슬개대퇴골 증후군과 장경근막 증후군에 있어서 장경인대의 기능에 대한 새로운 문제점

박지환 대한정형물리치료학회 1996 대한정형도수물리치료학회지 Vol.2 No.1

Until the up to day, we have known that a tight iliotibial tract has an influence on the patella, pulling it laterally and causing pain in patients with patellofemoral syndrome, so should be stretched as a part of physical therapy. But the iliotibial tract's function on the patella in subjects with PFS has not yet been proved and further questions need to be answered regarding the evaluation or treatment of a tight tract in patients with PFS.

복합운동 기능장애로 인한 요통의 수정된 SNAGs

박지환 대한정형물리치료학회 2002 대한정형도수물리치료학회지 Vol.8 No.1

The main purpose of this article is to suggest a modified SNAGs manual method in based of Mulligan techniques. And this study aimed to resolve the back pain which has combined movement dysfunction in lumbar spine, in addition to upgrade of manual therapy technique in clinical field. The results of this study were as following; 1. The first introduction of SNAGs in Korea is the 'International Mulligan Concepts and Techniques Seminar' by Prof. Russell M. Woodman(Quinnipiac college, USA), 1998. SNAGs is defined a mobilization with movement manual therapy that facet joints of the lesion mobilized to anterior-superior direction according to the treatment plane in apophyseal joint of hypomobility. 2. A treatment mechanism of the SNAGs is, Mulligan say, HIVD which is the result of posterior disk bulging from a increased between intervertebral pressure due to hypo-mobile of facet joints in abnormal spine, so therapist should be necessary mobilization of zygophyseal joints especially in disk lesion. 3. Because Mulligan does not yet mentioned SNAGs techniques about a back pain with combined movements dysfunction, so we suggest a modified SNAGs method for manual therapy of back pain patients due to combined movement dysfunction at lumbar.

성남공단내 근로자들의 작업환경과 요통발생빈도에 관한 연구

박지환 보건장학회 1989 보건장학회보연구논문집 Vol.11 No.-

성남공단내 근로자들의 작업환경과 요통발생빈도에 관한 연구

박지환 가톨릭대학산업의학센타 산업의학연구소 1989 韓國의 産業醫學 Vol.28 No.1

This descriptive study provides base line on the incidence of work-related LBP within the 379 workers in Seongnam city Industrial Zone from September 1 to December 31,1988. The major results are follows: 1. The incidence of occupational back pain in workers showed 260 persons (68.6%),particularly the most frequently back troubled jobs were the Textile, Wearing manufacture company. 2. Analysis of years of job experience revealed 52.3 percent of workers with back pain who had worked under 2 years. 3. Of the 260 workers with back pain, Body-postures required in their work situation was sitting 111persons (42.7%),sitting & standing 97(37,3%),standing52(20.0%). 4. When the chair did not fit on their working, the incidence of LBP was 81.2 percent . But the desk did not fit, the incidence of LBP was 50 percent(P<0.005). 5. Significant differences were reported for the frequency of lifting . And back pain group(71.9%)had much more lifting than no back pain group(P<0.005). 6. No significant relationship were identified between the occupational satisfaction and the two LBP categories(P<0.005). 7. In analysis of consultation for their first-time experience of LBP; No counsellor 40.4%,A friend or colleague 25.8%, A occupational health personnel only 1.9%.

장애인 전문화를 위한 물리치료학과 특성화 방안

박지환 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.1

The main purpose of this article is to make a new physical therapy program for disabled students in department physical therapy. From 1963 to 2001, education schools which has department physical therapy is 34 colleges or universities, graduate students is 2,000 persons. In order to competition non-disabled students, we need a strategic plan for specialize of disabled person in physical therapy at college. Therefore our study suggest a new physical therapy program for disabled students : that is educated and trained student intensively to be a specialized physical therapist by disability pattern in college. A sort of specialized physical therapist are in fields of orthopedic manual therapy, massage and home physical therapy.

요추추간판 수핵탈출증에 대한 편측견인의 치료효과

박지환,권혁수 대한정형물리치료학회 1995 대한정형도수물리치료학회지 Vol.1 No.1

Markolf and Morris suggests that the deranged disk and torn annulus have an exellent re-covery ability from the position of spine extension, where the posterior annulus is not under stress and the gel can move anterioly. McKenzie explains side gliding as a combination of rotaion and side bending, his clinical studies indicate that side-gliding can gel laterally. In conclusion, the prone unilateral traction on the opposite side from the patient's pain along with the other treatment appered to have helped reduce those patient's pain. The method of treatment described in this report is suggest-ed for Korean physical therapists who treat patients suspected of posterolateral herniated nu-cleus pulposus.

수핵 탈출증에 대한 Cyriax 요추 견인법

박지환 대한정형물리치료학회 1995 대한정형도수물리치료학회지 Vol.1 No.1

Traction is the treatment of choice for a small nuclear protrusin. The nucleus is soft and can be influenced by suction. Traction provides a method of improving on recumben-cy-the only effective treatment before traction was devised. The intention is to achieve rapid reduction by distraction the joint surfaces mechanically-a positive purpose-instead of merely avoiding the compression of the upright posture by putting the patient to bed and leaving him there. Recumbency, usually successful in the end, wastes an endless amount of the patient's time and money. Traction carries the further advantage of enabling th epatient to be up and about, attending to his bussiness, during treatment. Traction brings the joint surfaces much farther apart than just lying in bed, a greater centripet force acts on the protruded part of the nucleus. Traction has three beneficial effects; 1. Suction : a sub-atmospheric pressure induces a centripetal effect on the contents. 2. Distraciton : increase the distance between the articular edges. X-rays have shown an increase in width of the joint of 2.5 mm. 3. Ligamentous tightening : the posterior longitudinal ligament tightens which then exerts centipetal forde on a central protrusion.

정형물리치료학의 학습모형 개발에 관한 연구

박지환 대한정형물리치료학회 2000 대한정형도수물리치료학회지 Vol.6 No.1

PURPOSE; The main purpose of this study is to develop a new learning model of Orthopedic Manual Therapy. METHOD; From 1997 to 1999, this survey was made of 318 students who had attended in Orthopedic Manual Therapy subject. RESULT; Results show that regard satisfaction with lecture was as 'good' by 235 person(73.3%). And the most interest subject among the therapists was orthopedic manual therapy(44.63%), next NDT(25.62%). CONCLUSION; This study suggest a new learning model of orthopedic manual therapy used by Role-play model and Coner study model. So we can be lecture effectively to focus students.

인터넷 중독자의 신체적 이상 증상에 대한 진단도구 개발에 관한 연구

박지환 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.2

The purpose of this study is to make a new diagnostic test model for the physical disturbance signs for the overuser or addiction persons in internet. Variations of Somato-diagnostic testR for Internet Addiction Syndrome(Park V1.0) are follows ; 1. Are you hurt in your elbow or shoulder? 2. Do you feel stiffness in your neck? 3. Do you feel numbness of wrist on drive? 4. Are you hurt in your fingers on touch a keyboard or mouse? 5. Are you hurt in your back? 6. I feel taut on my legs sometimes. 7. I feel dim or bloodshot in my eyes. 8. I feel dry in my eyeball. 9. I feel heavy and ache on my head. 10. I Can't sleep very well. 11. I have a digestive upset often. 12. My hand's full with sweat on computing. 13. I feel tremble or heavy in my heart. 14. I'm tired easily. 15. I'm not concerned about a sex impulse at all.

3년제 보건계학과 현장실습의 효율적 운영방안

조경진,박영선,박지환,이병기,정순희 高麗大學校 倂設 保健大學 保健科學硏究所 1997 保建科學硏究論集 Vol.6 No.1

For the the enhancement of educational efficiency in on-site training of 3-year health college program, the authors perofrmed a survey. From the survey result the authors came to conclusions as follows, The duration of training in the health college programs should be extended as one year through the extension of length of study. Evaluations in training sites were thought to be unreasonable, and therefore the evaluation system should be improved or newly developed. Educators in colleges are also urged to participate in various workshops to catch the new theory and changing technologies. All health alleges should try to expand their experimental facilities and equipments. Securing suitable training places is very difficult for some colleges located in small cities. At this point the governmental meddling is keenly required to ease the situation. Each training place must prepare its own educational program on which the educators can execute schedules. Training fee is another intricate matter for both collegs and training places. Some criteria for the amount per trainee and proper paying methods should be suggested in the earliest time. Considering the highly sophisticated equipment and higher wages for the manpower within the laboratories and relevanat places, the education in managerial aspects should be included in the programs. To enhance the effiency in the trainings, the student's daily report should be practical one not formalistic, and opportunities to handle the sophisticated equipments should be given to the trainees, and paying the careful consideration to trainees would be desirable.