서울특별시 공공의료기관 물리치료사의 직무 만족도에 관한 조사연구

문제강,송보경,황병용,Moon, Je-Kang,Song, Bo-Kyung,Hwang, Byong-Yong 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.2

Purpose: The purpose of this study was to investigate (1) job satisfaction, (2) general characteristics and (3) working fields of 57 physical therapists at public health centers in the Seoul Metropolitan area. Methods: We distributed questionnaires to 57 physical therapists and collected completed questionnaires from 51 We analyzed the data using frequency analysis, independent t-tests and analysis of variance. Results: The results were as follows; 1) General characteristics of participants were 68.6% female, 64.7% over 35 years old, 43.1% working over 10 years in the public health centers. 2) Most (56.8%) participants treated 20~29 patients a day 66.7% were regular staff members and 33.3% irregular ones. 3) Participants, who worked at the public health center and who worked at the Seoul Metropolitan affiliated organization, showed a sense of dignity about their job. 4) Regular staff members showed a higher satisfaction rate with interpersonal relations than irregular ones. Satisfaction in the work place was greatly increased in those over 40 years old. Conclusion: Because the number of patients who visit physical therapists in Seoul Metropolitan public health centers have been increasing, it is necessary to improve the level of satisfaction of physical therapists so that there will be better physical therapy services.

서울특별시 공공의료기관 물리치료사의 업무특성에 따른 직무만족도와 제언

문제강 ( Je Kang Moon ),송보경 ( Bo Kyung Song ),황병용(책임저자) ( Byong Yong Hwang ),김중환 ( Jung Hwan Kim ) 대한신경치료학회 2012 신경치료 Vol.16 No.1

Purpose To research and analyze the job satisfaction and to suggest the development plan based on general characteristics and working fields of physical therapists at public health centers in the Seoul Metropolitan. Methods We circulated 51 questionnaires for physical therapists who were working in the 4 affiliated hospitals with Seoul Metropolis, 25 public health centers and health branches in 2010. Results The results were as follows; I) Older, more educated, and more experienced physical therapists at public institutions worked as a physical therapist. 2) Among several working fields, the biggest number of physical therapists worked at the department of thermotherapy, electrotherapy. The biggest number of patients was senile over 65 years old. The number of patients per a day was 20-29. 3) As for job satisfaction, participants were satisfied with occupational dignity and displaying ability and skill whereas they were not satisfied with a low opportunity of promotion and transference from temporary to permanent worker. 4) Because only I physical therapist was arranged in public health centers, it is difficult to have an opportunity to take an education and to go a personal vacation in time. Conclusion According to the results, patients who take physical therapy have been increasing Therefore, staff reinforcement and transference from temporary working position to permanent position is prerequisite for job satisfaction and it may result in the improvement of physical therapy service in public medical institute.

The Analysis to Movement Patterns in Standing Up In Children with Spastic Hemiplegia

문제강 ( Je Kang Moon ),오태영(교신저자) ( Tae Young Oh ) 대한신경치료학회 2011 신경치료 Vol.15 No.1

Purpose This study aimed to evaluate the strategical changes of movement patterns and measure the MSS(mean segmental score)of children with spastic hemiplegia according to age by observing the standing up movements of spastic hemiplegia children. Method We performed visual analysis on the segmental movement pattern during standing up movement from supine position of 8 normal children and 8 children with spastic hemiplegia. We used Mann-Whitney U test to evaluate the changes in MSS analysis and motion patterns of upper limbs, axis, and lower limbs and the changes of motion strategy in relation to the changes of age in the two groups of children. Result The result are as follows; 1) There was significant difference in MSS analysis on "forward with rotation" of axial region between the two groups of children aged 4~7 years (p<O.02). 2) There was significant difference in MSS analysis on "Narrow-based symmetric squat" of lower limbs between the two groups of children aged 4~ 7 years and 8~ 12 years (p<O.01). 3) The children with spastic hemiplegia were using more flexor muscles when changing posture, and significant increase of asymmetrical motion pattern was observed when supporting the upper and lower limbs regularly. Conclusion Through the approach in this study, we could obtain knowledge about the regularity of motion patterns of children with cerebral palsy and as a result we could easily recognize the characteristics of posture and motion of children with cerebral palsy.

골반운동이 경직성양하지마비 아동의 대동작 기능에 미치는 영향 - 증례보고 -

문제강 ( Je-kang Moon ) 대한신경치료학회 2017 신경치료 Vol.21 No.2

Purpose The purpose of this study was to find the effect of pelvic movement on the gross motor function in cerebral palsy children with spastic diplegia. Methods The subject of this study was 1 patients cerebral palsy with spastic diplegia who have been treated in Seoul Metropolitan Children`s Hospital. Evaluation tool were used GMFM test and compared excel average. For the ten week the subjects were treated 30 minutes per session, two times per week. Results The result of the GMFM before the training showed 58.2% but that of the GMFM after the training increased 76.6%. item of all, it showed the big difference in the B sitting 5%, C crawling & kneeling 38.31%, D standing 28.2%, E walking running & jumping 20.8% item. Conclusions From these result, a pelvic movement training enhanced gross motor function to the cerebral palsy children with spastic dipegia. Therefore, further research is needed to investigate about a pattern movement training related to the increase in the gross motor function.

Short Foot Exercise Incorporating the Foot Core System Paradigm on Clinical Trials for the Patients with Stroke

리폴,문제강,황병용 대한신경치료학회 2016 신경치료 Vol.20 No.1

Purpose The purpose of this study was to identify the correlations between activated foot intrinsic muscles through short foot exercise incorporated the foot core system paradigm and muscle tension, gait speeds, and range of motion in affected ankle for the patients with stroke. Methods Conventional therapeutic exercise group (N=17) was instructed to do conventional therapeutic exercise with physical therapists to increase strengthening of the leg muscles and for proprioceptive training for 6weeks, 90 minutes/day, 5 day/week. Short foot exercise with conventional therapeutic exercise group (N=17) was assigned to do the same program plus short foot exercise to improve activation of foot intrinsic muscles. The level of muscle tension was measured by electromyography, ankle range of motion was measured by digital goniometer, and gait speed was measured by 10 meter walk test. Results There were significant differences between conventional therapeutic exercise group and short foot exercise with conventional therapeutic exercise group in muscle tension and fast velocity (p<0.05). However, there were no significant differences between conventional therapeutic exercise group and short foot exercise with conventional therapeutic exercise group in affected and nonaffected range of motion (p>0.05). Conclusion Short Foot Exercise combined with conventional therapeutic exercise program appeared to show positive effects in muscle tension in stop standing and fast velocity in gait cycle except range of motion in ankle dorsiflexion.

서울특별시 공공의료기관 물리치료사들의 지역사회 중심 재활사업에 관한 인식도 조사

서정희 ( Jeong-hee Seo ),문제강 ( Je-gang Moon ) 대한신경치료학회 2010 신경치료 Vol.14 No.1

In order to survey the recognition of Community Based Rehabilitation (CBR) by Public Health Center (PHC) Physical Therapists in Seoul Province, this study analysed the general characteristic of physical therapists in cognition, participation, education, problems and requirements for CBR. Subjects and Methods The subjects of this study were 34 therapists who had been working at PHC in Seoul Province and Seoul City Municipal Hospital. Data were collected from 5 Jan. to 31 Feb. 2009 and results as followed; Results 1. The age category between 30s and 40s represented 41.3% of the total number studied. 45.6% of therapists had worked more than 10years and typically 43.4% of therapists had worked more than 10 years at the PHC. The 7th grade of medical technical class in a position were most as 39.1% but 13.0% were non-regular workers and a period of over 5 years was needed for the promotion in 32.6% cases. 2. The most common type of treatment was therapeutic exercises as 30.4%, major recipient was elderly person higher than 50.0% and the number of the treatment of one day was higher than 20~30 people. 3. 21.7% of therapists were aware of the CBR, 30.4% of them had gotten the information from co-worker when we researched and 43.4% had important services. 4. For CBR, 30.4% had positive ideas in which they could participate. 34.7% desired more educational opportunities about CBR. 5. The most important requirement for taking part in CBR as Physical Therapists was job security. Conclusion Most of them want the interchanges of personnel and information in the PHC and metropolitan hospital. Factors inhibiting the execution of CBR were lack of administration support, physical therapists and equipments.

A Study on Characteristics of Patients with Physical Therapy Services in Seoul Metropolitan Government Gangbuk-gu Community Health Center

황병용,이상호,정상미,문제강 대한신경치료학회 2015 신경치료 Vol.19 No.1

Purpose This study aimed to examine general characteristics and traits of treatment areas by age of 273 patients who received physical therapy services in seoul metropolitan government gangbuk-gu community health center. Methods This study was based on records and computational data on 273 patients who received physical therapy services in seoul metropolitan government gangbuk-gu community health center from January 2 to December 31, 2013. Results The results are as follows: Regarding general characteristics of the subjects, the rate of females was higher at 66.7% than that of males at 33.3%. As for age, the rate of those in their 70 was highest at 39.5% and regarding disease name, the rate of those who had degenerative arthritis(DA) was highest at 91.2%. The rate of those who were exempted from medical fees was 76.9% and the rate of those who were not classified disabled was 83.5%. The rate of those whose treatment time was 45 minutes was 93.8%. The lumbar area was the area most treated by physical therapy; The rate of those who received physical therapy to the lumbar area was 26.7% in th their 70s or older, 9.9% in those aged between 60 and 69, and 9.5% in those aged under 60. There were no statistically significant differences in treated areas according to age (p> 0.05). Conclusion Through this study, efforts to improve physical therapy services for the elderly with chronic DA who are 60 or older accounting for a majority of physical therapy service users in community service centers and to enhance users' satisfaction by applying detailed rehabilitation exercise programs for frequently treated areas in all age groups are needed.

DACUM 기법에 의한 물리치료사의 직무분석

권혜정,송영화,이경희,황룡,이재갑,문제강,김용성,김기원,최영준,Kwon, Hei-Jeoung,Song, Young-Wha,Lee, Kyung-Hee,Hwang, Ryong,Lee, Jae-Kap,Moon, Je-Kang,Kim, Yong-Seong,Kim, Gi-Won,Choi, Young-Jun 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.4

Purpose : The aim of this study was to analyze the duties of physical therapists by developing a curriculum( DACUM) method, and to present the frequency, importance and difficulty of the main duties and tasks currently conducted in Korea. Methods : The definition of physical therapists and job description was developed based on DACUM. In order to achieve this analysis, a DACUM workshop, and a survey was conducted on 524 Korean physical therapists working in the whole country 84 areas in order to analyze the order of priority for all tasks. Results : This study defined the task of physical therapists and five kinds of duties were identified : diagnosis and evaluation, intervention, education and counseling, management and community service. Twenty-six tasks and Sixty-three task elements were classified. Conclusions : The results of this study will be of help for the development in clinical education and university curriculum.

3년제 물리치료과정 및 전공심화 과정의 교과과정 개선에 대한 연구

권혜정,송영화,이경희,황룡,이재갑,문제강,김용성,황성수,김기원,최영준 대한스포츠물리치료학회 2011 정형스포츠물리치료학회지 Vol.7 No.1

다감각 자극 훈련이 편마비 환자의 자세조절 능력에 미치는 영향

송보경 ( Bo Kyung Song ),정상미(교신저자) ( Sang Mi Chung ),문제강 ( Je Kang Moon ) 대한신경치료학회 2011 신경치료 Vol.15 No.1

Purpose In this study, we have tried to find out the effect of the multi-sensory training on the postural control after the stroke. Method We selected IQ stroke patients in rehabilitation hospital. The patients were divided into the Experimental group made of 6 patients and the conservative training group made of 4 patients. For those patients in the Experimental group, the multi-sensory training was carried out twenty times in the four-week period for five times a week and 30 minutes together with the preservative treatment. For those patients in the conservative training group, only the preservative treatment was carried out. Also, the cognitive function and the ability of postural control were evaluated. Result For those in the Experimental group, the multi-sensory training was statistically important for MMSE-K, MIDI and MID2 (p<.05). Also, there was a statistically important difference for MTD 1 and MID2 in regard to the changes before and after the treatment in both groups (p<.05). Conclusion The multi-sensory training for the chronic stroke patient sinfluenced the cognition and the ability of postural control. Also, there was an important difference in regard to the ability related to the postural control in the before and after comparison between both groups. As a result, it seems that the multi-sensory training would become helpful for the ability related to the postural control.