• Title/Summary/Keyword: Therapeutic exercise

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The Effects of Therapeutic Exercise on the Balance and Gait in Older Adults (치료적 운동이 노인의 균형과 보행에 미치는 효과)

  • Lee, Soo-Yeon;Son, Gil-Soo;Jeon, Hye-Jin;Lee, Moon-Hwan
    • The Journal of Korean Physical Therapy
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    • v.19 no.2
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    • pp.1-10
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    • 2007
  • Purpose: This study was conducted to investigate whether therapeutic exercise has effectiveness on the balance and gait in older adults. Methods: 30 patients were participated in this study. To evaluate the effects of therapeutic exercise, patients were evaluated by using One leg stand test which was static balance test, Berge balance test, Functional reach test and Get up and go test which was dynamic balance test. Finally Gait pattern were assessed by using 3-dimensional gait analysis system. The assessment parameters were evaluated before and after treatment. And we received a consent form from all patients. The data were analyzed by paired t-test for compare pre and after therapeutic exercise. Results: One leg stand test was significantly increased after than before therapeutic exercise. Get Up and Go test was significantly decreased after than before therapeutic exercise. Functional Reach test was significantly increased after than before therapeutic exercise. Burge Balance test was significantly increased after than before therapeutic exercise. Stride length was significantly increased after than before therapeutic exercise. Cadence was significantly increased after than before therapeutic exercise. Velocity was significantly increased after than before therapeutic exercise. Conclusion: We thought that therapeutic exercise that is mat exercise has effectiveness on the balance and gait in older adults.

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Effects of Therapeutic Exercise on Pain, Physical Function, and Magnetic Resonance Imaging Findings in a Patient with Multilevel Lumbar Disc Herniation: A Case Report

  • Kim, Ahram;Lee, Hoseong
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.1
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    • pp.1725-1733
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    • 2019
  • Background: In some clinical guidelines followed in clinical practice, nonsurgical treatments are recommended as the primary intervention for patients with lumbar disc herniation (LDH). However, the effect of a therapeutic exercise program based on stabilization of the lumbar spine for treatment of multilevel LDH has not been evaluated thoroughly. Objective: To investigate the effects of therapeutic exercise on pain, physical function, and magnetic resonance imaging (MRI) findings in a patient with multilevel LDH. Design: Case Report Methods: A 43-year-old female presented with low back pain, radicular pain and multilevel LDH (L3-L4, L4-L5, L5-S1). The therapeutic exercise program was conducted. in 40-min sessions, three times a week, for 12 weeks. Low back and radicular pain, lumbar disability, and physical function were measured before and after 6 and 12 weeks of the exercise program. MRI was performed before and after 12 weeks of the program. Results: After 6 and 12 weeks of the therapeutic exercise, low back and radicular pain and lumbar disability had decreased, and lumbar range of motion (ROM) was improved bilaterally, compared with the initial values. Also improved at 6 and 12 weeks were isometric lumbar strength and endurance, and the functional movement screen score. The size of disc herniations was decreased on MRI obtained after 12 weeks of therapeutic exercise than on the pre-exercise images. Conclusions: We observed that therapeutic exercise program improved spinal ROM, muscle strength, functional capacity, and size of disc herniation in LDH patient.

Effects of Kinesiotape on Range of Motion and Pain in Frozen Shoulder Patients (동결견 환자에 대한 키네시오 테이프 적용이 관절가동범위 및 통증에 미치는 영향)

  • Yu, Byong-Kyu;Oh, Kyung-Hwan;Lee, Jae-Gab
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.869-877
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    • 2001
  • This study was performed to assess the efficacy of Kinesiotape for the frozen shoulder patients. The subjects of this study were 17 patients with frozen shoulder who visited the out-patient department of the physical therapy, Pyongchon Sacret Heart Hospital, Hallim University, from July. 3, 2000 through August 12, 2000. To find out the effect of kinesiotape therapy, we sampled 8 patients treated with electrotherapy and therapeutic exercise (control group), and 9 patients treated with electrotherapy and therapeutic exercise with kinesiotape(experimental group). All patients were treated 3 days a week for 5 weeks. The results after 5-week treatment, compared with before treatment, were as follows: 1. The increase in range of motion in the electrotherapy and therapeutic exercise with kinesiotape after 5-week treatment was very significant(p<0.01). 2 The increase in range of motion in the electrotherapy and therapeutic exercise after 5-week treatment was significant (p<0.05). 3. The pain of decrease in the electrotherapy and therapeutic exercise with kinesiotape after 5-week treatment was very significant (p<0.01). 4. The pain of decrease in the electrotherapy and therapeutic exercise with kinesiotape 5-week treatment was significant(p<0.05). 5. The electrotherapy and therapeutic exercise with kinesiotape was more effective in increasing the range of motion on shoulder than the electrotherapy and therapeutic exercise after 5-week treatment(p<0.01). 6. The pain of decrease in between electrotherapy. therapeutic exercise with kinesiotape electrotherapy and therapeutic exercise after 5-week treatment was no significant.

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Responsiveness of Gait Speed to Physical Exercise Interventions in At-risk Older Adults: A Systematic Review and Meta-Analysis

  • Lim, Jaehyun;Lim, Jae Young
    • Annals of Geriatric Medicine and Research
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    • v.21 no.1
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    • pp.17-23
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    • 2017
  • Background: In at-risk older adults, gait speed is an important factor associated with quality of life and falling risk. In this study, we assessed whether therapeutic exercise could improve gait speed. Methods: We conducted a meta-analysis to evaluate the 'best' therapeutic exercise method by analyzing each exercise in terms of intensity, type, and several gait speed indices. For the analysis, we gathered 122 papers through a database search and selected 9 (n=627) that were appropriate for the meta-analysis. Results: In 8 of the 9 included papers, gait speed improved with therapeutic exercise. Usual gait speed (n=246) improved more than maximal gait speed (n=574). A resistance program was more effective than a nonresistance program for improving maximal, but not usual, gait speed. We also found that the effects of therapeutic exercise were greater in noncommunity than in community-dwelling elderly people. Conclusion: In conclusion, therapeutic exercise was effective in improving gait speed.

Effects of Therapeutic Ball Exercise and Hippotherapy for Balance Ability in Elderly

  • Kang, Kwon Young;Kim, Ji Sung;Choi, Yoo Rim;Lee, Joon Hee;Wang, Joong San;Park, Si Eun;Kim, Hong Rae;Shin, Hee Joon
    • Journal of International Academy of Physical Therapy Research
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    • v.3 no.2
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    • pp.435-439
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    • 2012
  • This study was conducted to evaluate the effect of the exercise on elderly balance ability by using hippotherapy and therapeutic ball exercise. 10 patients were assigned to the hippotherapy group and they got with 30 minutes of hippotherapy. Another 10 elderly were assigned to the therapeutic ball group and they got with 30 minutes of therapeutic ball exercise. All procedures were repeated 5 times a week for the total of four weeks. To investigate the participants balancing abilities, the Time" Up & Go"(TUG) and One Leg Stand Test(OLST) were evaluated. The results of study were significant differences between pre-test and post-test of TUG and OLST(p<.05), and there were no significant differences between hippotherapy and therapeutic ball exercise(p>.05). The conclusion showed that both the hippotherapy and the therapeutic ball exercises were effective on elderly balancing ability. Consequently, it would be better to practice therapeutic ball than hippotherapy for elderly exercise because the more economical and there is less restriction of space than the hippotherapy.

Therapeutic Exercise for Low Back Pain (요부통증에 대한 운동치료)

  • Jung, Mun-Boung
    • Journal of Korean Physical Therapy Science
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    • v.2 no.4
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    • pp.817-822
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    • 1995
  • Even though back pain therapy has greatly improved as spinal bio-mechanics is introduced, many patients still have difficulties due to low back pain. At the initial therapeutic stage, the aim of rehabilitation therapy for low back pain is pain control, but, at the later therapeutic stage, the prime aims are to reduce the late complication and to prevent the recurrence of low back pain. Accurate diagnosis should be a first step before any therapy is planned. Thus, accurate physical, neurologic, E.M.G. and radiologic tests are required to give prescription for therapeutic exercise to the patients. In addition to this, the roles of theraphists and therapeutic exercise should be re-evaluated after the therapeutic exercise is performed. Fist of all, the most important things are to educate the patients to understand the low back pain and to let the patients join the therapeutical planning. 1. Bed rest and muscle relaxing exercise for releasing the muscle tention are required for the treatment of acute low back pain. An active exercise is recommended rather than a passive exercise. If the therapeutic exercise depravate the low back pain, the exercise should be immediately terminated and the therapeutical exercise should be replanned. 2. For the treatment of the chronic back pain, stretching exercise and para-spinal muscle strengthening exercise should be performed steadily and actively to prevent the recurrence of low back pain and the low back injury due to minor damage. The patients should be educated to do proper exercise and to maintain good posture in everyday life. 3. As the low back pain is released and the body function is recovered, control of whole body function is necessary. Swiming, bicycling and walking for $30\sim40$ minutes a day and $3\sim4$ days a week are recommended. Other exercise could be recommended depending on the patients condition.

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Review of the Neurophysiological Therapeutic Exercise Approach (신경생리학적 운동치료접근의 재조명)

  • Bae Sung-Soo;Kwon Mi-Ji;Chung Hyung-Kuk
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.133-139
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    • 2000
  • Neurophysiological therapeutic exercise had started 1940-1960 that used for CNS patient's rehabilitation is the world. In America, PNF, Bobath, Brunnstrom technique are reviewed through the NUSTEP and II STEP on 1967. The NUSTEP provide common interest of neurophysiological therapeutic exercise. The II STEP provide new concept of neurophysiological therapeutic exercise from scholar, professor and clinician. New concept include not only using the reflex but also motor learning, motor control and motor behavior. It is including neurobiologic interaction, biomechanics and motor science. Therefore, neurophysiological therapeutic exercise have to change with the purpose of the therapeutic exercise.

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The Effects of Joint Mobilization and Therapeutic Exercise on Difference for Length of Lower Limbs (운동치료와 관절가동술이 하지길이 차이에 미치는 영향)

  • Jung, Yeon-Woo;Gong, Won-Tae;Kim, Byoung-Gon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.2
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    • pp.55-68
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    • 2007
  • Object: to evaluate the effects of two different treatments-joint mobilization and therapeutic exercise on difference for length of lower limbs. Method: The subjects were participated twenty six who has difference for length of lower limbs more 10mm. All subjects randomly assigned to Joint mobilization group(n=13) and therapeutic exercise group. Joint mobilization group received joint mobilization for 2 minutes, Therapeutic exercise group received for 15 minutes per day and 3 times a week during 4 week period. Tape measure method was used to measure the difference for length of lower limbs. Biodex was used to measure the muscle power of lower limbs(Knee flexion, extension). Finger to floor test was used to measure the mobility of spinal column. All measurement of each subjects were measured at pre-experiment, after 2weeks and post-experiment. Result: The result of this study were summarized as follows : 1. Both treatment decreased difference for length of lower limbs while joint mobilization more decreased difference for length of lower limbs than therapeutic exercise. 2. Both treatment increased mobility of spinal column while joint mobilization more increased mobility of spinal column than therapeutic exercise. 3. Joint mobilization increased muscle power while therapeutic exercise decreased muscle power. Conclusion: in a group-wise comparison joint mobilization is more effective than therapeutic exercise.

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The Effects of Therapeutic Exercise on the Grip Strength of Chronic Neck Pain Patients (치료적 운동이 만성경부통증환자의 악력에 미치는 영향)

  • Jung, Yeon-Woo;Yoon, Se-Won;Lee, Jeong-Woo
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.2
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    • pp.73-78
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    • 2009
  • Purpose:The purpose of this study was to investigate effects of therapeutic exercise on the grip strength of chronic neck pain patients. Methods:Sixteen chronic neck pain patients were recruited this study(8 females. 8 males) from 21 to 30 years of age(mean aged 24.44). The experimental group received contraction-relax exercise for more than 3-5 times with therapeutic massage for 15minutes per day and three times a week during 5 weeks period. Grip strength was measured by Grip Strength Dynamometer(Model: T.K.K, 5101, Japan) at pre, 3weeks, 5weeks and follow-up 2weeks. Statistical analysis was used repeated ANOVA to know difference within period. Results:The grip strength was significantly increased within treatment period(p<.05), among them significantly increased within pre-treatment and follow-up 2weeks(p<.05). Conclusion:These results indicate that therapeutic exercise increased grip strength of chronic neck pain patients. Grip strength was more increased at follow-up 2weeks. In the future, we suggest that studies of therapeutic exercise regarding chronic neck pain patient be further studied and an appropriate therapeutic exercise will be indicated.

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Effects of Therapeutic Exercise on Hip Joint Range of Motion, Manual Muscle Test, Functional Movement Screen and Radiological Evaluation in a Youth Football Player with Football-specific Anterior Pelvic Tilt: A Case Report (치료적 운동이 축구 특이적 골반 앞 기울임을 가진 유소년 축구선수 엉덩관절의 관절가동범위, 도수근력, 기능적 움직임 및 방사선학적 평가에 미치는 영향: 증례보고)

  • Yu, Dong-Hun;Seo, Sang-Won;Lee, Ho-Seong
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.4
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    • pp.85-94
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    • 2018
  • PURPOSE: This study was conducted to determine the effects of therapeutic exercise on range of motion (ROM), the manual muscle test (MMT), functional movement screen (FMS) and radiological evaluation in a youth football player with football-specific anterior pelvic tilt (APT). METHODS: The subject of this case report was a 12-year-old youth football player, who presented with football-specific APT. Therapeutic exercise consisted of hamstring stretch, prone hip extension, abdominal crunch, bridging with isometric hip abduction, plank exercise with posterior tilt and posterior pelvic tilting exercise using a swiss-ball for 40 min/day, twice a week for 8-weeks. ROM, MMT, FMS (deep squat, hurdle step, inline lunge, shoulder mobility, active straight-leg raise, rotary stability and trunk stability push-up) and radiographs (lumbar lordotic and sacral horizontal angle) were analyzed before and after week 8 of therapeutic exercise. RESULTS: The ROM, MMT, and FMS increased and the lumbar lordotic angle and sacral horizontal angle improved after 8-weeks of therapeutic exercise. CONCLUSION: The results of this case report suggest that therapeutic exercise improves ROM, MMT and radiography associated parameters in youth football players with football-specific APT. These findings have clinical implications for therapeutic exercise in youth football players with football-specific APT.