The aim of this study was to investigate the effect of Maitland mobilization and Kaltenborn-Evjenth mobilization on the SLR angle. Subjects randomly divided into Kaltenborn-Evjenth group(n=8) and Maitland group(n=7). The mean height, age, body weight was 176.00±5.10 cm, 22.75±1.83 years, 72.63±10.65 kg respectively in Kaltenborn-Evjenth group. The mean height, age, body weight was 175.00±5.60 cm, 22.29 ±3.68 years, 78.00±12.36 kg respectively in Maitland group. Hip joint accessary movements with Grade Ⅲ or IV were applied depend on the patient’s condition to the restricted direction for 1 minute each set, and performed 5 set in a Maitland group. Hip joint anteroposterior gliding with Grade Ⅲ were applied 60 for 1 minutes each set, and performed 5 set in a Kaltenborn-Evjenth group. The angle of first pain was referred to as P1 and subjects were pointed out that they could not bend the knee anymore, then examiner measure SLR angle. The SLR was significantly increased in the Maitland group compared to the Kaltenborn- Evjenth group after intervention(p<.05). In a within group difference, SLR significantly increased in the both groups(p<.05). These results indicated that Maitland mobilization could be recommended the excellent technique to increase the hip flexion in patient with hip hypo-mobility.

The purpose of this study was to investigate the effects of joint position on the distraction distance in patients with adhesive capsulitis of glenohumeral joint. The study was conducted upon 20 adults in their 40's with the findings of adhesive capsulitis of glenohumeral joint. These subjects were subdivided into 3 groups, which were a group with neutral position(n=7), second group with resting position(n=7) and third group with end-range position( n=6). After having the subject wearing sleeveless shirts exposing armpit and lying straight on the plinth, a physical therapist with OMT qualification pulled glenohumeral joint at the Grade Ⅲ of Kaltenborn-Evjenth traction; and the distance between glenoid fossa and humeral head was measured with ultrasound. Following the application of traction, the group with resting position(.67±0.29) exhibited the longest distance between humeral head and glenoid fossa, and it was followed by neutral position(.50±0.25) and end-range position(.35±.21) in this order. From the comparison of these groups, there was no significant difference in distraction distance between resting position and neutral position; and there was again no significant difference in distraction distance between end-range position and neutral position. However, there was a significant difference in distraction distance between end-range position and resting position(p<.05). Upon application of the Grade Ⅲ of Kaltenborn-Evjenth traction, it was evident that the distance between humeral head and glenoid fossa can be varied depending on the location of the joint.

2 week study was conducted to investigate the effects of Interferential Current(IC) and Kaltenborn-Evjenth Orthopedic Manual Therapy(KEOMT) on functional constipation. Interventions were applied to spinal segments between T9-L2 which provides innerva˗ tions to the gastrointestinal tract. Subjects(n=24) were randomly allo˗ cated to two treatment groups: the IC group or the KEOMT group. Results for the IC therapy demonstrated significant decrease with the colonic transit time(CTT) as well as scores on the constipation assessment scale(CAS). The frequency of defecations per week had increased significantly(p<0.05). The KEOMT displayed decreased CTT in the left colon region. The scores on the CAS were reduced and frequency of defecations per week had increased significantly (p<0.05). This study not only showed that both modes of therapy improved symptoms of constipation, but also optimized gastrointesti˗ nal content movement, eventuating in a more normalized CTT. In conclusion, both the IC therapy and the Kaltenborn-Evjenth Orthopedic Manual Therapy have shown to be effective interventions for improving functional constipation.

본 연구는 오른쪽 어깨관절에 칼텐본-에비엔즈컨셉 미끄러뜨림 등급Ⅱ와 Ⅲ으로 아래쪽미끄러뜨림적용시 위팔뼈머리의 이동거리 및 벌림각도(abduction angle)의 변화를 알아보고자 하였다. 미끄러뜨림 등급Ⅱ(Grade Ⅱ) 적용시 위팔뼈머리는 초기보다 아래쪽으로 5㎜ 가량 이동하였고 등급Ⅲ 적용시 8㎜ 가량 이동하였다. 이동거리에 대한 성별 비교에서는 남자가 여자에 비해 등급별로 이동거리가 높게 나타났으나 통계적으로 유의한 차이는 나타나지 않았다. 등급Ⅱ(Grade Ⅱ) 적용시 벌림각도는 초기보다 10°가량, 등급Ⅲ(Grade Ⅲ) 적용시 12°가량 증가하였다. 벌림각도에 대한성별 비교에서는 모든 등급별로 여자가 남자보다 벌림각도가 크게 나타났으나 통계적으로 유의한 차이는 나타나지 않았다.본 연구를 통해 미끄러뜨림 등급 적용시 위팔뼈머리의 운동형상학적 변화를 알아보았으며 향후 추가 연구를 통해이들 변화가 주변 구조물에 미치는 영향에 대해 알아본다면 보다 과학적인 근거중심의 치료를 기대할 수 있을 것으로사료된다.

본 연구에서는 로딩셀기구를 이용하여 어깨관절의 아래, 앞, 뒤쪽 방향으로 칼텐본-에비엔즈컨셉 미끄러뜨림 치료등급 Ⅱ와 Ⅲ 적용 시 남녀, 미끄러뜨림 방향 그리고 미끄러뜨림 등급에 따라 적용되는 힘의 크기를 비교해보고자 하였다. 남녀에 따른 부하량 차이를 비교한 결과 아래쪽미끄러뜨림 Ⅱ/Ⅲ등급(Caudal Grade Ⅱ/Ⅲ), 앞쪽미끄러뜨림 Ⅱ/Ⅲ등급(Ventral Grade Ⅱ/Ⅲ), 뒤쪽미끄러뜨림 Ⅱ/Ⅲ등급(Dorsal Grade Ⅱ/Ⅲ) 모두 여자에 비해 남자의 부하량이 유의하게 높았다(p<.05). 치료방향에 따른 부하량 차이를 비교한 결과 등급Ⅱ(Grade Ⅱ)와 등급Ⅲ(Grade Ⅲ) 모두에서아래쪽(Caudal)에 비해 앞쪽(Ventral)과 뒤쪽(Dorsal)에서 부하량이 유의하게 높았다(p<.05). 치료등급에 따른 부하량 차이를 비교한 결과 아래쪽(Caudal), 앞쪽(Ventral) 그리고 뒤쪽(Dorsal) 모두에서 등급Ⅱ(Grade Ⅱ)에 비해 등급Ⅲ(Grade Ⅲ)에서 부하량이 유의하게 높게 나타났다(p<.05). 위 결과로부터 위팔어깨관절(glenohumeral joint)의 아래, 앞, 뒤 방향에 대한 미끄러뜨림(gliding) Ⅱ/Ⅲ 적용 시 같은 등급에서 적용되는 힘의 크기가 방향과 성별에 따라다름을 알 수 있었다.