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

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The Effects of IFC and Ultrasound on the ROM and Pain in Patients with Chronic Back Pain (간섭전류와 초음파가 만성 배근 통증을 가진 환자의 통증과 관절가동범위에 미치는 영향)

  • Park, Jung-Seo;Lee, Jeong-Woo;Lee, Ji-Yeun
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.9 no.1
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    • pp.23-28
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    • 2011
  • Purpose : The purpose of study was to better understand the effects of Interferential Current (IFC) and Ultrasound on the ROM and pain in patients with chronic back muscle pain. Methods : Twenty patients with chronic back pain were randomly assigned to IFC stimulation groups and Ultrasound stimulation groups. Both groups used the same method for 20 minutes each session, three times a week for 4 weeks at the same time point and with the same amount of treatment. Measurement items are visual analogue scale (VAS) and range of motion (ROM). Results : This study showed that the IFC stimulation group and the ultrasound stimulation group demonstrated significant improvement in ROM increase and pain reduction. Both groups showed a significant reduction in VAS; however, the ultrasound stimulation group decreased more than ultrasound stimulation group. And, both groups showed a significant increase in ROM. The ultrasound stimulation group increased significantly more than the IFC stimulation group in ROM of flexion and extension. The IFC stimulation group increased significantly more than the ultrasound stimulation group in ROM of lateral flexion. Conclusion : Pain relief was more effective in the ultrasound group. The ultrasound showed a more significant effect than IFC in ROM of flexion and extension. The IFC showed a more significant effect than ultrasound in ROM lateral flexion. The results of this study suggest that the treatment effects are different on patients with chronic back pain, according to treatment methods.

Effects of Thoracic Expansion and Diaphragm Breathing Exercises on Pain and Function in Patients with Rotator Cuff Repair (가슴우리팽창과 가로막 호흡운동이 돌림근띠 복원술 환자의 통증과 기능에 미치는 효과)

  • Myung-Soo Song;Beom-Ryong Kim
    • PNF and Movement
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    • v.21 no.1
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    • pp.95-105
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    • 2023
  • Purpose: The study aims to determine the effect of a breathing exercise on shoulder pain, range of motion (ROM), and forward head posture in patients with rotator cuff repair. Methods: In total, 25 patients with rotator cuff repair were included in this study. The experimental group (n = 13) underwent a breathing exercise, while the control group (n = 12) received traditional physical therapy. The visual analogue scales (VASs) for pain, flexion and abduction ROM, and the craniovertebral angle (CVA) of both groups were recorded at both pre- and post-intervention. Paired t-tests were used to determine significant changes in the post-intervention compared with the pre-intervention period, and independent t-tests were used to analyze differences in dependent variables between the two groups. Results: After the two-week intervention, the experimental group experienced a significantly decreased VAS (p < 0.05) and significantly increased ROM and CVA (p < 0.05), while the control group experienced a significantly decreased VAS (p < 0.05). Further, the experimental group that underwent the breathing exercise showed greater improvements in flexion and abduction ROM and in the CVA than the control group (p < 0.05). Conclusion: The results suggested that a breathing exercise can reduce shoulder pain and enhance ROM and posture in patients with rotator cuff repair.

A Systematic Review on Rehabilitation Research for Improving the Range of Motion of Shoulder Joint Motion in Patients with Breast Cancer Resection (유방암 절제술 환자의 어깨 관절가동범위 증진을 위한 재활 연구에 관한 체계적 고찰)

  • Park, Bo-Ra
    • Journal of Convergence for Information Technology
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    • v.10 no.11
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    • pp.257-264
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    • 2020
  • The purpose of this study is to investigate the types and effects of rehabilitation by systematically examining the rehabilitation research for improving the shoulder ROM in breast cancer resection patients. For a systematic review, a total of 8 studies were finally selected through three databases including RISS. As a result of this study, the level of qualitative was 4 studies(50.0%) in level III, and the rehabilitation period varied from 4 weeks to 12 weeks. As for the type of rehabilitation, 3 studies(37.5%) were occupational therapy and physical therapy. The ROM of the shoulder joint was 7 studies(87.5%) of flexion, extension, and external rotation. A goniometer was used in 8 studies(100.0%) to evaluate the ROM of the joint as a measuring tool. This study is expected to provide basic data in the field of convergence when developing and applying interventional protocols for patients with limited ROM due to breast cancer resection.

Pelvic, Hip, and Knee Kinematics of Stair Climbing in People with Genu Varum

  • Chae, Yun Won;Park, Seol;Park, Ji Won
    • The Journal of Korean Physical Therapy
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    • v.30 no.1
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    • pp.14-22
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    • 2018
  • Purpose: This study examined the effects of the lower limb alignment on the pelvis, hip, and knee kinematics in people with genu varum during stair walking. Methods: Forty subjects were enrolled in this study. People who had intercondylar distance ${\geq}4cm$ were classified in the genu varum group, and people who had intercondylar distance <4cm and intermalleolar distance <4cm were placed in the control group. 3D motion analysis was used to collect the pelvis, hip, and knee kinematic data while subjects were walking stairs with three steps. Results: During stair ascent, the genu varum group had decreased pelvic lateral tilt and hip adduction at the early stance phase and decreased pelvic lateral tilt at the swing phase compared to the control group. At the same time, they had decreased minimal hip adduction ROM at the early stance and decreased maximum pelvic lateral tilt ROM and minimum hip rotation ROM at the swing phase. During stair descent, the genu varum group had decreased pelvic lateral tilt at the early stance and decreased pelvic lateral tilt and pelvic rotation at the swing phase. In addition, they had decreased pelvic frontal ROM during single limb support and increased knee sagittal ROM during the whole gait cycle. Conclusion: This study suggests that a genu varum deformity could affect the pelvis, hip and knee kinematics. In addition, the biomechanical risk factors that could result in the articular impairments by the excessive loads from lower limb malalignment were identified.

Effect of Intensively Complex Physical Therapy Program on Pain, Range of Motion and Muscle Function in Traumatic Low Back pain: A preliminary study (집중 복합 물리치료 프로그램이 외상성 요통 환자의 통증, 관절가동범위와 근기능에 미치는 영향: 예비연구)

  • Young-Hyeon, Bae;Moon-Ju, Ko;Young-Bum, Kim;Sung Shin, Kim;Kyung-Ju, Seo; Chan, Park;Sun-Mi, Kim;Joon-Kyung, Choi
    • Journal of Korean Physical Therapy Science
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    • v.29 no.4
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    • pp.75-85
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    • 2022
  • Background: The purpose of this study was to investigate the effect of intensively complex physical therapy program on pain, range of motion (ROM) and muscle function in traumatic low back injury by industrial accident. Design: Prospective study Methods: Eight patients with traumatic low back injury by industrial accident participated in this study. They were treated the intensively complex physical therapy program including daily 60 minutes therapist supervised physical therapy at 5 times a week and 30 minutes manual therapy at 5 times a week in 12 weeks. Evaluation was performed before the commencement of the training and again 4, 8 and 12 weeks. There were measured Numerical Rating Scale (NRS) for evaluating pain, ROM of trunk, and isometric muscle strength of trunk, core muscle endurance, neuromuscular control ability for evaluating muscle function. Results: NRS was significantly improved according to time (p<0.05). ROM of extension and rotation, isometric muscle strength of trunk and hip, core muscle endurance and neuromuscular control ability were significantly improved according to time (p<0.05). Conclusion: We could confirm the superiority effect of intensively complex physical therapy program on pain, ROM of trunk and muscle function in traumatic low back pain with industrial accident.

Implant Removal after Percutaneous Short Segment Fixation for Thoracolumbar Burst Fracture : Does It Preserve Motion?

  • Kim, Hyeun Sung;Kim, Seok Won;Ju, Chang Il;Wang, Hui Sun;Lee, Sung Myung;Kim, Dong Min
    • Journal of Korean Neurosurgical Society
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    • v.55 no.2
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    • pp.73-77
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    • 2014
  • Objective : The purpose of this study was to evaluate the efficacy of implant removal of percutaneous short segment fixation after vertebral fracture consolidation in terms of motion preservation. Methods : Between May 2007 and January 2011, 44 patients underwent percutaneous short segment screw fixation due to a thoracolumbar burst fracture. Sixteen of these patients, who underwent implant removal 12 months after screw fixation, were enrolled in this study. Motor power was intact in all patients, despite significant vertebral height loss and canal compromise. The patients were divided into two groups by degree of osteoporosis : Group A (n=8), the non-osteoporotic group, and Group B (n=8), the osteoporotic group. Imaging and clinical findings including vertebral height loss, kyphotic angle, range of motion (ROM), and complications were analyzed. Results : Significant pain relief was achieved in both groups at final follow-up versus preoperative values. In terms of vertebral height loss, both groups showed significant improvement at 12 months after screw fixation and restored vertebral height was maintained to final follow-up in spite of some correction loss. ROM (measured using Cobb's method) in flexion and extension in Group A was $10.5^{\circ}$ ($19.5/9.0^{\circ}$) at last follow-up, and in Group B was $10.2^{\circ}$ ($18.8/8.6^{\circ}$) at last follow-up. Both groups showed marked improvement in ROM as compared with the screw fixation state, which was considered motionless. Conclusion : Removal of percutaneous implants after vertebral fracture consolidation can be an effective treatment to preserve motion regardless of osteoporosis for thoracolumbar burst fractures.

Shortening Scarf Osteotomy for Treatment of Hallux Rigidus Deformity (단축 Scarf 절골술을 이용한 무지 강직증의 치료)

  • Lee, Yeong Hyeon;Ahn, Gil Yeong;Nam, Il Hyun;Lee, Tae Hun;Lee, Yong Sik;Kim, Dae Geun;Lee, Young Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.4
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    • pp.152-157
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    • 2016
  • Purpose: To evaluate the effect of shortening scarf osteotomy on pain relief and range of motion (ROM) of the first metatarsophalangeal joint in hallux rigidus patients. Materials and Methods: Twenty-three cases of 19 patients who had been treated with shortening scarf osteotomy for the hallux rigidus between January 2007 and December 2013 were reviewed. The mean follow-up period was 21.4 months, and the mean age was 59.2 years. The first metatarsal bone was shortened until the ROM of the first metatarsophalangeal joint was greater than $80^{\circ}$ or $40^{\circ}$ of dorsiflexion. The length shortened by scarf osteotomy was measured. The authors also measured and compared the joint interval difference of the standing foot using an anteroposterior radiography. Moreover, the difference of ROM of the first metatarsophalangeal joint between the preoperative and final follow-up periods was also compared. The clinical results were evaluated and compared using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system and visual analogue scale (VAS) score. Results: The mean shortening length was about 6.5 mm (range, 4~9 mm). The joint space has been increased to 1.8 mm, and the ROM of the first metatarsophalangeal joint has also been increased to $18.4^{\circ}$ after the operation. In three cases, the postoperative ROM has been decreased to less $10^{\circ}$. The AOFAS score has been improved from 41.7 (range, 32~55) to 86.2 (range, 65~95), and the VAS score was also decreased from 3.7 (range, 3~5) to 1.3 (range, 0~3). Two cases have shown no decrease in pain even after the operation. Conclusion: Shortening scarf osteotomy was found to decrease joint pain by decompressing the pressure of the first metatarsophalangeal joint. This osteotomy also helped improve the ROM of the first metatarsophalangeal joint. Shortening scarf osteotomy can be considered one of the effective methods for joint preservation.

Taping Therapy for the Low Back Pain based on Postural Reflexes (자세반사에 기초한 요통의 테이핑 치료)

  • Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.8 no.2
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    • pp.1023-1032
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    • 2001
  • The muscles relating to movement of painful low back was analyzed kinematically, by method of applying elastic tapes and putting non-elastic tapes on muscles involving those movements which cause pain and limitation of range of motion (ROM) in low back and trunk. Taping therapy which is effective for improvement of painful low back and which is supposed to facilitate the total and continual movement based on the postural reflexes will be presented in this paper. Fifty cases who had painful low back were investigated. Patients with painful low back were at first asked pain point and direction of painful movement, and then tested the muscles which are cause of those pain and limited motion. Before attaching tape, all subjects were divided into two groups, flexor pattern and extensor pattern, according to direction of increasing pain. Elastic tapes were applied from origin to insertion of objective muscles and non-elastic tapes were put on effective points of the muscles which were associated with respect to pain and limited ROM. As a result of this study, all subjects with low back pain significantly improved in pain and ROM at the low back. The longest treatment duration group for the low back pain cases was herniated lumbar disc(10.4 days) group. Low back pain have been treated by so many ways. muscles factor should be emphasized to be distinguish1y important to reduce low back pain. The muscles relating to make directly painful motion in low back and trunk should be confirmed by means of taping and painful motion should be analyzed by point of view of postural reflexes.

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Joint Range Measurement and Correction using Kinect Camera (키넥트 카메라를 이용한 관절 가동 범위 측정과 보정)

  • Jeong, Juheon;Yoon, Myeongsuk;Kim, Sangjoon;Park, Gooman
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2019.11a
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    • pp.63-66
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    • 2019
  • 가상현실과 증강현실의 대중화로 사람의 동작을 실시간 3D 애니메이션으로 구현하는 연구가 활발히 진행 중이다. 특히 Microsoft에서 키넥트 (Kinect)를 개발함에 따라 저렴한 가격에 부가적인 장치 필요 없이 간단한 조작만으로도 3D 모션 정보 취득이 가능해졌다. 하지만 키넥트 카메라는 마커 기반 모션 캡쳐 시스템에 비해 관절 정보의 추정 성능이 뒤떨어져 낮은 정확도를 보이는 단점을 지니고 있다. 이에 본 논문에서는 키넥트 카메라를 이용해 사람의 관절 정보를 취득하고 이것에 관절 가동 범위 (Range of Motion, ROM)를 적용하여 비정상적인 동작을 보정하는 시스템을 제안한다. ROM을 구하는 방법으로는 수행자가 모든 관절에 대해 회전 운동을 수행한 뒤 관절들의 회전 운동 정보를 취득, 분석하여 정상적인 ROM을 설정하고 실험으로부터 사람의 동작이 개선되는 것을 확인하였다.

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A Case Report on the improvement of Range of Motion and Pain Relief for Patients Diagnosed with Supraspinatus Tendinosis, Subacromial Bursitis and Subdeltoid Bursitis treated with Megadose Shinbaro Pharmacopuncture (극상근건염과 견봉하점액낭염 및 심각근하점액낭염으로 진단받은 견비통 환자를 대상으로 대용량 신바로 약침치료를 통한 통증경감과 가동범위 호전에 대한 증례보고)

  • Song, Kwang Chan;Seo, Ji Yeon;Song, Seung Bae;Cho, Myoung Ui;Choi, Bong seok;Ryu, Won Hyung;Kim, Doo Ri;Jeon, Yong Hyun
    • Journal of Haehwa Medicine
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    • v.26 no.1
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    • pp.73-80
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    • 2017
  • Objectives : The purpose of this research is to show the effectiveness of the Korean medical treatment on patients diagnosed with supraspinatus tendinosis, subacromial bursitis and subdeltoid bursitis treated by Korean medical treatment Including megadose shinbaro pharmacopuncture. Methods : We used megadose shinbaro pharmacopuncture on patients who received treatment at Bucheon Jaseng Korean medicine hospital from December, 2016 to January, 2017. Also we checked NRS, SPADI, range of motion(ROM) and shoulder physical examination to follow the scale showing the improvement of the symptoms of the patients. Results : All 4 patientes showed the improvement of NRS, SPADI range of motion(ROM) and shoulder physical examination. Conclusion : This research showed that megadose shinbaro pharmacopuncture was effective on the treatment of shoulder pain patients diagnosed with supraspinatus tendinosis, subacromial bursitis and subdeltoid bursitis.

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