• Title/Summary/Keyword: Therapeutic Exercise

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Review of Non-invasive Interventions for Drooling Problems in Children With Cerebral Palsy: Trends and Analysis of Interventions for Drooling (신경발달장애 아동의 침흘림치료를 위한 비침습적 중재방법에 관한 고찰: 경향 및 중재방법 분석)

  • Jeon, Joo young;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.10 no.2
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    • pp.37-51
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    • 2021
  • Objective : The purpose of this study was to analyze non-invasive treatments and drooling assessment methods in children with cerebral palsy and developmental disabilities, who drool. Methods : This study searched two hundred papers published in 2005-2019. Forty-four papers were selected based on their abstract and title, and ten papers were finally selected following a secondary search. Results : The PEDro Scale of the selected papers was high with an average of seven points. As a result of analyzing the overall trends, the study participants were primarily patients with cerebral palsy, and recently, the therapeutic intervention of oral sensory exercise was more actively studied than behavioral modification. Studies of behavioral modification and oral sensory exercise intervention methods were found to have differences in participant age and, cognitive level, number of participants, research design, treatment time, and duration. Studies to confirming the frequency and severity of the drooling measurement method were found to be the main factor. Conclusion : This study analyzed typical behavioral modification and oral sensory exercise interventions as examples of non-invasive therapeutic interventions for children with cerebral palsy and developmental disabilities and provided information to help select appropriate therapeutic intervention methods when planning non-invasive therapy using behavioral modification and oral sensory exercise therapy.

Effects of massage and microwave diathermy therapy on eccentric exercise-induced DOMS and indices of muscle damage (마사지 및 극초단파 치료가 원심성 운동으로 유발된 지연성 근육통과 근 손상 지표에 미치는 영향)

  • Yoon, Bum-Chul;Ham, Young-Woon;Lee, Myung-Hwa;Hong, Hye-Jung;Lee, Jae-Hak
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.293-303
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    • 2001
  • The purpose of this study was to determine if there were any beneficial effects of massage or microwave diathermy regarding delayed onset muscle soreness (DOMS) and indices of muscle damage. Twenty-one adult women, randomly divided in two treatment groups and a control group, performed eccentric stepping exercise with the quadriceps until exhaustion. The treatment groups additionally performed massage or microwave diathermy after the stepping exercise. Pressure pain threshold measure for DOMS and muscle enzymes in the blood were obtained before, and 0, 24, 48 and 72 hours after exercise. The results were as follows; 1. Eccentric exercise caused DOMS and elevations of muscle enzymes in the blood, with peak values exercise levels by 24 hours after exercise and GOT and CRP by 72 hours after exercise. DOMS and CK activity remained elevated 72 hours after exercise. 2. DOMS and blood muscle enzymes response to eccentric exercise were reduces by massage or micro diathermy therapy. DOMS was significantly decreased at 72 hours after exercise by massage and microwave diathermy. CK activity was significantly decreased at 72 hours after exercise by microwave diathermy. There was the significant reduction in LDH at 48 hours, GOT at 24, 48, 72 hours. and CRP at 24, 48 hours after exercise by massage and microwave diathermy. These results indicate that massage or microwave diathermy is had effect on recovery from exercise-induced muscle damage. In our's suggestion. microwave diathermy is particularly more appropriate therapeutic modality because it is more simple and economic than massage.

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Effects of Acute Exercise on Nitric Oxide Generation from Mouse Macrophages

  • Shin, Jung-Hee;Kim, Jin;Kim, Hyun-Sook;Kwon, Nyun-Soo
    • Nutritional Sciences
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    • v.5 no.3
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    • pp.123-128
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    • 2002
  • Physical activity is a primary cancer control strategy that has received little attention to date. However, an Increasing number of epidemiological studies have proposed that physical exercise may be beneficial by enhancing anticancer immune system responses. We investigated the effects of acute exercise on changes in nitric oxide (NO) production and inducible nitric oxide synthase (iNOS) expression. The amounts of NO generated by abdominal macrophages in mice were measured after exercise. Thirty-two mice, which were challenged with thioglycollate broth to activate peritoneal macrophages, were randomly assigned to control, exercise and recovery groups. The mice exercised on a motor-driven treadmill for 3 consecutive days, either moderately (18m/min, 30 min/day, 5% grade) or severely (18-35m/min, 60 min/day, 5% grade). The mice were killed immediately after exercise or after 6 hrs of recovery. Nitric oxide was quantified by the Griess assay. The exercised mice showed higher levels of NO generation than those of the control mice, but the intensity of exercise had no significant effect on NO generation. Mice allowed six hours of recovery after exercise showed higher levels of NO generation than that of animals sacrificed immediately after exercise, but there were no significant differences in NO generation with variations in the intensity of exercise. Increased levels of iNOS were found in the exercised groups, and this was greatest in the groups allowed six hours of recovery compared to those groups sacrificed immediately after exercise. The results of this study suggest that acute exercise may enhance an immune response by inducing macrophage-derived NO generation; these results support the epidemiological findings which support the benefits of exercise in the prevention and control of cancer. Further study is needed to determine the physiological significance of these findings, which could be applied to the use of therapeutic exercises to assist in the prevention and control of cancer.

Effects of Digital Exercise Intervention Using Artificial Intelligence (AI) on the Physical Abilities of Adults (인공지능(AI)을 이용한 디지털 운동중재가 성인의 신체능력에 미치는 영향)

  • So-Ra Moon;Sang-Ui Choi;Hoo-Man Lee;Kwang-Sub Song;Seung-Min Choi
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.1-13
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    • 2023
  • Purpose : Along with the rapid development of digital technology, the application of digital healthcare in the medical field is also increasing. According to many experts, increasing the amount of exercise and physical activity is a helpful way to prevent and manage physical problems in modern society. However, a lack of exercise, which is of the lifestyle of modern people, leads to the development of various diseases. This study aimed to examine the effects of digital exercise intervention using artificial intelligence (AI) on the physical abilities of adults whether digital exercise intervention can be a reliable and effective therapeutic option for musculoskeletal disorders in real-world clinical settings. Methods : In this study, exercise was conducted using a digital application to investigate the effects of an AI-based digital exercise intervention on the physical abilities of adults. A total of 13 adults were evaluated, and their physical abilities before and after the exercise intervention were compared. Hand-grip strength, functional leg muscle strength, dynamic balance, and quadriceps muscle strength were assessed. Exercise was performed using a digital application and in a non-face-to-face manner. AI identified the exercise status of each participant and adjusted the exercise difficulty level accordingly. The exercised daily for 4 weeks. Results : A total of 12 participants were analyzed for the final results. Significant improvements were observed in hand-grip strength, functional leg muscle strength (evaluated using the stand-up test), dynamic balance, and straight-gait ability (p<.05), indicating an increase in the overall muscular strength and physical function of the participants. Conclusions : Digital exercise intervention using AI is effective in improving physical abilities related to musculoskeletal function. It can be useful in clinical practice as an effective treatment option for patients with musculoskeletal disorders or muscle weakness.

Comparing the Immediate Effectiveness of Lumbar Flexion and Extension Exercise With Regards to Pain, Range of Motion, Pelvic Tilt, and Functional Gait Ability in Patients With Lumbar Spinal Stenosis

  • Do, Hyun-ho;Chon, Seung-chul
    • Physical Therapy Korea
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    • v.26 no.4
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    • pp.10-19
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    • 2019
  • Background: In patients with lumbar spinal stenosis (LSS), lumbar flexion exercise (LFE) is considered a standard therapeutic exercise that widens the space between the spinal canal and intervertebral foramen. However, some researchers have reported that lumbar extension exercise (LEE) may improve lumbar pain and functional ability in patients with LSS. Although exercise intervention methods for patients with LSS have been widely applied in clinical settings, few studies have conducted comparative analysis of these exercise methods. Objects: This study aimed to compare the effects of LFE, LEE, and lumbar flexion combined with lumbar flexion-extension exercise (LFEE) on pain, range of motion (ROM), pelvic tilt angle, and functional gait ability in patients with LSS. Methods: A total of 30 patients with LSS, LFE (n1=10), LEE (n2=10), and LFEE (n3=10) were assigned to each of the three exercise groups. The numerical pain rating scale (NPRS), modified-modified schober test (MMST)-flexion, MMST-extension, pelvic tilt inclinometer, and 6-minute walking test (6MWT) were measured. Results: After the intervention, statistically significant differences were observed in the NPRS (p=.043), MMST-flexion (p<.001), MMST-extension (p<.001), and 6MWT (p=.005) between groups. According to the post hoc test, the NPRS was statistically significant difference between the LFEE and LEE groups (p=.034). The MMST-flexion was statistically significantly different between the LFE and LEE (p=.000), LFE and LFEE (p=.001), and LEE and LFEE (p=.001) groups. The MMST-extension was statistically significantly different between the LFE and LEE (p<.001), LFE and LFEE (p=.002), and LEE and LFEE (p=.008) groups. The 6MWT was statistically significantly different between the LFE and LFEE (p=.042) and the LEE and LFEE (p=.004) groups. Conclusion: This study suggested that LFEE was the most effective exercise for pain and functional gait ability in patients with LSS, LFE was the most effective exercise for lumbar flexion ROM, and LEE was the most effective exercise for lumbar extension ROM.

The Effect of Hormone and Pulmonary Function in the Scoliosis Patients after Trunk Stabilization Exercise (체간안정화 운동이 측만증 환자의 폐기능과 호르몬에 미치는 효과)

  • Lee, Woohyung;Lee, Yoonmi
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.1
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    • pp.63-74
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    • 2018
  • Purpose: The purpose of this study was to evaluate the effect of a trunk stabilization exercise program on the participants' scoliosis angle, pulmonary function, and growth hormones. Method: In the study, 30 participants were divided into a normal scoliosis exercise group (n=15) and an obese scoliosis exercise group (n=15). The participants performed a trunk stabilization exercise program three times a week for 12 weeks, and the exercise sessions lasted 50 minutes. The participants' pulmonary function [FVC, FEV1, FEV1/FVC, and PEF] was measured using a CardioTouch 3000S, and their scoliosis angles were measured using the Cobb's angle. The levels of growth hormone (GH) and insulin-like growth factor-1 (IGF-1) were analyzed on an immunoradiometric assay (IRMA) and radioimmunoassay (RIA), respectively. Results: After the intervention, the scoliosis angle, hormone levels, and pulmonary function increased significantly in both groups (p<.05). The result of the intergroup difference test indicated statistically significant differences in the three items (scoliosis angle, hormone levels, and pulmonary function) between the two groups (p<.05). Conclusion: Therefore, this program may be recommended as a therapeutic intervention for patients with scoliosis.

Comparison of the VMO/VL EMG Activity Ratio According to Resistance Condition in Partial Lunge Exercise

  • Nam, Ki-Seok
    • The Journal of Korean Physical Therapy
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    • v.32 no.5
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    • pp.273-276
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of the resistance conditions on the electromyography (EMG) activity ratio of vastus medialis oblique (VMO) and vastus lateralis (VL) muscle during partial lunge exercise in healthy subjects in order to suggest the basic data of exercise intervention for such as patients with patellofemoral pain syndrome (PFPS). Methods: The participants of this study were healthy twenty two people with no knee pain, limitation of motion and past history of operation at lower extremity. The participants performed three types of lunge 1) no resistance, 2) anterolateral 45° resistance and 3) lateral 90° respectively. The EMG activity of the VMO and VL were recorded by surface EMG and the measured data normalized by the %MVIC value was analyzed by repeated measured ANOVA. Results: The results showed that the VMO/VL EMG activity ratio during lunge with anterolateral 45° resistance was significantly higher than with no resistance and lateral 90° resistance (p<0.05). There was no significant difference in VMO, VL, and VMO/VL muscle activity between male and female subjects (p>0.05). Conclusion: This study suggests that partial lunge exercise with anterolateral 45° resistance can increase the VMO/VL muscle activity in healthy subjects. This result could be used as basic data to develop therapeutic exercise programs such as PFPS patients.

Effects on Frozen Shoulder as Seen in the Comparison Hold-Relax Technique and ROM Exercise (동결견 환자에 대한 정지-이완기법과 관절가동범위 운동의 비교)

  • Kim Soo-Min;Lee Hyun-Ock;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.7 no.1
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    • pp.51-59
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    • 1995
  • The purpose of this study is to evaluate pain and range of motion in the frozen shoulder and to compare Hold-Relax technique with ROM exercise. Twenty-eight frozen shoulder patients between 41 nod 76 years of age were selected and were divided equally by random distribution into a Hold-Relax technique group and a ROM exercise group. To analyze the therapeutic effect between the two groups, two measurements were taken. A measurement of pain was taken by visual analogue scale and a measurement of range of motion was taken by measuring flexion and abduction degrees with a goniometer. The results were as followings : 1. The Hold-Relax group is more effective in decreasing the pain than the ROM exercise group. 2. The Hold-Relax group is more effective in increasing the range of flexion at the shoulder than the ROM exercise group. 3. The Hold-Relax group is more effective in increasing the range of abduction at the shoulder than the ROM exercise group.

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Effects of Trunk Exercise Using Less-affected Extremities on Gait and Balance in Stroke Patients (비마비측 팔다리를 이용한 몸통 운동이 뇌졸중 환자의 균형과 보행에 미치는 영향)

  • Park, Gun-Oh;Park, Kyeu-Nam;Kim, Su-Jin;Woo, Young-Keun
    • PNF and Movement
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    • v.17 no.3
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    • pp.353-368
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    • 2019
  • Purpose: This study investigated the effects of trunk exercise using less-affected extremities on gait and balance in chronic stroke patients. Methods: Thirty subjects with chronic stroke disease were divided into two groups: a trunk exercise group that used less-affected extremities (n=15) and a general trunk exercise group (n=15). All interventions were conducted 30 min a day, 6 times per week, for 3 weeks. Gait parameters were measured before and after the intervention using Zebris FDM-1.5. In addition, all subjects were evaluated using the Trunk Impairment Scale, the Berg Balance Scale, and the Functional Gait Assessment before and after the intervention. Results: Both groups showed improvements on all outcome measured pre- to post-intervention (p<0.05). The groups exhibited significant differences for TIS, BBS, FGA, gait speed, step length, and cadence at post-intervention (p<0.05). Conclusion: This study showed that trunk exercise using less-affected extremities has therapeutic benefits on gait and balance in individuals with chronic stroke disease.

Effects of Self-help Group Program Including Elastic Band Exercise on ADL and ROM of Hemophilia Patient (탄력밴드운동을 포함한 자조관리 프로그램이 혈우인의 일상생활과 관절가동범위에 미치는 영향)

  • Kang, Hyun-Sook;Kim, Won-Ock
    • Journal of muscle and joint health
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    • v.12 no.2
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    • pp.97-108
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    • 2005
  • Purpose: The purpose of this study was to identify the effects of Self-help group program including Elastic band exercise on ADL and ROM of hemophilia patient. Method: A quasi -experimental design was used. The subjects were 40 young adults with hemophilia (21 experimental group, 19 control group). The subjects of experimental group were participated self-help group program in which five sessions for 5 weeks. The program consisted of health education on hemophilia, elastic band exercise, and therapeutic recreation and its outcomes have been evaluated on ADL and ROM of extremities. The obtained data were analyzed by using the Mann-Whitney U test and ANCOVA of SPSS. Result: 1) The score of ADL increased significantly in the experimental group as compared to the control group. 2) The degree of range of motion of extremities improved in the experimental group as compared to the control group. Conclusion: Considering these research results, the program including elastic band exercise was effective in improving self-management ability and range of motion of extremities. Therefore this program including elastic band exercise could be implemented it as self-management for the hemophilia clients.

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