• Title/Summary/Keyword: rehabilitation techniques

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Treatment of Acute Achilles Tendon Rupture (급성 아킬레스건 파열의 치료)

  • Lee, Tae Hoon;Kim, Hak Jun;Jeon, Young Sik
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.3
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    • pp.77-80
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    • 2015
  • Acute Achilles tendon rupture is a frequent injury during sports and recreational activities. Treatments for Achilles tendon rupture have been controversial in recent decades. Traditionally the surgical treatment had benefit over nonsurgical treatment in terms of low rerupture rate and early functional restoration. Recently, nonsurgical treatment was found to show no statistically significant inferiority in re-rupture rate, functional outcome, and calf strength. Whereas, surgical treatment had some complications including adhesion, nerve injury, and infection. Nonsurgical treatment has been increasing due to functional rehabilitation with early weight bearing and restricted early motion. It focuses more attention on the course of caring for patients with deep discussion. There are open repair and minimally invasive repair in terms of surgical treatment. There are various techniques for minimally invasive repair of Achilles tendon, which has some advantages over the open repair. However, the optimal technique for minimally invasive repair has not been established. The number of suture strands is important regardless of suture technique.

Development of Restoration Measures of the Rockily Eroded Mountains in Seoul Metropolitan Area (수도권 지역내 암반황발산지의 안정녹화공법 개발에 관한 연구)

  • 우보명
    • Journal of the Korean Institute of Landscape Architecture
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    • v.15 no.1
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    • pp.9-16
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    • 1987
  • In Seoul metropolitan area, rockily denuded fores lands are widely distributed. Out of the rock-exposed hillslopes, Kwanak-Samsung mountains and Bookhan-Dobong mountains areas are the most severely eroded land at present To develope the rehabilitation measures for the rock-exposed hillslopes, it is essentially required that mechanisms of rock debris production and movement from the rock-exposed hillslopes should be studied. And also, suitable experiments for planting techniques should be practised at the field level. In this context, some experiments for the on-site fixation of the unstable stone-debris including plantation establishments on the rock-exposed hillslopes, have been carried out for 4 years from 1983 to 1986 at Kwanak mountain hillslopes. The results may be summarized as follows : 1) The soil environment-tolerable tree species for plantation extablishment on rock-exposed hillslopes include Buxus microphylla var. koreana, Forsythia koreana, Juniperus chinensis var. sargentii, Alnus hirsuta and Pinus rigida. These trees have, however, been showed fairly good growth performence at the places having more than about 30cm of soul layer depth above rock-bed. 2) In raising of seedlings to plant on the rock-exposed hillslopes, containerized seedling practices knave been appeared as the most adoptable measures. 3) In fixation of the unstable stole debris-and-sands on the on-site of rock. exposed hillslopes, the stone-lined barrier measures are more effective at comparatively large-sized places of rock-exposed hillslopes while the stone-bowed barrier measures are more effective at small-sifted isolated sold-debris places. The stone-buttressed terraces measures are more effective at the soil-composed hillslopes rather than rock-exposed hillslopes.

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THE MEASUREMENT OF ATTACHMENT (애착의 평가)

  • Lee, Kyung-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.28-39
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    • 2004
  • The author reviewed various psychological measures of attachment types and variation on developmental stage approaches. Also, the point of reliabilities and validities of the measures were reviewed. SSP and AQS introduced first in infancy. Cassidy-Marvin's attachment type system, Crittenden's PAA, Main & Cassidy's attachment system, Doll play techniques and Family drawing analyses of attachment types introduced secondly for preschooler. IPPA for parent and peer attachment introduced for Childhood/Adolescence. Finally, AAI and ASQ for romantic attachment explained for adulthood.

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Influence of Molarless Condition on the Hippocampal Formation in Mouse: a Histological Study (구치부 치관삭제가 생쥐 해마복합체에 미치는 영향에 관한 조직학적 연구)

  • Kim, Yong-Chul;Kang, Dong-Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.2
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    • pp.179-186
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    • 2007
  • The decrease of masticatory function caused by tooth loss leads to a decrease of cerebral blood flow volume resulting in impairment of cognitive function and learning memory disorder. However, the reduced mastication-mediated morphological alteration in the central nervous system (CNS) responsible for senile deficit of cognition, learning and memory has not been well documented. In this study, the effect of the loss of the molar teeth (molarless condition) on the hippocampal expression of glial fibrillary acidic protein (GFAP) protein was studied by immunohistochemical techniques. The results were as follows : 1. The molarless mice showed a lower density of pyramidal cells in the cornu ammonis 1 (CA1) and dentate gyrus (DG) region of the hippocampus than control mice. 2. Immunohistochemical analysis showed that the molarless condition enhanced the time-dependent increase in the cell density and hypertrophy of GFAP immunoreactivity in the CA1 region of the hippocampus. The molarless condition enhanced an time-dependent decrease in the number of neurons in the hippocampal formation and the time-dependent increase in the number and hypertrophy of GFAP-labeled cells in the same region. The data suggest a possible link between reduced mastication and histological changes in hippocampal formation that may be one risk factor for senile impairment of cognitive function and spatial learning memory.

A measurement method of muscle fiber conduction velocity for surface EMG signal of muscle diseased patient (근 질환자의 표면 근전도 신호에 대한 근섬유 전도속도 측정방법)

  • Lee, J.;Jung, J.K.;Shin, S.H.;Park, I.S.;Ko, H.Y.;Kim, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.35-38
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    • 1997
  • A new approach to the measurement of muscle fiber conduction velocity by surface electro-myography(EMG) is developed, based upon a robust time-delay estimation algorithm. Unlike previously reported methods, it does not require the Gaussian assumption of raw EMG signal, and can be applied accurately in non-gaussian impulsive EMG signal. For ive healthy subjects the conduction velocity in the biceps brachii and vastus medialis was measured and compared with various other techniques. As a result, the average muscle fiber conduction velocity was $4.59{\pm}0.20m/s$ in case of biceps brachii and $5.67{\pm}0.33m/s$ in vastus medialis.

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Diagnosis and Treatment of Connective Tissue Massage (결합조직마사지의 진단과 치료)

  • Bae Sung-soo;Choi Jae-won;Lee Keun-heui;Kim Jong-soon;Kim Soo-min;Kim Byung-jo;Hwang Bo-Gak;Ju Mu-yeol
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.224-233
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    • 2002
  • General massage and sports massage techniques are kneading, petrisage and tappotment. These will be improve physiological reaction. Connective tissue massage is a reflex zone massage in the subcutaneous tissues. These are superficial and deeper fascia, intermuscular septa, blood vessel, perinerve tissue. It is frame work on organs in human-being, Therefore, abnormality of there tissues are a pathologic change of the organs. The pathologic changes are fined with visible investigation, manual investigation and stroking investigation on the reflex zone. The stroking on the reflex zone is the treatment also. Stroking methods are depend upon tissues and area. Short strokings are directed at approximately right angles against bone, muscular or facial board. Long strokings are very often follow the original cleavage lines. The back is divided for treatment purposes into sections. There are basic section, thoracic section and cervical section.

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Immediate Effects of Stretching on Hamstring Stiffness (넙다리뒤근육에 대한 스트레칭이 근육의 뻣뻣함에 미치는 즉각적 효과)

  • Kim, Joong-Hwi;Kim, Tae-Ho
    • The Journal of Korean Physical Therapy
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    • v.22 no.1
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    • pp.1-7
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    • 2010
  • Purpose: Stretching exercises are commonly used in conjunction with sports and rehabilitation. Weassessed the immediate effects of stretching on passive stiffness of the hamstring muscles and knee range of motion (ROM) using three stretching techniques. Methods: A total of 45 participants were recruited. Isokinetic equipment was used to measure the passive stiffness of hamstring muscles and an inclinometer was used to measure active and passive ROM of the knee joint pre and post stretching. Stiffness was then calculated based on the incline of the torque-angle relationship. The test conditions for Group I were $3{\times}30$ seconds of static stretches using the hamstring muscle, Group II were $3{\times}30$ seconds of static stretches using the hamstring muscle with ankle dorsiflexion, and Group IIII had $3{\times}30$ seconds of active stretching. Results: Group II had significantly higher excursion of active ROM and Group IIIhad significantly higher excursion of passive muscle stiffness. All of the groups had significantly higher active and passive ROM and significantly lower muscle stiffness after stretching. The participants showed no change in hamstring muscle stiffness on the following day. Conclusion: Stretching has significant acute effects on ROM and muscle stiffness and canbe used in warm-up protocols for reducing muscle stiffness before a variety of exercise programs.

Reliability of the Modified - Modified $Sch{\ddot{o}}ber$ Methods for Measuring Lumbar Flexion and Extension ROM (요부굴곡과 신전관절범위측정을 위한 MMS방법 신뢰도)

  • Kim, Tae-Suk;Cho, Jung-Sun;Park, Young-Han
    • Journal of Korean Physical Therapy Science
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    • v.2 no.4
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    • pp.763-770
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    • 1995
  • The primary purpose of this study was to determine the reliability of lumbar flexion and extension range-of -motion measurements obtained with the modified -modified $Sch{\ddot{o}}ber$ methods on normal and subjects with low back pain. Sixty two, aged 20 to 30 years(x = 22.0, SD = 2.07), with normal and twenty two, aged 14 to 66 years(x = 35.6, SD = 15.88) with chronic low back pain were measured by two physical therapist with 3 to 10 years (x = 6.5) of clinical experience. The therapist used the modified-modified $Sch{\ddot{o}}ber$(MMS) techniques to measure, in random order and on two occasions, the subjects' lumbar flexion and extension. For therapist 1, Intraclass correlation coefficients(ICC) for test-retest reliability for normal varied .9923, .8802(flexion, extension). and low back pain pateint varied .9950, .9313(flexion, extension). For therapist 2. ICC. for test-retest reliability for normal varied .9903, .8921(flexion, extension). and low back pain pateint varied .9843, .9551(flexion, extension). Interrater reliability for normal varied .9477, .6960(flexion, extension) and low back pain pateint varied. 9776, .7576(flexion, extension). Thus the MMS. method appears to be a reliable method for normal and patient with low back pain.

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Applications of fiber optic sensors for structural health monitoring

  • Kesavan, K.;Ravisankar, K.;Parivallal, S.;Sreeshylam, P.
    • Smart Structures and Systems
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    • v.1 no.4
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    • pp.355-368
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    • 2005
  • Large and complex structures are being built now-a-days and, they are required to be functional even under extreme loading and environmental conditions. In order to meet the safety and maintenance demands, there is a need to build sensors integrated structural system, which can sense and provide necessary information about the structural response to complex loading and environment. Sophisticated tools have been developed for the design and construction of civil engineering structures. However, very little has been accomplished in the area of monitoring and rehabilitation. The employment of appropriate sensor is therefore crucial, and efforts must be directed towards non-destructive testing techniques that remain functional throughout the life of the structure. Fiber optic sensors are emerging as a superior non-destructive tool for evaluating the health of civil engineering structures. Flexibility, small in size and corrosion resistance of optical fibers allow them to be directly embedded in concrete structures. The inherent advantages of fiber optic sensors over conventional sensors include high resolution, ability to work in difficult environment, immunity from electromagnetic interference, large band width of signal, low noise and high sensitivity. This paper brings out the potential and current status of technology of fiber optic sensors for civil engineering applications. The importance of employing fiber optic sensors for health monitoring of civil engineering structures has been highlighted. Details of laboratory studies carried out on fiber optic strain sensors to assess their suitability for civil engineering applications are also covered.

Research Trends Using Manual Therapy in Obstetrics and Gynecological Diseases (한방부인과 영역에 활용되는 수기요법의 국내외 연구 동향)

  • Kim, Suna;Kim, Min-Kyung;Kim, Su-Jin;Kyung, Da-Hyun;Baek, Ji-Won;Kwon, Miri
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.4
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    • pp.127-142
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    • 2020
  • Objectives: The purpose of this study is to analyze the research trends using manual therapy in obstetrics and gynecological diseases. Methods: We searched for studies that performed manual therapy on diseases related to obstetrics and gynecology. All relevant papers were selected and extracted to be analyzed. Results: 12 Randomized controlled trials, 8 cases, 3 pilot studies, 3 non-comparative studies, and 1 before-after comparative study were collected. The study subjects, results, techniques of manual therapy used were analyzed. There were studies related to pregnancy-related symptoms, postpartum pain, dysmenorrhea, chronic pelvic pain, abnormal uterine bleeding, sexual dysfunction, and childbirth. Conclusions: It has been found that various manual therapies can be used for obstetrics and gynecological diseases.