• Title/Summary/Keyword: Range of motion exercise

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Effects of Early Passive ROM Exercise on ROM of Lower Extremities and Foot Edema in Hemiplegia Patients with Stroke (조기 수동적 하지 관절운동이 뇌졸중 후 편마비 환자의 하지 관절가동범위와 발부종에 미치는 효과)

  • Lee, Joo Sun;Lee, Eun Ok;Lee, Eun Ju;Kim, Haeng Su
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.81-89
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of early passive range of motion (ROM) exercise on ROM of lower extremities and foot edema in hemiplegic patients after stroke. Methods: The data were collected between August 2009 and April 2010 from 11 patients in the experimental group and 13 in the control group. The passive ROM exercise was performed twice a day for 2 weeks. Results: In the experimental group, ROM of lower extremities (flexion of hip, flexion of knee and ankle) increased significantly compared to that of the control group. There was no significant difference in foot edema between the two groups. Conclusion: The results indicated that the early passive ROM exercise can improve the ROM of lower extremities, but not the foot edema in patients after stroke.

Effects of Specific Exercise on Chronic Neck Pain in Elderly Women

  • Shin, Sang-Hee;Choi, Jong-Duk
    • The Journal of Korean Physical Therapy
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    • v.22 no.3
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    • pp.1-8
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    • 2010
  • Purpose: The main causes of chronic neck pain (CNP) are wrong postures and degenerative changes. This study investigated the effects of specific exercise on elderly women with CNP. Methods: 29 elderly women who complain of CNP were classified into experimental group (14) and control group (15). The experimental group was treated with specific exercise and minimal conventional therapy, whereas the control group was treated only with conventional therapy. Then the effects on the visual analogue scale (VAS), neck disability index (NDI), self-rating anxiety scale (SAS), Korean form of geriatric depression scale (KGDS), and range of motion (ROM) were compared between the two groups. Results: The experimental group showed significantly improved results in VAS, NDI, SAS, KGDS, and ROM after intervention (p<0.05), as did the control group (p<0.05). The comparison of changes in the experimental group before and after intervention showed superior results in the SAS, NDI, and ROM (flexion, rotation, lat. flexion) results when compared with the control group (p<0.05). Conclusion: Specific exercise is effective in the improvement of SAS, NDI, and ROM for elderly women with CNP.

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.

Effects of Dynamic Balance Exercise on Pain, Functional level, and Psychosocial Level in Patients with Non-specific Chronic Neck Pain (비특이성 만성 경부통 환자에게 적용한 동적 균형 운동이 통증과 기능적 수준, 심리사회적 수준에 미치는 효과)

  • Yu-hui Kwon;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.3
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    • pp.43-53
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    • 2023
  • Background: Patients with neck pain develop instability due to muscle imbalance, decreased proprioception, and balance disorders. Studies have examined various exercise methods as treatment methods, but few studies have compared the effects of cervical stabilization exercise and dynamic balance exercise. The purpose of this study was to investigate the effects of dynamic balance exercise on pain, functional level, and psychosocial level in patients with non-specific chronic neck pain. Methods: Thirty-four non-specific chronic neck pain patients were randomly assigned to the experimental group (EG, n=17) and control group (CG, n=17); the cervical stabilization exercise and dynamic balance exercise program were applied to the EG; and only the cervical stabilization exercise program was applied to the CG. The intervention was conducted twice a week, for six weeks. Assessment items evaluated pain, dysfunction (Korean version neck disability index), range of motion, craniocervical flexion test, cervical deep flexor endurance test, and psychosocial level. Data analysis was performed using intention-to-treat analysis as assigned. To analyze differences in the items assessed in the two groups, we used a repeated measures analysis of variance with an interaction between group (EG, CG) and time point (baseline, 6 weeks, 12 weeks). Results: The endurance of the cervical flexor muscles between the group and the measurement point after intervention (p<.05). Both groups showed significantly improved endurance between time points after the intervention (p<.05), with the EG showing a greater change than the CG. None of the other measurement items differed in the pattern of change between measurement points. Conclusion: In conclusion, the EG applying a cervical stabilization exercise and a dynamic balance exercise experienced a significant difference in muscle endurance improvement compared to the CG. We propose an exercise intervention program that includes stabilization exercises and dynamic balance exercises for patients with chronic cervical pain who lack muscle endurance.

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Comparisons between Skilled and Less-Skilled Players' Balance in Hakdariseogi (태권도 품새 우수·비 우수선수 간 학다리서기의 균형성 비교)

  • Ryu, Ji-Seon;Yoo, Si-Hyun;Park, Sang-Kyoon;Yoon, Suk-Hoon
    • Korean Journal of Applied Biomechanics
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    • v.22 no.1
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    • pp.55-63
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    • 2012
  • The purpose of this study was to investigate the balance differences between skilled players and less-skilled players during Hakdariseogi motion of Keumgang Poomsae in Taekwondo. To achieve the study goal, total of 10 Taekwondo athletes; 5 skilled players(S, body mass: $67.0{\pm}5.7$ kg, height: $174.0{\pm}4.8$ cm, age: $20.0{\pm}2.0$ yrs) and 5 less-skilled players(LS, body mass: $73.0{\pm}4.9$ kg, height: $176.4{\pm}6.1$ cm, age: $20.8{\pm}1.3$ yrs) participated in this study. A three-dimensional motion analysis with 8 infrared cameras and one force plate whose sampling frequency as 30 Hz and 300 Hz, respectively, were performed. Participants' motion were divided into three phases which were preparation phase(P1), performing phase(P2) and maintaining phase(P3). The range and velocities of COP, the range and RMS of ground reaction torque and displacement between COM and center of BOS of each phase were computed. In this study, at P1 and P3 which were double and single stance, respectively, the range and M-L velocities of COP revealed significantly higher in LS compared with those of S(p<.05). At P2 which was single stance, LS indicated significantly higher in range of COP and ground reaction torque, and M-L velocities of COP than those of S(p<.05). The significantly shorter displacement between COM and center of BOS, however, was found in LS compared with that of S(p<.05). The results from our study indicated that S revealed more stable performance and a better posture control ability during performing Hakdariseogi motion.

Comparison and Correlation on Muscle Thickness and Muscle Tone of Masseter Muscle and Sternocleidomastoid Muscle, Maximum Jaw Opening in Subjects With and Without Temporomandibular Joint Disorder (턱관절장애 유무에 따른 깨물근, 목빗근의 두께 및 근긴장도, 최대 입벌림 범위의 비교 및 상관성 연구)

  • Lee, Keunhyo;Chon, Seungchul
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.3
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    • pp.93-101
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    • 2020
  • Purpose : Temporomandibular joint disorder (TMJD) is often accompanied by pain and limited range of motion of the jaw joint, which affect patients' quality of life and result in hypertrophy or hyperactivity of the muscles around the jaw joint. In this study, we compared the muscle thickness and tone of the masseter and sternocleidomastoid (SCM) muscles and the jaw range of motion in individuals with and without TMJD. Correlation comparison was performed on the results of the TMJD group. Methods : This study included 40 patients; 20 patients were assigned to an experimental group (TMJD group) and 20 to a control group (non-TMJD group). Ultrasonography, myotonometry, and measurements performed with digital Vernier calipers were used to determine the changes in muscle thickness, muscle tone, and maximum jaw opening, respectively. The independent t-test was used for intergroup comparison of data, and Pearson correlation coefficients were used to compare correlations in the TMJD group results. Results : We observed a significant intergroup difference in the masseter and SCM thickness during the relaxed and clenched phases (p<.05). A significant intergroup difference was also observed in maximum jaw opening (p<.05). With regard to muscle tone, we observed a significant intergroup difference in frequency (p=.011) and stiffness (p=.011) of the masseter, as well as in the frequency (p=.009) and stiffness (p=.026) of the SCM. We observed a moderate negative correlation (r=-.524) between maximum jaw opening and the frequency of the masseter. Additionally, we observed a moderately negative correlation between jaw opening and muscle stiffness (r=-.321). Conclusion : Planning exercise programs to treat patients with TMJD who present with pain should focus on efforts to reduce muscle thickness and achieve muscle relaxation (to reduce muscle tension) for improved jaw range of motion.

A Clinical Application with the Principle of Hanging Point In the Sling Exercise Therapy (슬링운동치료에서 Hanging Point의 원리와 임상적 적용)

  • Kim, Suhn-Yeop;Kim, Taek-Yean;Park, Sung-Jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.9 no.2
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    • pp.25-45
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    • 2003
  • Sling exercise treatment(S-E-T) is a therapeutic exercise based on scientific studies for the purpose of treating musculoskeletal or neurological disorders thereby improving strength, endurance, and skills for sensory-motor integration. Exercise resistance and intensity can be modified in various ways by changing the length of rope, patient position, therapist's manual resistance, and using elastic rope. The therapist can also progress to successively higher levels of exercise resistance and intensity by changing the position of the hanging point: the subject of this article. In brief, there are three axial components in S-E-T; hanging point, motor axis, and suspension point. The hanging point can be changed in several ways in relation to the joint; axial, superior, inferior, medial, and posterior hanging points. The position of the hanging point affects the amount of load on agonist and antagonist muscles as well as on the range of motion. To create an advanced exercise program, selection of hanging point can be two-dimensional such as superior-lateral or anterior-medial. Therapists, therefore, can freely but carefully select the best hanging point based on the purpose of the exercise and their level of knowledge in S-E-T.

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Effects of Therapeutic Exercise on Posture, Pain and Asymmetric Muscle Activity in a Patient with Forward Head Posture: case report (치료적운동이 전방두부자세 환자의 자세, 통증 및 비대칭적 근육활성에 미치는 영향: 증례보고)

  • Yoo, Kyung-Tae;Lee, Ho-Seong
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.71-82
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    • 2016
  • PURPOSE: The purpose of this case report was to determine the effect of therapeutic exercise on posture, pain, and muscle activity in two patients with forward head posture (FHP). METHODS: A-31-year-old male (patient A) and a 19-year-old women (patient B) presented with FHP, neck pain, and headache. The therapeutic exercise program consisted of cervical mobilization, deep cervical flexors strengthening, and cervical extensors stretching, for 40 min/d, 2 d/week, for 8 weeks. Neck pain (VAS), neck disability (NDI), cervical range of motion (CROM), lateral view of cervical spine X-ray (indicating the FHP), and asymmetrical neck and shoulder muscular activity ratio were measured before, after 4 weeks, and after 8 weeks of corrective exercise. RESULTS: VAS and NDI decreased in patients A and B after exercise compared to before the program. CROM increased in patients A and B at flexion, extension, side bending, and rotation after exercise compared to before the program. FHP decreased in patients A and B at distance after exercise compared to before the program. In addition, asymmetrical neck and shoulder muscles activity ratio improved in patients A and B after exercise compared to before the program. CONCLUSION: We demonstrated in a case report that therapeutic exercise increases ROM, decreases pain and disability of neck, FHP, and asymmetry muscle activity ratio in patients with FHP. These finding have clinical implications for therapeutic exercise in patients with FHP.

Effects of The Oldwomen's Muscular Strength Flexibility and IADL by Exercise Therapy (운동요법이 노인의 근력, 유연성 및 IADL에 미치는 영향)

  • Um, Ki-Mai
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.795-807
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    • 1998
  • The purpose of this study was to investigate the effects of exercise therapy to oldwomen's muscle strength, flexibility and IADL. To identify the effect of exercise therapy on oldwomen's muscle strength, flexibility and IADL, this study attempted to determine grip strength, back strength, leg strength, flexibility of upper and low(flexion, extension, abduction), flexibility of trunk(flexion, extension) and IADL, using dynamometer, goniometer and Geriatric center IADL, for 34 female. Thirty-four subjects participating in this study consisted of A group(from sixty-five to sixty-nine, eleven person), B group(from seventy to seventy-four, twelve person), C group(over seventy-five years old, eleven person). Data from the findings of this experiment were computed for and standard deviation by using repeated measurement of MINI TAB. As a result, the following conclusion was drawn : 1. Subject group showed significantly higher scores on effect of exercise between three age group after regular exercise. 2. Subject group showed significantly higher scores on muscle strength(grip strength, back strength, leg strength) and there is a difference between three age group after regular exercise of muscle strength. 3. Subject group showed significantly higher scores on flexibility (upper, lower, trunk) and there is a difference between three age group after regular exercise of flexibility. 4. Subject group showed significantly higher scores on IADL(Instrumental activities of daily living) and there is a difference between three age group after regular exercise. As a result of this study, the effect of exercise training program had improved muscle strength, ROM (range of motion) of joint, IADL. Thus exercise training program could be beneficially applied for the prevention of disability and promotion of health and wellbeing in the aged easily and safely.

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Effects of plyometric exercise and weight training on athletic performances (플라이오메트릭과 웨이트 트레이닝이 운동 수행 능력에 미치는 영향)

  • Ahn, In-Tae;Choi, Bo-ram
    • Journal of Korean Physical Therapy Science
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    • v.29 no.1
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    • pp.47-54
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    • 2022
  • Background: Plyometric exercise is an exercise exerting forceful power in a brief period using isotonic activation. It is effective to improve reaction of muscle, agility, endurance and athletics performance. Weight training is an exericse improving muscular strength, endurance and respirating ability applying diversely in frequency and load of exercise Plyometric exercise and Weight training is to facilitate the athletics performance though improving the function of lower limb muscle, there is a difference that Plyometic jump squats is the way to improve agility and Weight training is the way to improve muscular strength. Therefore, it is necessary to know how this difference effects on athletics performance as measuring ankle, ROM, and jumping ability. Design: Randomized controlled trial. Method: This study was conducted with the voluntary participation of 40 university students, who were randomly assigned to jump squat and calf raise groups (n=20 per group). For each subject, we measured the range of motion of the ankle joint before and after exercise, as well as a standing broad jump and vertical jump test performance. We compared the performance indices before and after exercises using paired t-tests, and between groups using independent-samples t-tests. Conclusions: Both jump squat and calf raise exercises improved ankle joint dorsiflexion and plantar flexion, as well as standing broad jump and vertical jump height performance. However, there were no significant differences before versus after exercise, or between exercise types. Although jump squats and calf raises have different purposes, it is thought that, in combination, these exercises improve performance more effectively than either alone, and that such a combined exercise program improves the quality of training in both the general public and athletes in various sports.