운동과 저출력 레이저가 말초신경손상 흰쥐의 CAMP와 조직학적 변화에 미치는 영향

하미숙,백일훈,이현옥,김선엽,노민희,Ha, Mi-Sook,Baek, Il-Hun,Lee, Hyun-Ok,Kim, Sun-Yueb,Rho, Min-Hee 대한물리치료과학회 2005 대한물리치료과학회지 Vol.12 No.4

This study was performed to investigate the effects of low-power Helium Neon Infra Red(He-Ne IR)laser irradiation and exercise on the regeneration of experimentally cut sciatic nerve in rats. The thrity Sprague-Dawley adult mail rats were assigned to the 6 groups : normal group(1), injured control groups(2), experimental groups(3). There was made artificial injured in the sciatic nerve of rats the each experimental laser group and exercise group were treated from 3 days after being injured for the 5 minutes(laser group), 10 minutes(exercise group), and 15 minutes(exercise and laser group) everyday during 2 weeks. There were measured the changes of amplitude of compound muscle action potential and histological change by the light microscopy on the sciatic nerve injured rats. The results obtained as follows : 1. In the control groups, the regeneration were slowly and slightlly progressed to compared with the experimental groups. Inflammation were much more observed, and fibrous adhesion was also observed around the sutured region of the cut sciatic nerve. 2. The amplitude of compound muscle action potential in the experimental groups were significantly increased to the injured control groups at 1 week(p<.05). The compound muscle action potential of the exercise and lased group was significantly decreased to be similar to normal group at 2 weeks(p<.05). 3. In histologic finding, in the experimental groups were observed the proliferation of the schwann cells, the infiltration of inflammatory cells and the extent of destruction at adjacent tissue were remarkably decreased on the 2 weeks. From these experimental results, it may be suggested that the laser and exercise were effected the heeling process of peripheral nerve injuried rats.

요통환자의 천장관절에 대한 도수교정 전과 후의 골반경사 비교

오승길,이진행,Oh, Seung-Gil,Lee, Jin-Haeng 대한물리치료과학회 2000 대한물리치료과학회지 Vol.7 No.2

The purposes of this study were to compare pelvic tilt before and after manipulation of sacroiliac joint in 31 low back pain patients (11 males, 20 females) with sacroiliac joint dysfunction. The sacroiliac joint of patients was manipulated on the side of anterior pelvic tilt, using the technique described by Stoddard (1962) and Greenmann (1996). I used this technique because it usually eliminated sacroiliac joint dysfunction in one treatment session. SPSS for window computer system was used to analyze the data. Also t-test was performed for comparison of pelvic tilt angle before and after manipulation, and Pearson product-moment correlation analysis was performed for intratester reliability for measurements of pelvic tilt angle before and after manipulation. The result were as follows: 1. Intratester reliability was good for measures of pelvic tilt (r=.98). 2. The pelvic tilt after manipulation was significantly decreased (mean=$3.40^{\circ}$) compared with the pelvic tilt before manipulation (p=.001). All subjects showed asymmetrical right versus left pelvic tilt before manipulation. 40% of subjects showed decreased asymmetrical right versus left pelvic tilt after manipulation, and 60% of subjects showed symmetrical right versus left pelvic tilt after manipulation. I think that pelvic tilt asymmetry with hypomobility due to loss of joint play could be symmetrized by manipulation or mobilization, but pelvic tilt asymmetry with unilateral pelvic muscle shortening could not be symmetrized by manipulation or mobilization without relaxation and stretching of shortened muscles.

줄넘기 운동이 대학생의 신체조성 및 기초체력에 미치는 영향

박서영,임대욱,노영성,이경헌,권영민,권오은,김경진,김정현,김지윤,이지은,황록주,황은진,정은정,Park, Seo-Young,Lim, Dae-Wook,Nho, Yeong-Seong,Lee, Kyung-Hun,Kwon, Young-Min,Kwon, Oh-Eun,Kim, Gyeong-Jin,Kim, Jeong-Hyeon,Kim, Ji-Yoon,Lee, Ji-Eun 대한물리치료과학회 2017 대한물리치료과학회지 Vol.24 No.1

Purpose : The purpose of this study was to examine the effect of rope-skipping exercise on body composition and basic physical fitness in healthy subjects: a randomized control trial. Method : Twenty two subjects were randomly allocated to two groups: rope-skipping group (n=11) and control group (n=11). The rope-skipping group participated in rope-skipping exercise for 30 minutes a day, three days a week for four weeks. Body composition was measured using the subjects' weight, body mass index (BMI), and waistline. Basic Physical fitness was measured flexibility and agility. Result : The rope-skipping showed significant differences in waistline and agility. The control group showed no significant differences. There were significant difference in agility between the rope-skipping and the control group. Conclusion : The rope-skipping exercise increased waistline and agility in healthy subjects. Additional research on rope-skipping exercise for improving body composition and basic physical fitness is need.

트레이드밀 전방, 후방 보행 시 속도와 경사도에 따른 하지 근활성도의 변화

김주오,인태성,Kim, Ju-O,In, Tae-Sung 대한물리치료과학회 2017 대한물리치료과학회지 Vol.24 No.1

Purpose: The purpose of this study was to investigate the changes in the activity of the thigh muscle(rectus femoris, vastus medial/ lateralis, hamstring medial/lateralis) which are caused by the change cf lower extremity muscle activity to speed and inclination during forward and backward walking on the treadmill. Method: Twenty healthy young adults were recruited. The subjects were given a warm-up for 1 minute at the speed of 2.0km/h before exercise, and 2km/h to 4km/h from 10% to 4km/h in the frontal and backward walking. Result: In the present study, it was found that the muscle activity of the lateral broad and inward wide muscles increased when the treadmill was backward for 40 seconds without training. And the femur and the muscle were significantly different from 10% to 4km/h(p<.05). Conclusion: These findings suggest that in the treadmill, it is effective in increasing the leg strength in the backward walking than in the forward walking. And it was concluded that muscle activity increased at 4km/h when the speed was 2km/h when backward walking.

오십견 환자의 관절 가동 범위 회복과 통증 완화에 미치는 정적 신장 기법과 유지-이완 기법의 효과

함석찬,김인복,Hahm, Suk-Chan,Kim, In Bok 대한물리치료과학회 2012 대한물리치료과학회지 Vol.19 No.3

Background : Patients with frozen shoulder have pain and limited range of motion (ROM) at the affected shoulder. Shoulder pain of these patients usually decreases with recovery of range of motion. The aim of this study is to identify effects of static stretching and hold-relax on recovering ROM and reducing pain of patients with frozen shoulder. Methods : In this study, 15 patients with frozen shoulder who were only treated with physical therapy were recruited. Patients who received any surgical procedure or hydrotherapy were excluded. The subjects were divided randomly into 3 groups; control(n=5), static stretching(n=5) and hold-relax(n=5) groups. Patients were treated with stretching and the total number of treatments was 12 times. The ROM was measured at baseline, after fourth, eighth and final treatments. Shoulder pain and disability index(SPADI) scores were assessed before and after doing all treatments. Repeated measures ANOVA was used to analyze ROM change within each group. Changes of ROM between groups was analyzed by one way ANOVA followed by post hot analysis(Tukey's HSD). SPADI score within each group analyzed using Wilcoxon signed ranks test. A p-value<0.05 was considered statistically significant. Study Design : Repeated measures design. Result : There were significant differences of ROM in both treatment groups except internal rotation of static stretching group. ROM was significantly increased in treatment groups compared with control group, but the difference of ROM change between two treatment groups did not differ significantly. SPADI scores for treatment groups significantly decreased compared with pre-SPADI score. Conclusion : The result suggests that hold-relax can be more effective than static stretching to recover range of motion and alleviate shoulder pain on patients with frozen shoulder.

15분간의 지속적인 스트레칭이 족저압과 족저면적 변화에 미치는 영향

국중석,Kuk, Jung-Seok 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.4

Purpose : The purpose of this study was to evaluate the effects of the stretching of the calf muscles on foot pressure and contact area in young adult. Participants stood on a wedge board that was sloped between 15~25 degree for 15min. After stretching participants stood quietly on force plate, result was recorded. Participants stood on a force plate for 1 min in eye closed condition, and them the foot pressure and area was recorded. The following variables were calculated off-line: anterior and posterior foot pressure and contact area, medial and lateral foot pressure and contact area. Results showed that anterior pressure change due to stretch, but mediolateral was not significant. This result suggested that stretching of the calf muscle has the effect of increasing anterior pressure by flexibility change on calf muscle, so this effects might be effective intervention for reduce of serious problem to neurologic patients in therapy session.

3차원 척추 안정화 운동이 퇴행성 변성 디스크 환자의 통증과 척추 안정화 근력에 미치는 효과

김성호,김명준,Kim, Seong-Ho,Kim, Myung-Joon 대한물리치료과학회 2006 대한물리치료과학회지 Vol.13 No.1

The purpose of this study lies in finding out the effect that variation of pain and body deflection posture has an influence on the static spinal stabilization after having performed spinal stabilization exercise making degenerative disc disease patients an object over 8 weeks using $CENTAUR^{(R)}$, 3-D spinal stabilization training implement. Subjects : 61 of DDD patients were made as an object of this study (mean age: 45.46 years, SD: ${\pm}12.78$, range: 16-68), their average height was 161.87cm, average weight 60.70kg, 12 males and 49 females were involved. Methods: 8 various investigations were performed and varied values were compared with reinvestigation done after having exercised 8 weeks using 3-D $CENTAUR^{(R)}$. We used VAS(Visual Analog Scale) in order to see the variation of pain intensity, MOS(Modified Oswestry Scale) in order to see activities of daily life. Results VAS was lessened from 7.50 to 2.71, limitation of routine life(MOS) from 20.26 to 9.32, there were remarkable differences statistically(p<0.05). As a result of muscular investigation for static spinal stabilization by 8 variations of body deflection, muscular strength were all increased and there were remarkable differences statistically(p<0.05). Conclusions : It has been turned out that pain and limitation of daily life was lessened as a result of making 61 of degenerative disc disease patients exercised 8 weeks using $CENTAUR^{(R)}$, 3-D spinal stabilization training implement, deep muscular power was increased. Thus it has been turned out that 3-D lumbar stabilization exercise has an effect on the spinal muscles strengthening and alleviation of their pain for degenerative disc disease.

어깨관절 아탈구가 있는 만성 뇌졸중환자에게 기능적 전기자극 치료가 기능회복에 미치는 효과

황룡,김찬문,Hwang, Ryong,Kim, Chan-Mun 대한물리치료과학회 2009 대한물리치료과학회지 Vol.16 No.4

Background: The purpose of this study was to confirm whether surface FES was effective in the function of chronic stroke patients' affected shoulder and whether FES influenced their functional abilities in ADL, as well. Method: the subjects were inpatients at a general hospital in Gyeonggi-Do, Korea and had been diagnosed as a sub-luxation in their affected shoulder. They were 26 and were separated to an experimental group and a control group, in equal number. Both groups had gotten an exercise treatment for 6 weeks. The control group didn't get any FES as opposed to the experimental group. Result: in the experimental group there was no statistical significant difference in the vertical space and the joint space, even though the space was reduced. In the control group, there was no statistical significant difference, either. Moreover, each space of their shoulders was increased. In the range of motion of each group, there was no statistical significant difference. In functional independent ability, there was a significant difference in an experimental group. In contrast, there was no difference in a control group. Conclusion: this result suggests that FES should be effective in the sub-luxation of the patients' affected shoulder and the range of motion of their shoulders. On the other hand, compared to the previous items, FES was quite effective in the functional improvement.

물리치료사 업무 특성과 근골격계 질환 예방을 위한 관심도 연구

이태식,백일훈,Lee, Tae-Sig,Back, Il-Hun 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.2

Background and Purpose. Physical therapists are at risk for work-related musculoskeletal disorders (WMSDs). Little understand the characteristics of work in physical therapist or the effort they take to prevent injury. The purpose of this study was to investigate the characteristics of work in physical therapist and the efforts for prevent injury Subjects. Standardized questionnaire was administered to 103 physical therapist in Pusan association. Methods. An questionnaire was given to each subject. Questions investigated the characteristics of work in physical therapist, efforts and caring of injury prevention. Chi-square Test used to assess the association of general characteristics with the characteristics of work in physical therapist. AVONA and T-test used to assess the association of efforts of prevent injury in independent variable Results. Physical therapist was reported a higher prevalence of WMSDs in most body areas. These attributes sometimes resulted in behaviors that contributed to the development of their WMSDs.

요추 추간판탈출증 환자에 대한 보존적 치료의 효과적인 기간에 관한 연구

강군용,김영배,Ghang, Goon-Yong,Kim, Young-Bae 대한물리치료과학회 2005 대한물리치료과학회지 Vol.12 No.3

Low back pain is one of the most frequent problems treated in clinical feild. Eight out of ten people will experience significant low back pain sometime during their life. Most cases low back pain are not serious and respond to conservative treatment. It's pain is severe and not responding to conservative treatment or if it has significant leg pain. In these cases are may recommend surgery. The purpose of this study is to analyze the effective duration of treatment and degree of variable pain approached conservative treatment. The persons who diagnosed to herniated intervertebral lumbar disc were attended in this study. number of cases were 60cases. We evaluated their chart, X-ray and MRI. The result of the study were as follows; 1. The patients who treated for 33days were improved 100%, which was 3cases(5%). 2. The patients who treated for 45days were improved 90%, which was 13cases(22%). 3. The patients who treated for 43days were improved 80%, which was 28cases(47%). 4. The patients who treated for 39days were improved 70%, which was 6cases(10%). 5. The patients who treated for 28days were improved 60%, which was 5cases(28%). 6. The patients who treated for 22days were improved 50%, which was 4cases(7%). Conclusion ; In herniated intervertebral lumbar disc patients who had conservative treatment. The highest improve patients were 28 cases(47%), who treated for 43 days. The lowest improve patient was 1case(2%), who treated for 28 day. The Effective duration of conservative treatment was more than 43days. If they wants to be improving their symptoms, they should be treat for more than 43days.