• Title/Summary/Keyword: ROM(range-of-motion)

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The Effect of Repetitive Transcranial Magnetic Stimulation on H-Reflex Inhibition and Fascilitation of Range of Motion of Spastic Ankle Joint in Chronic Stroke Patients (만성 뇌졸중 시 반복경두개자기자극에 의한 경직성 발목관절의 관절가동 범위 향상 및 H-반사 억제 효과)

  • Cho, Mi-Suk
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.1
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    • pp.71-79
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    • 2011
  • Purpose : The purpose of this study was carried out to investigate the effect of repetitive transcranial magnetic stimulation on increase of H-reflex inhibition and fascilitation of range of motion of spastic ankle joint in chronic stroke patients. Methods : 30 chronic stroke patients were randomly divided into three groups, a control group(placebo rTMS group), 5 Hz rTMS group and manual therapy group. The MAS and ROM of ankle joint and H-reflex inhibition of soleus muscle were evaluated on each group. Results : The rTMS group decreased MAS of ankle joint and increased H-reflex inhibition of soleus muscle, and ROM of ankle joint than manual therapy group. The placebo rTMS group did not affected the change of MAS, ROM of ankle joint and H-reflex inhibition of soleus muscle. Conclusion : The rTMS was a good therapeutic tool to improve the foot drop in the chronic stroke patients.

Effect of Taping Therapy on the ROM, Pain, and Discomfort of Adults with Ankle Pain (테이핑요법이 발목부위 손상 대상자의 관절운동범위, 통증 및 불편감에 미치는 효과)

  • Jeong, Hyeon-Cheol;Lim, Nan-Young
    • Journal of muscle and joint health
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    • v.17 no.2
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    • pp.124-131
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    • 2010
  • Purpose: This study was intended to examine an effect of taping therapy for adults suffering from ankle pain. Method: A non-equivalent control group pretest-posttest design was used for the study. An experimental group had 32 subjects and a control group 23 subjects. Subjects from the experimental group were taped for 24 hours and thereafter their range of motion [ROM], pain, and discomfort in the injured ankle were evaluated. SPSS Windows was used for data analysis. Result: The degree of ROM of the taped experimental subjects was greater compared to that of non-taped control subjects. The score of ankle pain of the taped subjects was lower than that of non-taped subjects. The score of ankle discomfort of the taped subjects was lower than that of non-taped subjects. Conclusion: This taping therapy can be used independently by nurses as an effective nursing intervention to decrease ankle pain and discomfort after the injury of ankle, which would contribute to expanding a realm of nursing.

The Effect of Self-Streching Exercise on the Ankle Dorsiflexion Range of Motion and Gait of Older Women (노인의 발둥굽힘 관절가동범위와 보행에 대한 자가 신장 운동의 효과)

  • Choi, Bo-Kyung;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.15 no.3
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    • pp.8-16
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    • 2008
  • The range of motion (ROM) of ankle dorsiflexion in older women was associated with gait abnormalities and the risk of falls. The purpose of this study was to investigate the effect of self-stretching exercise on the flexibility of the plantar flexors of the ankle and the characteristics of gait in healthy elderly women. Fifteen participants were assigned randomly into an exercise (n=8) or control (n=7) group. The exercise group attended a self-stretching program approximately 30 minutes for 3 days per week for 4 weeks. The active ankle dorsiflexion ROM and gait measurements were taken prior to beginning the stretching program and 1 day after the last stretching day. Results showed that the active ankle dorsiflexion ROM was significantly increased in the exercise group than in the control group after the stretching program (p<.05). However, gait parameters, including gait speed, cadence, and stride length were not significantly different between the two groups (p>.05). The results suggest that a 4-week self-stretching program is capable of provoking a significant increase in ankle dorsiflexion ROM in elderly, community-dwelling women. Additional research is needed to investigate the effect of gait-specific exercise combined with stretching exercise on gait ability.

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Combination Effects of Self-Volar Gliding Using a Strap and Wrist Distraction on Pain and Wrist Extension Range of Motion in Subjects with Dorsal Wrist Pain

  • Kim, Ki-Song;Jeon, In-Cheol
    • The Journal of Korean Physical Therapy
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    • v.31 no.5
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    • pp.286-291
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    • 2019
  • Purpose: This study examined the effects of self-volar gliding combined with a strap and wrist distraction on pain and the active and passive wrist extension range of motion (ROM) in subjects with dorsal wrist pain during partial weight bearing of the hand. Methods: Thirty subjects (14 males and 16 females) with dorsal wrist pain during partial weight bearing through the hand participated in this study. The two different self-volar gliding techniques were performed for each group. Self-volar gliding using a strap (SVGS) and SVGS and wrist distraction (SVGSD) were performed five times for one week for each group. The active and passive ROM of wrist extension and the peak pressure pushed by the hand at pain (PPHP) were measured. An independent t-test was used to compare the improvements of these elements between the two different self-volar gliding techniques. The level of statistical significance was at ${\alpha}=0.05$. Results: The active and passive ROM of wrist extension and PPHP were greater in both self-volar gliding groups after the one week intervention. On the other hand, these parameters were greater in the SVGSD group than in the SVGS group (p<0.05) Conclusion: SVGSD is recommended to improve the active and passive ROM of wrist extension and PPHP in subjects with dorsal wrist pain during partial weight bearing of the hand.

Comparison of three different exercise trainings in patients with chronic neck pain: a randomized controlled study

  • Besta Hazal Gumuscu;Eylul Pinar Kisa;Begum Kara Kaya;Rasmi Muammer
    • The Korean Journal of Pain
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    • v.36 no.2
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    • pp.242-252
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    • 2023
  • Background: Neck pain is a common problem in the general population and second only to low back pain in musculoskeletal problems. The aim of this study is to compare three different types of exercise training in patients with chronic neck pain. Methods: This study was conducted on 45 patients with neck pain. Patients were divided into 3 groups: Group 1 (conventional treatment), Group 2 (conventional treatment plus deep cervical flexor training), and Group 3 (conventional treatment plus stabilization of the neck and core region). The exercise programs were applied for four weeks, three days a week. The demographic data, pain intensity (verbal numeric pain scale), posture (Reedco's posture scale), cervical range of motion ([ROM] goniometer), and disability (Neck Disability Index [NDI]) were evaluated. Results: In all groups, a significant improvement was found in terms of pain, posture, ROM, and NDI values in all groups (P < 0.001). Between the groups, analyses showed that the pain and posture improved more in Group 3, while the ROM and NDI improved more in Group 2. Conclusions: In addition to conventional treatment, applying core stabilization exercises or deep cervical flexor muscle training to patients with neck pain may be more effective in reducing pain and disability and increasing ROM than conventional treatment alone.

Effects of Therapeutic Massage and Home Exercise Program on Pain, Range of Motion, Depression, and Quality of Life after Arthroscopic Rotator Cuff Repair

  • Lee, Young-Min;Kwon, Jung-Won
    • The Journal of Korean Physical Therapy
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    • v.33 no.2
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    • pp.114-121
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    • 2021
  • Purpose: This study examined the effects of therapeutic massage (TMP) and home exercise program (HEP) on pain, range of motion (ROM), depression, and quality of life (QOL) after arthroscopic rotator cuff repair in middle-aged women. Methods: Nineteen middle-aged women who underwent arthroscopic rotator cuff repair were enrolled in the study. All subjects were assigned randomly to the experimental group (n=9) or the control group (n=10). The subjects in both groups performed HEP for 30 minutes, three times per day, for eight weeks. The subjects in the experimental group also performed HEP, with TMP being performed for 30 minutes, 16 sessions for eight weeks. All subjects were evaluated with a visual analogue scale (VAS), shoulder ROM, self-rating depression scale (SDS), and Korean brief version of WHO quality of life scale (WHOQOL-BREF). A paired t-test was performed to test the significant differences between before and after the intervention. An independent t-test was conducted to test the significant differences between the groups. Results: Following the intervention, both groups showed significant differences than before the intervention in the VAS, shoulder ROM, SDS, and WHOQOL-BREF (p<0.05). There were significant differences in the ROM of shoulder flexion, SDS, and WHOQOL-BREF between the groups (p<0.05). Conclusion: These findings suggest that intensive TMP is an effective method for improving shoulder flexion mobility, depressive symptom, and QOL in middle-aged women after arthroscopic rotator cuff repair.

Comparative Study of the Biomechanical Factors in Range of Motion, Muscle Activity, and Vertical Ground Reaction Force between a Forward Lunge and Backward Lunge

  • Park, Samho;Huang, TianZong;Song, Junyoung;Lee, Myungmo
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.98-105
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    • 2021
  • Objective: The purpose of this study was to examined the kinematic relationship and differences through the range of motion (ROM), muscle activity, and vertical ground reaction force (VGRF) during forward and backward lunge movements, which are effective in improving muscle strength and balance ability of the lower extremities, and to provide clinical information on more efficient lunge movements. Design: Cross-sectional study Methods: Fifteen adult males who met the selection criteria were tested for their dominant feet.Forward and backward lunges were then performed, and the ROM, muscle activity, and VGRF were measured for kinematic analysis during the lunge movement.The differences betweenthe forward lunge and backward lunge intervention were examined using a paired t-test. Results: A significant increase in the ROM of the knee and ankle was observed during the forward and backward lunges (p<0.05). In addition, in terms of the muscle activity, the peak values of the vastus medialis oblique (VMO) and VGRF also showed a significant increase in the forward lunge compared to the backward lunge (p<0.05). Conclusions: This study showed an increase in VGRF peak value, knee and ankle ROM, and VMO muscle activity during forward lunge. Based on these results, it is considered necessary to apply differently depending on the direction of progress in consideration of the musculoskeletal situation and physical ability during the lunge movement.

Comparison of the Mulligan Method and Electrotherapy in Pain Reduction and ROM Increase in Patients With Frozen Shoulder (동결견 환자의 관절범위 회복과 통증감소에 있어서 Mulligan 치료와 전기치료의 효과 비교)

  • Yoon, Jung-Gyu;Park, Ho-Joon;Chung, Bo-In
    • Physical Therapy Korea
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    • v.7 no.2
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    • pp.66-75
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    • 2000
  • A single subject experimental design (alternating treatment design) was used to compare the effects of Mulligan method and electrotherapy on the pain and limitation of range of motion in patients with frozen shoulder. In the Mulligan method sessions, the physiotherapist performed a posterior and caudal glide on the patient while the patient was performing shoulder flexion and abduction. In the electrotherapy sessions, the patient received ultrasound and interference current treatments. Mulligan method and electrotherapy were alternately performed on each patient. Pain was measured by visual analogue scale (VAS) and range of motion (ROM) was measured by modified finger ladder. The results showed that both Mulligan method and electrotherapy were effective in pain reduce and ROM increase, but Mulligan method was superior to electrotherapy in ROM increase while electrotherapy was superior to Mulligan method in pain reduce.

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A Home-Based Remote Rehabilitation System with Motion Recognition for Joint Range of Motion Improvement (관절 가동범위 향상을 위한 원격 모션 인식 재활 시스템)

  • Kim, Kyungah;Chung, Wan-Young
    • Journal of the Institute of Convergence Signal Processing
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    • v.20 no.3
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    • pp.151-158
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    • 2019
  • Patients with disabilities from various reasons such as disasters, injuries or chronic illness or elderly with limited body motion range due to aging are recommended to participate in rehabilitation programs at hospitals. But typically, it's not as simple for them to commute without help as they have limited access outside of the home. Also, regarding the perspectives of hospitals, having to maintain the workforce and have them take care of the rehabilitation sessions leads them to more expenses in cost aspects. For those reasons, in this paper, a home-based remote rehabilitation system using motion recognition is developed without needing help from others. This system can be executed by a personal computer and a stereo camera at home, the real-time user motion status is monitored using motion recognition feature. The system tracks the joint range of motion(Joint ROM) of particular body parts of users to check the body function improvement. For demonstration, total of 4 subjects with various ages and health conditions participated in this project. Their motion data were collected during all 3 exercise sessions, and each session was repeated 9 times per person and was compared in the results.

Immediate Effects of Myofascial Release Using Vibration Foam Rolling Methods on Hamstrings Range of Motion, Flexibility, Pressure Pain Thresholds and Dynamic Balance

  • Kim, Ho;Shin, Wonseob
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.2
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    • pp.2042-2051
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    • 2020
  • Background: Many trials have been conducted the methods and types of intervention of form rollers, but no research has been done yet that mixes the methods and types of intervention. Objectives: To analyze the effects of myofascial release on the improvement of range of motion (ROM), flexibility, pain pressure threshold, and balance. Design: Randomized controlled trial. Methods: All subjects measured ROM, flexibility, pressure pain threshold, and dynamic balance by pre-test. After pre-test, subjects were randomized that static-vibration foam rolling group (n=12), dynamic-vibration foam rolling group (n=12), general foam rolling group (n=12). For the intervention, 3 sets of 90 seconds were applied to each group, and rest time was set to 60 seconds between sets. In the post-test and follow-up test after 10 minutes, all three groups were measured the ROM, flexibility, pressure pain threshold, and dynamic balance. Results: The results of comparing ROM, flexibility, pressure pain thresholds, dynamic balance ability appeared higher significant difference in the pre-post-10 minutes follow up test in comparison between time in the intragroup (P<.001). As a result of comparing the change of pre-post-10 minutes follow up, static vibration foam rolling showed higher significant difference compared to control groups (P<.001). Conclusion: Through this study, when foam rolling is applied within the same intervention time, static foam rolling can be expected to have a better effect than the existing dynamic foam rolling as well as vibration foam roller can expect better effect than general foam rolling.