• Title/Summary/Keyword: additional therapy

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The Effects of Two Motor Dual Task Training on Balance and Gait in Patients with Chronic Stroke (이중운동과제 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 효과)

  • Cho, Ki-Hun;Lee, Wan-Hee
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.7-14
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    • 2010
  • Purpose: The goal of this study was to investigate the effect of balance and gait ability through two motor dual task training in chronic stroke subjects. Methods: A group of twenty-five subjects who were six months post stroke participated in this study, where they were designated into pretest-posttest control The subjects were randomly allocated into two groups: experimental (n=13) and control (n=12). Both groups received physical therapy for 5 session 30 minutes per week during 6 weeks. Experimental group practiced additional two motor dual task training programs for thirty minutes a day, three days a week during six weeks. Evaluation of results was obtained through analyzing static balance, dynamic balance and gait function. Results: There was significant improvement among the group that practiced the additional two motor dual task training in that the postural sway area with open eye and close eye on the foam surface, the dynamic balance (p<0.05), and the gait function (p<0.05). Conclusion: Two motor dual task training improved static balance on the foam, dynamic balance, gait function. These results suggest that two motor dual task training is a feasible and suitable treatment for individuals with chronic stroke.

Less is more: role of additional chemotherapy to concurrent chemoradiotherapy in locoregionally advanced nasopharyngeal cancer management

  • Ahn, Yong Chan
    • Radiation Oncology Journal
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    • v.37 no.2
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    • pp.67-72
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    • 2019
  • Concurrent chemoradiation therapy (CCRT) has played the most important and central role in the definitive therapy for the patients with locoregionally advanced stage nasopharynx cancer. The addition of induction chemotherapy (IC) or adjuvant chemotherapy (AC) to CCRT have been widely accepted with the rationale of improving distant control in the clinical practices. This review article investigated the role of IC and AC based on 11 recent meta-analysis publications, and found that the clinical benefits obtained by the additional IC or AC to CCRT, at the cost of the increased risks of more frequent and more severe side effects, seemed not big enough. More intervention is not always better, however, less seems frequently good enough. The author would speculate that 'less is more' and would advocate CCRT alone as the current standard.

Computed Tomography-Aided Diagnosis of Nasal Adenocarcinoma Treated with Rhinotomy and Radiation Therapy in a Dog (CT 진단 후 비절개술 및 방사선요법으로 치료한 개의 비강 선암의 발생례)

  • 홍성혁;김명철
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.256-259
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    • 2002
  • A 39 kg, 7-year-old male Labrador Retriever dog with a 3-month history of epistaxis, sneezing, and nasal discharge was referred to the Veterinary Medical Center of the Tokyo University. On the plain X-ray and computed tomography (CT) of the head showed increased density of the soft tissue in the left nasal cavity and the tumor infiltrated to nasal septum. The tumor mass removed by rhinotomy. Histopathological examination of the mass revealed adenocarcinoma. Four weeks after the surgery, the radiation therapy was performed twice a week for f weeks. 4 months after surgery, the dog had a recurrence in nasal cavity and administered carboplatin 300 mg/$m^2$ twice. However, the tumor had no response to chemotherapy, additional surgery and additional radiation therapy, and the dog was euthanized at the owner's request. At necropsy, metastatic proliferation was confirmed in the lung, lymph nodes and nasal cavity.

Recognition of Physical Activity between Physical Therapy and Non-Physical Therapy Students: Cross-Sectional Survey

  • Ryu, Heun-Jae;Kwon, Jung-Won;Lee, Young-Min
    • The Journal of Korean Physical Therapy
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    • v.33 no.6
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    • pp.307-313
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    • 2021
  • Purpose: This study was to the investigate recognition of physical activity between physical therapy students (PTS) and non-physical therapy students (NPTS) by measuring the level of physical activity using International Physical Activity Questionnaires (IPAQ). Methods: A cross-sectional survey was completed by 191 university students. The IPAQ with an additional question (Is physical activity necessary for your future job?) was used to evaluate the recognition and the amount of physical activity. The collected data were calculated as MET-minutes scores and were classified as walking, moderate, and vigorous level of physical activity. The students were analyzed by dividing them into those who had a part-time employment (16 PTS and 12 NPTS) and those who did not have a part-time employment (80 PTS and 83 NPTS). Results: In students with a part-time employment, no significances were observed between the PTS and NPTS, in terms of MET, frequency and time of physical activity, and sitting time (p>0.05). In students without a part-time employment, the NPTS was significantly higher than the PTS for the MET and frequency of physical activity in a vigorous level (p<0.05), and there were no significant differences in other levels of physical activity (p>0.05). In the additional question, the PTS showed a slightly higher than the NPTS (p<0.05). Conclusion: The physical therapy students did not remarkable barrier to recognition of physical activity, but there was a difference in their recognition of the vigorous level of physical activity. Therefore, the understanding of physical activity for PTS would play an important role in the recognition of how physical activity can be promoted.

The effect of taping therapy on shoulder in hemiplegic patients (테이핑이 편마비 환자의 결관절 아탈구에 미치는 효과)

  • Lee, Jung-Hoon;Lee, Geon-Cheol;Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.89-96
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    • 2002
  • The purpose of this case study was to evaluate the taping therapy program designed to improve shoulder joint subluxation in hemiplegic patients. This study was 9 males who had hemiparesis with limitation of range of motion (ROM) and subluxation on affected side. Patients received proprioreptive facilitation using shoulder weight shifting and additional A type and B type taping. As a result of this study, Patients showed reduction of the subluxation on hemiplegic shoulder joint. but it was difficult to generalize. We concluded that proprioceptive facilitation using shoulder weight shifting and taping therapy was effective in reducing severe shoulder subluxation. Following studies must be evaluated its statistical significance.

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The Effect of Ankle Kinesio Taping on Postural Control Functions in University Students: a randomized control trial (발목관절의 키네지오 테이핑 적용이 대학생들의 운동 수행 시 자세조절기능에 미치는 영향)

  • Eom, Se-Young;Lee, Won-Jun;Lee, Jae-Il;Lee, Eun-Hee;Lee, Hye-Young;Chung, Eun-Jung
    • Journal of Korean Physical Therapy Science
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    • v.25 no.1
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    • pp.11-19
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    • 2018
  • Purpose : The purpose of this study was to examine the effects of ankle kinesio taping on postural control function during exercise in university students. Method : Thirty subjects were randomly allocated to three groups: Y taping group (n=20), I taping group (n=20) and Non-taping group (n=20). All groups underwent the same exercise program including stretching for 30 minutes. The exercise program proceeded in the following order: five minutes of stretching, a 20-minutes exercise program, and additional five 5 minutes of stretching. Of the eight exercise methods suggested by Purcell et al, seven were chosen (lateral shuffle, forward & backward running, agility ladder, figure-of-8, forward jogging while jumping over cones, wall jumps and zigzags); $90^{\circ}$ cuts with lateral shuffle were omitted. The postural control functions was measured participants's perceptions of stability, confidence, and reassurance using methods suggested by Purcell et al,. Result : The confidence was significant difference in I taping group compared to Non taping group. The reassurance was significant difference in Y taping group and I taping group compared to Non taping group. Conclusion : The Kinesio taping increased confidence, and reassurance during exercise in university students. Additional research on Kinesio taping for improving range of motion and agility is need.

Balance trainer training with transcutaneous electrical nerve stimulation improves spasticity and balance in persons with chronic stroke

  • Yang, Youjin;Lee, Jungeun;Choi, Wonjae;Joo, Younglan;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.9 no.2
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    • pp.67-73
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    • 2020
  • Objective: The purpose of this study was determine the effect of Balance Trainer training with Transcutaneous Electrical Nerve Stimulation (TENS) on spasticity and balance in persons with chronic stroke. Design: Randomized controlled trial. Methods: A total of 30 subjects with hemiparetic stroke were recruited and randomly divided into the Balance Trainer training with TENS group (n=15) and Balance Trainer training with placebo TENS group (n=15). The Balance Trainer training with TENS group practiced additional Balance Trainer training with TENS for 30 minutes a day, 5 days per a week during 4 weeks and the Balance Trainer training with placebo TENS group practiced additional Balance Trainer training with placebo TENS for the same period. Spasticity and balance were assessed by ability (static balance, dynamic balance) and were measured before and after the 4-week programs. Results: The result of spasticity and dynamic balance were improved significantly in both groups (p<0.05). The Balance Trainer training with TENS group showed significantly greater improvement in spasticity of the gastrocnemius & dynamic balance, compared to the Balance Trainer training with placebo TENS group (p<0.05). The Balance trainer training with TENS group showed a significant improvement in static balance, especially during the eye-closed condition (p<0.05). Conclusions: The Balance Trainer training with TENS was effective in improving spasticity and balance in subjects with chronic stroke. Based on these results, it is suggested that Balance Trainer training with TENS could clinically be used more actively in conjunction with conventional physical therapy.

The effect of ankle Kinesio taping on range of motion and agility during exercise in university students

  • Eom, Se Young;Lee, Won Jun;Lee, Jae Il;Lee, Eun Hee;Lee, Hye Young;Chung, Eun Jung
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.63-68
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    • 2014
  • Objective: The purpose of this study was to examine the effects of ankle Kinesio taping on range of motion and agility during exercise in university students. Design: Cross-sectional study. Methods: Thirty subjects were randomly allocated to two groups: taping group (n=15) and non-taping group (n=15). All groups underwent the same exercise program including stretching for 30 minutes. The exercise program proceeded in the following order: five minutes of stretching, a 20-minutes exercise program, and additional five minutes of stretching. Of the eight exercise methods suggested by Purcell et al, seven were chosen (lateral shuffle, forward and backward running, agility ladder, figure-of-8, forward jogging while jumping over cones, wall jumps and zigzags); $90^{\circ}$ cuts with lateral shuffle were omitted. The range of motion of ankle dorsiflexion and plantarflexion was measured using the goniometer. Agility was measured using the side hop test. Results: For ankle range of motion, the taping group showed significant differences in dorsiflexion and plantarflexion on both sides (p<0.05). The non-taping group showed significant differences only in left plantarflexion (p<0.05). There was a significant difference in dorsiflexion on both sides between the taping group and the non-taping group (p<0.05). All groups showed significant differences in agility on the left and right ankle (p<0.05). There was a significant difference in left ankles between the taping group and the non-taping group (p<0.05). Conclusions: Kinesio taping increased range of motion and agility during exercise in university students. Additional research on Kinesio taping for improving range of motion and agility is needed.

Effects of the Additional Scapular Posterior Tilt Movement on Selective Muscle Activation of the Lower Trapezius during Prone Shoulder Extension

  • Kim, Sooyong;Kang, Minhyeok
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.2
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    • pp.2308-2313
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    • 2021
  • Background: Although the scapular posterior tilt movement could facilitate the lower trapezius (LT) muscle activity, no study identified the effects of the scapular posterior tilt movement on the selective activation of the LT muscle during prone shoulder extension. Objectives: To examine the influences of additional scapular posterior tilt on electromyography (EMG) of the upper trapezius (UT) and the LT muscles during prone shoulder extension. Design: Cross-sectional study. Methods: There were 15 asymptomatic male participants in this study who performed prone shoulder extension with and without scapular posterior tilt movements. For the scapular posterior tilt movements, participants performed visual biofeedback training for scapular movement using motion sensor. During the exercises, the EMG activity of the UT and LT was recorded using surface EMG system. Results: The EMG activity of the LT significantly increased during prone shoulder extension with scapular posterior tilt compared to that of general prone shoulder extension, whereas that of the UT was not significantly different between the two exercises. Moreover, scapular posterior tilt application significantly decreased UT/LT muscle activity ratio. Conclusion: Scapular posterior tilt movement may be emphasized during exercise when facilitating LT muscle activation.

Update on the Evidence Regarding Maintenance Therapy

  • Lee, Jeong Eun;Chung, Chae-Uk
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.1
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    • pp.1-7
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    • 2014
  • Maintenance therapy has emerged as a novel therapeutic paradigm for advanced non-small-cell lung cancer (NSCLC). Maintenance therapy that aims to sustain a clinically favorable state after first-line chemotherapy has two strategies. Switch maintenance therapy entails switching to a new and non-cross-resistant agent in an alternating or sequential manner, on completion of first-line chemotherapy. Continuous maintenance therapy keeps ongoing administration of a component of the current regimen after four to six cycles of chemotherapy, if there is a stable disease, or better response. Both maintenance therapies can be continued, until disease progression. The potential evidence regarding maintenance therapy includes providing the opportunity to receive additional treatment, through sustaining tumor shrinkage, and delayed emergence of tumor-related symptom. Thus far, debates over the parameters used to predict the effectiveness of maintenance therapy, financial burden, and uncertainty of improving the quality of life exist. Despite many debates, maintenance therapy, which is currently recommended, has been disclosed to be beneficial.