• Title/Summary/Keyword: Physical rehabilitation

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Pain and Weakness on Unilateral Upper Extremity Diagnosed as Brachial Plexopathy after Herpes Zoster Infection (대상포진후 상완신경총병증으로 진단된 편측 상지의 통증과 위약)

  • Cho, Junmo;Kang, Si Hyun;Seo, Kyung Mook;Kim, Don-Kyu;Kim, Du Hwan;Shin, Hyun Iee
    • Clinical Pain
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    • v.19 no.2
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    • pp.124-128
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    • 2020
  • Motor paralysis is a less common neurologic complication of herpes zoster. Until now, a few cases have been reported, and most of these cases showed brachial plexopathy involving one or two segments. We report a patient with pain and weakness on upper extremity diagnosed as brachial plexopathy after herpes zoster infection. An 88-year-old female patient complained not only tingling sense, pain, and swelling on right whole arm, but also weakness on this right upper extremity. On physical examination, weakness is seen in right shoulder abduction·shoulder flexion·elbow flexion·elbow extension· wrist extension (grade 4), finger flexion·finger abduction·finger extension·finger DIP flexion (grade 3). In electrodiagnostic study and magnetic resonance imaging study, she was diagnosed as the brachial plexopathy, whole branch involved. This is the only case of post-herpetic brachial plexopathy involving whole branch in domestic.

Effect of Dynamic Balance Exercise in Elderly Patients with Unilateral Knee Osteoarthritis (편측성 슬관절 골관절염이 있는 노인환자에서 동적균형운동의 효과)

  • Lee, Bong-Yeon;Shin, Woo-Yong;An, Min-Ji;Yoon, Seo-Ra;Choe, Yuri
    • Clinical Pain
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    • v.18 no.1
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    • pp.16-23
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    • 2019
  • Objective: To evaluate the effectiveness of dynamic balance exercise after intra-articular injection of hyaluronic acid (HA) therapy in elderly patients with unilateral knee osteoarthritis. Method: 30 patients with unilateral knee osteoarthritis were enrolled in this study. The patients were randomly divided into two groups: dynamic balance exercise after HA injection group (group A) and only HA injection group (group B). Both groups administered intra-articular HA injection and group A patients continued 20-session exercises for 4 weeks. The assessments were measured before injection and 4 weeks after treatment using the visual analog scale (VAS) for pain, the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for physical function, Berg balance scale (BBS), and computerized dynamic posturography using SMART Balance Master system for balance function. Results: In both groups, significant improvements in VAS, WOMAC and balance function were observed. Compared between groups, group A showed significant improvements compared to group B in WOMAC and balance function. Conclusion: It is suggested that dynamic balance exercise may result in improved balance function and physical function in elderly patients with unilateral knee osteoarthritis.

Actual Situation of the Intern Physical Therapist at Hospitals in the Seoul Metropolitan Region (수도권 소재 일부 의료기관의 인턴물리치료사 관련 실태)

  • Lee, Byung-Joon;Yun, Mi-Jung;Lee, Kyoung-Suk;Lee, Hwang-Jae;Lee, Wan-Hee
    • The Journal of Korean Physical Therapy
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    • v.25 no.2
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    • pp.64-70
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    • 2013
  • Purpose: The purpose of this study was to provide information and suggestions for improvement of the intern physical therapist. Methods: I used 'intern physical therapist' as a keyword, and searched using the Google Search Appliance. Hospitals in the Seoul metropolitan region were selected. Twenty six hospitals that operate the intern physical therapist system were selected. A survey was conducted using questionnaires from August 20, 2012 to August 30, 2012. Among the 26 submitted questionnaires, 24 responded, and the results were analyzed using IBM SPSS Statistics 19.0. Results: 1. Education: (1) Sexual harassment prevention training, infection control training was lower at the rehabilitation hospital and semi hospital than at the university hospital and general hospital. (2) The rehabilitation hospital provided more education for intern physical therapists than the university hospital. (3) University hospital practice location was more diverse than that of the rehabilitation hospital. (4) In the rehabilitation hospital, education of practical skill was somewhat higher. 2. The employment rate of people who have completed an internship was higher in the rehabilitation hospital than the university hospital. Conclusion: Trial employment is more reasonable than intern physical therapist at the semi general hospital and rehabilitation hospital. Council is needed for decisions regarding internship training curriculum.

A Study of Manual Therapy of Korea (한국 수기치료(手技治法)에 대한 연구)

  • Kim, Hyo-Jeong;Hong, Ji-Heon;Lee, Jeon-Hyeong;Kim, Jung-Sun
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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    • pp.213-218
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    • 2007
  • Purpose : this purpose of this study is to research manual therapy of korea. Methods : This is literature study with books, articles, and web site for manual therapy of korea Results : Manual therapy of korea is prevention and treatment a disease with stimulated in body by hand. Manual therapy of korea include jiap, anma, chuna, body correction, massage and so forth. Conclusion : Manual therapy of korea has been developed by means of variety method and its scientific effects has been proven. Therefore, Manual therapy of korea must development as filed of physical therapy.

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The Effect of Microcurrent Electrical Stimulation on the Articular Cartilage Recovery in Osteoarthritis (비침습식 미세전류자극이 실험적으로 유발된 흰쥐의 골관절염 회복에 미치는 영향)

  • Bang, Hyun-Soo;Kang, Jong-Ho;Cheon, Song-Hee;Kim, Min-Hee;Park, Soo-Jin;Kim, Jin-Sang;Park, Rae-Joon
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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    • pp.151-159
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    • 2007
  • Purpose : The purpose of the study was to investigate the effect of cold application on knee joint in rats induced by osteoarthritis. Methods : Osteoarthritis was induced in female Sprague-Dowley rats by injecting into articular cavity of knee joint with 4% Kaolin, 2% carrageenan. Rats were divided randomly into the control and MES applicated group. The Experimental group was applicated MES in rat knee joint for 30 minutes. Results : Recovery of articular cartilage surface and thickness of articular cartilage increased after MES application. And chondrocytes were distributed widely throughout the cartilage matrix. The physical effects of Microcurrent Electrical Stimulation. Decrease in blood flow. Delay of neurotransmitter velocity Decrease in metabolism activity and inhibit the progress of the infection. Decrease in pain and muscle rigidity, inhibition of circulation Conclusion : This study shows that MES application affects articular cartilage recovery in osteoarthritis.

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The Effects of Trunk Stability Education in Pelvic Stabilization (체간안정화 교육이 골반안정성에 미치는 효과)

  • Lee, Hando;Kim, Hyerim;Kim, Hyunjung;Choi, Eunhwa;Son, Byeonggi;Park, Jungbo;Park, Juyoul;Kim, Taeho
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.4
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    • pp.57-66
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the effects using pressure biofeedback and teaching abdominal hollowing exercise on pelvic stabilization during the active straight leg raising test. METHOD: The subjects were divided into 3 groups who were fourty eight healthy participants, aged 20~25 years recruited for this study. First group wad control group. This group didn't any education. Second group was teaching them for a week. And last group was teaching abdominal hollowing exercise. The rotation angles of pelvic were measured by the motion anayalyser on flat surface and on form roll for the active leg raising. RESULT: Using pressure biofeedback and teaching abdominal hollowing exercise groups were significantly effective than control group in rotation angles of pelvis. And using pressure biofeedback group was more effective than teaching core stability muscles contraction group. CONCLUSION: This study suggested that patients with low back pain and pelvic instability can improve pelvic stabilization through pressure biofeedback and teaching abdominal hollowing exercise.

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

  • Kyung-Tae Yoo
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.3
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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.

Effect of Combined Therapy of Robot and Low-Frequency Repetitive Transcranial Magnetic Stimulation on Hemispatial Neglect in Stroke Patients

  • Kim, Sang Beom;Lee, Kyeong Woo;Lee, Jong Hwa;Lee, Sook Joung;Park, Jin Gee;Lee, Joung Bok
    • Annals of Rehabilitation Medicine
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    • v.42 no.6
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    • pp.788-797
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    • 2018
  • Objective To investigate the effect of upper limb rehabilitation combining robot with low-frequency repetitive transcranial magnetic stimulation (rTMS) on unilateral spatial neglect in stroke patients. Methods Patients who had hemispatial neglect after right hemisphere stroke were randomly divided into rTMS only group, robot only group, and combined group. All groups received conventional neglect therapy and additional treatment for each group. rTMS group received rTMS therapy. Robot group received robot therapy, while combined group received both therapies. The effect of therapy was assessed with Motor-Free Visual Perception Test-3 (MVPT-3), line bisection test, star cancellation test, Catherine Bergego Scale (CBS), Mini-Mental State Examination (MMSE), and the Korean version of Modified Barthel Index (K-MBI). These measurements were evaluated before and after treatment. Results For each group, 10 patients were recruited. There were no significant differences in baseline characteristics or initial values among the three groups. Two weeks after the therapy, all groups showed significant improvement in MVPT-3, line bisection test, star cancellation test, CBS, MMSE, and K-MBI. However, changes in measurements showed no significant differences among groups. Conclusion Treatment effect of the combined therapy of robotic therapy and low-frequency rTMS therapy for hemispatial neglect was not statistically different from that of each single treatment. Results of this study did not prove the superiority of any of the three treatments. Further study with large number of patients is needed to evaluate the superiority of these treatments.

Physical therapist perception survey for muscle re-education through visual feedback obtained from rehabilitative ultrasound imaging

  • Yoo, Jun Sang;Ha, Hyun Geun;Jeong, Ju Ri;Ko, Young Jun;Lee, Wan-hee
    • Physical Therapy Rehabilitation Science
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    • v.5 no.1
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    • pp.47-52
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    • 2016
  • Objective: This study surveyed the perceptions of physical therapists on muscle re-education through visual feedback obtained from rehabilitative ultrasound imaging (RUSI). Design: Survey. Methods: For this study, 500 physical therapists who participated in a refresher training held by the Seoul City Association in March 2015 were selected for a questionnaire-based survey. Subjects were randomly selected targets physiotherapists who participated in a refresher training.The questionnaire had 21 items in total. Questions 1 to 15 could be answered by everyone. However, questions 16 to 21 could be answered only by people who used RUSI. Results: The majority of respondents were aged 20 to 30 years. Respondents in their twenties, thirties, forties, and fifties accounted for 32.4%, 40.2%, 21.9%, and 5.6%respectively. Therapists with careers spanning one to 5 years accounted for 27.8%, while those with careers spanning 5 to 10 years and 10 to 15 years accounted for 34.6% and 17.0%, respectively. Those with careers over 20 years accounted for 9.2%. The types of work have not been various including work related to the nervous system (49.0%), the musculoskeletal system (41.5%), sports (0.7%), juvenile physical therapy (4.2%), and others (4.6%). Conclusions: In this study, we examined the perceptions of physical therapists on rehabilitation ultrasound imaging used in muscle re-education. We also examined how to use this technique. Many therapists who participated in the refresher training were found to be unaware of RUSI. In the future, further investigations on RUSI for muscle re-education are required through refresher training or training lectures at the national level.