보행용 MBT신발과 일반 신발 보행 시 에너지 소비량과 근 활성도의 비교 분석

윤범철,강세용,김애정,유민호,이미정,김난수,Yoon, Bum-Chul,Kang, Se-Yong,Kim, Yae-Jung,Yu, Min-Ho,Lee, Mi-Jung,Kim, Nan-Soo 대한물리치료과학회 2006 대한물리치료과학회지 Vol.13 No.3

This study was to find out whether MBT shoes were more effective than general sporting shoes on the kinematic physiology. We comparatively analyzed energy consumption, heart rates, rating of perceived exertion, lactic acid density in blood and muscle activity with EMG. The subjects were 10 regular students of K Univ.(5 male and 5 female). They wore the general sporting shoes for stage 1(group 1), the MBT walking shoes for stage 2(group2) under the same conditions. There was one week interval between stages. 1. There was no significant difference in the energy consumption and the heart rates between two groups. Group 1 showed a higher energy consumption and heart rates than Group 2 under the speed of 4.0 mph. On the other hand, Group 2 showed higher ones over the speed of 4.0 mph. 2. There was no significant difference in the rating of perceived exertion and lactic acid density in blood between two groups. But Group 2 showed a lower fatigue strength than Group 1. 3. Group 2 showed a higher muscle activity with EMG than group 1, especially at the speed of 2.0, 2.5, 3.0, 3.5 mph in quadratus lumborum muscle and at 4.0mph in tibialis anterior muscle. In conclusion, we are less tired in MBT shoes than in general sporting shoes. Also, we can dorsiflex better in the ankle joint, straighten the lumbar region well and walk erect in MBT shoes. Specially, when it walks slowly, it is favorable in an erection walk and when it walks quickly, we have advantage of obesity management.

기립자세에서 신발 굽의 높이가 요추부 시상만곡각에 미치는 영향

윤범철,이명화,Yoon, Bum-Chul,Lee, Myung-Hwa 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.4

Some segment or segments of the body must compensate for the heel, and the higher the heel the greater the compensation. Such compensation was once generally thought to take place in the lumbar region and therefore to increase the lumbar lordosis. The purpose of this study is to analyze changes of lumbar sagittal curvature in barefoot and 6cm 12cm high-heel stance. We selected 19 subjects(11 males, 8 females} without history of lower back pain, significant spinal abnormality. And lateral view X-ray of lumbar region from T12 to S1 was taken of each individual. On each X-ray film, lumbar lordotic angle lumbosacral angle and lumbar segmental angles were measured by Cobb method. We drew the following interpretations from the analysis of measured variables of the lumbar region. 1. In comparison of barefoot 6cm heel 12cm heel stance, lumbar lordotic angle had a tendency to decrease according as the heel height was higher. The change in lumbar lordosis measured in high-heel stance was inconsistent with clinical forkelord of hyperlordosis in wearers of high-heeled. 2. Lumbar lordotic angle from T12 to L5 showed sex difference, and was more lordotic in female(p<0.05). 3. There was no sex difference in lumbosacral angle and lumbar segmental angles(p>0.05). 4. There was a significant correlation between lumbar lordotic angle and lumbosacral angle(r>0.60).

마사지 및 극초단파 치료가 원심성 운동으로 유발된 지연성 근육통과 근 손상 지표에 미치는 영향

윤범철,함용운,이명화,홍혜정,이재학,Yoon, Bum-Chul,Ham, Young-Woon,Lee, Myung-Hwa,Hong, Hye-Jung,Lee, Jae-Hak 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.2

The purpose of this study was to determine if there were any beneficial effects of massage or microwave diathermy regarding delayed onset muscle soreness (DOMS) and indices of muscle damage. Twenty-one adult women, randomly divided in two treatment groups and a control group, performed eccentric stepping exercise with the quadriceps until exhaustion. The treatment groups additionally performed massage or microwave diathermy after the stepping exercise. Pressure pain threshold measure for DOMS and muscle enzymes in the blood were obtained before, and 0, 24, 48 and 72 hours after exercise. The results were as follows; 1. Eccentric exercise caused DOMS and elevations of muscle enzymes in the blood, with peak values exercise levels by 24 hours after exercise and GOT and CRP by 72 hours after exercise. DOMS and CK activity remained elevated 72 hours after exercise. 2. DOMS and blood muscle enzymes response to eccentric exercise were reduces by massage or micro diathermy therapy. DOMS was significantly decreased at 72 hours after exercise by massage and microwave diathermy. CK activity was significantly decreased at 72 hours after exercise by microwave diathermy. There was the significant reduction in LDH at 48 hours, GOT at 24, 48, 72 hours. and CRP at 24, 48 hours after exercise by massage and microwave diathermy. These results indicate that massage or microwave diathermy is had effect on recovery from exercise-induced muscle damage. In our's suggestion. microwave diathermy is particularly more appropriate therapeutic modality because it is more simple and economic than massage.

흰쥐의 후지 석고 고정, 탈신경 및 부유에 의한 근위축의 비교

윤범철,이명화,김난수,홍혜정,유병규,Yoon, Bum-Chul,Lee, Myoung-Hwa,Kim, Nan-Soo,Hong, Hye-Jung,Yu, Byong-Kyu 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

The aim of this study was to compare features of muscle atrophy induced by cast fixation. denervation and suspension of rat hindimb. Muscle mass and glycogen of the soleus and plantaris muscles were studied after 3, 7, or 14 days of cast fixation, denervation and suspension. The results as follows: 1. Body weight of rats decreased significantly after 3 days and showed gradually increase after 7 and 14 days of hindlimb cast fixation, denervation and suspension. Particularly hindlimb suspended rats showed a rapid decrease after 3 days in body weight. 2. Relative weight of soleus and plantaris musclcs decreased significantly by hindlimb cast fixation, denervation and suspension, particularly after 7 days. The decrease rate was the lowest in suspended rats. 3. Glycogen content of soleus muscle decreased significantly after 14 days of hindlimb cast fixation, denervation and suspension. Also glycogen content of plantaris muscle decreased significantly after 14 days of hindlimb cast fixation and denervation, but not significantly after hindlimb suspension. These results indicate that suspension of hindlimb muscles causes less atropy than cast fixation or denervation, likely due to maintainment a few activities during hindlimb suspension. We concluded that the decrease in mechanical strains imposed on the muscle during inactivity was the main factor for the development of atrophy. These basic data suggest that some experimental conditions such as electrostimulation or stretching, participate in countermeasure programmes.

한국 보이타 치료의 역사와 그 현황

윤범철,정진우,Yoon, Bum-Chul,Chung, Jin-Woo 대한물리치료과학회 1995 대한물리치료과학회지 Vol.2 No.3

This paper is to show the history and the brief present situation, the further vision and the considerations of Vojta physical therapy. Since Vojta therapy has been introduced into Korea in 1980, the workshop had the total 7 times and has produced 76 Vojta physical therapist during the past 15 year. But Vojta thrapist members have a gradually declining tendency in the present state. The counterplans for the considerations as follows; 1) Physician and Vojta therapist must be concerned about the growth of Vojta diagnosis and therapy. 2) As the medical examination and treatment system's establishment, an early infant's tretment will be performed. 3) The course of workshop in Korea must be admitted to be a regular qualification by the Vojta center of Germany. 4) Cerebral palsy treatment need home care system by Vojta therapist. 5) Vojta therapist has to reside in a public health center.

서울시 보건소 물리치료실 이용자의 만족도 조사 연구 - 노인복지 정책측면에서 -

윤범철,이용진,배정미,김난수,Yoon, Bum-Chul,Lee, Young-Jin,Bae, Jung-Mi,Kim, Nan-Su 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.1

The purpose of the study is (i) to investigate the operating situation of physical therapy department in public health centers, (ii) to analyze the difference of elderly satisfaction from non-elderly satisfaction of physical therapy services among the public health center visitors, and finally (iii) to suggest facilitating improvement on programs that can supply the elderly health service through public health centers. A questionnaire survey was carried out 212 patients of 25 public health center in Seoul, Korea from 15 July to 10 August 1996. Major results of the study are as follows : 1. Among the respondents. the largest group was the elderly who are over 65 years old (72.6%). 2. The averge of general patients' satisfaction for physical therapy services was 3.98, especially fee of treatment(4.76), attitude of physical therapist(4.33), and reliance of physical therapist(4.20) were higher by 5-score Likert scale. 3. The correlation factors with general patients' satisfaction were process of treatment (r =.6301). results of treatment(r=. 6186), and guide facilities(r=.5999). 4. The results of multiple-regression analysis between general patients' satisfaction and affecting factors identify following variables as the statically significant determinants : general stisfaction comparing with other physical therapy services, physical therapy services using forwardly, fee of treatment. 5. There was no significant defference between elderly and non-elderly patients' satisfaction of physical therapy service, except attitude of physical therapist(t=-2.07), explanation of treatment for disease(t=-2.19), fee of treatment(t=6.29).

흰쥐의 탈신경근 위축에 미치는 운동의 효과

윤범철(Yoon Bum-chul),유병규(Yu Byong-kyu),이명화(Lee Myong-hwa) 한국전문물리치료학회 2000 한국전문물리치료학회지 Vol.7 No.3

The purpose of this study was to determine the effects of mild-intensity exercise training on the denervated muscle atrophy in the sciatic nerve injured rat. Thirty-six male Sprague-Dawley rats (250∼300 g) were randomly assigned into three groups; sham-denervated group (n=8), denervated group (n=8), and denervated-exercised group (n=20). Exercise consisted of treadmill running at 20 m/min speed with 0% grade of 30 min/day. the animals were decapitated at the second and sixth weeks postcrush. Soleus and medial gastrocnemius were immediately excised to be weighed. Type I and Ⅱ fibers of the muscles were differentiated by m-ATPase (pH 9.4) stain, and fiber diameters were evaluated. The results were as follows: 1) the weight of the soleus and medial gastrocnemius muscles showed a tendency to increase in both the denervation-exercised groups compared to the denervated groups. 2) In the 2-week denervation-exercised group, type Ⅱfiber diameter of soleus and type Ⅰfiber diameter of medial gastrocnemius were increased significantly compared to the denervated control group. 3) In the 6-week denervated-exercised group, type Ⅰ fiber diameter of soleus and type Ⅱ fiber diameter of medial gastrocnemius were hypertrophied significantly compared to sham-denervated group. The results of this study suggested that treadmill exercise partially prevented denervation atrophy in the soleus and medial gastrocnemius of the rat.

대퇴사두근 테이핑이 근력 및 근지구력에 미치는 영향

윤범철(Yoon Bum-chul),홍혜정(Hong Hye-Jung) 고려대학교 보건과학연구소 1999 보건과학논집 Vol.8 No.1

노인 편마비 환자의 기능향상을 위한 운동 프로그램의 효과

윤범철(Bum Chul Yoon),이명화(Myoung Hwa Lee),홍혜정(Hye Jung Hong) 고려대학교 보건과학연구소 2000 보건과학논집 Vol.9 No.1

건강보험정책심의위원회의 이익집단 간 대립이 물리치료 수가에 미치는 영향

김유신,윤범철,Kim, Yushin,Yoon, Bumchul 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.2

Purpose: The aim of this study was to demonstrate that non-participation of physical therapists on the political decision-making committee results in invasion of their interests. Methods: To demonstrate the effects, we analyzed the change of medical insurance score decided by the Health Insurance Policy Deliberation Committee between 2001 and 2012 years, focusing on medical examination as the interest of the participation group and physical therapy cost as interest of the non-participation group. Results: Total medical insurance cost increased by 23.72%, on average. Medical examination cost increased by 23.90% and 37.66% in medical examination for new and established patients, respectively. However, physical therapy cost was reduced by 5.01%. The medical examination cost for physical therapy without medical checkup increased by 2.62%. Conclusion: This study shows that the physical therapy cost, related on the interest of the non-participative group in the Health Insurance Policy Deliberation Committee, rather decreased while the total medical insurance cost increased.These findings demonstrate the invasion of the non-participative group on the Health Insurance Policy Deliberation Committee. Thus, aggressive participation in political decision-making committee is necessary in order to protect and increase rights and interests of Korean physical therapists.