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국제물리치료연구학회(구 국제물리치료학회)> Journal of International Academy of Physical Therapy Research (JIAPTR)

Journal of International Academy of Physical Therapy Research (JIAPTR) update

  • : 국제물리치료연구학회(구 국제물리치료학회)
  • : 의약학분야  >  재활의학
  • : KCI등재
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  • : 연속간행물
  • : 반년간
  • : 2092-8475
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  • : 국제물리치료학회(~2014) → 국제물리치료연구학회(2014~)

수록정보
수록범위 : 1권1호(2010)~10권4호(2019) |수록논문 수 : 294
Journal of International Academy of Physical Therapy Research (JIAPTR)
10권4호(2019년 12월) 수록논문
최근 권호 논문
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1Arm Lifting Exercises for Lower Trapezius Muscle Activation

저자 : Minhyeok Kang

발행기관 : 국제물리치료연구학회(구 국제물리치료학회) 간행물 : Journal of International Academy of Physical Therapy Research (JIAPTR) 10권 4호 발행 연도 : 2019 페이지 : pp. 1868-1872 (5 pages)

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Background: Lower trapezius muscle function is important for the prevention and treatment of shoulder injuries. However, scapular posterior tilt movement has been overlooked in lower trapezius strengthening exercise programs.
Objective: To examine the effects of prone arm lifting with scapular posterior tilt (PALSPT) on trapezius muscles.
Design: Crossover study
Methods: 17 healthy males were recruited for participation in this study. Participants performed backward rocking diagonal arm lifting (BRDAL) and PALSPT. To train participants in scapular posterior tilt movements for PALSPT, visual biofeedback of scapular movements was provided using a motion sen­sor. Electromyography (EMG) activities of the middle and lower trapezius were recorded using a surface EMG system. Differences in middle and lower trapezius muscle activity between BRDAL and PALSPT exercises were ana­lyzed.
Results: Lower trapezius muscle activity was significantly greater during PALSPT than during BRDAL (p=.006). Although greater EMG activity was observed in the middle trapezius during PALSPT than during BRDAL, this dif­ference was not significant (p=.055). 
Conclusions: The results of the present study indicate that scapular posterior tilt movements must be considered in lower trapezius muscle strengthening programs.

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Background: Walking is a complex activity. The main components of walking include balance, coordination, and symmetrical posture. The characteristics of walking patterns of stroke patients include slow walking, measured by gait cycle and walking speed. This is an important factor that reflects post-stroke quality of life and walking ability.
Objective: This study aimed to examine the effect of deep lumbar muscle sta­bilization exercise on the spatiotemporal walking ability of stroke patients.
Design: Quasi-experial study
Methods: The experiment was conducted 5 times per week for 4 weeks, with 30 minutes per session, on 10 subjects in the experimental group who per­formed the deep lumbar muscle stabilization exercise and 10 subjects in the control group who performed a regular exercise. Variables that represent the spatiotemporal walking ability (step length, stride length, step rate, and walk­ing speed) were measured using GAITRrite before and after the experiment and were analyzed.
Results: There was a significant difference in the pre- and post-exercise spa­tiotemporal walking ability between the two groups (p<.05). Furthermore, there was a significant difference in the step rate and walking speed between the two groups (p<.05). 
Conclusions: Deep lumbar muscle stabilization exercise is effective in improv­ing the walking ability of stroke patients. Therefore, its application will help improve the spatiotemporal walking ability of stroke patients.

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Background: The treatment of pain in the iliotibial band friction syndrome has been difficult to determine, according to studies to date. However, recent studies have suggested that flexibility in the subacute stage of pain in the ili­otibial band friction syndrome may help reduce pain.
Objective: To investigate the immediate effect on pressure pain threshold and flexibility of the tensor fascia latae and iliotibial band by applying static and dynamic myofascial release foam rolling and self-stretching to adults with shortening iliotibial band.
Design: Randomized controlled trial
Methods: In this study, 50 subjects who were selected in advance as a ran­domized controlled trial were randomly allocated using a R Studio program. The included subjects were randomly allocated to three intervention groups. The static self-myofascial release 18 people, dynamic self-myofascial release group 16 people separated the self-stretching group 16 people and conduct­ed a homogeneity check in advance. Before the start of the experiment, after of the experiment, 5 minutes after the end of the experiment, the pressure pain threshold and flexibility change for each part were measured.
Results: The results of this study showed that the static self-myofascial release showed a significant difference in the pressure pain threshold in the tensor fascia latae and middle, lower part of the iliotibial band, compared with the other intervention groups (p<.05). In change of flexibility, the static self­myofascial release was significantly different than the other intervention groups (p<.05).
Conclusion: The result of this study suggest that static self-myofascial release using foam roller may help to improve the pain and flexibility of the iliotibial band and to apply it as a more discerning intervention.

KCI등재

4Laboratory Experiments for the Force and Load with Pseudo-Dynamic Test: Ex-vivo Study for the Manual Therapy

저자 : Wansuk Choi , Taeseok Choi , Seoyoon Heo , Wooram Lee

발행기관 : 국제물리치료연구학회(구 국제물리치료학회) 간행물 : Journal of International Academy of Physical Therapy Research (JIAPTR) 10권 4호 발행 연도 : 2019 페이지 : pp. 1889-1896 (8 pages)

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Background: Because of the lack of accurate values for applied forces in manual therapy, manual therapists relies on the magnitude of the individual's perception during applying the force. However, excessive loading maneuvers carry risks for patients.
Objective: To establish the relationship between the maximal force applied to swine skin with the specific region, sex, and baseline parameters of the sub­ject.
Design: Ex-vivo Study and laboratory Experimental research
Methods: 3.5 kg of Korean pork sirloin that is a piece of swine was handled and it was set 3 dimensions; #A; #B; #C. Forty-seven participants who has no experience in physical therapy randomly carried out the experiment, indicated to push each place of the pressure spots with same posture and process under supervision from the instructor who has over 15 years of manual thera­py, and we measured the pressure force in each time.
Results: The biggest pressure force was recorded in spot #A, and #B was represented after #C. Pressure on #A showed certain statistic relation with height (r=.317, p<.05) and weight (r=.434, p<.01); pressure on #B showed cer­tain relation which has statistical meaning with only height (r=.401, p<.01); pressure on #C emerged to have statistic relationship with height (r=.308, p< .05)and weight (r=.428, p<.01). The age aspect revealed relation with pressure on #A, #B and #C, but that was not statistically significant.
Conclusions: It can be inferred that there is the most loss of pressure in the area where cartilage is like an island in the middle.

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Background: Tension-type headaches, which make up the highest proportion of headaches, are prone to develop into chronic tension-type headaches (CTTH). The characteristic of CTTH in patients is that the active myofascial trigger point (ATrP) which causes pain in the muscles of the back of the head is increased, compared to the normal headache and moves the head position forward.
Objective: The aim of this study was to investigate the effects of myofascial release (MFR) and posture correction in effectively improving neck function and sleep quality in the symptoms of CTTH patients.
Design: Observer-blind study
Methods: To reduce ATrP, MFR was applied and exercise was also applied to correct posture. The subjects of this study were 48 individuals randomly divided into three groups; The MFR group using the MFR technique; The MFR with exercise group subject to both the MFR technique and forward head position correction exercises (MFREx), and the control group. MFR and MFREx groups were given the relevant interventions twice a week for four consecutive weeks, and went through the number ATrPs, range of motion (ROM) of neck, Neck Disability Index (NDI) and the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. A physical therapist, who was fully familiar with the measuring methods of the equipment, was the measurer and not aware of the target's condition was blinded to take measurements only before and after intervention.
Results: There was a significant improvement in the ATrP, Neck ROM, NDI and PSQI in the group of patients to whom the MFR technique and MFREx were applied. MFREx was more effective in increasing neck mobility.
Conclusions: According to this study, the application of MFR is effective in improving neck movement and sleep quality in chronic tension headache patients.

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6Effect of Electric Stimulation Training on Walking Ability of Patients with Foot Drop after Stroke

저자 : Jongbae Choi , Sungryoung Ma , Jongeun Yang

발행기관 : 국제물리치료연구학회(구 국제물리치료학회) 간행물 : Journal of International Academy of Physical Therapy Research (JIAPTR) 10권 4호 발행 연도 : 2019 페이지 : pp. 1903-1906 (4 pages)

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Background: Foot drop is a common symptom after stroke and causes walk­ing disorders. Therefore, its proper treatment is important for improving the walking ability of patients with foot drop.
Objective: This study aimed to investigate the effects of electrostimulation dur­ing walking on the walking ability of patients with foot drop after stroke.
Design: Quasi-experial study.
Methods: The study enrolled 18 patients with foot drop after stroke. All subjects were assigned to the experimental or control group. The experimental group underwent electric stimulation during walking, while the control group used ankle foot orthoses. Both groups received treatment 20 minutes a day 5 times a week for 4 weeks. Outcome measures were assessed for walking and bal­ance ability using the 10-m walking test (10MWT), 6-min walking test (6MWT), and Timed Up and Go test (TUG)
Results: After the intervention, both groups showed significant improvements in 6MWT and TUG results. However, the experimental group showed significantly better improvement on all tests than the control group.
Conclusion: The foot drop stimulator effectively improved the walking and bal­ance ability of patients with foot drop after stroke.

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Background: The prevalence of neck pain and neck dysfunction is high in general population. However, there is little literature on the relationship and factors affecting neck pain and neck dysfunction.
Objective: To investigate the correlation between neck and shoulder pain, headaches, neck and shoulder dysfunction, and sleep quality in adults with chronic neck pain, and factors affecting neck pain and neck dysfunction.
Design: Cross-sectional study 
Methods : The sample included 114 subjects, who had complained of chronic neck pain for more 12 weeks. We conducted a Pearson's correlation between neck and shoulder pain, headaches, neck and shoulder dysfunction and sleep quality and a regression analysis of the related variables, thereby ana­lyzing factors affecting neck pain and neck dysfunction.
Results : In the present study, in adults with chronic neck pain, neck pain was positively correlated with the Neck Disability Index (NDI), Shoulder Pain and Disability Index (SPADI)-Pain score, and SPADI-Total score (p<.05). The NDI was positively correlated with neck pain, SPADI-Pain score, and SPADI-Total score, as well as with Pittsburgh Sleep Qulity Index(PSQI-K) (p<.05). Among the factors affecting neck pain, shoulder disability as assessed by the SPADI was a significantly associated with neck pain, while shoulder pain and shoul­der disability determined by the SPADI were identified as significant variables among the factors affecting neck disability.
Conclusion : These results indicated that as neck pain worsened , shoulder pain and neck and shoulder dysfunction also increased, which suggested that shoulder disability affected neck pain. In addition, as the neck dysfunction increased, neck pain and shoulder pain and shoulder dysfunction increased, and sleep quality deteriorated, which suggested that shoulder pain and shoulder disability affected neck disability.

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Background: Mobilization and cranio-cervical flexion exercise has been reported in reducing pain from cervical part and improving its motor function; also, has been represented that alleviate of neck pain and recover of neck muscles improve the normal gait performance. However, few studies have identified the effects of mobilization and exercise on pain and gait parameters with preceding issues.
Objective: To examine the effects or changes of pressure pain threshold (PPT) and gait parameters in patients with chronic neck pain.
Design: Cross-Sectional Clinical Trials
Methods: Twenty patients with the history of neck pain (>3 months) performed the cervical mobilization and cranio-cervical flexion exercise. Gait parameters were assessed with wireless device and collected data were transmitted to the personal computer via Bluetooth. The PPT was measured posteroanterior direction at the prone position and the mean of subsequent three PPT meas­urements was used for the final analysis.
Results: Both cervical central posteroanterior mobilization (CCPAM) (p<.000) and sling-based cranio-cervical flexion exercise (SBCCFE) (p<.000) group showed a significant increase in the PPT and the gait parameters, cadence (p<.023), was significantly increased in the CCPAM group, however slightly increased in the SBCCFE group. The comparison between the CCPAM and the SBCCFE groups after treatment did not show significant differences for the score on the PPT and gait parameters.
Conclusions: This study suggests that CCPAM and SBCCFE increase PPT, cadence, and gait speed.

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Background: Neurodynamic mobilization is divided into slider mobilization and tensioner mobilization. However, movement direction in neurodynamic mobi­lization has been overlooked in neurodynamic exercise program.
Objective: To examine the effect of movement direction in neurodynamic mobilization on upper limb mobility and pain.
Design: Quasi-experimental study
Methods: Twenty-two adults positive for neurodynamic test for the median nerve were recruited for participation in this study. Twenty-two subjects were allocated to the applied neurodynamic mobilization at limited side group (ANTLS, n=7), the applied neurodynamic mobilization at contralateral limited side group (ANTCLS, n=7), and the applied neurodynamic mobilization at bilateral side group (ANTBS, n=8). Before the intervention upper limb limited was measured neurodynamic test for the median nerve, pain was measured using visual analogue scale (VAS), movement direction in neurodynamic mobilization was applied to each group, and then re-measured using neuro­dynamic test for the median nerve and VAS. Differences the Intra-groups before and between the intergroups after intervention were analyzed.
Results: In the ANTLS and ANTBS groups, a statistically significant increase in ROM and decrease in VAS score in the population before and after interven­tion were indicated. Statistically significant differences in VAS and ROM from before to after intervention were found among the ANTLS, ANTCLS, and ANTBS groups.
Conclusions: The results of the present study indicate that movement direction in neurodynamic mobilization must be considered within the limits of its select­ed range of the neurodynamic exercise program.

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10Semantic Network Analysis of Physiotherapy Research: Based on Studies Published in the Journal of IAPTR

저자 : Junhyeok Go , Dongmoon Yeum , Nyeonjun Kim , Myungil Choi

발행기관 : 국제물리치료연구학회(구 국제물리치료학회) 간행물 : Journal of International Academy of Physical Therapy Research (JIAPTR) 10권 4호 발행 연도 : 2019 페이지 : pp. 1926-1933 (8 pages)

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Background: Physical therapy has been widely studied in various fields, how­ever, the academic trends and characteristics has not been systematically analyzed. Semantic network analysis is used as an approach for this study.
Objective: To explore academic trends and knowledge system in the physio­therapy research in the Journal of International Academy Physical Therapy (J of IAPTR)
Study design : Literature review
Method: Semantic network analysis was conducted using the titles of 272 arti­cles published in the Journal of IAPTR from 2010 to 2019.
Results: Frequency analysis revealed following most frequently used key words; Stroke (27 times), Balance (21 times), Elder (13 times), Forward head posture (FHP, 11 times), Muscle activity (9 times). The relationship between the presented keywords is divided into six subgroups (FHP and pain, walk and quality, elder and balance, stroke and apoptosis, muscle strength and func­tion) according to their correlation and frequency to be used together.
Conclusion: The study is considered to be of help to researchers who want to identify research trends in physiotherapy.

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