• 제목/요약/키워드: Journal of the Korean Society of Physical Medicine

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한의원의 한방물리요법 이용 현황과 건강보험 급여화에 대한 인식 (The Utilization of Physical Therapies in the Korean Medicine Clinics : A Survey for National Health Insurance Planning)

  • 신미숙;신병철;이명종;김호준;송윤경;송미연;신승우;임병묵
    • 한방재활의학과학회지
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    • 제19권3호
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    • pp.101-109
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    • 2009
  • Objectives : This study aimed to investigate the present status of physical therapies provided in the Korean medicine clinics, and to find out the priorities among and the estimated fees of physical therapies for the National Health Insurance plan. Methods : We administered nationwide survey to Korean medicine doctors using the on-line survey system. 16 physical therapies were listed in the Web-based questionnaires, and responders were asked to mark the therapies they used for their patients, and, for each therapy they marked, to fill in the form including the frequencies of service, service fees, target diseases, and priorities for health insurance coverage, etc. Results : Of 488 respondents, 93.7% provide more than one physical therapy for their patients, and each responder uses 5.9 physical therapies on average. 60-90% of physical therapies are being given to patients for free because they are not covered by the National Health Insurance. There is little evidence that the specialties of Korean medicine doctors are related with the use of physical therapies, but, in some therapies, the doctors with longer career years use the physical therapy more frequently. Most physical therapies are applied to the patients with musculoskeletal diseases, cardiovascular diseases, and nervous diseases, etc. Conclusions : Physical therapies are widely used among Korean medicine doctors without proper compensation. This could be the one of the main factors distorting the profit structure of Korean medicine clinics, and it encourages the National Health Insurance to cover physical therapies provided in the Korean medicine clinics.

Pain Management with Extracorporeal Shockwave Treatment in Multiple Level Clay-shoveler's Fracture in a Novice Golfer: A Case Report

  • Seongho Woo;Kwangohk Jun;Hyoshin Eo;KooWon Mo;Sunyoung Joo;Donghwi Park;Chung Reen Kim
    • The Journal of Korean Physical Therapy
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    • 제35권6호
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    • pp.163-166
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    • 2023
  • A 30-year-old male novice golfer was diagnosed with a clay-shoveler's fracture. During golf practice, he experienced persistent posterior neck and upper back pain for a month. Cervical radiographs and computed tomography revealed a series of sequential spinous process fractures from C7 to T3. The patient was prescribed analgesic medication and fitted with a cervical brace alongside extracorporeal shockwave therapy (ESWT) directed explicitly toward the upper back region, subsequently leading to a notable reduction in pain. Therefore, ESWT could be considered an additional method for pain management in patients with clay-shoveler's fractures.

대한물리의학회지(2006-2012)의 연구동향 (The Trend of Research in Journal of the Korean Society of Physical Medicine)

  • 노정석
    • 대한물리의학회지
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    • 제8권3호
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    • pp.457-466
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the trend of research in Journal of the Korean Society of Physical Medicine (JKSPM). METHODS: A total of 897 articles of JKSPM from Vol.1, No.1, 2006 to Vol.7, No.4, 2012 were reviewed in regard to research type, research level, subjects, research topic, statistic method, and researcher. RESULTS: The most common research type was experimental study(65%). The most common research level was level 2(randomized controlled trials; RCT)(55%). The most common age group of subject was age 11-30 group(55%). The most common diagnosis of subjects was stroke(49%). The main research topic of articles was therapeutic exercise(13.2%). Independent t-test was the most used statistic method. A professor was the most common researcher. The Daegu and Busan were the most common provinces that researcher works. CONCLUSION: This study showed the trend of research in JKSPM and helped readers to understand the trends of research in fields of physical therapy of Korea. In further studies, it is necessary to review systematically and intensively other journals in field of physical therapy.

일개 대학병원 내 한방물리요법을 받은 환자들의 후향적 의무기록 분석 (Trends and Characteristics of Patients Who Have Been Received the Physical Therapy of Korean Medicine at an University Hospital: A Retrospective Medical Chart Review)

  • 황의형;이현엽;허광호;조현우;황만석;신미숙;김정화;박성하;신병철
    • 한방재활의학과학회지
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    • 제24권1호
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    • pp.55-63
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    • 2014
  • Objectives The aim of this study was to offer the fundamental data for the physical therapies of Korean medicine through analyse the database of one university hospital. Methods As this study was retrospective analysis, following items were selected and analysed in the electronic medical record (EMR) database. (1) sex, (2) inpatient or outpatient, (3) medical department, (4) diagnosis, (5) kind of insurance. Results Although all kind of physical therapies were used, interferential current therapy (ICT) was the most used physical therapy. And department of rehabilitation medicine of Korean medicine prescribed physical therapies most among the 8 specialty departments. As physical therapies were used in various kinds of diseases, they were especially used in musculoskeletal diseases and nervous system diseases. Conclusions The analysis of actual condition of using physical therapies in a real clinical setting of Korean medicine could be a useful fundamental data for the application of modernized physical therapies.

한방물리요법 상대가치 산출과 급여 확대 시 재정부담 추계 (Measuring the resource-based relative value scale scores for physical therapies of traditional Korean medicine and estimating the insurer's expenditure in National Health Insurance)

  • 임병묵;신미숙;신병철;송윤경;송미연;신승우;김호준;이명종
    • 대한예방한의학회지
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    • 제14권2호
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    • pp.57-66
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    • 2010
  • Backgrounds : Since December 1, 2009, National Health Insurance began to reimburse for three physical therapies of Korean medicine. The extension of insurance coverage is demanded by Korean medicine societies. Objectives : This study aimed to measure the resource-based relative value scale (RBRVS) scores for thirty four physical therapies of Korean medicine and to estimate the insurer's expenditure for them in National Health Insurance. Methods : To measure the physician's work and the practice expense, the 'magnitude estimation method (MEM)' and the 'fully distributed cost - attributable cost method (FDC-ACM)' were applied respectively. We collected the frequency data of physical therapies from Korean medicine hospitals and clinics to estimate the total expenditure. Results : The resource-based relative value scale scores of physical therapies were measured from 23.44 to 160.66. Total insurer's expenditure was calculated to be 95.5 billion won as of 2009. Conclusions : Based on the result that showed minor increase of total expenditure, most physical therapies of Korean medicine need to be reimbursed in the National Health Insurance.

『동의보감(東醫寶鑑)』의 '형증(形證)' 개념(槪念)에 대한 고찰 - ≪한(寒)≫ <육경형증용약(六經形證用藥)>을 중심으로 - (A Study on the Concept of 'Physical symptom(形證)' in Dong-uibogam - Focused on Physical symptom & Medication of Six Meridians in the Han(寒) Chapter -)

  • 신상원;정창현;백유상;장우창
    • 대한한의학원전학회지
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    • 제27권4호
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    • pp.101-119
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    • 2014
  • Objectives : In Dong-uibogam, Heo Jun used the concept of 'Physical symptom(形證)' that had not used frequently in practical description of pathological condition. Especially, He used the terminology, 'Physical symptom(形證)' as a title in the Han(寒) Chapter that described Sanghan(傷寒). Methods : It has been done to analyse verses that include the concept of 'Physical symptom(形證)' in Dong-uibogam. And, to find the context including the terminology diachronically. Results : Diachronically, 'physical symptom' and 'pulse sign' had been considered as bilateral factors of disease, and Heo jun cognized the concept of 'Physical symptom' in these means in Dong-uibogam. Conclusions : Introducing the concept of 'Physical symptom' is an important decision of Heo Jun, it can express the purpose of an observation to objective symptoms.

맥상파 물리량 속성 총의형성을 위한 델파이 연구 (Delphi Study for Developing Consensus of Physical Attribute in Pressure Pulse Waveform)

  • 이해범;김현호;박영재;박영배
    • 대한한의진단학회지
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    • 제18권3호
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    • pp.137-148
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    • 2014
  • Objectives This study was conducted to derive consensus about physical attributes in pressure pulse waveform and pulse conditions by Delphi study. Methods Delphi research was conducted for 2 rounds via e-mail. 8 Professors who lecture on a diagnostics of K. M. from the society of Korean medicine diagnostics were participated in this survey. They were asked for answering about series of definition for a physical attribute in pressure pulse waveform and combination for physical attributes of pulse conditions. Results 4 survey items were decided to have high validity and 9 survey items were decided to come to consensus about a physical attribute in pressure pulse waveform. 6 pulse condition were decided to come to consensus. Conclusion Using Delphi method, physical attributes in pressure pulse waveform and combinations of physical attribute in pulse condition come to consensus.