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The Journal of Korean Society of Physical Therapy

  • : 대한물리치료학회
  • : 의약학분야  >  재활의학
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수록정보
33권4호(2021) |수록논문 수 : 4
간행물 제목
33권5호(2021년 10월) 수록논문
최근 권호 논문
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1The Effect of Manual Physical Therapy on Improvement in the Range of Motion of Frozen Shoulder Patients: A Meta-Analysis of Cases in South Korea

저자 : Chan Myeong Kim , Jong Kyung Lee , Jong Ha Hwang , Jae Kwang Lee

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 211-216 (6 pages)

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Purpose: The main purpose of this meta-analysis was to identify the degree of effect size and variables for the impact of manual physi-cal therapy on the improvement in the range of motion of frozen shoulder patients.
Methods: This study collected 8 studies published between 1st January 2010 and 31st December 2020. The analysis of the results veri-fied 49 effect size data and the random effect model was chosen.
Results: First, the full case showed the largest mean effect size of 2.485 (p<0.001). Second, the size of the effect based on manual ther-apy and modality therapy showed an effect size of 4.178 (p< 0.001). Third, the outcome group included 6 variables. The external rotation (2.818) variable group showed the largest mean effect size, followed by internal rotation (2.748), flexion (2.643), abduction (2.356), and adduction (2.356). Six outcomes were significant and the mean effect sizes of all the varied groups were above large size. The number of participants showed a 20 or less effect size of 2.478 (p >0.737). The number of intervention periods showed 4 weeks 20 or more effect size of 2.782 (p>0.294). Finally, the 'Trim and Fill' result confirmed that the calibration effect size was 1.471 (p<0.001).
Conclusion: This study verified that manual physical therapy had a substantial effect on the improvement of the range of motion of pa-tients with frozen shoulders and that the effects were dependent on the methods of outcomes.

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2The Effect of Coordinative Locomotor Training Using Elastic Bands on the Flexibility and Body Alignment of Elementary School Right-Handed Baseball Players

저자 : Mobeom Jeong

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 217-223 (7 pages)

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Purpose: This study sought to identify the effects of coordinative locomotor training (CLT) using elastic bands on the flexibility and body alignment of right-handed baseball players in elementary school.
Methods: The subjects were 20 instructed right-handed baseball players in elementary school. They were classified into the experimental group with 10 players (n=10) to be given coordinative locomotor training using elastic bands and the control group with 10 players (n=10). Flexibility was measured by the sit and reach exercise. Body alignment was measured using formetric 4D method to measure the trunk imbalance angle (TI), trunk torsion angle (TT), pelvic tilt angle (PTi), pelvic torsion angle (PTo), pelvic rotation angle (PR), kyphot-ic angle (Ky), and lordotic angle (Lo).
Results: There was a significant increase in the flexibility within the experimental group (p<0.05). after the intervention. There was also a significant increase in the difference between the experimental group and the control group (p<0.05). There was a significant decrease in PR during body alignment in the experimental group after intervention (p<0.05). An analysis of the differences between groups showed a significant decrease in the PR of the experimental group compared to the control group (p<0.05).
Conclusion: These findings show that coordinative locomotor training using elastic bands would be effective for enhancing the flexibility and pelvic rotation of elementary school right-handed baseball players.

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3Comparison of Maximum Isometric Strength, Proprioceptive, Dynamic Balance, and Maximum Angle by Applying the Fascial Distortion Model to Chronic Ankle Instability Subjects

저자 : Jae Kwang Lee , Chan Myeong Kim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 224-230 (7 pages)

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Purpose: The purpose of this study was to investigate the effects of the fascia distortion model (FDM), one of the fascia treatments, on unstable ankle subjects. This was done through the chronic ankle instability tool (CAIT) questionnaire on maximum isometric muscle strength, proprioception, dynamic balance, and maximum angle.
Methods: An experiment was conducted using the chronic ankle instability tool questionnaire on males and females in their twenties who suffered from ankle instability. Before the experiment, maximum isometric strength, proprioceptive, dynamic balance, and maximum angle were measured. The fascia distortion model was applied and then measurements were taken again to compare and analyze the changes. Analysis was carried out using the paired t-test.
Results: After applying the fascia distortion model, maximum isometric strength, proprioceptive, dynamic balance, and maximum angle significantly improved (p<0.05).
Conclusion: This study found that the fascia distortion model method was effective in improving maximum isometric strength, proprio-ceptive, dynamic balance, and maximum angle. The results suggest that the fascia distortion model method is a new intervention that could be used for subjects with chronic ankle instability.

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4Effects of Gait Training Using a Robot for Balance in Total Hip Arthroplasty Patients after Bilateral Avascular Necrosis: A Case Study

저자 : So-yeong Kim , Byeong-geun Kim , Woon-su Cho , Chi-bok Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 231-237 (7 pages)

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Purpose: This study sought to investigate the effects of robot-assisted gait training on balance in total hip arthroplasty (THA) patients after bilateral avascular necrosis (AVN).
Methods: This case study in two patients utilized an 'A-B-A' single-subject experimental design that included five days of pre-interven-tion, followed by five days of intervention, and five days of post-intervention. The intervention involved the use of a standing inclined ro-bot (R-bot) for 15 minutes. The outcome measures were evaluated using the Functional Reaching Test (FRT), Time Up to Go (TUG), and the Modified One Leg Standing Test (OLST).
Results: Patient 1 showed improvement based on data gathered from baseline A to intervention period B, with results as follows: FRT improved from 27.7 cm to 41.28 cm, OLST LT from 14.03 seconds to 67.37 seconds, OLST RT from 2.94 seconds to 35.97 seconds, and TUG from 12.96 seconds to 7.82 seconds. Patient 2 also showed improvement from baseline A to intervention period B, with results as follows: FRT improved from 17.18 cm to 24.3 cm, OLST LT from 11.53 seconds to 52.01 seconds, OLST RT from 12.99 seconds to 62.19 seconds, and TUG from 27.31 seconds to 12.99 seconds.
Conclusion: Based on the results of this study, robotic rehabilitation during the early stages after surgery is effective for promoting bal-ance in patients who have undergone THA due to bilateral AVN.

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5Comparison of the Effects of Pilates and Aerobic Exercise on Pain, Menstruation Symptoms, and Balance in Women with Dysmenorrhea

저자 : Su-wan Lee , Won-seob Shin

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 238-244 (7 pages)

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Purpose: Menstruation is associated with menstrual symptoms like pain and balance problems which have an impact on the quality of life. Pilates increases pelvic stability and reduces menstrual pain by inducing abdominal muscle contraction. This study was done to eval-uate the effects of Pilates on menstrual pain, symptoms, balance, and quality of life when compared to aerobic exercise.
Methods: Thirty-nine women with menstrual pain were randomly divided into the Pilates group (n=13), aerobics group (n=13), and control group (n=13). The Pilates group performed lumbar-pelvic stabilization exercises, while the aerobic group ran on a treadmill. The control group did not undergo any intervention. The experimental groups exercised for four weeks (12 sessions) and did not exercise dur-ing menstruation. The Y-balance test was performed on the second day of menstruation to evaluate dynamic balance. The questionnaires administered immediately after menstruation were the visual analog scale (VAS), Korea Oswestry Disability Index (ODI), and the modified Menstrual Distress Questionnaire (MDQ). The paired t-test was used to compare the effect of exercise within the three groups and a one-way analysis of variance was used to compare between groups.
Results: VAS and MEDI-Q scores significantly decreased in the Pilates group after 4 weeks compared with those in the aerobic and con-trol groups. Moreover, ODI and Y-balance scores increased in the Pilates group compared with those in the aerobic and control groups (p<0.05).
Conclusion: The Pilates stabilization exercises are effective and help in improving menstrual pain, balance and other menstrual symp-toms assessed through ODI, and MEDI-Q, compared to aerobic exercises.

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6The Effect of Type of Communication by Physical Therapists on Patient Satisfaction and Revisit Intention

저자 : Eun-ji Kim , Gyeong Seop Sim , Dong-hoon Kim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 245-251 (7 pages)

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Purpose: This study sought to identify the effect of various types of communication by physical therapists on patient satisfaction and re-visit intention.
Methods: A total of 212 patients who received physical therapy in Seoul and the Gyeonggi province were surveyed on patient satisfac-tion and revisit intentions depending on the types of communication by physical therapists. Frequency and correlation analyses were conducted to process the data using the SPSS 22.0 program, and the AMOS 18.0 statistical package was used for confirmatory factor analysis. A structural equation modeling analysis was also performed to verify the model and the hypothesis that was set up in the pres-ent paper.
Results: The survey showed that patient satisfaction correlates positively and significantly with patient-centric communication, physical factors, and spatial behavior. A significant negative correlation was also found between patient satisfaction and therapist-centered com-munication. Patient satisfaction positively correlated with revisit intentions.
Conclusion: These results showed that there was a positive correlation between the communication of the physical therapist and the satisfaction recognized by a patient. This implies that the patient satisfaction with a physical therapist increases as the communication skills of a physical therapist improve. These findings suggest that a physical therapist must adopt patient-centric communication styles, physical factors, and spatial behavior. This study was important as it generated basic data for the formation of a therapeutic relationship through efficient and promotional communication skills. It recognizes the importance of communication between a physical therapist and a patient as the indispensable factor for interaction.

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7Influence of External Scapular Stabilization on the Isometric Strength of Shoulder Flexor in the Sitting Position in Subjects with Scapular Winging

저자 : Tae-jin Jang , Byeong-hun Hwang , In-cheol Jeon

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 252-257 (6 pages)

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Purpose: The purpose of this study was to compare the influence of external scapular stabilization on the isometric strength of shoulder flexor muscle in subjects with and without scapular winging and conditions with and without external scapular stabilization.
Methods: A total of 30 subjects with and without scapular winging were enrolled. Two groups were classified using clinical and diag-nostic tests to divide the groups with and without scapular winging (15 with scapular winging 15 without scapular winging). The iso-metric strength of the shoulder flexor was measured using a tensiometer. The isometric strength was evaluated in the sitting position with and without an external scapular stabilization. The external scapular stabilization was provided with the examiner's hand to fix scapular winging during shoulder flexion. The changing value was calculated to determine the isometric strength difference between shoulder flexion with and without the external scapular stabilization in each group. The changing value between isometric strength of shoulder flexor with and without scapular winging was compared using the independent t-test. Statistical significance was set at 0.05.
Results: In the group with scapular winging, the shoulder flexor isometric strength in the sitting position was greater with an external scapular stabilization than without an external scapular stabilization (p< 0.05). There was no significant difference in the shoulder flexor isometric strength in the subjects without scapular winging between conditions with or without an external scapular stabilization (p >0.05).
Conclusion: The external scapular stabilization in the individuals with scapular winging may increase shoulder flexor isometric strength in the sitting position.

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8Quantitative Analysis of Myofascial Pain Syndrome in Trapezius Muscle Using Pressure Algometer and Surface Electromyography

저자 : Shin-hye Kim , Yu-min Ko , Ji-won Park , Jong-in Youn

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 258-263 (6 pages)

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Purpose: Myofascial syndrome is a chronic muscle pain caused by repetitive motions with stress-related muscle tension. This study aimed to investigate the validity and reliability of the evidence for diagnosing myofascial pain syndrome in trapezius muscle using a pressure algometer and surface electromyography.
Methods: The experiments were performed using a total of 10 subjects, and the target locations were determined by means of a pres-sure algometer in the right upper trapezius muscle. The part with the lowest pain value as the trigger point and the part with the highest pain value as the non-pain trigger point were selected for measuring the locations. The median frequency and average frequency were measured in those locations with electromyography. To check the muscle fatigue, the upper trapezius muscle was moved up and down for 2 seconds at 5-second intervals in 30 seconds. The measured values were evaluated using the independent paired t-test and Mann- Whitney U-test.
Results: The median frequency at the non-trigger point (13.7) was significantly higher than that at the trigger point (7.3). Furthermore, the mean frequency (14.7) at the non-trigger point was significantly higher than that at the trigger point (6.3).
Conclusion: The results showed the correlations between the trigger points of the muscle pain and frequency analysis of surface electro-myography. Thus, this study may be possible to use as a diagnostic tool for myofascial pain syndrome.

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1Relationship between Thoracic Kyphosis and Selected Cardiopulmonary Parameters and Respiratory Symptoms of Patients with Chronic Obstructive Pulmonary Disease and Asthma

저자 : Happiness Anulika Aweto , Rachel Ilojegbe Adodo

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 4호 발행 연도 : 2021 페이지 : pp. 179-186 (8 pages)

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Background: Patients with advanced asthma and chronic obstructive pulmonary disease (COPD) have postural deviations such as thoracic hyperkyphosis, forward shoulder posture (FSP) due to an increase in head and cervical protraction, reduced shoulder range of motion and a corresponding increase in scapula elevation and upward rotation. Unlike congenital vertebral kyphosis that are permanent and rigid deformities with bony and other structural deformations which cause respiratory impairment, these deformities in these patients may be more flexible. Since the thoracic hyperkyphosis has been implicated as having adverse health consequences it is necessary to evaluated the relationship between thoracic kyphosis and cardiopulmonary functions of patients with COPD and asthma.
Methods: It was a cross-sectional analytical study. Eighty-four eligible patients with COPD and asthma were recruited from the Respiratory Unit, Department of Medicine, Lagos University Teaching Hospital (LUTH), and basic anthropometric parameters, pulmonary parameters, cardiovascular parameters, thoracic kyphosis (Cobb) angle and presence of respiratory symptoms of participants were assessed. Data was analyzed using SPSS version 20.
Results: There was no significant correlation between the thoracic kyphosis and selected pulmonary parameters (Forced Expiratory Volume in one second (FEV1, p=0.36), Forced Vital Capacity (FVC, p=0.95), Peak Expiratory Flow Rate (PEFR, p=0.16), Thoracic expansion (TE, p=0.27)/cardiovascular parameters (Systolic Blood Pressure (SBP, p=0.108), Diastolic Blood Pressure (DBP, p=0.17) and Pulse Rate (PR, p=0.93) as well as the respiratory symptoms (SGRQ scores, p=0.11) in all subjects.
Conclusion: There was no relationship between thoracic kyphosis and selected pulmonary/cardiovascular parameters as well as respiratory symptoms in patients with COPD and asthma.

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2Intra and Inter-Rater Measurement Reliability of Tibialis Anterior Muscle (TA) Thickness using the Ultrasonography Spring Gauge Technique

저자 : Byeong-hun Hwang , Tae-jin Jang , In-cheol Jeon

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 4호 발행 연도 : 2021 페이지 : pp. 187-192 (6 pages)

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Purpose: The purpose of the current study was to determine the intra- and inter-rater reliability of muscle thickness measurement of the TA using ultrasonography (US) conducted at different inward pressures of approximately 0.5 kg, 1.0 kg, and no pressure control.
Methods: Twenty healthy subjects were recruited for this study. Two different examiners measured the thicknesses of the dominant TA of each subject randomly to assess the intra- and inter-rater reliability. The measurement values were analyzed using the intra-class correlation coefficient (ICC) with a 95% confidence interval, standard error of measurement, minimal detectable change, and coefficient of variance.
Results: All intra-rater reliability ICC values showed high reliability above 0.9. Inter-rater reliability ICC values showed high reliability above 0.9 with 0.5 and 1.0 kg of inward pressure. In contrast, Inter-rater reliability ICC values showed poor reliability (0.23) with no pressure control of inward pressure.
Conclusion: The findings showed that maintaining consistent inward pressure is essential for reliable results when the muscle thickness of the TA is measured by different examiners in a clinical setting.

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3Comparison of Dementia Awareness among Medical Technicians: Physiotherapists and Occupational Therapists

저자 : Ae-lyeong Kwon , Ki-jeon Kim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 4호 발행 연도 : 2021 페이지 : pp. 193-201 (9 pages)

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Purpose: The aim of this study was to compare dementia awareness among physiotherapists and occupational therapists who treat dementia patients and provide opportunities to increase dementia awareness as medical technicians, expand the scope of treatment, and enhance professionalism.
Methods: An online survey was conducted from January 8th to 19th, 2021 for physical therapists who are members of the Korean Physical Therapist Association and Occupational therapists who are members of the Korean Occupational Therapists Association. The collected data were analyzed using the SPSS 21.0 program. To verify the difference in the awareness of dementia among medical technicians, a t- test was performed, and the chi-square test was used to analyze the difference in the responses for each question.
Results: In this study, occupational therapists had a significantly higher average and standard deviation than physical therapists. Occupational therapists also had a significantly higher level of dementia awareness, including dementia symptom-related, dementia disease-related, and dementia therapy knowledge.
Conclusion: The results of this study indicate that various educational initiatives and systems should be developed to help medical professionals increase their awareness and interest on dementia as a community, which can enable them to move in the same treatment direction with a common goal.

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4Effect of Various Lower Extremity Exercises Using the Swiss Ball while Standing on Balance, Muscle Strength, Gait and Fall Efficacy in Stroke Patients: A Pilot Study

저자 : Yun-jeong Lim , Soon-hee Kang

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 4호 발행 연도 : 2021 페이지 : pp. 202-209 (8 pages)

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Purpose: This study examined whether various lower extremity exercises using a Swiss ball in the standing position could improve balance, muscle strength, gait, and fall efficacy in stroke patients.
Methods: Twenty-one stroke patients were randomly divided into three groups, each with seven participants. For four weeks, experimental group 1 performed various lower extremity exercises using a Swiss ball, while experimental group 2 executed the same exercises without a Swiss ball, and the control group underwent general physical therapy. The subjects' knee extensor muscle strength, balance, gait, and fall efficacy were evaluated before and after the intervention using portable muscle strength measurement, the Berg Balance Scale (BBS), G-walk, and the Korean Falls Efficacy Scale (K-FES).
Results: Knee extensor strength increased significantly in all three groups after the intervention; in particular, a significant increase was seen in experimental groups 1 and 2 compared to the control group. Moreover, all three groups had significantly better BBS scores and higher cadence after the intervention; notably, experimental group 1 had better scores and increased cadence than the control group. Additionally, gait speed was significantly increased in the experimental group 1 than in the control group. The step length of the non-affected leg was also significantly higher in the same group. The K-FES score improved significantly in all three groups, but there was no significant difference between the groups.
Conclusion: This study suggests that lower extremity exercises with or without a Swiss ball could be effective interventions to improve muscle strength, balance, gait, and fall efficacy in stroke patients.

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