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Journal of International Academy of Physical Therapy Research
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Journal DOI :
International Academy of Physical Therapy Research
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Volume & Issues
Volume 5, Issue 2 - Oct 2014
Volume 5, Issue 1 - May 2014
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Comparison of Utilization of Physical Therapy for Elderly Persons in Urban and Rural Areas in Honam
Ji, Sung Ha ; Kim, Ki Jong ; Jun, Hyun Ju ; Lee, Young Sin ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 701~707
DOI : 10.5854/JIAPTR.2014.10.31.701
This study was carried out survey to compare using status of physical therapy for elderly persons between urban and rural area in Honam. There were 16 places consisting of general clinics, departments of family medicine, pain medicine, and orthopedics that run outpatient physical therapy. This study distributed 636 questionnaires in total and collected 400 responses. Regionally, 200 responses out of 311 questionnaires from Gwangju and 200 responses out of 325 questionnaires from Jeollanam-do and Jeollabuk-do were collected. Regionally speaking, Gwangju was 62% while Jeollanam-do and Jeollabuk-do regions were 88%, indicating patients in rural areas employed more public transportation, which was statistically significantly different. There was a difference between urban and rural areas with regard to questions regarding improvement with physical therapy. Factors related to the number of physical therapy visits per week that showed a significant difference between urban and rural areas found by the linear regression analysis result were working hours, whether the patient exercised or not, and pain stress. This result suggest that it is necessary to reduce working hours and pain stress experienced by rural elderlies as well as to encourage regular exercise via national polices.
The Influence of Body Support Treadmill Training with Visual Feedback on the Gait Factors of Stroke Patients
Jegal, Hyuk ; Kim, Ki Jong ; Jun, Hyun Ju ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 708~713
DOI : 10.5854/JIAPTR.2014.10.31.708
The aim of this research was to investigate how the effects of body supported treadmill training with visual feedback affect the gait factors of stroke patients. Thirty subjects (21 male, 9 female) with a diagnosis of stroke were taken to the hospital to participate in this study. The subjects received body supported treadmill training with visual feedback. The training was executed for 6 minutes, 3 times a day per week for 19 weeks after general exercise. The effects of the visual feedback in the body supported treadmill training were evaluated by measuring the average gait cycle and the average step length of the affected and unaffected. The collected data were statistically analyzed by using a paired t-test. The results of this study were a significant improvement of the average gait cycle and no statistically significant difference of the average step length. The gait cycle average had a statistically significant difference in gender, age, etiology, paretic side, and step length average. There was no statistically significant difference in infarction within etiology. Therefore, it was necessary to apply the easy and simple with the treadmill training in the rehabilitation of the stroke patients. This study will require a variety of outcome measures related to the effects of treadmill training with gait factors.
The Effect of Group Exercise Program on Cognitive Function of Elderly people
Kim, Nyeon Jun ; Kim, Moo Ki ; Moon, Ok Kon ; An, Ho Jung ; Shin, Hee Joon ; Choi, Yoo Rim ; Wang, Jung San ; Lee, Joon Hee ; Park, Joo Hyun ; Kim, Soon Hee ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 714~717
DOI : 10.5854/JIAPTR.2014.10.31.714
The goal of this study was to assess the effect of a group exercise program on cognitive function of elderly people. Subjects were chosen to be elders with dementia having minor to moderate degrees of cognitive function. Study was started out by randomly dividing the 16 subjects into two groups, each with 8 people; the group exercise group and the control group. The group exercise group performed 8 weeks of group exercise program and general physiotherapy while the control group only performed general physiotherapy. Cognitive function was measured by Korean version mini-mental state examination. The study group's attention and calculation statistically significantly improved but the control group saw no statistically significant change. The group exercise program affected improvement in cognitive function of elderly people with dementia and in particular, was effective for enhancing their attention and calculation.
The Effect of NEES on the Occurrence of Caspase-3 in the Cerebellum of Rats with Transient Global Ischemia
Lee, Jung Sook ; Song, Young Wha ; Kim, Sung Won ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 718~722
DOI : 10.5854/JIAPTR.2014.10.31.718
The cerebellum is known to control balance, equilibrium, and muscle tone. If the cerebellum becomes damaged, the body is unable to retain its balancing functions or involuntary muscle movement. This is why, in stroke patients, there is a high risk of functional disability, as well as a myriad of other disabilities secondary to stroke. Ischemia was induced in SD mice by occluding the common carotid artery for 5 minutes, after which blood was reperfused. Needle electrode electrical stimulation(NEES) was applied to acupuncture points, at 12, 24, and 48 hours post-ischemia on the joksamri. Protein expression was investigated through caspase-3 antibody immuno-reactive cells in the cerebral nerve cells and Western blotting. The results were as follows: The number of caspase-3 reactive cells in the corpus cerebellum 12 and 24 hours post-ischemia was significantly (p<.05) smaller in the NEES group compared to the GI group. caspase-3 expression 12 and 24 hours post-ischemia was significantly(p<.05) smaller in the NEES group compared to the GI group. Based on these results, NEES seems to have a significant effect on Caspase-3 in the cerebellum in an ischemic state at 12 and 24 hours post ischemia, NEES delays the occurrence of early stage apoptosis-inducing Caspase-3, delaying and inhibiting apoptosis. Further systematic studies will have to be conducted in relation to the application of this study's results on stroke patients.
The Effect of Female College Student's Stress Level on Premenstrual Syndrome
Kim, Eun Young ; Bae, Ju Han ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 723~729
DOI : 10.5854/JIAPTR.2014.10.31.723
The purpose of this study is to understand the relationship between female college students' stress level and premenstrual syndrome so that it can provide baseline data on how to cope with the syndrome. The study subjects are 250 female college students in Gyungbook area. This study chose 199 appropriate subjects and collected data. As per general menstrual phases, this study investigated the age when one had her first period, regularity and duration of period, and amount of bleeding. It used a measurement tool to measure stress level and premenstrual syndrome. Most of the subjects experienced their first period before the age of 13. The menstrual period was irregular with the duration of less than 7 days. 123 subjects had normal amount of bleeding. 121 subjects were experiencing high level of stress over 2.4. The correlation between the level of stress and premenstrual syndrome factors showed significant static correlation for each factor. Especially, the correlation between digestive system and response of autonomic nervous system was .996 and negative emotion and behavioral change was .635, and negative emotion and pain was .614 which were relatively high. The regression analysis of factors of premenstrual syndrome depending on the subjects' stress level indicated that response of autonomic nervous system had the biggest effect in the low stress group while behavioral change, negative emotion, pain, decreased concentration, water congestion, response of autonomic nervous system, and skin change had the biggest effect in the high stress group with statistical significance. Based on the result, it can be said that higher premenstrual stress is closely related to the premenstrual syndrome one experiences for some female college students.
Effects of virtual reality cognitive rehabilitation program on cognitive function, physical function and depression in the elders with dementia
Moon, Hyun Ju ; Choi, Yoo Rim ; Lee, Sung Kook ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 730~737
DOI : 10.5854/JIAPTR.2014.10.31.730
The aim of this study is to examine the effects of virtual reality cognitive rehabilitation program on cognitive function, physical function and depression of long-term care insurance nongrading elderly dementia using Daytime protection service. For achieve this purpose, 30 dementia elderly were randomly assigned in to the experimental group(n=15)and control group(n=15). All subjects performed a general therapeutic exercise and 20- 30minutes takes virtual reality cognitive rehabilitation program were conducted with experimental group 2 times a week for 8 weeks. The intervention effects were measured by using cognitive function is mini-mental states examination-Korean version(MMSE-K), visual perception is MVPT(Motor-Free Visual Perception Test), Berg's balance scales(BBS), depression test GDS-K and lower limb strength. The results of study represented that the training group showed significant improvement in MMSEK( p<.05), visual perception(p<.05), balance(p<.05), lower limb strength(p<.05) and depression (p<.05). In conclusion, the virtual reality cognitive rehabilitation training using improves visual perception included cognitive function, physical function included balance, and lower limb strength and depression. These results suggest that virtual reality training using virtual reality cognitive rehabilitation program is feasible and suitable for mild dementia.
Effect of Ankle Joint Mobilization and FES on Change of Ankle Movement and the Quality of Gait in Patients with Hemiplegia
Lee, Hyun Suk ; Park, Si Eun ; Lee, Sang Bin ; Kim, Bo Kyoung ; Shin, Hee Joon ; Kim, Hong Rae ; Choi, Young Duk ; Min, Kyung Ok ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 738~742
DOI : 10.5854/JIAPTR.2014.10.31.738
This study was conducted to investigate the effect of FES and ankle mobilization on the ankle motion and the quality of gait of chronic hemiplegic patients with limited ankle joint motions. As research subjects, 24 chronic hemiplegic patients who could walk independently, regardless of assistive aids, were selected. Then, 8 subjects received mobilization randomly and 8 subjects received FES and 8 subjects received mobilization and FES, at the same time. The dorsiflexion PROM significantly increased in the group of mobilization therapy, mobilization and FES all together(p<.01). There were statistically significant differences among the three groups(p<.01). The 10m walking test significantly decreased in the group of mobilization therapy, mobilization and FES all together(p<.05). There were statistically significant differences among the three groups(p<.01). The gait velocity significantly increased in the group of mobilization therapy, FES therapy, mobilization and FES all together(p<.05). There were statistically significant differences among the three groups(p<.01). The stride length significantly increased in the group of mobilization therapy, mobilization and FES all together(p<.05). There were statistically significant differences among the three groups(p<.05). In conclusion, these findings demonstrate that rather than only using one treatment technique, applying mobilization and FES together brings a more satisfactory result to hemiplegic patients with limited ankle joint motions.
Effects of The Home Physical Therapy on Recovery of Muscle Strength and Gait for Discharged Patients Who Underwent Total Knee Replacement
Jang, Yong Su ; Kim, Moo Ki ; Kim, Ji Sung ; Koo, Ja Pung ; Park, Si Eun ; Choi, Wan Suk ; Kim, Bo Kyoung ; Kim, Yong Youn ; Kim, Soon Hee ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 743~751
DOI : 10.5854/JIAPTR.2014.10.31.743
This study aims to identify the effect of home physical therapy on patients who left the hospital after total knee arthroplasty, compared to the Daily living group, when it was applied to them, under the guidance of physical therapists. As research subjects, 20 patients that were scheduled to leave the hospital after unilateral total knee arthroplasty, were chosen, and they were randomly divided into a home physical therapy group(10 patients) and an Daily living group(10 patients) in order to conduct an experiment. During the 4-week research, home physical therapy was offered for 40 mins once for 5 days a week, and muscular strength, gait components were measured. For muscular strength, quadriceps muscle strength, hamstring muscle strength were measured, and as gait components, endurance, speed, step time, single-limb support were analysed. For this experiment, pre- and post-measurement were performed, and collected data were analyzed using SPSS ver. 18.0 statistical program. From the analysis of data, the following study results were obtained. Home physical therapy group and Daily living group both showed significant improvements in quadriceps muscle strength, hamstring muscle strength, and quadriceps muscle strength, hamstring muscle strength of home physical therapy group more significantly improved than Daily living group's. In relation to gait components, gait endurance, gait speed, step time significantly improved in both of home physical therapy group and Daily living group, whereas home physical therapy group only showed significant improvements in single-limp support. According to the comparison between two groups, gait speed, single-limp support and step time improved more significantly in the home physical therapy group than in the Daily living group. In conclusion, positive results were revealed in both home physical therapy group and Daily living group, with regard to muscular recovery of lower limbs of patients discharged from the hospital after total knee arthroplasty and walking, but considering the comparison results between two groups, it seems that applying home physical therapy is more effective than maintaining a daily life.
The Effect of Application Parameter of Pulsed Direct Current on Wound Healing of Patients with Pressure Ulcer
Kim, Ga Yeong ; Lee, Sang Bin ; Moon, Ok Kon ; Kim, Ji Sung ; Choi, Jung Hyun ; Wang, Jung San ; Park, Joo Hyun ; Kim, Hong Rae ; Lee, Ju Hwan ; Min, Kyung Ok ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 752~756
DOI : 10.5854/JIAPTR.2014.10.31.752
This study investigated the effects of changes to the pulsation factor of pulsed direct currents on wound healing. Patients with a pressure ulcer at a care hospital for the elderly were randomly divided into three groups: Group 1 involved the application of
in pulse duration, 10 ms in pulse period, 100 pps in a pulsation factor, 15 mA in pulse amplitude, and polarity red+ by using pulsed direct currents; Group 2 involved a change of pulse period to 8 ms; and Group 3 received general wound management. Although there were no statistically significant differences in the changing stages of pressure ulcers among the groups, all the groups dropped in numerical stages. In the two groups to which pulsed direct currents were applied, there was a statistically significant reduction in the stages of pressure ulcers from the initial assessment to the 12-week assessment (p<.05). Even though there were no statistically significant differences in changes to the area of pressure ulcers among the groups, a statistically significant decrease was found in pulsed direct current group 2 whose pulse period was shortened (p<.05). There was no difference in the healing rate of pressure ulcers among the groups, but it made a numerical increase in pulsed direct current group 1 and group 2 and a numerical decrease in group 3. There were no significant differences in the characteristics of those who had a full recovery among the groups. Those findings indicate that pulsed direct currents have positive effects on the wound healing of patients with a pressure ulcer and that a treatment with pulsed direct currents whose pulsation factor is raised by reducing the pulse duration is especially effective.
The Effect of Elasticity of Taping on Ankle Muscles'Activity and Endurance after Plyometric Training
An, Ho Jung ; Lee, Ho Kyun ; Lee, Jae Kap ; Yoo, Kyung Tae ; Kim, Sung Won ; Kim, Nyeon Jun ; Koo, Ja Pung ; Choi, Wan Suk ; Choi, Jung Hyun ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 757~763
DOI : 10.5854/JIAPTR.2014.10.31.757
The purpose of this study is to observe the effect of elasticity of taping on ankle muscles'activity and endurance after plyometric training that easily causes ankle injury, and provide baseline data for physical therapy intervention methods. The study subjects are 24 male students in their 20s who attend N University in Choongnam. They were divided into three groups; 8 subjects in the elastic taping group, 8 in the non-elastic taping group, and 8 in the non-taping group(control group). They had plyometric training for 6 weeks. After the training, this study measured their maximum voluntary isometric contraction(MVIC) and muscle endurance of the muscles around ankle joint. The experiment result is as follows. After the training, all three groups showed improvement in muscle strength and endurance. The elastic taping group showed insignificant improvement in muscle strength but significant increase in muscle endurance in plantarflexion. In dorsiflexion, both muscle strength and endurance increased significantly. The non-elastic taping group showed insignificant improvement in muscle strength but significant increase in muscle endurance in plantarflexion. Taping during plyometric training had a little or insignificant effect on muscle endurance and strength compared to the non-taping group.
A Study of Stroke Patients' Leisure Activities and Quality of Life
Paek, Hyun Hee ; Seo, Eun Jin ; Kim, Jeong Ja ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 764~771
DOI : 10.5854/JIAPTR.2014.10.31.764
This study was conducted in order to examine relationship between stroke patients' degree of satisfaction with leisure and quality of life according to their leisure activity types and whether they conducted leisure activities. A direct survey was performed from April 8 to May 3, 2013 on 92 inpatients and outpatients who received occupational therapy at hospitals located in Jeonju and Gunsan. A frequency analysis was carried out in order to look at the general characteristics of the subjects, their degree of participation in leisure activities, and their degree of satisfaction with leisure activities. A Pearson's coefficient was used to examine relationship between their degree of satisfaction and quality of life according to participation in leisure activities. Their degree of satisfaction according to participation in leisure activities was significantly higher when they took part in leisure activities such as handicraft activities, sports activities, or travel or tourism activities than when they did not perform any leisure activities. Their quality of life according to participation in leisure activities was higher when they conducted sports activities, outing activities, or tourism activities than when they did not. There was significant correlation between their degree of satisfaction with leisure and quality of life according to leisure activities.
A Study of the Practical Knowledge Regarding Osteoporosis and Health Promoting Behavior Among University Students
Hwang, Hyun Sook ;
Journal of International Academy of Physical Therapy Research , volume 5, issue 2, 2014, Pages 772~780
DOI : 10.5854/JIAPTR.2014.10.31.772
The purpose of this study is to identify the practical knowledge about osteoporosis and health promoting behavior possessed by male and female university students in their twenties. Next, the study seeks to analyze the difference in the degree of knowledge and practice of health promoting behavior depending on the students' area of study (health-related or non-health-related major) and previous education about osteoporosis. A survey was given to 300 male and female university students in Jeju Island from November 18 to December 6, 2013. Regarding knowledge about osteoporosis, the accuracy rate of health science major participants was 16.8 % higher than that of those of non-health science, and the accuracy rate of participants with previous education about osteoporosis was 12.9 % higher than those who had not. Health promoting behavior showed a higher degree of practice among students in health-related majors and those with previous applicable education. There were significant differences between the knowledge of osteoporosis and major and the presence and absence of prior education. Regarding the degree of health promoting behavior and major, the presence or absence of prior education showed significant differences. Among male and female students in their twenties, the recognition of knowledge about osteoporosis is very low. There is a need to develop various programs that focus on osteoporosis prevention rather than treatment, to improve the quality of education and training content according to the individual, and to lower the target age for osteoporosis education.