물리치료실의 질 향상(QI)을 위한 내원 환자의 만족도에 관한 연구

권춘숙,한동욱,Kwon, Chun-Suk,Han, Dang-Uck 대한물리치료과학회 2000 대한물리치료과학회지 Vol.7 No.2

The purpose of this study was to contribute to quality improvement with physical therapy service and determining the factors affecting patients' satisfaction. The study subjects were ambulatory and admitted patients treated with physical therapy at B general hospital located in Taejon from July 15, 2000 to July 21. Authors developed structured questionnaire, and distributed it to each physical therapist of B general hospital. Total number of distributed questionnaire was 164, and 157 questionnaire were collected and analysed finally. Demand of physical therapy for quality improvement(QI) related to treatment time(r =0.746, P<01), treatment method(r =.664, P<.01). treatment effect(r=0.648, P<.01), equipments(r=0.620, P<.01), cleaning status(r =0.619, P<.01). Willingness to revisit and recommendation of this physical therapy room related to treatment method(r=0.489, P<.01), treatment time(r=0.469, P<.01), cleaning status(r=0.432, P<.01).

VDT 작업자의 작업특성에 따른 자각증상 비교

권춘숙,이인학,김광환,Kwon, Chun-Suk,Lee, In-Hak,Kim, Kwang-Hwan 대한물리치료과학회 1994 대한물리치료과학회지 Vol.1 No.2

In order to investigate the subjective symptoms of VDT workers according to the working condition, this qutionnaire survey was conducted on 477 workers of 11 general hospitals, 15 banks and 9 research institutions in Taejon city and Chungnam province from June, 1993 to october 1933. The following results were obtained : 1. The main subjective symptoms answered by VDT workers were "eye strain". "eye pain". "blurred vision" for eye symptoms, "fatigue", "tendency to be fed up", "impatience" for psychoneurotic symptoms and "shoulder stiffness", "neck stiffness", "low back pain" for musculoskeletal symptoms. Most of these symptoms of VDT workers higher in female than male. 2. The number of VDT workers who complained eye and musculoskeletal symptoms were significantly increased. Smoking VDT workers showed higher complained rate of eye, psychoneurotic and musculoskeletal symptoms than nonsmoking group but alcohol drinking group showed higher rate of symptoms complaints of eye and musculoskeletal symptoms than not drinking alcohol group. 3. The VDT wokers who worked longer hours continuously and more hours of daily work, complained more frequent eye and musculoskeletal symptoms. 4. All subjective symptoms showed positive correlation to the sex and daily VDT working hours.

가정방문물리치료가 국가유공자 재가장애인의 운동기능, 일상생활동작 수행 및 통증수준에 미치는 영향

권춘숙 ( Chun Suk Kwon ),김선엽 ( Suhn Yeop Kim ),장현정 ( Hyun Jeong Jang ) 대한물리의학회 2014 대한물리의학회지 Vol.9 No.2

PURPOSE: The objectives of this study were to investigate the effects of physical therapy provided at home on the motor function, activity of daily living (ADL), and level of pain in veterans men with disabilities, and to provide the information. METHODS: The participants were 108 patients men with disabilities living in the cities Seoul, Pusan, Daegu, Gwangju and Daejeon; they performed physical therapy at home-provided by physical therapy services- that included therapeutic exercise for 50 minute, 1∼2 times a week for 24 weeks. The motor function was measured by using motor assessment scale (MAS) and ADL, the level of pain were recorded both before and after physical therapy. The data form both before and after physical therapy were analyzed by using the paired t-test. All statistical tests in this study were performed with the level of significance set at .05. RESULTS: After 24 weeks of physical therapy, we observed significant improvement in the MAS and ADL scale, as well as significant decrease in the level fo pain in the participants (p<.01). Significant improvement was also observed in the MAS and ADL scale, as well as a decrease in the level of pain among participants with stroke and spinal disease (p<.05). CONCLUSION: The findings of this study show that physical therapy provided at home can lead to an improvement in the motor function as well as improved ADL and pain control; physical therapy also has positive effects in relieving symptoms of veterans with disabilities.

편마비 환자의 골반경사 각도에 따른 하지체중지지 및 체중이동에 관한 연구

서규원,권춘숙,신홍철,Seo, Gyu-Won,Kwon, Chun-Suk,Sin, Hong-Cheul 대한물리치료과학회 1995 대한물리치료과학회지 Vol.2 No.3

The purpose of this study was l)to compare a pelvic tilt angle between sound side and affected side in hemiplegic patients, 2)to determine the difference of weight bearing and weight shifting between sound and affected lower extremity according to the pelvic tilt angle. The subject for the study were 40 hemiplegic patients(mean age of 55.6 years)without orthopedic disability on pelvic bone. The data were analyzed by t-test, one way ANOVA, Multiple comparison and Range. The results of this study were as follows : 1. There was a significant difference in the pelvic tilt angle between sound side and affected side in hemiplegic patients(p<0.05). 2. There was a significant difference in the weight bearing value between sound and affected side in hemiplegic patients according to the posterior pelvic tilt angle(F = 12.43, df = 3/36, p<0.001). Therefore, the lesser the posterior pelvic tilt angle, the higher the weight bearing value on the affected side. 3. The lesser the posterior pelvic tilt angle, the higher the weight shifting value on the affected side. 4. There was a significant difference in weight bearing value between sound and affected side according to the grade spasticity(F = 3.61, df = 4/35, p<0.05). Therefore, the higher the grade spasticity, the lower the weight bearing value on affected side.

여성노인의 굽은 자세, 신체수행능력과 심리사회학적 요인 간의 상관성

장현정,김성렬,권춘숙,Jang, Hyun-Jeong,Kim, Seong-Yeol,Kwon, Chun-Suk 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.5

Purpose: Flexed posture commonly increases with age in older women and is characterized by an excessive curvature in the thoracic spine (kyphosis), forward head posture, and decline in height. This study was conducted in order to determine the relationship between flexed posture, physical performance, and psychosocial factors in community dwelling elderly women in Korea. Methods: Fifty-two subjects with thoracic kyphosis of $40^{\circ}C$ or greater participated in this study. Flexed posture was measured using kyphosis angle (KA), forward head posture (FHP), and round shoulder (RS), and physical performance was evaluated using the short physical performance battery (SPPB), grip strength, and static and dynamic balance. Psychosocial factors were measured using depression and the quality of life (QOL). All data were analyzed using SPSS 18.0 software for windows. Results: KA showed significant correlation with SPPB score (r=-0.447) and dynamic balance (r=0.426) (p<0.05) depression (r=0.405) and QOL (r=-0.464) but not with grip strength and static balance in elderly individuals. FHP and RS showed significant correlation with SPPB score (r=0.002, r=-0341) and dynamic balance (r=-0.278, r=0.346) (p<0.05) but not with psychosocial factors. Conclusion: These findings suggest that flexed posture provides meaningful information about physical performance and psychosocial factors in elderly women. Our data suggest that the flexed posture may need to be addressed as part of the health management process for elderly women.

기계적 견인이 슬관절 골관절염 환자의 통증과 신체 기능에 미치는 효과

이남용(Nam yong Lee),권춘숙(Chun suk Kwon),김선엽(Suhn yeop Kim) 한국전문물리치료학회 2015 한국전문물리치료학회지 Vol.22 No.3

The purpose of this study was to identify the effects of mechanical traction applied to the knee joint on pain, knee range of motion (ROM), timed up and go (TUG) and Western Ontario and MacMaster Universities Osteoarthritis (WOMAC) in patients with knee osteoarthritis (KOA) of Kellgren-Lawrence radiological rating scale Ⅱ or Ⅲ. Twenty three patients participated in the experiment for a period of four weeks. After baseline assessment, the patients with KOA were randomized into two groups: the traction group (n1=12), which received traction with general physical therapy; and the control group (n2=11), which received general physical therapy only on unilateral knee joints. Patients received interventions once a day, three times a week, for four weeks. Wilcoxon signed-rank test was used to analyze the change of dependent variances within the group during pre and post intervention. Mann-Whitney U test was used to analyze the change of dependent variances as TUG and passive ROM between the two groups. Analysis of covariance was used to analyze the change of dependent variances as numeric pain rating scale (NPRS) and WOMAC score between the two groups. In Wilcoxon signed-rank test, the traction group improved significantly with regard to NPRS (p<.01), passive knee flexion ROM (p<.01), passive knee extension (p<.05), TUG (p<.01) and WOMAC scores (p<.01) after intervention for four weeks, but not for the control group. In the Mann-Whitney U test and analysis of covariance, no significant difference was seen among all the dependent variances after intervention for four weeks between the two groups. These outcomes suggest that further studies should be carried out to determine the effects of mechanical traction prior to using it for the treatment of patients with knee osteoarthritis.

물리치료사의 건강증진행위가 주관적 안녕감에 미치는 영향

이인학 ( In Hak Lee ),권춘숙 ( Chun Suk Kwon ) 대한물리의학회 2016 대한물리의학회지 Vol.11 No.2

PURPOSE: This study aimed to evaluate the effects of health-promoting behaviors on the subjective well-being of a physical therapist. METHODS: Survey data were collected from 247 physical therapists in Daejeon city. The baseline for healthpromoting behaviors was determined using Health Promoting Lifestyle Profile (HPLP), subjective well-being was determined using Positive Affect and Negative Affect Schedule (PANAS), quality of life was measured using the SF-36 (Short-Form 36), and pain level was determined using the Quadruple Visual Analogue Scale (QVAS). Healthpromoting behaviors and related factors were analyzed using an average comparative analysis (t-test), and the factors relevant to subjective well-being and health-promoting behaviors were evaluated using correlation analysis (Pearson``s correlation coefficient). Factors affecting health-promoting behaviors were evaluated using stepwise multiple regression analysis (stepwise multiple regression). RESULTS: The mean score for health-promoting behavior was 3.73, with emotional support having the highest score (3.90) and regular meals having the lowest score (3.16 points; p<0.01). Health-promoting behavior was significantly correlated with positive emotions and negative emotions are subjective well-being, negative emotions and pain were noted (p<0.01). Health-promoting behaviors showed a significant correlation with quality of life (r=0.04), positive emotions (r=0.21; p<0.01), negative emotions (r=0.16; p<0.05), and pain level (r=0.016). The results of this study showed that health-promoting behaviors are significant predictors of subjective well-being in physical therapists (p<0.01). CONCLUSION: Physical therapists have to maintain their health by avoiding infections. Regular exercise is the most important factor among all health-promoting behaviors.

사천성 사경 환자에 대한 임상적 고찰

권춘숙 대한물리치료학회 1992 대한물리치료학회지 Vol.4 No.1

The purposes of this study is to survey the clinical findings of congenital muscular torticollis. The subjects were 44 congenital muscular torticollis patients who were treated at physical therapy department of rehabilitation medicine, presbyterian, medical center during the period Jan. Dec. 1991 The results were as follows: 1. Patients were evenly divided by gender(22 bodys, 22 girls). left-sided involvement was found in 27 cases(61.4%), and right side in 17 cases(38.6%). 2. Abnormal delivery was 29 cases(65.9%). Those included cesarean section, breech presentation with vaginal delivery and difficulty delivery. 3. Most of tortcollis were primipara infant 33 cases(75%) 4. Associated congenital anomalies were naked in 12 cases; the most common cases were central co-ordination disturbance. 5. Patients was most commonly referred from the department of pediatrics. 6. Sternocleidomastoid fibrotic nodules were noted in 32 cases(72.7%). 7. Four cases had excision of the sternocleidomastoid fibrotic nodules in infancy and average at which operation was twelve months of life(range from nine months to fourteen months). 8. Facial asymmetry was noted in 13 cases at the begining of treatment, and the asymmetry was corrected after treatment in 10 cases. 9. The average duration of treatment was 3 months when the treatment was started in 3 weeks old. 10. The result was good in 22 cases(50%), fair in 12 Cases(27.3%).

가정방문 물리치료의 필요성 및 요구하는 서비스의 특성

이인학,김용건,권춘숙,한동욱 대한물리치료학회 1999 대한물리치료학회지 Vol.11 No.2

This study was performed to investigate the degree of demand and general features of services required of home visiting physical therapy for chronic ill patients. The study subjects were ambulatory and admitted patients treated with physical therapy at six general and one oriental hospitals, one welfare center, four health centers located in Taejon from March 2, 1999 to March 16. Authors developed structured questionnaire, and distributed it to each physical therapist of study organizations. Total number of distributed questionnaire was 500, and 405 questionnaire were collected and analysed finally. 1. 82.4% of patients and 90.0% of caregivers are showed that home visiting physical therapy was needed(P$lt;0.05) 2. The rate of necessity for home visiting physical therapy by kinds of disease was 94.9% in cerebral palsy, 95.0% in upper spinal cord injury, 83.3% in lower spinal cord injury, 84.5% in cerebral vascular accident, 89.6% in traumatic brain injury, 83.5% in other diseases. 3. In the general features of required service for home visiting physical therapy, 33.7% of patients and 34.4% of caregivers want special isolated physical therapy center, 33.1% of patients and 43.3% of caregivers want 3 times per week in frequency, 46.7% of patients and 45.0% of caregivers want 30-60minutes in treatment duration, and 48.0% of patients and 46.7% of caregivers want more intensive care than general hospitals. 4. In the working place of home visiting physical therapy, 36.1% of patients and 36.2% of caregivers wants physical therapist worked in general hospital. Also, 53.3% of Patients and 52.2% of caregivers answered no interested in physical therapist's gender. The most preferential age of home visiting physical therapist is thirties in 43.2% of patients and 63.4% in caregivers