• Title/Summary/Keyword: Rehabilitation Exercise Practice

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Acupuncture in Sport Recovery: A Brief Review

  • CHAPLEAU, Christopher
    • The Korean Journal of Food & Health Convergence
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    • v.6 no.2
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    • pp.23-26
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    • 2020
  • Active and therapeutic sport recovery is becoming a popular and important component in approving performance for pro and recreational athletes alike. It is also helping in the realm of injury prevention. In the search of finding modalities that are widely effective, natural, and safe, acupuncture is a viable and cost-effective treatment for helping athletes achieve this goal. More direct related research is needed, but testimonials from pro athletes and the body of research that currently exists provides powerful evidence on acupunctures ability to help with enhancing recovery. Specializing in acupuncture and exercise science, Chris integrates acupuncture into musculoskeletal rehabilitation therapy or fitness training for pain modulation, speedy recovery, and enhanced performance. Clients can choose to focus on one-on-one corrective exercise therapy, manual and massage therapy, or acupuncture. However, for best results, Chris recommends all three. Other modalities that he uses in therapy are acu-taping, herbal therapy, nutrition supplementation, cupping, guasha, and stretching techniques. The corrective exercise component is one-on-one body balancing management, focusing on strength and conditioning, post physical rehab - exercise therapy, integrative sport specific exercise, weight loss, core strengthening, dynamic lumbar stabilization, active recovery techniques, and myo-fascial release techniques. The acupuncture component focuses on sport injuries, myofascial pain, peripheral neuropathy, arthritis, facial rejuvenation, stress, smoking cessation, addiction detoxification program, weight management, sport recovery and performance.

Developing a Home-based Self-management Support Intervention for Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 환자의 호흡재활을 위한 재가 자가관리 증진 중재 개발)

  • Song, Hee-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.75-87
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    • 2015
  • Purpose: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. Methods: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. Results: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. Conclusion: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.

Review on Exercise Training and Protein Intake in Skeletal Muscle Protein Metabolism (운동훈련과 단백질 섭취에 따른 골격근 단백질 대사: 안정성 동위원소 추적체법을 이용한 연구결과를 중심으로)

  • Shin, Yun-A;Kim, Il-Young
    • Exercise Science
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    • v.26 no.2
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    • pp.103-114
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    • 2017
  • INTRODUCTION: Regulation of skeletal muscle protein mass is implicated not only in exercise performance but in metabolic health. Exercise in combination with nutrition, particularly dietary protein/amino acid intake, are the pragmatic approach that effectively induces muscle anabolic response (i.e., muscle hypertrophy) through regulating protein synthesis and breakdown. PURPOSE: The purpose of this review was to summarize available data on the effect of exercise intervention and amino acids intake on muscle protein synthesis and breakdown and provide an insight into development of an effective exercise intervention and amino acids supplements, applicable to training practice. METHODS: In this review, we have reviewed currently available data mainly from stable isotope tracer studies with respect to the effect of exercise intervention and protein or amino acid supplement on muscle protein anabolic response. CONCLUSIONS: Taken together, exercise alone may not be effective in achieving a positive net muscle protein balance due to the fact that protein breakdown still exceeds protein synthesis until nutrition intake such as protein/amino acids. It appears that muscle anabolic response increases in proportional to the amount of protein intake up to 20 - 35 g depending on quality of protein, age, differences on exercise intensity, duration, and frequency, and individual's training status

Gait Pattern of Hemiplegic Patients with Swimming Aqua-noodles

  • Kim, Suk-Bum;O'Sullivan, David
    • Korean Journal of Applied Biomechanics
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    • v.29 no.1
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    • pp.15-21
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    • 2019
  • Objective: The purpose of this study was to investigate the effects of aqua-noodles on the practice of underwater walking in patients with hemiplegia. Method: After an oral explanation and signing an IRB approved consent form 10 participants ($66.8{\pm}10.75yr$, $165.3{\pm}8.79cm$, $73.6{\pm}46kg$) agreed to participate in this study. Each of the participants was required to walk with the aqua noodles and without the aqua-noodles in a swimming pool. Each participant was asked to walk a distance of 5 m a total of 10 times, 5 with and 5 without the aqua-noodles. The depth of the swimming pool was at 1.3 m, approximately chest height. The following variables were calculated for analysis; height of the knee (m), knee joint ROM ($^{\circ}$), ankle joint ROM ($^{\circ}$), knee joint maximum angular velocity ($^{\circ}/sec$), and ankle joint maximum angular velocity ($^{\circ}/sec$). Results: First, there was a significant increase in time (s) for the maximum knee height to reach as well as the maximum knee height (m) increased when the participant used the aqua-noodles. Second, there was a statistically significant decrease in stride length when the aqua-noodles were used. Conclusion: This study helps to verify that the effect of underwater walking exercise can provide a suitable walking exercise environment. The results of this study provide systematic scientific information about how walking in water can be used for the rehabilitation of patients and the elderly.

Efficacy of PNF Group Exercise Program in Chronic Stroke (만성 뇌졸중 환자에 대한 PNF 집단 운동프로그램의 효과)

  • Kim, Soo-Min;Bae, Sung-Soo
    • PNF and Movement
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    • v.3 no.1
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    • pp.1-15
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    • 2005
  • Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

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A Web-based Survey Research on Improving and Utilizing Korean Medicine Clinical Practice Guideline for Ankle Sprain (족관절 염좌 임상진료지침 개정과 활용도 향상을 위한 전자우편 설문조사)

  • Lee, Ji-Eun;Choi, Jin-Bong;Kim, Do-Hyeong;Jeong, Hyun-Jin;Kim, Jae-Hong
    • The Journal of Korean Medicine
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    • v.40 no.2
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    • pp.1-16
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    • 2019
  • Objectives: The purpose of this study was to increase the utilization of Korean Medicine Clinical Practice Guidelines(KMCGP) for ankle sprain by investigating the recognition of guideline developed in 2015 and evaluating the current status of treatment. Methods: An e - mail questionnaire survey was conducted for Korean medicine doctor(K.M.D) registered in Korean Medicine Association. Survey data were analyzed through Excel. Results: The most common Korean medicine treatments used in clinic were acupuncture(adjacent points)(28.5%), cupping therapy(19.7%) and pharmacopuncture(9.8%). The treatments with high patient satisfaction were acupuncture (adjacent points)(27.9%), moxibustion(22.4%) and herbal medicine(10.4%). Herbal medicine(17.9%), tuina(10.7%) and embedding therapy(9.2%) were difficult to perform during treatment because of cost. In the case of a later revision, respondents most thought it is necessary to update evidence and adjust recommendation ratings. A majority of all respondents said they would like to know about the revised guideline through the Internet. In the expected revision effect, the first order was 'presentation of standardized treatment method', the second was 'establishing the basis of Korean medicine treatment', and the third was 'strengthening the status of Korean medicine as therapeutic medicine'. Many respondents wished to add exercise therapy. In order to increase the utilization rate of the guideline, many respondents thought it should be included in textbooks and 90.6% of respondents answered that they would use more than 50% of the revised guideline. Conclusion: It is necessary to update evidence and adjust recommendation ratings and to promote KMCGP. At the same time treatment methods should be taught to K.M.D

An Analysis on Nursing Students' Clinical Situation for Development of Oriental Nursing Practice Education (한방간호 실습교육 개발을 위한 간호학생의 임상실습 실태 분석)

  • Yang, Kyung-Hee;Lee, Gyoung-Wan
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.5-14
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    • 2009
  • Purpose: The purpose of this study was to develop clinical education of Oriental Nursing. Methods: The subjects were one hundred and ninety-three students who have completed clinical practice. The questionnaires were composed of experience type and Oriental Nursing practices(25 items), level of satisfaction(20 items), difficulty level of practices(6 items), and preparation level of practice instructor(5 items). The reliability were Chronbach's $\alpha$=.84, .86, .74, and .93 respectively. Frequencies, percentage, t-test, and Pearson's Correlation was used in data analysis using SPSS PC+ 11.0. Results: Nursing students recognized that they had difficulties caused by a lack of knowledge of Oriental medicine, of learning the uniqueness of the nurse's role and lack of nurse's enthusiasm in teaching students. However, they were confident in preparing acupuncture and implementing Moxibustion, large Moxibustion, Bu-Hang therapy, aroma therapy and on administration of medicines and control of temperature of the medicines, exercise and rehabilitation. Therefore, instructors should train nursing students by developing a unique Oriental Nursing practice and reinforcement of nurses' independent and cooperative roles through the acquisition of Oriental Medical knowledge and terminology. It is necessary that they develop an educational program based on Oriental Nursing practice, perform consistently within the program and train its teaching faculty and instructors.

Effect of a 4-week Theraband Exercise with PNF Pattern on Improving Mobility, Balance and Fear of Fall in Community-Dwelling Elderly

  • Candace, Wong YH;Kennis, Cheung KW;Evelyn, Ko YC;Jeffrey, Tse HC;Margaret, Law YL;Hwang, Seong-Soo;Shirley, Ngai PC
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.4
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    • pp.73-82
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    • 2017
  • PURPOSE: Proprioceptive Neuromuscular Facilitation (PNF) has been shown to improve body function and activity/participation in people with functional dysfunctions. This study evaluates if active exercise using theraband in PNF pattern may induce similar benefits as exercise using manual PNF pattern performed by physiotherapists on promoting mobility, balance and fear of fall in community-dwelling elderly. METHODS: Twenty-three community-dwelling elderly with independent activities of daily living were recruited and randomly allocated into either PNF group - exercise in PNF pattern by trained physiotherapists or Theraband-PNF (T-PNF) group - exercise using theraband in PNF pattern, for an hour, twice weekly for 4 weeks. Functional outcomes such as Timed Up and Go test, Elderly Mobility Scale, Berg balance scale, functional reach and subjective measures including fear of fall (FOF) scale, bodily pain in visual analogue scale were measured pre and post-program. RESULTS: Twenty-one participants completed the program. PNF group demonstrated significant within-group improvements in all subjective measures and objective measures. Similar within-group improvements were demonstrated in all outcome measures except FOFS in T-PNF group. However, no between-group differences were found in any of the outcome measures. CONCLUSION: Comparable improvements in functional outcomes in community dwelling elderly were demonstrated in both groups. As manual PNF exercise traditionally need clinicians' contact and feedback on patient which limit the training to be carried out extensively in community setting. The current findings suggest that exercise using theraband in PNF pattern is feasible to be adopted as self-practice exercise for community-dwelling elderly to induce beneficial effects on functional outcomes.

State and factors influencing on exercise in the disabled (장애인의 운동실태와 영향요인)

  • Lim, Jaeran;Kim, Hyunli;Choi, Youngsoon;Kim, Younghee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1335-1341
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    • 2013
  • This study was conducted to identify the actual condition of exercise and the fact of influence to exercise in the disabled. The subject was consisted of 369 disabled. 84.5 percent of subject did exercise regularly. There was statistically significant in cause of disability(p<.001), type of disability(p<.001), grade of disability(p<.01), education(p<.01), economic state(p<.05), aim of rehabilitation exercise (p<.001). Chance to practice exercise in subject who intend to exercise was 16.18 times high than them who have no intention(95% CI =7.45~37.14). Regular exercise intervention is needed to disabled people in community.

The effect of acute diaphragmatic breathing exercise using DiP Belt on diaphragm motion and forced vital capacity (딥벨트를 이용한 일회성 가로막 호흡운동이 가로막 움직임과 노력성 폐활량에 미치는 영향)

  • Lee, Jae Seok;Kang, Tae Wook
    • Journal of Korean Physical Therapy Science
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    • v.29 no.2
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    • pp.57-65
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    • 2022
  • Background: This study was to determine whether the diaphragmatic breathing exercise using a DiP Belt(Diaphragmatic Pressure Belt) is effective in increasing the diaphragmatic motion and forced vital capacity. Design: Pretest-Posttest design. Methods: A total of 44 subjects(15 male, 29 female) participated in this study. All subjects were measured the diaphragmatic motion with a sonography and the Forced Vital Capacity(FVC) was measured with a digital spirometer. After 4 weeks, the subjects were intervened the diaphragmatic breathing exercise using a DiP belt and were remeasured for diaphragm motion and FVC. Results: After exercise intervention, quiet breathing significantly increased with the change in diaphragmatic motion and showed a moderate effect size (p<.01, Cohen's d = -0.53). In addition, it was significantly increased in deep breathing and showed a high effect size (p<.001, Cohen's d = -1.32). The mean diaphragmatic contraction pressure increased, but there was no significant difference and the peak diaphragmatic contraction pressure increased significantly (p<.05). Both diaphragmatic contraction pressure showed small effect sizes (respectively Cohen's d = -0.28, -0.33). In spirometry, FVC, Forced Expiratory Volume in 1 second (FEV1), and FEV1/FVC% all increased, but there was no significant difference. Only peak expiratory flow increased significantly and showed a small effect size (p<.05, Cohen's d = -0.41). Conclusion: The DiP belt diaphragmatic breathing exercise that the principle of visual feedback can correct diaphragm breathing in a short time, so it is a useful breathing exercise device that can help the diaphragm breathing exercise in the right way in clinical practice.