• Title/Summary/Keyword: physical rehabilitation

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The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients (균형능력 운동치료 시스템을 이용한 치료가 급성기 뇌졸중 환자의 균형과 이동능력에 미치는 영향)

  • Lee, Nam-Hyun;Lee, Jin;Lee, Kang-Noh
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.11-19
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    • 2010
  • The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

The Motor-cognitive Training on Cognition and Physical Performance in the Older Adults with Mild Cognition Impairment : A Literature Review

  • Jung, Jihye;Kim, Yong-Seong;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.493-502
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    • 2021
  • Objective: Older adults with mild cognitive impairment (MCI) are more likely to progress to dementia. Motor-cognitive training is applied as a dual-task to improve the cognitive and physical functions of older adults with MCI. The purpose of the study was to know the recent trends in motor training types and outcome measures used for motor-cognitive training in older adults with MCI. Design: Aliterature review Methods: This literature review was conducted in Pubmed, MEDLINE® and Google Scholar with the following key words: older adults, mild cognitive impairment, motor-cognitive training, cognition, and dual-task. The 7 studies were found with the search tool and all studies were randomized controlled trials. Results: In motor-cognitive training in older adults with MCI, 6 studies applied aerobic exercise. And 3 out of 6 studies also applied strengthening exercises. One study applied dual tasks without aerobic exercise. In the 6 studies, overall cognitive and executive function were used as outcome measures, and physical function was evaluated as gait performance. Memory and physical frailty were also used as measurement tools. As a result of all studies, when motor-cognitive training was applied, cognition and physical performance showed significant results. Conclusions: A recent five-year study applied mainly aerobic exercise and strength training to older adults with MCI and found it to improve cognitive and physical performance.

A Feasibility Study on a Robotic Exercise System for MDOF Physical Rehabilitation Therapy

  • Sim, Hyung Joon;Won, Joo Yeon;Han, Chang Soo
    • Journal of Mechanical Science and Technology
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    • v.18 no.11
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    • pp.1949-1960
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    • 2004
  • This paper presents a robot system developed for medical purpose. A 6-degree-of-freedom robot was introduced for physical exercise and rehabilitation. This system was proposed for stroke patients or patients who cannot use one of their arms or legs. The robot system exercises the hemiplegic part based on the motion of normal part of a patient. Kinematic studies on the human body and robot were applied to develop the robotic rehabilitation exercise system. A clamp which acts as an end effector of the robot to hold a patient was designed and applied to the robot to guarantee the safety of patients. The proposed robotic rehabilitation system was verified by simulations and experiments on arm (elbow and shoulder) motion. Patients are expected to be able to exercise various motions by themselves with the proposed robotic rehabilitation system.

Rehabilization after ACL Reconstruction (전방십자인대 재건술후 재활치료)

  • Shin, Dong-Min
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.86-90
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    • 1997
  • Good stability and complete range of motion should be the ultimate goal of a rehabilitation program after ACL reconstruction. In previous years. the rehabilitation of the ACL reconstructed knee focused on protecting the new ligament by blocking terminal knee extension, hut, despite good stability, this approach led to numerous postoperative complications. Nowadays, most of surgeons agree the accelerated rehabilitation program based on the concept of ligamentization and clinical experience. Accelerated rehabilitation program consists of maintain of full extension of the knee, early weight bearing and prompt recovery of ROM, and closed kinetic chain exercise. Meeting this goal requires effective communication between-members of the health care team-the physician, physical therapist, atheletic trainer, and the patient. We have to know the importance of rehabilitation, knowlege about the physical therapy, and to introduce for special physical therapist and equipment.

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Mirror Neuron System and Stroke Rehabilitation (미러뉴런시스템과 뇌졸중 재활)

  • Kim, Sik-Hyun
    • PNF and Movement
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    • v.7 no.4
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    • pp.45-53
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    • 2009
  • Purpose : The purpose of this article was to review the literature on mirror neuron system with reference to its functional diversity in stroke rehabilitation.. Method : This review outlines scientific findings regarding different neurophysiological properties in mirror neurons, and discusses their involvement in process of stroke rehabilitation. Result & Conclusions : Mirror neurons were first discovered in macaque monkey. These neurons, like most neurons in F5 areas in premotor cortex, fired when an individual performs an action, as well as when he/she observes a similar action done by another individual, although originally fired only during action execution. Mirror neurons form a network for motor planning and initiating of motor action. Thus, in stroke rehabilitation based on the mirror neuron-action observation, motor imagery, observation with intent to imitate and imitation-may help activate mirror neuron system for improved outcome of physical therapy. These studies provide a scientific theoretical basis and discuss for the use of mirror neuron system as a complement to clinical physical therapy in stroke rehabilitation.

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Correlations between SPPB, FRT, and TUG in Hospitalized Frail People - The Timed Up and Go test, the Functional Reaching Test, and the Short physical performance battery - (노인요양병원 입원환자의 TUG, FRT와 SPPB와의 상관관계 연구)

  • Park, Rae-Joon;Son, Ho-Hee;Cho, Jeung-Sun;Oh, Hyen-Ju;Lee, Hyeon-Hee;Lee, Moon-Hwan;Kim, Seong-Gil
    • The Journal of Korean Physical Therapy
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    • v.23 no.2
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    • pp.17-21
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    • 2011
  • Purpose: The purpose of this study was to determine the correlations, if any, between SPPB (Short physical performance battery), FRT (Functional reach test), and TUG (Timed up and go test) in hospitalized frail people. Methods: Seventy frail elderly patients (male/female: 16/54) participated in this study. All subjects could walk with or without an assisting device and they had no mental problems. Subjects were scored on physical functioning using the SPPB, FRT, and TUG. The data were analyzed using Pearson Correlation Coefficients. Results: There was a statistically significant difference between (a) SPPB and (b) FRT (p<0.01) and TUG (p<0.01). SPPB and FRT scores showed a positive correlation (r = 0.38) and SPPB and TUG scores showed a negative correlation (r = -0.56). Conclusion: SPPB, FRT, TUG scores are correlated with each other. From these results, we conclude that the SPPB is a useful method for predicting walking, balance, and physical function in frail elderly people.

Physical Therapy Approaches for Respiratory Diseases (호흡계 질환의 물리치료적 접근방법)

  • Kim, Ki-Song
    • Journal of Korean Physical Therapy Science
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    • v.16 no.3
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    • pp.67-74
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    • 2009
  • Background: Various functional factors should be incorporated during assessment and intervention for patient rehabilitation. Stable respiratory function is one of required factors for functional restoration. To maximize respiratory physical therapy intervention outcome, it is required to understand clinical features of respiratory diseases and physical therapy approaches. Methods: Previous studies were systematically reviewed through computerized search. Methodological qualities of selected studies were evaluated and the levels of recommendations were determined. Results: Assessment for respiratory pattern and thoracic mobility is of importance to improve cardiopulmonary fitness during physical reconditioning. Application of optimal therapeutic protocol can increase thoracic mobility and respiratory function. Interdisciplinary communication is critical during rehabilitation for respiratory patients. Health care provider should have professional knowledge and experience for cardiopulmonary fitness and obligation to endeavor for patients' respiratory rehabilitation. It is necessary to standardize therapeutic intervention, and rehabilitative respiratory exercise should be applied to confirm the effects of intervention. Conclusion: Respiratory diseases that may reduce patients' quality of life and cardiopulmonary fitness should be resolved through physical therapy approaches. Through conducting research, effect of evidence-based and patients' function-oriented intervention can be determined.

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Korean Physical Therapists Manpower Estimation up to the Year 2030 (21세기 우리나라 적정 물리치료사 인력 수급계획에 관한 연구)

  • Kwon, Hyuk-Cheol;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.5 no.1
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    • pp.1-16
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    • 1998
  • This study analysed national data of manpower supply for physical therapists in Korea. Based on the comparative analysis results of the future demand and supply, as of May 1998, it is estimated that there was already an oversupply of physical therapists in Korea. This oversupply is expected to continue even though there would be an increase in hospital beds, rehabilitation facilities for the elderly, and nursing homes. Thus it would be desirable to cut down the number of students admitted to physical therapy schools each year. Our estimation shows that the Ministry of Health and Welfare must take measures to reduce the supply of physical therapist as soon as possible.

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Biomechanics and Neurophysiology of Polyometrics (플라이오메트릭스의 생역학과 신경생리)

  • Bae Sung-Soo;Lee Han-Suk;Kim Kyoung;Kim Soo-Min;Choi Jae-Won
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.219-228
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    • 2000
  • Successful return to work or athletic sports after rehabilitation of an orthopeadic condition and sports injury of the lower extremities requires that the therapist understand the mechanical requirements of high level Physical activity. High level Physical activity need resistance exercise Program in the treatment approaching methods. One of them, the plyometrics training is the best way that will be magnifing the musculotendon unit. So it is important understanding of biomechanics and neurophysiology of plyometrics.

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