• 제목/요약/키워드: The wrist pain

검색결과 192건 처리시간 0.03초

관절내 유리체로 인한 관절장애 치험 1례 (A Case Study of Arthropathy of Wrist Resulting from Loose body)

  • 김경선;김현호;김은이;임은철;선영재
    • 사상체질의학회지
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    • 제16권2호
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    • pp.134-138
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    • 2004
  • 1. Objectives In general, arthropathy is treated with conservative method or only observed. Recently, I have effectively treated one patient with chronic arthropathy caused by loose body using constitutional method. So, I would like to report about this case. 2. Methods Consulting her Sungjeong(性情), Chehyungkisang(體形氣像) and QSCC II, I diagnosed her as Taeumin and treated her with Taeumjowi-tang(太陰調胃湯) plus jejo etc. 3. Results After treatment she felt her symtoms-pain, edema, stiffness of joint improved. 4. Conclusions This paper describes the process of management and changes of symptoms. I hope this paper useful to rehabilitatable treatment for arthropathy through Sasang Constitutional Medicine.

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자동차회사 근로자를 대상으로 한 근골격계 자각증상과 moire 영상 진단과의 관계 연구 (Research on the Relation between Musculoskeletal symptoms and Diagnosis using Moire Topography among Workers at an Automobile Manufacturing Plant)

  • 천은주;이영길;장두섭;이기남;송용선
    • 대한예방한의학회지
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    • 제5권2호
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    • pp.69-92
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    • 2001
  • The purposes of this study were to offer foundation making more certain standards of musculoskeletal disorder diagnosis, We researched musculoskeletal symptoms degrees, frequencies, and cares and then examined relation between musculoskeletal symptoms and diagnosis of musculoskeletal conditions using moire topography among workers at an automobile manufacturing plant. Therefore we propose the possibility of moire topography as diagnosing utilities of musculoskeletal disorders. Methods: This study was to examine the general characteristics, complaints of musculoskeletal symptoms, and work-related musculoskeletal disorder rates of cervicobrachial and lumbar area by survey among 435 workers at an automobile manufacturing plant and then to show each frequency and percentage, In the diagnosis using moire topography, we studied pain control necessity of cervicobrachial and lumbar area, 435 subjects were classified by 5 levels: A(no symptoms), B(need management), C(need treatment) and then more divided by B1(light symptoms)/B2(heavy symptoms), C1(light symptoms)/C2(heavy symptoms), And musculoskeletal areas were divided by 2 parts, cervicobrachial area(neck, shoulder, arm&elbow, and wrist&hand) and lumbar area, Then, frequency and percentage of each musculoskeletal areas(cervicobrachial and lumbar area) were appeared. At last, Pearson's chi-square test analysis was utilized to observe the relation between diagnosis using moire topography and general characteristics and the relation between diagnosis using moire topography and work-related complaint of musculoskeletal symptoms of cervicobrachial and lumbar area, Results: The subjects employed for this research were categorized into; by gender, all of them were males(l00%): by age, under 35 years 12 %, 36-40 years 56.3%, 41-45 years 26.3 %, and above 46 years 5.3% with 36-40 years accounting for most of it. By living location, owned houses represented 69.7%, rented houses 23.4%, monthly-rented 1.6%, the others 5.3%; by education, middle school and lower represented 3.0%, high school 89.4%, and junior college and higher 7.6% with high school occupying most of the group. By marital status, married represented 95.2%, unmarried 4.1%, and the others 0.7% with most of them married; by alcohol, drinking represented 81.8% and non-drinking 18.2%; by smoking status, smoking represented 53.6%, non-smoking 46.4% with no big difference between them. By working time(hours/week), below 50 represented 26.9%, 50-60 67.6%, above 60 5.5%; by working time(hours/day), below 9 represented 21.6%, 10-12 73.1%, above 13 5.3%; by job tenure(years), below 10 represented 25.1%, 11-15 54.3%, 16-20 15.2%, above 21 5.5%. By personal income per year, below 30 million won represented 11.0%, 30-40 84.8%, above 40 4.1%; by sleeping hours, below 6 hours represented 26.7%, 7-8 hours 69.9%, above 9 hours 3.4%. Complaint rates of musculoskeletal symptoms and work-related musculoskeletal disorder rates were 63.9% and 54.9% with shoulder area occupying most of both them. By pain degree of musculoskeletal symptoms, shoulder area represented $2.73{\pm}0.84$, lumbar area $2.66{\pm}0.86$, wrist and hand area $2.59{\pm}0.86$, neck area $2.55{\pm}0.74$, and arm and elbow area $2.48{\pm}0.71$. By cares about musculoskeletal symptoms, taking medication or care represented 34.4%-46.7%, absence or leave 15.4%-28.7%, and job transfer 6.3%-11.5%. So experienced cases more than one thing among cares about musculoskeletal symptoms represented 39.6%-54%. In the diagnosis using moire topography, pain control necessity of cervicobrachial area was shown below; A(no symptoms) 20.7%, B1(need management/light symptoms) 64.6%, B2(need management/heavy symptoms) 11.5%, C1(need treatment/light symptoms) 3.0%, C2(need treatment/heavy symptoms) 0.2%. By lumbar area, A(no symptoms) 8.7%, B1(need management/light symptoms) 52.2%, B2(need management/heavy symptoms) 30.3%, C1(need treatment/light symptoms) 8.7%, C2(need treatment/heavy symptoms) was none. In the relation between pain control necessity and general characteristics, age(P=0.013), education(P=0.000), and job tenure(P=0.012) with pain control necessity showed differences with significance. The relation between pain control necessity and complaint of musculoskeletal symptoms of cervicobrachial and lumbar area showed no difference with significance; in cervicobrachial area represented P=0.708, lumbar area P=0.318 Conclusions: This study for musculoskeletal symptoms on workers at automobile manufacturing plant showed that complaint rates of musculoskeletal symptoms for cervicobrachial and lumbar area were so high, 63.9%. But Pearson's chi-square test analysis was utilized to study the relation between musculoskeletal symptoms and the diagnosis using moire topography, showed no differences with significance. They have no differences with significance, but the prevalence rates of diagnosis using moire topography for cervicobrachial and lumbar area were more higher than complaint rates of musculoskeletal symptoms; complaint rates of musculoskeletal symptoms were 52.4%, 34.5% and the diagnosis using moire topography were 79.3%, 91.3% for cervicobrachial and lumbar area. The results of this study indicate that the diagnosis using moire topography can find weak musculoskeletal disorders that an individual can not feel, not be judged work-related musculoskeletal disease. Therefore, this study has an important meaning that diagnosis using moire topography can predict and control own physical condition complete musculoskeletal disorders beforehand, since oriental medicine theory considers that prevention is important.

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치과위생사의 스켈링 작업 시 발현되는 두경부 및 견부 주위 근육들의 표면 근전도를 이용한 특성 분석 (Analysis Characteristic the Using Surface Electromyography of Head Neck and Around of Shoulder Muscles Express Scaling Working of the Dental Hygienist)

  • 전은숙;남건우;하미숙
    • 치위생과학회지
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    • 제12권4호
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    • pp.437-442
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    • 2012
  • 이 연구는 20명의 치위생과 학생들을 대상으로 스켈링 실습 시 발현되는 근육들의 활성도와 통증부위를 파악하여 치과위생사의 작업자세에 따른 기초자료를 제시하고자 연구를 실시하였다. 스켈링 시 근활성도의 측정은 free EMG를 이용하였고, 근골격계 통증부위를 알아보기 위해 Nordicstyle 설문지를 이용하여 측정된 연구결과는 다음과 같다. 1. 자세에 따른 스켈링 시 통증의 발현은 팔꿈치, 등, 다리, 무릎, 발목/발은 그룹간에 차이가 없는 것으로 나타났으나 목, 어깨, 손목/손, 허리에서는 자세에 따라 통증의 정도 차이가 높게 나타났다. 2. 자세에 따른 근활성도를 측정한 결과 올바른 자세를 가진 그룹에서는 시간의 경과에 따라 상승모근과 상완요골근에서 변화를 보였고, 나쁜 자세를 가진 그룹에서는 후두부근, 상승모근, 상완요골근에서 근활성도가 높게 나타났다. 3. 근활성도에서 두 군간의 변화양상은 좋은 자세로 스켈링을 실시한 그룹에서는 낮은 근활성도를 보였으나, 나쁜자세로 스켈링을 실시한 그룹에서는 근활성도가 과하게 증가되었다. 따라서 올바른 자세를 유지하며 스켈링을 실시하는 것이 근육의 활성을 효과적으로 사용하는데 도움이 되었음을 알수 있었고, 앞으로 임상에서 근무하는 치과위생사를 대상으로 연구를 실시하여 직무 효율성을 높이는 것이 필요하리라 생각된다.

국내 데이터 베이스 검색을 통한 오공 약침 시술에 대한 임상 논문고찰 (Narrative Review of Clinical Trial on Scolopendrid Pharmacopuncture in Korean Literature)

  • 조동찬;이진현;김창곤;정우석;문수정;박태용;이정한
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.73-82
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    • 2013
  • Objectives The purpose of this review is to investigate studies of Scolopendrid pharmacopuncture and the evidence of it's effects in order to suggest a better research method in the future. Methods We retrieved numbers of clinical studies about Scolopendrid pharmacopuncture from 7 Korean web databases, using key words such as 'Scolopendrid', 'Scolopendrid AND Pharmacopuncture'. This study had been conducted from 1st May 2013 to 31th July 2013. Controlled studies and case studies were only used for this study. Clinical studies that we picked from the databases were classified according to the diseases that those studies are about, and from these clinical studies, we are to research what has to be improved generally in clinical researches. Results 18 case studies, 4 controlled studies had been under research. Scolopendrid pharmacopuncture has a therapeutic effect mainly in musculoskeletal and neurological diseases such as herniated intervertebral disc, carpal tunnel syndrome, swollen leg, feeling of cold on legs, wrist ganglion, lateral epicondylitis, radial nerve palsy, cervical myelopathy, cauda equina syndrome, postauricular pain; as an early symptom of Bell's palsy, pain of popliteal part, gout, plantar fasciitis, cellulitis, frozen shoulder, pain of hip adductors. However objectivity and reliability of the Scolopendrid pharmacopuncture studies still remains controversial. Conclusions It has been suggested that there are positive effects of Scolopendrid pharmacopuncture therapy in treating specific diseases (especially neuromusculoskeletal diseases). However, this narrative review can't conclude and prove that the Scolopendrid pharmacopuncture has positive effectiveness on these diseases unlike systematic review. So, in order to put Scolopendrid pharmacopuncture therapy to use for many kinds of diseases in more reasonable ways, it is essential to build well-designed clinical research tools. In the future, abundant case studies, more follow-up trials and randomized controlled trials based on the korean medicine should be done to use Scolopendrid pharmacopuncture for a clinical purpose.

기악과 학생들의 근육과 건 증상에 대한 조사연구 (A Study of Musculotendinous Problems of Students Majoring in Musical Instruments in Korea)

  • 이은남;이은옥;이인숙;박인혜;박정숙;배상철;소희영
    • 근관절건강학회지
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    • 제4권1호
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    • pp.48-60
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    • 1997
  • This study was undertaken to identify the musculotendinous problems and contributing factors to those problems In students majoring in musical instruments in Korea. The data were collected from March 2, 1996 to March 31, 1996 from 261 music students in various geographical areas. The data were analyzed for descriptive statistics, t-test, chi-square using SPSS $PC^+$ program. The results of this study were as follows : 1. In a questionnaire survey of 261 music students, one hundred twenty five(47.9%) reported having had various musculotendinous symptoms. Twenty seven students among the those who had previous symptoms(21.9%) reported the present symptoms. 2. The experience rates of musculotendinous problems in keyboard players, string players and woodwind players were 50.3%, 48.2%, 33.3% respectively. 3. Most of the students practiced most intensively during their high school years and the musculotendinous symptoms began at the same period. 4. Pain, tenderness and stiffness were the most common symptoms, while paresthesia and motor dysfunction were rare. This indicates that most players had muscle tendinous overuse, while small number had nerve entrapment and motor dysfunction. 5. In past and present symptoms, string players experienced musculotendinous symptoms mainly in both sides of shoulders, lumbar area, left finger, and left wrist, while keyboard players experienced more symptoms in the right wrist, shoulder, fingers than left side. 6. The major contributing factors to the symptoms were weight of instrument, types of instruments, types of daily activities, duration of practice, and playing technique. 7 The most frequent treatment modalities for the symptoms were acupuncture or moxibustion, other alternative therapy such as heat compress and massage. Through this study it was found that the musculotendinous problems might be increased along with their career, due to lack of knowledge about preventive measures and patterns of health behavior seeking alternative modalities rather than professional consultation. Therefore, preventive measures that focus on playing habits such as duration of practice, frequency of rest and position while playing should be developed and taught to the students, their parents, and music educators. Doctors who are interested in this area should attempt to correct the position and posture while playing of the posture. And measures for reduction of loading of instrument weight should also be developed.

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치과위생사의 진료자세에 따른 근골격계 통증 경험에 대한 연구 (A Study on the Musculoskeletal Pain Experience of Dental Hygienist's Treatment Postur)

  • 김지희;김혜진
    • 치위생과학회지
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    • 제9권4호
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    • pp.413-418
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    • 2009
  • 치과위생사들의 진료 자세에 따른 근골격계 통증 경험 정도를 알아보고, 업무 수행과정에서 발생할 수 있는 근골격계 질환의 예방에 도움이 되고자 2009년 3월부터 5월까지 울산 경남에 소재하는 치과 병 의원의 일부 치과 위생사 214명을 대상으로 설문지법을 이용하여 자료를 수집, 분석하여 다음과 같은 결론을 얻었다. 1. 대상자의 일반적인 특성은 연령은 23세 이하가 34.1%로 가장 많았고, 24~26세가 33.6%, 25~29세가 20.6%, 30세 이상이 11.7%였다. 미혼이 86.4%였고, 학력은 88.3%가 전문대 졸업이었고, 종교는 무교가 43.5%로 가장 많았으며, 불교가 30.8%, 기독교가 16.4%, 천주교가 6.5%였다. 2. 대상자의 업무적 특성은 치과의원 근무자가 57.5%, 치과병원이 42.5%였고, 경력은 1~3년이 42.5%로 가장 많았고, 이직횟수는 1회가 45.1%가 가장 많았다. 보수는 130~149만원이 33.6%로 가장 많았고, 150~199만원이 29.9%, 130만원 미만이 26.2%, 200~249만원이 7.5%였다. 근무인력은 치과위생사 20명 이상이 85.9%로 가장 높았고, 평균 15.6명이었으며, 치과의사는 1명이 28.5%로 가장 많았고, 2명이 22.4%, 4명이 19.2%였으며 평균 3.2명이었다. 근무시간은 8~9시간이 49.5%로 가장 많았고, 주된 업무로는 일반진료업무보조가 70.1%로 가장 많았고 주5일 근무는 60.3%가, 야간근무는 49.1%가 실시하고 있었다. 3. 치과위생사의 업무수행 중 근골격계의 통증에 영향을 미치는 진료자세를 분석한 결과 목 통증에 영향을 미치는 진료자세는 "머리를 15도 숙이거나 돌릴 때", "양쪽 어깨가 기울러져 있거나", "허리를 구부리거나", "손목이 자주 꺽이거나" "엉덩이를 의자에 걸치고 앉아서 진료했을 때" 였으며 어깨 통증에 영향을 미치는 진료 보조자세는 "머리를 15도 이상 숙이거나", "허리를 구부리거나", "양다리를 쭉 붙인 상태"였다. 무릎 통증에 영향을 미치는 진료 보조자세는 "양다리를 쭉 붙인 상태"였으며 엉덩이 통증에 영향을 미치는 진료 시술자세는 "엉덩이를 의자에 걸치고 앉았을 때" 유의하게 나타났다.

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수중운동 프로그램이 류마티스 관절염 환자의 사지 피부두겹 두께와 둘레에 미치는 영향 (Effects of Aquatic Exercise on Skinfold Thickness and Circumference of Upper and Lower Extremities in Patients with Rheumatoid Arthritis)

  • 김종임;김인자;이은옥
    • 근관절건강학회지
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    • 제2권2호
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    • pp.131-146
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    • 1995
  • Many arthritis patients experience weakness of muscles in extremities mainly due to disuse atrophy and weight gain because of the limited activities and exercises. This study examines the effects of the 6-week aquatic-exercise program on the body fat and the muscle of the rheumatoid arthritis patients. Seventeen patients in the experimental group and 18 in the control group were assigned depending on their preference and physical condition. These patients had more than 3 points of pain out of 10, deformities in knee, wrist and ankle joints. The amount of aquatic exercise increases from 35 minutes in the first week to 60 minutes in the 6th week. In the resting period they discussed their own experiences about exercise, personal and family affairs, and performed some recreation programs in order to increase the self-efficacy and promote the relationship with other patients by the group activities. Skinfold thickness and circumferences of both extremities were measured before and after experiment to compare the difference. For testing the body fat Saham Model was used. Prior to the experiment two group's body weight, skinfold thickness and skin circumferences were not significantly different which indicates the homogeneity of two groups. Body weight and most parts of skinfold thickness of the experimental group were significantly lower than the control group after 6-week aquatic exercise program. Circumference was not significantly lower than the control after the program. These findings indicate the in-crease of muscle sizes and the reduction of the body fat. Therefore a more active application of aquatic exercise into a variety of clients is strongly suggested.

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Relationship between visual display terminal working hours and headache/eyestrain in Korean wage workers during the COVID-19 pandemic: the sixth Korean Working Conditions Survey

  • Gayoung Kim;Seong-yong Cho;Jinseok Kim;Seongyong Yoon;Jisoo Kang;Si young Kim
    • Annals of Occupational and Environmental Medicine
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    • 제35권
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    • pp.8.1-8.12
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    • 2023
  • Background: Prolonged use of visual display terminal (VDT) can cause eyestrain, dry eyes, blurred vision, double vision, headache and musculoskeletal symptoms (neck, shoulder, and wrist pain). VDT working hours among workers have greatly increased during the coronavirus disease 2019 (COVID-19) pandemic. Therefore, this study aimed to investigate the relationship between VDT working hours and headache/eyestrain in wage workers using data from the sixth Korean Working Conditions Survey (KWCS) (2020-2021) conducted during the COVID-19 pandemic. Methods: We analyzed the sixth KWCS data of 28,442 wage workers aged 15 years or older. The headache/eyestrain that occurred in the last year was assessed. The VDT work group included workers who use VDT always, almost always, and three-fourth of the working hours, while the non-VDT work group included workers who use VDT half of the working hours, one-fourth of the working hours, almost never, and never. To analyze the relationship between VDT working hours and headache/eyestrain, the odds ratios (ORs) and 95% confidence interval (CI) were calculated using logistic regression analysis. Results: Among the non-VDT work group, 14.4% workers experienced headache/eyestrain, whereas 27.5% workers of the VDT work group experienced these symptoms. For headache/eyestrain, the VDT work group showed adjusted OR of 1.94 (95% CI: 1.80-2.09), compared with the non-VDT work group, and the group that always used VDT showed adjusted OR of 2.54 (95% CI: 2.26-2.86), compared with the group that never used VDT. Conclusions: This study suggests that during the COVID-19 pandemic, as VDT working hours increased, the risk of headache/eyestrain increased for Korean wage workers.

봉 추나요법의 개요 (Introduction of Bong Chuna Manual Therapy)

  • 오원교;신병철
    • 척추신경추나의학회지
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    • 제2권1호
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    • pp.99-114
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    • 2007
  • Objectives : The purpose of this study was to introduce the Chuna Manual Therapy (CMT) using Bong (a type of stick which is called 'bong') as a part of Oriental Medicine. Methods : We searched several traditional methods of CMT using Bong, either individual contact to specialist of CMT using Bong or referred to publications, and summarized briefly for introduction. Authors also made a comparative study between existing CMT and CMT using the bong. Results & Conclusions : The indications of Bong CMT are regarded as acute or chronic pain syndrome, whiplash associated disorders, facet syndrome, vertebral misalignment, chronic fatigue syndrome, obesity and also lower extremity length difference caused by malalignment of vertebrae and pelvic bone. The Meridian Muscle Therapy by pressing down using the Bong can be carried out on the imbalances of the muscle by shortening and lengthening contraction. CMT with Bong is considered more effective than other existing CMT in terms of effectiveness. In the case of pelvic correction which needs a tremendous amount of force, it can reduce the force required effectively. This fact can be inferred by the theory of composition and decomposition of force during the transmission of power. We can perform Bong CMT feeling less fatigued subsequently than general CMT. Pressing down with flexed fingers to grip bong acts on the contraction of flexor digiti and extensor digiti muscle, this protects the $doctor^{\circ}{\emptyset}s$ wrist joints from injury. The bong which acts as a tool between the doctor and the patient, while being given treatment, absorbs and spreads out the direct impact from the patient to the doctor. CMT with Bong is able to apply to both existing massage therapies with the hand. The bong appliance can be used in all applications, particularly, but not limited to; Orthopedic and Manual Correction Therapy, Meridian Muscle Pressing, Exercise Therapy, and Meridian Point Manual Pressing Therapy. CMT with Bong belongs to the category of oriental rehabilitation and Chuna manual medicine.

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The Most Effective Number of Elastic Taping Applications on the Muscle Activity and Maximum Peak of the Wrist Extensor Muscle in Patients with Stroke

  • Cho, Ju Chul;Lee, Byoung Kwon;Chon, Seung Chul
    • 대한인간공학회지
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    • 제33권6호
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    • pp.533-541
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    • 2014
  • Objective: The aim of this study is to evaluate the differences in electromyographic activities of upper extremity muscle between repeated taping and to compare the effects of each taping method in stroke patients. Background: Taping studies for functional improvement and pain relief of the UE have been conducted using various methods. Despite being an important factor when you treatment to a patient in a clinical attachment numbers situation quantitative research is that there is not at all to the taping at the time of application. Method: Twenty patients volunteered in this study and were tested under four taping conditions as follows, in random order: (1) no taping, (2) taping applied once, (3) taping applied twice, and (4) taping applied thrice. The muscle activity and maximum peak of the extensor carpi radialis muscle in electromyographic activities were measured, respectively. Results: The muscle activity and maximum peak of the extensor carpi radialis muscle showed significant differences among the four conditions (p<.05). In the post hoc test, the extensor muscle showed significant differences in muscle activity and maximum peak in electromyographic activities, except between taping applied twice and thrice. Conclusion: These findings demonstrate that repeated taping up to two times may be useful in improving the muscle activity and maximum peak of the extensor muscle. Application: This study provides useful information to future researchers regarding the effects of repeated taping applications on muscle activity and maximum peak of the muscles of the human body.