• Title/Summary/Keyword: Therapy Product

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Knee Joint Isokinetic Rehabilitation Exercise Equipment Usability Evaluation

  • Byoung-Kwon Lee;Seung-Hwa Jung;Hye-Ri Shin;Dong-Wook Han;Chang-Young Kim;Jong-Min Woo;Dae-Sung Park
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.414-420
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    • 2022
  • Objective: In this study, the test-retest reliability and validity were presented to evaluate the usability of isokinetic rehabilitation equipment for the knee joint. Design: Cross-sectional design, reliability & validity study. Methods: Thirty healthy adults participated in the study. A CSMI dynamometer was used as a standardized measuring device to present the validity of the equipment. It was measured based on the dominant leg. The average peak torque value was selected as the measurement variable. After the measurement, a questionnaire was conducted on safety, satisfaction, and performance through the usability evaluation questionnaire. Results: The knee joint isokinetic rehabilitation equipment showed high reliability with Intraclass Correlations Coefficients (ICC) =0.883~0.956. In order to check the validity of the equipment, the 95% confidence interval of the mean difference limit was confirmed by the Bland & Altman plot. As a result, all three angular velocities showed a smaller confidence interval in the flexion than in extension. There were less than 10 plots that were not included in 2 Standard Deviation (SD) between all measurements. As a result of the usability evaluation questionnaire, the average of the safety domain(4.9±0.4), satisfaction domain(4.1±0.8), performance domain(4.3±0.8). Conclusions: If the product is improved by supplementing the items identified in the usability evaluation process, it is judged that it can be used as a useful device in various knee joint rehabilitation fields.

Effects of Different Company's Moxa Cautery on Small Intestinal Motility in Rats (제품별 직접구가 흰쥐의 소장수송능에 미치는 영향)

  • Yu, Yun-Cho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.6
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    • pp.1332-1340
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    • 2009
  • Moxa-combustion therapy makes use of heat stimulus and chemicals result form when cauterize the skin with moxa cones to medical cares. Despite an extensive evidence-base guiding the selection of stimulation parameters and attributes of subject, little methodologically research regarding the attributes of moxa cautery in need to provide effective stimulation. To determine moxibustion's effects of the three different moxa cautery made by three different company(as A, B, C), the small intestinal motility in rats were observed after moxibustion at ST36. Under anesthesia, each intensities(1, 5, 10 times), two regions(left and right at ST36) and a quantity(as number of 1, 5, 10 times at once) were applied to the groups divided with sex. In each intensities groups, the A product made increase with 5, 10 times in male and female group. The B and C product made increase with 10 times in male group and the B product made increase with 1, 5, 10 times and the C product made increase with 5 times in female group. In two regions(left and right at ST36) groups, the A and C product made increase with 1(right), 5(right) times and the B product made increase with 1(left), 10(left), 10(right) times in male group. In female group, the A product made increase with 5(left), 5(right), 10(right) times and the B product made increase with 1(left), 10(left), 10(right) times and the C product made increase with 5(left), 10(left) times. In a quantity(as number of 1, 5, 10 times at once) groups, the A and B product did not show any changes but the C product made increase with a quantity of 10 times in male group. In female group, The B product made increase with a quantity of 1 times and the C product made increase with a quantity of 5 times, but the A product did not show any changes. Three different moxa cautery made by three different company made differents result in each group divided with sex. With these results, it was suggested that we should consider the a process of manufacture and moxa cautery's quality for the adequate value of moxibustion.

Correlations Among Objective Measurements of Spasticity in Patients With Brain Lesions

  • Kim, Yong-Wook
    • Physical Therapy Korea
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    • v.14 no.4
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    • pp.7-13
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    • 2007
  • The purpose of this study was to investigate correlations among objective measurements of spasticity in patients with brain lesions. Thirty-two stroke and traumatic brain injury subjects participated in the study. Spasticity was quantified using the knee first flexion angle, relaxation index obtained from a pendulum drop test, and the amplitude of a knee tendon reflex test. Pearson's product correlation coefficient was used to examine relationships among these measurements of spasticity. There was a significant positive correlation between the relaxation index and knee first flexion angle in patients with brain lesions (r=.895, p<.01). There was also significant negative correlation between the amplitude of knee tendon reflex and relaxation index (r=-.612, p<.01), and between amplitude and knee first flexion angle (r=-.537, p<.01). Thus, it is possible to use the knee first flexion angle as an objective measure of spasticity, rather than relaxation index, which is more complicated to obtain. Further studies are needed to explore the effects of functional improvement and long-lasting carryover effects of spasticity using a simple objective measure such as the knee first flexion angle from a pendulum test.

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The Synthesis of Chlorin-based Photosensitizers for using in Photodynamics Therapy by Modification of Methyl Pyropheophorbide-a

  • Wang, Jin-Jun;Han, Guang-Fan;Shim, Young-Key
    • Journal of Photoscience
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    • v.8 no.2
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    • pp.75-77
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    • 2001
  • The Grignard reaction of methyl pyropheophorbide-a (MPP-a) was performed to introduce lengthy alkyl chain for improving lipophilicity. After the introduction of alkyl chain to the both of carbonyls, peripheral aldehyde and cyclopentanone, the obtained diol 3 was subjected to dehydration to give monodehydrate product 4 selectively. The Qy band of prepared compounds were affected by the substituents on the Qy axis (N$\sub$21/-N$\sub$23/).

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Relationship of Ankle Dorsiflexion and Gastrocnemius Tightness and Posterior Talar Glide

  • Kang, Min Hyeok
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.3
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    • pp.1517-1520
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    • 2018
  • It has been reported that gastrocnemius tightness and posterior talar glide are crucial factors influencing ankle dorsiflexion. However, the relationship of ankle dorsiflexion and these factors is not identified in previous studies. The purpose of this study was to identify the relationship of ankle dorsiflexion passive range of motion and gastrocnemius tightness and posterior talar glide. Twenty-five male subjects participated in this study. Bilateral weight-bearing ankle dorsiflexion passive range of motion and amount posterior talar glide of participants were measured using an inclinometer. Change in myotendinous junction of medial gastrocnemius was measured using ultrasonography to identify gastrocnemius tightness. Pearson product moment correlations were performed to examine correlations between ankle dorsiflexion passive range of motion and gastrocnemius tightness and posterior talar glide. Present findings revealed significant correlation between ankle dorsiflexion passive range of motion and gastrocnemius tightness (p=0.017, r=0.336). Also, ankle dorsiflexion passive range of motion was correlated with posterior talar glide (p=0.001, r=0.470). The present findings provide experimental evidence for factors influencing weight-bearing ankle dorsiflexion.

The Relationships among Trunk Control Ability, Dynamic Balance and Gait in Stroke Patients (뇌졸중 환자의 체간조절 능력과 동적균형 및 보행과의 상관관계)

  • Chung, Eun-Jeong;Lee, Jong-Soo;Kim, Seong-Sik;Lee, Byoung-Hee
    • The Journal of Korean Medicine
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    • v.33 no.1
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    • pp.148-159
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    • 2012
  • Objectives: This study investigated the correlation among Postural Assessment Scale for Stroke (PASS), Timed "Up and Go" Test (TUG) and gait (velocity, cadence, step-length, stride-length and single-limb support). Methods: The 70 subjects were assessed on trunk control measured with the use of the PASS, dynamic balance (TUG) and gait function (by GAITRite). The data were analyzed using Pearson product correlation. Results: The PASS total scores were significantly correlated with PASS-M, PASS-C, and PASS-T (r =.80 ~ .88 p<.01). All items of the PASS were significantly correlated with TUG (r = -.63 ~ -.81 p<.01), velocity (r = .44~.58 p<.01), cadence (r =.38 ~.51. p<.01), affected side step length (r = .44 ~.56 p<.01) and affected side stride length (r = .45 ~.59 p<.01). But affected side single-limb support was lowly correlated with PASS-M, PASS-C, PASS-T and PASS-total (r = .25~.36 p<.05). Conclusions: Measures of trunk control were significantly related with values of dynamic balance and gait. Based on these results, trunk control is an essential core component of balance and gait. Trunk control training programs after stroke should be developed and emphasized.

Concurrent Validity, Inter-Tester and Intra-Tester Reliability of Goniometric Measurement of Active Elbow Range of Motion Using 4 Different Types of Measuring Instruments (주관절 가동범위 측정법에 대한 동시타당도와 신뢰도)

  • Current, Marion E.;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.2 no.2
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    • pp.46-55
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    • 1995
  • The purpose of this study was to assess the concurrent validity and reliability of goniometric measurement of joint motion. Subjects were 40 healthy university students. Measurements were performed by 4 inexperienced physical therapy students. Four different instruments were used and three readings were taken with each instrument in random order making a total of 12 readings for flexion of the right elbow of each subject. Goniometers used were 1. universal 2. fluid-based goniometer/inclinometer 3. digital LCD goniometer 4. electronic goniometer/torsiometer. The results were as follows: Concurrent validity was highest (r= .94) with the universal and digital LCD tools. Interrater reliability (Pearson Product Moment Correlation) was good for each tool. Interrater reliability calculated by ICC(2,1) was highest (.96) with the tensiometer and lowest (.78) with the digital LCD goniometer. Intrarater reliability calculated by ICC was excellent (${\geq}.90$) for all instruments. These results show that concurrent validity, intrarater and interrater reliability are very good in the used of all four types of goniometers/inclinometer/tensiometer, even with inexperienced raters. These results confirm the almost universal reliance on hand held goniometers for joint measurement by physical therapists as being a reliable practice. Further research should be done clinically with actual patients.

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Muscle Fatigue Analysis Based on Electromyography Signals for The Evaluation of Low-Level Laser Therapy (저출력 레이저의 치료 효과 규명을 위한 근전도 신호의 피로도 해석 연구)

  • Kim, Ji-Hyun;Choi, Hyo-Hoon;Youn, Jong-In
    • Journal of Biomedical Engineering Research
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    • v.32 no.4
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    • pp.319-327
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    • 2011
  • Skeletal muscle fatigue is defined as a 'any reduction in the maximal capacity to generate force or power output', and is the reduction of oxygen consumption and by-product of metabolism. For the muscle fatigue therapy, low level laser has been introduced that leads the mitochondrial respiratory and attributes the muscle fatigue recovery. This study analyzed the muscle fatigue signals from electromyography(EMG) during low-level laser therapy (LLLT). Healthy subjects performed voluntary elbow flexion-extension excercise and received placebo LLLT and active LLLT using a 830 nm laser diode. Then, EMG were measured for the evaluation of muscle fatigue. The acquired EMG data were analyzed with median frequency and short time fourier transform methods. The results showed that the LLLT had a significant symptomatic relief of muscle fatigue based on the EMG frequency analysis. Therefore, the muscle fatigue analysis with EMG signals can be applied to quantitative evaluation for the monitoring of LLLT effects.

Availability of the Pendulum Test Using NK Table for Spasticity Measurement of Low Extremity (하지 강직 평가에 있어 NK테이블을 이용한 진자검사의 유용성)

  • Kim, Yong-Wook;Weon, Jong-Hyuck;Kim, Tae-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.2
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    • pp.209-217
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the clinical availability of the pendulum test (through reliability and validity) using a NK table attached electrogoniometer for spasticity measurement in patients with brain lesions. METHODS: Thirty-one stroke and traumatic brain injury subjects participated in the study. Intraclass correlation coefficient (ICC) was used to verify the test-retest reliability of spasticity measures of the pendulum test. Pearson's product correlation coefficient was used to examine the validity of the pendulum test through the amplitude of the deep tendon reflex (DTR) test known for objective and quantitative measure of spasticity. RESULTS: In these results, the test-retest reliability was showed significantly high correlation between pendulum tests (ICCs=.95~.97, p<.01). There were significant negative correlations between the amplitude of the DTR test and all measures of spasticity of the pendulum test(r=-.77~-.85, p<.01). CONCLUSION: Thus, it is possible to use the pendulum test using a NK table as an objective measure of spasticity, rather than other expensive equipment, which is more complicated to use. Further studies are needed to explore the therapeutic effects of spasticity using a newly designed pendulum test equipment in this study.

Calibration of an $^{192}Ir$ Source Used for High Dose Rate RALS. (RALS에 장착한 Ir-192 선원의 강도측정에 대한 고찰)

  • Moon, Un-Chull
    • The Journal of Korean Society for Radiation Therapy
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    • v.6 no.1
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    • pp.56-60
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    • 1994
  • In the past, brachytherapy was carried out mostly with radium or radon sources. Currently. use of artificially produced radionuclially produced radionuclides such as $^{137}Cs,\;^{192}Ir,\;^{198}Au,\;and\;^{125}I$ is rapidly increasing. Although electrons are often used as an alternative to interstitial implants, brachytherapy continues to remain an important mode of therapy, either alone or combined with external beam. The National Council on Radiation Protection and Measurements(NCRP) recommends that the strength of any ${\gamma}$ emitter should be specified directly in terms of exposure rate in air at a specified distance such as 1m. The air kerma strength is defined as the product of air kerma rate in 'free space' and the square of the disrance of the calibration point from the source center along the perpendicular bisector, i. e., $S_k=K_L{\times}L^2$. Where $S_K$ is the the air kerma strength and K is the air kerma rate at a specified distance L. (usually 1m). Recommended units for all kerma strength are ${\mu}Gym^{2}h^{-1}$.

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