• Title/Summary/Keyword: Therapeutic Exercise

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Skeletal Muscle Dysfunction in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 환자에서 골격근 기능 이상)

  • Kim, Ho-Cheol;Lee, Gi-Dong;Hwang, Young-Sil
    • Tuberculosis and Respiratory Diseases
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    • v.68 no.3
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    • pp.125-139
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    • 2010
  • Patients with chronic obstructive pulmonary disease (COPD) frequently complain of dyspnea on exertion and reduced exercise capacity, which has been attributed to an increase in the work of breathing and in impaired of gas exchange. Although COPD primarily affects the pulmonary system, patients with COPD exhibit significant systemic manifestations of disease progression. These manifestations include weight loss, nutritional abnormalities, skeletal muscle dysfunction (SMD), cardiovascular problems, and psychosocial complications. It has been documented that SMD significantly contributes to a reduced exercise capacity in patients with COPD. Ventilatory and limb muscle in these patients show structural and functional alteration, which are influenced by several factors, including physical inactivity, hypoxia, smoking, aging, corticosteroid, malnutrition, systemic inflammation, oxidative stress, apoptosis, and ubiquitin-proteasome pathway activation. This article summarizes briefly the evidence and the clinical consequences of SMD in patients with COPD. In addition, it reviews contributing factors and therapeutic strategies.

The Effects of Heel Off Stairway Walking Exercise on Ankle Muscle Activity and Static Balance of University Students With Ankle Instability

  • Oh, Hyung Min;Jung, Bum Chul;Kim, Byeong Jo;Kang, Ye Ju;Lee, Ji Eun;Yoo, Kyung Tae
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.1
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    • pp.1398-1405
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    • 2018
  • The purpose of this study was to investigate the effect of heel off stairway walking exercise on the increase of muscle activity and balance activity of the ankle joint muscles in university students with functional ankle instability. The conservative treatment for the control group consisted of stairway walking (n=10) and the experimental group consisted of heel off stairway walking (n=11). The therapeutic intervention of the control and experimental groups was performed a total of 12 exercise sessions, 3 times per week for 4 weeks. To compare the two groups, the level of ankle disability was assessed by using the EMG, BT4 and Pedoscan in pre-treatment and post-treatment. Muscle activity increased in both the experimental groups and control groups in each group, however there was no significant difference between the groups. Balance ability did not show any significant difference. This study demonstrates that heel-off stairway walking is effective in significantly increasing muscle activity, however did not significantly improve balance ability.

Clinical Study of Oriental Medical Treatment of Temporomandibular Disorder (측두하악관절장애(側頭下顎關節障碍)의 임상적(臨床的) 고찰(考察))

  • Hong, Kwon-Eui;Lee, Jun-Gu;Kim, Young-Il;Lee, Hyun;Kim, Yun-Jin;Lee, Byung-Ryul
    • Journal of Acupuncture Research
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    • v.19 no.1
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    • pp.76-83
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    • 2002
  • Forteen cases were observed among the Temporomandibular Disorder who were outpatients at the Department of Acupuncture & Moxibustion Oriental Medical Hospital, Dae Jeon University. Objective : To improve the therapeutic rate of Temporomandibular Disorder by treatment of acupuncture, chiropractic therapy and exercise therapy. Methods : Forteen outpatients suffering from Temporomandibular Disorder were treated by acupuncture, chiropractic therapy and exercise therapy. Acupuncture therapy was taken on Waiguan(TE5,外關), Zulingi(G41, 足臨泣), Sidu(TE9, 四瀆), Yanglingquan(G34, 陽陸泉), Qiuxu(G40, 丘墟), Xiaguan(S7, 下關). Chiropractic therapy was taken, when the subluxation of outpatients's Cervical spine was observed. Results : The syndrome of TMD, that is the Pain, the movement disorder and the click sound, was disappeared by 2~3 times acupuncture, chiropractic and exercise therapy.

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Diagnosis of McKenzie Mechanical Syndromes for Patient with Low Back Pain : Focused on mechanical loading strategies (요통 환자를 위한 멕켄지의 역학적 증후군 진단 : 역학적 부하 전략을 중심으로)

  • Kim, Minhee
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.109-115
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    • 2018
  • Purpose: McKenzie is a widely-used and conventional clinical therapeutic exercise for patients with mechanical lower back pain. It is a well-designed assessment and classification system for the spine. Main issue: Patients with mechanical lower back pain are classified into one of three mechanical syndromes (posture, dysfunction, or derangement syndrome) by mechanical loading strategies. These methods evaluate symptomatic and mechanical responses during repeated end-range movement and sustained postures. The goal of McKenzie mechanical syndrome diagnosis is to determine directional preferences. Directional preference is a phenomenon of preference for posture or movement in one direction, which reduces or centralizes pain. However, in Korea, there is a lack of awareness of basic McKenzie mechanical syndromes diagnostic concepts. Koreans tend to think of the McKenzie method as a simple lumbar extension exercise. However, an accurate diagnosis of a mechanical syndrome must precede the application of McKenzie exercise. Conclusions: Thus, in this study, I present a classification method of McKenzie mechanical syndrome diagnosis and clinical characteristics of each mechanical syndrome.

Compliance Level with Therapeutic Regimen of Medication and Life Style among Patients with Hypertension in Rural Communities (일 농촌지역 고혈압 환자의 치료적 요법의 이행수준 - 약물복용과 생활습관을 중심으로 -)

  • Ahn, Yang-Heui
    • Journal of Korean Public Health Nursing
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    • v.21 no.2
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    • pp.125-133
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    • 2007
  • Purpose: To identify the compliance level with therapeutic regimen among patients with hypertension residing in rural communities. Method: A descriptive-retrospective research design was employed. One hundred patients with hypertension using 8 Primary Health Care Posts under W Public Health Center were randomly recruited on the basis of being over 35 years of age. After obtaining written consent, the patients underwent direct interviews with a structured questionnaire carried out by 8 public health practitioners. Descriptive statistics and binary logistic regression were utilized. Results: In a binary logistic regression model adjusted for age, sex, education, income, and occupation, those who were receiving medication (OR=5.34), were undergoing a weight control program (OR=4.45), restricted alcohol (OR=9.93), or smoking cessation (OR=25.59) as recommended by medical or health professionals were more compliant (p<.05) while those under a low salt diet, exercise, and stress management were not significant statistically (p>.05). Conclusions: Further research should be conducted to validate these findings so as to facilitate the development of nursing intervention strategies for improving the compliance of hypertensive patients in respect to medication and life style modification.

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Autophagy-associated Targeting Pathways of Natural Products during Cancer Treatment

  • Zhang, Shu-Fang;Wang, Xiao-Lu;Yang, Xiao-Qi;Chen, Ning
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10557-10563
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    • 2015
  • It is well known that conventional chemotherapy and radiation therapy can result in toxicity to both normal cells and tumor cells, which causes limitations in the application of these therapeutic strategies for cancer control. Novel and effective therapeutic strategies for cancers with no or low toxicity for normal cells are a high priority. Therefore, natural products with anticancer activity have gained more and more attention due to their favorable safety and efficacy profiles. Pre-clinical and clinical studies have demonstrated that several representative natural compounds such as resveratrol, epigallocatechin-3-gallate, curcumin, allicin and ginsenosides have obvious anticancer potential. In this article, we summarize autophagy-associated targeting pathways of such natural products for inducing the death of cancer cells, and discuss the core autophagic pathways involved in cancer treatments. Recent advances in the discovery, evaluation and exploitation of natural compounds as therapeutic agents for cancers will provide references and support in pre-clinical and clinical application of novel natural drugs for the treatment of primary and metastatic tumors in the future.

Evaluation of the Muscle Fatigue Recovery Effect by Indirect Moxibustion Treatment (뜸 시술에 의한 대퇴부 근피로 회복 평가)

  • Lee, Seung-Wook;Kim, Jung-Yoon;Lee, Na-Ra;Kim, Young-Ho;Lee, Yong-Heum
    • Korean Journal of Acupuncture
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    • v.28 no.4
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    • pp.59-66
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    • 2011
  • Objectives : This study is aimed to evaluate and objectify the therapeutic effect of moxibustion on muscle fatigue recovery. Methods : To evaluate the therapeutic effect on the muscle fatigue recovery, we compared the fatigue recovery of two groups (non-stimulation group and moxibustion group) by analyzing the EMG and peak torque after strenuous knee exercise of isokinetic contraction. Results : The median frequency (MF) of the moxibustion group was recovered faster than that of the non-stimulation group. However, the peak torques of both groups were not restored until after 20 minutes. Nevertheless, the moxibustion group's peak torque was regained higher than that of the non-stimulation group. Conclusions : We confirmed the therapeutic effect of moxibustion and found that the moxibustion can used as prevention method for musculoskeletal disease.

Effects of Balance Control and Functional Activities During Gym Ball Exercises in Elderly People (노인의 공 운동치료가 균형과 기능적인 활동에 미치는 효과)

  • Hwang, Su-Jin;Lee, Su-Young
    • Physical Therapy Korea
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    • v.11 no.3
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    • pp.25-32
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    • 2004
  • The use of a gym ball is becoming more popular for dynamic balance exercises. However, little is known about the effects of the dynamic ball exercises in the elderly. The purpose of this study was to compare balance and functional mobility after dynamic balance exercises using a gym ball to reduce the risk factorfor falls. All of the 15 subjects were women between the ages of 68 and 91 (mean age=79.9 yrs, SD=5.87) at anursing home in Wonju. Seven of fifteen subjects were placed in the experimental group and the others in the control group. Three clinical tests were used to determine the degree of balance and functional mobility before beginning the exercise program, after 4 weeks of gym ball exercise, and after 8 weeks of gym ball exercise. These three tests included Timed Up & Go (TUG), Berg Balance Scale (BBS) and the Functional Independence Measure (FIM). Dynamic ball exercises training for 8 weeks (5 days per week) included side stretching, prone walking, bridging, marching and opposite arm and leg lifting. There were significant differences found before the gym ball exercise program began and after 4 weeks and then 8 weeks in the experimental group (p<.05). Significant differences between the groups were shown for TUG and BBS (p<.05). No significant difference was noted between the groups for FIM. Therefore, gym ball exercises can improve dynamic balance and may be recommended to include in a therapeutic program to help the elderly reduce their risk of a fall.

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Effect of 8 Direction Incline and Rotation Exercise on Pain and Dynamic Balance in the Patients with Chronic Low Back Pain (8방향 경사와 회전 운동이 만성요통환자의 통증과 동적균형에 미치는 영향)

  • Goo, Bong-Oh;Park, Min-Chull;Song, Yoo-Yik;Cho, Ye-Rim
    • The Journal of the Korea Contents Association
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    • v.10 no.9
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    • pp.285-292
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    • 2010
  • The purpose of this study is to investigate the effect of 8 direction incline and rotation exercise on pain and dynamic balance in the patients with chronic low back pain(CLBP). 20 patients who were diagnosed with CLBP were included for the study. 10 patients(experimental group) were treated by modality{Hot Pack(H/P), Transcutaneous Electric Nerve Stimulation(TENS), Ultra Sound(U/S)} and then performed 8 direction incline and rotation exercise. The other 10 patients(control group) were only treated by modality. The therapeutic intervention was taken three times a week for 6 weeks. Dynamic balance was assessed by Star Excursion Balance Test(SEBT) and pain was assessed by Visual Analog Scale(VAS). VAS scores of both groups were decreased. However, the experimental group was more significantly decreased than the control group. The dynamic balance of both groups was significantly increased in anterior, posterior, medial, lateral direction. But experimental group was more significantly increased than the control group. In conclusion, 8 direction incline and rotation exercise was effective on pain and dynamic balance in CLPB.

Range of Motion and Isokinetic Strength of Hip Joint in the College Women with Idiopathic Genu Vara (특발성 내반슬 여대생의 고관절 가동범위와 등속성 근력)

  • Kim, Che-Young;Lim, Seung-Kil
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.210-217
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    • 2014
  • This study is to present objective data for the approaches of therapeutic exercise for the correction of genu varum by making an analysis and a comparison of the hip joints' ROM and isokinetic muscles of the female college students with straight legs with those of a female college student with idiopathic genu varum. Additionally, the state of the adductor muscle's thighs and the deep muscles of the subjects with bowed legs were experimented and the equipment's effect and applicability was reviewed through the process of the movement of newly developed exercise equipment, Balloa(2013, Balloa/Adonia/Korea). As a result, a person with genu varum needs the height increasing method for increasing external rotation ROM of a hip joint and requires the exercise techniques to strengthen external rotator muscles and to inhibit the activity of internal rotator muscles of a hip joint. Balloa increases the external rotation ROM of a hip joint and strengthens gluteal muscles, deep muscles, and adductor muscles, and the equipment's function of muscle strengthening shows that the equipment is an effective corrective exercise for the patients of genu varum.