건강보험정책심의위원회의 이익집단 간 대립이 물리치료 수가에 미치는 영향

김유신,윤범철,Kim, Yushin,Yoon, Bumchul 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.2

Purpose: The aim of this study was to demonstrate that non-participation of physical therapists on the political decision-making committee results in invasion of their interests. Methods: To demonstrate the effects, we analyzed the change of medical insurance score decided by the Health Insurance Policy Deliberation Committee between 2001 and 2012 years, focusing on medical examination as the interest of the participation group and physical therapy cost as interest of the non-participation group. Results: Total medical insurance cost increased by 23.72%, on average. Medical examination cost increased by 23.90% and 37.66% in medical examination for new and established patients, respectively. However, physical therapy cost was reduced by 5.01%. The medical examination cost for physical therapy without medical checkup increased by 2.62%. Conclusion: This study shows that the physical therapy cost, related on the interest of the non-participative group in the Health Insurance Policy Deliberation Committee, rather decreased while the total medical insurance cost increased.These findings demonstrate the invasion of the non-participative group on the Health Insurance Policy Deliberation Committee. Thus, aggressive participation in political decision-making committee is necessary in order to protect and increase rights and interests of Korean physical therapists.

정상 성인 남녀의 선 자세에서 비예측적 지지면 이동 시체간 안정성과 균형능력 비교

김민희,김유신,윤범철,Kim, Minhee,Kim, Yushin,Yoon, BumChul 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.2

Purpose: The aim of this study was to clarify the gender difference during standing balance in accordance with recruitment of abdominal muscles against sudden support surface translation. Methods: Twenty healthy males (n = 10, $26.50{\pm}3.54$ years, $170.60{\pm}6.30cm$, $72.80{\pm}5.69kg$) and females (n = 10, $24.40{\pm}2.63$ years, $163.00{\pm}4.97cm$, $52.10{\pm}4.41kg$) participated in the study. Each subject performed standing balance task on a platform, which moved in the anterior and posterior direction, with a total of 18 trials in three abdominal conditions (resting, hollowing, and bracing). We analyzed angular displacement of thoracic and lumbar spine and linear displacement of center of mass for evaluatione of spinal stability and standing balance, respectively. Results: Angular displacement of thoracic and lumbar spine and linear displacement of center of mass did not differ significantly between female and male in all conditions. Conclusion: Our results indicate that the ability to maintain spinal stability and standing balance were similar between male and female regardless of the abdominal contractile conditions and the direction of support surface translation.

토끼의 경골골절 후 치유 촉진을 위한 전기자극 치료의 효과

이재학(JaeHac Lee),윤범철(BumChul Yoon) 고려대학교 보건과학연구소 2007 보건과학논집 Vol.33 No.1

  Electrotherapy is one of the most important modality of Physical Therapy. Many therapists have been using electrotherapy to treat musculoskeletal diseases. Since 1950"s, researchers have been experimenting about effects of electrical stimulation to facilitate the healing of fractured bones. Taking into account that MES also increases blood flow in the muscle tissue and that blood flow has a close relationship to the fracture healing, it is likely that the use of MES may result in an improvement in the healing of fractured bones. We performed studies, to confirm the effects of electrical stimulation which is applied to rabbit"s fractured tibial bone. The object of the present study was to evaluate the effect of electrical stimulation on fracture healing, using rabbits model. 10 rabbits(3.9~4.5 ㎏) were used and divided into two groups, one group was treated by electrical stimulation and the other group was not given any treatment.<BR>  All rabbits received unilateral, transvers, mid-tibial, 3㎜ gapped osteotomics that were stabilized with double bar external fixator and splinter. Electrical stimulation was applied 1 hour per day for 2 weeks. We used the needle electrodes to stimulate the muscles selectively. Used electrical stimulator was Free Q. We employed X-ray to confirm the callus formation and used CT to verify bone mineral density at cross section of fractured areas of the bone. Fracture healing was not significantly increased in the experimental group on the radiological studies(p> .05). respectively, higher in the study group compared to the control group.<BR>  This result of the present study demonstrated that use of MES can enhance callus development and mineralization, with the consequent improvement of the healing bone.

엎드려 누운 자세에서 고관절 각도변화에 따른 슬괵근의 등장성 근력평가

이재학(JaeHak Lee),함용운(YoungWoon Ham),윤범철(BumChul Yoon) 고려대학교 보건과학연구소 2005 보건과학논집 Vol.31 No.1

Since isotonic exercise equipment can give an evaluation of muscle strength with great accuracy and objectivity, it is widely used as the one of the important methods for evaluation of muscle performance. The purpose of this study were to measure concentric and eccentric muscle strength of the Hamstring muscles as the change of hip angle in dominant. Concentric and eccentric muscle strength was assessed by monitoring peak power, average peak power, average power, peak velocity, average peak velocity, peak force, average peak fore, and total work for the Hamstring muscles using the EN-TreeM isotonic dynamometer. For this thirty healthy males performed knee motion at 74.89% of their 1 RM with 45° and 0° flexion fo their hip angle. The results were as follow : 1. The peak power, average peak power, peak force and average peak force of concentric contraction at 0° of the hip joint angle were greater than those at 45° of the hip joint angle. 2. The peak power, average peak power, peak force and average peak force of eccentric contraction at 45° of the hip joint angle were greater than those at 0° of the hip joint angle. 3. The average power and total work of concentric and eccentric contraction at 45° of the hip joint angle were greater than those at 0° of the hip joint angle.

플루트 연주자 경력에 따른 신체·심리학적 요인의 변화

김태영(TaeYeong Kim),정혜원(Heywon Jung),Jin Yan,윤지영(Jeeyoung Yoon),윤범철(BumChul Yoon) 한국음악교육공학회 2018 음악교육공학 Vol.- No.35

연주자와 관련된 근골격계질환(playing-related musculoskeletal disorders, PRMDs)의 치료와 예방은 악기의 특성, 연주 자세, 연주 환경, 연주자의 신체 변화 그리고 사회심리학적 요인을 고려해야 한다. 지금까지 연주와 관련된 근골격계질환은 일반 환자의 경우와 같이 포괄적으로 이해하고 다루어져 왔으나, 연주자의 특성을 고려하면 일반적인 적용은 한계가 있다. 최근 플루트 연주 동호인들이 증가하는 추세와 더불어 연주 관련 근골격계질환의 치료와 예방에 관한 관심과 요구가 높아지고 있다. 그러나 플루트 연주자만을 위한 구체적이고 체계적인 치료 가이드와 예방책은 마련되어있지 않다. 이에 본 연구는 플루트 전공 여성 연주자의 연주 관련 근골격계질환 유병률 및 통증 정도, 관절운동 범위, 상지 기능 장애, 사회심리학적 요인을 조사하여 연주 경력에 따라 분석하였다. 그 결과 본 연구에 참여한 20년 이상의 경력을 가진 여성 플루트 연주자(21명, 평균 연령: 31.57 ± 9.81세)들이 10년 이하의 연주자들에 비교해 근골격계 통증에 대한 높은 공포-회피 반응을 보였다. 또한, 경력에 따른 차이는 발견되지 않았으나, 플루트 연주자들은 어깨와 목의 관절 운동 범위가 정상 운동 범위보다 감소하거나 증가하여 있었다. 이는 플루트 연주자들의 근골격계질환 치료와 예방책 마련을 위해 경력을 고려한 연주자의 사회심리학적 요인과 신체 요인에 대한 적용이 필요하다는 것을 의미한다. A development of prevention and therapy program for playing-related musculoskeletal disorders(PRMDs) have to include a characteristics of instrument, playing posture, playing environments and physical and psychological factors of instrumental musicians. Although the prevalence of musicians’PRMDs have been reported, there is poor understanding of instrument-specific risk factors associated with PRMDs. To identify physical, psychological and behavioral risk factors of female flutist’ PRMDs, we examine a prevalence of PRMDs, pain intensity, functional disabilities in upper extremities, psychological and behavioral factors through self-administered questionnaire and range of motion through an examination with physical therapist. Twenty-one flutist were participated. Data from flutist were analyzed according to playing experience (3-10 yrs, 11-20 yrs, 21-30 yrs) using one-way ANOVA. The Fear-avoidance beliefs about work of flutist with playing experience over 20 yrs showed significantly higher compared with flutist with playing experience less than 10 yrs. The range of motions in shoulder and neck of participated flutist showed less range of motion, except for shoulder external rotation, compared with normal person who was examined in previous study. Fear-avoidance belief is associated with playing experience of female flutist. Since the hyper-decreased or hyper-increase range of motion in shoulder and neck could play an important risk factor for PRMDs, a development of prevention or management program for female flutist have to consider not physical factors but psychological factors.

탈라소테라피와 결합한 복합 치유 프로그램의 근골격계 통증에 대한 효과: 파일럿 무작위 대조 임상시험

오세준(Oh, Sejun),Jhosedyn Carolaym Salazar Faja,김병수(Kim, Byeongsu),김성국(Kim, Seongkuk),장건희(Jang, Gunhee),윤범철(Yoon, BumChul) 한국해양환경·에너지학회 2023 한국해양환경·에너지학회 학술대회논문집 Vol.2023 No.05