• Title/Summary/Keyword: Therapeutic Exercise

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Effects of Biofeedback Training for Prevention of Falling in Elderly Persons (노인의 낙상방지를 위한 바이오피드백 훈련의 효과)

  • Kang, Kwon-Young;Lee, Sang-Bin
    • Journal of Korean Physical Therapy Science
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    • v.16 no.2
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    • pp.19-26
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    • 2009
  • Background: The purpose of this study was to investigate effects of six-week biofeedback training for prevention of falling in elderly persons. Biofeedback training for using the TETRAX system. Methods: Thirty healthy elderly persons(men=17, women=13) who were 79 years of mean age participated in sensory regulation training. They were trained for thirty minutes a day, three times per week. We measured subjects sensory regulated function by TETRAX system, and analyzed mean difference of observed variables by paired t-test between the pre and post test. Results: The first experimental group were significantly difference between pre and post test. The second control group were not significantly between the pre and post test. The third there are significant between group. Conclusion: The results of this study reveal that biofeedback training exercise will improve sensory balance function, and further studies needs to identify which specific factors are related to fall in the elderly population, and it is expected this study may contribute in reducing fall and therapeutic exercise in falling.

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Trends of Tuina Therapy on Depression and Its Efficacy -based on CNKI-

  • Kwon, Chan-Young;Choi, Eun-Ji;Kim, Jong-Woo;Chung, Sun-Young
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.3
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    • pp.251-266
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    • 2015
  • Objectives: The purpose of this study is to investigate the research about using tuina therapy for depression and to determine its efficacy. Methods: All relevant articles were searched in the China National Knowledge Infrastructure using the terms 'tuina' and 'depression'. Results: Forty-one studies were selected, 34 randomized controlled trials (RCTs) and 7 prospective studies. The Chinese Classification of Mental Disorders and Hamilton Depression Rating Scale were used most frequently as diagnostic criteria and an assessment tool, respectively. Conduction exercise therapy was used in all studies; in contrast, Zheng Xing exercise therapy was used in only 1 study of depression patients with neck vertebrae disease. In 9 RCTs that showed scores of more than 2 points on a modified Jadad scale, tuina therapy had significant antidepressant efficacy compared with conventional treatment. However, more high-quality studies are required. Conclusions: Tuina therapy has a valid therapeutic effect on depression according to studies published in China; if evidence accumulates from high-quality studies, it can be considered a non-pharmacologic treatment for depression in Korean medicine, as well.

An Effect of Yoga Therapy on Relieving Dysmenorrhea ; RCTs(Randomized controlled trials) Review (요가 요법이 월경통 증상 완화에 미치는 효과 고찰)

  • Park, Ki-On;Hwang, Eui-Hyoung;Sul, Jae-Uk;Shin, Mi-Suk
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.2
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    • pp.39-49
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    • 2011
  • Objectives : This study is to explain the effects of Yoga therapy for relieving dysmenorrhea on the aspect of Oriental Medicine and to identify the therapeutic Yoga asanas applicable to clinic medicine. Methods : We searched papers using Pubmed, CNKI and 7 Korean medical databases. We used "Yoga" and "Dysmenorrhea" as keyword. Limitations were as follows ; the last 20 years of publications and search range only including RCTs. Papers without inclusion criteria were excluded. We classified all the searched RCTs studies into Yoga exercise prescriptions. Results : A total of 47 studies were found. And 38 were excluded during extract screening. Finally 3 RCTs were selected and analyzed out of 9 papers. Blood sampling and survey questionnaires were used in the outcome measure. They reported that Yoga exercise could be used for dysmenorrhea patients, which has a curative effect. Conclusions : Yoga therapy can be explained as Meridian muscle theory in the concept of Oriental Medicine. Also, it may be a favorable choice for dysmenorrhea patients. Further studies to describe the effects of Yoga therapy will be needed more.

The Investigation of effect of Physical Therapy for Delayed Onset Muscle soreness according to difference of experimental designs (실험방법의 차이에 따른 지연 발생 근육통의 물리치료 효과에 대한 연구)

  • Chae Yun-Won;Nam Ki-Seok;Choi Jin-Ho;HwangBo Gak;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.37-44
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    • 1999
  • Delayed onset muscle soreness is a sensation of discomfort that occurs 24h after exercise, and it is associated with the performance of unfamiliar and high force muscle wor, such as eccentric contractions. The injury to the muscle has been well described but the mechanism underlying the injury is not fully understood. Although the pathophysiological processes underlying delayed onset muscle soreness are not completely understood, many researchers have investigated various treatments in a attempt to reduce the soreness. These treatments have focused on reducing the inflammation, or edema, consequent to tissue damage, and breaking up the cycle which is thought provoke tonic muscle spasm or pain. Physical therapy is the most importance thechniques to reduce delayed onset muscle soreness. Physical therapy on delayed onset muscle soreness includes massage, exercise, therapeutic ultrasound, TENS, stretching and cryotherapy, this investigation should encourage physical therapists to experiment further with various techniques to reduce delayed onset muscle soreness.

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Effects of SKLCT® for Voice Improvement in Patients with Presbyphonia (후두보정기법이 노인성 음성장애 환자의 음성개선에 미치는 효과)

  • Kim, Seong-Tae
    • Phonetics and Speech Sciences
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    • v.7 no.3
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    • pp.183-191
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    • 2015
  • This study evaluated the effect of the therapeutic methods between vocal function exercise(VFE), which has been used for the patients with presbyphonia in the precedent studies and laryngeal calibration technique($SKLCT^{(R)}$), which is designed by the author. We identified 58 patients who was been diagnosed as presbylaryngis by laryngoscopic examinations. 21 patients were underwent voice therapy using $SKLCT^{(R)}$, 20 patients were taken VFE, and the control group of 17 patients were not taken any voice therapy. All subjects received the therapy, ranging from seven to nine sessions, and were evaluated the voice change on pretherapy and posttherapy. The grade of hoarseness, roughness, and breathiness voice were reduced on perceptual judgments after $SKLCT^{(R)}$, but only grade of hoarseness was reduced after the VFE. Jitter, Shimmer, NHR were reduced and MPT were increased after the $SKLCT^{(R)}$(p<.05), while Jitter and SFF were reduced after the VFE. Frequency and intensity range were increased significantly on the posttest performance after taking voice therapy by the $SKLCT^{(R)}$, on the other hand only intensity range was increased after VFE. Especially, we can find the significant change that glottic gap and supraglottic compressions was reduced in most of patients after the $SKLCT^{(R)}$, but there's no changes in the group of VFE and control group. In the study, we can suggest that the $SKLCT^{(R)}$ may be useful in improving the voice qualities and laryngeal function of presbyphonia.

The effects of virtual reality-based physical therapy in stroke patients

  • Kim, Charyong;Min, Won-Kyu
    • Physical Therapy Rehabilitation Science
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    • v.2 no.1
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    • pp.7-11
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    • 2013
  • Objective: Final goal of nerve advancement therapy is to provide maximum ability to function independently in life to patients. This paper appraises and describes basic concepts of the virtual reality (VR) based exercise program to improve functional movement for neurologically impaired patients. Design: Review article. Methods: Stroke patients from the physical therapy department while wearing comfortable clothing receive therapy and also VR based motion therapy administered by the therapist in charge. After evaluation of stroke patients, therapy includes an exercise program that is suitable for use with stroke patients; stroke patients wear head-mounted display while in front of the computer, where the camera is located; they follow the action on the screen and the computer perceives the operation of the stroke patients according to subject accomplishment. Results: According to obstacle condition of stroke patients using the method, which is various environments after setting, in stroke patients, there is a possibility of presenting suitable therapeutic environments. The display presentation of the method, which is identical, causes difficulty for all stroke patients. According to subject accomplishment; stroke patients result in execution of repetition training and deepening study, which leads to mobility. Conclusions: The VR based rehabilitation training programs is a difference of the existing video training program, is immediate feedback and compensation method. It will provide rehabilitation training services for the family of the patient whose condition could be improved with rehabilitative therapy where it is a continuous circumstance as a matter of the social welfare facility therapy.

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Effect of Mirror Therapy on the Balance, Gait and Motor Function in Patients with Subacute Stroke

  • Song, Min-Su;Kang, Soon-Hee
    • The Journal of Korean Physical Therapy
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    • v.33 no.2
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    • pp.62-68
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    • 2021
  • Purpose: This study examined whether mirror therapy could improve the balance, gait, and motor function of patients with subacute stroke. Methods: Thirty-three patients with subacute stroke were divided randomly into three groups: experimental group1, experimental group2, and the control group. The patients in experimental group1 performed a mirror therapy program on the unaffected side of the lower extremities, and the patients in experimental group2 performed mirror therapy on the affected side of the lower extremities. Both groups performed the exercise for 30 minutes per session, five times a week for four weeks. The control group did not receive mirror therapy. BBS, POMA, 10MWT, and the BRS were used to evaluate the balance, the quality of gait, gait speed, and the motor function before and after the intervention. Results: The gait speed increased significantly in the experimental groups1 and 2 after the intervention. The control group showed no significant difference in the gait speed after the intervention. The change in gait speed before and after the intervention showed a significant difference among the groups. Experimental group1 showed a significant increase in the gait speed compared to that of the control group. Conclusion: This study suggests that mirror therapy could be an effective intervention to improve the gait speed of patients with subacute stroke. On the other hand, there was no difference in the effectiveness of mirror therapy and therapeutic exercise on the balance, gait, and motor function.

Chuna Manual Therapy for Spondylolisthesis: A Systematic Review and Meta-analysis (척추전방전위증의 추나 치료에 대한 체계적 문헌 고찰 및 메타 분석)

  • Hong, Su Min;Ha, Hyun Ju;Yoon, Kwang Sik
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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    • pp.65-77
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    • 2020
  • Objectives This study is aimed to evaluate the effectiveness of Chuna therapy for spondylolisthesis. Methods We searched th following 10 online databases without a language restriction (National Digital Science Library [NDSL], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS], KMBASE, MEDLINE/PubMed, Cochrane library, Ebscohost, EMBASE, Ovid, China National Knowledge Infrastru [CNKI]) to find randomized controlled trials that used Chuna therapy for spondylolisthesis. The methodological quality of each randomized controlled clinical trial was assessed using the Cochrane risk of bias tool and meta-analyses were perfomed. Results Eleven randomized controlled trials were included. Chuna therapy showed statistically significant reduction of symptoms. Meta-analysis showed positive results for Chuna therapy for spondylolisthesis in terms of therapeutic effects to traction, chinese medicine, therapeutic exercise. Conclusion In this study, we reviewed studies about Chuna therapy used for spondylolisthesis. The studies showed that Chuna therapy can significantly effective on spondylolisthesis. But according to Cochrane risk of bias evaluation method, most of the studies's risk of bias were unclear. Therefore, more high-quality studies will be needed.

Gait Improvement after Botulinum Toxin Injection in a Patient with Piriformis Muscle Syndrome (이상근 증후군에서 보툴리눔 독소 주사 후 보행의 호전)

  • Choi, Soojin;Bang, Myeong Hwan;Park, Jung Hyun
    • Clinical Pain
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    • v.19 no.1
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    • pp.49-53
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    • 2020
  • Piriformis muscle syndrome is a condition that causes direct muscle pain around piriformis muscle or sciatica from irritated sciatic nerve and the diagnosis remains debatable. The main treatment is symptomatic relief from conservative therapy such as medication and piriformis stretching exercise, and various therapeutic injections including local anesthetic, corticosteroid, botulinum toxin can be considered for diagnostic and therapeutic purposes. In this case, a 54-year-old male who had sciatica and gait disturbance showed piriformis muscle hypertrophy in the pelvis MRI. From imaging studies, electrodiagnostic study and physical examination, he was diagnosed with piriformis muscle syndrome. He underwent trigger point injection and botulinum toxin injection into the piriformis muscle, and pain and gait disturbance significantly improved. This case reports a case of piriformis muscle syndrome with clinical symptom of gait disturbance, which was improved by botulinum toxin injection.

The Effect of Exercise Training on Aβ-42, BDNF, GLUT-1 and HSP-70 Proteins in a NSE/ APPsw-transgenic Model for Alzheimer's Disease. (지구성 운동이 NSE/APPsw 알츠하이머 질환 생쥐의 인지능력, Aβ-42, BDNF, GLUT-1과 HSP-70 단백질 발현에 미치는 영향)

  • Eum, Hyun-Sub;Kang, Eun-Bum;Lim, Yea-Hyun;Lee, Jong-Rok;Cho, In-Ho;Kim, Young-Soo;Chae, Kab-Ryoung;Hwang, Dae-Yean;Kwak, Yi-Sub;Oh, Yoo-Sung;Cho, Joon-Yong
    • Journal of Life Science
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    • v.18 no.6
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    • pp.796-803
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    • 2008
  • Mutations in the APP gene lead to enhanced cleavage by ${\beta}-$ and ${\gamma}-secretase$, and increased $A{\beta}$ formation, which are closely associated with Alzheimer's disease (AD)-like neuropathological changes. Recent studies have shown that exercise training can ameliorate pathogenic phenotypes ($A{\beta}-42$, BDNF, GLUT-1 and HSP70) in experimental models of Alzheimer's disease. Here, we have used NSE/APPsw transgenic mice to investigate directly whether exercise training ameliorates pathogenic phenotypes within Alzheimer's brains. Sixteen weeks of exercise training resulted in a reduction of $A{\beta}-42$ peptides and also facilitated improvement of cognitive function. Furthermore, GLUT -1 and BDNF proteins produced by exercise training may protect brain neurons by inducing the concomitant expression of genes that encode proteins (HSP-70) which suppress stress induced neuron cell damages from APPsw transgenic mice. Thus, the improved cognitive function by exercise training may be mechanistically linked to a reduction of $A{\beta}-42$ peptides, possibly via activation of BDNF, GLUT-1, and HSP-70 proteins. On the basis of the evidences presented in this study, exercise training may represent a practical therapeutic management strategy for human subjects suffering from Alzheimer's disease.