• Title/Summary/Keyword: active rehabilitation therapy

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The Effects of Motor Control with Active Movement and Passive Movement (능동운동과 수동운동이 운동조절에 미치는 영향)

  • Bae Sung-Soo;Kim Cheul-Yong;HwangBo Gak;Chung Hyun-Ae;Choi Jae-Won
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.13-21
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    • 1999
  • Active movement is able to actively contract his muscles and move a segment either with or without assistance. This movement maintain physiologic elasticity and contractility of the participating muscles, provide sensory feedback from the contracting muscles and stimulus for bone integrity as well as increase circulation and prevent thrombus formation, in addition to develop coordination and moor skills for functional activities. Passive movement is the motion to the external force; gravity, machine, another individuals. Active movement is more activated rather than passived on the central nervous system. Therefore, we think that active movement is more effected facilitating through specific inhibitory mobilization of muscle.

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Challenges in neuro-machine interaction based active robotic rehabilitation of stroke patients

  • Song, Aiguo;Yang, Renhuan;Xu, Baoguo;Pan, Lizheng;Li, Huijun
    • Advances in robotics research
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    • v.1 no.2
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    • pp.155-169
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    • 2014
  • Study results in the last decades show that amount and quality of physical exercises, then the active participation, and now the cognitive involvement of patient in rehabilitation training are known of crux to enhance recovery outcome of motor dysfunction patients after stroke. Rehabilitation robots mainly have been developing along this direction to satisfy requirements of recovery therapy, or focusing on one or more of the above three points. Therefore, neuro-machine interaction based active rehabilitation robot has been proposed for assisting paralyzed limb performing designed tasks, which utilizes motor related EEG, UCSDI (Ultrasound Current Source Density Imaging), EMG for rehabilitation robot control and feeds back the multi-sensory interaction information such as visual, auditory, force, haptic sensation to the patient simultaneously. This neuro-controlled and perceptual rehabilitation robot will bring great benefits to post-stroke patients. In order to develop such kind of robot, some key technologies such as noninvasive precise detection of neural signal and realistic sensation feedback need to be solved. There are still some grand challenges in solving the fundamental questions to develop and optimize such kind of neuro-machine interaction based active rehabilitation robot.

Effect of Lower Extrimity on the Joint Therapy and Active Exercise of Ankle and Foot Complex (발과 족관절 복합체에 대한 관절치료와 능동운동이 회의발의 하퇴근활성도에 미치는 영향)

  • Hyong, In-Hyouk;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.89-96
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    • 2008
  • Purpose : The study was to evaluate the effect of joint therapy and active exercise on balance and lower foot and ankle muscle MVIC in supination foot. Methods : The subjects of this study were 20. Subjects were 20 to 25($22.20{\pm}1.54$) completed the study and participated three times a week for 4 weeks. Subjects were assessed by utilizing two different EMG MVIC. Results : The change in peroneus longus MVIC significant on pre-test and post test (p<.05). The not change in tibialis anterior, tibialis posterior, peroneus brevis MVIC on pre-test and post-test(p<.05). Conclusion : The study suggest that subtalar joint therapy and active exercise have a increase peroneus longus MVIC for supination foot. Therefore, the subtalar joint therapy and active exercise recommended for supination foot.

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The Cortical Activation by Functional Electrical Stimulation, Active and Passive Movement (능동 및 수동 운동과 기능적 전기자극에 의한 대뇌 피질의 활성화)

  • Kwon, Yong-Hyun;Jang, Sung-Ho;Han, Bong-Soo;Choi, Jin-Ho;Lee, Mi-Young;Chang, Jong-Sung
    • Physical Therapy Korea
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    • v.12 no.2
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    • pp.73-80
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    • 2005
  • We investigated the activation of the cerebral cortex during active movement, passive movement, and functional electrical stimulation (FES), which was provided on wrist extensor muscles. A functional magnetic resonance imaging study was performed on 5 healthy volunteers. Tasks were the extension of right wrist by active movement, passive movement, and FES at the rate of .5 Hz. The regions of interest were measured in primary motor cortex (M1), primary somatosensory cortex (SI), secondary somatosensory cortex (SII), and supplementary motor area (SMA). We found that the contralateral SI and SII were significantly activated by all of three tasks. The additional activation was shown in the areas of ipsilateral S1 (n=2), and contralateral (n=1) or ipsilateral (n=2) SII, and bilateral SMA (n=3) by FES. Ipsilateral M1 (n=1), and contralateral (n=1) or ipsilateral SII (n=1), and contralateral SMA (n=1) were activated by active movement. Also, Contralateral SMA (n=3) was activated by passive movement. The number of activated pixels on SM1 by FES ($12{\pm}4$ pixels) was smaller than that by active movement ($18{\pm}4$ pixels) and nearly the same as that by passive movement ($13{\pm}4$ pixels). Findings reveal that active movement, passive movement, and FES had a direct effect on cerebral cortex. It suggests that above modalities may have the potential to facilitate brain plasticity, if applied with the refined-specific therapeutic intervention for brain-injured patients.

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The study of stabilizing structure of the glenohumeral joints (상완견관절의 안정적 구조에 관한 연구)

  • Lee Jin-Hee;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.12 no.3
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    • pp.433-444
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    • 2000
  • The purpose is paper was to discuss current concepts related to anatomic stabilizing structures of the shoulder joint complex and their clinical relevance to shoulder instability. The clinical syndrome of shoulder instability represents a wide spectrum of symtoms and signs which may produce various levels of dysfunctions, from subtle subluxations to gross joint instability. The glenohumeral joint attains functional stability through a delicate and intricate interaction between the passive and active stabilizing structures. The passive constraints include the bony geometry, glenoid labrum, and the glenohumeral joint capsuloligaments structure. Conversely, the active constraints, also referred to as active mechanism, include the shoulder complex musculature, the projprioceptive system, and the musculoligamentous relationship. The interaction of the active and passive mechanism which provide passive and active glenohumeral joint stability will be throughtly discussed in this paper

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The Effects of Mobilization on the Pain and Recovery of Function of Acute Low Back Pain Patients (관절가동기법이 급성요통환자의 통증과 기능회복에 미치는 영향)

  • Lee, In-Hak;Koo, Chang-Hoi;Park, Kyoung-Lee;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.18 no.1
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    • pp.41-51
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    • 2006
  • Purpose: The purpose of this study was to investigate effects of mobilization combined active movement(SNAGS) on the pain and recovery of function of acute low back pain patients. Methods: The subjects were consisted of 135 patients with acute low back pain. All subjects randomly assigned to mobilization group, stretching exercise group and modality treatment group. The mobilization group received mobilization combined active movement(SNAGS) with modality treatment, exercise group received stretching exercise with modality treatment and modality treatment group received modality treatment. Visual Analogue Scale(VAS) was used to measure patient's pain level and Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. Results: The results of this study were summarized as follows : 1. Visual Analogue Scale(VAS) was mobilization group showed significantly decreased more than comparison group(p<.01) and active treatment group showed significantly decreased more than passive treatment group(p<.01). 2. Patient Specific Functional Scale(PSFS) was mobilization group showed significantly increased more than comparison group(p<.01) and active treatment group showed significantly increased more than passive treatment group(p<.01). Conclusion: It maybe suggested that mobilization combined active movement(SNAGS) is beneficial treatment for acute low back pain patient.

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The Effects of Trunk Stability Education in Pelvic Stabilization (체간안정화 교육이 골반안정성에 미치는 효과)

  • Lee, Hando;Kim, Hyerim;Kim, Hyunjung;Choi, Eunhwa;Son, Byeonggi;Park, Jungbo;Park, Juyoul;Kim, Taeho
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.4
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    • pp.57-66
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the effects using pressure biofeedback and teaching abdominal hollowing exercise on pelvic stabilization during the active straight leg raising test. METHOD: The subjects were divided into 3 groups who were fourty eight healthy participants, aged 20~25 years recruited for this study. First group wad control group. This group didn't any education. Second group was teaching them for a week. And last group was teaching abdominal hollowing exercise. The rotation angles of pelvic were measured by the motion anayalyser on flat surface and on form roll for the active leg raising. RESULT: Using pressure biofeedback and teaching abdominal hollowing exercise groups were significantly effective than control group in rotation angles of pelvis. And using pressure biofeedback group was more effective than teaching core stability muscles contraction group. CONCLUSION: This study suggested that patients with low back pain and pelvic instability can improve pelvic stabilization through pressure biofeedback and teaching abdominal hollowing exercise.

Immediate Effects of Side Lying Manual Lumbar Traction in Patients with Painful Active Lumbar Motion

  • Creighton, Doug;Schweiger, Alexa;Cubr, Sarah
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.1
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    • pp.1071-1076
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    • 2017
  • The purpose of this study was to determine if a gentle form of manual lumbar traction could reduce painful lumbar motions associated with lumbar disc degeneration (LDD). This clinical trial incorporated 134 participants with painful active lumbar motion. Participants were randomly assigned to an experimental treatment or sham group. 67 participants received sidelying manual lumbar traction while the other 67 participants received a sham treatment. Pre and post treatment NPRS values for the painful active lumbar motion were recorded for each group. There was a statistically significant improvement (P=0.00) for decreased pain intensity during active lumbar motion in the experimental group as compared to the sham treatment group. The average percent decrease in numeric pain rating scale (NPRS) values was 52.1% for the experimental treatment group and 8.1% for the sham group. The results of the study suggest that side-lying manual lumbar traction can improve painful lumbar motion in patients with LDD.

The study of stability exercise using pressure biofeedback unit for low back pain (요통에서의 pressure biofeedback unit(stabilizer)를 사용한 안정화 운동)

  • Kim, Gook-Joo;Kong, Kwan-Woo;Kwon, Sun-Oh;Jang, Yong-Geun;Hwang, Hee-Jun;Park, Jun-Ki
    • Journal of Korean Physical Therapy Science
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    • v.19 no.2
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    • pp.63-71
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    • 2012
  • Purpose : This study aimed to acquire a basic knowledge about lumbar stability and inquire into exercise approach of pressure biofeedback unit for lumbar stability. Methods : This study was composed with reviewed theory of lumbar stability and several books and articles for exercise using pressure biofeedback unit. Results : The stability of lumbar should work symmetrical with passive, active, control subsystem in neutral zone, and local muscles should be using for stability. Especially, selective using of transverse abdominis work for lumbar stability importantly. The control of using pressure biofeedback unit may important not only examination but treatment. Conclusion : The stability of lumbar need co-contraction of specific local muscle and training for timing as well as using pressure biofeedback unit for accurate control may use for examination and therapedic approach.

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Design Method of Active Standing-to-Walking Assistive Device for Rehabilitation Therapy (재활치료를 위한 능동형 기립-보행 보조기구 설계 방법)

  • Seong-Jun Kim;Sae-Jin Kim;Yun-Mo Kang;Yu-Sin Jeon;Chae-Hun An
    • Journal of the Korean Society of Industry Convergence
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    • v.26 no.6_3
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    • pp.1315-1323
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    • 2023
  • Rehabilitation assistive devices not only assist the rehabilitation therapy and daily life of the disabled and the elderly, but also assist the labor of their caregivers, so various functions are required to improve their quality of life. In this study, a design method considering its practicality is introduced for an active rehabilitation assistive device that can perform both standing and walking assistance by driving various actuators. For this purpose, the force required to assist standing was calculated using statics with the body segmentation method. Also, the overturning stability of the device was verified for various physical conditions and postures. The actuator in the active rehabilitation assistive device was operated by a patient using a graphical user interface in an embedded computer and a touch panel for easy usage. The detailed design was performed for implementation through the help of 3D-CAD and the finite element analysis, and a prototype was produced. Finally, it was proven that the design goal was satisfied by experimental validation.