• Title/Summary/Keyword: visual disability

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A Rasch Analysis of the Korean Version of Oswestry Disability Questionnaire According to General Characteristics of Patients With Low Back Pain (요통환자의 일반적 특성에 따른 한국어판 오스웨스트리 장애 설문지의 라쉬분석)

  • Kim, Gyoung-Mo;Park, So-Yeon;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.35-42
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    • 2011
  • Three hundred and fourteen low back pain patients completed the Korean version of the Oswestry Disability Questionnaire (KODQ) and the Rasch analysis was then applied to identify the inappropriate items and to determine ODQ item difficulties according to a subject's characteristics. For women and youths, the 'sex life' item showed misfit statistics, whereas for older subjects it was the 'pain intensity' and 'standing' items. Also, in the acute low back group the 'pain intensity', 'standing' and 'sex life' items showed misfit statistics. For all subjects, the most difficult item was 'pain intensity', whereas the easiest item was 'walking'. But for the older and acute groups 'lifting' was the most difficult item and for those who have a visual analogue scale score of 3 or less 'sitting' was the most difficult item. These results show that differential item functioning is present in several items according to sex, age, acute and chronic pain, and VAS score. This study may be useful for adjusting the KODQ item difficulties for low back pain patients with different characteristics.

Effect of treatment with S.O.T block on musculoskeletal pain caused by Traffic Accident (교통사고 환자를 대상으로 한 S.O.T block의 치료 효과)

  • Liu, Chi-Cheng;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.20 no.1
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    • pp.127-135
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    • 2011
  • Objectives : The purpose of this study was to investigate the effect of treatment with Sacro-Occipital Technique block on musculoskeletal pain caused by traffic accident by analysis of the Visual Analogue Scale(VAS), Neck Disability Index(NDI), Pain Disability Index(PDI), Oswestry Low back Pain Disability Index(ODI) and Short Form - McGill Pain Qusetionnaire (SF-MPQ). Methods : This study carried out on 18 patients who have received hospital treatment in Daejeon Univ. Dun-San Oriental Hospital. Control group got acupunture-therapy, herbal medication, physical therapy and Experimental group got all the therapies and treatment with Sacro-Occipital Technique block. We measured VAS, NDI, PDI, ODI and SF-MPQ on 1st day and 7 days later. Results : After being treated by our methods, Both group were improved in VAS, NDI, PDI, ODI, and SF-MPQ. Especially, Experimental group was significantly meaningful improved in VAS, PDI, and ODI. Control group was significantly meaningful improved in VAS and SF-MPQ. But, differences between control and experimental group were nonsignificant. Conclusions : The results suggest that treatment with Sacro-Occipital Technique block is not significantly meaningful but gives a positive impact on musculoskeletal pain caused by traffic accident. But further long term study in a large scale is needed.

The Smovey Exercise is the Effect of Range of Motion, Pain, Function, Muscle Strength of the Shoulder with Women Breast Cancer (Smovey 운동이 유방암 절제술을 한 여성의 견관절 관절가동범 위, 통증, 기능수준, 근력에 미치는 영향)

  • Lee, Min-ji;Jeong, Seong-gwan;Kim, Yong-jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.1
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    • pp.47-55
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    • 2018
  • Background: The Purpose of this study was investigate the Smovey exercise is the effect of range of motion, pain, function, muscle strength of th shoulder with women breast cancer. Methods: This study was carried out with a total 24 breast cancer survivors. By drawing lots women a breast cancer Smovey exercise group (BS, n=11), a breast cancer general therapy group (BG, n=10). Outcomes such as the range of motion(ROM), visual analogue scale(VAS), the shoulder pain and disability index (SI), the muscle strength (MS) were measured pre- and post-intervention for both groups. Results: A significant increase was found ROM, Pain, functional disability level and MS within the two groups (p<.05). There were ROM, pain, functional disability level and MS post test then invention were significant between the two groups (p<.05). Conclusions: Applying Smovey exercise treatment to breast cancer patients proved to have a positive effect.

Oswestry Disability Analysis of Fuzzy Control Multi-cup Electric Cupping System

  • Kim, Jong-Chan;Ko, Jae-Sub;Wei, Tung-Shuen;Kim, Chee-Yong;Choi, Heung-Kook
    • Journal of Korea Multimedia Society
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    • v.18 no.2
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    • pp.207-217
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    • 2015
  • A multi-cup electric cupping system (MECS) was proposed, based on the ancient cupping method. MECS consisted of several cups that could be used simultaneously to treat 85 lumbago patients. Each cup was equipped with its own pump and pressure-monitoring system. The vacuum pressure of the cups was controlled using fuzzy logic. Through automated control of the vacuum pressure, long-term relief of muscle tightness was achieved. To develop a scientific foundation for this alternative treatment, we compared the Oswestry Disability Index (ODI) scores from conventional basic cupping to the ODI scores for our proposed MECS. The ODI scores using MECS decreased from $11.71{\pm}1.61$ before treatment to $4.81{\pm}1.48$ and $1.87{\pm}1.61$ after three and five treatments, respectively. The improvement rate in the ODI scores using MECS after three treatments was higher than that achieved by basic cupping. These results, combined with the convenience offered by enhanced information technology and fuzzy logic capabilities, should increase the efficiency of this device, and facilitate the opportunity to further explore the potential of Oriental medical practices.

The Effects of Passive Coping Strategies in Pain and Function After Whiplash Injury (편타 손상 후 소극적 대처 전략이 통증 및 기능에 미치는 영향)

  • Cho, Hyun-Pyo;Kim, Young-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.1
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    • pp.45-52
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    • 2015
  • PURPOSE: The purpose of this study was to observe the effect of pain and function according to the high and low manual passive coping strategies after whiplash injury. METHODS: The study was tested with 30 patients with neck pain. Coping was measured at after 10 days using the Pain Management Inventory. Group was divided into high passive(experimental) and low passive(control) group. All patients were equally treated with the ordinary therapy. Patients attended physical therapy for 3 times a week, for 6 weeks. Visual analogue scale (VAS) for pain, Pain Disability Index (PDI), neck disability index (NDI), were recorded both before and after the intervention. RESULTS: Each coping strategy group were evaluated after 6 weeks. VAS has been significantly reduced in both groups (p <.05). PDI and NDI was significantly decreased after the experiment before. In the experimental group (p <.001), the control group showed no significant difference. In the comparison between groups VAS was significantly reduced compared with the control group (p <.05), PDI and NDI was significantly reduced compared with the control group (p <.001). CONCLUSION: Low passive coping strategy predicts neck pain and disability recovery. It may be beneficial to assess and improve coping strategy early in whiplash injury.

Effect of a Five-week Scapular Correction Exercise in Patients with Chronic Mechanical Neck Pain

  • Lee, Kang-Seong
    • The Journal of Korean Physical Therapy
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    • v.32 no.2
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    • pp.126-131
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    • 2020
  • Purpose: The purpose of this study was to compare the change in pain, Neck Disability Index score, and the craniovertebral angle by performing scapular correction exercise or general neck exercise for five weeks in participants with mechanical neck pain. Methods: A total of 31 participants were randomly assigned between the scapular correction exercise and the general neck exercise groups, and all participants performed intervention for 40 minutes each, three times a week for five weeks The effects were evaluated by measuring the Visual Analog Scale score, the Neck Disability Index score, and the craniovertebral angle, before and after the intervention. Independent t-tests were used to compare differences between two groups, and to compare differences between pre- and post-intervention, paired t-tests were used. Results: As measured before and after the intervention, the scapular correction exercise group showed significant improvement in all variables (p<0.05), while the general neck exercise group improved only in the neck disability index score. The differences between the two groups revealed further improvement in the scapular correction exercise group compared to the general neck exercise group (p<0.05). Conclusion: We found that five weeks of the scapular correction exercise to modify the position and movements of the scapula is clinically an important treatment tool for recovery from chronic mechanical neck pain symptoms and restoration of proper neck function.

The Effects of Manual Drainage Lymph (MLD) on the Volume of the Upper Extremities of Women with Breast Cancer (림프마사지(MLD)가 유방암 절제술을 한 여성의 상지 부피에 미치는 영향)

  • Lee, Min-ji;Kwon, O-kook;Yang, Young-sik;Kim, Youn-jin;Lee, Ho-jun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.1
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    • pp.53-61
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    • 2019
  • Background: This study aimed to investigate the effects of manual lymph drainage (MLD) on women with breast cancer and lymph edema. Methods: This study was carried out with a total of 23 women with breast cancer and lymph edema. By drawing lots, women were assigned to either the manual drainage group (MLD, n=12), a control group (n=11). Outcomes such as the arm size, visual analogue scale, shoulder pain and disability index, and functional assessment cancer therapy-breast (FACT-B) were measured to 0 week, 2 weeks, 4 weeks, and 8 weeks intervention for both groups. Results: A significant difference was found in the arm size, pain, functional disability level, and quality of life between the two groups and time(p<.01). Significant difference in functional disability level between 2 and 8 weeks at 4 weeks and 8 weeks for pain(p<.01), and the quality for life was significantly different at all time points (p<.01). Conclusions: Applying MLD treatment to women with breast cancer proved to have a positive effect.

Effect of Kinesio Taping and Proprioception Training on Pain, Neck Disability, Craniovertebral Angle, and Muscle Activity in Forward Head Posture

  • Yoo, Hyo Jin;Choi, Jung Hyun
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.4
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    • pp.1619-1625
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    • 2018
  • To examine the changes in pain, the severity of the neck disorder, craniovertebral angle, and muscle activity in young adults with forward head posture. 37 "N" University students in their 20s with forward head posture, including both male and female participants. Measurement of pain, NDI (neck disorder index) craniovertebral angle, and muscle activity were taken before and after the 6 week intervention period. The pain was measured using the visual analog scale. The severity of the neck disorder was measured using the NDI The craniovertebral angle was measured by taking a photo. The muscle activity was measured using surface electromyography. Neck posture correction exercises paired with proprioceptive training is the most effective intervention for reducing pain. Both neck posture correction exercises paired with Kinesio taping or proprioceptive training are effective interventions for addressing neck disability, craniocervical angle, and muscle activity. Neck posture correction exercises paired with Kinesio taping or proprioceptive training are more effective at addressing pain, neck disorder, craniocervical angle, and muscle activity than performing the neck posture correction exercises alone.

Effectiveness of graded motor imagery in subjects with frozen shoulder: a pilot randomized controlled trial

  • Gurudut, Peeyoosha;Godse, Apurva Nitin
    • The Korean Journal of Pain
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    • v.35 no.2
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    • pp.152-159
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    • 2022
  • Background: Subjects with frozen shoulder (FS) might not be comfortable with vigorous physical therapy. Clinical trials assessing the effect of graded motor imagery (GMI) in FS are lacking. The aim of this study was to determine the effect of GMI as an adjunct to conventional physiotherapy in individuals with painful FS. Methods: Twenty subjects aged 40-65 years having stage I and II of FS were randomly divided into two study groups. The conventional physiotherapy group (n = 10) received electrotherapy and exercises while the GMI group (n = 10) received GMI along with the conventional physiotherapy thrice a week for 3 weeks. Pre- (Session 1) and post- (Session 9) intervention analysis for flexion, abduction, and external rotation range of motion (ROM) using a universal goniometer, fear of movement using the fear avoidance belief questionnaire (FABQ), pain with the visual analogue scale, and functional disability using the shoulder pain and disability index (SPADI) was done by a blinded assessor. Results: Statistically significant difference was seen within both the groups for all the outcomes. In terms of increasing abduction ROM as well as reducing fear of movement, pain, and functional disability, the GMI group was significantly better than control group. However, both groups were equally effective for improving flexion and external rotation ROM. Conclusions: Addition of GMI to the conventional physiotherapy proved to be superior to conventional physiotherapy alone in terms of reducing pain, kinesiophobia, and improving shoulder function for stage I and II of FS.

Effect of Using Smartphones for Tele-rehabilitation on Head Position and Neck Dysfunction in Workers with Visual Display Terminal Syndromes (스마트폰을 이용한 원격 재활이 영상표시단말기 작업자의 머리 위치 및 목 기능장애에 미치는 영향)

  • So, Yun-Ho;Kwon, Gi-Hwan;Kim, Tae-Ho;Cho, Jeong-Min;Lim, Jae-Heon
    • PNF and Movement
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    • v.15 no.2
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    • pp.149-157
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    • 2017
  • Purpose: The purpose of this study was to assess the effect of using smartphones for tele-rehabilitation on head position and neck dysfunction in workers with visual display terminal (VDT) syndromes over a four-week period. Methods: Sixteen VDT workers volunteered to participate in stretch exercise and posture education sessions. The subjects were divided into three groups as follows: five subjects in the visit group (VSG), six subjects in the video group (VEG), and five subjects in tele-rehabilitation group (TG). The subjects in all the groups performed the exercises three days per week for four weeks. Cranial rotation angle (CRA), craniovertebral angle (CVA) measurement, and neck disability index (NDI) tests were performed before and four weeks after the intervention. Results: No significant difference in the CRA and CVA variables was found among groups. No significant difference in the CRA variable was found within each group. A significant difference in the CRA variable was found in the VSG after the four-week intervention. No significant difference in NDI was found among the groups. The NDIs among all the groups were significantly decreased after the intervention when compared with the NDIs measured before the intervention. Conclusion: The use of smartphones in the tele-rehabilitation of VDT workers with neck pain was found to be as effective on neck function as the conventional intervention method. The tele-rehabilitation of VDT workers with neck dysfunctions may be presented as an alternative way.