• 제목/요약/키워드: convalescent hospital

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음악 감상이 만성기 뇌졸중 환자의 편측무시에 미치는 영향: 단일대상 연구 (The Effect of Listening to Music for the Reduction of Unilateral Neglect in Chronic Stroke: A Single Subject Study)

  • 이은영
    • 재활치료과학
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    • 제2권1호
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    • pp.57-65
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    • 2013
  • 목적 : 본 연구의 목적은 편측무시 현상이 나타나는 뇌졸중 환자에게 본인이 선호하는 음악을 감상하게 하여, 편측무시 현상이 지속적으로 감소되는지를 알아보기 위한 것이다. 연구방법 : 본 연구는 편측무시 현상이 나타나는 한명의 대상에 대해 A-B 단일설계를 사용하여 2013년 6월에 4주간 주 3회씩 총 12회기를 실시하였다. 편측무시 현상은 선 이등분 검사와 캐서린 버지고 척도(Catherine Bergego Scale; CBS)를 사용하여 결과를 측정하였다. 결과 : 선 이등분 검사에서는 평균오차 범위가 기초선에서는 19.00%, 실험처치에서 9.67%로 감소되었다. 캐서린 버지고 검사는 총점이 기초선에서 17점, 실험처치에서 15점으로 약간의 감소를 보였다. 결론 : 본 연구의 결과를 볼 때, 음악 감상이 편측무시 현상의 감소에 영향을 미친다고 볼 수 있다.

맥켄지운동이 턱관절 장애 및 신체균형에 미치는 효과 (Effect of McKenzie Exercise on Temporomandibular Joint Disorder and Body Balance)

  • 이동진;지성하
    • 대한통합의학회지
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    • 제7권4호
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    • pp.1-11
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    • 2019
  • Purpose : This study was aimed at investgating the effect of McKenzie exercise on temporomandibular joint disorder (TMJD) and body balance. Methods : Thirty subjects with TMJD were selected. They were randomly assigned to one of two groups (15 in each group) : namely the conservative treatment group and McKenzie exercise group. The conservative treatment group were treated physical therapy for 6 weeks (3 times a week). The McKenzie exercise group performed McKenzie exercise for 6 weeks (3 times a week). We measured mouth opening, pain, muscle activation and body balance before and after exercise by using the maximum mouth opening MMO), visual analog scale (VAS), electromyography and Biodex Balance System, respectively. Results : We found statistically significant differences in pain and mouth opening in the conservative treatment group and McKenzie exercise group before and after (p<.05). Conclusion : We confirmed the effect of McKenzie exercise on TMJD. Thus we thought these results could be used as basic data and reference for TMJD. But we need more study effect of McKenzie exercise on TMJD and body balance.

The Effect of Joint Mobilization with PNF Stretch Exercise on Ankle Joint Range of Motion, Plantar Pressure, and Balance in Patients with Stroke

  • Ryu, Byeong Ho
    • 국제물리치료학회지
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    • 제9권4호
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    • pp.1642-1650
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    • 2018
  • The purpose of this study was to identify the effect of proprioceptive neuromuscular facilitation (PNF) stretching exercise and joint mobilization on ankle joint range of motion (ROM), plantar pressure, and balance in subjects with stroke. Thirty patients (n=30) were organized into three groups, each of which received different treatments: PNF stretching (n=10), joint mobilization (n=10), and joint mobilization and PNF stretching combined (n=10). Each group received three exercise sessions per week for four weeks. The ankle ROM was measured using a goniometer, and plantar pressure and balance ability were measured using BioResque static posturography. In comparison within each group, the joint mobilization group and the joint mobilization with PNF stretching group showed significant improvements in ankle ROM, plantar pressure, and balance ability (p<.05). In comparison between the groups, a statistically significant difference was found in SECS change between the PNF stretching group, joint mobilization group and the joint mobilization with PNF stretching group. This study found demonstrates that the joint mobilization and joint mobilization with the PNF stretching methods were effective in improving ankle ROM, plantar pressure, and balance ability in stroke patients.

A comparison of trunk and lower extremity muscle activity during the performance of squats and kneeling squats in persons with stroke: a preliminary study

  • Shim, Suyoung;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • 제8권2호
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    • pp.86-92
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    • 2019
  • Objective: The purpose of this study was to compare the effects of performing squats and kneeling squats on trunk and lower extremity muscle activity in persons with stroke. Design: Cross-sectional study. Methods: Ten persons with stroke (3 male and 7 female) were recruited. The subjects were instructed to randomly perform the 4 different squat conditions: squat with 30 degrees of knee flexion, squat with 60 degrees of knee flexion, squat with 90 degree of knee flexion, and the kneeling squat. During the squat performance, surface electromyograms (sEMG) was used to assess muscle activity of the erector spinae (ES), gluteus maximus (Gmax), gluteus medius (Gmed), and biceps femoris (BF) muscles. Results: Muscle activation of the ES and BF were significantly increased with the kneeling squats compared to the general squats with 30 degrees and 60 degrees of knee flexion (p<0.05), and muscle activation of the Gmax and Gmed were significantly increased with the kneeling squats compared to all other squat conditions (p<0.05). Conclusions: The results suggest that the kneeling squat is an effective exercise to strengthen the proximal muscles of the lower extremities. Rather than applying a difficult general squat to the stroke population, the kneeling squat may be applied as a safer method for training the proximal muscles.

과제지향적 다양한 운동학습(다트던지기)이 고유감각에 미치는 영향 (Task-Oriented Effects of Various Exercise Learning (Dart Throwing) on Proprioception)

  • 양병일;박형기
    • 신경치료
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    • 제22권3호
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    • pp.25-29
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    • 2018
  • Purpose In this study, 45 students were divided into task - oriented group, task - oriented intermittent group, and continuous group, and the effect of each variable on learning was changed to angle of the arms' we checked. Methods This study was conducted for 45 days from March 13 to 18, 2017 for five days in the 20 generals living in Changwon city. Dart and goniometer were used for the measurement. In the exercise program, darts were placed on a smooth, hard surface of 1.5M height and the distance to the subject was set 1.5m away. In the dart throw practice, all three groups were marked with an elbow flexion $30^{\circ}$ on the wall, and the subjects were instructed to throw the dart at that point. Results Comparisons between groups showed significant differences between the continuous task-oriented training group and the intermittent task-oriented training group and the control group at the end of training (*** P <0.001). Conclusion This study showed that the intermittent task-oriented training method showed the highest effect (*** P <0.001), which proved that the intermittent method is the most effective exercise method among the three groups.

젊은 여성과 대퇴경부 저골밀도 폐경기 여성의 신체조성과 골밀도의 상관관계 연구 (The Study of Correlations between Body Compositions and Bone Mineral Density in Young Women and Postmenopausal Women with Low Bone Mineral Density)

  • 신승섭
    • PNF and Movement
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    • 제9권4호
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    • pp.23-31
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    • 2011
  • Purpose : The aim of this study was to investigate the correlations between body compositions and bone mineral density in young women and postmenopausal women with low bone mineral density. Methods : Eleven young women (age, $25.85{\pm}1.96yrs$; height, $160.28{\pm}2.16cm$; weight, $56.89{\pm}9.66kg$) and ten postmenopausal women (age, $25.85{\pm}1.96yrs$; height, $160.28{\pm}2.16cm$; weight, $56.89{\pm}9.66kg$) with low bone density on femur neck were participated in this study. All subjects performed the measure of body composition and BMD on lumbar body and femur neck. Results : The results were as follows. Percent body fat, waist-hip ratio and body mass index(BMI) were significantly increased in postmenopausal women. BMD in lumbar body and femur neck were significantly decreased in postmenopausal women. There were negative strong correlation between BMD of the femur and age in young women. There were negative strong correlation between BMD of the femur and age or the years of menopause in postmenopausal women. There were positive strong correlation between BMD of the femur and BMD of lumbar body. Conclusion : Percent body fat and BMI were more increased in young women than in postmenopausal women. And there were negative strong correlation between BMD and age or the years of menopause in postmenopausal women.

Effects of lumbar stabilization exercise according to correct verbal instructions in pain and muscle strengthening of low back pain patient

  • Ji, Sungha;Lee, Dongjin
    • Physical Therapy Rehabilitation Science
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    • 제10권1호
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    • pp.69-75
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    • 2021
  • Objective: This study was aimed at investigating the effects of lumbar stabilization exercise according to correct verbal instructions in pain and muscle strengthening of the low back pain patients. Design: A randomized controlled trial. Methods: Twenty subjects with low back pain were selected. They were randomly assigned to one of two groups (10 in each group): namely the lumbar stabilization exercise and lumbar stabilization exercise according to the correct verbal instructions group. The lumbar stabilization exercise group performed lumbar stabilization exercises for 6 weeks (5 times a week). The lumbar stabilization exercise according to correct verbal instructions group performed lumbar stabilization exercise according to correct verbal instructions for 6 weeks (5 times a week). We measured pain, muscle power, proprioception, and body balance before and after exercise by using visual analog scale (VAS), digital handheld dynanometer, Joint repositioning error, time up and go test respectively. Results: We found statistically significant differences in pain, muscle power, proprioception, and body balance in lumbar stabilization exercise and lumbar stabilization exercise according to correct verbal instructions group, before and after (p<0.05). Conclusions: We confirmed the effect of lumbar stabilization exercise according to correct verbal instructions. Thus we thought these results could be used as basic data and reference for low back pain. But we need more study effect of correct verbal instructions on other exercises.

치자시탕(梔子豉湯) 투여로 호전된 만성 피부 소양증 치험 2례 (Two Cases of Chronic Skin Pruritus Improved by Chijasi-tang)

  • 이주현;조소현;조은희;박민철
    • 한방안이비인후피부과학회지
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    • 제35권4호
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    • pp.190-199
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    • 2022
  • Objectives : This study is to report two cases of chronic skin pruritus improved by Chijasi-tang. Methods : Chijasi-tang was prescribed to two chronic skin pruritus patients. One patient took Chijasi-tang for 30 days and the other took it for 15 days. We compared patients' symptoms before and after treatment using self-made standards. Results : Patients who complained of pruritus on the elbow and thigh, pruritus decreased from NRS 8 to 1, and skin symptoms improved from 16 to 2. The other patient who complained of pruritus in the neck and chest, pruritus improved from NRS 9 to 2, and skin symptoms at the lesion site improved from 12 to 2. Also, accompanied symptoms such as heat of the feet and heartburn almost disappeared. Conclusions : After prescribing Chijasi-tang to two chronic skin pruritus patients, significant improvements were observed. It is thought that Chijasi-tang can be used as the treatment of other skin diseases in the future.

분노 관련 제반 증상에 대한 한의학 고문헌 고찰 - 간헐적 폭발성 장애의 한의학적 접근을 모색하며 - (A Literature Review on Symptoms Related to Anger in Korean Medical Texts - Searching for a Korean Medicine Approach to Intermittent Explosive Disorder -)

  • 김연태
    • 대한한의학원전학회지
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    • 제36권3호
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    • pp.15-25
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    • 2023
  • Objectives : This study aims to investigate a wide range of symptoms related to anger and their corresponding treatments as described in Traditional Korean Medical literature. Additionally, the study aims to propose key prescriptions for Intermittent Explosive Disorder(IED), thereby striving to explore potential therapeutic strategies. Methods : This comprehensive study examines the correlations between the pathologies, symptoms, and treatments related to anger, as described in the Yixuerumen (醫學入門), the Donguibogam (東醫寶鑑), and the Xiezhenglun (血證論), and their relevance to IED. Results : Anger impairs the liver, giving rise to a spectrum of symptoms including dry hair, headaches, dizziness, a bitter taste in the mouth, tinnitus, vomiting of blood, sharp chest and flank pains, abdominal discomfort, tremors, diarrhea, and hyperventilation. Furthermore, this heightened anger can serve as a potential trigger for strokes and, considering its potential to hinder recovery from various other conditions, calls for proactive therapeutic intervention. Conclusions : Severe anger has the potential to trigger strokes and hinder recovery from a range of illnesses, underscoring the necessity for tailored and proactive treatment based on the severity of symptoms. In the instance of IED, clinical application of the Danggui Luihuiwan (當歸蘆薈丸) is warranted.

요양병원 간호사의 간호역량과 근무환경이 간호서비스 질에 미치는 영향 (Effect of Competence and Work Environment of Nurses on Nursing Service Quality in Long-term Care Hospitals)

  • 김하얀;김현리
    • 한국보건간호학회지
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    • 제37권1호
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    • pp.97-110
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    • 2023
  • Purpose: This study sought to determine the effect of the competence of nurses and their, work environment on the quality of nursing service in long-term care hospitals using the Donabedian model as a theoretical framework. Methods: This descriptive investigative study analyzed nursing competency, the work environment, and nursing service quality in a group of 182 nurses directly in charge of patient care at long-term care hospitals in special cities, metropolitan cities, and small and medium-size cities. The data were analyzed using IBM SPSS/WIN 27.0 version. Results: In long-term care hospitals, nurses' competence (r=.674, p<.001) and work environment (r=.444, p<.001) were correlated with quality of nursing service, and the nurses' competence was correlated with the work environment (r=.443, p<.001). The factors affecting the quality of nursing service in long-term care hospitals were competence, the work environment, and the age of nurses. Conclusion: In this study, both competence and the work environment of nurses were observed to be important factors in improving nursing service quality in long-term care hospitals. Therefore, efforts aimed at enhancing these factors are necessary to ensure the high quality of nursing service in these hospitals.