노인의 허리통증 완화를 위한 코어 운동을 동반한 모아-온열 중재의 효과 연구

함석찬,조휘영,신호진,김충곤,이민구,이성재 한국노년학회 2018 한국노년학회 학술발표논문집 Vol.2018 No.3

오십견 환자의 관절 가동 범위 회복과 통증 완화에 미치는 정적 신장 기법과 유지-이완 기법의 효과

함석찬,김인복,Hahm, Suk-Chan,Kim, In Bok 대한물리치료과학회 2012 대한물리치료과학회지 Vol.19 No.3

Background : Patients with frozen shoulder have pain and limited range of motion (ROM) at the affected shoulder. Shoulder pain of these patients usually decreases with recovery of range of motion. The aim of this study is to identify effects of static stretching and hold-relax on recovering ROM and reducing pain of patients with frozen shoulder. Methods : In this study, 15 patients with frozen shoulder who were only treated with physical therapy were recruited. Patients who received any surgical procedure or hydrotherapy were excluded. The subjects were divided randomly into 3 groups; control(n=5), static stretching(n=5) and hold-relax(n=5) groups. Patients were treated with stretching and the total number of treatments was 12 times. The ROM was measured at baseline, after fourth, eighth and final treatments. Shoulder pain and disability index(SPADI) scores were assessed before and after doing all treatments. Repeated measures ANOVA was used to analyze ROM change within each group. Changes of ROM between groups was analyzed by one way ANOVA followed by post hot analysis(Tukey's HSD). SPADI score within each group analyzed using Wilcoxon signed ranks test. A p-value<0.05 was considered statistically significant. Study Design : Repeated measures design. Result : There were significant differences of ROM in both treatment groups except internal rotation of static stretching group. ROM was significantly increased in treatment groups compared with control group, but the difference of ROM change between two treatment groups did not differ significantly. SPADI scores for treatment groups significantly decreased compared with pre-SPADI score. Conclusion : The result suggests that hold-relax can be more effective than static stretching to recover range of motion and alleviate shoulder pain on patients with frozen shoulder.

만성요통완화를 위한 코어운동을 동반한 모아-온열중재의 효과

함석찬,조휘영,신호진,김충곤,최재훈,이민구,이성재 한국감성과학회 2018 추계학술대회 Vol.2018 No.-

The Effects of Pre-emptive Low-dose X-ray Irradiation on MIA Induced Inflammatory Pain in Rats

함석찬,이고은,김은혜,김준선,이태웅,이원호 한국물리학회 2013 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.63 No.2

This study was performed to determine the effect of pre-emptive low-dose irradiation on the development of inflammatory pain and to characterize the potential mechanisms underlying this effect in osteoarthritis (OA) animal model. Whole-body X-irradiations with 0.1, 0.5, 1 Gy or sham irradiations were performed for 3 days before the induction of ostearthritis with monosodium iodoacetate (MIA) (40 µl, in saline) into the right knee joint in male Sprague Dawley rats. Behavioral tests for arthritic pain including evoked and non-evoked pain were conducted before and after MIA injection and inducible nitric-oxide synthase (iNOS) expression level was measured by western blot. Low-dose radiation significantly prevented the development of mechanical allodynia and thermal hyperalgesia and reduction in weight bearing that is regarded as a behavioral signs of non-evoked pain following MIA injection. Low-dose radiation significantly inhibited the increase in iNOS expression after MIA injection in spinal L3-5 segments in rat. These data suggest that low-dose X-irradiation is able to prevent the development of arthritic pain through modulation of iNOS expression in the spinal cord dorsal horn. Thus, low-dose radiotherapy could be substituted in part for treatment with drugs for patients with chronic inflammatory disease in clinical setting.

감마파 훈련이 노인의 각성과 스트레스에 미치는 영향

안용균,함석찬 국제차세대융합기술학회 2023 차세대융합기술학회논문지 Vol.7 No.4

현재 대한민국은 초고령화 사회의 진입을 눈앞에 두고 있으며. 이로 인한 노인의 인지기능 저하 또는 치 매로 인한 비용의 손실이 사회적 문제도 대두되고 있어 치매에 대한 예방적 차원의 접근을 논의할 시점으로 여겨 진다. 본 연구는 감마파 훈련이 노인의 각성과 스트레스에 미치는 영향을 분석하기 위한 연구이다. 대상 선정을 위해 인지선별검사(cognitive impairment screening test)를 실시하였다. 대상자들은 뉴로 사운드 테크놀로지를 이용한 감마파 훈련을 1회 30분, 주 5회, 6주 동안 총 30회 실시하였으며 중재 전·후 뇌기능검사를 실시하였다. 각 성도와 정신적 스트레스 수치에서 유의미한 개선이 있었으며, 본 연구의 결과는 인지기능 저하를 호소하는 노인들 을 위한 유용한 자료로 활용될 수 있을 것으로 사료된다. Currently, Korea is on the verge of entering a super-aging society. As a result, the loss of expenses due to cognitive decline or dementia in the older people is also emerging as a social problem. The aim of this study is to investigate effects of gamma wave training on arousal and stress in older people. For screening participants, a cognitive impairment screening test was performed. The subjects performed gamma wave training using neuro sound technology for 30 minutes, 5 times a week, for 6 weeks (a total of 30 times). Brain function measurement was conducted before and after the intervention. In conclusion, there were significant improvement in the level of arousal and mental stress, which is considered to be useful data for the elderly complaining of cognitive decline.

근막이완술을 활용한 청소년 축구선수 운동수행능력 향상요인에 관한 연구

곽헌,함석찬 한국경영공학회 2022 한국경영공학회지 Vol.27 No.2

Purpose There has been no study yet to confirm the effect of myofascial release before exercise on adolescent soccer players. The purpose of this study is to investigate the effects of myofascial release on exercise performance function, pain, and body composition in male adolescent soccer players. Methods 30 male high school soccer players were participated in this study. Myofascial release was applied for 50 minutes at a time, and was performed three times a week for eight weeks (24 sessions). Before and after intervention, soccer function, pain intensity, and body composition were assessed. Results After applying myofascial release, significant improvements in soccer function (p < 0.05) and pain (p < 0.05) was confirmed, but body composition did not show significant change. This study showed that 8-week myofascial release applications are effective in improving the athletic performance of adolescent soccer players and relieving pain. Conclusion Based on the results of this study, it is supported that the application of myofascial release before exercise will help soccer players improve their performance by improving their athletic performance and relieving pain.

진통제-근육이완제 복용 병행 척추교정과 진통제-근육이완제 복용이 만성허리통증 환자의 통증, 허리 관절가동범위, 장애 지수에 미치는 효과 비교

오동환,함석찬 대한통합의학회 2024 대한통합의학회지 Vol.12 No.2

Purpose : This study aimed to compare the effects of spinal manipulation combined with medication on low back pain (LBP), range of motion, and disability in patients with chronic LBP. Methods : Twenty patients with chronic LBP were included in this study. The participants were randomly assigned to the spinal manipulation with medication group (n=10) or the medication only group (n=10). The intervention group received spinal manipulation for 15 minutes, twice a week, and took medication twice a day for eight weeks. The control group received the medication twice daily for eight weeks. Pain intensity assessed using the visual analog scale (VAS), range of motion, and disability due to LBP assessed using the Oswestry disability index were measured before and after the intervention. Results : The intervention group showed a significant improvement in pain intensity compared to the control group (p<.05), and the intervention and control groups significantly improved low back pain after the intervention (p<.05). The intervention group showed a significant improvement in the range of motion in flexion, extension, right lateral flexion, left lateral flexion, and right rotation (p<.05). The intervention group also showed a significant improvement in the change of disability in total score, pain intensity, personal care, lifting and standing compared to the control group (p<.05). Conclusion : This study showed that the combination of spinal manipulation and medication can benefit patients with chronic LBP, as evidenced by significant improvements in pain intensity, ROM, and disability. These findings suggest that utilizing both spinal manipulation and medication can positively affect individuals with chronic LBP. The results of this study should be applied in clinical settings to optimize treatment outcomes in patients with chronic LBP.

뇌성마비 소아청소년의 발달재활서비스 운동발달재활 영역 이용 및 지원금 현황: 보호자 조사연구

한승현,함석찬 대한통합의학회 2022 대한통합의학회지 Vol.10 No.2

Purpose : Accumulation of accurate data regarding the use and adequacy of subsidies is important to provide optimal development rehabilitation services. However, no reports have discussed the status regarding the use and adequacy of subsidies available for motor development rehabilitation as a part of development rehabilitation services in children and adolescents with cerebral palsy. In this study, we investigated the current use and subsidy adequacy of motor development rehabilitation as an essential part of development rehabilitation services in children and adolescents with cerebral palsy. Methods : The study included parents of children and adolescents with cerebral palsy, who underwent motor development rehabilitation of development rehabilitation services (n=148). The participants were administered a questionnaire to investigate the current use and subsidy adequacy of the motor development rehabilitation part of development rehabilitation services. Results : Most respondents indicated that 310,000–410,000 ₩/month was an appropriate subsidy and agreed that the subsidy should be extended to adults with cerebral palsy. We observed a significant difference in the appropriate subsidy based on age groups (p=.029), as well as type of development rehabilitation service most needed (p=.005) and whether or not agree to extend the subsidy to adults according to gross motor function classification system level (p=.015). There were significant relations of appropriate subsidy (p<.001) and appropriateness of copay (p=.004) according to degree of transportation cost burden. Moreover, there were significant relations of appropriateness of current subsidy (p=.015) and appropriate subsidy (p<.001) according to degree of inconvenience of using transportation. Conclusion : This study highlights the need to increase subsidies for motor development rehabilitation of development rehabilitation services and that the subsidy should be determined based on the burden of transportation costs and the inconvenience of using transportation. Development rehabilitation service for adults with cerebral palsy should also be supported.

황토나노입자를 부착한 황토이불 사용이 수면장애에 미치는 효과

이구연,함석찬 한국자연치유학회 2022 Journal of Naturopathy Vol.11 No.1

배경: 황토면 침구의 사용이 불면증 환자에 미치는 연구는 보고되지 않았다. 목적: 본 연구에서는 원적외선을방사하는 황토면 침구를 불면증을 겪는 15명에게 사용하게 한 후에 ‘삶의 질’ 및 ‘수면의 질’에 어떠한 변화를 일으키는지를 연구하였다. 방법: 실험군에는 황토면 침구 그리고 대조군에는 일반 황색면을 사용하게 한 다음에 대상자들의‘WHO의 삶의 질’에 대한 설문 양식으로 연구하였다. 결과: 전체 삶의 질 평가는 대조군은 사전과 사후의 변화가 유의성이 없었고, 실험군에서는 사전과 사후 간의 변화에는 유의한 차이로 개선되었다. 실험군의 ‘신체적 변화’는 황토면침구를 사용하여 유의성이 있게 호전되었다. ‘수면시간’은 실험군의 실제 수면시간이 5.21시에서 7.2시간으로 유의하게 증가하였고, 수면의 질도 유의성이 있게 증가하였다. ‘수면의 기간’은 실험군에서 사전보다 사후에 유의하게 길어졌다. 습관적 수면 실험군에서는 사전보다 사용 후에는 유의하게 높아졌다. ‘수면 방해’는 실험군의 사전보다 사후에는 유의하게 낮아졌다. ‘수면 약물 이용’ 및 ‘낮시간 실험군’에서는 사용하기 전보다 사용 후에는 유의하게 수면 효과가 개선되었다. ‘사회성 척도, 환경변화 척도’와 ‘삶의 질 척도’의 실험군에서는 사전과 사후 간에는 편차가 유의하게개선되었다. ‘삶의 질 간’의 상관관계는 실험군에서는 14개의 항목에서 Pearson 상관관계분석에서 유의 확률 p < .05 및 p < .01에서도 상관성이 높게 나타났다. ‘주간 졸음, 우울증 및 불안 척도 변화’는 실험군에서는 사전과 사후 간에는유의한 차이로개선되었다. 예후조사에 의하면실험에서황토면침구사용중및 사용 후에 마음과신체의 편안함을느끼었고, 수면의 질도 좋았다고 평가하였다. 결론: 수면 및‘삶의 질’에 대한 전체 평가는 일반 황색면을 사용한 대조군에서는 사전과 사후 간에는 유의한 차이가 없었으나, 황토면 침구를 사용한 실험군에서는 유의한 차이를 보이었다. 실험군의 전체적인 삶의 질은 황토면 침구를 사용하여 증가하는 것으로 나타났다

시야 가림막을 활용한 자세 조절 훈련이 중등도-중증 뇌성마비 아동의 머리 조절, 몸통 조절, 앉기 능력에 미치는 효과: 예비연구

김건우,이민구,함석찬 대한물리의학회 2022 대한물리의학회지 Vol.17 No.3

PURPOSE: This study was conducted to investigate the effects of postural control training using a visual blind board, on head control, trunk control, and the sitting abilities of children with moderate-to-severe cerebral palsy. METHODS: Ten children with moderate to severe cerebral palsy participated in this study. Postural control training with a visual blind board was given for 40 minutes per session, 3 times a week for 4 weeks (12 sessions). Before and after the intervention, head control, trunk control, and sitting abilities were quantified using the head control scale, Korean version-trunk control measurement scale, and the sitting part of the Korean versiongross motor function measure-88, respectively. RESULTS: Postural control with the visual blind board significantly improved the head control ability of children with moderate to severe cerebral palsy (p = .015). Their trunk control abilities also showed significant improvement after the intervention (p = .016). However, their sitting ability did not show a significant change. CONCLUSION: These results showed that postural control training using a visual blind board is effective in improving the head and trunk control abilities of children with cerebral palsy. Further studies with suitable sample sizes and control groups are needed to reach a conclusion about the use of postural control training with visual blind boards for improvement of postural control of children with moderate to severe cerebral palsy.