코어 프로그램 운동이 만성요통 환자의 균형에 미치는 영향

최원제,박범석,유병국,전재근,손경현,Choi, Won-Jye,Park, Beom-Seok,Yoo, Byung-Kook,Jeon, Jae-Keun,Son, Kyung-Hyun 대한물리치료과학회 2018 대한물리치료과학회지 Vol.25 No.1

Background: The purpose of this study was to ascertain the effects of core program exercise on balance in patients with chronic low back pain. Thirty-four subjects participated in this study, these subjects were assigned into two groups, a control group(n=17) and an experimental group(n=17). Methods: The subjects in the control group were received a conservative physical therapy and in the experimental group carried out the core program exercise for 30 minutes per day, three times a week during 6 weeks. In order to evaluate the progresses of balance ability, corresponding variables were measured at two times, pre and 6th week. The balance ability was assessed using GOOD BALANCE system. The collected data were analyzed by using the paired t-test and ANCOVA. In all statistical analyses, significance level, ${\alpha}$ was set by 0.05. Results: The results of this study were as follows: 1) In the position of left standing eye closed, there were significant difference of Y in the control group and X, Y, V in the experimental group. 2) In the position of right standing eye closed, there were significant difference of Y in the control group and X, Y, V in the experimental group. 3) In the position of dynamic balance 1, there were significant difference APV in experimental groups. 4) In the position of dynamic balance 2, there were significant difference MLV in experimental groups. 5) There were significances between the two group of X, V in static balance and APV in dynamic balance. Conclusion: The above results indicated that a core program exercise improved balance abilities in patients with chronic low back. The further studies should be focused at development of various modified forms of the core program exercise in keeping up the improvement effect of this exercise.

고유수용성신경근촉진법 운동과 스위스 볼 운동을 적용 했을 때 정적 균형에 미치는 영향

최원제,전재근,이우영,김기범,주혜미,박소희,변주형,손경현,김봉환,Choi, Won-Jye,Jeon, Jae-Keun,Lee, Woo-Young,Kim, Ki-Bum,Ju, Hye-Mi,Park, So-Hee,Byun, Ju-Hyung,Son, Kyung-Hyun,Kim, Bong-Hwan 대한고유수용성신경근촉진법학회 2010 PNF and Movement Vol.8 No.2

Purpose : The purpose of study was to determine effects of Proprioceptive Neuromuscular Facilitation pattern exercise with Swiss ball exercise and Swiss ball exercise on balance in the 40 students from H university. Method : There were two experimental conditions. There were two difference groups in the experimental conditions, which had to perform different exercise tasks: Swiss ball exercise group (n=20) and Proprioceptive Neuromuscular Facilitation exercise with Swiss ball exercise group(n=20). The experimental group received Proprioceptive Neuromuscular Facilitation exercise for 20minutes and Swiss Ball exercise for 40minutes, 3 times a week for 4weeks. While another experimental group received Swiss Ball exercise for 40minutes, 3 times a week for 4weeks. In order to evaluation effects of the Proprioceptive Neuromuscular Facilitation pattern exercise with Swiss Ball exercise and Swiss Ball exercise in the two different experimental group, subjects was measured by static balance. Statistical analysis was the paired t-test to compare the differences within groups and the SPSS to analyze the differences between groups. Results : The result of this study were as follows: The static balance was higher for the two different experimental group in post-exercise than in pre-exercise(P<0.5). Proprioceptive Neuromuscular Facilitation pattern exercise with Swiss Ball exercise experimental group was significant difference better then another experimental group(P<0.5). Conclusion : The Proprioceptive Neuromuscular Facilitation pattern exercise with Swiss Ball exercise can result in improved static balance better then Swiss Ball exercise.

영상 분석장치를 이용한 골 흑화도의 정량적 평가에 관한 연구

김재덕(Jae Duk Kim),최원제(Won Jae Choi) 조선대학교 구강생물학연구소 1995 Oral Biology Research (Oral Biol Res) Vol.19 No.2

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건강 웰니스 최적화를 위한 근활성도 분석

전재근(Jae-Keun Jeon),김덕조(Deok-Jo Kim),최원제(Won-Jye Choi),김지윤(Ji-Yun Kim),오세민(Se-Min O),정대근(Dae-Keun Jeong) 한국엔터테인먼트산업학회 2015 한국엔터테인먼트산업학회논문지 Vol.9 No.3

본 연구는 건강한 평균 신장 160㎝ 성인 여성 10명을 통해 건강 웰니스의 최적화와 관련하여 초음파 작업 시 치료 테이블의 높이에 따른 척추세움근의 근활성도 변화를 RMS로 비교하였고, 초음파 작업 시 테이블 높이가 높아질수록 척추세움근의 근활성도가 낮아지는 것을 확인할 수 있었고, T12 수준보다 L4 수준에서 더 높은 근활성도를 나타내었으며 좌·우측 비교 결과 좌측이 우측보다 더 높은 근 활성도를 나타내었다. 본 연구 결과를 토대로 물리치료사의 건강 웰니스의 최적화를 위한 초음파 작업 시 테이블 높이를 대상자 평균 신장의 42%로 설정하였을 때 척추세움 근의 근활성도가 가장 낮다는 것을 알 수 있었으나 여러 제한점을 보완한 추후 연구가 필요할 것으로 생각된다. Purpose: The purpose of this study was to examine differences in erector spinae activities according to table heights during ultrasound intervention in order to propose a optimum working environment. Methods: Ten healthy females volunteered to participate in this study. EMG signals of both erector spinae(T12, L4) were recorded through the surface electromyography system at different height of table(30㎝, 45㎝, 56㎝, 67㎝) during ultrasound therapy work. Results: The higher table heights there were, the lower RMS(㎶) of the T12, L4 erector spinae at both sides there were. RMS of L4 erect spinae showed higher than RMS of T12 erector spinae in all range of heights. but RMS of left erect sinae showed higher than RMS of right erector spinae in all range of heights. Conclusion: The muscle activities of both erector spinae decreased at higher table height and increased lower spinal level. We identified lower table height are risk factor of spine work related musculoskeletal disorders.

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.

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.

A Study for Balance and Gait Ability on Stroke Patients

Myung-Hoon Kim(김명훈),Jae-Woong Kim(김재웅),Kyung-Hyun Son(손경현),Won-Jye Choi(최원제),Jae-Keun Jeon(전재근),Su-Hyun Kim(김수현),Hyun-Jin Kim(김현진) 한국엔터테인먼트산업학회 2016 한국엔터테인먼트산업학회논문지 Vol.10 No.1

본 연구의 목적은 뇌졸중 환자의 균형 및 보행능력의 향상을 위하여, 경두개직류자극의 음극과 양극을 편마비 환자 뇌의 하지 영역에 적용하여 극성에 따른 균형과 보행의 상관관계를 알아보고자 하였다. 대상자는 뇌졸중 환자를 대상으로 하였으며, 경두개직류자극 양극 적용군 20명과, 경두개직류자극 음극적용군 20명으로 총 40명을 대상으로 하였다. 이 연구는 2015년 6월 1일부터 26일까지 총 4주를 실시하였다. 균형 능력에서는 양극 및 음극에서 좌/우 및 전/후 체중지지에서 유의한 차이를 보였고, 좌/우 체중지지에서 그룹 간 차이를 나타내었다. 보행 능력에서는 양극 및 음극에서 마비측의 입각기 및 유각기에서 유의한 차이를 나타내었고, 양극에서 분속수의 차이를 나타내었다. 또한 양극 적용 시 균형 능력에서 좌/우 및 전/후 체중차이와 보행 능력에서 마비측의 입각기와 유각기에서 유의한 상관관계를 나타내었고, 전/후 체중차이와 분속수에서 유의한 상관관계를 나타내었다. 음극 적용 시 균형 능력에서 좌/우 및 전/후 체중차이와 보행 능력에서 마비측의 입각기와 유각기에서 유의한 상관관계를 나타내었다. 본 연구의 결과로 편마비 환자의 균형과 보행능력을 향상시키기 위해서는 경두개직류자극의 음극 적용보다 양극 적용이 중요하다고 생각된다. 앞으로는 경두개직류자극의 적용과 함께 적절한 치료의 중재 방법과 함께 한다면 더 효과적인 기능적 증가를 시킬 수 있을 것이라고 생각된다. This study was to identify correlations between balance and gait according to polarity when transcranial direct current stimulation (tDCS) with the cathodal and anodal poles was applied to the brain region corresponding to the lower extremity of stroke patients. Subjects of this study were 40 individuals consisting of 20 individuals in which tDCS were applied with the anodal pole and 20 individuals with the cathodal pole. This research was conducted from June 1 2015 to June 26 2015. Balance ability results, anodal and cathodal groups showed significant difference of left/right, anterior/posterior weight-bearing. group differentiation is appeared on left/right weight-bearing after tDCS. gait ability results, anodal and cathodal groups showed significant difference of affected side stance and swing phase. And anodal group showed significant difference of cadence. Anodal group statistically significant correlations were shown in the difference in left/right and anterior/posterior weight-bearing among the variables of balance ability, and the stance phase on the affected side, the swing phase on the affected side, and cadence among the variables of gait ability. Cathodal group statistically significant correlations were exhibited in differences in anterior/posterior weight-bearing and left/right weight-bearing among the variables of balance ability, and the stance phase on the affected side, and the swing phase on the affected side among the variables of gait ability. Study suggests that tDCS applied with the anodal pole is more important than tDCS applied with the cathodal pole to improve balance and gait abilities in stroke patients. Future application of a proper intervention combined with tDCS may result in more effective functional improvements.

수술적 접근으로 치료한 식도 점막하종양의 임상적 고찰

조수연 ( Su Yeon Cho ),문현종 ( Hyeon Jong Moon ),김지원 ( Ji Won Kim ),조석기 ( Suk Ki Cho ),김병관 ( Byeong Gwan Kim ),주세경 ( Sae Kyung Joo ),김영훈 ( Young Hoon Kim ),박진선 ( Jin Sun Park ),최원제 ( Won Jae Choi ),김수환 ( S 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2

목적: 저자들은 식도 점막하종양을 수술로 치료한 예를 분석 하고 과거 보고와 비교하여 국내에서의 식도 점막하종양의 특 성을 파악하고 이를 통해 향후 방침을 세우는 데 참고하고자 하였다. 대상 및 방법: 2005년부터 2012년까지 서울특별시보라매병 원과 분당서울대학교병원에서 식도 점막하종양을 진단받고 수술을 시행받은 18예를 후향적으로 분석하였다. 결과: 환자의 평균 연령은 48.9세였고, 남녀 비는 2.6:1였고, 대부분 무증상(77.8%)이었다. 대부분은 중부(55.6%)와 하부 식도(44.4%)에 위치하였고, 크기는 3-5 cm (55.6%)과 3 cm 이하(33.3%)인 경우가 많았다. 내시경초음파에서 병변은 대 부분 네번째 층(83.3%)에 존재하였고, 저에코 (72.2%)로 관찰 된 경우가 많았으며, 고에코 (11.1%) 또는 혼재된 에코(11.1%) 로 관찰된 경우도 있었다. 평활근종으로 진단한 경우가 가장 많았고(55.6%), 수술을 시행한 이유는 악성이 의심되거나 (38.9%) 병변의 크기가 큰 경우(33.3%) 및 크기 증가(11.1%) 등이었다. 수술은 대부분 흉강경을 이용한 적출술(83.3%)을 시행하였고, 병변의 평균 크기는 5.4 cm였으며, 6-10 cm 사 이인 경우(38.9%)가 가장 많았고, 3-5 cm 사이인 경우 (33.3%)가 그 다음으로 많았다. 최종 진단은 평활근종이 대부 분이었고(88.9%), 나머지는 위장관 기질종양(11.1%)이 차지 하였다. 결론: 식도 점막하종양은 평활근종이 가장 흔하였으나, 내시 경초음파로 위장관 기질종양과의 감별이 매우 어려웠다. 악성 이 의심되거나 증상을 동반하는 경우에는 흉강경을 이용한 최 소 침습 수술이 치료에 적절할 것으로 판단된다. Background/Aims: Submucosal tumors of the esophagus are rare lesions among all esophageal neoplasms. The purpose of this study was to evaluate the clinicopathologic features of esophageal submucosal tumors treated by surgical approach. Methods: We analyzed the clinicopathologic and endoscopic ultrasonographic features of 18 esophageal submucosal tumors which were treated by surgical approach at Boramae Medical Center and Seoul National University Bundang Hospital from January 2005 to June 2012. Results: The mean age was 48.9 years old and male to female ratio was 2.6:1. Asymptomatic patients were most common (77.8%). In endoscopic ultrasonographic finding, the majority tumor arouse in the middle (55.6%) and lower (44.4%) esophagus, and appeared as hypoechoic lesion (72.2%) in the 4th layer (83.3%). The most common indication for surgical approach was unclear biological behavior of the tumor. Minimally-invasive technique using thoracoscopy was applied for the enucleation (83.3%). The mean diameter of the tumor was 5.4 cm, and the final diagnosis was leiomyoma (89.9%) and gastrointestinal stromal tumor (11.1%). Conclusions: Leiomyoma was the most common submucosal tumor in esophagus. However, endoscopic ultrasonography was not able to differentiate between leiomyoma and gastrointesinal stromal tumor. For more accurate diagnosis and treatment, minimally-invasive approaches may be suitable for the surgical enucleation of indicated esophageal submucosal tumor.

영상 분석장치를 이용한 골 흑화도의 정량적 평가에 관한 연구

김재덕,최원제 朝鮮大學校 口腔生物學硏究所 1995 口腔生物學硏究 Vol.19 No.2