• Title/Summary/Keyword: 정신재활

Search Result 227, Processing Time 0.031 seconds

The Effects of Psychological Stress on Neck Muscles (정신적 스트레스가 경항부 근육에 미치는 영향)

  • Kwon, Ho-Young;Kim, Jeong-Hwan
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.20 no.1
    • /
    • pp.119-132
    • /
    • 2010
  • Objectives : The purpose of this study is to compare interrelations between stress and muscles of neck through stress response inventory(SRI), 7 zone diagnostic system and surface electromyography(sEMG). Methods : This study was carried out with the data from SRI, 7 zone diagnostic system and sEMG. First subjects were divided into two group according to the SRI points. subjects in group A had points of SRI in which lower than 30 points. Subjects in group B had points of SRI in which higher than 30 points. And subjects were divided into nonstress group(Group C) and stress grouop(Group D) according to the result of 7 zone diagnostic system. Then we investigated how to differentiate the muscle contraction, fatigue, recovery and asymmetry ratio on sEMG for each groups. Results : In this study, the muscle contraction of both upper trapezius muscle and left sternocleidomastoid muscle and left scalene muscle in stress group were higher than nonstress group significantly. And the muscle recovery of left sternocleidomastoid muscle and left scalene muscle in stress group were higher than nonstress group significantly. Conclusions : This results show that the stress was associated with muscle condition.

The Influence of Psychological Stress on Neck Muscles and Heart Rate Variability (정신적 스트레스가 경항부 근육과 심박변이도(Heart Rate Variability)에 미치는 영향)

  • Kwon, Ho-Young;Lim, Kwang-Muk;Kim, Jeong-Hwan
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.20 no.4
    • /
    • pp.147-157
    • /
    • 2010
  • Objectives : The study is performed to investigate the influence of psychological stress on neck muscles tone and heart rate variability(HRV). Methods : This study was carried out with the data from stress response index score(SRI), surface electromyography(sEMG) and HRV. First subjects were divided into two group according to the SRI points. Subjects in group A had points of SRI in which lower than 30 points. Subjects in group B had points of SRI in which higher than 30 points. Then we investigated how to difference of the index of sEMG and HRV according to each groups. Results : In this study, the muscle contraction of both upper trapezius muscle in stress group were higher than non-stress group significantly. Complexity, root mean square of successive differences of R-R intervals(RMSSD), standard deviation difference between adjacent normal to normal intervals(SDSD), high frequency oscillation power(Ln(HF)), normalized HF(Norm HF) in stress group were lower than non-stress group significantly and normalized LF(Norm LF) was higher. Conclusions : This results show that the stress was associated with neck muscle condition and autonomic nervous system.

Factors Affecting the Mental Health related Quality of Life in Adults across the Lifespan (성인의 생애주기별 정신건강 관련 삶의 질 영향요인)

  • Kang, Mi Kyeong;Kim, Myung-Sook;Gang, Moonhee;Oh, Kyongok;Kwon, Jong Sun;Lee, Sun-Hyun
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.15 no.2
    • /
    • pp.73-82
    • /
    • 2012
  • Purpose: The purpose of this study was to identify the influencing factors on mental health related quality of life (MHRQoL) in adults across the lifespan. Methods: A total of 688 Korean adults aged 19 years and older were selected. Data were collected by personal interviews or self report using structured questionnaires. For data analysis, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression were used. Results: Mental health related quality of life (MHRQoL) differed significantly according to life cycle, especially showing a lower score in the elderly than others. In addition, elderly adulthood reported the highest stress and depression. The most significant predictors of MHRQoL in young and middle aged people were stress, depression, and subjective health status. Predictors of MHQoL in the elderly were stress and religion. Conclusion: The results indicate that MHRQoL of adult is associated with stress and depression. When the programs are developed to enhance mental health in elderly adulthood, religion should be considered as well as stress.

특집 - 당뇨병환자에게 더욱 위험한 뇌혈관질환

  • Hong, Geun-Sik
    • The Monthly Diabetes
    • /
    • s.210
    • /
    • pp.14-16
    • /
    • 2007
  • 65세 김모씨는 가족들과 외출을 하려다가 갑자기 발음이 어눌해 지면서 우측에 힘이 빠지기 시작하였다. 가족들은 일단 김씨를 다시 집안으로 데리고 들어와 팔 다리를 주므르고 바늘로 손을 따 보았지만 상태는 점점 악화되어 전혀 말도 못하고 일어설 수 도 없었으며 정신도 흐려지는 등 급속히 악화되었다. 김씨의 아들은 뇌졸중이 아닌가 하는 생각이 들었고 최근에 언론매체를 통해 혈관이 막히는 뇌졸중의 경우에 빨리 병원에 가면 막힌 혈관을 다시 뚫어주는 치료가 가능하다는 이야기를 들은 기억을 떠올렸다. 김씨의 아들은 119에 연락해 아버님을 응급실로 모시고 왔다. 김씨가 병원에 도착한 시간은 증상이 발생한 후 약 1시간 만이였다. 뇌촬영을 비롯한 피검사 등이 시행되었고 의료진은 김씨가 혈관이 막힌 뇌졸중, 즉 뇌경색이라고 하였고, 현재 발병한 지 채 2시간이 지나지 않았으므로 혈관을 뚫어주는 혈전용해술을 시행하겠다고 했다. 혈관이 막힌 원인은 오랫동안 가지고 있던 당뇨, 고혈압, 고지혈증 등이 복합적으로 작용하여 혈관에 동맥경화를 유발하고 있다가 혈전이 생기면서 혈관이 막힌 것이라고 하였다. 그리고 혈관을 막고 있는 혈전을 녹이기 위해 혈전용해술을 시행하는 것이라고 하였다. 뇌출혈등의 부작용이 일부에서 동반될 수 있지만 지금 상태에서 가장 최선의 치료는 혈전용해술이라 것이 의료진의 설명이었다. 다음날 김씨는 완벽하지는 않았지만 말하는 기능과 우측 팔다리 마비가 상당히 호전되었다. 1주일 후 김씨의 상태는 더욱 호전 되었고 열심히 재활치료를 받고 있었다. 김씨와 가족들은 의료진으로부터 꾸준히 재활치료를 하면서 3개월 후 정도면 이전과 거의 비슷한 상태로 회복될 수 있을 것이라는 희망적인 이야기를 들을 수 있었다.

  • PDF

Proposal of Checklists for Patient Safety in Miniscalpel Acupuncture Treatment of Cervical and Lumbar Spine: Pilot Trial (환자 안전을 위한 경추 및 요추부 도침시술 전후 체크리스트 제안: 예비연구)

  • Jo, Hee-Geun;Song, Min-Yeong;Yoon, Sang-Hoon;Jeong, Sin-Yeong;Kim, Jong-Hwan;Baek, Eun-Hye;Leem, Jungtae
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.28 no.1
    • /
    • pp.61-72
    • /
    • 2018
  • Objectives The authors propose a new checklist model adapted for safety miniscalpel acupuncture procedure of cervical and lumbar spine. Methods On the basis of available literature and expert opinion, a prototype checklist was developed. The checklist was adapted on the basis of observation of daily practice. Results The checklist has three parts: 1. prevention and management of healthcare associated infections, 2. verification list before and after miniscalpel acupuncture treatment, 3. adverse event monitoring after procedure. We presented a summary checklist based on the above contents. Conclusions We propose the first patient safety checklist for minicalpel acupuncture treatment of cervical and lumbar spine. The checklist will be complemented using further research methodologies.

Combination of Korean Medicine Therapy to Treat Posttraumatic Knee Stiffness: A Case Report (외상 후 슬관절 강직에 대한 복합 한의치료의 경과: 증례보고)

  • Lee, Geon-Yeong;Seol, Jae-Uk;Jo, Hee-Geun;Kwon, Min-Gu;Jeong, Sin-Yeong;Kim, Jong-Hwan;Park, Eo-Jin
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.27 no.2
    • /
    • pp.109-115
    • /
    • 2017
  • The purpose of this study is to illustrate the potential for clinical improvement in treating a patient with a case of Posttraumatic Knee Stiffness with a combination of Korean medicine therapy. We treated the patient with acupuncture, electroacupuncture, CHUNA manual therapy and Interferential Current Therapy from $5^{th}$ December 2016 to $13^{th}$ January 2017 (total 29 times) by evaluating knee function with VAS score. After six weeks of treatment, this patient achieved effective outcome following the technique, showing that clinical symptom as able to walked and pain was relieved, VAS changed from 10 to 2 and the knee flexion ROM (active/passive) changed from 30/60 degrees to 120/140 degrees. This result shows that Korean Medicine therapy may be an effective option for Posttraumatic Knee Stiffness. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on Posttraumatic Knee Stiffness.

Effects of Horticultural Therapy on the Improvement of the Self-Esteem and Sociality of Mentally Retarded Persons (원예치료프로그램의 적용이 정신지체장애인의 자기주장 및 사회성 향상에 미치는 영향)

  • 박민희;차영주;유영원;부희옥;이숙영
    • Korean Journal of Plant Resources
    • /
    • v.17 no.3
    • /
    • pp.339-351
    • /
    • 2004
  • This study was conducted to evaluate the effect of phased horticultural therapy(HT) program on the experience of psychologic therapy and the development of job and social integration in the mentally handicapped persons. In this study, the mentally handicapped persons participated in HT program were chosen in disabled person's welfare institute of Jeonnam. HT program was performed twice a week with 1 hour activity for 4 months. As a results, the mentally handicapped persons participated in HT program showed high interest of horticulture and improvement of self-respect and the high satisfactory degree of HT program. Therefore, the mentally handicapped persons were showed the experience of both physical and mental therapy, improvement of self-esteem scale and sociality in HT program. Also, the application of HT program with continuously interest will be showed high improvement of physical, psychological and sentimental. In the course of this HT program progress, horticultural therapist and social welfare officer were showed the limitation of role. Therefore the leaders of group for successful HT program be required the comprehensive plan of more efficient HT program and induced technique of continuously up-phased improvements in HT program progress.

Effects of Aromatherapy on Anxiety and Depression of Caregivers for Patients in Rehabilitation Therapy (재활치료 환자 보호자의 불안감과 우울감에 대한 향기치료의 효과)

  • Kwon, Young-Moon;Lee, Sang-Ick;Kim, Sie-Kyeong;Son, Jung-Woo;Shin, Chul-Jin;Choi, Young-Rak
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.13 no.1
    • /
    • pp.24-31
    • /
    • 2005
  • The aim of this study was to assess effects of aromatherapy on anxiety and depression of caregivers for patients in rehabilitation therapy and to provide basic data for the aromatherapy. Beck Anxiety Inventory(BAI) and Beck Depression Inventory(BDI) for the preliminary assessment of anxiety and depressive mood were administered to caregivers for patients in rehabilitation therapy in Chungbuk National University Hospital. Forty two out of seventy subjects who got scores above 10 in BDI were selected. Forty two Participants were divided into orange group, lavender group and control group. They had got the aromatherapy by using the lamp diffusion method for 4 weeks. Only forty participants completed a trial. Effects of the aromatherapy were measured using BAI, Hamilton Anxiety Rating Scale(HAM-A), BDI, Hamilton Depression Rating Scale(HAM-D), Self Esteem Scale(SES) and Index of Wellbeing(IOWB) before and after the aromatherapy. Orange group showed significant difference in the change of BDI scores compared with control group. Lavender group showed significant difference in the mean change of BAI, BDI and IOWB scores compared with control group. These results suggested that aromatherapy with orange oil was effective for depression and the aromatherapy with lavender oil was effective for anxiety as well as depression.

  • PDF

A Case Report of Oriental Medical Treatments Combined with Exercise Therapy on the Frail Elderly Patient with Gait Disturbance and Cognitive Decline (노쇠 환자의 보행장애 및 인지 기능 저하에 대한 운동요법을 병행한 한방치료 증례보고)

  • Jahng, Sun-Jeong;Park, Jung-Oh;Heo, Dong-Seok
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.23 no.3
    • /
    • pp.211-217
    • /
    • 2013
  • The purpose of this study is to report the effect of oriental medical treatments with exercise therapy on the frail elderly patient with gait disturbance and cognitive decline. The frail elderly patient with gait disturbance and cognitive decline was treated by oriental medical treatments combined with exercise therapy during 3 months. The improvement of clinical symptom was evaluated by Manual Muscle Test (MMT), Passive Range Of Motion (PROM), Mini Mental State Examination-Korea (MMSE-K). After 3 months, all of both lower extremity Manual Muscle Test (MMT) improved to Grade 4. Both knee extension Passive Range Of Motion (PROM) and Mini Mental State Examination-Korea (MMSE-K) also increased from -30/-30 to 0/-5, from 7 to 25 respectively. It could be suggested that oriental medical treatments with exercise therapy were effective on the frail elderly patient with gait disturbance and cognitive decline. And further research is encouraged to confirm the effectiveness of this treatment with a larger number of patients.

A Study on Educational achievements and educational ideas of modern China ma yue-han (중국 근현대 학교체육교육의 선구자 마약한(馬約翰)의 체육교육사상과 업적)

  • Shin, eui-yun;Kim, Youn-soo;Kim, dae-sung
    • The Journal of the Convergence on Culture Technology
    • /
    • v.7 no.2
    • /
    • pp.129-137
    • /
    • 2021
  • Ma Yue-Han was a sports educator from Bokgun, China during the modern period of China. He has been a professor of physical education at China's most prestigious university Tsing-Hua for nearly 50 years. His achievements do not remain at the level of nurturing healthy bodies of students at the Chinese University of Tsing-Hua. He offered a new direction in the development and education of modern and contemporary Chinese schools, he foundation of the formation of Ma Yue-Han's athletic ideas can be attributed to the long-educated St. John University and Springfield University, where he studied intensively during his tenure at Tsing-Hua University. Also, judging from his fellow professors at Tsing-Hua University, Ma Yue-Han was influenced by the YMCA athletic spirit associated with strong Christianity and believed to have practiced it in the field of education.