체간 근력 강화 훈련이 경직성 뇌성마비아의 앉은 자세 균형에 미치는 효과

오정림,Oh Jung-Lim 대한물리치료학회 2003 대한물리치료학회지 Vol.15 No.4

The purpose of study was to evaluate effects of a trunk muscle strength training on sitting balance of children with spastic cerebral palsy. Five individuals with spastic cerebral palsy(three females. two males; mean aged 6.6) participated three times a week over 6 weeks. Five individuals with spastic cerebral palsy(three females. two males; mean aged 7.0) who did not receive strength training served as control. BPM(Balance Performance Moniter) was used to measured sitting balance and EMG(electromyograph, NORAXON, USA) was used to measured activities of abdominal and erector spine muscle. The obtain result are as follows. 1. The result of this study were following that maximum perturbation area and perturbation velocity were significantly reduced strength training group compared with control group(p<.05). 2. The result of this study were following that maximum perturbation area and perturbation velocity were significantly reduced after strength training compared with pre strength training in strength training group(p<.05). 3. The result of this study were following that maximum perturbation area and perturbation velocity were not significantly reduced at interval of six week in control group(p<.05). 4. The result of this study were following that abdominal muscle activity was significantly increased strength training group compared with control group(p<.05). 5. The result of this study were following that erector spine muscle activity was significantly increased strength training group compared with control group(p<.05). 6. The result of this study were following that abdominal muscle activity and erector spine muscle were significantly increased after strength training compared with pre strength training in strength training group(p<.05). 7. The result of this study were following that abdominal muscle activity and erector spine muscle were not significantly increased at interval of six week in control group(p<.05). In conclusion, the result of this study suggest that improved sitting balance and increased activities of trunk muscle by trunk strength training in spastic cerebral palsy. The result was proposed that therapeutic approach of spastic cerebral palsy with impaired sitting balance should use trunk strength training.

신장질환자의 운동프로그램에 관한 고찰

오정림,손호희,김중선,Oh, Jung-Lim,Son, Ho-Hee,Kim, Chung-Sun 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.2

Purpose: The purpose of this study was to provide the information of renal disease patients and to provide evidence the physical therapy recipient of renal disease patients. The reviews suggest that renal disease patients are physical inactivity situation, increase on cardiopulmonary risk factor, developed complication disease, increased psychosocial factor like depress and anxiety, decreased Quality of life because their disease effects. Thus. exercise program seems to have beneficial effect on physiologic and psychosocial functioning, Quality of life. It is expected that this study will consider rehabilitation program for internal medicine patients and should be consider as availability of therapeutic exercise program on understanding renal disease in physical therapy.

편마비 뇌성 마비 아동에서 구속 유도 운동치료가 상지 근기능에 주는 영향

오정림(Jung Lim Oh),김중선(Chung Sun Kim),조병준(Byung Jun Cho),현광석(Gwang Suk Hyun) 한국사회체육학회 2009 한국사회체육학회지 Vol.0 No.35

집중치료가 뇌성 마비아의 대동작 기능 점수에 미치는 영향

오정림 ( Jung Lim Oh ),김중선 ( Chung Sun Kim ) 대한물리의학회 2009 대한물리의학회지 Vol.4 No.2

Purpose:The purpose of this study was to find the effect of intensive therapy on gross motor function measure(GMFM) score in cerebral palsy. Methods:Twenty eight cerebral palsy children were recruited in this study. Gross motor Function Measure (GMFM) score and Gross motor Function Classification System(GMFCS) were used to evaluate as functional change and functional level. Intensive therapy period for cerebral palsy children was 3, 4, and 5 weeks. Statistical analysis was used paired T test and one way ANOVA to know change between pre and post therapy was used. Results:GMFM Score of pre- and post- intensive therapy showed the statistically significant difference. Intensive therapy period indicated the statistically significant difference in GMFM score. GMFCS level did not reveal statistically significant difference in GMFM score. Conclusion:Intensive therapy was effective on gross motor function measure(GMFM) score in cerebral palsy.

물리치료(학)과 학생의 장애인에 대한 태도와 행동에 관한 조사연구

오정림(Oh, Jung-Lim),손호희(Son, Ho-Hee),김기열(Kim, Gi-Yeol) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.1

이 연구는 물리치료(학)과 학생들의 장애인에 대한 인식 및 태도를 알아보기 위해 물리치료(학)과가 개설된 전국 대학 중 6개 대학의 학생들을 대상으로 이루어졌으며 배포된 총 800부 중 776부를 회수하여 SPSS 21.0 프로그램을 이용하여 분석하였다. 연구결과 성별에 따른 장애인에 대한 행동의 차이에서 남학생이 긍정적으로 나타났으며, 4년제 학제에서 학년이 올라갈수록 부정적으로 나타났다. 장애인과의 접촉 경험에서는 장애인 가족이나 친구가 있는 경우 긍정적으로 나타났으며 장애 관련 과목 수강 여부에 따라서는 차이가 나타나지 않았다. 또한 봉사활동의 경험과 장애를 가진 사람과의 생활 경험이 있는 경우 태도와 행동 항목에서 긍정적으로 나타났다. 이러한 결과를 볼 때, 장애인과의 접촉 경험의 질과 기회에 따라 장애 인에 대한 긍정적 태도와 행동이 형성된다고 알 수 있으며, 이를 통해 교육과정 속에서의 장애인 인식의 개선과 장애인과의 직접적인 경험을 통해 긍정적인 장애인에 대한 태도 및 행동의 변화를 유도할 교육 프로그램의 개발이 모색될 필요가 있을 것이다. The purpose of this research was to examine the attitudes and behavior of physical therapy students toward the disabled. The subjects were 776 students at 6 cities and provinces nationwide with physical therapy. Self-reported questionnaires were used to collect data from 800, and 776 returned forms was analyzed using SPSS 21.0 ver. As a summary of the results, first, there was a more positive significant difference in the behavior toward disabilities in men than women; the higher grade they were, the more negative the significant difference in attitude toward the disabilities. Second, the subjects with disabled family members or friends had a positive attitude and behavior. Third, there was no difference as to whether to take classes related to disabilities, and there was a positive significant difference in the students who took voluntary service. Based on these results, interactions with disabled people affect the positive attitudes and behaviors toward disabilities. In addition, implications of the important roles of education curricula to take direct experience are suggested.

기능적전기자극 치료와 신경발달치료가 편마비 환자의 하지 경직에 미치는영향

최현지,오정림,박래준,Choi Hyun-ja,Oh Jung-lim,Park Rae-joon 대한물리치료학회 2003 대한물리치료학회지 Vol.15 No.3

The purpose of this study has been conducted to reduce the lower limbs' spasticity of the patients with hemiplegia caused by cerebral stroke of apoplexy and find differences about spasticity effects among each group. The objects of this study covered 24 patients with hemiplgia who are either in the oo hospital in Daegu or under treatment from home to hospital. The objects fall into three groups which are a group of neurological development treatment, a group of functional stimulus treatment and a group of neurological development treatment and functional stimulus treatment. The result of this study were as follows : 1) The neurological development treatment has been found to reduce the lower limbs' spasticity of patients with hemiplegia caused by cerebral stroke of apoplexy and compared to before-treatment, the MAS value of spasticity has been shown to be statistically meaningful ,and gradually over the period of between 4 weeks and 8 weeks(P <.05). 2) The functional electric stimulus treatment has been shown to reduce the lower limb's spasticity of patients with hemiplegia caused by cerebral stroke of apoplexy and compared to before-treatment, the MAS value of spasticity was statistically meaningful and compared to 4 weeks, even at the time of 8 weeks, the MAS value of spasticity have shown statistical meaningness. (P <.05) 3) When neurological development treatment and functional electric stimulus treatment was applied at the same time, the lower limbs' spasticity of patients with hemiplegia was reduced meaningfully(P <.05). Compared to before-treatment at the time of 4 weeks, the MAS value of spasticity was statistically meaningful and compared to 4 weeks at the time of 8 weeks the MAS value of spasticity was also statistically meaningful(P <.05) 4) In the case of time-based MAS value of each group, functional electric stimulus treatment reduced the spasticity more meaningfully than neurological development treatment, and the group of same application of functional electric stimulus treatment and neurological development treatment showed better statistical meaningness than functional electric stimulus treatment alone(P <.05) and finally the group of same application of neurological development treatment and functional electric stimulus treatment showed more meaningful difference than neurological development treatment alone(P <.05)

치매노인의 일상생활동작과 균형 및 인지능력에 대한 운동프로그램의 효과

손호희,오정림,박래준,Son, Ho-Hee,Oh, Jung-Lim,Park, Rae-Joon 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.1

Purpose: The purpose of our study was to evaluate the effects of an exercise program on activities of daily living (ADL), balance and cognition in elderly individuals with Alzheimer’s disease and vascular dementia. Methods: Thirty-two patients with mild to moderate cognitive impairment were assigned to one of two groups: an exercise group (n=16) and a control group (n=16). The exercise group carried on regular exercise for 60 minutes a day, 4-5 times per week for 8 weeks. The exercise group participated in an exercise program (treadmill training and physical training). ADL, balance and cognitive function were evaluated before and at the end of the program using the Korean modified Bathel Index (K-MBI), the Functional independence measure (FIM), the Berg balance scale (BBS), the Balance performance monitor (BPM), and the Mini mental state examination (MMSE) in both groups. Results: There were significant exercise-induced improvements in ADL and Balance from pre to post tests; but not in MMSE. Conclusion: Exercise programs can improve ADL and balance in elderly with Alzheimer’s disease and vascular dementia.

배낭무게에 따른 보행시 편평족 하지의 족저압변화

손호희,오정림,Son, Ho-Hee,Oh, Jung-Lim 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.4

Purpose : The purpose of this study was to investigate the changing plantar foot pressure by the backpack load of 0, 10, 15, and 20% of their body weight while level walking in flat foot and so to recommend suitable backpack weight limitations for flat foot subjects. Method : 14 young flat foot subjects($24.29{\pm}2.16yrs$) participated in this study. the subjects were assigned to carry backpack load and there was four level walking modes : (1) unloaded walking(0%), (2) 10% body weight(BW) load, (3) 15% BW load and (4) 20% BW load. Repeated ANOVA was used to compare each region data of foot according to different backpack weight. Results : As backpack load became increased, the contact area of midfoot was significantly increased, and contact area of forefoot and rearfoot were significantly decreased. maximum pressure at each region during walking tended to be greater as the load increased, but a significant difference was found only for the heel medial and lateral regions Conclusion : Based on this data, the weight of backpack could influenced structure and function of the foot in flat foot.

기능적 전기자극과 원적외선 복합적용이 뇌성마비 환자의 족저굴곡근 경직에 미치는 영향

김영지,오정림,김재윤,박래준,Kim Young-Ji,Oh Jung Lim,Kim Jae Yoon,Park Rae Joon 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.2

Spasticity is the most troublesome problems in the management in cerebral palsy. The purpose of this study was to observe the effect of the FES and FIR to spasticity.8 cerebral palsy children were selected for this study. Assessment was carried out before treatment for obtain baseline measurement of spasticity and reassessment were carried out at after 10, 20 treatment sessions and 24hours after treatment. The results of this study were as fellowing : 1. MAS scores were significantly reduced after 10th and 20th after treatment compared with pre-treatment. 2. MAS scores were significantly reduced after 20th and maintained 24hours after treatment compared with pre-treatment These results indicated that FES and Far infrared appears to reduce significantly MAS scores and maintained 24hours after treatment compared with pre-treatment.

기능적 전기 자극이 뇌성마비아의 앉은 자세 균형에 미치는 효과

박래준,오정림,Park Rae-Joon,Oh Jung-lim 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.4

The purpose of this study was to investigate the effect of functional electrical stimulation(FES) on sitting balance in child with cerebral palsy. Four cerebral palsy children were selected for this study. Functional electrical stimulation(FES) was applied to subject's abdominal muscle and electrospine muscle. Assessment was carried out before treatment for obtain baseline measurement of sitting balance and reassessment were carried out after treatment. The obtain results are as follows. 1. The result of this study were following that maximum perturbation area was significantly reduced after treatment compared with pre-treatment. 2.The result of this study were following that maximum perturbation velocity was significantly reduced after treatment compared with pre-treatment.