• Title/Summary/Keyword: rehabilitation techniques

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The Effect of Ankle stability exercise and Mobilization on Hip Muscle Strength and Gait in Patients with Acute Ankle Sprain (급성 발목 염좌에 대한 족관절의 관절가동술이 보행과 고관절 근력에 미치는 영향)

  • Jung, Sang-mo;Lee, Jae-nam;Jeon, Jae-hyung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.1
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    • pp.39-46
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    • 2018
  • Background: In most human lives, 80 percent have problems with the ankle and can be solved with a treatment that is objective in proper assessment. Discrepacts in the ankle are also associated with walking patterns and affect hip and knee joints. An evaluation of hip flexion and extensor muscles was performed to check the strength of hip joints after ankle sprain patients application of arthesis. Methods: In the hospital in Bucheon, 20 outpatients who visited the hospital for treatment with ankle sprain were tested with 10 male and 10 female patients. The criteria for selection of the study subjects were randomly divided into those with joint movement techniques applied to the ankle joints and those with conservative physical therapy. Results: In applying arthrography and preservation physical therapy to patients with ankle sprain, a difference in muscle strength between hip flexion and extensor was noted in post-evaluation comparisons. There were significant differences in the assessment of walking speed and walking time between the two counties in the gait analysis assessment (p<.05). Conclusion: Studies have shown that applying arthrography to people with ankle sprain has a greater therapeutic effect than using conservative physical therapy.

An analysis of determining factor for frozen shoulder patients diagnosis and treatment of physical therapists (동결견 환자에 대한 물리치료사의 진단 및 치료방법 결정기준)

  • Oh, Young-Taek;Kim, Ki-Won;Kwon, Hyuk-Cheol
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.777-784
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    • 1998
  • The purpose of this study was to determine the diagnosis and treatment patterns for frozen shoulder patients. It was used Delphi survey techniques and the subjects were 35 expect physical therapists who agreed participated in the study. The data were analyzed by the x2-test at 0.05 level of statistical significance. The results were as follows : 1. In accordance with open ended question, 11 diagnosis and 14 treatment are collected in the first investigation. 2. In accordance with close ended question, they were selected 5 diagnosis and 5 treatments criteria from the results of the first replied questionnaire. 3. Finally, the third close ended questionnaire, they were selected 3 main driteria of the diagnosis and treatments from the results of the second investigation. The physical therapists prefer to 1) History 2) ROM test 3) Palpation & Inspection in the diagnostic field, and 1) EST and Convex-Concave rule 2) Codman's exercise and MFR 3) Deep friction massage in the treatment field.

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Clinical Decision Making Development of Clinical Physical Therapists under the Fee for Service and the Prescription of Physician

  • Lee, In-Hee;Lee, Hye Young
    • The Journal of Korean Physical Therapy
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    • v.24 no.3
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    • pp.171-180
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    • 2012
  • Purpose: The purpose of this study was to investigate the clinical decision making (CDM) development process throughout the comparison between novice and expert physical therapist as well as develop a CDM model for physical therapists under the fee-for-service (FFS) and physicians' prescriptions. Methods: Purposive sampling techniques were used to select 10 clinical physical therapists paired into five groups (each pair consisted of 1 novice and 1 expert physical therapist). The coding schemes were extracted from interviews and through within- and across-case analyses, cases were summarized. The reliability of coding schemes was confirmed by checking of case summaries by the participants. Results: Novice and expert physical therapists were influenced by two themes, internalized theme and external forces or information. Novice clinicians depended more on external forces or information. Although clinicians should care patients under the FFS and physician's prescription, expert clinicians were more likely to rely on internalized knowledge. Conclusion: The findings of the present study may be used by educators or association officials enhance CDM abilities and knowledge pools of student or novices as well as develop a guide to suitable novices or students under the specific context limiting the development of their CDM.

A Survey of Korean Traditional Physical Therapy (한국의 전통적 물리치료법에 관한 조사)

  • Goo Kyung-Suk;Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.1-8
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    • 2004
  • The physical therapy that is in use nowadays, especially thermotherapy, aquatherapy and manual therapy, has been around since humans started to live on the earth. In primitive times, when men were injured while hunting, they washed the wound in clean water and dried it out in the sunshine. They also soaked their bodies in hot springs to decrease physical fatigue. This primitive Korean traditional physical therapy was in common use among people throughout the Koguryo, Koryo and Chosun dynasties. Historical records show that some kings in those days recommended to their men these methods to treat any chronic disease or illness. This was often thought of as a positive means of treatment. Korean traditional physical therapy has been developed, and the scientific effects of therapy have been proven. Korean traditional physical therapy is used extensively in hospitals and clinics to treat many kinds of diseases and illnesses. Unfortunately some methods that have not been medically substantiated as an effective treatment are being used by practitioners. In this situation there is an urgent need for scientifical research and data regarding any unproven physical therapy techniques.

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The Mobilization and Combined Exercises Application after Fibula Pilon Fracture Operation: Case Study (경골 Pilon 골절 후 가동술(mobilization)과 복합운동 적용사례 - 증례 보고 -)

  • Ahn, Ho-Jung;Jeon, Beam-Su;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.12 no.1
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    • pp.51-56
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    • 2006
  • Purpose: The purpose of this study was to evaluate the effects of mobilization application for the lower extremity after fibula Pilon fracture operation patient. Methods: The subjects was 62 years old male who was injury of Lt. fibula shaft Fx., 3 cuneiform & cuboid Fx., 2.3.4 metatarsal bone Fx., We were compared to result of physical therapy between pre and post exercise for 2weeks. Results: The results of this study were summarized below; The mobilization application of the Lt. lower extremity was significantly differences of the ROM at pre and post therapy after 2 weeks, especially in knee flexion ($40^{\circ}$). The increased of accessary movement was evaluated to increased of the physiologic movement about the joints of the lower extremity. Conclusion: We consider that factors of therapy result were not only fracture types, operation and reduction methods for the fibula Pilon fracture but also the ability of physical therapist's manual techniques.

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The Investigation of effect of Physical Therapy for Delayed Onset Muscle soreness according to difference of experimental designs (실험방법의 차이에 따른 지연 발생 근육통의 물리치료 효과에 대한 연구)

  • Chae Yun-Won;Nam Ki-Seok;Choi Jin-Ho;HwangBo Gak;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.37-44
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    • 1999
  • Delayed onset muscle soreness is a sensation of discomfort that occurs 24h after exercise, and it is associated with the performance of unfamiliar and high force muscle wor, such as eccentric contractions. The injury to the muscle has been well described but the mechanism underlying the injury is not fully understood. Although the pathophysiological processes underlying delayed onset muscle soreness are not completely understood, many researchers have investigated various treatments in a attempt to reduce the soreness. These treatments have focused on reducing the inflammation, or edema, consequent to tissue damage, and breaking up the cycle which is thought provoke tonic muscle spasm or pain. Physical therapy is the most importance thechniques to reduce delayed onset muscle soreness. Physical therapy on delayed onset muscle soreness includes massage, exercise, therapeutic ultrasound, TENS, stretching and cryotherapy, this investigation should encourage physical therapists to experiment further with various techniques to reduce delayed onset muscle soreness.

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Development of the Expert System for Management on Existing RC Bridge Decks (기존RC교량 바닥판의 유지관리를 위한 전문가 시스템 개발)

  • 손용우;강형구;이중빈
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2002.10a
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    • pp.227-236
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    • 2002
  • The purpose of this study makes a retrofit and rehabilitation practice trough the analysis and the improvement for the underlying problem of current retrofit and rehabilitation methods. Therefore, the deterioration process, the damage cause, the condition classification, the fatigue mechanism and the applied quantity of strengthening methods for RC deck slabs were analyzed. Artificial neural networks are efficient computing techniques that are widely used to solve complex problems in many fields. In this study, a back-propagation neural network model for estimating a management on existing reinforced concrete bridge decks from damage cause, damage type, and integrity assessment at the initial stage is need. The training and testing of the network were based on a database of 36. Four different network models were used to study the ability of the neural network to predict the desirable output of increasing degree of accuracy. The neural networks is trained by modifying the weights of the neurons in response to the errors between the actual output values and the target output value. Training was done iteratively until the average sum squared errors over all the training patterns were minimized. This generally occurred after about 5,000 cycles of training.

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Experience after bereavement in main family members making DNR decisions (심폐소생술 금지(Do-Not-Resuscitate) 주 결정 가족원의 사별 후경험)

  • Kim, Myung-Hee;Kang, Eun-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.2
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    • pp.118-128
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    • 2011
  • Purpose: The purpose of this study was to explore the experiences of bereavement for main family members who had made and followed DNR decision for their family members. Method: This qualitative study was based on a grounded theory, and used in-depth interview techniques with the bereaved 10 main family members who had been treated and died under DNR order. Results: The causal condition of the family member was 'Releasing', and the main consequent phenomenon were 'Blaming self and ruminating'. The contextual condition was 'The memory of the deceased'. The action/reaction strategy was 'Purifying'. The intervening condition was 'Supporting system', and the consequence was 'Acceptance'. The experience after bereavement of the family member on DNR decision were rational processes that purified themselves and healed the guilt feeling about the decision from reflective assessment and response about DNR decision. Based on this results, the substantive theory 'Reflective self healing' was derived. Conclusion: The main family members in following DNR decision are more likely to have unhealthy emotional condition than others in normal bereavement process. But they overcame the grief of bereavement through reflective self healing process.

High-pressure Air Impulse Technique for Rehabilitating Well and Its Application to a Riverbank Filtration Site in Korea

  • Jeon, Hang-Tak;Hamm, Se-Yeong;Cheong, Jae-Yeol;Han, Suk-Jong;Yun, Sul-Min
    • Journal of Environmental Science International
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    • v.28 no.10
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    • pp.887-898
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    • 2019
  • Rehabilitation work is required to increase well productivity, which decreases with the elapsed time of pumping owing to the clogging of the water well. Clogging causes not only a reduction in the well productivity but also a deterioration of the water quality. For unclogging and rehabilitating wells, several techniques are used such as brushing, air surging, surge blocks, and gas impulse. In this study, the high-pressure air impulse technique, which effectively and economically rehabilitates wells, was applied to a riverbank filtration site in Korea for the same objective. At most of the wells, the hydraulic parameters (transmissivity, storage coefficient, and specific capacity) were increased by the application of the high-pressure air impulse technique. The well loss change values also indicate an increase in the hydraulic parameters by the air impulse implementation. Thus, the high-pressure air impulse technique can be efficiently and economically applied to water and riverbank filtration wells for rehabilitating the decreased productivity.

The Effect of Manual Lymphatic Drainage on the Stress and Pain in Patient with Postoperative Breast Cancer

  • Ko, Mingyun
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.141-146
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    • 2021
  • Objective: This study was at investigated the effects of manual lymphatic drainage (MLD) on stress and pain in patients with postoperative breast cancer. Design: A randomized controlled trial. Methods: A total of twenty-two patients with postoperative breast cancer voluntarily participated in the study. Subjects were randomly assigned to the MLD groups (n=12) and rest groups (n=12). The intervention was conducted in each group for twenty minutes a day, five times a week, for four weeks. Before and after the intervention, the participants measured sympathetic nerve, parasympathetic nerve, and pain by using a sphygmograph and short-form McGill pain questionnaire.An independent t-test was used to analyze pretest and posttest changes between the groups, a paired t-test was used to analyze pre-posttests within each group. Results: After analyzing, the MLD group has been shown a significant decrease in the sympathetic nervous system (p<0.05), a significant increase in the parasympathetic nervous system (p<0.05), and a significant increase in pain (p<0.05). However, the rest group was no significant difference between pre and post. Conclusions: The results of this study confirmed that MLD techniques are an effective method in reducing stress and pain in patients with postoperativebreast cancer. And it is thought that can be used as basic data and to develop programs on stress and pain management reduction for patients with breast cancer.