• Title/Summary/Keyword: Treatment Posture

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The Effect of Functional Independence in Long Term Care Elderly People on the Mental and Health factor (정신 및 건강요인이 장기요양 노인의 기능적 독립성에 미치는 영향)

  • Shin, Hong-Cheul;Kang, Jeong-Il;Lee, Kyoung-Hwa
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.47-56
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    • 2008
  • The purpose of this study was to seek for a performance level of functional independence of the long term care elderly people. This study questionnaires 160 elders with 80 in a large city and 80 in small-to-medium sized city in order to find out the functional independence of elderly people. The results of this study were as follows. 1. Functional independence level following health factor; The comparison of degrees of functional independence level between two groups showed significant difference in sanitation, drinking and smoking, eating habit, chronic disease, physical activities, and regular physical examination(P<.05). But the comparison between two groups was not showed significant difference in present treatment, regular exercise. 2. Functional independence level following Psychological factor; The comparison of degrees of functional independence level between two groups showed significant difference in health evaluation(P<.05). But the comparison between two groups was not showed significant difference in quality of life. In conclusion it is needed that stable housing, much physical activities, and diversified family members should be realized and stable livelihood security recipients to maintain and improve health of the aged and to be socially satisfied.

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A Study of Factors Causing Anxiety of Patients by Medical Personnel (의료팀에 의하여 발생되는 입원환자의 불안요인에 관한 조사연구)

  • 김정화
    • Journal of Korean Academy of Nursing
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    • v.6 no.2
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    • pp.18-24
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    • 1976
  • This study to find out the causes and degree of anxiety experienced by hospitalized patients, with the objective of instituting improvement of Nursing care program based on the needs of patients. The present study was carry out from July 1 , 1975 to October 10, 1975 with 168 patients random sampling from those admitted of Kyung Hee Medical Center. The Questionnaire form included 47 questions which are considered to be anxiety events for admitted patients and was divided into four areas namely, such events related to 1) hospital environment, 2) Psychology and emotion, 3) Nursing care and treatment, and 4 )Education. The results of the study were as follows : 1) Most of the respondents (70.09%) felt uneasy about their disease affected by the behaviors of medical personnel. 2) Regarding the correlation between anxiety felt by patients and their educational level. Only 9 sub- items of 47 items showed significant difference. 3) There was revealed no particular significance in the correlation between anxiety felt by patients and period of hospitalization. 4) Only 5 sub- items out of 47 items showed significant difference ill the correlation between anxiety felt by patients and previous experience of operation. 5) Only 3 sub-items out of 47 items showed signigicant difference in the correlation between anxiety felt day patients and previous experience of hospitalization. 6) Regarding the extent of anxiety felt by patients, "insufficient explanation about meals" showed the highest score followed. "The visit of physicians and Nurses to the patient is too frequent " showed the lowest score and "Nurses change too frequently the physical posture of patients" followed.

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Restoration of Sagittal Balance in Spinal Deformity Surgery

  • Makhni, Melvin C.;Shillingford, Jamal N.;Laratta, Joseph L.;Hyun, Seung-Jae;Kim, Yongjung J.
    • Journal of Korean Neurosurgical Society
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    • v.61 no.2
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    • pp.167-179
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    • 2018
  • The prevalence of patients with adult spinal deformity (ASD) has been reported as high as 68%. ASD often leads to significant pain and disability. Recent emphasis has been placed on sagittal plane balance and restoring normal sagittal alignment with regards to the three dimensional deformity of ASD. Optimal sagittal alignment has been known to increase spinal biomechanical efficiency, reduce energy expenditure by maintaining a stable posture with improved load absorption, influence better bony union, and help to decelerate adjacent segment deterioration. Increasingly positive sagittal imbalance has been shown to correlate with poor functional outcome and poor self-image along with poor psychological function. Compensatory mechanisms attempt to maintain sagittal balance through pelvic rotation, alterations in lumbar lordosis as well as knee and ankle flexion at the cost of increased energy expenditure. Restoring normal spinopelvic alignment is paramount to the treatment of complex spinal deformity with sagittal imbalance. Posterior osteotomies including posterior column osteotomies, pedicle subtraction osteotomies, and posterior vertebral column resection, as well anterior column support are well known to improve sagittal alignment. Understanding of whole spinal alignment and dynamics of spinopelvic alignment is essential to restore sagittal balance while minimizing the risk of developing sagittal decompensation after surgical intervention.

Application of 3-Dimensional MOIRE Topography to the School Screening Program for Adolescent Scoliosis (모아레 체형측정법이 청소년기 척추측만증의 조기집단검진 활용 가능성에 대한 평가)

  • Han, Myeng-Gum;Shin, Byung-Cheul
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.1-16
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    • 2003
  • Objectives : The purpose of this study is researching for possibility that Moire topography be applied in group school screening for scoliosis known school health problem, and find acceptable method of early detection and early treatment for scoliosis Methods : The authors practiced Moire topography for primary & middle school 1,895 students[male 976, female 919] in Jeonju, korea in 2001. After we distinguished students who had abnormal finding in Moire topography and then re-examined spinal X-ray analysis. The data was analysed and evaluated statistically Results : According to this research, the abnormal finding in Moire topography was 53.7% (1,018 students), and students needed X-ray re-examination were 11.2% (213 students). Students diagnosed scoliosis by X-ray re-examination were 1.8%. According to statistical analysis, interval between vertical base line of pelvis and vertical base line of neck, gap between left distance and right distance to the vertical base line of pelvis and difference of contour lines have strong correlations with deformity degree of the body surface examined by Moire. Conclusions : Following this research, throughout early detection for scoliosis by Moire topography could reduce exposure from scoliosis radiographs, and could detect trunk asymmetry that couldn't be found existing X-ray examination, so it made selecting students under observation who have bad posture possible.

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Study on Correlation between Difference of Pelvic Height and Gait Balance of Patients with Abnormal Postures (자세이상을 호소하는 환자의 골반 높이 차이와 보행 밸런스 관계에 대한 연구)

  • Park, Jung-Woo;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.3
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    • pp.149-155
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    • 2014
  • Objectives This study was designed to investigate the correlation between the difference of pelvic height and difference of gait balance. Methods 62 cases of patients who received treatment from January 2011 to March 2014 for abnormal postures were analyzed. Their difference of pelvic height were estimated by whole spine X-ray analysis and gait balance were estimated by Treadmill Gait Analysis system. The data were analyzed to find out correlation between difference of pelvic height and difference of gait balance, and correlation between the position of pelvic tilt and gait balance higher side. Pearson correlation and Chi-square analysis were used. Results Pelvic height heigher side were more left than right side, and gait balance higher side were also more left than right side. Difference of pelvic height and difference of gait balance had a positive linear relationship, but there was no significant correlation. The position of pelvic tilt had significant correlation with gait balance higher side. Conclusions The position of pelvic tilt had significant correlation with gait balance higher side and difference of pelvic height had no significant correlation with difference of gait balance.

The Effect of Key Point Control Handling for One-leg Standing Postural Adaptation in Hemiplegia (주 조절점 핸들링이 편마비 환자의 한발서기 자세적응에 미치는 영향 - 보바스의 신경발달치료 중심 -)

  • Kim, Dae-Young
    • Journal of Korean Physical Therapy Science
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    • v.8 no.2
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    • pp.1059-1064
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    • 2001
  • This study is aimed at diagnosing transmutation aspect with the respective of hemiplegia patient's static adaptation of posture which is influenced by anti-gravity excercise, center of gravity shifting movement and segmental movement adaption of the legs and arms by key-point control in the process of Bobatli's treatment approach. The patients for the investigation of this study were selected as a total 17 patients who were doing the physical-therapy in Tae-gu Rehabilitation Center, and diagnosed as hemiplegia patients by Rehabilitation Medicine department in Kyung-buk University hospital. And also, there investigated into temporal transition that keep the attitude with one-leg standing on the ground concerning static attitude adaption on the basis of the before of anti-gravity movement and the after of 4-weeks movement. The findings of this study were as follows: With the respective the time to keep standing pose by one-leg at static attitude transmutation, affected side showed meaningful differences as a l.86/sec, 2.62/sec at 4 weeks later considering the before and after of this experiment.(p<0.01), non-affected side at the aspect of attitude keeping time, but there didn't showed meaningful differences statistically.

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Study on Correlation between the Gait Analysis Indices and Lumbar X-ray Indicators (보행과 기립위 요추 방사선 지표와의 상관성 연구)

  • Park, Jong-Han;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.121-130
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    • 2017
  • Objectives This study was designed to investigate the correlation between the gait analysis indices and Lumbar X-ray indicators. Methods 21 cases of patients who received treatment from October 2013 to February 2017 for abnormal posture were analyzed. Three indicators were measured in the lumbar spine X-ray. These indicators include Ferguson's angle, Lumbar lordotic angle, L4-5 IVD angle. Gait analysis indices were estimated by Treadmill Gait Analysis system. The data were analyzed to find out correlation between the gait analysis indices and Lumbar X-ray indicators. Spearman correlation was used. Results Ferguson's angle and Difference of gait balance of front and rear had a negative linear relationship, but there was no statistical significance. Lumbar lordotic angle and Difference of gait balance of front and rear had a negative linear relationship, but there was no statistical significance. L4-5 IVD angle and Difference of gait balance of right and left had a negative linear relationship, but there was no statistical significance. Conclusions Difference of gait balance of front and rear had strong level of a negative linear relationship with Ferguson's angle and Lumbar lordotic angle.

Physical Therapy and Ergonomic Interventions in Patients with VDT Syndrome: 4 Cases Study (VDT 증후군 환자에 물리치료와 인간공학적 개입: 사례 연구)

  • Lee, In-Hee;Park, Sang-Young
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.91-96
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    • 2010
  • Purpose: Among computer users, the awkward posture and workstation setups of workers contribute to work-related upper limb musculoskeletal disorders. The purpose of this study was to evaluate the efficacy of a traditional physical therapy and ergonomic intervention by physical therapists in 4 computer users. Methods: After checking Visual Analogue Scores (VAS), four subjects who were treated by physical therapy for neck and shoulder problems related to VDT syndrome were enrolled in the study. All subjects spent at least 40 hours per week at a computer workstation. All subjects had pain and ergonomic states evaluated using methods such as VAS, Neck Disability Index (NDI), Workstyle short form, Rapid Upper Limb Assessment (RULA), and OSHA VDT checklist (Occupational Safety and Health Administration video display terminal) before a physical therapy + ergonomic intervention. Participants were re-evaluated 1 month later. Results: Participants showed more improvement of their neck pain after being treated with a physical therapy plus ergonomic intervention than when treatment consisted only of physical therapy. Improvements in RULA, Workstyle short form, and OSHA VDT checklist also were achieved. Conclusion: This case study suggests the importance of examining the work habits and work-related postures of subjects who complain of neck and shoulder pain that is exacerbated by computer use. Personalized ergonomic interventions and physical therapy can lead to improvement of patients with VDT syndrome.

Psychotropic Effects of Ginseng Saponine on Agonistic Behavior in Male and Female Mice

  • Yoshimura, Hiroyuki
    • Proceedings of the Ginseng society Conference
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    • 1987.06a
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    • pp.59-66
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    • 1987
  • Psychotropic actions of crude ginseng saponins(CGS), pure ginsenoslue Rbl(GS-bl) and gin- senoside Rgl(GS-gl) isolated from the root of Panax ginseng, were evaluated by determining their effects on agonistic behavior in male(Experiment 1) and female(Experiment 2) mice, using a biologically relevant method. The results of experiment 1 demonstrated that CGS and GS-bl significantly suppressed aggressive episodes (offensive sideways posture and attack bite) in a dose-dependent manner when the resident was drugged, whereas G5-gl was ineffective. However, when the intruder was treated with one of three ginseng saponins, agonistic behavior between resident and intruder males was not altered. In experiment 2, acute administration of CGS and G5-bl significantly suppressed maternal aggression, whereas GS-gl was ineffective. As compared with the vehicle-treated group, chronic treatment with CGS and GS-bl significantly suppressed maternal aggression, while GS-gl showed a tendency to increase the frequency of attack bite by females. These findings clearly indicate that the root of Panax ginseng contains psychoactive ingredient, which can suppress both intermale and maternal aggression in mice. We suggest that the present results have important implications for the clinical usefulness of ginseng saponins in psychiatric medicine.

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The Study of Faulty Vocal Habits in Patients with Hoarsenes (애성환자에 있어서 잘못된 발성습관에 관한 연구)

  • 안철민;박정은
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.1
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    • pp.12-16
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    • 1999
  • Background and Objectives : The common cause of voice disorders may be bad habits of phonation. faulty vocal habits might aggravate the voice disorder or make the dysphonia. Authors thought the analysis of faulty vocal habits might help to evaluate the causes and to choose the treatment methods in patients with dysphonia. Authors studied to evaluate which vocal habits were used in patients with dysphonia. Materials and Methods : Patients with dysphonia(N= 32) and person without dysphonia(N=20) were evaluated through pre-evaluation test by otolaryngologist and SLP. All subjects were evaluated accordingly Posture of body, expansion of cervical vein, excessive movements of thyroide prominence, position of tongue, tension of lower lip, tension of jaw, breathing pattern related with phonation. Results : In dysphonia group, we found 23 cases with tension of jaw, 15 cases with expansion of cervical vein, 7 cases with bad position of tongue, 3 cases with excessive movement of thyroid prominence and a lot of cases with bad breathing Pattern on Phonation. In control group, only 3 cases with bad position of tongue, 2 cases with tension of lower lip, 1 case with tension of jaw were found. Conclusions : More faulty vocal habits were found in dysphonia group. Authors thought faulty vocal habits could be the cause of dysphonia and aggravate the dysphonia and the control of vocal habits would be very important in patients with dysphonia.

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