• Title/Summary/Keyword: physical functional

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Current method of Functional Electric Stimulation and Direction of Henceforth Expansion (기능적 전기자극 치료의 최근 기법과 향후 발전 방향)

  • Chung, Jin-Woo;Kim, Soon-Ja;Lim, Jong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.167-175
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    • 2002
  • Functional Electrical Stimulation is the clinical application of a small electric current to the intact nerves of the body, in order to trigger a muscle contraction. This contraction is then incorporated into a functional activity, for example walling. A clear distinction needs to be made between therapeutic stimulation and functional stimulation. The former being of an exercise orientation, where one would relax while the stimulation works on its own. Functional electrical stimulation on the other hand, incorporates this elicited muscle movement into an everyday activity, like standing, walking, reaching out etc. But recently, New method used to FES which updated electrode insult in muscle and small nerve branch. A lot of new research build up many countries such as England, USA, Japan, Spain, Canada. So I had been write this paper for introduce new FES method, and I hope to more enhanced motivation of therapist for the functional electric stimulation.

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Difference of Functional Outcome and Related Factors in Patients With Stroke (일부 뇌졸중 환자의 기능변화 및 관련요인)

  • Yi, Seung-Ju;Jeong, Seong-Yeong
    • Physical Therapy Korea
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    • v.14 no.1
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    • pp.46-54
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    • 2007
  • The purposes of the present study were to determine the difference of functional outcome, and to identify factors associated with functional difference in patients with stroke. The sample consisted of 56 stroke patients who had received physical therapy at the physical therapy unit of the Dongeui Medical Center in Busan city between January 2000 and June 2002. Stroke patients were evaluated by physical therapists 3 times; The first day in physical therapy (PT) (T1), one month after the first day in PT (T2), and two months after the first day in PT (T3). Functional status was assessed with the Functional Independence Measure (FIM) instrument, a validated instrument for documenting the severity of disability and assessing the outcome of rehabilitation treatment. Functional gain was calculated over T2-T1, T3-T1, and T3-T2. SAS statistical software was used for the analysis. The Student's t-test, paired t-test, analysis of variance (ANOVA/Tukey and Scheffe), and analysis of covariance (ANCOVA) were used to examine the functional difference in variables. Repeated measures ANOVA was also used to analyze the functional difference by time (T1, T2, and T3). Multiple regression analysis was performed to determine the effects of independent variables on the difference of functional outcome as defined by the FIM score. A total of 56 stroke patients were evaluated, their average age${\pm}$standard deviation was $61.6{\pm}9.3$ years (range: 40~81 yr). The functional status of patients who received physical therapy for about 2~3 months was significantly improved (mean FIM scores, $20.5{\pm}1.8$, $28.9{\pm}1.9$, and $8.41{\pm}1.1$ points for each time period, respectively) (p<.0001). Diabetes was significantly associated with the FIM score for T2-T1 (p<.05). The type of diagnosis was significantly associated with the FIM score for T3-T1 (p<.05). Gender, smoking, and the FIM score on admission were significantly associated with the FIM score for T3-T2 (p<.05). In conclusion, gender, smoking, diabetes, the type of diagnosis, and the FIM score on admission were significantly associated with improved FIM scores. We recommend that further research should explore the functional outcome by using larger sample sizes, longer follow-up periods, and more sensitive assessment instruments.

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The Assessment of the Postural Control Ability of the Volleyball Players With Functional Ankle Instability Using Balance Master System

  • Kim, Ho-Sung;Ahn, Chang-Sik;Choi, Jong-Duk
    • Physical Therapy Korea
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    • v.15 no.4
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    • pp.18-26
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    • 2008
  • The present study was aimed at investigating the postural control ability of volleyball players with functional ankle instability. The subjects were 26 male volleyball players were divided into 2 groups (13 subjects with functional ankle instability and 13 subjects with ankle stability) who could evaluate Questionnaire. All the male participants were tested by a Balance Master System. This study were to measure of static balance ability, dynamic balance ability, motor function the difference between functional ankle instability group and control group. Ankle instability group and stable group in postural sway ($^{\circ}/sec$) on film surface with eye closed in modified clinical test sensory interaction on balance, and left unilateral stance with eye opened and closed were significantly different (p<.05). The ankle instability group and stable group in limit of stability were significantly different (p<.05). The ankle instability group and stable group in left/right rhythmic weight shirt were significantly different (p<.05). The ankle instability group and stable group in turn time (sec) & turn sway ($^{\circ}$) during step/quick turn and end sway ($^{\circ}/sec$) in tandem walk were significantly different (p<.05). This study showed that volleyball players with functional ankle in stability were effected postural control ability by static balance & dynamic balance ability. Further study is needed to measure various athletic with functional ankle instability for clinical application.

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Effect of MWM and Taping on Balance and Jump Performance in Soccer Player with Functional Ankle Instability (기능적 발목 불안정성 축구 선수에 대한 움직임을 동반한 가동술과 테이핑 적용이 균형과 점프 수행력에 미치는 영향)

  • jeong, Yong-Sik;Jeong, Yeon-Woo;Yang, Seong-hwa
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.1
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    • pp.43-49
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    • 2016
  • Background: The purpose of this study was to investigate the effects on balance and Jump performance in soccer player with functional ankle instability of Movement with mobilization (MWM) and taping. Methods: In 30 male college soccer player with functional ankle instability subjects of this study randomization, fibular reposition taping (FRT) group (n=10), kinesio taping (KT) group (n=10), control group (n=10) that included in the MWM and taping was classified group.Before and after intervention, measured in surface area ellipse and countermovement jump with arm swing. Results: Showed a significant balance and jump performance from the FRT group and KT group compared to the control group. Showed a significant improvement in balance from the FRT group compared to the KT group. Conclusions: MMW and taping showed the increased balance and Jump performance in soccer player with functional ankle instability.

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The Effects of Neuromuscular Re-education on Physical Composition, Body Water, and Functional Independence in Stroke Patients (신경근 중재 접근이 뇌졸중 환자의 신체조성, 체수분 및 기능적 독립성에 미치는 영향)

  • So, Kyoung-Suk;Shin, Hong-Cheul;Kang, Jeong-Il
    • The Journal of Korean Physical Therapy
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    • v.18 no.1
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    • pp.11-31
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    • 2006
  • Purpose: The purpose of this study is to investigate the effect of neuromuscular re-eduction program and traditional intervention program. Methods: It is focused on difference between changes of experimental before and after on 30 stroke patient's physical composition, body water and functional independence. Results: The obtained results are as follows ; 1. In the comparison of change in physical composition between the experimental group and control group, the between-subjects factors were not a significant difference. 2. In the comparison of change in body water between the experimental group and control group, the between-subjects factors were not a significant difference. 3. In the comparison of change in functional independence between the experimental group and control group, the between-subjects factors were a significant difference in 8 items and total FIM (p<0.01; p<0.05) but, were not a significant difference in 11 items. Conclusion: the neuromuscular re-eduction program was more effect then traditional intervention program in functional independence but, was not a significant difference in body composition and body water.

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The Effects of Functional Weight Bearing Exercise on Balance and Gait in Stroke (기능적 체중지지훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향)

  • Goo, Bong-Oh;Shim, Je-Myung;Lee, Sang-yul;Kim, Hyoung-Su;Lee, Myung-Hee;Park, Min-Chull
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.1
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    • pp.35-42
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    • 2010
  • Purpose : This study investigated to find the therapeutical effects of functional weight bearing exercise on the balance and gait in stroke. Methods : The subjects of this study were 13 hemiplegia was exercised using functional weight support exercise for 5 weeks, all of whom agreed to participate in the study. All subjects were measured to see their balance and gait with a Pro-3 balance system and Gait analysis. In order to assure the statistical significance of the results, we used for SPSS 12.0 for windows. Results : The results of this study were as follows : 1) There were statistically significant difference in medial-lateral stability and overall stability index. 2) There were statistically significant in distance and gait velocity index. Conclusion : According the results of this study, functional weight bearing exercise is effect on the balance and gait for hemiplegia.

A Prediction Model for Functional Recovery After Stroke (뇌졸중 환자의 기능회복에 대한 예측모델)

  • Won, Jong-Im;Lee, Mi-Young
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.59-67
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    • 2010
  • Mortality rates from stroke have been declining. Because of this, more people are living with residual disability. Rehabilitation plays an important role in functional recovery of stroke survivors. In stroke rehabilitation, early prediction of the obtainable level of functional recovery is desirable to deliver efficient care, set realistic goals, and provide appropriate discharge planning. The purpose of this study was to identify predictors of functional outcome after stroke using inpatient rehabilitation as measured by Functional Independence Measure (FIM) total scores. Correlation and stepwise multiple regression analyses were performed on data collected retrospectively from two-hundred thirty-five patients. More than moderate correlation was found between FIM total scores at the time of hospital admission and FIM total scores at the time of discharge from the hospital. Significant predictors of FIM at the time of discharge were FIM total scores at the time of hospital admission, age, and onset-admission interval. The equation was as follows: expected discharge FIM total score = $76.12+.62{\times}$(admission FIM total score)-$.38{\times}(age)-.15{\times}$(onset-admission interval). These findings suggest that FIM total scores at the time of hospital admission, age, and onset-admission interval are important determinants of functional outcome.

Effects of Gym Ball Stabilization Exercises on the Physical Functions of Elementary School Baseball Players

  • Kim, Se-Hun;Park, Jea-Cheol
    • The Journal of Korean Physical Therapy
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    • v.34 no.2
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    • pp.51-56
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    • 2022
  • Purpose: This study examined the effects of gym ball stabilization exercises on the physical functions of elementary school baseball players. Methods: The elementary school baseball players were assigned to an experimental group (n=21). The group performed gym ball stabilization exercises and the changes in the physical functions were measured using the visual response speed test, functional movements, physical balance ability, and pulmonary function. Results: The results of the visual response speed test showed changes in the time response speed. There was a significant change in the number of touches in 15 seconds in the upper arms and left and right legs (p<0.05) after 10 weeks. Also, there was a significant change in the reaction times of the left and right legs after 10 weeks (p<0.05). Further, there were significant differences in functional movements involving rotational stability and the total functional scores after 10 weeks (p<0.05). The player's body balance ability showed a significant difference after 10 weeks in the posterior-lateral and posterior-medial composite scores of the left and right legs (p<0.05). There was a significant change in the forced lung capacity and forced expiratory volume in 1 second after 10 weeks (p<0.05). Conclusion: These results show that the gym ball stabilization exercises effectively improved the visual response speed and functional movements, balance, and vital capacity of elementary school baseball players.

The effects of treadmill exercise and feeding Allium tuberosum Rottler on blood glucose level with Streptozocin-inducde diabetic rat (트레드밀 운동과 부추 식이가 Streptozotocin 유발 당뇨병 백서에서 항당뇨효과에 미치는 영향)

  • Kim Dong-Kil;Oh Myung-Hwa;Kim Gye-Yeop
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.28-44
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    • 2002
  • The purpose of this study is to discuss and analyze the effect of blood glucose on treadmill exercise, functional food and their combined treatment protocol on diabetic rats. These group were divided treadmill exercise group(n:12), functional food feeding group(n:12), treadmill exercise with functional food feeding group(n:12) and control group. The following results were obtained from this study. 1. The blood glucose level was showed significantly different in several group, treadmill exercise with functional food feeding group are most significantly on other group. 2. The inhibitory rate of body weight was not significantly different on each group. 3. The amount of feeding was not significantly in several group. 4. The Islets size and Connective tissue proliferation was showed significantly different except control group, treadmill exercise with functional food feeding group are more significantly than other group. These results show that treadmill exercise with functional food feeding and their several protocols can retard the setreptozotocin-induced dibetic rat.

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Effect of Proprioceptive Neuromuscular Facilitation Stretching on Pain, Hip Joint Range of Motion, and Functional Disability in Patients with Chronic Low Back Pain

  • Kim, Beomryong;Kang, Taewoo;Kim, Dahee
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.225-234
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    • 2021
  • Objective: We aimed to identify the effects of proprioceptive neuromuscular facilitation (PNF) stretching on pain, hip range of motion, and functional disability in patients with chronic low back pain. Design: Randomized controlled trial Methods: In total, 45 patients with chronic low back pain were randomly divided into a conventional stretching group (n=22) and a PNF stretching group (n=23). Both interventions were performed three times per week for 6 weeks. Assessments were made using the visual analog scale, Flexion-Abduction-External Rotation test, modified Thomas test, prone hip extension test, and Oswestry disability index before and after the 6-week intervention period. We conducted a paired t-test to compare the within-group findings before and after the intervention. An independent t-test was used to compare the between-group differences. The statistical significance level was set at α=0.05, for all variables. Results: Both groups showed significant improvements in pain, hip range of motion, and functional disability after the intervention (p<0.05). A significant difference was observed in pain, hip range of motion, and functional disability in patients belonging to the PNF stretching group (p<0.05). Conclusions: This study provides evidence that the application of PNF stretching can effectively reduce pain and improve hip range of motion and functional disability in patients with chronic low back pain.