• 제목/요약/키워드: manipulative therapy

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수기요법(手技療法)의 계통과 국내 수기요법 연구현황

  • 권휘근;나삼식;이기남
    • 대한의료기공학회지
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    • 제12권1호
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    • pp.50-77
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    • 2011
  • The social demand of manipulative therapy has increased. but the concept, terminology, classification and system of manipulative therapy is unclear. Therefore, academic organization on manipulative therapy is needed. The aim of this study is overview the evolution of manipulative therapy and based on this, we will find out how manipulative therapy is studied in South Korea. Manipulative therapy reflects medical knowledge and trends at the time. Historically people who work as key roles in evolution of manupulative therapy are Hippocrates, Claudius Galen, Acicenna(Ibn Sīnā), Ambroise Paré, Andreas Vesalius, Pehr Henrik Ling, Florence Nightingale, Andrew Taylor Still, Daniel David Palmer, James Beaver Mennell, James Henry Cyriax, Robin Mckenzie, Freddy Kaltenborn, Brian R Mulligan, George Goodheart, Mikao Usui, Wilhelm Reich, Ida Rolf. As the result of articles search, Massage, Chiropractics, acupressure(acupuncture), Chuna, osteopathy, reflexology, CST, Mulligan techniques, Dongbang whalbub, Kaltenborn-Evjenth orthopedic manual therapy are major subject that studied in South Korea.

Kaltenborn-Evjenth 정형도수치료가 측두하악관절 운동제한 개선에 미치는 효과 (The Effect of Improvement of Temporomandibular Joint Movement Restriction using the Kaltenborn-Evjenth Orthopedic Manipulative Therapy)

  • 김성원;홍완성
    • 대한물리치료과학회지
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    • 제10권2호
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    • pp.62-72
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    • 2003
  • The purpose of this study is to prove the efficacy of the Kaltenborn-Evjenth Orthopedic Manipulative Therapy and the Conventional Physical Therapy that influence changes in pain and range of motion when those therapies are applied to patients with temporomandibular pint movement restriction. The subjects of the study were 30 randomly selected patients who had been diagnosed with temporomandibular pint movement restriction and had endured pain for more than two weeks. These patients had visited one of three hospitals in Pyongchon 00 Hospital. The subjects were divided into two groups with 15 patients each. The Kaltenborn-Evjenth Orthopedic Manipulative Therapy was applied to one group and the Conventional Physical Therapy was applied to the other group, once a day for three days. Then, the pain perception degree was measured by using the Visual Analogue Scale(VAS) and a digital device(Absolute Digimatic) measured the range of motion for each group. The average and standard errors were calculated for each measured items and a paired t-test was used for identifying significance in the differences in the pain perception degree and the range of motion between the two groups according to therapy. The significant level was set as ${\alpha}=0.05$. The changes in the pain perception degree were statistically significant in both groups; however, the group that received Kaltenborn-Evjenth Orthopedic Manipulative Therapy(KE-Group) showed more significant changes in a decrease in the pain perception degree than did the group that received the Conventional Physical Therapy(CPT-Group). Both groups showed significant results regarding changes in the range of motion: however, the KE-Group showed more of a significant difference in the average of the range of motion than did the CPT-Group(p<0.001). Comparing the changes in the range of motion between the two groups, the KE-Group showed a significant result which means that the KE-Group had a higher therapy effect than did the CPT-Group(p<0.05). Based on the results of this study, we found that the Kaltenborn-Evjenth Orthopedic Manipulative Therapy decreased pain and increased the range of motion. With such findings, we expect that the Kartenborn-Evjenth Orthopedic Manipulative Therapy can be used as an effective treatment method for patients with tempomrnandibular pint movement restriction and that the treatment period can be reduced with this therapy as well.

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긴장성 두통에 대한 추나요법 치험 3례 (3 Case Reports on Tension-type Headache Treated by Chuna manipulative Therapy)

  • 원제훈;김영준;안희덕;우창훈
    • 척추신경추나의학회지
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    • 제10권1호
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    • pp.97-106
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    • 2015
  • Objectives: The Purpose of this study is to report three cases on tension-type headache treated by Chuna manipulative therapy. Methods: Three patients diagnosed tension-type headache were treated with Chuna manipulative therapy only. To evaluate effect of treatment, visual analogue scale(VAS) and headache impact test(HIT) were used. We checked VAS and HIT score three times(pretreatment, post-treatment, follow-up). An interval among each evaluation time is 4 weeks. Results: At post-treatment evaluation, VAS and HIT score declined significantly compared with pre-treatment. At follow-up evaluation, the pain did not increased. Conclusions: These results suggests that Chuna manipulative therapy may be effective for tension-type headache.

동결견 환자의 관절가동범위 회복과 통증 감소에 있어서 스포츠 마사지 및 Kaltenborn-Evjenth정형도수치료와 전기치료 및 일반 운동치료의 효과 비교 (The Comparison of Effect of Sports Massage, Kaltenborn-Evjenth Orthopedic Manipulative Therapy and Electrical Therapy, General Exercise Therapy in ROM Increase and Pain Reduction in Patients with Frozen Shoulder)

  • 남형천;우광석
    • 대한물리치료과학회지
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    • 제10권2호
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    • pp.73-85
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    • 2003
  • The purpose of the present study was to the investigate the effect of sports massage, kaltenborn-evjenth orthopedic manipulative therapy and electrical therapy, general exercise on the limitation of range of motion(ROM) and on the pain(VAS) in patients with frozen shoulder. Fiftheen frozen shoulder patients between 50 and 60 years of age(females) were selected and were divided equally by random distribution into A group(sports massage, kaltenborn-evjenth orthopedic manipulative therapy, N=7)and B(electrical therapy, general exercise therapy, N=7) group. The results obtained were as follows : 1) The range of motion between two groups are significantly different in the treatment times, the ROM of A group increase in after-treatment(2 week 4 week) in comparison with ROM in before-treatment, it is significant increase. And it is significant difference in B group. 2) The pain level between two groups are not significantly different in the treatment times, the pain level of A group decrease in after-treatment(2 week, 4 week) in comparison with before-treatment, it is significant decrease. And it is significant difference in B group. Although the pain level of the A group decrease in after 2 week treatment in comparison with before-treatment but it is not significant decrease. Although the pain level of the B group decrease in after 4 week treatment in comparison with after 2 week treatment, but it is not significant decrease. 3) The A group is more effective in increasing the ROM and decreasing the pain level than B group during treatment times. The results showed that both A group method and B group method are effective ROM increase and pain reduce, but A group method is superior to B group method in ROM increase and pain reduce.

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Kaltenborn-Evjenth 정형물리치료에 대한 문헌적고찰(정형물리치료의 역사와 관련된 문헌을 중심으로) (Considerations in Kaltenborn-Evjenth Concept Related History of Orthopedic Physical Therapy)

  • 윤정규
    • 대한물리치료과학회지
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    • 제7권1호
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    • pp.275-284
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    • 2000
  • Orthopedic medicine specializes in the diagnosis and treatment of musculoskeletal conditions. The physical therapy speciality, Orthopedic Manipulative Therapy(OMT) is an important part of orthopedic medicine. Much of OMT is devoted to the evaluation and treatment of joint and related soft tissue disorders and one of the primary treatment methods is mobilization. When examination reveals joint dysfunction, especially decreased range of motion, joint mobilization techniques are often utilized. Soft tissue mobilization techniques are used to improve mobility and other soft tissues. The therapist should have precautions for a patient. These precautions are based on the patient's concurrent medical and surgical diagnosis. Lastly, the literature describing therapeutic interventions in patients with musculoskeletal problem is poor because the painful conditions are poorly characterized and the therapeutic interventions are poorly described; so, where Kaltenborn-Evjenth concept for patient with musculoskeletal problem were identified, the treatment concept are introduced.

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Kaltenborn의 관절가동 기법 (Kaltenborn's Joint Mobilization Techniques)

  • 김호봉;배성수
    • 대한정형도수물리치료학회지
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    • 제4권1호
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    • pp.35-43
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    • 1998
  • This study was introduce to Manual Mobilization of the Extremity Joints of Freddy M. Kaltenborn(1989). Much of Orthopedic Manipulative Therapy is devoted to the evaluation and treatment of joint and related soft tissue disorders and one of the primary treatment methods is mobilization. When examination reveals joint dysfunction, especially decreased range of motion, joint mobilization techniques are often utilized. Kaltenborn's joint mobilization techniques are performed as passive examination or treatment movements by the therapist. There are three basic joint play movements: (1) traction, (2) compression, and (3) translatoric gliding. The purpose of joint mobilization is to restore normal, painless joint function. Mechanically, the goal is to restore joint play and thus normalize roll-gliding which occurs during active movements.

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내과질환에 대한 Chiropratic Spinal Manipulation의 적용 - pubmed를 중심으로 검색 - (A Review of Journals on the spinal manipulation treatment applied to internal disease)

  • 권오봉;송윤경;임형호;이종수
    • 척추신경추나의학회지
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    • 제1권2호
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    • pp.61-72
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    • 2006
  • Objectives: The aim of this study is to investigate chiropractic spinal manipulation and internal diseases in articles. Methods: It was investigated how many articles had been searched for spinal manipulation applied to internal disease in Pubmed Database Results: 1. There are 19 articles of chiropractic spinal manipulation and internal diseases were investigated. 2. It was reported that there are improvements of spinal manipulative therapy on asthma, injury of the optic nerve, hypertension, vertigo, tinnitus, hearing loss, etc. Conclusions: There are several reports on effectiveness of spinal manipulative therapy on asthma, injury of the optic nerve, hypertension, vertigo, tinnitus, hearing loss, etc. And It is considered that spinal manipulative therapy shows improvement on the internal diseases.

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월경불편감에 적용한 수기요법의 중재효과 : 메타분석 (Effects of Manipulative Therapy Applied to Menstrual Discomfort: A Meta-analysis)

  • 전정희;이현주
    • 한국산학기술학회논문지
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    • 제21권1호
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    • pp.546-559
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    • 2020
  • 본 연구는 월경불편감을 겪는 대상자들의 월경전증후군 및 월경곤란증을 완화하기 위해 적용한 수기요법의 중재효과를 확인하기 위해 실시한 메타분석 연구이다. 2018년 5월 31일까지 출판된 문헌들을 대상으로 검색한 결과 11개의 데이터베이스에서 총1,808개의 연구가 일차적으로 확인되었으며, 두 명의 연구자가 포함기준 및 배제기준을 충족하는 30개의 논문을 최종 선택하여 RoB과 RoBANS를 통해 각각 질 평가를 수행하였다. 연구 결과, 월경전증후군에 적용한 수기요법의 중재효과는 발반사요법이 -1.20 (95% CI: -1.55 to -0.86), 이압요법이 -0.44 (95% CI: -0.68 to -0.20), 지압요법이-0.56 (95% CI: -0.80 to -0.32)으로 나타났다. 월경곤란증에 적용한 수기요법의 중재효과는 발반사요법이 -0.64 (95% CI: -1.07 to -0.20), 이압요법이 -1.09 (95% CI: -1.46 to -0.71), 지압요법이 -0.75 (95% CI: -1.00 to -0.50), 마사지가 -0.68 (95% CI: -1.08 to -0.27)로 나타났다. 본 연구를 통해 수기요법이 월경전증후군 및 월경곤란증으로 야기되는 월경불편감을 완화시키는 효과를 있음을 확인한 바, 추후 표준화된 수기요법 개발의 기초자료로 본 연구의 결과가 활용되기를 기대한다.

Grooved pegboard 검사의 정상성인의 표준치에 관한 연구 (Normative values for the Grooved Pegboard Test in Adult)

  • 이택영
    • 한국전문물리치료학회지
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    • 제8권2호
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    • pp.87-94
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    • 2001
  • Dexterity is defined in the present study as interdigital manipulative skill or the fine manipulative movements of objects held between the thumb and fingers. The Grooved pegboard test has been used to evaluate dexterity requring visual-motor coordination. The purpose of this study was to standardize the completion time of the Grooved pegboard test in different age groups and gender. Normative values for the Grooved Pegboard Test was developed on the sample of 282 healthy volunteers (89 men and 183 women). Subjects were stratified according to gender and dominant hand and were subdivided into six groups by blocking. The results of this study were as follows: 1) There was a significant difference in completion time between dominant and nondominant hand in both men and women groups (p<.05). 2) There were significant differences in completion time between men and women group (p<.05) 3) There were significant differences in completion time among age groups (p<.05).

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Short-term Benefits of Mobilization for Patients with Non-Specific Neck Pains: Executive Function and Neck Pain Intensity

  • Choi, Wansuk;Heo, Seoyoon
    • 국제물리치료학회지
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    • 제10권2호
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    • pp.1803-1809
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    • 2019
  • Background: Cervical mobilization has been applied mainly for the improvement of arm and neck movements and pain reduction, and little research has been done to improve the executive function. Since this kind of so-called mechanical neck pain is one of most common symptoms, there are controversial issues about this with spine alignment. Posteroanterior (PA) mobilization from the Maitland concept is a process of examination, assessment, and treatment of neuromusculoskeletal disorder by manipulative physical therapy. Objective: To examine the short-term benefits of mobilization for patients with non-specific neck pain. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental research Methods: Fourteen participants (male 8, female 6; 20's of their age) with non-specific neck pains which are distributed all the unilateral or bilateral body side were recruited. Participants were categorized to Neck Pain with Movement Coordination Impairments (NPMCI) and Neck Pain with Mobility Deficits (NPMD) groups according to the results of physical examination. Professional physical therapist who has over 15-years-of clinical experience applicated manipulative therapy for the neck pain, an occupational therapist only conducted evaluations; K-NDI (Korean version of the Neck Disability Index), VAS (Visual Analog Scale), BDS-K (Korean version of Behavioral Dyscontrol Scale) for decreasing possible adverse effects; there were no person who reported other symptoms followed 4 weeks from the trial. Results: In the NPMCI group, data analysis indicated statistical differences between the PA mobilization interventions in NDI and BDS-K; even though, pain was reduced in VAS, this is not a significantly differ. In the NPMD group, data analysis represented statistical differences between the PA mobilization interventions in NDI, VAS and BDS-K; the scores were represented to be increased or the pain got relief. Conclusions: PA mobilization techniques according to Maitland concept have beneficial effects in patients with neck pain and other clinical positive effects which included neck disability, pain itself and motor function of upper extremity.