Chapter 1
Introduction
1. Background and significance of the study
Nowadays, the number of patients requiring physical therapy is increasing every year. The reason for attending physical therapy is accident which can be caused by the negligence of yourself or others. However, not everyone wants that to happen. But it cannot be avoided, so if there is a serious accident that some parts of the body cannot move, we must see a doctor.
Patient treatment guidelines. There are many methods of treating diseases depending on the examination, such as manual therapy, exercise, Using tools for treatment (Modalities) (The Physical Therapy Association of Thailand, KUMP.)
Physiotherapy treatment must be continued and over a long period of time, which can cause bored and impact on the patient, and may affect the cost of go to getting physical therapy
The author has devised a way to reduce the burden of traveling to the hospital by inventing physical therapy tools that can exercise the limbs, fingers, wrists and attach them to a wheelchair to Convenience, save time And expenses that may occur in the future
1.2 Objectives
1.2.1 Patients can do physical therapy without having to travel to the hospital and reduce the cost of physiotherapy.
1.2.2 Physical therapy equipment can increase the efficiency of the wheelchair
1.3 Scope of study
Design of wheelchairs for mobile physiotherapy
1.4 Assumptions
1.4.1 The physiotherapy wheelchair can be used effectively.
1.4.2 Patients can do physical therapy without having to travel to the hospital and reduce the cost of physiotherapy.
1.5 Study variables
Dependent Variable : Build a physiotherapy tool that can increase the efficiency of the wheelchair
Independent Variable : Wheelchairs can be used effectively
Control variable : Wheelchair that used force of human
1.6 Workshop definition
Physiotherapy trolley is a wheelchair built on the basis of physics principles for the design and exercise of mobile patients. Can be used at home
Chapter 2
Related Journals and Literature
In this project, the organizer has studied documents and related research and presented in the following topics
1. Documents relating to various topics
1.1 Physical therapy
1.2 Cart
1.3 Recovery
1.4 Ethical research in humans
2. Related research documents
2.1 Documents related to various topics
2.1.1 Physical therapy
Theerawit Viroj Viriyakul, 2017, said that physical therapy is a translation of "Physical Therapy" in English, meaning "Physical Modalities" physical therapy is therefore a science that does not rely on medication. Not focusing on surgery to rehabilitate patients in the muscles, joints, nervous system, respiratory system (Heart and lung)
In addition, physical therapy will include diseases caused by accidents. Office syndrome including patients with paralysis-paralysis elderly who have problems with osteoarthritis people with mobility problems too
There are many methods of physical therapy such as
Use ultrasound
Laser
Hot compress, Cold compress
A massage
Exercise increases the movement range. And increase strength
Physical therapy providers are called "Physical therapist" must be graduated directly in physical therapy. And must have a physical therapy certificate issued by the Physiotherapy Council only
Physical therapists work with other public health professions such as doctors, nurses, pharmacists, medical technicians. In order for patients to receive the most successful treatment results
Importance and benefits of physical therapy
Physiotherapy is a branch of medical science that focuses on the rehabilitation of patients in various conditions. Both physically and mentally
In addition, physical therapy pays attention to health promotion. Prevention of various complications Including reducing the risk of returning with symptoms again Nowadays, we can divide physiotherapists into large groups. (With examples for easy understanding) as follows
1. The musculoskeletal system
For example, patients who turn the ankle over and causing the tendon to tear. After receiving treatment from a medical specialist in the musculoskeletal system with a splint Treatment received from a physical therapist may start from
Give advice on caring for the splint
The selection of walking equipment suitable for the symptoms.
Activities that patients need to do to move more smoothly, such as walking training with walking aids Exercise to prevent complications such as swelling or stiffness of nearby joints Due to being cast limiting movement
When the patient cuts the cast Must practice weight loss correctly Exercises to increase the strength of the muscles around the ankle and exercise to prevent the repeated turning of the ankle is very important.
And after removing the cast Patients may still have pain in the ankle area. Physical therapists may choose to use ultrasound which is a supersonic wave to reduce pain.
2. nervous system
Such as stroke patients with paralysis of one side of the body Or unable to move that body completely This group of patients should receive physical therapy as soon as they are hospitalized. Although may not be aware
Physical therapists may first move the patient's joints in order to prevent freezing. When the patient starts to feel Will begin to practice the movement of himself in bed with as much power as there are, such as sitting practice, standing practice, walking with various walking aids Until the patient can return to walk by himself again
During exercise Patients may have spaticity, which is a common symptom in stroke patients. Physical therapists may choose to use the temperature as heat. Or coldness to prevent abnormal rigidity And can promote normal movement
3. Chest and heart systems
Such as critically ill patients who are hospitalized for a long time There may be a large amount of sputum in the lungs causing the risk of infection. And various complications
Physical therapists have several ways to help drain the phlegm. Even in unconscious patients Including inserting small tubes Which is welded to the vacuum tank through the mouth And the nose passes into the trachea to suck out the remaining phlegm.
In addition, patients after cardiac surgery by thoracic surgeons have clear requirements that Must undergo physical therapy In order to be able to perform daily activities similar to normal Before going back to recuperate at home
4. Physical therapy in children
For example, children who are born with brain disorders resulting in developmental delay Unable to crawl, stand, walk, speak or swallow food normally These things are all resolved. Or to reduce the severity of future physical disabilities through physical therapy
5. Physical therapy in the elderly
It is another branch that is gaining more and more popularity. Because of gradually entering moving into an aging society of many countries around the world including Thailand. Physical therapists working in this field have a very important role, such as
5.1 Exercises to promote body strength
5.2 Organizing activities to support good mental health
5.3 Disease prevention that comes with aging, such as Alzheimer's disease Osteoporosis and various non-communicable diseases
6. Physical therapy in sports
Play an important role in developing the potential of athletes of all types that rely on skills and the functions of different muscles in the body prevent injury and treat injuries that occur while playing sports
In addition, the rehabilitation of injured athletes to return to compete as quickly as possible. Is an important job of physical therapists working in this area
As illustrated above, you can see that the main objective of physical therapy is to support the patients to perform their daily activities to the best of their ability in every age range. Or even during the injury itself
There is also other work. Of interesting physiotherapists such as
Hydrotherapy which focuses on water exercises for both people in good health And those who have problems exercising on land
Design and manufacture of various orthotics For people with physical disabilities
Control or exercise training, alternatives that require basic physiological knowledge such as pilates, design of shoes to fit the feet of each client Physiotherapy in pregnant women
Things that should be known about physical therapy treatment
1. The treatment provider must have a healing arts license.
Physical therapy is a treatment that relies on the principles of modern medical science.
Therefore, physiotherapists must have expertise in anatomy, physiology and physical therapy techniques well. Before receiving treatment, make sure that The treatment provider has a medical therapy certificate in Physical Therapy.
2. May have to be treated concurrently with medication.
Although physical therapy relies on modern medical science principles And does not focus on drug treatment But if the patient's condition is necessary to receive medical treatment in conjunction with physical therapy
Therefore, you should follow the advice of a physical therapist together with consulting a doctor or pharmacist. Do not take medication by yourself.
3. The effect of physical therapy depends on many factors.
Such as symptoms and severity of symptoms Patient's age In patients with low back pain, the pain may be reduced by half. Or without any pain remaining after a single physical therapy
But in patients with cerebrovascular disease that has one weakness of the body It may take at least 3-6 months to restore the body to normal work.
4. The duration of treatment is not equal.
Physiotherapy is a science that requires continuous treatment from weeks to years. However, each treatment may not be the same at all. For example, patients with knee pain come to see a physical therapist 2 times a week for 4 weeks, which may receive a unique treatment once.
In addition, the time taken for each treatment may not be the same as well. Depending on the symptoms And the seriousness of the disease
Techniques chosen by physiotherapists in patients with the same symptoms.
May be different Depending on the history taking, physical examination and objectives of the physical therapist such as
In patients with wrist pain too The first may be treated with ultrasound to reduce pain. While the other person may be able to move the wrist joints. Together with stretching the nerves that pass through the wrist to reduce pain is possible
Therefore, physical therapy is a science that is no less important than other types of treatment. In addition to healing and rehabilitating illnesses Correct physical therapy And suitable also helps to reduce the chance of getting surgery in some diseases as well.
2.1.2 Wheelchair
The Sirindhorn National Medical Rehabilitation Institute has given the definition of Wheelchair is a wheel-moving device and has
Seat for people with difficulty walking or moving In order to be safe in daily life Therefore, wheelchairs are very important for people with mobility disabilities. And people with disabilities or abnormalities that affect body movement. From this importance, it leads to the selection of a wheelchair with a size And components suitable for the use of a wheelchair user In order to be able to help yourself more easily Wheelchair access Wheelchair spinning And daily life Can summarize the selection of a wheelchair that is suitable as follows
1) A wheelchair that meets the needs of users In order to be able to perform various activities more easily, such as getting in and out of a wheelchair Can fold The weight is suitable for use. Able to access various areas easily with a wheelchair etc.
2) A wheelchair that is suitable for the user's environment Since users live in different environments, such as rough areas, sandy areas, narrow roads, etc., wheelchairs must have
Stability by considering the distance between the front and rear wheels
3) The wheelchair is the right size for users For agility in the body of the user, easy on the wheelchair
4) A wheelchair that can help support a stable posture while sitting And does not cause pressure ulcers from using the wheelchair for a long time
5) Users are able to maintain and repair wheelchairs in their local area.
(Sirindhorn Institute for National Rehabilitation of Medicine, 2014)
2.1.3 Restoration
Rehabilitation nursing has been around for a long time in Europe, America, England and Australia and for Thailand, rehabilitation care is not clearly separated or is a specialized nursing course in rehabilitation nursing. But hidden in the basic nursing of nursing programs at the bachelor degree level in Thailand
According to the policy of the Ministry of Public Health, which has public health services covering 4 areas, namely promotion, prevention, treatment, and rehabilitation. But for the medical profession, there is a production of Thai Board of Rehabilitation Medicine
At Ramathibodi Hospital was the first in the year 2534, after that, there are various universities have produced other professions related to rehabilitation. Such as physical therapists, occupational therapist at the bachelor level Until 2010, the Sirindhorn National Medical Rehabilitation Center (now the Sirindhorn Institute for Rehabilitation) collaborated with the Faculty of Nursing. Mahidol University and approved by the Nursing Council of Thailand In the production of specialized nursing courses in rehabilitation nursing. Became the first place in Thailand And collaborated to produce specialized nurses in the field of rehabilitation nursing, 1 model per year, up to the present, a total of 7 models (B.E. 2559). Ministry of University Affairs Hospitals under the jurisdiction of Bangkok Specialized hospitals, hospital, hospital, hospital, and hospital, a total of 162, which has spread to work in all regions in Thailand. The Sirindhorn Institute for Rehabilitation Foresaw Important in the production of specialized nurses in the field "Rehabilitation nursing" to have only quantity Enough to go to service all over the country and is a response to the Thai society that is stepping into an aging society that has a risk of disability
(Ph.D., Suphannika Waewaram, 2561)
2.1.4 Ethics of research in humans
Traditional and alternative medicine Ministry of Public Health Faculty of Medicine Siriraj Hospital Mahidol University Faculty of Medicine Thammasat University And the Faculty of Medicine Vajira Hospital
Nawaminthirathirat University, a total of 12 institutes of ethics in conducting research in this person, said that ethics means appropriate practices that are accepted by individuals or societies to abide by international principles and not conflict with local culture and traditions.
Human research refers to a systematic study process to obtain knowledge of health or medical science done on the body or mind of the subjects. Or that has been done to the cells
Cell components Materials, specimens, tissue tests, secretions, genetic material, medical records, or health information of volunteers in the research. And shall include social studies Behavioral science And humanities Health-related
Ethics for research and experimentation in humans means ethical guidelines or guidelines for research and experimentation in humans, such as the Helsinki Declaration. Or the Declaration of Helsinki
of Helsinki) Laws, Regulations, Regulations, and Guidelines that the National Regulatory Authorities (NRA) and Institutes of Research Ethics Committee means a committee appointed by an institution, organization or organization.
To review the research ethics of the human research proposal To protect the rights, dignity, safety, and well-being of research subjects The institutional ethics committee must have the standards components and procedures (SOPs).
Of the Ethics Committee Which is clear, in line with national laws, regulations and guidelines, as well as international guidelines.
The Belmont Report consists of 3 principles which are
1. Respect for person
2. Benefits Harmless (Beneficence)
3. Principle of Justice
Code of Ethics 1: Respect for person
The principle of respect for persons is respect for human dignity.
Which is the cornerstone of human research ethics This principle is the basis of the guideline, namely
1.1 Respect the request for consent by providing complete information and allowing volunteers to make independent decisions.
Without intimidation or reward (Respect for free and informed consent
And Respect to autonomy of decision making)
1.2 Respect the privacy of volunteers (Respect for privacy)
The meaning of privacy is person. Privacy Personal rights Personal behavior Concealed behavior Respect for the privacy of volunteers Done by arranging a place for requesting consent
And history taking, physical examination The lack of a name tag for the clinic, such as "AIDS clinic" "drug clinic"
1.3 Respect the confidentiality of volunteer personal information (Respect for confidentiality)
The meaning of Confidentiality is that data is a way to protect the confidentiality of personal information.
Of volunteers with restrictions Those data include Case report form, consent form, tape, video and photo recording, confidentiality measures such as password
Kept in a locked cabinet, stored in a computer with password, data sent via electronic mail (e-mail) encrypted
1.4 Respect for vulnerable persons
The meaning of the weak and the weak is the person who is not able to fully protect himself. Unable to understand the information about the research received Cannot make independent decisions, such as people with intellectual or mental disabilities HIV / AIDS patients, comatose patients, handicapped patients, prisoners, prisoners, students, soldiers, marginalized people such as immigrants (immigrants) ethnic minorities, sexual deviations or homosexual groups (homosexuality) socially vulnerable, such as sex workers, drug addicts
CIOMS Guideline 13 and 14 state that research in this group must be reasonable. (Justification)
Must ask for permission and have a signature of a legal representative And that person is also requested Research in children Not suitable for studying in orphanages Except that the orphan volunteers will directly benefit Or the research results will benefit other orphaned groups and allow the caregivers in orphanages to give consent, as consent is also required
2.2 Related research
2.2.1
Abstract
: Design of physical therapy equipment for bed patients: Anirut Sarakit
: Applied Arts, Accounting
: Industrial design
: Professor Piyanan Karinrak
: Physiotherapy equipment, patients with bed
Currently, Thailand has a large number of chronic patients and Thailand is about to enter an aging society. Causing the number of bed addiction patients increasing every year In order to take care of bed addicts, some patients have to take care of their patients at home, some bed addicts need to be treated by regular physical therapy by having to go to do physical therapy at the service center. However, some patients are unable to travel to receive treatment, go to physiotherapy at ease and do not have physical therapy equipment at home because physical therapy equipment is expensive. The researcher has the idea to solve this problem by designing inexpensive physical therapy equipment and can be used in physiotherapy for patients at home. From the study of illnesses that require physical therapy, it is found that there are 2 forms of physical therapy that require physical therapy equipment, which are the use of electrical equipment and the use of general equipment that does not require electricity. By using electrical equipment necessary There are experts in using the device, because without the knowledge of how to use the device may cause danger to patients, but general equipment that does not require electricity can be used at home but requires care. General equipment has equipment that is easy to do physical therapy. Rubber is important. Suspension bed That can help physiotherapy in patients with muscular weakness at home because patients with muscular weakness require daily physical therapy. Equipment for modern bed sets are expensive and in size. The large size makes the patients or relatives of patients who want to perform physical therapy by using equipment that is not able to buy or move equipment is difficult. Smaller, cheaper and able to store devices more conveniently for use at home and patients can perform physical therapy at home every day.
Thai massage is the wisdom of Thai people in the treatment of disease, prevention of disease, rehabilitation. And enhance the health of patients that have been passed down for a long time Directly affects the body and mind This study is a quasi-experimental clinical research aimed to compare. The effectiveness of physical therapy and physical therapy combined with Thai massage to restore the body's ability. And quality of life Of hemiplegic patients with ischemic stroke, approved by the Human Ethics Committee, Faculty of Medicine, Thammasat University There are 68 volunteers participating in the project, divided into 2 groups, which are physical groups (PT). The total of 34 people will be rehabilitated by physical therapy by Physical therapist According to professional standards, physical therapy and physical groups combined with Thai massage (PTTM) will be rehabilitated with a total of 11 Thai massage and physical therapy by physical therapists. According to the body rejuvenation process According to professional standards for physical therapy All volunteers will receive symptom monitoring on the 15th and 30th, evaluate their effectiveness from the Modified Barthel Index (MBI), Fugl-Meyer Assessment of Physical Performance, and the Assessment of Physical Performance. Quality of Life SF-36 Thai Version, revised 2005 and comparative analysis Between groups by using repeated measures ANOVA statistics
From the research, it was found that There were 68 volunteers participating in the program as scheduled. When studying the effectiveness, it was found that Physical groups combined with Thai massage Have skills in doing basic daily activities
(PT = 65.29 ± 16.10, PTTM = 74.62 ± 18.27) Working of the upper muscles (PT = 28.71 ± 8.60, PTTM = 40.32 ± 9.91) Feelings of the upper and lower parts (PT = 19.12 ± 3.86 , PTTM = 21.00 ± 2.20) The movement range of the joint (PT = 27.00 ± 7.32, PTTM = 30.44 ± 3.88) and the pain in the joints (PT = 33.26 ± 5.54, PTTM = 38.71 ± 5.18) were significantly different. Statistical significance (p <0.05) when compared with physical groups But the work of the lower muscles (PT = 21.47 ± 4.90 , PTTM = 20.76 ± 5.07) and balance (PT = 8.47 ± 2.45, PTTM = 7.53 ± 2.51) in both groups No statistically significant difference SF-36 evaluation score (PT = 107.32 ± 9.32, PTTM)
= 112.15 ± 5.89) shows that physical group together with Thai massage improves the quality of life of patients. With statistical significance (p <0.05)
From this study, it can be concluded that physical therapy combined with Thai massage Effective in Rehabilitation and quality of life are better than physical procedures for only one procedure in patients with hemiplegia. From ischemic stroke When receiving a Thai massage Continuous 30 days
Keywords: Thai massage, physical therapy together with Thai massage, ischemic stroke
Abstract
Naritep Suwanathada
Faculty of Engineering Bangkok University
e-mail: naruetep.s@bu.ac.th
Naruetep suwantada
Faculty of Engineering, Bangkok University
The objective of this research is to (1) study the development of stimulating games that help in physical therapy. To control playing through the armband "Myo" (2) study the effectiveness of the muscle stimulation and recovery game for patients with muscle weakness with the "Myo" armband and (3) study and find guidelines for physical therapy By playing games through the armband "Myo" developed games that control play Through the armband device "Myo" style of play, use gestures to control the direction Which results in the patient practicing arm movement, helping the patient's arm rehabilitation Game design with 3 levels of difficulty, classified by physical therapy postures From the easiest level to difficult level The population used consists of (1) 3 medical professionals (2) 4 technical experts and (3) 3 physiotherapists. Research tools include (1) muscle stimulation and recovery games. Arm muscle for patients with muscle weakness with "Myo" armband. The researcher developed to have the technical qualifications, game development using Unity 4.6.2 program and 2) medical evaluation form. Which the game development stimulates the work and recovery of the arm muscles For patients with muscular weakness, the "Myo" armband has been evaluated by medical experts at a very good level, averaging 4.52 and a good technical expert. Representing an average of 3.97
The game has been evaluated by experts. To try out with a physical therapist instead of using it with real patients, able to summarize the satisfaction with the overall game at a good level The average value is 3.61. Considering the evaluation from experts and sample groups, it can be concluded that a game for stimulating and recovering arm muscles for weak muscle patients with the "Myo" arm band. Can be used as part of physiotherapy for patients. And able to stimulate or increase muscle strength It can also measure muscle recovery compared to the development of gaming.
Keywords: arm muscle game "Myo" armband patients
This quasi-experimental research The objective is to study the effects of the promotion program. Targeted movement of musculoskeletal outcomes in traumatic injury patients who are admitted to the accident ward. Orthopedic ward and male and female orthopedic ward, Songkhla Nakarin Hospital 50 subjects were specifically selected according to their qualifications, with the first 25 being the control group receiving routine nursing care and the latter 25 as the experimental group receiving the targeted movement promotion program. The group received age matching, pain level, and bone injury. The instruments used in this study consisted of the targeted movement promotion program developed from the conceptual framework of achieving true goals together. Movement for injured patients And a manual to promote movement for trauma patients with restriction of movement, which has been checked for content validity by a qualified person, as well as tracking muscle and bone results before receiving the program and after. Were programmed with the results form for musculoskeletal recording. The instruments used in this study consisted of (1) the motion promoting program focus on goals that have been developed from the King's Theory of Achievement with the promotion method. Movement for trauma patients from literature review and (2) practice manual for Promote movement for injured patients with movement restrictions Which has been checked for content validity by a panel of experts, including tracking of musculoskeletal results Before receiving the program (day 1) and after receiving the program (day 8 and day 15) with the musculoskeletal results recording form, including (1) the degree of movement from the gonometer measurement And compare the obtained values with the normal values of the degrees of movement of the joints In order to interpret the condition of the stiffness (2) muscle strength Use the method of measuring muscle strength by dividing the scores In order to interpret the condition of muscular weakness Measuring results of movement degrees And strength Of muscles Have passed the equality examination of the measurements to be equal to .93 and 1 respectively
Analyze differences in movement degrees And muscle strength Both within the experimental group And between the experimental group and the control group, classified by injury using the Repeated Measures ANOVA and Friedman test statistics. The analysis of the incidence of myasthenia Or frozen joints Of experimental and control groups Use percentage statistics
The research results are as follows
1. The comparison of differences in the experimental group found that
1.1 Average or average rating Of the varying degrees of movement of all joints, no injuries and hip joints are injured Rose on the 8th and 15th on
Compared with the 1st (p <.05)
1.2 Mean value or average rank of muscle strength No arms were injured. And the leg muscle strength on the side of the leg has no injuries and increased injuries on the 8th and 15th day compared to Day 1 (p <.01).
2. The comparison of differences between the experimental and control groups
Found that
2.1 The experimental group has an average or average rank of the degree difference. Wrist movement And the shoulder joint has no injuries Increased on the 8th and 15th (p <.05) except for the elbows with no additional injuries on the 15th (p <.01) compared to
Control group
2.2 The experimental group had the mean rank of the difference of the strength of The lateral leg muscles had more injuries on the 8th and 15th day than the control group (p <.01).
2.3 The experimental group had an incidence of muscle weakness. And the incidence of frozen conditions decreased, while the control group had not decreased the incidence of muscle weakness. But there is an increased incidence of frozen conditions When compared with Day 1, so nurses should adopt a targeted movement promotion program To apply in Proactive nursing work to prevent and reduce the occurrence of muscular weakness. And frozen joints in the traumatic patients who have movement restriction while in the hospital for a long time.
Chapter 3
Methodology
As this physiotherapy wheelchair is related to medicine, the organizing team can communicate with the hospital whether physiotherapy wheelchair can be performed and ask for information about the equipment used in the physiotherapy wheelchair. The equipment used has a relatively high production cost. Therefore, the organizers wanted to fabricate the physical therapy wheelchair at low production costs. And can be used for maximum benefit
3.1 Materials, equipment and tools
1 wheelchair
Elastic 0.60 m
2 meters PVC pipe
2 physical balls
6 bags of 500 g sandbags
3.2 Operational procedures
1 Design of physical tools
1.1 Design the tools used in the physical parts of the fingers.
1.2 Design tools used in the physical parts of the arms and shoulders.
1.3 Design the tools used in the legs
2 Creation of physical tools
2.1 Make a tool that is used for physical activity of the finger parts.
2.2 Make a tool used in the physical part of the arm and shoulder.
2.3 Make a tool used to do the leg part.
3 Assembling the tools used for making documents
3.1 Assembling the tools used for the assembly of the fingers.
3.2 Assembling the tools used to clean parts of the arms and shoulders.
3.3 Assembling the tools used to do the leg part.
4 Assess the satisfaction of the equipment used in the physical.
4.1 Assess the satisfaction of the physical tools used for the physical part of the fingers.
4.2 Evaluate the satisfaction of the physical equipment used in the physical part of the arm and shoulder.
4.3 Evaluation of satisfaction of the physical equipment used in the physical activity of the legs.
Chapter 4
Experimental results
From what the organizing team can study on the tools used in physical therapy The organizing team has brought the equipment used in physical therapy to the hospital to assess the satisfaction with the physiotherapists. The organizers can present the results of the report on the project performed in the form of text or graphs to transform the data by responding to the purpose of the project.
4.1 Tool design results
Physiotherapy Equipment Design to optimize wheelchair design with easy-to-use mechanisms, economical materials and optimized design requirements. The shape of the tool is simple and does not obstruct the cart. In addition, more than one instrument can be modified. You can choose to modify the tool according to your needs and not harm the user as well.
4.2 Results of satisfaction assessment from physical therapists
Chapter 5
Summary of experimental results and recommendations
5.1 Summary of Project Performance
From the invention of physical therapy tools that can exercise the limbs, fingers, wrists and be assembled into a wheelchair and presented to physical therapists. It was found that the physical therapy wheelchairs had the same performance as the physical therapy equipment according to the principles and methods of physical therapy.
5.2 Discussion of results
The results were consistent with the research of Anirut Sarakit that invented a physical therapy wheelchair for patients with weak muscles. The physical therapy wheelchair can actually be used through the revision of the special counsel. Faculty of Physical Therapists, Nakhon Phanom Hospital
And also in line with Naruthep Suwanthada's research and Sasitorn Mookpradab's research
It was found that the invention makes it easier for patients to perform physical therapy. Can reduce travel expenses and can do physical therapy at home.
5.3 Offers
1. Further improvement by adapting technology for the convenience of patients.
6. References
Jirayu Chartsuwan (2016) compared the effectiveness of physical therapy and physical therapy in combination with Thai massage.On the rehabilitation capacity and quality of life of hemiplegic patients from ischemic stroke.
Retrieved July 18, 2020 from http://ethesisarchive.library.tu.ac.th/thesis/2016/TU_2016_5611031559_5408_4122.pdf
In-person research ethics club Thailand (2007) Human Research Ethics
Retrieved 18 July 2020 from https://www.nrms.go.th/FileUpload/AttatchFile/News/256010121923328671661.pdf
Teerawit Wirojwiriyakul (2017) Physical Therapy
Retrieved 18 July 2020 from
https://www.honestdocs.co/campaigns/author-teeravit-virojviriyakul
Naruthep Suwanthada (2016) A study of the results of the application of the game Work and recovery Of the arm muscles for the patient with the arm muscle weakness
Retrieved 18 July 2020 from
https://so04.tci-thaijo.org/index.php/journal_sct/article/download/82443/65523/
Sasitorn Mookpradab (2014) Effects of a Targeted Motion Promotion Program on Musculoskeletal Outcomes in Injured Patients with Motion Restrictions.
Retrieved 18 July 2020 from
http://kb.psu.ac.th/psukb/bitstream/2010/9474/1/388051.pdf
Center for the nervous system, brain and spinal cord Phyathai 2 Hospital (2017), muscle weakness disease
Retrieved 18 July 2020 from
https://www.phyathai.com/article_detail/2371/th/
Physical Therapy Association of Thailand (2014) Physiotherapy
Retrieved 18 July 2020 from
https://www.srth.moph.go.th/health_rcn/pt/whatPT.htm
Supannika Waewamam (2016) Rehabilition Nursing Care
Retrieved July 18, 2020 from http://www.snmri.go.th/snmri/download/train/medical_f/rehabnurse.pdf
Anirud Sarakit (2560) Design of Physiotherapy Equipment for Bed Addicts
Retrieved 18 July 2020 from
https://www.ubu.ac.th/web/files_up/30f2019050114545335.pdf
Dr Dominique Dupagne (2016) wheelchair
Retrieved 18 July 2020 from
https://www.pobpad.com/วีลแชร์-ประโยชน์และวิธี