• Title/Summary/Keyword: muscle stretching

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Effects of Active Mandibular Exercise for Mouth Opening Limitation Patients after Maxillomandibular Fixation Release: A Non-Randomized Controlled Trial (악간고정 제거후 개구장애 환자에게 적용한 능동적 하악운동의 효과: 비무작위 대조군 설계)

  • Jang, Hyo Jin;Kim, Myung Hee
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.26-37
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    • 2018
  • Purpose: The aim of this study was to evaluate the effects of active mandibular exercise (AME) in patients with limited mouth opening after maxillomandibular fixation (MMF) release. Methods: The study used a quasi-experimental, nonequivalent control group and a pre test-post test design. Sixty-two patients with Maxillomandibular Fixation Release were assigned to the experimental (n=31) or control group (n=31). The AME was performed in the experimental group for 4 weeks. The exercise AME consisted of maximal mouth opening, lateral excursion and protrusive movement. These movements were repeated ten times a day. After the final exercise of the day, the number of tongue blades used for mouth opening was noted. The effect of AME was evaluated after MMF release at different time intervals: a) immediately, b) after 1 week, c) after 2 weeks, d) after 4 weeks, and e) after 12 weeks. The exercise was assessed using the following criteria: a) mandibular movements, b) pain scores associated with maximal mouth opening, c) discomfort scores associated with range of movement, and d) daily life activities that involve opening the mouth. Results: The experimental group showed significant improvement regarding the range of mandibular movements (maximal mouth opening (F=23.60, p<.001), lateral excursion to the right side (F=5.25, p=.002), lateral excursion to the left side (F=5.97, p=.001), protrusive movement (F=5.51, p=.001)), pain score (F=39.59, p<.001), discomfort score (F=9.38, p<.001). Daily life activities that involve opening the mouth were more favorable compared to those in the control group. Conclusion: The AME in patients after MMF release is helpful for increasing mandibular movement range, decreasing pain and discomfort, and improving day life activities that involve opening the mouth. Therefore, AME is highly recommended as an effective nursing intervention.

The Research for Using Method of GRF (Ground Reaction Force) on Rotational Movement in Arabesque (아라베스크 회전동작 시 지면반력 활용방법에 관한 연구)

  • Gwon, An-Suk;Lee, Geon-Beom
    • Korean Journal of Applied Biomechanics
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    • v.15 no.2
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    • pp.1-10
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    • 2005
  • G. B. LEE, A. S. GWON, The Research for Using methodof GRF (Ground Reaction Force) on Rotational Movement in Arabesque. Korean Journal of Sport Biomechanics, Vol. 15, No. 2, pp.1-10, 2005. As, in relation to all movements of a human being, the movements such as mutually walking, running, rotating, and jumping are attained endlessly through the ground amid the interaction with the ground, in terms of the harmonious movement of the upper limbs and the lower limbs, related to the basic movement in ballet, the type of a movement depends on the size and direction of the force that presses down the ground (Fz, Fx, Fy) amid the interaction with the ground. Therefore, aiming to correctly and efficiently perform a rotational movement in Arabesque, this study analyzed factors of the force manifestation through GRF (Ground Reaction Force), by dividing into preparing, stepping, standing, rotating, and finishing stages (events (1) ${\sim}$ (5)), targeting the subjects of 4 elite female students who majored in ballet. 1. At the No.5 position of the preparing stage, It is necessary that support the ground with left and right foot balance, 2. As the stepping stage is the phase ranging from the event (2), in which a plie movement of bending a knee is started, to the event (3) of stretching a knee, Rebunding motion is not good, and One have a position with ankle and knee flextion condition in order to stretch strengthly in event (3) position 3. At the event (1) position, It is necessary that exert the Fz reaction force at the event (3) position. Because large stretch force help to have a toe on position easily and show a active motion 4. In order to have a stand and rotation motion smoothly, One need a muscle strength training for ankle extension, knee extension, control horizental force

A Comparison of Pelvic Tilt Before and After Manipulation of Sacroiliac Joint in the Patients with Low Back Pain (요통환자의 천장관절에 대한 도수교정 전과 후의 골반경사 비교)

  • Oh, Seung-Gil;Lee, Jin-Haeng
    • Journal of Korean Physical Therapy Science
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    • v.7 no.2
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    • pp.579-595
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    • 2000
  • The purposes of this study were to compare pelvic tilt before and after manipulation of sacroiliac joint in 31 low back pain patients (11 males, 20 females) with sacroiliac joint dysfunction. The sacroiliac joint of patients was manipulated on the side of anterior pelvic tilt, using the technique described by Stoddard (1962) and Greenmann (1996). I used this technique because it usually eliminated sacroiliac joint dysfunction in one treatment session. SPSS for window computer system was used to analyze the data. Also t-test was performed for comparison of pelvic tilt angle before and after manipulation, and Pearson product-moment correlation analysis was performed for intratester reliability for measurements of pelvic tilt angle before and after manipulation. The result were as follows: 1. Intratester reliability was good for measures of pelvic tilt (r=.98). 2. The pelvic tilt after manipulation was significantly decreased (mean=$3.40^{\circ}$) compared with the pelvic tilt before manipulation (p=.001). All subjects showed asymmetrical right versus left pelvic tilt before manipulation. 40% of subjects showed decreased asymmetrical right versus left pelvic tilt after manipulation, and 60% of subjects showed symmetrical right versus left pelvic tilt after manipulation. I think that pelvic tilt asymmetry with hypomobility due to loss of joint play could be symmetrized by manipulation or mobilization, but pelvic tilt asymmetry with unilateral pelvic muscle shortening could not be symmetrized by manipulation or mobilization without relaxation and stretching of shortened muscles.

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Design Suggestion of Active T-shirt According to the Exercise Types in the Silver Generation (실버세대의 운동유형에 따른 액티브 티셔츠 디자인 제안)

  • Kim, Young-Soon;Koo, Young-Seok
    • Fashion & Textile Research Journal
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    • v.17 no.6
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    • pp.881-894
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    • 2015
  • The silver generation have clothing style of optimal daily life comparing than young generation because they do not participate a specific sport event but daily- life exercise. As the human body ages, the figure of the silver generation shows different body shape because upper body changes to curved figure including the belly and waist part. Therefore, clothing characteristics for the silver generation should be considered with proper function, design and textiles to optimize body movement. This study investigated various exercise types according to motion analysis of the silver generation in order to develop the design of the active T-shirts reflecting the structural properties and providing the optimum exercise circumstance. The results to consider design needs are as followed; As the T-shirts design for the flexible exercise which required frequent movement of upper body such as bending and waist twisting during body stretching, a stretch fabric applied to the waist part considering T-shirts allowance and length to make extreme elongation and support for well-fitting appearance of the T-shirts. As the T-shirts design for the instantaneous reactionary exercise, high elastic four-way stretch fabric is applied to the part of arm hole to optimize skeletal and muscle movement for entire body and arm work. As the T-shirts design for the endurance exercise such as climbing, cycling, and walking, the shoulder line of the back part has cutting line allowance to make optimum movement of the upper body but no change of the waist part.

Effect of Physical Therapy Based Tailored Exercise Program on Pain, Accident incidence Rates, and Lost Days of Work in Manufacturing Worker: Single Subject Design (제조업 근로자의 근골격계 질환 예방을 위한 물리치료 기반 맞춤형 운동프로그램이 통증, 재해율, 및 근로손실에 미치는 영향: 단일사례 연구)

  • Lee, Kwon-Woo;Kim, Won-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.2
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    • pp.113-120
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    • 2017
  • PURPOSE: The purpose of this study was to investigate the effect of a physical therapy-based tailored exercise program on pain, accident incidence rates, the number of work days lost, and economical loss cost for workers in an automobile parts manufacturing company. METHODS: A total of 530 workers with musculoskeletal symptoms were given a physical therapy-based tailored exercise program twice a week, for one hour a day. This exercise program consisted of movement pattern correction, muscle stretching and strengthening, and postural correction exercises, according to principles of movement impairment syndromes and medical training therapy. From 2011 to 2016, the lost days of work, accident incidence rates, and loss cost were examined. The pain measured by VAS (visual analogue scale) and the number of workers participating in the exercise program from 2014 to 2016 were also measured. The single subjects A-B design was applied and analyzed. RESULTS: After applying the exercise program, pain decreased and the number of workers participating in the program increased. Accident incidence rates, number of work days lost, and economical loss cost decreased. There was a significant correlation between the number of workers who received exercise therapy by year and accident incidence rates, lost days of work, and economical loss cost (p<.05). CONCLUSION: It is necessary to expand the physical therapy-based tailored exercise program to prevent musculoskeletal disorders because it has a positive effect on both workers and employers.

$F_2$ Formant Frequency Characteristics of the Aging Male and Female Speakers (한국어 모음에서 연령증가에 따른 제2음형대의 변화양상)

  • 김찬우;차흥억;장일환;김선태;오승철;석윤식;이영숙
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.2
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    • pp.119-123
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    • 1999
  • Background and Objectives : Conditions such as muscle atrophy, stretching of strap muscles, and continued craniofacial growth factors have been cited as contributing to the changes observed in the vocal tract structure and function in elderly speakers. The purpose of the present study is to compare F$_1$ and F$_2$ frequency levels in elderly and young adult male and female speakers producing a series of vowels ranging from high-front to low-back placement. Material and Methods : The subjects were two groups of young adults(10 males, 10 females, mean age 21 years old range 19-24 years) and two groups of elderly speakers(10 males, 10 females, mean age 67 years : range 60-84 years). Each subject participated in speech pathologist to be a speaker of unimpared standard Korean. The headphone was positioned 2 cm from the speakers lips. Each speaker sustained the five vowels for 5 s. Formant frequency measures were obtained from an analysis of linear predictive coding in CSL model 4300B(Kay co). Results : Repeated measure AVOVA procedures were completed on the $F_1$ and $F_2$ data for the male and female speakers. $F_2$ formant frequency levels were proven to be significantly lower fir elderly speakers. Conclusions : We presume $F_2$ vocal cavity(from the point of tongue constriction to lip) lengthening in elderly speakers. The research designed to observe dynamic speech production more directly will be needed.

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The Influence of Unloading Taping Method Using Non-elastic Tape on the Pain, Opening Mouth, Functional Level, Quality of Life in Patients With Temporomandibular Joint Disorder (비탄력 테이프를 이용한 무부하 테이핑 기법이 턱관절장애 환자의 통증 수준, 개구범위, 기능적 수준, 삶의 질에 미치는 영향)

  • Hwang, Jea-hoon;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.23 no.3
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    • pp.29-39
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    • 2016
  • Background: In the treatment of temporomandibular joint (TMJ) disorder, the goals of traditional physical therapy are not only to reduce the inflammatory process leading to pain, but also to decrease joint overload and muscle hyperactivity. To achieve those goals, physical therapists generally use a photo-therapy, joint mobilization, and massage. Objects: To examine the impact of an unloading technique using non-elastic taping on the pain, opening mouth, functional level, and quality of life in patients with TMJ disorder. Method: Twenty patients with TMJ disorder were included in this study and randomly divided into the experimental ($n_1$=10), and control ($n_2$=10) groups. Traditional physical therapy including massage and stretching for 30 min was performed in both groups. Non-elastic taping was performed in the experimental group after traditional physical therapy, and they were recommended to keep the tape attached for 12 hours. Outcomes for pain, functional level, and quality of life were measured using a survey. The opening mouth was measured using a general ruler. Result: Significant differences were observed in the pain level, opening mouth, functional level, and quality of life after the intervention and on follow-up in both groups. However, we found that while the levels of all parameters were maintained throughout the follow-up period in the experimental group, the functional status level was not maintained throughout the follow-up period in the control group. Conclusion: Our unloading technique using non-elastic tape results comparable to those achieved by traditional physical therapy in the treatment of TMJ. However, the unloading taping method using non-elastic tape is more effective than traditional physical therapy in maintaining the impact of intervention.

Efficacy of PNF Group Exercise Program in Chronic Stroke (만성 뇌졸중 환자에 대한 PNF 집단 운동프로그램의 효과)

  • Kim, Soo-Min;Bae, Sung-Soo
    • PNF and Movement
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    • v.3 no.1
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    • pp.1-15
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    • 2005
  • Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

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Effect of an Active Tailored Exercise Program on Pain and Oswestry Disability Index in Automobile Manufacturing Workers with Musculoskeletal Symptoms of the Low Back (허리부위 근골격계 자각증상이 있는 자동차 제조업 근로자를 위한 맞춤형 능동 위주의 운동프로그램이 통증과 오스웨스트리 장애지수에 미치는 영향)

  • Kim, Won-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.3
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    • pp.109-116
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    • 2019
  • PURPOSE: This study examined the effects of an active tailored exercise program on pain and the Oswestry disability index (ODI) among workers with musculoskeletal symptoms of the lower back in an automobile parts manufacturing company. METHODS: Twenty-two workers with musculoskeletal symptoms of the lower back were included in the study. The experimental group was composed of 15 workers and a control group of seven workers. The experimental group was provided an active tailored exercise program and education on the risk factors of musculoskeletal disorders. The control group was only provided ergonomic education. The exercise program, which consisted of movement pattern correction, muscle stretching and strengthening, and postural correction exercises, was applied twice a week for two months for one hour a day. Pain, which was determined using a visual analogue scale (VAS), and the ODI were measured before and after exercise. RESULTS: After applying the exercise program for two months, the VAS and ODI of the experimental group were significantly lower than those of the control group (p<.05). In the experimental group, the VAS decreased significantly after one month (p<0.05), and the ODI decreased significantly after two months (p<.05). CONCLUSION: Because active tailored exercise programs are effective in improving the pain and disability indices, it is necessary to actively implement such programs among manufacturing workers with musculoskeletal symptoms of the lower back.

Evaluation of Preference and Wearing Characteristics of Fitness Compression wear for Korean Elderly Women (한국 여성 노인을 대상으로 한 피트니스 압박웨어 선호도 및 착용 특성 평가)

  • Jeon, Eun-Jin;You, Hee-Cheon;Kim, Dong-Mi;Kim, Hee-Eun
    • Fashion & Textile Research Journal
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    • v.21 no.3
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    • pp.336-345
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    • 2019
  • This study evaluated the preference and wearing characteristics of existing fitness compression wear for elderly women and identified the problems and improvements of existing fitness apparel. Preference and wearing characteristics for 6 types (A-F) of upper and lower fitness compression wear were evaluated. Photos and drawings as well as the preferred designs and details were investigated after presenting the evaluation clothing. Evaluations were made on a 5 point Likert scale for the fitness, allowance, pressure, ease of movement, fabric material, and overall satisfaction after wearing. The design preference indicated that B type (26.6%) and C type (23.4%) were preferred in the top with C, E and F type preferred to the same ratio of 19.4% in the slacks. The fitness and allowance amount of the top B type were the most appropriate (${\geq}4$), the C type was in close contact (2.86), and the F type was inadequate in the neck circumference (1.77). The feeling of pressure was high in the waist, abdomen, thighs, and knees. The area where the elderly people want to improve their strength was the legs; in addition, a pattern design was needed to strengthen leg muscles when designing fitness compression wear. However, a design with excessive adhesion due to a muscle support band was shown to be not preferred. Therefore, depending on the activity, it is necessary to develop a fitness compression wear that applies an optimum stretching ratio of fabric based on body surface area changes.