• Title/Summary/Keyword: 가정치료

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Weight Reduction Management of Patients with Idiopathic Intracranial Hypertension: A Case Series Report (특발성 두개내 고혈압 환자에서 체중 감량을 동반한 치료 증례 시리즈)

  • Jung Ah Lee;Yongho Lee;Hye Soon Park
    • Archives of Obesity and Metabolism
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    • v.3 no.1
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    • pp.43-48
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    • 2024
  • Idiopathic intracranial hypertension (IIH) is characterized by increased intracranial pressure without detectable causes. Its main symptoms include headache, vision problems, and pulsatile tinnitus. Obesity is a major risk factor for IIH; therefore, weight reduction is required to ameliorate these symptoms in patients with obesity and IIH. We present four cases of obesity-related IIH whose symptoms improved through weight reduction. In three patients, the dose of IIH medications, such as acetazolamide, decreased. Based on these cases, we report that weight reduction contributes to the improvement of symptoms in patients with IIH as the main part of treatment. Further clinical research is necessary to evaluate the effects of weight reduction on IIH treatment in Korean patients.

A Thermoprofile Study of 2,450-MHz Microwave Thermogenerator in Phantom and Animal Tumor (2,450 MHz 온열치료기의 온도분포실험 -Phantom 및 실험동물종양에서-)

  • Yoon S. C.;Gil H. J.;Bahk Y. W.;Chu S. S.
    • Radiation Oncology Journal
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    • v.4 no.2
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    • pp.173-177
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    • 1986
  • Since March 1985, we have treated cancer patients with local hyperthermia using a 2,450-MHz microwave thermogenerator. Prior to clinical trial, a 2,450-MHz microwave generator remodeled from a household electric range was tested and evaluated to test its clinical applicability. We studied the thermoprofile and tried to find out suitable electric power ranges to produce optimal temperature of $42-44^{\circ}C$ in a lump of meat, agar phantom and animal tumor models. The present study confirmed the intratumoral temperature to be $1-3^{\circ}C$ higher than in surrounding normal tissue.

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Use of Orthopedic Manual Physical Therapy and Home Self-Therapeutic Exercise to Manage Myofascial Temporomandibular Disorder Accompanied by Headache: Case Study (두통을 동반한 근막성 턱관절 장애 환자의 관리를 위한 정형도수치료기법과 가정 자가-치료적 운동의 적용: 사례연구)

  • In-su Lee;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.1
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    • pp.81-93
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    • 2023
  • Purpose: The current case study focuses on identifying the effects of manual therapy and home self-therapeutic exercise including on mouth opening and pain relief in patients with continuous neck pain with myofascial temporomandibular disorders (TMDs) accompanied by headache induced by masticatory myalgia Subjects: The study participant was a 27-year-old woman who was treated a year ago for pain related to TMDs accompanied by a headache. Methods: Manual therapy of the cervical spine with upper cervical spine posterior-to-anterior mobilization (C1~C2), upper cervical spine flexion mobilization (C0~C2), upper cervical spine lateral flexion mobilization (C0~C1), upper cervical spine thrust manual therapy (C1~C2) and manual therapy of the temporomandibular joint and muscles with transverse medial accessory temporomandibular joint mobilization, manual therapies for the temporal, the masseter, and medial pterygoid muscles were performed twice a week for about 30 minutes for 4 weeks. This protocol included 3 sessions in total. The home self-therapeutic exercise was to be performed two to three times a day. Results: The values more improved MMO increased to 41.4 mm, left masseter muscle PPT to 2.9 kgf/cm2, right masseter muscle PPT to 3.1 kgf/cm2, KHIT-6 to 46 points, neck pain intensity (by NRS) to 2 points, headache frequency to per weeks, cervical kyphotic angle to -8.06%, and GCPS to grade 1 (low-intensity pain without pain-related disorder). Conclusion: Manual therapy and home self-therapeutic exercise can be helpful for mouth opening and pain relief in patients with myofascial TMDs accompanied by secondary headaches induced by masticatory myalgia.

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The Effects of Home-Exercise Rehabilitation Program with Gluteus-Medius Strengthening Exercise on the Ankle Function and Quality of Life: Randomized Controlled Trial (중간볼기근 강화운동을 포함한 가정운동 재활 프로그램이 발목기능 및 삶의 질 향상에 미치는 영향: 무작위 대조 실험)

  • Ye-ji Kim;Do-hyun Kim;Yi-jun Chae;Myoung-kwon Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.30 no.1
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    • pp.61-73
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    • 2024
  • Background: The purpose of this study is to investigate the effect of ankle strengthening and proprioceptor exercise, including gluteus-medius strengthening exercise, on ankle strength, dynamic and static balance, ankle function, and quality of life in 24 adults without ankle instability. Methods: After randomly classifying 12 people per group into the experimental group and the control group, Home-exercise rehabilitation program was conducted for a total of 2 weeks. The control group performed ankle strengthening and proprioceptor exercise 5 times a week for 15 minutes, and the experimental group was performed by adding 15 minutes of gluteus-medius strengthning exercise to the exercise performed by the control group. The SPSS 27.0 program was used for statistical analysis. Results: Both groups showed statistically significant differences in the plantar flexion muscle strength, Y-Balance test, side hop test, quality of life. But, only experimental group showed statistically significant differences dorsi-flexion muscle strength and hip abduction muscle strength. There was no statistical difference in comparison of difference values between groups. Conclusion: These exercises can provide useful home rehabilitation programs for sports populations seeking to prevent injury in sports.

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Risk Factors of Childhood Obesity II (소아 비만의 위험요소에 관한 연구 II)

  • Lim, Weon-Jeong
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.213-225
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    • 1999
  • Objectives : The purpose of this study was to investigate how the play habits, temperament, and environmental factors might affect childhood obesity. Methods : Two hundred sixty children, aged 4 through 6 years living in Seoul & Cheonan were surveyed by a questionnaire about the children's play habit and the parent's related factors such as weight, height, education, income. In addition the Korean version of the Parent Temperament Questionnaire for Children and the Korean version of the Family Environment Scale were also administered to parents of those children. The height and weight of those children were measured and the percentage of body fat was measured by Bioelectrical Impedance Fatness Analyzer. Result : 1) Among 260 children, 25 children were considered to be obese on the basis of both obesity index and percentage of body fat. 2) Parents of obese children showed a significantly higher educational level(p<0.05) and mothers of obese children had significantly more jobs(p<0.05) and showed higher body mass index(p<0.05) than those of nonobese children. 3) By observing play habits of children, obese children spent significantly longer time in watching TV and video(p<0.05), while nonobese children showed a trend to play outside(p<0.1). 4) On the Korean version of the Parent Temperament Questionnaire for Children, obese children showed significantly less activity than nonobese ones(p <0.05). 5) Family of obese children had significantly higher point on subscale of Achievement orientation, Intellectual-cultural orientation and Moral-religious emphasis of the Korean version of the Family Environment Scale(p<0.05). 6) Percentage of body fat of obese children was correlated with children's watching TV time, activity level, scores of Achievement orientation, Intellectual-cultural orientation of the Korean version of the Family Environment Scale and the both parent's education levels(p<0.05). Conclusion : Obese children showed hypoactivity and more watching TV time. And obese children's both parent had higher educational level and their mother had higher Body Mass Index and more jobs. Family of obese children had higher point on items of Achievement orientation, Intellectual-cultural orientation and Moral-religious emphasis. Family environmental factors influence on children's obesity through interaction of genetic and behavioral-psychological factors concomittently.

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Discussion - Problem solving process (토의 - 해결방법 요지)

  • Hong S.G.
    • The Korean Nurse
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    • v.17 no.2 s.94
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    • pp.56-62
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    • 1978
  • 현재 우리나라 보건소사업을 Part별로 토의된 것을 대략 요약해보면, 정부에서 근래에 시도하고 있는 진료대상이 한정된 영세민이나 생보호자에게만 국한되어 있으며, 치료보다는 예방에 힘써야 하겠다는 점을 들 수 있겠고, 모자보건의 무료분만을 대폭 완화하여 최소한 보건소에 등록되어 있는 임산부만이라도 모두 혜택을 주는 방향과 적기에 예방접종을 실시하도록 하며, 결핵은 조기발견, 조기치료, 예방접종이 중요하다는 것을 결핵사업에 종사하는 모든 요원들이 주민들에게 인식시킬 것이며, 가족계획에 있어서는 모자보건향상에 목적을 두고 사업이 이루어져야 한다는 점을 아울러 강조한다. 끝으로 선진국은 인구 2,000명에 보건간호원 1인 꼴인데 우리나라는 12,000:1이므로 선진국에 비해 6:1이나 되는 보건간호원의 업무과다로 질적인 사업의 기대가 어려우므로, 인력과 경제소모를 억제할수 있도록 기구개편이 필요하며, 간호원이 가정방문시 기능별로 $4\~5$인의 중복방문으로 인한 인력낭비와 사업 우선 순위가 혼돈되어 전반 간호사업이 시급하다는 점을 들 수가 있다.

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A Strategy of the Home Visiting Physical Therapy (가정 방문 물리치료의 전략)

  • Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.180-189
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    • 2003
  • The purpose of this study was to emphasize the strategy of the home visiting physical therapy for elderly patients who have joint and musculoskeletal problems, disabled person who staying in home and early discharged person who staying in home with replacement of artificial hip joint and central nerve system problems with CP, CVA, SCI etc. Home visiting physical therapist can provide evaluation and diagnosis, treatment with their special knowledge and techniques, treatment council and education for the patients and family member and refer the patients to other specialist. Home visiting physical therapy can expects that patients will have better treatment with emotionally, economically and for long term care patients.

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The Home-based Program for Child with Sensory Modulation Disorder: Case Study (감각조절장애 아동에 대한 가정 프로그램의 적용 - 사례연구)

  • Lee, Ji-Young;Kim, Sung-Eun
    • The Journal of Korean Academy of Sensory Integration
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    • v.5 no.1
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    • pp.41-49
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    • 2007
  • Objective: To evaluate the effectiveness of the home-based program composed of sensory diet for child with sensory modulation disorder. Method: The subject underwent the home-based program composed of sensory diet for 8 months. Evaluation tools we used are the Developmental Screening Test II(DDSTII) for developmental screening; the Short Sensory Profile(SSP), clinical observation and the clinical history record form for sensory integrative function; the Motor-Free Visual Perception Test(MVPT) and draw a person test for visual perception. Evaluation was executed before and after the program is provided. Results: The subject has showed remarkable improvement in developmental level, sensory integrative function and visual perceptual ability after went through the home-based program. Conclusion: The home-based program composed of sensory diet is effective for children with sensory modulation disorder when it is difficult to apply classical sensory integrative approach.

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Home - Visiting Physical Therapy (가정 방문 물리치료)

  • Lee Han-Suk;Park Don-Mork;Kim Choung-Sik
    • The Journal of Korean Physical Therapy
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    • v.8 no.1
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    • pp.91-98
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    • 1996
  • It is urgent to introduce home visiting physical therapy in order to prevent the unnecessary increase of demand and extravagance for the nation-wide execution of medical insurance and for the medical demand and supply of medical delivery system. We think that it is very important for us, as a physical therapist preparing 21 centry, to clearly undersand the necessity of home visiting physical therapy, which will be needed as the new therapeutic field in the future. When the terms for a new health and medical system, that is, useful trained-manpower, well-equipped facilities, financial and legal support, well-prepared design for this project, positive cooperation between people involved in this project and rational development of the project is held and this project is settled by sieving tile expected problems, this project will give a contribution to the promotion of national health and social welfare

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Portable Biofeedback Home Trainer for Patients with Constipation and Rectal Incontinence (변비 및 변실금 환자를 위한 휴대가 가능한 가정용 바이오피트백 치료기)

  • Ji, Jun-Keun;Cha, Guee-Soo;Lee, Moon-Ho
    • Proceedings of the KIEE Conference
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    • 2000.07d
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    • pp.3219-3221
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    • 2000
  • 본 논문에서는 바이오피드백(Biofeedback) 항문 괄약근 조절 시스템(Anal Spincter Control System)을 제작 및 구현하였다. 제작 및 구현된 시스템은 특발성 만성 변비증 및 특발성 만성 또는 신경인성 만성 변실금증 환자의 항문 괄약근 훈련 및 치료에 유용하다. 본 논문의 주된 내용은 마이크로 볼트 단위의 미세한 신호인 항문 괄약근 근전도 신호를 왜곡없이 증폭하여 검출하기 위한 바이오피드백 항문 괄약근 근전도 증폭기 (Anal EMG Amplifier) 및 신호처리기(Signal Processor)로 구성되어 있으며 사용자가 항문 괄약근 근전도 신호를 확인할 수 있도록 LED display와 스피커 출력 기능을 구현하여 monitoring을 가능하게 했다.

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