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무릎 구부리고 누운 자세, 앉은 자세, 선 자세에서 복부 드로잉-인 방법을 수행하는 동안 배가로근의 수축비 비교
원종임,Won, Jong-Im 대한고유수용성신경근촉진법학회 2021 PNF and Movement Vol.19 No.2
Purpose: This study aimed to compare the contraction ratios of the abdominal muscles and the preferential activation ratios of the transversus abdominis muscle (TrA) during the abdominal drawing-in maneuver (ADIM) in the hook-lying, sitting, and standing positions. Methods: This study included 30 healthy participants. The thicknesses of the TrA, internal oblique muscle (IO), and external oblique muscle (EO) were measured at rest and during the ADIM in the hook-lying, sitting, and standing positions using B-mode ultrasound imaging. The contraction ratios of these muscles and the preferential activation ratios of the TrA were calculated for each position. Results: The contraction ratio of the TrA and preferential activation ratio of the TrA during the ADIM in the hook-lying position were significantly higher than those in the sitting and standing positions (p < 0.05). The contraction ratio of the TrA during the ADIM in the sitting position was significantly higher than that in the standing position (p < 0.05). Conclusion: The hook-lying position tended to facilitate TrA activity better than the sitting position. Furthermore, the sitting position tended to facilitate TrA activity better than the standing position. These findings suggest that the ADIM in the hook-lying position should be implemented before that in the sitting position and that the ADIM in the sitting position should be implemented before that in the standing position.
원종임(Jong-im Won),이미영(Mi-young Lee) 한국전문물리치료학회 2010 한국전문물리치료학회지 Vol.17 No.3
Mortality rates from stroke have been declining. Because of this, more people are living with residual disability. Rehabilitation plays an important role in functional recovery of stroke survivors. In stroke rehabilitation, early prediction of the obtainable level of functional recovery is desirable to deliver efficient care, set realistic goals, and provide appropriate discharge planning. The purpose of this study was to identify predictors of functional outcome after stroke using inpatient rehabilitation as measured by Functional Independence Measure (FIM) total scores. Correlation and stepwise multiple regression analyses were performed on data collected retrospectively from two-hundred thirty-five patients. More than moderate correlation was found between FIM total scores at the time of hospital admission and FIM total scores at the time of discharge from the hospital. Significant predictors of FIM at the time of discharge were FIM total scores at the time of hospital admission, age, and onset-admission interval. The equation was as follows: expected discharge FIM total score = 76.12+.62x(admission FIM total score)-.38x(age)-.15x(on set-admission interval). These findings suggest that FIM total scores at the time of hospital admission, age, and onset-admission interval are important determinants of functional outcome.
비급성기 요통환자에 있어 장애를 예측하는 요인으로서의 통증관련 두려움과 우울
원종임(Jong-im Won) 한국전문물리치료학회 2009 한국전문물리치료학회지 Vol.16 No.3
Psychsocial factors appear to play an important role in the maintenance and development of chronic disability from low back pain. Fear of pain may be more disabling than the pain itself in patients with nonacute low back pain. The purpose of this study was to identify the contribution of gender, age, depression and pain-related fear to pain intensity and disability in nonacute low back pain patients. This was a cross-sectional survey study of eighty four patients who had low back pain for at least 4 weeks. More than moderate correlations were found between pain intensity, disability, fear-avoidance beliefs and depression. Regression analyses revealed that disability ratings and fear-avoidance beliefs for work activities significantly contributed to the prediction of pain intensity, even when controlling for age, gender and pain duration. Also, fear-avoidance beliefs for physical activity, pain intensity, age and depression, significantly contributed to the prediction of disability, even when controlling for gender and pain duration. These findings suggest that disability scores and fear-avoidance beliefs for work activities are important determinants of pain intensity. They also suggest that fear-avoidance beliefs for physical activity, pain intensity, age and depression are important determinants of disability.
원종임(Jong-Im Won) 한국콘텐츠학회 2008 한국콘텐츠학회논문지 Vol.8 No.1
노인인구의 증가와 더불어 뇌졸중 환자들이 증가하고 있다. 치료에도 불구하고 대부분의 뇌졸중 환자들은 장애를 갖게 된다. 이런 장애를 개선하기 위한 뇌졸중 치료의 주요 목적은, 환자들의 기능적 독립을 촉진시키고, 지역사회에 통합하도록 하는 것이다. 지역사회재활 적용시 중요한 점은 장애인과 그들의 가족 그리고 지역사회가 서비스의 우선순위가 무엇인지를 결정하는 것이다. 지역사회 뇌졸중 환자는 물리치료, 작업치료, 언어치료, 보장구, 간호 등 포괄적인 서비스를 필요로 한다. 본 논문의 목적은 우리나라 뇌졸중 환자들에 대한 지역사회재활의 필요성에 대해 논구하는 것이다. Despite intensive therapy, a large proportion of stroke survivors are left with significant disabilities. To improve the disable condition, a major component of stroke management is aimed at facilitating functional independence and community reintegration. There are many evidences that community-based rehabilitation after stroke is most effective when provided by a well-organized multidisciplinary team. Key to the implementation of community-based rehabilitation(CBR) is that the disabled person, their family and their community decide on what the priorities of the service should be. The stroke patients in the community need a wide range of services, including the traditional rehabilitation services of physiotherapy, occupational therapy, speech therapy, social workers, orthotists, nurses and so on. The purpose of this research was to investigate necessity and methods of community-based rehabilitation system in Korea.
슬관절 신전근의 등속성 운동 시 발생되는 일과 근전도 신호와의 관계
원종임,Won, Jong-Im 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.1
An electromyogram (EMG) using surface electrodes is one of the indirect tests most frequently used to ascertain muscle fatigue. An EMG can be used in two ways. The first technique determines the root mean square (RMS), which reflects the amplitude of the EMG signal. The second technique determines the median and mean power frequencies through EMG power spectrum analysis. The purpose of this article is for determine the correlation between work and percent root mean square(%RMS) and between work and MDF of EMG based on muscle contractions. It is used the %RMS, which reflects the amplitude of the EMG signal For MDF, it is used the frequency power spectrum analysis method, which involves the fast Fourier transformation (FFT) of the original Signals.