• Title/Summary/Keyword: manual intervention

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An Ergonomic Intervention of Paper-making Process for Preventing Musculoskeletal Disorders (근골격계질환 예방을 위한 제지공정의 인간공학적 개선방안)

  • Kim, Sang-Ho
    • Journal of the Ergonomics Society of Korea
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    • v.27 no.1
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    • pp.9-19
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    • 2008
  • Work-related musculoskeletal hazards in a paper-making industry were examined to explore ergonomic interventions in a participatory approach for mitigating the hazards. Manual tasks occurred in this paper-making industry were quite different with ordinary assembly industry where individual workers perform certain specified tasks repetitively. Workers used to perform varieties of team-based irregular manual tasks to interact with the facilities. Among 96 manual jobs investigated, 44 potential hazardous jobs were screened during basic investigation phase and finally 16 hazardous jobs were identified by the detailed analysis phase. The major hazardous factors were awkward postures and excessive weights. Possible ways of intervention were developed, reviewed and proposed by an ergonomics team comprised of staffs and engineers from various departments and ergonomics specialist from outside the company. The proposed intervention ideas were evaluated and modified by the workers and union representatives in terms of usability and comfort. Implemented interventions including mechanization, automation, and improvement of tools and equipments provided fairly promising results.

Effects of Manual Therapy Approach for Lumbar Spondylolisthesis (요추부 전방전위증 환자의 도수치료 효과 연구)

  • Kang, Seok-Yeong;Kim, Myung-Joon;Lee, So-Hee
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.2
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    • pp.34-39
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    • 2010
  • Purpose : The purpose of this study is to find out the evidence concerning the effectiveness of manual therapy intervention in the treatment of low back pain related to spondylolisthesis Methods : 12men with lumbar pain from L5~S1 spondylolisthesis of 2 or 3 grade were treated during 12-week period. The manual therapy applied twice per week. The results of back and radiating pain were measured by VAS, and abdominal muscle strength was measured by Power track II. The measurement of degree of slip in spondylolisthesis was confirmed by the lateral view of X-ray and took a measurements of the anterior displacement of a vertebral body in relation to the vertebral below. Results : 1. There was significant decrease in the back and radiating pain.(p<0.05) 2. There was significant increase in the abdominal muscle strength.(p<0.05). 3. There was significant decrease in the degree of the anterior displacement. Conclusion: The intervention of manual therapy for lumbar spondylolisthesis is effective in back pain, radiating pain, abdominal muscle strength and degree of the anterior displacement. So, nonsurgical treatment should be attempted before surgical treatment.

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The Effects of Therapeutic Approach of Patellofemoral Pain Syndrome with Asymmetrical Hip Rotation : Case Study (비대칭성 고관절 회전각을 지닌 슬개대퇴통증증후군 환자의 치료적 접근 - 사례연구)

  • Jang, Hyun-Jeong;Kim, Suhn-Yeop;Kim, Ho-Bong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.2
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    • pp.41-48
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    • 2011
  • Background: Patellofemoral pain syndrome is very common knee problem and altered hip rotation may play a role in patellofemoral pain. The purpose of this case study is to describe the manual therapy of and the therapeutic exercise for a patient with asymmetrical hip rotation and patellofemoral pain. Method: The patient was a 29 years old woman with an 3 month history of anterior right knee pain, without known trauma or injury. Prior to intervention, her score on the VAS was Max 6 to Min 4. Left hip internal rotation was less than right hip internal rotation, and manual muscle testing showed weakness of the left hip internal rotator and abductor muscles. The intervention consisted of manual therapy and therapeutic exercise for three times a weeks, two weeks for increasing right hip medial rotation, improving left hip muscle strength, and eliminating anterior right knee pain. Result: After intervention for 2weeks, passive left and right hip medial rotations were symmetrical, and her right hip internal rotator and abductor muscle grades were Good plus. Her VAS score was Max 2 to Min 0. Conclusion: Manual therapy and therapeutic exercise is effective in improving for patient had patellofemoral pain with pattern of asymmetrical hip rotation.

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The Immediate Effect of Soft Tissue Mobilization Before Mobilization with Movement on the Ankle Range of Motion, Muscle Tissue, Balance in Stroke Patients (움직임을 동반한 관절가동술 적용 전 시행된 연부조직가동술이 뇌졸중 환자의 족관절 가동범위, 근 조직, 균형에 미치는 즉각적인 효과)

  • Jang, Woo-seok;Choi, Soon-ho
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.26 no.1
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    • pp.37-46
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    • 2020
  • Background: The present study aimed to investigate the immediate effects of Soft Tissue Mobilization (STM) before Mobilization with Movement (MWM) on ankle ROM, pennation angle, balance in stroke patients. Methods: A total of 22 subjects were randomly assigned to one of two groups: the experimental group and the control group. The experimental group received intervention STM before MWM. STM was applied for one minute, MWM was applied one set of six times, in a total 3 sets. The passive ankle joint range of motion (ROM) was measured using a goniometer, the pennation angle was measured using RUSI, and the balance was measured using Timed Up & Go Test. Results: The ROM of the ankle dorsi-flexion, muscle tissue (pennation angle) and balance were significantly increased. Conclusion: In this study, it was confirmed that the ankle dorsi-flexion ROM, pennation angle of the medial gastrocnemius muscle, and balance were significantly improved in the group where STM was performed before the MWM intervention. Therefore, the physiotherapists should consider these results in their intervention. If MWM is applied to stroke patients, applying STM first is a better intervention.

The Effect of Manual Lymph Drainage on the Changes of Autonomic Nervous System and Pain in Stressed Hospital Office Employees

  • Ko, Min-Gyun
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.11
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    • pp.263-268
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    • 2020
  • This study is to investigate the effects of manual lymphatic drainage of stressed hospital office employees on the autonomic nervous. A total of 30 stressed hospital office women voluntarily participated in the study. The participants were randomized to the manual lymphatic drainage groups and rest groups. The intervention was conducted for 20 minutes in each group. There were significant differences in sympathetic nerve, parasympathetic nerve, and pain within manual lymphatic drainage groups(p<.05). There were significant differences between groups for the sympathetic nerve, parasympathetic nerve, and pain(p<.05). Therefore, manual lymphatic drainage is an effective intervention for reducing the stress and pain of stressed hospital office employees.

The Effects of Hip Mobilization on Pain, Trunk Flexibility, Function for Chronic Low Back Pain Patients (고관절 가동술이 만성요통환자의 통증, 체간 유연성 및 기능에 미치는 영향)

  • Jeong, Eui-young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.1
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    • pp.23-29
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    • 2018
  • Background: This study aimed to the effects of hip mobilization on pain, trunk flexibility, function for chronic low back pain patients. Methods: Patients were randomly assigned to control group (n=15) and experimental group (n=15). Both groups received conventional physical therapy, three times a week for four weeks. Experimental group was performed additional hip mobilization, three times a week for four weeks. All measurement of each subject were measured at pre-intervention and post-intervention (after 4 weeks). Results: Assessed items included the visual analog scale score (VAS), Korean version of the Oswestry disability Index (KODI) a significant reduction was observed post intervention compared to pre-intervention values in both group (p<.01). Trunk flexibility was significant increased post intervention compared to pre-intervention values in both group (p<.01). There were significant difference between two groups in VAS (p<.01), trunk flexibility (p<.05) and except KODI. Conclusions: Our results indicate that conventional physical therapy with the hip mobilization may be useful for improving chronic low back pain patient.

The Effects of Manual Therapy on Lower Extremity Alignment in Pelvic Malalignment

  • Jeon, Chang Keun;Han, Se Young;Yoo, Kyoung Tae
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.3
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    • pp.1543-1548
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    • 2018
  • The purpose of this study was to analyze the effects of manual therapy on lower extremity alignment in pelvic malalignment. The subjects were 20 adults with pelvic malalignment. They were divided into two groups: manual therapy group (n=10) and stretching exercise group (n=10). Each group performed the intervention two times per week for 4 weeks. The lower extremity alignment was measured by pelvic deviation, functional leg length inequality, and plantar pressure distribution, which were measured between pre- and post-test. In the result of pelvic deviation, there was a significant difference between the pre- and post-test of the manual therapy group and stretching exercise group. In the result of the functional leg length inequality, there was a significant difference between the pre- and post-test of the manual therapy group. In the result of plantar pressure distribution, there was a significant difference between the pre- and post-test of the manual therapy group. These findings suggest manual therapy improves the pelvic deviation, functional leg length inequality, and plantar pressure distribution in the pelvic malalignment.

Impact of Reduced Working Hours and Night Work Hours on Metabolic Syndrome: A Quasi-Experimental Study

  • Hye-Eun Lee;Ichiro Kawachi
    • Safety and Health at Work
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    • v.14 no.1
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    • pp.59-65
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    • 2023
  • Objectives: Epidemiological evidence linking long working hours and shift work to metabolic syndrome remains inadequate. We sought to evaluate the impact of reducing working hours on metabolic syndrome. Methods: We compared the prevalence of metabolic syndrome among male manual workers in a manufacturing company (N = 371) before and after the introduction of policy to reduce daily work hours from 10 to 8 hours. Components of metabolic syndrome were measured in periodic health examinations before the intervention, 6-9 months after, and 1.5-2 years after the intervention. Generalized estimating equation models were used to estimate changes in the prevalence of metabolic syndrome. Analyses were stratified by day work versus shift work. Results: The results showed a significantly decreased prevalence of metabolic syndrome 6-9 months following the intervention in day workers (risk ratio = 0.68, 95% confidence interval 0.52-0.88), but the benefit disappeared after 1.5-2 years. Shift workers showed a decreased prevalence of metabolic syndrome for the whole follow-up duration after the intervention, although the change was not statistically significant. Conclusion: Reducing working hours was associated with short-term improvement in metabolic syndrome in male manual workers.

Effects of Sensory Integration Training on Equilibrium Ability in the College Students of the Twenties (감각통합훈련이 20대 대학생들의 균형능력에 미치는 효과)

  • Han, Jong-Man;Lee, Woo-Hyung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.1
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    • pp.37-42
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    • 2010
  • Purpose : The purpose of this study was to evaluate the influence of sensory integration training on equilibrium ability in the college students of the twenties. Methods : The sensory integration training group(male: n=10, female: n=9) was measured an equilibrium ability by Kinesthetic Ability Trainer(KAT) at pre-intervention and post-intervention in 4weeks. Results : Mean value of eye close both leg standing and eye close one leg standing tests of the sensory integration training group were significantly reduced among the intervention period(p<.05). Conclusion : We were found that sensory integration training could reduce mean value of eye close both leg standing and eye close one leg standing tests and improve a balance for the college students of the twenties.

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The Effect of the Lumbar Segmental Mobilization Technique on Chronic Low Back Pain Patients' the Characteristics of the Muscles, and Limited of Stability (허리의 분절적 가동기법이 만성 허리통증 환자의 근육 특성과 안정성 한계에 미치는 영향)

  • Yang, Daejung;Uhm, Yohan
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.191-202
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    • 2020
  • Purpose : The purpose of this study is to examine the effect of the segmental mobilization technique of the lower back on the characteristics of the muscles and limited of stability of chronic backache patients. Methods : The subjects of the study were 30 chronic back pain patients who were divided into groups of 15, a manual therapy group (Group I) and a spinal decompression therapy group (Group II), via random assignation. The subjects had 15 minutes of superficial heat therapy, 15 minutes of interference wave therapy, and 5 minutes of ultrasound therapy for conservative physical therapy. Additionally, manual therapy and spinal decompression therapy were administered to each group for 30 minutes, 5 times a week for 8 weeks. Before intervention, the characteristics of the muscles and limited of stability of the muscles were analyzed. After 8 weeks of intervention, the above items were re-measured in the same manner and analyzed between groups. Results : The results of comparative analysis of the characteristics of the muscles and limited of stability between groups showed that there were statistically significant differences. The manual therapy group (Group I) showed significant differences in characteristics of the muscles compared to the spinal decompression therapy group (Group II). The manual therapy group (Group I) showed significant differences in limited of stability compared to the spinal decompression therapy group (Group II). Conclusion : The result confirmed that manual therapy was more effective in the characteristics of the muscles and limited of stability. Based on this study, additional studies are necessary on the effect of various techniques of manual therapy on muscle activity and muscle thickness in chronic back pain patients. In order to develop an effective manual therapy program, studies using a variety of evaluations are needed.