• Title/Summary/Keyword: Rehabilitation exercise

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Effects of Lumbar Stabilization Exercise Program with Proprioceptive Stimulation in 20s Female Low Back Pain Patient

  • Baek, Gye-Seong;Park, Sam-Ho;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.198-206
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    • 2022
  • Objective: This study was to investigate the effect of a lumbar stabilization exercise program accompanied by proprioceptive stimulation in women in their 20s with low back pain. Design: A randomized controlled trial Methods: A total of 30 women in their 20s with low back pain were selected and randomly assigned to an experimental group and a control group. Both groups performed a lumbar stabilization exercise program, and only the experimental group applied for a stabilization exercise program with proprioceptive stimulation. The exercise program lasted 60 minutes at a time, 3 times a week, for 4 weeks. The measurement tools used were the Numeric Rating Scale (NRS), the Korean version of the Oswestry Disability Index (K-ODI), the lumbar alignment, and the transverse abdominis(TrA) muscle thickness and contraction ratio. Results: Both groups showed statistically significant differences in NRS, K-ODI, and muscle thickness before and after the experiment (p<0.05). The lumbar alignment and contraction ratio at the time of contraction of TrA in the experimental group was statistically significantly increased, and there was also a significant difference in the difference between the two groups (p<0.05). Conclusions: The lumbar stabilization exercise program with proprioceptive stimulation reduced pain, improved low back pain induced dysfunction, and increased TrA muscle thickness and contraction ratio. Therefore, it can be an effective therapeutic exercise program for women in their 20s with LBP.

Physical Therapy for Post-Myocardial Infarction (심근경색후 물리치료)

  • Lee, Jeong-Weon
    • Physical Therapy Korea
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    • v.1 no.1
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    • pp.83-87
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    • 1994
  • The purpose of this paper is to provide an overview of the clinical physical therapy program used at the University of Yonsei Rehabilitation Hospital, for the practicing university trained physical therapists who may be unfamiliar with patients who have suffered a myocardial infarction. The four primary phases of the cardiac physical therapy graded exercise program are: 1) coronary care unit program (phase I), 2) general ward program (phase II), 3) convalescence program (phase III), 4) maintenance program (phase IV). The exercise prescription defines the exercise intensity, duration, frequency, and mode of exercise a after pre- discharge low level graded exercise test(LL-GXT) or symptom limited maximum graded exercise test. A typical exercise routine consists of preparation warm-up exercise, therapeutic exercise, cool-down exercise. Physical therapy is involved in the acute care and rehabilitation of the patient after a myocardial infarction. Therefore, the physical therapist must throughly comprehened the cardiac anatomy, cycle, performance, conduction system, pathogenesis, risk factors, and exercise benefits.

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The Effects of Exercise-based Cardiac Rehabilitation Phase II on Pro- and Anti-inflammatory Markers in Patients with Acute Coronary Syndrome

  • Kim, Al-Chan;Oh, Jae-Keun;Shin, Kyung-Ah;Kim, Young-Joo
    • Biomedical Science Letters
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    • v.19 no.1
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    • pp.61-69
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    • 2013
  • The aim of this study was to evaluate the effect of exercise-based cardiac rehabilitation on pro- and anti-inflammatory markers in patients with acute coronary syndrome (ACS). ACS patients who underwent percutaneous coronary intervention (PCI) and took medicine during phase II of rehabilitation were recruited for study. Subjects were divided into two groups; exercise group (EX, n=21) and a non-exercise group (non-EX, n=13). Supervised exercise program in hospital consisted of treadmill and bicycle exercise was performed three times per week for 6 weeks. Patients of EX received individual counseling, including knowledge of heart disease, risk factor modification, and physical training. Cardiopulmonary fitness, body composition, and biochemical blood factors were analyzed before and after experiment. There was no significant difference in serum levels of hs-CRP and TGF-${\beta}1$ between groups, and between time intervals. But there was a significant decrease in serum levels of IL-18 (P<.001). And there was a significant increase in ratio of IL-18 to IL-10 (P<.01) and serum levels of IL-10 (P<.001). After cardiac rehabilitation, there was significant increase in exercise duration (P<.001), maximal oxygen uptake ($VO_{2peak}$; P<.001) and decrease in submaximal rate-pressure product (sRPP; P<.05) in EX. In conclusion, exercise-based cardiac rehabilitation during phase II in patients with ACS after PCI decreased serum IL-18 (pro-inflammatory) content and ratio of IL-18 to IL-10 in serum (highly related with disease recurrence), and increased serum IL-10 (anti-inflammatory) content. In addition, it led to improved cardiopulmonary fitness.

Study on the Satisfaction Use of Rehabilitation Exercise Room (일부 보건소의 재활운동실 이용 만족도에 관한 연구)

  • Kwon Seon Suk;Kwon Dong Youn
    • Journal of Korean Public Health Nursing
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    • v.17 no.2
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    • pp.203-211
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    • 2003
  • The purpose of this study was to investigate the degree of satisfaction in using rehabilitation exercise rooms in public health centers. A total of 100 subjects were participated in the study who were clients of rehabilitation exercise rooms in two public health centers in one city of Kyunggi Do, Korea. Data were collected from March 1 to 30, 2003 using questionnaire. The data were analyzed using SPSS/PC computer program. The result are as follows : 1. The mean age of subjects was 62.6 years old, and men constituted $67.0\%$ of the participants. Most participants $(64\%)$ were in the middle socioeconomic status, and $(65\%)$ of subjects was diagnosed as stroke. 2. Regarding the source of information about rehabilitation exercise room in public health center, $56.0\%$ obtain information from colleagues or neighbors, and for most participants the time required to travel to rehabilitation exercise room was less than 30min on foot. Among rehabilitation services, Taping therapy $(53.0\%)$ was most frequently used among participants, 3. Sum of all satisfaction score was $71.10(\pm6.60,\;range:\;1-90)$ showed higher level of satisfaction. Cost, reliability, and kindness were main factors that affect the degree of satisfaction among participants. 4. Twenty-four percent of the respondents utilized clinic services in the health centers, and $27.4\%$ stoped rehabilitation services from hospitals and/or clinics due to high cost. 5. In the use of rehabilitation exercise room was positively correlated to age (r=.214, p<0.05) and disease duration(r=.241. p<0.05).

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Effects of an Inpatient Pulmonary Rehabilitation Program on Dyspnea, Exercise Capacity, and Health Related Quality of Life for Patients with Chronic Lung Disease (입원 호흡재활 프로그램이 만성 폐질환자의 호흡곤란, 운동능력과 건강관련 삶의 질에 미치는 효과)

  • Lee, Chang-Kwan
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.343-352
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of an inpatient pulmonary rehabilitation program on dyspnea, exercise capacity, and health related quality of life in inpatients with chronic lung disease. Method: This quasi experimental study was designed with a nonequivalent control group pre-post test time series. Twenty three patients were assigned to the experimental group and nineteen to the control group. The inpatient pulmonary rehabilitation program was composed of upper and lower extremity exercise, breathing retraining, inspiratory muscle training, education, relaxation and telephone contacts. This program consisted of 4 sessions with inpatients and 4 weeks at home after discharge. The control group was given a home based pulmonary rehabilitation program at the time of discharge. The outcomes were measured by the Borg score, 6MWD and the Chronic Respiratory Disease Questionnaire(CRQ). Results: There was a statistically significant difference in dyspnea between the experimental group and control group, but not among time sequence, or interaction between groups and time sequence. Also significant improvements in exercise capacity and health related quality of life were found only in the experimental group. Conclusions: An Inpatient pulmonary rehabilitation program may be a useful intervention to reduce dyspnea, and increase exercise capacity and health related quality of life for chronic lung disease patients.

Usability Evaluation of Mobile based Upper Extremity Rehabilitation Program Through TGC Analysis (TGC 분석을 통한 모바일 기반 상지 재활 프로그램의 유용성 평가)

  • Lim, Hyunmi;Son, Jieun;Ku, Jeonghun
    • Journal of Biomedical Engineering Research
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    • v.40 no.1
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    • pp.15-19
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    • 2019
  • In this study, Theta Gamma Coupling (TGC) analysis was carried out after performing simple and repeated upper limb exercise and comparative experiment to observe changes in the motor cortex of the brain through TGC and to see if mobile rehabilitation therapy is actually effective. As a result, exercise using mobile devices showed higher TGC values in motor cortex as compared with simple repeat upper limb exercise. In addition, paired t-test using SPSS showed statistically significant difference between exercise using mobile devices and simple repeat exercise at P3(t=3.390, df(degree of freedom)=12, p value=0.005). Exercise using mobile devices is effective for rehabilitation because it increases the Theta-Gamma Coupling and activates the motor cortex. Also, since the mobile game contents required the subject to detailed athletic ability adjustment with immersion in the task, it may be thought that brain activation is stronger than simple rehabilitation.

The Effect of Lower Extremity Muscle Activity on Bridging Exercise and Combined Lifting pattern Bridging Exercise (교각운동과 들어올리기 패턴결합 교각운동이 하지 근 활성도에 미치는 영향)

  • Youn, Hye-Jin;Kim, Kyung-Hwan;Park, Sung-Hun;Yi, Min-Young
    • PNF and Movement
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    • v.10 no.4
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    • pp.49-55
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    • 2012
  • Purpose : The purpose of this study was to assess the effects of bridging exercise and combined lifting pattern bridging exercise on the lower extremity muscle activity. Methods : Twenty-five healthy adults volunteered to participate in this study. Subjects were required to complete following bridging exercises. Muscle activity was measured by QEMG-4 system(LXM 3204, Laxtha Korea). A paired t test was used to determine the influence of muscle activity for each exercise and descriptive statistics was used to characteristics of the subjects. Results : The biceps femoris, tibialis anterior, gastrocnemius of combined lifting pattern bridging exercise showed significance excepted vastus medialis(p<.05). In the case of men, biceps femoris showed significance in the combined lifting pattern bridging exercise(p<.05). In the case of women, biceps femoris and tibialis anterior showed significance in the combined lifting pattern bridging exercise(p<.05). Conclusion : The combined lifting pattern bridging exercise was more increased than bridging in lower extremity muscle activation. This result will be used for knee joint stabilizing exercises and biceps femoris strength training.

The Convergence Study on the Effects of Combined Exercise Rehabilitation on Lower limb Muscular function and Cytokines in the Taekwondo players with Patellofemoral Pain Syndrome (무릎넙다리통증증후군 태권도 선수들의 복합 운동재활이 하지 근기능 및 사이토카인의 효과에 관한 융합적 연구)

  • An, Hwan-Pil
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.245-256
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    • 2017
  • The purpose of this study was to determined the converge effects of combined exercise rehabilitation on lower limb muscular function and cytokines in taekwondo player with patellofemoral pain syndrome. In this study, combined exercise rehabilitation(aquatic exercise 3 times a week, resistance exercise 2 times a week) was performed and 20 collegiate taekwondo player with patellofemoral pain syndrome(control group: n=10, combined exercise rehabilitation group: n=10) were participated for 8 weeks. Statistical significance verification was carried out by a two - way ANOVA repeated measures design as a mixture using the SPSS 18.0 program. The statistically significant level was set at 0.05. The results of this study were as following. Peak torque was higher significantly in extensor(p<.001) and flexor(p<.01) at $60^{\circ}/sec$ in the combined exercise rehabilitation group than the control group over combined exercise treatment period. Average power was higher significantly in extensor muscles at $180^{\circ}/sec$ in the combined exercise rehabilitation group than the control group over combined exercise treatment period.(p<.01). The variable of TNF-a was higher significantly in the combined exercise rehabilitation group than the control group as over combined exercise treatment period. Therefore, it can be concluded that a combined exercise rehabilitation program is effective in improving the lower limb muscular function and TNF-a in Patellofemoral Pain Syndrome patient.

Effect of Whole Body Horizontal Vibration Exercise in Chronic Low Back Pain Patients: Vertical Versus Horizontal Vibration Exercise

  • Kim, Heejae;Kwon, Bum Sun;Park, Jin-Woo;Lee, Hojun;Nam, Kiyeun;Park, Taejune;Cho, Yongjin;Kim, Taeyeon
    • Annals of Rehabilitation Medicine
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    • v.42 no.6
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    • pp.804-813
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    • 2018
  • Objective To elucidate the effect of a 12-week horizontal vibration exercise (HVE) in chronic low back pain (CLBP) patients as compared to vertical vibration exercise (VVE). Methods Twenty-eight CLBP patients were randomly assigned to either the HVE or VVE group. All participants performed the exercise for 30 minutes each day, three times a week, for a total of 12 weeks. Altered pain and functional ability were evaluated using the visual analog scale (VAS) and Oswestry Disability Index (ODI), respectively. Changes in lumbar muscle strength, transverse abdominis (TrA) and multifidus muscle thicknesses, and standing balance were measured using an isokinetic dynamometer, ultrasonography, and balance parameters, respectively. These assessments were evaluated prior to treatment, 6 weeks and 12 weeks after the first treatment, and 4 weeks after the end of treatment (that is, 16 weeks after the first treatment). Results According to the repeated-measures analysis of variance, there were significant improvements with time on VAS, ODI, standing balance score, lumbar flexor, and extensor muscle strength (all p<0.001 in both groups) without any significant changes in TrA (p=0.153 in HVE, p=0.561 in VVE group) or multifidus (p=0.737 in HVE, p=0.380 in VVE group) muscle thickness. Further, there were no significant differences between groups according to time in any of the assessments. No adverse events were noticed during treatment in either group. Conclusion HVE is as effective as VVE in reducing pain, strengthening the lumbar muscle, and improving the balance and functional abilities of CLBP patients. Vibrational exercise increases muscle strength without inducing muscle hypertrophy.

Development of a Wrist Bending Rehabilitation Robot with a Three-axis Force Sensor (3축 힘 센서가 적용된 손목 굽힘 재활로봇 개발)

  • Kim, Gab-Soon
    • Journal of Sensor Science and Technology
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    • v.25 no.1
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    • pp.27-34
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    • 2016
  • This paper describes the development of a rehabilitation robot that can provide wrist bending exercise to a severe stroke patient staying in a bed ward or at home. The developed rehabilitation robot has a three-axis force sensor which detects three directional force Fx, Fy, and Fz. The sensor measures a bending force (Fz) exerted on the wrist and the signal force (Fx and Fy) which can be used for the safety purpose. The robot was designed for severe stroke patients in bed, and the robot program was developed to perform a wrist bending rehabilitation exercise. In our tests including a nine-day experimental exercise, the developed force sensor-based robot operated effectively and safely.