• Title/Summary/Keyword: Visual Disability

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The Effects of Stretching and Strengthening Exercise on the Pain, Pelvic Tilt, Functional Disability Index, and Balance Ability of Patients with Chronic Lower Back Pain

  • Kang, Tae Woo;Kim, Beom Ryong
    • The Journal of Korean Physical Therapy
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    • v.31 no.1
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    • pp.7-12
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    • 2019
  • Purpose: This study examined the effects of stretching and strengthening exercises on the pain, pelvic tilt (PT), functional disability, and balance of patients with chronic lower back pain (CLBP). Methods: A total of 42 patients with CLBP were randomly divided randomly into either experimental group I (EG I, n=21), who received stretching exercise, or experimental group II (EG II, n=21), who received strengthening exercise. Both interventions were applied three times a week for eight weeks. Assessments were made with a visual analogue scale (VAS), PT, Oswestry disability index (ODI), and Berg's balance scale (BBS) before and after the eight weeks intervention period. A paired t-test was conducted to compare the within-group changes before and after the intervention. An independent t-test was used compare the between-group difference. The statistical significance level was set to ${\alpha}=0.05$ for all variables. Results: The EG I and II showed significant within-group changes in the VAS, PT, ODI, and BBS (p<0.05). The changes in VAS, PT, ODI, and BBS were similar regardless of the exercise form. Conclusion: In this study, the application of stretching and strengthening exercise for subjects who complain of CLBP was effective in changing the level of pain, PT, functional disability, and balance.

A Clinical Case Report on Multiple Sclerosis Treated by Korean Medicine (다발성 경화증에 대한 한방치료 치험 1례)

  • Jeon, Yong-Tae;Park, Sang-Hun;Ko, Youn-Seok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.2
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    • pp.21-33
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    • 2014
  • Objectives : This study was to report the improvement of the patient with multiple sclerosis treated by Korean Medical treatment. Methods : The patient diagnosed as multiple sclerosis treated by acupuncture, bee venom pharmacupuncture, chuna manual therapy, and herbal medicine. To evaluate the effects of korean medicine, we used manual muscle test(MMT), the standard for assessment of the effect of stroke treatment, functional system(FS), visual analog scale(VAS). Results : 1. The patient's pain and optic dysfunction were reduced by the above therapy. 2. There was no change in manual muscle test(MMT), but there was mild improvement in finger joints function in the standard for assessment of the effect of stroke treatment. 3. In functional system(FS) scale, there was enhancement in optic function within a range. And there was improvement in expanded disability statue scale(EDSS) from 4.0 to 3.0. 4. In visual analog scale(VAS), there was considerable improvement from 9 to 6. Conclusions : The korean medical treatment was reduced pain and optic dysfunction.

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The Clinical Report on 1 Case of Failed Back Surgery Syndrome Who were Diagnosed as the Cauda Equina Syndrome (마미 증후군 FBSS 증례보고)

  • Hwang, Hee-Sang;Jeon, Jae-Cheon;Cha, Jung-Ho;Jung, Ki-Hoon;Lee, Tae-Ho;Roh, Jeong-Du;Lee, Eun-Yong
    • Journal of Acupuncture Research
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    • v.26 no.1
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    • pp.187-196
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    • 2009
  • Objectives : The purpose of this study was to evaluate the oriental conservative treatment for FBSS patient who were diagnosed as the Cauda equina syndrome. Methods : The patient were treated by the oriental medical conservative treatment including herbal medication, dry needle acupuncture, direct moxibustion and indirect moxibustion, cupping therapy and, physical therapy. We estimated by Visual Analog Scale and Oswestry disability index for evaluate the effect of Oriental conservative treatment. Results : After treatment, patient's visual analogue scale score and Oswestry disability index score were generally decreased. Conclusions : The oriental medical conservative treatment might be an effective method to treat the FBSS patient who were diagnosed as the Cauda equina syndrome.

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A Retrospective Study on the Effects of ShinBaro Pharmacopuncture and Jungsongouhyul Pharmacopuncture on Whiplash Injury by Traffic Accident (교통사고 후 발생한 편타 손상 환자에 대한 신바로약침과 중성어혈약침의 치료효과 비교연구)

  • Kim, Tae-Hun;Park, Won-Hyung;Cha, Yun-Yeop
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.1-7
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    • 2013
  • Objectives The purpose of this study is to compare the effects of ShinBaro pharmacopuncture and Jungsongouhyul pharmacopuncture on whiplash injury by traffic accident. Methods This study was carried out on 30 patients who received treatment in Jaseng Hospital of Korean Medicine. 30 patients were divided ShinBaro pharmacopuncture group and Jungsongouhyul pharmacopuncture group. Visual analog scale (VAS) and neck disability index (NDI) were compared after treatment. Results 1) Both the ShinBaro group and Jungsongouhyul group showed significant improvement in the visual analog scale (VAS) and neck disability index (NDI) after 3 weeks of treatment. 2) The VAS and NDI of the ShinBaro group decreased gradually with treatment. The VAS scores showed significant improvement up to week 2, but although week 3 showed further improvement compared to week 2, the difference did not reach statistical significance. The NDI scores showed significant improvement consistantly throughout the treatment period. 3) The VAS and NDI of the Jungsongouhyul group decreased with treatment also. The VAS scores significantly improved up to week 2, but though week 3 showed further improvement in comparison to week 2, the difference did not reach statistical significance. The NDI scores showed significant improvement consistantly throughout the treatment period. 4) Although the ShinBaro group showed a swifter decline than the Jungsongouhyul group in both VAS and NDI scores, the difference was not statistically significant. Conclusions We found out that ShinBaro pharmacopuncture group and Jungsongouhyul pharmacopuncture group is effective and useful in whiplash injury by traffic accident. And, further studies will be needed.

Comparative Study of Acupuncture, Bee Venom Acupuncture, and Bee Venom Pharmacopuncture on the Treatment of Herniation of Nucleus Pulpous (요추 추간판 탈출증 환자의 침 치료와 봉독침, 봉약침 병행치료에 대한 비교연구)

  • Yu, Sang-Min;Lee, Jong-Young;Lee, Hyang-Suk;Kwon, Ki-Rok
    • Journal of Acupuncture Research
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    • v.23 no.5
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    • pp.39-54
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    • 2006
  • Objectives : Herniation of Nucleus Pulpous (HNP) of Lumbar is one of the most common causes of low back pain. The aim of this study is to investigate the effectiveness of acupuncture, bee venom acupuncture (BVA), and bee venom Pharmacopuncture (BVP) therapy for HNP. Methods : We separated 35 patients with HNP of L-spine into three groups; Acupuncture treated group, BVA treated group, and BVP treated group, and monitored for 30 days. 4 grades of recovery degree, score of Visual Analog Scale (VAS), and Oswestry Disability Index (ODI) were examined for comparison. Results : 1. Visual Analogue Scale of low back pain and radiating pain showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_2, VAS0_3 evaluations. 2. ODI of disability of daily activities showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_1, VAS0_2, and VAS0_3 evaluations. 3. Compared to the Acupuncture group, BVA and BVP groups were improved in S.L.R.T and R.O.M of L-spine as confirmed by the physical examination. 4. Treatment efficacy was more apparent in acute cases as ODI was significantly lower than chronic cases. Conclusion : BVA and BVP therapies can be used in addition to the acupuncture therapy for highly effective treatment of HNP. Further clinical studies are required to verify these findings.

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The Clinical Effects of Sciatica with Cox flexion distraction (굴곡신연법(屈曲伸延法)으로 시술한 요각통 환자 60례에 대한 임상적 고찰)

  • Kim, Eun-Geol;Lee, Dong-Gun;Yoon, Eun-Hye;Jeong, Won-Je;Kim, Kyung-Ho;Cho, Hyun-Seok;Hwang, Min-Seop
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.1
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    • pp.43-52
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    • 2009
  • Objectives : The purpose of this report is to estimate Cox flexion distraction treatment by comparing the Improvement of Sciatica treated by Cox flexion distraction treatment with Common treatment. Methods : This study was carried out on 60 patients with Sciatica who were hospitalized in Dongguk University Gyeongju Oriental Hospital from February, 2008 to December, 2008. Group A of 30 patients were taken both common treatment and Cox flexion distraction treatment. And Group B of 30 patients were only taken common treatment. And at treatment conclusion day, we checked and compared VAS(Visual Analogue Scale)and ODI(Oswestry disability index) out of these two group. SPSS(Statistical Program for Social Science) for Windows was used for a statistical analysis and the independent T-test was performed to gauge the improvement of VAS(Visual Analogue Scale)and ODI(Oswestry disability index) out of these two group, in which case, value of P below 0.05 is considered as useful. Results and Conclusions : The results of the VAS(Visual Analogue Scale)and ODI(Oswestry disability index) of comparison analysis between two group at treatment conclusion day, show that the improvement of Sciatica in common treatment with Cox flexion distraction treatment Group is more effective than that in common treatment.

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Comparative Study on the Effects of Two Taping Methods Applied to Patients with Low Back Pain (요통을 가지고 있는 일반인에게 적용된 두 가지 테이핑 방법의 효과 비교 연구)

  • Il-Young Cho
    • Journal of Industrial Convergence
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    • v.22 no.7
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    • pp.43-48
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    • 2024
  • In this study, we evaluated the effectiveness of a taping method to relieve low back pain (LBP) by comparing changes in visual analog scale (VAS) and disability index (Disa) between untreated, control, and treated groups. As a result, the efficacy of taping was confirmed in both the control and treatment groups. ANOVA analysis of VAS revealed significant differences between groups, and post hoc tests revealed significant differences in the untreated group and both the control and treatment groups, but no significant differences between the control and treatment groups. This demonstrates similar effectiveness of both taping methods on alleviating LBP. For Disa, ANOVA showed a significant difference, but post hoc tests did not confirm this. The within-group t-test showed significant differences in VAS and Disa in the control and treatment groups before and after the intervention, but not in the untreated group. This study highlights the efficacy of taping for LBP and suggests that both methods can be used clinically. Future studies should use larger samples and different conditions to verify these findings.

Relationship of Pain, Disability and Quality of Life in Individual with Neck and Shoulder Pain

  • Jeon, Ho-Chung;Yang, Kyung-Won;Kim, Ka-Hoe;Kim, Seul-Ki;Kim, Ho-Kwon;Seo, Jin-Il;Kim, Gi-Won;Kim, June-Sun
    • The Journal of Korean Physical Therapy
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    • v.28 no.5
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    • pp.328-333
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    • 2016
  • Purpose: This study was to investigate the correlation between pain, disability and quality of life among adolescents and office workers with neck and shoulder pain. Methods: Twenty-four subjects (mean age=24.92 years, SD=3.94, range=20-37) with neck and shoulder pain participated in this study. The outcome measures of the study were visual analogue scale (VAS), neck disability index (NDI), shoulder pain and disability index (SPADI), short form-36 (SF-36) for neck and shoulder pain and disability, quality of life. Pearson's correlation and Speaman's rank correlation were used to measure the association between VAS and NDI, SPADI, SF-36. Results: The VAS showed a positive correlation between weak to moderate with the NDI and SPADI, but no significantly correlated (${\rho}=0.34$, ${\rho}=0.25$). The moderate positive correlation and significant correlation were observed between NDI and SPADI (${\rho}=0.43$, p<0.05). The PCS of SF-36 was significantly negative correlated with the VAS (${\rho}=-0.24$), NDI and SPADI (${\rho}=-0.63$, ${\rho}=-0.59$, p<0.05). Conclusion: The pain and disability of neck and shoulder has closely relevance. And, the pain and disability of neck and shoulder has a negative impact on the quality of life.

The Effect of TENS by Physiotherapist versus Home based TENS Intervention to reduce Pain and Improve Disability in Patients with Mechanical Neck Disorder (치료사에 의해 적용된 경피신경전기자극과 가정에서 시행된 경피신경전기자극이 경부통 환자의 통증과 장애에 미치는 영향)

  • Park, Jae-Myoung;Yang, Sung-Hwa;Lee, Jun-Yong;Lee, Jae-Min;Jung, Min-Keun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.2
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    • pp.61-66
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    • 2010
  • Purpose: The purpose of this study was to determine the effect of TENS by physiotherapist versus home based TENS intervention to reduce pain and improve disability in patients with mechanical neck disorder. Methods: The subjects of the study were 30 selected patients who had been diagnosed with subacute or chronic neck disorders without neurological damage, during the period of four weeks, three times a week, and thirty minutes for one session, 15 patients received TENS by physiotherapist. 15 patients received home based TENS intervention. The primary outcome was pain intensity measured in using the Visual Analog Scale(VAS). The second outcome was Neck Disability Index to patient's disability. Results: The change in the pain perception degree were statistically significant in both group(p<0.05). TENS by physiotherapist group showed significantly improvement in disability, but, Home based TENS intervention group is not. TENS by physiotherapist group showed significantly greater improvement in pain intensity and patient's disability than the home based TENS intervention group. Conclusion: This study shows that received TENS by physiotherapist was effective in reducing pain, improving disability for mechanical neck disorder patient, physiotherapist' knowledge need to improve patient's pain and disability.

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The Effects of Gluteal Muscle Exercises Combined Lumbar Stabilization on Lumbar Stability in Chronic Low Back Pain Patients with Lumbar Instability (요부안정화운동과 병행한 둔근운동이 요부불안정성을 가진 만성요통환자의 요부안정성에 미치는 영향)

  • Lee, Sang-Jin;Kim, Young-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.1
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    • pp.29-39
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    • 2013
  • PURPOSE: The purpose of this study was to determine if the program focusing on gluteal muscle exercise combined lumbar stabilization had an effects on pain, functional disability and lumbar instability in chronic low back pain patients who had lumbar instability. METHODS: Thirty four patients were recruited in this study. The participants were randomly allocated stabilization exercise group (SEG) (n=17) and gluteal muscle exercise group (GEG) (n=17). The gluteal muscle exercise group conducted gluteal muscle exercises combined lumbar stabilization and stabilization exercise group did only lumbar stabilization exercise for 30 minutes three times a week for six weeks. Pre-exercise assessment tools, visual analogue scale (VAS) and Korean version Oswestry Disability Index level (KODI) were used for pain and functional disability each. Also, these were scored by the tool of lumbar instability. The pain, functional disability levels, and lumbar instability after six weeks with this exercise were re-evaluated. RESULTS: First, SEG showed a significant decrease in the lumbar pain, functional disability levels and lumbar instability. Second, GEG showed a significant decrease in the lumbar pain, functional disability levels and lumbar instability. The third, GEG showed even more significant decrease in the lumbar pain levels, functional disability levels and lumbar instability than SEG. CONCLUSION: Gluteal muscle exercises combined lumbar stabilization are more effective than only lumbar stabilization exercise in the pain levels, functional disability levels and lumbar instability for the chronic low back pain patients with lumbar instability.