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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Physical Therapy Rehabilitation Science
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Physical therapy rehabilitation science
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Volume & Issues
Volume 2, Issue 2 - Oct 2013
Volume 2, Issue 1 - Jun 2013
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The effects of EMG-triggered functional electrical stimulation on upper extremity function in stroke patients
Kim, Young ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 1~6
Objective: The aim of this review is to explore the latest intervention trends and effects of EMG-triggered functional electrical stimulation on the upper extremity functions in stroke patients. Design: Systematic review on clinical trials. Methods: A systematic literature search was performed to identify clinical trials evaluating the effects of EMG-triggered functional electrical stimulation (EMG-FES) and task-oriented EMG-triggered FES on the hand functions in stroke patients. Literature review was conducted with the following key words: hand function, functional electrical stimulation, task-oriented, stroke. Results: Ten clinical trials were included; 8 of them were randomized controlled trial, 1 was block-randomized, and 1 was a pre-post comparison study. A positive effect of electrical stimulation was reported in the patient groups that were treated with functional electrical stimulation combined with specific tasks, and volitional muscle contraction-triggered stimulation that was synchronized with tasks. Motor capabilities of the hand and arm were improved after the rehabilitation. Conclusions: EMG-triggered electrical stimulation may be more effective than non-triggered electrical stimulation in facilitating the hand functions in stroke patients in terms of muscle strength and voluntary muscle contraction of the paretic hand and arm. Triggered electrical stimulation can be even more effective when it is combined with specific tasks.
The effects of virtual reality-based physical therapy in stroke patients
Kim, Charyong ; Min, Won-Kyu ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 7~11
Objective: Final goal of nerve advancement therapy is to provide maximum ability to function independently in life to patients. This paper appraises and describes basic concepts of the virtual reality (VR) based exercise program to improve functional movement for neurologically impaired patients. Design: Review article. Methods: Stroke patients from the physical therapy department while wearing comfortable clothing receive therapy and also VR based motion therapy administered by the therapist in charge. After evaluation of stroke patients, therapy includes an exercise program that is suitable for use with stroke patients; stroke patients wear head-mounted display while in front of the computer, where the camera is located; they follow the action on the screen and the computer perceives the operation of the stroke patients according to subject accomplishment. Results: According to obstacle condition of stroke patients using the method, which is various environments after setting, in stroke patients, there is a possibility of presenting suitable therapeutic environments. The display presentation of the method, which is identical, causes difficulty for all stroke patients. According to subject accomplishment; stroke patients result in execution of repetition training and deepening study, which leads to mobility. Conclusions: The VR based rehabilitation training programs is a difference of the existing video training program, is immediate feedback and compensation method. It will provide rehabilitation training services for the family of the patient whose condition could be improved with rehabilitative therapy where it is a continuous circumstance as a matter of the social welfare facility therapy.
A comparison of the aerobic cost and muscle use in aerobic dance to the energy costs and muscle use on treadmill, elliptical trainer and bicycle ergometry
Petrofsky, Jerrold ; Laymon, M. ; Mcgrew, R. ; Papa, D. ; Hahn, R. ; Kaethler, R. ; Johnson, M. ; Wernow, B. ; Poblete, D. ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 12~20
Objective: To determine the energy consumed and muscle use during dance compared to different standard exercise devices. Design: Longitudinal study. Methods: Fifteen female subjects were evaluated to assess the energy cost and muscle activity during a 20 minute dance video compared to treadmill, elliptical track and bicycle ergometry. The later 3 forms of exercise were accomplished in four, 5 minute bouts at different intensities of exercise. Subjects were in the age range of 22-24 years old, were free of cardiovascular disease and did not have any neurological injuries. They were not sedentary and exercised at least twice a week. During the exercise, muscle activity was measured by the electromyogram recorded by surface electrodes on 6 muscle groups. A Cosmed metabolic cart was used to measure oxygen consumption during the exercise. Results: The aerobic dance video that was tested here was equivalent to a hard workout on any of the 3 exercise modalities. The dance routine was equivalent in terms of energy consumed to running at 225 watts of work or running for 20 minutes at a speed of 2 meters per second (4.47 miles per hour). Compared to the bicycle, it was equivalent to cycling at 112 watts for 20 minutes (2.25 kpm), and for the elliptical trainer, dance was equivalent to 435 watts. Concerning muscle use, the dance routine was the most balanced for upper, core and lower body muscles. Although the elliptical trainer was close, it required muscle less muscle use. Conclusion: A good dance video can be more effective than standard exercise equipment.
The effects of therapeutic ultrasound stimulation on the inflammation cytokine in rat articular chondrocytes
Kim, Eun-Jung ; Hwang, Sujin ; Kim, Gye-Yeop ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 21~26
Objective: The aim of this study was to investigate the effect of therapeutic ultrasound (US) of cell viability and inflammatory cytokine in rat articular chondrocyte cultures stimulated with lipopolysaccharide (LPS). Design: One group pretest-posttest design. Methods: Cultured chondrocytes were treated with US and/or LPS and assessed for viability, Tumor necrosis factor
and Interleukin (IL)-1 production. Results: Oxidative stress was induced in rat chondrocytes with LPS. The cell viability was decreased in chondrocytes after treatment with LPS. The viability revealed that low-intensity pulsed ultrasound (LIPUS) exerted no significant cytotoxicity in the rat chondrocyte. LIPUS inhibited decreased cell viability in the presence of LPS (
) in a intensity dependent pattern at LIPUS (p<0.05).
production in the presence of LPS was also inhibited in a dose dependent manner (p<0.05 from
). IL-1 production in the presence of LPS was inhibited as well (p<0.05 from
). Conclusions: Our results demonstrate that US was the anti-inflammatory effect of chondrocytes. LIPUS may exert its anti inflammatory effects through inhibition of
and IL-1 synthesis. These results suggest that US have potential for use as a pain relief and reduce the articular destruction.
The effects of active release technique on the gluteus medius for pain relief in persons with chronic low back pain
Tak, Sajin ; Lee, Yongwoo ; Choi, Wonjae ; Lee, Gyuchang ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 27~30
Objective: Low back pain is a primary of source of dysfunction and economic costs. Gluteus medius muscle co-activation and activity pattern change caused the low back pain. Active release technique (ART) is a patented, non-invasive, soft tissue treatment process that both locates and breaks down the scar tissue and adhesions. The purpose of this study was to assess the effects on chronic low back pain using ART on gluteus medius so that suggest usable treatment method for treating chronic low back pain. Design: One group pretest-posttest design. Methods: Twelve patients with chronic low back pain were participated in this study. Subjects in ART group were received 2 times a week for 3 weeks treatments with either ART on gluteus medius muscle trigger points. Outcome measures were conducted by pain intensity with a pain visual analogue scale and pressure pain threshold on gluteus medius. Results: Completion of the intervention, the visual analogue scale was decreased in ART group (p<0.05). Also pressure pain threshold was decreased in ART group (p<0.05). Conclusions: Our results suggest that the response to ART may be usable to treat low back pain. ART was presented to reduce pain level of low back in people with chronic low back pain. Further study is required to management for low back pain due to gluteus medius and more ART study.
Injury and inflammation detection by the application of microcurrent through the skin
Hui, Timothy ; Petrofsky, Jerrold ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 31~38
Objective: To determine the efficacy and reliability of measuring direct current microcurrent applied through the skin to determine injury in the underlying tissues. Design: Case control study. Methods: First, microcurrent was measured as decreased blood flow induced hypoxia in healthy subjects. Next, reliability was assessed by measuring over ten days with set variations in pressure and distance between the electrodes. Finally, measurements over sprained ankle were compared to measurements over comparable uninjured areas on the same injured subject. Results: For the blood flow test phase, microcurrent significantly decreased an average of 17% after 5 minutes (p<0.05), remained decreased for 30 seconds, and returned to non-occlusive levels after 2 minutes of normal circulation. The results indicate that the microcurrent decrease was not due to blood flow, and most likely from hypoxic cellular damage. For the reliability phase, the coefficients of variation averaged 10.3% for the shoulder, 14.8% for the low back, and 29.1% for the knee. Changing distance 2.5 cm between the electrodes resulted in insignificant changes. Changes in pressure had some significant effect after an increase in force of 2.6 N, affirming the need for consistent pressure for measurement. For the injury test phase, a significant 69% decrease occurred comparing injured areas to the same area on the uninjured side, and a significant 74% occurred comparing injured and non-injured areas on the same limb. Conclusions: Microcurrent through the skin shows promise as an objective method of assessing a soft tissue injury by detecting damage likely due to hypoxia.
The effects of treadmill training on dynamic balance and gait function in stroke patients: a pilot randomized controlled trial
Chung, Eun Jung ; Lee, Byounghee ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 39~43
Objective: The objective of this study is to investigate the effect of treadmill gait trainig on dynamic balance and gait functions in stroke patients. Design: Randomized, double-blind, controlled pilot study. Methods: Four subjects following first stroke participated in this study. They were divided randomly into the treadmill gait trainig group (TM group) (n=2) and the control group (n=2). Subjects in both groups received general training five times per week. Subjects in the TM group practiced an additional treadmill gait trainig program that consisted of 60 minutes, three times per week, during a period of four weeks. Timed up and go test (dynamic balance) and the GAITRite test (gait function) were evaluated before and after the intervention. Results: In dynamic balance (timed up and go test), the TM group (-14.235 sec) showed a greater decrease than the control group (-13.585 sec). In gait functions, the TM group showed a greater increase in gait speed (12.8 cm/s vs. 10.15 cm/s), step-length (5.825 cm vs. 3.735 cm), and stride-length (5.005 cm vs. 1.55 cm) than the control group. Conclusions: The treadmill gait trainig improved dynamic balance and gait functions. Further research is needed in order to confirm the generalization of these findings and to identify which stroke patients might benefit from treadmill gait trainig.
The changes of rectus abdominis muscle thickness according to the angle during active straight leg raise
Lee, Hwang Jae ; Shin, Kil Ho ; Byun, Sung Mi ; Jeong, Hyeon Seo ; Hong, Ji Su ; Jeong, Su Ji ; Lee, Wan Hee ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 44~48
Objective: The purpose of this study was to investigate changes of abdominal muscles thickness according to the angle during the active straight leg raise (ASLR) in young healthy subjects. Design: Cross sectional study. Methods: Twenty-three healthy university students (13 men and 10 women) voluntary participated to the study in S University. The ASLR was performed with the subject lying supine with lower extremities straight on a standard plinth, hands resting on the chest, and elbows on the plinth. When one subject performed ASLR from each angles (
), compared changes in the thickness of rectus abdominis muscle. Changes in muscle thickness during ASLR test were assessed with ultrasonography. All subjects were to provide enough time of rest after performed ASLR. Rectus abdominis thickness were measured using rehabilitative ultrasound image. Results: Good quality rectus abdominal muscle activation data were recorded during ASLR. The length changes of linea alba showed significantly shorter in between
(p<0.05). The thickness of rectus abdominis muscle were significantly different between
. According to increase of pelvic angle, the thickness of rectus abdominis muscle were more thickening (p<0.05). Conclusions: This result is changes of abdominal muscles thickness according to the angle during the ASLR.
The influence of general characteristics of physical therapy students in regards to major satisfaction and academic achivement
Kim, You-Lim ; Lee, Suk-Min ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 49~56
Objective: To examine the relations between satisfaction in major, academic achievement and five personality factors of physical therapy students. Design: Questionnaire study. Methods: In order for a complete enumeration when selecting study subjects, we selected five representative schools through raffles. For about three weeks from May 21st to June 16th 2012, we distributed self-administered questionnaires comprised of questions related to five personality factor characteristics, satisfaction in major and academic achievement. Total of 510 questionnaires were distributed and 442 questionnaires were returned. Except the castle is not answered or unanswered call 73 questionnaire collected data from the 369 call. And 369 questionnaires were used for analysis. The frequency analysis was conducted to examine general characteristics of subjects. Results: In the analysis of differences in personality factors for each individual variable in accordance with sex, women had higher degree of neuroticism than men (p<0.05). Also men showed higher openness than women (p<0.05). In the analysis of differences in personality factors for each individual variable in accordance with age, the lower the age was, the higher the degree of neuroticism was (p<0.05). For satisfaction in major, "Satisfaction in school life" and "Motive for selecting the major"were significant factors (p<0.05). academic achievement, "School type" and "Motive for selecting the major" were significant factors (p<0.05). Conclusions: In regards to the satisfaction in major and academic achievement, "Motive for selecting the major" was the major significant factor. Students who had high interest in their majors expressed higher satisfaction, which the in turn correlated with higher academic achievement.
Correlation of single leg vertical jump, single leg hop, and single leg squat distances in healthy persons
Shin, Seung-Ho ; Woo, Hyunjae ;
Physical Therapy Rehabilitation Science, volume 2, issue 1, 2013, Pages 57~61
Objective: To determine the correlation among three functional tests: single leg vertical jump (SLVJ), single leg hop for distance (SLHD), and single leg squat (SLSQ). Design: Cross sectional study. Methods: Twenty healthy men (n=10) and women (n=10) with no history of lower extremity dysfucntion participated in this study and performed in university research laboratory. The procedures consisted of a general warm-up, a task-specific warm-up, actual testing, and a cool down. All participants performed the three tests in random order. Each test was performed three times for the dominant and non-dominant lower extremity (LE). SLVJ, SLHD, SLSQ were measured using a standard tape measure. Results: Statistically significant difference was presented between dominant LE and non-dominant LE in each function test (p<0.05). The strongest correlation was between SLVJ and SLSQ, 0.939 and 0.883 for dominant and non-dominant LE, respectively (p<0.05). The weakest correlation was between SLVJ and SLHD, 0.713 for dominant (p<0.05) and between SLSQ and SLHD, 0.739 for non-dominant (p<0.05). Conclusions: There is a strong correlation between SLVJ and SLSQ, suggesting that each test measures similar constructs of function and can be substitutive, while weak correlation between SLSQ and SLHD suggest these two tests do not measure the same functional components and could be paired as outcome measures for the clinical assessment of LE function. It will provide physical therapist with scientific evidence for effective test combination of LE function assessment in clinical practice.