistical analysis used for our study was Fisher's exact test. Results of the study disclosed 21 hemiplegia(38.6%) with pusher syndrome. In conclusion, these hemiplegic patients with pusher syndrome did not have any correlation with hemineglect and anosognosia and also had no preference of stroke side.

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Effects of a Physical Therapy Program on Quality of Life, and Neck and Shoulder Disability in Patients With Head and Neck Cancer (두경부암 환자를 위한 물리치료 프로그램이 삶의 질, 목과 어깨의 장애 정도에 미치는 영향)

  • Do, Jung-Hwa;Jung, You-Hoi;Song, Eun-Ji;Jung, Soon-Yong;Cho, Young-Ki
    • Physical Therapy Korea
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    • v.20 no.1
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    • pp.36-46
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    • 2013
  • This study examined the effects of a physical therapy program on quality of life (QOL), and neck and shoulder disability in head and neck cancer patients. The program included neck and shoulder range of motion (ROM) exercises, massage, progressive strengthening exercises, and stretching exercises. Sixteen patients who were assigned to an experimental group performed physical therapy for 40 minutes three times a week for eight weeks. Fifteen other patients were assigned to a control group who did not performed the physical therapy program. The European organization for research and treatment of cancer (EORTC QLQ-C30) and head and neck (EORTC QLQ-H&N) instruments, and the Neck Disability Index (NDI) were assessed before and after the rehabilitation program. The 40-minute program consisted of a 10-minute ROM exercise for the neck and shoulder, a 10-minute massage and 15-minute of progressive resistance exercises, followed by a five-minute stretching exercises. Statistically significant differences were noted for changes in global health, physical function in the EORTC QLQ-C30 and cancer related symptoms in the EORTC QLQ-H&N35 (p<.05). The NDI also showed significant differences (p<.05). Physical therapy may therefore benefit the physical aspects and QOL and improve neck and shoulder disability in patients with head and neck cancer.

Effect of Local Vibration on Elbow Joint in Position Sense and Maximal Grip Force (국소적 진동 적용이 주관절의 위치 감각과 최대악력에 미치는 영향)

  • Heo, Gwang-Ho;Lee, Hyun-Min;Choen, Song-Hee;Bang, Hyun-Soo;Kang, Jong-Ho;Kim, Jin-Sang
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.3
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    • pp.145-149
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    • 2008
  • Purpose : The purpose of this study was evaluate the effects of vibration on joint position sense. Methods : The subjects were divided into vibration group(n=20) and control group(n=20). Vibration group was given local vibration on elbow joint for 15 minutes and control group was given resting 15 minutes by resting position. All subjects of each group were tested pre-post on maximal grip force and joint position sense. Results : Maximal grip force test and joint position sense test of vibration group was showed a significant difference between pre and post(p<0.05). Conclusion : There was a different change on maximal grip force and joint position sense.

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