마음빼기명상 프로그램이 뇌성마비 청소년의 집기능력과 악력에 미치는 효과

박돈목,박필선,윤미라 국제차세대융합기술학회 2024 차세대융합기술학회논문지 Vol.8 No.3

본 연구는 뇌성마비 청소년에게 제공한 마음빼기명상 프로그램이 집기능력과 악력에 미치는 효과를 분석 한 예비실험 연구이다. 실험군은 A특수학교에 재학중이며 명상동아리에 참가를 희망한 뇌성마비 청소년 12명이었 고 대조군은 참가하지 않은 14명이었다. 명상프로그램은 40분씩 주당 2회, 총 10주간 진행되었다. 연구 결과, 실험 군의 집기능력은 유의한 차이가 없었으나(Rt. Z=-1.020, p=.308; Lt. Z=-1.569, p=.117), 악력은 오른손, 왼손 모두 사후값이 사전값보다 유의하게 증가하였다(Rt. Z=-2.197, p=.028; Lt. Z=-2.312, p=.021). 또 프로그램 종료 후, 실 험군의 왼쪽 악력이 대조군에 비해 유의하게 크게 나타났다(Lt. Z=-2.058, p=.040). 본 연구는 예비실험연구로서 결과의 해석에 신중을 기할 필요가 있으므로, 좀 더 정교한 디자인으로 대상자 수를 늘려서 반복 연구할 것을 제 언한다. 또한 장애인의 심신 기능 향상을 위한 교육적 중재로서 학교내에서 마음빼기명상 프로그램의 활용을 적극 시도해 볼 것을 제언한다. This study is a pilot study investigating the effects of a True Self meditation program on pinch and grip strength in adolescents with cerebral palsy. The experimental group consisted of 12 adolescents with cerebral palsy who wished to participate in a meditation group, and the control group consisted of 14 adolescents who did not participate in it. The meditation program was carried out twice a week for 40 minutes for 10 weeks at B special school for the disabled. The results of the study showed that the post-test values of grip strength for both the right and left hand were significantly higher than the pre-test values(Rt. Z=-2.197, p=.028; Lt. Z=-2.312, p=.021). And the left hand grip strength of the experimental group was significantly greater than that of the control group(Lt. Z=-2.058, p=.040). However, caution should be exercised in generalising the results. It is recommended that a replication study be conducted to investigate the use of meditation program to improve physical function and muscle strength in people with disabilities.

장기요양보호 정책에서 물리치료사의 역할

박돈목,서연순,Park, Don-Mork,Seo, Yeon-Soon 대한물리치료과학회 2000 대한물리치료과학회지 Vol.7 No.2

Recently, the problem of the elderly has become national and social issue throughout the world. And the ratio of elderly increase is expected to get accelerated more and more year after year. But the long-term care policy for the elderly in korea has not developed systematically yet. Therefore, in this study aims at searching the method for developing the long-term care policy of korea and the role of physical therapist for long-term care.

탄소방전등과 저강도 레이저 조사가 화상 쥐의 Cytokine 변화에 미치는 영향

박돈목,박래준,Park, Don-Mog,Park, Rae-Joon 대한물리치료학회 2006 대한물리치료학회지 Vol.18 No.6

Purpose: To provide the basic method for physical therapy to contribute to early stage treatment of a burned patients. We investigated whether or not carbon arc lamp treatment and low level laser one among various laser treatments have the effect of reducing Cytokine, and to elucidate the effect of carbon arc lamp treatment and laser one. Methods: The 6-week old BALB/c types of 92 mice were used for the experimental test, and they were burned with $100^{\circ}C$ water, they were divided into 4 groups in accordance with the method of treatment respectively. And the blood and the tissue from the subject of each group were extracted and analyzed each time after they were cured for 3, 6, 9 days. For the analysis of the results, SPSS statistical program was used in this study. Results: The quantity of $TNF-{\alpha}$ and $IL-1{\beta}$ within the blood of a burned mouse increased more than that of a normal mouse(p<0.01). In only a burned mouse, carbon arc lamp treatment gave the effect on the decrease of $TNF-{\alpha}$ thickness the 6th day to the 9th day(p<0.01). $IL-1{\beta}$ quantity was more decreased than that of control group around the 6th day. In comparison with only a control group, low level laser treatment has more significant effect in decreasing the quantity of $TNF-{\alpha}$ a and $IL-1{\beta}$ than the two different methods(p<0.01). In case that the two treatment methods, carbon arc lamp treatment and low level laser, were executed together, there was the effect of decreasing $TNF-{\alpha}$ until the 6th day(p<0.01). Conclusion: Both low level laser treatment and carbon arc lamp one would be able to have an effect on the inflammation inhibition of burned patients and tissues reproduction. However, it must be also considered for the two treatments to be done at the same time.

요실금 환자의 운동치료

박돈목,문향미,김진상,Park Don-Mork,Moon Hyang-Mee,Kim Jin-Sang 대한물리치료학회 1998 대한물리치료학회지 Vol.10 No.2

여성의 요실금 치료방법을 선택하는데 있어서는 무엇보다도 정밀한 진단이 필요하며, 이 정확한 진단을 통하여 치료방법을 선택하여야 한다. 여러 논문을 검토해본 결과 요실금 치료의 밥법은 다양하며 극히 일부분의 수술을 요하는 환자를 제외하고는 대부분의 환자가 약물이나 전기치료, 운동처방만으로도 치료가 가능하다고 한다. 따라서 본 논문은 여러 문헌을 종합하여 물리치료의 한 영역으로써 요실금 치료에 기여할 수 있는 여러 분야 중 운동치료 분야에 관해 간략히 언급하였다. 운동을 위해서는 먼저 정확한 진단과 평가가 요구되며, 초기에 각 운동을 실시할 때는 복압이 증가하지 않게 누워서 치료를 시작할 것과 쉬운 운동부터 시작하여 전차 어려운 운동으로 발전시키며, 환자의 진전에 따라 자세의 변화와 치료시간도 점점 늘여가도록 한다. 또한 요실금 환자는 커피와 같은 자극성이 있는 음료는 삼가도록 한다. 요실금에 관한 물리치료는 더욱 많은 연구와 치료개발이 필요하다고 생각되며, 임상치료에 많은 도움이 되길 바란다 The Therapeutic pattern for the urinary incontinence in women should be chosen by means of the correct diagnosis. The therapeutic methods are various but drug therapy, electrical therapy and excercise therapy make the urinary incontinance be teated well, except some patient. This study carried out to investigate the therapeutic method fer urinary incontinence by the scope of excercise therapy. The excercise therapy demands the therapist of the correct diagnosis and evaluation. The patient should be Supine position not to increase the, abdominal pressure, and during the early excercise, the excercise should be applied by simple pattern to complex one. The change of position sod duration of therapy are to correspond with the sequels of patient and the patient has to abstrain from stimulant food such as coffee.

일선 교사들의 무릎관절 통증에 영향을 미치는 요인

박돈목,Park Don-mork 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.3

This study examined on the causes of chronic pain in the knee joint that was related to the aspects of teacher's job and daily lives. The subjects of investigation in this study include 237 of teachers who work at the elementary, middle and high schools. The chronic pain of knee joint of the subjects' is mainly related to their stress, and also to the vehicle that they normally use(p<0.05). This study aims at grasping the frequency of the pain which is caused by a knee joint's stress when teachers teach in a standing-up posture for many hours, looking at the aspects in the pain of knee joint that are related to job, being conducive to the development of the pain-cure, and, in addition, presenting an effective countermeasure to related agencies in order to prevent such diseases as arthritis.

전기자극이 정상인과 요통환자의 체표면 온도 변화에 미치는 영향

박돈목,임정도,Park, Don-Mork,Lim, Jung-Do 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.4

The purpose of this study is to investigate the relationship between effects of TENS (Transcutaneous Electrical Nerve Stimulation) and IFC(Interferrential Current Therapy) to the change of body surface temperature. Cases are 22 normal persons and 22 patients with low back pain. Digital Infrared Thermal Imaging system was used for the detection of body surface temperature. 50Hz in frequency and 25-35mA in intensity were applied to TENS and IFC, 15 and 10 minutes on each. The results were follows ; 1. TENS and IFC has on effect of decreasing surface temperature, which would be from cardiovascular factors. (P<0.001) 2. The influence of IFC to the body surface temperature is greater than TENS, and it seems to be vasoconstriction of sympathetic activity. 3. There were no significant differences of body surface temperature between the two groups before and after electrical stimulation.

근력강화 운동프로그램이 시설 노인의 자세균형에 미치는 효과

이철인,박돈목,박래준 대구대학교 2005 대구대학교 학술논문집 Vol.1 No.1

This study was conducted to examine the influence and effect of muscle enforcement program on Activity of daily living(ADL) improvement and posture balance of the old, and to provide more effective muscle enforcement program and educational data. The muscle enforcement exercise program was performed on the old(institution, 16 men, 10 women) for 8 weeks from April 22, 2002 through June 17,2002. Programed Exercise 1 - Exercise 10 were practised 8 times per program for 3 days a week. The load of exercise was increased per two weeks. The methods of measurement were questionnaire, Indiana 47903(action-response analysis machine) and Sample exercise protocol for KAT 2000(balance training device). SAS/PC statistic analysis was used for data analysis. T-test was used for analysis of change before and after exercise in this study. The summary and conclusions are as follows: 1. On subjectively recognized health states, the healthy were 42.3%. On the satisfaction with health states, the satisfied were 50.0%. On the factors of effects on daily-life behavior performance, the group who had troubles was 50%and the group who was so and so was 34.6% compared with the old of the same age. On prospect about health states in the future, the group who would be better was 38.%. On effective methods for problem solving, exercise was 42.3%. 88.5% of respondents answered the need of health care. The participation intention in health program was 92.3%. 2. On the change of psychological emotion and behavior aspects, the group who had repeated complaints or anxieties and reduced activities or interests was effective(P<0.01). 3. On the effects of action-response, the results of 8weeks regular exercise program were not different significantly compared with before and after exercise. The behavior quickness of the old by muscle enforcement program was not increased. This means that the old needs much time for exercise sense training because of the regression of cognition sense. 4. In the effect of posture balance, the whole grades were effective from 1272.69 before excercise to 476.92 after exercise(P<0.01). Especially right balance 657.65 was lowered to 208.57 after exercise most effectively(P<0.01). Rear balance 776.34 before exercise was lowered to 136.65 after exercise. The results of measurement were significant(P<0.05). 이 연구는 시설노인의 근력증가와 자세균형 및 운동수행능력 향상을 위한 방법의 하나로 노인들의 일상생활동작 수행개선과 자세균형에 미치는 영향과 효과를 검증하고 시설노인들의 체계적이며 효율성이 높은 근력 강화운동 프로그램과 교육자료를 제공하기 위하여 시설노인들의 일반적 특성 및 건강관리실태, 운동프로그램 참가 전 관련변수의 특성과 심리적 정서 및 행동양상의 변화 효과를 규명, 운동프로그램을 실시하기 전과 후의 동작반응효과, 그리고 근력강화 운동프로그램으로 노인들의 자세균형 효과를 연구하였다. 연구절차는 대구시내의 Y요양원과 양로원 시설에 남자 16명, 여 10명, 전체 26명을 대상으로 2002년 4월 22일부터 2002년 6월 17일 까지 8주 동안 운동프로그램을 실시하였다. 프로그램화된 운동1~운동10까지 기본적으로 주 3회에 각 항목별 1Set당 8회로 실시하도록 하였으며, 또한 2주마다 부하량을 증가시켰지만 1Set당 8회로 실시하도록 하였다. 측정도구는 INDIANA 47903(동작반응분석기)와 Sample exercise protocol for KAT 2000(균형훈련장치도구)을 측정도구로 사용하였다. 자료분석은 SAS/PC 통계분석을 이용하였으며, 본 조사에서는 운동전과 운동후의 변화를 분석하기 의해 짝 비교 t-검정을 이용하였다. 1. 대상자의 참가 전 관련변수의 특성 중 주관적으로 인식하는 건강상태는 건강하다고 응답한 사람이 42.3%이었으며, 자신의 건강수준에 대한 만족도 에 만족한다가 34.6%이었다. 건강상태가 일상생활동작수행에 영향을 미치는 요인으로는 50.0%가 지장을 받는다고 하였으며, 비슷한 연령층의 노인들과 비교한 자신의 건강상태에 관하여는 그저 그렇다고 응답한사람은 34.6%이었다. 앞으로의 건강에 대한 전망에 대해 더 좋아질 것이라는 사람은 38.5%이었으며, 건강상의 문제해결을 위한 효과적인 방법에 대해서는 42.3%가 운동이라고 하였다. 그리고 건강관리의 필요성에 대한 응답에는 88.5%이었고, 건강프로그램 참가의사에는 92.3%이었다. 2. 노인들의 심리적 정서와 행동양상의 변화는 반복적인 불평을 하거나 걱정을 한다와 활동이나 관심이 줄어들었다가 효과가 있었다(P<0.01). 3. 동작반응 효과는 8주간의 규칙적인 운동프로그램의 동작반응효과에 대한 결과는 운동전과 운동 후를 비교해볼 때 전혀 차이가 없었다(P>0.897). 근력강화프로그램으로는 노인들의 민첩성 능력의 증가는 변화가 없었으며 이는 노인들의 인지 감각기능의 퇴행으로 많은 시간의 운동감각훈련이 필요한 것으로 생각된다. 4. 자세균형효과에는 전체점수가 운동전의 1272.69에서 운동 후의 476.92로 큰 효과가 있었으며(P<0.01), 특히 오른쪽 균형은 657.65에서 운동 후의 208.57로 낮아 통계적인 유의성이 있었으며(P<0.01), 뒤쪽의 균형 역시 운동전 776.34와 운동 후 136.65의 수행력을 측정한 결과도 유의성이 있었다(P<0.05).

요십 B. 티토의 유고슬라비아 연방실험에 관한 정치적 고찰 : 1990년대 이전의 티토이즘을 중심으로

김진상,박돈목,문향미 대한물리치료학회 1998 대한물리치료학회지 Vol.10 No.2

The Therapeutic pattern for the urinary incontinence in women should be chosen by means of the correct diagnosis. The therapeutic methods are various but drug therapy, electrical therapy and excercise therapy make the urinary incontinance be treated well, except some patient. This study carried out to investigate the therapeutic method for urinary incontinence by the scope of excercise therapy. The excercise therapy demands the therapist of the correct diagnosis and evaluation. The patient should be supine position not to increase the abdominal pressure, and during the early excercise, the excercise should be applied by simple pattern to complex one. The change of position and duration of therapy are to correspond with the sequels of patient and the patient has-to abstrain from stimulant food such as coffee.

가정 방문 물리치료

김충식,박돈목,이한숙 대한물리치료학회 1996 대한물리치료학회지 Vol.8 No.1

It is urgent to introduce home visiting physical therapy in order to prevent the unnecessary in-crease of demand and extravagance for the nation-wide execution of medical insurance and for the medical demand and supply of medial delivery system. We think that it is very important for us, as a physical therapist preparing 21 centry, to clearly undersand the necessity of home visiting physical therapy, which will be needed as the new therapeutic field in the future. When the terms for a new health and medical system, that is, useful trained-manpower, well-equipped facilities, financial and 1egal support, well-prepared design for this project, positives co-operation between people involved in this project, and rational development of the project is held and this project is settled by sloving the expected problems, this project will give a contribution to the promotion of national health and social welfare.

원적외선 최적화 방사유도 알고리즘과 프로그래밍

김재윤,박돈목,박영한,박래준,Kim, Jae-Yoon,Park, Don-Mork,Park, Young-Han,Park, Rae-Joon 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.2

To take the Far-infrared(FIR) ray which is a optimized wavewlength and strength, at first, it is to be induced the characteristic algorithm and the computerized programing of FlR radiating materials. In this study, we induced that the formular of optimized FIR with physical, mathematical logic and theory, especially, Plank, Kirchhoff, Wien, Stefan-Boltzmann's logic and law. In the long run the formular was induced with mathematical integration. since we had to know the molecular wavelength. Base on the induced formular as above, we programmed the optimized FlR radiating computerized program, it would be useful to design semiconductor( VLSI) as the FlR instrument center control system.