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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of the Korean Society of Physical Medicine
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Journal DOI :
The Korean Society of Physical Medicine
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Volume & Issues
Volume 7, Issue 4 - Nov 2012
Volume 7, Issue 3 - Aug 2012
Volume 7, Issue 2 - May 2012
Volume 7, Issue 1 - Feb 2012
Selecting the target year
A Study of Management and Satisfaction for Home Visiting Physical Therapy
Ahn, Chang-Sik ; Yu, Won-Jong ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 241~250
DOI : 10.13066/kspm.2012.7.3.241
Purpose : The this study was performed to purpose the data basis of medical law revision for home visiting physical therapy established as a legal system in hone visiting health care by researching the need, satisfaction, intention to use, management, expected effects. Methods : We were surveyed for 105 patients who was participated business from home visiting health care in community health center. We choose and modified the questionnaire that was used in previous study about home visiting physical therapy and home visiting program for nurses. The questionnaire was consisted of 4 questions of general characteristics of subject, 6 questions of satisfaction, 4 questions of satisfaction of service status, 2 questions of management. And frequency analysis, ANOVA were used for statically analysis. Results : In general satisfaction, satisfaction of service status, the result were very optimistic, but there were no difference by age. In management, participations of 64.8% was answered to within three years of clinical experence and trained in home visiting physical therapy ask on qualification criteria of physical therapists, and participations of 93.3% was answered to once a week ask on desired number of therapy. Conclusion : In our conclusion, home visiting physical therapy is very useful and effective health care system for satisfaction and need, so home visiting physical therapy expected to have great potential in home visiting health care. In addition, by train to home visiting physical therapist for provide professional physical therapy service provide an institutional base which can be expanded and invigorated home visiting physical therapy.
Comparision of the Muscle Activity and Balance of Lower Extremities in Exercise Using TOGU on the Unstable Surface and Stable Surface after Reconstruction of the ACL
Lim, Chang-Hun ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 251~258
DOI : 10.13066/kspm.2012.7.3.251
Purpose : The purpose of this study is to provide an efficient and basis for muscle activity of Quadriceps muscles and balance in anterior cruciate ligament reconstruction patients through unstable surface exercise and stable surface exercise. Methods : This study included 30 anterior cruciate ligament reconstruction patients belonging to A hospital and D orthopedic surgery clinic of province who attended the program for 30 minutes at a time and three times a week for 4 weeks. Of these 15 attended the unstable surface exercise program and 15 the stable surface exercise program. To increase muscle activity (%MVIC) and balance (WPL), the unstable surface exercise. Results : The %MVIC of lower extrmity muscle(RF, VL, VM) increased from before training to after training in the case of the participants who performed the unstable surface exercise, and the whole path length (WPL) decreased from before the training to after the training(p<.05). Conclusion : In conclusion, unstable surface exercise program helps to improve the balancing ability and musle activity in a anterior cruciate ligament recunstruction patients who requires both muscle activity and balance than stable surface exercise program.
The Effect of e-Exercise Program on Balance, Gait, and Endurance in Patients with Parkinson's Disease
Kim, Su-Young ; Han, Jin-Tae ; Choi, Mal-Ok ; Min, Hye-Sook ; Sung, Hye-Ryun ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 259~265
DOI : 10.13066/kspm.2012.7.3.259
Purpose : Patients with Parkionson's disease have a temporal and spatial restriction for their's exercise treatment. The aim of this study is to verify the effectiveness of e-exercise program on balance, gait, and endurance ability in people with Parkinson's disease. Methods : Eighteen participants, with Parkinson's disease that ranged from stage to on the Hoehn & Yahr scale, were assigned to two group. Two group were divided into on-line group that exercised in home by computer video, and off-line group that exercised in clinical center. Exercise program that included 3 sections (warm-up, main exercise, cool down)-5 parts(stretch, strength, balance, gait, stretch) was used to train for participants. We used the functional reach test for balance ability, timed up and go test for gait ability, 6 minute walking test for endurance ability. Wilkoxon sign lank tests were used to assess the difference of balance, gait, and endurance ability in pre-and post test each groups. Mann-whitney tests were used to assess the difference of balance, gait, and endurance ability between groups. Results : Wilkoxon sign lank tests revealed that both group were improved the balance, gait and endurance agility by e-exercise program intervention. Mann-whitney tests showed that there were no differences between groups in the variation of balance, gait, endurance ability. Conclusion : We believe that exercise program with on-line(e-exercise program) is an effective intervention for people with Parkinson's disease and is no different than off-line exercise group in the variation of balance, gait, endurance ability.
The Effect of the Forced Pulmonary Function of young female, by Changes in Lung function Related to Postures and by Transverse Abdominis Activation in Standing Position
Lee, Byung-Ki ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 267~274
DOI : 10.13066/kspm.2012.7.3.267
Purpose : The purpose of this study was to investigate characteristics of the forced pulmonary function test effect by changes in lung function related to postures and by Transverse Abdominis(TrA). Contraction in standing position during forced inspiration and expiration with young female adults. Methods : 10 young female adults were recruited this study. pulmonary Function test was measured with a Master-screen Body (VIASYS Inc., CA, 미국). To check the changes in lung function with different postures, we tested pulmonary function in the standing and supine position each. In the standing position, while the transversus abdominis was activating, we compared the forced inspiration with the forced expiration. Statistical analysis was used Independent t-test to know difference between forced inspiration and expiration of activated TrA. Results : According to the study, the change of pulmonary function were statistically significant difference in the standing compared to the supine position. The contraction of the transversus abdominis causes decrease in the change of forced inspiration and increase in the change of forced expiration. Conclusion : These results indicate that spontaneous contraction of the TrA in standing position helps pulmonary function. And the selective contraction of the transversus abdominis at the end of forced inspiration makes increases in the forced expiration.
Effect of Hip Adductor Co-contraction on Trunk Muscle Activation during Bridge Exercise in Healthy Young Individuals
Na, Sun-Wang ; Oh, Duck-Won ; Park, Hyun-Ju ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 275~282
DOI : 10.13066/kspm.2012.7.3.275
Purpose : Bridge exercise has been commonly used in clinical rehabilitation settings to improve trunk control, and hip adductor muscles were a related muscle that may affect trunk muscle activation. The aim of this study was to investigate whether the co-contraction of hip adductor muscles may affect trunk muscle activation during bridge exercises. Methods : Thirty-eight healthy young subjects (19 men and 19 women) performed bridge exercises (with and without hip adduction movement). Surface electromyography (EMG) data were collected from the dominant-side internal oblique (IO), rectus abdominis (RA), multifidus (MF) and erect spine (ES) during bridge exercises to compare trunk muscles activation patterns. Result : The EMG activities of IO and RA appeared to be significantly higher during bridge exercise with hip adductor co-contraction than during bridge exercise alone (p<.01), but there were no significant differences in those of MF and ES. Furthermore, there were significant differences in the IO:RA EMG ratio during bridge exercise with hip adductor co-contraction (p<.05). Conclusion : These findings suggest that integration of hip adduction during bridge exercise may be beneficial in increasing deep muscles' activity for trunk stabilization.
Implementation to Evidence-Based Practice of Physical Therapists Providing Treatment and Outcome Measure to People with Stroke
Kwon, Mi-Ji ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 283~291
DOI : 10.13066/kspm.2012.7.3.283
Purpose : The purpose of this study was to identify education, attitudes and beliefs, interest and perceived role, self-efficacy and barriers to physical therapists' implementation of evidence-based practice for people with stroke. Methods : The participants were 120 physical therapists providing services to people with stroke in Gwang-ju. The questionnaire contained items to evaluate practitioner and organizational characteristics and perceptions of research considered to influence evidence-based practice. The prevalence of practitioner and organizational factors was estimated using percentages. Logistic regression was used to examine relationships between sociodemographic and practice characteristics and each practitioner factor. Results : 40% of respondents had learned the foundations of EBP in their academic preparation or received training in searching or appraising research literature. 88.3% agreed that research findings are useful. Self-efficacy ratings were 45%. Conclusion : Lack of education, negative perceptions about research and physical therapists' role in evidencebased practice, and low self-efficacy to perform EBP activities represent barriers to implementating EBP for people with stroke that can be addressed through continuing education.
The effect of Lower Extremity Selective Voluntary Motor Control for joint motion during Gait in Children with Spastic Diplegia
Seo, Hye-Jung ; Seo, Mu-Jung ; Shin, Hyun-Hee ; Oh, Tae-Young ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 293~302
DOI : 10.13066/kspm.2012.7.3.293
Background & Purpose : The purpose of this study is to evaluate the impairment of SVMC(selective voluntary motor control) of the lower extremity by assessing each joints of lower limb and to analyze the motional relationship between each joints of lower limb using SCALE(Selective Control Assessment of the Lower Extremity) during the swing phase of gait cycle in children with spastic diplegia. Method : 11 children with spastic diplegia CP who could walk independently and 10 normal developing children were participated. SCALE(Selective Control Assessment of the Lower Extremity) assessments were conducted for 11 children with CP. Gait analysis were accomplished in all participants. Qualisys motion analysis was used as a statistical tool to assess the motional relationship between hip joint, knee joint and ankle joint in each limb. We used descriptive statistics, cross-tabulation, independent t-test, linear regression to analysis motional relationship between each joints of lower limb using by SPSS ver.17.0. Result : Firstly, there were significant differences in SCALE scores between the cerebal palsy group and the control group in knee joint(p<0.05), but no significant difference in hip and ankle joints during the swing phase of gait cycle. Secondly, the difference of SCALE scores showed no statistical motional difference in knee and ankle joints during the swing phase, and showed significant motional difference in hip joints during the swing phase(p<0.05). Thirdly, there was a liner relationship between the motion of hip and ankle joints during the swing phase. Conclusion : The nature of SVMC(selective voluntary motor control) in each joints of the lower limb may reflect the ability of gait, thus SCALE may be used for assessing and for treating the cerebal palsy patients who are able to walk independently. Also we knew that the impairment of SVMC(selective voluntary motor control) increases from the proximal to the distal joints.
The Effect of PNF Pattern for Upper Extrimity on the Multifiudus
Goo, Bong-Oh ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 303~308
DOI : 10.13066/kspm.2012.7.3.303
Purpose : The purpose of this study is to define the change of lumbar asymmetry multifidus muscles when upper extremity PNF pattern. Methods : For this research, twenty-nine asymptomatic participants were voluntary attended. Under the identical conditions, Multifidus muscles were measured standing position and on L4,L5 vertebral level by MyLabOne (ESAOTE, Netherland with a 3.5MHz covex array transducer). The upper extrimity PNF pattern used to activate the multifidus ipsilateral and cotralateral. Results : Results of analysis showed that at the L4, L5 vertebral level, healthy asymtomativ subjects had asymmetry multifidus muscles size. The depth of the multifidus muscles were significantly increased at contralateral upper extrimity PNF pattern, but no significant differences were comparison ipsilateral with contralateral. Conclusion : The multifidus muscle in asymptomatic subjects clinical significance asymmetry. Contralateral upper extrimity PNF pattern seems to be the most suitable exercise for strenthen the smaller size of the multifidus. This study will be used as a prevention method of LBP.
Comparisons between Global Postural Re-education Exercise and Lumbar Stabilization - Focuhing on Eldery Women
Kim, Myung-Chul ; Han, Seul-Ki ; Song, Seung-Hyun ; Park, Jung-Seo ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 309~318
DOI : 10.13066/kspm.2012.7.3.309
Purpose : The purpose of this study was to compare 2 different interventions, global postural re-education (GPR) and specific spinal stabilization exercise in the healthy elderly of women. Methods : A total of 28 subjects were randomized into 2 treatment groups: GPR, where therapy involved muscle global chain stretching, or specific spinal stabilization exercise with conventional static stretching (GPR group: n=14, specific spinal stabilization exercise group: n=14). Both groups received exercise intervention 3 times a week for 12-weeks. Results : Outcome was based on trunk endurance, trunk flexibility, Pressure Bio Feedback, Oswestry Disability Index measured immediately before and after intervention. Trunk flexibility, Pressure Bio Feedback, Oswestry Disability Index improved more in GPR group after intervention. There were no differences between the 2 exercise approaches for any of the trunk endurance. Conclusion : As the above results, GPR appear to improve Trunk flexibility, Pressure Bio Feedback, Oswestry Disability Index to the elderly of women. The efficacy of the GPR program used in this study should be further investigated in a long period study and objective outcomes.
The Study of Asymmetrical Contraction of the Lateral Abdominal Muscles in Stroke Patients Using Ultrasound Imaging
Park, Hyun-Ju ; Oh, Duck-Won ; Shin, Won-Seob ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 319~327
DOI : 10.13066/kspm.2012.7.3.319
Purpose : This study aimed to identify the asymmetry observed in the rehabilitative ultrasound imaging of lateral abdominal muscle thickness and performance between the affected and unaffected side during the abdominal drawing-in maneuver (ADIM), an exercise used to facilitate activation of selectively TrA to stabilize the trunk prior to limb movement. Methods : The Participants were twenty one patients with post-stroke hemiplegia in this study. Ultrasound imaging was used to measure amount of changes in thickness of the external oblique (EO), internal oblique (IO), transversus abdominis (TrA). A Paired t-test was used to compare relaxed muscle thickness to contracted muscle thickness of all 3 muscles between the affected and unaffected sides. Results : The outcome measures included side to side differences of absolute thickness, contraction ratio among the lateral abdominal muscles. There was no significantly difference in between the affected and unaffected side at rest. But, there was a significantly difference in absolute muscle thickness between the affected and unaffected side of only TrA muscle. Also contraction ratio was a significantly difference between the affected and unaffected TrA muscle. Conclusion : These findings support the asymmetrical activation of TrA muscle during abdominal muscle contraction in patients with post-stroke hemiplegia. Further studies are warranted for confirming this outcome.
The Effects of Stretching and Isometric Exercise for Chronic Neck Pain Patient in Strength and Pain
Lee, Han-Suk ; Yoo, Ji-Hun ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 329~337
DOI : 10.13066/kspm.2012.7.3.329
Purpose : The purpose of this study was to assess more effective exercise prescription for the people with chronic neck pain by comparing stretching exercise and isometric exercise about strength and pain. Method : The research design of the study was that 20 young adults with mild neck disability (5-14 out of 50 in Neck Disability Index) were randomized into 2 groups and underwent stretching exercise(10 peoples) and isometric exercise(10 peoples) at 3 times a week for 5weeks. Measures of pain scale (Visual Analog Scale) and Muscle strength of deep neck flexor (Pressure Biofeedback) were assessed before and after intervention. The pre and post exercise results were compared using paired t-test and the effectiveness of intervention of two groups were compared using Independent t test. Results : The results of this study were that pain reduction was seen after stretching and isometric exercise and significantly difference. There was significantly improvement of cervical flexor strength after stretching and isometric exercise. But, there was no significant difference between stretching and isometric exercise groups. Conclusion : The stretching and isometric exercise for chronic neck pain patients may use according to preference of patient because the effects of treatment was same. Further studies are needed to analyzed psycho social factors, cost effects, group approach.
Comparison of Muscle Activations on Knee Joint Forms and Walker Types in Cerebral Palsy of Spastic Diplegia
Ahn, So-Youn ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 339~348
DOI : 10.13066/kspm.2012.7.3.339
Purpose : The purpose of this study is to compare muscle activations of neck, trunk and leg in cerebral palsy of spastic diplegia with genu recurvatum and knee flexion contracture, when using anterior and posterior walkers. Methods : We selected 21 cerebral palsy and received the written consent to participate in this study. The inclusion criteria for participation required patients to have spastic diplegic CP; to be between 3~6 years of age, to have a GMFCS III grade, to have no botulinum toxin injection and orthopedics surgery within before six months starting the study. Measurements of muscle activities (sternocleidomastoid, splenius capitis, rectus abdominis, erector spinea, gluteus maximus, rectus femoris, medial hamstring and calf muscles) were evaluated anterior and posterior walker ambulations. Statistical evaluation of these data were accomplished by utilizing the paired t-test and independent t-test by SPSS 20.0 program. Significance level was set at p<.05. Results : The following results were obtained. There was significant difference on muscle activation of neck, trunk and legs(soleus except) in anterior and posterior walkers. There was no significant difference in muscle activation of neck but significant difference in muscle activation of trunk, legs between genu recurvatum and knee flexion contracture(rectus abdominis, medial hamstring when using anterior walker, rectus abdominis, erector spinea, gluteus maximus, medial hamstring when using posterior walker). Conclusion : The conclusion of this study is the different knee joint forms would have different effect on muscle activation of trunk and legs while cerebral palsy of spastic diplegic ambulated with anterior walker and posterior walker.
The Effects of Pulsed Electromagnetic Field on Functional Recovery and Expression of GAP-43 after Incomplete Spinal Cord Injury in Rats
Bang, Hyun-Soo ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 349~356
DOI : 10.13066/kspm.2012.7.3.349
Purpose : This study was designed to investigate the effects of pulsed electromagnetic field on functional recovery and expression of GAP-43 after incomplete spinal cord injury (SCI) in rats. Methods : To confirm the damage of SCI and effects of pulsed electromagnetic field, 20 Sprague-Dawley male rats were used and divided randomly 2groups (SCI, PEMF). Incomplete SCI was induced by using modified NYU drop model. After operation, functional recovery test, immunohistochemistry and western blot analysis were measured at 1, 2, 3 weeks. Pulsed electromagnetic field were apply three weeks (one times a day, five days a week and twenty minutes a session). Results : In the this study, applications of pulsed electromagnetic field after incomplete SCI induced the significant improvement in functional recovery and expression of neurotrophic factor. The results were as follows; Foot print test, PEMF were significantly decreased than the SCI (p<.05). Expression of GAP-43, PEMF were significantly increased than the SCI at 2 and 3 weeks (p<.05). Conclusion : In conclusion, pulsed electromagnetic field were positive effect in functional recovery and expression of GAP-43 after incomplete SCI in rats.
The Effect of Balance Exercise on Various Support Surfaces on the Gross Motor Function and Balance Ability of Children with Cerebral Palsy
Lee, Eun-Jung ; Song, Ju-Min ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 357~365
DOI : 10.13066/kspm.2012.7.3.357
Purpose : The present study has been performed to find the effects on gross motor function and balance ability of applying a balance exercise program consisting of motions able to stimulate balance-related sensory systems on various support surfaces along with goal-oriented upper extremity tasks to enhance the balance ability. Methods : 10children diagnosed as having spastic diplegia were selected as the subject for this study, of whom 5children were randomly assigned to a control group (CG) and the remainder to a balance exercise group (BEG) to perform the upper extremity task on various support surfaces. Each intervention was executed 30minutes per session with 2sessions a week for 12weeks. To make comparisons before and after intervention, gross motor function measure; standing; demention D(GMFM;D), walking/running/jumping ;demention E (GMFM;E) and pediatric balance scale (PBS) were evaluated. Results : The CG showed a significant difference (p<.05) in GMFM;E. BEG showed a significant difference (p<.05) in GMFM;D as well as GMFM;E and in PBS before and after intervention. BEG showed a significant improvement (p<.05) in GMFM;D and the PBS compared with the CG whereas it did not indicate any statistically significant difference in GMFM;E. Conclusion : According to the results of this study, it has been shown that a balance exercise accompanied by upper extremity task on various support surfaces had an effect on improvement in the gross motor function and the balance ability of children with spastic diplegic cerebral palsy.
The Comparison of Keyword of Articles in Journal of the Korean Society of Physical Medicine with MeSH
Roh, Jung-Suk ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 367~377
DOI : 10.13066/kspm.2012.7.3.367
Purpose : The purpose of this study was to investigate the coincidence between keywords of Journal of the Korean Society of Physical Medicine (JKSPM) and MeSH terms, a controlled vocabulary used in MEDLINE. Methods : A total of 838 keywords used in 252 papers of JKSPM from Vol.1, No.1, 2006 to Vol.7, No.1, 2012 were compared with MeSH terms. All of keywords are classified to three large categories; complete coincidence, incomplete coincidence, and complete incoincidence. Results : The keywords in complete coincidence category were 183(21.8%), the keywords in incomplete coincidence category were 378(45.1%), and the keywords in complete incoincidence category were 277(33%). The most used keyword in complete coincidence category was 'stroke' and in complete incoincidence category was 'balance'. The most used keyword matching entry terms in incomplete coincidence category was 'elderly'. Conclusion : The rate of complete coincidene of keywords with MeSH terms was not higher than the rates of incomplete coincidence and complete incoincidence. It is necessary to understand MeSH terms more accurately and specifically. The JKSPM should ask the authors to use MeSH terms as keyword when they submit the paper.
Effect of Balance Ability and Walking in the Elderly by Taekwon-do Program
Kim, Jun-Hyun ; Park, Sung-Jin ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 379~385
DOI : 10.13066/kspm.2012.7.3.379
The Effects of Virtual Reality Interactive Games on the Balance Ability of Elderly Women with Knee Osteoarthritis
Wi, Sam-Yeol ; Kang, Jong-Ho ;
Journal of the Korean Society of Physical Medicine , volume 7, issue 3, 2012, Pages 387~393
DOI : 10.13066/kspm.2012.7.3.387