• 제목/요약/키워드: manual method

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자가 스트레칭과 도수치료가 런지 테스트에 미치는 영향 (Self stretching and manual therapy influence on lunge test)

  • 이재관;고군석;정지윤;최윤정;서수지
    • 대한물리치료과학회지
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    • 제21권1호
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    • pp.59-63
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    • 2014
  • Purpose : To determined the effect of self-stretching and manual therapy on ankle joint about ROM and persisting effect. Method : Twenty participants(6 male, 14 female) ramdomly divided into self-stretching and manual therapy group. Each participant started with lunge test then self-stretching and manual therapy intervention was performed. After intervention lunge test was performed again. Last lunge test was performed after 30 minute break. Result : Result of lunge test showed both self-stretching and manual therapy group have significant difference in immediate increase of ROM and persistence effect(p<0.05). However, persistence effect of each group did not show significant difference(p>0.05). Conclusion : Manual therapy and well-designed self-stretching by therapist showed the effect in increase ROM.

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복합운동 기능장애로 인한 요통의 수정된 SNAGs (Modified Sustained Natural Apophyseal Glides of Back Pain due to Combined Movement Dysfunction)

  • 박지환
    • 대한정형도수물리치료학회지
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    • 제8권1호
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    • pp.25-30
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    • 2002
  • The main purpose of this article is to suggest a modified SNAGs manual method in based of Mulligan techniques. And this study aimed to resolve the back pain which has combined movement dysfunction in lumbar spine, in addition to upgrade of manual therapy technique in clinical field. The results of this study were as following; 1. The first introduction of SNAGs in Korea is the 'International Mulligan Concepts and Techniques Seminar' by Prof. Russell M. Woodman(Quinnipiac college, USA), 1998. SNAGs is defined a mobilization with movement manual therapy that facet joints of the lesion mobilized to anterior-superior direction according to the treatment plane in apophyseal joint of hypomobility. 2. A treatment mechanism of the SNAGs is, Mulligan say, HIVD which is the result of posterior disk bulging from a increased between intervertebral pressure due to hypo-mobile of facet joints in abnormal spine, so therapist should be necessary mobilization of zygophyseal joints especially in disk lesion. 3. Because Mulligan does not yet mentioned SNAGs techniques about a back pain with combined movements dysfunction, so we suggest a modified SNAGs method for manual therapy of back pain patients due to combined movement dysfunction at lumbar.

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뇌졸중 편마비 환자의 견관절 통증에 대한 추나요법의 효과: 체계적 문헌고찰 및 메타분석 (The Effect of Chuna Manual Therapy for Shoulder Pain in Hemiplegic Patients after Stroke: A Systematic Review and Meta-Analysis)

  • 오은미;이은정
    • 한방재활의학과학회지
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    • 제30권3호
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    • pp.89-101
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    • 2020
  • Objectives The purpose of this study is to assess the effectiveness of Chuna manual therapy for shoulder pain in hemiplegic patients after stroke. Methods For a systematic review and meta-analysis, we set a key question in accordance with participants, intervention, comparison, outcome, study design (PICO-SD). we searched for clinical studies that conducted chuna manual therapy for shoulder pain in hemiplegic patients after stroke 7 databases until September 2019. Only randomized controlled trials were chosen. Results Total 14 randomized controlled trials were chosen for systematic review and meta-analysis. 9 studies used efficacy rate as evaluation tool, and 8 used visual analogue scale. Pressure method (壓力型) was used in 11 studies, followed by osteopathy method (整骨型) and wave motion method (波動型) in 9 studies. Chuna manual therapy showed statistically significant pain reduction effect. Through meta analysis, Chuna manual therapy showed significant pain reducing effect except the study with Chuna manual therapy and electroacupuncture compared to electroacupuncture only. Conclusion As a result, Chuna manual therapy showed statistically significant effect in pain reduction. However, almost studies were evaluated in a state of having probable high risk of bias. This suggests that it requires attention to make an interpretation in this study. Furthermore, more clinical research need to be accomplished in the future.

정형도수물리치료에 대한 물리치료 전공 대학생의 직업 인식도 (A Study on the Occupational Perception of College Students Majoring in Physical Therapy for Orthopedic Manual Physical Therapy)

  • 정효창;김성환;유성훈
    • 대한정형도수물리치료학회지
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    • 제26권2호
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    • pp.37-44
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    • 2020
  • Background: This study aims to provide basic data for college students' employment and career choice by investigating their job perception of orthopedic manual physical therapy, one of the physical therapy fields of physical therapy majors. Methods: A total of 267 subjects were surveyed on occupational awareness among college students majoring in physical therapy in Gwangju. The collected data were analyzed for frequency analysis and cross-sectional study using the SPSS 22.0 statistical program. A chi-square test was conducted to determine if there were any significant differences. Results: As a result of the survey on the recognition of orthopedic manual physical therapy, interest in orthopedic manual physical therapy was high, but the method of treatment, effectiveness and information were insufficient. Conclusions: For the awareness and education of students' orthopedic manual physical therapy, schools and institutional organizations need education and special lectures on orthopedic manual physical therapy for students.

추나 수기 이완요법으로 치료한 공황장애 증상을 주소로 하는 환자 1례에 대한 임상보고 (A Clinical Report on Symptom of Panic Disorder Improved by Chuna Manual Relaxation Therapy)

  • 한창;김지형;류기준;안건상;권승로
    • 척추신경추나의학회지
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    • 제3권2호
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    • pp.1-8
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    • 2008
  • Objective : This study is designed to evaluate the effects of an oriental medical therapy, the Chuna Manual Relaxation Therapy on symptom of Panic disorder. Method : The clinical data was analyzed on a patient with Panic disorder whose main symptoms were palpitation, perpirtion, hydrodipsomania, chest pain, burning sensation. Result : After treatment, the patient's main symptoms were disappeared and secondary symptoms were improved. Conclusion : This study suggests that the Chuna Manual Relaxation Therapy is significantly effective in treatment of Panic disorders.

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건설공사 설계도서매뉴얼의 전자화 절차구성 및 실무 적용효과 분석 (Procedure Development for Organizing Electronic Technical Manual of Construction Design Information and Applicability Analysis for Practical Project)

  • 강인석;문현석;곽중민
    • 한국철도학회논문집
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    • 제10권2호
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    • pp.103-111
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    • 2007
  • The existing design materials by document type are restricted in searching and acquiring necessary design information because the materials consist of huge information and various document types. This study suggests a methodology to develop an electronic technical manual that can manage construction design materials by XML-base integrated information system. Electronic technical manual for design materials can provide visualized information through various multimedia tools such as multi-link, virtual reality and animation. Using an integrated electronic manual for construction project can prevent to miss necessary design information. The results of this study includes a data flow diagram to develop an interactive electronic technical manual (IETM) for construction design information. Finally the study suggests some scenarios for practical use and quantitative analysis of application effect analysis by AHP method.

뇌성마비 아동 사물조작 능력 분류 체계의 부모-치료사 간의 신뢰도 (Reliability between Parents and Therapists of the Manual Ability Classification System for Children with Cerebral Palsy)

  • 김장곤
    • PNF and Movement
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    • 제7권2호
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    • pp.21-26
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    • 2009
  • Purpose : The aim of this study was to determine the reliability of parents and therapists-assessed manual ability using the Manual Ability Classification System (MACS) for children with cerebral palsy Methods : Subjects were 136 children with cerebral palsy using rehabilitation programs in 16 welfare centers. Reliability was determined using the intraclass correlation coefficient (ICC). Parents and therapists assessed manual ability of children using MACS. Result : The 136 children (Male 73, Female 63) mean age was 7y 5mo years [range 3y 11mo - 13y 5mo]. The overall agreement between parents-assessed and therapists- assessed MACS was good (ICC = 0.84, 95% confidence interval 0.77-0.88). Conclusion : The MACS offers a reliable method for population-based research and communicating about the manual ability of children with CP.

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인터벤션에서 자동노출제어장치와 수동노출 사용 시 두께 변화에 따른 선량감소 방안 연구 (A Study on Dose Reduction Method according to Slice Thickness Change using Automatic Exposure Controller and Manual Exposure in Intervention)

  • 황준호;정구민;최지안;김현수;이경배
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권2호
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    • pp.115-122
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    • 2018
  • We aims to perform comparative analysis on the dose area and image qualities varying on the slice thickness when using Automatic Exposure Controller (AEC) and manual exposure; thus, it wants to suggest a measure to reduce exposure dose by setting the optimal examination condition for each slice thickness. The method was to set the thickness as Thin, Normal, and Heavy adult and evaluate the dose area, spatial resolution, low contrast resolution, Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR) according to each slice thickness by using the AEC and the manual exposure controller. The dose area according to each slice thickness all increased both when using the AEC and the manual exposure. However, the manual exposure showed lower dose area product than the AEC. Spatial resolutions and low contrast resolutions were all observed to be higher than the evaluation standard. Also, the SNR and CNR of each thickness all increased when using the AEC. When using the manual exposure, SNR and CNR increased in all cases other than the Heavy Adult. Consequently, the Thin and Normal Adult showed dose reduction about 2 times when using the manual exposure controller, while ensuring the image quality. Heavy adult was able to maintain good image quality by using AEC.

척추도수교정이 요통에 미치는 영향 (The Effect of spinal manipulation on the Lumbar Spine with LBP patients)

  • 오강오;김지혁;최수홍
    • 대한정형도수물리치료학회지
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    • 제22권2호
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    • pp.9-14
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    • 2016
  • Purpose: Many people are suffering from Low back pain due to HIVD and muscular problems, lack of joint functions on lumbar spine. In this study we compared the change of the herniation index, Oswestry LBP disability index (OLDI), visual analog scale (VAS), lumbar flexion range of motion (ROM) between the pre-experiment and after 4 weeks treatment by maitland manual therapy. Method: we selected and managed both the 15 people. They are $46.80{\pm}15.46$ years old people with HIVD and Stenosis. We treated for the people with HIVD and Stenosis by manual therapy(maitland manipulation method) during 4 weeks. And then we compared with pre-experiment and after 12 weeks through measuring the herniation index change by using computor themograpy (CT), LBP OLDI, VAS, lumbar flexion ROM. Results: The changes in the herniation index, Oswestry lumbar Disability Index, VAS, lumbar flexion ROM between the pre-experiment and after 4 weeks treatment by maitland manual therapy, there was a statistically significant difference. Although there was a significant difference after 4 weeks in OLDI, VAS, lumbar flexion ROM. But disc herniation index was no significant difference. Conclusion: Manual therapy is very effective for Lumbago due to the HIVD and spinap stenosis patients. OLDI, VAS and lumbar flexion ROM were increased. But disc herniation index was no significant difference. We suggest the combination treatment between manual exercise and spinal traction.

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오지상승위치료법의 표준매뉴얼 개발을 위한 타당화 연구 (A Study on the Development of the Standard Manual for ETE (Emotion To Emotion) Therapy)

  • 정문주;이도은;김지수;강성현;유영수;정인철;강형원
    • 동의신경정신과학회지
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    • 제33권3호
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    • pp.227-239
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    • 2022
  • Objectives: The purpose of this study was to develop a standardization manual for Emotion To Emotion therapy. In this study, the processes and categories derived through literature search related to the Emotion To Emotion treatments, were revised and supplemented by the expert FGI (Focus Group Interview). Afterwards, the expert Delphi was conducted, to develop a standard manual for the disease types, purpose, and method of Emotion To Emotion therapy. Methods: In this study, literature analysis and expert Delphi, as a quantitative research method, were conducted, and the expert Focus Group Interview (FGI) was conducted as a qualitative study. The manual was completed by leading the consensus, on the standardization manual for Emotion To Emotion therapy. After that, a clinical expert Delphi was conducted to test the reliability as well as validity of the manual, through quantitative consensus on the manual of the Emotion To Emotion therapy. Results: First, as a result of literature studies, to date, studies related to Emotion To Emotion therapy have been qualitatively and quantitatively limited, as comparative literature related to clinical cases. Second, through expert FGI, the manual was structured with eight sub-factors for the indication diagnosis, six sub-factors for the implementation method, and 13 detailed factors. Third, through an expert Delphi, the consensus did the factor of indication, implementation methods, and implementation process, and developed a standardization manual for Emotion To Emotion therapy ver 1.0. Conclusions: Through literature analysis, expert FGI, and expert Delphi, the Emotion To Emotion therapy standardization manual ver 1.0 was completed, and will proceed with the revision and improvement report.