Changes of the Skin Temperature for Biceps Brachii on the Isotonic, Isometric Exercise and Gender, BMI Index

이진,전혜림,김동훈 대한물리치료과학회 2019 대한물리치료과학회지 Vol.26 No.2

Purpose: The purpose of this study is to find out changes in skin temperature, which is one of the regulatory systems of homeostasis, according to the isotonic-isometric exercise type, and changes in skin temperature according to gender and BMI index through isotonic-isometric exercise. Design: Randomized Controlled Trial. Methods: This study was conducted for 28 healthy male and female students from Department of Physical Therapy, G University. Subjects carried out isometric-isotonic exercise using dumbbells of 4kg and 8kg, respectively. And skin temperature was measured by using a computer infrared thermography. Results: The isometric exercise group was significantly difference changes in temperature by measurement time. Conclusion: In order to find out the effect of isometric exercise and isotonic exercise on skin temperature changes of biceps brachii, this study was carried out for 28 healthy male and female adults. The result of this study may helpful as basic data for orthopedic physical therapy.

물리치료가 뇌졸중 환자의 체성분 변화에 미치는 영향

신홍철,강정일,김응각,Shin, Hong-Cheul,Kang, Jeong-Il,Kim, Woong-Gak 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

This study investigated effect to injure cerebrovascular accident patients who divided cerebral hemorrhage and cerebral infarction of sex the distinct on as a result of body composition. cerebral infarction patients of cerebrovascular accidents were observed the higher ratio than cerebrovascular hemorrhage patients. Experimental group were sixteen subjects who had received. we used assessment instruments such as in body to assess body composition. The result were as follows; 1. Change in body composition according to the come of onset, there were not differenced significantly between two groups. 2. Change in body composition according to the sex, the soft lean mass were differenced significantly(p<.05). but the other variations were not differenced significantly between two groups. 3. Change in body composition according to the region of paralysis, the soft lean mass were differenced significantly(p<.05). but the other variations were not differenced significantly between two groups.

물리치료학에서의 PBL 학습교재 개발 및 적용

황현숙,정진우,임종수,Hwang, Hyun-Sook,Chung, Jin-Woo,Lim, Jong-Soo 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

Within physical therapy education, there has been increased attention to curricula and course that emphasize problem solving, clinical reasoning, and synthesis of information across traditional discipline-specific boundaries. This article describes the development implementation, and outcomes of a problem-based learning course in Physical therapy. The course was designed to help students to integrate the various elements of a physical therapy curriculum and to enhance their abilities to respond to an ever-changing health care environment. An evaluation of the course by the first 50 students who completed it revealed both strengths and weaknesses. Students responded that the course enhanced their professional behavior, including interpersonal communication skills, team work, and follow-through with professional responsibilities. The learning package was developed by the authors and implemented to a college students during three weeks of the first semester of 2001. Most studies which conducted PBL module development were short period or temporary PBL package application and evaluation rather than a whole semester's. While, this study carried on partial integrated PBL curriculum development and application with recomposing content of the two subjects to one subject Physical therapy which includes four PBL packages. This package was developed from a simple concept to complex and partial integrated PBL curriculum application systematically variable learning methods such as discussion, practice, lecture, video. There are 2 classes, each class has 25 students, in the college. Each class has 5 small groups consisting 5 students. Two tutors proceeded discussion charging each class also, they used multiple methods and materials like tutorials, self-directed learning, lecture, and video. The package is 5 grades and 5 hours per week and the rate of discussion, lecture is 4, 1 respectively. One of the most change is the increase of interaction between students and tutors. Whenever students need information and suggestion, they can visit tutors who provide reading materials and guide for the direction of self learning. Therefore, this study describes the PBL package development process and application during one semester recomposing contents of two subjects to Physical therapy concepts. Besides, it will contribute to active application of existing each subject to tutors who intend to convert as PBL methods. The study has significant meaning to show potentiality of partially integrated PBL application, using systematic PBL package development from two subjects contents. However, when students' need of yearning is over the extent of Introduction of Physical therapy and Rehabilitation medicine, tutors should set learning extent. So, there is limitation to attain completely integrated PBL education within one subject, therefore, it is high lighted to proceed development of integrated curriculum to maximize learning effects of PBL. It is exected that partial integrated PBL package development and application will distribute to prosper excellent physiotherapist in practice.

보건소 물리치료사의 직무만족도에 관한 조사연구

박성하,정한신,Park, Seoung-Ha,Jeong, Han-Shin 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

The purpose of this study was to investigate factors affecting physical therapist's job satisfaction at public health center. The data were collected from May 10 to 12, 2002 and 117 valid questionnaires were obtained and analyzed. They were analyzed by the percent, frequency, t-test, one-way ANOVA and Pearson correlation coefficiency. The results of the study were as follows: 1. The average marks by their job satisfaction factors indicated 3.56 for identity guarantee, 3.20 for administration, 2.78 for duty volume, 2.53 for relation with colleague. 2. There was statistically a difference of the education degree in relation with colleague. 3. There were statistically a difference of the age, total career, grade in rank, the number of colleague in identity guarantee. 4. No statistical significance were observed with the factors of incumbent satisfaction, duty volume, flexibility at work, administration.

물리치료 내원환자의 만족도에 영향을 미치는 요인 분석

손애리,김미원,Sohn, Ae-Ree,Kim, Mi-Won 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

Patient satisfaction is an important factor in evaluating the quality of care. Patient satisfaction may be used to evaluate provider services and facilities, and used to predict the patient returns to a facility. The patients d whether the patient returns to a facility or whether the patient recommends the facility to other people may be affected by a variety of factors of patient satisfaction. Low satisfaction may result in poor compliance with the potential of waste of resources and suboptimal clinical outcome. This study is to identify factors of patient satisfaction that will affect patients decision whether the patient returns or not. A self-administered questionnaire survey was conducted in Seoul, Chung-Joo and Bu-Cheon cities, Survey data was obtained from 743 patients who visited the physical therapy practice at university hospitals, general hospitals and clinics. Response rate was 94.4%. The instrument developed by Goldstein et al. (2000) was used and translated into Korean. Several items were added to the instrument. Patient's opinions of service in each domain measured using 5-point Likert-type scales that ranged from strongly disagree to strongly agree. A multiple-regression analytic approach was used to predict overall satisfaction of physical therapy. Age, kindness, scheduling, convenience of parking, privacy, and waiting time predicted the overall satisfaction of physical therapy. The older patients had higher level of satisfaction with physical therapy compared with the younger patients. Patient satisfaction were more affected by access (scheduling and waiting time), administrative technical management (convenience of parking), and interpersonal management (kindness of physical therapists and other staffs) than clinical technical management (physical therapists' skills).

침전극 저주파자극이 옥시토신 면역반응세포 변화에 미치는 영향

김수한,김순희,Kim, Soo-Han,Kim, Soon-Hee 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

This study was carried out to investigate the effects of electrical stimulation on the change oxytocin(OT) immunoreactive cells in the hypothalamus of the male SD rats. Fifteen healthy and normal male rats were divided into three groups, 5 SD rat in each group. The one group has been stimulated by electro-acupuncture(EA, 2Hz) for 30 min and the other group by EA for 1hr 30 min and control group has not been stimulated. The results were summarized as follows. OT immunoreactive cells were found in the Paraventricular nucleus (PVN), Supraoptic nucleus(SON) and Lateral Magnocellular Area(LMA). The number of OT immunoreactive cells of PVN were significantly increased after 30 min as compared with control group (p<0.05) and were also significantly increased after 1hr 30min than 30 min(p<0.05). The number of OT immunoreactive cells of SON were significantly increased after 30 min and 1hr 30 min(p<0.05) as compared with control group, but decreased after 1hr 30 min than 30 min. The number of immunoreactive hells of LMA significantly increased after 30 min(p<0.05) as compared with control group, but significantly decreased after 1hr 30 min than 30 min(p<0.05). These results show that OT is released into the hypothalamus in response to electrical stimulation.

과당식이 고혈압 흰쥐에서 혈관 Endothelin-1과 산화질소합성효소의 발현

백윤웅,김명훈,Paek, Yun-Woong,Kim, Myung-Hoon 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

Rats that are fed a fructose-rich diet develop hypertension, insulin resistance, and hypertriglyceridemia. To elucidate whether altered expression levels of endothelin-1 and nitric oxide synthase are related to the development of insulin-resistant hypertension, we examined the present study. Male Sprague-Dawley rats were fed a fructose-rich diet for 5 weeks. Systolic blood pressure significantly increased in fructose-fed rats. While serum free fatty acid and plasma nitrite/nitrate levels did not significantly differ between the fructose-fed and control groups, plasma insulin and serum triglyceride concentrations significantly increased in the former. Endothelin-1 mRNA expression in the aorta increased in fructose-fed rats. Neither the protein expression of constitutive nitric oxide synthase nor that of inducible nitric oxide synthase were significantly affected by fructose feeding. However, nitrite/nitrate levels in the aorta were significantly increased. These results suggest that an increase in vascular endothelin-1 is an important contributing factor to the development of hypertension in fructose-fed rats. However, the vascular nitric oxide pathway may not be causally related to the development of fructose-induced hypertension.

온열요법과 스트레칭이 시간에 따라 요부의 유연성에 미치는 영향의 비교

유경태,Yoo, Kyung-Tae 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

The purpose of this study was to compare the effect of heat therapy, stretching exercise and to verify which method was most effective for lumbar flexibility improvement. Subjects were 20 apparantly healthy person(male10, female10) who did not have any medical problem. They were randomly divided and assigned into 2 groups: heat therapy, stretching exercise. For testing flexibility, trunk flexion, bunk extension, and Schober-test were performed. Pre-test was done prior to the each group's treatment. Test was done at 2nd week, 4th week and 6th week. There were no significant difference in improvement of trunk flexion and trunk extension after 6 weeks treatment among 2 methods. However in all 2 groups, there were statically significant improvement in flexibility as time go on. The rate of improvement was highest at 2nd week, while this was attenuated afterwards. The Schober-test score changed significantly from pre-test to the mid-test and to the post-test, while there were no significant difference among 2 methods of treatment. With the results above, it was concluded that heat therapy, stretching-exercise were all effective for improving flexibility without any significant priorities.

60%HRmax 운동프로그램이 혈중 저밀도, 고밀도 콜레스테롤 수치 변화에 미치는 영향

남형천,이건철,Nam, Hyoung-Chun,Lee, Geon-Cheol 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

The purpose of this study is to investigate the effect of 60%HRmax exercise program on LDL-C, HDL-C. The subject of this study, 16 female university students in Seoul, who are randomly sampled and divided into two groups : experimental group (N=8), and control group (N=8). The following results are obtained this study: First the LDL-C levels of two groups are not significantly different in the training period. The LDL-C level of experimental group decreased in after-exercise(4 week, 8 week) in comparison with before-exercise. Specially it decrease significant after 4 week exercise. And it is no significant difference in control group. Second, the HDL-C levels of two groups are not significantly different before exercise but are significant different after exercise(4 week, 8 week). Although the HDL-C level of the experimental group decrease in after-exercise(4 week, 8 week), but it is not significant decrease. And it is not significant difference in control group.

뇌졸중 환자에 있어서 물리치료가 운동기능과 인지기능의 회복에 미치는 영향

김희한,김유섭,이혜진,송명수,Kim, Hee-Han,Kim, Yoo-Sup,Lee, Hye-Jin,Song, Myung-Soo 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

In order to find the effects of physical therapy on the recovery of motor functions and mental state, a survey was conducted to 63 patients who, diagnosed as stroke by brain CT, had been hospitalized in a university medical center located in Jeonbuk provincial area from December 2000 to August 2001. The outcomes of the survey are as follows: 1. The subjects of the study were composed of 35 males(55.6%) and 28 females(44.4%), with 34(54.0%) below 60 in age and 29(46.0%) older than 60 years. 2. As to type of lesion, the surveyed patients were divided into 28(44.4%) with cerebral infarction, 24(38.1%) with cerebral hemorrhage, and 11(17.5%) with subarachnoid hemorrhage. In terms of size of lesion, they were divided into 29(46.0% with less than tan 1cm, 15 (23.8%) with $1{\sim}2cm$ and 19(30.2%) with longer than 2cm. Thirty-five patients(55.7%) reported paralysis in their right side, while 28(44.8%) complained paralysis in their left side. No recidivation was reported by 51(81.1%) while recidivation was asserted by 12(19%). Among them, 27(42.9%) had no past history but 36(57.1%) had such. 3. Regarding the time hour onset to admission to physical therapy, 46patients(73.0%) experienced it for less than one month, while 17(27.0%) for longer than one month. In terms of period of physical therapy, 30(47.6%) underwent the therapy for less than one month, 18(28.6%) for 1-2 months and 15(23.8%) for longer than 2 months. As is shown in the above study, the longer the period of physical therapy is, the more changes might occur in points of MMSE-K and MMAS. It may, therefore, be concluded that sufficiently longer period of physical therapy ensures the increased recovery of physical functions from stroke.