Background: Previous studies have highlighted the beneficial impact of trunk strength training on gross motor muscle function. Additionally, trunk strength training has been shown to enhance upper limb function and balance in children with cerebral palsy. Although numerous studies have explored dynamic and static balance for children with cerebral palsy, none have yet examined the combined application of kinetic link training (KLT) and bird dog exercise (BDE). Objectives: To investigated the effect of cerebral Palsy on the KLT and BDE. Design: A randomized controlled trial. Methods: This study involved 30 children diagnosed with cerebral palsy. They were randomly allocated to two groups: 15 children in the KLT group and 15 in the bird-dog group. During the intervention, four participants dropped out, resulting in 26 subjects for the final analysis (KLT=11, Bird-dog=15). After randomizing the subjects into two groups, we allocated their general characteristics. Prior to starting the intervention, initial measurements were taken using the Romberg test for static balance and the limit of stability (LOS) test for dynamic balance. Each group participated in KLT and BDE for 30 minutes, three times a week for eight weeks, under the supervision of a therapist. Follow-up measurements of static and dynamic balance were taken at the conclusion of the eight-week period. The collected data was analyzed using the SPSS ver. 21.0 program by paired t-test and independent t-test. Results: In the results for static balance, the within-group comparisons indicated a significant reduction in trace length, STD velocity, and velocity postintervention compared to pre-intervention for both the KLT and BDE groups, except for the C90 area (P<.05). Regarding dynamic balance, the withingroup comparisons demonstrated a significant increase in LOS in the forward direction for the BDE group from pre- to post-intervention (P<.05). Similarly, there was a significant increase in LOS in the backward direction for the KLT group from pre- to post-intervention (P<.05). The LOS in both the left and right directions showed significant increases in the BDE group from pre- to post-intervention (P<.05). Conclusion: An eight-week intervention involving KLT and BDE exercises improved both static and dynamic balance in children with cerebral palsy.

Background: Various treatments are being tried for lumbar neuropathy. Among them, neural mobilization aims to reduce peripheral nerve sensitivity by stimulating them directly. Similarly, applying kinesiotape stimulates skin and joint receptors around the nerves, thereby affecting nerve function and movement. Objectives: To investigated the effect of low back pain on the neural mobilization and kinesiotaping. Design: Randomized controlled trial. Methods: Thirty patients with chronic low back pain were randomly allocated to three groups: the neural mobilization exercise with kinesiotaping group (NEKTG, n=10), the neural mobilization exercise group (NEG, n=10), and the kinesiotaping group (KTG, n=10). Each group performed six intervention sessions over two weeks. The results were analyzed by measuring the numeric pain rating scale (NPRS) and straight leg raise (SLR) before and after the intervention in each group. Results: NEKTG, NEG, and KTG all indicated a significant decrease in the back pain index before and after the intervention. However, there were no differences observed between the three groups. The SLR angles before the experiment were identical across the three groups. The SLR angles before and after the intervention were as follows: the SLR angle significantly increased in NEKTG. Furthermore, there was a significant increase in the SLR angle in NEKTG compared to both NEG and KTG. Conclusion: Neural mobilization combined with kinesiotaping provided better therapeutic effects regarding pain reduction and neurodynamic improvement compared to alone kinesiotaping and mobilization with chronic low back pain.

Background: Children with cerebral palsy face challenges in maintaining body stability because of structural and functional defects. Their ability for responsive balance control is diminished. While there exist various trunk stabilization exercises such as Kinetic Link training (KLT) and the Bird-dog posture, there is a notable dearth of research that applies KLT specifically to children with cerebral palsy. Objectives: To investigate the effects of KLT and Bird-dog exercise on gross motor function and balance in children with cerebral palsy. Design: Quaxi-experimental study. Methods: The study participants were randomly divided into two groups: 15 individuals in the KLT group and 15 in the Bird-dog group. General characteristics were examined, and initial measurements of Gross motor function measure (GMFM) and Pediatric balance scale (PBS) were taken prior to the intervention. Each group engaged in KLT exercises and Bird-dog exercises for 20 minutes, three times a week over an 8 week period. Following the completion of the 8 week intervention, secondary measurements of GMFM and PBS were conducted. Results: In the KLT group, both PBS and GMFM showed a significant increase after the intervention compared to before (P<.05). Similarly, in the Bird-dog group, both PBS and GMFM significantly increased after the intervention compared to before (P<.05). There was a significant difference observed in PBS when comparing the pre- and post-intervention changes between the two groups (P<.05), whereas no significant difference was found in GMFM between the groups when comparing the pre- and post-intervention changes (P>.05). Conclusion: The interventions involving KLT and Bird-dog exercises were observed to effectively enhance PBS and GMFM in children with cerebral palsy. Specifically, it was evident that KLT was more beneficial in improving balance abilities compared to Bird-dog exercise.

Background: Most non-pharmacological interventions for tension-type headache (TTH) focus on direct intervention in areas associated with headaches, with limited research exploring the indirect effects of interventions utilizing the fascia. Objectives: To investigate the effects of superficial back line (SBL) stretching and head-neck massage interventions on the range of motion (ROM) and neck disability index (NDI) of TTH. Design: Randomized controlled trial. Methods: The study participants were randomly allocated into three groups: SBL stretching group (n=9), head-neck massage group (n=9), and combined group (n=9). Prior to the intervention, measurements were taken for neck flexion ROM, straight leg raising test (SLRT) ROM, and NDI. The intervention consisted of 30-minute sessions conducted twice a week for 8 weeks. The second measurement took place 4 weeks after the intervention, followed by a third measurement conducted after an additional 4 weeks of intervention. Results: Comparing neck flexion ROM within each group, a significant increase was observed in the SBL stretching group after 8 weeks compared to before the intervention (P<.05). Regarding the comparison of SLRT ROM within each group, a significant increase was noted after 8 weeks compared to before the intervention in the SBL stretching, head-neck massage, and combined groups (P<.05). In terms of the comparison of NDI within each group, a significant decrease was observed in all three group after the intervention compared to before the intervention (P<.05). Conclusion: 8-week intervention involving SBL stretching, head-neck massage, and their combined application demonstrated effectiveness in improving neck flexion ROM, SLRT ROM, and the NDI for individuals with TTH.

Background: Chronic back pain not only causes physical discomfort and decreased functionality but also affects emotional well-being, resulting in feelings of anxiety, depression, and other psychological issues. Studies have indicated that cognitive functional therapy and motor control exercises can alleviate chronic low back pain and associated psychological issues. Objectives: To investigated the effect of chronic low back pain on the cognitive functional therapy (CFT) and motor control exercises (MCE). Design: Quaxi-experimental study. Methods: Forty patients with chronic low back pain were randomly assigned and divided into 20 cognitive functional therapy group with motor control exercises group (CFTMG) and 20 patients in motor control exercises group (MCEG). After applying CFT with motor control exercises and motor control exercises for 8 weeks, changes in numeric pain rating scale (NPRS), Oswestry disability index (ODI) and Fear-avoidance beliefs questionnaire (FABQ) were observed. Results: In the CFTMG, statistically significant changes were observed in NPRS, ODI, and FABQ before and after the intervention. In the MCEG, statistically significant changes were observed in VAS and ODI before and after the intervention. Conclusion: The application of CFTM and MCE in patients suffering from chronic low back pain has demonstrated effectiveness in alleviating pain, enhancing back function, and reducing kinesiophobia associated with the condition.

Background: Clinical practice guidelines for patients with chronic low back pain (CLBP) recommend therapeutic exercise, and recently, interventions for pain neuroscience education (PNE) are also recommended. Objectives: To investigate the effects of aquatic exercise combined with PNE on pain, disability, and fear-avoidance beliefs in patients with CLBP. Design: Randomized control trial. Methods: The 27 participants recruited in this study were randomly allocated as pain neuroscience education combined with aquatic exercise group (PAEG, n=14) and aquatic exercise group (AEG, n=13). Both groups performed aquatic exercise for 50 minutes, 3 times a week for 6 weeks, and only PAEG received additional PNE. Numeric pain rating scale (NPRS), modified oswestry disability questionnaire (MODQ), and fear-avoidance beliefs questionnaire (FABQ) were used as evaluation methods before and after intervention. Results: Statistically significant decrease in NPRS, MODQ and FABQ (physical activity and work score) before and after intervention in PAEG. However, there were statistically significant changes in NPRS, MODQ and FABQ (physical activity score) before and after intervention in AEG. PAEG and AEG before and after intervention indicated statistically significant differences in MODQ and FABQ (work score). Conclusion: Aquatic exercise combined with PNE improved disability (MODQ) and fear-avoidance beliefs (FABQ) has been shown to have additional benefits. Therefore, combining PNE as a clinical intervention for CLBP patients will enhance the therapeutic effect.

Background: It is Difficult for older adults to avoid a decreased in pulmonary functions caused by aging, and these reduced functions have been shown to affect not only the quality of life, but also the rate of disease and mortality. Although massage therapy is generally applied as a treatment method for improving the musculoskeletal system, massage is also studied as a potential intervention for lung function as a complementary treatment method. Objectives: To determine the effects of massage and relaxation breathing exercise applied after a low-intensity walking exercise on pulmonary functions in older individuals. Design: Quaxi-experiment study. Methods: Twelve day care elderly were divided into a massage group (n=6) and a relaxation breathing exercise group (n=6). After performing low-intensity walking exercise twice for 7 weeks, massage intervention and relaxation breathing exercise intervention were performed, respectively. PEF, FEV1, and FVC were measured by performing lung function tests pre- and post the intervention. Results: As a result of this study, PEF and FVC were significantly increased in the pre- and post-group comparison of MG, and there was no significant difference in FEV1. There were no significant differences in all variables in the pre-post comparison of RBEG within groups. There was no significant difference in all variables in the comparison between the two groups on the intervention results. Conclusion: To conclude, pulmonary functions in older adults increased significantly after the massage intervention, although no significant difference was found in comparison to intervention with relaxation breathing exercise.

Background: Generally, rounded shoulders may occur when an individual habitually takes a relaxed, slouched posture. Although various studies on the round shoulder exist, studies on the effect of improvement of thoracic mobilization on the round shoulder are insufficient. Objectives: To investigate the effect of thoracic mobilization on round shoulders and pulmonary capacities. Design: Randomized controlled trials. Methods: Twenty subjects were randomly allocated into an exercise group (n=10) and a mobilization group (n=10). To quantify the round shoulder before and after the intervention, the distance between the acromion and the table surface was measured, and the pulmonary capacities were also measured. The intervention program was conducted twice a week for 6 weeks. The exercise group performed corrective exercise, and the mobilization group performed both corrective exercise and thoracic mobilization. Results: The round shoulder in both groups was significantly decreased (P<.05), and the pulmonary capacities were significantly improved (P<.05). However, there was no significant difference between the two groups (P>.05). Conclusion: The combination of corrective exercise with stretching and strengthening exercises led to the improvement of round shoulders and pulmonary capacities, no additional benefits were detected with thoracic mobilization.

Background: Scoliosis can be caused by postural changes. The effects of Schroth exercises and Kinesio taping for scoliosis have been reported independently, but there are few studies on the effects of combining both methods. Objectives: To investigated the effects of Schroth exercises and kinesio taping on the Cobb angle and dynamic balance ability in patients with scoliosis. Design: Quaxi-experimental study. Methods: Participants were divided into the taping (n=3) and non-taping (n=3) groups. Pre-tests for the Cobb angle and dynamic balance were performed prior to the first intervention, and post-tests were performed after the intervention was completed. The non-taping group performed Schroth exercises for a total of 12 35-minute sessions thrice a week for 6 weeks. Meanwhile, in the taping group, Kinesio tape was attached before performing the same exercises and was maintained for 24 hours after the exercises were finished. Results: In the taping group, there was no significant change in the Cobb angle and dynamic balance ability pre- and post-intervention (P>.05). Similarly, there was no significant change in the Cobb angle and dynamic balance ability pre- and post-intervention (P>.05) in the non-taping group. Furthermore, there was no significant difference upon comparing the two groups (P>.05). Conclusion: Kinesio taping combined with Schroth exercises did not give additional benefits in terms of the Cobb angle and dynamic balance ability than that in the application of Schorth exercises alone.

Background: Since chronic ankle instability (CAI) can adversely affect postural control, core stability exercises have been investigated to improve postural control. However, only a few studies have focused on kinetic chain exercises. Objectives: To investigate the effects of open kinetic chain (OKC) and closed kinetic chain (CKC) core stability exercises on static and dynamic balance abilities and vertical jump height in CAI patients. Design: Randomized controlled trial. Methods: The 18 participants enrolled in this study were randomly divided into the OKC group (n=9) and CKC group (n=9). Static and dynamic balance abilities and vertical jump height were measured before and after the intervention. The intervention program comprising OKC or CKC core stability exercises depending on the groups was conducted for 30 min twice a week for 6 weeks in 12 sessions. Results: In the OKC group, static measured with the eyes open or closed and dynamic balance abilities were significantly improved after the intervention (P<.05). In the CKC group, dynamic balance ability was significantly increased (P<.05). A significant difference was observed in static balance ability measured with the eyes open between the two groups (P<.05). Vertical jump height was significantly increased after the intervention in both groups (P<.05). Conclusion: OKC and CKC core stability exercises improve static and dynamic balance abilities and vertical jump height in CAI patients. Specifically, the OKC core stability exercise was more effective in enhancing static balance ability than the CKC core stability exercise.

Background: Physical therapists provide treatment with patient counseling. Therefore, communication with the patient is essential. There was insufficient research on the relationship between communication competence and job satisfaction of physical therapists. Objectives: To examine the relationship between communication ability and job satisfaction of physical therapists. Design: Descriptive surveys. Methods: The subjects were 89 physical therapists who working in hospitals and clinics. Communication competence were measured using global interpersonal communication competence scale (GICC-45). Job satisfaction were measured with the job satisfaction questionnaire used by Park. Results: As a result of comparison by employment status, there was a significant difference (P<.05). In comparison between working positions, there was a significant difference between staff and manager compared to assistant manager (P<.05). In comparison between working hours, there was a significant difference between more than 40 hours per week compared to less than 40 hours per week (P<.05). Communication competence and job satisfaction was found to have a significant positive correlation (P<.05). Specifically, communication ability were found to have a significant positive correlation with job pride, organization factor, autonomy and payment, working condition, welfare and stability (P<.05). Conclusion: This study suggests that the higher the communication competence of the physical therapist, their job satisfaction was higher.

Background: Although studies on physical motor learning through motor imagery training have been conducted in various fields, studies on its effectiveness are still considered insufficient. Objective: To investigate the effect of motor imagery training and balance training on static balance of asymptomatic adults in their 20s. Design: A quasi-experimental study. Methods: Thirty-six adults in their 20s who passed the tandem stance test were randomized to the motor imagery training group (MIG, n=12), motor imagery with balance training group (MIBG, n=12), and balance training group (BG, n=12). Each group underwent their respective interventions three times a week for four weeks, and changes in static balance were analyzed using multivariate analysis of variance. Results: Trace length was significantly lower in the MIBG than in the MIG and BG (P<.05), and a significant reduction in trace length in the MIBG was observed after the intervention as compared to the baseline (P<.05). Furthermore, a significantly lower velocity was observed in the MIBG than in the MIG and BG (P<.05), and a significant reduction of velocity in the MIBG was more observed after the intervention compared to the baseline (P<.05). Conclusion: These results suggest that motor imagery training enhance static balance in healthy college students.

Background: Lumbar lordosis is a result of muscle shortening and may cause low back pain. Objective: To examine the effects of static and dynamic stretching on lumbar lordosis and low back pain in university students. Stretching is an intervention that can be applied to shortened muscles; however, very few studies have compared the effects of static and dynamic stretching on lumbar lordosis and low back pain. Design: Randomized controlled clinical trial (single-blind) Methods: The 12 selected subjects were randomly assigned static stretching and dynamic stretching groups each containing six students. The subjects in each group performed their respective stretching programs for 17 minutes, 3 times a week for 4 weeks. Lumbar lordotic angle, low back pain, and Oswestry Disability Index (ODI) were measured before and after the intervention. Results: Intragroup comparisons showed significant reductions in lumbar lordotic angle and low back pain in the static stretching group while the dynamic stretching group showed significant decreases in lumbar lordotic angle, low back pain, and ODI. The intergroup comparisons showed significantly greater differences between pre- and post-intervention in lumbar lordotic angle and low back pain in the dynamic stretching group compared to those in the static stretching group while ODI did not show any intergroup difference. Conclusions: The results of this study indicated that, while both static and dynamic stretching helped to reduce the lumbar lordotic angle and low back pain, dynamic stretching was more effective in alleviating lumbar lordotic angle and low back pain compared to static stretching.

This study investigated the effects of myofascial release therapy and massage on upper trapezius myalgia and sleep quality in 60 female and male individuals employed at casinos between the ages of 20-49. Subjects were divided into three groups: a myofascial release therapy group (n=20), a massage group (n=20), and a control group (n=20). Each intervention lasted 15 minutes and was performed 4 times a week for 4 weeks. Pain was significantly decreased after the application of myofascial release therapy and massage (p<.05), however slightly increased in the control group, and myofascial release therapy reduced pain a little more than massage. Sleep quality was also significantly increased by myofascial release and mass (p<.05), however only slightly in the control group. The findings of this study suggest that myofascial release therapy and massage are effective in improving upper trapezius myalgia and sleep quality in casino employees.