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Comparing the Effects of Manual and Self-exercise Therapy for Improving Forward Head Posture

  • Gyeongseop Sim;Donghoon Kim;Hyeseon Jeon
    • Physical Therapy Korea
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    • v.30 no.3
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    • pp.184-193
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    • 2023
  • Background: Studies investigating the immediate effects of a single intervention to correct forward head posture are rare. Objects: This study aimed to compare the changes in treatment effects in patients with forward head posture and neck pain after manual and self-exercise therapy over a 1-hour period. Methods: Twenty-eight participants were randomly divided into manual and self-exercise therapy groups. Following the initial evaluation, manual or self-exercise therapy was applied to each group for 30 minutes each in the prone, supine, and sitting positions. The variables measured were the craniovertebral angle (CVA), stress level, pain level, and sternocleidomastoid (SCM) stiffness. After the intervention, re-evaluation was conducted immediately, 30 minutes later, and 1 hour later. Two-way analysis of variance (ANOVA) was used to compare the maintenance of treatment effects between the two groups. Results: Based on the two-way mixed ANOVA variance, there was no interaction between the groups and time for all variables, and no main effects were found between the groups. However, a significant effect of time was observed (p < 0.05). Post hoc tests using Bonferroni's correction revealed that in both groups, the CVA, pain, and stress showed significant improvements immediately after the intervention compared with before the intervention, and these treatment effects were maintained for up to 1 hour after the treatment (p < 0.0083) in the manual therapy group. However, the stress level was maintained until 30 minutes later (p < 0.0083) in the self-exercise group. There was no significant decrease in right SCM stiffness before and after the intervention; however, left SCM stiffness significantly decreased after the self-exercise intervention (p < 0.0083). Conclusion: Both manual and self-exercise therapy for 30 minutes were effective in reducing forward head posture related to the CVA, pain, and stress levels. These effects persisted for at least 30 minutes.

Effects of Behavior Modification and Aerobic Exercise on the Degree of Obesity, Eating Behavior, Depression and Self Esteem in Obese Adolescent Girls (행동수정프로그램과 에어로빅운동이 비만여중생의 비만도, 식이행동, 우울 및 자아존중감에 미치는 효과)

  • Chaung Seung-Kyo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.103-117
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    • 1997
  • This study was designed to investigate the effects of behavior medication and aerobic exercise on the degree of obesity, eating behavior, depression and self esteem among adolescent girls who were overweight and obese. Forty seven subjects were selected from one girl's middle school located in Seoul. Seventeen girls received the behavior modification program by joining 60-90 minute group session weekly. Behavior modification, in this study, consisted of self-monitoring, changing patterns of life style and attitudes, teaching nutrition and physical activities, and asking personal help. The aerobic exercise program was given to 16 girls 3 times per week with 60 minutes each time. Forteen girls received both behavior modification and aerobic exercise. These interventions continued for 8 weeks. Changes after intervention were examined twice after 4 weeks and 8 weeks for degree of obesity and once after 8 weeks only for eating behavior, depression and self esteem. The results were as follows ; 1. Degree of obesity was significantly decreased after 4 weeks and 8 weeks in 3 groups. Degree of obesity after 4 weeks and 8 weeks were not significantly different among 3 groups. 2. The mean score of eating behavior related to obesity decresed significantly after intervention in the behavior modification group only. There was significant difference in eating behavior among 3 groups after intervention. 3. The behavior modification group showed no significant changes in depression and self esteem after intervention. In the aerobic exercise group and group who participated in both behavior modification and aerobic exercise, the level of depression decreased significantly and the level of self esteem increased significantly. There were no significant differences in the level of depression and self esteem among 3 groups after intervention. These findings indicate that behavior modification might be effective in decreasing degree of obesity and eating behavior related to obesity, aerobic exercise be effective in decreasing degree of obesity and the level of depression, and also in increasing the level of self esteem.

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Improvement in oral function after an oral exercise program including whole-body exercises

  • Seo, Su-Yeon;Choi, Yoon-Young;Lee, Kyeong-Hee;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.1
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    • pp.5-16
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    • 2021
  • Objectives: To evaluate the impact of an oral exercise program including whole-body exercises on oral function in older people. Methods: The participants (aged ≥65 years) were divided into three groups: intervention group I (only oral exercise), intervention group II (oral exercise with whole-body exercises), and control group (no intervention). The oral health status, saliva flow rate, and oral muscle strength were evaluated. Analyses were performed to compare the three groups and identify the changes in the aforementioned parameters before and after the program. Results: The saliva flow rate significantly increased in intervention groups I and II after the program. Oral muscle strength evaluation using the Iow a oral performance instrument showed that the anterior tongue strength increased significantly in intervention group I; the posterior tongue strength and cheek strength also increased but not significantly. The anterior tongue, posterior tongue, and cheek strengths significantly increased in intervention group II. Conclusions: The oral exercise program including whole-body exercises showed positive effects on the saliva flow rate and oral strength. No significant differences were observed in the quality of life related to oral health.

Cognitive behavioral therapy for college students with smartphone addiction

  • Kim, Deokju
    • International Journal of Advanced Culture Technology
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    • v.9 no.4
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    • pp.29-39
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    • 2021
  • Cognitive behavioral therapy (CBT) is effective for people with an addiction tendency. This study aims to implement a CBT program for college students at high risk of smartphone addiction and investigate the impact of the program on their desire to use a smartphone, depression, impulsivity, and anxiety. Baseline/post-intervention evaluation and the ABA' single-case experimental design were used. The study consisted of the baseline phase (A), pre-evaluation, intervention phase (B), post-evaluation, and baseline phase (A'). Six participants were enrolled, and the main outcome variables were daily changes in the desire to use a smartphone and changes in depression, impulsivity, and anxiety after the program. Prior to the intervention, all six participants had mild to moderate depression, but after the intervention, three were normal, two had mild depression, and only one had moderate depression. Impulsivity and anxiety scores decreased after the intervention, with anxiety scores showing the most dramatic change. The percentage of non-overlapping data for the baseline phase (A)-intervention phase (B) was more than 75% and that for baseline phase (A)-baseline phase (A') was 100% for all 6 participants. This study presented a good protocol for people with low access to psychological therapy. We expect the findings will be highly useful for people suffering from psychological difficulties due to smartphone addiction.

Intervention to Improve Menstrual Health Among Adolescent Girls Based on the Theory of Planned Behavior in Iran: A Cluster-randomized Controlled Trial

  • Fatemeh, Darabi;Mehdi, Yaseri
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.6
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    • pp.595-603
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    • 2022
  • Objectives: Poor menstrual health may lead to school absenteeism and adverse health outcomes for adolescents. The purpose of this study was to determine the effect of pubertal and menstrual health education on health and preventive behaviors among Iranian secondary school girls. Methods: A quasi-experimental study was conducted to evaluate the effectiveness of a health intervention program. A total of 578 students (including intervention and control participants) in 12 schools in Tehran Province, Iran were included by multistage random sampling. The program comprised seven 2-hour educational sessions. After confirming the reliability and validity of a researcher-made questionnaire, that questionnaire was used to collect the required data, and the groups were followed up with after 6 months. Results: After the educational intervention, the mean scores of menstrual health-related knowledge and constructs of the theory of planned behavior were significantly higher in the intervention group than in the control group (p<0.001 for all dimensions). Conclusions: The results of this study emphasize the effectiveness of menstrual health interventions in schools. These findings should also encourage health policy-makers to take committed action to improve performance in schools.

Effects of Three-Week Contract-Relax Interventions with and without Reinforcement Using Temporal Summation for Flexibility and Balance Ability in Young People with Hamstring Shortening (공간적 가중을 이용한 강화 유무에 따른 3주간 수축-이완 중재가 넙다리뒤근 단축 대상자의 유연성과 균형능력에 미치는 효과)

  • Kim, Yong-Hun;Park, Du-Jin
    • PNF and Movement
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    • v.20 no.3
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    • pp.383-390
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    • 2022
  • Purpose: The purpose of this study was to examine the effect of three-week contract-and-relax (CR) interventions with and without reinforcement using temporal summation for flexibility and dynamic balance ability in young people with hamstring shortening. Methods: This study was conducted on 20 female college students with hamstring shortening. The participants were divided equally into two groups using stratified randomization: the CR group (CRG) and the CR with reinforcement group (CRRG). All interventions were applied three times a week for three weeks. The passive straight leg raise (PSLR) test and functional reaching test (FRT) were conducted on each participant before and after the three-week intervention. Results: In both groups, PSLR and FRT improved significantly after the three-week intervention compared to before intervention (p < 0.01). The amount of change in PSLR after the three-week intervention was significantly higher in CRRG than in CRG (p < 0.05). Conclusion: Three-week CR interventions with and without reinforcement were effective in improving PSLR and FRT. To improve hamstring shortening, CR intervention with reinforcement may be more useful than CR intervention without reinforcement.

The Effects of Stress Relief and Relaxation on Virtual Reality Intervention in Capsaicin-induced Pain (캡사이신 유발 통증 시 VR 중재가 스트레스 해소 및 이완에 미치는 효과)

  • Sea-Hyun Bae;Kyung-Yoon Kim
    • Journal of the Health Care and Life Science
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    • v.10 no.2
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    • pp.403-411
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    • 2022
  • This study aim to investigate the effects of virtual reality (VR) intervention on stress reduction and relaxation after induced pain through capsaicin skin application for healthy college students. The control group (n=6) was to non-treatment after capsaicin-induced pain, and the experimental group (n=8) was to application VR intervention after capsaicin-induced pain. The effect was measured using VAS, EEG, HRV and as a results, the experimental group was more effective in regressing to baseline value (TO) than the control group. Therefore, VR intervention is considered to be an effective intervention for stress relief and relaxation.

The Effect of Action Observation Training on Affected Side Upper Limb Dexterity in Stroke Patient : Single-subject research design (동작관찰이 뇌졸중 환자의 환측 상지 기민성에 미치는 영향 : 단일사례연구)

  • Yang, Yong-Pil;Kim, Ji-Hyun;Han, Mi-Ran;Kim, Eun-Bi
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.111-118
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    • 2012
  • Purpose : The purpose of present study was to determine effects of action observation training on upper limb function after stroke. Training was progressed to imitation and intensive training after observation to required action in ADL. Methods : Among the single case study was used to ABA design. pre base line(A) was only collected participant information without intervention in 5 times. action observation intervention(B) was carried out 10 times and 5 times to base lime(A) after intervention. Results : Results indicated that 10-second test, box and block test, manual function test was increased when compared action observation intervention(B) to pre base line(A). Conclusion : To stroke action observation training was evaluated gross manipulation, dexterity and upper limb function in related with ADL. action observation training benefits were maintained after intervention(B) and showed improvement on upper limb function of stroke.

Changes in pain, swelling, and range of motion according to physical therapy intervention after total knee arthroplasty in elderly patients

  • Noh, Eun-Kyung;An, Chang-Sik
    • Physical Therapy Rehabilitation Science
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    • v.4 no.2
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    • pp.79-86
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    • 2015
  • Objective: This study was carried out to compare changes in pain, swelling and range of motion (ROM) between the two groups according to physical therapy intervention. Design: Randomized controlled trial. Methods: There were a total of 20 elderly subjects ages 65-75 years old who have been admitted to the hospital for a total knee arthroplasty. After surgery, the experimental group (n=10) carried out quadriceps femoris muscle strengthening exercise, hamstring stretching exercises and gastrocnemius stretching exercise with a physical therapist for 30 minutes and additionally, received ice pack therapy for 20 minutes once a day. The control group (n=10) carried out continuous passive motion for 30 minutes and received ice pack therapy for 20 minutes once a day. The experimental group and control group carried out each intervention program for 2 weeks 3 times a week. The Visual Analogue Scale was used to assess pain, tape measurements were taken to assess swelling, and a steel goniometer was used to assess knee joint ROM. Results: As a result, the experimental group showed a statistically significant decrease in the pain and swelling, and a significant increase in knee flexion ROM after the intervention, compared to the control group (p<0.05). There was a significant improvement in pain, edema, and knee flexion and extension ROM in all subjects after intervention (p<0.05). Conclusions: According the results of this study, exercise in the experimental group is effect on the pain, swelling and ROM for total knee arthroplasty.

A Study on The Influence of Virtual Program Accompanied by Cognitive Activities on The Balance of Elderly (인지활동을 병행한 가상현실 프로그램이 노인의 균형 능력에 미치는 영향)

  • Kim, Bora
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.4
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    • pp.49-56
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    • 2013
  • Purpose : This study aimed to understand the influence of the virtual reality program combined with cognitive activity on elderly people's balance ability. Method : We randomly divided 14 elderly people receiving daytime protection service from D daytime protection center for senior citizens located in Busan-si into a group(seven) with cognitive activity combined with virtual reality program, and the other group(seven) with only virtual reality program. In order to compare the balance ability before/after the therapeutic intervention, the Berg Balance Scale was carried out. The Mini-Mental State Examination-Korea(MMSE-K) was also conducted to compare their cognitive functions. Result : Both groups showed statistically significant differences in balance ability before/after the therapeutic intervention(p<.05) while there were no statistically significant differences in balance ability after the therapeutic intervention(p>.05). The cognitive functions before/after the therapeutic intervention were not statistically significantly different in both groups(p>.05). Conclusion : The findings showed that the application of virtual reality program combined with cognitive activity could improve elderly people's balance ability. It is considered that the application of virtual reality program can have positive influence on the improvement of elderly people's balance ability, as an intervention method for improving balance ability in the future.