• Journal of Periodontal and Implant Science
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• v.36 no.1
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• pp.69-84
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• 2006

Reports on the comparison of clinical effect between non-surgical and surgical therapy, and the change of the clinical parameters during maintenance phase have been rarely presented in Korea. This study was to observe the clinical changes during maintenance phase of 6 months in patients with chronic periodontitis treated by non-surgical or surgical therapy in Department of Periodontics, Chonnam National University Hospital. Among the systemically healthy and non-smoking patients with moderate to severe chronic periodontitis, twenty eight patients (mean age: 47.5 years) treated by non-surgical therapy (scaling and root planning) and nineteen patients (mean age: 47.3 years) treated by surgical therapy (flap surgery) were included in this study. The periodontal supportive therapy including recall check and oral hygiene reinforcement was started as maintenance phase since 1 month of healing after treatment. Probing depth, gingival recession. clinical attachment level and tooth mobility were recorded at initial, baseline and 1, 2, 3 and 6 month of maintenance phase. The clinical parameters were compared between the non-surgical and surgical therapies using Student t-test and repeated measure ANOVA by initial probing depth and surfaces. Surgical therapy resulted in greater change in clinical parameters than non-surgical therapy. During the maintenance phase of 6 months, the clinical effects after treatment had been changed in different pattern according to initial probing depth and tooth surface. During maintenance phase, probing depth increased more and gingival recession increased less after surgical therapy, compared to non-surgical therapy. The sites of initial probing depth less than 3 mm lost more clinical attachment level, and the sites of initial probing depth more than 7 mm gained clinical attachment level during maintenance phase after non-surgical therapy, compared to surgical therapy. Non-surgical therapy resulted in greater reduction of tooth mobility than surgical therapy during maintenance phase. These results indicate that the clinical effects of non-surgical or surgical therapy may be different and may change during the maintenance phase.

• PNF and Movement
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• v.10 no.2
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• pp.33-39
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• 2012

Purpose : The purpose of this case report was to examine the effects of intergrative intervention approach on a patient with lumbar herniated nucleus pulposus (HNP). Methods : The subject was a 53 years old woman with lumbar HNP. The subject received conventional physical therapy combined with exercise therapy and manual therapy. Pain on visual analog scale (VAS), finger to floor (FTF), lumbar lateral flexion, L5 motor, and straight Leg-Raising (SLR) were evaluated at baseline and after 4 weeks. Results : The change of VAS, FTF, left lateral flexion, and right lateral flexion were decreased (9 vs. 5, 41 vs, 25, 56 vs. 42, 54 vs. 41, respectively) and the change of L5 motor and SLR were increased (Fair vs. Fair+, 60 vs. 75, respectively). Conclusion : Our findings suggest that Integrative intervention may be considered in patient with lumbar HNP.

• Journal of International Academy of Physical Therapy Research
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• v.1 no.1
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• pp.45-51
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• 2010

2 week study was conducted to investigate the effects of Interferential Current(IC) and Kaltenborn-Evjenth Orthopedic Manual Therapy(KEOMT) on functional constipation. Interventions were applied to spinal segments between $T_9-L_2$ which provides innervations to the gastrointestinal tract. Subjects(n=24) were randomly allocated to two treatment groups: the IC group or the KEOMT group. Results for the IC therapy demonstrated significant decrease with the colonic transit time(CTT) as well as scores on the constipation assessment scale(CAS). The frequency of defecations per week had increased significantly(p<0.05). The KEOMT displayed decreased CTT in the left colon region. The scores on the CAS were reduced and frequency of defecations per week had increased significantly (p<0.05). This study not only showed that both modes of therapy improved symptoms of constipation, but also optimized gastrointesti. nal content movement, eventuating in a more normalized CTT. In conclusion, both the IC therapy and the Kaltenborn-Evjenth Orthopedic Manual Therapy have shown to be effective interventions for improving functional constipation.

• The Journal of Korean Physical Therapy
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• v.22 no.5
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• pp.17-23
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• 2010

Purpose: The purpose of this study was to compare the effects, in elderly women, of (a) physical therapy with (b) individual and group lumbar muscle exercise Methods: Forty-two elderly women took part in this study. Their average age was 52.59 years. All subjects participated in the study for 8 weeks, doing exercises 3 days per week. All participants were assessed on the Oswestry disability index (ODI), Gaitview. The data were analyzed using paired t-tests. Results: Foot pressure and ODI scores showed statistically significant pre- to post-exercise differences for both groups. We also found significant differences between group therapy and individual therapy. There were changes in mean ODI scores, but these were not significant. Conclusion: Eight weeks participation in an was found to be effective in improving the health of older women. Individual therapy with a physical therapist is more effective than group therapy in creating harmonious movement of the lower extremity and lumbar stability. The results of our study suggests the benefit of an exercise program with a physical therapist.

• Korean Journal of Acupuncture
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• v.28 no.3
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• pp.201-220
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• 2011

Objectives : This study is designed to improve the practical possibility using Blood-Letting therapy through reviewing the literature recorded in the Donguibogam. Methods : Records on Blood-Letting therapy have been extracted from Donguibogam. First all articles containing the key words 'Hyul (血)' and 'Rak (絡)' have been extracted. Of them, records associated with Blood-Letting therapy had been sited and classified in terms of searching patterns for the Blood-Letting area, instruments for Blooding-Letting, cautions and side effects for the practice, applicable symptoms, acupoints/extraordinary acupoints, and Blood-Letting areas. Results : The regions capable of Blood-Letting are generally engaged with abnormal skin color such as black, bluish red, dark purple, dark blue, etc, and localized collection of fibrous exudate. There are several instruments used for Blood-Letting therapy; Samreongchim (三陵鍼), Chogyong (草莖), Pichim (鈹鍼), Lodaeguan (蘆管尖), Sachim (砂鍼), Saechim (細鍼), Gichim (?鍼), Eunjam (銀簪), nail, etc. Several cautions and side effects of the Blood-Letting therapy are presented. The Blood-Letting therapy could be applied to broad spectrum of symptoms. Body parts being applied were not only several acupoints but also effective points of the body. Conclusions : This study shows that Donguibogam represents Blood-Letting therapy in clear fashion so as to enhance the convenience and its practicality.

• The Journal of Korean Academic Society of Nursing Education
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• v.10 no.2
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• pp.297-307
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• 2004

This study aims to identify the types and type-specific characteristics of subjectivity on complementary alternative therapy of nursing students using Q-methodology and to provide them as basic materials for nursing education. Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty C college nursing students' classified 35 selected Q-statements into 9 points standard, according to the level of agreement or disagreement by forced normal distribution. The collected data was analyzed by using a QUNAL PC program. Resultingly, the attitude of nursing students regarding complementary alternative therapy was divided into three types. Type 1 is positive recognition. The students who think the therapy contributes to maintaining and improving health, and is a way to protect human body and improve welfare by enhancing immunity. Type 2 is objective acceptance. The students who think the complementary alternative therapy is effective when it is properly used for specific constitutions in discussion with medical teams after its effects are scientifically reviewed. Type 3 is popularity consideration. The students who put focus on its popular use and regard the therapy as very useful for not only patients but also ordinary healthy people because it is based on the natural and human approach. In conclusion, proposed are studies on influence factor of nursing students' awareness about the complementary alternative therapy and reviews on the effects of the complementary alternative therapy that is applied as nursing intervention.

• Physical Therapy Korea
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• v.14 no.4
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• pp.14-20
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• 2007

To improve abdominal muscles strengthening, double straight leg lowering (DSLL) has been widely used in physical therapy, fitness program, and athletic program. The purpose of this study was to investigate the effects of the lumbar stabilization maneuver with a pressure biofeedback unit on the muscle activity of rectus abdominis (RA), external oblique (EO), and internal oblique (IO) during DSLL. Fourteen healthy young men were recruited from university population. The electromyography (EMG) activity was recorded from the RA, EO, and IO of both sides. The normalized EMG activity was compared using a paired t-test. The study showed that EMG activity in the RA, EO, and IO was significantly higher during DSLL with lumbar stabilization (DSLL-LS) compared to performed DSLL (p<.05). These results suggest that DSLL-LS is recommended as an effective method for strengthening exercise for the abdominal muscles.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.18 no.2
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• pp.87-93
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• 2012

Background: Headaches arising from cervical musculoskeletal disorders are common. Conservative therapies are recommended as the choice of first treatment. Evidence to the effects of manual therapy is inconclusive and available only during the short term. There is no evidence to exercise, and no study has investigated the effect of combined therapies for cervicogenic headache. Methods: In this study, 30 participants who met the diagnostic criteria for cervicogenic headache were randomized into two groups: experimental group and control group. The experimental group was performed myofascial release (MFR), Mulligan technique and self stretching exercises. The control group was performed electrical therapy and self stretching exercises. Assessments were performed to 30 participants before and after 4 weeks therapy. The components of assessments were headache intensity(HI), headcahe duration (HD), neck pain (NP) and neck disability index (NDI). Results: After 4 weeks therapy, HI, HD, neck pain and NDI were significantly reduced in both groups (p<.01). The HI, HD, neck pain and NDI were significantly reduced in experimental group more than in the control group (p<.01). Conclusions: Manual therapy could reduce the symptoms of cervicogenic headache.

• Journal of International Academy of Physical Therapy Research
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• v.6 no.1
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• pp.802-808
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• 2015

The purpose of the present study is to apply Maitland orthopedic manual physical therapy to patients to examine the effects of the therapy on the digestive system through serum gastrin tests that can identify the motility of the digestive system and dyspepsia symptoms and can provide basic data for internal medicinal physical therapy. Maitland orthopedic manual physical therapy was implemented on 20 subjects in total, with 10 in a dyspepsia group and 10 in a control group, for 20 minutes per day, three days per week for three weeks, and the following results were obtained. In the control group, serum gastrin values significantly decreased between before and after treatment(p<.01), and among questionnaire items regarding dyspepsia, those regarding epigastric pain and belching showed significant decreases in these symptoms(p<.05). In the dyspepsia group, serum gastrin values significantly decreased between before and after treatment(p<.01) and all questions regarding dyspepsia showed significant decreases in all symptoms(p<.01). According to the analysis, the dyspepsia group decreased significantly more than the control group in serum gastrin values and all dyspepsia symptoms, except for belching(p<.001). Through the present study, it was identified that Maitland orthopedic manual physical therapy can improve dyspepsia symptoms and is an effective treatment method for internal diseases, such as dyspepsia, by improving gastric motility to become close to the normal state.

• Journal of Magnetics
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• v.20 no.2
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• pp.133-137
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• 2015

This study was conducted to determine the effects of repetitive transcranial magnetic stimulation (rTMS) integrated mirror therapy on the gait of post-stroke patients. Thirty patients who were six months post-stroke were assigned to either the experimental group (n = 15) or the control group (n = 15). Stroke patients in the experimental group underwent rTMS and mirror therapy for the lower limbs, while those in the control group underwent rTMS and sham therapy. Participants in both groups received therapy five days per week for four weeks. A significant difference in post-training gains for the single support phase, step length, stride length and velocity was observed between the experimental group and the control group (p < 0.05). The experimental group showed a significant increment in the single support phase, step length, stride length, swing phase, velocity, cadence, double support phase and step width as compared to pre-intervention (p < 0.05). The control group showed a significant increment in step length, velocity, cadence and step width compared to preintervention (p < 0.05). Further investigation of the availability and feasibility of rTMS integrated mirror therapy for post-stroke patients as a therapeutic approach for gait rehabilitation is warranted.