도시지역 노인들의 도구적 일상생활 수행능력(IADL)에 영향을 미치는 요인

이인학,문성기,김근조,박재영,Lee in hak,Moon Seng ki,Kim kun joo,Park Jae-Young 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.3

This study was intended to find out the factors affecting to the IADL, allowing objective assessment of physical function status of increasing elderly populations. The subjects of 635 elderly persons aged over 65 years old who live in Taejon metropolitan city were interviewed during the two-month period from June to July of 2000. The IADL of Older American Resources and Services(OARS), developed in Duke medical college of USA, was interpreted for use. The study results were statistically processed using SPSSWIN(ver 10.0) and conferred the following results: 1. Among the seven items of IADL, the women showed higher rates of 'yes' in items about using the telephone, getting to the places out of walking distance, going shopping for groceries, taking their own medicine while outnumbered by the men only in the item about managing their own money, without significant differences between them in items about preparing their own meals and doing their own housework. 2. In terms of IADL scores, $82.0\%$ of subjects showed the normal range of scores and $18.0\%$ were under the normal range, meaning dysfunction IADL. Specifications of general characteristics revealed that more dysfunctional were the male subjects, the higher age groups who are more than 75 years old, the higher educated groups, the groups who live in nursing homes, the groups without a spouse. 3. Based on daily activities, lower scores of IADL were found in the subjects who don't go out, who don't have recreational activities, who don't attend elderly gatherings in their neighborhood, who don't hold social meetings. Specifications of psychological traits revealed that more dysfunctional were IADL in the subjects who don't feel satisfied with their lives of the past or the present, who have a deep feeling of isolation, and who don't have the will to live. 4. Among 7 items of health habits, only the subjects who don't regular exercise had lower scores of IADL than those who do. According to HPI, the lower HPI, the more dysfunctional. 5. Based on the factors associated with IADL, the odds ratio of the subjects who don't live together with their families were 1.53 times that of the ones who do, who are educated 3.22 times that of the ones who are not, who don't have spouses 2.09 times that of the ones who do, who don't go out 4.35 times that of the ones who frequently go out, who don't recreational activities for an interest 2.64 times that of the ones who do, who don't attend elderly gatherings in their neighborhood 1.47 times that of the ones who do, who don't hold social meetings 2.23 times that of the ones who do, who don't feel satisfied with their present living 1.43 times that of the ones who do, who have a feeling of isolation 1.53times that of the ones who don'1, who have the weak will to live 3.21 times that of the ones who have the strong one, and who don't regular exercise 2.45 times that of the ones who do. 6. Logistic regression analysis of the study results found that such factors are significantly related as the degree of education, with/without spouse, social meetings, the will to live, and regular exercise, and that higher rates of dysfunctional subjects were in the more educated group, in the group without spouse, in the group who don't frequently go out, who don't have social meetings, who have the weak will to live, and who don't exercise.

일부 노인들의 수치료에 의한 통증경감과 만족도 조사

이인학,윤정인,문성기,Lee, In-Hak,Youn, Jung-In,Moon, Seng-Ki 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.3

This study was conducted to investigate the pain relief score and the degree of satisfaction among elderly people. This study has done from July 11th, 2001 to August 31st, 2001 at Hydrotherapy Facility in the College of Bogun(Taejon Health Sciences College) located in Taejeon, Korea. Eighty-eight patients were participated to the questionnaire. The results were as follow. 1. The mean value of the pain relief score in the female group was higher than the mean value of the pain relief score in the male group(p<0.05). The mean value of the pain relief score in the group having religion was higher than the group not having religion(p<0.05). The pain relief score was not significantly different in age, presence of spouse, the way of housing, and academic background. The degree of satisfaction was not significantly different in sex, age, presence of spouse, the way of housing, religion, and academic background. 2. The pain relief score and the degree of satisfaction were not significantly different in the presence of comorbidity, going with the hydrotherapy, and the moment of diagnosis. 3. According to the ADL, the mean value of the pain relief score in the Independent was higher than the mean value in maximal assistance and minimal assistance(p<0.05). Independent, maximal assistance and minimal assistance were not significantly different in the degree of satisfaction (p<0.05). 4. The pain relief score and the degree of satisfaction were not significantly different in the legion of pain.

만성 발목관절 염좌인 무용수와 정상인 무용수의 유연성과 등속성 근력 비교연구

이인학,문성기,이현욱,한상완,Lee, In-hak,Lee, Hyeon-Wook,Han, Sang-Wan 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

The purpose of this study was to compare the flexibility and isokinetic differences between normal dancers and dancers with chronically sprained ankle. For the experiment Eversion/Inversion testing was performed by a Cybex 770 isokinetic dynamometer at the a speeds of 30$^{\circ}$ /sec and 120$^{\circ}$ /sec on each 7 subject group. The results were; 1) No differences were found between the two groups in ROM of ankle, but ROM of eversion has 2.8$^{\circ}$ higher in the injury group than the normal group. 2) Differences were found between the two groups in peak torque. average power, total work at the evertor and invertor in injury side.(30$^{\circ}$ /sec) 3) Differences were found between the two groups in peak torque at the evertor and invertor in normal side.(30$^{\circ}$ /sec) 4) Differences were found between the two groups in total work at the evertor in normal side. (30$^{\circ}$ /sec) 5) Differences were found between the two groups in peak torque, total work at the evertor and invertor in injury side. (120$^{\circ}$ /sec)

일부 도시 재가 지체장애인의 치료실태

이인학,문성기,김미란,Lee, In-Hak,Moon, Sung-Gi,Kim, Mi-Ran 대한물리치료과학회 1997 대한물리치료과학회지 Vol.4 No.2

To find out the actual status of treatment of physically handicapped who were stayed of home, 320 physically handicapped persons were selected among total 6,264 physically handicapped registered in Taejon city, surveyed from January 1st to March 30, 1997. Following are the results ana lysed of collected data from 201 samped persons. 1. For the cause of physically handicapped, 36.3% was congenital, 26.9% was cerebralvascular acciednt(CVA). and 14.9% was infectious diseases and others in that orders. The must frequest cause of below 20 years age group was congenital cause, but that of $20{\sim}30$ years age group and $40{\sim}50$ years age group were accident and CVA repectively. 30.0% of respondents caused by infection and others earned household living expenses. Household living expenses were higher among the respondents caused by congenital cause but those were lowest in the accidental couse group. Handicap durations were longer in the accidental cause group and infections and others group than the congenital cause group and CVA group. 2. 54.7% of studied handicapped were under treatment. But 36.3% of them were stopped treatment, and 8.9 % of them answered not treated. Most handicapped, coused by congenital and CAV, were under treatment, but most of them caused by accidental and others were stopped treatment. 3. For the medical facilities, 54.5% of them utilized welfare facility, but 25.5% utilized general hospital and 20.0% of them utilized oriental medical hospital and health centers. Congenital cause group frequently selected welfare facility for the treatment facility. But accidental cause group frequently seleced general hospitals and CVA gruop frequently selected oriental medical hospital and others. The medical cost of welfare facility, oriental medical hospitals and others were lower than that of general hospitals. 4. The proportions of under treatment were higher among yonger age higher monthly living expenses group shorter handicapped duration groups, congenital cause group and handicap grade II group. But that of stop treatment were higher among congenital cause group, infectious and others cause group, and handicap grade I & then III group. 5. For the feelings satisfacion about medical treatment, only 35.3% of under treated group responed satisfation. 55.5% of them responded so-so, but 9.1 % responed dissatisfaction. The proportion of satisfaction was higher among shorter handicap duration group.

오십견 환자에 대한 Thera-Band의 치료 효과

이인학,문성기,한동욱,Lee, In-Hak,Moon, Sung-Gi,Han, Dong-Uck 대한물리치료과학회 1997 대한물리치료과학회지 Vol.4 No.2

This paper reports treatment effect by Thera-Band for two cases of Frozen shoulder. The purpose of study was to introduce treatment effect by Thera-Band for frozen shoulder. Case 1 Total amount of an increase of range of motion of shoulder joint were about 55 degrees in flexion, 60 degrees in abduction and 50 degrees in external rotation and the majority of those improvements were accomplished during three weeks of treatment by Thera-Band. Case 2 Range of motion of shoulder joint were accomplished Normal Range of Motion during one week of treatment by Thera-Band.

발열성 소아 신우 신염에서 단일 세균 감염과 혼합 세균 감염의 임상적 비교

이인학,남성우,서현석,임형은,유기환,홍영숙,이주원,Lee, In Hak,Nam, Seong Woo,Seo, Hyeon Seok,Yim, Hyung Eun,Yoo, Kee Hwan,Hong, Young Sook,Lee, Joo Won 대한소아신장학회 2012 Childhood kidney diseases Vol.16 No.2

목적: 발열이 있는 소아 신우 신염에서 단일 세균과 혼합 세균 감염군 두 군간의 임상적인 비교를 하였을 때, 통계학적으로 유의한 차이를 보이는지 알아보고자 하였다. 방법: 2008년 1월부터 2010년 8월까지 ${\bigcirc}{\bigcirc}$대학교 ${\bigcirc}{\bigcirc}$병원과 ${\bigcirc}{\bigcirc}$병원을 대상으로 2년 8개월간 발열이 있는 신우 신염 환아 95명 중, 치골 상부 방광 천자 및 도뇨관 채뇨에 의해 채취한 요 배양 검사 상 단일균 군(S 군) 89명과 혼합균 군(M 군) 6명의 두 군으로 나눠 후향적으로 임상 소견을 비교하였다. 비교 항목으로는 발열 일수, 말초 혈액 백혈구 수치와 C-반응 단백(CRP), 수신증, 방광 요관 역류, 신반흔 형성에 대한 비교를 분석하였다(수신증, 방광 요관 역류 및 신 반흔이 있으면= 1, 없으면= 0). 결과: 단일균 양성인 환아 그룹과 혼합균 양성인 환아 그룹에서 발열 일수(혼합균 vs 단일균 $4.7{\pm}3.1$ vs. $6{\pm}5.7$ days), 혈청 백혈구 수치(혼합균 vs 단일균 $18,630{\pm}6,483$ vs. $20,153{\pm}7,660/uL$)와 C-반응 단백 수치(혼합균 vs 단일균 $100.6{\pm}2.46$ vs. $81.1{\pm}0.09\;mg/L$), 수신증, 방광 요관 역류 그리고 신 반흔 모두 두 군간에 통계학적으로 유의한 차이가 없었다. 결론: 요로 감염 환아에서 요 배양 검사 상 혼합균 양성이 나온 경우 일반적으로 오염 균주로 생각하고 간과되기 쉬울 수 있으나, 진단 시 주의 깊게 해석하는 것이 필요할 것으로 사료된다. Purpose: We investigated the clinical presentation of febrile pediatric patients with acute pyelonephritis (APN) with a mixed urine culture from an aseptic urine sample, and compared with that of those with a single culture. Methods: We retrospectively reviewed the medical charts of 95 patients diagnosed as APN with fever between January 2008 and October 2010 at Korea University Medical Center. We classified the patients with APN into two groups with a positive single culture (S group) and a positive mixed culture (M group) from an aseptic urine sample of suprapubic bladder aspiration or urethral catheterization and compared the fever duration, laboratory markers such as serum white blood cell (WBC) counts and C-reactive protein (CRP) values in peripheral blood, and the presence of hydronephrosis, renal scar and vesicoureteral reflux (VUR) between the two groups (If presence of hydronephrosis, scar and VUR=1 and no=0). Results: Total pediatric patients with febrile APN were 95 patients, a positive S group was 89 patients and a positive M group was 6 patients. Fever duration (S vs. M, $4.7{\pm}3.1$ vs. $6{\pm}5.7$ days), serum WBC (S vs. M, $18,630{\pm}6,483$ vs. $20,153{\pm}7,660/{\mu}L$) and CRP (S vs. M, $100.6{\pm}2.46$ vs. $81.1{\pm}0.09\;mg/L$) values, and the presence of hydronephrosis, renal scar and VUR were not different between the two groups. Conclusion: Our data shows that there were no specific differences of clinical manifestation between a positive single urine culture and a positive mixed urine culture in pediatric APN. A mixed urine culture from an aseptic urine sample should be interpreted cautiously.

나환자의 일상생활동작 평가게 대한 연구

이인학,Lee, In-Hak 대한물리치료사협회 1989 대한물리치료사협회지 Vol.10 No.2

나환자의 물리치료에 대한 연구

이인학,Lee, In-Hak 대한물리치료사협회 1989 대한물리치료사협회지 Vol.10 No.1

관절가동기법이 급성요통환자의 통증과 기능회복에 미치는 영향

이인학,구창회,박경리,배성수,Lee, In-Hak,Koo, Chang-Hoi,Park, Kyoung-Lee,Bae, Sung-Soo 대한물리치료학회 2006 대한물리치료학회지 Vol.18 No.1

Purpose: The purpose of this study was to investigate effects of mobilization combined active movement(SNAGS) on the pain and recovery of function of acute low back pain patients. Methods: The subjects were consisted of 135 patients with acute low back pain. All subjects randomly assigned to mobilization group, stretching exercise group and modality treatment group. The mobilization group received mobilization combined active movement(SNAGS) with modality treatment, exercise group received stretching exercise with modality treatment and modality treatment group received modality treatment. Visual Analogue Scale(VAS) was used to measure patient's pain level and Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. Results: The results of this study were summarized as follows : 1. Visual Analogue Scale(VAS) was mobilization group showed significantly decreased more than comparison group(p<.01) and active treatment group showed significantly decreased more than passive treatment group(p<.01). 2. Patient Specific Functional Scale(PSFS) was mobilization group showed significantly increased more than comparison group(p<.01) and active treatment group showed significantly increased more than passive treatment group(p<.01). Conclusion: It maybe suggested that mobilization combined active movement(SNAGS) is beneficial treatment for acute low back pain patient.

대전광역시 지역 노인의 주관적 동통 행태 조사

이인학(In Hak Lee),문덕흥(Duk Heung Moon) 한국노인복지학회 2001 노인복지연구 Vol.13 No.-

The present study was intended to provide the fundamental data, available in the field of the elderly health care, from the analysis of the actual conditions of pains among the el r)y in terms of their sociodemographic and life styles. The interviews, performed during the two-month period from June to July of 2000, included 635 individuals aged over 65 who live in Daejeon metropolitan city and contained information about the nature, location, severity, and frequency of their pains. The collected data were statistically processed using SPSSWIN(ver 10.0) according to the subjects` sociodemographic, psychological factors and various life styles. 1. In terms of subjective perception of pain, 76.9% of subjects had pain. Significantly higher pain rate of 86.3% were noticed in women than 64.7% in men (p=0.000), but significant difference was not found among age groups. According to the living conditions, pain rates were 88.4% in older persons living alone, followed in a decreasing order of frequency by 73.9% in those living at their homes, and 72.1% in those in nursing homes, with significant statistical difference (p=0.001). Higher level of education was related with significantly lower rate of pain(p=0.000) and significantly higher rate was found in those without spouses(82.8%) than with spouses(68.2.%) in terms of spouse status(p=0.000). 2. Based on classifications of pain severity, 31.8%, the most frequent, were mild and it was followed in a decreasing order of frequency by 29.7% f certain pain, 25.2% of severe pain, 11.3% of very severe pain, and 2.0% unbearable pain. The pain perception was more severe in women than in men, older aged groups than in younger ones, those living alone and in nursing homes than in those living at their homes. Greater severity was also found in those with lower level of education and without spouses than in their respective counterparts. 3. Based on psychological factors, greater severity was found in the groups who are dissatisfied with the present life situation, who have weak-willed in life, who have sense of isolation, and who have considered themselves as unhealthy than in their respective counterparts. On the basis of various life styles, greater severity was also revealed in the groups who don`t have go-outs, who smoke, who don`t drink, don`t exercise, and who are obese than in their respective counterparts. 4. Based on location of pain, greater severity was reported in the back, lower e extremities, and multiple sites than elsewhere. 5. Based on the subjective nature of pain, the 29.9%, the most frequent, of subjects described their pain as “pulling”, 26.0% “tingling”, 24.0% “heavy”, and 20.1% “throbbing”, with sexual difference. 6. The group who reported more severe pain had the higher rate of access to medical service and also had the higher rate of demand for medical service than the group who did not.