방문물리치료 필요성에 관한 연구

손경현,김은경,김선민,Son, Kyung-Hyun,Kim, Eun-Kyung,Kim, Sun-Min 대한물리치료과학회 2012 대한물리치료과학회지 Vol.19 No.1

Background : In-home physical therapy program as a result of a study of the need for in-home physical therapy, most patients were needed. This study of patients who received physical therapy were surveyed, and patients need physical therapy for what I have found that factors. The purpose of this study is the in-home physical therapy program for patients to determine that how much needs were investigated. Methods : In this study, 469 people were involved with the patients who received physiotherapy. Surveys were returned to the questionnaire. The collected data was analyzed by Chi-square and one-way ANOVA. Results : The need for in-home physical therapy to 31 to 60 years suggests that the highest. In this paper, the female respondents was higher, the damaged parts Many times patients with musculoskeletal injuries, duration of treatment was 3-1 months there. 469 people need physical therapy visits of respondents that respondents were 423 people. qualification standards of physical therapy visits and asked questions of the state or local government public agencies or public health wad the highest with 40.3%, eligibility criteria for physical therapy visits a physical therapist trained in the regular 43.3%, per visit, treatment 10,000won 43.5% less than the cost of investigation into the health insurance coverage and should apply to questions about whether the response was 50.1%. Conclusion : Further, the study of in-home physical therapy services were the patient's perspective. This information, visit the home physical therapy program will contribute to the legalization.

척수손상자의 일상생활적응에 관한 연구

손경현,김찬규,방요순,Son, Kyung-Hyun,Kim, Chan-Kyu,Bang, Yoo-Soon 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.1

The purpose of this study was to evaluate the problem on activities of daily living ; the problem which spinal cord injured patients have when they adapt in daily living ; Subjects were 113 members who used the hospital which is located in Kwangju-city from November 20, 2001 to May 20, 2002. The evaluation of the ADL was performed according to MBI and collected data were statistically analysed by SPSS PC for paired Chi-square test T-test, One way ANOVA and Duncan's post-hoc test. The result's were as follows; 1. Modified Barthel Index average mark was $63.77{\pm}33.60$ points and MBI score distribution according to characteristics of injury is as following. 1) A patient who had long duration of injury, small injury region, incomplete paralysis in paralysis degree, paraplegia in paralysis type got high MBI score as statistical and significantly(p<0.05). 2. Society adaptation state by characteristics of spinal cord injured is an following. 1) After lapse of time of disease, a patient who is injured for a long term present surrounding environmental problem, a patient who is injured for a short term shows psychological problem. In society activity, as lapse of time of disease is long, patient did many hobby activity and same private club, on the other hand as lapse of time of diseases is short, the others appeared high and significantly as statistical(p<0.01). 2) In society activity by injury region, cervical injury and thoracic injury did more hobby activity than lumbar injury and in lumbar injury same private club or religion life appeared higher than thoracic injury of cervical injury significantly as statistical(p<0.01). 3) In walk method by paralysis degree Complete paralysis had more wheelchair life than incomplete paralysis(p<0.01). 4) In serious problem by paralysis type psychological problem in quadriplegia and surrounding environmental problem in paraplegia appeared high and significantly as statistical(p<0.01). 3. In society adaptation state by MBI score difference between variables appeared but it wasn't significantly.

교대근무 여부에 따른 성인 남성의 주간 졸림증과 피로도

손경현(Kyung-Hyun Son),김수근(Soo-Geun Kim),진영우(Young-Woo Jin),김성효(Sung-Hyo Kim),김순영(Soon-Young Kim),방요순(Yoo-Soon Bang),권순석(Sun-Seog Kweon),신민호(Min-Ho Shin),정슬기(Seul-Ki Jeong),남해성(Hae-Sung Nam) 대한직업환경의학회 2005 대한직업환경의학회지 Vol.17 No.3

테라테인먼트적인 신경가동술과 고유수용성신경근촉진법(PNF)이 허리디스크(요추간판탈출증) 수술환자의 균형, 유연성, 통증, 보행에 미치는 영향

이경현(Kyung-Hyun Lee),손경현(Kyung-Hyun Son),방주희(Ju-Hee Bang) 한국엔터테인먼트산업학회 2016 한국엔터테인먼트산업학회논문지 Vol.10 No.2

본 연구는 요추간판탈출증 수술을 받은 환자에게 물리치료 중재로써 신경가동술과 스프린터 패턴을 수술 직 후에 적용하여 균형, 유연성, 통증, 보행에 관한 연구이다. 본 실험에 동의한 대상자들은 30명이다. 대상자들은 무작위적으로 세 개의 집단으로 나누었고, 대조군(10명), 신경가동술군(10명), 스프린터군(10명)으로 분류하였다. 이 대상자들로 신경가동술군은 궁둥신경가동술과 넙다리신경가동술 실시하였고, 스프린터군은 스프린터 패턴을 실시하였으며, 2주간 1일 1회 진행하였다. 중재의 정확한 효과를 확인하기 위해, 실험 데이터는 운동 전·후로 수집하였다. 신경가동술과 스프린터의 중재 효과를 확인하기 위해 정적균형측정, 뻗음다리올림검사, 시각통증척도, 기능적보행평가를 측정 및 평가하였다. 측정된 데이터는 콜모고로프-스미르노프 검정과 대응 t-검정에 의한 공분산 검정으로 분석하였다. 분석결과 신경가동술을 이용한 균형에서는 신경가동술이 고유수용성신경근 촉진법보다 좀 더 유의한 차이가 있음을 나타내었다. 뻗음다리올림검사, 시각통증척도 점수에서는 대조군, 신경가동술과 신경가동술 세 군 모두 유의한 차이가 있음을 나타내었다. 보행에서는 세 군 모두 유의한 차이가 없음을 나타내었다. 차후 연구에서는 신경가동술과 고유수용성신경근 촉진법을 임상적으로 다양하게 적용하고 세부적인 운동 프로그램과 장기추적으로 발전시켜 비교 해 볼 필요가 있다고 사료된다. The purpose of this study was to ascertain the effects of neurodynamics and sprinter pattern on pain, flexibility, balance and gait in patients received lumbar herniated intervertebral disc surgery. The number of subjects who agreed with these research was 30. The subjects were randomly assigned into 3 groups, a control group(n=10), a neurodynamic group(n=10), and a sprinter pattern group (n=10). The subjects of neurodynamic group were treated by the sciatic nerve and femoral nerve neurodynamics. The subjects of sprinter group carried out sprinter pattern exercise. Both interventions of neurodynamics and sprinter pattern exercise were treated and carried out once a day for two weeks, respectively. All subjects including ones of control group received two basic treatments, hot pack and TENS. In order to find the significances of both interventions, the tests were conducted at before and after the treatment, the tests were visual analogue scale, straight leg raising test, balances and functional gait assessment. The measured data were analyzed by using the paired t-test and the analysis of covariance. This result represented that neurodynamic and sprinter pattern exercise might be useful intervention methods to improve the balance of patient received lumbar herniated intervertebral disc surgery.

한국형 발효차로부터 테아플라빈 최적 추출조건 확립과 항염증 효과

손경현(Gyeong Hyun Son),강은주(Eun-Ju Kang),김종철(Jong Cheol Kim),김용덕(Yong Duck Kim),정유석(Yu Seok Jeong),이종국(Jong Gug Lee),안은경(Eun-Kyung Ahn),이정아(Jung A Lee),조경환(Kyoung Hwan Cho) 한국차학회 2014 한국차학회지 Vol.20 No.2

To industrialize the production of the theaflavins, the extraction patterns and quantity were examined from green tea, oolong tea, Puer-tea, and Korean-type fermented tea, which has different degree of fermentation. As a result, the Korean-type fermented tea has a larger amount of theaflvins. Based on this experiment, Korean-type fermented tea was extracted using two different extraction methods, 50% ethanol in hot-water and 50% ethanol with sonication. The optimal extraction method was found to be 50% ethanol in hot-water. All extracts showed no cell toxicity according to the MTT assay. To test the anti-inflammation effects of the tea extracts, NO inhibition activity was analyzed with the RAW 264.7 cells treated with LPS to generate NO. The result showed that the Korean-type fermented tea (50% ethanol in hot-water) extract was most effective against NO generation. Theaflavin류의 효과적 인 추출을 위해 각각의 다류 녹차, 한국형 발효차, 우롱차 그리고 보이차를 대상으로 theaflavin류의 열수 추출 양상을 조사하였다. 그 결과 80℃, 열수 추출조건에서 theaflavin류가 많이 추출된 다류는 한국형발효차로 확인 되었다. 이와 같은 결과를 바탕으로 발효차의 추출조건에 따른 theaflavin류의 최적의 추출 조건을 도출하고자, 중량비에 따른 10배수, 20배수, 50배수, 100배수(w/w)의 열수로 추출을 하여 theaflavin류의 용출 양상을 조사한 결과 20배수에서 가장 높은 추출 수율을 보였다. 20배수로 추출 방법을 달리한 발효차 추출물을 대상으로 초음파 추출, 열수 추출물을 비교하였다. 초음파 추출물의 추출 조건은 70% ethanol, 증류수, 50% ethanlol용미로 추출하였다. 초음파 추출물의 theaflavin류 추출양의 경우 70% ethanol 추출물이 8701.61 ppm으로 가장 많이 용출이 되었으며, 50% ethanol추출물의 경우 8653.8 ppm으로 가장 적게 추출되었다. 그리고 열수 추출물 추출조건은 50% ethanol, 증류수로 열수 추출을 하였다. 열수 추출물의 theaflavin류 용출 양상을 분석한 결과, 증류수추출물은 1011.44ppm으로 가장 적게용출되었으나, 50% ethanol 추출물의 경우 9403.3ppm으로 초음파 추출, 열수 추출 두 가지 추출방법 중 가장 많이 용출됨을 확인하였다. 또한, 각각의 방법으로 추출된 추출물의 세포독성 실험 결과, 모든 발효차 추출물에서 독성이 없는 것으로 확인되었다. 항염증 효과를 알아보기 위하여 nitric oxide (NO) 저해 활성을 측정을 한 결과, 50% ethanol을 이용한 열수 추출물이 NO 발생 이 적은 것으로 확인되었다. 결론적으로 효과적인 theaflavin류의 추출 수율이 높고, 세포독성이 없으며, 항염증효과가 좋은 추출방법은 50%ethanol을 이용하여 열수 추출하는 방법이 도출되었다. 본 연구 결과는 한국형 발효차 또는 그 응용제품의 성분연구에 기초자료로 활용이 되길 기대한다.

하지근력강화운동이 뇌성마비 아동의 균형과 보행에 미치는 영향

유인정,손경현,Ryu, In-Jung,Son, Kyung-Hyun 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.2

Purpose: The aim of this study was to ascertain the effects of the lower extremity muscle strengthening exercise on balance and ambulation of children with cerebral palsy. Methods: 10 subjects who participated in this research undertook the 12-week the lower extremity muscle strengthening exercise program, which consisted of a series of mat exercises and sling exercises. The statistical significances were examined by using Wilcoxon signed-rank test, a non-parametric test, for evaluating the improvement of balance and ambulation of the subjects. In order to evaluate the correlation among the variables, Pearson's correlation coefficients were also calculated. In all statistical analyses the significance level was selected as ${\alpha}$=0.05. Results: Berg balance scale(BBS) was significantly increased after the intervention(p<.05). Percentage weight bearing(PWB) was decreased after the intervention, but there was no significant difference. Time up and go test(TUG) value was significantly decreased(p<.05). Gait velocities was increased after the intervention, but there was no significance. Stride length, step lengths of the affected side and the sound side were significantly increased after the intervention(p<.05). In the correlation analyses of the measures before the intervention, TUG had significant negative correlation to BBS and gait velocity(p<.05). Stride length, step lengths of the sound side and the affected side had significant positive correlation between themselves(p<.01). In the correlation analyses of the measures after the intervention, TUG had significant negative correlation to BBS and gait velocity(p<.05). BBS revealed significant positive correlations to stride length, step lengths of the sound side and the affected side(p<.05). Stride length, step lengths of the sound side and the affected side had significant positive correlation between themselves(p<.01). Conclusion: Based upon the outcomes as above, it is likely that the muscle strength exercises have substantial effects on balance and ambulation of children with cerebral palsy. Thus various lower extremity muscle strengthening exercise programs are required to be studied and developed in order to contribute to functional improvements of children with cerebral palsy.

도덕 판단력 진단검사를 사용한 물리치료 전공 대학생의 도덕성의 평가

김현진(Hyun-Jin Kim),정기문(Ki-Moon Jung),서태화(Tae-Hwa Seo),손경현(Kyung-Hyun Son),김재웅(Jae-Ung Kim) 한국엔터테인먼트산업학회 2016 한국엔터테인먼트산업학회논문지 Vol.10 No.3

본 연구는 물리치료를 전공하는 대학생들 사이에서 도덕적인 판단을 조사하기 위함이다. 이 자료는 자기 보고식 질문지를 사용함으로 물리치료를 전공하는 681명의 대학생으로부터 수집 하였으며, 자료 수집 기간은 2015년 5월 1일 – 8월 15일까지였다. 한국의 도덕적 판단 검사는 도덕적 판단수준을 평가 하는 것으로 채택 되었고, 이것을 P(%)의 점수로 측정 하였다. 이 자료는 묘사적인 분석 그리고 T-검정, ANOVA를 사용하여 분석 하였다. 물리치료의 평균 P의 점수는 38.74였다. P의 점수는 출생 순서, 고등학교를 졸업 여부, 학문영역, 연구선택에 대한 동기 그리고 도덕적 교육의 경험에 따라 상당한 차이를 보였다. 본 연구를 통해서 대학교 교육과정에서 윤리교육에 대한 개인의 지속적인 향상 그리고 물리치료를 전공하는 대학생들의 도덕성은 지속 되어야 한다. 연구는 현재 물리치료 교육의 한 부분으로 분석이 수행되어야 하고 윤리 교육 강좌로 개발되어야 한다. Purpose: The study was to investigate moral judgment among university students majoring in physical therapy. Methods: The data were collected using self-reported questionnaires and from 681 university students majoring in physical therapy. Data collection period was from May 1th - Aug 15th in 2015. The Korean version of the Defining Issues Test was adopted to evaluate levels of moral judgment, which was measured by the score of P(%). The data were analyzed by a descriptive analyses and t-test, ANOVA. Results: The mean P(%) score of physical therapy was 38.74. The score of P(%) revealed significant difference by birth order, graduated high school, interdisciplinary, study on motivation of choice and experience of ethical education. Conclusion: Through this study, the necessity of ethics education in university curriculums for continuous enhancement of the personality and morality of university students majoring in physical therapy was perceived. Studies should be conducted for the analysis of the contents of current physical therapy education and for the development of ethics educational courses.

병원 근무자의 요통 발생 요인에 관한 연구

정진영,손경현,Jeong, Jin-Young,Son, Kyung-Hyun 대한물리치료과학회 2009 대한물리치료과학회지 Vol.16 No.3

Background: The purpose of this research was to investigate the factors affecting the low back pain of workers in hospital. 214 subjects waking at two general hospitals in Yosu city participated in this survey. Subjects consisted of doctors, nurses, medical engineers, officers and general laborers. The survey data were collected by a written questionnaire which made out by themselves for 25 days, from fourth August to 29th August, 2008. Methods: The questionnaire consisted of four categories, general, occupational, working habitual and the daily living characteristics. The collected data were analyzed by Chi-square test based on the present or absent of low back pain. Results: 1. In the general characteristics, low back pain had no significant relationship to all factors, sex, ago, body mass index, weight and height. 2. In the occupational characteristics, the phase of distribution of low back pain had statistical significant differences in the working hours a week, satisfaction of pay, satisfaction of occupation(p<0.05). However low back pain did not significantly related to the kind of occupation, period of work and degree of stress. 3. In the habitual characteristics, low back pain was significantly influenced by working posture, frequency of using lumbar and heavy material lifting, monotonous repetition of working operation and noise(p<0.05). No significant difference was shown in the factor of convenience of chair. 4. In the daily living characteristics, low back pain shown the significant differences in walking time a day, status of health and smoking pattern(p<0.05). there were, however, no significant differences in the aspect of the kind of house and bed, sleeping attitude, driving, riding time on the vehicle, exercising, frequency of cultural life and drinking alcohol. Conclusion: when I see above resultants totally, it appears a higher incidence caused by working environment rather than living habit and then consequently compared to hospital workers, they also have high incidence like others. In order to reduce incidence of low back pain and enjoy the our life we need to educate ourselves preventing program for low back pain and try to effort for preventing of low back pain on each department and individual.

파워볼 운동이 20대 정상 성인 남녀의 악력 및 손끝집기와 열쇠집기에 미치는 영향

정철현,손경현,유병국,최원제,전재근,오세민,김지윤,Jung, Chul Hyun,Son, Kyung Hyun,Yoo, Byung Kook,Choi, Won Jye,Jeon, Jae Keun,O, Se Min,Gim, Ji Yun 대한물리치료과학회 2013 대한물리치료과학회지 Vol.20 No.1

Purpose : The purpose of this paper is to figure out the effects of the Powerball exercise on grip strength, tip pinch and key pinch. Methods : Twenty subjects participated in this experiment. Spin right wrist counterclockwise for five minutes holding Powerball after making main joint of right hand -predominant hand- into elbow flexion and forearm pronation. Results : 1. Before and after Powerball exercise, when we compared the grip strength of men and women, there was a significant difference. 2. Before and after Powerball exercise, when we compared tip pinch of men and women, there was a significant difference. 3. Before and after Powerball exercise, when we compared key pinch of men and women, there was a significant difference. 4. Before and after Powerball exercise, there was no significant difference between men and women. Conclusion : From what using Powerball exercise influenced grip strength, tip pinch and key pinch positively, we assume that it will be considered a great expectation to improve grip strength, tip pinch and key pinch in the future and it would be better to conduct this experiment in depth to a lot of people.

장애아동의 가정방문 물리치료에 대한 필요도

최혜인,손경현,최원제,전재근,김현진,이경현,김지윤,Choi, Hea Inn,Son, Kyung Hyun,Choi, Won Jae,Jeon, Jae Keun,Kim, Hyeon-Jin,Lee, Gyeong Hyeon,Kim, Ji Yun 대한물리치료과학회 2014 대한물리치료과학회지 Vol.21 No.1

Purpose : This study is to research about the need of a home visiting physical therapy for children with disabilities. Methods : We surveyed the guardians related to it and one hundred and three questionnaires of one hundred and twenty were returned and analyzed. The results are listed below. Results : First, there are many opinions that a need of physical therapy is necessary, but many people suffer from financial problem to use this service. Second, most of opinions using a home visiting physical therapy of children with disabilities are positive. People who need this service prefer it to manage by national public organization. They also want physical therapists who have worked more than five years to treat them and one hour for treatment time required with about twenty thousand won and At last, in the survey, people ranked solving the inconvenience of coming and going hospitals as a highest expectation and avoiding discharge by force due to long-term hospitalization as a lowest one. Conclusion : To sum it up, high demand and expectation of effectiveness of a home visiting physical therapy for children with disabilities mean that study and analysis are essential to establish this system through implementation on a trial basis within a certain period of time for verifying the effectiveness of this service.