• Title/Summary/Keyword: Rehabilitation Period

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The Clinical Study on 1 Case of Arteriosclerosis Obliterans Treated with Oriental Medicine (한의학적 치료로 호전된 하지부 폐색성동맥경화증 환자 치험 1례)

  • Ahn, Jae-Min;Yoon, Il-Ji
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.269-279
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    • 2011
  • Objectives: The purpose of this study was to investigate the clinical application of blood-letting therapy and oriental medicine with arteriosclerosis obliterans. Methods: The patient in this case had been already treated by anticoagulation, percutaneous transluminal angioplasty and thrombolysis. But these methods didn't work on patient and condition had gone bad. Finally the patient's left limb was about to be amputated. Patient did not wall to cut off her lower limb, so she visited us to find a way for treating and preserving her lower limb. A drastic treatment was necessary in this situation. We treated the patient with Korean traditional treatment. Specially excessive blood-letting therapy and oriental medicine helped the patient to decrease the pain, numbness and frigidity. Results: After treatment the chief complaint and accompanying symptoms were subsided and improved. And personal and social performance scale was increased. Conclusions: According to this study, Korean traditional treatment such as blood-letting therapy, and oriental medication is effective for the cure of arteriosclerosis obliterans. During this period, foot necrosis was delayed and amputation is not needed any more.

A Case Report of Spinal Scoliosis Patient with Congenital Muscular Torticollis (선천성 근성 사경증 환아에게 발생한 척추측만증 치험 1례)

  • Yoon, Chang-Joon;Lim, Hae-Won;Lee, Soo-Gil
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.229-236
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    • 2009
  • Objectives : The purpose of this study is to report one case of spinal scoliosis patient with neglected congenital muscular torticollis treated by chuna manual therapy. Methods : The patient had been treated with chuna manual therapy. Full spine anteroposterior X-ray was taken to measure cobb's angle and cervico-mandibular angle before and after the period of treatment. Results : After treatment, the cobb's angle has been improved by $12^{\circ}$($31^{\circ}$ to $19^{\circ}$) at thoracic level, by $7^{\circ}$($17^{\circ}$ to $10^{\circ}$) at lumbar level. The cervico-mandibular angle has been improved by $5^{\circ}$($14^{\circ}$ to $9^{\circ}$). Conclusions : Chuna manual therapy was effective for a scoliosis patient with neglected congenital muscular therapy.

A Clinical Case Study on Avascular Necrosis of Femur Head Complaining Lower Extremity Pain with Oriental Medical Treatment (하지 통증을 주소로 하는 대퇴골두 무혈성 괴사 환자에 대한 한방치료 증례보고 1례)

  • Kim, Koh-Woon;Kim, Sung-Soo;Lee, Jong-Soo;Chung, Seok-Hee
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.137-143
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    • 2010
  • This study was performed to report the effectiveness of oriental medical treatment on a patient with avascular necrosis of femur head complaining lower extremity pain. The patient was diagnosed as avascular necrosis of both femur head and treated with acupuncture, cupping therapy, physical therapy and herbal medicine. We have evaluated the efficacy of oriental medical treatment by measuring changes of visual analogue scale and range of motion according to period of hospitalization. After treatment, pain and range of motion were improved. These results suggest that oriental medical treatment was effective on the patient with avascular necrosis of femur head.

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Influence of Muscle Fatigue on the Sensing of Force Reproduction in Elbow Flexors (주관절 굴곡근의 근피로가 힘 재현 감각에 미치는 영향)

  • Lee, Won-Hwee;Ha, Sung-Min;Kim, Yong-Wook;Oh, Jae-Seop
    • Physical Therapy Korea
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    • v.14 no.3
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    • pp.16-22
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    • 2007
  • The purpose of this study was to determine the influence of muscle fatigue in elbow flexors on the sense of force reproduction. Fifteen healthy subjects were recruited for this study. Maximum voluntary force (MVF) of elbow flexor muscles was measured by a digital tensiometer. Force errors were measured to test accuracy of the sense of force reproduction in elbow flexors. The subject was required to flex the elbow joint, to maintain and concentrate on about 20% of the MVF target force under visual feedback for 3 seconds. After a 5 second period rest, the subject was asked to duplicate the target force actively. Muscle fatigue was evoked with isometric contraction of the elbow flexors. Isometric contraction was continued until a 50% drop in MVF. The difference, in kilogram between the target force and the reproduced force was calculated for measuring force error. Force errors were compared between the non-fatigued condition and the fatigued condition by the paired t-test. Force errors were significantly increased in the fatigued condition compare to non-fatigued condition. This result suggests that the sense of force reproduction can be disturbed by localized muscle fatigue.

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Socket Pressure Distribution of the Uni-Lateral Trans-Femoral Amputee with a Suction Socket (흡착식 소켓을 착용한 일측 대퇴절단환자의 소켓내부압력분포)

  • Jang, Yun-Hui;Yang, Gil-Tae;Im, Song-Hak;Mun, Mu-Seong;Kim, Yeong-Ho
    • Journal of Biomedical Engineering Research
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    • v.19 no.4
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    • pp.417-422
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    • 1998
  • The study was explored socket pressure distributions on a trans-femoral amputee with a suction socket in static and dynamic situations. Even when the amputee stood in the anatomically neutral position, significant pressure concentrations were observed in the lateral, medial, and posterior planes of the socket. During free level walking, a significant shifting pattern of pressure concentration areas was observed. High socket pressure was observed in the lateral, medial-anterior and posterior walls during mid-stance or push-off period. Socket pressure measurement will be one of the good tool to determine the optimal socket-limb interface.

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The Comparative Study on the Satisfaction of the Physical Therapy facilities in the front Military hospitals and Divisions

  • Park, Giwan;Jung, Jihye;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.217-224
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    • 2021
  • Objective: This study is about the physical therapy facilities and environmental and service satisfaction of patients visiting in the front military hospitals and divisions. Design: Survey study Methods: Prior to this survey, 28 users of the front division and military hospital were surveyed in advance to verify the survey through reliability analysis. For this survey, 1,300 questionnaires were distributed to seven frontline divisions and three military hospitals, of which 578 military hospitals and 479 divisions were collected. Among them, 1,042 pieces of data were used for the analysis, excluding 15 questionnaires that exceeded the research period of the division. Analysis methods used Cronbach-α and multiple regression for mean comparison analysis, factor analysis for validation, and reliability verification to verify differences between groups. Results: As a result of the satisfaction analysis, the division's stage satisfaction was higher than that of military hospitals, and as a result of analyzing the satisfaction items by sector, accessibility, re-visit doctors, and professionalism accounted for a large portion in the field of physical therapy services. As a result of a regression analysis, the factors that affect the satisfaction of physical therapy had the greatest impact on facility and environmental satisfaction, and expertise in physical therapy services. Conclusions: In the future, it will be necessary to improve the comfort of the physical therapy room and the expertise of physical therapy in order to improve the satisfaction level of physical therapy at military medical facilities.

Storing information of stroke rehabilitation patients using blockchain technology: a software study

  • Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • v.39 no.2
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    • pp.98-107
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    • 2022
  • Background: Stroke patients usually experience damage to multiple functions and a long rehabilitation period. Hence, there is a large volume of patient clinical information. It thus takes a long time for clinicians to identify the patient's information and essential pieces of information may be overlooked. To solve this, we stored the essential clinical information of stroke patients in a blockchain and implemented the blockchain technology using the Java programming language. Methods: We created a mini blockchain to store the medical information of patients using the Java programming language. Results: After generating a unique pair of public/private keys for identity verification, a patient's identity is verified by applying the Elliptic Curve Digital Signature Algorithm based on the generated keys. When the identity verification is complete, new medical data are stored in the transaction list and the generated transaction is verified. When verification is completed normally, the block hash value is derived using the transaction value and the hash value of the previous block. The hash value of the previous block is then stored in the generated block to interconnect the blocks. Conclusion: We demonstrated that blockchain can be used to store and deliver the patient information of stroke patients. It may be difficult to directly implement the code that we developed in the medical field, but it can serve as a starting point for the creation of a blockchain system to be used in the field.

Workability and Life Satisfaction: Effects of Workers' Positive Perceptions on Their Return to Jobs

  • Kang, Dongsuk
    • Safety and Health at Work
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    • v.13 no.3
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    • pp.286-293
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    • 2022
  • Background: The death rate of workers due to industrial accidents in South Korea (3.61 persons in 2017) is higher than the Organization for Economic Cooperation and Development average (2.43) and the fifth highest among Organization for Economic Cooperation and Development member countries. Although the pandemic of novel coronavirus (COVID-19) has changed, the socioeconomic aspects of Korean society, the number of Koreans suffering accidents and the number of deaths in 2020 have increased. It is necessary to take measures to prevent accidents and make comprehensive efforts to return to work. This study proposes research questions about the effect of workers' positive perception on whether to work after accidents and the impact of the experience of rehabilitation services on the return to work. Methods: This research performed a panel logistic regression analysis using data on workers' compensation insurance in Korea for two years (2018-2019). Results: This research finds that workers' positive perceptions of workability and life satisfaction contributed affirmatively to their re-employment. Several factors related to employment (e.g., work period, the number of job qualifications) also positively affect their return to work. However, the experience of rehabilitation services did not have a significant effect on re-employment. The variables of their health conditions (e.g., disability grade, feelings of health problems, age) negatively influenced their return to jobs. Conclusion: These results suggest the importance of workers' mental recovery and the need to innovate rehabilitation services for their employment. Positive thinking and self-rehabilitation could be critical for workers, parallel with social welfare policies.

Effects of Rehabilitation Exercise Combined with Electrical Muscle Stimulation on Pain, Muscle Strength, and Function in Soldiers Undergoing Knee Meniscectomy

  • Yong-Jun Yu;Won-Seob Shin
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.140-148
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    • 2023
  • Objective: Meniscal injuries are a common and high-risk condition among military personnel, leading to difficulties in performing missions.The objective of this study is to investigate the effects of combining electrical muscle stimulation therapy with exercise therapy during rehabilitation on pain, muscle strength, and function in patients after meniscectomy. Design: A two-group pretest-posttest design Methods: A total of 30 subjects were included in this study. They were randomly assigned to either the experimental group (n=15), which received knee extensor strengthening exercise along with electrical muscle stimulation, or the control group (n=15), which received only knee extensor strengthening exercise. Pre-test was conducted prior to the intervention, which consisted of 30 minutes of treatment five times a week for a total of 20 sessions. Post-test was performed after a 4-week period. Pain, strength, and function were assessed before and after the intervention. Results: The results of the study showed that there was a significant difference in pain reduction and muscle strength improvement in the experimental group, and a significant difference was also found between the experimental group and the control group in terms of functional evaluation. Conclusions: The combination of exercise therapy and electrical muscle stimulation therapy resulted in greater improvements in pain, strength, and function assessment, contributing to improved overall function.

Rehabilitative goals for patients undergoing lung retransplantation

  • Massimiliano Polastri;Robert M. Reed
    • Journal of Yeungnam Medical Science
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    • v.41 no.2
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    • pp.134-138
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    • 2024
  • Lung retransplantation (LRT) involves a second or subsequent lung transplant (LT) in a patient whose first transplanted graft has failed. LRT is the only treatment option for irreversible lung allograft failure caused by acute graft failure, chronic lung allograft dysfunction, or postoperative complications of bronchial anastomosis. Prehabilitation (rehabilitation before LT), while patients are on the waiting list, is recognized as an essential component of the therapeutic regimen and should be offered throughout the waiting period from the moment of listing until transplantation. LRT is particularly fraught with challenges, and prehabilitation to reduce frailty is one of the few opportunities to address modifiable risk factors (such as functional and motor impairments) in a patient population in which there is clearly room to improve outcomes. Although rehabilitative outcomes and quality of life in patients receiving or awaiting LT have gained increased interest, there is a paucity of data on rehabilitation in patients undergoing LRT. Frailty is one of the few modifiable risk factors of retransplantation that is potentially preventable. As such, it is imperative that professionals involved in the field of retransplantation conduct research specifically exploring rehabilitative techniques and outcomes of value for patients receiving LRT, because this area remains unexplored.