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배성수 ( Sung Soo Bae ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.2
Purpose:The objective of this study was conducted to find out solution that physical therapist can get own clinic. Method:This is a literature study with books and reviewing the dismiss a suit of the court of constitutional law. Results:Physical therapist can have own clinic with legislature by the legislation and the Executive activities. Physical therapist is not only head of rehabilitation but all so controller. Physical therapist has different roll for the patient than medical doctor. Conclusion:Physical therapist was educated for the patient`s activities. Physical therapist can increase task performance of the patient and life of quality.
발목관절의 능동적 배측굴곡 시 정상과 망치 발가락 대상자의 전경골근과 장지신근의 근 활성도 비의 비교
고은경 ( Eun Kyung Koh ),정도영 ( Do Young Jung ),김태호 ( Tae Ho Kim ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.1
Purpose:The purposes of this study were to compare the muscle activity ratio of tibialis anterior (TA) / extensor digitorum longus (EDL) during the active ankle dorsiflexion in subjects with the normal toe (NT) and the hammer toe (HT). Methods:Nineteen subjects with the NT group and nineteen subjects with the HT group were recruited for this study. The muscle activities of TA and EDL were measured by using surface electromyography (EMG) and the angles of ankle dorsiflexion and eversion of the subtalar joint were measured by using 3-dementional motion analysis during the active ankle dorsiflexion in prone position. Results:The muscle activity ratio of TA / EDL was significantly lower in the HT group compared to the NT group (p<.05). The angle of ankle dorsiflexion was significantly lower in the HT group compared to the NT group (p<.05). Conclusions:These results suggest that muscle imbalance between TA and EDL muscle and decreased ankle dorsiflexion range of motion may contribute to hammer toe deformity. Further studies are needed to confirm that the correcting of this imbalance and the increasing ankle dorsiflexion could improve toe alignment in the subjects with HT.
물리치료사에 의해서 실시되는 도수수동 운동이 자율신경계에 미치는 영향
김인배 ( In Bae Kim ),김충유 ( Chung Yoo Kim ),김은경 ( Eun Kyung Kim ),신한기 ( Han Ki Shin ),강종호 ( Jong Ho Kang ) 대한물리의학회 2015 대한물리의학회지 Vol.10 No.1
PURPOSE: The purpose of this study was to investigate the effects of ten minutes of manual passive exercise performed by physical therapists on autonomic nervous system. METHODS: Thirty-five healthy adults, both male and female, were chosen as subjects for this study. The autonomic nervous system was measured by heart rate variability (HRV),before and after passive exercise using the following measurements: mean heart rate (mean HRT), low frequency (LF) and high frequency (HF) components, the LF/HF ratio, root mean square of the successive differences (RMSSD), and the HRV index. The exercise was performed on the subjects by a physical therapist with seven years of experience specializing in the nervous system. The exercise was conducted at the mid-range of motion on the upper and lower limbs of the subjects for two minutes and thirty seconds and for a total of ten minutes. RESULTS: There was a significant increase in the LF component. The mean HRT and the LF/HF ratio both increased, but these increases were not significant. The HF component, RMSSD, and HRV index all decreased, but these decreases were not significant. CONCLUSION: In conclusion, mid-range manual passive exercise does not induce stress on the autonomic nervous system. It can safely be performed by a physical therapist.
정상인의 평지보행과 트레드밀 보행 시 족저압의 특성 비교
김지혜 ( Ji Hye Kim ),오태영 ( Tae Young Oh ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.1
Purpose:The purpose of this study is to compare the distribution of foot pressure, knee and ankle joint angle between treadmill walking and ground walking in normal person. Methods:18 Person of subject has participated this study, let subject to walk in ground and treadmill in order to gain data of foot distribution and knee, ankle joint angle using by parotec system. and Dartfish system. Walking velocity was constrained by 2Km/h and more 10sec. Date analysis was used by paired-t test using SPSS/PC statistical programs for window. Results:Result show that total contact times has shown symmetry between both legs, and more increase of left foot pressure in treadmill walking. Foot pressure of treadmill walking was significantly decreased in right hind foot and fore foot and hallux area. The ankle joint angle of treadmill walking was significantly decreased in initial contact phase. Conclusion:Results of this study show that foot pressure of treadmill walking was more decreased than ground walking in right hind foot and fore foot, hallux area. And the ankle joint angle of treadmill walking was significantly decreased in initial contact phase.
테이핑을 이용한 건측 억제유도 운동이 만성 뇌졸중 환자의 상지기능에 미치는 영향
김명권 ( Myung Kwon Kim ),지상구 ( Sang Ku Ji ),전혜진 ( Hye Jin Jun ),이창렬 ( Chang Ryeol Lee ),이문환 ( Moon Hwan Lee ) 대한물리의학회 2009 대한물리의학회지 Vol.4 No.3
Purpose:This study was conducted to investigate whether modified CIMT with Kinesio-Taping on paretic upper limb effects upper limb function in stroke patients in comparison to those receiving only modified CIMT. Methods:20 out-patients with hemiplegia were randomly assigned to either an experimental or a control group. Both groups received modified CIMT during a 10-week period. Additionally, an experimental group received modified CIMT with Kinesio-Taping on paretic upper limb and trunk. Results:In Manual function test, Grip strength, Jebsen-Taylor hand function test, MAL(Motor Activity Log) and Functional independence measure (FIM) were significantly different at all intervals of the study period(0, 3, 6, 10-week) in the experimental and control groups(p<.05). Exceptionally there was no significant difference in Jebsen-Taylor hand function test between the experimental and control groups. Conclusion:These results suggest that modified CIMT with Kinesio-taping improve the upper limb function. And also increase usage of affected upper limb and assist in daily living activity more than only modified CIMT.
만성 역학적 목 통증을 가진 환자에게 도수치료만 적용할 때와 도수치료와 안정화운동을 함께 적용할 때 목 통증과 신체기능에 미치는 효과 비교
이남용 대한물리의학회 2022 대한물리의학회지 Vol.17 No.1
PURPOSE: This study aimed to compare the effects of manual therapy with stabilization exercises to manual therapy alone, on neck pain and body functions in patients with chronic mechanical neck pain. METHODS: Twenty patients with chronic mechanical neck pain were recruited and randomly allocated into two groups. A control group(n = 10) was given the manual therapy alone and an experimental group(n = 10) was given the manual therapy with stabilization exercises. The intervention was carried out 3 days per week for 4 weeks. The cervical resting pain, the most painful motion pain, craniocervical flexor endurance, forward head posture and neck disability index were used to assess participants at baseline and after 4 weeks. RESULTS: A comparison of the parameters before and after the intervention showed that both groups experienced significant improvements in the resting pain, the most painful motion pain, craniocervical flexor endurance, and forward head posture except for the forward head posture in the control group. A comparison of the parameters between the groups did not show a significant difference. CONCLUSION: The results of this study suggest that the combined intervention of manual therapy with stabilization exercise does not seem to be more effective than manual therapy alone for improving neck pain, craniocervical flexor endurance, forward head posture, and the neck disability index in patients with chronic mechanical neck pain.
( Yao Xue ),( Kyu-ryeong Kim ),( Myoung-kwon Kim ) 대한물리의학회 2021 대한물리의학회지 Vol.16 No.2
PURPOSE: This study examined the effects of changes in the head direction (forward, upward 10° and downward 10°) on the quadriceps, center of pressure (COP), and foot pressure during squat exercises. The aim was to determine if the head direction could better activate the quadriceps muscle and provide a safer and stable squat posture during squat exercise. METHODS: Fifteen healthy college students were asked to stand on a Zebris, and three electrodes for sEMG were attached to their vastus medialis oblique (VMO), vastus lateralis (VL), and rectus femoris (RF) muscles. The participants then performed squatting exercises under three head directions (forward, upward 10°, and downward 10°). Surface electrodes were then used to record the EMG data during exercise. The Zebris FDM-SX was used to measure the foot pressure and COP of the participants. RESULTS: In squat exercise, the upward head direction group showed significantly higher VL activation than the downward head direction group (p < .05). The upward head direction group showed a significant backward change in the deviation of the COP than the downward and forward groups (p < .05). The upward head direction group showed a significant decrease in forefoot pressure than the downward and forward groups (p < .05) and an increase in the hindfoot pressure compared to the downward and forward groups (p < .05). CONCLUSION: The head direction upward in squat exercise has a positive effect on the quadriceps.
Effects of Altering Foot Position on Quadriceps Femoris Activation during Wall Squat Exercises
( Yong-jun Qiao ),( Kyu-ryeong Kim ),( Myoung-kwon Kim ) 대한물리의학회 2021 대한물리의학회지 Vol.16 No.1
PURPOSE: This study was conducted to identify the effects of altering foot position on quadriceps femoris including vastus medialis obliques (VMO), vastus lateralis (VL) and rectus femoris (RF) activation during wall squat exercises. METHODS: All subjects (n = 15) were selected and randomly performed three kinds of wall squats: 1) GWS (General Wall Squat), 2) WSS1/4 (Wall Squat Short 1/4), and 3) WSS1/2 (Wall Squat Short 1/2). Each subject completed all three kinds of wall squatting exercises at three different times and recorded the muscle activity data of vastus medialis obliques, vastus lateralis and rectus femoris. RESULTS: Compared with GWS exercise, VMO and RF muscle activity significantly increased under WSS1/2 exercise (p < .05), while only RF muscle activity significantly increased under WSS1/4 exercise (p < .05). CONCLUSION: The results of the present study indicate that moving the foot toward the wall during wall squats has a positive effect on quadriceps activation. The exercise of wall squat short can not only be used as the lower limb muscle strengthening training for normal people, but also as the recovery training for patellofemoral pain syndrome patients in the rehabilitation stage. Besides, Anterior cruciate ligament patients can also try this exercise according to the advice of doctors and therapists.
원격재활 운동프로그램이 무릎골관절염 환자의 근 기능과 삶의 질에 미치는 영향
김재윤 ( Jae-yun Kim ),이동우 ( Dong-woo Lee ),정모범 ( Mo-beom Jeong ) 대한물리의학회 2020 대한물리의학회지 Vol.15 No.1
PURPOSE: This study examined the effects of videoconferencing- based telerehabilitation exercise program on the gait, knee function, and quality of life of patients with knee osteoarthritis. METHODS: Forty-eight subjects, who were diagnosed with osteoarthritis of the knee by the radiologic findings, history, and a physical examination, were assigned randomly to a Control group, Experiment group I, and Experiment group Ⅱ. The control group did not perform any exercise program and were educated in understanding and managing the disease of knee osteoarthritis for only one hour. Experimental groups I and Ⅱ were provided with an exercise guidelines book for knee osteoarthritis, and the same exercise programs were conducted by face-to-face visits and non-face-to-face using telerehabilitation for eight weeks, respectively. To verify the effectiveness of each exercise program, the gait speed, knee disability index, and health related quality of life were measured. All assessments were conducted twice before and after the intervention. RESULTS: The participants who underwent both face-toface and telerehabilitation exercise programs showed an improved gait speed, knee function, and health-related quality of life. In particular, there was no significant difference between the telerehabilitation exercise group and the direct face-to-face exercise group in improving the knee joint function and health related quality of life. CONCLUSION: A these findings the telerehabilitation exercise program for patients with knee osteoarthritis can alternate or supplement the face-to-face exercise program. Therefore, the telerehabilitation exercise program should be used not only as a substitute supplement program but also as an intervention for various diseases.
허리부위 근골격계 자각증상이 있는 자동차 제조업 근로자를 위한 맞춤형 능동 위주의 운동프로그램이 통증과 오스웨스트리 장애지수에 미치는 영향
김원호 ( Won-ho Kim ) 대한물리의학회 2019 대한물리의학회지 Vol.14 No.3
PURPOSE: This study examined the effects of an active tailored exercise program on pain and the Oswestry disability index (ODI) among workers with musculoskeletal symptoms of the lower back in an automobile parts manufacturing company. METHODS: Twenty-two workers with musculoskeletal symptoms of the lower back were included in the study. The experimental group was composed of 15 workers and a control group of seven workers. The experimental group was provided an active tailored exercise program and education on the risk factors of musculoskeletal disorders. The control group was only provided ergonomic education. The exercise program, which consisted of movement pattern correction, muscle stretching and strengthening, and postural correction exercises, was applied twice a week for two months for one hour a day. Pain, which was determined using a visual analogue scale (VAS), and the ODI were measured before and after exercise. RESULTS: After applying the exercise program for two months, the VAS and ODI of the experimental group were significantly lower than those of the control group (p<.05). In the experimental group, the VAS decreased significantly after one month (p<0.05), and the ODI decreased significantly after two months (p<.05). CONCLUSION: Because active tailored exercise programs are effective in improving the pain and disability indices, it is necessary to actively implement such programs among manufacturing workers with musculoskeletal symptoms of the lower back.