• The Journal of Korean Physical Therapy
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• 제21권2호
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• pp.117-124
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• 2009

Purpose: This study examined the effects of swimming exercise and Achyranthes Radix extracts on the inflammatory and behavioral responses in type II collagen-induced arthritic rats for 28 days. Methods: Sprague-Dawley rats were allocated randomly to one of the following four groups: only type II collageninduced (group Ⅰ), application of swimming exercise after type II collagen-induced (group II), application of Achyranthes Radix ointment after type II collagen-induced (group III), application of swimming exercise and Achyranthes Radix ointment after type II collagen-induced (group IV). Arthritis was established in SD rats by an intradermal injection of Chick type II collagen plus incomplete Freund's adjuvant at the base of the tail of the animals. The swimming exercise program consisted of a 25 min swimming session/day with a load corresponding to 5.5% of the weight bearing, three days/week for four weeks. The Achyranthes Radix ointment (0.1g) was applied twice a day for five days. The changes in behavior, H & E stain, and cyclooxygenase-2 (COX-2) level in the knee joint were assessed. Results: The gross and histological examination, after RA induction showed reddening, edema and erythema. The H & E stain revealed the destruction of articular cartilage, bony erosion and the infiltration of inflammatory cells after RA induction. The mechanical allodynia test results were significantly higher in group I than in groups II, III and IV (p<0.01). The immunohistochemistrical response of COX-2 in the knee joint showed that groups II, III, IV had a lower response effect than group I. Conclusion: Swimming exercise training and Achyranthes Radix ointment decreased the inflammatory responses and enhanced the behavioral responses in the arthritic rats.

• PNF and Movement
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• 제15권1호
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• pp.77-84
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• 2017

Purpose: This study aimed to investigate the effect of visual feedback training-for gradual weight shift in sit-to-stand training-on the balance and walking abilities of chronic hemiplegia patients. Methods: Twenty patients with chronic hemiplegia volunteered to participate in this study. The experimental group received visual feedback for gradual weight shift in the sit-to-stand training, while the contrast group followed the standard process for the sit-to-stand training. The evaluation of the balance and walking ability was conducted with the functional reach test (FRT), Berg balance scale (BBS), five time sit-to-stand (FTSTS) test, timed up and go (TUG) test, 10 m walk test (10MWT), balancia, activities-specific balance confidence (ABC) scale, and falls efficacy scale (FES). Results: In the results before and after intervention, there was a significant difference in TUG, 10MWT, ABC, and FES in the visual feedback training group (p < 0.05). In the control group, there was a significant difference in the 10MWT and ABC (p < 0.05). Also, in the evaluation of the postural fluctuations, the control group data showed a significant increase in Covar. The visual feedback group showed a significant difference in the W average. Conclusion: The visual feedback training group showed some improvement in terms balance and walking ability and on the ABC scale and FES. Therefore, if the diagonal progressive weight bearing exercise is combined with the various patterns and basic principles of PNF, it may be a more efficient intervention method.

• Physical Therapy Rehabilitation Science
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• 제8권1호
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• pp.8-14
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• 2019

Objective: Degenerative knee arthritis is the most common disease that occurs in older people. Constriction-induced movement therapy (CIMT) has been reported to be as an effective treatment for the impairments, such as asymmetric weight-bearing and reduced balance that occurs after receiving a total knee replacement (TKR). Game-based rehabilitation training for persons with TKR is interesting and provides a variety of feedback. Design: Randomized controlled trial. Methods: Thirty-six subjects with TKR were randomly assigned to either the CIMT game training (n=12), general game training (n=12), or the control (n=12) group. Each group underwent twelve sessions (30 min/d, 3 d/wk for 4 weeks). In the CIMT game training group, the application of CIMT adjusted the weight of the pressure delivered from the two boards used in Wii games. In the general game training group, the game was played without adjusting the weight of pressure. The game training used the Wii Fit's Ski Slalom application. Subjects were assessed with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Activities-specific Balance Confidence (ABC) Scale. Results: All three groups showed significant improvements in pain, stiffness and physical function, total WOMAC scores, and ABC scores after the intervention (p<0.05). Significant differences were observed in physical function, total WOMAC scores, and ABC scores of the CIMT game training group compared with the other groups (p<0.05). Conclusions: The CIMT game training and general game training exhibited improvements on stiffness, but the CIMT game training exhibited a larger effect on lower extremity function and balance confidence levels.

• 농촌의학ㆍ지역보건
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• 제39권4호
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• pp.256-263
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• 2014

이 연구의 목적은 농촌지역 여중생의 골밀도와 신체활동량을 비교하는 것이다. 연구 대상자는 경상북도 달성군 D 중학교 여중생 65명이었으며, 이들을 일일 도보수에 따라 하루에 4,800 미만은 저활동군(Low PA), 4,800 - 6,300 미만은 중간활동군 (Moderate PA) 그리고 6,300 이상은 고활동군 (High PA)으로 분류하였다. 그룹 간 요추, 대퇴부, 전완에서의 골밀도는 유의한 차이가 없었다. 하지만, 높은 신체활동 집단에서는 우세손과 비우세손의 전완 골밀도 차이가 없었으나, 중간 및 낮은 신체활동 집단에서는 우세손과 비우세손의 전완 골밀도에서 유의한 차이가 나타났다. 신체활동이 적은 여자 청소년들이 우세손과 비우세손의 골밀도 차이가 나타난다는 것은 보고된 적이 없다. 비록 해부학적으로 전완의 경우 중력부하를 받는 뼈가 아닐지라도, 높은 신체활동은 비우세손의 골밀도까지 강화시킬 수 있다는 것을 보여주었다. 따라서 향후 비교적 큰 표본과 장기간 연구를 통해 낮은 강도의 신체활동 효과에 대해 더 연구할 필요가 있다고 사료된다.

• PNF and Movement
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• 제14권3호
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• pp.177-183
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• 2016

Purpose: The purpose of this study was to investigate the effects of neck patterns in proprioceptive neuromuscular facilitation (PNF) for neck movement and the neck disability index (NDI) among adults with forward head posture. Methods: Thirty-nine subjects were randomly assigned into two groups. Subjects in the proprioceptive neuromuscular facilitation exercise group (PNFG, n = 20) received 20 minutes of PNF neck pattern (flexion-Rt. lateral flexion-Rt. rotation followed by extension-Lt. lateral flexion-Lt. rotation) 3 times weekly for 4 weeks. Outcomes were measured using absolute rotation angle (ARA), anterior weight bearing (AWB), range of flexion and extension motions (RFEM), and neck disability index (NDI) methods before and after the 4-week intervention period. Results: There were significant effects for the PNFG, pre- and post-intervention, in ARA, AWB, RFEM, and NDI. There were significant differences in ARA, AWB, RFEM, and NDI compared with CG. Conclusion: The results of this study suggest the PNF neck pattern could be beneficial for adults with forward head posture.

• 대한관절경학회지
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• 제13권2호
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• pp.161-164
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• 2009

외상성 슬관절 탈구 중 도수 정복되지 않는 경우는 매우 드물며 대개는 관혈적 정복술을 요한다. 본 증례는 도수 정복되지않는 슬관절 탈구에 대한 관절경적 치료 경험으로 자기공명 영상에서 정복을 방해하는 내측 인대 및 관절낭 구조물을 관찰하고 관절경 검사로 확인한 후 대퇴골 내측와가 완전히 관찰되고 관절이 정복 될 때까지 끼어있는 조직을 제거하였으며 인대 봉합이나 재건술은 시행하지 않았다. 술 후 약 4주간의 신전상태에서 고정 후 점진적인 관절운동 및 체중부하 보행을 허용하였다. 3년 추시 관찰에서 경도의 슬관절 불안정성은 있었으나 일상생활에 지장 없었으며 정상범위의 관절운동범위를 회복하였다.

• 근관절건강학회지
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• 제28권1호
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• pp.1-9
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• 2021

Purpose: The study evaluated the effectiveness of health promotion program on the physical fitness and quality of life of elderly women receiving home visiting health care services. Methods: There were 122 elderly women participants. The data were collected between March and December 2019. The participants were provided with the 36-weeks health promotion program consisting of health education, such as nutrition, depression, urinary incontinence, fall, oral care, and exercises, such as stretching, weight-bearing exercise, and elastic resistance training. The balance, muscle strength, flexibility, and quality of life were measured before and after the program. The results were analyzed with paired t-test using the SPSS/WIN 26.0 program. Results: The dynamic balance, muscle strength, flexibility significantly increased. Conclusion: The health promotion program positively affected elderly women in terms of physical fitness, but there are limitations to increasing the quality of life of elderly women. Through this study, it is necessary to be supplemented in improving quality of life of elderly women.

• The Journal of Korean Physical Therapy
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• 제31권4호
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• pp.161-168
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• 2019

Most athletes with anterior cruciate ligament (ACL) ruptures undergo a surgical ACL reconstruction (ACLR) and rehabilitation. On the other hand, controversy still exists because neither a reconstruction nor rehabilitation have been proven to be superior in the management of ACL injury. This study reviewed the success rates of interventions to provide recommendations for the optimal management after an ACL injury. One of the most important considerations after an ACL injury is the timing and type of intervention. At the early stages, which involve the loss of volume and strength of quadriceps femoral muscle, weight bearing (closed kinetic chain) exercises with pain management followed by high velocity resistance exercises in an open kinetic chain environment are recommended to improve the quadriceps function. After that, it is important to apply intensive isokinetic exercise with a lower extension rate. In this case, it is important to apply overload to the muscles and to simultaneously lead the co-contraction of the hamstrings. Standards are essential because the timing and type of interventions are crucial to prevent re-injury and complications, such as osteoarthritis, as well as to confirm the successful outcome of the treatment. Different interventions recommended for ACL damage have yet to reach consensus. Further studies will be needed to observe the effects of the intervention through multidisciplinary approaches.

• Physical Therapy Rehabilitation Science
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• 제10권2호
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• pp.98-105
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• 2021

Objective: The purpose of this study was to examined the kinematic relationship and differences through the range of motion (ROM), muscle activity, and vertical ground reaction force (VGRF) during forward and backward lunge movements, which are effective in improving muscle strength and balance ability of the lower extremities, and to provide clinical information on more efficient lunge movements. Design: Cross-sectional study Methods: Fifteen adult males who met the selection criteria were tested for their dominant feet.Forward and backward lunges were then performed, and the ROM, muscle activity, and VGRF were measured for kinematic analysis during the lunge movement.The differences betweenthe forward lunge and backward lunge intervention were examined using a paired t-test. Results: A significant increase in the ROM of the knee and ankle was observed during the forward and backward lunges (p<0.05). In addition, in terms of the muscle activity, the peak values of the vastus medialis oblique (VMO) and VGRF also showed a significant increase in the forward lunge compared to the backward lunge (p<0.05). Conclusions: This study showed an increase in VGRF peak value, knee and ankle ROM, and VMO muscle activity during forward lunge. Based on these results, it is considered necessary to apply differently depending on the direction of progress in consideration of the musculoskeletal situation and physical ability during the lunge movement.

• Physical Therapy Rehabilitation Science
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• 제11권3호
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• pp.279-284
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• 2022

Objective: This study was conducted to confirm the effect of physiotherapy on the balance and walking in dog with sciatic nerve injury and degenerative arthritis of stifle joints. Design: Single case study Methods: The dog walked abnormally for six months and was administrated in S animal hospital. The dog's right hindlimb was operated for cranial cruciate ligament repair and the dog had been taking a nonsteroidal anti-inflammatory analgesic before being refered. There was severe degenerated osteoarthritis in the right hindlimb. During stance and walking, the right hindlimb was often shown partial weight bearing. The dog's left hindlimb was shown plantigrade stance and walking. The radiograph was shown an intact calcaneal tendon in the left hindlimb. In the neurologic examination, sciatic nerve injury in the left hindlimb was confirmed. The dog was treated using muscle strengthening, proprioceptive exercise, underwater treadmill and Laser therapy two, or three times a week for 3 months. At the 10th and 17th treatment, it was evaluated through stance and gait analyzer system to measure dog's balance and walking. Results: 3 months following physiotherapy, the dog's balance was improved in center of pressure(COP). And peak vertical force(PVF), vertical impulse(VI) was increased in right hindlimb and double stance was decreased. Conclusions: Physiotherapy may have improved the prognosis in this dog with severe osteoarthritis and sciatic nerve injury. This study suggested that animal physiotherapy is a valuable way to improve balance and walking.