• Title/Summary/Keyword: rehabilitation techniques

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대요근에 대한 근에너지기법을 이용한 자세이완기법 적용: 사례연구 (Positional Release Muscle Energy Technique Method for Psoas Major Muscle: Case Study)

  • 최성환;홍현표
    • 대한정형도수물리치료학회지
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    • 제23권1호
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    • pp.59-62
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    • 2017
  • Background: Positional release muscle energy technique (PRMET) is a method joined positional release technique and muscle energy technique. Methods: Subjects those who have low back pain from the acute to chronic phase, were applied PRMET method on psoas major muscle and measured the changes in pain and disfunction. Results: PRMET method is effective for reducing pain and disfunction on psoas major muscle. Conclusions: The advantages of PRMET method are minimized patient inconvenience, shortening of treatment time and effective for improvement. In the future research, methods need to be improved so that this can be applied to other muscles.

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Prediction of the mechanical properties of granites under tension using DM techniques

  • Martins, Francisco F.;Vasconcelos, Graca;Miranda, Tiago
    • Geomechanics and Engineering
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    • 제15권1호
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    • pp.631-643
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    • 2018
  • The estimation of the strength and other mechanical parameters characterizing the tensile behavior of granites can play an important role in civil engineering tasks such as design, construction, rehabilitation and repair of existing structures. The purpose of this paper is to apply data mining techniques, such as multiple regression (MR), artificial neural networks (ANN) and support vector machines (SVM) to estimate the mechanical properties of granites. In a first phase, the mechanical parameters defining the complete tensile behavior are estimated based on the tensile strength. In a second phase, the estimation of the mechanical properties is carried out from different combination of the physical properties (ultrasonic pulse velocity, porosity and density). It was observed that the estimation of the mechanical properties can be optimized by combining different physical properties. Besides, it was seen that artificial neural networks and support vector machines performed better than multiple regression model.

Comparison of the immediate effect of hamstring stretching techniques on hamstring muscle range of motion, pressure pain threshold and muscle tone

  • Yu, June-Su;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • 제8권4호
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    • pp.210-217
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    • 2019
  • Objective: This study was conducted to compare the immediate effect of hamstring stretching techniques of static stretching, proprioceptive neuromuscular facilitation (PNF) hold-relax and PNF irradiation on the hamstring muscle. Design: Three-group pretest-posttest design. Methods: Fifty-one subjects with shortened hamstrings were randomly assigned to the static stretching group (n=17), PNF hold-relax group (n=17), and the PNF irradiation group (n=17). All subjects performed an active knee extension (AKE) test to assess for the lower extremity with a shortened hamstring. The static stretching group performed stretches by lifting their leg to the maximum extent (3 times, 30 seconds). The PNF hold-relax group performed maximal isometric contraction against the experimenter's resistance (3 times, 10 seconds). The PNF irradiation group performed maximum isometric contraction against the experimenter's resistance toward the direction of the body (5 times, 5 seconds). The pre and post-tests measured range of motion (ROM), pressure pain thresholds (PPT) and muscle tone. Results: There were significant differences in ROM and PPT between pre and post intervention in each group (p<0.05). There was a significant difference only in the ROM among groups (p<0.05). Post-hoc analysis showed that the changes in ROM occurred in the order of the PNF hold-relax group, static stretching group and PNF irradiation group (p<0.05). Conclusions: The findings of this study suggest that the PNF irradiation technique may improve ROM and may be used to improve ROM similar to other stretching techniques. Therefore, the PNF irradiation technique could be included in stretching programs and can be used as a suitable stretching method depending on the situation.

편마비 환자의 상지 재활 기기 운용을 위한 관절 각 추정 기법에 관한 연구 II (Study on The Estimation Method of the Joint for the Operation of the Upper Limb Rehabilitation Equipment for Hemiplegic Patients II)

  • 송기선;엄수홍;이응혁
    • 재활복지공학회논문지
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    • 제8권4호
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    • pp.313-318
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    • 2014
  • 본 논문은 편마비환자들의 상지재활 기기 운용방법으로 건측에서 관성측정장치를 기반으로 한 관절각 추정 기법과 착용 과정에서 발생하는 측정축 뒤틀림을 보정하는 기법을 제안한다. 제안하는 기법을 검증하기 위해 실험자 왼팔의 상완과 전완에 관성측정장치를 부착하였으며, 임의의 자세를 촬영하여 검출한 실제 관절 각과 관절각 추정한 각과 비교하여 검증 하였다. 그리고 측정축 뒤틀림을 보정하는 기법을 적용 전/후를 비교하여 검증하였다. 실험 결과 측정축 뒤틀림 보정을 적용전은 관절각 일치율이 89.16%로 저조한 일치율을 보였으나, 측정축 뒤틀림을 보정한 후에 관절각 일치율은 93.28%의 일치율로 4.12% 개선되었음을 확인 하였다.

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환자와 로봇의 모델 불확도를 고려한 상지재활로봇의 채터링 없는 슬라이딩 모드 제어 (Chattering Free Sliding Mode Control of Upper-limb Rehabilitation Robot with Handling Subject and Model Uncertainties)

  • 압둘 마난 칸;윤덕원;한창수
    • 제어로봇시스템학회논문지
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    • 제21권5호
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    • pp.421-426
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    • 2015
  • Need to develop human body's posture supervised robots, gave the push to researchers to think over dexterous design of exoskeleton robots. It requires to develop quantitative techniques to assess human motor function and generate the command to assist in compliance with complex human motion. Upper limb rehabilitation robots, are one of those robots. These robots are used for the rehabilitation of patients having movement disorder due to spinal or brain injuries. One aspect that must be fulfilled by these robots, is to cope with uncertainties due to different patients, without significantly degrading the performance. In this paper, we propose chattering free sliding mode control technique for this purpose. This control technique is not only able to handle matched uncertainties due to different patients but also for unmatched as well. Using this technique, patients feel active assistance as they deviate from the desired trajectory. Proposed methodology is implemented on seven degrees of freedom (DOF) upper limb rehabilitation robot. In this robot, shoulder and elbow joints are powered by electric motors while rest of the joints are kept passive. Due to these active joints, robot is able to move in sagittal plane only while abduction and adduction motion in shoulder joint is kept passive. Exoskeleton performance is evaluated experimentally by a neurologically intact subjects while varying the mass properties. Results show effectiveness of proposed control methodology for the given scenario even having 20 % uncertain parameters in system modeling.

장애인 거주시설 생활재활교사의 자아탄력성과 직무스트레스가 직무만족에 미치는 영향 (The Effect of Ego-resilience and Job Stress of Disabled Residential Institutions Rehabilitation Teacher on Job Satisfaction)

  • 이병주;강희숙
    • 한국사이코드라마학회지
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    • 제21권2호
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    • pp.41-56
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    • 2018
  • 본 연구의 목적은 장애인거주시설 생활재활교사들의 자아탄력성과 직무스트레스가 직무만족에 미치는 영향을 조사하는데 있으며, 이를 위해 충남지역을 대상으로 193부의 설문지를 회수하여 최종분석에 사용하였다. 수집된 자료는 SPSS 23.0 통계프로그램을 이용하여 기술통계분석, 상관관계분석, 다중회귀분석 등의 통계기법을 이용하였으며, 그 연구결과는 다음과 같다. 첫째, 자아탄력성과 직무만족의 인식수준은 보통보다 높은 수준이었으며, 직무스트레스의 인식수준은 보통보다 낮은 수준이었다. 둘째, 대상자의 직무만족은 자아탄력성의 하위요인인 대인관계가 높을수록, 직무스트레스의 하위요인인 개인역할 및 일상업무, 시설 및 상사와의 관계, 클라이언트 관계 등의 스트레스가 낮을수록 높았다. 이러한 결론을 통해 생활재활교사의 직무만족을 높이기 위해서는 자아탄력성을 높이고 직무스트레스를 낮출 수 있는 대안이 필요하다. 생활재활교사는 대인관계에서 감정소진이 나타나기 때문에 동료상담, 교육, 프로그램 등의 지원이 필요하다.

추나체형진단기와 단순 방사선 검사로 측정된 신체 지표들간의 상관 분석 (Correlation Analysis of Body Parameters between Chuna Posture Analysis System and X-ray)

  • 김창곤;이진현;민선정;김병숙;송용선;이수경;고연석;이정한
    • 한방재활의학과학회지
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    • 제24권4호
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    • pp.177-185
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    • 2014
  • Objectives This study analyzed the correlation between body parameters measured using X-ray and Chuna posture analysis system to determine their clinical value in diagnosing and evaluating skeletomuscular diseases. Methods X-ray and Chuna posture analysis system were performed for 105 patients to measure physical characteristics such as Interacromial angle, Pelvic obliquity angle, Structural leg length discrepancy (SLLD), Midpatella-midtalus angle (MMA) and Q-angle, Anterior head translation (AHT), Anterior superior iliac spine to posterior superior iliac spine angle (ASIS-PSIS angle), Interscapular angle, Scoliotic angle and Cobb's angle. Statistical analysis using statistical analysis techniques and Pearson correlation coefficients was performed to assess the body parameters obtained by X-ray and Chuna posture analysis system. Results Significant correlations were observed between the values for Interacromial angle, Pelvic obliquity angle, SLLD, MMA and Q-angle, AHT, ASIS-PSIS angle, Interscapular angle, Scoliotic angle and Cobb's angle obtained by X-ray and Chuna posture analysis system. Significant correlations were also observed between right MMA and left Q-angle as well as between left MMA and right Q-angle. Conclusions Chuna posture analysis system can be used instead of X-ray measure body parameters and perform posture analysis in clinical practice. This study's findings are expected to serve as a basis for further research on the clinical application of Chuna posture analysis system.

고유수용성 신경근 촉진법이 편마비 환자의 보행에 미치는 영향 (Effects of Proprioceptive Neuromuscular Facilitation Techniques on the Gait for Hemiplegic Patients)

  • 최진호;정병옥;권영실;김진상
    • The Journal of Korean Physical Therapy
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    • 제11권1호
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    • pp.121-127
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    • 1999
  • The purpose of this study was to investigate the effects of pelvic and lower extremity exercise on the gait of 25 patients with hemiplegia. 11 men and 14 women were studied, with a mean age of 61.2 years and a means duration post-onset of 8.7 months. Each participant recieved a total of 15 sessions of PNF(five times per week), and each procedure lasting for 40 minutes with affected side pelvic anterior elevation and posterior depression pattern, lower extremity flexion adduction with knee flexion pattern had 20 minutes respectively. Results showed significant improvement in gait speed and cadence in after 1st, 2nd, 3rd week(5th, 10th, 15th session, respectively) compared with the before treatment(p<0.05). And improvement in gait speed and cadence accompanied with longer stride length.

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고유수용성 신경근 촉진법중 등장성수축 결합의 임상적용 (Clinical Application of Combination of Isotonic in Proprioceptive Neuromuscular Facilitation)

  • 배성수;황보각;김미현;김재헌;최재원
    • The Journal of Korean Physical Therapy
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    • 제16권3호
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    • pp.205-216
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    • 2004
  • The purpose of this study is to find application of combination of insotonic(CI) in clinical approach. This is a literature study with books and clinical experience. CI was developed after Margaret Knott that is very useful in clinically. CI has two lever system. It has class II lever system for eccentric contraction and class III lever system for concentric contraction. Therefore it make two different contraction that is not only magnitude of motion and speed increase of motion but also biomechanical advantage. Application of CI has much variety by patient position and treatment position. Especially, it is very effectable on mat activities and training for mid stance period. CI apply in supine position on treatment table, mat or high mat activities, bridging activities, all fourth activities and sit on chair activities. CI apply serially with different techniques. These are rhythmic initiation, dynamic reversal, approximation, rhythmic stabilization and replication.

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허약한 노인을 위한 고유수용성 신경근 촉진법과 타이치의 적용에 관한 고찰 (Review of the approach in the PNF and Tai Chi on frail elders)

  • 조정선;배성수;박래준
    • PNF and Movement
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    • 제5권1호
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    • pp.29-35
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    • 2007
  • Purpose : The purpose of this study was investigated to find the approach in the PNF and TC for frail elder Method : This is a literature study with books, articles, seminal note and books for PNF and TC international course. Result : Neural mechanisms contribute significantly to the gains that occur in the range of motion about a joint with stretching exercises. The participation in a stretch-training program decreases tonic reflex activity and increases flexibility and decreases in force production and muscle activation. Also the stretching-induced decreases may be due to a central nervous system inhibitory mechanism. PNF stretch techniques can increase ROM in older adults. These results may differ from those of studies performed with younger populations because of age-related physiologic changes. TC exercise improves balance control and muscle strength and were associated with reorganized lower extremity neuromuscular patterns. Conclusions : The stretch training program of the PNF and TC contribute to increase the balance and coordination for frail elder. Therefore, The frail elder prevent falling. Further study, The PNF and TC be introduced as the new therapeutic intervention for frail elder.

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