• Title/Summary/Keyword: Therapeutic index

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The Effect of the Dementia Elderly Persons on the Cognitive Function, ADL and Balance-Performing Ability the Group Therapeutic Exercise Program (집단운동치료 프로그램이 치매노인의 인지기능과 일상생활동작 및 균형 수행능력에 미치는 영향)

  • Kim, Chan-Mun;Kim, Jin-Hee
    • Journal of Korean Physical Therapy Science
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    • v.19 no.4
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    • pp.27-34
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    • 2012
  • The aim of study was to assess the effectiveness of dementia elderly persons on the cognitive function, Activities of Daily Living(ADL) and balance-performing ability the group therapeutic exercise programs. Fifteen community-dwelling subjects participated in this study. An 4-week group therapeutic exercise program, including strengthening and balance training, breathing and gait exercise, and recreation, consisted of activities related to daily living. The Mini-Mental State Examination-korean(MMSE-K), Modified Barthel Index(MBI), Berg Balance Scale(BBS), and Timed Up & Go (TUG) test were measured during before and after exercise points The results of this study were as follows : 1) After eight weeks, the MMSE-K and MBI total scores were significantly increased to more after than before(p<.05, p<.01). 2) in the MBI contents, personal hygiene, dressing, ambulation and chair, bed transfers scores were significant increased to after. 3) after BBS, TUG scores were statistically significant higher than the before scores(p<.05, p<.05, p<.01). These findings suggest that group therapeutic exercise program can be used to improve the cognitive function, ADL and balance-performing ability in dementia elderly persons.

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The effects of Cox distraction manipulation on functional assessment measures and disc herniation index in patients with L4-5 herniated disc (칵스 신연교정이 L4-5 추간판 탈출증 환자의 기능적 평가측정과 추간판탈출지수에 미치는 효과)

  • Kwon, Won-An;Ryu, Young-Sang;Ma, Sang-Yeol
    • Journal of the Korean Data and Information Science Society
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    • v.23 no.4
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    • pp.727-738
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    • 2012
  • The purpose of the present study was to determine the effect of a 4 week course of Cox distraction manipulation (CDM) combined with therapeutic modalities on the treatment of patients with L4-5 herniated nucleus pulposus (HNP). A total of 15 patients with L4-5 HNP (mean age, 37.76 years; age range 20-50years) participated in the study. A 4 week course of CDM combined with therapeutic modalities was delivered to the patients for 6 days per week for the first two weeks, and three times per week for two additional weeks. The entire treatment consisted of 18 visits over 4 week period. Comparisons of changes in the muscle strengthening (MS), straight leg raise (SLR), and oswestry disability index (ODI) at pre-intervention, after two weeks treatment sessions, and at discharge (after 18 treatment sessions) were analyzed. Comparisons of changes in the disc herniation index (DHI) at pre-intervention and at discharge were analyzed using the paired t-test. There were significant improvements in the outcome measures of MS Ibs, SLR test, and ODI score after 2 weeks and 4 weeks sessions of CDM combined with therapeutic modalities as compared with the pre-intervention. However, no significant different pre-test and post-test DHI. CDM combined with therapeutic modalities appears to be a safe and efficacious, noninvasive treatment modality for patients with L4-5 HNP.

Addition of Myofascial Release Therapy to Therapeutic Exercise for Management of Nonspecific Neck Pain

  • Ha, Yangsun;Hahm, Suk-Chan
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.2
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    • pp.35-41
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    • 2021
  • Purpose : It is necessary to demonstrate the effect of non-invasive and non-pharmacological interventions such as manual therapy and therapeutic exercise for the management of nonspecific neck pain. In the present study, we aimed to investigate the efficacy of myofascial release therapy plus therapeutic exercise for disability owing to neck pain and quality of life in individuals with nonspecific neck pain. Methods : Eighteen participants with nonspecific neck pain were randomly allocated to intervention (n=9) and control groups (n=9). The intervention group received a myofascial release therapy for 20 min and performed neck stabilization exercises for 30 min twice a week for 4 weeks. The control group performed neck stabilization exercises for 30 min twice a week for 4 weeks at the same time points as the intervention group. Disability owing to neck pain and quality of life were quantified using the neck disability index (NDI) and the Korean version of the World Health Organization Quality of Life Brief Version (WHOQOL-BREF), respectively. NDI and WHOQOL-BREF were assessed before and after intervention. Results : The disability owing to neck pain significantly changed between the groups over time (total score of NDI, p=.049). There were significant time and group interactions in pain (pain intensity of NDI, p=.035) and concentration (concentration of NDI, p=.049). Personal care, lifting, reading, headaches, work, driving, sleeping, and recreation did not show significant improvement between the groups over time. Total score, overall quality of life and general health, physical health domain, psychological domain, social relationships domain, and environmental domain quantified by WHOQOL-BREF did not show significant improvements between the groups over time. Conclusion : These results suggest the clinical use of myofascial release therapy in addition to therapeutic exercise for the management of nonspecific neck pain. Further studies are needed to generalize the findings of this study.

A Study on the Characteristics of Application for Therapeutic Light and Color in Dementia Care Facilities - Focused on Qualitative and Quantitative Application Characteristics (치매요양시설에서의 치료를 위한 빛·색채의 시설적 적용 특성에 관한 고찰 - 정성적 및 정량적 적용 특성을 중심으로)

  • Jee, Soo In
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.4
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    • pp.69-87
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    • 2018
  • Purpose: This study has been started with the awareness that light and color are the main visual sensors of the multi-sensory stimulation environment to achieve the therapeutic environment for demented elderly. The purpose of this study therefore is for clarifying the application characteristics of therapeutic light and color for dementia care facilities. Methods: Internal and external literature reviews have been conducted for the investigation into a)disorders and visual system in demented elderly, b)therapeutic effects of light and color, c)heliotherapy, light therapy and color therapy to deduce the therapeutic characteristics of light and color for demented elderly, and finally into d)the application characteristics of it for dementia care facilities. Results: The application characteristics of the therapeutic light and color for dementia care facilities are classified into both qualitative and quantitative characteristics. Qualitative application characteristics of light represented using of daylight, using of lighting approximate to daylight, expansion of iluminance level, equality in iluminance Level, reduction of shadow, and as well as exclusion of blare. Quantitative application characteristics of it represented iluminance level, color temperature and color rendering index prescribed in international lighting standards. Qualitative application characteristics of color represented non-monochromatic color, color contrast, long wavelength of yellow-red colors, exclusion of short wavelength of blue colors and patterns, and as well as different colors for idenfication. Quantitative application characteristics of it represented kontrast(K) prescribed in DIN32975:2009 and light reflectance value(LRV) prescribed in BS8300:2009. Implications: To form dementia care facilities as therapeutic environment both qualitative and quantitative application characteristics of therapeutic light and color in dementia care facilities are needed.

Awareness and satisfaction of therapeutic goals on functional status in persons with hemiparetic stroke

  • Ahn, Si-Nae;Lee, Jeong-Weon;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.7 no.1
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    • pp.1-5
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    • 2018
  • Objective: Setting therapeutic goals assist to identify patient priorities and predict problem that may arise in performing daily and functional activities. Goal setting is associated with improved rehabilitation outcomes in individuals with hemiparetic stroke. This study was conducted to assess the effects of having awareness and satisfaction of goals on the functional status of individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: Eighty-one people who had been diagnosed with stroke participated in this study. The study was conducted through a face-to-face surveys to identify participants' awareness and satisfaction of goals and standard assessment tools were used to evaluate patients' functional status. This study measured functional status through three clinical measures including the manual function test (MFT), Berg Balance scale (BBS), and modified Barthel index (MBI). Results: In participants with hemiparetic stroke, the MBI, BBS, and MFT scores were significantly higher in the participants who were aware of the therapeutic goal than in those who were unaware (p<0.05). The MBI, BBS, and MFT scores were not significant between the participants who were satisfied with the goal and those who were unsatisfied. Conclusions: This study suggests that having awareness in therapeutic goal-setting could lead to improvement of functional status in those with hemiparetic stroke. This study highlights how goal-setting can have a positive effect on persons with hemiparetic stroke.

A Patient with Moderate Insomnia Improved after Treatment with Yukmijihwang-tang (Liuwei Dihuang tang), Hwangryunhaedok-tang (Huanglian Jiedu tang), and Electroacupuncture: A Case Report (중등도의 불면환자를 육미지황탕(六味地黃湯)(Liuwei Dihuang decoction)과 황련해독탕(黃連解毒湯)(Huanglian Jiedu Decoction) 병용 투여 및 배수혈 전침치료로 호전시킨 1례 : 증례보고)

  • Roh, Minyeong;Lee, Jihyun;Jun, HyungSun;Han, Yanghee;Kim, Hyunho;Leem, Jungtae
    • The Journal of Internal Korean Medicine
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    • v.41 no.3
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    • pp.494-501
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    • 2020
  • Objectives: Insomnia is a common condition that causes deterioration of cognitive function and physical function and has a negative impact on quality of life. Insomnia is experienced by more than one-third of the population of the world. Although sleeping pills are currently used as therapeutic agents, they have side effects, so safer treatment methods are needed. Therefore, we report a case of an outpatient who sleeps only one hour a day due to insomnia. Methods: The patient visited Korean Medicine Hospital 10 times for four weeks and was treated with Korean medicine therapies, including electroacupuncture on the back-Shu points and herbal medicine (Yukmijihwang-tang and Hwangnyeonhaedok-tang). Treatment progress was assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI). Results: After 29 days of treatment, the PSQI score decreased from 20 points and 14 points. The ISI score also decreased to decreased to 22 points from 26 points. The average daily sleeping time increased from 60 minutes to 197.1 minutes after treatment. No significant side effects were observed. Conclusions: Yukmijihwang-tang and Hwangnyeonhaedok-tang with electroacupuncture might be a recommended therapeutic option for insomnia patients.

The Extract of Couroupita guianensis Aubl. Ameliorates Benign Prostatic Hyperplasia In Vitro and In Vivo

  • Kim, Yun Na;Kim, Na-Hyun;Souliya, Onevilay;Uddin, Salah;Lee, Sang Woo;Kim, Soo-Yong;Choi, Sangho;Heo, Jeong-Doo;Jeong, Eun Ju
    • Natural Product Sciences
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    • v.27 no.4
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    • pp.274-279
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    • 2021
  • The therapeutic effects of the leaves of Couroupita guianensis, a large tropical tree in the family of Lecythidaceae improving testosterone-induced Benign Prostatic Hyperplasia (BPH) were tested in vitro and in vivo. In BPH rats induced by castration and testosterone treatment, the prostate index was improved in groups administered with the extracts of C. guianensis extracted with 50%-, 100%-ethanol or boiling water, which was comparable with positive control, finasteride. The extract C. guianensis leaves showed significant inhibition on the expressions of type 2 5-alpha reductase (5αR) in RWPE-1 human prostatic epithelial cells, and effectively attenuated the expressions of androgen receptor, type 2 5αR and proliferating cell nuclear antigen in LNCap human prostatic adenocarcinoma cells. The leaves of C. guianensis that exerted evident suppression on BPH-related biomarkers in vitro and improvement of prostate index in vivo has a potential therapeutic use for the treatment of BPH.

Comparative Study for Therapeutic Effects of the Low Back Pain Patients According to the Bee Venom Pharmacopuncture-induced Skin Hypersensitivity Reaction and the Sasang Constitution (봉약침으로 유발된 피부 과반응과 사상체질에 따른 요통환자의 치료효과에 대한 비교연구)

  • Lee, Yong Eun;Lee, Cho In;Kim, Sung Jin;Kim, Jae Soo;Lee, Hyun Jong
    • Journal of Acupuncture Research
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    • v.31 no.2
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    • pp.1-10
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    • 2014
  • Objectives : The aim of this study was to analyze the interrelation of therapeutic effects according to the bee venom pharmacopuncture-induced skin hypersensitivity reaction and the sasang constitution. Methods : Data were collected from 62 patients who had been treated with bee venom pharmacopuncture due to low back pain. The patient's symptoms were evaluated with visual analogue scale(VAS), oswestry disability index(ODI). And we classified the patients according to the manifestation of skin hypersensitivity reaction, sasang constitution by QSCC II. Results : 22 patients had the skin hypersensitivity reaction, 40 patients hadn't. And 12 patients were Soeumin, 30 patients were Soyangin, 17 patients were Taeeumin. After treatment with bee venom pharmacopuncture 6 times(three times per week for 2 weeks), VAS was changed from $6.15{\pm}1.63$ to $4.00{\pm}1.64$. ODI was changed from $19.61{\pm}8.15$ to $14.76{\pm}8.07$. And there were significant associations. By the change of VAS and ODI between skin hypersensitivity reaction group and not, there were no significant associations. By the occurrence of skin hypersensitivity reaction between the sasang constitution, there were no significant associations. By the change of VAS and ODI between the Sasang constitution, there were no significant associations. Conclusion : This study shows that there were no significant associations in the frequency of skin hypersensitivity reaction according to the Sasang constitution. And the therapeutic effects of bee venom pharmacopuncture had no concern with skin hypersensitivity reaction and the Sasang constitution.

Therapeutic Effect of Dioctahedral Smectite on Diarrhea Caused by E. coli and Salmonella in Piglets (E. coli와 Salmonella에 의한 자돈설사에 있어서 Dioctahedral Smectite의 치료효과)

  • Jung, Won-Chul;Cha, Chun-Nam;Kim, Young-Il;Lee, Yeo-Eun;Yoo, Chang-Yeul;Kim, Suk;Lee, Hu-Jang
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.378-381
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    • 2010
  • The objectives in the present study were to evaluate the therapeutic effect of dioctahedral smectite (smectite) against piglet diarrhea caused by E. coli and Salmonella. Of this study, twenty piglets (body weight, $6.60{\pm}0.34\;kg$) with diarrhea were used to estimate the efficacy of smectite on piglet diarrhea with 20% smectite suspension in PBS. Pigs were administered with 1 ml smectite suspension three times a day after feeding, and fecal samples were collected at the gate of treatment and on 1st, 2nd, 3rd, and 4th day after administration. Changes in body weight, diarrhea index, and shedding of E. coli and Salmonella were monitored during the experimental period. The group treated with smectite reduced diarrhea index (p < 0.01), and increased body weight compared to control group. In the treated group, the number of E. coli and Salmonella was significantly decreased compared to each control group (p < 0.01). From results of the present study, 20% smectite suspension had therapeutic effect on diarrhea caused by E. coli and Salmonella in piglets.

The Effects of Spinal Decompression Combined with Therapeutic Modalities for Patients with Lumbar Radiculopathy (치료적 모달리티를 병용한 척추 감압치료가 요추 신경뿌리병증 환자에게 미치는 효과)

  • Ma, Sang-Yeol;Kwon, Won-An;Lee, Jae-Hong;Min, Dong-Gi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.336-343
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    • 2013
  • The purpose of the present study was to determine the effect of 4 weeks course of motorized spinal decompression delivered via SpineMT(mobilization & traction) combined with therapeutic modalities on the treatment of patients with lumbar radiculopathy(LRP). A total of 15 patients with LRP (mean age, 36.63 years; age range 20-50years) participated in this study. 4 weeks course of spinal decompression delivered via SpineMT combined with therapeutic modalities was delivered to the patients for 6 days per week for the first two weeks, and four times per week for two additional weeks. The entire treatment consisted of 20 visits over 4 week period. Comparisons of changes in the muscle strengthening (MS), straight leg raise (SLR), and Oswestry disability index (ODI) at pre-intervention, after 10 treatment sessions, and at discharge (after 20 treatment sessions) were analyzed. There were significant improvements in the outcome measures of MS test, SLR test, and ODI score after 10 and 20 sessions of spinal decompression treatment combined with therapeutic modalities as compared with the pre-intervention(p<0.05). Spinal decompression treatment combined with therapeutic modalities appears to be a safe and efficacious, noninvasive treatment modality for patients with LRP.