우리나라 물리치료학과 교육과정 실태 분석

구봉오,심제명,이경순,오태영,이해정,이건철,이태식,Goo, Bong-Oh,Shim, Je-Myung,Lee, Kyung-Soon,Oh, Tae-Young,Lee, Hae-Jung,Lee, Geon-Cheol,Lee, Tai-Sic 대한물리치료과학회 2010 대한물리치료과학회지 Vol.17 No.3

Purpose: The purpose of this study was to investigate purpose of education, goal and curriculums of physical therapy department. Methods: It was carried out a questionnaire survey with total 74 colleges that have the department of physical therapy including the 3-year course (36 colleges) and 4-year course (38 college) from June 10 to August 7, 2010 and collected the data from total 64 colleges including 35 colleges with 4-year course and 29 colleges with 3-year course. Results: First, the purposed and objectives of the physical therapy education of the individual colleges were all excellent, but those of the colleges with 4-year course was a little higher than those of the colleges with 3-year course. Second, the evaluation of the curricula of the individual colleges showed that they have low degree of connection, continuation and integrity and the theory and practice were not harmonized, and scores were low especially in the practice. Third, we have classified the curricula of the individual colleges and found that the practice-based education was lacking among the curricula of Korea. Conclusion: In this study, the fundamental data for the establishment of the integrated and professional physical therapy education system was provided to improve the physical therapy education and the efficiency of the clinical work in the current, fast-moving status of physical therapy. Further study is necessary to present a more standardized curriculum.

정상인과 만성 요통 환자의 최대 호기시 외측 복부 근육활동 비교

구봉오,김강훈,Goo, Bong-Oh,Kim, Kang-Hoon 대한고유수용성신경근촉진법학회 2014 PNF and Movement Vol.12 No.1

Purpose: This study was to examine lateral abdominal muscle activation during maximum expiration exercise between healthy and chronic low back pain(CLBP) patients. Methods: The subjects were 16 CLBP patients and 16 healthy people between the ages of 22 and 53. The thickness of the abdominal muscles was measured using ultrasonography(LOGIQ Book XP, GE, USA). We instructed the subjects how to perform the exercises and measured changes in thickness of the transversus abdominis(TrA) and internal oblique(IO) muscles during the maximum expiration. The main outcome variables were the ratios of the TrA and IO thickness during the exercise versus in the relaxed position(TrA and IO activation ratios). Results: There were significant differences between CLBP patients and healthy subjects for TrA in the relaxed position. However there was no difference in the ratio of change in the muscle activity(TrA, IO). Conclusion: These findings, CLBP patients exhibited atrophy of the TrA muscle, but voluntary TrA muscle activation was similar to that of the normal subjects. Therefore, this exercise could be used during core strengthening in CLBP patients.

물리치료 단독 개원 법률 제정의 필요성

구봉오,김현주,최기환,Goo, Bong-Oh,Kim, Hyeon-Joo,Choi, Ki-Hwan 대한물리치료과학회 2018 대한물리치료과학회지 Vol.25 No.1

Background : In order to recognize the problems of current Korean physical therapy which does not conform to the current trend of modern society and to suggest improvement directions, we will establish a law for exclusive use of physical therapy that can guarantee the health rights of the people and contribute to the development of Korean physical. Methods : Korea's current physiotherapy system is compared with OECD member countries and WCPT member countries, and considering the expected effects and necessities that arise when the sole law is enacted, the sole law for the global trend is presented. Result : If the sole law is enacted and the physical therapist is treated solely, the effect is as follows. 1. Provision of high-quality physiotherapy services through establishment of physical therapy expertise 2. Convenient service provision 3. Reduced treatment costs due to reduced National Health Insurance fiscal expenditure 4. contributing to the improvement of medical welfare for the elderly and the disabled 5. Decreased unemployment rate due to job creation.

고유수용성 신경근 촉진법이 만성요통을 가진 노인환자의 체간 안정성과 균형에 미치는 영향 -등장성 수축 결합과 율동적 안정화 기법 적용-

구봉오,박상목,김애진,김현경,박두진,오광준,이현무,정소진,Goo, Bong-Oh,Park, Sang-Mok,Kim, Ae-Jin,Kim, Hyun-Kyoung,Park, Do-Jin,Oh, Kwang-Jun,Lee, Hyun-Mu,Jeong, So-Jin 대한고유수용성신경근촉진법학회 2007 PNF and Movement Vol.5 No.2

Purpose : The purpose of this study was to examine the effects of combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation on trunk stability and balance in elderly people with chronic low back pain. Subjects : Thirty-two elderly people ($73.78{\pm}8.49$ years of age) who had complaints of CLBP were randomly assigned to 2 groups: experimental group and control group. Methods : Subject trained with combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation for 4weeks with aim of improving trunk stability and balance. Weight distribution, trunk muscle balance, static balance ability and dynamic balance ability were measured before, at the end of training. Results : Data were analyzed using two-way ANOVA. After the exercise programs, there were significant differences in the weight distribution, trunk muscle balance and dynamic balance ability between the experimental and control group. However there was no significant difference in the one leg stance test(p<.05). Conclusion : This study suggest that PNF programs may be appropriate for improving trunk stability and balance in elderly people with CLBP.

네발기기 자세에서 실시하는 안정화 운동 시 지지면 불안정성이 체간 근육 활성도에 미치는 영향

구봉오,정영훈,김수민,Goo, Bong-Oh,Jung, Young-Hun,Kim, Soo-Min 대한고유수용성신경근촉진법학회 2011 PNF and Movement Vol.9 No.3

Purpose : The purpose of this study was to find the effects of the transverse abdominis/internal abdominal oblique (TrA/IO), multifidus (MF) muscles while stabilization exercise was performed in a four-point kneeling position on the unstable surface. Methods : Twenty healthy adults volunteered to participate in this study. Each subject was instructed regarding maximum voluntary isometric contractions (MVIC) and stabilization exercise in four-point kneeling on the unstable surface. While MVIC and stabilization exercise of individual muscles were being performed, activation of the muscles was measured using surface electromyography (EMG). Activation of the muscles while performing stabilization exercise in four-point kneeling on the unstable surface was normalized to a percentages of the MVIC. Results : TrA/IO, MF muscles showed no significant differences among the surfaces. Conclusion : Activation of the trunk muscles while performing stabilization exercise in four-point kneeling does not effect on the surface.

교사와의 상호작용을 통한 주기적인 척추운동이 청소년의 요부근력과 균형 감각에 미치는 영향

구봉오 ( Bong Oh Goo ),문현주 ( Hyun Ju Moon ),조성학 ( Sung Hak Cho ) 대한통합의학회 2015 대한통합의학회지 Vol.3 No.2

Purpose: The purpose of this study was to investigate the effect of regularly strength exercise of spine in teenagers with tutor. Method: Study subjects were 24 middle school students. They were arranged to 2 groups(n=12, respectively). Then experimental group did regularly strength exercise of spine as the handout maneuver during 50min/day and 1day/week in 8 weeks with tutor, but control group did regularly exercise of spine as same maneuver without tutor. For muscle strength of both extensor and flexor of lumbar, the balancing ability and weight distribution index were measured before and after the intervention. Results: For muscle strength of both extensor and flexor of lumbar, there was not significant differences after the intervention, but both flexor and extensor increase mean value of muscle strength than control group. For balancing ability and weight distribution index, there were not significant difference after intervention(p>.05), but experimental group show a tendency to decrease in a few position than control group. Conclusion: When teenagers regularly exercise for spine strengthening for a long time with tutor, it may be increased muscle strength of lumbar and trunk balance.

물리치료원 독립개원의 필요성

구봉오 ( Bong Oh Goo ),이상열 ( Sang Yeol Lee ),김강훈 ( Kang Hoon Kim ),정종철 ( Jong Chul Jung ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.2

Purpose:In this study, by recognizes the legal constraints of a independent physical therapy clinic open, the other countries`s law on physical therapist and the expected effect of independent clinic open, we suggest the need for independent clinic open in South Korea. Methods:To recognize the necessity and expected effect of independent physical therapy clinic open, by comparing the system and situation in South Korea with the countries joined in The World Confederation for Physical Therapy. Results:Effects of the independent physical therapy clinic open were following; 1. it could be guaranteed the option of the medical consumer 2. reduce the economic and time burden 3. provide a good quality medical service Conclusion:Independent physical therapy clinic open will provide a better therapeutic environment for consumer and contribute much to improving the benefit of welfare part of the nation. For provide a good quality to medical consumer, independent physical therapy clinic open and the amendment of related law and institutional device are positively necessary.

기능적 체중지지훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향

구봉오 ( Bong Oh Goo ),심제명 ( Je Myung Shim ),이상열 ( Sang Yul Lee ),김형수 ( Hyoung Su Kim ),이명희 ( Myung Hee Lee ),박민철 ( Min Chull Park ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.1

Purpose:This study investigated to find the therapeutical effects of functional weight bearing exercise on the balance and gait in stroke. Methods:The subjects of this study were 13 hemiplegia was exercised using functional weight support exercise for 5 weeks, all of whom agreed to participate in the study. All subjects were measured to see their balance and gait with a Pro-3 balance system and Gait analysis. In order to assure the statistical significance of the results, we used for SPSS 12.0 for windows. Results:The results of this study were as follows : 1) There were statistically significant difference in medial-lateral stability and overall stability index. 2) There were statistically significant in distance and gait velocity index. Conclusion:According the results of this study, functional weight bearing exercise is effect on the balance and gait for hemiplegia

우리나라 물리치료 교육과정에 대한 고찰

구봉오 ( Bong Oh Goo ),박민철 ( Min Chull Park ),이명희 ( Myoung Hee Lee ),송유익 ( You Ik Song ),조예림 ( Ye Rim Cho ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.2

Purpose:The purpose of this study was to investigate curriculums of physical therapy education. Methods : We identified the curriculums of physical therapy education by internet. Results : In Korea, education on physical therapy started as a two-year program in 1963, and recently reorganized as three or four years programs. Currently some ten schools offer physical therapy programs for master`s and doctor`s degrees. The member countries of the World Confederation for Physical Therapy (WCPT) provide approximately ten types of education programs that take two to six years. In Korea, the same programs have three or four years of education periods. The American Physical Therapist Association (APTA) launched on the doctor of physical therapy (DPT) course in the late 1990s, encouraging physical therapists to acquire a doctorate degree. In addition, the U.S. Vision 2020 envisions that all physical therapists acquire DPT by the year 2020. As the medical field becomes more professional and specialized, physical therapists are expected to supplement and even replace works of doctors, instead of merely assisting them. It is necessary to reinforce education programs and improve related school systems to enhance status of physical therapist in accordance with the changing social needs and to provide quality service to patients. Conclusion: We suggest to change the curriculum of Korea, It is more accurately reflected the scope, depth, breadth, and rigor of the high-quality education preparation needed for current and future practice.

8방향 경사와 회전 운동이 만성요통환자의 통증과 동적균형에 미치는 영향

구봉오(Bong-Oh Goo),박민철(Min-Chull Park),송유익(Yoo-Yik Song),조예림(Ye-Rim Cho) 한국콘텐츠학회 2010 한국콘텐츠학회논문지 Vol.10 No.9

본 연구는 8방향 경사와 회전운동이 만성요통환자의 통증과 동적균형에 미치는 영향을 알아보고자 시행되었다. 20명의 만성요통환자가 실험에 참여하였다. 10명(실험군)은 물리치료기구[온열팩{Hot Pack(H/P), 경피신경자극{Transcutaneous Electric Nerve Stimulation(TENS)}, 초음파{Ultra Sound(U/S)}]를 이용한 치료를 받은 후에 8방향 경사와 회전운동을 실시하였고 나머지 10명(대조군)은 물리치료기구를 이용한 치료만 실시되었다. 치료 중재는 주 3회, 6주 동안 적용되었다. 동적균형과 통증은 Star Excursion Balance Test(SEBT)과 Visual Analog Scale(VAS)를 이용하여 측정하였다. VAS 점수는 두 그룹 모두 감소하였으나 실험군에서 보다 유의하게 감소하였다. 동적균형 능력 또한 실험군에서 보다 유의한 증가를 나타내었다. 따라서 8방향 경사와 회전운동은 만성요통환자의 통증과 동적균형에 효과가 있었다고 사료된다. The purpose of this study is to investigate the effect of 8 direction incline and rotation exercise on pain and dynamic balance in the patients with chronic low back pain(CLBP). 20 patients who were diagnosed with CLBP were included for the study. 10 patients(experimental group) were treated by modality{Hot Pack(H/P), Transcutaneous Electric Nerve Stimulation(TENS), Ultra Sound(U/S)} and then performed 8 direction incline and rotation exercise. The other 10 patients(control group) were only treated by modality. The therapeutic intervention was taken three times a week for 6 weeks. Dynamic balance was assessed by Star Excursion Balance Test(SEBT) and pain was assessed by Visual Analog Scale(VAS). VAS scores of both groups were decreased. However, the experimental group was more significantly decreased than the control group. The dynamic balance of both groups was significantly increased in anterior, posterior, medial, lateral direction. But experimental group was more significantly increased than the control group. In conclusion, 8 direction incline and rotation exercise was effective on pain and dynamic balance in CLPB.