선천성 유아 사경의 물리치료에 대한 임상적 고찰

김호봉,황재철,배윤한,Kim, Ho-Bong,Hwang, Jae-Cheol,Bae, Yoon-Han 대한물리치료과학회 1996 대한물리치료과학회지 Vol.3 No.3

Torticollis is a deformity of the neck that shows tilting of the head toward the affected side and rotation of the chin toward the opposite side. In many cases with this condition, unilateral tightness of the sternocleidomastoid muscle is found frequently with fibrous tumor. The analysis of 43 cases of congenital muscular torticollis and result of their physical therapy are reported. The research was from Jan. 1, 1990 to Dec. 31, 1995 at Ulsan Dong Kang Hospital. The results obtained were as follows. 1. There were 30 males(69.8%) and 13 females(30.2%). Age distribution of patients showed below 2 month 20 cases(46.5%), above 1 year 7 cases(16.3%), $5{\sim}6/11{\sim}12$ months 4 cases(9.3%), and $7{\sim}8$ month 2 cases(4.6%). 2. 25 cases(58.1 %) were on the right and 18 cases(41.9%) on the left side. Torticollis was mild to moderately severe in mild 22 cases(51.1 %), moderate 18 cases (41.9 %) and severe 3 cases(7%). 3. There were normal spontaneous delivery in 36 cases(83.7%), Cesaean section in 4 cases (9.3%) and breech presentation in 3 cases(7%). Sequence of birth, the 1st born babys were 30 cases(69.8%) and the 2nd born babys were 13 cases(30.2%). 4. Above fair result of physiotherapy were 36 cases(83.7%). 5. Of the 43 cases with fellow up, above fair 32 cases(74.4%) and poor 11 cases(25.6%) showed. As conclusion, passive stretch exercise of sternocleidomastoid muscle with early torticollis diagnosis seems more successful in recovery than no exercise.

만성 뇌졸중 환자들의 지역사회 보행 수준 구별을 위한 일어나 걸어가기 검사, 8자 모양 경로 보행 검사, 네 막대 스텝 검사, 스텝 검사의 변별력과 예측 타당도

이동건,안승헌,이규창 대한물리치료과학회 2020 대한물리치료과학회지 Vol.27 No.2

Background: There are many situations where walking in an actual community needs to change direction along with walking on a straight path, and this situation needs to be reflected in assessing walking ability of the community. Therefore, in this study, we tried to determine whether the assessments can distinguish the level of walking in the community. Design: Retrospective cohort study. Methods: Fifty-two survivors with chronic stroke have participated in the study. According to the evaluation result of 10mWT, the subjects of 0.8m/s and above were classified as the group who could walk in the community (n=22), and the subjects of 0.4m/s~0.8m/s were classified into the group who could not walk in the community (n=30). Modified Rivermead Mobility Index, Postural Assessment Scale for Stroke, Fugl-Meyer Assessment, Berg Balance Scale, 10-meter Walk Test (10mWT) were used to evaluate the motor skills. Furthermore, Activities-specific Balance Confidence Scale was used to evaluate psychological factors, and Timed Up & Go Test (TUG), Figure-of-Eight Walk Test (F8WT), Four Square Step Test (FSST), Step Test (ST) were applied to evaluate dynamic balance and mobility. Results: As a result for distinguishing walking levels in the community, TUG was 14.25 seconds, F8WT was 13.34 seconds, FST was 19.43 seconds, and ST of affected side and non-affected side were 6.5 points and 7.5 points, respectively. TUG (AUC=0.923), F8WT (AUC=0.905), and FST (AUC=0.941) were highly accurate, but the ST of affected side and non-affected side (AUC=0.806, 0.705) showed the accuracy of the median degree, respectively. Conclusion: To distinguish walking levels in the community of survivors with chronic stroke, TUG and FSST have been found to be the best assessment tool, and in particular, FSST could be very valuable in clinical use as the most important assessment tool to distinguish walking levels in the community.

상반신의 근육뼈대계 통증이 치과위생사의 스케일링 작업에 미치는 특성에 대한 표면 근전도 분석

남건우,하미숙,Nam, Kun-Woo,Ha, Mi-Sook 대한물리치료과학회 2012 대한물리치료과학회지 Vol.19 No.4

Purpose : The current research examines the muscle activity that happens during scaling practice subject to 20 dental hygienic students with musculoskeletal pain and then propose a basic data according to the working attitude of the Dental Hygienist. Method : The Nordic-style questionnaire is used to define experimental group with musculoskeletal pain and control group. During the scaling the surface EMG device is used to measure the muscle activity of experimental and control group. Study design : The surface EMG is measure RMS(root mean square) of suboccipital muscle, biceps brachii, upper trapezius, and brachioradialis muscle activity. Results : In the experimental group, the RMS of upper trapezius and brachioradialis is increased during scaling practice(p<0.05), but the control group's RMS is not changed(p>0.05). Conclusion : Musculoskeletal pain may contribute to increase muscle activity of neck & arm during scaling practice. In the future we think there is a need to raise the office efficiency by subjecting to dental hyginiest that are in the clinics and performing experiments.

개(견(犬)) 물리치료의 소개

김진웅,김은형,Kim, Jin-Ung,Kim, Eun-Hyeong 대한물리치료과학회 2007 대한물리치료과학회지 Vol.14 No.1

Physiotherapy may be defined as the use of physical techniques for the treatment of injuries and movement dysfunction. In the world of human medicine, physiotherapy has been proven as an indispensable aid in the recovery of many musculoskeletal conditions, as evidenced by the extensive physiotherapy departments within most hospitals. Nowadays, this important branch of medicine is also rapidly becoming a recognised tool in the prevention, cure, and rehabilitation of many equine, canine and feline injuries. In 1978, canine physical therapy techniques were described by Ann Downer, a physical therapist on faculty at Ohio State University. Animal physical therapy is a new and rapidly developing field of health care for animals. The benefits of physical therapy have long been recognized in humans. More recently, work in the veterinary field has shown the same benefits of physical therapy to be true for animal patients. Performing orthopaedic or neurological surgery, or fitting a human patient with a cast or splint, and then discharging the patient is an outdated approach. In such cases, physical therapy is clearly warranted. Similarly, recent research has shown that post-surgical rehabilitation and therapy after injuries significantly improves the functional outcomes for animals. The goals of physiotherapy are to relieve pain, restore range of motion/movement, improve function, prevent injuries and expand the physical potential of the patient. Once in the field, physical therapists actively continue their education to keep up to date on the latest treatments and technologies. Via continuing education courses, physiotherapists can learn how to apply their unique and specialized knowledge to other animal species.

슬관절 전치환술 후의 물리치료

장문헌,고주연,Jang, Moon-Heon,Ko, Joo-Yeon 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.4

This study was conducted to evaluated the effects adding continuous passive motion(CPM) each day to the entire postoperative program of patients who received a total knee replacement(TKR). A retrospective chart review was completed for 31 patients(12 with bilateral involvement, totaling 44 knees)who received a TKR between 1996 and 1998. The data analysis compared the following variables for 28 patients who received CPM and 16 patients who received no CPM: the length of hospital stay(LOS), the frequency of postoperative complications, the number of post-operative days(PODs) range of motion (ROM). The CPM Group showed significant decreases in the frequency of complication(p<0.05), the LOS(p < 0.05), and No difference was demonstrated in the ROM of the two groups. We concluded that CPM was an effective adjunct to physical therapy care of patients undergoing total knee replacement.

임상실습시 물리치료과 학생이 경험하는 스트레스에 관한 연구

박성하,정한신,Park, Seoung-Ha,Jeong, Han-Shin 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.1

The study was done in order to better understand the stress which physical therapist experience during clinical training. Clinical training was not confined to understanding training facts and concepts of physical therapist. The data were collected from November 1 to December 15, 2002 and 129 valid questionnaires were obtained and analyzed. They were analyzed by the percent, frequency, t-test, one-way ANOVA and Pearson Correlation Coefficient. The results of the study were as follows: 1. There were in satisfaction degree of major 42.6% of the subjects was revealed as "satisfied" and in satisfaction degree of clinical training 24.0% of the subjects was revealed as "satisfied". 2. There were much stress in relation of physical therapist was revealed as the most severe stress at a mean 15.98 and environment was revealed as severe stress at a mean 12.94. in role was revealed as the lessor stress at a mean 4.12. 3. The state anxiety degree which physical therapist students experience during clinical training was revealed as "moderate" anxiety. 4. There were significant difference between relation of physical therapist and satisfaction degree of clinical training (p<0.05), between ideal and values of physical therapist and health condition(p<0.05), between relation of tint and satisfaction degree of major(p<0.05), between education the characteristic which it will pull out and satisfaction degree of major(p<0.05), satisfaction degree of clinical training(p<0.05).

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.

수의 물리치료

김진웅,Kim, Jin-Ung 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.1

The veterinary physical therapy is so called physical therapy for animals. The veterinary physical therapist is working for veterinary physical therapy or physical therapy for animals in clinical field. The veterinary medicine field has not veterinary rehabilitation and physical therapy, also physical therapy field in Korea. So, This research will explain about veterinary physical therapy of Korea and other countries' by journals and Internet information and suggest the future of the veterinary physical therapist.

체중부하 훈련이 대칭적 체중지지율에 미치는 효과

박중석,이석민,Park, Joong-Suk,Lee, Suk-Min 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.1

This study is research for effect of the involved lower limb weight bearing training on symmetrical weight supporting rate improvement by practicing involved lower limb weight bearing training of three weeks period to improve standing equilibrium problem with asymmetric weight supporting rate of hemiplegia. In result of the study, it has shown that P-value incase of involved supporting rate is lower than level of significance $\alpha$<.05 and mean improvement rate of experienced group is higher in comparison with controlled group and experienced group. In changing quantity of involved maximum supporting rate, P-value is .26 and higher than level of significance $\alpha$<.05, and so it did not show significant difference statistically. But in case of experienced group between pre and post-test, involved side supporting rate and involved side maximum supporting rate showed significant improvement in all. In comparison of relative characteristic training effect difference, it was shown that train-learning effect on case of 40-60 years old, hemorrhagic patient and standard body bun of patient is valuable, which showed significant improvement in case of paralytic side and disease period, it did not show significant difference on excercise learning effect in two above cases. In the above result, we can say that continuous weight bearing training on the involved lower limb for three weeks period help improve the involved side supporting rate of hemiplegia. Accordingly, the weight bearing training on the involved lower limb is training method that patient can easily train with simple guidance of therapists, without being special expensive equipment. Furthermore it can be helpful to establish home therapeutic plan for hemiplegia through education of a patron.

병원에 근무하는 물리치료사의 직무특성과 이직의도와의 관련성 연구

이석민,최만규,Lee, Suk-Min,Choi, Man-Kyu 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.2

Recruiting and maintaining capable physical therapists in hospitals is crucial to provide patients with better quality's physical therapy and to achieve hospital business objectives. This study is to provide basic data for effective personnel management of physical therapists in the hospital. For this, this study was conducted to confirm the relationship between turnover intention and job characteristics(task importance, job autonomy, job feedback, task identity, skill diversity), and to find out factors affecting the turnover intention of hospital physical therapists in Korea. The sample used in this study consisted of 173 physical therapists who were working in hospitals located in Seoul from June 18 to 29. The data for analysis were collected by questionnaire survey. The dependent variable of this study was turnover intention and the independent variables were job characteristics(task importance, job autonomy, job feedback, task identity, skill diversity), demographic characteristics of respondents(sex, age, education level, marital status, working hospital, working career). The major statistical methods used for the analysis were factor analysis, t-test, ANOVA, correlation, and hierarchical multiple regression analysis. Turnover intention according to demographic characteristics of respondents was significantly high in the graduate school above group. As the result of hierarchical multiple regression analysis of turnover intention, R2 of job characteristics was much more powerful than demographic characteristics. The factors had significant negative effect on turnover intention were job autonomy, task identity, and skill diversity. And in demographic characteristics factors, there were not significant factors on turnover intention. In considering above findings, for decreasing turnover intention of physical therapists, hospitals need to develop strategies for enhancing job satisfaction by improving job autonomy, task identity, and skill diversity from the adequate job environment.