간행물
한국전문물리치료학회지 KCI 등재 Physical Therapy Korea
- 발행기관 한국전문물리치료학회
- 자료유형 학술지
- 간기 계간
- ISSN 1225-8962 (Print)2287-982X (Online)
- 수록기간 1994 ~ 2024
- 주제분류 의약학 > 물리치료학 의약학 분류의 다른 간행물
- 십진분류KDC 512DDC 610
권호리스트/논문검색
제31권 3호 (2024년 12월) 10건
1.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: Hallux valgus (HV) is a common foot deformity in which the great toe deviates laterally and the first metatarsal deviates medially, leading to pain, discomfort, and reduced mobility. HV severity is typically assessed using the hallux valgus angle (HVA) and intermetatarsal angle (IMA). Objects: This study aimed to explore how changes in skeletal, muscular, and functional variables correlate with HV severity and to provide evidence for more integrated treatment approaches. Methods: Sixty volunteers with mild to moderate bilateral HV (HVA 15–40 degrees) participated. The measurements included HVA and IMA via radiography, abductor hallucis muscle (AbdH) cross-sectional area (CSA) and tone using ultrasound and Myoton PRO, range of motion (ROM) of the ankle and great toe metatarsophalangeal (MTP) joint with a goniometer, and plantar pressure during gait with a Zebris FDM system. Pearson’s correlation coefficient was used for the statistical analysis. Results: An Increased HVA was associated with a higher IMA (r = 0.858, p < 0.05). The HVA was inversely related to the AbdH CSA (r = –0.337, p < 0.05) and muscle tone (r = –0.889, p < 0.01). With increasing HVA, dorsiflexion ROM of the ankle (r = –0.307, p < 0.01) and both flexion (r = –0.197, p < 0.05) and extension (r=-0.182, p<0.05) ROM of the great toe MTP joint decreased. Conversely, ankle plantar flexion ROM increased with the HVA (r = 0.312, p < 0.01). Additionally, plantar pressure increased in the second metatarsal areas (r = 0.457, p < 0.05) a with higher HVA. Conclusion: This study demonstrates significant correlations between HV severity and various biomechanical factors, highlighting the need for comprehensive treatment strategies. While stretching the adductor hallucis muscle and strengthening the AbdH have been widely recognized interventions for HV, our findings provide evidence that ROM exercises for the ankle and the MTP joint of the great toe are also critical components of a physical therapy program for managing HV. Longitudinal studies are required to assess the effectiveness of these approaches.
4,000원
2.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: Lower back pain/injuries are common in caregivers, and physical stresses at the lower back during patient care are considered a primary cause. An instrumented hospital bed my help reduce the physical loads during patient repositioning. Objects: We estimated the physical stresses at the lower back during patient repositioning to assess biomechanical benefits of the instrumented hospital bed. Methods: Fourteen individuals repositioned a patient lying on an instrumented hospital bed. Trials were acquired for three types of repositioning (boosting superiorly, pulling laterally, and rolling from supine to side-lying). Trials were also acquired with two bed heights (10 and 30 cm below the anterior superior iliac spine), and with and without the bed tilting feature. During trials, kinematics of an upper body and hand pulling forces were recorded to determine the compressive and shear forces using static equilibrium equations. Repeated measures ANOVA was used to test if the peak compressive and shear forces were associated with repositioning type (3 levels), bed height (2 levels), and bed feature (2 levels). Results: The peak compressive force ranged from 836 N to 3,954 N, and was associated with type (F = 14.661, p < 0.0005) and height (F = 10.044, p = 0.007), but not with bed feature (F = 0.003, p = 0.955). The peak shear force ranged from 66 to 473 N, and was associated with type (F = 8.021, p < 0.005), height (F = 6.548, p = 0.024), and bed feature (F = 22.978, p < 0.0005). Conclusion: The peak compressive force at the lower back during patient repositioning, draws one’s attention as it is, in some trials, close to or greater than the National Institute for Occupational Safety and Health safety criterion (3,400 N). Furthermore, the physical stress decreases by adjusting bed height, but not by using tilting feature of an instrumented bed.
4,000원
3.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: The widespread use of smartphones and personal computers has contributed to a rise in thoracic kyphosis, a condition characterized by excessive outward curvature of the upper back. This condition can lead to reduced lung function, poor posture, and decreased spinal angles, all of which can cause reductions in forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1). Furthermore, these issues are often associated with scapular protraction and anterior tilting. Objects: This study aimed to investigate the effects of using a scapular support pillow in people with thoracic kyphosis, as well as determine the changes in respiratory capacity and postural alignment. Methods: Forty-one participants (25 males and 16 females) with thoracic kyphosis (Cobb angle > 40°) were included in the study. Their respiratory function (FVC, FEV1) and body posture (spinal angle, chest expansion, acromion-to-the-wall index) were measured before and after using the scapular support pillow for approximately 30 minutes. FVC, FEV1, spinal angle, chest expansion, and acromion-to-the-wall index were analyzed using paired-t test. The level of statistical significance was set at p < 0.05. Results: The results demonstrated significant improvements in all measured parameters. Both respiratory function and posture-related metrics showed notable increases after using the scapular support pillow. Conclusion: The use of a scapular support pillow can effectively improve respiratory function and postural alignment in patients with thoracic kyphosis. Our research makes a meaningful contribution by proposing an effortless and convenient treatment option for individuals with thoracic kyphosis.
4,000원
4.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: A disrupted activation balance or temporal control between the vastus medialis oblique (VMO) and vastus lateralis (VL) muscles can cause excessive patellar lateral gliding, leading to patellofemoral pain syndrome (PFPS). Selective VMO strengthening exercises are recommended for patients with PFPS. Kinesio taping (KT), developed using elastic tape considering the movement of muscles and joints, has been recommended as a treatment for PFPS due to its effects, such as normalizing muscle tension, enhancing joint and muscle sensory input, and improving blood circulation. KT can induce both facilitation and inhibition effects on muscles, depending on the application direction and tension. Conflicting findings regarding effectiveness suggest the need for more studies on taping techniques to selectively strengthen the VMO. Objects: The purpose of this study is to investigate the effects of patellar medial glide taping (PMGT), vastus medialis oblique facilitatory taping (VMOFT), and combined taping (CT) during wall squats on the muscle activation of the VMO and VL, and to compare the ratio of VMO vs. VL (VMO/VL). Methods: Seventeen healthy adult females participated in this study. During the wall squat using each taping technique, the muscle activity of the VMO and VL, and the VMO/VL ratio, were measured through electromyography. Results: The results showed significant difference in the VMO/VL ratio with PMGT and CT (p < 0.05). However, there were no significant differences in the activation of the VMO during the wall squat with PMGT and VMOFT (p > 0.05). Also, there were no significant differences in VL activation across all taping techniques (p > 0.05). Conclusion: The results of this study indicate, that the CT technique was more effective in activating the VMO compared to other taping techniques. These findings support the use of a technique combining PMGT and VMOFT to selectively activate the VMO.
4,000원
5.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: Interest in cardiac rehabilitation therapy has been increasing in Korea after the addition of cardiac rehabilitation as a benefit item in the National Health Insurance Service in 2017. However, few epidemiological studies have characterized cardiac rehabilitation in Korea. Objects: To assess the national epidemiological data on cardiac rehabilitation therapy in Korea from 2017 to 2023. Methods: This study analyzed MM453, a prescription code for cardiac rehabilitation therapy in the Health Insurance Review and Assessment database. The data reviewed included the total number of cases per year and the number of cardiac rehabilitation therapy prescriptions per 100,000 people, along with sex and age distribution of patients undergoing cardiac rehabilitation therapy. Results: The number of cardiac rehabilitation therapy prescriptions in Korea increased from 4,443 in 2017 to 15,646 in 2023 (252.1% increase in 7 years). The incidence per 100,000 person-years rose from 8.64 in 2017 to 30.22 in 2023. The number of males undergoing therapy increased from 3,183 (incidence: 12.35) in 2017 to 11,276 (incidence: 43.53) in 2023. The number of females undergoing therapy increased from 1,260 (incidence: 4.91) in 2017 to 4,370 (incidence: 16.89) in 2023. The highest number of patients undergoing therapy from 2017 to 2023 was observed in the 60s age group (patients: 4,747, incidence: 9.17), followed by the 70s, 50s, and > 80s age groups. Conclusion: From 2017 to 2023, the number of patients undergoing cardiac rehabilitation therapy in Korea increased consistently. The therapy is approximately 2.6 times more common in males than that in females and is predominantly administered to individuals in their 60s, followed by those in their 70s, 50s, and 80s and above.
4,000원
6.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: Rotator cuff tears often cause shoulder pain and functional limitations that may require conservative treatment or surgical intervention. Identifying preoperative differences in muscle strength and function can aid in treatment decisions. Objects: This study aimed to compare the preoperative shoulder muscle strength and functional outcomes between patients undergoing arthroscopic rotator cuff repair and those receiving conservative treatment. Methods: A retrospective review was conducted of 315 patients with rotator cuff tears, including 145 who underwent surgery and 170 who received conservative treatment. Shoulder isokinetic muscle strength (external rotator, internal rotators, abductor, and adductors) and functional scores (American Shoulder and Elbow Surgeons [ASES] and Constant-Murley shoulder scores) were measured. The conservative treatment group was assessed during a hospital visit, whereas the surgery group was tested on the morning of the surgery. An independent t-test was used to evaluate the preoperative shoulder strength and functional scores. Results: The conservative treatment group showed lower deficits in external (11.3 ± 23.9) and internal (11.7 ± 15.5) rotators compared to the surgery group (26.3 ± 33.8 and 17.1 ± 26.1, respectively; p = 0.001). Abductor and adductor deficits (18.2 ± 25.3 and 9.8 ± 16.8) were also lower in the conservative treatment group (30.7 ± 31.6 and 21.9 ± 28.4, respectively; p = 0.036 and p = 0.001). The external per internal rotator ratio (50.9 ± 16.8; p = 0.003) and ASES scores were higher (74.5 ± 14.8; p = 0.047) was higher in the conservative treatment group. Conclusion: The conservative treatment group had lower shoulder strength deficits, better muscle balance, and higher ASES scores than the surgery group, indicating superior functional outcomes. These findings suggest that assessing preoperative muscle strength and function might provide valuable insights into treatment planning for patients with rotator cuff tears.
4,000원
7.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: Limited ankle dorsiflexion (DF) range of motion (ROM) is associated with mechanical dysfunctions and chronic ankle instability. Uphill treadmill walking exercise (UTWE) has the potential to improve ankle mobility and function. Objects: This study aimed to examine the immediate effects of a 15° UTWE on DF ROM and torque generation in patients with limited DF. Methods: The study included 20 adults, comprising 10 males and 10 females, with a mean age 28 years and a passive DF range of 5°–12°. After baseline assessments, participants completed 30 minutes of UTWE on a 15° incline treadmill, followed by post-assessments. DF ROM was evaluated during the stance phase of gait, and in both open-kinematic-chain (OKC) and closed-kinematic-chain (CKC) conditions using a goniometer and Image J software. DF and plantar flexion (PF) peak torque were measured with a Biodex Dynamometer. Results: Post intervention, maximum DF ROM during the stance phase of gait increased significantly from a mean of 8.54° ± 3.97° to 11.03° ± 4.41°. The DF ROM in the OKC and CKC conditions increased significantly from a mean of 8.90° ± 0.62° and 21.55° ± 0.72° to 18.00° ± 1.13° and 28.20° ± 1.00°, respectively (p < 0.0001). DF peak torque increased from 16.20 ± 1.28 N/m to 21.52 ± 1.39 N/m, and PF peak torque increased from 25.26 ± 2.51 N/m to 44.22 ± 4.20 N/m (p < 0.0002). Conclusion: UTWE significantly enhanced DF ROM and ankle torque, indicating that it may be an effective intervention for improving ankle function and preventing injury in clinical and rehabilitation settings.
4,000원
8.
2024.12
구독 인증기관 무료, 개인회원 유료
Moo-Hong Yoon, Bong-Sik Woo, Yong-Hwa Park, Dae-Hwan Lee, Eung-Sung Kim, Jin-Ook Choi, Jong-Hyeon Lim, Dae-Seong Han, Tae-lim Yoon
Background: Stroke patients commonly experience functional declines in balance and gait due to decreased muscle strength and coordination issues caused by brain damage. Through repetitive training, robot-assisted gait training (RAGT) can aid in promoting neuroplasticity in stroke patients and help them acquire effective gait patterns. Additionally, convalescent rehabilitation hospitals help to ensure rapid recovery through intensive rehabilitation training. Objects: This study investigated the effects of RAGT frequency on gait and balance recovery in stroke patients in convalescent rehabilitation hospitals, providing data to optimize rehabilitation efficiency, enhance functional recovery, and support the development of personalized strategies to ensure safer and more rapid returns to daily life. Methods: This study compared the frequency of RAGT by analyzing a group receiving two units of RAGT per day for 5 days per week with a group receiving two units of RAGT per week as part of a comprehensive rehabilitation program, totaling 16 units daily, in a convalescent rehabilitation hospital. Results: In the 10-minute walking test, statistical significance was observed both within and between groups, whereas the Functional Ambulation Category, Fugl-Meyer Assessment–lower extremities, Berg Balance Scale, and timed up-and-go tests showed significance only within groups. Conclusion: End-effector RAGT and traditional gait training significantly improve gait ability, balance, and lower limb function in stroke patients.
4,000원
9.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: Lower limb strength is crucial for stability and functional movement, such as walking, running, squatting, and balance, with the gluteus maximus (Gmax) being pivotal. Squat exercises are commonly used to strengthen the Gmax; however, the impact of ankle position on muscle activation during squats is not well understood. Objects: This study examined Gmax and lower limb muscle activation patterns in three ankle positions during squats, aiming to optimize rehabilitation strategies and enhance exercise prescriptions. Methods: Surface electromyography recorded the activation levels of the Gmax, vastus medialis oblique (VMO), vastus lateralis oblique (VLO), and biceps femoris (BF) across three ankle positions: neutral (NEU), dorsiflexion (DF), and plantarflexion (PF). A repeated-measures design was employed, involving 30 healthy adults (26 males and 4 females) aged 18–30 years. Muscle activation patterns were statistically analyzed to identify significant variations across these conditions, with the significance level set at p < 0.05. Results: During squats, DF of the ankle joint significantly increased Gmax activation compared with PF and NEU positions, indicating that an ankle position closer to DF may enhance hip extension. In contrast, PF was associated with heightened activation of the VMO and VLO, suggesting that this position may be beneficial for exercises focusing on knee stability. No significant changes were observed in the BF activation across the ankle positions, indicative of its limited involvement in response to variations in ankle positioning. Conclusion: These results underscore the importance of ankle joint positioning in modulating lower-limb muscle engagement during squatting. Ankle DF may be recommended to maximize Gmax activation, which is beneficial for hip-focused strengthening, whereas PF may supports knee stability by targeting quadriceps activation. This study provides evidence for adjusting ankle positioning during squat exercises to optimize specific rehabilitation and performance outcomes.
4,000원
10.
2024.12
구독 인증기관 무료, 개인회원 유료
Background: The increasing prevalence of smartphone use has been associated with musculoskeletal pain; however, the specific roles of demographic factors, smartphone usage time, posture, contents and state of addiction on pain in the upper-body regions remain unclear. Objects: This study investigated the influence of smartphone usage characteristics, including age, occupation, visual condition, duration, content, and posture, as well as smartphone addiction, on musculoskeletal pain in upper-body regions. This study aimed to comprehensively elucidate the factors contributing to the pain associated with smartphone use. Methods: A cross-sectional survey was conducted with 316 participants aged 20–59 years. Data on personal characteristics, smartphone use patterns, state of addiction (measured using the Smartphone Addiction Scale-Short Version), and musculoskeletal discomfort (Cornell Musculoskeletal Discomfort Questionnaire and Cornell Hand Discomfort Questionnaire) were collected. Binary logistic regression analysis identified significant predictors of pain in different body regions. Results: Younger age (20–30 years), being housewives or students, and vision impairment (shortsightedness) significantly increased the likelihood of neck, shoulder, and hand pain. Prolonged smartphone use (7–10 hours daily) and gaming were strongly associated with elevated pain risk, whereas moderate usage (1–4 hours daily) may be protect against lumbar pain. Non-neutral postures, especially side lying, have emerged as critical risk factors, with left-side lying linked to hand pain and right-side lying linked to upper back pain. Smartphone addiction consistently predicted pain across all regions by amplifying physical strain through prolonged engagement and poor posture. Conclusion: This study highlighted the multifactorial nature of smartphone-related musculoskeletal pain, emphasizing the roles of demographic characteristics, usage patterns, and addiction. These findings provide a foundation for developing tailored ergonomic and behavioral interventions to mitigate pain risks, particularly in high-use populations. Future research should validate these findings through longitudinal studies and objective measures.
4,300원
