가정 방문물리치료에 대한 운영방안 및 만족도 연구

안창식 ( Chang Sik Ahn ),유원종 ( Won Jong Yu ) 대한물리의학회 2012 대한물리의학회지 Vol.7 No.3

Purpose The this study was performed to purpose the data basis of medical law revision for home visiting physical therapy established as a legal system in hone visiting health care by researching the need, satisfaction, intention to use, management, expected effects. Methods We were surveyed for 105 patients who was participated business from home visiting health care in community health center. We choose and modified the questionnaire that was used in previous study about home visiting physical therapy and home visiting program for nurses. The questionnaire was consisted of 4 questions of general characteristics of subject, 6 questions of satisfaction, 4 questions of satisfaction of service status, 2 questions of management. And frequency analysis, ANOVA were used for statically analysis. Results In general satisfaction, satisfaction of service status, the result were very optimistic, but there were no difference by age. In management, participations of 64.8% was answered to within three years of clinical experence and trained in home visiting physical therapy ask on qualification criteria of physical therapists, and participations of 93.3% was answered to once a week ask on desired number of therapy. Conclusion In our conclusion, home visiting physical therapy is very useful and effective health care system for satisfaction and need, so home visiting physical therapy expected to have great potential in home visiting health care. In addition, by train to home visiting physical therapist for provide professional physical therapy service provide an institutional base which can be expanded and invigorated home visiting physical therapy.

고교유도선수들의 신체구성과 무산소성파워 요구량

안창식 ( Chang Sik Ahn ) 대한무도학회 2009 대한무도학회지 Vol.11 No.1

유도선수들의 경기 시 효율성은 30초 활동과 10초 휴식의 경향이 있어 이전 연구들에서 경기력을 향상을 위해 무산소성 파워의 향상의 필요성이 주장되었다. 그러나 유도선수들의 생리학적 특성과 관련된 이전 연구들에서는 무산소성 파워와 관련된 신체적 조건들의 제시가 미약하여 선수와 지도자들에게 트레이닝계획을 위한 구체적인 자료가 요구되고 있다. 본 연구의 목적은 남자 고교유도선수들의 신체적 특성과 무산소성파워를 대학선수들과 비교하여 그들이 필요시하는 신체구성과 무산소성파워 요구량을 제안하고자 한다. 이번 연구에 한국 남자 대학선수 26명과 고교유도 선수 28명이 참여하였으며, 모든 실험은 2회 반복 측정된 결과를 이용하였다. 신체구성의 차이결과는 제지방, 근육량, 총수분량, 체지방량 모두 대학선수가 고교선수에 비해 유의하게 높았다(p<.05). 무산소성 파워 차이결과는 피크파워와 평균파워 모두 대학선수가 고교선수에 비해 유의하게 높았다(p<.05). 피크파워와 제지방, 근육량, 체수분, 체지방의 상관계수 결과 고교선수들은 r=0.14-0.173으로 낮은 관련성을 나타내었으나 대학선수들의 경우 제지방, 근육량, 체수분 모두 유의하게 높은 관련성을 나타내었다. 평균파워와 제지방, 근육량, 체수분, 체지방의 상관계수결과는 고교선수들의 경우 r=0.233-0.236으로 낮은 상관계수를 나타내었으나, 대학 선수들의 경우 제지방, 근육량, 체수분 모두 r=0.483-0.484로 유의한 상관계수를 나타내었다. 그러나 체지방은 피크파워와 평균파워 모두 두 집단 간 유의한 차이가 없었다. 고교선수가 앞으로 대학선수로 성장하기 위한 조건으로 고교선수는 체지방을 유지하면서 제지방, 근육량, 총수분량 등을 상승시킬 수 있는 트레이닝 방법과 영양학적인 노력이 필요 할 것이다. In judoists` competitions, work capacity has the tendency of 30 seconds` activity and 10 seconds` interval, and therefore, previous researches maintained the necessity of high anaerobic capacity for enhancing judoists` performance. The purpose of this study was to investigate a demand volume of bodycomposition and anaerobic capacity in high school judoists differ from comparing with university judoists. The participants of this study were, 26 university judoists (UJ) athletes, and 28 high school judoists (HSJ) athletes in South Korea. As to difference in body compositions between two groups, UJ were significantly higher than high school judoists in FFM, MM and TBW (p<.05). As to differencein anaerobic capacity between two groups, UJ were significantly higher than HSJ (p<.05). As to the correlations of PP with FFM, MM, TBW and FM, HSJ (intra"]class correlation ranged between r=0.14"]0.173) showed small correlations. However, UJ showed high correlations. As to the correlations of MP with FFM, MM and TBW, HSJ (intra"]class correlation ranged between r=0.233-0.236) showed small correlations. However, UJ showed significantly correlations. But, FM was not significantly correlations either. As to conditions HSJ to grow into a UJ, HSJ need to maintain FM increase FFM, MM and BTW. Thus, their training methods and alimentological efforts need to consider these conditions.

만성편마비 환자에게 반복과제와 피드백 과제의 운동프로그램이 하지운동기능과 낙상효능감에 미치는 효과

안명환 ( Myung Hwan Ahn ),안창식 ( Chang Sik Ahn ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.1

Purpose:The purpose of this study was to compare the effects of performing feedback vs repeative tasks on lower extremity motor function and falls efficacy in chronic hemiplegic patients,. Methods:40 hemiplegic patients took part in this study. The average age of the feedback-task group was 68.45 years and 68.20 in the repeative-task group. All subjects participated in the study for 8 weeks, doing exercises 3 per day per week. All participants were assessed by using the Berg balance scale (BBS), the lower-extremity subscale of the Fugel-Meyer assessment of sensorimotor impairment (FMLE), and the falls efficacy scale (FES). The data were analyzed using a paired t-test. Results:After 8 weeks of exercise training, the results of this study were: the BBS and FMLE of hemiplegic patients showed a feedback-task and repeative-task groups (p<0.05). The FES of hemiplegic patients also showed a significant difference between the quantitative-task and qualitative-task groups (p<0.05). Conclusion:We present findings suggesting that chronic hemiplegic patients could improve their standing balance ability better through a feedback-task exercise program, as opposed to a repeative-task exercise program.

물리치료학 교육목표와 표준 교과과정안 개발

안소윤,안창식,이완희,박래준,Ahn, So-Youn,Ahn, Chang-Sik,Lee, Wan-Hee,Park, Rea-Jun 대한물리치료과학회 2007 대한물리치료과학회지 Vol.14 No.1

We discuss why many current physical therapy entry-level programs are not designed to educate the type of physical therapy practitioners needed for the 21st century. We face a situation that we have to promote the profession's role in the prevention, diagnosis, and treatment of movement dysfunctions and the enhancement of the physical health and functional abilities of members of the public. The way how to train professional physical therapists became crucial. The purpose of study was to enhance the educational goals of physical therapy and the physical therapy curricula in Korea. In this study, we compared physical therapy training curricula recommended by WCPT with physical therapy training curricula in universities in other countries by dividing physical therapy curricula in universities and colleges into physical therapy students' electives, major required courses, labs and clinical practices, and counting the proportion of each category in the total credit hours. We discuss differences and similarities between curriculum in a university in Korea and curriculum in a university in the United States. We discussed possibly problematic portions of current physical therapy training curricula in korean universities. Finally, we statistically analyzed the regulations of WCPT and Health and Welfare Ministry in Japan, the Physical therapy curriculum of Creighton Entry-level DPT Program in the U.S. and the Inje University in Korea. The progressing direction of curricula in Korea had been researched. The future direction that korean physical therapy is to use an united curriculum that includes basic requirements of WCPT for all universities and colleges in Korea, rather than using each university's own modified version. The results of study can be helpful for developing a basic level of integrated curricula in universities and colleges in Korea.

낙상예방 운동프로그램이 노인여성의 균형과 삶의 질에 미치는 영향

김명철 ( Myung Chul Kim ),안창식 ( Chang Sik Ahn ),김용성 ( Yong Seong Kim ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.2

Purpose:The purpose of this study is to investigate the effects of falls prevention exercise program(center of gravity control training, multiple sensory training, strategic posture training, ambulation training, muscle strengthening training) to balance and muscular strength in the elderly females. Methods:A total of 30 elderly womens participated in this study. All subjects have participated in exercise program on three times a week for eight weeks, Before and after of exercise program, They have measured about Berg Balance Scale (BBS), Performance Oriented Mobility Assessment (POMA), Time Up & Go (TUG), Sit to stand, Fall Efficacy Scale (FES), Quality of Life (QOL). Results:The results of this study were as follows; 1) There were statistically significant difference in the BBS, POMA, FES, QOL test on within-subject, 2) There were not significant difference in the TUG, Sit to stand test on within-subject. 3) The BBS was correlated with POMA and QOL. The POMA was also correlated with QOL. Conclusion:The result of this study shows that falls prevention exercise program was meaningful increasing of balance ability and quality of life on elderly women.

영양상담을 통한 식사행동의 변화가 운동선수의 운동능력 향상에 미치는 효과

장문경(Chang Moonkyoung),안창식(Ahn Changsik),박선민(Park Sunmin) 韓國營養學會 2001 Journal of Nutrition and Health Vol.34 No.1

신장 기법에 따른 편마비 환자의 장딴지세갈래근 유연성 변화 연구

이민규(Min Gyu Lee),안창식(Chang Sik Ahn) 한국장애인재활협회 2016 재활복지 Vol.20 No.2

본 연구의 목적은 뇌졸중으로 인한 편마비 환자의 장딴지세갈래근에 적용된 정적 신장 기법, 수축-이완 기법, 그리고 수동 관절운동이 근육의 유연성과 발목 관절 능동 등 쪽 굽힘에 미치는 영향에 대해서 연구하는 것이었다. 경직성 발목 관절 양상을 지닌 21명의 뇌졸중 환자를 무작위로 3그룹으로 배정하고 그룹별로 장딴지세갈래근 신장 중재를 매일 3분 20초씩 5일간 적용하였다. 넙치근과 장딴지근의 유연성과 발목 관절의 능동 등 쪽 굽힘 범위를 관절 각도계를 이용해 중재 전과 후에 측정하였고 전후 비교를 위해 대응표본 t-검정을 하였다. 신장 기법에 따른 유연성과 발목 관절의 능동 등 쪽 굽힘 범위의 변화량을 검정하기 위해 일원 배치분산분석을 하였다. 분석 결과, 장딴지근과 넙치근 유연성은 정적 신장 기법과 수축-이완 기법 그룹에서 유의하게 향상되었다(p 〈.05). 능동 등 쪽 굽힘 범위는 3그룹 모두에서 변화가 없었다(p 〉 .05). 수축-이완 기법은 정적 신장 기법과 수동 관절운동보다 유의하게 넙치근의 유연성을 향상시켰다(p 〈.05). 수축-이완 기법은 수동 관절운동보다 유의하게 장딴지근의 유연성을 향상시켰다(p 〈.05). 본 연구의 결과에 따라 정적 신장 기법과 수축-이완 기법은 장딴지세갈래근의 유연성을 증가시키지만, 수축-이완 기법이 정적 신장 기법보다 넙치근의 유연성 향상에 효과적이었음을 알 수 있었다. The aim of this study was to compare the effect of static stretching, contract-relax technique and passive range of motion exercise on the triceps surae muscles flexibility and the values of ROM of active ankle dorsi-flexion in post-stroke hemiparetic subjects. 21 stroke survivors with ankle spasticity were randomly assigned to 3 groups and received intervention for 5 days. The flexibility of soleus, gastrocnemius and the values of active dorsi-flexion ROM were evaluated pre- and post- intervention. The data was analyzed using paired T-test for comparing of pre- and post- values. One-way ANOVA was used to analyzed whether any stretching technique is more effective. Both static stretching and contract relax technique significantly increased the flexibility of the soleus and gastrocnemius but there were no significant changes in active range of dorsi-flexion motion. In the passive range of motion exercise, there were no significant changes on the flexibility and active range of motion of dorsi-flexion. The contract relax technique was significantly effective than static stretching and passive range of motion exercise on increasing of the flexibility of soleus muscle. The contract relax technique was significantly effective than passive range of motion exercise on increasing of the flexibility of gastrocnemius muscle. The study suggests that both static stretching and contract relax technique improve the flexibility of triceps surae muscles but contract relax technique can be more effective than static stretching on soleus flexibility.

대퇴골(Femur)고정용 골 금속판 제작 및 강도 평가

김정래(Jeong?Lae Kim),안창식(Chang?Sik Ahn),서병도(Byoung?Do Seo) 대한인간공학회 2008 大韓人間工學會誌 Vol.27 No.2

Study was developed the metallic plate for fixation in the femur fracture and plates has a firm place in fracture treatment. This plates can be stabilized for fracture fixation as well as biological and dynamical device. The device's designation and sizing has a optimization with bending structural stiffness and strength, known meaning that is reliable regardless of the plate by the short type and long type. The bending strength of the curved metallic long plate has to evaluate a 11,000N and the bending strength of the curved metallic short plate has to evaluate a 6,525N. This see the X-ray image of bending angle made certain of 15° at number 2 and same 82.87° at number 2, 4, 5, 7, 8, 9, 10 by outside angle, and confirmed 25.26° at number 3, 3.68° at number 6, 15.64° at number 9 by inside angle. This study shows that keep up the metallic plate for fixation in the femur fracture through X-ray Image and the device can be used to support Revision case of Hip Implant and to use a case of Hip screw compression of Hip Neck Fracture. Short plate have a wrapping of femur and long plate have to preserve a pole of femur.

3차원 요부안정화 운동이 20대 요통환자의 통증과 동적 및 정적 균형능력 향상에 미치는 효과

김규용 ( Gyu Yong Kim ),안창식 ( Chang Sik Ahn ),김성수 ( Seong Su Kim ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.2

Purpose:The aim of this study is to compare and assess the effects of lumbar stabilization exercise on the balance ability of young college studets with low back pain after having performed spinal stabilization exercise by using 3-dimensional air-balance system and gym ball. Methods:The subjects of this study were 34 low back patients in their early twenties. They were divided into two groups: 3-dimensional lumbar stabilization exercise group(N=17) and gym ball lumbar stabilization exercise group(N=17). The period of the intervention was for five weeks. VAS(Visual Analogue Scale) for pain test, ODI(Oswestry Disability Index) for ADL limitation test, Tetrax system for static balance test, and Air-balance system 3D for dynamic balance test were used as evaluation tools for this study. Results:Pain showed significant decrease in both groups after having performed the experiment, but ADL limitation of the groups did not show any remarkable difference between before and after the experiment. Dynamic balance ability in the 8-directional angle comparison test significantly increased in all directions except for the backward, left-backward, and right-backward directions. As for dynamic balance ability in the 8-directional postural test, 3D exercise group showed statistically significant reduction in every direction while gym ball exercise group did not(p<.05). However, when it comes to static balance ability in the weight distribution and stability test, there was not significantly change between pre and post test in both groups. Conclusion:This study shows 3-dimensional lumbar stabilization exercise is more effective in the lumbar stabilization of coordinated movement than gym ball exercise, which may imply that 3D air-balance system can be used for the therapeutic treatment of body imbalance for patients with low back pain.

작업성 근골격계질환의 VDT 증후군에 관한 고찰

양영애,허진강,김현희,이규창,이주상,정신호,안창식,심재훈,Yang, Young-Ae,Hur, Jin-Gang,Kim, Hyun-Hee,Lee, Gyu-Chang,Lee, Ju-Sang,Jung, Shin-Ho,Ahn, Chang-Sik,Shim, Jae-Hun 대한물리치료과학회 2004 대한물리치료과학회지 Vol.11 No.4

The studys purpose were the effects of work posture, treatment method and prevention for Video Display Terminal(VDT) workers in Work-Related Musculoskeletal Disorders(WMSD) The results were as follows: 1. The prevalence rate of VDT workers in WMSD was $20{\sim}40%$. The complaint was mostly shoulder, neck, and hack area pain 2. VDT worker used to forward flexed posture and then affect of increase of muscle fatigue and pain 3. When exercise therapy PT and ADL training, were used workers decrease in pain, muscle strength, balance training, endurance strength and relief of psychiatricIn conclusion, VDT worker need good health and posture to rest and exercise with time space and treatment. It is best to prevent WMSD. VDT workers need health management by itself and systemic rehabilitation program by speciality therapist.