Effect of Physical Therapy Intervention on the Constipation Assessment Scale and Weekly Bowel Frequency in Patients with Constipation

Ja Pung Koo,Hyeon Ae Kim,Hong Rae Kim 국제물리치료학회 2016 Journal of International Academy of Physical Ther Vol.7 No.2

The purpose of our study was to determine the effect of Maitland orthopedic manual therapy, Silver Spike Point, dietary fiber and gymnastic exercise on the improvement of constipation. Forty patients with constipation participated in the study (Maitland Orthopedic Manual Therapy Group(n=10), Silver Spike Point Therapy Group(n=10), Dietary Fiber Group(n=10) and Gymnastics Exercise Group(n=10)). The assessment scale and weekly bowel frequency were measured before and after the experiment. Assessment scale was significantly increased in Silver Spike Point Therapy, Maitland orthopedic therapy, gymnastic exercise compare to dietary fiber. Weekly bowel frequency was significantly increased in gymnastic exercise compared to dietary fiber. The results of this study suggest that Silver Spike Point Therapy, Maitland orthopedic therapy, gymnastic exercise improve the symptom in patients with constipation.

Effects of Continuous Antagonistic Muscle Strengthening and Evjenth-Hamberg Stretching on the Pressure Pain Threshold of Forward Head Posture Subjects

Koo, Ja Pung,Choi, Wan Suk,Park, Ju Hyun International Academy of Physical Therapy Research 2016 Journal of International Academy of Physical Ther Vol.7 No.1

The purpose of this study was to identify the effects of continuous muscle strengthening applied to the antagonist of the sternocleidomatoid, upper trapezius, and pectoralis major, which are the shortened muscles of forward head posture(FHP) subjects, and Evjenth-Hamberg stretching(EHS) applied to the shortened muscles on changes in pressure pain threshold(PPT). Twenty subjects were divided into the continuous antagonist strengthening(CAS) group(n=10) and the EHS group(n=10), and each group performed its respective exercise three times a week for a six week period. The results were as follows: The comparison of changes in PPT within each group before and after the treatment showed a statistically significant difference(p<.05) according to the treatment period and a statistically significant difference according to the treatment period and method(p<.05). While the comparison of the tests of between subjects effects between the groups did not show a statistically significant difference, the CAS group exhibited better effects. The above results suggest that the combined application of CAS and EHS generates better effects on changes in PPT than the single application of EHS. Given that stretching and muscle strengthening exercises even for the short research period of six weeks could change the PPT, continuous exercises and a correct postural habit for a longer period of time are likely to help prevent chronic pain and correct FHP.

The Effects of Ankle Exercise on Balance in Stroke Patients

Koo, Ja Pung,Kim, Nyeon Jun International Academy of Physical Therapy Research 2016 Journal of International Academy of Physical Ther Vol.7 No.1

The purpose of this study was to assess the effects of Ankle exercise on balance ability of stroke patients. Participants' balance ability were measured prior to the training and they conducted ankle exercise. As for ankle exercises, ankle stretching training and ankle muscle strengthening training were performed for 10 minutes respectively. They did warm up exercise for 5 minutes and then ankle exercise for 20 minutes. And then they did cooldown exercise for 5 minutes. Their balance ability was measured after 9 weeks. According to the results of analyzing the change of balance ability that timed up and go and Berg balance scale score significantly improved but in the control group it did not significantly decrease. In comparison between the groups, Berg balance scale score significantly improved in the ankle exercise group compared to the control group. Ankle exercise performed by stroke patients are considered to be effective in improving balance ability.

The Effects of Maitland Orthopedic Manual Physical Therapy on the Digestive System

Ja Pung Koo,Nyeon Jun Kim 국제물리치료학회 2015 Journal of International Academy of Physical Ther Vol.6 No.1

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.

The Effects of Interferential Current Therapy on Functional Dyspepsia

Koo, Ja Pung,Shin, Hee Joon,Kim, Nyeon Jun,Jeon, Hye Mi,Park, Joo Hyun,Yun, Young Dae,Lee, Joon Hee,Lim, Sang Wan,Um, Ki Mai,Kim, Ji Sung International Academy of Physical Therapy Research 2013 Journal of International Academy of Physical Ther Vol.4 No.1

This study aims to address the effect of interferential current therapy and thereby to provide basic resources to physical therapies for internal medicine by identifying symptoms for functional dyspepsia and serum gastrin level that shows gastric motility. Following results were obtained by performing interferential current therapy to 16 subjects composed of 8 for functional dyspepsia group and 8 for control group for 20 minutes a day, 3 days a week, for 6 weeks. In control group, serum gastrin level was significantly( p<.01), lowered after the therapy whereas there was no significant difference observed in all questions from questionnaire for symptoms of functional dyspepsia between before and after the therapy. In functional dyspepsia group, serum gastrin level was significantly(p<.01), lowered after the therapy and there was also significant(p<.01) reduction in every question from questionnaire for symptoms of functional dyspepsia between before and after the therapy. There was more significant decrease in serum gastrin level and reduction in questionnaire for symptoms of functional dyspepsia in the functional dyspepsia group compared to the control group(p<.01). This study confirms the interferential current therapy as an effective therapeutic method for internal diseases including functional dyspepsia since it not only improves the symptoms of functional dyspepsia but also allows the gastric motility close to normal.

Effect of Aerobic Exercise on Cognitive Function in the Elderly persons

Koo, Ja Pung,Moon, Ok Kon International Academy of Physical Therapy Research 2012 Journal of International Academy of Physical Ther Vol.3 No.2

The Goal of this study was to assess the effect of aerobic exercise on cognitive function of elderly people. The participants' cognitive functions were measured before exercise. Exercise was practiced three times a week for nine weeks. The aerobic exercises consisted of warm-up exercises for five minutes followed by cycling for 30 minutes. The exercise intensity was set to 65%~75% of the intensity for the maximum heart rate(220-age). The control group did not perform any exercises. The subjects' cognitive functions were measured nine weeks later. In the aerobic exercise group, between before and after the exercises, significant increases appeared in total K-MMSE scores and scores of some sub items comprising memory registration, concentration and calculation abilities but not in other items. In the control group, no significant differences appeared in any items between before and after the experiment. In a comparison between the aerobic exercise group and the control group, significant differences appeared in total K-MMSE scores and scores of two sub items comprising concentration and calculation abilities but not in other items(p<.05). Aerobic exercises were effective in the improvement of cognitive functions and among sub items of cognitive functions, concentration and calculating abilities were improved. Aerobic exercises performed by elderly persons are considered to be effective in improving cognitive functions.

Effect of Aerobic Exercise on Cognitive Function in the Elderly persons

Ja Pung Koo,Ok Kon Moon 국제물리치료학회 2012 Journal of International Academy of Physical Ther Vol.3 No.2

The Goal of this study was to assess the effect of aerobic exercise on cognitive function of elderly people. The participants' cognitive functions were measured before exercise. Exercise was practiced three times a week for nine weeks. The aerobic exercises consisted of warm-up exercises for five minutes followed by cycling for 30 minutes. The exercise intensity was set to 65%~75% of the intensity for the maximum heart rate(220-age). The control group did not perform any exercises. The subjects' cognitive functions were measured nine weeks later. In the aerobic exercise group, between before and after the exercises, significant increases appeared in total K-MMSE scores and scores of some sub items comprising memory registration, concentration and calculation abilities but not in other items. In the control group, no significant differences appeared in any items between before and after the experiment. In a comparison between the aerobic exercise group and the control group, significant differences appeared in total K-MMSE scores and scores of two sub items comprising concentration and calculation abilities but not in other items(p<.05). Aerobic exercises were effective in the improvement of cognitive functions and among sub items of cognitive functions, concentration and calculating abilities were improved. Aerobic exercises performed by elderly persons are considered to be effective in improving cognitive functions.

Effects of Kinematic Taping Therapy on Dysmenorrhea

Koo, Ja Pung,Park, Joo Hyun,Um, Ki Mai International Academy of Physical Therapy Research 2018 Journal of International Academy of Physical Ther Vol.9 No.2

The present study aimed to investigate the effects of kinematic taping therapy on menstrual distress, pain, and $prostaglandinF2{\alpha}$. The experimental subject was a 24 years old woman with the pain of over 5 points on the dysmenorrhea measurement test and no unusual reactions on the taping test. The menstrual distress was measured by the Menstrual Distress Questionnaire (MDQ), and the dysmenorrhea was measured by the Visual Analogue Scale (VAS) before and after the intervention. The prostaglandin $F2{\alpha}(PGF2{\alpha})$ was measured on the first day of menstruation before the intervention and 24 hours after the taping therapy by the blood test. The intervention of kinematic taping was conducted by the instructor of the International Kinematic Taping Academy, and the taping was applied to the lower abdomen and the waist. According to the difference of menstrual distress before and after the intervention, the menstrual distress turned out to be decreased to 96 points after the intervention from the 115 points before the intervention. The dysmenorrhea also reduced 3 points on the VAS from 7 points to 4 points before and after the intervention. The $PGF2{\alpha}$ decreased from $26pg/m{\ell}$ to $20pg/m{\ell}$ before and after the intervention. Besides, the $PGF2{\alpha}$ decreased from $26pg/m{\ell}$ to $20pg/m{\ell}$ before and after the intervention. Results suggest that kinematic taping therapy could be useful to reduce the menstrual distress, pain, and $PGF2{\alpha}$.

The Effects of Interferential Current and Kaltenborn-Evjenth Orthopedic Manual Therapy on Functional Constipation

Koo, Ja-Pung,An, Ho-Jung,Koo, Hee-Seo,Park, Ji-Hwan,Kim, Suhn-Yeop,Kim, Yong-Kwon,Choi, Jung-Hyun,Kim, Soon-Hee,Min, Kyung-Ok International Academy of Physical Therapy Research 2010 Journal of International Academy of Physical Ther Vol.1 No.1

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.

Effects of Continuous Antagonistic Muscle Strengthening and Evjenth-Hamberg Stretching on the Pressure Pain Threshold of Forward Head Posture Subjects

Ja Pung Koo,Wan Suk Choi,Hyun Parkc 국제물리치료학회 2016 Journal of International Academy of Physical Ther Vol.7 No.1

The purpose of this study was to identify the effects of continuous muscle strengthening applied to the antagonist of the sternocleidomatoid, upper trapezius, and pectoralis major, which are the shortened muscles of forward head posture(FHP) subjects, and Evjenth-Hamberg stretching(EHS) applied to the shortened muscles on changes in pressure pain threshold(PPT). Twenty subjects were divided into the continuous antagonist strengthening( CAS) group(n=10) and the EHS group(n=10), and each group performed its respective exercise three times a week for a six week period. The results were as follows: The comparison of changes in PPT within each group before and after the treatment showed a statistically significant difference( p<.05) according to the treatment period and a statistically significant difference according to the treatment period and method(p<.05). While the comparison of the tests of between subjects effects between the groups did not show a statistically significant difference, the CAS group exhibited better effects. The above results suggest that the combined application of CAS and EHS generates better effects on changes in PPT than the single application of EHS. Given that stretching and muscle strengthening exercises even for the short research period of six weeks could change the PPT, continuous exercises and a correct postural habit for a longer period of time are likely to help prevent chronic pain and correct FHP