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분절별 등뼈 관절가동술이 만성허리통증환자의 통증과 관절가동범위에 미치는 즉시적 효과
심재헌 ( Jae-heon Sim ),정의철 ( Ui-cheol Jeong ),최희양 ( Hee-yang Choi ),김철용 ( Cheol-yong Kim ) 대한물리의학회 2017 대한물리의학회지 Vol.12 No.2
PURPOSE: This study aims to identify the immediate effects of thoracic mobilization according to segment on disabling low-back pain and the range of motion in patients with chronic low-back pain. METHODS: The participants were divided randomly into two groups: a group (N=12) with pain and disability between the 5th and 9th thoracic vertebrae (T5-T9) and a group (N=12) with pain and disability between the 10th and 12th thoracic vertebrae (T10-T12). The same experiment was conducted in both groups: 10 minutes of thoracic mobilization and 10 minutes of functional massage. The visual analogue scale (VAS) and range of motion measurements were applied to the participants in both groups. All participants were measured again immediately after the program was completed. RESULTS: In both groups, the VAS and range of motion measurements showed statistically significant improvement after the experiment (p< .05). No statistically significant difference was revealed between the two groups (p >.05). CONCLUSION: The results of this study confirmed positive and immediate effects of thoracic mobilization of patients with chronic low-back pain. But, no significant difference in the thoracic mobilization by segment between the two groups. Based on these results, thoracic mobilization could help to improve pain control and functional activity in patients with chronic low-back pain.
성주인(Joo-In Seong),박시현(Si-Hyun Park),심재헌(Jae-Heon Sim),윤병석(Byeong-Seok Yoon) 한국농촌경제연구원 2013 한국농촌경제연구원 기본연구보고서 Vol.- No.-
Background of Research Even though the changes such as diversification of members along with over-depopulation, and hollowization in rural areas of Korea concurrently occurred, the relevant empirical researches are not sufficient. This study under this circumstances is to seek for supporting policies on sustainability of settlement space of rural areas, and to propose measures for system modification to support the foregoing. Method of Research The method of research can be divided into 4 categories; First, settlement space of rural areas related discussions are arranged through previous references, and analysis on changes in function and status of villages and central places, movement of population, and commuting ranges is conducted by utilizing relevant statistics. Second, the functions and ranges of daily life zone in small cities or Gun (counties), and connecting area and function with nearby central cities are analyzed by conducting surveys. Third, the current status of various policies and actual condition of community activities are identified by in-depth interviews. Lastly, the major policies of advanced countries are studied by commissioning the study to pertinent experts. Research Results and Implications The major outcomes of the study are described as follows. As a result of analysis on commuting and migration of population, the association between a big city and nearby small cities or Gun (counties) has become strengthened whereas the level of association between the areas with daily life zone far from the big cities and the cities has become relatively weakened. It is found that the impact of wide urbanization on the rural areas is limited. By analyzing the centers of rural areas, it is acknowledged that the service function per Eup·Myeon(town) is properly working, and lifestyle along with community activities of residents by town varies depending upon location conditions. From the analysis on community activities of residents, the range of activities together with diversification of members has expanded to Eup·Myeon and cities or Gun(county). Based on the foregoing findings, policy guidelines and measures for sustainable development of settlement space in rural areas are proposed as follows. First, local governments should prepare a mid-and long-term vision on reorganization of town together with continuation of enhancing fundamental living environment of the town. Second, their budgeting should be based on ongoing businesses in response to the many unused facilities created by various government support programs. Third, it is necessary to promote a strategy on the centers of Eup·Myeon to dually embrace strategically important Eup·Myeon and general Eup·Myeon. Fourth, it is important to develop and utilize the indexes comprehensively diagnosing the current status of living sphere in the region, level of function of center areas, regional resources, economic activities, level of competencies of residents, and etc. Fifth, the current contents of reorganization for Eup·Myeon locations need to be diversified. Sixth, the future regional development business should be in a manner of ‘making a town’. Lastly an intermediate organization per large city area and a fundamental unit supporting regional community activities should be promoted and utilized.