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P1148 : Long-term administration of ursodeoxycholic acid prevents recurrence of primary biliary cirrhosis after liver transplantation
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS633–eS832
plane (p < 0.05). According to results of post-hoc analysis using LSD, peak knee angle in 0◦ was different from one in 10◦ , 15◦ , and 20◦ in the sagittal plane, and only 20◦ was significantly different from 0◦ in the horizontal plane. However, no significant difference was observed at any conditions of orthotic angles in transverse plane. Conclusion(s): According to the results of this study, more than 10◦ adjustment of the orthotic angle could incur changes in the knee joint angle at the mid-stance in the sagittal plane and horizontal plane. Implications: An orthotic device is an important tool to aid functional activities and daily living for patients with gait disturbance due to various diseases. Therefore, it seems that it can be basis data of posture change for hemiparetic stroke patients with hyperextension gait or spastic gait. Keywords: Stroke; Ankle-foot-orthosis; Gait Funding acknowledgements: This research was supported by a Daegu University Research Grant, 2012. Ethics approval: This study was approved by the institutional review board of a local university hospital, which approved the study protocol. http://dx.doi.org/10.1016/j.physio.2015.03.3617 Research Report Poster Presentation Number: RR-PO-02-16-Sun Sunday 3 May 2015 13:00 Exhibit halls 401–403 STUDY ON KNOWLEDGE AND ATTITUDE OF COLLEGE STUDENTS MAJORING IN PHYSICAL THERAPY AND PHYSICAL THERAPISTS TOWARDS ELDERLY WITH DEMENTIA M.-C. Kim, N.-J. Kim, S.-R. Moon, D.-W. Roh Eulji University, Physical Therapy, Seongnam-si, South Korea Background: The rapidly aging population in Korea and increase in dementia are now becoming social issues. However, the college curriculum for physical therapy is not strong enough to foster the right perception and ideas towards dementia. Purpose: This study was investigated if there were any significant difference between relatively clinical physical therapist that directly contact dementia and the students that theoretically contact. Also, This study is aimed at offering basic data for fostering the flexible attitude of physical therapy students towards seniors with dementia and the clinical ability to deal with such patients without fear after employment. Methods: We investigated 181 physical therapists and 225 university students by using questionnaires from 12 August to 19 September 2013. The questionnaire that used in this
eS751
study was consisted by question about general characteristics, knowledge of dementia, attitude of dementia. The following result was obtained by using SPSS 19.0. Results: In Knowledge score of dementia, physical therapy student average score was 11.81, non-department of health was 10.36, physical therapists was 12.30. Knowledge of dementia to the general characteristics did not significantly affected to physical student. Non-department of health student was affected by acquisition of dementia information and living with the elderly. Physical Therapy student had significant influence depending on the household monthly income. Non-Department of Health student had significant influence depending on student age. Physical therapist had significant influence in accordance with dementia information. In attitude scores for dementia, physical therapist was 41.56, physical therapy student was 40.26, non-department of health was 39.22. Non-Department of Health student was affected by acquisition of dementia information and living with the elderly. Physical Therapy student had significant influence depending on the household monthly income. Non-Department of Health student had significant influence depending on student age. Physical therapist had significant influence in accordance with dementia information. Conclusion(s): It is necessary to foster the flexible attitude of students towards seniors with dementia and provide education on effective clinical approaches upon physical therapy. Implications: The findings can be used as baseline data for creating better physical therapy curricula allowing students to understand and experience the lives of seniors and their Alzheimer’s disease. Keywords: Dementia; Level of knowledge; Recognition attitude Funding acknowledgements: None. Ethics approval: Ethics approval of this study was not required. http://dx.doi.org/10.1016/j.physio.2015.03.3618 Research Report Poster Presentation Number: RR-PO-99-09-Mon Monday 4 May 2015 12:15 Exhibit halls 401-403 THE EFFECT OF AUDIOVISUAL BIOFEEDBACK EXERCISE ON STANDING BALANCE AND GAIT IN CHRONIC HEMIPLEGIA S.W. Youn 1 , S.K. Kim 2 , C.J. Ahn 2 , M.G. Lee 2 1 Seoul
Eulji Hospital, Seoul, South Korea; 2 Eulji University, Physical Therapy, Seongnam, South Korea Background: Rehabilitation process of the hemiplegic patient is taken a balance and upright posture by providing a stimulus to affected side leg through the visual, auditory,
eS752
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS633–eS832
somatosensory feedback. As a result, symmetric gait become recover. Purpose: To elucidate the effect of body driven game type audiovisual biofeedback exercise on the balance ability and gait of chronic hemiplegic patients. Methods: Subjects were 28 chronic hemiplegic patients (M 16, F 12) and they were divided into an audiovisual biofeedback exercise group and a general nervous system exercise group and the two groups performed their respective exercise. In this study, kinetic and clinical balance and gait evaluation tools were applied before and after total 4 week exercise program. To evaluate dynamic balance ability, functional forward reaching tests (FFRT) and timed up and go tests (TUGT) were conducted and to evaluate static balance ability, postural stability tests and weight distribution tests were conducted using balance ability evaluation equipment. The date were processed using the SPSS statistics program for windows by conducting Wilcoxon matched-pairs signed ranks tests which are non-parametric tests in order to verify differences of each group between before and after the exercise and conducting Mann-Whitney U tests which are again non-parametric tests in order to find out differences between the groups. Results: 1. Through the FFRT and TUGT which is a clinical balance evaluation tool, it was confirmed that dynamic balance and gait ability was improved after the exercise compared to before the exercise in both of the groups (p = .00). Through difference between the two groups, it was confirmed that dynamic balance and gait ability was improved more in the audiovisual biofeedback exercise group compared to the general nervous system exercise group (p < .05). 2. Through the postural stability and weight distribution tests, it was confirmed that static balance ability was improved only in the audiovisual biofeedback exercise group after the exercise compared to before the exercise (p < .05). 3. Through the balance ability tests following head rotations, it was confirmed that static balance ability was improved only in the audiovisual biofeedback exercise group after the exercise compared to before the exercise (p < .05). Conclusion(s): The body driven game type audiovisual biofeedback exercises are more effective in improving balance and gait ability of chronic hemiplegic patients than general nervous system exercise therapies. Implications: It is considered that in future, studies on the applications of diverse biofeedback exercises for a long time are necessary. Keywords: Hemiplegia; Biofeedback; Exercise Funding acknowledgements: None. Ethics approval: This study was approved by the Ethics Committee of the Eulji University Graduate School of Health Science. http://dx.doi.org/10.1016/j.physio.2015.03.3619
Research Report Poster Presentation Number: RR-PO-07-13-Sat Saturday 2 May 2015 12:15 Exhibit halls 401–403 EFFECTS OF MANUAL POSTURAL CORRECTION ON THE TRUNK AND HIP MUSCLE ACTIVITIES DURING BRIDGING EXERCISES S.Y. Kim 1 , S.Y. Kim 2 , H.J. Jang 2 1 Jay
Han Golf Institute, Department of Physical Therapy, Seoul, Republic of Korea; 2 Daejeon University, Department of Physical Therapy, Daejeon, Republic of Korea Background: Selective movement training is an essential for correct recruitment of selected muscles during various therapeutic exercises. Understanding what kind of intervention are positively for controling movement during task for selective muscle training would contribute to more specific physical therapy functional training. Purpose: The aim of this study was to investigate the effects of different postural correction in the electromyographic (EMG) activity of the trunk and hip muscles during bridging exercises. Methods: Twenty-four healthy subjects volunteered for this study. The muscle activity was recorded with surface electrodes over the erector spinae, multifidus, gluteus maximus (GM), and hamstring (Ham) muscles; it was measured by using surface EMG equipment under the following 3 experimental conditions: manual postural correction, verbal correction, and no correction. The maximal voluntary isometric contraction (MVIC) was determined for each muscle group in order to represent each exercise as a percentage of MVIC and allow for standardized comparison between subjects. Separate repeated measures analysis of variance was used to determine significant differences in the EMG activities of each muscle between the 3 experimental conditions. Results: During bridging exercises, the manual postural correction on normalized EMG activity of the GM muscle during manual guiding was significantly higher than during verbal guiding and without guiding (p< .05). Furthermore, the GM/Ham ratio was significantly higher during manual guiding than during verbal guiding and without guiding (p< .05). Conclusion(s): These findings suggest that the activities of the hip and trunk muscles may be favorably modified with manual guiding during bridging exercises. Implications: The application of manual guiding could be clinically adaptable for additional option to improve muscular control strategy in selective movement training. Keywords: Manual postural correction; Bridging exercise; Electromyography Funding acknowledgements: No funding.
plane (p < 0.05). According to results of post-hoc analysis using LSD, peak knee angle in 0◦ was different from one in 10◦ , 15◦ , and 20◦ in the sagittal plane, and only 20◦ was significantly different from 0◦ in the horizontal plane. However, no significant difference was observed at any conditions of orthotic angles in transverse plane. Conclusion(s): According to the results of this study, more than 10◦ adjustment of the orthotic angle could incur changes in the knee joint angle at the mid-stance in the sagittal plane and horizontal plane. Implications: An orthotic device is an important tool to aid functional activities and daily living for patients with gait disturbance due to various diseases. Therefore, it seems that it can be basis data of posture change for hemiparetic stroke patients with hyperextension gait or spastic gait. Keywords: Stroke; Ankle-foot-orthosis; Gait Funding acknowledgements: This research was supported by a Daegu University Research Grant, 2012. Ethics approval: This study was approved by the institutional review board of a local university hospital, which approved the study protocol. http://dx.doi.org/10.1016/j.physio.2015.03.3617 Research Report Poster Presentation Number: RR-PO-02-16-Sun Sunday 3 May 2015 13:00 Exhibit halls 401–403 STUDY ON KNOWLEDGE AND ATTITUDE OF COLLEGE STUDENTS MAJORING IN PHYSICAL THERAPY AND PHYSICAL THERAPISTS TOWARDS ELDERLY WITH DEMENTIA M.-C. Kim, N.-J. Kim, S.-R. Moon, D.-W. Roh Eulji University, Physical Therapy, Seongnam-si, South Korea Background: The rapidly aging population in Korea and increase in dementia are now becoming social issues. However, the college curriculum for physical therapy is not strong enough to foster the right perception and ideas towards dementia. Purpose: This study was investigated if there were any significant difference between relatively clinical physical therapist that directly contact dementia and the students that theoretically contact. Also, This study is aimed at offering basic data for fostering the flexible attitude of physical therapy students towards seniors with dementia and the clinical ability to deal with such patients without fear after employment. Methods: We investigated 181 physical therapists and 225 university students by using questionnaires from 12 August to 19 September 2013. The questionnaire that used in this
eS751
study was consisted by question about general characteristics, knowledge of dementia, attitude of dementia. The following result was obtained by using SPSS 19.0. Results: In Knowledge score of dementia, physical therapy student average score was 11.81, non-department of health was 10.36, physical therapists was 12.30. Knowledge of dementia to the general characteristics did not significantly affected to physical student. Non-department of health student was affected by acquisition of dementia information and living with the elderly. Physical Therapy student had significant influence depending on the household monthly income. Non-Department of Health student had significant influence depending on student age. Physical therapist had significant influence in accordance with dementia information. In attitude scores for dementia, physical therapist was 41.56, physical therapy student was 40.26, non-department of health was 39.22. Non-Department of Health student was affected by acquisition of dementia information and living with the elderly. Physical Therapy student had significant influence depending on the household monthly income. Non-Department of Health student had significant influence depending on student age. Physical therapist had significant influence in accordance with dementia information. Conclusion(s): It is necessary to foster the flexible attitude of students towards seniors with dementia and provide education on effective clinical approaches upon physical therapy. Implications: The findings can be used as baseline data for creating better physical therapy curricula allowing students to understand and experience the lives of seniors and their Alzheimer’s disease. Keywords: Dementia; Level of knowledge; Recognition attitude Funding acknowledgements: None. Ethics approval: Ethics approval of this study was not required. http://dx.doi.org/10.1016/j.physio.2015.03.3618 Research Report Poster Presentation Number: RR-PO-99-09-Mon Monday 4 May 2015 12:15 Exhibit halls 401-403 THE EFFECT OF AUDIOVISUAL BIOFEEDBACK EXERCISE ON STANDING BALANCE AND GAIT IN CHRONIC HEMIPLEGIA S.W. Youn 1 , S.K. Kim 2 , C.J. Ahn 2 , M.G. Lee 2 1 Seoul
Eulji Hospital, Seoul, South Korea; 2 Eulji University, Physical Therapy, Seongnam, South Korea Background: Rehabilitation process of the hemiplegic patient is taken a balance and upright posture by providing a stimulus to affected side leg through the visual, auditory,
eS752
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS633–eS832
somatosensory feedback. As a result, symmetric gait become recover. Purpose: To elucidate the effect of body driven game type audiovisual biofeedback exercise on the balance ability and gait of chronic hemiplegic patients. Methods: Subjects were 28 chronic hemiplegic patients (M 16, F 12) and they were divided into an audiovisual biofeedback exercise group and a general nervous system exercise group and the two groups performed their respective exercise. In this study, kinetic and clinical balance and gait evaluation tools were applied before and after total 4 week exercise program. To evaluate dynamic balance ability, functional forward reaching tests (FFRT) and timed up and go tests (TUGT) were conducted and to evaluate static balance ability, postural stability tests and weight distribution tests were conducted using balance ability evaluation equipment. The date were processed using the SPSS statistics program for windows by conducting Wilcoxon matched-pairs signed ranks tests which are non-parametric tests in order to verify differences of each group between before and after the exercise and conducting Mann-Whitney U tests which are again non-parametric tests in order to find out differences between the groups. Results: 1. Through the FFRT and TUGT which is a clinical balance evaluation tool, it was confirmed that dynamic balance and gait ability was improved after the exercise compared to before the exercise in both of the groups (p = .00). Through difference between the two groups, it was confirmed that dynamic balance and gait ability was improved more in the audiovisual biofeedback exercise group compared to the general nervous system exercise group (p < .05). 2. Through the postural stability and weight distribution tests, it was confirmed that static balance ability was improved only in the audiovisual biofeedback exercise group after the exercise compared to before the exercise (p < .05). 3. Through the balance ability tests following head rotations, it was confirmed that static balance ability was improved only in the audiovisual biofeedback exercise group after the exercise compared to before the exercise (p < .05). Conclusion(s): The body driven game type audiovisual biofeedback exercises are more effective in improving balance and gait ability of chronic hemiplegic patients than general nervous system exercise therapies. Implications: It is considered that in future, studies on the applications of diverse biofeedback exercises for a long time are necessary. Keywords: Hemiplegia; Biofeedback; Exercise Funding acknowledgements: None. Ethics approval: This study was approved by the Ethics Committee of the Eulji University Graduate School of Health Science. http://dx.doi.org/10.1016/j.physio.2015.03.3619
Research Report Poster Presentation Number: RR-PO-07-13-Sat Saturday 2 May 2015 12:15 Exhibit halls 401–403 EFFECTS OF MANUAL POSTURAL CORRECTION ON THE TRUNK AND HIP MUSCLE ACTIVITIES DURING BRIDGING EXERCISES S.Y. Kim 1 , S.Y. Kim 2 , H.J. Jang 2 1 Jay
Han Golf Institute, Department of Physical Therapy, Seoul, Republic of Korea; 2 Daejeon University, Department of Physical Therapy, Daejeon, Republic of Korea Background: Selective movement training is an essential for correct recruitment of selected muscles during various therapeutic exercises. Understanding what kind of intervention are positively for controling movement during task for selective muscle training would contribute to more specific physical therapy functional training. Purpose: The aim of this study was to investigate the effects of different postural correction in the electromyographic (EMG) activity of the trunk and hip muscles during bridging exercises. Methods: Twenty-four healthy subjects volunteered for this study. The muscle activity was recorded with surface electrodes over the erector spinae, multifidus, gluteus maximus (GM), and hamstring (Ham) muscles; it was measured by using surface EMG equipment under the following 3 experimental conditions: manual postural correction, verbal correction, and no correction. The maximal voluntary isometric contraction (MVIC) was determined for each muscle group in order to represent each exercise as a percentage of MVIC and allow for standardized comparison between subjects. Separate repeated measures analysis of variance was used to determine significant differences in the EMG activities of each muscle between the 3 experimental conditions. Results: During bridging exercises, the manual postural correction on normalized EMG activity of the GM muscle during manual guiding was significantly higher than during verbal guiding and without guiding (p< .05). Furthermore, the GM/Ham ratio was significantly higher during manual guiding than during verbal guiding and without guiding (p< .05). Conclusion(s): These findings suggest that the activities of the hip and trunk muscles may be favorably modified with manual guiding during bridging exercises. Implications: The application of manual guiding could be clinically adaptable for additional option to improve muscular control strategy in selective movement training. Keywords: Manual postural correction; Bridging exercise; Electromyography Funding acknowledgements: No funding.