• 제목/요약/키워드: rehabilitation techniques

검색결과 361건 처리시간 0.027초

고유수용성 신경근 촉진기술에 따른 대퇴사두근의 활동전위 (The Effects of Proprioceptive Neuromuscular Facilitation Techniques on the Quadriceps Femoris by Electromyographic Analysis)

  • 신은성;최소영
    • 한국전문물리치료학회지
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    • 제4권2호
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    • pp.66-76
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    • 1997
  • The purpose of this study was to compare the integrated electromyographic activity ratios of vastus lateralis(VL); rectus femoris lateral portion (RFL); rectus femoris medial portion(RFM); and vastus medialis(VM) muscles of 30 healthy subjects under three proprioceptive neuromuscular facilitation(PNF) techniques. Each subject was randomly assigned to one of 3 PNF techniques groups : slow reversal(SR), slow reversal hold(SRH) and rhythmic stabilization (RS). Each person was positioned in supine with the right hip flexed to $45^{\circ}$ and the knee fully extended and received a total of 6 sessions. Each technique was applied to the right lower extremity in two diagonal patterns while electrical activity was monitored from the ipsilateral muscles VL, RFL, RFM, and VM, respectively. Comparison of normalized mean EMG magnitudes from VL, VM showed that RS demonstrated significantly greater activity than that of SR or SRH and that RFL and RFM did not demonstrate any greater relative EMG activity with the three PNF techniques than did VL or VM.

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신경가동기법, 정적신장기법, 유지-이완기법이 뇌졸중 환자의 슬괵근 유연성에 미치는 효과 비교 (Comparison of Nerve Mobilization, Static Stretching, and Hold-Relax on Hamstring Flexibility in Stroke Patients)

  • 성재현;최종덕
    • 한국전문물리치료학회지
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    • 제17권2호
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    • pp.67-74
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    • 2010
  • The purpose of this study was to examine the acute effects of nerve mobilization, static stretching, and hold-relax on the flexibility of hamstring muscles and their surface electromyographic (EMG) responses to passive stretches in poststroke hemiparesis. This study was a randomized cross-over trial. Fourteen subjects received three treatment sessions in random order with each consisting of ten repetitions. The treatment sessions included nerve mobilization, static stretching, and hold-relax. The treatment sessions were held at least 24 hours apart to minimize any carryover effect. The outcome was measured by the distance between the greater trochanter and lateral malleolus and hamstring EMG activity during passive knee extension stretching. Repeated-measures analysis of variance showed significant changes in hamstring flexibility and EMG activity in main effect of time pre, post and followup (p<.05). However, no significant differences occurred among the three stretching techniques. No technique was consistently found to be superior. The three stretching techniques in this study make it difficult to determine the most effective technique. Therefore, clinicians use nerve mobilization of effective stretching techniques with other stretching techniques.

포착신경병증의 약침치료에 대한 국내 임상 연구 동향: 주제범위 문헌고찰 (Domestic Clinical Research Trends of Pharmacopuncture Treatment for Nerve Entrapment Syndroeme: A Scoping Review)

  • 이원형;우현준;한윤희;최승관;조정호;전병현;하원배;이정한
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.31-44
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    • 2023
  • Objectives The purpose of this study is to check the research trends of pharmacopuncture treatment in nerve entrapment syndrome, identify specific techniques, identify which pharmacopuncture are used, and provide directions for future research. Methods This study was conducted based on the five steps suggested by Arksey and O'Malley. We searched five domestic databases (Research Information Sharing Service, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Science ON, and KMBASE) and identified studies with key search terms like "nerve entrapment" And "pharmacopuncture" until June 23, 2023. Results Twenty-nine studies were finally selected. among them, 25 papers were non-comparative studies (86.2%). The most common disease was carpal tube syndrome (n=10). All the investigated studies were treated by injecting pharmacopuncture into the pathway of the entraped nerve. The depth of pharmacopuncture injection was mentioned only in 13 studies. As for the pharmacopuncture used, sweet bee venom was 8 studies and bee venom was 6 studies, and about half of the pharmacopuncture manufactured with Bee venom as the main component accounted for. Conclusions This study is a scoping review of the pharmacopuncture treatment for nerve entrapment, which was first conducted in Korea. The treatment is mainly performed on the path way of the entraped nerve. After that, it is necessary to study the standardization of the specific technique method of pharmacopuncture and the uniformity of evaluation criteria.

슬관절과 견관절의 초기재활과정에서 관절운동범위와 스트레칭, 그리고 유산소성 운동 프로그램 (Range of Motion, Stretching, and Aerobic Exercise in Accelerated Rehabilitation of Knee and Shoulder)

  • 김용권;진영수
    • 대한정형외과스포츠의학회지
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    • 제2권1호
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    • pp.56-61
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    • 2003
  • 본연구는슬관절과견관절의초기재활과정에서관절운동범위와스트레칭, 그리고유산소성운동프로그램에대한논문이다. 만약관절이손상후장기간동안고정된다면관절이굳어지고 근육은위축이 될것이다. 그러므로본 프로그램은다양한운동기술을포함하고있다. 즉관절의경직을예방하기위한운동범위확보와근육의이완을위한스트레칭, 심폐기능의감소를예방하기위한심혈관훈련(수영, 상체자전거, 고정식자전거)을포함하고있다. 초기재활과정에서는임상운동전문가와환자사이의상호관계를형성하는것이매우중요하다. 또한임상운동전문가는환자의통증과운동적응도, 체력수준, 프로그램의진행등에관해스포츠의학전문의와상의하는것이권장된다.

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남녀 척수장애인의 성적관심, 성적적응과 관련요인 비교 연구 (A Comparison of the Sexual Concerns of Men and Women with Spinal Cord Injuries)

  • 강현숙;서연옥
    • 재활간호학회지
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    • 제4권2호
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    • pp.198-206
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    • 2001
  • The purpose of this study is to compare sexual concerns and adjustment between men and women with spinal cord injuries. A total of 108 persons (67 men and 41 women), registered to the Spinal Cord Injury Organization or admitted at rehabilitation unit from February 1999 to February 2000, were selected as subjects of the study. Participants answered the questionnaires concerning importance of life events, sexual concern, sexual adjustment, relationship with a sex partner, and depression. The results are as follows : 1) There were no significant differences between men and women in the general characteristics except sexual dysfunction. 2) With respect to eleven different life areas, sex life ranked the fifth among men, whereas it occupied the lowest position for women among the 11 areas. However economic status was the most highly-ranked for both sex. 3) Men took much interest in the "methods and techniques for achieving sexual satisfaction", "Helping a partner cope emotionally with limitations on sexual activity", whereas women were interested in "Helping a partner cope emotionally with limitations on sexual activity" and "Ability to have children". 4) The means of sexual adjustment, relationship with a sex partner, and depression among men were higher than women. But there was no significant difference between two groups. As a result, the study suggests that there are no significant differences in the general characteristics between men and women with spinal cord injuries except sexual dysfunction. Men evaluated the sexual events highly compared to women, and differences were also shown in terms of sexual concerns between men and women. Therefore differential approaches to sexual rehabilitation are required; in both socio-psychological and physical aspects for men and particularly in socio-psychological respect for women.

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척수장애인의 성적관심과 성적적응에 관한 연구 (Sexual Interest and Adjustment for Spinal Cord Injury Patients)

  • 강현숙;고정은;서연옥;이은희
    • 재활간호학회지
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    • 제2권1호
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    • pp.85-94
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    • 1999
  • The purposes of this study were to identify sexual interest and adjustment in patients with spinal cord injury and to determine the factors that relate to sexual adjustment. A total of 134 persons in this study was the members of spinal cord injury organization and the impatients in rehabilitation unit between February and June 1999. Five questionnaires were answered concerning importance of life events, sexual concern, sexual adjustment, relationship with a sex partner, and depression. The collected data were analyzed by Frequency, t-test, ANOVA and pearson correlation. The results were as follows : 1) Considering the importance among 11 areas of life, economic status occupied the top, sex life held the sixth rank, and the mean rating for social life being 3.78 was the lowest of all. 2) As regard to 7 topics related to sexuality, the most attention was drawn to methods and techniques achieving sexual satisfaction, and the next interest was for helping partners cope emotionally with sexual dysfunction. 3) The mean for sexual adjustment and depression was average, and the mean for sex partner relationship was high. 4) Sexual adjustment in spinal cord injury patients correlated with economic status and sex partner relationship. While It was inversely correlated with age and depression. It was found that lower age and less depression play a positive role on sexual adjustment by SCI people. Also, higher economic status and favorable sex partner relationship increase sexual adjustment. In conclusion, a sex partner relationship, depression, economic status, and age seemed to influence on their sexual adjustment after SCI. Also, psychosocial factors would be more important for satisfying sexual life and relation ship rather than physical factors.

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신뢰성 분석을 통한 기존 댐 재개발의 적정규모 결정의 관한 연구 (Optimum Size Analysis for Dam Rehabilitation Using Reliability Analysis)

  • 권현한;문영일;최병규;윤용남
    • 한국수자원학회논문집
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    • 제38권2호
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    • pp.97-110
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    • 2005
  • 본 연구에서는 기존댐 재개발에 따른 댐 재개발 최적 규모 선택을 위한 방법론을 제시하고자 한다. 최적규모의 분석을 위한 과정은 다음과 같다. 강우량은 비동질성 Markov 모형으로 모의 발생하여 비교적 실제 구조에 가깝도록 설계된 토양함수 모형(Sacramento Soil Moisture Accounting Model, SAC-SMA)과 HEC-1의 Kinematic wave 하도추적 모형을 결합하여 만든 미 기상국의 NWS-PC 모형을 이용하여 유입량으로 변환하였다. 유입량은 저수지 모의운영을 통하여 저수지의규모를 결정하였다. 괴산댐을 대상으로 Hashimoto등 (1982)이 제시한 신뢰성 기준을 바탕으로 재개발 적정규모에 대한 신뢰성 분석을 실시하였으며 대략 155EL.M가 최적 수위로 판단되었으며 댐규모를 판단하기 위한 보조수단으로 이용이 가능하리라 사료된다.

두부 전방 정도와 경추 추간판 탈출증 발생 부위의 상관성 분석 (Correlation between the Head Forward Posture and the Site of Herniation of Single Level Cervical Intervertebral Disc)

  • 김신웅;김세준;손슬기;동상옥;이재철;신동재
    • 척추신경추나의학회지
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    • 제8권2호
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    • pp.31-38
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    • 2013
  • Objectives : The present study examines the domestic trend of Chuna treatments on lumbar spinal disorder in Korea. Methods : We investigated the studies on Chuna treatments for lumbar spinal disorder via searching 10 Korean web databases. As a result, 63 research papers were found to be analyzed according to their published year, the titles of journals, the types of study, the techniques of Chuna, the instruments for assessment, the Chuna technique and the number of the treatment trials by the cases of lumbar spinal disorder and ethical approvals. Results : The number of the research papers published tends to increase every year. The studies on Chuna treatments were mainly published in The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. The most frequently adopted technique of Chuna in the examined studies was Cox flexion & distraction technique. Visual analogue scale(VAS), oswestry disability questionnaire(ODI) were used as primary means of assessments. The ethical problems of the examined studies needed to be improved. Conclusion : Reviewing the domestic trend of studies on Chuna treatments for lumbar spinal disorder and examining the strong and weak points of those treatments are essential for the future studies. It is anticipated that this review benefits the future in-depth study on the treatments for Chuna in Korean medicine.

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고유수용성 신경근 촉진법이 편마비 환자의 균형능력에 미치는 영향 (The Effect of Proprioceptive Neuromuscular Facilitation on Balance Ability in Patients with Hemiparetic)

  • 이문규;이종식;정우식;국은주;임재헌;김태윤
    • PNF and Movement
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    • 제7권1호
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    • pp.9-16
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    • 2009
  • Purpose : The aim of this study was to determine the effect of proprioceptive neuromuscular facilitation(PNF) on balance ability in poststroke hemiparetic subjects. Methods : The subjects of this study were 12 patients with hemiplegia who volunteered to participate in the experiment which was carried out over the course of 4 weeks. The Proprioceptive Neuromuscular Facilitation is applied to group with three positions (sidelying, half-standing, modified plantigrade). The tests between before and after the intervention were measured by FSST (Four Square Step Test), FICSIT-4 (Frailty and Injuries: Cooperative Studies of Intervention Techniques), BBS(Berg Balance Scale). The data were analyzed using paired t-test and Wilcoxon signed rank test to determine the statistical significance. Results : The results of this study were summarized as follows: 1. After intervention, the score of BBS and FICSIT-4 significantly were increased compared with before intervention. 2. After intervention, the time of FSST were reduced significantly compared with before intervention. Conclusions : According to above results, Proprioceptive Neuromuscular Facilitation improved with balance ability of patients with hemiplegia. This study provided basic data for effects Proprioceptive Neuromuscular Facilitation on balance ability. In conclusion, Proprioceptive Neuromuscular Facilitation with other interventions is effective way to improve balance ability of patients with hemiplegia.

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인간친화형 인터페이스를 위한 사용자 얼굴에서의 효과적인 의도 파악 (An Effective Intention Reading from User Face for Human-Friendly Interface)

  • 김대진;송원경;김종성;변증남
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2000년도 추계종합학술대회 논문집(3)
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    • pp.25-28
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    • 2000
  • In this paper, an effective intention reading scheme is proposed for human-friendly interface. Soft computing techniques such as fuzzy logic and artificial neural networks are used for this. And Gabor filter based feature(GG feature) is also proposed to deal with local activity in the human face. It is based on human visual system and Gabor filter based approach is very popular in these days. The proposed scheme is adopted for human-friendly interface for rehabilitation service robotic system KARES II.

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