Dr.Cyriax의 Orthopaedic Medicine에 관한 연구

구희서 대한정형물리치료학회 1995 대한정형도수물리치료학회지 Vol.1 No.1

Orthopaedic medicine was developed and published by James Cyriax, a British Orthopaedic Physician on 1929. Orthopaedic medicine is concerned with the diagnosis and treatment of soft tissue lesions. These disorders affect a substantial proportion of all patientients in general and in particular, physiotherapy and sports clinics. In broad terms these disorders emtrace conditions, such as artritiis, rheumatism, fibrositis, backache, lumbago, sciatica, frozen shoulder, tennis elbow, strained wrist, sprains, aches, inflanmation and sports injuries generally. The soft Moving tissues shre one thing in common-they are all radiotranslucent and the tissues in question are the joint capsule, the ligaments, the fasciae, dural sheath. These structures can cause pain but none of them is visible on the radiograph. Dr. Cyriax divided all cause pain but none of them is visible on the radiograph. 1) Contractile tissue, 2) Inert or noncontractile tissue. The mechanism of diagnosis is tension applied manually. The physician subjects each tissue about the incriminated joint to tension in turn which they call 'Selective tension' with Cyriax's assessment, a more definitive diagnosis can be obtained and proper treatment can be implemented.

노인여성의 복압성요실금에 대한 골반저근육강화 운동치료 프로그램의 효과

구희서,박정미,Gu, Hui-Seo,Park, Jeong-Mi 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.2

This study was designed to evaluate the effect of pelvic floor muscle strengthening exercise treatment program for the older women with stress incontinence. The researcher developed 8 weeks training program which was implemented at a social welfare center in Seoul. The exercise method followed the Kegel criteria. Verbal instructions were given to the subjects. Subjects were confirmed of the exercises and evaluated by description of the exercise method. Fourteen elderly women(mean age 75.7) with stress incontinence participated and completed this program. The training sessions were held twice a week and each session took 45 minutes ; 15 minutes for pelvic floor muscle strengthening program and 30 minutes for other physical therapy. Pelvic floor muscle strengthening exercise program was applied using verbal instruction and practice at social welfare center, twice a week and daily home exercise program were given to each individual. The results were as follows ; 1. There was significant decrease of lower urinary symptoms in the subjects (p = 0.00) 2 But there was no significant change in the sexual matters (p = 0.44) and the life style (p = 0.41) In conclusion, further study with larger sample group is suggested in order to confirm the study result. Because of limited sample size, the study results were not conclusive. But the pelvic floor muscle strengthening exercise treatment program could be a safe and effective program and is suggestive for the community residing older women with stress incontinence as a geriatric physical therapy intervention.

뇌졸중 환자의 운동 재학습 계획에 관한 연구

구희서,Koo, Hee-Suh 대한물리치료사협회 1988 대한물리치료사협회지 Vol.9 No.2

Hemiplegia (편마비) 치료에 적용된 Brunstrom의 원리 및 방법에 관한 고찰

구희서,Gu, Hui-Seo 대한물리치료사협회 1981 대한물리치료사협회지 Vol.3 No.-

Medical Exercise Therapy 의 이론과 적용에 관한 연구

구희서 대한물리치료학회 2000 대한물리치료학회지 Vol.12 No.3

MET is one of the few physical therapy having its own criteria. Mr.Holten approached the Norwegian Health Authority in 1967 to get his MET System recognized as a treatment method of its own. He was granted his approval for his exercise system's specific criteria connected with the treatment method. In MET, the patient exercises himself without manual participation by physiotherapists, however,under continuous supervision. The apparatus should be designed that functional quality (arthrogenous, circulatory, respiratory, neuromuscular)in question is optimally influenced when the patient carries out exercise in a certain range against a graded resistance. The therapy reassesses the scheme of treatment at least every tifth session and the maximum number of patients being 5 person per hour. The important principles in medical exercise Therapy arc stabilization of hyperfunction through the system of autostabilization and mobilization of hypofunction through automobilization. In MET, exercises are adjusted to the patient's reactions. MET equipment is therefore made to meet requirements for treating patients with painful pathological dysfunction in the musculo-skeletal system.

요통에 적용된 심부 안정근 재교육 프로그램에 관한 연구

구희서 대한물리치료학회 2004 대한물리치료학회지 Vol.16 No.4

호주식 안정화 운동이 만성 요통환자의 기능부전과 통증감소에 미치는 효과

구희서,Koo, Hee-Seo 대한물리치료과학회 2009 대한물리치료과학회지 Vol.16 No.4

Background: To evaluate the effects of Australian stabilization exercise for chronic low back pain. Methods: Interventions consisted of exercises aimed at recovery of Multifidus in cocontraction with Transverse abdominis through neural control retraining. Results: After exercise, there were significant improvement(p<.05) in pain and disability score. Conclusions: Neural control stabilization exercise can be effective intervention for chronic Low Back Pain patients.

골반의 기능평가 및 치료에 관한 고찰

구희서 대한정형물리치료학회 1995 대한정형도수물리치료학회지 Vol.1 No.1

The correlation between mobility abnormalitise and positional findings(pelvic asymmetry) is essential for complete pelvic girdle evaluation. For mobility tests, there are four tests include: 1.Standing forward bending test. 2.Seated forward bending test. 3.Posterior anterior sacral pressures. 4.Kinetic test. To determine specfic pelvic dysfunction, positional findings should bo assessed with bony landmarks. According to the assessment findings, the suggested order of treatment is as follows. 1.Public malalignment 2.Sacroiliac dysfunction. 3.Iliosacral dysfunction. Many of the pelvic dysfunctions will respond to the simplified approach as shown in this paper but some dysfunctions will require more specific treatment.

腰通患者의 身體像과 生活適應에 관한 硏究

구희서 韓國保健敎育學會 1989 보건교육건강증진학회지 Vol.6 No.1

The purpose of this study is to identify the body images of patients with low back pain and their status on adjustment of daily living. The data were collected from 11 general hospitals during Feburary 2, 1987 through May 30,1987. One hundred and ninety five subjects having physical therapy treatment because of low back pain were analyzed. For measurement of body image, 11 pairs of adjectives were used on semantic differential scale, and for measurement of adjustment of daily living,10 items were used on a likert type scale. Results of the study are summerised as follows. 1. The average patient age were 34years and 62% of the patients were men. High school grade completed were 43.1% and Cause of Low Back Pain were respectively : Unknown etiology 31.8%. lifting heavy objects 27.7%, Traffic accident and injury 17.9%. Types of treatment were; medication plus physical therapy 54.9%, physical therapy only 22.6%. Average treatment duration were 24.5 months. 2. There were significant difference in the body image between before low back pain and after low back pain. The body image before low back pain were 59.89(Mean) but after low back pain were 37,24(Mean) and two groups were statistically significant (t=21.3, p<0.001). 3. There were no significant difference in the body image between the male and female.(t= 1.49. p>0.05) 4. The correlation between body image and adjustment of daily living in both sexes showed positive correlation coefficient; male(r=0.4648,p<0.001) female(r=0.4516,p<0.001) respectively. It means that patients with positive body image can adjust well in daily living. 5. The relation between the body image and general variables revealed significant difference with occupation and age.(F=2.12 p<0.05, F=3.48 p<0.05). That is different occupation and different age groups can show different body image. In conculsion with the above results, It is my strong belief that multidisciplinary approach including the concept of body image and patient education about postural care, activities of daily living. lifting mechanics should be applied in treating and dealing with those patients.

골반의 기능평가 및 치료에 관한 고찰

구희서,Koo, Hee-Suh 대한물리치료과학회 1995 대한물리치료과학회지 Vol.2 No.1

The correlation between mobility abnormalities and positional findings(pelvic asymmetry) is essential for complete pelvic girdle evaluation. For mobility tests, there are four tests include : 1. Standing forward bending test. 2. Seated forward bending test. 3. Posterior anterior sacral pressures. 4. Kinetic test. To determine specific pelvic dysfunction, positional findings should bo assessed with bony land-marks. According to the assessment findings, the suggested order of treatment is as follows. 1. Pubic malalignment 2. Sacroiliac dysfunction. 3. Iliosacral dysfunction. Many of the pelvic dysfunctions will respond to the simplified approach as shown in this paper but some dysfunctions will require more specific treatment.