간행물
한국전문물리치료학회지 KCI 등재 Physical Therapy Korea
- 발행기관 한국전문물리치료학회
- 자료유형 학술지
- 간기 연3회
- ISSN 1225-8962 (Print)2287-982X (Online)
- 수록기간 1994 ~ 2025
- 주제분류 의약학 > 물리치료학 의약학 분류의 다른 간행물
- 십진분류KDC 512DDC 610
권호리스트/논문검색
제32권 3호 (2025년 12월) 10건
1.
2025.12
구독 인증기관 무료, 개인회원 유료
With a growing number of working-age individuals receiving knee arthroplasty, optimizing return to work (RTW) has become a crucial goal for both public health and society. This paper highlights three evidence-based actions demonstrating how physical therapists (PTs) play a pivotal role in facilitating timely RTW after knee arthroplasty. This review presents a narrative synthesis of recent studies on RTW after knee arthroplasty highlighting the important role of PT’s. The studies focus on the Work, Osteoarthritis and joint-Replacement Questionnaire (WORQ), Goal Attainment Scaling (GAS), and the Back At work After Surgery (BAAS) work-integrated care pathway. The WORQ effectively identifies patients at risk for delayed RTW based on their ability to perform knee-demanding work activities. Patients with WORQ scores < 51 at 3 months post-surgery showed significantly delayed RTW compared with those scoring > 70. Incorporating GAS into rehabilitation significantly increased satisfaction with work-related activities by 11 points (95% confidence interval: 2.0–19.4) vs. usual care. The BAAS pathway— which integrates hospital, outpatient, and occupational care—resulted in full RTW 27 days earlier than usual care. One year post-surgery, 98% of BAAS patients had fully resumed work vs. 84%–87% in controls. BAAS yielded cost reductions of €4,493 (7,442,452 KRW, employer perspective) with a return on investment of 532%. This corresponds to a total cost reduction of about €69.5 million (115,123 million KRW) annually in The Netherlands. In conclusion, PTs are key drivers of successful work reintegration after knee arthroplasty. By using the WORQ for early detection of patients at risk for delayed RTW, implementing GAS to align rehabilitation with individual work goals, and participating in perioperative interdisciplinary care such as BAAS, PTs can substantially enhance RTW and reduce socioeconomic burden.
4,000원
2.
2025.12
구독 인증기관 무료, 개인회원 유료
Background: Urinary incontinence (UI) is a prevalent condition that thereby reducing quality of life (QOL) in adult women. Therefore, it is important to assess the impact of UI on daily functioning, social participation, and sexual health. The Incontinence Quality of Life (I-QOL) and the Incontinence Impact Questionnaire (IIQ) are the most widely used assessment tools. The I-QOL focuses on emotional impacts, whereas the IIQ targets activity-related limitations. Using both instruments could provide a more comprehensive assessment; however, this approach increases administration time and introduces redundancy. Objects: This study aimed to develop a concise questionnaire to assess the QOL in patients with UI by merging the Korean version I-QOL and IIQ through Rasch analysis. Methods: A total of 250 women aged 40–69 who had experienced UI were recruited. The combined responses from the 52 items of a questionnaire integrating I-QOL and IIQ were analyzed using Rasch analysis to evaluate item difficulty and separation reliability. Misfit items were excluded and the remaining items were converted into logit values to determine the order of item difficulty. The separation reliability was evaluated using person and item separation indices. Results: By analyzing item difficulty, redundant items with overlapping levels were excluded while retaining the most significant ones, resulting in a final selection of 10 items. Upon reanalysis of these 10 items, the person separation index decreased from 4.96 to 2.47, and the person reliability index decreased from 0.96 to 0.86. However, the item separation index remained high at 7.29 and 7.59, and item reliability index remained at 0.98. Conclusion: The brief questionnaire maintained high reliability and demonstrated the potential for streamlined clinical assessment. The brief instrument offers a reliable and efficient tool for clinical assessment, enhancing the feasibility of evaluating the severity, type, and impact of UI on patients’ QOL.
4,000원
3.
2025.12
구독 인증기관 무료, 개인회원 유료
Background: Cross-legged sitting posture (CLSP) is common in daily life but may cause asymmetrical loading of the pelvis and spine, potentially leading to postural imbalance and musculoskeletal problems. Although short-term effects of CLSP have been reported, the longterm biomechanical consequences of habitual CLSP remain unclear. Objects: This study compared lumbopelvic alignment and rotational asymmetry between individuals with and without habitual CLSP. Methods: Thirty healthy adults were classified into CLSP (n = 15) and non-CLSP (NCLSP; n = 15) groups based on self-reported sitting habits. Transverse plane pelvic rotation angle (TrPRA) in the supine position and during active straight leg raise (ASLR) was measured using a Smart KEMA motion sensor system, and side-lying lumbopelvic rotation range of motion (SLRR) was assessed with a custom device. Asymmetry index (AI) was calculated for left–right differences. Group comparisons were analyzed using independent t-tests (p < 0.05). Results: Intra-rater reliability of SLRR was very high (intraclass correlation coefficient = 0.958–0.986). No significant group differences were found in TrPRA in the supine position (p > 0.05) or AI of TrPRA during ASLR (p > 0.05). However, the CLSP group demonstrated significantly greater AI in SLRR than the NCLSP group (13.21% ± 6.64% vs. 7.06% ± 4.90%, p = 0.008, Cohen’s d = 1.05). In 10 of the 15 CLSP subjects, the direction of lumbopelvic rotation corresponded to the preferred leg-crossing side. Conclusion: Habitual unilateral CLSP is associated with significantly greater lumbopelvic rotational asymmetry during active side-lying movement, which may contribute to functional imbalance and increased injury risk. Preventive and corrective strategies should include limiting prolonged CLSP, adopting ergonomic seating, and implementing bilateral mobility, rotational control, and core stability exercises. Postural retraining with visual feedback and task-specific practice may further promote symmetrical sitting habits in clinical and occupational environments.
4,000원
4.
2025.12
구독 인증기관 무료, 개인회원 유료
Background: Muscle thickness (MT) measurement using ultrasound image is emerging as a useful method to assess muscle mass during stretching. Traditionally, range of motion (ROM) measurements assessed by digital inclinometer are considered reliable and valid parameter for monitoring muscle flexibility. The ultrasound-based measurement for MT to monitor muscle flexibility has yet to be validated. Objects: This study aimed to determine whether ultrasound measurement can serve as a valid alternative to a digital inclinometer for assessing muscle flexibility following stretching interventions. Methods: A randomized crossover design study was conducted with 20 healthy young participants. The stretching exercise program was carried out passive static and hold-relax proprioceptive neuromuscular facilitation stretching exercises applied on gastrocnemius-soleus muscle group with 3 times a week for 2 weeks. Data were collected 3 times for pre- and post-tests. Dorsiflexion ROM was measured by a digital inclinometer and the MT of gastrocnemius muscle by the ultrasound. Intraclass correlation coefficient (ICC) analysis for test-retest reliability, Wilcoxon sign rank test for stretching effects, and Spearman’s correlation analysis for determining the concurrent validity of two measurements. Results: ICC values of pre- and post-tests in both ROM and MT measurements were showed good to excellent intra rater reliabilities ranging from 0.782 to 0.968 (p < 0.001). A significant increase in the ROM measurements was observed following the stretching program (p < 0.01), whereas no significant change in the MT measurement was showed. Spearman’s correlations revealed weak relationships between the ROM and MT measurements (r = –0.217 for pre-test, r = –0.259 for post-test, r = –0.282, p < 0.05 for changes). Conclusion: These findings suggest that both the MT and ROM measurements were not compatible for monitoring muscle flexibility following stretching exercises regardless of their good reliabilities. Further investigations may be required to the MT measurement alone to be an alternative method.
4,000원
5.
2025.12
구독 인증기관 무료, 개인회원 유료
Background: Hallux valgus (HV) is a common forefoot deformity that can lead to pain, altered gait, and musculoskeletal dysfunctions. Accurate severity assessment is essential for clinical decision-making, yet radiographic methods, though accurate—are costly and less accessible. Objects: This study aimed to develop and clinically validate an end-to-end artificial intelligence (AI)-based mobile application for HV severity classification from smartphone-captured dorsal foot photographs. Methods: The study comprised two phases. In Phase 1 (App & Model Development), we developed a mobile application integrating foot Red-Green-Blue (RGB) image capture, HV severity classification, and immediate reporting. Paired (weight-bearing anteroposterior foot) radiographs and smartphone dorsal foot photographs were collected from 180 adults with HV. Radiographic HV angle and intermetatarsal angle were measured to categorize severity (mild, moderate, severe) as ground truth. A MobileNetV2 convolutional neural network (CNN) was trained on dorsal foot images to predict severity. In Phase 2 (External Validation & Usability Assessment), 30 independent participants underwent both radiographic and app-based severity assessments. Diagnostic times were recorded for both assessments. Participants then completed a 10-item Likert-scale usability questionnaire, with internal consistency assessed using Cronbach’s α. Results: The CNN successfully classified HV severity based on radiographic ground truth and showed consistent performance on an external dataset. App-based assessment was on average approximately 12 minutes faster than radiographic evaluation (p < 0.001). Usability evaluation indicated positive user experience (overall mean = 3.84/5, Cronbach’s α = 0.706). Conclusion: This study presents fully operational mobile AI application that enables rapid, accurate, and user-friendly classification of HV severity directly from smartphone photographs. By combining machine learning with an accessible mobile platform, it can support point-ofcare screening, patient self-monitoring, and community-based care where radiographic evaluation is impractical.
4,000원
6.
2025.12
구독 인증기관 무료, 개인회원 유료
Background: Grip strength is a widely accepted clinical indicator of upper limb function. The grip strength measurement validity and clinical relevance of the American Society of Hand Therapists (ASHT) and suboptimal postures, such as slumped sitting, remain unclear. Objects: This study aimed to investigate whether sitting postures, including slumped posture, influence grip strength and upper limb muscle activation and to determine the clinical significance of grip strength assessment in the slumped position. Methods: Forty healthy adult males participated in a cross-over design study. Grip strength and surface electromyography of the triceps brachii, biceps brachii, anterior deltoid, and upper trapezius were measured in ASHT-recommended, slumped, and self-balanced postures. The Friedman test was used to compare outcomes across postures, and the relationship between grip strength and muscle activation was determined using Pearson correlation. Results: Grip strength significantly differed across postures (χ² = 25.37, p < 0.001), with ASHT posture having the highest values and slumped posture the lowest. Triceps brachii and upper trapezius showed significant variations in muscle activity across postures (p < 0.05). The electromyography-to-force ratio, representing neuromuscular efficiency, was the highest in ASHT posture. Grip strength strongly correlated with triceps brachii activity (r = 0.72, p < 0.001). Conclusion: Postural alignment significantly affects grip strength and upper limb muscle efficiency. These results highlight the clinical relevance that grip strength assessment should consider both ideal and habitual postures to improve the validity of functional evaluation and rehabilitation planning.
4,000원
7.
2025.12
구독 인증기관 무료, 개인회원 유료
Background: Children with spastic cerebral palsy (CP) often undergo orthopedic surgery for muscle contractures, followed by rehabilitation to restore mobility. Evidence on intensive rehabilitation with task-oriented therapy (TOT) after low-burden orthopedic surgery is limited. Objects: This study examined the effects of a 16-week intensive rehabilitation program incorporating TOT in a child with spastic CP who received hamstring and adductor lengthening. Methods: A single-case experimental design was used. Assessments included range of motion (ROM), the Gross Motor Function Measure (GMFM), and the Childhood Health Assessment Questionnaire (CHAQ). The participant received structured rehabilitation with TOT 5 times per week for 16 weeks. Results: Improvements were observed in hip abduction ROM, popliteal angle, GMFM, and CHAQ. A previously unachievable task, reaching a walker and walking to a sofa, became independently achievable, representing a meaningful gain in functional mobility. Conclusion: Intensive rehabilitation with TOT after low-burden orthopedic surgery may yield clinically meaningful improvements in motor function and daily activity performance, and support greater independence in children with CP.
4,000원
8.
2025.12
구독 인증기관 무료, 개인회원 유료
Background: Tensor fasciae latae (TFL) and iliotibial tract (ITB) tightness can pull the pelvis during hip lateral rotation (HLR), increasing pelvic rotation due to muscle tension. Among various tests, the HLR test in the prone position (HLRP) is a clinical evaluation tool for assessing lumbopelvic motion with lower-extremity movement. However, performing the HLRP may result in less compensatory motion and a relatively decreased pelvic rotation angle (PRA) because of a wide base of support. Moreover, there were no studies investigating PRA during an HLR test in the standing position (HLRS). Objects: This study aimed to compare the PRA in the horizontal plane during HLRS and the HLRP between individuals with and without TFL/ITB tightness. Methods: Thirty participants with (n = 15) and without (n = 15) TFL/ITB tightness as assessed by Ober’s test, were recruited. The PRA was measured during active HLRS and HLRP. Two-way mixed analysis of variance was used to identify significant differences in the PRA between groups and within positions. Results: When HLRP and HLRS were performed, the PRA in the horizontal plane occurred at 1.65° ± 0.98° and 7.68° ± 4.69°, respectively, in the TFL/ITB tightness group, and at 1.27° ± 1.07° and 2.37° ± 1.96°, respectively, in the control group. A significant interaction effect was identified between groups and positions on the PRA (p < 0.05). Individuals with TFL/ITB tightness had a significantly greater PRA during HLRS than those in the control group. The PRA during HLRS was significantly greater than that during HLRP in individuals with TFL/ITB tightness. Conclusion: These results suggest that TFL/ITB tightness contributes to increased PRA during HLRS compared with HLRP. Clinically, assessment of the PRA in the standing may provide a functional indicator of compensatory pelvic motion during hip rotation of 45°.
4,000원
9.
2025.12
구독 인증기관 무료, 개인회원 유료
Pedro Mello Coutinho Fonseca, Fernanda Peron Hubner, Márcia Izabeli Guimarães Barros, Gladson Ricardo Flor Bertolini, Alberito Rodrigo de Carvalho
Background: Due to the variety of etiological factors in chronic low back pain (CLBP), there is significant variability in functional measurements. Objects: This study aimed to determine if using metrics in addition to inferential statistics could change how the impact of poor prognosis risk for pain among volunteers with CLBP is interpreted. Methods: In this cross-sectional observational study, 74 adult volunteers were allocated to four groups: a pain-free control group (CG) and three CLBP groups stratified by the STarT Back Screening Tool into low (LR), medium (MR) and high risk (HR). Spatiotemporal gait parameters outcomes were self-selected walking speed (SWS), optimum walking speed (OWS) and the locomotor rehabilitation index (LRI). Data were analyzed using a generalized estimating equation model. Reproducibility, responsiveness (minimum detectable change [MDC]) and effect sizes were also computed. Results: No differences were found for OWS. SWS and LRI were significantly higher in CG than in all CLBP groups, but observed differences did not exceed MDC, indicating they are likely to reflect measurement error. Nevertheless, large effect sizes suggest these reductions in SWS and LRI are clinically meaningful. Comparisons among the LR, MR, and HR groups revealed no significant differences or meaningful effect sizes. Conclusion: Combining complementary metrics with inferential statistics confirms that individuals with CLBP walk more slowly and exhibit lower LRI than pain-free controls, while prognostic risk strata do not influence these spatiotemporal gait parameters.
4,000원
10.
2025.12
구독 인증기관 무료, 개인회원 유료
Background: Early recovery of cognitive function and lower-limb strength is critical for regaining mobility and independence after stroke. However, patients with cognitive impairment often have limited participation in conventional rehabilitation (CR). Objects: This study compared the effects of robotic tilt-table training (RT) group and CR group on cognitive function, lower-limb strength, balance, gait, and activities of daily living in patients with subacute stroke. Methods: In this retrospective study, 122 patients with subacute stroke were divided into two groups: the RT group and the CR group. The interventions were administered 5 times per week for a period of 4 weeks. Cognitive function was assessed using the Korean version of the Mini-Mental State Examination, muscle strength using Manual Muscle Test, spasticity using the Modified Ashworth Scale, balance using the Berg Balance Scale, gait using the Functional Ambulation Category, and activities of daily living using the Korean version of the Modified Barthel Index, both before and after the intervention. Data were analyzed using Wilcoxon signed-rank tests and Mann–Whitney U-tests. Between-group comparisons were performed on change scores (Δ = post − pre), and baseline differences were adjusted using ANCOVA or rank ANCOVA as appropriate (two-sided α = 0.05). Results: After 4 weeks of intervention, both groups showed within-group improvements in balance, gait, and activities of daily living (p < 0.05); however, the RT group demonstrated greater improvements in cognitive function and lower-limb muscle strength compared to the CR group. The two groups differed significantly in cognitive function and lower extremity muscle strength (p < 0.05) but not in spasticity, balance, gait, or activities of daily living (p > 0.05). Conclusion: RT may be effective in improving cognitive function and lower-limb strength in patients with subacute stroke, potentially serving as an adjunct rehabilitation strategy to promote early mobility and functional recovery. However, its effects on balance, gait, and spasticity were not significant, indicating the need for complementary task-specific training and further controlled studies.
4,000원
