만성 봉우리 밑 충돌증후군을 위한 물리치료적 접근법 : 편심성 훈련과 일반적 운동의 효과 비교

추연기 ( Yeon-Ki Choo ),배원식 ( Won-sik Bae ),김인섭 ( In-Seob Kim ) 대한통합의학회 2022 대한통합의학회지 Vol.10 No.1

Purpose : This study was to verify the effect of eccentric training and suggest a specific application method by comparing the effects of acromohumeral distance (AHD), supraspinatus tendon thicknees (STT), pain intensity and functional performance after MWM and eccentric training (MWM-ET) or general exercise (MWM-GE) in chronic subacromial impingement syndrome (SAIS) patients. Methods : A total of 55 participants were randomly assigned to each group, and according to the intervention method, “MWM-ET group (n=28)” vs. “MWM-GE group (n=27)” was divided into two groups. AHD, STT, pain intensity, and functional performance were measured before intervention, and both groups were re-measured 3 times a week after 6 weeks of intervention in the same way. Results : The AHD was significantly increased in MWM-ET group compared to MWM-GE group. No significant difference was observed between the groups in the STT, but Pain intensity was significantly lower in MWM-ET group than in MWM-GE group, and functional performance was significantly increased in MWM-ET group compared to MWM-GE group. Conclusion : As a result of MWM-ET intervention that further increases AHD compared to MGE, it can be clinically presented as a more effective intervention method for faster recovery from injury due to pain reduction and smooth return to daily life due to improved functional performance.

보건계열 대학생들의 스마트폰 중독수준 정도에 따른 주의력 조절, 대인관계 지지에 미치는 비교영향 분석

추연기 ( Yeon-ki Choo ),배원식 ( Won-sik Bae ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.2

Purpose : To investigate the degree of smartphone addiction among health-related college students, and to compare and analyze the effect of the degree of addiction on attention control and interpersonal support. Methods : 184 people who voluntarily participated and agreed to fill out the questionnaire were randomly sampled. The smartphone self-diagnosis scale was used to measure the degree of smartphone addiction, and the Attentional Control Questionnaire (ACQ) was used as a tool to measure the degree of attention control. In addition, the Interpersonal Support Evaluation List (ISEL) was used to measure the degree of interpersonal support. Results : In comparison of the degree of smartphone addiction according to the general characteristics of the subjects, there was no significant difference according to religion, major, and grade, but there was a significant difference in gender and daily use time of smartphones (p <.05). There was a significant difference in the degree of attention control according to the level of smartphone addiction (high risk, potential risk, general user group) (p <.05), but there was no significant difference in the degree of interpersonal support. Conclusion : The degree of smartphone addiction was relatively higher for women than for men, and users who used it for a long time per day were more addicted. It also showed that attention control was further reduced in highly addictive users.

만성 발바닥 근막염 환자에게 물리치료와 코르티코스테로이드 주사가 미치는 효과 비교

추연기 ( Yeon-ki Choo ),김현수 ( Hyeon-su Kim ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.4

Purpose : This study was to compare the effect changes after physical therapy (extracorporeal shock wave therapy + high-load strengthening exercise) or corticosteroid injection in patients diagnosed with chronic plantar fasciitis. Methods : A total of 40 patients were randomly assigned to each group of 20. According to the intervention method, “Group 1. Physiotherapy” was performed for 12 weeks, and “Group 2. Corticosteroid injection” was performed only once. As a pre-intervention test, plantar fascia thickness, pain intensity Ⅰ, Ⅱ (What is the most painful moment of the day?, How painful is the first step in the morning?), and functional performance were measured. To compare the effects of each group, the tests 3, 6, and 12 weeks after were also performed using the same measurement method. Also, after 12 weeks, patient satisfaction was also compared. Results : There was no significant difference between the groups in the change in the thickness of the plantar fascia during all periods. However, pain intensity Ⅰ, Ⅱ was significantly lower in Group 1 than in Group 2 at only 12 weeks and functional performance was also significantly increased in Group 1 compared to Group 2 at only 12 weeks. Also, there was no significant difference between groups in patient satisfaction. Conclusion : The physiotherapy protocol, which consisted of extracorporeal shock wave therapy and high-load strengthening exercise, showed excellent results, especially after 12 weeks, compared to corticosteroid injection. It is recommended as a more effective treatment method as it is possible to safely return to daily life by reducing pain and improving functional performance.

만성 발바닥 근막염 환자에 대한 물리치료적 접근법: 특이적 뻗침운동과 고부하 강화 운동의 효과 비교

추연기 ( Yeon-ki Choo ),배원식 ( Won-sik Bae ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.1

Purpose : This study was to investigate the effectiveness of ESWT and plantar fascia-specific stretching exercise vs ESWT and high-load strengthening exercise in patients with chronic plantar fasciitis. Methods : The subjects were randomized to extracorporeal shock wave therapy ( ESWT, for 3 weeks) and daily plantar-specific stretching (Group Ⅰ: Stretch group) or ESWT and high-load progressive strength (Group Ⅱ: Strength group) performed every second day. The main outcome measures were ultrasound, visual analogue scale (VAS), and Korean Foot Function Index (KFFI). The ultrasound (plantar fascia thickness), pain intensity Ⅰ, Ⅱ (the most painful of the day?, the pain when you first step in the morning?) and KFFI (functional performance) were compared between the groups. Results : No significant difference was observed between the groups in the plantar fascia thickness but pain intensity Ⅰ, Ⅱ was significantly lower in Group 2 than in Group 1 at only 12weeks and functional performance was also significantly increased in Group 2 compared to Group 1 at only 12 weeks. Conclusion : The high-load strengthening exercise consisting of the progressive exercise protocol, resulted in superior after 12 weeks compared with plantar-specific stretching. High-load strength exercise may aid in a quicker reduction in pain and improvements in functional performance.

운동과 관절가동술을 혼합한 중재가 어깨관절 내적 충돌증후군을 가진 청소년기 야구선수의 관절가동범위, 통증정도, 기능수행정도에 미치는 효과

오태영 ( Tae-young Oh ),추연기 ( Yeon-ki Choo ),유일영 ( Il-young Yoo ) 대한물리의학회 2018 대한물리의학회지 Vol.13 No.2

PURPOSE: The aim of this study was to identify the effects of joint mobilization intervention combined with exercise on range of motion (ROM), pain intensity, and functional performance in adolescent baseball players with internal impingement syndrome of the shoulder. METHODS: The subjects were 30 adolescent baseball players diagnosed with internal impingement. Ten subjects were randomly assigned to each of 3 groups: Group 1 (exercise only), Group 2 (joint mobilization combined with exercise), and Group 3 (rest-only control group). Three weekly interventions were given for 4 weeks (the control group rested for 4 weeks). The main outcome measures were goniometer, visual analogue scale (VAS), and Korean Kerlan Jobe shoulder-elbow (K-KJOC) scores. The ROM (external and internal rotation), pain intensity (at the moment of throwing), and functional performance were compared among the groups. RESULTS: No significant difference was observed among the groups in the range of external rotation of the shoulder before and after the intervention, but the range of internal rotation was significantly increased in Group 2 compared to Groups 1 and 3. Pain intensity was significantly lower in Group 2 than in Group 1 and 3, and functional performance was significantly increased in Group 2 compared to Group 1 and 3. CONCLUSION: An intervention that combined joint mobilization with exercise was more effective than resting or exercise alone for rapid recovery from sports injury and improvement in athletic performance.

호흡 기능 향상을 위한 들숨근 강화 훈련 방법 : 위팔운동을 동반한 가로막 호흡과 파워브리드 호흡의 효과 비교

이건철 ( Keon-cheol Lee ),추연기 ( Yeon-Ki Choo ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.3

Purpose : It was to compare changes in respiratory function (pulmonary function, inspiratory function) after four weeks of inspiratory muscle strengthening training (diaphragmatic breathing with upper arm exercise, Power-Breathe breathing) for 36 healthy people. Methods : Subjects were randomly assigned to diaphragmatic breathing with upper arm exercise (Group Ⅰ) and Power-breathe breathing (Group Ⅱ) was conducted by the protocol for four weeks five times per week. As the main measurement method for comparison between groups For pulmonary function, Forced Vital Capacity (FVC) and Forced Expiratory Volume at One second (FEV1) were used, and for inspiratory function, Maximum Inspiratory Capacity (MIC), Maximum Inspiratory Pressure (MIP), and Maximum Inspiratory Flow Rate (MIFR) were used. Results : In changes in pulmonary function between groups, FVC and FEV1 showed no significant difference, and in inspiratory function changes, MIC showed no significant difference, but in MIP and MIFR, Group B significantly improved over Group A. Conclusion : The progressive resistance training using the Power-breath device applied to the inspiratory muscle did not show a significant difference in the increase in the amount of air in the lungs and chest cage compared to the diaphragmatic breathing training accompanied by the upper arm exercise. However, by increasing the air inflow rate and pressure, it showed a more excellent effect on improving respiratory function.