• Title/Summary/Keyword: physical therapy environment

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Changes in Awareness of Major Employment Following Clinical Practice in Students of Physical Therapy

  • Kim, Myung-Hoon;Kim, Ga-Eun;Kim, Jun-Han;Park, Sung-Ho;Jo, Yong-Jun;Choi, Ji-Hye;Kim, Su-Hyun;Kim, Hyun-Jin
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.403-410
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    • 2014
  • Purpose: This study attempted to provide the basic data for the institutional improvement of the clinical practice of physical therapy department students. Methods: Research for this study included 390 participants used for the analysis of the present study. The statistical analysis was of the characteristics and satisfaction of the clinical practices of subjects, the reasons for major employment preferences before and after clinical practices, and the preferred institution and field of major employment before and after clinical practice. Results: The general characteristics of students of the physical therapy department include females in their third year of college at age 20~24 years-old. As well, no religion, usual satisfaction with major, and motivation of choosing a physical therapy employment rate were the most common. A residency type in the form where one would cook one's own food and a clinical practice with a general hospital grade were seen most often. Regarding preference of major employment before and after clinical practice, the preference of major employment was 88%, which increased by 5.2% after clinical practice from 82.8% before clinical practice. The preference for no major employment due to lack of interest and no aptitude increased 43.5% from 23.9% after clinical practice. Conclusion: The number of apprentices will increase despite practice institutions being limited; for practice of environment, content, etc., relatively changes are slow, and progress rapidly medical technology. It is a society in which expertise is required; in the present study, there is a value in providing the clinical data missing in physical therapy.

Comparison of Abdominal Muscle Thickness Between the Nonparetic and Paretic Side During Quiet Breathing in Patients With Chronic Stroke (만성 뇌졸중 환자에서 편안한 호흡 시 건측과 마비측으로 복근 두께 비교)

  • Lee, Young-Jung;Lee, Gyu-Wan;Yi, Chung-Hwi;Cynn, Heon-Seock
    • Physical Therapy Korea
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    • v.18 no.3
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    • pp.8-15
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    • 2011
  • Abdominal muscle plays a crucial role in postural control and respiration control. However, thickness of abdominal muscle in the paretic side of a hemiplegic patient has not been reported in previous studies. The purpose of this research was to compare lateral abdominal muscle thickness between the nonparetic and paretic side in patients with chronic stroke using rehabilitative ultrasound imaging. Twenty two patients with chronic stroke participated in this study. Absolute thickness of transversus abdominis (TrA), internal oblique (IO) and external oblique (EO) was measured at the end of inspiration and expiration during quiet breathing, and relative thickness was calculated (thickness of each muscle as a percentage of total muscle thickness). Ultrasound imaging was recorded three times and the average value was determined for statistical analysis. Differences in absolute and relative lateral abdominal muscle thickness between the nonparetic and paretic side were assessed with paired t-tests. Absolute muscle thickness of the paretic side TrA was thinner than that of the nonparetic side at the end of inspiration and expiration during quiet breathing. Relative muscle thickness of the paretic side TrA was thinner than the paretic side only at the end of expiration during quiet breathing (p>.05). Therefore, it is necessary to strength TrA in patients with chronic stroke during physical therapy intervention. Further study is needed whether physical therapy intervension will induce TrA thickness in patients with chronic stroke in prospective study design.

Meta-Analysis of the Effects of Various Physical Therapy Method about Shoulder Adhesive Capsulitis: The Cases of Domestic Research

  • Kim, Chan Myeong
    • The Journal of Korean Physical Therapy
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    • v.32 no.5
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    • pp.277-282
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    • 2020
  • Purpose: The main purposes of this study are to identify the degree of effect size and variables related to it, on the effect of physical therapy on shoulder adhesive capsulitis. Methods: This study were collected 8 studies published between 2010.01.01. and 2020.08.01. The Analysis result confirmed 16 effect size data, the random effect model was chosen because of the heterogeneity of the data. Results: First, full case showed the largest mean effect size 3.28 (p<0.001). Second, Size of the effect according to hands on+off intervention the 5.17 (p>0.344). Third, Number of participants showed 15 or more effect size 4.19 (p<0.002). intervention period showed 8 weeks effect size 5.12 (p>0.425). Number of intervention showed 14 or less effect size 3.99 (p>0.061). Publication type showed thesis effect size 4.34 (p<0.003). Finally, 'Trim and Fill' result confirmed that the calibration effect size is 1.71 (p<0.001). Conclusion: We were able to confirm that physical therapy had great effect on shoulders adhesive capsulitis, and that the effect differed according to the methods of intervention, the methods of evaluation.

Meta-Analysis on the Effect of Physical Therapy Methods on Myofascial Pain Syndrome: The Cases of Domestic Research

  • Kim, Chan Myeong;Lee, Jae-Kwang
    • The Journal of Korean Physical Therapy
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    • v.32 no.4
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    • pp.222-227
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    • 2020
  • Purpose: The primary purposes of this study were to identify the degree of the effect size and the variables related to it on the effects of physical therapy on myofascial pain syndrome. Methods: This study collected 15 studies published between 2008.01.01 and 2019.12.31. The Analysis results confirmed 57 effect size data. The random-effect model was chosen because of the heterogeneity of the data. Results: First, the full case showed the largest mean effect size of 2.03 (p<0.001). Second, the size of the effect, according to the handson intervention, was 2.74 (p<0.003). Third, the VAS showed an effect size of 2.30 (p<0.001). Fourth, the intervention period showed a 1- to 15-day effect size of 2.94 (p<0.001). The number of interventions showed a 6 to 10 effect size of 2.84 (p<0.006). The number of participants showed a 10 or less effect size of 2.66 (p<0.001). Finally, the 'Trim and Fill' result confirmed that the calibration effect size was 0.93 (p<0.001). Conclusion: Physical therapy had a great effect on myofascial pain syndrome in the neck and shoulders, and that the effect differed according to the methods of the intervention and the methods of evaluation.

Physical therapy and Occupational therapy on the hand infections (수부 감염에 대한 물리치료와 작업치료)

  • Jung, Seok;Kim, Jeong-Ja
    • Journal of Korean Physical Therapy Science
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    • v.6 no.1
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    • pp.861-877
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    • 1999
  • The hand is a very specialized organ that functions to obtain information and to execute motor acts essential to human interaction with the environment. Loss of hand function through infections affects the mechanical tasks that the hand performs and psychological adjustments to their disability. Infection is a disastrous complication of hand injuries and adequacy of circulation is of greatest importance to prevention of infection. Careful debridement, incision, and adequate drainage and antibacterial treatment are of great importance. Optimal care of the infected hand demands that carefully surgical care, early postoperative exercises and other therapy. Hand rehabilitation has grown as a specialty area of both physical and occupational therapy. It is essential that the surgeon and therapist work together, and communicate freely-all of which generally require daily contact. Treating the psychological loss suffered by the patient with a hand infections is an integral part of the rehabilitation therapy as well. Treatment techniques, Whether thermal modalities or specifically designed exercises, are used as a bridge to reach a further goal of returning to functional performance.

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Survey on The Current Status of Orthopedic Manual Physical Therapy in South Korea (한국의 정형도수물리치료 실태조사)

  • Hwang, Seong-soo;Kim, Myung-joon;Jeon, Beom-su
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.1
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    • pp.41-49
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    • 2021
  • Background: The purpose of this survey was to know the current states and future suggestions of orthopedic manual physical therapy (OMPT) system on Korea. Methods: Questionnaires were directly distributed to physical therapists who participated in the training and collected at the educational or clinical site. The questionnaire was sent and collected by E-mail. Data were classified into two groups, metropolitan and city, and clinical experience was grouped into four groups. Then, 337 subjects (male: 195, female: 142) were recruited from us. Results: The states of Korea, 72.1% of therapists have been executed orthopedic manual physical therapy, the fee of one treatment was 50,000 ~ 60,000 Korean won, the time of treatment was 21~30 minutes, the number of patients of one day was under 9. The suggestion of future orthopedic manual physical therapy of Korea, 83.4% of therapist were agreed with manual physical therapy system, the education center of certificate for manual therapist was manual therapy academic group, the career of clinical experiences was 3 years, the training hours was more 300 hours, academic degree was diploma. Conclusion: In the future orthopedic manual physical therapy proposal, the environment and education system differ from country to country, but Korean OMPT agreed to an accredited orthopedic manual physical therapy system and wanted systematic management.

Activation of Knee Muscles on Various Decline Boards and Postures During Single Leg Decline Squat Exercise (내림 경사대에서 한 다리 스쿼트 운동 시 경사면과 자세변화에 따른 무릎주변근의 근활성도)

  • Yoo, Won-Gyu;Yi, Chung-Hwi;Kwon, Oh-Yun;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.12 no.3
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    • pp.22-30
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    • 2005
  • This study was designed to identify the effect of various decline boards and postures of lower extremities on surface electromyographic (EMG) activity of knee muscles during isometric single-leg decline squat exercises. The subjects were twenty young male adults who had not experienced any knee injury and their Q-angles were within a normal range. They were asked to perform single-leg decline squat exercises in five various conditions. The EMG activities of the gluteus maximus (GM), vastus lateralis (VL), vastus medialis (VMO), tibialis anterior (TA), and gastrocnemius (GCM) muscles were recorded in five various single-leg decline squat exercises by surface electrodes and normalized by maximal voluntary isometric contraction (MVIC) values. The normalized EMG activity levels were compared using one-way ANOVA with repeated measures. The results of this study were as follows: 1) Exercises 2 and 4 produced significantly greater EMG activity of VMO than did exercise 1 ($p_{adj}$<.05/10), 2) The VMO/VL ratio of EMG activity of exercise 4 was the highest, producing a significantly greater ratio than exercise 1 ($p_{adj}$<.05/10). These results show that single-leg lateral oblique decline squat exercise is the best exercise for selective strengthening of VMO, and the posture of the contralateral leg does also affect strengthening of VMO, but we'll need to research patellofemoral joint compression for clinical application of single-leg lateral oblique decline squat exercises.

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The Effect of Manual Physical Therapy on Improvement in the Range of Motion of Frozen Shoulder Patients: A Meta-Analysis of Cases in South Korea

  • Kim, Chan Myeong;Lee, Jong Kyung;Hwang, Jong Ha;Lee, Jae Kwang
    • The Journal of Korean Physical Therapy
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    • v.33 no.5
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    • pp.211-216
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    • 2021
  • Purpose: The main purpose of this meta-analysis was to identify the degree of effect size and variables for the impact of manual physical therapy on the improvement in the range of motion of frozen shoulder patients. Methods: This study collected 8 studies published between 1st January 2010 and 31st December 2020. The analysis of the results verified 49 effect size data and the random effect model was chosen. Results: First, the full case showed the largest mean effect size of 2.485 (p<0.001). Second, the size of the effect based on manual therapy and modality therapy showed an effect size of 4.178 (p<0.001). Third, the outcome group included 6 variables. The external rotation (2.818) variable group showed the largest mean effect size, followed by internal rotation (2.748), flexion (2.643), abduction (2.356), and adduction (2.356). Six outcomes were significant and the mean effect sizes of all the varied groups were above large size. The number of participants showed a 20 or less effect size of 2.478 (p>0.737). The number of intervention periods showed 4 weeks 20 or more effect size of 2.782 (p>0.294). Finally, the 'Trim and Fill' result confirmed that the calibration effect size was 1.471 (p<0.001). Conclusion: This study verified that manual physical therapy had a substantial effect on the improvement of the range of motion of patients with frozen shoulders and that the effects were dependent on the methods of outcomes.

Mental Health of Physical Therapy Students in Clinical Practice during the COVID-19 Pandemic: A Cross-sectional Survey in Gwangju and Jeollanam-do, South Korea

  • Park, Se Ju;Yeo, Seong Geun;Kim, Byeong Geun
    • The Journal of Korean Physical Therapy
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    • v.33 no.3
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    • pp.131-135
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    • 2021
  • Purpose: The purpose of this study was to investigate the mental health of physical therapy students in clinical practice during the COVID-19 pandemic. Methods: A cross-sectional survey was conducted during the pandemic and was completed by 100 physical therapy students in two universities in Gwangju and Jeollanam-do, South Korea. The Generalized Anxiety Disorder-7 (GAD-7) scale and the Patient Health Questionnaire-9 (PHQ-9) were used to evaluate their anxiety and depression status. A Chi-square test was conducted to evaluate the association of participant characteristics with the risk of having anxiety and depression. Logistic regression models were used to identify the general characteristic factors related to anxiety or depression. Results: Anxiety was found in 28 (28%) of the participants, and depression in 24 (24%). The risk of anxiety and depression in male physical therapy students was 0.189 and 0.211 times lower, respectively, than those female students (p<0.05). The risk of anxiety and depression in physical therapy students with a history of disease was 11.721 and 7.056 times higher, respectively, than those with a history of disease (p<0.05). The risk of anxiety in physical therapy students in clinical practice was 11.721 times higher than that in students who were not in clinical practice (p<0.05). Conclusion: The COVID-19 pandemic has led to a high risk of anxiety and depression among many physical therapy students. More attention and improvements are needed so that physical therapy students can study in a safe environment.