• Title/Summary/Keyword: 청소년 물리치료

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Survey About Current Status of Pediatric and Adolescent Physical Therapy: Focus on Pediatric and Adolescent Rehabilitation Hospitals in Seoul and Gyeonggi Province (소아 청소년 물리치료 실태 조사: 서울 경기 지역 소아 청소년 재활병원을 중심으로)

  • Kim, Jeong-soo;Min, Kyoung-chul
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.67-80
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    • 2023
  • Objective : This study aimed to investigate the current status of physical therapy in children and adolescents. Methods : Sixty questionnaires from physical therapists treating children and adolescents with disabilities were analyzed. The questionnaire consisted of questions on physical therapy, participants, satisfaction, and the assessment of pediatric and adolescent physical therapy. Descriptive statistics and frequencies were used to investigate the current status, participants, and satisfaction. Differences between physical therapy participation difficulty, importance-ability of major aspects of pediatric and adolescent physical therapy, and therapy goal frequency were analyzed using paired T-test. Results : 11 to 15 cases (66.7%) and one-on-one treatment (95.0%) were performed independently (95.0%). The main ages of the subjects were preschool and school, the diagnoses were brain lesions and developmental delay, and treatment was conducted for up to 20 years or older. Satisfaction with pediatric and adolescent physical therapy was high (70.0%), as was the intensity of work (71.7%). Neurodevelopmental therapy, gait training, and goal-directed rehabilitation were the main treatments, and Gross Motor Function Measures of 88 and 66, respectively, were used. Respondents said that current fee system is inadequate (66.1%) and appropriate fee system is needed. Conclusion : This study extensively investigated the content of and factors related to pediatric and adolescent physical therapy. Based on the current situation, efforts to improve the expertise and continuity of pediatric and adolescent physical therapists and apply the latest treatment techniques are required.

The effect of attention on spinal health of adolescents: The mediating effect of smartphone overindulgence moderated by cognitive strength (청소년의 집중력이 척추건강에 미치는 영향: 인지강도에 의해 조절된 스마트폰 과몰입의 매개효과)

  • Lee, Jin;Kim, Sang-Woo;Lee, Byounghee
    • Journal of Korean Physical Therapy Science
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    • v.29 no.3
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    • pp.29-47
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    • 2022
  • Purpose: This study was conducted to find out the mediated effects of smartphone overindulgence in the relationship between attention and spinal health of adolescents and to find out how cognitive strength moderates these relationships. Design: Cross-sectional study. Methods: All subjects measured attention, cognition strength, spinal angle, and smartphone overindulgence by measuring the ratio of SMR and mid-beta power to the power of the brain wave, amplitude variation of Cognitive Gamma-Peak, forward slope angle of the cervical spine, and the scale of diagnosis of smartphone addiction. Results: As a result, it shows a significant correlation between Attention, spinal angle, cognitive strength, and smartphone overindulgence(p<.05). In addition, attention was significantly mediated on the spinal angle through smartphone overindulgence(p<.001), and cognitive strength was significantly mediated in relation to smartphone overindulgence and spinal angle(p<.05). Conclusion: This result indicates that the mediation effect of overindulgence of a Smartphone is mediated according to its cognitive strength in relation to its effect of attention on the spine angle.

Effect of low-dye taping technique applied to flexible flatfoot adolescents on dynamic balance and long jump in place (유연성 편평발 청소년에게 적용한 로우다이 테이핑 기법이 동적 균형과 제자리 멀리뛰기에 미치는 영향)

  • Kim, Eun-Ja;Kim, Jin-Ju
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.1
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    • pp.321-329
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    • 2022
  • The effect of low-dye taping technique applied to flexible flat-footed adolescents on mSEBT and Standing long jump in place was investigated. The subjects of this study were 35 youths with flexible flat feet, 17 people with elastic tape and 17 people with non-elastic tape, and the low-dye taping technique was applied. The data analysis of this study used t-test to compare before and after the application of group intervention, and between each group. As a result of the study, significant results were found before and after the application of the intervention in mSEBT and Standing long jump in place (p<.05), and there was no significant difference in comparison between groups (p>.05). In conclusion, the low-dye taping technique applied to adolescents with flexible flat feet is effective for mSEBT and Standing long jump in place, and low-dye taping is appropriate as an intervention method to see the immediate effect of raising the inner longitudinal bow.

Effects of degree of Use of Smartphone on the Spinal Health of Later Teens: Moderating Effect of Cognition Strength (스마트폰 사용정도에 따라 후기 청소년들의 척추건강에 미치는 영향: 인지강도의 조절효과 중심으로)

  • Kim, Sang-Woo;Lee, Jin;Lee, Byoung-Hee
    • 재활복지
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    • v.22 no.2
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    • pp.213-230
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    • 2018
  • The study looked at the impact on the health of the spine caused by the increasing addiction to smart phones, and examine the moderating effect of adjusting spinal health according to cognitive strength. All subjects used the smartphone by measuring the diagnostic scale of the smartphone addiction, the angle of forward inclination of the cervical spine, and the amplitude variation of the cognitive Gamma-Peak of the brain waves. As a result, as the use of smart phones increases, the spine angle significantly increased (p<0.001), as cognitive strength increased, the spine angle decreased significantly (p<0.01). The cognitive strength also showed the effect of adjusting the spine angle through interaction with the degree of use of a smartphone (p<0.05). This results in a higher degree of smartphone use in lower and middle cognition strength groups, which results in a higher angle of forward tilt in the cervical spine.

A Longitudinal Study of Self-Concept and Functional Independence in Adolescents with Progressive Muscular Dystrophy (진행성 근이영양증 청소년이 자아개념과 기능적 독립성에 대한 종단적 연구)

  • Kang, Soon-Hee
    • Journal of Korean Physical Therapy Science
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    • v.2 no.3
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    • pp.633-643
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    • 1995
  • A longitudinal study of self-concept and functional independence in 22 adolescents with progressive muscular dystrophy is reported. 30 adolescents with progressive muscular dystrophy completed Korean Self-Concept Scale, Modified Barthel Index, and a questionnaire examining demographic and medical factors. Functional independence was measured by Modified Barthel Index. Two years later, 22 of the 30 adolescents with progressive muscular dystrophy completed same Korean Self-Concept Scale and Modified Barthel Index. Adolescents with progressive muscular dystrophy were not changed on self -concept scores between test and retest. At retest adolescents with progressive muscular dystrophy scored significantly lower than at test on Modified Barthel Index. Compared to scale norms, subjects had significantly lower Total Self, Physical Self, Social Self, Self Satisfaction, Self Behavior scores. Age, years of education, and functional independence were significantly related self-concept. Functional independence was significantly related years of education.

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Comparison of Efficacy of Steroid Oint with Different Potency in Phimosis (생리적 포경 치료를 위한 역가가 다른 스테로이드 연고의 효과 비교)

  • Hwang, In Ok;Lee, Eun Sil;Park, Yong Hoon
    • Clinical and Experimental Pediatrics
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    • v.48 no.6
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    • pp.594-598
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    • 2005
  • Purpose : Phimosis is the inability to retract the foreskin of the penis over the glans of the penis. Even though phimosis is not pathogenic, the presence of phimosis is known to increase the risk of urinary tract infection in infancy. The use of topical steroids has been advocated as a safe and economical alternative to surgical intervention. The purpose of the study was to assess the effectiveness of topical steroids for the treatment of phimosis in young boys. Methods : A total of 53 boys with phimosis were divided into two groups to distinguish between the efficacy of low-potency topical steroid(group 1, 27 cases) and of high-potency topical steroid (group 2, 26 cases). Results : The success rate increased in the process of time. After 6 weeks, the success rate was 21 cases in group 1 and 22 cases in group 2. There was no significant differences in treatment outcomes between the two groups. The age of the boys, the appearance of prepuce prior to treatment, and the presence of previous symptoms, including symptoms of UTI, and ballooning of the prepuce at micturation had no significant difference on treatment outcomes. Conclusion : Topical steroid was effective in treatment of phimosis in boys younger than 4 years old. Although treatment outcomes between low- and high-potency topical steroids were not significantly different, those treated with a high-potency steroid cream showed more fast improvement. Further studies are necessary to assess systemic side effects of steroid treatment, duration of treatment and prevention of genitourinary tract infection in male infants.

Effect of Simultaneous Implementation of Thermal and Massage Therapy on Patients (척추 측만증에 대한 온열-마사지의 동시 적용 효과 : 증례보고)

  • Kim, Yu-Mi;Lee, Kwang-Jae;Yoon, Yong-Soon
    • Journal of Industrial Convergence
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    • v.20 no.1
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    • pp.107-114
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    • 2022
  • Scoliosis is defined as a condition in which the spine curves more than 10 degrees in frontal plane. However, it is complicated because it involves transverse and sagittal components as well as the frontal plane. Curvature can progress to growing children and cause serious problems. Treatments of Scoliosis, including observation, are casting, braces, physical therapy, exercise, and surgery. The goal of scoliosis management is to achieve minimal asymmetry by maintaining low angle values. However, it is difficult for adolescents to receive continuous treatment due to study and lack of time. We report cases of scoliosis that have experienced improvement of Cobb's angle through spinal thermal massage management at home.

Malignancies in children who present with bone pain (뼈의 통증이 있을 때 감별해야 할 악성종양)

  • Lee, Jun Ah
    • Clinical and Experimental Pediatrics
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    • v.51 no.8
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    • pp.792-796
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    • 2008
  • Bone pain in a child could be associated with cancer as an initial manifestation of the disease. The childhood malignancies that frequently present bone pain are leukemia, neuroblastoma, and primary bone tumors such as osteosarcoma and Ewing sarcoma. Persistent bone or joint pain associated with swelling, mass, or limitation of motion implies underlying serious causes. Systemic manifestations such as lymphadenopathy, hepatosplenomegaly, fever, fatigue, night sweat, and laboratory abnormalities are also suggestive of malignancy. The index of suspicion tends to be low since less than 1% of children who complain of bone pain are diagnosed as cancer. Nonetheless, pediatricians should be alert to the possibilities of cancer since early detection and prompt treatment might reduce mortality.

Verification of mediating effects of self-esteem in the relationship between level of participation in volunteering activity and mental health of adolescents (청소년의 봉사활동 참여정도와 정신건강과의 관계에서 자아존중감의 매개효과 검증)

  • Kim, Sang woo;Jang, Hye young
    • Journal of Korean Physical Therapy Science
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    • v.28 no.2
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    • pp.46-56
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    • 2021
  • Purpose: The purpose of this study is to examine whether the level of participation in physical activity affects the mental health of adolescents, that is, their subjective well-being. In addition, we would like to see if adolescents can improve their satisfaction with life away from the negative emotions they are currently feeling through physical activities such as hand-help and consolation activities and check if self-esteem has mediating effects in this process. Design: Survey. Methods: The survey was conducted by the surveyor, with a total of 9,041. Results: First, it shows that the higher frequency of adolescents' physical activity leads to higher self-esteem and subjective well-being. Second, it shows that the higher the self-esteem leads to higher subjective well-being felt by adolescents. Third, the level of youth physical activity itself contributes to subjective well-being while also affecting self-esteem, and the self-esteem also affects the subjective well-being that adolescents perceive. Conclusion: It will be necessary to provide programs to enhance subjective well-being for students with poor school life adaptation and satisfaction with life, as well as continuous attention such as organization and counseling of programs in schools to enhance self-esteem. In addition, it is considered that by encouraging and guiding teenagers with low satisfaction with life and low self-esteem to physical activities such as volunteer activities and leisure activities that suit their aptitude, and the adolescents will get away from the negative emotions they are currently feeling and increase their satisfaction with adaptation to school life and life.

Effect of conservative therapy and Mandibular condylar bone change on Adolescents with osteoarthritis of TMJ (청소년 측두하악관절 골관절염의 보존적 치료효과 및 관절면의 변화 비교)

  • Jeon, Hye-Mi;Kim, Kyung-Hee;Ok, Soo-Min;Heo, Jun-Young;Jeong, Sung-Hee;Ko, Myung-Yun;Ahn, Young-Woo
    • Journal of Oral Medicine and Pain
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    • v.38 no.4
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    • pp.357-366
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    • 2013
  • This study is designed to evaluate the treatment outcome of occlusal stabilizing splint and to assess follow-up study of condylar bony changes using cone beam computed tomography(CBCT) in adolescents patients (12-19 years) with TMJ osteoarthritis(OA). 167 eroded condyles in 149 subjects were chosen among the patients who presented to the Department of Oral Medicine of Pasan National University Hospital, diagnosed as TMJ osteoarthritis by clinical exam, x-ray and CBCT from 2009 to 2012. They were treated conservatively with physical therapy, medication, behavioral therapy and occlusal stabilizing splint therapy. After average 9 months, CBCT was retaken and subjective symptoms and clinical findings were investigated. Condyle bony changes were classified by unchanged, less severe and more severe. The obtained results were as follow: 1. Pain, Noise, LOM(Limitation of motion) and MCO(Maximum comfortable opening) measurement of TMJ OA patients were markedly improved after conservative treatment. 2. In the occlusal stabilizing splint therapy group, Pain and LOM were statistically significant improved than non-occlusal stabilizing splint therapy group. 3. In the acute occlusal stabilizing splint therapy group, Pain and LOM were remarkably improved. 4. In comparison of CBCT1 and CBCT2 images, the transition of bone changes to lesser severe was most commonly in joint with erosive change. 5. In the non-occlusal stabilizing splint therapy group, the transition of condylar bone changes from erosion to more severe was many than occlusal stabilizing splint therapy group.