물리치료 진단평가문제해결 문제중심 학습모형개발

방상분 한국지역사회건강관리협회 대한건강과학학회 2015 대한건강과학학회지 Vol.12 No.1

Background: The purpose of this study was to examine and provide the problem based learning based on clinical as a way of efficient learning method about the subject of the diagnostic-evaluation problem solving. Method: The study entailed concept analysis and creating scenarios over the course of 15 weeks with 50 physical therapy students of B university in City A. Results: The results of this study were 1) The model of problem based learning facilitates active group discussion, which consist of 5 small groups with 25 members; 2) Using clinical data, including medical records, references, and video clips, the learning contents are interesting and creative problem solving; 3) The problem based learning evaluates various aspects on the clinical capacity to integrate, which considers professional field tests for clinical as well as etiquette for patients, communication, self evaluation, and group evaluation. Conclusions: The problem based learning model on the diagnostic-evaluation problem solving is consistent with critical thinking, self learning, and team learning. Using diverse case studies with clinical inferences and problem solving skill, the problem based learning affects clinical practice positively. These results propose to explore what might form the basis of learning from a problem based learning model for interesting and efficient effect of learning rather than cramming method of teaching.

물리치료환자의 치료서비스에 대한 기대와 지각 비교

방상분 한국지역사회건강관리협회 2012 대한건강과학학회지 Vol.9 No.1

통증위치에 따른 자세 치우침의 차이비교

방상분,정호발,Bang, Sang-Boon,Joung, Ho-Bal 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.3

Purpose. This study was tried to compare the effect of the change in postural deviation caused by the pain side Subjects and Methods. Inpatients and outpatients (n=71) were selected from I hospital who have a musculoskeletal low back pain and shoulder pain without any history of the central nervous system (CNS) lesions, orthopaedic problems of the both lower extremities, or the vestibular and the visual default. For the control group, normal and healthy subjects (n=30) were selected without any history of weight bearing disorders. the weight bearing was rated by the computerized force plate. Results. 1) Postural deviation was not significant difference between patients and control group(p<0.01). But postural deviation in patients was more pronounced than control group. 2) There was significant difference of postural deviation between in patients according to the pain side(p<0.01). When the pain side was on the left side, postural deviation tended to the right. When the pain side was on the right side and vertebral body, postural deviation tended to the left. 3) There was no significant difference of postural deviation between regional pain in shoulder and regional pain in low back(p<0.01). Discussions and Conclusion. As a result, the pain, for sure, affected the good posture and its keeping process directly or/and indirectly. Therefore, as the postural deviation increases, the additional energy consumption increased by the works of the muscles to keep the good posture. Preponderated postural deviation, furthermore, could load too much to the musculoskeletal system, leading to increase the pain. The postural deviation, a result of the pain, can cause a secondary deformity of the distal area as a compensatory reaction, and this compensation actually become a cause of the musculoskeletal symptom back in a cycle. Therefore, the appropriate treatment of the musculoskeletal problem and the education of the posture correction should be given to decrease the pain, preventing the secondary deformities, and increasing muscle energy efficiency of the posture remaining muscles.

물리치료환자와 치료사간의 물리치료서비스품질에 대한 지각 비교

방상분(Sang-bun Bang),이용석(Yong-seok Lee) 한국전문물리치료학회 2010 한국전문물리치료학회지 Vol.17 No.2

Ths study purposed to analyze difference in the perception of service quality between physiotherapy patients and physical therapists and to provide basic materials for maintaining high service quality that meets patients' expectation in each service area For this study, we conducted a questionnaire survey with physiotherapy patients and physical therapists in Jeju from the 6 to 30 of January, 2010. In the survey, we received 133 questionnaires from patients and 125 from physical therapists, and used them in analysis. The instrument used in this study to measure service quality was prepared by the researcher through adapting and supplementing the SERVQUAL model developed by Parasuraman et al (1991). For our physiotherapy environment, and it consisted of a total of 23 questions in five areas, namely, tangibility, reliability, responsiveness, assurance, and empathy. Patients' perception of service quality was high in order of reliability, assurance, empathy, responsiveness, and tangibility. In four areas with exception of reliability, quality perceived by patients was lower than that perceived by physical therapists, and particularly in responsiveness(t=2.82, p=.00) and empathy(t=2.02, p=.04), the difference between patients and physical therapists was statistically significant. In order to reduce the difference in the perception of service quality between patients and physical therapists, it is considered necessary to enhance physical therapists' perception of service quality and to prepare measures for improving service equality so that services would be provided through respectful communication with maintaining the dignity of patients, rather than focusing on disease.

심폐물리치료에 대한 물리치료사의 인식도 조사

방상분(Sang-Bun Bang),김호봉(Ho-Bong Kim) 대한심장호흡물리치료학회 2013 대한심장호흡물리치료학회지 Vol.1 No.1

Purpose: This study is to identify the attitudes and beliefs of physical therapists regarding cardiopulmonary physical therapy based on the surveyed results. Methods Data was collected from November 2011 till August 2013 for physical therapists who have been working at hospitals and outpatient clinics. Total 177 returns were used for the analysis. Results: Data showed that physical therapists’ recognitions and concerns as well as its rations on cardiopulmonary physical therapy were extraordinarily soaring. Although most of them have no experiences of the education on cardiopulmonary physical therapy, the data showed their awareness of the need for the educational program as well as their willingness for the participation if the opportunity were provided. In addition, the expected therapeutic effects of the cardiopulmonary physical therapy were also high. Conclusion: Various interventions on professional physical therapists’ cardiopulmonary physical therapy should be discussed as not a individual level, but an issue that requires to be addressed on a national level. For the progress, it is necessary to come first for the involvement of professional associations and their members in researching and developing various educational programs to be abreast with the times.

심장호흡물리치료의 임상 연수교육 프로그램 적합성 조사연구

방상분(Sang-Bun Bang),김호봉(Ho-Bong Kim) 대한심장호흡물리치료학회 2015 대한심장호흡물리치료학회지 Vol.3 No.1

Purpose : The purpose of this study is to survey the conformity of clinical education program in cardiorespiratory physical therapy. Method : The subjects of this study were consist of 605 physical therapists in Korea. Data were collected from March 15. 2013 to August 30. 2015 by structured questionnaires. Results : The research result is as following. As for the satisfaction of the clinical education program, the average point was 3.98(SD=.77) at basic course, 4.02(SD=.82) at intermediate course, 4.04(SD=.78) at advance course. Conclusion : As the result of this study, physical therapists in Korea have feel the clinical education program of cardiorespiratory physical therapy is the significant process for being a special cardiorespiratory physical therapist.

치매가족 돌봄자의 건강관리 중재 연구

이경화,방상분 한국지역사회건강관리협회 2012 대한건강과학학회지 Vol.9 No.1

전기자극이 체성분에 미치는 효과

김용성,방상분 대한임상전기생리학회 2004 대한임상전기생리학회지 Vol.2 No.3

전기치료가 발통점 비활성화에 미치는 효과

정호발,방상분,Joung, Ho-Bal,Bang, Sang-Bun 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.2

The purpose of this study is to compare Ultra Sound(U-S), Silver Spike Point(SSP) and Electro-Acupuncture(E-A) with each other and to objectively analyze their concrete validities and their effects on the deactivation of trigger points in patients with myofascial pain syndrome, and to provide basic necessary principles for clinical therapists. Sixty patients were randomly distributed into three groups of twenty persons each and the U-S, the SSP and the E-A were applied to each group respectively. Tree pain evaluation methods of VAS(Visual Analogue Scale), Electrical Stimulation Scale and Pressure Algometer were adopted to measure the effectiveness of each therapy. The results were as follows: The U-S and E-A groups demonstrated statistically significant decrease on the VAS. The pain thresholds by Electrical Stimulation Scale method was increased for all the groups of U-S, SSP and E-A with no statistical significance. however, Pressure Algometer method was found to increase the pain thresholds for both SSP and E-A groups with statistically significance. Statistically significant improvement was found for all the groups together after the administration of the U-S, the SSP and the E-A. From the above results, three methods of U-S, SSP and E-A are found to be effective tools for the deactivation of trigger points in patients with upper trapezius muscle of Myofascial Pain Syndrome. The E-A method was found to be the most effective among three methods.

Binge drinking and a College-based Alcohol Education Intervention

이경화,방상분 한국지역사회건강관리협회 2012 대한건강과학학회지 Vol.9 No.1

연구의 목적은 대학생들의 음주습관 특히 폭음(binge drinking)에 대한 경험과 이를 효과적으로 중재하는 건강 관련 교원들의 교육적인 중재방법들에 대한 연구 자료들을 고찰함으로써 학생들을 이해하며 보다 효과적인 음주 교육 중재를 도모하는 것이다. 연구 방법은 청년기 폭음과 중재연구에 관한 2000년에서 2011년까지 발표된 외국 및 국내의 1차 연구논문을 분석하였으며 이는 음주습관을 야기하는 요인들에 대한 인식, 폭음 또는 음주습관에 따르는 문제들, 그리고 중재 제안이라는 세 가지 주제별 결과를 도출하였다. 각각의 중재안들; 그룹별 동기부여, 동년배 지지 교육 및 상담, 학교별 음주정책, 등은 청소년들의 음주에 대한 태도 및 음주습관에 대한 믿음에 영향을 끼쳤음을 보여주었다. 이 결과를 근거로 하여 음주습관에 대한 효과적인 중재안 연구를 기대하며 음주습관 및 폭음에 대한 적절한 평가도구의 개발과 대학생들의 생활교육으로서의 중재를 효과적으로 신장시킬 수 있는 관련된 연구가 필요하다고 본다.