• 제목/요약/키워드: design therapy

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음악요법이 전고관절 대치술 환자의 수술 후 통증에 미치는 영향 (The Effect of Music Therapy on Postoperative Pain in Patients with Total Hip Replacement)

  • 박정숙;염지호;신혜정
    • 성인간호학회지
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    • 제18권2호
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    • pp.183-193
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    • 2006
  • Purpose: The purpose of the study was to test the effects of music therapy on postoperative pain in patients with total hip replacement. Method: The research design was a nonequivalent control group pretest-posttest design. The subjects were composed of thirty patients with total hip replacement. Fifteen of them were assigned to the experimental group and fifteen to the control group. Fifteen minutes tailored music therapy was given to the experimental group during five consecutive days. The instruments used for this study were pain NRS(numerical rating scale). The data were analyzed using percent, mean, standard deviation, ${\chi}^2-test$ and repeated measure ANOVA using SPSS WIN 11.0. Results: Hypothesis 1 "The score of pain NRS of experimental group will be lower than those of control group" was accepted(F=15.945, p<.001). Hypothesis 2 "The frequency of PCA analgesics of experimental group will be fewer than those of control group" was accepted (t=-2.312, p=.028). Hypothesis 3 "The vital signs(pulse, systolic BP and diastolic BP) of experimental group will be different from those of control group" was rejected. Conclusion: This music therapy can be recommended as an efficient nursing intervention to reduce postoperative pain in patients with total hip replacement.

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음악요법이 미숙아의 심박동수와 행동상태에 미치는 영향 (The Effect of Music Therapy on the Heart Rate and Behavioral State of Premature Infants)

  • 추선자;최순희
    • Child Health Nursing Research
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    • 제12권1호
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    • pp.84-88
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    • 2006
  • Purpose: This study was conducted to investigate the effect of music therapy as auditory stimulus on the heart rate and behavioral state of premature infants. Method: The study design was a non-equivalent control group pretest-posttest design. Forty premature infants who were admitted at NICU were selected and assigned to two groups, experimental and control. Data were collected from April 20 to July 31, 2003 and analysed using Wilcoxon rank sum test and ANCOVA. Infants in experimental group were given music therapy for 20 minutes daily in 7 days at the average level of 56dB. Results: The first hypothesis that 'Infants in the experimental group will be lower in heart rate than those in the control group' was rejected(F= .05, ρ= .816). The 2nd hypothesis that 'Infants in the experimental group will be lower in behavioral state score than those in the control group, was supported(F=7.40, ρ= .010). Conclusion: The music therapy in this study was an effective nursing intervention in decreasing the heart rate and behavioral state score of premature infants.

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뇌졸중 환자의 운동기능, 균형 및 인지에 관한 상관관계분석 (Correlation of motor function, balance, and cognition in patients with stroke)

  • 박지원;이병희;이수현;김상우
    • 대한물리치료과학회지
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    • 제27권1호
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    • pp.56-65
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    • 2020
  • Purpose: Individuals affected by stroke present with changes in motor function, balance, and cognition. The purpose of this study was to the correlation between motor function, balance, and cognition in patients with stroke. Design: cross-sectional study design. Methods: 67 stroke patients in the experiment were included. For evaluation of motor function which is Manual Muscle Test, Range of Motion, Modified Ashworth Scale for spasticity, grasping power, and balance was measured using the Berg Balance Scale and Functional reach test. For evaluating Cognition which is Korean-Mini Mental State Examination. Results: The results of this study's motor function, balance, and cognition showed a significant positive correlation (p<0.05). Conclusion: The results indicated that motor function, balance, and cognition were significantly correlated with each other. Therefore, it is suggested that to improve the motor function and balance of patients with stoke, it needs to evaluate the cognition and the motor function, balance, and cognitive training should be combined.

Effect of Ankle Taping Type and Jump Height on Balance during Jump Landing in Chronic Ankle Instability

  • Kim, Mikyoung;Kong, Byungsun;Yoo, Kyungtae
    • 국제물리치료학회지
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    • 제11권2호
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    • pp.2077-2089
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    • 2020
  • Background: Chronic ankle instability is a common injury that decreases balance and negatively affects functional movements, such as jumping and landing. Objectives: To analyze the effect of taping types and jump heights on balance with eyes open and closed during jump landings in chronic ankle instability. Design: Within-subject design. Methods: The study involved 22 patients with chronic ankle instability. They performed both double-leg and single-leg drop jump landings using three conditions (elastic taping, non-elastic taping, and barefoot) on three different jump platforms (30, 38, and 46 cm). Balance was measured using the Romberg's test with eyes open and closed. Results: Interaction effect was not statistically significant. Balance with eyes open and closed was significantly improved in both the elastic taping and non-elastic taping conditions compared to the barefoot condition. There was no significant difference according to the jump height. Conclusion: Individuals with chronic ankle instability demonstrated increased balance ability with eyes open and closed when jump landing. Elastic taping and non-elastic taping on the ankle joint can positively affect balance during landing in individuals with chronic ankle instability.

Comparison of the Difference of Ankle Range of Motion and Hip Strength in Both Legs of Fencing Athletes with Ankle Instability

  • Park, Chibok;Park, Seju;Kim, Byeonggeun
    • 국제물리치료학회지
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    • 제11권2호
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    • pp.2036-2041
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    • 2020
  • Background: Ankle sprain in the Lead Leg Side (ALLS) is common in fencing athletes, and studies comparing the ankle range of motion (ROM) and strength of both legs are insufficient. Objectvies: To compare the ankle ROM and hip strength between two legs in fencing athletes who has ankle instability in the lead leg side. Design: Cross-sectional design. Methods: Seven fencing athletes with ankle instability participated in this study, and they randomly assigned into ankle in the Lead Leg Side (ALLS) and ankle in the Rear Leg Side (ARLS). Instability was determined by the Cumberland Ankle Instability Tool (CAIT), and then joint ROM and hip muscle strength were measured. Results: There were significant differences in dorsiflexion ROM, hip strength (extension and abduction) between the ALLS with ankle instability and ARLS (P<.05). Conclusion: This study suggests that the ankle ROM and hip muscle strength of ARLS are greater than ALLS in fencing athletes with ankle instability.

The effects of therapeutic ultrasound stimulation on the inflammation cytokine in rat articular chondrocytes

  • Kim, Eun-Jung;Hwang, Sujin;Kim, Gye-Yeop
    • Physical Therapy Rehabilitation Science
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    • 제2권1호
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    • pp.21-26
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    • 2013
  • Objective: The aim of this study was to investigate the effect of therapeutic ultrasound (US) of cell viability and inflammatory cytokine in rat articular chondrocyte cultures stimulated with lipopolysaccharide (LPS). Design: One group pretest-posttest design. Methods: Cultured chondrocytes were treated with US and/or LPS and assessed for viability, Tumor necrosis factor $(TNF)-{\alpha}$ and Interleukin (IL)-1 production. Results: Oxidative stress was induced in rat chondrocytes with LPS. The cell viability was decreased in chondrocytes after treatment with LPS. The viability revealed that low-intensity pulsed ultrasound (LIPUS) exerted no significant cytotoxicity in the rat chondrocyte. LIPUS inhibited decreased cell viability in the presence of LPS ($30{\mu}g/ml$) in a intensity dependent pattern at LIPUS (p<0.05). $TNF-{\alpha}$ production in the presence of LPS was also inhibited in a dose dependent manner (p<0.05 from $30mW/cm^2$). IL-1 production in the presence of LPS was inhibited as well (p<0.05 from $7.5mW/cm^2$). Conclusions: Our results demonstrate that US was the anti-inflammatory effect of chondrocytes. LIPUS may exert its anti inflammatory effects through inhibition of $TNF-{\alpha}$ and IL-1 synthesis. These results suggest that US have potential for use as a pain relief and reduce the articular destruction.

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Immediate Effect of Foot Drop Stimulator in Outpatients with Chronic Stroke: A Mixed Method Study

  • Park, Jaeyoung;Lee, Dooho;Oh, Donghwan
    • 국제물리치료학회지
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    • 제11권1호
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    • pp.1992-1998
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    • 2020
  • Background: The foot drop stimulator is designed to improve the walking ability of foot drop in patients after stroke, however, studies on clinical effects are still lacking. Objective: To investigate the effect of a foot drop stimulator on the walking and balancing abilities of foot drop patients after a stroke. Design: One-Group (Pretest-Posttest) Design. Methods: All subjects walked in all three conditions: foot drop stimulator (FDS) ankle foot orthosis (AFO) and barefoot. Primary outcome measures were assessed for walking and balance using a 10-m walking test (10MWT) and a timed up and go test (TUG). Secondary outcome measures consisted of a brief user interview, and the patients recorded the advantages and disadvantages of each condition. Results: FDS, AFO, and barefoot conditions showed a statistically significant difference in 10MWT and TUG (P<.001) as a result of comparing three conditions. FDS and AFO were significantly different from the barefoot condition as post-hoc results; however, there was no significant difference between the two conditions (P>.05). Conclusion: In this study, the foot drop stimulator contributed to improving the balance ability, and the walking ability was similar to the effect of the ankle-foot orthosis.

Effects of Treadmill Training with Kinesio Taping of Tibialis Anterior on Muscle Function, Tibialis Anterior Muscle Strength, and Gait Ability in Poststroke Patients

  • Kim, Kyunghun;In, Taesung;Kim, Donghoon
    • Physical Therapy Rehabilitation Science
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    • 제10권3호
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    • pp.297-303
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    • 2021
  • Objective: Stroke patients generally have problems with motor function, muscle weakness, and gait.This study was purposed toevaluate the effect of the treadmill training with kinesio taping of tibialis anterior (TKT) on muscle function, tibialis anterior, muscle strength, and gait ability in poststroke patients. Design: A randomized controlled design Methods: The participants were randomly divided in the TKT group (experimental group) and treadmill training with sham kinesio taping (control group), with 21 patients assigned to each group. Both groups receive treadmill training with kinesio taping and sham kinesio taping for 30 minutes per day, five days per week, for four weeks. The motor function was measured using the Fugl-Meyer assessment. A disital manual muscle test and G-walk were used to evaluate ankle dorsiflexor and gait ability.Evaluation was performed baseline and 4 weeks after the experiment. Results: Both groups showed significantly more improvement in muscle function, tibialis anterior muscle strength, cadence, gait velocity, and stridelength in pre-post intervention change(p<0.05).The experimental group showed significantly more improvement in motor function, muscle strength, cadence, gait velocity, and stridelength ability comparedto the control group(p<0.05). Conclusions: These finding show the benefits of treadmill training with kinesio taping for functional recovery in poststroke patients

Analysis of Effective Cueing Method for Selective Activation of Gluteus Medius

  • Kim, Junyong;Jo, Sungbae;Song, Changho
    • Physical Therapy Rehabilitation Science
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    • 제10권3호
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    • pp.304-310
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    • 2021
  • Objective: This study aimed to investigate effective cueing methods for selective muscle activation of gluteus medius muscles. Design: Cross sectional study design. Methods: Using the inclusion criteria for this study, 20 healthy adults, both males and females were selected for the measurement of muscle activation of gluteus maximus, gluteus medius, and tensor fascia latae muscles while performing clamshell exercise, basic movements in leg raise in side-lying, and 3 different cueing methods. Electromyogram was used to measure muscle activation, and both muscle activation and muscle ratio were compared during the basic movements and different cueing methods. Results: Gluteus medius activation was highest using "try not to make your body rotate" (cueing method 2) in both clamshell exercise and leg raise side-lying (F=5.533, p<0.05, F=7.771, p<0.05), and muscle ratio was highest in clamshell exercise using cueing method 2 (p<0.05) and "don't move your tensor fascia late" (cueing method 1) in leg raise side-lying (p<0.05). This study showed that cueing method 1 in leg raise side-lying and cueing method 2 in clamshell exercise were the most effective cueing methods for selective muscle activation of gluteus medius muscle. Conclusions: The results of this study may be used as basic information for future studies on muscle activation and muscle ratio for different cueing methods and different muscles in various exercises.

Effect of postural change on shoulder joint internal and external rotation range of motion in healthy adults in their 20s

  • Kim, Beom-Ryong;Yi, Dong-Hyun;Yim, Jong-Eun
    • Physical Therapy Rehabilitation Science
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    • 제8권3호
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    • pp.152-157
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    • 2019
  • Objective: We aimed to investigate differences of range of motion in measuring shoulder internal rotation (IR) and external rotation (ER) resulting from posture change in manual scapular stabilization in prone, hook-lying, sitting, and standing positions in healthy young adults. Design: Cross-sectional study. Methods: This study included healthy young adults who agreed to participate after a thorough explanation about the study purpose and methods. A clinometer was used to measure shoulder rotation. Measurements of shoulder rotation according to postural change were performed in prone, hook-lying, sitting, and standing positions. The repeated measures analysis of variance was used to compare between-group differences in postural change. Results: The lower the posture, the greater the average value of IR angle. In contrast, the higher the posture, the greater the average value of the external rotation angle. In active and passive IR with posture change, there was difference in average value but with no statistical significance. In active and passive ER, there was a statistically significant difference between prone and sitting, prone and standing, hook-lying and sitting, hook-lying and standing, and sitting and standing position (p<0.05). Conclusions: Our findings suggest that postural change should be considered in order to increase the strength or range of motion of the internal and external rotation of the patient's shoulder joint.