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Suh HR, Cho HY. Reduction of Edema and Pain in Transcutaneous Electrical Nerve Stimulation Treated-Arthritic Rat. TOHOKU J EXP MED 2024; 262:245-252. [PMID: 38267059 DOI: 10.1620/tjem.2024.j006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2024]
Abstract
Transcutaneous electrical nerve stimulation (TENS) has been used to reduce pain or improve motor function in musculoskeletal and neurological disorders in the clinic. Although some studies have suggested electrotherapy as an intervention for edema, the effects and mechanisms of TENS on inflammation-induced edema remain unclear. Thus, we aimed to investigate the effects of TENS on arthritic pain with edema. 1% carrageenan was injected into the right tibiofemoral joint of 69 male Sprague-Dawley rats (200-250 g). After the development of arthritic pain, low-frequency (4-Hz, Low-TENS, n = 25) and high-frequency (100-Hz, High-TENS, n = 25) TENS with sub-motor threshold or placebo-TENS (n = 19) was applied for 20-min to medio-lateral part of the ipsilateral side. Weight bearing and knee-bend tests were used to assess pain-like behaviors. Also, we examined the size of edema and measured tumor necrosis factor-alpha (TNF-α) and interleukin-1 beta (IL-1β) levels in the synovium by western blot. Eight rats in each of the two TENS groups were injected with Naloxone. Edema was reduced in the low- and high-frequency TENS groups at 6-h. TENS-treated rats showed reduced pain in the knee-bend test at 6-h. We observed decreased weight load shifts on the ipsilateral side in TENS groups. Naloxone reduced these effects. TNF-α and IL-1β expression decreased in the synovial membrane at 6-h. These results suggest that low- and high-frequency TENS have acutely positive effects on inflammatory edema, with the management of arthritic pain and reduction in pro-inflammatory mediators. Therefore, Low-TENS and High-TENS may be useful in treating acute inflammatory pain and edema.
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Affiliation(s)
- Hye Rim Suh
- Department of Physical Therapy, Baekseok University
- Department of Physiology, Korea University College of Medicine
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University
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Baek JE, Hyeon SJ, Kim M, Cho HY, Hahm SC. Effects of dual-task resistance exercise on cognition, mood, depression, functional fitness, and activities of daily living in older adults with cognitive impairment: a single-blinded, randomized controlled trial. BMC Geriatr 2024; 24:369. [PMID: 38658827 PMCID: PMC11044356 DOI: 10.1186/s12877-024-04942-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 04/03/2024] [Indexed: 04/26/2024] Open
Abstract
BACKGROUND Regular exercise is emphasized for the improvement of functional capacity and independence of older adults. This study aimed to compare the effects of a dual-task resistance exercise program and resistance exercise on cognition, mood, depression, physical function, and activities of daily living (ADL) in older adults with cognitive impairment. METHODS A total of 44 older adults participated in the study. Participants were randomly allocated to an experimental group (n = 22) performing a dual-task resistance exercise program for cognitive function improvement and a control group (n = 22) performing a resistance exercise program. Both groups performed the exercise for 40 min per session, three times a week, for 6 weeks (18 sessions). Cognition, mood, depression, functional fitness, and ADL were quantified before and after the intervention using the Mini-Mental State Examination (MMSE), profile of mood states (POMS), geriatric depression scale (GDS), senior fitness test (SFT), and Korean version of ADL, respectively. RESULTS There was a significant time and group interaction on the MMSE (p = 0.044). There were no significant time and group interactions in the POMS, GDS, SFT, or ADL. Cognitive function (p < 0.001), mood (p < 0.001), depression (p < 0.001), functional fitness (p < 0.001), and ADL (p < 0.001) significantly improved after dual-task resistance exercise, and cognitive function (p < 0.001), mood (p < 0.001), depression (p < 0.001), functional fitness (p < 0.001), and ADL (p < 0.001) significantly improved after resistance exercise. CONCLUSIONS Dual-task resistance exercise is more effective than resistance exercise in improving cognitive function in older adults with cognitive impairment. Both dual-task resistance exercise and resistance exercise improves mood, depression, functional fitness, and ADL after the intervention. We propose using dual-task resistance exercises for cognitive and physical health management in the older adults with cognitive impairment. TRIAL REGISTRATION This study was registered with the Clinical Research Information Service (WHO International Clinical Trials Registry Platform) (Registration ID, KCT0005389; Registration date, 09/09/2020).
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Affiliation(s)
- Ji-Eun Baek
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea, 191 Hambangmoe-ro, Yeonsu-gu, Incheon
| | - Sang-Jun Hyeon
- Graduate School of Integrative Medicine, CHA University, 120 Haeryong-ro, Pocheon-si, 11160, Kyonggi-do, Republic of Korea
| | - May Kim
- Department of Physical Education, College of Education, Korea University, Seoul, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea, 191 Hambangmoe-ro, Yeonsu-gu, Incheon.
| | - Suk-Chan Hahm
- Graduate School of Integrative Medicine, CHA University, 120 Haeryong-ro, Pocheon-si, 11160, Kyonggi-do, Republic of Korea.
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Jeon JJ, Jeon SH, Yang KJ, Choi H, Cho HY, Hahm SC. Self-stretching exercises with kinesio taping for management of chronic nonspecific neck pain in taxi drivers: A single-blind, randomized controlled trial. Complement Ther Med 2024; 80:103010. [PMID: 38104730 DOI: 10.1016/j.ctim.2023.103010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 10/05/2023] [Accepted: 12/13/2023] [Indexed: 12/19/2023] Open
Abstract
OBJECTIVES Taxi drivers experience chronic neck pain owing to their posture while driving. The aim of this study was to investigate the effect of self-stretching exercises with kinesio taping on pain, stress, pressure pain threshold (PPT), disability, cervical range of motion (CROM) in this population. DESIGN A single-blind, randomized controlled trial SETTING: Forty-three taxi drivers with nonspecific chronic nonspecific neck pain were randomly assigned to experimental (n = 22) and control (n = 21) groups. METHODS In the experimental group, self-stretching exercises were performed 3 times a day, 5 days per week, for 4 weeks, with kinesio taping applied while driving. In the control group, only kinesio taping was applied while driving for 4 weeks. Pain intensity, stress intensity, PPT, neck disability, and CROM were assessed pre-intervention, post-intervention, and at 4 weeks post-intervention. RESULTS Significant time and group interactions were observed in pain intensity at rest (p = 0.048) and while driving (p = 0.001). In the experimental group, the Pre - Post - Follow-up mean (95% CI) was 4.41 (4.14 to 4.68) - 3.82 (3.57 to 4.07) - 3.78 (3.55 to 3.99). In the control group, the Pre - Post - Follow-up mean (95% CI) was 4.29 (4.01 to 4.56) - 3.86 (3.60 to 4.11) - 4.05 (3.82 to 4.27) for pain at rest. In the experimental group, the Pre - Post - Follow-up mean (95% CI) was 4.91 (4.63 to 5.19) - 4.00 (3.76 to 4.24) - 3.69 (3.69 to 4.22), while in the control group, the Pre - Post - Follow-up mean (95% CI) was 4.81 (4.53 to 5.09) - 4.38 (4.13 to 4.63) - 4.57 (4.30 to 4.85) for pain while driving. PPT on the right (p = 0.029) and left (p < 0.001) sides, and neck disability (p = 0.001) also showed significant time and group interactions. NDI was not clinically significant based on the minimum clinically important difference. All CROM showed significant time and group interactions (flexion, p = 0.008; right lateral flexion, p = 0.009; left lateral flexion, p = 0.004; right rotation, p = 0.001; left rotation, p = 0.001), except for extension. CONCLUSION This study showed that self-stretching exercises with kinesio taping provided benefits over kinesio taping alone on pain intensity, PPT, disability, and CROM in taxi drivers with nonspecific chronic neck pain. CLINICAL TRIAL REGISTRATION This study registered with the Clinical Research Information Service (WHO International Clinical Trials Registry Platform) on September 22, 2020 (KCT0005406).
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Affiliation(s)
- Jae-Jung Jeon
- Graduate School of Integrative Medicine, CHA University, Seongnam, South Korea
| | - Sun-Hee Jeon
- Graduate School of Integrative Medicine, CHA University, Seongnam, South Korea
| | - Keun-Jung Yang
- Graduate School of Integrative Medicine, CHA University, Seongnam, South Korea
| | - Han Choi
- Graduate School of Art Therapy, CHA University, Seongnam, South Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon, South Korea.
| | - Suk-Chan Hahm
- Graduate School of Integrative Medicine, CHA University, Seongnam, South Korea.
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Shin HJ, Kim SH, Cho HY. The effect of types of sensory feedback on the acquisition and retention of squat performance: A randomized, double-blind, controlled trial. Scand J Med Sci Sports 2024; 34:e14531. [PMID: 37916599 DOI: 10.1111/sms.14531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 09/12/2023] [Accepted: 10/17/2023] [Indexed: 11/03/2023]
Abstract
Various sensory feedback methods are considered important for motor learning, but the effect of each sensory feedback method on effective squat learning still needs to be clarified. This study aimed to investigate the effect of sensory feedback types on the acquisition and retention of a squat. A double-blinded, randomized controlled trial was carried out. Thirty-healthy people were recruited and randomly assigned to the visual feedback group (VFG = 10), tactile feedback group (TFG = 10), and control group (CG = 10). VFG received visual feedback through video data of the participant performing squats, and TFG received tactile feedback through manual contact with a physical therapist. Both groups received feedback on the movements that needed correction after each set was completed. CG maintained rest without receiving any feedback. The retro-reflexive marker, force plate, and electromyography were used to measure body angle, foot center of pressure (COP), and muscle activity. All assessments were measured to confirm a squat acquisition. VFG and TFG showed significant differences in neutral knee position (NKP), trunk forward lean (TFL), anterior knee displacement (AKD), and anteroposterior (AP) foot COP (p < 0.050). In addition, the acquisition was retained until 3 days later for NKP and a week later for TFL, AKD, and AP foot COP in VFG (p < 0.050), while the acquisition was not retained in TFG (p > 0.050). There was no statistically significant change in CG (p > 0.050). This study demonstrated that visual feedback positively affects the acquisition and retention of squats. Therefore, we recommend the use of visual feedback for squat acquisition and retention in exercise novices.
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Affiliation(s)
- Ho-Jin Shin
- Department of Physical Therapy, Gachon University, Incheon, Republic of Korea
| | - Sung-Hyeon Kim
- Department of Physical Therapy, Gachon University, Incheon, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon, Republic of Korea
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Yoon JD, Jung JH, Cho HY, Shin HJ. The Immediate Effects of Muscle Energy Technique in Chronic Low Back Pain Patients with Functional Leg Length Discrepancy: A Randomized and Placebo-Controlled Trial. Healthcare (Basel) 2023; 12:53. [PMID: 38200959 PMCID: PMC10778948 DOI: 10.3390/healthcare12010053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 12/18/2023] [Accepted: 12/24/2023] [Indexed: 01/12/2024] Open
Abstract
This study was conducted to determine the effect of muscle energy technique (MET) on pelvic alignment, leg length, pain, and fatigue in chronic low back pain (CLBP) patients with leg length discrepancy (LLD). Forty-two CLBP patients with LLD volunteered to participate and were randomly assigned to the MET group (n = 21) and placebo group (n = 21). The intervention group performed three METs with 5 s of isometric contraction and 30 s of rest once, and the placebo group performed three times the placebo-MET, maintaining the same posture as the MET group without muscle isometric contraction. X-ray equipment, tape measure, and visual analog scale were used to evaluate pelvic alignment, leg length, pain, and fatigue before and after each intervention. In comparison pre- and postintervention, only the MET group showed significant changes in pelvic alignment, leg length, pain, and fatigue (p < 0.05). In comparison between groups, there were significant differences in all variables (pelvic alignment, leg length, pain, fatigue) (p < 0.05). The results of this study confirmed the therapeutic effect of MET for improving pelvic alignment, functional LLD, pain, and fatigue in CLBP patients with functional LLD. Future research is needed to evaluate the long-term effect on more chronic low back pain patients.
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Affiliation(s)
- Jung-Dae Yoon
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Republic of Korea;
- Barum Pilates and Rehabilitation Center, Incheon 22014, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Jecheon 27136, Republic of Korea;
| | - Hwi-Young Cho
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Republic of Korea;
- Department of Physical Therapy, Gachon University, Incheon 21936, Republic of Korea
| | - Ho-Jin Shin
- Department of Physical Therapy, Gachon University, Incheon 21936, Republic of Korea
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Kim YH, Cho HY, Kim SH. Short-Term Effects of Centralization of the Glenohumeral Joint and Dynamic Humeral Centering on Shoulder Pain, Disability, and Grip Strength in Patients with Secondary Subacromial Impingement Syndrome. Healthcare (Basel) 2023; 11:2914. [PMID: 37998406 PMCID: PMC10671653 DOI: 10.3390/healthcare11222914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 10/30/2023] [Accepted: 11/06/2023] [Indexed: 11/25/2023] Open
Abstract
Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain in adults and is caused by muscle imbalance around the shoulder joint, which is referred to as secondary SIS. Centralization of the glenohumeral joint (CGH), one of the intervention methods for this, targets strengthening the control ability of the rotator cuff. Dynamic humeral centering (DHC) targets the learning of selective contractile function of the pectoralis major and latissimus dorsi as depressors of the humeral head. This study aims to determine the short-term effects of CGH and DHC on pain, disability, and grip strength in patients with secondary SIS. Forty-eight patients with secondary SIS participated in the study and were randomly allocated into three groups (CGH group (n = 16), DHC group (n = 16), and simple exercise group (n = 16)) and received the intervention for 50 min. The Constant-Murley score was used to assess shoulder pain and disability (primary outcome), and a hand-held dynamometer was used to assess grip strength (secondary outcome). Measurements were performed before the intervention and one day after the intervention. The results showed that the Constant-Murley score improved in the CGH and DHC groups. In addition, pain and disability (range of motion scores) improved in both the CGH and DHC groups. Improvements in disability (shoulder strength) and grip strength were seen only in the CGH group. Both CGH and DHC can be used as methods for short-term pain release and disability recovery in secondary SIS. In particular, CGH appears to be more effective in the short-term improvement in shoulder strength and grip strength.
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Affiliation(s)
- Yong-Hee Kim
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Republic of Korea;
| | - Hwi-Young Cho
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Republic of Korea;
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Republic of Korea
| | - Sung-Hyeon Kim
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Republic of Korea
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Jung EY, Jung JH, Cho HY, Kim SH. Effects of Plantar Flexor Stretching on Static and Dynamic Balance in Healthy Adults. Int J Environ Res Public Health 2023; 20:1462. [PMID: 36674219 PMCID: PMC9861708 DOI: 10.3390/ijerph20021462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 01/10/2023] [Accepted: 01/11/2023] [Indexed: 06/17/2023]
Abstract
Stretching can affect balance ability by generating biomechanical and physiological changes in the postural muscles. Stretching of the lower extremity muscles can greatly affect posture maintenance strategies and balance ability. However, the relationship between stretching and balance ability has not been clarified. Therefore, this study aimed to investigate the effect of plantar flexor stretching on balance ability. Forty-four healthy young adults were randomly assigned to four groups (static stretching, dynamic stretching, ballistic stretching, and control). Ankle joint range of motion, static balance ability, and dynamic balance ability were evaluated before, immediately after, and 20 min after stretching. Stretching did not affect balance ability in the open-eye condition. After stretching, the sway area was significantly reduced in the closed-eye condition (p < 0.05). After stretching, the reach distance of dynamic balance ability increased significantly (p < 0.05). The results show that plantar flexor stretching can positively affect balance ability. Therefore, plantar flexor stretching should be considered a rehabilitation method to improve balance.
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Affiliation(s)
- Eui-Young Jung
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Jecheon 27136, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon 21936, Republic of Korea
| | - Sung-Hyeon Kim
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Republic of Korea
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Park C, Cho HY, Kang CK. Investigation of Structural Changes in Rectus Abdominis Muscle According to Curl-Up Angle Using Ultrasound with an Extended Field of View. Int J Environ Res Public Health 2022; 19:14525. [PMID: 36361406 PMCID: PMC9656726 DOI: 10.3390/ijerph192114525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 10/31/2022] [Accepted: 11/01/2022] [Indexed: 06/16/2023]
Abstract
The rectus abdominis (RA) muscle is related to abdominal muscle contraction and is divided into three sub-sections. In this study, changes in each section according to the curl-up angles were measured using ultrasound with an extended field of view (EFOV) scan and compared with the conventional scan. The results showed that the locations of the measurement position center were consistently detected only with the EFOV scan and that the change ratios in thickness and length between sections at the same angles were not significantly different, suggesting that each section was selectively activated. Furthermore, the ratios of the thickness and length changes in each section were significantly different between the rest position and curl-up angles. Specifically, in the section 2 there was a significant difference in the thickness and length changes between different angles, reflecting the characteristics of RA during contraction, and their variations were less than in the section 3. Therefore, the results suggest that changes in only a section of RA cannot be representative of overall RA activation, EFOV scan method can be useful for investigating the structural characteristics of RA in detail, and the proposed method can obtain various information about muscle contraction for efficient muscle treatment and muscle strengthening.
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Affiliation(s)
- Chansol Park
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea
| | - Hwi-Young Cho
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Korea
| | - Chang-Ki Kang
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea
- Neuroscience Research Institute, Gachon University, Incheon 21565, Korea
- Department of Radiological Science, College of Health Science, Gachon University, Incheon 21936, Korea
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Jung JY, Cho HY, Kang CK. Effects of a Traction Device for Head Weight Reduction and Neutral Alignment during Sedentary Visual Display Terminal (VDT) Work on Postural Alignment, Muscle Properties, Hemodynamics, Preference, and Working Memory Performance. Int J Environ Res Public Health 2022; 19:14254. [PMID: 36361134 PMCID: PMC9655747 DOI: 10.3390/ijerph192114254] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 10/25/2022] [Accepted: 10/27/2022] [Indexed: 06/16/2023]
Abstract
The forward head posture of visual display terminal (VDT) users induces various physical and cognitive clinical symptoms. However, few studies have been conducted to identify and solve problems associated with VDT posture. This study aimed to examine the adverse effects of VDT posture and the positive effects of traction-combined workstations by measuring postural alignment, muscle properties, blood velocity, preference, and working memory. Thirty-four healthy VDT users (18 males and 16 females aged 20-30 years) participated in the experiment at three workstations, including conventional (VDT_C), head support (VDT_S), and upright (VDT_U) workstations. They conducted 2-back working memory task. The craniovertebral angle (CVA), muscle tone and stiffness, blood velocity and visual analogue discomfort scale (VADS) were measured to examine the influence of workstations. VDT_C showed increased muscle tone or stiffness in the levator scapulae (LS), suboccipital muscle (SM), and sternocleidomastoid muscle (SCM) and an increased reaction time (RT) in working memory. However, VDT_S showed decreased stiffness and tone of SM and improved comfort. In addition, VDT_U showed decreased stiffness or tone of the LS and SCM and improved blood velocity and RT. In conclusion, maintaining neutral alignment significantly improved working memory performance, muscle properties, and blood velocity.
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Affiliation(s)
- Ju-Yeon Jung
- Department of Health Science, Gachon University Graduate School, Gachon University, Incheon 21936, Korea
| | - Hwi-Young Cho
- Department of Health Science, Gachon University Graduate School, Gachon University, Incheon 21936, Korea
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Korea
| | - Chang-Ki Kang
- Department of Health Science, Gachon University Graduate School, Gachon University, Incheon 21936, Korea
- Neuroscience Research Institute, Gachon University, Incheon 21565, Korea
- Department of Radiological Science, College of Health Science, Gachon University, Incheon 21936, Korea
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Park JH, Lee SJ, Shin HJ, Cho HY. Influence of Loads and Loading Position on the Muscle Activity of the Trunk and Lower Extremity during Squat Exercise. Int J Environ Res Public Health 2022; 19:ijerph192013480. [PMID: 36294056 PMCID: PMC9602963 DOI: 10.3390/ijerph192013480] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 10/13/2022] [Accepted: 10/15/2022] [Indexed: 05/13/2023]
Abstract
This study aimed to investigate the effect of the load and bar position on trunk and lower extremity muscle activity during squat exercise. High bar back squats (HBBS) and low bar back squats (LBBS) were performed in random order at 50%, 60%, and 70% loads of one repetition maximum by 28 experienced healthy adult men who had been performing squats for at least one year. Before the experiment, the maximal voluntary contraction of the vastus medialis, vastus lateralis, rectus femoris, biceps femoris, rectus abdominis, transverse abdominis, external oblique, and erector spinae muscles was measured by means of surface electromyography. In addition, eccentric and concentric exercises were performed for 3 s each to measure the muscle activity. There was a significant difference in muscle activity according to the load for all muscles in the eccentric and concentric phases (p < 0.05), indicating that muscle activity increased as the load increased. In addition, in the comparison between HBBS and LBBS, significant differences were shown in all lower extremity muscles and all trunk muscles except for the external oblique in the concentric phase according to the bar position (p < 0.05). HBBS showed a higher muscle activity of the lower extremity in the eccentric and concentric phases than in LBBS, while LBBS showed a higher muscle activity of the trunk muscle in the eccentric and concentric phases than in HBBS (p < 0.05). HBBS requires more force in the lower extremity than LBBS and is particularly advantageous in strengthening the muscular strength of the quadriceps. In contrast, LBBS requires more muscle activity in the trunk than HBBS and is more effective in carrying heavier loads because of the advantage of body stability. This study suggests that rehabilitation experts apply the bar position and load as important variables affecting the intensity and method of training for target muscle strengthening of the lower extremities and trunk.
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Affiliation(s)
- Ju-Hyung Park
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea
| | - Seung-Jea Lee
- Department of Medical Sciences, Soonchunhyang University, Asan-si 31538, Korea
| | - Ho-Jin Shin
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea
- Correspondence: (H.-J.S.); (H.-Y.C.); Tel.: +82-32-820-4420 (H.-J.S.); +82-32-820-4560 (H.-Y.C.)
| | - Hwi-Young Cho
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea
- Department of Physical Therapy, Gachon University, Incheon 21936, Korea
- Correspondence: (H.-J.S.); (H.-Y.C.); Tel.: +82-32-820-4420 (H.-J.S.); +82-32-820-4560 (H.-Y.C.)
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Jung KS, Jung JH, In TS, Cho HY. Effects of Pelvic Stabilization Training with Lateral and Posterior Tilt Taping on Pelvic Inclination, Muscle Strength, and Gait Function in Patients with Stroke: A Randomized Controlled Study. Biomed Res Int 2022; 2022:9224668. [PMID: 37333857 PMCID: PMC10276765 DOI: 10.1155/2022/9224668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 08/17/2022] [Accepted: 08/22/2022] [Indexed: 11/07/2023]
Abstract
Background This study was aimed at investigating the effect of pelvic tilt taping on muscle strength, pelvic inclination, and gait function in patients with stroke. Methods A total of 60 patients with stroke were included in our study and randomly divided into three groups: the posterior pelvic tilt taping (PPTT, n = 20), the lateral pelvic tilt taping (LPPP) with PPTT (LPPP+PPTT, n = 20), and the control (n = 20) groups. All participants performed pelvic stabilization exercises consisting of 6 movements: supine, side lying, quadruped, sitting, squatting, and standing (30 min/day, five days/week, for six weeks). PPTT to correct anterior pelvic tilt was applied to the LPTT+PPTT and PPTT groups, and lateral pelvic tilt taping was additionally applied to the LPTT+PPTT group. LPTT was performed to correct the pelvis tilted to the affected side, and PPTT was performed to correct the anterior pelvic tilt. The control group did not undergo taping. A hand-held dynamometer was used to measure the hip abductor muscle strength. In addition, a palpation meter and 10-meter walk test were used to assess pelvic inclination and gait function. Results Muscle strength was significantly stronger in the LPTT+PPTT group than in the other two groups (p = 0.01). The anterior pelvic tilt was significantly improved in the taping group compared to the control group (p < 0.001), and the lateral pelvic tilt was significantly improved in the LPTT+PPTT group compared to the other two groups (p < 0.001). Significantly greater improvements in gait speed were observed in the LPTT+PPTT group than in the other two groups (p = 0.02). Conclusions PPPT can significantly affect pelvic alignment and walking speed in patients with stroke, and the additional application of LPTT can further strengthen these effects. Therefore, we suggest using taping as an auxiliary therapeutic-intervention method in postural control training.
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Affiliation(s)
- Kyoung-Sim Jung
- Department of Horse Industry, Sungwoon University, Yeongcheon, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Jecheon, Republic of Korea
| | - Tae-Sung In
- Department of Physical Therapy, Gimcheon University, Gimcheon, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon, Republic of Korea
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Shin HJ, Kim SH, Cho HY, Lee JH. The Effects of Meditation with Stabilization Exercise in Marine Region on Pain, Tactile Sense, Muscle Characteristics and Strength, Balance, Quality of Life, and Depression in Female Family Caregivers of People with Severe Physical Disabilities: A Randomized Single-Blinded Controlled Pilot Study. Int J Environ Res Public Health 2022; 19:ijerph19106025. [PMID: 35627562 PMCID: PMC9140401 DOI: 10.3390/ijerph19106025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 05/14/2022] [Accepted: 05/14/2022] [Indexed: 11/16/2022]
Abstract
Female caregivers of people with disabilities are burdened physically and mentally. To improve these symptoms, an intervention that is easy to apply and has fewer side effects, such as natural healing, has been proposed, but the effect of healing using marine resources is unclear until now. The purpose of this study is to investigate the effect of meditation accompanied with stabilization exercise in the marine region on the improvement of pain, tactile sense, muscle characteristics, muscle strength, balance, quality of life, and depression in female caregivers of people with severe physical disabilities. Twenty-four female family caregivers were recruited and were randomly assigned to the marine therapy group (MTG, n = 12) and the control group (CG, n = 12). Both groups performed the same meditation (35 min) and stabilization exercise (25 min) twice a day for 3 nights and 4 days per session (total 8 sessions). The MTG performed these in the marine region, whereas the CG performed the interventions in the urban region. Pain (pain intensity and pain pressure threshold), tactile sense (tactile spatial acuity), muscle characteristics (stiffness, elasticity), muscle strength (hand and pinch grip strength), balance, quality of life, and depression were measured before and after the intervention and 4 weeks after the intervention. Both groups showed significant improvements in pain intensity (resting pain: f(2) = 72.719, p < 0.001; movement pain: f(2) = 24.952, p < 0.001), muscle strength (right pinch grip: f(2) = 15.265, p < 0.001), and depression (f(2) = 13.312, p < 0.001), while tactile spatial acuity (TSA) (upper part: f(2) = 14.460, p < 0.001; lower part: f(2) = 7.672, p = 0.002), dynamic balance (f(2) = 4.196, p = 0.024), and quality of life (overall quality of life & general health: f(2) = 5.443, p = 0.009; physical health: f(2) = 13.991, p < 0.001; psychological: f(2) = 9.946, p < 0.001; environmental: f(2) = 20.004, p < 0.001; total: f(2) = 11.958, p < 0.001) were significantly improved only in MTG. There was no significant change in pain pressure threshold (upper trapezius (UT): f(2) = 0.765, p = 0.473; levator scapula (LS): f(2) = 0.213, p = 0.809; splenius capitis (SC): f(2) = 0.186, p = 0.831) and muscle characteristics (UT stiffness: f(2) = 1.486, p = 0.241; UT elasticity: f(2) = 0.358, p = 0.702; LS stiffness: f(2) = 2.440, p = 0.102; LS elasticity: f(2) = 0.544, p = 0.585) in both groups. In comparison between groups, the MTG showed a significant difference in sensory function compared to the CG (resting pain: f(2) = 10.487, p = 0.005; lower part: f(2) = 5.341, p = 0.034 in TSA). Our findings suggest that meditation combined with stabilization exercise improved pain, muscle strength, and depression of female caregivers. In particular, greater benefits on tactile sense, balance, and quality of life were found in performing these in the marine region compared to the urban region.
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Affiliation(s)
- Ho-Jin Shin
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (H.-J.S.); (S.-H.K.)
| | - Sung-Hyeon Kim
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (H.-J.S.); (S.-H.K.)
| | - Hwi-Young Cho
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (H.-J.S.); (S.-H.K.)
- Department of Physical Therapy, Gachon University, Incheon 21936, Korea
- Correspondence: (H.-Y.C.); (J.-H.L.); Tel.: +82-32-820-4560 (H.-Y.C.); +1-519-685-8500 (J.-H.L.)
| | - Jae-Hon Lee
- Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5W9, Canada
- Correspondence: (H.-Y.C.); (J.-H.L.); Tel.: +82-32-820-4560 (H.-Y.C.); +1-519-685-8500 (J.-H.L.)
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Baek JE, Jung JH, Shin HJ, Kim SH, Sung SY, Park SJ, Hahm SC, Cho HY, Lee MG. Effects of Forest Healing Anti-Aging Program on Psychological, Physiological, and Physical Health of Older People with Mild Cognitive Impairment. Int J Environ Res Public Health 2022; 19:ijerph19084863. [PMID: 35457728 PMCID: PMC9027266 DOI: 10.3390/ijerph19084863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 04/12/2022] [Accepted: 04/14/2022] [Indexed: 11/16/2022]
Abstract
This study aimed to determine the effect of a forest healing anti-aging program on psychological, physiological, and physical health in older people with mild cognitive impairment (MCI). Twenty-two older people with MCI living in the city participated in a forest healing anti-aging program. Psychological indicators included the mini-mental state examination (MMSE), Beck depression inventory (BDI), profile of mood states (POMS), World Health Organization Quality of Life instrument (WHOQOL), and the Pittsburgh sleep quality index (PSQI). Physiological indicators included vital signs, body composition, and blood analysis. Physical indicators included the senior fitness test (SFT), muscle strength, spatiotemporal parameter of gait, static balance, and dynamic balance. Psychological, physiological, and physical indicators were evaluated at first and second pre-measurement, post-measurement, and one-month follow-up. MMSE, BDI, POMS, WHOQOL, body composition, blood analysis, SFT, muscle strength, spatiotemporal parameter of gait, and dynamic balance were significantly different between pre- and post-measurement. Beck depression inventory, POMS, WHOQOL, PSQI, SFT, muscle strength (elbow flexor muscle, knee extensor muscle), spatiotemporal parameter of gait significantly improved continually until the one-month follow-up. In conclusion, the forest healing program had a positive effect on the psychological, physiological, and physical health of older people with MCI.
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Affiliation(s)
- Ji-Eun Baek
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (J.-E.B.); (H.-J.S.); (S.-H.K.)
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Jecheon 27136, Korea;
| | - Ho-Jin Shin
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (J.-E.B.); (H.-J.S.); (S.-H.K.)
| | - Sung-Hyeon Kim
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (J.-E.B.); (H.-J.S.); (S.-H.K.)
| | | | - Su-Jin Park
- Forest Policy and Economics Department, Forest Welfare Division, National Institute of Forest Science, Seoul 02455, Korea;
| | - Suk-Chan Hahm
- Graduate School of Integrative Medicine, CHA University, Seongnam 13488, Korea;
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon 21936, Korea
- Correspondence: (H.-Y.C.); (M.-G.L.); Tel.: +82-32-820-4560 (H.-Y.C.); +82-2-2286-1194 (M.-G.L.)
| | - Min-Goo Lee
- Department of Physiology, Korea University College of Medicine, Seoul 02841, Korea
- Correspondence: (H.-Y.C.); (M.-G.L.); Tel.: +82-32-820-4560 (H.-Y.C.); +82-2-2286-1194 (M.-G.L.)
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14
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Kim SH, Shin HJ, Cho HY. Impact of Types of Breathing on Static Balance Ability in Healthy Adults. Int J Environ Res Public Health 2022; 19:ijerph19031205. [PMID: 35162227 PMCID: PMC8835336 DOI: 10.3390/ijerph19031205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 01/18/2022] [Accepted: 01/20/2022] [Indexed: 12/04/2022]
Abstract
Recent studies have suggested that breathing type may affect balance ability. However, most of these studies were conducted on the elderly and patients with musculoskeletal or neurological disorders. Therefore, the effect of voluntary breathing, such as thoracic and abdominal breathing, on the balance ability of people in various age groups is not clearly understood. The purpose of this study was to investigate the differences in balance ability according to the type of breathing in healthy young adults. This study included 78 healthy, young adults. All subjects were assessed for balance ability in neutral breathing, thoracic breathing, and abdominal breathing through a crossover design. Balance ability was assessed during static standing using a force plate. Participants were trained in voluntary breathing, evaluated using electromyography. During voluntary breathing, sway velocity, anterior-posterior difference, and anterior-posterior standard deviation increased while anterior-posterior sample entropy decreased compared to neutral breathing (p < 0.05). Compared with thoracic breathing, abdominal breathing increased sway velocity and variability, and reduced complexity (p < 0.05). These findings show that balance ability is affected by breathing, even in healthy young adults.
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Affiliation(s)
- Sung-Hyeon Kim
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (S.-H.K.); (H.-J.S.)
| | - Ho-Jin Shin
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (S.-H.K.); (H.-J.S.)
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Korea
- Correspondence: ; Tel.: +82-32-820-4560; Fax: +82-32-820-4449
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15
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Suh HR, Cho HY, Han HC. Development of a novel model of intervertebral disc degeneration by the intradiscal application of monosodium iodoacetate (MIA) in rat. Spine J 2022; 22:183-192. [PMID: 34118415 DOI: 10.1016/j.spinee.2021.06.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 06/03/2021] [Accepted: 06/07/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT Low back pain is one of the most common musculoskeletal disorders. Although, the pathology of intervertebral disc (IVD) degeneration has been modeled using various biological methods, these models are inadequate for simulating similar pathologic states in humans. PURPOSE This study investigated whether monosodium iodoacetate (MIA) injection into the IVD of rats could generate a reliable model of IVD degeneration. STUDY DESIGN/SETTINGS In vivo animal study. METHODS MIA was injected into two-disc spaces (L4-5 and L5-6) of Sprague-Dawley rats. Their behaviors were examined by measuring weight load shifts from hind to forefoot, rearing, and von Frey tests. We examined the inhibition of pain behavior through intraperitoneal morphine injection and measured cyclooxygenase-2 (COX-2) and transcription factor nuclear factor-kappa B (NF-κB) levels in the IVD and dorsal root ganglion (DRG) by Western blot. Bone alterations were assessed by microfocus computed tomography (micro-CT), and IVD and/or cartilage changes were evaluated by hematoxylin and eosin and safranin-O staining and inducible nitric oxide synthase (iNOS) immunohistochemistry. The other authors declare no conflicts of interest. This project funded by the Memorial Fund and the National Research Foundation of Korea (NRF). RESULTS We observed increased weight load shifts to the forefoot and decreased rearing. Morphine-injected rats showed reduced pain. NF-κB and COX-2 expression increased in the IVD and left and/or right DRG. Micro-CT analyses suggested progressive bone deformation. Histologic examination showed decreased IVD width and nucleus pulposus area. Cartilaginous changes indicated epiphyseal growth plate loss. Finally, iNOS expression was increased in the subchondral endplate. CONCLUSIONS These results suggest that low back pain (LBP) models can be developed by MIA injection into the IVDs of rats and that an animal model is useful for exploring degenerative alterations in the affected discs. Therefore, MIA injection may be a useful model for the study of changes in the IVD to elucidate the mechanisms underlying clinical symptoms, such as LBP, in patients with IVD degeneration. CLINICAL SIGNIFICANCE This model in which MIA was injected into the disc better represented the human histologic and behavioral characteristics than the existing puncture model.
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Affiliation(s)
- Hye Rim Suh
- Department of Physiology, Korea University, Seoul, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon, Republic of Korea.
| | - Hee Chul Han
- Department of Physiology, Korea University, Seoul, Republic of Korea.
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16
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Cho HY, Yang SM, Jung CW, Cheun H, Lee HC, Park HP, Yoon HK. A randomised controlled trial of 7.5-mm and 7.0-mm tracheal tubes vs. 6.5-mm and 6.0-mm tracheal tubes for men and women during laparoscopic surgery. Anaesthesia 2021; 77:54-58. [PMID: 34403493 DOI: 10.1111/anae.15568] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/23/2021] [Indexed: 12/26/2022]
Abstract
Sore throat after tracheal intubation impairs postoperative recovery. We randomly allocated 172 ASA physical status 1-2 participants, scheduled for laparoscopic lower abdominal surgery, to tracheal intubation with larger tubes (n = 88) or smaller tubes (n = 84), with internal diameters 7.5-mm vs. 6.5-mm for men and 7.0-mm vs. 6.0-mm for women. Primary outcome was the rates of no, mild, moderate or severe sore throat 1 h after surgery, which were 60, 10, 17 and 1 with larger tracheal tubes and 79, 5, 0 and 0 with smaller tubes, p < 0.001. The equivalent rates 24 h after surgery were 64, 16, 8 and 0 vs. 74, 6, 3 and 1, p = 0.037. Intra-operative ventilatory variables were unaffected by tube diameter, including peak inspiratory pressure, plateau pressure and end-tidal carbon dioxide partial pressure. In summary, smaller tracheal tubes benefitted patients having laparoscopic operations.
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Affiliation(s)
- H Y Cho
- Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea
| | - S M Yang
- Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea
| | - C W Jung
- Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea
| | - H Cheun
- Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea
| | - H C Lee
- Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea
| | - H P Park
- Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea
| | - H K Yoon
- Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea
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17
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Moon JH, Cho HY, Hahm SC. Influence of Electrotherapy with Task-Oriented Training on Spasticity, Hand Function, Upper Limb Function, and Activities of Daily Living in Patients with Subacute Stroke: A Double-Blinded, Randomized, Controlled Trial. Healthcare (Basel) 2021; 9:healthcare9080987. [PMID: 34442124 PMCID: PMC8392129 DOI: 10.3390/healthcare9080987] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 07/28/2021] [Accepted: 07/31/2021] [Indexed: 11/16/2022] Open
Abstract
The effects of electrotherapy with task-oriented training on upper limb function in subacute stroke patients are unclear. This study investigated the influence of transcutaneous electrical nerve stimulation (TENS) with task-oriented training on spasticity, hand function, upper limb function, and activities of daily living in patients with subacute stroke. Forty-eight patients with subacute stroke were randomly assigned to either the TENS group (n = 22) or the placebo-TENS group (n = 21). High-frequency (100 Hz) TENS with below-motor threshold intensity or placebo-TENS was applied for 30 min/day, five times a week, for 4 weeks. The two groups also received task-oriented training after TENS. The Modified Ashworth Scale (MAS), Jebsen–Taylor Hand Function Test (JTHFT), Manual Function Test (MFT), and Modified Barthel Index (MBI) were used to assess spasticity, hand function, upper limb function, and activities of daily living, respectively. There was a significant time–group interaction with the MFT (p = 0.003). The TENS group showed significantly improved MAS (p = 0.003), JTHFT (p < 0.001), MFT (p < 0.001), and MBI (p < 0.001) scores after the intervention. The placebo-TENS group showed significantly improved JTHFT (p < 0.001), MFT (p = 0.001), and MBI scores (p < 0.001). There was a significant correlation between the MFT and MBI scores (p = 0.025). These results suggest that electrotherapy with task-oriented training can be used to improve upper limb function in patients with subacute stroke.
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Affiliation(s)
- Jong-Hoon Moon
- Department of Occupational Therapy, Kyungdong University, Wonju 26495, Korea;
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon 21936, Korea
- Correspondence: (H.-Y.C.); (S.-C.H.)
| | - Suk-Chan Hahm
- Graduate School of Integrative Medicine, CHA University, Seongnam 13488, Korea
- Correspondence: (H.-Y.C.); (S.-C.H.)
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18
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Chang DJ, Cho HY, Hwang S, Lee N, Choi C, Lee H, Hong KS, Oh SH, Kim HS, Shin DA, Yoon YW, Song J. Therapeutic Effect of BDNF-Overexpressing Human Neural Stem Cells (F3.BDNF) in a Contusion Model of Spinal Cord Injury in Rats. Int J Mol Sci 2021; 22:6970. [PMID: 34203489 PMCID: PMC8269438 DOI: 10.3390/ijms22136970] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 06/20/2021] [Accepted: 06/21/2021] [Indexed: 01/15/2023] Open
Abstract
The most common type of spinal cord injury is the contusion of the spinal cord, which causes progressive secondary tissue degeneration. In this study, we applied genetically modified human neural stem cells overexpressing BDNF (brain-derived neurotrophic factor) (F3.BDNF) to determine whether they can promote functional recovery in the spinal cord injury (SCI) model in rats. We transplanted F3.BDNF cells via intrathecal catheter delivery after a contusion of the thoracic spinal cord and found that they were migrated toward the injured spinal cord area by MR imaging. Transplanted F3.BDNF cells expressed neural lineage markers, such as NeuN, MBP, and GFAP and were functionally connected to the host neurons. The F3.BDNF-transplanted rats exhibited significantly improved locomotor functions compared with the sham group. This functional recovery was accompanied by an increased volume of spared myelination and decreased area of cystic cavity in the F3.BDNF group. We also observed that the F3.BDNF-transplanted rats showed reduced numbers of Iba1- and iNOS-positive inflammatory cells as well as GFAP-positive astrocytes. These results strongly suggest the transplantation of F3.BDNF cells can modulate inflammatory cells and glia activation and also improve the hyperalgesia following SCI.
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Affiliation(s)
- Da-Jeong Chang
- Department of Biomedical Science, CHA Stem Cell Institute, CHA University, 335 Pangyo-ro, Bundang-gu, Seongnam-si 13488, Gyeonggi-do, Korea; (D.-J.C.); (S.H.); (N.L.); (C.C.)
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, 191 Hambakmoero, Yeonsu-gu, Incheon 21936, Korea;
| | - Seyoung Hwang
- Department of Biomedical Science, CHA Stem Cell Institute, CHA University, 335 Pangyo-ro, Bundang-gu, Seongnam-si 13488, Gyeonggi-do, Korea; (D.-J.C.); (S.H.); (N.L.); (C.C.)
| | - Nayeon Lee
- Department of Biomedical Science, CHA Stem Cell Institute, CHA University, 335 Pangyo-ro, Bundang-gu, Seongnam-si 13488, Gyeonggi-do, Korea; (D.-J.C.); (S.H.); (N.L.); (C.C.)
| | - Chunggab Choi
- Department of Biomedical Science, CHA Stem Cell Institute, CHA University, 335 Pangyo-ro, Bundang-gu, Seongnam-si 13488, Gyeonggi-do, Korea; (D.-J.C.); (S.H.); (N.L.); (C.C.)
| | - Hyunseung Lee
- Research Center for Bioconvergence Analysis, Korea Basic Science Institute, 162 Yeongudanji-ro, Ochang-eup, Cheongwon-gu, Cheongju-si 28119, Chungcheongbuk-do, Korea; (H.L.); (K.S.H.)
| | - Kwan Soo Hong
- Research Center for Bioconvergence Analysis, Korea Basic Science Institute, 162 Yeongudanji-ro, Ochang-eup, Cheongwon-gu, Cheongju-si 28119, Chungcheongbuk-do, Korea; (H.L.); (K.S.H.)
| | - Seung-Hun Oh
- CHA Bundang Medical Center, Department of Neurology, CHA University, 59 Yatap-ro, Budang-gu, Seongnam-si 13496, Gyeonggi-do, Korea; (S.-H.O.); (H.S.K.)
| | - Hyun Sook Kim
- CHA Bundang Medical Center, Department of Neurology, CHA University, 59 Yatap-ro, Budang-gu, Seongnam-si 13496, Gyeonggi-do, Korea; (S.-H.O.); (H.S.K.)
| | - Dong Ah Shin
- Department of Neurosurgery, Yonsei University College of Medicine, 50-1, Yonsei-Ro, Seodaemun-gu, Seoul 03722, Korea
| | - Young Wook Yoon
- Department of Physiology, Korea University College of Medicine, Anam-dong 5-ga, Seongbuk-gu, Seoul 02841, Korea
| | - Jihwan Song
- Department of Biomedical Science, CHA Stem Cell Institute, CHA University, 335 Pangyo-ro, Bundang-gu, Seongnam-si 13488, Gyeonggi-do, Korea; (D.-J.C.); (S.H.); (N.L.); (C.C.)
- iPS Bio, Inc., 3F, 16 Daewangpangyo-ro 712 Beon-gil, Bundang-gu, Seongnam-si 13488, Gyeonggi-do, Korea
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19
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Jung KS, Jung JH, Shin HS, Park JY, In TS, Cho HY. The Effects of Taping Combined with Wrist Stabilization Exercise on Pain, Disability, and Quality of Life in Postpartum Women with Wrist Pain: A Randomized Controlled Pilot Study. Int J Environ Res Public Health 2021; 18:ijerph18073564. [PMID: 33808137 PMCID: PMC8037921 DOI: 10.3390/ijerph18073564] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 03/21/2021] [Accepted: 03/25/2021] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to evaluate the effects of wrist stabilization exercise combined with taping on wrist pain, disability, and quality of life in postpartum women with wrist pain. Forty-five patients with wrist pain were recruited and randomly divided into three groups: wrist stabilization exercise + taping therapy (WSE + TT) group (n = 15), wrist stabilization exercise (WSE) group (n = 15), and control group (n = 15). The WSE + TT and WSE groups performed wrist stabilization exercises for 40 min (once a day, five times a week for eight weeks), and the control group performed passive range of motion (P-ROM) exercise for the same amount of time. Additionally, the WSE + TT group attached taping to the wrist and forearm during the training period. The visual analogue scale (VAS) was used to assess pain level of the wrist. The Disabilities of the Arm, Shoulder and Hand (DASH) and the Short Form-36 (SF-36) were used to evaluate the degree of wrist disability and quality of life, respectively. The WSE + TT group showed a significant decrease in wrist pain and functional disability compared to two groups (p < 0.05). Significant improvement in the SF-36 score was observed in the WSE + TT and WSE groups compared to that in the control group (p < 0.05). However, there was no significant difference between the WSE + TT and WSE groups in the SF-36. Our findings indicate that wrist stabilization exercise combined with taping is beneficial and effective in managing wrist pain and disability in postpartum women with wrist pain.
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Affiliation(s)
- Kyoung-Sim Jung
- Department of Physical Therapy, Gimcheon University, Gimcheon 39528, Korea;
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Jecheon 27136, Korea;
| | - Hyung-Soo Shin
- Department of Physical Therapy, Kyungwoon University, Gumi 39160, Korea; (H.-S.S.); (J.-Y.P.)
| | - Jae-Young Park
- Department of Physical Therapy, Kyungwoon University, Gumi 39160, Korea; (H.-S.S.); (J.-Y.P.)
| | - Tae-Sung In
- Department of Physical Therapy, Gimcheon University, Gimcheon 39528, Korea;
- Correspondence: (T.-S.I.); (H.-Y.C.)
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Korea
- Correspondence: (T.-S.I.); (H.-Y.C.)
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Jung JY, Cho HY, Kang CK. Brain activity during a working memory task in different postures: an EEG study. Ergonomics 2020; 63:1359-1370. [PMID: 32552557 DOI: 10.1080/00140139.2020.1784467] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Accepted: 06/07/2020] [Indexed: 06/11/2023]
Abstract
While working is more comfortable in a supine position and healthier in a standing, most people work in a sitting. However, it is unclear whether there are differences in brain activity efficiency in different postures. Here, we, therefore, compared changes in brain activity across three different postures to determine the optimal posture for performing working memory tasks. Their effect on brain activity was examined using EEG signals together with the information of accuracy and reaction times during 2-back task in 24 subjects. Substantial differences in brain waves were observed at sitting and standing positions compared to the supine, especially in delta waves and frontal lobe, where is known to improve the modulation of brain activity efficiently. Brain efficiency was higher during standing and sitting than in a supine. These findings show that postural changes may affect the efficiency of brain activity during working memory tasks. Practitioner summary: Differences in brain efficiency between different postures during working memory tasks have not been explored. This study suggests that efficiency in several brain areas is higher during sitting and standing than in a supine position. This finding has important implications regarding workplace environments. Furthermore, this result would be useful to improve accomplishment and reduce negative effects of work posture. Abbreviations: EEG: electroencephalogram; PSQI: Pittsburgh sleep quality index; KSS: Karolinska sleepiness scale; FFT: fast fourier transform; ROI: region of interest; ANS: autonomic nervous system; Fp: prefrontal; AF: anterior frontal; frontal; Fz: midline frontal; temporal; central; Cz: midline central; P: parietal; Pz: midline parietal; O: occipital; Oz: midline occipital.
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Affiliation(s)
- Ju-Yeon Jung
- Department of Health Science, Gachon University Graduate School, Incheon, Republic of Korea
| | - Hwi-Young Cho
- Department of Health Science, Gachon University Graduate School, Incheon, Republic of Korea
- Department of Physical Therapy, Gachon University, Incheon, Republic of Korea
| | - Chang-Ki Kang
- Department of Health Science, Gachon University Graduate School, Incheon, Republic of Korea
- Neuroscience Research Institute, Gachon University, Incheon, Republic of Korea
- Gachon Advanced Institute for Health Sciences and Technology, Gachon University, Incheon, Republic of Korea
- Department of Radiological Science, Gachon University, Incheon, Republic of Korea
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Jung KS, Bang H, In TS, Cho HY. Gait training with auditory feedback improves trunk control, muscle activation and dynamic balance in patients with hemiparetic stroke: A randomized controlled pilot study. J Back Musculoskelet Rehabil 2020; 33:1-6. [PMID: 31594193 DOI: 10.3233/bmr-170852] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Auditory feedback enables an individual to identify and modify the differences between actual and intended movement during the motor learning process. OBJECTIVE We investigated the effects of gait training with auditory feedback on trunk control, muscle activation, and dynamic balance in patients with hemiparetic stroke. METHODS Twenty participants with hemiparetic stroke were recruited in this study and randomly assigned to the experimental (n= 10) or control (n= 10) group. The subjects in the experimental group participated in gait training with auditory feedback for 30 minutes, 5 times a week, for 4 weeks, whereas those in the control group received conventional gait training for 30 minutes, 5 times a week, for 4 weeks. During auditory feedback training, a beeping sound is produced every time a patient loaded weight that was higher than the preset threshold on the cane. Activation of the erector spinae muscle was measured using surface electromyography, and trunk control was evaluated using the Trunk Impairment Scale (TIS). Dynamic balance was measured using the Timed Up and Go (TUG) test. RESULTS Muscle activation was significantly higher in the experimental group than in the control group (6.6 ± 9.2% vs 1.4 ± 5.4% nonparetic peak activity). No significant difference was found in the TIS score between the experimental and control groups. Based on the TUG test, a significant improvement was observed in the experimental group compared to the control group (12.1 ± 11.4 vs 3.8 ± 4.7 s). CONCLUSION Our findings indicate that gait training with auditory feedback was beneficial for improving trunk control and muscle activation in patients with hemiparetic stroke.
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Affiliation(s)
- Kyoung-Sim Jung
- Department of Occupational Therapy, Semyung University, Jecheon, Korea
| | - Hyunsoo Bang
- Department of Physical Therapy, Gimcheon University, Gimcheon, Korea
| | - Tae-Sung In
- Department of Physical Therapy, Gimcheon University, Gimcheon, Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon, Korea
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Shin HJ, Kim SH, Hahm SC, Cho HY. Thermotherapy Plus Neck Stabilization Exercise for Chronic Nonspecific Neck Pain in Elderly: A Single-Blinded Randomized Controlled Trial. Int J Environ Res Public Health 2020; 17:E5572. [PMID: 32752306 PMCID: PMC7432917 DOI: 10.3390/ijerph17155572] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 07/24/2020] [Accepted: 07/29/2020] [Indexed: 12/17/2022]
Abstract
Neck pain is a serious problem for public health. This study aimed to compare the effects of thermotherapy plus neck stabilization exercise versus neck stabilization exercise alone on pain, neck disability, muscle properties, and alignment of the neck and shoulder in the elderly with chronic nonspecific neck pain. This study is a single-blinded randomized controlled trial. Thirty-five individuals with chronic nonspecific neck pain were randomly allocated to intervention (n = 18) or control (n = 17) groups. The intervention group received thermotherapy with a salt-pack for 30 min and performed a neck stabilization exercise for 40 min twice a day for 5 days (10 sessions). The control group performed a neck stabilization exercise at the same time points. Pain intensity, pain pressure threshold (PPT), neck disability index, muscle properties, and alignment of the neck and shoulder were evaluated before and after the intervention. Significant time and group interactions were observed for pain at rest (p < 0.001) and during movement (p < 0.001), and for PPT at the upper-trapezius (p < 0.001), levator-scapula (p = 0.003), and splenius-capitis (p = 0.001). The disability caused by neck pain also significantly changed between groups over time (p = 0.005). In comparison with the control group, the intervention group showed significant improvements in muscle properties for the upper-trapezius (tone, p = 0.021; stiffness, p = 0.017), levator-scapula (stiffness, p = 0.025; elasticity, p = 0.035), and splenius-capitis (stiffness, p = 0.012), and alignment of the neck (p = 0.016) and shoulder (p < 0.001) over time. These results recommend the clinical use of salt pack thermotherapy in addition to neck stabilization exercise as a complementary intervention for chronic nonspecific neck pain control.
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Affiliation(s)
- Ho-Jin Shin
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (H.-J.S.); (S.-H.K.)
| | - Sung-Hyeon Kim
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (H.-J.S.); (S.-H.K.)
| | - Suk-Chan Hahm
- Graduate School of Integrative Medicine, CHA University, Seongnam 13488, Korea
| | - Hwi-Young Cho
- Department of Health Science, Gachon University Graduate School, Incheon 21936, Korea; (H.-J.S.); (S.-H.K.)
- Department of Physical Therapy, Gachon University, Incheon 21936, Korea
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23
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In TS, Jung JH, Jang SH, Kim KH, Jung KS, Cho HY. Effects of Light Touch on Balance in Patients with Stroke. Open Med (Wars) 2019; 14:259-263. [PMID: 30997393 PMCID: PMC6463820 DOI: 10.1515/med-2019-0021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Accepted: 01/11/2019] [Indexed: 11/15/2022] Open
Abstract
Light touch is the combination of cutaneous and kinesthetic inputs. The literature suggests that light touch compensates for a reduced amount of center of pressure information in older peoples, blind subjects and patients with neurological disorder. This study investigated the effects of light touch applied to an external bar, on the postural sway in individuals with hemiparetic stroke. We used a cross sectional study, fifteen individuals with stroke and 15 healthy age-matched adults stood as still as possible on a force plate. Experimental trials (duration, 30 s) included two visual conditions (open eyes and closed eyes), two somatosensory conditions (no touch and light touch) and two support surface conditions (firm and foam surfaces). The area of center of pressure (COP) and the mean velocity of COP in the medio-lateral and anterior-posterior directions were assessed. For both groups, COP velocity and area decreased with light touch regardless of the visual or surface conditions. The effects of light touch were similar in both groups. In addition, results show that the effectiveness of light touch in reducing postural sway was greater on a foam surface than on a firm surface. Our findings indicate that light touch could be beneficial in postural control for individuals with hemi-paretic stroke
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Affiliation(s)
- Tae-Sung In
- Department of Physical Therapy, Gimcheon university, Gimcheon, Republic of Korea 214, Daehak-ro, Gimcheon, 39528, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Jecheon, Republic of Korea, 65 Semyung-ro, Jecheon-si, Chungbuk, 390-711, Republic of Korea
| | - Sang-Hun Jang
- Department of Physical Therapy, Gimcheon university, Gimcheon, Republic of Korea 214, Daehak-ro, Gimcheon, 39528, Republic of Korea
| | - Kyung-Hun Kim
- Department of Physical Therapy, Gimcheon university, Gimcheon, Republic of Korea 214, Daehak-ro, Gimcheon, 39528, Republic of Korea
| | - Kyoung-Sim Jung
- Department of Occupational Therapy, Semyung University, Jecheon, Republic of Korea, 65 Semyung-ro, Jecheon-si, Chungbuk, 390-711, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea, 191 Hambangmoe-ro, Yeonsu-gu, Inchon, 406-799, Republic of Korea
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Shin HJ, Kim SH, Jeon ET, Lee MG, Lee SJ, Cho HY. Effects of therapeutic exercise on sea sand on pain, fatigue, and balance in patients with chronic ankle instability: a feasibility study. J Sports Med Phys Fitness 2019; 59:1200-1205. [PMID: 30758170 DOI: 10.23736/s0022-4707.19.09405-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND Chronic ankle instability (CAI) is a common disease following ankle sprain and appears balance and gait problems, pain, and fatigue. This study aimed to examine the effect of therapeutic exercise performed on sea sand on pain, fatigue, and balance ability in patients with CAI. METHODS This study was designed as a randomized controlled trial. Subjects with a Cumberland Ankle Instability Tool (CAIT) score of less than 27 were selected. 22 subjects were randomly assigned to the sea sand (SS) group (N.=11) or the self-management (SM) group (N.=11). The SS group performed the therapeutic exercise on sea sand and the SM group conducted the exercises on a firm surface at home 5 times over the course of a week. To measure static balance, center of pressure (COP) of one-leg standing on the force plate was assessed. Visual Analog Scale (VAS) was used to measure pain and fatigue. RESULTS The SS group showed statistically significant improvements in all static balance outcomes (COP-area, COP-average velocity, minor-axis, major-axis) after the intervention (P<0.05), while the SM group did not show a significant change in all static balance parameters (P>0.05). Also, the SS group showed statistically significant improvements in pain and fatigue (P<0.05). All outcomes except major axis showed statistically significant differences between SS group and SM group at change value (P<0.05). CONCLUSIONS Therapeutic exercise on sea sand effectively improved balance and decreased pain and fatigue. Thus, it can be considered a rehabilitation method for CAI patients.
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Affiliation(s)
- Ho-Jin Shin
- Department of Health Science, Gachon University Graduate School, Incheon, South Korea
| | - Sung-Hyeon Kim
- Department of Health Science, Gachon University Graduate School, Incheon, South Korea
| | - Eun-Tae Jeon
- Department of Health Science, Gachon University Graduate School, Incheon, South Korea
| | - Min-Goo Lee
- Department of Physiology, Korea University College of Medicine, Seoul, South Korea
| | - Sung-Jae Lee
- Department of Integrative Medicine, Korea University College of Medicine, Seoul, South Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Incheon, South Korea -
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Kim MS, Choi DH, Kwon H, Ahn E, Cho HY, Baek MJ, Shin JE, Moon MJ. Procedural and obstetric outcomes after embryo reduction vs fetal reduction in multifetal pregnancy. Ultrasound Obstet Gynecol 2019; 53:214-218. [PMID: 29418029 DOI: 10.1002/uog.19024] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 01/28/2018] [Accepted: 02/02/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To compare the obstetric outcome and incidence of procedure-related adverse events after embryo reduction (ER) vs fetal reduction (FR), in multifetal pregnancies undergoing reduction to twins or singletons. METHODS We analyzed retrospectively data from multifetal pregnancies that underwent transvaginal ER (n = 181) at a mean gestational age of 7.6 weeks or transabdominal FR (n = 115) at a mean gestational age of 12.9 weeks between December 2006 and January 2017. FR was performed after a detailed fetal anomaly scan. The two groups were compared with respect to obstetric outcomes, such as incidence of miscarriage, early or late preterm delivery, maternal complications and fetal loss, and procedure-related adverse events, including incidence of subchorionic hematoma and procedure-related fetal loss. RESULTS Compared with pregnancies that underwent ER, the incidence of procedure-related fetal loss was lower in the FR group (7.2% vs 0.9%; P = 0.039; odds ratio (OR), 0.12; 95% CI, 0.02-0.89). Mean gestational age at delivery for twins was 34.2 weeks in the ER group and 35.7 weeks in the FR group (P = 0.014). Compared with the ER group, the FR group had lower miscarriage (8.8% vs 2.6%; P = 0.045; OR, 0.28; 95% CI, 0.08-0.97) and overall fetal loss (13.3% vs 5.2%; P = 0.031; OR, 0.36; 95% CI, 0.14-0.91) rates. CONCLUSIONS The FR procedure is, overall, a better and safer approach to reducing morbidity and mortality in multifetal pregnancies. Spontaneous demise of one fetus may occur after ER, and FR has the advantage that chorionic villus sampling and ultrasound screening for increased nuchal translucency and anatomical defects can be conducted before the procedure. The ER approach is still reasonable when a patient's religious or other ethical concerns are of primary importance. Copyright © 2018 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- M S Kim
- Department of Obstetrics and Gynecology, CHA Bundang Medical Center, Seongnam, Republic of Korea
| | - D H Choi
- Fertility Center of CHA Bundang Medical Center, Seongnam, Republic of Korea
| | - H Kwon
- Fertility Center of CHA Bundang Medical Center, Seongnam, Republic of Korea
| | - E Ahn
- Department of Obstetrics and Gynecology, CHA Bundang Medical Center, Seongnam, Republic of Korea
| | - H Y Cho
- Department of Obstetrics and Gynecology, CHA Bundang Medical Center, Seongnam, Republic of Korea
| | - M J Baek
- Department of Obstetrics and Gynecology, CHA Bundang Medical Center, Seongnam, Republic of Korea
| | - J E Shin
- Fertility Center of CHA Bundang Medical Center, Seongnam, Republic of Korea
| | - M J Moon
- Department of Obstetrics and Gynecology, CHA Bundang Medical Center, Seongnam, Republic of Korea
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26
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In T, Jung K, Lee MG, Cho HY. Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury. NeuroRehabilitation 2018; 42:491-497. [PMID: 29660953 DOI: 10.3233/nre-172333] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
OBJECTIVES This study aimed to investigate the effects of whole-body vibration (WBV) training on ankle spasticity, balance, and walking ability in patients with incomplete spinal cord injury (iSCI) at cervical level. METHODS Twenty-eight patients with cervical iSCI were randomly assigned to WBV (n = 14) or control group (n = 14). WBV group received WBV training, while control group was treated with placebo-treatment. All interventions were given for 20-min, twice a day, 5-days a week for 8-weeks. The spasticity of ankle plantar-flexors was assessed by estimating passive resistive force using a hand-held dynamometer. Balance was analyzed based on postural sway length (PSL) using a force plate. Timed-Up and Go test (TUG) and 10 m-Walk Test (10MWT) were used to assess walking ability. RESULTS Both groups showed significant improvements in spasticity, balance and walking ability. Also, the significant differences between two groups were demonstrated in the outcomes of spasticity (3.0±1.7 vs 0.9±1.2), PSL (6.4±1.2 vs 3.2±0.9 with eyes-open, and 15.1±10.9 vs 7.4±4.3 with eyes-closed), TUG (2.3±1.3 vs 1.0±1.0), and 10MWT (3.5±2.3 vs 1.3±1.4). CONCLUSIONS WBV may be a safe and effective intervention to improve spasticity, balance and walking ability in individuals with cervical iSCI. Thus, WBV may be used to improve these symptoms in clinics.
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Affiliation(s)
- Taesung In
- Department of Physical Therapy, Gimcheon University, Gimcheon, Republic of Korea
| | - Kyoungsim Jung
- Department of Occupational Therapy, Semyung University, Jecheon, Republic of Korea
| | - Min-Goo Lee
- Department of Physiology, Korea University College of Medicine, Seoul, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea
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Choi MH, Jung JH, Moon JH, Yoo JW, Hahm SC, Cho HY. Effect of a cervical support pillow on sternocleidomastoid activity and satisfaction in asymptomatic participants. J Phys Ther Sci 2018; 30:840-842. [PMID: 29950776 PMCID: PMC6016307 DOI: 10.1589/jpts.30.844] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Accepted: 03/15/2018] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to examine the changes in sternocleidomastoid muscle
(SCM) activity when using a cervical support pillow (CSP) and to determine the pillow’s
effect on satisfaction in asymptomatic participants. [Subjects and Methods] This study
followed a cross-over design and the order of the measurements was counterbalanced. Twenty
asymptomatic participants were positioned supine for 5 minutes by using either a CSP or a
general pillow (GP) while the activity of the SCM was measured using surface
electromyography. [Results] The CSP significantly decreased the activity of the SCM
compared with the GP, and satisfaction after use of the CSP was significantly greater than
that after use of the GP. [Conclusion] This study suggests that the CSP may be effective
in preventing unnecessary neck muscle activation during sleep in asymptomatic people.
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Affiliation(s)
- Min-Hyeok Choi
- Department of Physical Therapy, Graduate School, Gachon University, Republic of Korea.,Department of Physical Therapy, Graduate School, Gachon University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea.,Department of Physical Therapy, Graduate School, Gachon University, Republic of Korea
| | - Jong-Hoon Moon
- Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea
| | - Jin-Won Yoo
- Department of Physical Therapy, Sahmyook University, Republic of Korea
| | - Suk-Chan Hahm
- Graduate School of Integrative Medicine, CHA University: 355 Pangyo-ro, Bundang-gu, Seongnam, Kyonggi-do 13488, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea
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28
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Moon JH, Jung JH, Hahm SC, Oh HK, Jung KS, Cho HY. Effects of lumbar lordosis assistive support on craniovertebral angle and mechanical properties of the upper trapezius muscle in subjects with forward head posture. J Phys Ther Sci 2018; 30:457-460. [PMID: 29581671 PMCID: PMC5857458 DOI: 10.1589/jpts.30.457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 12/22/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to investigate the effect of lumbar lordosis
assistive support (LLAS) on craniovertebral angle (CVA) and mechanical properties of the
upper trapezius (UT) muscle in subjects with forward head posture (FHP). [Subjects and
Methods] This study recruited 20 subjects with FHP. CVA and muscle tone, viscoelasticity,
and stiffness of the UT were measured using Myoton in all subjects in a sitting position
with LLAS and in a neutral sitting position. The order of measurements was randomized and
the mean values were calculated twice. [Results] The sitting position with LLAS showed a
significantly greater improvement than the neutral sitting position with regard to CVA and
muscle tone, viscoelasticity, and stiffness of the UT. [Conclusion] We suggest that the
sitting position using LLAS induces the maintenance of normal neck posture and a reduction
in the muscle tone of the UT in the subjects with FHP.
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Affiliation(s)
- Jong-Hoon Moon
- Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University: 65 Semyung-ro, Jecheon-si, Chungbuk 390-711, Republic of Korea
| | - Suk-Chan Hahm
- Department of Rehabilitation Standard and Policy, National Rehabilitation Research Institute, National Rehabilitation Center, Republic of Korea
| | | | - Kyoung-Sim Jung
- Department of Occupational Therapy, Semyung University: 65 Semyung-ro, Jecheon-si, Chungbuk 390-711, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea
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29
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Moon JH, Jung JH, Hahm SC, Jung KS, Suh HR, Cho HY. Effects of chin tuck exercise using neckline slimmer device on suprahyoid and sternocleidomastoid muscle activation in healthy adults. J Phys Ther Sci 2018; 30:454-456. [PMID: 29581670 PMCID: PMC5857457 DOI: 10.1589/jpts.30.454] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 12/22/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study investigated the effect of chin tuck exercise (CTE) using a neckline
slimmer device on suprahyoid (SH) and sternocleidomastoid (SCM) muscle activation in
healthy adults. [Subjects and Methods] We measured activation of the SH and SCM muscles
using surface electromyography in 20 healthy adults during head lift exercise (HLE) and
CTE using a neckline slimmer device. The order of exercises was randomized and the mean
and peak values of each muscle’s activation were assessed. [Results] During the CTE using
a neckline slimmer device, SH activation was significantly greater and SCM activation was
significantly lower than during the HLE. [Conclusion] This study suggest that chin-tuck
exercise using a neckline slimmer device may be more helpful than HLE for swallowing
training.
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Affiliation(s)
- Jong-Hoon Moon
- Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Suk-Chan Hahm
- Department of Rehabilitation Standard and Policy, National Rehabilitation Research Institute, National Rehabilitation Center, Republic of Korea
| | - Kyoung-Sim Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Hye Rim Suh
- Department of Physical Therapy, Baekseok University: 76 Munam-ro, Dongnam-gu, Cheonan-si 31065, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 21936, Republic of Korea
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In TS, Jung JH, Jung KS, Cho HY. The reliability and validity of the Korean version of the lower limb functional index. J Phys Ther Sci 2018; 30:50-52. [PMID: 29410565 PMCID: PMC5788774 DOI: 10.1589/jpts.30.50] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 10/04/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to establish the reliability and validity of the Korean-translated version of the Lower Limb Functional Index (LLFI) in the assessment of patients with lower-limb disorders. [Subjects and Methods] Fifty-six subjects with lower-limb disorders, 24 men and 32 women, participated in this study. Reliability was determined by using the intra-class correlation coefficient and Cronbach's α for internal consistency. Validity was examined by correlating the LLFI scores with the Lower Extremity Functional Scale (LEFS) and Short Form 36 (SF-36) scores. [Results] The test-retest reliability was 0.95. The criterion-related validity was established through a comparison with the Korean versions of the LEFS and SF-36. [Conclusion] The Korean version of the LLFI was shown to be a reliable and valid instrument for assessing lower-limb complaints.
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Affiliation(s)
- Tae-Sung In
- Department of Physical Therapy, Gimcheon University,
Gimcheon, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University: 65
Semyung-ro, Jecheon-si, Chungbuk 390-711, Republic of Korea
| | - Kyoung-Sim Jung
- Department of Occupational Therapy, Semyung University: 65
Semyung-ro, Jecheon-si, Chungbuk 390-711, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University: 191
Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea
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Moon JH, Jung JH, Hahm SC, Cho HY. The effects of task-oriented training on hand dexterity and strength in children with spastic hemiplegic cerebral palsy: a preliminary study. J Phys Ther Sci 2017; 29:1800-1802. [PMID: 29184291 PMCID: PMC5684012 DOI: 10.1589/jpts.29.1800] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Accepted: 07/11/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to investigate the effects of task-oriented
training (TOT) on hand dexterity and strength in children with spastic hemiplegic cerebral
palsy. [Subjects and Methods] Twelve children with spastic hemiplegic cerebral palsy were
randomly assigned to either the TOT group (n=6) or the control group (n=6). In both
groups, conventional occupational therapy was performed 40-min/day, 2 times a week, for 4
weeks. In the TOT group, TOT was additionally performed for 20 min, and the control group
received usual care. The box and block test (BBT) was performed to assess hand dexterity.
Hand strength was also assessed using hand dynamometer. [Results] After intervention, the
TOT group showed a significant improvement of hand dexterity. In the control group, BBT
and grip strength were not significantly improved after intervention. [Conclusion] In
clinical settings, we suggest that TOT may be used as an intervention to improve hand
dexterity in children with spastic hemiplegic cerebral palsy.
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Affiliation(s)
- Jong-Hoon Moon
- Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea.,Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea
| | - Suk-Chan Hahm
- Department of Rehabilitation Standard and Policy, National Rehabilitation Research Institute, National Rehabilitation Center: 58 Samgaksan-ro, Gangbuk-gu, Seoul 01022, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea
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Jeon ET, Jung JH, Moon JH, Jung KS, Won YS, Kim SJ, Hahm SC, Cho HY. The effects of spinal support device on pain and extensibility of the hamstrings in patients with non-specific low back pain. J Phys Ther Sci 2017; 29:1301-1304. [PMID: 28878452 PMCID: PMC5574329 DOI: 10.1589/jpts.29.1301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Accepted: 05/09/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The objective of this study was to investigate the effects of spinal support device (SSD) on pain and hamstring extensibility in patients with non-specific low back pain (NSLBP). [Subjects and Methods] 20 patients with NSLBP were recruited and randomly assigned to either the SSD group or the control group. In the SSD group, SSD was applied; in the control group, bed rest in supine position was performed. Both groups underwent treatment 20 min/day, 3 times a week, for a duration of 4 weeks. To assess the hamstring extensibility, sit and reach test (SRT) was performed. To assess pain pressure threshold (PPT) of the sacroiliac joint, a pressure algometer was used. Visual analog scale (VAS) was used to quantify pain. [Results] The SSD group showed a significant improvement in sacroiliac joint pain with increased VAS, and the control group showed a significantly increased VAS after intervention. In the SSD group, VAS was significantly increased, but SRT was not changed compared with the control group. [Conclusion] These results demonstrated that an application of SSD effectively attenuates low back pain. Therefore, SSD may be a suitable intervention for pain control in patients with NSLBP.
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Affiliation(s)
- Eun Tae Jeon
- Department of Physical Therapy, Graduate School, Gachon University, Republic of Korea.,Department of Physical Therapy, Graduate School, Gachon University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Jong Hoon Moon
- Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea
| | - Kyoung-Sim Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Young Sik Won
- Department of Occupational Therapy, Shinsung University, Republic of Korea
| | - Sung-Jin Kim
- Department of Physical Therapy, Sahmyook University, Republic of Korea
| | - Suk-Chan Hahm
- Department of Rehabilitation Standard and Policy, National Rehabilitation Research Institute, National Rehabilitation Center, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
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Affiliation(s)
- Donggeon Lee
- Department of Physical Therapy, Graduate School of Kyungnam University, Changwon, Republic of Korea
| | - Yunbok Lee
- Department of Nursing, Dongseo University, Busan, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea
| | - Kyeong-Bong Lee
- Sports Rehabilitation Center, Haeundae Bumin Hospital, Busan, Republic of Korea
| | - Soungkyun Hong
- Department of Physical Therapy, Graduate School of Kyungnam University, Changwon, Republic of Korea
- Physical Therapy Part, Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Seoul, Republic of Korea
| | - Seunghyeon Pyo
- Department of Physical Therapy, Graduate School of Kyungnam University, Changwon, Republic of Korea
| | - Gyuchang Lee
- Department of Physical Therapy, Graduate School of Kyungnam University, Changwon, Republic of Korea
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Moon JH, Hong DG, Kim KH, Park YA, Hahm SC, Kim SJ, Won YS, Cho HY. Effects of lingual strength training on lingual strength and articulator function in stroke patients with dysarthria. J Phys Ther Sci 2017; 29:1201-1204. [PMID: 28744047 PMCID: PMC5509591 DOI: 10.1589/jpts.29.1201] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2017] [Accepted: 04/23/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study investigated the effects of lingual strength training (LST) on lingual strength and articulator function in stroke patients with dysarthria. [Subjects and Methods] 16 stroke patients with dysarthria were randomly assigned into two groups: the experimental group (n=8) or the control group (n=8). Both groups received the conventional rehabilitation therapy at 30 min/day, 5 times for week, and during 4 weeks, and the experimental group received an additional 30 min of LST using the Iowa Oral Performance Instrument (IOPI). The Maximum Isometric Tongue Pressures (MIPs) was used to assess the lingual strength and the Alternating-Motion Rate (AMR) and Sequential-Motion Rate (SMR) were used to measure the articulator function. [Results] After the intervention, the experimental group showed a significant improvement in MIPs and AMR (/tə/) than the control group. [Conclusion] Findings of this study suggest that LST provides positive effects on lingual strength and articulator function, and thus can be used as an interventional method in stroke patients with dysarthria.
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Affiliation(s)
- Jong Hoon Moon
- Department of Occupational Therapy, Gachon University Graduate School, Republic of Korea.,Department of Occupational Therapy, Incheon Sarang Hospital, Republic of Korea
| | - Deok Gi Hong
- Department of Occupational Therapy, Shinsung University, Republic of Korea
| | - Kye Ho Kim
- Cybermedic Corporation, Cyber Medic, Republic of Korea
| | - Yo An Park
- Department of Occupational Therapy, National Rehablitation Center, Republic of Korea
| | - Suk-Chan Hahm
- Department of Rehabilitation Standard and Policy, National Rehabilitation Research Institute, National Rehabilitation Center, Republic of Korea
| | - Sung-Jin Kim
- Department of Physical Therapy, Sahmyook University, Republic of Korea
| | - Young Sik Won
- Department of Occupational Therapy, Shinsung University, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
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Abstract
[Purpose] The purpose of this study was to establish the reliability and validity of
Upper Limb Functional Index (ULFI), which has been translated into Korean, in treating
patients with upper limb complaints. [Subjects and Methods] Fourty-nine subjects with
upper limb disorder, 20 males and 29 females, participated in this study. Reliability was
determined by using the intra class correlation coefficient and Cronbach’s alpha for
internal consistency. Validity was examined by correlating ULFI scores with Disability of
Arm, Shoulder and Hand (DASH). [Results] Test-retest reliability was 0.90. The
criterion-related validity was established by a comparison with the Korean version of
DASH. [Conclusion] The Korean version of ULFI was shown to be a reliable and valid
instrument for assessing upper limb complaints.
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Affiliation(s)
- Tae-Sung In
- Department of Physical Therapy, Gimcheon University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea.,Department of Physical Therapy, Gimcheon University, Republic of Korea
| | - Keun-Jo Kim
- Department of Physical Therapy, Gimcheon University, Republic of Korea
| | - Cu-Rie Lee
- Department of Physical Therapy, Gimcheon University, Republic of Korea
| | - Kyoung-Sim Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
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Moon JH, Jung JH, Won YS, Cho HY, Cho K. Effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia. J Phys Ther Sci 2017; 29:609-612. [PMID: 28533594 PMCID: PMC5430257 DOI: 10.1589/jpts.29.609] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Accepted: 12/19/2016] [Indexed: 12/22/2022] Open
Abstract
[Purpose] This study was conducted to identify the effects of expiratory muscle strength
training on swallowing function in acute stroke patients with dysphagia. [Subjects and
Methods] A total of 18 stroke patients with dysphagia were enrolled in the study. All
participants were randomly assigned to either an experimental group (n=9) or a control
group (n=9). All participants performed traditional-swallowing rehabilitation therapy in
30-minute sessions five times a week for four weeks; however, only the experimental group
received expiratory muscle strength training. [Results] Both groups showed significant
improvements after mediation. When compared with the control group, the functional
dysphagia scale, vallecular residue, and penetration-aspiration scale were significantly
improved in the experimental group. [Conclusion] Expiratory muscle strength training is an
effective intervention for impaired swallowing function in acute strike patients with
dysphagia.
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Affiliation(s)
- Jong Hoon Moon
- Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea.,Department of Occupational Therapy, Incheon Sarang Hospital, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Young Sik Won
- Department of Occupational Therapy, Shinsung University, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Republic of Korea
| | - KiHun Cho
- Department of Physical Therapy, Uiduk University, Republic of Korea
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Moon JH, Jung JH, Won YS, Cho HY. Immediate effects of Graston Technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain. J Phys Ther Sci 2017; 29:224-227. [PMID: 28265144 PMCID: PMC5332975 DOI: 10.1589/jpts.29.224] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2016] [Accepted: 11/02/2016] [Indexed: 12/04/2022] Open
Abstract
[Purpose] The purpose of this study was to analyze the effect of Graston Technique on
hamstring extensibility and pain intensity in patients with nonspecific low back pain.
[Subjects and Methods] Twenty-four patients with nonspecific low back pain (27–46 years of
age) enrolled in the study. All participants were randomly assigned to one of two groups:
Graston technique group (n=12) and a static stretching group (n=12). The Graston Technique
was used on the hamstring muscles of the experimental group, while the static stretching
group performed static stretching. Hamstring extensibility was recorded using the sit and
reach test, and a visual analog scale was used to measure pain intensity. [Results] Both
groups showed a significant improvement after intervention. In comparison to the static
stretching group, the Graston technique group had significantly more improvement in
hamstring extensibility. [Conclusion] The Graston Technique is a simple and effective
intervention in nonspecific low back pain patients to improve hamstring extensibility and
lower pain intensity, and it would be beneficial in clinical practice.
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Affiliation(s)
- Jong Hoon Moon
- Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Young Sik Won
- Department of Occupational Therapy, Shinsung University: 1 Daehak-ro, Jeongmi-myon, Danjin-si, Chungchengnam-do 343-861, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea
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In TS, Jung JH, Kim K, Jung KS, Cho HY. The reliability and validity of the Korean version of the foot function index for patients with foot complaints. J Phys Ther Sci 2017; 29:53-56. [PMID: 28210038 PMCID: PMC5300804 DOI: 10.1589/jpts.29.53] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2016] [Accepted: 09/26/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to establish the reliability and validity of the
Foot Function Index translated into Korean for use in patients with plantar fasciitis and
foot/ankle fracture. [Subjects and Methods] Thirty-six subjects with foot complaints, 14
males and 22 females, participated in the study. Reliability was determined by using the
intra-class correlation coefficient and Cronbach’s alpha for internal consistency.
Validity was examined by correlating Foot Function Index scores with the Short Form-36 and
the Visual Analog Scale scores. [Results] Test-retest reliability was 0.90 for the pain
subscale, and 0.94 and 0.91 for the disability and activity limitation subscales,
respectively. The criterion-related validity was established by comparison with the Korean
version of the Short Form-36 and Visual Analog Scale. [Conclusion] The Korean version of
the Foot Function Index was shown to be a reliable and valid instrument for assessing foot
complaints.
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Affiliation(s)
- Tae-Sung In
- Department of Physical Therapy, Gimcheon University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Keunjo Kim
- Department of Physical Therapy, Gimcheon University, Republic of Korea
| | - Kyoung-Sim Jung
- Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine: 88 Olympic-ro, 43 gil, Songpa-gu, Seoul 05505, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea
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Kim SJ, Cho HY, Kim KH, Lee SM. Effects of ankle biofeedback training on strength, balance, and gait in patients with stroke. J Phys Ther Sci 2016; 28:2596-2600. [PMID: 27799701 PMCID: PMC5080183 DOI: 10.1589/jpts.28.2596] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Accepted: 05/26/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to investigate the effects of ankle biofeedback training on
muscle strength of the ankle joint, balance, and gait in stroke patients. [Subjects and
Methods] Twenty-seven subjects who had had a stroke were randomly allocated to either the
ankle biofeedback training group (n=14) or control group (n=13). Conventional therapy,
which adhered to the neurodevelopmental treatment approach, was administered to both
groups for 30 minutes. Furthermore, ankle strengthening exercises were performed by the
control group and ankle biofeedback training by the experimental group, each for 30
minutes, 5 days a week for 8 weeks. To test muscle strength, balance, and gait, the Biodex
isokinetic dynamometer, functional reach test, and 10 m walk test, respectively, were
used. [Results] After the intervention, both groups showed a significant increase in
muscle strength on the affected side and improved balance and gait. Significantly greater
improvements were observed in the balance and gait of the ankle biofeedback training group
compared with the control group, but not in the strength of the dorsiflexor and plantar
flexor muscles of the affected side. [Conclusion] This study showed that ankle biofeedback
training significantly improves muscle strength of the ankle joint, balance, and gait in
patients with stroke.
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Affiliation(s)
- Sung-Jin Kim
- Department of Physical Therapy, Sahmyook University, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, Gachon University, Republic of Korea
| | - Kyung-Hoon Kim
- Department of Physical Therapy, Sahmyook University, Republic of Korea
| | - Suk-Min Lee
- Department of Physical Therapy, Sahmyook University, Republic of Korea
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Jung KS, Jung JH, In TS, Cho HY. Reliability and validity of the Korean version of the Short Musculoskeletal Function Assessment questionnaire for patients with musculoskeletal disorder. J Phys Ther Sci 2016; 28:2568-2571. [PMID: 27799696 PMCID: PMC5080178 DOI: 10.1589/jpts.28.2568] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Accepted: 05/26/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to establish the reliability and validity of the
Short Musculoskeletal Function Assessment questionnaire, which was translated into Korean,
for patients with musculoskeletal disorder. [Subjects and Methods] Fifty-five subjects (26
males and 29 females) with musculoskeletal diseases participated in the study. The Short
Musculoskeletal Function Assessment questionnaire focuses on a limited range of physical
functions and includes a dysfunction index and a bother index. Reliability was determined
using the intraclass correlation coefficient, and validity was examined by correlating
short musculoskeletal function assessment scores with the 36-item Short-Form Health Survey
(SF-36) score. [Results] The reliability was 0.97 for the dysfunction index and 0.94 for
the bother index. Validity was established by comparison with Korean version of the SF-36.
[Conclusion] This study demonstrated that the Korean version of the Short Musculoskeletal
Function Assessment questionnaire is a reliable and valid instrument for the assessment of
musculoskeletal disorders.
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Affiliation(s)
- Kyoung-Sim Jung
- Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
| | - Tae-Sung In
- Department of Physical Therapy, Gimcheon University: 214 Daehak-ro, Gimcheon 740-704, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea
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Jung KS, Jung JH, In TS, Cho HY. Effects of Weight-shifting Exercise Combined with Transcutaneous Electrical Nerve Stimulation on Muscle Activity and Trunk Control in Patients with Stroke. Occup Ther Int 2016; 23:436-443. [PMID: 27753145 DOI: 10.1002/oti.1446] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Revised: 09/23/2016] [Accepted: 09/23/2016] [Indexed: 11/09/2022] Open
Abstract
This study investigated the effects of weight-shifting exercise (WSE) combined with transcutaneous electrical nerve stimulation (TENS), applied to the erector spinae and external oblique (EO) muscles, on muscle activity and trunk control in patients with hemiparetic stroke. Sixty patients with stroke were recruited to this study and randomly distributed into three treatment groups: (1) WSE + TENS, (2) WSE + placebo TENS, and (3) control. All participants underwent 30 sessions of training (30 minutes five times per week for 6 weeks) and received 1 hour of conventional physical therapy five times per week for 6 weeks. Muscle activity, maximum reaching distance and trunk impairment scale scores were assessed in all patients before and after the training. After training, the WSE + TENS group showed significant increase in the EO activity, maximum reaching distance and trunk impairment scale scores compared with the WSE + placebo TENS and control groups. These findings suggest that WSE with TENS applied to the erector spinae and EO muscles increased the trunk muscle activity and improved trunk control. Therefore, WSE with TENS could be a beneficial intervention in clinical settings for individuals with hemiparetic stroke. Copyright © 2016 John Wiley & Sons, Ltd.
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Affiliation(s)
- Kyoung-Sim Jung
- Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Jecheon, Korea
| | - Tae-Sung In
- Department of Physical Therapy, Gimcheon University, Gimcheon, Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Korea
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Cho HY, Kim KT, Jung JH. Effects of neurofeedback and computer-assisted cognitive rehabilitation on relative brain wave ratios and activities of daily living of stroke patients: a randomized control trial. J Phys Ther Sci 2016; 28:2154-8. [PMID: 27512287 PMCID: PMC4968527 DOI: 10.1589/jpts.28.2154] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Accepted: 04/07/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study investigated the effects of neurofeedback (NFB) and
computer-assisted cognitive rehabilitation (CACR) on the relative brain wave ratios and
activities of daily living (ADL) of stroke patients. [Subjects and Methods] Forty-four
participants were randomly allocated to the NFB (n=14), CACR (n=14), or control (CON)
(n=16) groups. Two expert therapists provided the NFB, CACR, and CON groups with
traditional rehabilitation therapy in 30-minute sessions, 5 times a week, for 6 weeks. NFB
training was provided only to the NFB group and CACR training was provided only to the
CACR group. The CON group received traditional rehabilitation therapy only. Before and
after 6 weeks of intervention, brain wave and ADL evaluations were performed, and the
results were analyzed. [Results] The relative ratio of beta waves, only showed a
significant increase in the frontal and parietal areas of the NFB group. Significant
changes in ADL were shown by all three groups after the intervention. However, there were
no significant differences between the NFB and CACR groups and the CON group. [Conclusion]
Our results suggest that CACR and NFB are effective at improving cognitive function and
ADL of stroke patients.
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Affiliation(s)
- Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
| | - Ki-Tae Kim
- Department of Korean Medicine, Semyung University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
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Tsang YHA, Lam CHS, Iu PP, Cho HY. Institutional Experience of Magnetic Resonance Imaging–directed Targeted Transrectal Ultrasound–guided Prostate Biopsy. Hong Kong J Radiol 2016. [DOI: 10.12809/hkjr1615312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Jung KS, Cho HY, In TS. Trunk exercises performed on an unstable surface improve trunk muscle activation, postural control, and gait speed in patients with stroke. J Phys Ther Sci 2016; 28:940-4. [PMID: 27134389 PMCID: PMC4842470 DOI: 10.1589/jpts.28.940] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 12/12/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study examined the effects of trunk exercises performed on an unstable
surface on trunk muscle activation, postural control, and gait speed in stroke patients.
[Subjects] Twenty-four participants with stroke were recruited in this study and randomly
distributed into experimental (n = 12) and control groups (n = 12). [Methods] Subjects in
the experimental group participated in trunk exercises on the balance pad for 30 min, five
times a week for 4 weeks; those in the control group performed trunk exercises on a stable
surface for 30 min, five times a week for 4 weeks. Trunk muscle activation was measured by
using surface electromyography, and trunk control was evaluated with the Trunk Impairment
Scale (TIS). Gait speed was measured with the 10-Meter Walk Test. [Results] Activity of
the external and internal oblique muscles in the experimental group was significantly
higher than that in the control group. The TIS score of the experimental group showed
significantly greater improvement than did that of the control group. The 10-Meter Walk
Test (10MWT) score also significantly improved in the experimental group. [Conclusion]
Trunk exercises on an unstable surface improve trunk muscle activation, postural control,
and gait speed in patients with hemiparetic stroke.
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Affiliation(s)
- Kyoung-Sim Jung
- Institute for Life Sciences, Asan Medical Center, College of Medicine, University of Ulsan, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea
| | - Tae-Sung In
- Department of Physical Therapy, Shin-Hwa Rehabilitation Hospital, Republic of Korea
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Cho K, Cho HY, Han GS. Risk factors associated with musculoskeletal symptoms in Korean dental practitioners. J Phys Ther Sci 2016; 28:56-62. [PMID: 26957728 PMCID: PMC4755974 DOI: 10.1589/jpts.28.56] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Accepted: 10/05/2015] [Indexed: 02/03/2023] Open
Abstract
[Purpose] The purpose of this study was to investigate the association between
psychosocial stress, occupational stress, and musculoskeletal symptoms in Korean dental
practitioners. [Subjects and Methods] Self-reported questionnaires were distributed to 401
dental practitioners in Korea. To assess the risk factors related to musculoskeletal
disorders, the Nordic Musculoskeletal Questionnaire, the Korean Occupational Stress Scale,
and Psychosocial Well-Being Index Short Form were used. General and work-related
characteristics of the subjects consisted of seven items, including age, career, height,
weight, working days/week, working hours/day, and physical strain levels. [Results] In
this study, 86.8% of the practitioners experienced musculoskeletal symptoms (shoulders,
72.8%; neck, 69.3%; waist, 68.3%; wrist, 58.4%; back, 44.1%; ankle, 38.7%; knee, 36.9%;
hip, 20.4%; and elbows, 9.2%). Moreover, psychosocial and occupational stress can affect
the occurrence of musculoskeletal disorders. In particular, we found that psychosocial
stress has significant influence on the occurrence of musculoskeletal disorders.
[Conclusion] To increase the quality of life and provide high-quality medical service for
dental practitioners, risk factors for musculoskeletal disorders must be managed.
Accordingly, dental practitioners must maintain good posture, get an appropriate amount of
rest, and perform regular stretching exercise to reduce psychological stress and improve
the work environment.
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Affiliation(s)
- KiHun Cho
- Department of Rehabilitative and Assistive Technology, Korea National Rehabilitation Research Institute, Korea National Rehabilitation Center, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
| | - Gyeong-Soon Han
- Department of Dental Hygiene, College of Health Science, Gachon University, Republic of Korea
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Kim SJ, Cho HY, Kim YL, Lee SM. Effects of stationary cycling exercise on the balance and gait abilities of chronic stroke patients. J Phys Ther Sci 2015; 27:3529-31. [PMID: 26696731 PMCID: PMC4681938 DOI: 10.1589/jpts.27.3529] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Accepted: 08/19/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The objective of this study was to investigate the effects of stationary
cycling exercise on the balance and gait abilities of chronic stroke patients. [Subjects]
Thirty-two chronic stroke patients were randomly assigned to an experimental group (n=16)
or a control group (n=16). [Methods] All of the subjects received the standard
rehabilitation program for 30 minutes, while the experimental group additionally
participated in a daily session of stationary cycling exercise for 30 minutes, 5 times per
week for 6 weeks. To assess balance function, the Berg Balance Scale and timed up-and-go
test were used. The 10-m walking test was conducted to assess gait function. [Results]
Both groups showed significant improvements in balance and gait abilities. The
improvements in the Berg Balance Scale and timed up-and-go test scores (balance), and 10-m
walking test score (gait) in the stationary cycling exercise group were significantly
greater than those in the control group. [Conclusion] This study demonstrated that
stationary cycling exercise training is an effective intervention for increasing the
balance and gait abilities of chronic stroke patients. Therefore, we suggest that
stationary cycling training is suitable for stroke rehabilitation and may be used in
clinical practice.
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Affiliation(s)
- Sung-Jin Kim
- Department of Physical Therapy, College of Health Science, Sahmyook University, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
| | - You Lim Kim
- Department of Physical Therapy, College of Health Science, Sahmyook University, Republic of Korea
| | - Suk-Min Lee
- Department of Physical Therapy, College of Health Science, Sahmyook University, Republic of Korea
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Hyun KH, Cho HY, Lim CG. The effect of knee joint Mulligan taping on balance and gait in subacute stroke patients. J Phys Ther Sci 2015; 27:3545-7. [PMID: 26696735 PMCID: PMC4681942 DOI: 10.1589/jpts.27.3545] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Accepted: 08/19/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to determine the effects of Mulligan taping on balance and gait in subacute stroke patients. [Subjects] Thirty patients with subacute stroke were randomly divided into two groups: the experimental group (n = 15) and the control group (n = 15). Mulligan taping was applied to the knee joints of participants in the experimental group while placebo taping was applied to knee joints of subjects in the control group. Biodex was used to assess their balance ability and the GAITRite System was used to test gait. All measurements were performed before and after the intervention. [Results] Dynamic standing balance of the experimental group significantly improved after taping. Gait, gait cadence, velocity, step length, and stride length also improved significantly. However, no significant differences in standing balance or gait were observed for the control group. Furthermore, significant differences in dynamic standing balance, cadence, and velocity were found between the two groups after the intervention. [Conclusion] Our results demonstrate that Mulligan taping is effective for improving balance and gait in subacute stroke patients. Thus, this technique is a potential method for actively facilitating rehabilitation programs for hemiplegia patients.
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Affiliation(s)
- Ki-Hoon Hyun
- Department of Physical Therapy, Graduate School of Public Health, Gachon University, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
| | - Chae-Gil Lim
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
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Fok EWS, Poon WL, Tse KS, Lau HY, Chan CH, Pan NY, Cho HY, Yeung TW, Wong YC, Leung KW, Khoo JLS, Tang KW. Angiographic factors associated with haemorrhagic presentation of brain arteriovenous malformation in a Chinese paediatric population. Hong Kong Med J 2015; 21:401-6. [PMID: 26234688 DOI: 10.12809/hkmj144339] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To identify specific angiographic factors associated with haemorrhagic presentation of brain arteriovenous malformation in Chinese paediatric patients. DESIGN Retrospective cross-sectional observational study. SETTING Four locoregional tertiary neurosurgical centres in Hong Kong: Queen Elizabeth Hospital, Tuen Mun Hospital, Kwong Wah Hospital, and Pamela Youde Nethersole Eastern Hospital. PATIENTS Patients aged 18 years or younger who underwent pretreatment digital subtraction angiography for brain arteriovenous malformation between 1 January 2005 and 31 July 2013 were included. Patients were divided into haemorrhagic and non-haemorrhagic groups based on the initial presentation. Pretreatment digital subtraction angiographies were independently reviewed by two experienced neuroradiologists. MAIN OUTCOME MEASURES The following parameters were evaluated for their association with haemorrhagic presentation by univariate and multivariate analyses: nidus location, nidus size, nidus morphology (diffuse or compact); origin and number of arterial feeders; venous drainage; number of draining veins; presence of aneurysms, venous varices, and venous stenosis. RESULTS A total of 67 children and adolescents (28 male, 39 female) with a mean age of 12 years were included. Of them, 52 (78%) presented with haemorrhage. Arteriovenous malformation size (P=0.004) and morphology (P=0.05) were found to be associated with haemorrhagic presentation by univariate analysis. Small arteriovenous malformation nidus size and diffuse nidal morphology were identified as independent risk factors for haemorrhage by multivariate analysis. CONCLUSION Smaller arteriovenous malformation size and diffuse nidal morphology are angiographic factors independently associated with haemorrhagic presentation. Bleeding risk is important in determining the therapeutic approach (aggressive vs conservative) and timeframe, particularly in paediatric patients.
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Affiliation(s)
- Elaine W S Fok
- Department of Radiology and Imaging, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - W L Poon
- Department of Radiology and Imaging, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - K S Tse
- Department of Radiology and Imaging, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - H Y Lau
- Department of Radiology and Imaging, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - C H Chan
- Department of Radiology, Kwong Wah Hospital, Yaumatei, Hong Kong
| | - N Y Pan
- Department of Radiology, Kwong Wah Hospital, Yaumatei, Hong Kong (currently at Department of Radiology, Princess Margaret Hospital, Laichikok, Hong Kong)
| | - H Y Cho
- Department of Radiology, Kwong Wah Hospital, Yaumatei, Hong Kong
| | - T W Yeung
- Department of Radiology and Nuclear Medicine, Tuen Mun Hospital, Tuen Mun, Hong Kong
| | - Y C Wong
- Department of Radiology and Nuclear Medicine, Tuen Mun Hospital, Tuen Mun, Hong Kong
| | - K W Leung
- Department of Radiology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong
| | - Jennifer L S Khoo
- Department of Radiology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong
| | - K W Tang
- Department of Radiology and Imaging, Queen Elizabeth Hospital, Jordan, Hong Kong
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Kim TH, Cho HY, Lee SM. High-voltage pulsed current stimulation enhances wound healing in diabetic rats by restoring the expression of collagen, α-smooth muscle actin, and TGF-β1. TOHOKU J EXP MED 2015; 234:1-6. [PMID: 25169252 DOI: 10.1620/tjem.234.1] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Impaired wound healing is a common complication of diabetes mellitus and a major morbidity that leads to pain and severely diminished quality of life. Diabetic wounds are commonly associated with defective immune cell responses or abnormality of extracellular matrix. Various types of electrical stimulation interventions have been used to promote tissue healing. However, it is unclear whether high-voltage pulsed current stimulation (HVPCS) enhances diabetic wound healing. In this study, the effects of HVPCS on wound healing were investigated in diabetic rats. Three groups of rats (10 per group) were used: non-diabetic control, diabetic control, and diabetic rats that were administered HVPCS for 40 minutes daily for 1 week. Rats from control groups were administered sham interventions. Dorsal incision wounds were generated in all animals, and wound-healing rate was determined during one-week intervention. After interventions, we measured the relative expression levels of collagen type I (collagen-I), α-smooth muscle actin (α-SMA), and transforming growth factor-β1 (TGF-β1) mRNAs in the wounded skin. Wound closure was delayed in diabetic control rats compared to the non-diabetic control rats, and the diabetic control rats showed the reduced expression levels of collagen-I, α-SMA and TGF-β1 mRNAs. Importantly, compared to diabetic control rats, rats with HVPCS showed accelerated wound closure and healing (p < 0.01) and restored expression levels of collagen-I (p = 0.02), α-SMA (p = 0.04), and TGF-β1 (p = 0.01) mRNAs. In conclusion, HVPCS may be beneficial for enhancing the healing of diabetic wounds by restoring the expression levels of TGF-β1, collagen-I, and α-SMA.
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Affiliation(s)
- Tae Hoon Kim
- The Post-Professional DPT Program, The Richard Stockton College of New Jersey
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50
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Cho HY, Kim KT, Jung JH. Effects of computer assisted cognitive rehabilitation on brain wave, memory and attention of stroke patients: a randomized control trial. J Phys Ther Sci 2015; 27:1029-32. [PMID: 25995548 PMCID: PMC4433969 DOI: 10.1589/jpts.27.1029] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Accepted: 11/28/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study investigated brain wave, memory and attention changes in adult stroke patients using computer assisted cognitive rehabilitation (CACR). [Subjects] Twenty-five stroke patients were randomly allocated to either the CACR group (n=12) or the control group (n=13). [Methods] Two expert therapists provided the CACR group and the control group with traditional rehabilitation therapy in 30-minute sessions, semi-weekly, for 6 weeks. CACR was provided only to the CACR group. The control group received traditional rehabilitation therapy only. Before and after the 6 weeks of intervention, electroencephalography (EEG) and a computerized neurocognitive function test (CNT) were performed, and the results were analyzed. [Results] After the intervention, the CACR group showed significant differences in the frontal lobe (Fp1, Fp2, and F4) and in the parietal lobe (P3 and P4), and also showed significant differences in CNT memory (DST and VST forward/backward test) and attention (VCPT correct responses), but no notable changes were observed in the control group. [Conclusion] These results suggest that CACR is feasible and suitable for individuals with stroke. Detailed and diverse investigations should be performed considering the numbers and characteristics of subjects, and the limitations affecting the CACR training period.
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Affiliation(s)
- Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Republic of Korea
| | - Ki-Tae Kim
- Department of Korean Medicine, Semyung University, Republic of Korea
| | - Jin-Hwa Jung
- Department of Occupational Therapy, Semyung University, Republic of Korea
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