• Ocean and Polar Research
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• 제26권3호
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• pp.465-473
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• 2004

Five parameters such as the entrance size of the front wall, conduit size, wave period, wave height and the width of water pool were selected to estimate the inflow rate, which is basic and essential input data to design seawater exchange breakwater with a submerged mound by conducting hydraulic model experiments. In the results of multiple regression analysis, log-log equation showed a good agreement rather than linear equation and the estimation of inflow rate was well done with only two parameters except entrance size of the front wall, wave period and the width of water pool. Finally, non-dimensional flow rate equation is derived.

• 대한정형도수물리치료학회지
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• 제18권2호
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• pp.31-39
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• 2012

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.

• 대한정형도수물리치료학회지
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• 제19권1호
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• pp.79-83
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• 2013

Background: Spasmodic torticollis is a disorder that is described by sustained muscle contractions causing repetitive and twisting movements, and abnormal postures in a single body region. The purpose of this case is to describe the manual therapy for a patient with spasmodic torticollis. Methods: The patient was a 64 years old man with an 3 month history of left side laterocollis spasmodic torticollis. No known genetic history or trauma. Prior to intervention, his score on the Western Spasmodic Torticollis Rating Scale (TWSTRS) severity score was 24, disability score was 20, pain score was 11. There is a noticeable distinction between left and right side cervical range of motion. The intervention consisted of manual therapy (MET, PNF) 3 times per week for the treatment during 4 weeks. Results: After intervention for 4weeks, his TWSTRS score and range of motion was improved quite a bit before therapeutic exercise. But symptoms are not improving sufficiently fast. Conclusions: Manual therapy is that MET and PNF is effective in improving for patient had spasmodic torticollis with laterocollis of neck.

• 대한정형도수물리치료학회지
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• 제11권1호
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• pp.74-91
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• 2005

척추의 기본적인 생체 역학적 기능은 신체 부분간의 운동을 허용하고 척수와 신경근을 보호하는 것으로서 이러한 기능을 수행하기 위해서는 척추의 역학적 안정성이 필수적이다. 척추의 안정체계는 수동적 근 골격계, 능동적 근 골격계, 그리고 신경계의 세 가지 하부체계로 나누어지며 이들 하부체계는 각각 독립적으로 안정성에 관여하고 있다. 경추의 불안정성의 문제는 비정상적으로 증가된 추간관절의 운동에 의해 염증성의 신경을 압박 또는 신장하거나 또는 통증수용기가 많이 분포하는 인대, 관절낭, 섬유륜과 종판에 비정상적인 변형을 일으키는 것을 말한다. 안정성의 장애는 근육의 기능적 측면에서 국소적 안정체계와 포괄적 안정체계의 문제로 구분할 수 있다. 불안정한 경추 환자의 임상적 양상은 일반적으로 머리가 앞으로 나오고 전방 전위된 자세로 견갑대와 승모근 상부의 과활동성을 나타낸다. 또한 능동운동은 감소되지 않으나 수동운동에서 분절의 회전운동과 병진운동의 증가와 종말감의 변화가 있다. 경추의 불안정성을 관리하기 위한 실험적 연구로 전반적인 근육 훈련, 고유수용기 훈련, 그리고 도수치료의 세 가지 주된 접근법이 있고 실제적인 접근법으로는 고유수용성 재활프로그램, 칼텐본-에반스 접근법, 그리고, 슬링운동법 등이 있다. 각 방법들은 임상에서 나름대로의 이점이 있으며 환자의 상태에 따라 이들 방법을 단독으로 또는 병행해서 적용할 수 있을 것이다. 그러나 경추에서 이러한 방법들의 효과를 입증하는 증거는 부족하여 앞으로 이러한 방법에 대한 임상적 경험보다는 그 효과를 입증할 수 있는 연구가 필요하다고 본다.

• 대한정형도수물리치료학회지
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• 제20권1호
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• pp.47-52
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• 2014

Background: This case study is to describe the manual therapy for the patient with posttraumatic stress (PTSD), sleep disturbance, and pain such as chronic low back pain (CLBP). Methods: The patient who participated in this study was a 60 year-old male PTSD patient with CLBP. His CLBP is not from any genetic or family history but a sequelae of torture that he had gone through about 30 years ago. Prior to the intervention, it was assessed that the PDS-K score was 16, PQSI-K was 12, SLR-90-R was low, VAS score was 10, and KODI socre was 25. The intervention was conducted through manual therapy (myofascial release, muscle energy technique, lumbar stabilization) twice a week for eight weeks in total. Results: After eight week-intervention, the PDS-K, SLR-90-R, VAS, and KODI score were improved whereas PQSI-K was not sufficiently fast improved. Conclusions: The manual therapy is substantially effective in dealing with PTSD and CLBP.

• 대한정형도수물리치료학회지
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• 제23권2호
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• pp.59-67
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• 2017

Purpose: The purpose of this study was to survey of satisfaction of clinical education program in KAOMPT for three years. Methods: The subjects of this study were consisted of physical therapist who participated the education program of KAOMPT from 2014 to 2016. 7387 structured questionnaires were analysed for this study. The satisfaction levels of each item were measured by 5-point Likert scale. Results: The highest satisfaction level were teaching method in introduction course, and practice method in basic, intermediate and advance courses. The average of satisfaction level was $4.03{\pm}84$ in introduction, $4.40{\pm}74$ in basic, $4.30{\pm}80$ in intermediate and $4.39{\pm}76$ in advance course each. The higher satisfaction was showed in men than woman. The lowest satisfaction level in below 25 years old group than the other aged groups. There were no differences of satisfaction level among the working place groups. the satisfaction level was higher in the group of over eight year experienced group than below three year experienced group. Conclusions: It is assumed that the clinical education program of KAOMPT was settled as a Korean manual therapy education center.

• 대한정형도수물리치료학회지
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• 제16권1호
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• pp.50-56
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• 2010

Purpose : To evaluate effects of joint mobilization on the range of motion of chronic low back pain patients. Methods : The subjects were consisted of sixty patients who had non specific chronic low back pain(10 females. 10 males; mean aged 36.5). All subjects received modalities treatment with therapeutic massage for 10minutes and joint mobilization or manipulation for 10minutes per day and three times a week during 4 weeks period. The Multilevel Roland-Morris Disability Questionnaire(MR-MDQ) was used to measure functional disability level. Visual Analogue Scale(VAS) was used to measure subjective pain level. Remodified Schober test(RST) was used to measure forward flexion range of motion of lumbar segment. Finger-to-Floor test(F-T-FT) was used to measure forward flexion range of motion of full spine of low back pain patients. All measurements of each patients were measured at pre-treatment and 4 week post-treatment. Results : The MR-MDQ, VAS, RCT and F-T-FT were significantly different within-subjects(p<.05), Conclusion : The manual therapy included therapeutic massage and joint mobilization found that improved chronic low back pain patients. Further studies are needed to including more subjects on long-term outcomes.

• 대한정형도수물리치료학회지
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• 제16권1호
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• pp.64-76
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• 2010

The sacroiliac joint is difficult to appropriately examine and treat because it is extremely complex and also is difficult to distinguish dysfunctions from those of the spine and hip which are highly intergrated functionally. In addition generally traditional x-rays and CT scans also are not beneficial in detecting sacroiliac joint dysfunction. The manipulative physiotherapist should seek to establish a series of relevant finding that build into a case implicating the sacroiliac joint. When deciding to use these diagnostic tests, the examiner must determine if the test will give reliable and useful information that will help in the diagnosis and subsequent treatment. To be useful diagnostic tests must give reliable data and be valid and the most useful methods of determining whether a test is a good test for pathology under consideration are sensitivity and specificity. In the ideal world, one would want a test that has both high sensitivity and high specificity. The purpose of this review is to ascertain diagnostic value on the tests for sacroiliac joint dysfunction by literature.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2004년도 추계학술대회
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• pp.302-305
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• 2004

본 연구에서는 홍제천 유역의 하천 건천화 현황을 조사하였고, 하천의 유지유량을 확보할 수 있는 방안을 제시하기 위하여 총 4차례에 걸쳐 홍제천 본류 11개 지점, 구기천 및 신영천에 대하여 각각 3지점의 유량조사를 실시하였으며, 그 결과 홍제천 본류에서 구기천 합류전 약 200m 지점에서 갈수기 및 저수기에 일시적으로 건천화가 나타났다. 구기천은 유량조사 기간 중 건천화 된 곳은 없는 것으로 조사되었고, 신영천 역시 조사 기간중 건천화 된 곳은 없었으나, 갈수기시 상류의 유량이 상당히 적게 흐르는 것으로 조사되었다. 유지용수 확보방안으로는 국내에 널리 알려져 있는 지하수 개발, 지하철 역사 배출수, 한강도수, 우수저류시설설치, 우수침투시설설치 등은 본 연구대상지역의 특성상 효율적인 유지용수확보대안이 될 수 없다고 판단되었기에 대상지역의 특성을 충분히 반영한 구기천 소규모댐 저류 및 간헐도수, 구기천 직접 도수, 신영천 상류 소규모 하수처리장 방류수 이용, 신영천 하천수 홍제천 본류 유입과 같은 방안을 제시하였다.

• 지질공학
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• 제11권2호
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• pp.141-152
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• 2001

영천댐 도수로 터널 중 청송군 현서면 지역의 터널 구간(연장 1,484m)에 대한 터널내 유입량과 수리지질학적 특성간의 관계를 연구하였다. 본 연구에서는 터널내로 유입되는 초기 유입량(라이닝 및 그라우팅 이전의 유입량)과 터널지역의 사암층, 절리빈도, 절리간극 및 간격, 단층, 수리전도도간의 관계를 분석하였다. 그리고 절리빈도와 수리전도도의 관계도 고찰하였다. 본 연구지역에서는 단층폭과 터널내 지하수 유입량의 관련성이 가장 크며, 사암의 두께, 수리전도도, 절리빈도순으로 관련성이 낮아지는 것으로 판단된다.