물리치료사의 요통발생 위험요인 분석

이충휘,Lee, Chung-Hwi 대한물리치료사협회 1990 대한물리치료사협회지 Vol.11 No.2

경피적 전기신경자극이 동통 역치에 미치는 영향

이충휘,Lee, Chung-Hwi 대한물리치료사협회 1987 대한물리치료사협회지 Vol.8 No.1

농촌 재가 장애인의 가정방문 재활서비스 욕구도 분석

이충휘(Yi Chung-hwi),이현주(Lee Hyun-ju),박경희(Park Kyoung-hee),안덕현(Ahn Duck-hyun) 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.2

The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stoke, spinal cord injury, and cerebral palsy in addition to disabilities classfied as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation service were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation service received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at a hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive Rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.

원주시 지역사회중심 재활사업 평가

이충휘(Yi Chung-hwi),이현주(Lee Hyun-ju) 한국전문물리치료학회 2003 한국전문물리치료학회지 Vol.10 No.1

This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents’ demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.

농촌지역 재가장애인의 일상생활 수행능력 실태조사

이충휘(Yi Chung-hwi),박경희(Park Kyoung-hee),이현주(Lee Hyun-ju) 한국전문물리치료학회 2000 한국전문물리치료학회지 Vol.7 No.3

Although the availability of home care rehabilitation services have been greatly increased since community - based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled per son s living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapist s. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly - disabled persons whose ages were 61 years old or above, and 69.5% of respondent s has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self- feeding, urination , defecation, and comprehension ability were mildly dependent . These results revealed that functional evaluation/ treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.

정상 성인 상지의 교차성 열효과

구애련,이충휘,Gu, Ae-Ryeon,Lee, Chung-Hwi 대한물리치료사협회 1992 대한물리치료사협회지 Vol.13 No.2

어깨위로 들어올리기 작업시 의도적인 복근수축이 요부근 활성도와요추신전각도에 미치는 영향

김희원,권오윤,이충휘,전혜선,Kim, Hui-Won,Gwon, O-Yun,Lee, Chung-Hwi,Jeon, Hye-Seon 대한인간공학회 2006 大韓人間工學會誌 Vol.25 No.2

This study was conducted to evaluate the effect intentional contraction of abdominal muscles during lifting above shoulder on the muscles activities of the lower trunk and on the degree of lumbar extension. Fifteen healthy adult males were selected as test subjects. A 5kg weight was raised to the shoulder level, 20cm, and 40cm above the shoulder level. EMG activities of all muscles except the rectus abdominis were significantly greater when subjects were asked to contract their abdominal muscles intentionally during lifting(p<0.05). Degree of lumbar extension also significantly decreased with intentional abdominal contraction during the lifting. Also, degree of lumbar extension significantly increased with increase in lifting height(p<0.05). The results of this study show that intentional contraction of abdominal muscles during lifting above shoulder increases the EMG activities of external abdominis oblique, internal abdominis oblique, and erector spinae.

젊은 정상성인의 비운동 VO_2max 추정식

이정아,조상현,이충휘,권오윤,Lee, Jung-Ah,Cho, Sang-Hyun,Yi, Chung-Hwi,Kwon, Oh-Yun 한국전문물리치료학회 2005 한국전문물리치료학회지 Vol.12 No.3

The purpose of this study was to produce the regression equation from non-exercise $VO_{2max}$ of healthy young adults and to develop a maximal oxygen consumption ($VO_{2max}$) regression model. This model was based on heart rate non-exercise predictor variables (rest heart rate, maximal heart rate/rest heart rate), as an extra addition to the general regression which can reflect an individual's inherent or acquired cardiorespiratory fitness. The subjects were 101 healthy young adults aged 19 to 35 years. Exercise testing was measured by using a Balke protocol for treadmill and indirect calorimetry. The prediction equation was analyzed by using stepwise multiple regression procedures. The mean of $VO_{2max}$ was $39.02{\pm}6.72\;m{\ell}/kg/min$ (mean${\pm}$SD). The greatest variable correlated to $VO_{2max}$ was %fat. The predictor variable used in the non-exercise $VO_{2max}$ included %fat, gender, habitual physical activity and $HR_{max}/HR_{rest}$. The non-exercise $VO_{2max}$ estimation was as follows: $VO_{2max}$($m{\ell}/kg/min$)=55.58-.41(%fat)+.59(physical activity rating)-2.69($HR_{max}/HR_{rest}$)-5.36 (male=0, female=1); (R=.85, SEE=3.64, R2=.72: including heart rate variable); $VO_{2max}$($m{\ell}/kg/min$)=48.47-.41(%fat)+.45(physical activity rating)-5.12 (male=0, female=1); (R=.84, SEE=3.74, R2=.70: with the exception of heart rate variable). As an added heart rate variable, there was only a 2% coefficient of determination improved. Therefore, these results demonstrated that heart rate variable correlation with a non-exercise regression model was very low. In conclusion, for healthy young korean adults, those variables that can affect non-exercise $VO_{2max}$ estimation turned out to be only % fat, gender, and physical activity. We suggest that further research of predictor variables for non-exercise $VO_{2max}$ is necessary for different patient groups who cannot perform maximal exercise or submaximal exercise.

초음파 도자를 쥐는 방법이 팔 근육의 근활성도에 미치는 영향

최석호(Seok-ho Choi),이충휘(Chung-hwi Yi),전혜선(Hye-sun Jeon),이정원(Jeong-weon Lee) 한국전문물리치료학회 2013 한국전문물리치료학회지 Vol.20 No.2

This study examined differences in the activity of upper limb muscles according to how an ultrasound head is gripped. Twenty-two adult males were participated in the study. Each participant was asked to apply ultrasound treatment on to a lump of pork meat by two different ultrasound head grip patterns: spherical and cylindrical grips. Muscle activity was measured in the extensor carpi radialis longus (ECRL), flexor carpi ulnaris (FCU), and pronator teres (PT), triceps brachii (TB), middle deltoid (MD), and upper trapezius (UT) muscles. There were no significant differences in the EMG signals of any muscle according to the ultrasound head grip pattern (p>.05). There were significant differences in the EMG signal of each type of muscle (p<.05). The EMG signal of UT was the lowest and that of TB was lower than ECRL and FCU. There were interactions between ECRL and FCU, between ECRL and PT, between FCU and ECRL, and between FCU and MD. The EMG signal of ECRL using the cylindrical head was low and that of FCU with the cylindrical head was high, while the opposite was the case with the spherical head (Padj<.05/15). The results of this study indicate that the wrist muscles worked actively when the participants applied ultrasound therapy using both spherical and cylindrical heads. A spherical head might induce imbalanced muscle activity among the wrist muscles, leading to deviation of the wrist joint. Therefore, the cylindrical head is recommended for ultrasound therapy because it produced a constant, repeated force.

젊은 정상성인의 비운동 VO₂max 추정식

이정아(Jung-ah Lee),조상현(Sang-hyun Cho),이충휘(Chung-hwi Yi),권오윤(Oh-yun Kwon) 한국전문물리치료학회 2005 한국전문물리치료학회지 Vol.12 No.3

The purpose of this study was to produce the regression equation from non-exercise VO₂max of healthy young adults and to develop a maximal oxygen consumption (VO₂max) regression model. This model was based on heart rate non-exercise predictor variables (rest heart rate, maximal heart rate/rest heart rate), as an extra addition to the general regression which can reflect an individual’s inherent or acquired cardiorespiratory fitness. The subjects were 101 healthy young adults aged 19 to 35 years. Exercise testing was measured by using a Balke protocol for treadmill and indirect calorimetry. The prediction equation was analyzed by using stepwise multiple regression procedures. The mean of VO₂max was 39.02±6.72 ㎖/㎏/min (mean±SD). The greatest variable correlated to VO₂max was %fat. The predictor variable used in the non-exercise VO₂max included %fat, gender, habitual physical activity and HRmax/HRrest. The non-exercise VO₂max estimation was as follows: VO₂max(㎖/㎏/min)=55.58 .4l(%fat)+.59(physical activity rating)-2.69(HRmax/HRrest)-5.36(mate=0, female=1): (R=.85, SEE=3.64, R2-.72: including heat rate variable); VO₂max(㎖/㎏/min)=48.47-.41(%fat)-.45(physical activity rating)-5.l2 (male=0, female=1): (R=.84, SEE=3.74, R2=.70: with the exception of heart rate variable). As an added heart rate variable, there was only a 2% coefficient of determination improved. Therefore, these results demonstrated that heart rate variable correlation with a non-exercise regression model was very low. In conclusion, for healthy young korean adults, those variables that can affect non-exercise VO₂max estimation turned out to be only % fat, gender, and physical activity. We suggest that further research of predictor variables for non-exercise VO₂max is necessary for different patient groups who cannot perform maximal exercise or subrnaximal exercise.