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.

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.

안구운동이 성인 편마비 환자의 마비측에 따른 균형증진에 미치는 영향

구봉오,배성수,김한수,이동호,Koo Bong-Oh,Bae Sung-Soo,Kim Han-Soo,Lee Dong-Ho 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.4

The purpose of this study is to identify influence that eye movement have an effect on postural control and balance performance by plegia side of the impaired patients of central nervous system. Subjects are patients with the impairment of central nervous system and experimental and control groups are forty people and thirty people seperatively, Total subjects were selected to seventy persons, but twelve persons of experimental group quit during the experimental periods and eight persons of control group did not measure after exercise. Therefore, twenty eight persons of experimental group and twenty two persons of control group were selected in this study and experimental group peformed eye movement for eight weeks according to the exercise program of this study. The measurement of dependent variable is right static balance, left static balance, bilateral static balance, and bilateral dynamic balance before exercise and after eighth week of exercise, examiner again measured and analyzed the results. The results were as follows: 1. As the result of comparing balance performance ability after test of the experimental and control group with right hemiplegia and control group, all of static balance performance ability of right side (p < 0.01), static balance performance ability of left side (p < 0.01), static balance performance ability of bilateral side(p < 0.01), dynamic balance performance ability of bilateral side(p < 0.05) of experimental group were statistically greater improved than those of the control group. 2. As the result of comparing balance performance ability after test of the experimental and control group with left hemiplegia and control group, all of static balance performance ability of right side (p < 0.01), static balance performance ability of left side (p < 0.01), static balance performance ability of bilateral side(p < 0.05), dynamic balance performance ability of bilateral side(p < 0.05) of experimental group were statistically greater improved than those of the control group.

뇌졸중 환자의 자가운동프로그램이 기능회복에 미치는 영향

구봉오,김은영,박미희,박민철,심제명 대구대학교 특수교육재활과학연구소 2008 특수교육재활과학연구 Vol.47 No.1

본 연구는 뇌졸중 환자가 집에서 간편하게 수행할 수 있는 자가운동프로그램을 고안하여 뇌졸중 환자의 운동, 감각 및 기능증진을 일으킬 수 있는 자료를 제공하여 뇌졸중 환자의 일상생활에 유익한 효과를 알아보고자 하였다. 연구 대상자는 가정운동프로그램을 주 1회씩 12주 동안 배웠고 이것을 배운 환자 및 보호자는 가정에서 운동을 실시하였다. 훈련 전ㆍ후 한국판-간이정신상태검사도구, 기능적 독립성 측정도구, 체중부하, 6미터 걷기, 압각, 촉각, 집기 및 악력검사를 평가하였다. 자가운동프로그램을 12주간 실시한 결과 인지기능 평가도구인 한국판-간이정신상태검사도구, 기능적 독립성 측정도구인 FIM, 6미터 걷기, 압각, 촉각, 집기, 악력은 모두 유의하게 증가 및 향상을 보였고, 체중부하는 통계적으로 유의하지 않았다. 집안에서 또는 장소에 구애받지 않은 곳에서 할 수 있는 자가운동프로그램은 뇌졸중 환자의 일상생활과 기능에 유익한 영향을 줄 수 있을 것이다.

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.

웹기반의 핵형분류 교육시스템

구봉오,신용원 한국콘텐츠학회 2005 한국콘텐츠학회논문지 Vol.5 No.3

The task for chromosome analysis and diagnosis by experienced cytogenetists are being concerned as repetitive, time consuming job and expensive. For that reason, intelligent agent based on chromosome knowledge base using web has been developed to be able to analyze chromosomes and obtain necessary advises from the knowledge base instead of human experts. That is to say, the knowledge base of IF THEN production rule was implemented to a knowledge domain with normal and abnormal chromosomes, and then the inference results by the knowledge base could enter the inference data into the database. Experimental data were composed of normal chromosomes of 2,736 cases and abnormal chromosomes of 259 cases that have been obtained from GTG-banding metaphase peripheral blood and amniotic fluid samples. The completed intelligent agent for the chromosome knowledge base provides variously morphological information by analysis of normal or abnormal chromosomes also has the advantage of being able to consult with the user on the chromosome analysis and diagnosis. 숙련된 세포유전학자가 수행하는 염색체 분석과 진단 작업은 반복적이고, 시간 소비적이며, 많은 비용이 요구된다. 이러한 이유로, 전문가를 대신하여 염색체 분석에 필요한 정보를 얻을 수 있도록 웹을 이용한 염색체 지식 베이스 기반 지능형 에이전트를 개발하였다. 즉, IF-THEH 생성규칙으로 이루어진 지식 베이스에서 정상 염색체와 비정상 염색체를 하나의 지식 영역으로 구성하고, 추론을 통해 염색체를 분석하고 진단결과를 제시하였다. 연구에 사용한 데이터는 GTG 방법으로 분염된 중기 말초혈액과 양수샘플을 핵형분류하여 얻은 2,736 환자 증례의 정상 염색체와 259 환자 증례의 비정상 염색체들로 구성하였다. 구축된 염색체 지식 베이스 기반 인텔리전트 에이전트는 정상 염색체와 비정상 염색체의 분석을 통해 다양한 형태학적 정보를 제공하고, 사용자와 시스템간의 상호작용을 통하여 염색체 분석과 진단을 협의할 수 있는 장점들을 지닌다.

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.

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.

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.