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대한물리치료학회지(JKPT) update

The Journal of Korean Society of Physical Therapy

  • : 대한물리치료학회
  • : 의약학분야  >  재활의학
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수록정보
수록범위 : 1권1호(1989)~33권4호(2021) |수록논문 수 : 1,552
대한물리치료학회지(JKPT)
33권4호(2021년 08월) 수록논문
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KCI등재

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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