복횡근 강화운동이 체간 신전-굴곡 시 척추 분절 운동에 미치는 영향

김선엽,백인협 한국전문물리치료학회 2003 한국전문물리치료학회지 Vol.10 No.1

This research was performed to compare spinal segment motion angle between low back pain (LBP) group and painless group during trunk flexion-extension and to investigate the effect of transversus abdominis strengthening exercise on spinal segment motion angle in LBP group. Nine subjects with LBP and ten subjects without LBP participated. Transversus abdominis strengthening exercise was peformed in LBP group for three weeks, and spinal segment motion angles were compared before and after the exercise performance. Spinal segment motion angles were measured both in sitting and standing position. Results were as followed: 1) Subjects' average age was 24.79 years, height was 167.84 ㎝, and weight was 59.95 ㎏. 2) Spinal segment motion angle of T10/11 was significantly higher in LBP group compared with painless group (p<.05) in sitting position during trunk flexion-extension. 3) In sitting position, whereas entire lumbar segment motion angles were lower in LBP group compared with painless group (p<.05), angle of L4/5 was higher in LBP group compared with painless group (p<.05). 4) There was no significant difference in thoracic segment motion angle in standing position. 5) After three weeks of transversus abdominis strengthening exercise, thoracic segment motion angle increased both in sitting and standing position (p<.05). 6) In painless group, there was no significant difference in entire spinal segment motion angles in sitting and standing position (p>.05). When spinal segment motion angles were compared between sitting and standing position, there were slight differences. In sitting position, there was no difference in spinal segment motion angle between LBP group and painless group while hip joint motion angle and sacral inclination angle of LBP group was lower than those of painless group (p<.05). In standing position, lumbar segment motion angle was significantly lower in LBP group than that of painless group. Transversus abdominis strengthening exercise influenced thoracic segment motion angle more significantly than lumbar segment motion angle.

만성 요통환자의 복부 심부근과 표재근을 중심으로 한 운동 효과 비교

김진산,이창현,조미주,임연욱,정취산,김선엽 대한정형도수치료학회 2005 대한정형도수물리치료학회지 Vol.11 No.1

Objectives: To compare the efficacy of two types specific exercise intervention (deep and superficial abdominal muscle exercises) in the treatment of patients with chronic low back pain (CLBP). Design: A randomized, comparative, repeated-measures. Subjects: Twenty-four patients with CLBP (at least for 3 months), mean age±SD=51.58±16.21 (yrs). Methods: Twenty-four patients with this condition were assigned randomly to two treatment groups. Both first and second group underwent 3 weeks specific exercise treatment program. The first group specific trained for the deep abdominal muscles. The second group specific trained for the superficial abdominal muscles. Results: After intervention, the first group showed a statistically significant reduction in pain intensity and functional disability levels (p<.05). The second group showed no significant change in these parameters after intervention (p>.05). Conclusions: According to results, a "deep abdominal muscle exercises" treatment approach appears more effective than a "superficial abdominal muscle exercises" treatment in patients with CLBP.

의도적인 견갑골 외전이 Sit-and-Reach Test에 미치는 영향

김선엽,지창연,김광수 대한정형물리치료학회 2000 대한정형도수물리치료학회지 Vol.6 No.1

Purpose : This study was done to examine the actual effect of the scapular position in these flexibility tests. The purpose of this study was to examine the differences between the measurement of SRT(Sit-and-Reach Test) without intentional abduction of the scapular (pre-test) and with intentional abduction of the scapular (post-test). The hypothesis is: 1. There is no differences in the SRT result of the pre-test and the post-test. 2. There is no differences in the HJA(Hip Joint Angle) result of the pre-test and the post-test. 3. There is no differences in the Spine Motion Test(SMT) result of the pre-test and the post-test. Method : The total 60 people (30 men, 30 women) were participated in this study. In the pre-test, the subjects were asked to sit on the examination table and try the SRT motion: and then the HJA, SRT and the SMT numerical values were taken. In the post-test, the subjects were instructed to intentionally bring the scapula outward from the midline: and the HJA, SRT and the SMT numerical values were taken. Result : In the pre-test, the SRT result averaged 34.17cm, and in the post-test, the SRT result averaged 36.68cm. The difference was about 2.81cm which showed a significant mean statistically (p<0.01). The measurement increased by 8.22%. The HJA was 85.9˚ in pre-test, and it was 85.5˚ in post-test, giving the 0.4˚ differences. Therefore, it didn't have a statistical mean (p>0.05). The SMT value was 69.28cm in the post-test, about 0.28cm decreased. Therefore, it didn't have a statistical mean(p>0.05). SRT values and HJA values were correlated (p<0.01). SMT values and SRT values (p<0.01), and SMT values and HJA values (p>0.05) were each in counter correlation. Conclusion : The result of the SRT without intentional scapular abduction (34.17cm) and with intentional scapular abduction (36.68cm) showed a significant increase about 8.22% (p<0.01). In SRT, the effect of the intentional scapular abduction on SMT showed no significant means, the pre-test value being 69.59cm and the post-test value being 69.28cm (p>0.05).

도수치료기법들 간의 평가와 치료 개념에 대한 비교

김호봉,김선엽,김영민 대한정형도수치료학회 2005 대한정형도수물리치료학회지 Vol.11 No.1

This study largely compared the general concept, examination, and treatment of various manual therapy techniques. These various manual therapy techniques, however, are still in the developing stage, so no one approach is yet perfect. Clinically, manual therapy techniques are widely being used to treat the dysfunctional neuromusculoskeletal with the common practice of mobilization, manipulation, exercise, and patient education. Any one of the above approaches must not be selectively chosen as the best method. Manual therapists should treat patients in the clinic with the full knowledge of these proper manual therapy techniques depending on the patient's symptoms in each of the anatomical, biomechanical, and pathological views.

견관절부 근막동통증후군의 근육내 전기자극치료시 신장운동과 안정화운동의 효과 비교

김상은,이현옥,김종순,김선엽 대한정형도수치료학회 2005 대한정형도수물리치료학회지 Vol.11 No.2

Summary of Background Data: Myofascial pain syndrome (MPS) is a common painful muscle disorder caused by trigger points occurring in myofascial. MPS is a major cause of chronical pain and is the subject of further clinical examination. Purpose: To uncover effective intramuscular stimulation therapy (IMS), the patients' actively participation stretching exercise and stabilizing around shoulder girdle where trigger point provoking myofascial pain syndrome in usually occurred. Methods: 45 myofascial pain syndrome patients were randomly chosen and divided into 3 groups. The first group (G1) received only IMS therapy, The second group (G2) had both IMS and active stretching exercises administered and the final group (G3) was given IMS therapy and stabilizing exercises. Therapy intervention was given for 3 weeks, 3 times a week and then only stretching exercise for the second group and stabilizing exercise for the third group was given for another 3 weeks. The visual analogue scale was dine before the experiment, 3 weeks after the experiment and 6weeks after the experiment to measure subjective degrees of pain and pressure pain threshold to measure sensitivity improvement of trigger point and functional ability questionnaire to measure daily life performance. Results: There were no significant changes after 3 weeks but after 6 weeks, between G1 and G2 and between G1 and G3 showed significant change of pain, pressure pain threshold and daily life performance. There were significant improvement of the measurement of degrees of pain, pressure pain threshold and improvement of daily life performance at different times for G1 showed change 3 weeks after the experiment, but there were no changes 6 weeks after the experiment. There were significant improvement of the measurement at different times for G2 and G3 showed change 3 weeks after the experiment and 6 weeks after the experiment. Conclusions: IMS therapy proved to be effective in inactivation of trigger points of the myofascial pain syndrome patients and stretching and stabilizing exercises beside it keep remedial value longer by improvement of pain and dysfunction that occurred by the trigger point.

견관절부 장애의 치료를 위한 McConnell 테이핑 적용법

김선엽,김호봉 대한정형도수치료학회 2005 대한정형도수물리치료학회지 Vol.11 No.2

Most physical therapist that the effect of taping can only partially be explained by increased mechanical stability, However, that taping may have some proprioceptive influence. Shoulder taping is one intervention that has been used in the management of shoulder subluxation in patients who have had a cerebrovascular accident. Taping the scapula has been suggested as a method of improving both scapula position and muscular efficiency of the shoulder girdle. Scapular taping can be useful in cases of secondary impingement in which faulty positioning of the scapular during overhead movements causes impingement of the rotator cuff tendons. The taping must be accompanied by retraining exercises to reeducate the scapular muscles so that they position the scapular correctly during shoulder motions. A McConnell taping method developed by Jenny McConnell, and Australian physical therapist, uses a combination of taping and exercises. Her initial theory stated that the tape corrected patellar alignment to relieve pain and allow the patient to exercise to regain strength. Although taping techniques are commonly used in addition to exercise programmes in the rehabilitation of shoulder instability and secondary impingement syndrome, few studies exist on the effect of taping on the muscle activity of the shoulder joints. Therefore, the purpose of the this article was to review the influence of McConnell taping method on the muscular activity in shoulder muscles and joints.

요통 환자에 대한 물리치료방법의 적용 시간을 중심으로 한 기술적 연구

김선엽,채정병,권재확 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.1

Objective: The purpose of study was to compare physical therapy duration in relation tohealth care organization system in patients with low back pain. Subjects: Subjects of this study were 759 patients who are receiving physical therapy at 56 health care organization. Methods: Data were collected by questionnaire that had been completed by patients and physical therapist for two months. Physical therapy procedures consisted of modality application, manual therapy, active therapeutic exercise, and patient education. Physical therapy session duration was investigated for each physical therapy procedure. Data were analyzed in relation to the university hospital, hospital, and clinic. Results: The mean age of subjects was 42.84±15.46. There were no significant differences in age among three groups. The number of patients diagnosed with herniated disc were 244(32.15%) and with mechanical low back pain was 187(24.64%). the mean treatment duration per day was 53.22 minutes, and the longest treatment duration was 61.28 minutes at the university hospitals(p<0.001). The mean modality application duration was 42.17 minutes, and the longest application duration was 46.26 minutes at the university hospitals(p<0.001). The mean duration for manual therapy was 5.11 minutes, and the longest treatment duration was 5.97 minutes at clinics. The mean duration for active therapeutic exercise was 4.16 minutes. It was 7.60 minutes at the university hospitals, and 2.48 minutes at clinics. There was a significant difference in active therapeutic exercise duration between university hospitals and clinics(p<0.001). For modalities, hot packs(89.33%) and interferential current therapy(60.87%) were mostly applied. For manual therapy, Soft tissue mobilization(32.93%) and manipulation(14.10%) were mostly applied. In general, treatment application duration was longer at University hospital (p<0.05). For therapeutic exercise, exercise without equipment(18.84%) and muscle strengthening(16.73%) were mostly performed. The longest treatment duration for therapeutic exercise was 7.60 minutes at the university hospital(p<0.05). Conclusion: physical therapy session duration for low back pain was 53.22 minutes. Modality application constitutes 79%, manual therapy 10%, active therapeutic exercise 8% of total treatment duration. It is concluded that patients do not participate actively in treatment procedures.

요통 환자와 정상인의 양하지 체중지지 차이 비교

김선엽 한국전문물리치료학회 2001 한국전문물리치료학회지 Vol.8 No.1

The purpose of this study was to compare the differences of weight-bearing distribution between subjects with low back pain and healthy subjects. Fifty-one subjects (22 men, 29 women; mean age = 42.9 years) with law back pain and 31 healthy subjects (11 men, 20 women; mean age = 35.4 years) were evaluated. The weight-hearing distribution was measured by two commercial scales during comfortable standing. The difference of weight-bearing distribution between right and left side was calculated for each subject. The differences of weight-bearing distribution in sbjects with low back pain and healthy subjects were 6.0 kg and 4.5 kg, respectively. However, there were no significant differences in the weight-bearing distribution between subjects with low back pain and healthy subjects.

발달장애 아동 어머니의 가정치료 참여도

김선엽,두정희 한국전문물리치료학회 1995 한국전문물리치료학회지 Vol.2 No.2

건강관리 프로그램이 노인의 건강관리에 미치는 영향

김선엽,강희양 한국전문물리치료학회 1998 한국전문물리치료학회지 Vol.5 No.2