• 한국융합학회논문지
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• 제11권8호
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• pp.297-307
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• 2020

본 연구의 목적은 발달재활서비스 제공 치료사들의 집단미술치료 참여 경험을 알아보고 의미를 살펴보는 데 있다. 연구 대상은 G시 아동발달재활기관에서 근무하는 인지, 언어, 미술 치료사로, 총 5명의 치료사가 참여하였다. 연구 참여자들에게는 2018년 10월부터 12월까지 집단미술치료를 제공하였으며, 2019년 1월부터 2월까지 심층 면접을 통해 자료를 수집하였다. 수집된 자료들은 Colaizzi(1978)의 현상학적 연구방법으로 분석하였으며, 연구 결과는 다음과 같다. 발달재활서비스 제공 치료사의 집단미술치료 참여 경험은 '감정의 정화', '새로운 발견', '격려와 위로', '긴밀한 관계 맺음' 의 총 4개 범주로 도출되었다. 결론적으로 치료사들은 집단미술치료에 참여하면서 감정 정화를 경험하고 나와 동료에 대해 새로운 발견을 하게 되었을 뿐 아니라, 집단 안에서 격려와 위로를 통해 더욱 긴밀한 관계를 맺게 되었다. 본 연구 결과는 발달재활서비스 제공 치료사들의 심리적 지원을 위하여 융합적 관점에서 미술치료를 적용하는 데 기초자료로 활용될 수 있을 것이다.

• 생물정신의학
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• 제7권2호
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• pp.186-190
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• 2000

Objective : The authors experienced that cognitive behavioral therapy(CBT) could replace medication for controlling panic attacks and anticipatory anxiety symptoms. The objective of this study was finding out predicting factors of discontinuation of medication after CBT for patients with panic disorder. Method : A hundred forty-eight patients who met DSM-IV criteria for panic disorder with or without agoraphobia for at least 3 months had completed 12 weekly sessions of Panic Control Therapy(PCT ; Barlow et al). Eighty-one patients who could discontinue medication and sixty-seven patients who could not discontinue medication were measured with several scales as the pre- and post-treatment aassessment. The scales were Beck Depression Inventory(BDI), Clinical Global Impression(CGI), Spielberger State Anxiety Inventory(STAI-state), Anxiety Sensitivity Index(ASI), Body Sensation Questionnaire (BSQ), Panic Belief Questionnaire(PBQ), Agoraphobic Cognition Questionnaire(ACQ), Fear Questionnaire(FQ), Toronto Alexithymia Scale(TAS). Results : At the pre-treatment assessment, the scores of BDI, CGI, STAI-state, ACQ, BSQ were higher in the patients who could discontinue medication than in the patients who could not discontinue medication(t=-2.68, t=-4.88, t=-3.07, t=-3.68, t=-3.35, p<0.01). Conclusion : Patients with panic disorder who were less depressed, less anxious, less agoraphobic and who had less negative cognitions for the bodily sensation and who had higher scores in the therapist's assessment could discontinue their medications.

• 대한물리의학회지
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• 제10권1호
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• pp.15-21
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• 2015

PURPOSE: This study compared the effects of chest expansion resistance exercise (CERE) and breathing retraining (BRT) on stroke patients' chest expansion and maximal inspiratory pressure(MIP), thereby intending to present an effective intervention method for enhancing their respiratory functions. METHODS: The subjects were 30 stroke patients and randomly and equally assigned to a CERE group (10), a BRT group (10), and a control group (10). The intervention was applied to each group five times per week, 30 minutes per each time, for six weeks. A tapeline was used to measure upper and lower chest expansion and MIP prior to and after the intervention and the results were compared. RESULTS: After the intervention, the upper and lower chest expansion was considerable in the CERE group (p<.01), significant in the BRT group (p<.05) but was not significant in the control group (p>.05). According to the post-hoc test result, the upper and lower chest of the CERE group and the BRT group significantly expanded compared to that of the control group (p<.05) and the upper and lower chest of the CERE group statistically significantly expanded relative to that of the BRT group (p<.05). According to the MIP evaluation result, the CERE group saw considerable improvement (p<.01) and the BRT group underwent significant changes (p<.05), but there were no significant changes in the control group (p>.05). The post-hoc test result was that the CERE group and the BRT group saw significant improvement compared to the control group (p<.05) and the CERE group experienced statistically significant enhancement relative to the BRT group (p<.05). CONCLUSION: As an intervention for respiratory function improvement, CERE is considered effective for strengthening respiratory muscles and promoting chest expansion through manual resistance by a therapist.

• The Journal of Korean Physical Therapy
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• 제27권2호
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• pp.96-105
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• 2015

Purpose: This study was conducted in order to explore self-perceived objectives, effects, determinant factors of satisfaction and demands on home-based rehabilitation service (HBRS) based on a community-based rehabilitation (CBR) model in community-dwelling disabilities. Methods: This research was conducted through in-depth interview. HBRS was conducted by four physical therapists for one hour a day, once a week, for eight weeks. After an eight-week intervention period, in-depth interviews were conducted using a semi-structured questionnaire for five recipients of HBRS and six care givers. Results: For the physical effect, some participants experienced positive effects, whereas others did not due to the short-term intervention period. For the social and emotional effects, 'occurrence of motivation for exercise', 'change of surroundings' and 'sorriness for the therapist' emerged as keywords. For the determinant factors of satisfaction, 'movement-inducing therapy', 'therapy from the specialist', 'development of friendship & social network', and 'learning the way of self-rehabilitation' emerged as keywords. For further demands on HBRS, participants stated that 'sufficient time for therapy', 'user opinion-reflected therapy', 'additional instructions for therapeutic exercise & activities of daily living', and 'active promotion for HBRS' were necessary. Conclusion: Participants were satisfied with the physical, social, emotional, and educational aspects of HBRS. In particular, the participants regarded educational aspects as the significant factor throughout self-perceived objectives, determinant factors of satisfaction and the demands. This result suggests that when providing HBRS to community-dwelling persons with disabilities, therapists should recognize the necessity and significance not only of the physical, but also the educational aspect of HBRS.

• 한국전문물리치료학회지
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• 제19권2호
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• pp.12-19
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• 2012

The purpose of this study was to assess the influence of scapular alignment on the electromyographic (EMG) activity of the trapezius in people with a short pectoralis minor muscle. For the study, we recruited 15 volunteers who had positive results for short on a pectoralis minor muscle length test. We measured the EMG activity of the upper, middle and lower trapezius muscles. The participants lifted their dominant arm to ear level with the thumb up toward the ceiling in the prone position on a table with the shoulder at a flexion angle of 180 degrees and a horizontal abduction angle of 120 degrees. Scapula was manually aligned by an experienced physical therapist prior to arm lift for the scapular alignment condition. A paired t-test was used to compare the effects of scapular alignment on the EMG activity of the trapezius muscles. The EMG activity of the lower trapezius muscle was significantly increased during the test with the scapular alignment compared to that without scapular alignment (p<.05), while the upper trapezius and middle trapezius exhibited no significant difference between the two conditions (p>.05). The findings of this study suggest that a scapular alignment may alter the recruitment of the lower trapezius muscle during arm lifting in the prone position in people with a short pectoralis minor muscle.

• 인간행동과 음악연구
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• 제8권2호
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• pp.1-20
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• 2011

본 연구는 음악치료사의 임상불안과 대처방안을 알아보기 위하여 전국음악치료사협회의 음악치료사 86명을 대상으로 설문조사를 실시하였다. 결측 설문을 제외한 총 81부를 최종 분석하였다. 음악치료사의 임상불안은 관계불안, 연주불안, 수행불안 순으로 나타났다. 관계불안에서는 내담자의 비협조적 반응과 태도, 연주불안에서는 즉흥적 음악 제공, 수행불안에서는 기관담당자의 세션 참관이 불안요인으로 나타났다. 임상불안 대처방안에서 수행불안에 대한 대처방안은 치료사 스스로 불안의 요인에 대하여 생각하기, 관계불안에 대한 대처방안은 내담자의 행동수정 요구하기, 연주불안에 대한 대처방안은 세션에 사용할 음악을 연습하는 것으로 나타났다. 이러한 결과들은 음악치료사가 경험하는 임상불안과 대처방안에 대한 정보를 제공하고, 치료사로서 성장하고 임상에서 직면하게 될 여러 과제들에 대하여 적응적이고 융통성 있게 대처하며 치료적 임상을 수행하는데 중요성과 필요성을 제시하는데 그 의의가 있다.

• PNF and Movement
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• 제19권2호
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• pp.225-231
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• 2021

Purpose: This study was conducted to investigate the type of physical therapist response work and its intensity, along with the prolonged prevalence of COVID-19, to determine the impact on physical therapists' occupational stress and occupational burnout. Methods: An online survey was conducted with 118 physiotherapists and collected the participants' gender, final educational background, clinical work experience, workplace type, additional workload, and fatigue associated with COVID-19. After excluding one participant who submitted an incomplete questionnaire, 117 respondents were included in the final data. Results: Additional COVID-19-related workloads and response reliability for fatigue, occupational burnout, and occupational stress were shown to have Cronbach's alpha measures of 0.76, 0.89, and 0.87, respectively. Groups who had experienced a new epidemic in the past showed higher fatigue levels (3.06±0.94) than those groups who had no such experience (2.49±0.84; p < 0.05). Correlation analysis of COVID-19 work fatigue and occupational burnout scales showed a positive correlation (r = 0.19; p < 0.05). The regression of occupational burnout and occupational stress showed a regression model of Y = 20.00+0.43X₁ (X₁: job stress; p< 0.05) and an explanatory power of 24.8% with an adj.R² = 0.25. Conclusion: Based on the results, it is suggested that various institutions, such as medical institutions, educational institutions, and physiotherapists' associations, should seek ways to manage and alleviate physiotherapists' stress.

• 대한감각통합치료학회지
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• 제20권1호
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• pp.39-54
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• 2022

목적 : 본 연구는 아동 발달센터에서 근무하는 신입 작업치료사들이 감각통합치료 임상 적응과정에서 겪는 경험을 이해하고 본질을 파악하여 임상에서의 적응과정을 알아보고자 하였다. 연구방법 : 본 연구는 현상학적 연구 방법을 사용하였다. 참여자는 임상경험이 1년 미만인 4명이다. 자료수집은 심층 면담을 통해 진행하였으며 내용은 녹음 후 전사하여 분석하였다. 결과 : 아동 발달센터에서 근무하는 신입 작업치료사의 적응과정을 분석한 결과, 3가지 범주, 6가지 주제, 16개의 중심의미가 도출되었다. 범주로는 아동 발달센터에서 근무하는 신입 작업치료사는 적응과정을 겪으며 임상 실행에서 오는 어려움, 근무환경에서 오는 장애, 센터 내부에서의 긍정적 요소, 센터 외부에서 오는 지원, 스스로의 노력, 적응을 하며 바뀜을 경험하였다. 결론 : 아동 발달센터에서 감각통합치료를 하는 신입 아동 작업치료사들이 적응하여 충분한 역할을 수행할 수 있도록 기관과 주변의 도움이 필요할 것이다.

• 대한물리치료과학회지
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• 제10권2호
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• pp.86-95
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• 2003

This study randomly chose 10 humanity high schools, which are located in Busan and KyoungNam province. We then examined the recognition rate of physical therapy among 378 teachers who were and still are working in the schools. 1. The recognition grade of physical therapeutics between men and women was significantly different with results of 80.7% of men and 69.7% of women(p<0.05). In the case of experiencing physical therapy, 83.6% of people said they knew the physical therapeutics and in the case of the opposite side, the result was also significantly different with a result of 67.8%(p<0.05). 2. We ranked the people on how much they knew about the physical therapeutics among men and women. With men, the actual experience of physical therapeutic came before what they heard from other people. In the case of women, what they heard from other people came first and the actual experience of physical therapeutic came after. According to the public information from Inje University, the recognition grade is recorded in the 3rd grade department as 21.5% while in the case of experiencing treatment from a physical therapist, the result was 39.1%. In the other department (the 1st grade department), what men and women heard from mass media was recorded at 17.5% and what they heard from other people, it was recorded at 33.8%(p<0.05). 3. The research about the recognition of academic ability of being a physical therapist was that 55.6% of teachers thought that 3-year-college was the best, which made the results different from the recognition grade of the experience of education(p<0.05). 4. In the recognition grade of physical therapeutics, there were significantly differences from 50.2% of men and 45.2% of women were expecting about 1mil ion won to 1.99million won. In case of 25.2% of people who have experience less than 15years at work, they expected about 2million to 2.99million won. The figures were higher than 10.1% of people who have experiences over 15years. About the recognition grade of physical therapists social level in the future is 48.8% of people who had experienced of physical therapy and 63.8% of people who never had experienced of it said it would be better in the future. From these results, the recognition about physical therapeutics and the view of its social status are optimistic and they know well about the level of academic ability of physical therapists. On the other hand, most teachers don't know exactly about physical therapists work. So we have to inform them aggressively for enhancing the recognition of physical therapy because high school students are well affected by their teachers when they face their future or major in university.

• The Journal of Korean Physical Therapy
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• 제5권1호
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• pp.25-37
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• 1993

물리치료과 학생들의 임상실습에 대한 태도를 조사하기 위해 1993년 1월 11일부터 3월 22일까지 10주 동안 대구보건전문대학 물리치료과 3학년 66명과 안동전문대학 3학년 35명의 총 101명을 대상으로 분석하였으며 그 내용은 다음과 같다. A. 각 영역별 빈도수 1. 임상실습에 대한 선입견 및 불안감 중 '지식부족'이 $83.2\%$로 가장 높았다. 2. 임상실습에 대한 기대감 중 '환자를 직접 대할 수 있는 기회'가 $94.1\%$로 가장 높았다. 3. 임상실습 경험 후 불안감 중 '지식부족'이 $82.2\%$로 가장 높았다. 4. 임상실습 경험 후 만족감 중 '졸업후 물리치료사 생활유지'가 $71.3\%$로 가장 높았다. 8. 각 영역별 변수와 일반적 특성과의 관련성이 유의하게 나온 변수 1. 성별과 임상실습 경험 후 실습에 대한 불안감 중 '지식부족'은 여학생의 $86.7\%$가 남학생의 $61.1\%$보다 높았다(P<0.01). 2. 종교유무와 임상실습에 대한 기대감 중 '인류에의 실천기회'는 종교를 가진 학생의 $65.1\%$가 종교를 가지지 않은 학생의 $44.8\%$보다 높았다(P<0.05). 3. 종교유무와 임상실습 경험 후 실습에 대한 불안감중 '환자와 대화미숙'은 종교를 가진 학생의 $65.1\%$가 그렇지 않다고 응답하여 종교를 가지지 않은 학생의 $56.9\%$보다 높게 나와 종교를 가지지 않은 학생의 불안감이 놓았다(P<0.05). 4. 종교유무와 임상실습 경험 후 실습에 대한 만족감 중 '전공선택의 궁지'는 종교인 학생의 $81.4\%$가 비종교인 학생의 $68.3\%$보다 높았다(P<0.01). 5. 가족중 입원치료 경험유무와 임상실습에 대한 기대감 중 '이론지식의 활용기회'는 유경험 학생의 $79.7\%$는 무경험 학생의 $62.2\%$ 보다 높았다(P<0.05). 6. 본인의 입원치료 경험유무와 임상실습 경험 후 실습에 대한 만족감 증 '불안감의 해소'는 유경험 학생의 $68.4\%$가 무경험 학생의 $45.1\%$보다 높았다(P<0.05). 7. 물리치료과 선택등기와 임상실습에 대한 기대감 중 '치료참여의 기쁨'은 자의로 선택한 학생의 성적 $80.5\%$는 타의로 선택한 학생의 $66.7\%$ 보다 높았다(P<0.01). 8. 물리치료과 선택동기별 임상실습 경험 후 실습에 대한 불안감 중 '졸업 후 물리치료사로 직장생활을 하고 싶지 않다'에서 그렇지 않다고 응답한 자의의 학생이 $74.0\%$ 타의의 학생 $58.3\%$보다 높았다(P<0.05). 9. 물리치료과 선택동기별 임상실습 경험 후 실습에 대한 만족감 중 '물리치료학을 전공하는데에 대한 후회가 된다'에서 그렇지 않다고 응답한 경우 자의로 선택한 학생의 $75.3\%$가 타의로 선택한 학생의 $58.3\%$보다 높았다(P<0.05). 이상의 본 조사성적 결과에 의하면 실습 후 불안감은 여학생이 남학생보다 높고, 물리치료과를 타의로 선택한 학생이 자의로 선택한 학생보다 만족감이 낮고 불안감이 높아 이를 고려한 실습교육계획과 실시가 뒤따라야 할 것으로 생각된다.