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

구자풍,최완석,박주현 국제물리치료연구학회 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

Effect of Central Posteroanterior Mobilization on the Pain, Myotonia, Flexibilty of Trunk Flexion, and Lumbar Lordosis in Patient with Chronic Back Pain: A Case Study

구자풍,정주리,엄기매 국제물리치료연구학회 2017 Journal of International Academy of Physical Ther Vol.8 No.3

The purpose of this study was to investigate the effects of central posteroanterior mobilization on the pain, muscle tone, flexibility of trunk flexion, lumbar lordosis in patient with chronic back pain has been studied. The target subject was a 23 year old man, who had chronic back pain without surgical history within six months. The pain has been indicated by the pressure pain threshold, when the subject was pressed his spinous process of L3-L1 by the pressure of grade Ⅳ. The muscle tone, elasticity, and stiffness were measured by the MYOTONEⓇ PRO, and the flexibility of trunk flexion was evaluated by the distance from the figure tips to the floor, when subjects flexed their body. The lumbar lordosis was measured from the X-ray picture. The lumbar central posteroanterior mobilization of Maitland orthopedic physical therapy has been applied to the spinous process of L3-L1 in grade Ⅳ by five sets and 10 times for each set. According to the measurement result right after the intervention, the pain decreased from 2/10 to 1/10 based on the visual analogue scale. The flexibility of trunk flexion (distance from the finger tips to the floor) increased The muscle tone decreased from 15.3 to 14.65 and the muscle stiffness also decreased 53.5 from 310 to 256.5. However, the muscle elasticity increased from 0.89 to 1.04 and there was no changed on the lumbar lordosis as 25°. The results of the present study suggest that the central posteroanterior mobilization decrease the pain, muscle tone, and muscle stiffness of the lumbar area, however increase the muscle elasticity and flexibility of the trunk flexion.

Effects of Pain Neuroscience Education Combined with Lumbar Mobilization on Pain, Lumbar Function and Fear Avoidance Belief for Chronic Low Back Pain

구자풍,김홍래,신희준 국제물리치료연구학회 2022 Journal of International Academy of Physical Ther Vol.13 No.1

Background: A recent study found that pain neuroscience education (PNE) alters pain intensity, knowledge of pain, disability, psychological function, and pain behavior in patients with musculoskeletal pain. However, they noted that PNE alone was not sufficient to affect chronic low back pain (CLBP) reduction. Objectives: To investigated the effect of CLBP on the PNE combined with lumbar mobilization. Design: Quasi-experiment study. Methods: A total of 33 patients aged 25 to less than 65, recruited from L-hospital for low back pain in Chungcheongnam-do. Out of 33 subjects, 17 were pain neuroscience education combined with lumbar mobilization group (PLMG) and 16 were lumbar mobilization group (LMG). The outcome was visual analogue scale (VAS), oswestry disability index (ODI) and the fear avoidance beliefs questionnaire (FABQ). The collected data was analyzed using the SPSS ver. 21.0 program by paired t-test and independent t-test. Results: PLMG was indicated statistically significant decrease in VAS, ODI and FABQ before and after intervention. However, there were statistically significant changes in VAS and ODI before and after intervention in LMG. PLMG and LMG before and after intervention indicated statistically significant differences in VAS, ODI and FABQ. Conclusion: The inclusion of PNE combined with lumbar mobilization in patients with CLBP is a promising and feasible approach to the management of CLBP.

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

구자풍,김현애,김홍래 국제물리치료연구학회 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.

Immediate Effects of Lumbar Joint Mobilization on Postural Balance and Knee Pain in Elite Volleyball Players

구자풍,박주현,김지성 국제물리치료연구학회 2022 Journal of International Academy of Physical Ther Vol.13 No.2

Background: If the weakness of the knee muscles persists and there is pain at the same time, lumbar mobilization can be used. Objectives: This study investigated the immediate effect of lumbar joint mobilization on postural sway and knee pain in elite volleyball players. Design: Randomized controlled trial. Methods: Twelve male elite volleyball players were recruited for this study. Lumbar joint mobilization was performed in all study subjects. Evaluation items were static and dynamic balance and knee pain change. All evaluations were made immediately after the intervention. Results: C90 area, trace length, and STD Y deviation in the open static balance were significantly decreased after intervention (P<.05). C90 area, trace length, Velocity, STD X deviation, and STD Y deviation in static balance with closed eyes decreased significantly after intervention (P<.05). In dynamic balance, the left and right side. COPs were significantly increased. Pain significantly decreased after intervention (P<.05). Conclusion: This study found that lumbar joint mobilization is an effective method for improving postural sway and knee pain in elite volleyball players.

Changes in Gait Parameters of Stroke Patients with and without of Wearing the Weight vest: A case study

구자풍,박신준,조용훈 국제물리치료연구학회 2022 Journal of International Academy of Physical Ther Vol.13 No.3

Background: In order to improve the daily life of stroke patients, it is necessary to restore walking performance. Improving gait performance is one of the main goals for stroke rehabilitation. Objectives: To investigate the change in gait parameters through evaluation of one stroke patient before, during, and after wearing the weight vest. Design: A case study. Methods: This study is an ABA study design. In principle, one assessment per day (A1) was measured three times without wearing the weight vest. Intervention assessment (B) was performed 6 times while wearing the weight vest. The second baseline evaluation (A2) was measured three times with the weight vest removed again. Results: The gait speed was increased when the weight vest was removed than when the weight vest was worn. Also, gait symmetry increased when wearing the weight vest. Conclusion: Wearing the weight vest can reduce the gait asymmetry in stroke patients and increase the gait speed after wearing the weight vest.

The Effects of Ankle Exercise on Balance in Stroke Patients

구자풍,김년준 국제물리치료연구학회 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.

Effect of Sensory Stimulation Type on Brain Activity in Elderly Persons with Mild Cognitive Impairment

구자풍,황현숙 국제물리치료연구학회 2019 Journal of International Academy of Physical Ther Vol.10 No.1

Background: Mild cognitive impairment (MCI) is also called as aging related memory damage. Decreased cognitive function due to aging is known to be associated with the frontal lobe. Alpha wave is generated in the dominance in the frontal lobe or a wide range of regions in the brain, it should be doubted that the brain function might be degraded. Objective: To determine the effect of sensory stimulation type on learning and brain activity pattern of elderly persons with MCI. Design: Randomized Controlled Trial (single blind) Methods: Twenty elderly persons aged more than 65 with MCI were randonmized to simultaneous visual/auditory stimulation group (SVASG) and or auditory stimulation group (ASG). Ten peoples were assigned to each group and lectroencephalogram test was performed to individuals. In the electroencephalogram test, electroencephalography of prior to sensory stimulation, and during sensory stimulation were measured to compare brain activity pattern according to the study groups and measurement period. Results: The relative alpha power due to a sensory stimulation type showed that the SVASG significantly decreased in the left frontal lobe and the left parietal lobe statistically compared to those of the ASG while sensory stimulation was given (p<.05). The relative beta power due to a sensory stimulation type showed that the SVASG significantly increased in the left and right frontal lobes, the left and right parietal lobes, and the left temporal lobe statistically compared to those of the ASG while sensory stimulation was given (p<.05). Conclusions: Electroencephalographic analysis showed that the type of sensory stimulation can affect the brain activity pattern. However, the effects were not studied that which brain activity pattern help to improved cognitive function of elderly persons with mild cognitive impairment.

Effects of Kinematic Taping Therapy on Dysmenorrhea

구자풍,박주현,엄기매 국제물리치료연구학회 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 prostaglandinF2α. 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 F2α(PGF2α) 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 PGF2α decreased from 26pg/㎖ to 20pg/㎖ before and after the intervention. Besides, the PGF2α decreased from 26pg/㎖ to 20pg/㎖ before and after the intervention. Results suggest that kinematic taping therapy could be useful to reduce the menstrual distress, pain, and PGF2α.

Effects of Stretching Exercises and Core Muscle Exercises on Flexibility and Balance Ability

황현숙,구자풍 국제물리치료연구학회 2019 Journal of International Academy of Physical Ther Vol.10 No.1

Background : Several studies have suggested different arguments for the effect of stretching exercises and core muscle exercises on flexibility and balance ability. Objective : To determine the effects of stretching exercises and core muscle exercise on flexibility and balance ability. Design : Quasi experimental research Method : The study applied exercise interventions (three sessions per week for 6 weeks) on 40 subjects. The subjects were divided into stretching and core muscle exerciseing groups to identify the change of flexibility and balance ability. Sit- and- reach test results and hip hyperextension were measured for identifying changes in flexibility, and the Romberg test and Pedalo stabilizer were used for changes in balance ability. Results : Both the stretching exercise and core muscle exercise groups showed a statistically significant increase in flexibility (p<.05). However, the stretching exercise group showed a statistically significant increase in balance ability (p<.05), whereas the core muscle exercise group showed partially statistically significant differences in this par t(p>.05). In the analysis of the differences in the amount of change in flexibility, based on the types of exercise, stretching exercises showed a significant difference (p<.05), whereas a significant difference was not found in the amount of change in balance ability (p>.05). Conclusions : These findings indicate that stretching exercises are the more effective intervention for improving and maintaining flexibility, whereas there is no difference between stretching and core muscle exercises with respect to improving balance ability.