간행물

Journal of International Academy of Physical Therapy Research KCI 등재 국제물리치료연구학회 Journal of International Academy of Physical Therapy Research (JIAPTR)

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권호

Vol.15 No.3 (2024년 9월) 8

1.
2024.09 구독 인증기관 무료, 개인회원 유료
Background: Thoracic kyphosis is a condition characterized by an excessive curvature of the thoracic spine, often leading to decreased trunk range of motion and various health complications. Objectives: This study aimed to investigate the effects of a rolling corrector on trunk range of motion (ROM) and thoracic kyphosis angle in individuals with thoracic kyphosis. Design: A randomized controlled trial. Methods: Thirty participants with a thoracic kyphosis angle of 40 degrees or more were randomly assigned to either the rolling corrector group (RCG) or the control group (CG). The RCG used the rolling corrector for 30 minutes per session, five times a week for two weeks, while the CG received no intervention. Trunk ROM and thoracic kyphosis angle were measured before and after the intervention. Results: The RCG showed significant improvements in trunk flexion, extension, lateral flexion, and rotation ROM, as well as in the thoracic kyphosis angle, in within-group comparisons (P<.05). The CG did not exhibit significant changes in any of these variables (P<.05). Significant differences between the RCG and CG were observed in trunk ROM and thoracic kyphosis angle (P<.05). Conclusion: The rolling corrector was effective in improving trunk ROM and reducing the thoracic kyphosis angle in individuals with thoracic kyphosis. These findings suggest that the rolling corrector may be a beneficial intervention for managing thoracic kyphosis.
4,000원
2.
2024.09 구독 인증기관 무료, 개인회원 유료
Background: Since core competence-based training is in demand, this study aimed to revise suitable major competencies for the Department of Physical Therapy at U University and use them to propose appropriate educational processes. Objectives: This research was to modify the competencies established in 2020 for Physical Therapy using focus group interviews, validate them using the Delphi survey, and modify a curriculum that aligns with competencies. Design: Panel survey research. Methods: This case study was conducted at U University. To reform curricula based on major competence, related documents were analyzed, expert opinions were obtained, and expert panel group Delphi survey was conducted. Results: The three major competencies of the Department of Physical Therapy at U University and 6 sub-competencies were defined by focus group interviews and review by the Physical Therapy Department Curriculum Committee. Additionally, the validity of the major competencies was established by the Delphi survey. Conclusions: Through step-by-step analysis, the current curriculum was revised into three major competencies and six sub-competencies, and the validity of the selected competencies was secured through a Delphi survey.
4,000원
3.
2024.09 구독 인증기관 무료, 개인회원 유료
Background: Sarcopenia, characterized by a decrease in physical performance, muscle mass, and strength, is a common complication in patients with stroke, significantly impacting their rehabilitation and quality of life. Objectives: This study aimed to analyze the clinical characteristics associated with sarcopenia in patients with stroke and to identify factors that influence its occurrence. Design: A cross-sectional study. Methods: Data were collected using electronic medical records and assessments, including Korean version of mini-mental state examination (MMSE-K), manual muscle testing, berg balance scale (BBS), functional ambulation category (FAC), and modified barthel index. Sarcopenia was diagnosed based on the Asian working group for sarcopenia 2019 guidelines. Descriptive statistics, chi-square tests, independent t-tests, and logistic regression analyses were used. Results: Of the 82 patients with stroke included in this study, 46 were found to have sarcopenia. Sarcopenic patients had significantly lower body weight, cognitive function (MMSE-K), balance (BBS), walking ability (FAC), and daily living activities (MBI) scores compared to non-sarcopenic patients (P<.05). Logistic regression identified body weight (OR=.852, P=<.001) and cognitive function (OR=.897, P=.035) as significant predictors of sarcopenia. Conclusion: Body weight and cognitive function are crucial in predicting sarcopenia in patients with stroke. These findings suggest the importance of managing body weight and cognitive function to prevent sarcopenia and improve rehabilitation outcomes.
4,000원
4.
2024.09 구독 인증기관 무료, 개인회원 유료
Background: Core muscles provide important dynamic stabilization of the lumbar spine. The twist sit-up can simultaneously stimulate the external oblique (EO), internal oblique (IO), and transverse abdominis (TrA) muscles. Objectives: The purpose of this study is to investigate the impact of knee angles during twist sit-up exercises and determine the most efficient knee angle for performing this exercise. Design: Cross-sectional study. Methods: The study recruited 30 students from S University regardless of gender. The subjects performed a total of 10 twist sit-ups at five different knee angles (0, 40, 65, 90, and 105 degrees), divided between the ipsilateral and contralateral sides. The thickness of abdominal muscles (EO, IO, and TrA), was measured using ultrasonography on rest position and full contraction position for each angle of knee flexion and compared between angles. Results: There were significant differences in the ipsilateral EO, IO, and TrA muscle thickness at different knee flexion angles (P<0.5). There was a significant difference in the thickness of EO between 0 and 105 degrees and between 40 and 105 degrees (P<0.5), a significant difference in the thickness of IO between 0 and 105 degrees (P<0.5), and a significant difference in the thickness of TrA between 0 and 105 degrees, 40 and 90 degrees, and 65 and 90 degrees (P<0.5). Conclusion: In conclusion, the muscles involved in axial rotation i.e., EO and IO, maximally contract at a knee flexion angle of 105 degrees. Therefore, this may be the most optimal angle to perform twist sit-ups.
4,000원
5.
2024.09 구독 인증기관 무료, 개인회원 유료
Background: The plank exercise is widely used in rehabilitation to enhance core muscle activation, spinal stability, and reduce the risk of lower back injuries. Objectives: This study investigated the effects of exercise complexity and instability on core muscle activation, with a particular focus on using a sling suspension system during prone bridge exercises. Design: Cross-sectional study. Methods: Twenty healthy adults performed three variations of prone bridge exercises: Both Limb Prone Bridge (BLPB), Single Limb Prone Bridge (SLPB), and Single Limb Prone Bridge with Hip Abduction (SLPBHA). Electromyography (EMG) was used to measure muscle activation in the erector spinae (ES), multifidus (MF), and internal oblique (IO) muscles. Results: Significant increases in ES muscle activation were observed during SLPBHA compared to BLPB and SLPB (P<.05), indicating that exercise complexity and the introduction of instability significantly enhanced ES activation. However, no significant differences were found in MF and IO activation across the exercise variations (P>.05). Conclusion: This study underscores the importance of exercise complexity and instability, particularly SLPBHA, in enhancing ES muscle activation. The findings support the inclusion of these exercises in core stability training programs aimed at improving spinal stability and preventing lower back injuries.
4,000원
6.
2024.09 구독 인증기관 무료, 개인회원 유료
Background: Grit, academic self-efficacy, and academic stress are crucial factors affecting a student’s ability to adapt to college. Objectives: The influence of grit on academic self-efficacy and academic stress among college physical therapy students was analyzed. Design: Questionnaire design. Methods: A total of 208 three-year undergraduate physical therapy students were surveyed using a structured questionnaire that assessed their grit, academic self-efficacy, and academic stress. The levels of each factor, the subfactors influencing each factor, and their correlations were analyzed. Results: Among college physical therapy students, having lower daily study hours was associated with lower grit and academic self-efficacy and higher academic stress. Younger students showed lower self-regulatory efficacy and self-confidence and higher levels of academic stress (P<.05). An analysis of the correlations of each factor revealed a significant correlation: the higher the students’ grit, the higher their academic self-efficiency and the lower their academic stress. Additionally, higher academic self-efficacy was significantly associated with lower academic stress (P<.001). Conclusion: To enhance the grit and academic self-efficacy of three-year college physical therapy students and reduce their academic stress, it is necessary to manage their learning time, develop educational support programs according to age, and apply various teaching methods.
4,000원
7.
2024.09 구독 인증기관 무료, 개인회원 유료
Background: The shift from traditional education to competency-based education in response to societal demands, emphasizes the need for developing assessment tools to measure major competencies—comprising knowledge, skills, attitudes, and personal characteristics—required to perform specific tasks. Thus, It is essential to develop assessing tools to measure the existing major competencies in physical therapy, enabling more effective management of educational outcomes on competencies. Objectives: The purpose of this study is to develop an assessment tool for measuring major competencies within the Department of Physical Therapy. Design: Delphi survey research. Methods: This study was conducted based on the three major competencies and six sub-competencies of the Physical Therapy Department. To develop an assessing tool for measuring major competencies, conversion of the achievement factor into behavioral statements, and expert panel group Delphi survey was conducted. Results: The results of the Delphi survey indicated 0.88 to 1, exceeding the established threshold and demonstrating adequate validity. Conclusion: A total of 54 preliminary questions for the major competency assessing tool were developed through the Major Curriculum Committee. Through the Delphi survey, the validity of the 54 preliminary questions for major competencies was secured.
4,000원
8.
2024.09 구독 인증기관 무료, 개인회원 유료
Background: Early diagnosis and intervention of sarcopenia require awareness among health care professionals. However, there is currently no sarcopenia survey specifically targeting Korean physical therapists, and there is a lack of tools available for conducting such research. Cognitive interviewing (CI) is widely recommended as a pre-test method to refine and enhance questionnaire items before initiating a survey, ensuring that the questions are wellsuited to the research objectives. Objectives: This study aimed to revise and review the items of a sarcopenia questionnaire for administration to Korean physical therapists using CI. Design: Qualitative research. Methods: Six physical therapists participated in interviews to review and develop survey questions related to sarcopenia. The questions were evaluated based on their clarity, the comprehensibility of the terms used, the confidence with which respondents could recall relevant information, the appropriateness of the difficulty level, and suggestions for improving the questionnaire. Results: Participants encountered issues such as difficulty understanding the questions, unclear or incorrect answer options, and unfamiliar terminology. Conclusion: The sarcopenia questionnaire was revised and improved through CI. Additionally, the study identified specific areas where physical therapists may struggle with sarcopenia-related content, including terminology and knowledge gaps.
4,000원