• Title/Summary/Keyword: Physical therapy approaches

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Path Analysis of Attitude Toward Health Checkup and Breast Cancer on the Application of Physical Therapy after Breast Cancer Surgery

  • Lee, Mi-Joung;Ro, Hyo-Lyun
    • 대한물리의학회지
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    • 제16권4호
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    • pp.45-53
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    • 2021
  • PURPOSE: This study examined women's attitudes toward the use of physical therapy in the treatment process after breast cancer surgery and the degree of interest in this application. Path analysis was conducted to discover the approaches to improve awareness of the necessity of physical therapy intervention after breast cancer surgery. METHODS: This study was a cross-sectional survey of 230 women aged 20 years and over with no history of breast cancer. The measurement tool used in this study was a structured questionnaire, composed of 17 items in five fields: five items on the demographic characteristics, four items related to health checkups, four items involving the viewpoints on breast cancer, one item related to the interest in breast cancer, and four items related to physical therapy after surgery. RESULTS: Women's attitudes toward regular health checkups were major factors in the prevention and treatment of breast cancer. In addition, those with higher levels of interest in breast cancer showed stronger interest in using physical therapy after breast cancer surgery. CONCLUSION: Women believe that breast cancer can be prevented through the health checkups implemented by the government. Therefore, there is a need to utilize public relations to promote methods for the self-diagnosis of breast cancer in the health checkup system and the use of physical therapy after breast cancer surgery.

Review on Physical Therapy for Patients with Vestibular Disorder

  • Kwon, Yong Hyun;Ko, Yu Min
    • The Journal of Korean Physical Therapy
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    • 제29권6호
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    • pp.316-323
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    • 2017
  • Effort to improve balance ability in the field of rehabilitation has been constantly issued and developed up to now. A variety of subcomponent of postural control including function and cognition should be needed in many body systems and be complicatedly linked to each system. In South Korea, although decreased postural dysfunction due to neurological or musculoskeletal disorders has been well documented, we do not have many experience and knowledge of vestibular rehabilitation for maintain and improve balance function. In the United States, vestibular physical therapy is already acknowledged as clinical subspecialty by American Physical Therapy Association. However, there is no curriculum subject related to vestibular rehabilitation in standard education of physical therapy and no specialist who has clinical experience and knowledge of this realm. Therefore, we reviewed general information and basic knowledge of vestibular rehabilitation such as current state of vestibular disorder in South Korea, pathology, major causes of vestibular dysfunction including peripheral vestibular disorders, vestibular neuritis, benign paroxysmal positional vertigo, and central disorder, evaluation of vestibular dysfunction, and treatment for vestibular dysfunction new approaches. We expect that physical therapist in South Korea recognize clinical significance of vestibular exercise and that clinical concern and research will be begun in near future.

원인근 테이핑 요법이 경추부 관절운동과 동통에 미치는 영향 (Effects of taping technique applied to muscles causing pain on cervical movement and pain)

  • 배중혁;양난희;김용권
    • 대한물리치료과학회지
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    • 제6권4호
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    • pp.145-151
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    • 1999
  • Pain is the most common symptom that brings a patient to the hospital. Repetitious stress and sprain injury result in various pains, and so we tried to improve cervical movement and release from pain by using taping technique of actual agonists and postural muscles in addition to psychological relaxation. The 4 patient with neck problems were applied Arikawa taping approaches. The flexor or extensor patterns were determined by Arikawa method at first. if the symptoms and patterns were similar, the taping was attached same point. After taping on major muscles of causing neck pain levator scapula, scalenus medius, sternocleidomastoid, splenius capitis, semispinalis capitis. - we found neck pain released and cervical ROM increased. In conclusion, we determined cervical movement related to rotation of splenius capitis, extention of semispinalis capitis, levator scapula, flexion and rotation of scalenus medius.

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노인의 인지기능에 따른 동적 균형과 삶의 질에 대한 비교 연구 (A Study of Comparative on Dynamic Balance and QOL according to Cognitive Function in Elderly)

  • 이광재
    • 대한물리치료과학회지
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    • 제19권4호
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    • pp.35-40
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    • 2012
  • Background : The purpose of this study is to provide the basic data. Elderly cognitive identify the difference between dynamic balance and quality of life according to the performance level of the clinical exercise therapy and cognitive training. Methods : This study was conducted to collect data from October 17th in 2011 until October 28th, to target seniors who living in Yong-in, Gyeonggi-do. Results : The results of the statistical analysis according to the cognitive ability to function. Higher cognitive functions, the dynamic balance ability was higher, and higher quality of life. Also showed that the dynamic balance ability and a high quality of life to the higher cognitive functions(p<.05). Conclusion : For the maintenance and promotion of cognitive function in the elderly, physical therapy approach seems to improve the quality of life and still plays an important role, as well as the promotion of dynamic balance ability. Therefore, to improve cognitive function is thought to be the appropriate intervention methods and approaches to be developed.

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노인낙상의 원인과 예방 (Cause and Prevention of Falling in the Elderly)

  • 정낙수;최규환
    • 한국전문물리치료학회지
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    • 제8권3호
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    • pp.107-117
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    • 2001
  • Falls are the most serious health problems in elderly population. They are a major cause of premature death, physical injury, immobility, psychosocial dysfunction, and nursing home placement. To reduce the alarming rate of falls and related excessive mortality and morbidity, efforts must be made to detect persons at risk of falling and to prevent or reduce the frequency of falls. To facilitate such approaches, it is essential to find the cause of falling (and under what conditions) of the elderly and the factors that are associated with risk of falling. This study was aimed at designing interventions that minimize risk of falling by ameliorating contributing factors while maintaining or improving patient's mobility.

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활성산소에 대한 고찰 (Review of Reactive Oxygen)

  • 형인혁;문상은;배성수
    • 대한물리의학회지
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    • 제1권1호
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    • pp.139-146
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    • 2006
  • Purpose : This study is to understand the reactive oxygen which is expected to be a causative factor of aging condition including dementia, atherosclerosis, even cancer. Methods : The reactive oxygen is generated usually when people do very hard exercise or is under severe stressful situation or in unhealthy environment and as a protective reaction to reactive oxygen, human body releases antioxidant enzyme systems like superoxide dismutase (SOD), catalase, glutathione peroxidase (GPX), glutathion-S-transferase (GST) and non-enzymetic antioxidant systems like glutathione, ascorbate, $\beta$-carotene, vitimin E. Results : Nowadays, we are getting more interested in the generation of reactive oxygen especially in the area of physical education, food and nutrition, alternative medicine etc. Conclusion : The study of reactive oxygen in patients with musculoskeletal disease is also required and among various physical therapeutic approaches, the method of general coordinative manipulation is considered more necessary.

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견관절 통증에 대한 테이핑적용 증례 (A Case Study: Effects of Taping Approach on the Shoulder Pain)

  • 박성일;배준호;김용권
    • 대한물리치료과학회지
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    • 제6권1호
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    • pp.889-895
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    • 1999
  • Pain is the most common symptom that brings a patient to the hospital. In general, two major interventions in pain control are pharmacotherapy and physical therapy. But recently introduced taping method that release pain at one time. The 7 patient with shoulder problems were applied Arikawa taping approaches. The flexor or extensor patterns were determined by Arikawa method at first, and the patients were tested and applied taping at comfortable patterns. We found that: 1)We applied taping approach to the 7 patient, and all of them improved pain and ROM; 2)If the symptoms and patterns were similar, the taping was attached same point; 3)Although several therapist participated in treatment, the effects are regular. It' s caused by ordinary character of taping approach; 4)The patient can attache easily himself; 5)The taping approach has side effects(skin problems, increasing pain, etc.). But if remove them, it's subside immediately. Thus the taping approach is not hazard.

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Effect of Botulinum Toxin Injection and Physical Therapy to Reduce Tongue Pain and Discomfort: Case Reports

  • Kwon, Dae-Kyung;Park, Hee-Kyung
    • Journal of Oral Medicine and Pain
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    • 제45권4호
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    • pp.120-123
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    • 2020
  • The causes of tongue pain and discomfort include systemic disease, malnutrition, mental illness, fungal infection, and neuropathy. Three postmenopausal women reported burning sensations and stiffness of the tongue for various periods, from one month to four years. There were no objective etiological factors to cause the tongue pain and discomfort. Muscular tenderness upon palpation of masticatory muscles, sternocleidomastoid, trapezius, and tongue were observed. Physical therapy approaches such as moist hot pack, ultrasound, and myomonitor were performed on three patients with tongue pain, just as for temporomandibular joint disease. Additional botulinum toxin injection therapy was applied to one patient who displayed a clenching habit. All three patients showed a marked improvement in their tongue symptoms after the muscle relaxation and botulinum toxin injection therapy.

An Unconventional Approach Considering Flexor Spasticity and Flexion Synergies of the Upper Extremity Following a Stroke: A Randomized Double-blind Pilot Study

  • Rha, Young Hyoun;Lee, Keun Hee;Shin, Jun Bum;Park, Kang Hui;Kim, Byung Sun;Ha, Jae Chan
    • 한국전문물리치료학회지
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    • 제29권2호
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    • pp.147-155
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    • 2022
  • Background: Although various conventional approaches have been employed to reduce spasticity in neurological rehabilitation, only a few studies have shown scientific evidence for its effectiveness. Thus, we introduced a different concept (Ueda method) of rehabilitation therapy that can complement the limitations of conventional therapy. Objects: This study aimed to investigate the immediate effects of the application of the Ueda method on patients with spasticity after stroke via an electrophysiological study. Methods: We conducted a randomized double-blind pilot study in two rehabilitation hospitals involving 30 stroke patients who were randomly allocated to the Ueda (n = 15) and convention (n = 15) groups. Electromyographic data of six examined muscles in both upper extremities of all patients were recorded. The A-ApA index and activation ratios of upper extremity muscles were evaluated and compared between the groups to confirm post-intervention changes in upper-extremity flexor spasticity and flexion synergies. Repeated-measures analysis of variance was conducted to confirm the therapeutic effect (2 × 2) as a function of group (Ueda vs. convention) and time (pre-/post-intervention) on all outcome measures (p < 0.05). Results: In the Ueda group, the mean A-ApA index values differed significantly before and after the intervention (p = 0.041), indicating a weak evidence level; however, the effect size was medium (d = -0.503). The interaction effects of the A-ApA index between the Ueda and convention groups and between pre-intervention and post-intervention stages were significant (p = 0.012). The effect size was large (np2 = 0.220). In the Ueda group, the activation ratios of the anterior deltoid fiber significantly decreased after the intervention in all reaching tasks. Conclusion: The Ueda method reduces upper-extremity flexor spasticity and changes its synergy in stroke patients and should be considered a rehabilitation therapy for spastic stroke patients.

Evidence-Based Physical Therapy for Anterior Cruciate Ligament Injury: Literature Review

  • Lim, Hyoung won
    • The Journal of Korean Physical Therapy
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    • 제31권4호
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    • pp.161-168
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    • 2019
  • Most athletes with anterior cruciate ligament (ACL) ruptures undergo a surgical ACL reconstruction (ACLR) and rehabilitation. On the other hand, controversy still exists because neither a reconstruction nor rehabilitation have been proven to be superior in the management of ACL injury. This study reviewed the success rates of interventions to provide recommendations for the optimal management after an ACL injury. One of the most important considerations after an ACL injury is the timing and type of intervention. At the early stages, which involve the loss of volume and strength of quadriceps femoral muscle, weight bearing (closed kinetic chain) exercises with pain management followed by high velocity resistance exercises in an open kinetic chain environment are recommended to improve the quadriceps function. After that, it is important to apply intensive isokinetic exercise with a lower extension rate. In this case, it is important to apply overload to the muscles and to simultaneously lead the co-contraction of the hamstrings. Standards are essential because the timing and type of interventions are crucial to prevent re-injury and complications, such as osteoarthritis, as well as to confirm the successful outcome of the treatment. Different interventions recommended for ACL damage have yet to reach consensus. Further studies will be needed to observe the effects of the intervention through multidisciplinary approaches.