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          대한물리의학회지(2006-2012)의 연구동향

          노정석 ( Jung Suk Roh ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.3

          본 연구는 대한물리의학회지 2006년 1권 1호부터 2012년 7권 4호까지 게재된 논문 297편의 연구형태, 연구수준, 연구대상자, 연구주제, 통계방법, 연구자특성을 분석하여 연구동향을 살펴보았다. 연구형태는 실험연구가 가장 많았고, 연구수준은 무작위통제연구인 제 2수준의 연구가 가장 많았다. 연구대상자의 연령은 51-70세가 가장 많았고, 연구대상자의 진단명은 뇌졸 중이 가장 많았다. 연구주제로는 운동치료가 가장 많았고, 통계방법으로는 독립 t-검정이 가장 많이 사용되었다. 연구자의 신분은 교수가 가장 많았고, 연구자소속 지역은 대구가 가장 많았다. 본 연구를 통해 대한물리 의학회지의 연구동향을 파악할 수 있었고, 더 나아가 현재 한국물리치료분야의 연구의 흐름을 파악할 수 있었다. PURPOSE: The purpose of this study was to investigate the trend of research in Journal of the Korean Society of Physical Medicine (JKSPM). METHODS: A total of 897 articles of JKSPM from Vol.1, No.1, 2006 to Vol.7, No.4, 2012 were reviewed in regard to research type, research level, subjects, research topic, statistic method, and researcher. RESULTS: The most common research type was experimental study (65%). The most common research level was level 2(randomized controlled trials; RCT)(55%). The most common age group of subject was age 11-30 group (55%). The most common diagnosis of subjects was stroke(49%). The main research topic of articles was therapeutic exercise (13.2%). Independent t-test was the most used statistic method. A professor was the most common researcher. The Daegu and Busan were the most common provinces that researcher works. CONCLUSION: This study showed the trend of research in JKSPM and helped readers to understand the trends of research in fields of physical therapy of Korea. In further studies, it is necessary to review systematically and intensively other journals in field of physical therapy.

        • KCI등재후보

          작업치료과 학생의 장애인에 대한 태도와 행동에 관한 연구

          장철 ( Chel Jang ),신현석 ( Hyun Suk Shin ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.3

          본 연구는 전국 6개 대학 작업치료과 학생들의 장애 인에 대한 부정적 태도 및 긍정적인 행동 비교에서 성 별, 학년별, 장애인 관련 강의 수강여부, 장애인 경험 여부차이를 알아보고자 하였다. 연구를 위해 6개 대학 에서 남자 158명, 여자 202명으로 총 360명을 대상으로 설문에 응한 학생들에게 자기기입방식으로 설문조사를 실시하여 분석한 연구결과를 요약하면 다음과 같다. 장애인에 대한 태도 및 행동에 대해 여성이 더 긍정 적인 태도와 행동을 보이는 것으로 결론을 얻었으며 임상실습 등을 통해 장애인에 대한 경험이 많은 고학년 이 더 긍정적인 태도와 행동을 보였다. 그리고 장애인 과 관련된 강의수강자가 비수강자에 비해 더 긍정적인 태도와 행동을 보였고 장애인 경험이 많은 학생이 그렇치 못한 학생에 비해 더 긍적인인 태도와 행동을 보였다. 하지만 강의수강자와 경험이 많은 학생의 경우에도 장애인 접촉시긴장감은 여전히 가지고 있는 것으로 결론을 얻었다. 이와 같은 결론을 통해 앞으로 일반 대학생과 특히 의료재활서비스 관련 학과 학생들에 대한 실제적인 교 육프로그램이 필요할 것으로 보이며 대학에 들어와 학 교에 적응을 하기전인 신입생 오리엔테이션에서부터 장애인에 대한 교육이 필요할 것으로 보인다. 또한 장 애체험 및 직장(병원)체험과 같은 장애인 체험 프로그램을 통해 장애인에 대한 생각을 변화시킬 필요가 있으 며 일회성 행사보다는 지속적인 경험을 통해 자주 접할 수 있게 하여야 할 것으로 보인다. 특히 의료재활서비스를 지원해야하는 학과의 경우 환자를 치료해야하기 때문에 장애인에 대한 접촉시 긴장감이 있다는 것은 치료하는 부분에도 문제가 있으므로 저학년부터 장애 인에 대한 종합적이고 지속적인 교육이 요구되며 장애 인과 함께하는 체험 프로그램에 관한 연구가 필요할 것으로 사료된다. 또한 앞으로 후발 연구자들은 장애인 에 대한 삶의 질에 관한 연구 및 장애인과 비장애인과의 관계, 사회적 약자와의 관계 등 장애인에 대한 다각도 의 연구도 함께 이루어져야 할 것이다. PURPOSE: The purpose of this research is to check the attitudes and behavior toward the disabilities of occupational therapy students who are going to be the future subjects of medical rehabilitation service, based on this to provide occupational therapy students an alternative to have the right attitude toward the disabilities to find ways to reduce prejudice against them in society meeting in the future. METHODS: The survey was carried out to select randomly 6 cities and provinces nationwide with occupational therapy, to choose 20 students at each grade and have them to fill up the questionnaire themselves after reading the text, and as a result of the survey. RESULTS: The attitudes and behavior toward the disabilities according to the gender, there was more positive significant difference in women than men, the attitudes and behavior toward the disabilities by each grade, the higher grade they were, the more positive significant difference they had. As the results of the attitudes and behavior toward the disabilities whether to take classes related to them, there was a positive significant difference in the students who took classes related to disabilities person, and the results of the attitudes and behavior toward the disabilities whether to participate in a clinical practice and voluntary service, there was a positive significant difference in the students who took part in that service. CONCLUSION: The positive attitudes and behavior toward disabilities were higher in women than men, higher grade students than the lower, the more time for voluntary service and the more contact with disabilities persons. As through the results of this, the comprehensive and continuous education about the disabilities for the students in all Departments related to medical rehabilitation service and the suggestion for continuous research on the fundamental problems should be made in the future.

        • KCI등재후보

          전문가 그룹의 심층면접을 통한 가정방문 물리치료도입에 관한 연구

          이민수 ( Min Soo Lee ),김명철 ( Myung Chul Kim ),김규용 ( Gyu Yong Kim ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.3

          본 연구는 임상에서 근무하는 물리치료사와 병원을 이용하는 환자, 보호자, 보건소 방문건강관리사업의 방문물리치료사, 가정방문 물리치료와 관련이 있는 전문가그룹을 통하여 가정방문 물리치료 도입에 있어서 인식정도와 필요성을 조사하는 과정을 통해 제도에 대한 이해와 활성화 방안과 운영에 대한 방법들을 제시하여 제도 도입시 정책방향 수립에 기초적인 자료로 활용가치가 있을 것이다. PURPOSE: The present study was aimed at providing political basic data for introduction home-based physical therapy service through conducting In-depth interviews with professionals for complementing the survey of previous studies. METHODS: we conducted In-depth interviews to 10 professionals with their consent after describing the intent and purpose of the study. RESULT: Interviewees has significant recognition of home-based physical therapy service, and were sympathetic to the need for the introduction of the home-based physical therapy service. They suggest that it should be required to public relations, incorporation home-based physical therapy into the regular curriculum and research the foreign cases. Also home-based physical therapy system service should be include therapeutic exercises, education for families & caregivers and providing the rehabilitation of the team approach. Most professionals think the sooner Home-based physical therapy service introduction, the better for public. Also they propose that hospitals and clinics under the national and local government become a principal and operate in conjunction with the health center. CONCLUSION: Home-based physical therapy service should be conducted in early for relieving the physical, mental and social discomfort of patients, physical therapists and caregivers, also providing the quality of physical therapy to chronically ill patients. It is necessary to efforts of the physical therapy association and physical therapist and government`s political supports. In addition, we must be prepared on the basis of policy development and operation through continuously converging the opinions of experts who have been associated with home-based physical therapy service.

        • KCI등재후보

          닫힌사슬운동과 열린사슬운동이 초기 뇌졸중환자의 무릎신전근 근력과 균형에 미치는 영향

          권오국 ( O Kook Kwon ),신원섭 ( Won Seob Shin ) 대한물리의학회 2014 대한물리의학회지 Vol.9 No.2

          PURPOSE: The aim of this study was to investigate the effect of closed and open kinetic exercises on knee extensor strength and balance in patients with early stroke. METHODS: Thirty patients with early stroke participated in the study. Participants were randomly assigned to three groups: an open kinetic chain (OKC) exercise group (n=10), a closed kinetic chain (CKC) exercise group (n=10), and a control group (n=10). All participants received conventional physical therapy for 30 minutes. In addition, the two experimental groups (OKC and CKC) participated in a 30-minute knee strengthening training program. Training for the experimental groups was carried out three times a week for four weeks. Outcomes such as knee extensor strength and balance ability (Tetrax, Functional Reaching Test, Timed Up and Go Test) were measured before and after training. RESULTS: There were significant differences in knee extensor strength and balance ability between the pre- and post- treatment of all groups (p<.05). The improvement of knee extensor strength was significantly higher in the OKC group than in the other groups (p<.05), and the improvement of dynamic balance was significantly higher in the CKC group than in the other groups (p<.05). CONCLUSION: These results showed that both open and closed kinetic chain exercises are effective in the improvement of knee extensor strength and balance ability. This study suggests that open and closed kinetic exercise training is an effective training for strength and balance in patients with early stroke.

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          가정방문물리치료가 국가유공자 재가장애인의 운동기능, 일상생활동작 수행 및 통증수준에 미치는 영향

          권춘숙 ( Chun Suk Kwon ),김선엽 ( Suhn Yeop Kim ),장현정 ( Hyun Jeong Jang ) 대한물리의학회 2014 대한물리의학회지 Vol.9 No.2

          PURPOSE: The objectives of this study were to investigate the effects of physical therapy provided at home on the motor function, activity of daily living (ADL), and level of pain in veterans men with disabilities, and to provide the information. METHODS: The participants were 108 patients men with disabilities living in the cities Seoul, Pusan, Daegu, Gwangju and Daejeon; they performed physical therapy at home-provided by physical therapy services- that included therapeutic exercise for 50 minute, 1∼2 times a week for 24 weeks. The motor function was measured by using motor assessment scale (MAS) and ADL, the level of pain were recorded both before and after physical therapy. The data form both before and after physical therapy were analyzed by using the paired t-test. All statistical tests in this study were performed with the level of significance set at .05. RESULTS: After 24 weeks of physical therapy, we observed significant improvement in the MAS and ADL scale, as well as significant decrease in the level fo pain in the participants (p<.01). Significant improvement was also observed in the MAS and ADL scale, as well as a decrease in the level of pain among participants with stroke and spinal disease (p<.05). CONCLUSION: The findings of this study show that physical therapy provided at home can lead to an improvement in the motor function as well as improved ADL and pain control; physical therapy also has positive effects in relieving symptoms of veterans with disabilities.

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          상지운동과 붕대법이 상지림프부종 환자의 부종과 관절가동범위에 미치는 영향

          임창훈 ( Chang Hun Lim ),한진태 ( Jin Tae Han ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.1

          Purpose:The purpose of this study was to examine the effect of upper extremity exercise and Bandage on the edema and range of motion. Complex decongestive physiotherapy was one of the latest methods to deal with the limitation of range of motion and the edema that were the prime problems of patients with lymphedema. Methods:Twenty patients undergone mastectomy were participated in this study voluntarily. They had lymphedema on upper extremity and partial limitation of range of motion. The subjects had been treated with upper extremity home exercise and complex decongestive physiotherapy with Bandage for 4 weeks. The measure of these patients with upper extremity edema was included: the volume, arm circumfenence and range of motion. These were measured two times: before the treatment, after 4 weeks of the treatment. Results:The upper extremity edema of patients treated home exercise group and complex decongestive physiotherapy group with Bandage was definitely decreased (p<0.05). Moreover, the upper volume of those who were the same condition also significantly shrank and patients` arm circumferences of upper arm breathtakingly diminished as well (p<0.05). But home exercise group patients` arm circumferences of forearm was not remarkable (p>0.05). However, patients` range of motion who were treated with upper extremity exercise were evidently increased when compared to that of the before treatment (p<0.05). Conclusion:Complex decongestive physiotherapy and bandage performed by physical therapist increased the ROM of upper arm and reduced the edema in patients with lymphedema.

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          Reliability and Validity of the Side-lying Instability and Prone Instability Tests in Patients with Lumbar Segmental Instability

          ( Bo-eon Kim ),( Kwan-woo Lee ),( Dae-sung Park ) 대한물리의학회 2021 대한물리의학회지 Vol.16 No.1

          PURPOSE: The purpose of this study is to conduct inter-rater and intra-rater reliability tests in patients with low back pain (LBP) using the prone instability test (PIT) and side-lying instability test (SIT). We have analyzed the Korean version Oswestry disability index (K-ODI) correlations and radiograph finding (RF) for validity. METHODS: Individuals (n = 51) (mean age of 40.27 ± 13.28) with LBP for at least over a week were recruited, together with two participating physical therapist examiners. The measurement consisted of PIT, PST, K-ODI, and RF. Sensitivity (Sn), specificity (Sp), positive predictive value, negative predictive value, prevalence index, agreement %, Cohen's kappa, and prevalence-adjusted bias-adjusted kappa (PABAK) were calculated. The PIT and SIT were compared with RF for validity analysis, while PIT, SIT, K-ODI, and RF were calculated for the correlation analysis. RESULTS: The intra-rater reliability test measured for the PIT (kappa = .79, PABAK = .88) and SIT (kappa = .73, PABAK = .84), and inter-rater reliability test measured for the SIT (kappa = .80, PABAK = .88) showed good agreements. The PIT (Sn = .65, Sp = .63) and SIT validities (Sn = .68, Sp = .70) were compared with RF, showing a significant correlation in PIT and RF (r = .69), SIT and RF (r = .73), and PIT and K-ODI (r = .53). CONCLUSION: The SIT is a more comfortable position test than the PIT in patients. Both PIT and SIT have acceptable reliability and validity.

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          8주간의 진동 운동 프로그램이 남,녀 대학생의 하지 최대 근력과 균형 능력에 미치는 영향

          하경진 ( Kyung Jin Ha ),이상열 ( Sang Yeol Lee ),최승준 ( Seung Jun Choi ) 대한물리의학회 2015 대한물리의학회지 Vol.10 No.4

          PURPOSE: Application of an oscillating program for the lower extremities is an effective training method for increasing muscle strength. However, no oscillatory program has yet been identified to confirm the effectiveness of oscillation for balance ability and maximum muscle strength. We investigated the effects of an 8-week vibration exercise program on the maximum muscle strength and balance of the lower extremities. METHODS: Research subjects participating in the study were 22 male and female college students with no past history of diseases of the nervous or musculoskeletal systems. All subjects were randomly divided into two groups and performed their assigned experimental treatment 3 times a week over a period of 20 min for 8 weeks. Maximum strength of the quadriceps extension, flexion, and balance ability were measured using Biodex System 4 and Biodex balance systems. RESULTS: The 8-week oscillation program resulted in a significant increase in quadriceps extension and flexion strength in both male and female participants (p<.05). The balance ability also showed a significant improvement after the oscillation program (p<.05). The balance value was higher for male 17% than for female 21% (p<.05) participants. CONCLUSION: An 8-week oscillation program led to an increase in the strength of knee flexion and extension. The balance ability also improved significantly. This positive effect on balance ability was higher in female than in male subjects.

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          휴대전화 사용이 젊은 성인의 보행에 미치는 영향: 문자메시지 보내기와 음악 감상하며 문자메시지 보내기

          유경훈 ( Kyung Hoon Yu ),심재훈 ( Jae Hun Shim ),정성대 ( Sung Dae Choung ),전혜선 ( Hye Seon Jeon ) 대한물리의학회 2015 대한물리의학회지 Vol.10 No.4

          PURPOSE: Previous studies have shown that healthy young adults reduced gait velocity during texting or talking while walking. It was reported that increasing number of pedestrian accidents were related to distract the environmental attention. The purpose of this study was to compare the effects of texting and texting while listening to music on gait parameters. METHODS: Texting and listening to music while walking were assessed in two dual-task condition using 35 healthy young adults. The outcome measurements were assessed in terms of spatiotemporal gait parameters in three walking conditions, namely, comfortable walking speed, walking while texting, and walking while texting and listening to music. To avoid learning effect, subjects were individually blinded to assessment schedule and space. The changes between the three walking conditions were analyzed using repeated measures ANOVA. RESULTS: When comparing the two dual-task conditions with the single-task condition, it was found that dual-task interference was increased in almost gait velocity, cadence, stride length, step time, double limb support, and single limb support. In addition, walking while texting and listening to music condition negatively was affected gait speed, stride length, and step time more than the texting only condition. CONCLUSION: Walking while texting and listening to music as well as waling while texting may decrease pedestrian safety when crossing streets by diverting the person’s attention away from the street environment.

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          스마트폰을 이용한 무릎관절 고유수용성 감각 측정의 타당도와 신뢰도 검증

          김명철 ( Myung Chul Kim ),김남재 ( Nam Jae Kim ),이민수 ( Min Soo Lee ),문소라 ( So Ra Moon ) 대한물리의학회 2015 대한물리의학회지 Vol.10 No.4

          PURPOSE: We aims to promote the development of proprioception measurement using smartphones, goniometers, and laser pointers as compared to the conventional use of electrogoniometer measurement. METHODS: Measurements using an electrogoniometer were previously proved to be reliabile and valid. Among E-university students, 20 who had no fracture, operation history, or inflammatory arthritis were examined. These subjects had not performed regular exercise in the past 3 months. Proprioception measurements were performed using four different measurement tools, three times per day, for test-retest analysis. RESULTS: No notable test-retest differences were noted for any of the measurement methods (P>0.05). With regard to the test-retest reliability for each measurement method, we observed that the readings from both the electrogoniometer and smartphone have high reliability (ICC>0.80), whereas the readings from the laser pointer have moderate reliability (ICC>0.60). When assessing the concurrent validity between electrogoniometers with individual measurements, we did not observe any notable difference between the smartphone and electrogoniometer (P>0.05) and these tools in fact showed high correlation (r>0.60, P<0.05) and a moderate reliability (ICC>0.60). Moreover, there was no notable difference in between electrogoniometers and laser pointers (P<0.05). CONCLUSION: CONCLUSION: The findings of this suggested that proprioception can be measured by using smart-phones, and proved that this method has sufficient credibility. Moreover, we noted that the concurrent validity with smartphones was high in comparison with the conventional electrogoniometer, which also indicates the validity and credibility. Based on these findings, we conclude that the measurement of proprioception by using a smartphone can be widely adopted.

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