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The Journal of Korean Society of Physical Therapy

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수록정보
33권5호(2021) |수록논문 수 : 8
간행물 제목
34권3호(2022년 06월) 수록논문
최근 권호 논문
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KCI등재

저자 : Su Bin Lee , Jung Won Kwon , Seong Ho Yun

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 3호 발행 연도 : 2022 페이지 : pp. 91-97 (7 pages)

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Purpose: This study investigated the short-term effectiveness of extracorporeal shock wave therapy (ESWT) on pain, the ankle instability, the ankle function, dorsiflexion range of motion (ROM), and dynamic balance in patients with chronic ankle instability (CAI).
Methods: Eighteen participants were divided into an experimental (n=9) and control group (n=9). The ESWT in the experimental group was applied to the lateral collateral ligament in combination with the tibialis anterior whereas the ESWT was applied to the lateral collateral ligament of the ankle alone in the control group. Pain, the ankle instability, the ankle function, dorsiflexion ROM, and dynamic balance were measured using the Visual analog scale, Cumberland ankle instability tool, American Orthopedic Foot and Ankle Society ankle-hindfoot score, weight-bearing lunge, and Y-balance test, before and after ESWT intervention.
Results: Significant interactions (group × time) and time effects were observed in the dorsiflexion ROM and dynamic balance. Bonferroni's post-hoc analysis showed that the experimental group revealed a more significant change in dorsiflexion ROM and dynamic balance than the control group. There was a significant time effect in the pain, the ankle instability, and the ankle function, but no significant interaction (group × time) was observed.
Conclusion: The ESWT could improve the pain, ankle instability, ankle function, dorsiflexion ROM, and dynamic balance in patients with CAI. Furthermore, the ESWT combined with lateral ankle ligaments and tibialis anterior more improves the dorsiflexion ROM and dynamic balance.

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저자 : Hyeong-min Kim , Sung-min Son , Yu-min Ko

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 3호 발행 연도 : 2022 페이지 : pp. 98-103 (6 pages)

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Purpose: New therapeutic approaches have emerged to improve gait ability in patients with brain damage, such as action observation learning (AOT), auditory cueing, motor imagery etc. We attempted to investigate the effects of AOT with auditory cueing (AOTAC) on gait function in patients with stroke.
Methods: The eighteen stroke patients with a unilateral hemiparesis were randomly divided into three groups; the AOTAC, AOT, and control groups. The AOTAC group (n=8) received training via observing a video that showed normal gait with sound of footsteps as an auditory cue; the AOT group (n=6) receive action observation without auditory stimulation; the control group (n=5) observed the landscape video image. Intervention time of three groups was 30 minutes per day, five times a week, for four weeks. Gait parameters, such as cadence, velocity, stride length, stance phase, and swing phase were collected in all patients before and after each training session.
Results: Significant differences were observed among the three groups with respect to the parameters, such as cadence, velocity, stride length, and stance/swing phase. Post-hoc analysis indicated that the AOTAC group had a greater significant change in all of parameters, compared with the AOT and control groups.
Conclusion: Our findings suggest that AOTAC may be an effective therapeutic approach to improve gait symmetry and function in patients with stroke. We believe that this effect is attributable to the change of cortical excitability on motor related to cortical areas.

KCI등재

저자 : So Yeong Kim , Woon Su Cho , Byeong Geun Kim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 3호 발행 연도 : 2022 페이지 : pp. 104-109 (6 pages)

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Purpose: The purpose of this pilot study is to identify the problems and stability of a study to investigate “Effects of Squat Exercise according to Weight Support on Balance and Gait in Patients after Total Hip Replacement.” before proceeding with the study.
Methods: Twenty-two rehabilitation patients after THR surgery who met the selection criteria participated. The study subjects were randomly assigned to a squat group using a slider or a squat group using a reformer. The interventions were applied for two weeks. The patients were assessed using Berg balance scale (BBS), Timed up and go test (TUG), and 10-meter walking test (10MW).
Results: Although twenty-two study subjects participated in this study, eight study subjects participated dropouts occurred during the study period. There was a significant difference within the group in BBS and TUG in two groups (p< 0.05). The difference between the two groups was not significant in all outcome measures (p >0.05). The largest effect size was 1.21 and the smallest effect size was 0.39, all from the BBS.
Conclusion: This pilot study suggest that it is feasible with minor adjustment to conduct a larger scale, powered RCT to examine the efficacy of squat exercise according to weight support with patients after THR.

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저자 : Dal-ju Mun , Hyun-ju Oh , Sang-ho Lee

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 3호 발행 연도 : 2022 페이지 : pp. 110-115 (6 pages)

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Purpose: The purpose of this study was to examine the effect of sling exercise on pain, trunk strength, and balance in patients with chronic low back pain in their 40s and 50s.
Methods: Twenty patients with chronic low back pain were divided into two groups, 10 patients in the exercise group using a sling and 10 patients in the waist stabilization exercise group, applying a random assignment, draw-out method, and sling exercise was applied for 50 minutes a day, 3 times a week, for a total of 5 weeks. For data analysis, a corresponding t-test was performed for within-group changes and an independent t-test was performed for inter-group changes, and the significance level was α=0.05.
Results: After 5 weeks, there were significant differences in all items of within-group changes, and the inter-group changes after 5 weeks demonstrated significant differences in pain, trunk flexion strength, and balance.
Conclusion: The results of this study showed that exercise using a sling had positive effects on pain, trunk flexion strength, and balance changes in chronic low back pain patients. It is suggested that sling exercise can be used as an intervention method for pain reduction and functional improvement of patients with chronic low back pain in clinical practice.

KCI등재

저자 : Ji-eun Choi , Yul-hee Lee , Dong Yeop Lee , Jae Ho Yu , Jin Seop Kim , Seung Gil Kim , Jiheon Hong

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 3호 발행 연도 : 2022 페이지 : pp. 116-120 (5 pages)

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Purpose: This study aimed to determine which interventions are effective in increasing hamstring flexibility due to changes in the range of motion (ROM) and pennation angle (PA) when foam rolling (FR) and proprioceptive neuromuscular facilitation (PNF) stretching were performed.
Methods: A total of 24 healthy participants who agreed to participate in the study were randomly chosen. The participants were divided into three groups of eight people: Control, FR, and PNF stretching groups. The hip flexion angle (ROM) and PA of the hamstrings were measured before and after the experiment. The Wilcoxon signed-rank test was used to analyze the ROM and PA for each group by comparing the before and after results. The Kruskal-Wallis test and the Mann-Whitney U test were used to analyze the increase in hamstring flexibility between the groups.
Results: A statistically significant difference was observed in the ROM and PA within all groups, and only the ROM was significant in the comparison between the three groups. In the comparison between the control and other two groups, a significant difference was noted in both the ROM and PA in the FR group and only the ROM in the PNF stretching group (p< 0.05). In the comparison between the FR and PNF stretching groups, no significant difference was observed (p >0.05).
Conclusion: These findings FR and PNF stretching increased the ROM; however, no change in PA was observed. Therefore, FR and PNF stretching were considered effective interventions in immediately increasing hamstring flexibility.

KCI등재

저자 : Kwang-sub Lee , Ji-won Wang , Dong Yeop Lee , Jae Ho Yu , Jin Seop Kim , Seung Gil Kim , Ji Heon Hong

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 3호 발행 연도 : 2022 페이지 : pp. 121-127 (7 pages)

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Purpose: This study aims to compare the effect on balance during core and ankle muscle strengthening exercises using the Thera-Band.
Methods: 21 healthy college students were recruited. The participants were divided into a core strengthening group (CSG), an ankle strengthening group (ASG), and a non-exercise group (NEG). CSG and ASG were performed twice a week for a total of 4 weeks, and static and dynamic balance were measured before and after the intervention. The static balance were measured as stability index and weight distribution index using Tetrax®. The dynamic balance was measured in each direction by the Y balance test. The Thera-Band intensity was increased after 2 weeks of exercise, and the exercise was subsequently performed.
Results: Participants showed static balance with Tetrax®, a significant difference was noted between normal eye closes and pillow with eye closes in ASG (p<0.05). In the case of dynamic balance with the Y balance test, a significant difference was observed in posterolateral direction (PL) and composite score (CS) between each group for the pre- and post-intervention differences (p<0.05). A significant difference was observed between PL and CS in CSG (p<0.05).
Conclusion: These findings show that the progressive Thera-Band exercise had a positive effect on balance abilities. It was confirmed that core strengthening was effective for dynamic balance, and ankle strengthening was effective for static balance.

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KCI등재

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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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.

KCI등재

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.

KCI등재

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.

KCI등재

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.

KCI등재

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.

KCI등재

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.

KCI등재

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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