미세전류치료와 초음파치료가 슬관절전치환술 후 통증경감과 기능회복에 미치는 영향

조운수,김용남,김용성,황태연,진희경,Cho, Woon-Su,Kim, Yong-Nam,Kim, Yong-Seong,Hwang, Tae-Yeon,Jin, Hee-Kyung 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.2

Purpose: The purpose of this study was to investigate pain relief and functional recovery after total knee replacement. Methods: The treatment was performed by dividing individuals into a control group ($n_1=5$), ultrasound treatment group ($n_2=5$), and micro-current treatment group ($n_3=5$). The control group applied the hot pack for 15 minutes, Transcutaneous Electrical Nerve Stimulation (TENS) for 15 minutes, and Continuous Passive Movement (CPM) for 40 minutes. The ultrasound therapy group applied the frequency of 1 MHz, intensity of 1.0 $W/cm^2$ for five minutes following the same treatment as the control group. The micro-current therapy group applied the intensity of 25 ${\mu}A$, and pulsation frequency 5 pps for 15 minutes following the same treatment as the control group. After treatment, Visual Analogue Scale (VAS), Korean Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Berg Balance Scale (BBS), Range of Movement (ROM) and wound length was measured. Results: VAS showed significant effect in the control group and micro-current therapy group during the treatment period. According to the treatment of K-WOMACK, BBS, ROM, and Healing wounds showed main effects between groups. Conclusion: According to the results of this study, data showed improvement of pain relief, wound healing effects, and range of motion recovery. Thus, these selected treatments were effective after total knee replacement. In other words, electrical treatment continues to influence pain relief and functional recovery after total knee replacement.

승마시뮬레이터 훈련과 평류안뜰자극이 자세균형능력과 고유수용성감각에 미치는 영향

조운수 ( Woon Su Cho ),김용남 ( Young Nam Kim ),박장성 ( Jang Sung Park ),진희경 ( Hee Kyung Jin ) 한국전문물리치료학회 2012 한국전문물리치료학회지 Vol.19 No.2

The purpose of this study is to examine the influence of a horse riding simulator and galvanic vestibular stimulation on improving the ability to balance posture and proprioception. Thirty healthy adults participated and were randomly assigned to a horse riding simulator group (nl=10), galvanic vestibular stimulation (GVS) group (n2=10), control group (n3=10). Experiment groups were trained 3 times per week over 6 weeks. The ability to balance posture was measured by force plate and proprioception was measured by Joint position sense. The following results were obtained. the changes of balance index were significant interaction in each group in accordance with the experiment time in 0, 3 and 6 weeks (p<.05). All groups showed the most decreasing pattern compared with the control group. But was not statistically significant. Proprioception was significant interaction in each group in accordance with the experiment time (p<.05). All groups showed the most decreasing pattern compared with the control group. The above results indicated that the 6 weeks horse riding simulator and galvanic vestibular stimulation training demonstrated positive effects in the ability to balance posture and proprioception. These results suggest that the horse riding simulator and galvanic vestibular stimulation training could be therapeutic intervention that can improve balance and postural control.

전신진동운동이 뇌졸중 환자의 균형 및 보행 능력에 미치는 효과: 메타분석

조운수(Woon-Su Cho),박세주(Se-Ju Park),현지웅(Ji-Woong Hyun) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.5

본 연구는 뇌졸중 환자에게 전신진동운동을 시행한 선행 연구들을 종합하고 분석하여 전신진동운동이 뇌졸중 환자의 균형 및 보행 능력에 얼마나 효과적인지를 메타분석을 통해 알아보고자 하였다. 문헌 검색을 위한 전자 데이터베이스는 국회도서관, 한국교육학술정보(RISS), 한국학술정보(KISS) 및 누리미디어(DBPIA)를 사용하였다. 2010년 1월 - 2020년 8월까지 뇌졸중 환자에게 적용한 전신진동운동 선행연구를 조사하였다. 연구의 질 평가는 RCT(Randomized Controls Trials) 연구는 Cochrane group이 개발한 Risk of bias 2(RoB2) 도구를 사용하였다. 개별 연구들의 효과크기를 산출하기 위해 R version 4.0.3 프로그램을 이용하였다. 연구 결과는 전체 효과크기는 0.40으로 나타났으며 전신진동운동이 뇌졸중 환자의 균형 및 보행에 중간 정도의 효과가 있다는 것을 확인하였고, 균형의 효과크기는 0.44, 보행의 효과크기는 0.36으로 나타나 긍정적인 영향을 주는 것으로 확인되었다. 이와 같은 결과를 통해 뇌졸중 환자에게 전신진동운동이 효과적인 중재임을 알 수 있었으며, 더욱 다양한 연구가 필요할 것으로 생각한다. This study was a meta-analysis of previous studies that subjected stroke patients to the whole-body vibration exercise, in an attempt to evaluate the effectiveness of such exercise in improving their balance and walking ability. The electronic databases used for literature search were the National Assembly Library, Korean Educational Academic Information (RISS), Korean Academic Information (KISS), and Nuri Media (DBPIA). We also investigated a prior study of the whole-body vibration exercise applied to stroke patients from January 2010 to August 2020. In assessing the quality of the study, the RCT (randomized controls trials) study used the risk of bias 2 (RoB2) tool developed by the Cochrane group. Meta-analysis was performed using R software for statistical computing version 4.0.3. The results of the study confirmed that the overall effect size was 0.40, and the whole-body vibration exercise used had a moderate effect on the balance and gait of stroke patients, the effect size of balance was 0.44, and the effect size of gait was 0.36, showing a positive effect. These results indicated that the whole-body vibration exercise is an effective intervention for stroke patients, and further research is needed.

진동을 이용한 몸통 근력 운동이 몸통근 두께와 균형에 미치는 영향

조운수 ( Woon-su Cho ),박치복 ( Chi-bok Park ),임재헌 ( Jae-heon Lim ) 대한물리의학회 2017 대한물리의학회지 Vol.12 No.2

PURPOSE: The aim of this study was to verify the effect of trunk strengthening exercise using oscillation by comparing trunk muscle thickness, as well as balance of healthy adults during exercises performed with an oscillatory device and non-oscillatory device. METHODS: Twenty-two participants were randomly assigned to one of two groups: the trunk strengthening exercise using oscillation (TSEO) group (n=11) or the trunk strengthening exercise using non-oscillation (TSEN) group (n=11). Subjects in all groups performed the exercises three days per week for 6 weeks. All subjects performed four types of exercises: pull over, seated twist, power push, and diagonal power plank. Trunk muscle thickness of the rectus abdominis (RA), internal oblique (IO), external oblique (EO), transverse abdominis (TrA), and multifidus (MT) were measured with an ultrasonography. The balance ability were evaluated using the Romberg test with eyes open, eyes closed, one-leg standing test (OLST), and limits of stability (LOS). All tests were performed before the intervention, as well as after 6 weeks and 8 weeks of exercises. RESULTS: There was a significant difference of RA, IO, TrA, and MT according to the main effect of the time (p<.05). There was a significant difference of IO and LOS according to interaction effect between the time and group (p<.05). CONCLUSION: As intended, the cyclic forces induced by the oscillating device did increase trunk muscle thickness. However, the effect was limited and significant only for the IO muscle. Combining trunk strengthening exercise with oscillation appears to be more effective in improving dynamic balance.

외이전기자극이 슬관절질환 노인의 통증과 보행 및 균형에 미치는 영향

서삼기,조운수,이정우,김용남,정진규,황태연,Seo, Sam-Ki,Cho, Woon-Su,Lee, Jeong-Woo,Kim, Yong-Nam,Jung, Jin-Kyue,Hwang, Tae-Yeun 대한물리치료학회 2008 대한물리치료학회지 Vol.20 No.2

Purpose: This study examined the application of electric stimulation to the auricle acupoint (frequency 2 Hz, stimulation level: noxious) with 30 elderly people over 65 years that received treatment in a rural hospital to determine the influence of pain, gait and balance in the aged with knee joint disease. Methods: The subjects were divided into three groups; the degenerative joint diseases (DJD) group (1 male, 9 females), the total knee replacement (TKR) group (1 male, 9 females) and the control group (1 male, 9 females). Auricualr electrical stimulation (AES) was applied with low frequency, high intensity transcutaneous electrical nerve stimulation for 10 seconds per each point. Results: 1. For the change of pain according to AES, there was interaction in the resting period (p<0.001) and gait (p<0.001) and pain of the DJD group and TKR group was decreased. 2. The range of motion (ROM) of the knee joint showed a significant difference in interaction for each group of elderly people (p<0.001) and the ROM for the DJD group and TKR group of elderly people was increased. 3. In the analysis of gait speed changes, there was a significant difference in interaction for each group of elderly people (p<0.001) and for gait speed in the DJD group and TKR group of elderly people. 4. It was found in the change of static balance that there was a significant difference in interaction for each group of elderly people (p<0.01) and balance capacity in the DJD group and TKR group of elderly people was increased. Conclusion: The aged with knee joint disease have pain, and a decreased function of gait and balance. AES was an excellent treatment for control of pain, and an excellent treatment to enhanced joint functions. AES was useful for improving gait and balance due to decreased pain.

The Effect of Mechanical Horseback Riding Training on the Gait Ability of Patients with Stroke

조성현(Cho, Sung Hyoun),조운수(Cho, Woon Su),김용성(Kim, Yong Seong) 한국장애인재활협회 2014 재활복지 Vol.18 No.3

본 연구의 목적은 승마기구훈련이 뇌졸중 환자의 기능적 보행능력에 미치는 영향을 알아보기 위해서 시행되었다. 연구대상자는 G광역시에 위치한 A병원에 입원 중인 뇌졸중환자 30명을 대상으로 하였다. 대상자들은 승마기구훈련군 15명, 대조군 15명으로 무작위 배치되었다. 승마기구훈련군은 6주 동안 주 3회, 회당 20분 훈련을 받았으며, 전체 대상자는 병원에서 물리치료를 각각 30분씩 받았다. 보행능력의 평가를 위하여 각각 10미터 걷기 검사(10m walking test, 10MWT), 8자걷기 검사(figure of 8 walk test, F8WT), 기능적 보행 평가(functional gait assessment, FGA)를 사용하여 훈련 전, 훈련 6주 후 보행의 변화를 측정하였다. 연구에서 수집된 모든 자료는 SPSS 18.0버전을 사용하여 분석하였다. 본 연구의 결과, 10MWT, F8WT, FGA 모든 항목에서 승마기구 훈련군과 대조군의 집단 내 기간에 따른 전ㆍ후 차이 값이 유의하였다(p <.05). 또한 집단 간 전ㆍ후 변화량 차이가 유의하였다(p <.05). 본 연구의 결과, 승마기구훈련은 뇌졸중 환자에 있어서 보행의 기능적 측면을 향상시켰다. 그러므로 승마기구훈련은 기능적 보행능력의 향상에 도움을 줄 수 있는 유용한 임상적 중재 도구가 될 수 있을 것으로 생각된다. The purpose of this study was to investigate effects of mechanical horseback riding training on functional gait in patients with stroke. The subjects were 30 stroke patients who were admitted in A hospital in G city and were randomly divided into the training group(n=15) and the control group(n=15). The training group was trained 3 times a week for 6 weeks, and all subjects received physical therapy each for 30 minutes in the hospital. To evaluate the functional capacity of the walk 10m walking test(10MWT), figure of 8 walk test(F8WT), using the functional gait assessment(FGA) before training, training gait changes after 6 weeks was measured. All the data collected in study were analyzed using SPSS version 18.0. According to the results, the 10MWT, F8WT(number of steps), F8WT(performance time), and FGA showed significant differences in the amount of change before and after training and changes over time between the two groups. In conclusion, the mechanical horseback riding training improves the functional aspect of gait. Therefore it is suggested that the mechanical horseback riding training may serve as a useful tool of clinical intervention of gait ability of stroke patients.

신발 밑창 높이에 따른 보행의 변화

윤세원,이정우,조운수,Yoon, Se-won,Lee, Jeong-woo,Cho, Woon-SU 대한중풍순환신경학회 2013 대한중풍.순환신경학회지 Vol.14 No.1

■ Objectives This study is to examine change of gait parameters on shoes sole height(high heels, MBT shoes, house shoes) through gait analyzer. ■ Methods The subjects of this study were 12 women in their twenties. Gait analysis system is 5m in total length and gait is led to be comfortable. They put three kinds of shoes each and were led to walk 5m on gait analysis system. ■ Results There were significant differences in step length, single support and load response of gait parameters and in stride length and total double support at double support phase. ■ Conclusion Muscle activity differs in that different that shoes sole height and form because tibialis anterior muscle has strengthen and gastrocnemius has stretched. Therefore we think that patients with knee joint problem consider gait parameters when shoes select.

승마기구의 훈련속도가 정상성인의 안뜰기능과 정적자세 균형에 미치는 영향

임재헌,박장성,조운수,Lim, Jae-Heon,Park, Jang-Sung,Cho, Woon-Su 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.5

Purpose: This study was conducted in order to determine whether mechanical horseback-riding training depending on velocity can improve vestibular function and static postural balance on standing in healthy adults. Methods: For evaluation of vestibular function, electrooculography (EOG) of vertical and horizontal was performed for identification of the motion of eyes. For evaluation of static postural balance, COP distance, time spent on the sharpened Romberg test with neck extension (SRNE) were measured. Measurements were performed three times before training, three weeks after training, and six weeks after training. Participants were randomly assigned to three groups: fast velocity-mechanical horse -riding training (FV-MHRT, n=12), moderate velocity-mechanical horse-riding training (MV-MHRT, n=12), and slow velocity-mechanical horse-riding training (SV-MHRT, n=12). Results: According to the result for vertical, horizontal EOG, there was significant interaction in each group in accordance with the experiment time (p<0.05). The FV-MHRT group showed a significant decrease compared with the MV- MHRT, SV-MHRT groups (p<0.05). According to the result for static postural balance, the time spent, COP distance in SRNE showed significant interaction in each group in accordance with the experiment time (p<0.05). The time spent on the SRNE showed a significant increas in FV-MHRT, SV-MHRT (p<0.05). The COP distance of SRNE showed a significant increase in MV-MHRT (p<0.05). Conclusion: The MHRT velocity activated mechanism of vestibular spinal reflex (VSR), vestibular ocular reflex (VOR), also helped to strengthen vestibular function and static postural balance. In addition, it should be applied to different velocity of MHRT according to the specific purpose.

Effectiveness of Horse-Riding Exercise for the Stroke Patients Muscle Thickness of Lower Extremity

김선칠(Seon Chil Kim),조운수(Woon Su Cho),조성현(Sung Hyoun Cho) 한국장애인재활협회 2017 재활복지 Vol.21 No.3

본 연구의 목적은 승마기구운동이 뇌졸중환자의 하지 골격근 두께에 미치는 영향을 알아보기 위해서 시행되었다. 연구대상자는 G 광역시에 위치한 A병원에 입원중인 뇌졸중환자 30명을 대상으로 선정하였다. 본 연구의 대상자들은 두 그룹으로 승마기구운동군 15명, 대조군 15명으로 무작위 배치되었다. 승마기구운동군은 실험 기간 총 6주 동안 주3회, 회당 20분 운동을 실시하였다. 넙다리곧은근, 앞정강근, 안쪽 장딴지근, 중간볼기근의 두께 변화를 측정하기 위해서 초음파 영상촬영 장치를 사용하였다. 30명의 연구대상자들에 대한 측정은 운동 전, 운동 6주 후에 수행되었다. 데이터의 분석은 통계적 유의수준을 결정하기 위해서 독립 t-검정과 대응표본 t-검정을 이용하였다. 각 그룹 간 중재 전·후 차이값에 대한 근 두께의 비교에서는 네 근육 모두 유의한 차이가 나타났다. 승마 운동군은 근육 두께에 대한 운동 전과 후의 비교에서 네 근육 모두 유의한 증가를 보였다. 대조군은 운동 전과 후의 비교에서 RF, GM, TA에서 유의한 증가가 있었다. 결과적으로 승마기구운동은 무릎의 안정화와 하지 폄근의 활성으로 인해 하지 근두께의 향상이 나타났다. The purpose of this study was to examine how horse-riding exercise would be effective on the stroke patients muscle thickness of lower extremity. The 30 stroke patients who were hospitalized in a hospital located in G metropolitan city were selected for this study. These subjects were randomly placed in a horse-riding exercise group (n=15) and a control group (n=15). The horse-riding exercise group received three 20-minute exercises a week for a total of 6 weeks. An ultrasound imaging equipment was used to measured The thicknesses of the rectus femoris (RF), tibialis anterior (TA), medial gastrocnemius (MG), and gluteus medius (GM). After the completion of a 6-week exercise program, same measurement was conducted for all study subjects. The data were analyzed using a paired t-test and independent t-test to determine the statistical significance. As a result, muscle thickness was significantly differentiated before and after the intervention in each group. The thicknesses of all the four muscles significantly increased after exercise in the horse-riding exercise group. The thicknesses of the RF, GM, and TA significantly increased after exercise in the control group. In conclusion, horse-riding exercise increased the thickness of the lower extremity skeletal muscles by stabilizing the knees and activating the extensor muscles of the lower extremities.

초등학교 야구선수의 협응이동훈련이 기능적인 움직임 검사 점수에 미치는 영향

박세주(Park Se Ju),조운수(Cho Woon Su) 한국초등체육학회 2020 한국초등체육학회지 Vol.25 No.4

이 연구는 초등학교 야구선수의 협응이동훈련이 기능적 움직임 검사 점수에 미치는 영향을 알아보았다. 기능적 움 직임 검사항목은 딥 스쿼트, 허들 스텝, 인라인 런지, 어깨 가동성, 능동 하지 거상, 몸통 안정 푸쉬업, 회전 안정성 검사로 구성되어 있다. 초등학교 야구선수 30명을 대상으로 8주간 주 5회 협응이동훈련을 실시하였다. 협응이동훈 련을 적용 후, 초등학교 야구선수의 기능적인 움직임 검사 점수의 변화는 실험군이 대조군보다 딥 스쿼트, 허들 스 텝, 인라인 런지, 어깨 가동성, 능동 하지 거상, 몸통 안정성 푸쉬업, 회전 안정성의 7개 항목의 점수가 유의미하게 증가하여 통계적으로 유의한 차이가 있었다. 위의 결과로 보아, 협응이동훈련이 초등학교 야구선수의 기능적인 움 직임 검사 점수의 변화에 긍정적인 효과가 있는 것으로 나타났으며, 초등학교 야구선수의 기능적인 움직임을 향상 시키는데 효과적일 것으로 생각된다. The purpose of this study was to determine the effects of a coordinative locomotor training in the functional movement screen (FMS) scores of youth baseball players. The particpants consisted of youth baseball players who were randomly assigned to either an experimental group(n=15) and control group(n=15) engaged in exercise five times a week for eight . The experiment group engaged in coordinative locomotor training . An FMS kit (USA) was used to measure the following: FMS score, deep squat, hurdle step,in-line lunge, shoulder mobility, active straight leg raise, trunk stability push up, and rotary stability. The FMS score, deep squat, hurdle step, inline lunge, shoulder mobility, active straight leg raise, trunk stability push up and ratary stability showed significant improvement in the experimental group (p<0.05). The coordinative locomotor training was able to produce confirmation that functional movement screen scores change in the case of effective exercise interventions in youth baseball players.