• Title/Summary/Keyword: group physical therapy

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Effect of Thoracic Joint Mobilization and Breathing Exercise on The Thickness of The Diaphragm, Expansion of The Chest, Respiratory Function, and Endurance in Chronic Stroke Patients

  • Hyunmin Moon;Jang-hoon Shin;Wan-hee Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.278-292
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    • 2023
  • Objective: This study was performed to investigate the effects of thoracic joint mobilization and breathing exercises on diaphragmatic thickness, chest expansion, respiratory function, and endurance in patients with chronic stroke. Design: Randomized controlled trial Methods: The study included 24 chronic stroke patients who were randomly divided into two groups. The experimental group (12 people) performed 15 minutes of thoracic joint mobility exercises and 15 minutes of breathing exercises, three times a week for 6 weeks, 30 minutes each time. The control group (12 people) received 15 minutes of conservative physical therapy and 15 minutes of breathing exercises, 3 times a week for 6 weeks, 30 minutes per session, the same as the experimental group. The experimental and control groups performed the same breathing exercises. To assess training effectiveness, changes in diaphragm thickness, chest expansion, respiratory function, and endurance were measured. Results: As a result, the experimental group exhibited significant improvements in diaphragm thickness, chest expansion, and respiratory function. The endurance mode also displayed significant enhancement (p<0.05), a finding consistent with the control group. However, the experimental group displayed more substantial improvements in non-affected diaphragm thickness and thoracic expansion compared to the control group (p<0.05). Conclusions: Drawing from these findings, breathing exercise which combine thoracic mobilization, will be actively utilized in addition to physical therapy interventions in clinical trials as an effective intervention method.

Conflict of Interest Groups on the Health Insurance Policy Deliberation Committee Affect the Medical Insurance Cost of Physical Therapy (건강보험정책심의위원회의 이익집단 간 대립이 물리치료 수가에 미치는 영향)

  • Kim, Yushin;Yoon, Bumchul
    • The Journal of Korean Physical Therapy
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    • v.25 no.2
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    • pp.43-48
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    • 2013
  • Purpose: The aim of this study was to demonstrate that non-participation of physical therapists on the political decision-making committee results in invasion of their interests. Methods: To demonstrate the effects, we analyzed the change of medical insurance score decided by the Health Insurance Policy Deliberation Committee between 2001 and 2012 years, focusing on medical examination as the interest of the participation group and physical therapy cost as interest of the non-participation group. Results: Total medical insurance cost increased by 23.72%, on average. Medical examination cost increased by 23.90% and 37.66% in medical examination for new and established patients, respectively. However, physical therapy cost was reduced by 5.01%. The medical examination cost for physical therapy without medical checkup increased by 2.62%. Conclusion: This study shows that the physical therapy cost, related on the interest of the non-participative group in the Health Insurance Policy Deliberation Committee, rather decreased while the total medical insurance cost increased.These findings demonstrate the invasion of the non-participative group on the Health Insurance Policy Deliberation Committee. Thus, aggressive participation in political decision-making committee is necessary in order to protect and increase rights and interests of Korean physical therapists.

Effects of Auriculotherapy in the pain control of HIVLD (요추부 추간판탈출증 환자에 대한 외이치료의 동통조절 효과)

  • Oh, Young-Taek;Kwon, Hyuk-Cheol
    • Journal of Korean Physical Therapy Science
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    • v.6 no.2
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    • pp.977-988
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    • 1999
  • This study compared the effects of Intermittent traction therapy alone(Group1=Control group) and Intermittent traction therapy plus Auriculotherapy (Group2=Experimental group) to 20 Sciatica patients. Subjects were assigned to two groups with each 10. The two groups received Intermittent traction therapy (Hold:25, Rest:15) for 15 minute and experimental group did received auricular stimulation. Auricular acupuncture points(max=17, min=13) were stimulated with low frequency, high intensity Electro-Acupunture stimulator for 20 seconds per a each point. Treatment and measurements(SLR and VAS) was administered to each patient during the two weeks of 10 times therapy. The results were significant differences between the two groups. Experimental group produced significantly greater pain relief, and significant improvement of limited SLR.

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The effects of GCM ankle joint therapy on Shoulder and Neck (전신조정술 발목관절치료가 어깨와 목에 미치는 영향)

  • Hyoung In-Hyouk;Ahn Mock;Bae Sung-Soo;Mun Sang-Eun;Chae Jung-Byung
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.479-487
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    • 2003
  • Tje purpose of this study is to understand body as a whole concept through examining effects of distant shoulder and neck with GCM ankle joint therapy. The twenty three subject with ankle joint therapy and comparison groups without ankle joint therapy were authorized the score of before and after therapy by correspondence T-test using pump lines and tapes as instruments. The results are as follows. 1. The test group had change of shoulder in measurement 1, 2, 3 and were regarded statistically 1st measurement on left, 2nd on right.(p<.05) 2. The test group had change of neck in measurement 1, 2, 3 and were regarded statistically 2nd on left on right.(p<.05) 3. In the comparison group the comparison of shoulder height was not regarded statistically all at 1, 2 comparison on left and regarded statistically all at 1, 2 comparison on right.(p<.05) 4. In the comparison group the comparison of neck height was not regarded statistically both left and right at 1, 2 comparison.(p<.05)

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Effect of Computerized Feedback Postural Training on Balance and Muscle Activity in Stroke Patients (컴퓨터화된 자세조절훈련이 뇌졸중 환자의 균형 및 근활성도에 미치는 영향)

  • Yang, Dae-Jung;Park, Seung-Kyu;Kang, Jun-Il;Lee, Jun-Hee;Uhm, Yo-Han
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.348-354
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    • 2012
  • Purpose: This study examined the effects of computerized feedback postural training on the balance and electromyography activity of subjects with stroke. Methods: A total of 30 chronic stroke patients were enrolled in this study. Subjects were divided into an experimental group (n=15) and a control group (n=15). Computerized feedback postural training was used in the experimental group. Both groups received intervention for six weeks, 5 times per 30 minutes period. Data analysis was performed using analysis of covariance for determination of statistical significance. Results: Significant difference in static and dynamic balance was observed in the experimental group, compared with the control group (p=0.05), and a significant difference in muscle activity was observed in the gastrocnemius muscle, quadriceps muscle, and elector spinae muscle. However, the hamstring muscle showed no significant difference. Conclusion: Computerized feedback postural training is more effective in improving the ability of balance and muscle activity than neurological physical therapy.

The effect of stabilization exercise and movement with mobilization on flexibility and pain of patients with acute low back pain (관절 가동술과 안정화 운동이 급성 요통 환자의 유연성과 통증에 미치는 영향)

  • Kim, Da-Hye;Kim, Jong-Beom;Baek, Hyeon-Kyeong;Oh, Yu-Na;Yoo, Hyeon-Hwa;Yang, Hoe-Young;Lee, Hye-Jin;Yang, Hoe-Song;Yang, Gi-Woong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.68-77
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    • 2008
  • Purpose : The purpose of this study was to investigate effects of movement with mobilization(MWM) and stabilization exercise on pain and range of motion of patients with acute low back pain. Methods : The subjects were consisted of 24 patients who had non specific acute low back pain. All subjects randomly assigned to the MWM group and the stabilization exercise group. The MWM group received sustained natural apophyseal glides(SNAGs) with modality treatment and stabilization exercise group received stabilization exercise with modality treatment. The remodified schober test(RST) was used to measure forward flexion and lateral flexion range of motion of lumbar segment. Visual Analogue Scale(VAS) was used to measure subjective pain level of the patients. The Oswestry Low Back Pain Disability Scale was used to measure functional disability level of the patients. Results : The lumbar flexion range of motion of MWM group was significantly increased compared with stabilization exercise group(p<.01). The range of motion of lumbar segment of MWM group was significantly decreased compared with stabilization exercise group(p<.01). The left lateral flexion range of motion of lumbar of MWM group was significantly decreased compared with stabilization exercise group(p<.05). The right lateral flexion range of motion of lumbar of MWM group was significantly decreased compared with stabilization exercise group(p<.05). The VAS of both MWM group and stabilization exercise group was significantly decreased(p<.001). The Oswestry Low Back Pain Disability Scale of stabilization exercise group was significantly increased compared with mobilization group(p<.001). Conclusion : In the result of this study, mobilization with movement and stabilization exercise had significant difference on pain and flexibility of patients with acute low back pain.

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The Effects of Scapular Exercise and Kinesio Taping of Upper Trapezius Muscle on Grip Strength (견갑골운동과 상승모근의 키네시오 테이핑 적용이 파악력에 미치는 영향)

  • Kim, Chi-Hyok;Kim, Sung-Joong;Oh, Kang-O;Joen, Ik-Bae
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.2
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    • pp.1-7
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    • 2012
  • Background: The purpose of this study was to evaluate effects of scapular exercise and Kinesio taping of upper trapezius muscle on grip strength. Method: Subjects were consists of 15 males and 15 females who had disorder of upper extremity. The period of this study is 3 weeks (August 8-26, 2011). We had divided 3 groups, control group, Kinesio taping group, scapluar setting exercise (SSE) group. Results: Grip strength of control group was not significant difference (p>.05). Grip strength of Kinesio taping group was significant difference (p<.05). Grip strength of SSE group was significant difference (p<.05). Grip strength of control group, Kinesio taping group, SSE group were significant difference (p<.05). Conclusion: Kinesio taping group and SSE group are applying on upper trapezius. Both of two groups increased grip strength and was significant difference. Applying Kinesio taping on the upper trapezius and applying SSE on trapezius are effected on the grip strength.

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Immediate Effects of Asymmetric Chewing on Temporomandibular Joint Kinematics

  • Tae-Joon Um;Han-Seung Choi;Dong Yeop Lee;Jae Ho Yu;Jin Seop Kim;Seung Gil Kim;Jiheon Hong
    • The Journal of Korean Physical Therapy
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    • v.35 no.6
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    • pp.185-189
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    • 2023
  • Purpose: This study investigated the immediate biomechanical effects of unilateral mastication for 10 minutes on the temporomandibular joint (TMJ) with 21 healthy adult participants. Methods: The gum group chewed gum on the right side for 10 minutes, and the control group rested for 10 minutes. Biomechanical data were obtained using a three-dimensional infrared camera before and after intervention. An independent t-test assessed the variation of kinematic data to identify differences between before and after intervention. Results: Among biomechanical variables, the gum group's length of the left forehead middle region and the temporomandibular joint angle decreased compared to the control group (p<0.05). Conclusion: Caution with unilateral masticatory activity is recommended, as unilateral mastication causes biomechanical changes due to excessive load on the soft tissues of the contralateral TMJ.

The Effect of Joint Mobilization Therapy on Pain Recovery for patients with Tension-type Headache (긴장성 두통환자에 대한 관절가동기법이 통증회복에 미치는 영향)

  • Park, Kyoung-Lee;Lee, In-Hak;Koo, Chang-Hoi;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.18 no.1
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    • pp.33-40
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    • 2006
  • Purpose: The purpose of this study was to investigate the effects of cervical mobilization on the tension type headache recovery. : The subjects were consisted of 70 patients with tension type headache. All subjects randomly assigned to cervical mobilization group and massage group. The mobilization group received cervical mobilization with modality treatment and massage group received cervical massage with modality treatment. Visual analogue scala(VAS) was used to daily headache hours and patient's pain level. Results: The results of this study were summarized as follows: 1. The Visual Analogue Scale(VAS) was mobilization group showed significant1y decreased more than massage group(p<.01). 2. The daily headache was mobilization group showed significantly decreased more than massage group(p<.01). Conclusion: mobilization is beneficial treatment for tension type headache.

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The Effects of Microcurrent Treatment and Ultrasound Treatment on the Pain Relief and Functional Recovery after Total Knee Replacement (미세전류치료와 초음파치료가 슬관절전치환술 후 통증경감과 기능회복에 미치는 영향)

  • Cho, Woon-Su;Kim, Yong-Nam;Kim, Yong-Seong;Hwang, Tae-Yeon;Jin, Hee-Kyung
    • The Journal of Korean Physical Therapy
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    • v.24 no.2
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    • pp.118-126
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    • 2012
  • Purpose: The purpose of this study was to investigate pain relief and functional recovery after total knee replacement. Methods: The treatment was performed by dividing individuals into a control group ($n_1=5$), ultrasound treatment group ($n_2=5$), and micro-current treatment group ($n_3=5$). The control group applied the hot pack for 15 minutes, Transcutaneous Electrical Nerve Stimulation (TENS) for 15 minutes, and Continuous Passive Movement (CPM) for 40 minutes. The ultrasound therapy group applied the frequency of 1 MHz, intensity of 1.0 $W/cm^2$ for five minutes following the same treatment as the control group. The micro-current therapy group applied the intensity of 25 ${\mu}A$, and pulsation frequency 5 pps for 15 minutes following the same treatment as the control group. After treatment, Visual Analogue Scale (VAS), Korean Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Berg Balance Scale (BBS), Range of Movement (ROM) and wound length was measured. Results: VAS showed significant effect in the control group and micro-current therapy group during the treatment period. According to the treatment of K-WOMACK, BBS, ROM, and Healing wounds showed main effects between groups. Conclusion: According to the results of this study, data showed improvement of pain relief, wound healing effects, and range of motion recovery. Thus, these selected treatments were effective after total knee replacement. In other words, electrical treatment continues to influence pain relief and functional recovery after total knee replacement.