• 제목/요약/키워드: group physical therapy

검색결과 3,911건 처리시간 0.031초

경추 신경근병증의 통증, 관절가동범위, 경부장애에 대한 도수치료의 효과 (The Effects of Manual Therapy on Pain, ROM and Disability of Cervical Radiculopathy)

  • 전재국;김현;박현식;주태성;안익근
    • 대한정형도수물리치료학회지
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    • 제20권1호
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    • pp.9-14
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    • 2014
  • Background: Cervical radiculopathy is the result of cervical nerve root pathology that may lead to chronic pain and disability. Although manual therapy interventions including cervical traction and neural mobilization have been advocated to decrease pain and disability caused by cervical radiculopathy, their analgesic effect has been questioned due to the low quality of research evidence. The purpose of this paper is to present the effect of manual therapy on pain, ROM, disability in a patient experiencing cervical radiculopathy. Methods: In this study, 30 participants who met the diagnostic criteria for cervical radiculopathy were randomized into two groups: group I (nerve mobilization group) & group II (Mckenzie exercise group). The experimental group was performed manual cervical traction and neural mobilization technique. The control group was performed manual cervical traction and cervical retraction, extension exercise. Assessments were performed to 30 participants before and after 4 weeks therapy. The components of assessments were pain intensity (PI), cervical rotation ROM (CR) and neck disability index (NDI). Results: After 4 weeks therapy, PI, CR and NDI were significantly reduced in both groups (p<.01). The PI, CR and NDI were no significantly reduced between group I and group II (p>.01). Conclusions: Manual therapy could reduce the symptoms of cervical radiculotpathy.

근막이완술이 영유아 근성사경의 치료효과에 미치는 영향 (Effect of Myofascial Release Therapy on Newborns and Infants with Congenital Torticollis)

  • 박태규;김종열;조미숙;박래준
    • The Journal of Korean Physical Therapy
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    • 제18권5호
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    • pp.1-11
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    • 2006
  • Purpose: This study was to evaluate effects of myofascial release therapy for newborns and infants with congenital torticollis. Methods: In a two month period, thirty-six newborns and infants diagnosed with congenital muscular torticollis received treatment thirty times; then divided into a myofascial release group and stretching group. Crying frequency was used to measure the amount of crying time during treatment. Ultrasonography was used to measure the size of fibromatosis. Physical examinations were used to measure the degree of head tilting and rotation. Results: The results were as follows: 1. Crying frequency was significantly decreased in myofascial degree group. 2. The size of fibromatosis was not significantly decreased in ultrasonography. 3. Head tilt was significantly decreased in myofascial release group. 4. Rotation was not significantly increased in myofascial release and control group. Conclusion: The above results suggest that myofascial release therapy is helpful decreasing head tilt, crying frequency, and increasing head rotation.

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임상 실습 동안 다양한 온도의 족욕이 물리치료학과 학생들의 스트레스에 미치는 영향 (The Immediate Effects of Foot-bath at Diverse Temperatures on the Stress of Students in the Department of Physical Therapy who Experience Clinical Practice)

  • 신한기;강종호
    • 대한물리의학회지
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    • 제11권1호
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    • pp.107-114
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    • 2016
  • PURPOSE: The purpose of the present study is to apply foot therapy at diverse temperatures to students in the Department of Physical Therapy who are experiencing clinical practice to find the most effective foot-bath temperatures for stress relief. METHODS: Sixty four students in the department of physical therapy who were undergoing the course on clinical practice participated in the present study. SDNN, TP, LF, and HF were measured to compare the control group, cold group, tepid group, and the hop group. The data were analyzed through analysis of covariance and paired t-tests. RESULTS: Although SDNN increased in the cold group and the tepid group, the differences were not statistically significant. TP and LF showed statistically significant increases in the cold group. In comparisons between the groups, the cold group showed statistically significant increases compared to the control group and the hot group. Although the tepid group also showed increases, the differences were not statistically significant. HF statistically decreased in the hot group. In comparisons between the groups, statistically significant differences appeared between the cold group and the hot group. CONCLUSION: Cold foot-bath was the most effective therapy on the stress of students in the department of physical therapy who were experiencing clinical practice. Tepid foot-bath had the same directivity but showed no statistically significant difference. Hot foot-bath was shown to rather increase stress.

염증유발 백서에서 전침자극과 미세전류자극의 항-통각과민 효과 (Anti-hyperalgesic Effects of Electroacupuncture Combination of Microcurrent Stimulation in Rat with Induced Inflammation)

  • 김영필;이정우;서삼기;윤세원;윤희종;김태열
    • The Journal of Korean Physical Therapy
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    • 제19권1호
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    • pp.67-78
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    • 2007
  • Purpose: The purpose of this study were to examine the anti-hyperalgesic effects of combination of electroacupuncture and microcurrent on anti-hyperalgesia in local hyperalgesia zone. Methods: It used 24 rats for experiment, divided them into control group, electroacupuncture group (EA group), microcurrent group (MC group), combination of electroacupuncture with microcurrent (EA+MC group), caused hyperalgesia by injecting ${\lambda}-carrageenan$ into hindpaw. Thickness of hindpaw, mechanical pain threshold (MPT), thermal pain threshold (TPT), noxious flexion withdrawal reflex (NFR) and somatosensory evoked potential (SEP) were measured immediately after induction, at 24 hours, 48 hours and 72 hours after induction. The electrical stimulation was given once a day for three days, 20min per session. Results: Change of thickness, MPT, and TPT showed significant difference in all groups compared to control group. In particular, there were remarkable difference in EA+ME group. In particular there were remarkable differences in EA group and EA+MC group. Change of NFR(% threshold, % reaction time, % RMS) and SEP showed mainly significant differences in EA group and EA+ME group compared to control group. In particular, there were remarkable difference in EA+ME group. Conclusion: The above results suggest that appropriate combination of microcurrent with electroacupuncture for pain control will be very desirable.

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Effect of Mirror Therapy on the Balance, Gait and Motor Function in Patients with Subacute Stroke

  • Song, Min-Su;Kang, Soon-Hee
    • The Journal of Korean Physical Therapy
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    • 제33권2호
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    • pp.62-68
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    • 2021
  • Purpose: This study examined whether mirror therapy could improve the balance, gait, and motor function of patients with subacute stroke. Methods: Thirty-three patients with subacute stroke were divided randomly into three groups: experimental group1, experimental group2, and the control group. The patients in experimental group1 performed a mirror therapy program on the unaffected side of the lower extremities, and the patients in experimental group2 performed mirror therapy on the affected side of the lower extremities. Both groups performed the exercise for 30 minutes per session, five times a week for four weeks. The control group did not receive mirror therapy. BBS, POMA, 10MWT, and the BRS were used to evaluate the balance, the quality of gait, gait speed, and the motor function before and after the intervention. Results: The gait speed increased significantly in the experimental groups1 and 2 after the intervention. The control group showed no significant difference in the gait speed after the intervention. The change in gait speed before and after the intervention showed a significant difference among the groups. Experimental group1 showed a significant increase in the gait speed compared to that of the control group. Conclusion: This study suggests that mirror therapy could be an effective intervention to improve the gait speed of patients with subacute stroke. On the other hand, there was no difference in the effectiveness of mirror therapy and therapeutic exercise on the balance, gait, and motor function.

Group Locomotor Imagery Training-Combined Knowledge of Performance in Community-Dwelling Individuals With Chronic Stroke: A Pilot Study

  • Choi, Bo-Ram;Hwang, Su-Jin;Lee, Hee-Won;Kang, Sun-Young;Jeon, Hye-Seon
    • 한국전문물리치료학회지
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    • 제20권1호
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    • pp.74-80
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    • 2013
  • We evaluated whether group locomotor imagery training-combined knowledge of performance (KP) lead to improvements in gait function in community dwelling individuals with chronic stroke. Ten adults who had suffered a hemiparetic stroke at least 6 months earlier participated in group locomotor imagery training-combined KP for 5 weeks, twice per week, with 2 h intensive training. Dynamic gait index scores increased significantly after the group locomotor imagery training-combined KP. However, times for the timed up-and-go test did not improve significantly after the training. Group locomotor imagery training-combined KP may be a useful option for the relearning of gait performance for community dwelling individuals with chronic hemiparetic stroke.

편마비 환자의 환측 기능회복을 위한 연구 (The study of paralytic side functional recovery on hemiplegia)

  • 김지혁;조영하;김용권
    • 대한물리치료과학회지
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    • 제9권2호
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    • pp.7-16
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    • 2002
  • This study was conducted to assess the changes in the functional levels of affected upper extremities after treating hemiplegic patients by applying constraint-induced movement therapy(CIMT). The subjects were selected from 20 hemiplegic patients with scores of 25 or more in Mini Mental State Examination(MMSE-k), transferred to the departments of physical therapy in two university hospitals in Busan from December, 2001 to march, 2002, and were divided into two groups. Eleven subjects with fixing unaffected arms by CIMT were assigned to the experimental patient group and the other 9 patients to control group without fixing unaffected arms. The function of upper arms for both groups were evaluated by using Actual Amount of Use Test(AAUT) and Motor Active Log(MAL) before and after physical therapy. The malts were as follows: The recovery rates of upper extremity by AOU(Activity of Use) and QOM(Quality of Movement) were 23.9% and 27.3% for CIMT treated group, and by 8.3% and 4.6% for the control group on the average, respectively, in AAUT after physical therapy, showing statistically significant differences between two groups. And in MAL, the average recovery rates were 27.3% by AOU and 22.6% by QOM for CIMT treated group while 3.1% by both AOU and QOM for the control group, and were significantly different between twogroups.

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영유아 뇌성 운동발달 장애아에 대한 보이타치료법 조기적용의 효과 (The Effects of the Early Intervention of V{\ddot{o}}jta Therapy for the Infant with Central Coordination Disturbance)

  • 양우진;김중선;안수윤;김병조
    • The Journal of Korean Physical Therapy
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    • 제13권1호
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    • pp.49-59
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    • 2001
  • The purpose of this study was to examine the effect of treatment when the V{\ddot{o}}jta therapy applied to the infant with central coordination disturbance in early stage. The subject were 10 cases : each one with the V{\ddot{o}}jta therapy applied to the group of the infants before 6 months old and the group of the infants over 6 months old. When the V{\ddot{o}}jta therapy was applied I analized the papper which was written about the infants who were diagnosed as moderate CCD and divided two groups which were the infants before 6 months old and the infants over 6 months old. These collected data were analyzed by using t-test. The results of study were as follow; 1. When I compared the locomotion stage after the V{\ddot{o}}jta therapy. t-test showed significant differences. The group of infants before 6 months old had the result 7 to over stage 7 and the group of infants over 6months old had the result 2(p<.05). 2. When I compared the result of the postural reaction after the V{\ddot{o}}jta therapy, 1-test showed significant differences. The group of infants before 6 months old had 6 cases was normalizes and the group of infants over 6 months old had 1 case was normalized(p<.05). 3. When 1 compared the duration of the V{\ddot{o}}jta therapy between the group of infants before 6 months old and the group of infants over 6 months old. t-test showed significant differences. The group of the infants before 6 months old had 5 cases for 1-6 months and 4 cases for 7-15 months, 3 cases for 16-24 months and the group of infants over 6 months old had 6 cases for 7-15 months and cases for 16-24 months, 1 case for 25-30 months(p<.01).

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동적, 정적, PNF 스트레칭이 요부 유연성에 미치는 효과 (The effect of Dynamic and Static PNF stretching on lower back flexibility)

  • 최원제;조남정;강희권;강수경;김민정;김병오;허수용;유병국;이삼철;손경현
    • PNF and Movement
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    • 제7권2호
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    • pp.11-20
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    • 2009
  • Purpose : The purpose of this study is to find out which method is efficient to enhance the flexibility of lower back between PNF(Proprioceptive Neuromuscular Facilitation), static and dynamic stretching. Methods : Subjects were 30 young people between the ages 17 and 19. They were randomly divided into three groups; static group(n=10) performed a static stretching, dynamic group(n=10) performed a dynamic stretching, and PNF group(n=10) performed a PNF stretching. Intervention was provided 5 days per week for 4 weeks. For each case, Trunk flexion forward, trunk flexion backward, trunk left lateral bending, trunk right lateral bending, trunk flexion forward a measuring instrument and tapeline were performed to measured the flexibility of lower back at different times(before starting the exercise, after 4 weeks). Results : The results of the study reveal that the lower back flexibility was a statistically significant difference in all groups(p<.05). There was statistically significant difference between PNF group and static group, PNF group and dynamic group. Conclusion : The finding indicated that PNF may be preferred technique for improving flexibility, and that flexibility training results in an increased consistency of flexibility scores.

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흥분독성 소뇌손상 백서모델에서 운동기술학습이 균형 및 협응력에 미치는 영향 (Effects of Motor Skill Learning on Balance and Coordination in Excitoxicity Induced Cerebellar Injury Model of Rat)

  • 김기도;민경옥;심재환;정재영;김용억;김경윤;김계엽;심기철;김은정;남기원
    • 대한물리의학회지
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    • 제5권3호
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    • pp.455-465
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    • 2010
  • Purpose : This study is intended to examine the motor skill learning on balance and coordination in the cerebellar injured rats by 3AP. Methods : This study selected 60 Sprague-Dawley rats of 8 weeks. Experiment groups were divided into four groups and assigned 15 rats to each group. Group I was a normal control group(induced by saline); Group II was a experimental control group(cerebellar injured by 3AP); Group III was a group of motor skill learning after cerebellar injured by 3AP; Group IV was a group of treadmill exercise after cerebellar injured by 3AP. In each group, motor performance test, histologic observations, synaptophysin expression and electron microscopy observation were analyzed. Results : In motor performance test, the outcome of group II was significantly lower than the group III, IV(especially group III)(p<.001). In histological finding, the experimental groups were destroy of dendrities and nucleus of cerebellar neurons. Group III, IV were decreased in degeneration of cerebellar neurons(especially group III). In immunohistochemistric response of synaptophysin in cerebellar cortex, experimental groups were decreased than group I. Group III's expression of synaptophysin was more increased than group II, IV. In electron microscopy finding, the experimental groups were degenerated of Purkinje cell. Conclusion : These result suggest that improved motor performance by motor skill learning after harmaline induced is associated with dynamically altered expression of synaptophysin in cerebellar cortex and that is related with synaptic plasticity.