• Title/Summary/Keyword: rehabilitation techniques

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Comparison of the effects of transcutaneous electrical nerve stimulation, low level laser, and placebo treatment on temporomandibular joint disorders: a single-blind randomized controlled trial

  • Kim, Hyunjoong
    • Physical Therapy Rehabilitation Science
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    • 제9권4호
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    • pp.244-251
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    • 2020
  • Objective: Physical therapy techniques are required for patients with temporomandibular joint disorder (TMD), but the effects of treatment have not been compared. Therefore, effects of transcutaneous electrical nerve stimulation (TENS) and low level laser (LLL), which are most commonly used interventions, were compared. Design: Randomized controlled trial. Methods: Thirty-six participants with pain in the temporomandibular joint were enrolled, and 12 participants were randomly assigned to either the TENS group, LLL group, or placebo group. Each intervention was performed for a total of 6 sessions for 2 weeks. For the evaluation of the participants, the mouth opening (MO), pressure pain threshold (PPT), and stress were measured at three time periods: baseline, post-test, and follow-up at 2 weeks. Results: Significant interaction between groups according to each evaluation point was found only in PPT-masseter (p<0.05). The evaluation time point at which a significant difference appeared was at the post-test and follow-up at 2 weeks time periods. As a result of the post-test, the LLL group showed a significant improvement compared to the TENS group (p<0.05), and at 2 weeks follow-up, the TENS group showed a significant improvement compared to the placebo group (p<0.05). Conclusions: In this study, an experiment was conducted to compare the treatment effects when TENS, LLL, and placebo were given to patients with TMD. In addition, by quantitatively presenting the effect size of each treatment, this study suggests clinical use of TENS and LLL treatment for TMD.

Effect of Taping Technique Applied to Adults with Knee Instability on Landing Error Scoring System, Lower Extremity Joint Angle

  • Son, Jin-Kyu;Park, Sam-Ho;Lee, Myung-Mo
    • Physical Therapy Rehabilitation Science
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    • 제10권4호
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    • pp.406-413
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    • 2021
  • Objective: The purpose of this study was to investigate effects of taping technique applied to knee instability. Design: Cross sectional study. Methods: Twenty-six participants with knee instabilityparticipated in this study. They were randomly assigned to the Kinesio taping (KT) group (n=13) and the dynamic taping (DT) group (n=13). Both groups applied knee stabilization taping techniques. In order to compare the effects of each taping technique, the change in the landing error scoring system (LESS) and lower extremity joint angle wasrecorded before and after the intervention. Results: Both groups significantly decreased in the change before and after the LESS (p<0.05). At the joint angle of the lower extremities, KT group significantly reduced the valgus angle at the max knee flexion (p<0.05). In DT group knee joint flexion and hip joint flexion angles were significantly increased at foot contact (p<0.05). In max knee flexion, the knee joint flexion angle was significantly increased (p<0.05). In foot contact, max knee flexion, the knee joint valgus angle was significantly increased (p<0.05). DT group showed more significant changes in knee joint flexion angle at foot contact and hip joint flexion angle at max knee flexion. Conclusions: Dynamic taping is a clinically applicable intervention method for lowering the risk of non-contact injury in participants with knee instability and for knee stability during rehabilitation exercises.

뇌졸중환자를 대상으로 한 PNF 적용 치료사들의 중재 내용 분석 (An Analysis of Intervention Contents in PNF Therapists for the Patient with Stroke)

  • 조혁신;정왕모;강태우
    • PNF and Movement
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    • 제10권3호
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    • pp.33-38
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    • 2012
  • Purpose : The purpose of this study was to record, analyze and describe in detail, content of PNF intervention for recovery of function after stroke using SPIRIT intervention recording tools. Methods : A convenience sample of 21 physical therapist from a rehabilitation hospital recorded the intervention for 69 patients with stroke who treated during 30 minutes. The content of the treatment sessions was recorded using the Stroke Physiotherapy Intervention Recording Tool(SPIRIT). Descriptive statistics assessed for describe the intervention. Results : A convenience sample of 21 physical therapist from a rehabilitation recorded the interventions for 64 patients with stroke who treated during 30 minutes. The content of the treatment sessions was recorded using the Stroke Physiotherapy Intervention Recording Tool(SPIRIT). Descriptive statistics assessed for describe the interventions accurately and investigate the difference according to time since stroke. Conclusion : Facilitation techniques were the most frequently used intervention(n=1226,35.6%), practice(n=967, 28.0%) and exercise(n-670, 19.4%) in clinical practice of physical therapist. In contrast, Teaching careers and health care professionals to do or assist category is not frequently used intervention(n=5, 0.1%). Therefore, We need to be careful again with category of teaching careers and health care professionals.

척추 수술 실패 증후군에 대한 수기요법의 효과: 체계적 문헌 고찰 (Manual Therapy for Failed Back Surgery Syndrome: A Systematic Review)

  • 윤홍렬;정지홍;김순중
    • 척추신경추나의학회지
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    • 제17권2호
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    • pp.1-15
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    • 2022
  • Objectives This study aimed to assess the efficacy and safety of manual therapy in patients with failed back surgery syndrome (FBSS). Methods We searched eight electronic databases from October 2022 and only selected randomized controlled trials (RCTs) reporting outcomes for manual therapy in FBSS patients. Included studies were analyzed qualitatively. Results A total of twelve RCTs were included and three studies were meta-analyzed. Manual therapy combined with exercise demonstrated more favorable outcomes in terms of pain reduction compared to exercise therapy only (P<0.01). Some studies reported that manual therapy resulted in low efficacy, while some studies reported that specific manual techniques have a significant effect in pain relief. We, therefore, conclude that several studies have a high risk of bias. Conclusions Findings suggest that manual therapy is a safe and non-invasive, promising option for managing FBSS. However, manual therapy is not the best option in all circumstances; thus, this should be selectively applied by a well-trained practitioner. Further studies such as well-designed, risk-controlled RCTs are required to gain stronger evidence.

이명과 청각민감증을 동반한 편측 고음 급추형 감각신경성 난청의 청각 재활 (Clinical Report of Aural Rehabilitation in Unilateral Sharply Slop Sensorineural Hearing Loss with Tinnitus and Increased Sound Sensitivity)

  • 허승덕;강명구;고도흥;정동근
    • 음성과학
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    • 제11권3호
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    • pp.175-180
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    • 2004
  • In case of the hearing impairment with tinnitus and increased sound sensitivity, it is known that the patients tend to appeal the psychologically oriented social handicap rather than communication disability. The audiologist who is responsible for such patients in aural rehabilitation should pay special attention to the counseling techniques including tinnitus retain therapy (TRT), ear protector, noise generator, or specific acoustic training based on close cooperation and rapport. And then the audiologist should try to lessen their reaction to the tinnitus by using a hearing aid. This therapies tries to focus not a. total approach but a treatment to lessen the severity of tinnitus. This paper as a case report that a unilateral sharply slopped sensorineural hearing impaired person with tinnitus and increased sound sensitivity by using four channel digital signal processing (DSP) hearing aid with programming increment at low level (PILL).

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기능적 전기자극에 대한 고찰 (The Review of Functional Electrical Stimulation)

  • 박규현;김선규;정현애;박래준
    • The Journal of Korean Physical Therapy
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    • 제13권2호
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    • pp.399-405
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    • 2001
  • Attainment of the goals of functional electrical stimulation(FES) applications such as strengthening of muscle, increasing muscular endurance, improvement in joint range of motion or the reduction of spasticity does not insure that patients will be able to produce voluntary muscle contraction sufficient to maintain posture or produce purposeful movements. In many patients who have sustained CNS damage, the control exerted by higher nervous system center over muscle contraction may impaired. In Searched patients, a variety of advanced therapeutic exercise techniques have been employed traditionally to facilitate the return of controlled functional muscular activity or maintain postural alignment until recovery from dysfunction occurs Among the most common clinical applications of FES for functional muscle contraction is as a substitute for static or dynamic orthotic devices

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Economic and Fast-track Rehabilitation of Concrete Pavements and Bridge Decks

  • Ramseyer, Chris;Chancellor, Brent;Kang, Thomas H.K.
    • International Journal of Concrete Structures and Materials
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    • 제2권2호
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    • pp.107-113
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    • 2008
  • The last 10 years have seen considerable growth in the use of proprietary and special repair cements for concrete pavements in the state of Oklahoma. Many of these products lend themselves to "fast track" construction techniques that allow reopening to traffic within 12 hours or less. These products achieve high early strengths by accelerating the Portland cement hydration process for both Type I and Type III cements. In this paper, the important features of a durable repair which include strength, compatibility and bond or adhesion are first discussed. Then the development, testing and field implementation of the aforementioned materials are discussed including the learning curve required to implement a repair system, not just install a new material. Some of the materials discussed, while expensive on a cost per unit basis, hold great promise for economical use on fast track project.

Effect of Surface Condition and Corrosion-Induced Defect on Guided Wave Propagation in Reinforced Concrete

  • 나원배
    • 한국해양공학회지
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    • 제20권6호
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    • pp.1-6
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    • 2006
  • Corrosion of reinforcing steel bars is a major concern for ocean engineers when reinforced concrete structures are exposed to marine environments. Evaluating the degree of corrosion and corrosion-induced defects is extremely necessary to pursue a proper retrofit or rehabilitation plan for reinforced concrete structures. A promising inspection should be carried out for the evaluation, otherwise the retrofit or rehabilitation process would be useless. Nowadays, ultrasonic guided wave-based inspection techniques become quite promising for the inspection, mainly because of their long-range propagation capability and their sensitivity to different types of defects or conditions. Evaluating haw the guided waves response to the different types of defects or conditions is quite challenging and important. This study shows how surface conditions of reinforcing bars and a corrosion-induced defect, separation, affect guided wave propagation in reinforced concrete. Experiments and associated signal analysis show the sensitivity of guided waves to the surface conditions, as well as the amounts of separation at the interface between. concrete and steel bar.

공간 변화 영상을 이용한 재활로봇의 비쥬얼 서보잉 시스템에 관한 연구 (Visual Servoing System Based on Space Variant Imaging for Rehabilitation Robots)

  • 송원경;이희영;변증남
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 1999년도 하계종합학술대회 논문집
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    • pp.763-768
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    • 1999
  • The space variant imaging system which mimics the human beings visual system has some merits such as wide field-of-view, the low computational cost and the high accuracy in matching of correspondence points of stereo images. In this presentation, a visual servoing system based on the space variant imaging technique is proposed for the control of the rehabilitation robot arm. The position information of an object obtained by space variant imaging techniques is used for the visual servoing. According to the empirical data, the degree of correlation extracted by the space variant imaging technique is more accurate than that of the space invariant imaging technique.

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기질적 섭식장애 (Pediatric Dysphagia)

  • 김민영
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제12권sup1호
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    • pp.77-84
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    • 2009
  • Pediatric dysphagia comes from disturbances in swallowing process, which has 'preparatory phase', 'oral phase', 'pharyngeal phase', and 'esophageal phase', and mainly the causes are neuro-muscular discoor-dination. It is necessary to recognize clinical manifestation if they have accompanied organic disorder and diagnose accurately. Videofluoroscopic study evaluation is a valuable method to find out abnormal swallowing mechanism at each phases. Treatment should be diagnosis specific, and multidisciplinary team approach is desirable. We can use various behavioral techniques to facilitate normal swallowing mechanism including conditioning of oral and pharyngeal structures, bolus manipulation, postural compensation, and adaptive feeding utensils. Important point is that the diagnosis and treatment for pediatric dysphagia should not be delayed because children are under development.