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      • 고유수용성 신경근 촉직법

        함용운 檀國大學校 特殊敎育硏究所 1993 特殊敎育要求 兒童硏究 Vol.2 No.-

        근의 수축은 하나의 전각세포와 그것의 지배를 받는 근섬유군으로 성립되는 운동단위의 활동에 의하는 것이다. 운동단위의 활동과 수축의 문제가 된다. 그 때문에 전각세포가 반응할 만큼 충분한 자극이 전각세포에 가해질 필요가 없다. 그러므로 자극으로서는 각종 중축신경계를 통하여 전각세포의 최대흥분을 야기 시키는 것을 목적으로 하는 방법을 사용한다. 전각세포는 각종 자극의 양향을 받으므로 이들을 충분히 이용하는 것이다. 고유수용성 신경근촉진법에 사용되는 운동 패턴은 일종의 집단운동 패턴이며, 이것은 모든 기술의 기본이 된다. 고유수용기에서 신장은 그 방법에 따라 운동을 촉진시키거나 억제할 수 있으며 견인은 운동이고 대각선적인 운동 양상은 인체의 근육과 골격구성의 형태와 같다. 그러나 이 모든 자극들이 개별단위로 각 수용기에 작용하기 보다는 여러 개의 자극과 모든 수용기가 서로 총화를 이루어 반응을 촉진시키거나 억제하는 것이다. 신경근 재교육치료법으로 여러 가지가 있지만 고유 수용성 신경근치료법은 외수용기와 고유수용기의 총화적인 자극을 통하여 소실된 근력을 증강시키는 방법이다.

      • 체간부 운동의 측정방벙에 관한 신뢰도 연구

        함용운 高麗大學校 倂設 保健大學 保健科學硏究所 1992 保建科學硏究論集 Vol.1 No.1

        The purpose of this study was to examine the reliability of the method when different therapists measured the same subject, when the same therapist measured one subject on different days, and when the same therapist measured one subject over three successive repetitions. As a result of analysis of variance, according to each variance, the mean measurements for trunk motion, statistically significant differences in the means were found between raters. That is, forward bending and backward bending had P-value of 0.03 and 0.04 each, showing statistically significant differences(P<0.05). Right rotation had P-value of 0.01, showing very significant difference, but side bending didn't show difference(P=0.50). Besides, between days, right rotation had P-value of 0.02, showing statistically significant difference, but other motions didn't clear differences.

      • KCI등재
      • 물리치료기구의 컴퓨터화 현황과 발전동향

        함용운 高麗大學校 倂設 保健大學 保健科學硏究所 1998 保建科學硏究論集 Vol.7 No.1

        This study was performed to investigate the computerizing trends of the equipments for physical therapy in the general hospitals at Seoul area. The obtained results were as follower 1. Most of the electrotherapy equipments are digitalized. 2. Same of the exercise therapy equipments are digitalized, and some of them are computerized. Especially CYBEXs are all computerized. 3. All hydrotherapy equipments are not digitalized and computerized. 4. Among three pbototherapy equipments, only LASER therapy equipments are all digitalized. The information technology revolution is not going to go away, and information technology exploding through the continuum of health care. Its impact on the way physical therapists provide care will completely change physical therapy field. The future for physical therapists will bleak if there is a variety of unregulated, complicated, and disparate software programs that collects clinical information that cannot be shared, analyzed, nor managed. The technology is available that can establish large data banks and national benchmarks for diagnostic groups pertaining to the duration, frequency, interventions, and outcomes of physical therapy services. We must, in a unified professional voice, take the initiative and lead physical therapists in what will inevitably be our destiny: computerized reporting and data collection.

      • 직접 접근방식을 통한 물리치료 서비스

        함용운 高麗大學校 倂設 保健大學 保健科學硏究所 1996 保建科學硏究論集 Vol.5 No.1

        The practice of physical therapy in the United States has changed dramatically since its beginnings in the early 1900s. Today's physical therapist is a graduate of an accredited degree granting program, and is required to be licensed by the state in which physical therapy is practiced. Physical therapists are employed in diverse settings including hospitals, rehabilitation centers, private offices, schools, home health agencies, extended care facilities, and academic institutions. In addition, physical therapists may be formally recognized and certified in seven specialty areas of physical therapy practice. Direct access to physical therapy services is a relatively new issue within the profession of physical therapy. As of 1993, 30 states permit patients to have "direct access" to physical therapy services. Stipulations found in many of the direct access laws limit the autonomy of the physical therapist practicing in a direct access mode. Direct patient access to physical therapy increases the degree of professional, legal, and ethical accountability for all physical therapy practitioners. The dynamics of the health care delivery system and the ongoing changes in physical therapy practice constantly challenge physical therapists to ethically manage their practices, businesses, and conduct. Competent practice and compliance with all applicable laws are essential for each individual practitioner. Referral to, and consultation with. fellow therapists, physicians, and other clinicians will increase in frequency as the trend toward direct access practice continues to grow. Managing these new relationships in an ethical fashionwill be a challenge for therapists who work through direct access. In summary, this has examined the issues of diagnosis and referral in physical therapy practice. However, many questions remain unanswered. It does, however, begin to examine these issues by documenting the actual use of direct access as a practice mode.

      • 직접 접근방식을 통한 물리치료 서비스

        함용운 高麗大學校 倂設 保健大學 保健科學硏究所 1996 보건과학 학술 세미나 Vol.- No.4

        The practice of physical therapy in the United States has changed dramatically since its beginnings in the early 1900s. Today's physical therapist is a graduate of an accredited degreegranting program and is required to be licensed by the state in which physical therapy is practiced. Physical therapists are employed in diverse settings including hospitals, rehabilitation carters, private offices, schools, bome health agencies, extended care facilities, and academic institutions. In addition, physical therapists Bay be formally recognized and certified in seven specialty areas of physical therapy practice. Direct access to physical therapy services is a relatively new issue within the profession of physical therapy. As of 1993. 30 states permit patients to have 'direct access' to physical therapy services. Stipulations found in many of the direct access laws limit the autonomy of the physical therapist practicing in a direct access mode. Direct patient access to physical therapy increases the degree of professional, legal, and ethical accountability for all physical therapy practitioners. The dynamics of the health care delivery system and the ongoing changes in physical therapy practice constantly challenge physical therapists to ethically manage their practices, businesses, and conduct. Competent practice and compliance with all applicable laws are essential for each individual practitioner. Referral to and consultation with, fellow therapists. physicians, and other clinicians will increase in frequency as the trend toward direct access practice continues to grow. Managing these new relationships in an ethical fashion will be a challenge for therapists who work through direct access. In summary, this has examined the issues of diagnosis and referral in physical therapy practice. However, many questions remain unanswered. It does, however, begin to examine these issues by documenting the actual use of direct access as a practice mode.

      • PNF 패턴을 이용한 세라밴드 운동이 상지 굴곡근의 등장성 근력에 미치는 효과

        함용운 高麗大學校 倂設 保健大學 保健科學硏究所 2000 保健科學論集 Vol.26 No.1

        The purpose of this study was to determine whether a 6-week Theraband exercise using PNF pattern would significantly increase isotonic strength of flexor muscles in upper extremities. Twenty subjects were pre- and post-tested in isotonic strength using an isotonic analyzer, EN-treeM. The results were as follows; 1. In upper extremity of dominant side, isotonic strength measures of flexor muscles were significantly increased; total work of male: peak power, average peak power, average power, peak velocity, average peak velocity, and average peak force of female; peak power, average peak power, peak velocity, average peak velocity, average peak force, total work, and fatigue index of total subjects. 2. In upper extremity of nondominant side, isotonic strength measures of flexor muscles were significantly increased; peak power, average peak power, average power, average peak velocity, average peak force, and total work of male; peak power, average peak power, peak velocity, average peak velocity, and total work of female; peak power, average peak power, average power, peak velocity, average peak velocity, average peak force, and total work of total subjects. These results suggest that home-based resistance training programs utilizing Theraband elastic tubing can serve as a practical and effective means of eliciting isotonic strength gains in adults.

      • 체간부 운동의 측정방법에 관한 신뢰도 연구

        함용운 高麗大學校 倂設 保健大學 保健科學硏究所 1992 保健科學論集 Vol.18 No.1

        The purpose of this study was to examine the reliability of the method when different therapists measured the same subject, when the same therapist measured one subject on different days, and when the same therapist measured one subject over three successive repetitions. As a result of analysis of variance, according to each valiance, the mean measurements for trunk motion, statistically significant differences in the means were found between raters. That is, forward bending and backward bending had P-value of 0.03 and 0.04 each, showing statistically significant differences (P< 0.05). Right rotation had P-value of 0.01, showing very significant difference, but side bending didn't show difference(P=0.50). Besides, between days, right rotation had P-value of 0.02, showing statistically significant difference, but other motions didn't clear differences.

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