• 제목/요약/키워드: Re-intervention

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Comparing the Effects of Manual and Self-exercise Therapy for Improving Forward Head Posture

  • Gyeongseop Sim;Donghoon Kim;Hyeseon Jeon
    • Physical Therapy Korea
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    • v.30 no.3
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    • pp.184-193
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    • 2023
  • Background: Studies investigating the immediate effects of a single intervention to correct forward head posture are rare. Objects: This study aimed to compare the changes in treatment effects in patients with forward head posture and neck pain after manual and self-exercise therapy over a 1-hour period. Methods: Twenty-eight participants were randomly divided into manual and self-exercise therapy groups. Following the initial evaluation, manual or self-exercise therapy was applied to each group for 30 minutes each in the prone, supine, and sitting positions. The variables measured were the craniovertebral angle (CVA), stress level, pain level, and sternocleidomastoid (SCM) stiffness. After the intervention, re-evaluation was conducted immediately, 30 minutes later, and 1 hour later. Two-way analysis of variance (ANOVA) was used to compare the maintenance of treatment effects between the two groups. Results: Based on the two-way mixed ANOVA variance, there was no interaction between the groups and time for all variables, and no main effects were found between the groups. However, a significant effect of time was observed (p < 0.05). Post hoc tests using Bonferroni's correction revealed that in both groups, the CVA, pain, and stress showed significant improvements immediately after the intervention compared with before the intervention, and these treatment effects were maintained for up to 1 hour after the treatment (p < 0.0083) in the manual therapy group. However, the stress level was maintained until 30 minutes later (p < 0.0083) in the self-exercise group. There was no significant decrease in right SCM stiffness before and after the intervention; however, left SCM stiffness significantly decreased after the self-exercise intervention (p < 0.0083). Conclusion: Both manual and self-exercise therapy for 30 minutes were effective in reducing forward head posture related to the CVA, pain, and stress levels. These effects persisted for at least 30 minutes.

Consistency in Measuring Physical Activities and Regular Exercises and Their Relationship with Exercise Capacity and Quality of Life in Patients with Heart Failure (심부전 환자의 신체활동과 규칙적 운동에 대한 측정의 일관성 및 운동역량과 삶의 질과의 관련성)

  • Lee, Haejung;Jin, Hyekyung;Park, Jina;Chun, Kook Jin;Kim, Jong Hyun
    • Journal of Korean Biological Nursing Science
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    • v.16 no.4
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    • pp.284-291
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    • 2014
  • Purpose: In order to examine whether daily physical activity (DPA) can be considered the same as a regular exercise (RE) in patients with Heart Failure (HF), we examined the relationship between RE and DPA, and we explored the relationship of RE and DPA with exercise capacity and quality of life (QOL) in patients with HF. Methods: This cross-sectional, correlational study utilized pretest data (N=136) of a long-term intervention study. Data of the parent study were collected from May 1st to September 26th, 2013. Measures included questions about regular exercise, International Physical Activity Questionnaire, a 6-Minute Walk Test (6MWT), and the Kansas City Cardiomyopathy Questionnaire (KCCQ). The data were analyzed using descriptive analysis, Chi-square test, and ANOVA using the SPSS 21.0 program. Results: There were inconsistencies in measures between RE and DPA. About 42.0% of the participants engaging in health enhancing physical activity did not consider themselves to be regular exercisers. Depending on the levels of RE and DPA, significant differences in 6MWT and QOL were observed. Conclusion: RE is more likely to be related to the health status of patients with HF. Deliberate assessment and cautious interpretation of DPA in patients with HF is needed.

Effects of 3D Stabilization Exercise on the Muscle Activity and Static Balance of Patients with Lumbar Instability

  • Kang, Jeong-Il;Choi, Hyun-Ho
    • The Journal of Korean Physical Therapy
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    • v.29 no.4
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    • pp.181-186
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    • 2017
  • Purpose: The paper presents an intervention for clinical applications in the future by examining the effects of 3D stabilization exercise on patients with lumbar instability, which causes problems in the muscles and balance, and analyzing the effects of balanced lumbar muscles on the static balance. Methods: After collecting samples randomly from thirty patients with lumbar instability, fifteen patients selected for 3D stabilization exercise were placed in the stability group and fifteen patients selected for Swiss ball exercise were placed in the ball exercise group. The intervention program was applied for thirty minutes a session, once a day, three days a week for four weeks. Before the intervention, the lumbar muscle activity and static balance were measured. After four weeks, they were re-measured in the same way and the data were analyzed. Results: In relation to the within-group changes in muscle activity, all groups except for the LEO and REO groups showed significant differences. Regarding the between-group changes in muscle activity depending on the left and right difference, ES, RA, and TrA but not EO showed significant differences. In addition, there were significant differences in the between-group change in static balance. Conclusion: 3D stabilization exercise improves the muscle activity by promoting a balanced posture of lumbar muscles and changing senses, such as a proprioceptor but this had a positive influence on the static balance by controlling the balance of muscles.

Development of an Intervention List for Family Nursing Care (가족간호를 위한 중재목록 개발)

  • Kim, Young-Im;Kim, Hee-Gerl;Jung, Hye-Sun
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.123-133
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    • 2009
  • Purpose: This study aimed to classify nursing interventions by developing a list of interventions for family nursing care. Methods: A new intervention list was confirmed after the researchers' discussion and professional consult. All possible interventions were re-organized. Results: Five grand categories were identified, which include health education, providing direct nursing care, utilization and referral of community resources, reinforcing family resources, and stress management. The category of health education consists of anticipatory guidance, training and education, providing information, and consult and motivation. The category of providing direct nursing care consists of identifying problem, providing technical nursing, providing family tailored nursing care, family contract, monitoring or evaluation, and collaboration with experts. The utilization and referral of community services includes utilization of health care facilities, utilization of social welfare facilities, use of neighbors, friends, and relatives, connecting to professionals or supporting groups, and utilization of other sources. Reinforcing family resources includes reinforcing economic resources, reinforcing physical resources, and reinforcing human resources. Stress management includes reorganization of perception, resolving conflicts, division of role, preparing communication strategies, time management, creating familiarity, supporting spirituality, and developing sense of humor. Conclusion: This study provides useful resources to promote nursing activities by identifying possible family nursing interventions.

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Watch Out for the Early Killers: Imaging Diagnosis of Thoracic Trauma

  • Yon-Cheong Wong;Li-Jen Wang;Rathachai Kaewlai;Cheng-Hsien Wu
    • Korean Journal of Radiology
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    • v.24 no.8
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    • pp.752-760
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    • 2023
  • Radiologists and trauma surgeons should monitor for early killers among patients with thoracic trauma, such as tension pneumothorax, tracheobronchial injuries, flail chest, aortic injury, mediastinal hematomas, and severe pulmonary parenchymal injury. With the advent of cutting-edge technology, rapid volumetric computed tomography of the chest has become the most definitive diagnostic tool for establishing or excluding thoracic trauma. With the notion of "time is life" at emergency settings, radiologists must find ways to shorten the turnaround time of reports. One way to interpret chest findings is to use a systemic approach, as advocated in this study. Our interpretation of chest findings for thoracic trauma follows the acronym "ABC-Please" in which "A" stands for abnormal air, "B" stands for abnormal bones, "C" stands for abnormal cardiovascular system, and "P" in "Please" stands for abnormal pulmonary parenchyma and vessels. In the future, utilizing an artificial intelligence software can be an alternative, which can highlight significant findings as "warm zones" on the heatmap and can re-prioritize important examinations at the top of the reading list for radiologists to expedite the final reports.

Intracoronary Radiation Therapy Using Re-188 after percutaneous Coronary Angioplasty (경피적 관동맥혈관성형술 후 Re-188을 이용한 혈관 내 방사선조사요법)

  • Chae, In-Ho;Lee, Myoung-Mook;Lee, Dong-Soo
    • 대한핵의학회:학술대회논문집
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    • 1999.05a
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    • pp.228-241
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    • 1999
  • Percutaneous coronary angioplasty is well established therapeutic modality in the management of coronary artery disease. However, the high restenosis rate of 30 to 50% limits its usefulness. The principal mechanism of restenosis, intimal hyperplasia, is the proliferative response of vessel wall to injury, which consists largely of smooth muscle cells. A large body of animal investigations and a limited number of clinical studies have established the ability of ionizing radiation to reduce neointimal proliferation and restenosis rate significantly. Human studies have been reported that intravascular radiation after first restenosis inhibits a second restenosis. Encouraged by these reports, we are also conducting a double blind, placebo-controlled, randomized trial to evaluate this new therapeutic modality in patients with coronary artery stenosis. The objective of our trial is to determine the safety and efficacy of catheter-based solutional beta emitting radioisotope system in preventing restenosis after angioplasty. This review describes the vascular brachytherapy systems and isotopes that have been utilized in the initial clinical trials performed in this area of post PTCA coronary restenosis. The results of many worldwide ongoing clinical trials will determine whether this new technology will change the future practice of vascular intervention.

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Physiotherapy Approaches for Chronic Subacromial Impingement Syndrome : Comparison of Effects of Eccentric Training and General Exercise (만성 봉우리 밑 충돌증후군을 위한 물리치료적 접근법 : 편심성 훈련과 일반적 운동의 효과 비교)

  • Choo, Yeon-Ki;Bae, Won-Sik;Kim, In-Seob
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.61-72
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    • 2022
  • Purpose : This study was to verify the effect of eccentric training and suggest a specific application method by comparing the effects of acromohumeral distance (AHD), supraspinatus tendon thicknees (STT), pain intensity and functional performance after MWM and eccentric training (MWM-ET) or general exercise (MWM-GE) in chronic subacromial impingement syndrome (SAIS) patients. Methods : A total of 55 participants were randomly assigned to each group, and according to the intervention method, "MWM-ET group (n=28)" vs. "MWM-GE group (n=27)" was divided into two groups. AHD, STT, pain intensity, and functional performance were measured before intervention, and both groups were re-measured 3 times a week after 6 weeks of intervention in the same way. Results : The AHD was significantly increased in MWM-ET group compared to MWM-GE group. No significant difference was observed between the groups in the STT, but Pain intensity was significantly lower in MWM-ET group than in MWM-GE group, and functional performance was significantly increased in MWM-ET group compared to MWM-GE group. Conclusion : As a result of MWM-ET intervention that further increases AHD compared to MGE, it can be clinically presented as a more effective intervention method for faster recovery from injury due to pain reduction and smooth return to daily life due to improved functional performance.

The Effects of Australian Stabilization Exercises for Decreasing Dysfunction and Pain in Chronic Back Pain Patients (호주식 안정화 운동이 만성 요통환자의 기능부전과 통증감소에 미치는 효과)

  • Koo, Hee-Seo
    • Journal of Korean Physical Therapy Science
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    • v.16 no.4
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    • pp.39-47
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    • 2009
  • Background: To evaluate the effects of Australian stabilization exercise for chronic low back pain. Methods: Interventions consisted of exercises aimed at recovery of Multifidus in cocontraction with Transverse abdominis through neural control retraining. Results: After exercise, there were significant improvement(p<.05) in pain and disability score. Conclusions: Neural control stabilization exercise can be effective intervention for chronic Low Back Pain patients.

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A Phenomenological Study on the Re-employment Experiences of the Young-old (초기 노인의 은퇴 후 재취업 경험)

  • Yeo, Hyeong-Nam;Kim, Yeong-Kyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.168-178
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    • 2018
  • This study was conducted to develop a supportive nursing intervention plan for the young-old by identifying the essence and meaning structure of re-employment experience after retirement. Participants of this study were selected by convenience sampling of seven Korean young-old individuals from 60 to 74 years of age who had re-employment experience after retirement in C city. Data were collected from June to August of 2016 based on an in-depth interview and tape-recording. The interview data were analyzed by the phenomenological analysis method developed by Giorgi. The analysis revealed the following constituents; confusion in response to the change of life, recognizing that it is not easy to work again, adaption to new changes, opening a new life. It is becoming increasingly important that nurses, who have played an important role in elderly nursing because of the increase in average life expectancy and overall elderly population, take care of extended tasks throughout the society, away from clinical work. Therefore, a social support system and nursing guidelines necessary for continuous nursing intervention should be provided so that the elderly, including those at early retirement age, can be satisfied with their life after retirement.

Intracoronary Radiation Therapy (관동맥혈관 내 방사선 근접 치료)

  • Moon, Dae-Hyuk;Park, Seong-Wook;Hong, Myeong-Ki;Oh, Seung-Jun;Bom, Hee-Seung;Lee, Hee-Kyung
    • 대한핵의학회:학술대회논문집
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    • 2001.05a
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    • pp.24-34
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    • 2001
  • Restenosis remains a major limitation of percutaneous coronary interventions. Numerous studios including pharmacological approaches and new devices failed to reduce the restenosis rate except coronary stenting. Since the results of $BENESTENT^{1)}\;and\;STRESS^{2)}$ studies came out, coronary stenting has been the most popular interventional strategy in the various kinds of coronary stenotic lesions, although the efficacy of stenting was shown only in the discrete lesion of the large coronary artery. The widespread use of coronary stenting has improved the early and late outcomes after coronary intervention, but it has also led to a new and serious problem, e.g., in-stent restenosis. Intravascular radiation for prevention of restenosis is a new technology in the field of percutaneous coronary intervention. Recent animal experiments and human trials have demonstrated that local irradiation, in conjunction with coronary interventions, substantially diminished the rate of restenosis. This paper reviews basic radiation biology of intracoronary radiation and its role in the inhibition of restenosis. The current status of intracoronary radiation therapy using Re-188 liquid balloon is also discussed.

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