• 제목/요약/키워드: Digital therapy

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Clinical Application of Digital Therapeutics for Insomnia (불면증 디지털 치료제의 임상 적용)

  • Cho, Chul-Hyun
    • Sleep Medicine and Psychophysiology
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    • v.28 no.1
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    • pp.6-12
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    • 2021
  • Insomnia is one of the most common sleep disorders experienced by modern people, and treatment is often not adequate due to various limitations. Digital therapeutics for insomnia are expected to play a revolutionary role in supplementing and satisfying unmet needs in real-world clinical treatment. Digital therapeutics for insomnia were developed based on cognitive-behavioral therapy for insomnia, which is the first standard treatment for insomnia. The effectiveness of digital therapeutics for insomnia developed by several companies has been proven through well-designed clinical research. Various approaches have been used for practical application of digital therapeutics for insomnia. Thus far, meaningful results have been drawn, but there are areas that need to be improved upon based on real-world evidence. Sleep researchers need to validate the safe and effective application of digital therapeutics for the treatment of insomnia.

An Electrophysiologic Study on the Median Digital Nerves in Healthy Adults (정상 성인의 정중지단신경에 대한 전기생리학적 연구)

  • Kim, Jong-Soon;Lee, Hyun-Ok;Ahn, So-Youn;Koo, Bong-Oh;Nam, Kun-Woo;Ryu, Jae-Kwan;Ryu, Jae-Moon
    • The Journal of Korean Physical Therapy
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    • v.17 no.3
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    • pp.329-338
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    • 2005
  • The determination of peripheral nerve conduction velocity is an important part to electrodiagnosis. Its value as neurophysiologic investigative procedure has been known for many years but normal value of digital nerve was not reported in Korea. To evaluate of digital nerve conduction velocity of median nerve for obtain clinically useful reference value and compare difference in each fingers. 71 normal volunteers(age, 19-65 years; 142 hands) examined who has no history of peripheral neuropathy, diabetic mellitus, chronic renal failure, endocrine disorders, anti-cancer medicine, anti-tubercle medicine, alcoholism, trauma, radiculopathy. Nicolet Viking II was use for detected conduction velocity and amplitude of digital nerves in median nerve. Data analysis was performed using SPSS. Descriptive analysis was used for obtain mean and standard deviation, ANOVA was used to compare each fingers and independent t-test was used to compare between Rt and Lt side also compare between different in genders. Conduction velocity of the right thumb was 49.77m/sec, index finger was 56.80m/sec, middle finger was 56.15m/sec and ring finger was 53.38m/sec. The left thumb was 50.48m/sec, index finger was 56.76m/sec, middle finger was 55.99m/sec and ring finger was 53.23m/sec. Amplitude of the right thumb was $64.30{\mu}V$, index finger was $73.95{\mu}V$, middle finger was $77.97{\mu}V$ and ring finger was $43.92{\mu}V$. The left thumb was $74.21{\mu}V$, index finger was $85.72{\mu}V$, middle finger was $88.06{\mu}V$ and ring finger was $47.28{\mu}V$. There were significantly difference between thumb, index, middle and ring fingers(p<.01) but there were no statistically difference between conduction velocity and amplitude of index and middle fingers(p>.01). The conduction velocity of index finger are faster than other fingers and amplitude of middle finger are greater than other fingers. The present results revealed that electodiagnosis can easily perform in index and middle finger for digital nerve of median nerve study.

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Measurement of Intrarater Reliability and Interrater Reliability of a Portable Digital Pressure Algometer (휴대용 디지털 압통기의 측정자내 신뢰도 및 측정자간 신뢰도 측정)

  • Lee, Won-Hwee;Oh, Jae-Seop;Park, Kyue-Nam;Kwon, Oh-Yun;Song, Mi-Hye;Park, Ho-Dong;Lee, Kyoung-Joung
    • Physical Therapy Korea
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    • v.15 no.3
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    • pp.62-69
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    • 2008
  • The purpose of this study was to measure intrarater and interrater reliability of a portable digital pressure algometer. Fifty healthy subjects were recruited for this study. Pressure pain thresholds of splenius capitis, levator scapular, and upper trapezius muscles were measured using by FPK algometer and portable digital pressure algometer. Three trials were done on each subject by two examiners. Intraclass correlation coefficients (ICCs) were used to determine the reliability of each measure. The intrarater reliability of the FPK algometer was good and excellent (ICC .63~.79) and the interrater reliability was poor and good (ICC .15~.57). The intrarater reliability of a portable digital pressure algometer was excellent (ICC .75~.86) and the interrater reliability was poor and good (ICC .35~.61). This result suggests that the intrarater reliability and interrater reliability of a portable digital pressure algometer were better than an FPK algometer.

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Sports Injury and Physiotherapy Services in the 2018 PyeongChang Winter Paralympic Games: Considerations and Potential Recommendations for Future Paralympics

  • Park, Haeun;Chang, Joon Young;Hwang, Jongseok;Lee, Young Hee;You, Joshua (Sung) Hyun
    • Physical Therapy Korea
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    • v.29 no.3
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    • pp.241-248
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    • 2022
  • Background: The PyeongChang 2018 Winter Paralympic Games (WPG) being one of the most successful Paralympic Games (PG) in modern athletic world history, hosted the largest number of elite athletes representing 49 National Paralympic Committees (NPCs). Objects: The present investigation highlighted the demographic and clinical characteristics of injured athletes and non-athletes and the physiotherapy services provided during the PyeongChang 2018 WPG. Methods: Prospective descriptive epidemiology study, in which the study group comprised of 201 participants (51 athletes and 150 non-athletes) who were admitted to and utilized the polyclinic physiotherapy service of 2018 PyeongChang WPG in Physiotherapy Department of Paralympic Village from March 1, 2018 to March 20, 2018. Results: Qualitative frequency analysis of injury type demonstrated highest number of chronic injuries (51%, n = 100) in athletes and non-athletes. Anatomical injury site analysis revealed that the spine and shoulder areas were affected with equal frequency for athletes (54.9%, n = 14), whereas for non-athletes, the frequencies of spine and shoulder area injuries were 36.7% (n = 55) and 26% (n = 39), respectively. The Pyeongchang WPG showed a high rate of athletes visiting the physiotherapy service during the pre-competition period (33.3%, n = 50), which may have led to smaller incidence rate of traumatic injury. The physiotherapy treatment service analysis demonstrated that manual therapy (35.4%, n = 230) was most commonly utilized, followed by transcutaneous electrical nerve stimulation/interference current therapy (TENS/ICT), therapeutic massage and therapeutic exercise. Conclusion: We established the importance of prophylactic and preventive physiotherapy services to reduce the risk of sports injuries during WPG.

Digital Interventions for the Psychological Well-being of Patients with Cancer: An Integrated Review (암 환자들의 심리적 안녕을 위한 디지털 중재: 통합적 고찰)

  • Kang, Hyunwook;Ko, Ji-Woon
    • The Korean Journal of Health Service Management
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    • v.13 no.4
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    • pp.67-82
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    • 2019
  • Objectives: This study aimed to evaluate digital interventions on psychological well-being in patients with cancer through an integrated review. Methods: Fifteen studies were selected using PubMed, CINAHL, Scopus, DBpia, and RISS. The Scottish Intercollegiate Guidelines Network was used by two reviewers to evaluate independently the quality of the selected articles. Results: Digital interventions for improving psychological well-being in cancer patients were most often based on cognitive behavioral therapy alone or a combination of interventions with professionals and other patients. In addition, a number of interventions were established on internet-based mindfulness therapy. Conclusions: Providing cognitive behavioral intervention alone did not significantly improve the level of depression or anxiety of patients with cancer. Meanwhile, interventions, including cognitive behavior therapy and interactions with professionals and other patients, were found to reduce significantly the level of depression or anxiety in the experimental group.

The Use of Cinematherapy In Recreation Therapy Practice (씨네마테라피를 활용한 레크리에이션치료 증진에 관한 연구)

  • Park, Eunsik
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.367-373
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    • 2018
  • The main purpose of this article is to explore the use of movies (i.e., cinematherapy) as a recreation therapy intervention tool. This paper begins with literature review regarding the concepts and origin of cinematherapy and introduces cinematherapy as a viable intervention option as in recreation therapy or other clinical settings. The authors provide detailed guidelines for the process of cinematherapy sessions and other practical recommendations and considerations for incorporating cinematherapy into recreation therapy practice. Guided sample questions for the debriefing stages are illustrated and lastly, examples of movies that can be used in cinematherapy suggested by recreation therapists.

A Study of Efficient Floor Planning and Facility Improvement for Physical Therapy Room of Domestic Long-term Hospitals (국내 요양병원의 물리치료실의 효율적 평면계획 및 시설개선에 관한 연구)

  • Chung, Kwang-Ho
    • Journal of The Korean Digital Architecture Interior Association
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    • v.11 no.4
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    • pp.5-11
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    • 2011
  • The present study investigated the actual conditions of physical therapy rooms at long-term hospitals in Korea and conducted a comparative analysis to develop an efficient floor plan and facility improvement measures. 1. At hospitals surveyed, physical therapy services were used at a high frequency but they did not have enough space for rehab treatment and long paths of patient flow were found to make patient management inconvenient. Therefore, physical therapy units should be conveniently located both in terms of distance and direction so as to be accessible from patient rooms or wards. The space should be organized in a concentrated layout for efficiency of physical therapy, and floor planning for therapy units should ensure the best possible viewing angle to therapists. 2. With regard to the disease characteristics of patients, many physical therapy rooms were in difficult circumstances because of poor facilities, so they need to secure skilled personnel, supplement apparatuses and equipment and have rooms for functional recovery, hydrotherapy and operation treatment. In addition, each of the curtained or partitioned areas for treatment should be set up with consideration for the amount of space taken up by medical equipment. The area under each bed should be designed for patient convenience so that it can be used as storage space for patient's belongings and shoes. 3. Patients complained about the lack of physical therapy space, resting places or exercise areas and demanded the expansion of rehab programs and facilities. Physical therapy facilities need to be improved for patient privacy and effective natural ventilation. 4. At most of the long-term hospitals surveyed, physical therapy units were found to have small areas and treatment equipment and devices were insufficient compared to the number of patients. Therefore, it is required to secure more space (at least 138.24 sq. meters per 100 beds) and improve facilities for better physical therapy services.

Analysis of Scapulohumeral Rhythm in Scapular Plane by Digital Fluoroscopy System (Digital Fluoroscopy System을 이용한 견갑면에서 일어나는 견갑상완 리듬 분석)

  • Kim Jae-Hun;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.14 no.3
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    • pp.92-105
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    • 2002
  • This research described dynamic scapulohumeral rhythm though the measurement of inter relationship between humorous and scapular movement during elevation of the arm in the scapular plane. In the previous studies static plane film X-ray has usually been used, but the limitation of such method was that it did not show the real· movement. In this study, we investigated real movement of humorous and scapular bones by Digital fluoroscopy system. 1. In resting position, humorous was taken to lie at the average $5.97^{\circ}$ in abduction, and scapular at the average $3.66^{\circ}$ in internal rotation. 2. At the maximal abduction, humorous was abducted to the average of 181.25", and scapular was rotated externally to $51.43^{\circ}$. 3. This research has shown that there is a variety of scapulohumeral rhythm from resting position to $60^{\circ}$ abduction in elevation of humorous. This case study demonstrated that the ratio n of scapulohumeral rhythm is 3.46 to 1, but there was individual difference.

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A Study of Manual Therapy of Korea and Foreign (한국의 맨손치료와 외국의 맨손치료에 관한 연구)

  • Kim, Chang-Sook;Kim, Yeon-Ju;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.147-153
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    • 2006
  • Purpose : This article has to compare and clarify the Korea traditional manual therapy and foreign. Methods : This is a literature study with books and books for Korea traditional manual therapy. Results : Korea traditional manual therapy is a species Koryo medicine that is prevention and treatment a disease stimulated in body one part by hand. It has included yacson, doin, sooki, massage, digital compression and chuna. And trend of manual therapy cover the whole medical in Europe, but America has two categories which is the neurologic manual therapy and the orthopedic manual therapy. Conclusion : Korea had been accepted manual therapy which was operated in foreign. This foreign manual therapy was very similar to korea. So it is necessity for a systematic and comparative study for korea traditional manual therapy.

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Analysis of Digital Images of Skin Reaction Induced By Ultraviolet Irradiation (자외선 조사에 의한 피부 반응의 디지털 영상분석)

  • Lee, Dong-Yeop;Doo, Yeong-Taek;Lee, Jeong-Woo
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.8 no.2
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    • pp.39-43
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    • 2010
  • Purpose : The purpose of this study was to analyze skin reactions induced by ultraviolet irradiation using digital imagery. Methods : We recruited 15 women and ultraviolet irradiation was applied to their lumbar area. (The degree of inflammatory reaction was set on the basis of the third erythema dose. Image analysis was divided by Photoshop CS (8 bit RGB scale and gray scale). Then, images were processes using Image Pro Plus 4.5 program analyzing R, G, B, chromatic red value, luminance value and gray value. Results : As a result of analyzing changes in RGB scale, there were statistically significant differences in R, G, and chromatic red values. As a result of analyzing changes in gray scale, there were statistically significant differences in gray value. Analysis of changes in B and luminance values showed that there was no statistically significant difference. Conclusion : This study found that ultraviolet irradiation had influence on RGB and gray scale. These results suggest that changes to digital images on skin reaction by ultraviolet irradiation are related to erythema. In particular, these changes are related to R and gray values.