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      • KCI등재후보
      • KCI등재후보
      • KCI등재후보
      • KCI등재후보

        Sling Exercise Therapy(S-E-T) : A total concept for exercise and active treatment of musculoskeletal disorders 근골격계 질환에 대한 능동적 운동과 치료의 총체적 개념

        Gitle Kirkesola, B.Sc. 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.1

        슬링 운동 치료(Sling Exercise Therapy)는 근골격계 질환 환자의 영구적인 치유를 목적으로 슬링을 이용한 능동적인 치료와 운동법을 체계화한 접근법이다. 이 개념은 10 여년 전부터 노르웨이의 물리치료사들을 중심으로 발전되어 왔으며, 현재 뇌졸중 환자와 신경학적 질환자 그리고 소아 환자와 건강 증진 프로그램에서도 이용되는 방법들이 개발되어지고 있다. 현재 정형물리치료 분야에 대한 세계적인 흐름은 전기치료 기구나 물리치료사의 손에 의해 수동적으로 이루어지는 치료 접근에서 점차 환자가 스스로가 물리치료사에 의해 특별히 고안된 운동방법에 따라 능동적인 치료적 운동을 통해 손상 치료와 건강 관리를 하는 방향으로 발전되어지고 있으면 많은 치료 분야에서 이러한 접근법을 채택하고 있다. 슬링운동치료 개념은 이러한 능동적인 운동법을 주된 목적으로 이용하고 있다. 이 논문은 근골격계 질환의 치료를 중심으로 쓰여졌다. SET 개념에는 체계적인 진단과 치료의 요소들이 포함되어져 있다. 진단 체계에는 열린 사슬과 닫힌 사슬을 이용하여 단계적으로 부하를 가해 줌으로서 근육의 상태를 검사하는 방식을 가지고 있다. 치료적 체계를 구성하는 요소에는 근육의 안정화, 감각운동 훈련, 열린 사슬과 닫힌 사슬을 이용한 훈련법, 가동성 있는 연부 조직의 역동적 훈련, 심폐 강화 훈련, 단체 훈련, 가정에서의 개별적 훈련과 추후 관리 그리고 운동 프로그램을 제공하기 위한 컴퓨터 소프트웨어가 포함되어 있다.

      • KCI등재후보

        대한정형도수물리치료학회지의 연구논문유형과 분석조사

        권혜정,황성수 대한정형도수물리치료학회 2012 대한정형도수물리치료학회지 Vol.18 No.2

        Background: The purpose of this study was to analysis and to give information about the type of orthopedic manual physical therapy research by KAOMPT Journal from 1995 (Volume 1) to 2011 (Volume 17). The number of research paper were total 212 studies. Method: The studies were analysed with retrospective descriptive study. The results of data analysis was as follow; Results & Conclusion: 1. The studies was analysed 6 study field; manual therapy for disease field (130 studies), the therapeutic (16 studies), the effects of manual therapy education method, learning model (7 studies), medical insurance, history, politics of manual therapy (3 studies), and others (19 studies). 2. In the manual therapy of disease field, there were 4 groups of disease; bone disease (43 studies), soft tissue and muscles disease (57 studies), nerve disease(24 studies), and the others (6 studies). The main disease were low back pain, stroke, HIVD. 3. In the assessment, and intervention field, there were only 5 studies during from 1995 to 2000, but the studies from 2001 to 2011 were more increased 21 studies. 4. In the effects of manual therapy education method, learning model, there were very few studies (7 studies), so it will be needed more studies in this field. 5. In the other fields such as more political issue, history, medical insurance for the manual therapy there were few studies, so it will be needed more advanced studies in this field.

      • KCI등재후보

        요통 환자에 대한 물리치료방법의 적용 시간을 중심으로 한 기술적 연구

        김선엽,채정병,권재확 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.1

        Objective: The purpose of study was to compare physical therapy duration in relation tohealth care organization system in patients with low back pain. Subjects: Subjects of this study were 759 patients who are receiving physical therapy at 56 health care organization. Methods: Data were collected by questionnaire that had been completed by patients and physical therapist for two months. Physical therapy procedures consisted of modality application, manual therapy, active therapeutic exercise, and patient education. Physical therapy session duration was investigated for each physical therapy procedure. Data were analyzed in relation to the university hospital, hospital, and clinic. Results: The mean age of subjects was 42.84±15.46. There were no significant differences in age among three groups. The number of patients diagnosed with herniated disc were 244(32.15%) and with mechanical low back pain was 187(24.64%). the mean treatment duration per day was 53.22 minutes, and the longest treatment duration was 61.28 minutes at the university hospitals(p<0.001). The mean modality application duration was 42.17 minutes, and the longest application duration was 46.26 minutes at the university hospitals(p<0.001). The mean duration for manual therapy was 5.11 minutes, and the longest treatment duration was 5.97 minutes at clinics. The mean duration for active therapeutic exercise was 4.16 minutes. It was 7.60 minutes at the university hospitals, and 2.48 minutes at clinics. There was a significant difference in active therapeutic exercise duration between university hospitals and clinics(p<0.001). For modalities, hot packs(89.33%) and interferential current therapy(60.87%) were mostly applied. For manual therapy, Soft tissue mobilization(32.93%) and manipulation(14.10%) were mostly applied. In general, treatment application duration was longer at University hospital (p<0.05). For therapeutic exercise, exercise without equipment(18.84%) and muscle strengthening(16.73%) were mostly performed. The longest treatment duration for therapeutic exercise was 7.60 minutes at the university hospital(p<0.05). Conclusion: physical therapy session duration for low back pain was 53.22 minutes. Modality application constitutes 79%, manual therapy 10%, active therapeutic exercise 8% of total treatment duration. It is concluded that patients do not participate actively in treatment procedures.

      • KCI등재후보
      • KCI등재후보

        Brown-Sequard Syndrome Produced by Cervical Disc Herniation : Manual and Exercise Therapy after Operation-Case Studies

        Myung-Joon Kim 대한정형도수물리치료학회 2009 대한정형도수물리치료학회지 Vol.15 No.1

        목적 : 브라운시쿼드는 대부분 척추손상과 수질외 척추 종양에서 주로 나타난다. 드물게 경추 디스크가 브라운시쿼드의 원인이 된다. 경추디스크에 의한 브라운시쿼드 증세의 수술후 물리치료 및 도수치료 결과를 보고 하기 위함이다. 방법 : 50세 남자로써 브라운시쿼드 증세로 진단을 받고 수술후 좌측 팔과 다리에 운동신경에 의한 마비증세가 있었으며(팔>다리), 우측으로 감각과 온도감각이 저하된 경우이다(팔>다리). 측정방법은 통증지수(VAS), 근력(Distal PowerTracⅡTM test), 지구력(Ergometer) 측정과 심리상태(설문)를 치료전과 후를 비교하였다. 물리치료에서는 기능적 전기자극 치료와 도수치료 및 운동치료 방법을 실시하였다. 도수치료는 통증완화와 근력강화를 위한 MET, MFR, Mobilization 등을 실시하였으며, 운동은 슬링시스템 등을 이용한 운동과 견관절의 불안정을 위해 안정화운동을 실시하였다. 결과 : 이 케이스는 수술후 이상 징후가 척수압박으로 인하여 보다 넓게 통증이 나타났으며, 운동 및 감각신경이 둔해지고 온도에 대한 감각이 반대편 결손으로 나타났으며, 좌측 어깨, 팔 견갑부의 근육 마비와 우측의 감각이 떨어진 현상이 나타났다. 물리치료 후 단기목표와 장기목표에 있어서 통증과 운동 및 감각 기능이 회복되어 각각 팔 통증에서는 VAS 8 -> 1, 상지 하지의 운동기능은 Trace -> Good 로 평가 회복되었으며, 근력측정에서 모두 유의한 차이를 보였다. 모든 치료과정 결과에서 심리적 상태의 설문에서도 높은 점수를 얻어 긍정적 신뢰가 높아 진 것으로 나타났다. 검사결과 다리의 근력이 증가는 걷기 운동 및 에르고메터의 지구력 및 균형이 레벨1의 10분 수행능력이 레벨 20에서 30분 수행능력으로 향상되어 일상적인 활동이 가능해졌다. 결론 : 예상하지 못했던 수술 후유증(side effects)에 대한 치료과정이 환자의 심리에 심각한 부정적인 생각이 신체의 기능과 감정의 손상에 영향을 미치기 때문에 체계적이고 장기적인 치료 과정에서 기능적 향상과 더불어 정신적인 심리의 정서 안정이 매우 필요하다고 사료된다.

      • KCI등재후보

        정형도수물리치료의 문제중심학습 모형에 관한 고찰

        김호봉,방상분 대한정형도수물리치료학회 2012 대한정형도수물리치료학회지 Vol.18 No.2

        Background: The purpose of this study was to develop a problem-based learning model for orthopedic manual physical therapy. A problem-based learning (PBL) model for orthopedic manual physical therapy developed from PBL module of Jeju C university (Halla-Newcastle PBL Center). A summary of this study is as follows: 1) PBL model is comprised of a class of 30 students, operated small group as of 4∼5 students. 2) PBL is suggested a scenario of clinical case, induced variety reaction through group discussion and presentation. 3) PBL is occurred wide variety learning through group work activity and self-directed learning. 4) The tutor as a facilitator is played a guide for group discussion, work activity and team learning. 5) The evaluation for PBL is performed such as student self-evaluation, group activity evaluation, individual presentation, and practice. This model is considered wide variety learning through team learning and self-directed learning by clinical reasoning and problem solving for musculoskeletal clinical case. We suggest problem based learning for the education of orthopedic manual physical therapy in which the learners are very interested in and has the effective outcome.

      • KCI등재후보

        대한정형도수물리치료학회 연수강좌 연도별 강의만족도 비교분석

        김영민 대한정형도수물리치료학회 2016 대한정형도수물리치료학회지 Vol.22 No.2

        Purpose: The system of clinical education program of Korean academic of orthopedic manual physical therapy (KAOMPT) was changed in 2014. The purpose of this study was to compare the level of satisfaction of clinical education program in KAOMPT before and after the new program. Methods: The subjects of this study were consisted of the physical therapist who participated the education program of KAOMPT from 2013 to 2015. 7687 structured questionnaires were divided in the courses and analysed. Results: There were significant differences of level of satisfaction of introduction course (p<.05), cervico-thoracic course (p<.001), lumbo-sacral course (p<.001), upper extremity course (p<.001), lower extremity course (p<.001), and advance course (p<.001) for three years. The satisfaction of introduction course was decreased in 2014 than 2013, but it was restored in 2015. The satisfaction of cervico-thoracic course was decreased in 2014 than 2013, but it was increased in 2015 than in 2013. The satisfaction of lumbo-sacral course in 2014 was decreased than in 2013, but it was restored in 2015. The satisfaction of upper extremity course in 2014 was increased than in 2013, but it became same level with 2013 in 2015. The satisfaction of lower extremity course in 2014 was increased than in 2013, and it was maintained same level in 2015. The satisfaction of advance course in 2014 was decreased than in 2013, and it is maintained same level in 2015. Conclusions: The level of satisfaction of clinical education program was decreased in 2014, but it became same or higher level with 2013 in 2015. It is assumed that the new clinical education program of KAOMPT was established completely in 2015.

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