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We adopted a within-subjects quasi-experimental approach to assess the impact of kinesio taping (KT) on joint range of motion (ROM), static balance, and dynamic balance. The research subjects were 15 patients who had, within the previous 3 weeks, undergone total knee replace-ment (TKR) by an orthopedic surgeon in 2022. We measured the ROM, static balance, and dynamic balance of the knee joint before and after applying KT. We then compared the pre- and post-tape measurements to assess the effects of KT on joint function and balance. The ROM of the knee joint was measured using a goniometer in the supine position before the KT application. The static and dynamic balance were as-sessed using a balance assessment device by measuring the sway area and length of the center of gravity during the measurement period. The effects of KT on the ROM and static and dynamic balance of the knee joint were investigated. The differences in joint ROM and static and dynamic balance between pre- and post-KT applications were an-alyzed using a paired-sample t-test. This study found that the ROM of the knee joint was significantly increased after applying KT. For static and dynamic balance, both the sway area and length of the center of gravity decreased after applying KT, indicating a significant improve-ment in static and dynamic balance. KT, when combined with standard physiotherapy, can be a useful therapeutic approach for TKR patients, effectively enhancing joint ROM and balance function.

The aim of the study was to analyze the effect of knee positions on car-diac compression variables in cardiopulmonary resuscitation (CPR) us-ing the manikin. Adult with career of CPR instructor (n=9; mean age, 27.11±6.60 years; mean heights, 177.39±4.40 cm; mean weights, 69.45±14.85 kg) participated in the experiment, and each participant performed cardiac compression from two different knee positions. Car-diac compression was 30 times per minute for each position with order of position randomized. The results obtained from variables of cardiac compression force were composed of compression velocity, elapsed time, decay rate, and loading rate in maximum and minimum medial-lat-eral, anterior-posterior (AP), vertical direction respectively. The above variables in 20.3 cm of knee position showed effective result than that of 50 cm of knee position, while maximum AP compression force in-creased. Given the often predictable setting of sports and exercise re-habilitation related with cardiac arrest, CPR relative to change of knee position were significantly associated with more efficient cardiac com-pression variables. These data have significant implications for health services program in fields of sports and exercise rehabilitation.

The purpose of this study was to examine differences in participation motivation and competition anxiety between Korean and non-Korean wheelchair tennis players and to identify relations between participa-tion motivation and competition anxiety in each group. Sixty-six wheel-chair tennis players who participated in the 2013 Korea Open Wheel-chair Tennis Tournament in Seoul completed the Participation Motiva-tion Survey and the Competitive State Anxiety Inventory II. Data were analyzed by a frequency analysis, descriptive statistics, Pearson’s cor-relation analysis, and independent samples t-test to identify partici-pants’ demographic characteristics, differences in participation motiva-tion, competition anxiety between Korean and non-Korean players, and correlations between participation motivation and competition anxiety in each group. Korean players reported significantly higher motivation in purification compared to non-Korean players, whereas non-Korean players reported significantly higher motivation in enjoyment. In addition, non-Korean players demonstrated higher cognitive anxiety and self-con-fidence compared to Korean players. Moreover, the physical anxiety of Korean players was negatively correlated with learning, health-fitness, and enjoyment motivation. On the other hand, only self-confidence was significantly related to learning motivation and enjoyment motivation in non-Korean players. Thus, the results presented herein provide evi-dence for the development of specialized counseling programs that consider the psychological characteristics of Korean wheelchair tennis players.

This study aimed to determine the effects of progressive resistive exercise (PRE), including complex decongestive physical therapy (CDPT), on edema volume, hand-grip strength, upper extremity function, and quality of life (QoL) in patients with breast cancer-related lymphedema (BCRL). Twenty patients were randomized between the progressive resistance exercise group (PREG) and the self-home resistance exercise group (SREG). Two patients in each group dropped out of the study, leaving 16 patients: n= 8 in the exercise group and n= 8 in the SREG. First, the PREG and the SREG received CDPT. Subsequently, the patients in the PREG performed PRE, whereas the patients in the SREG performed selfhome resistance exercises. Interventions were performed for 50 min, 3 times a week, for 6 weeks. The results showed that, for the edema volume, a significant intergroup variation was absent, whereas the intragroup variation was significant. The inter- and intragroup variations were significant for both hand-grip strength and upper extremity function. Regarding QoL, a significant difference was observed in global health status/QoL and role function between the groups. Furthermore, significant differences were observed within the PREG in global health status/QoL; physical, role, and cognitive function; and dyspnea. No significant differences were observed within the SREG. The results collectively suggest that the exercise program was an intervention with a greater potential contribution to reducing edema and enhancing physical function in patients with BCRL.

Scapular stabilization approaches have been a mainstay of therapeutic training programs in the recent past for patients with subacromial impingement syndrome, whereas its contributions solely in the clinical outcome of reducing shoulder pain and disability are largely unclear. This systematic review aims to evaluate and summarize the best evidence regarding the role of scapular stabilization interventions in alleviating shoulder dysfunction among subjects with subacromial impingement syndrome. Six reviewers involved in this systematic review. Literature was retrieved systematically through searching 5 electronic databases (PubMed, MEDLINE, CINAHL, Cochrane, and Google Scholar). Articles published from the year 2010 up to and including 2019 were included. The literature search included clinical trials those intervened subjects with scapular exercises or scapular stabilization exercises or scapular rehabilitation, as an intervention for subacromial impingement syndrome. Seven studies, totaling 228 participants were included in this systematic review. Articles included in this review were graded according to Lloyd-Smith hierarchy of evidence scale and critically appraised with a tool developed by National, Heart, Lung and Blood Institute (United States), named as quality assessment of controlled intervention studies tool. There was a significant effect on the scapular stabilization exercise program on improving pain and disability among subjects with subacromial impingement syndrome. This systematic review provides sufficient evidence to suggest that scapular stabilization exercises offers effectiveness in reducing pain and disability among subjects with subacromial impingement syndrome. However, more trials with larger sample are needed to provide a more definitive evidence on the clinical outcomes of scapular stabilization exercises among patients with impingement.

The situation is such that there is a lack of research analyzing the effect of exercise therapy during the rehabilitation period of patients after total hip arthroplasty (THA). Therefore, the purpose of this systematic review and meta-analysis is to analyze the effects of exercise therapy on the balance and gait of patients after THA. The studies selected for this study were based on the PICO as follows: P (Patient)-patients after THA, I (Intervention)-exercise therapy, C (Comparison)-control and other therapy groups, O (Outcome)-balance and gait. Additional criteria for this study were study design (randomized controlled study), language (English), publication status (journal), and the year of publication were not limited. Eleven studies were included. The effects of exercise thera-py on balance and gait in patients after THA were significantly different. Balance: standardized mean difference (SMD), 0.51; 95% confidence intervals (CI), 0.24–0.78; I2=22%. Gait: SMD, 0.39; 95% CI, 0.01–0.76; I2=66%. Rehabilitation specialists recommend that exercise therapy be included in rehabilitation programs to improve balance and gait in patients after THA. Further research is needed in the future, including more studies and a network meta-analysis that analyzes the effect size of each exer-cise therapy.

Fatigue is a state of difficulty maintaining voluntary activity. Cortisol, which is essential for stress regulation, can cause tissue damage when elevated for long periods of time, which is a common problem for office workers in stressful environments. Sleep quality is important for health and cognitive function, while sleep deprivation increases the risk of physical and mental health disorders. Gyrokinesis combines circular, spiral, and wave movements influenced by yoga, tai chi, and ballet to provide a calming effect on the sympathetic nervous system. This study investigated the effects of Gyrokinesis exercise on lower extremity edema, muscle strength, fatigue, and sleep quality in sedentary office workers. Twenty-seven adult women aged 20–40 years were randomly assigned to a Gyrokinesis exercise group (n=14) or a control group (n=13). The exercise group participated in 60-min Gyrokinesis sessions twice a week for 8 weeks, while the control group used elastic compres-sion stockings during their working hours. Results showed a significant decrease in fatigue and an improvement in sleep quality in the exercise group. Cortisol and serotonin levels showed a significant between-group interaction effect, with within-group changes observed only in the exer-cise group. Sleep quality indices improved significantly over time. In con-clusion, Gyrokinesis exercise has the potential to improve physical and psychological well-being in sedentary office workers by positively influ-encing fatigue, sleep quality, and related hormone levels.

Anxiety and depression have been found to be increasing among peo-ple with leprosy and it may lead to decreased social participation. The progressive muscle relaxation technique (PMRT) is widely used today in choice of treatment for reducing the anxiety and depression. This study aimed to assess the effectiveness of PMRT in reducing anxiety and depression among the hospitalized leprosy affected person in a tertiary care centre. This study is a case series of 50 leprosy affected people aged between 18–60 years who were admitted for leprosy com-plications in tertiary leprosy referral hospital. The Anxiety-Depression scale was developed and validated by the investigators and adminis-tered before intervention of PMRT and after 2 weeks. The follow-up as-sessment was done at 6 weeks after the initial intervention. The finding shows that a statistically significant difference was observed on anxiety domain before and after application of PMRT. The anxiety means score showed steady decline from 6.76 at pretest to 3.0 (t=25.068, P≤0.001) at post test and 1.12 (t=22.679, P≤0.001) at follow-up. In depression do-main, a statistically significant difference was seen in before and after application of PMRT. The depression means score showed steady de-cline from 6.92 at pre test to 3.28 (t=16.082, P≤0.001) at post test and to 1.16 (t=18.918, P≤0.001) at follow-up. This study proved that the PMRT as a valid treatment option for hospitalized person with leprosy in mini-mizing the anxiety and depression related symptoms and to benefit the psychosocial wellbeing of leprosy affected patients.

This study aimed to assess and compare changes in body composition, standing balance, cardiovascular parameters, and salivary biomarkers, particularly salivary antioxidant status, after brisk walking training with or without music in older women. Twenty-four subjects were randomly assigned to brisk walking groups: with music (BWM) (n= 12) or without music (BW) (n= 12). Eighteen subjects completed the exercise training (9 in each group), and their data were used for analysis. The research protocols were classified into three phases: pretraining phase, training phase, and posttraining phase, while the data collection was divided into four sessions: resting condition, during treadmill exercise testing, immediately posttreadmill exercise testing, and 5-min posttreadmill exercise testing defined as after the cool-down session. The results showed that 8 weeks of home-based brisk walking with or without music did not improve standing balance, blood pressure, salivary biomarkers including total protein concentration, and antioxidant status but maintained or prevented the decline of these parameters. Only the BWM group reduced fat mass relative to increasing fat-free mass (P< 0.05) and improved recovery heart rate (P< 0.05) by modifying cardiac autonomic control in posttreadmill exercise testing. Therefore, brisk walking with preferred music can be a tool to delay the progression of cardiovascular dysfunction in older women. A longer duration of the exercise program and larger groups of participants are needed for further investigation of brisk walking with or without music on physiological and biochemical changes.

Artificial intelligence (AI) has been introduced in urology research and practice. Application of AI leads to better accuracy of disease diagno-sis and predictive model for monitoring of responses to medical treat-ments. This mini-review article aims to summarize current applications and development of AI in urology setting, in particular for diagnosis and treatment of urological diseases. This review will introduce that ma-chine learning algorithm-based models will enhance the prediction ac-curacy for various bladder diseases including interstitial cystitis, blad-der cancer, and reproductive urology.