물리치료 교육과정 분석에 의한 물리치료 교육 이원화의 문제점

장수경,Jang, Su-Gyeong 대한물리치료과학회 1996 대한물리치료과학회지 Vol.3 No.3

The Quality of physical therapy school system has conflicts between physical therpist, and reduces the opportunity of seguential education. So this study was investigated in order to made concrete the problems of educational duality, set up the direction of the school system's improvement, as like the four-year system and recognized the necessity. The curriculums of 13 colleges and 5 universities was analyzed. The curriculum analysis was made up the comparison and the analysis by a liberal arts point, a major point, a clinical practice point, total opening subjects, and so on. The analyzing results were as follows. 1. The average rates of a liberal arts vs. a major opening point are 17:83 in college, and are 27:73 in university. 2. It is a serious problem that college are lower than university in a liberal arts. The best method that can solve it is lengthen the number of school years. 3. There is no difference between college and university in a major subject. Rather college has the more subject's numbers than university. 4. There is no difference between college and university in a clinical practice. Above results suggests that there is not different between college and university in a major subject except for a liberal arts point. It is proper that one should be unificate the curriculum according to the sameness between a state examination and a license. Therefore, it is necessary for graduates from college that provides the opportunity of proceeding to a higher school, demands the seguential system of study cultivating and producing a bachelor, and requires the continual education in a clinical field, a bachelor admitting system of continual education, and clinical therapist's qualification. The present physical therapy educational systems should be unificated because of many right reasons. On the other hand, the follw-up study that improving the school system about the four-years and the more physical therapy should be continue from the viewpoint of education.

물리치료 임상실습 교과내용 개선을 위한 조사연구

장수경,Jang, Su-Gyeong 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.3

This Study was to investigate elaborated research themes and direction through specifying the problems of clinical practice education and looking for the direction of improvement. It was in the basis of the viewpoint of the educators that professors and therapists who were the subjects of this study. Perform this study, the 15 colleges' professors and the 55 hospitals' therapists was made up questionnaire, and the data was analysing by Chi-square test and percentage. The results were as follow : ${\cdot}$ In a personal history among the general qualities, professors have little clinical practice history(l-5 years, 53.3%), and therapists have little lecture career(1-5 years, 43.6%, have no 49.0%), ${\cdot}$ The 78.6% subjects were unsatisfied of clinical practice systems. ${\cdot}$ The correlation between clinical history, school career and lecture career and the satisfaction level of clinical practice systems has no(P<.005), ${\cdot}$ The subjects were agreed to that clinical practice curriculum should be changed(67.1%), reinforced(82.9%), and specified(90.0%). ${\cdot}$ The clinical practice credits are 11 points averagely. ${\cdot}$ In the clinical practice curriculum, it made no difference in the practicum of diseases, modality, and the therapeutic techniques between professors and therapists. ${\cdot}$ The 100% professors said that the practicum of the patients' assessment is necessary, and the 63.6% therapists were training for that. ${\cdot}$ The 66.7% professors said that the practicum of the clinical psychology is necessary, and only the 20.0% therapists were training for that. ${\cdot}$ The 93.3% professors said that the practicum of the patients' management is necessary, and the 50.9% therapists were training for that. ${\cdot}$ The 66.7% professors said that the practicum of the medical ethics is necessary, and the 34.5% therapists were training for that. ${\cdot}$ The 46.7% professors said that the practicum of the hospital administration is necessary, but the 54.5% therapists have not training. ${\cdot}$ The 33.3% professors said that the practicum of the pharmacology is necessary, but the 81.8% therapists have not training. ${\cdot}$ The 86.7% professors said that the practicum of the patient's education is necessary, and the 43.6% therapists have training. ${\cdot}$ The 66.7% professors said that the practicum of the prosthesis and brace is necessary, but the 14.5% therapists have not training. ${\cdot}$ The 60.0% professors said that the practicum of the exercise prescription is necessary, but the 25.5% therapists have not training. ${\cdot}$ The 53.5% professors said that the practicum of the emergency treatment is necessary, but the 52.7% therapists have not training. ${\cdot}$ Drawing up the plan about the curriculum of clinical practice, the professors (46.7%) were agreed to national master plan framing by an expert advisor, but the therapists (58.2%) said that the plan that make the most of hospitals' characteristics should be specified. ${\cdot}$ It was found that a clinical special therapists(54.5%) was good as a person in charge of clinical practice education, in that each therapist's own good time (34.5%) was. ${\cdot}$ It made use of the form framing by college(40.0%) as the clinical practice textbook, the form framing by hospital (42.9%) and each therapist(22.9%) as the plan, and the form framing by college (74.3%) as the measurement. ${\cdot}$ The most difficult point in clinical practice education was the lacks of the theory-praciticum linkage(78.2%). ${\cdot}$ It was found that the period of clinical practice was in the second semester-third grade (40.0%) and the desirable period was in the first semester-third grade(50.0%). ${\cdot}$ Professors (53.3%) were a

자세교정프로그램에 따른 자세유지 수행과 자기효능감에 관한 연구

장수경,Jang, Su-Gyeong 대한물리치료과학회 2000 대한물리치료과학회지 Vol.7 No.2

The purpose of this study is to identify the posture correction program as the development of the posture maintenance performance, and search for the more efficient posture correction program. The data analysis was processed by SPSS. The data was analysed with $x^2$-test, t-test, pearson product moment correlation, and stepwise regression analysis. The finding of this study is as follows: There are the homogeneity between two groups was verified on the know ledges CF=.697, df=2, P>.05), self-efficacy(F=.098, df=2, P>.05) about the posture. The developed posture correction program has proved to enhance the posture maintenance performance(knowledge t=1.60, P<.05 ; posture manintenance t=7.69, P<.01). The type of posture correction program showed some significant differences (t=5.62, P<.01) in the accuracy of movement way among the factors of the posture maintenance performance. The posture maintenance performance affected self-efficacy. Therefore, the major conclusion is as follows: The posture correction program was meaningfully effective on developing the posture maintenance, and with practice created accuracy much more on the posture maintenance movement way. The development of the posture maintenance performance affected the increase of self-efficacy about the posture. The self-efficacy has proved so powerful factor to influence on the posture maintenance performance development. So, the posture correction program should be done systematically and continually, and developing the posture maintenance performance should be done with practice. After the education, it should be reinforced through practice, midterm identification and reeducation and motivated with recognizing the accurate posture measurement. And it should be created the correction program to develop the high self-efficacy about the posture. It needs the strategy to educate the correct posture individually, and to spread to the society for healthy life style.

결막 표면에 융기된 흑색세포종양의 임상양상

장수경(Su Gyeong Jang),박병건(Byung Gun Park),박영민(Young Min Park),이종수(Jong Soo Lee) 대한안과학회 2016 대한안과학회지 Vol.57 No.11

목적: 결막 표면에 융기된 흑색세포 종양의 임상양상 및 특징에 대하여 알아보고자 하였다. 대상과 방법: 세극등 현미경 검사에서 결막 표면의 융기된 흑색세포종양으로, 절제 생검을 시행 받은 환자 33명(남자 16명, 여자 17명), 33안의 의무기록을 후향적으로 분석하였다. 결과: 환자의 종양이 최종진단까지 걸리는 기간은 10년 이내가 76%였으며, 10년 이상은 24%로 15년에서 50년까지 다양하였다. 절제생검결과는 복합모반이 13안(40%), 상피하모반이 9안(27%), 이형성이 동반되지 않은 원발성 후천성 흑색증 8안(24%), 그리고 악성흑색종이 3안(9%)이었다. 복합모반은 각막 이측에 위치한 경우가 54%, 구결막에 위치한 경우가 77%로 가장 많았고 61%가 갈색의 색소성 변화를 보였다. 병변의 평균 직경은 24 mm로, 멜라닌 모반세포가 결막 상피 및 상피하 기칠층에 복합적으로 존재하였다. 상피하모반은 각막 이측(56%), 구결막에 위치(78%)한 경우가 많았고 78%에서 갈색을 띠었다. 이 병변의 평균직경은 28 mm였고, 멜라닌모반세포가 상피하 기질층에서만 관찰되면서 nest shape을 형성하였다. 이형성이 동반되지 않은 원발성 후천성 흑색종은 각막 비측(62.5%), 구결막에 위치(75%)하는 경우가 많았고 갈색의 색소성 변화를 보이는 경우(75%)가 가장 많았다. 평균직경은 30 mm, 조직학적으로 멜라닌 모반세포가 상피층 바닥막에 국한되어 있었다. 악성 흑색종은 3안으로 모두 각막 상측의 검결막에 위치하였고, 검은색소성 변화가 있으면서, 평균 직경이 53 mm로 조직소견상 암세포가 결막 및 결체조직의 전층에 분포하였다. 결론: 결막 표면의 흑색세포종양이 검결막에 위치하면서 병변의 범위가 넓고 표면으로 융기되는 검은색의 색소침착을 보이는 경우악성흑색종으로 의심되기에 조기에 생검 및 적극적인 절제술이 필요할 것으로 생각된다. <대한안과학회지 2016;57(11):1691-1698> Purpose: To investigate the clinical manifestations and characteristics of extruded conjunctival melanocytic mass. Methods: A total of 33 patients who had extruded conjunctival melanocytic mass and who underwent excisional biopsy were retrospectively reviewed. Results: Based on the excisional biopsy results, 13 patients (40%) were diagnosed with compound nevus, nine patients (27%) with subepithelial nevus, eight patients (24%) with primary acquired melanosis without atypia, and three patients (9%) with malignant melanoma. Compound nevus was located on the temporal side of the cornea in 54% of affected cases, bulbar conjunctival in 77%, and was partially pigmented (brown) in 61%. The average size of the melanocytic mass was 24 mm when histological analysis showed melanin nevus cells in the conjunctival epithelial layer and subepithelial stromal layer. Subepithelial nevus was located on the temporal side of the cornea (56%) and in the bulbar conjunctival (78%) and had a brown color (78%). The average size of the melanocytic mass was 28 mm when histological analysis showed melanin nevus cells located only in the subepithelial stromal layer and forming nest shapes. Primary acquired melanosis without atypia was located on the temporal side of the cornea (62.5%) and bulbar conjunctival (75%) and had brown color (75%). The average size of melanin nevus cells located only in the basement membrane of the epithelial layer was 30 mm. Three of these masses were malignant melanoma, and all cases were located on the superior side of the cornea and palpebral conjunctiva. All cases were black and had an average size of 53 mm, with malignant cells observed in all layers of the conjunctiva and connective tissue. Conclusions: A conjunctival melanocytic mass located on the palpebral conjunctiva, extruding onto the surface, and large in size should be suspected as malignant melanoma. In such cases, early biopsy and aggressive resection are required. J Korean Ophthalmol Soc 2016;57(11):1691-1698

일반 논문 : 『학원』의 "학원문단"과 "학원문학상"의 의미 -독자 투고를 중심으로

장수경 ( Su Gyeong Jang ) 현대문학이론학회 2009 現代文學理論硏究 Vol.0 No.38

한국인 신경망막염 환자의 임상양상 및 예후

장수경(Su Gyeong Jang),박강윤(Kang Yeun Pak),권한조(Han Jo Kwon),이승민(Seung Min Lee),박성후(Sung Who Park),변익수(Ik Soo Byon),이지은(Ji Eun Lee) 대한안과학회 2017 대한안과학회지 Vol.58 No.2

목적: 신경망막염 환자의 임상 양상 및 예후에 관해 알아보고자 한다. 대상과 방법: 2012년부터 2015년 사이 진단된 신경망막염 환자 7명의 의무기록을 후향적으로 분석하였다. 결과: 7명 중 2명은 양안에 나타나 총 9안이 포함되었다. 5명의 남성과, 2명의 여성이 포함되었고, 나이는 평균 45.1 ± 13.2세였다. 인플루엔자 유사 증상이 선행했던 경우가 2명이었고, 나머지 5명은 시력저하 외 특이소견이 없었다. 내원 당시 교정시력은 평균 logMAR 0.48 ± 0.55 (0-1.6)였다. 혈청학적 검사에서 40세 이하 4명에서는 특이소견이 관찰되지 않았고, 40세 이상의 3명에서는 개회충증 항체 양성이 확인되었다. 개회충증 항체 양성을 보인 3명 중 2명은 Albendazole을 복용하였고 나머지 한 명은 복용하지 않았다. 개회충증 항체 양성임에도 구충제를 복용하지 않은 1안을 제외한 8안은 모두 20/30 이상으로 시력이 회복되었다. 결론: 국내에서 발생한 신경망막염환자 7명 중 3명에서 개회충증 항체가 검출되었다. 항체 양성이 나온 경우에는 구충제 처방을 고려해야 한다. Purpose: In the present study, the clinical characteristics and outcomes of neuroretinitis in Korea were investigated. Methods: Seven consecutive patients with neuroretinitis from 2012 to 2015 were retrospectively reviewed. Results: The present study included 9 eyes of 7 patients. The subjects consisted of 5 males and 2 females and the mean age was 45.1 ± 13.2 years. Two patients had Influenza-like symptoms and the others had no specific general symptoms. The mean best corrected visual acuity was logMAR 0.48 ± 0.55 (0-1.6) on the initial visit. Four patients 40 years of age or under had no abnormal findings in laboratory work-up. Conversely, 3 patients over 40 years of age were positive for Toxocara based on enzyme-linked immunosorbent assay (ELISA). Two of 3 patients positive for Toxocara were treated with albendazole and 1was not. Eight eyes had good visual recovery over 20/30 except for 1 patient who did not take the albendazole despite being positive for Toxocara detected using ELISA. Conclusions: Three of 7 patients with neuroretinitis in Korea showed positive results forToxocara based on ELISA. In cases with seropositive Toxocara ELISA results, albendazole treatment should be considered.

요통환자의 물리치료에 관한 임상적 연구

이재학,장수경,한동직,Lee, Jae-Hak,Jang, Su-Gyeong,Han, Dong-Jik 대한물리치료사협회 1981 대한물리치료사협회지 Vol.3 No.-

A Clinical Study of physical Therapy on the Low Back Conditions J. B. Rhee, S. K. fang, D. J, Han Low back pain usually is due primarily to a faulty mechanics, ,dis'c disease and other contributing factors .Conservative treatment of low back pain is considered to be useful with applicationes physical therapeutic measures including elimination of gravity, but surgical treatment is alternative to conservative .This study 1s conducted to analyse and evaluate efficiency of physical therapy on the low back pain on 452 cases who were treated at the Korea University Hospital, from January 1, 1978 to December 31. 1978.The results obtained in this study are summarized as follows :1. Sex distribution of total rationㄷs surveyed showed that 5l.3% in male and 487% in female.2 . In the age distrbution. the mest Liedominant age group was 25-54 years with7O.8 % .3 . The most proportion of the cases by occupation was housewife 27.7%, clerical and office workers 2l.7% , students 12.8% and labours 12.2 % respectively .4 . The most common causes of low back conditions classified, the Strain or Trau-rla revealed the highest frequency with 58.4% and thc Herniated Nucleus Pulpe-sus with 29.2 % of the total.5 . The modalities of physical therapy suitable to each cases were applied : 94.0%of all cases were treated with deep thermotherapy, 91.4 % hydrocollator steampack, 86.7% strengthening exercise of the weak muscles, pelvic traction 34.1%.6 . In regard to the duration required for the physical therapy. Herniated Nucleus Pulposus were approximately 4 weeks and strain or trauma were 2 weeks.7 . The improvement by physical therapy on lcw back conditions was classified in-to 41grades and showed following reaulits , excellent 42.5%, good 37.8%, fair 13.7% and poor 6.0% respectively.

정상성인에게 적용한 안구운동이 인지기능에 미치는 영향

김지원(Kim ji-won),장수경(Jang su-gyeong),김신영(Kim shin-young),김주원(Kim ju-won),노민지(No min-ji),노시형(No si-hyoung),박윤혜(Park yun-hye),손원종(Shon won-jong),오민지(Oh min-ji),김경윤(Kim kyung-yoon),배세현(Bae sea-hyun) 한국콘텐츠학회 2019 한국콘텐츠학회 종합학술대회 논문집 Vol.2019 No.5

두 종류의 스펙트럼영역 빛간섭단층촬영기로 측정한 망막신경섬유층 두께의 비교분석

최범석(Beom Seok Choi),장수경(Su Gyeong Jang),신종훈(Jong hoon Shin),이지웅(Ji Woong Lee) 대한안과학회 2016 대한안과학회지 Vol.57 No.7

목적: 두 종류의 스펙트럼영역 빛간섭단층촬영기(optical coherence tomography, OCT)를 이용하여 측정한 망막신경섬유층 두께의 일치도와 녹내장안 진단의 유용성을 비교하고자 하였다. 대상과 방법: Cirrus OCT와 Spectralis OCT를 이용하여 원발개방각녹내장 환자 56명 89안과 정상인 25명 42안에서 망막신경섬유층 두께를 측정하였다. 두 OCT 기기로 측정한 사분면 및 평균 망막신경섬유층 두께의 일치도를 급내상관계수와 Band-Altman plot을 이용하여 분석하였다. 사분면 및 평균 망막신경섬유층 두께의 녹내장 진단능력 비교는 Area under the receiver operating characteristic curve (AUC)로 분석하였다. 결과: 정상안과 녹내장안에서 두 OCT 기기로 측정한 사분면 및 평균 망막신경섬유층의 두께는 우수한 일치도를 나타내었으나(급내상 관계수≥0.81), 이측 사분면에서 Spectralis OCT가 Cirrus OCT보다 더 두껍게 측정되었다(p<0.001). 두 OCT 기기로 측정한 평균 망막신경섬유층 두께가 가장 높은 녹내장 진단력을 보였고(AUC 각각 0.85, 0.87, p=0.30), 사분면 및 평균 망막신경섬유층 두께의 AUC 값은 통계학적으로 유의한 차이가 없었다. 결론: 정상안과 녹내장안 모두에서 Spectralis OCT가 Cirrus OCT보다 이측 망막신경섬유층 두께가 높았으나, 두 기기 간 각 사분영역 및 평균 망막신경섬유층 두께 측정의 일치도는 우수하였고, 녹내장의 진단능력은 차이가 없었다. <대한안과학회지 2016;57(7):1118-1125> Purpose: To assess the agreement and compare the performance of glaucoma diagnosis of peripapillary retinal nerve fiber layer (RNFL) thickness measurements between two different spectral-domain optical coherence tomography (SD-OCT) devices. Methods: Eighty nine eyes of 56 patients with glaucoma and 42 eyes of 25 healthy individuals were imaged with Cirrus and Spectralis OCT in a single visit. Agreement between RNFL thickness measurements was assessed using intraclass coefficient (ICC) and Bland-Altman plots. The discriminating abilities of the two techniques for detection of glaucoma were compared by the area under the receiver operating characteristic curves (AUC) for quadrants and average RNFL thickness. Results: ICC values for agreement between both instruments were good for quadrants and average RNFL thickness (all ≥ 0.81). However, Spectralis OCT measurements were significantly greater than Cirrus OCT for temporal quadrant (difference = 4.27 μm in normal group, 3.91 μm in glaucoma group, p < 0.001 for both). The RNFL thickness parameter with the largest AUCs was the average RNFL thickness for the Spectralis OCT and the Cirrus OCT (0.85 vs. 0.87, p = 0.30). The pair-wise comparison among the receiver operating characteristic curves showed no statistical difference for all parameters. Conclusions: Although Spectralis OCT measurements were significantly greater than Cirrus OCT for temporal quadrant, agreement of RNFL measurement between both the devices was generally good and there was no statistically significant difference in the performance of glaucoma diagnosis between both instruments. J Korean Ophthalmol Soc 2016;57(7):1118-1125