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.16 No.3 (2025년 9월) 8

1.
2025.09 구독 인증기관 무료, 개인회원 유료
Symptomatic joint degeneration is a common chronic musculoskeletal disorder worldwide. The literature has noted that some clinicians find treating this condition “technically challenging,” while others find it to be “unchallengingly routine.” We believe that all clinicians treating symptomatic joint degeneration should have a robust understanding of the mechanobiological interactions between the synovial lining, synovial cells, synovial fluid, articular cartilage, and subchondral bone. This four-part narrative review describes how inner lining synovitis and cellular changes in the subchondral region, including the development of bone marrow edema, are symptom generators in some patients with various grades of joint degeneration. This review suggests that physical therapists (PTs) should acquaint themselves with the concept of mechanotransduction and more fully consider cellular mechanosensitivity and mechanoresponsiveness as exercise loading and manual interventions loads are placed upon joints with degenerative change. We call for additional research efforts in the area of protocol development for low-load exercise intervention and between PTs and physicians who may have access to laboratory facilities and imaging equipment. This research could allow for both direct and indirect assessment of intra-articular pressure, synovial fluid, and bone marrow edema after the application of therapeutic exercise and joint mobilization.
4,900원
2.
2025.09 구독 인증기관 무료, 개인회원 유료
Background: Obesity negatively affects balance and core muscles playing a crucial role in postural stability. However, little is known about the relationship between abdominal muscle thickness and balance in normal weight women. Objectives: This study aimed to investigate the relationship between abdominal muscle thickness and balance ability in normal-weight women in their 20s. Design: Cross-sectional observational study. Methods: Twenty-four healthy normal-weight women participated. Abdominal muscle thickness including the external oblique (EO), internal oblique (IO), and transverse abdominis (TrA) was measured by ultrasonography. Static balance was assessed during the One-leg standing test and Tetrax system, while dynamic balance was assessed using the Y-Balance and single leg triple hop tests. Pearson correlation analysis was conducted to examine the relationship between muscle thickness and balance performance. Results: IO thickness showed a negative correlation with static balance (r=- .42). EO thickness showed a positive correlation with single leg triple hop tests (r=.49-.58) and a negative correlation with posterolateral distance during YBalance test. Conclusion: Our findings suggested that abdominal muscles, specifically the IO and EO, are moderately related to balance performance in normal-weight young women. These findings demonstrated the potential benefit of targeted core strengthening interventions to improve postural stability and functional movement. Further studies involving additional muscles and diverse populations are recommended.
4,000원
3.
2025.09 구독 인증기관 무료, 개인회원 유료
Background: Limb amputation causes complex physical, psychological, and social problems, yet evidence on International Classification of Functioning, Disability, and Health (ICF)-based multidisciplinary rehabilitation remains limited. Objectives: To report functional and emotional outcomes of an ICF Rehab- Cycle® program in a woman with bilateral transfemoral and transradial amputations. Design: Single-case report (quasi-experimental). Methods: A physiatrist, nurse, physical therapist, occupational therapist, and social worker used the ICF Assessment Sheet, ICF Categorical Profile, ICF Intervention Table, and ICF Evaluation Display over four weeks to set and review goals. Results: Nine of eleven ICF Rehab-Cycle® program targets were achieved. Marked gains were observed in gait and activities of daily living, accompanied by improved emotional well-being through structured psychosocial support. Conclusion: An ICF-guided multidisciplinary approach significantly enhanced physical function, emotional health, and independence after complex limb amputation, underscoring the value of the framework for patient-centered collaborative rehabilitation.
4,200원
4.
2025.09 구독 인증기관 무료, 개인회원 유료
Background: Handheld percussive massage guns are commonly used among athletes and healthy individuals. Objectives: The aim of this study was to examine the intervention effects by session of massage gun application on the gastrocnemius (GCM) muscle of healthy women and suggest an appropriate intervention time for massage gun on the calf muscle. Design: Single-group design. Methods: Thirteen healthy women in their 20s were recruited, and a massage gun was applied to the GCM muscle for 2 minutes per session for a total of 4 sessions. Changes in the muscle tone and stiffness of the GCM muscle and ankle range of motion (ROM) were analyzed by session. Results: After massage gun intervention, the muscle tone and stiffness of the medial gastrocnemius (MGCM) and lateral gastrocnemius (LGCM) muscles were significantly lower (P<.05). The active and passive ROM of the ankle joint significantly increased regarding both dorsiflexion and plantar flexion (P<.05). In terms of reduction of muscle tone and stiffness of the GCM muscle and increase of ankle ROM, the massage gun was most effective when applied for 4 sessions of 2 minutes each (P<.05). Conclusions: The use of a massage gun in healthy women in their 20s creates no physiological burden on muscle tone and stiffness of the GCM muscle and has an immediate effect on improving ankle joint movement. Therefore, there would be no particular problem in using a massage gun on the GCM muscle for self-care at home.
4,000원
5.
2025.09 구독 인증기관 무료, 개인회원 유료
Background: Competency-based education is increasingly emphasized in physical therapy, yet limited research has assessed student competencies using validated tools. Objectives: This study examined differences in physical therapy students’ competencies by gender, grade level, and admission type using a newly developed assessment tool. Design: Cross-sectional comparative study. Method: A total of 88 students at U University completed the assessment, which comprised six Sub-Competenc ies (Communication skills, Client understanding competency, Learning Competency for Physical Therapy, Problem- Solving Competencies for Physical Therapy, Factor application capabilities, Professional development competency). Data were analyzed using t-tests and ANOVA with Scheffé post-hoc tests. Results: No significant differences were observed among gender and grade levels (P>.05). By admission type, regular admission students scored significantly higher than transfer students in the Learning Competency for Physical Therapy and the Factor application capabilities (P<.05). Conclusion: Competency development appears unaffected by gender or grade level but may differ by admission type. Findings suggest the need for academic support and supplementary education for transfer students, and provide evidence to guide competency-based curriculum design in physical therapy.
4,000원
6.
2025.09 구독 인증기관 무료, 개인회원 유료
Background: Rounded Shoulder Posture (RSP) and Forward Head Posture (FHP) often result from prolonged digital device use, leading to muscle imbalance, pain, and functional limits. Growing demand for postural correction highlights the need for effective exercise approaches. Objectives: This study compared strengthening, self-stretching, and mixed exercises on acromion height, craniovertebral angle, and muscle tone in adults with FHP and RSP. Design: Randomized controlled pretest-post test trial over four weeks. Methods: Thirty university students (acromion height ≥2.5 cm, craniovertebral angle ≤53°) were randomly assigned to strengthening (n=6), self-stretching (n=9), or mixed exercise (n=9) groups. Participants exercised three times weekly for four weeks. Pre- and post-tests measured acromion height, craniovertebral angle, and muscle tone of the pectoralis major, upper trapezius, and sternocleidomastoid using MyotonPro®. Data were analyzed with Wilcoxon signed ranks, Kruskal-Wallis, and repeated measures ANOVA (P<.05). Results: All groups significantly improved acromion height and craniovertebral angle (P<.05) without intergroup differences. Significant tone change appeared only in the upper trapezius (P<.05), with the mixed group showing the largest improvement. Conclusion: All exercises improved posture in adults with FHP and RSP. Mixed exercise yielded the greatest reduction in upper trapezius tone, suggesting a multimodal approach may be most effective.
4,000원
7.
2025.09 구독 인증기관 무료, 개인회원 유료
Background: Previous systematic reviews and meta-analyses have suggested core stabilization exercise as a conservative treatment approach for scoliosis. Objectives: To investigate the effects of sling exercise and unilateral core exercise on the angle, balance ability, and muscle tone in individuals with scoliosis. Design: Randomized controlled trial. Methods: Twenty-one students in their twenties with mild scoliosis were recruited as participants and randomly assigned to one of three groups: a sling exercise group (n=7), a unilateral core exercise group (n=6), and a combined sling and unilateral core exercise group (n=6). Two participants dropped out during the study. Each group performed its designated exercise program individually, three times per week for five weeks. Measurements of scoliosis angle, balance, and muscle tone were taken before and after the intervention. Results: The sling exercise intervention significantly reduced the scoliosis angle (P<.05) and significantly increased muscle tone on the convex side (P<.05). In the combined sling and unilateral core exercise group, a significant improvement in static balance ability was observed (P<.05). Conclusion: Among the core stabilization exercises applied to scoliosis, sling exercise may be considered a potential intervention for mild scoliosis.
4,300원
8.
2025.09 구독 인증기관 무료, 개인회원 유료
Background: Core stabilization exercises are widely used to improve trunk stability, balance, and functional movement by enhancing the activation and endurance of deep trunk muscles such as the transversus abdominis (TrA). However, evidence comparing the effects of sling-based unstable surface training and mat-based stable surface training remains limited. Objects: To investigate the effects of mat based core stabilization exercises and sling based unstable surface core stabilization exercises on transversus abdominis thickness and core endurance. Methods: Forty-six healthy adults were randomly assigned to a mat exercise group (MEG, n=23) or a mat with sling exercise group (MSEG, n=23). Both groups performed 30-minute core stabilization exercises twice per week for four weeks. TrA thickness was measured using ultrasonography (SONON 300L), and core endurance was evaluated using the Bourban test for the anterior muscle chain. Results: Both groups showed significant increases in transversus abdominis thickness (MEG: P<.05; MSEG: P<.00) and core endurance (P<.00) after the intervention. However, no statistically significant differences were found between the two groups in post-intervention TrA thickness or Bourban test. Conclusion: Both mat based and sling based core stabilization exercises effectively enhanced TrA thickness and core endurance in healthy adults.
4,000원