• Title/Summary/Keyword: 물리치료사

Search Result 495, Processing Time 0.022 seconds

Effect of Neonatal Developmental Intervention Program (NDT) on Motor Development and Growth in Premature Infants

  • Park, Geun-Hwa;Choi, Sang-Youn;Kim, Sung-Mi;Kim, Mi-Ae;Lee, Eun-Ju
    • Neonatal Medicine
    • /
    • v.17 no.2
    • /
    • pp.207-216
    • /
    • 2010
  • Purpose: The aim of this study was to identify the effects of neonatal developmental intervention program (NDT) in promoting motor development and growth and to determine the usefulness of Hammersmith Neonatal Neurological Examination (HNNE) and Neonatal Behavioral Assessment Scale (NBAS) in premature infants. Methods: We performed NDT on selected premature infants (PI, n=42) and compared them with the full term control group (FC, n=20). NDT protocol and development assessment (HNNE, NBAS) were manipulated by the physical therapist in the neonatal intensive care unit. The data of this study were collected prospectively. Results: The PI with GA <34 weeks (VPI) subgroup showed a more use of mechanical ventilator and surfactant, severe bronchopulmonary dysplasia and intraventricular hemorrhage, and patent ductus arteriosus treated surgically than the PI with GA $\geq$34 weeks but less than 37 weeks (LPI) subgroup. The average scores improved significantly in the PI group between the 1st, 2nd, and 3rd assessment by repeated measure (P=0.000). Also, the PI group showed significantly higher total scores and average score at 40 weeks postmenstrual age, P=0.000, respectively than in the FC group. The LPI subgroup showed more weight gain and change in the head circumference between the 1st and 3rd assessment by repeated measure, respectively, P<0.05. The PI group showed no apnea, bradycardia and late sepsis associated with intervention and assessment. Conclusion: The NDT might be a safe and useful intervention to promote motor and growth outcomes in premature infants. Also, the HNNE and NBAS might be safe and useful tools for assessing neurodevelopment in premature infants.

The Effects of Rehabilitation Therapists' Characteristics and Job Involvement on job Stress; in some Local Hospitals (일부지역 병원에서 근무하는 재활전문 치료사의 특성과 직무몰입이 직무스트레스에 미치는 영향)

  • Sim, Kyoung-Bo;Kwag, Sung-Won;Kim, Hyeong-Min
    • The Journal of Korean society of community based occupational therapy
    • /
    • v.6 no.2
    • /
    • pp.11-20
    • /
    • 2016
  • Objective : The objective of this study was to evaluate the effects of rehabilitation therapists' general characteristics and job involvement on stress. The subjects of this study were occupational therapists and physical therapists working for long-term hospitals and general hospitals located in K and B cities, South Korea. Methods : The study investigated general characteristics, job stress, and job involvement by using questionnaires. Analysis conducted on total 144 questionnaires excluding 19 questionnaires, which did not satisfy the subject selection criteria. Results : The results show that job involvement had significantly positive correlations with job requirement, job autonomy, relationship conflicts, organization system, inappropriate compensation, job instability, and workplace culture. Secondly, marital status, wage level, and job engagement explained 46.6% of variations in job stress. Conclusion : The study was meaningful in examining the variables influencing the job stress of rehabilitation therapists. We expect that it can be used for improving the job environment of rehabilitation therapists.

An Investigation of Selection and Transfer Factors on the Admission of Rehabilitation Hospital (재활병원 입원 시 선택 및 전원 요인 조사)

  • Lee, Jae Hong;Kwon, Won An;Lee, Jin Hwan;Min, Dong Ki
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.6
    • /
    • pp.2819-2827
    • /
    • 2013
  • The purpose of his study was to analyze the environmental and the medical factors of prematurely discharged patients in a rehabilitation hospital. The subjects were 107 inpatients. The data were collected using self-report questionnaire and analyzed using the SPSS Win 19.0 program. In result, Firstly, general selection of hospitals was the 'Recommendation' 35.5%, Environmental dissatisfaction factors are Hospital facilities 37.4%. Hospital choice is the highest 'Acquaintances' 23.4%. Second, the lowest group about professionalism, kindness, and description of explanation on satisfaction in survey is group of care workers for the sick. The highest group is physical and occupational therapist. Third, the satisfaction regarding medical procedures of administrative work, waiting time and medical expenses is the highest normal. Hospital facilities in one of the highest factors in environmental dissatisfaction is can be considered as an element of patient departure because of not much number of nervous special hospitals. Medical dissatisfaction factors is the lowest satisfaction of care worker even if those spend much time. this is the focus leaving hospital. Therefore, factors care workers on service satisfaction and dissatisfaction in analysis and problem solving is considered that the need to find ways to improve the quality of service care workers.

Correlations Between Ultrasonographic Findings of Sternocleidomastoid Muscle and Torticollis Overall Assessment of Congenital Muscular Torticollis in Infants (선천성 근성 사경 환아의 흉쇄유돌근 초음파 소견과 사경종합평가 사이의 상관관계)

  • Kim, Yong-Wook;Kim, Moon-Hwan;Kim, Kyoung-Mo
    • The Journal of the Korea Contents Association
    • /
    • v.11 no.5
    • /
    • pp.233-241
    • /
    • 2011
  • The purpose of this study was to investigate the correlation between ultrasonographic findings used to diagnose and assess of torticollis and a overall special assessment of congenital muscular torticollis in infants. Seventy-eight subjects with congenital muscular torticollis participated in this study. All the patients were divided into one of four clinical types according to the sternocleidomastoid muscle fibrosis noted on the ultrasonographic findings, and they were divided into one of three subgroups according to the degree of disability on the overall special assessment score of torticollis. For the ultrasonographic classifications of the 78 patients, 42(53.8%) made up the first type, 21 (26.9%) made up the second type, 7 (9.0%) made up the third type, and 8 (10.3%) made up the fourth type. Multivariate analysis of the results showed that the age at presentation was significantly different according to the ultrasonographic subtypes (p<0.01). There was significant correlation between the ultrasonographic findings and the torticollis overall assessment for patients with congenital muscular torticollis (${\phi}$=0.893, p<0.01). According to the results of this study, the use of the simple and objective torticollis overall assessment will be useful for the evaluation of torticollis in the future.

Validation Study of Clinical Utility and Usability on Korean Version of the Life-Space Assessment to Assess Community Mobility (지역사회 이동성을 측정하는 한국어판 생활공간 평가(Korean Version of the Life-Space Assessment; K-LSA)의 임상적 유용성 및 사용성 검증 연구)

  • Kim, Jeong-Hui;Chang, Moon-Young
    • The Journal of Korean society of community based occupational therapy
    • /
    • v.8 no.1
    • /
    • pp.1-10
    • /
    • 2018
  • Objective : The purpose of study is to validate the clinical utility and usability of the Korean version of the Life Space Assessment(K-LSA) which is an assessment tool of community mobility of older adults. Methods : Surveys on the clinical utility and usability of the K-LSA are carried out with a total of aoaa60 occupational and physical therapists. The surveys included the multiple choice questions on the clinical utility and open questions on the usability. Responses to multiple questions are post processed by frequency analysis and technical statistics, and responses to the open questions are categorized by common factors in each questions. Results : Average value of clinical utility ranges from 3.6 to 4.0 with positive responses of 'fair (3 point)', 'agree (4 point)' and 'strongly agree (5 point)' being 95~100%. Average value for clinical usability ranges from 3.6 to 4 with positive answers of 'fair (3 point)', 'easy (4 point)' and 'very easy (5 point)' being 88.3~100%. Additionally out of open-type questions of clinical usability, it was pointed out that the concept of 'neighborhood' for the life space level 3 and 4 is unclear. Conclusion : The current study and research outcomes showed that the K-LSA is a validated tool in Korean health care system for the clinical utility and usability in measuring community mobility, and that it is straightforward in practical use. It will help clinicians and therapists promote the social participation of older adults, and set an intervention goal for enhancing community mobility. It will further help clinicians and researchers in education and research for medical intervention and goal-setting.

Effects of Joint Mobilization Techniques on the Joint Receptors (관절 가동운동이 관절 감수기에 미치는 영향)

  • Kim, Suhn-Yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.2 no.1
    • /
    • pp.9-19
    • /
    • 1996
  • Type I, II, III are regarded as "true" joint receptors, type IV is considered a class of pain receptor. Type I, II and III mechanoreceptors, via static and dynamic input, signal joint position, intraarticular pressure changes, and the direction, amplitude, and velocity of joint movements. Type I mechanoreceptor subserve both static and dynamic physiologic functions. Type I are found primarily in the stratum fibrosum of the joint capsule and ligaments. Type I receptors have a low threshold for activation and are allow to adapt to changes altering their firing frequency. Type II receptors have a low threshold for activation. These dynamic receptors respond to joint movement. Type II receptors are thus termed rapidly adapting. Type II joint receptors are located at the junction of the synovial membrane and fibrosum of the joint capsule and intraarticular and extraarticular fat pads. Type III receptors have been found in collateral ligaments of the joints of the extremities. Morphologically similar to Golgi tendon organ. These dynamic receptors have a high threshold to stimulation and are slowly adating. Type IV receptors possess free nerve ending that have been found in joint capsule and fat pads. They are not normally active, but respond to extreme mechanical deformation of the joint as well as to direct chemical or mechanical irritation. Small amplitude oscillatory and distraction movements(joint mobilization) techniques are used to stimulate the mechanoreceptors that may inhibit the transmission of nociceptors stimuli at the spinal cord or brain stem levels.

  • PDF

Difference of Knowledge and Attitudes toward HIV/AIDS between Genders of Physical Therapists and Physical Therapy Students (물리치료사와 물리치료과 학생의 성별에 따른 HIV/AIDS 에 대한 지식과 태도)

  • Ahn, So-Youn;Kim, Jong-Soon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.11 no.2
    • /
    • pp.26-39
    • /
    • 2005
  • The purpose of this descriptive study is to investigate the general knowledge and attitude about HIV/AIDS among gender in physical therapists and physical therapy students. AIDS a clinical syndrome that involves progressive immune deficiency and consequent development of opportunistic infection, tumors, neurologic disease and systemic wasting with chronic trends. Many medical specialists are afraid of AIDS patients because they have a little information of AIDS and fear of HIV infection from AIDS patients at work site. This study surveyed 649 physical therapists and physical therapy students by means of a self-administered questionnaire. This study was carried out from April, 2003 to October, 2003 for collecting data. The findings of this study can be summarized as follows. 1) The male and female physical therapist and physical therapy students who have an experience of educational program for HIV/AIDS show higher general knowledge about HIV/AIDS. 2) The male physical therapist and physical therapy students were conscious of the need for physical therapeutic intervention for the complication of HIV/AIDS. 3) The male who has higher general knowledge about HIV/AIDS are conscious of the need for educational program about HIV/AIDS. 4) The male and female want to have the choice to accept or reject the HIV/AIDS patients for treatment. 5) The knowledge of transmission mode in sexual intercourse of HIV/AIDS influence the attitude of male and female to patients with HIV/AIDS. 6) The knowledge of prevention of HIV/AIDS influence the attitude of male and female to patients with HIV/AIDS. 7) The knowledge of regarding symptom of HIV/AIDS influence the attitude of female to patients with HIV/AIDS. 8) The knowledge of general transmission mode of HIV/AIDS influence the attitude of male and female to patients with HIV/AIDS. 9) The knowledge of transmission risk factors in work site of HIV/AIDS influence the attitude of male and female to patients with HIV/AIDS. 10) The knowledge of needs for prevention in work site of HIV/AIDS influence the attitude of male and female to patients with HIV/AIDS. In conclusion, male and female with more knowledge of HIV/AIDS could positively treat HIV/AIDS patients.

  • PDF

Influence of Individual and Job Characteristics, Professional Job Perception, and Group Cohesiveness on Organizational Citizenship Behavior of Physical Therapists in Hospitals (물리치료사의 개인 및 직무특성, 전문직업성, 집단응집성이 조직시민행동에 미치는 영향)

  • Lim, Jung-Do;Lee, Key-Hyo;Kim, Won-Joong
    • Korea Journal of Hospital Management
    • /
    • v.8 no.2
    • /
    • pp.70-92
    • /
    • 2003
  • The main objective of this paper is to investigate the factors affecting organizational citizenship behavior of hospital employees, and based on the investigation, to suggest some implications for effective human resources management of hospitals. For this purpose, physical therapists were selected as the subject of the research. Using their individual characteristics, job characteristics, professionalism and group cohesiveness as the variables affecting organizational citizenship behavior, an empirical model was constructed and tested. A survey was conducted through structured and self-administered questionnaire for the physical therapists working at hospitals of Busan-Kyongnam area, and data from 240 therapists were utilized in the final analysis. Major results of the empirical analysis are as follows: First, perception on professionalism and the degree of organizational citizenship behavior were higher for male, older, relatively more-educated and higher-grade employees. It is necessary to develope some measures to educate and motivate the employees who are in lower state of professionalism and organizational citizenship behavior. Second, among the individual characteristics, need for growth was found to have significant, positive influence on professionalism and group cohesiveness, but no direct effect on organizational citizenship behavior. On the other hand, extroversion had direct, positive effect on organizational citizenship behavior, as well as on professionalism and group cohesiveness. This result suggests that personnel selection and personality education should be conducted carefully. Third, job characteristics appeared to have very large, positive effect on professionalism, but not directly on organizational citizenship behavior. Fourth, professionalism was found to have very large, positive influence on group cohesiveness and direct, positive effect on organizational citizenship behavior. This implies that enhancing professionalism of physical therapists can strengthen organizational citizenship behavior in hospitals, and hence top management should actively support the programs for job re-design, skill education and quality improvement to enhance professionalism of their employees. Fifth and last, as an intervening factor, group cohesiveness appeared to have the largest, direct, positive effect on organizational citizenship behavior. It is, therefore, important for top management to improve group cohesiveness by exploring ways toward greater harmony and solidarity among the members of physical therapy department.

  • PDF

A study of Korean Physical Therapist's Attitudes and Beliefs on Korean Government's National Long Term Care Insurance Program (노인 장기요양 보험 제도에 대한 부산광역시 물리치료사들의 인식도 조사)

  • Kim, Bu-Young;Park, Bo-Ram;Song, In-Kyoung;Oh, Tae-Young
    • Journal of Korean Physical Therapy Science
    • /
    • v.18 no.1
    • /
    • pp.21-32
    • /
    • 2011
  • Objective: This study was conducted to describe physical therapists' attitudes and beliefs towards Korean Government's National Long Term Care Insurance Program implemented last July 2008. Design: A survey research. Methodology: Participants were 143 physical therapists working in General Hospitals or University Hospitals in Busan, Korea. Each of the participants completed a questionnaire which was comprised of 22 questions. Among the 22 questions, 7 of these were independent variables such as gender, age, career, etc. while 15 of these questions were dependent variables such as the subject's expectations and reactions on the said program, opinions of the participants on the impact of the program to old people's families and relatives, participant's sentiments on social effects of this program to the society, etc. Data collection was conducted from the $20^{th}$ of July to the $5^{th}$ of August, 2008. Data were analyzed by Chi-square test, frequency and cross tabs using SPSS/PC program. Results: Based on the survey conducted, it showed that 50.3% were female respondents, 53.8% were on their twenties, 31.5% of the total respondents were married and that a percentage of 82.4% had working experiences below 10 years. About 80.4% of respondents were satisfied of their jobs and 32.4%of the respondents graduated from three - year college degree, 49.3% of the respondents graduated from four-year college degree. 95.1% of the total respondents knew the existence of the national long term care insurance program of the government and almost 78% got the information of the said program via internet, news paper or T.V. About 86% of the respondents believe that there will be future improvements in the quality of life in Korea through the said program and 82% said that there will be an increase sense of responsibility among family members to take care of their old relatives. 67.2 % of respondents believe that problems regarding old people will be solved through the government's national long term care insurance program. In aspect of Physical Therapy, 50% of the respondents expected generation of more jobs especially to physical therapists and 95% of the respondents want to work in any position in the said program especially those are more experienced ones. Conclusion: Physical Therapists in Korea are aware of the existence of the National Long Term Care Insurance Program of the Korean Government. Based on the gathered results from the survey, many experienced physical therapists of the country wanted to acquire positions in the said program especially that their expertise are needed in the said field. Through this study, it is evident that many physical therapists of the country have positive vibes on the said program and are optimistic on the outcomes of the said insurance program.

  • PDF

A Survey on the Understanding of High School Teachers about Physical Therapist (고등학교 교사들의 물리치료사에 대한 인식도에 관한 조사)

  • Hong, Wan-Sung
    • The Journal of Korean Physical Therapy
    • /
    • v.3 no.1
    • /
    • pp.39-58
    • /
    • 1991
  • This study was carried out to recognize the understanding of high school teachers about physical therapist during September in 1988, The study population was comprised of 511 high school teachers who had lived in Seoul and Kyunggi Province. Mate teachers were $56\%$ and the rest of them were females. In age distribution $45.4\%$ of them belonged to the 3rd decade, in religion $36.2\%$ of them were Christians, and in their carrier $45.8\%$ of them were less then 5 years. The results obtained were as follows. 1. The high school teachers who knew about department of physical therapy is amounted to $62.6\%$ in male and $49.8\%$ in female. The high school teachers ($41.7\%$ in male and $38.6\%$ in female) considered that students aptitude was the most important thing to keep in mind in counselling those who wished to become physical therapists. There were difference in opinion between male and female teachers as to the counselling criteria (p<0.05). 2. The high school teachers who knew that the students would beemployed in sport center and health clubs after graduation amounted to $24.3\%$ in males and in general hospital to $27.1\%$ in female. There was significant difference in the knowledge for their field of employment between male and female teachers (p<0.05). 3. As to the effectiveness of the physical therapy, $41.3\%$ of male and $29.8\%$ of the female teachers responded to 'satisfactory', but indicating no statistical difference both sexes. 4. As for the attitude of physical therapiest, $43\%$ of them answered that kindness and service devotion were the prerequisite for them. There were statistical difference between male and female teachers in concepts about attitude (p<0.05). To the social level of physical therapist, majority of the teachers thought that physical therapist belong to moderate level in social class. 5. Those who considered that the physical therapy was necessary means for treatment of trauma amounted to $73\%$. The reason why teachers thought that physical therapy was not necessary was that it required too long period of time for the treatment. 6. Those who knew fully the job of physical therapist amounted to $55\%$ and the 55. $9\%$ knew that physical therapists work only at hospitals as the therapist and the rest of them misunderstood the job of physical therapist. 7. As for the academic background to be qualified as physical therapist, $76.2\%$ of them said that graduation of Junior College was required, $12.9\%$ graduation of Senior College and the rest of them had no ideas at all. There was no statistical difference between male and female teachers.

  • PDF