• Title/Summary/Keyword: physical manipulative

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The Effect of Improvement of Temporomandibular Joint Movement Restriction using the Kaltenborn-Evjenth Orthopedic Manipulative Therapy (Kaltenborn-Evjenth 정형도수치료가 측두하악관절 운동제한 개선에 미치는 효과)

  • Kim, Sung-Won;Hong, Wan-Sung
    • Journal of Korean Physical Therapy Science
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    • v.10 no.2
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    • pp.62-72
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    • 2003
  • The purpose of this study is to prove the efficacy of the Kaltenborn-Evjenth Orthopedic Manipulative Therapy and the Conventional Physical Therapy that influence changes in pain and range of motion when those therapies are applied to patients with temporomandibular pint movement restriction. The subjects of the study were 30 randomly selected patients who had been diagnosed with temporomandibular pint movement restriction and had endured pain for more than two weeks. These patients had visited one of three hospitals in Pyongchon 00 Hospital. The subjects were divided into two groups with 15 patients each. The Kaltenborn-Evjenth Orthopedic Manipulative Therapy was applied to one group and the Conventional Physical Therapy was applied to the other group, once a day for three days. Then, the pain perception degree was measured by using the Visual Analogue Scale(VAS) and a digital device(Absolute Digimatic) measured the range of motion for each group. The average and standard errors were calculated for each measured items and a paired t-test was used for identifying significance in the differences in the pain perception degree and the range of motion between the two groups according to therapy. The significant level was set as ${\alpha}=0.05$. The changes in the pain perception degree were statistically significant in both groups; however, the group that received Kaltenborn-Evjenth Orthopedic Manipulative Therapy(KE-Group) showed more significant changes in a decrease in the pain perception degree than did the group that received the Conventional Physical Therapy(CPT-Group). Both groups showed significant results regarding changes in the range of motion: however, the KE-Group showed more of a significant difference in the average of the range of motion than did the CPT-Group(p<0.001). Comparing the changes in the range of motion between the two groups, the KE-Group showed a significant result which means that the KE-Group had a higher therapy effect than did the CPT-Group(p<0.05). Based on the results of this study, we found that the Kaltenborn-Evjenth Orthopedic Manipulative Therapy decreased pain and increased the range of motion. With such findings, we expect that the Kartenborn-Evjenth Orthopedic Manipulative Therapy can be used as an effective treatment method for patients with tempomrnandibular pint movement restriction and that the treatment period can be reduced with this therapy as well.

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The Comparison of Effect of Sports Massage, Kaltenborn-Evjenth Orthopedic Manipulative Therapy and Electrical Therapy, General Exercise Therapy in ROM Increase and Pain Reduction in Patients with Frozen Shoulder (동결견 환자의 관절가동범위 회복과 통증 감소에 있어서 스포츠 마사지 및 Kaltenborn-Evjenth정형도수치료와 전기치료 및 일반 운동치료의 효과 비교)

  • Nam, Hyoung-Chun;Woo, Kwang-Seog
    • Journal of Korean Physical Therapy Science
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    • v.10 no.2
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    • pp.73-85
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    • 2003
  • The purpose of the present study was to the investigate the effect of sports massage, kaltenborn-evjenth orthopedic manipulative therapy and electrical therapy, general exercise on the limitation of range of motion(ROM) and on the pain(VAS) in patients with frozen shoulder. Fiftheen frozen shoulder patients between 50 and 60 years of age(females) were selected and were divided equally by random distribution into A group(sports massage, kaltenborn-evjenth orthopedic manipulative therapy, N=7)and B(electrical therapy, general exercise therapy, N=7) group. The results obtained were as follows : 1) The range of motion between two groups are significantly different in the treatment times, the ROM of A group increase in after-treatment(2 week 4 week) in comparison with ROM in before-treatment, it is significant increase. And it is significant difference in B group. 2) The pain level between two groups are not significantly different in the treatment times, the pain level of A group decrease in after-treatment(2 week, 4 week) in comparison with before-treatment, it is significant decrease. And it is significant difference in B group. Although the pain level of the A group decrease in after 2 week treatment in comparison with before-treatment but it is not significant decrease. Although the pain level of the B group decrease in after 4 week treatment in comparison with after 2 week treatment, but it is not significant decrease. 3) The A group is more effective in increasing the ROM and decreasing the pain level than B group during treatment times. The results showed that both A group method and B group method are effective ROM increase and pain reduce, but A group method is superior to B group method in ROM increase and pain reduce.

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Considerations in Kaltenborn-Evjenth Concept Related History of Orthopedic Physical Therapy (Kaltenborn-Evjenth 정형물리치료에 대한 문헌적고찰(정형물리치료의 역사와 관련된 문헌을 중심으로))

  • Yoon, Jung-Gyu
    • Journal of Korean Physical Therapy Science
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    • v.7 no.1
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    • pp.275-284
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    • 2000
  • Orthopedic medicine specializes in the diagnosis and treatment of musculoskeletal conditions. The physical therapy speciality, Orthopedic Manipulative Therapy(OMT) is an important part of orthopedic medicine. Much of OMT is devoted to the evaluation and treatment of joint and related soft tissue disorders and one of the primary treatment methods is mobilization. When examination reveals joint dysfunction, especially decreased range of motion, joint mobilization techniques are often utilized. Soft tissue mobilization techniques are used to improve mobility and other soft tissues. The therapist should have precautions for a patient. These precautions are based on the patient's concurrent medical and surgical diagnosis. Lastly, the literature describing therapeutic interventions in patients with musculoskeletal problem is poor because the painful conditions are poorly characterized and the therapeutic interventions are poorly described; so, where Kaltenborn-Evjenth concept for patient with musculoskeletal problem were identified, the treatment concept are introduced.

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Kaltenborn's Joint Mobilization Techniques (Kaltenborn의 관절가동 기법)

  • Kim, Ho-Bong;Bae, Sung-Soo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.4 no.1
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    • pp.35-43
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    • 1998
  • This study was introduce to Manual Mobilization of the Extremity Joints of Freddy M. Kaltenborn(1989). Much of Orthopedic Manipulative Therapy is devoted to the evaluation and treatment of joint and related soft tissue disorders and one of the primary treatment methods is mobilization. When examination reveals joint dysfunction, especially decreased range of motion, joint mobilization techniques are often utilized. Kaltenborn's joint mobilization techniques are performed as passive examination or treatment movements by the therapist. There are three basic joint play movements: (1) traction, (2) compression, and (3) translatoric gliding. The purpose of joint mobilization is to restore normal, painless joint function. Mechanically, the goal is to restore joint play and thus normalize roll-gliding which occurs during active movements.

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Short-term Benefits of Mobilization for Patients with Non-Specific Neck Pains: Executive Function and Neck Pain Intensity

  • Choi, Wansuk;Heo, Seoyoon
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.2
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    • pp.1803-1809
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    • 2019
  • Background: Cervical mobilization has been applied mainly for the improvement of arm and neck movements and pain reduction, and little research has been done to improve the executive function. Since this kind of so-called mechanical neck pain is one of most common symptoms, there are controversial issues about this with spine alignment. Posteroanterior (PA) mobilization from the Maitland concept is a process of examination, assessment, and treatment of neuromusculoskeletal disorder by manipulative physical therapy. Objective: To examine the short-term benefits of mobilization for patients with non-specific neck pain. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental research Methods: Fourteen participants (male 8, female 6; 20's of their age) with non-specific neck pains which are distributed all the unilateral or bilateral body side were recruited. Participants were categorized to Neck Pain with Movement Coordination Impairments (NPMCI) and Neck Pain with Mobility Deficits (NPMD) groups according to the results of physical examination. Professional physical therapist who has over 15-years-of clinical experience applicated manipulative therapy for the neck pain, an occupational therapist only conducted evaluations; K-NDI (Korean version of the Neck Disability Index), VAS (Visual Analog Scale), BDS-K (Korean version of Behavioral Dyscontrol Scale) for decreasing possible adverse effects; there were no person who reported other symptoms followed 4 weeks from the trial. Results: In the NPMCI group, data analysis indicated statistical differences between the PA mobilization interventions in NDI and BDS-K; even though, pain was reduced in VAS, this is not a significantly differ. In the NPMD group, data analysis represented statistical differences between the PA mobilization interventions in NDI, VAS and BDS-K; the scores were represented to be increased or the pain got relief. Conclusions: PA mobilization techniques according to Maitland concept have beneficial effects in patients with neck pain and other clinical positive effects which included neck disability, pain itself and motor function of upper extremity.

Normative values for the Grooved Pegboard Test in Adult (Grooved pegboard 검사의 정상성인의 표준치에 관한 연구)

  • Lee, Teak-Young
    • Physical Therapy Korea
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    • v.8 no.2
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    • pp.87-94
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    • 2001
  • Dexterity is defined in the present study as interdigital manipulative skill or the fine manipulative movements of objects held between the thumb and fingers. The Grooved pegboard test has been used to evaluate dexterity requring visual-motor coordination. The purpose of this study was to standardize the completion time of the Grooved pegboard test in different age groups and gender. Normative values for the Grooved Pegboard Test was developed on the sample of 282 healthy volunteers (89 men and 183 women). Subjects were stratified according to gender and dominant hand and were subdivided into six groups by blocking. The results of this study were as follows: 1) There was a significant difference in completion time between dominant and nondominant hand in both men and women groups (p<.05). 2) There were significant differences in completion time between men and women group (p<.05) 3) There were significant differences in completion time among age groups (p<.05).

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Effects of Maitland Orthopedic Manipulative Physiotherapy and Stretching applied to Cervical Vertebra on Pain, Range of Motion, and Muscle Tone of Adults with Forward Neck posture

  • Park, Sei Youn;Lee, Sang Bin;Choi, Jung Hyun;Min, Kyung Ok;Kim, Soon Hee
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.1
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    • pp.925-932
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    • 2016
  • The purpose of this study is to investigate effects of Maitland orthopedic manipulative physiotherapy and stretching on pain, cervical range of motion, and muscle tone of adults with forward neck posture. A total 40 subjects were divided into a Maitland OMPT group(n=20) and a stretching group(n=20), performing joint mobilization exercise and stretching three times per week for six weeks. As for changes in pain, statistically significant decrease were found before and after the exercise within group comparison(p<.01), while no statistically significant difference was observed between-group comparison. In changes in cervical range of motion before and after the exercise, the Maitland OMPT group showed statistically significant increase(p<.01) in flexion, (left lateral flexion(p<.05), extension, left rotation, right rotation, and right lateral flexion, while the stretching group showed statistically significant increase(p<.05) in extension(p<.01), left rotation, left lateral flexion, right rotation, and right lateral flexion. However, no significant differences in between group comparison in flexion, extension, right rotation, left rotation, right lateral flexion and left lateral flexion. The results of measuring muscle tone changes showed that the Maitland OMPT group and the stretching group did not show significance in within and between group comparison(p<.05). In conclusion, the Maitland OMPT and stretching were effective on improving pain and range of motion.

Comparative study of the effects in using geofix and cabri 3D on folding nets' activities (전개도 과제에서 지오픽스와 Cabri 3D를 활용한 학습의 효과 비교)

  • Seo, Hwajin;Lee, Kwangho
    • The Mathematical Education
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    • v.60 no.2
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    • pp.159-172
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    • 2021
  • The purpose of this study is to compare and analyze the effects of physical manipulative and exploratory geometry software on the spatial sense for 5th grade elementary school students in learning nets. For this purpose, ton experimental group used Geofix, an operational learning tool, and the experimental group used Cabri 3D, an exploratory geometry software to learn the nets of solids. The comparison group was learned by worksheet only without any manipulative or software. Spatial sense tests were conducted before and after to determine the level, and eye tracking were used to analyze the strategies of students in solving nets problems. As a result, it was confirmed that the using Geofix group was the most effective for the spatial sense, and Cabri 3D could also be a good tool for learning the nets of solids. In addition, after learning the nets of solids, the analytical strategy, which was the most effective strategy for students' solving strategies, increased. In the process of solving spatial tasks such as the spatial sense tasks, eye tracking technology become a very useful tool for exploring students' strategies, so it is expected that objective and useful data will be collected through more active use in the future.

Clinical Diagnosis for Orthopaedic Manual Therapy (정형물리치료를 위한 임상진단)

  • Bae Sung-Soo;Chae Yun-Won
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.155-171
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    • 1998
  • Interest in mannual therapy appears to continue to grow among physical therapists. The term 'mannual therapy' has traditionally been associated with physical therapists who examine and treat Patients who have disorders related to the neuro-muscular-articular system.. The manipulative means skilled and specialised use of manual and/or mechanically applied movement techniques, as a part of comprehensive orthopaedic physical therapy for disorders of the moving parts of body. Physical therapists use a large variety of manually applied examination procedures as part of the clincal decision-making process. The purpose of this article is to define and clarify the basic concepts of mannual therapy by comparing the geneal concepts and evaluation schemes of James Cyriax, John McM. Mennell, Geoffrey Maitland, Freddy Kaltenborn, Robin McKenzie, and Ola Grimsby. This article stresses the importance of developing stills in evaluation. Gimsby's approch is presented as a example of modem mannual therapy.

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Diagnostic Value on the Orthopaedic Tests for Sacroiliac Joint Dysfunction (천장관절 기능부전에 대한 검사방법들의 진단적 가치 : 정형도수치료적 평가를 중심으로)

  • Yoon, Hong-Il;Sim, Hyun-Po
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.1
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    • pp.64-76
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    • 2010
  • The sacroiliac joint is difficult to appropriately examine and treat because it is extremely complex and also is difficult to distinguish dysfunctions from those of the spine and hip which are highly intergrated functionally. In addition generally traditional x-rays and CT scans also are not beneficial in detecting sacroiliac joint dysfunction. The manipulative physiotherapist should seek to establish a series of relevant finding that build into a case implicating the sacroiliac joint. When deciding to use these diagnostic tests, the examiner must determine if the test will give reliable and useful information that will help in the diagnosis and subsequent treatment. To be useful diagnostic tests must give reliable data and be valid and the most useful methods of determining whether a test is a good test for pathology under consideration are sensitivity and specificity. In the ideal world, one would want a test that has both high sensitivity and high specificity. The purpose of this review is to ascertain diagnostic value on the tests for sacroiliac joint dysfunction by literature.

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