도수치료의 정의에 대한 고찰 및 발전 방향에 관한 연구

박종항,박현식,신영일,이호종,Park, Jong Hang,Park, Hyun Sik,Shin, Young Il,Lee, Ho Jong 대한물리치료과학회 2022 대한물리치료과학회지 Vol.29 No.1

Background: The legal and academic definitions of manual therapy in domestic and foreign countries are reviewed, and problems and improvement plan of manual therapy are established through comparative analysis of the current status and system of manual therapy in Korea and abroad. Design: Review. Methods: In this study, the development direction of manual therapy in Korea was derived by analyzing the definition, application status, and service system of domestic and foreign manual therapy. Results: Firstly, it lays the foundation for a more comprehensive national health promotion by solving problems arising from the current unclear definition of manual therapy. Secondly, the subject of manual therapy is a physiotherapist but the subject of claiming non-benefit costs is a doctor, moreover illegal manual therapy by an unqualified or non-professional who is not a physiotherapist is being carried out in the medical field. Thirdly, in order to provide quality physiotherapy services (manual therapy) under a cooperative relationship between medical staff and physiotherapists, it is appropriate that physiotherapist have a clear "prescription" or "request" by a doctor. Fourth, there is no provision for the preparation of medical records in the current Medical Technicians Act, and this causes safety accidents of patients during manual treatment. Conclusion: As described above, the current manual therapy in Korea is being performed indiscriminately without a clear interpretation, resulting in various problems. I think it is necessary to lay the foundation for institutional and legal re-establishment of manual therapy through additional research on manual therapy in the future.

척주세움근의 키네시오 테이핑이 허리가동범위와 허리통증에 미치는 영향

박종항 ( Jong Hang Park ),김윤환 ( Yoon Hwan Kim ),이재준 ( Jae Jun Lee ) 대한통합의학회 2015 대한통합의학회지 Vol.3 No.4

Purpose : To retestify about the changes of the range of motion and pain from kinesiotaping the erector spinae muscle. Method : Targeted the number of 30 people with low back pain and measured lumbar range of motion and pain before kinesiotaping on the erector spinae muscle. After that, the measured value were compared and analyzed. Result : First, before and after kinesiotaping, doing skin distraction test, the changes of the skin distance within each experiment group all statistically showed meaningful differences(p<0.05). Secondly, before and after kinesiotaping and testing pain threshold, it statistically showed meaningful differences(p<0.05). Conclusion : Both two groups showed that the change of the skin distance increased and the pain averagely decreased than before taping. Therefore, kinesiotaping is considered that it affected the low back, the range of motion and pain.

4주간의 중간볼기근 중점 강화운동이 양쪽 발의 압력 분포에 미치는 영향

박삼호,박종항,김윤환,Park, Sam-Ho,Park, Jong-Hang,Kim, Yoon-hwan 대한정형도수물리치료학회 2018 대한정형도수물리치료학회지 Vol.24 No.1

Background: The purpose of this study was to investigate the effect of pressure distribution on the both foots with gluteus medius muscle intensive strengthening exercise in 4week. Methods: The purpose of this study was to investigate the effect of gluteus medius muscles strengthening exercise on the pressure distribution of the foot in 20 healthy adults. Four gluteus medius muscles strengthening exercise programs were conducted three times a week for four weeks. The pressure distribution changed of the right and left foot parts of the experimental group and the control group were measured and analyzed. Results: There was a significant difference in F1, F2, M1, M2, and H1 among the pressure distribution of the right foot of the experimental group (p<.05). There was a significant difference in F1, M1, M2, H1 and H2 among the pressure distributions of the left foot of the experimental group (p<.05). There was a significant difference in H1 among the pressure distribution of the right foot of the control group (p<.05). There was no significant difference in the pressure distribution of the left foot region of the control group (p>.05). There was a significant difference in H1 among the pressure distribution of the right foot between the group (p<.05). There was a significant difference in M2, H1 among the pressure distribution of the left foot between the group (p<.05). Conclusions: In the healthy adults, it was confirmed that the application of the gluteus medius muscles strengthening exercise had an effect on the weight shift during the walking due to the overall foot balance and the pressure distribution change of the foot part.

20대 여대생의 양다리길이차이 및 발목관절가동범위가 발목 염좌 발생률에 미치는 영향

박종항,정연우,김태원,Park, Jong-Hang,Jeong, Yeon-Woo,Kim, Tae-won 대한정형도수물리치료학회 2015 대한정형도수물리치료학회지 Vol.21 No.1

Background: The purpose of this study was conducted to investigate the effect of incidence of ankle sprains on both leg length inequalities and range of motion of ankle joint in 20's female university students. Methods: 20's female university students were targeting 32 people attending K university in Gwangju. Both leg length inequality was measured using a tape measure, ranges of motion of ankles was measured using a goniometer. Results: The ankle sprain incidence was quite high, with 56.25% (n=18) for the right ankle, 34.38% (n=11) for the left ankle, and 9.38% (n=3) for both. As for the difference between the ankle sprain incidence and both leg length, the average value of the right leg was $83.08{\pm}3.69$, the average value of the left leg was $84.28{\pm}3.27$, making the right leg shorter than the left by 1.2cm with a higher incidence and showing a positive statistical correlation between the two (p<.05). Also showed that there was a negative statistical correlation between ankle sprain incidences and the inversion range of motion spread of the right ankle (p<.05). Conclusion: The incidence of ankle sprains was higher for the larger the difference between both leg length inequality. In addition, the smaller the inversion range of motion spread of the right ankle, the higher the incidence of ankle sprains. Therefore, The evidence suggests that the incidence of ankle sprains can be reduced by recommending stability and efficient exercises that take into consideration the both leg length as well as the ranges of motion of ankle joints.

스쿼트 동작 시 발목각도에 따른 대학생들의 다리 근활성도와 근육두께에 미치는 영향

박종항(Jong-Hang Park),최원제(Won-Jye Choi) 한국운동재활복지협회 2022 운동재활·복지 Vol.3 No.1

목적 : 본 연구의 목적은 안정된 바닥에서 발목의 3가지의 각기 다른 각도에 따라 체중부하를 받는 발목관절주변 근육의 근활성도와 근육두께의 차이를 알아보고자 진행되었다. 방법 : 연구의 대상자로는 20대 성인 남녀 14명을 대상으로 선정하였으며 모두 사전에 동의절차를 진행하였다. 실험군은 발목의 내측과 외측 모두 20°가 되도록 스쿼트 동작을 취하였고 주 2회, 4주간 실시하였다. 수집된 데이터는 Windows용 SPSS 21.0 버전을 이용하여 독립 t검정과 대응표본 t검증을 진행하였다. 결과 : 스쿼트 운동 시 발목 각도에 따른 하지 근육 활성도와 하지 두께 변화를 살펴본 결과는 20도 실험 후 내측광근, 대퇴직선근, 광광근에서 유의한 개선을 보였다. 넓은 근육, 곧은 다리 및 넓은 근육에서 상당한 개선이 나타났습니다. 결론 : 스쿼트 운동 시 내측광근의 효과적인 강화를 위해서는 발자세를 안쪽이나 중립자세보다 피하지방 상태에서 수행하는 것이 더 효과적이라고 생각된다. Purpose : The purpose of this study was to investigate the difference of muscle activity and muscle thickness of the surrounding muscles of the ankle joint, which receives weight load according to the angle of the ankle on the stable floor. Method : The experimental group squatted the ankle angle to 20 ° for both inward and lateral ankles, and the experiment was performed for 45 weeks twice a week for four weeks. The collected data was analyzed using SPSS 21.0 version for Windows. Results : As a result of examining the changes of lower extremity muscle activity and lower extremity thickness during squat exercise according to the ankle angle, significant improvement was found in medial broad muscle, thigh straight muscle, and wide broad muscle after 20 degrees experiment. Significant improvements were seen in the broad muscles, straight leg, and wide muscles. Conclusion : It is thought that it is more effective to perform the foot position in the scutaneous state than in the inward or neutral position for the effective strengthening of the inner broad muscle during squat exercise.

허리 불안정성을 가진 성인에게 적용한 복합운동프로그램이 정적균형능력에 미치는 영향

오윤중,박종항,김윤환,김태원,Oh, Yoon-joong,Park, Jong-hang,Kim, Yoon-hwan,Kim, Tae-won 대한정형도수물리치료학회 2019 대한정형도수물리치료학회지 Vol.25 No.2

Background: The purpose of this study is to investigate the effect of the combined exercise program on the static balance ability of the lumbar instability of adults. Methods: The experimental group was divided into two groups and randomly. The experimental group 1 (Exp 1) applied the combined exercise program for the lumbar stabilization exercise and strengthening exercises and the experimental group 2 (Exp 2) applied the combined exercises program for the lumbar stabilization exercises and active stretching exercises. Each experiment group performed exercise program for 4 weeks, 3 times a week, 30 minutes a day. Static balance ability was measured using GOOD BALANCE system. Results: As the comparing results of static balance ability, normal standing eye open was Ant-Post and Med-Lat showed significant differences in Exp 1 (p<.05). One leg left eye open was velocity moment showed significant differences in Exp 1 (p<.05). and one leg right eye open was Med-Lat showed significant differences in Exp 1 (p<.05). Conclusion: These results show that thoracic self mobilization is immediate effective on balance and gait ability. Thus, thoracic self mobilization will help recovery of balance and gait ability in acute stroke patients.

체간 신전근 강화훈련이 청소년기 야구선수의 상지 근수행력에 미치는 영향

최재행,박종항,Choi, Joe-Haeng,Park, Jong-Hang 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.1

The purpose of this dissertation was to analyze the effect of trunk extension strengthening exercise on muscle performance of the upper limb in adolescent baseball player. The twenty people were studied : experimental group(10), comparative group(10). The experimental group has done trunk extension strengthening exercise for 8 weeks. The study analyzes isometric maximal strength of shoulder internal rotation. shoulder external rotation, elbow flexion, elbow extension, forearm pronation, forearm supination and ball speed. All of subjects were tested for 3 times ; pre, mid, post. The results were as follows; 1. Maximal isometric strength of upper limb, during trunk extension strengthening exercise in experimental group, shoulder internal rotation and external rotation showed it has slightly increased and comparative group showed it has no change, but not significant elbow flexion and extension significantly(p<0.05) increased after exercise either for 4 or 8 weeks compared with that of control group. Forearm pronation showed not significantly changed in both group, but significantly different between group either for 4 or 8 weeks. Forearm supination, significantly((p<0.05) increased after 8 weeks in experimental group. 2. Ball speed showed slightly increased but not significantly in experimental group. These results it may expect improvement of upper limb muscle performance of upper limb in adolescent baseball player. However, in case of shoulder a point of view of bunk extension strengthening exercise of this study hasn't a significant influence. More experimental studies are needs, hereafter which will use more experimental subjects and various methods of exercise and new application of treatment term to define significant change.

공기주입식공을 이용한 근막이완 운동이 성인의 척추 유연성에 미치는 영향

민인기,박종항,박현식,Min, In-gi,Park, Jong-hang,Park, Hyun-sik 대한정형도수물리치료학회 2020 대한정형도수물리치료학회지 Vol.26 No.2

Background: This study examined the effects of myofascial release exercise using an inflatable compression therapy ball on spinal flexibility in adults to present basic data to improve spinal flexibility. Methods: The participants were assigned randomly to two groups: the myofascial release exercise group (MRE, n=60) and the stretching exercise group (SE, n=60). The MRE group performed myofascial release exercise for the erector spine muscles using an inflatable compression therapy ball. The SE group performed stretching exercises of the erector spine muscles. Each exercise was performed in 3 sets of 10 repetition daily for one week. Results: The within-group comparison revealed a statistically significant difference between the pre-intervention and post-intervention measurements in only MRE group (p<.05). On the other hand, the between-group comparison revealed the MRE group to show statistically significant improvement in spinal flexibility (p<.05). In effect size, the MRE group was -1.82 (95% CI= -2.24~-1.39), and the SE group was -.7 (95% CI= -1.15~-.41). Conclusion: Myofascial release exercise for the erector spine muscles using an inflatable compression therapy ball was more effective in improving spinal flexibility than stretching exercises for the erector spinae muscles. However, although myofascial release exercise using inflatable compression therapy ball is more effective than stretching exercise, it is insignificant, and research is also insignificant. It is believed that more diverse studies using props will be needed in the future.

뇌혈관 질환자의 기능 회복과 체성감각 유발전위의 변화

김윤환,김찬규,박종항,이승엽,최원제,Kim, Yoon-Hwan,Kim, Chan-Kyu,Park, Jong-Hang,Lee, Seung-Yub,Choi, Won-Jye 대한물리치료과학회 2008 대한물리치료과학회지 Vol.15 No.1

This study was designed to test the effects of comprehensive rehabilitation management on functional recovery after attack of cerebrovascular disease. 16 cerebrovascular disease patients applied comprehensive rehabilitation management of physical therapy at department of physical Therapy, C medical center in Gwang-ju. The collection of the data had been executed for 4months(April 15, 2007${\sim}$July 15, 2007). For evaluating, Functional Independence measure(FIM) and Somatosensory Evoked Potential(SSEP) were used to assess functional recovery. The results of this study were as follows: 1. In the comparison of latency of median nerve SSEP before and after treatment, the lat. N20 and P25 increased, the ampl. P25/N20 was decreased. In the comparison difference data of median nerve SSEP, however there was no significant difference in the group(p>0.05). 2. In the comparison of latency of Post Tibial nerve SSEP before and after treatment, the lat. P40, P50, P60 increased, the ampl. P40 was decreased. In the comparison difference data of post tibial nerve SSEP, however there was no significant difference in the group(p>0.05). 3. In the comparison of FIM scores of Self-care, Sphincter Control, Mobility: Transfer, Locomotion before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was significant difference(p<0.05). 4. In the comparison of FIM scores of Communication, Social Cognition before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was no significant difference in the group(p>0.05). Based on these results, it is concluded that the comprehensive rehabilitation management for cerebrovascular disease case was not significant difference in the SSEP, was significant difference in the motor part of FIM. Further study should be done to analyze the effect of intervention duration of treatment, optimal time to apply the treatment in more long period.

지지면 변화에 따른 교각운동이 복횡근 두께와 균형능력에 미치는 영향에 관한 연구

안준일,김윤환,박종항,안미래,정연우,김태원,Ann, Jun-il,Kim, Yoon-hwan,Park, Jong-hang,Ann, Mi-rae,Jung, Yeon-woo,Kim, Tae-won 대한정형도수물리치료학회 2017 대한정형도수물리치료학회지 Vol.23 No.1

Purpose: The purpose of this study was to investigate the effect of transverse abdominis ratio and balance ability during bridge exercises on different support surface. Methods: The subjects were 20 students at G University. Ultrasound equipment was used to measure the transverse abdominisratio and the computerized balance measurement equipment was used to measure the balance ability before and after bridge exercises on different support surface. Results: Transverse abdominis ratio change between the groups was a significant difference only in the unstable support surface training group (p<.05). Normal standing eye close balance ability change between the groups was significantly different only in the unstable support surface training group (p<.05). The changes in the transverse abdominis ratio after 7 days of exercise and 14 days after exercise were significantly different between the groups (p<.05). Normal standing eye close balance ability showed a significant difference at 7 days after exercise and 14 days after exercise (p<.05). Conclusions: It is more effective to balance ability and ratio of the transverse abdominis when bridge exercises on an unstable support surface than to perform bridge exercises on a stable support surface. Therefore, we propose an effective program for patients with instability of the lumbar in clinical practice. bridge exercises on different support surface.