• 대한물리의학회지
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• 제4권3호
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• pp.133-140
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• 2009

Purpose：To investigate the effect of the home exercise program on pain, scoliosis, pelvic alignment of low back in chronic back pain patients, and suggest optimal method for home exercise program. Methods：I divided into two groups who has chronic back pain; one is control group who was given a treatment at the hospital only and the other is experimental group who did another exercise after treatment at the hospital, and there were 10 people in each group. The manual therapy were given to all the patients in each group after applying a stupe and an electric treatment, but the experimental group conducted another exercise program at homes. All the exercise programs were applied to patients 12 times for 4 weeks totally. Results：SPSS for win version 12 was used for statistic analysis and independent t-test was used to find changes between two groups. VAS scale was used to show changes in pain between each group. The grade of pain was decreased between pre&post test to -5.60 in control group and -4.80 in experimental group but there wasn't significant difference between each group. Cobb's degree was used to compare the changes of scoliosis in lumbar and it was improved in each group but there wasn't significant difference between each group. The measurement of pelvic misalignment was decreased between pre&post test to -1.00 in control group and -2.00 in experimental group but it wasn't enough to show significant difference between each group. Conclusion：As you read the results above, for a chronic low back pain patient, application of the manual therapy showed that it has effect on decrease of low back pain, improvement of scoliosis in lumbar and pelvic misalignment. However, the effect of home exercise treatment was not sure about improvements for chronic low back pain patient. So I think there should need further study about the effect of home exercise treatment except the treatments at hospital and the thorough education for the exercise of lumbar should be done before the study for the accurate experiment.

• 인지과학
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• 제23권4호
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• pp.425-455
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• 2012

다차원 구어 단기기억 기제는 크게 음운적 통로와 어휘-의미적 통로로 구분된다. 전자를 음운단기기억, 후자를 의미단기기억이라고 할 수 있는데, 단기기억 과제를 정상적으로 수행하기 위해서는 두 통로 모두의 정보를 활발히 활용하여야 한다. 그리고 음운단기기억은 다시 음운입력완충기와 음운출력완충기로 나누어지며, 음운입력완충기는 음운자극의 입력 시, 음운출력완충기는 음운 산출 시에 작동한다. 본 연구에서는 유사한 수준의 전도 실어증 증상을 보이는 세 명의 환자에 대해, 각각의 언어 수행력을 구어 단기기억의 다차원적 측면에서 분석하였다. 그러기 위하여 세 명의 전도 실어증 환자들에게 단어 수준과 문장 수준에서 스스로 말하기, 따라말하기, 스스로 쓰기, 받아쓰기의 네 가지 양태의 언어과제를 실시하여 수행력을 비교 분석하였고, 숫자폭검사와 언어학습검사를 이용하여 음운단기기억력과 의미단기기억력을 평가하였다. 그 결과 세 대상자들은 네 양태의 언어 검사에서 다양한 수행력과 오반응 유형을 보였고, 단기기억력 검사 결과도 동일하게 나타나지 않았다. 즉 전도 실어증 환자들의 언어 수행력은 의미단기기억 또는 음운단기기억의 결함으로 설명될 수 있으며, 음운단기기억 가운데에서도 음운입력완충기, 음운출력완충기 혹은 둘 다의 결함 여부에 따라 언어특성이 상이하게 나타날 가능성을 제시하고 있다. 본 연구에서는 전도 실어증 환자들의 언어 검사와 단기기억력 검사 결과를 바탕으로, 언어와 다차원 구어 단기기억력과의 관계에 대하여 논의하고 있다.

• 대한통합의학회지
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• 제8권1호
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• pp.47-56
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• 2020

Purpose : The purpose of this study was to determine the effects of upper extremity volume, pain, and range of motion after participation in thera-band exercises according to the hand grip type in patients with breast cancer with upper extremity edema. We also aimed to determine the most efficient type of grip. Methods : The subjects were 10 female patients diagnosed with stage 2 breast cancer who had stage 2 lymphedema. Randomly, 5 patients each were allocated to the experimental and control groups. For six weeks, the patients in both the experimental and control groups exercised daily. In both groups, manual lymph drainage was applied for 1 hour. Afterward, patients in the experimental group placed their hands in the thera-band ring and exercised with their fingers outstretched. Patients in the control group exercised while holding the thera-band ring with a finger. Both the experimental group and the control group underwent measurements of the circumference of the upper extremity, pain, and range of motion of the shoulder joint at weeks 1, 2, 4, and 6 before and after exercise. Results : The upper arm circumference decreased by more in the experimental group in all weeks than before than that in the control group, and there was a statistically significant difference at 6 weeks. Compared with the difference between pre-exercise and 6 weeks post-exercise, the change in pain significantly decreased in the experimental group and showed a statistically significant difference. The shoulder range of motion increased in extension, external rotation, and internal rotation compared with that in the control group, and there was a statistically significant difference. Although the operating range increased in flexion and abduction, there were no statistically significant differences. Conclusion : In this study, we found that thera-band exercises with an open-hand grip are more efficient than thera-band exercises with a closed-hand grip in edema reduction, pain, and range of motion. In addition, it was found that it was more effective to continue the thera-band exercises with open-hand grip extended for at least 6 weeks rather than for a short time.

• 대한정형외과스포츠의학회지
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• 제4권2호
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• pp.116-121
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• 2005

목적: 상완골 소두 골절은 매우 희귀한 골절의 형태인데 관절면의 침범으로 인해 적극적인 수술적 치료가 요한다. 이러한 상완골 소두 골절의 관혈적 정복 후 내고정 후의 결과를 보고하는 바이다. 대상 및 방법: 1998년부터 2004년 까지 상완골 소두 골절로 수술 시행받은 4명의 환자를 대상으로 하였다. Morrey의 분류법 상 제 1형이 3례, 제 3형이 1례였다. 전 례에서 주관절의 외측 도달법을 사용하였으며, 관혈적 정복후 유관 나사못 고정을 실시하였다. 수술후 주관절의 부목등의 고정은 4일에서 28일 까지 소요되었다. 최종 추시 판정 시 Mayor의 주관절 기능 평가 방법을 이용하여 주관절 운동 범위, 주관절의 안정성, 동통 유무 등을 평가하였다. 결과: 평균 추시기간은 12개월에서 36개월이었으며 평균 15개월(12개월-36개월) 이었다. 3례의 경우 견고한 골고정을 얻었으며 우수한 관절 운동범위를 얻을 수 있었다. 그러나 만성 소두골 골절 및 부정유합으로 내원하였던 1 례의 경우 추시 관찰동안 재활에 순응하지 않아서 40도-100도의 운동범위만을 보여주었다. 전 례에서 무혈성 괴사나 주관절 관절염의 소견은 보이지 않았다. 결론: 상완골 소두 골절은 희귀하지만 적극적으로 관혈적 정복 및 내고정시 우수한 결과를 보여 줄 수 있었다.

• 대한정형외과스포츠의학회지
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• 제5권2호
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• pp.141-146
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• 2006

목적: 축구 경기 시의 무릎 손상의 형태와 기전을 분석하고 치료 후 기능 회복 정도를 평가하고자 하였다. 대상 및 방법: 2002년 10월부터 2005년 1월까지 축구로 인해 무릎 손상을 받은 49명의 환자를 대상으로 하였으며, 환자의 평균 연령은 28.8$(14\sim45)$세였고, 평균 추시 기간은 14.9$(8\sim36)$개월이었으며, 손상 평가는 이학적 소견, 방사선적 검사, 진단적 관절경술을 통해서 이루어졌으며, 술 후 기능 평가는 기능도와 활동도를 이용하였다. 결과: 인대손상에 따른 분류는 전방 십자인대 단독 손상 27례로 가장 많았고 손상에 영향을 미치는 인자는 경기 중 후반부 계절 중 겨울, 경기 빈도가 1달에 5례 이하인 경우 등이었다. 손상의 기전은 turn & twisting이 20례로 가장 많았고, being tackle 순 이었다. 손상시 기능도와 활동도는 각각 45, 2이었으며, 최종 추시 시 86.7, 6이었으며, 다발성 인대 손상 군에서 가장 나쁜 결과를 보였다. 결론: 치료 후 기능도와 활동도의 회복은 양호했지만 스포츠 활동도에서 수상전과 뚜렷한 차이를 보여 적절한 정신적, 육체적 재활과 스포츠 복귀 프로그램이 필요할 것으로 사료된다.

• 대한물리의학회지
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• 제1권1호
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• pp.23-36
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• 2006

Purpose : The purpose of this study was to evaluate the effects of back muscle stretching on the flexibility of spinal column. Methods : The subjects were consisted of healthy adults (18 of females, 22 males ; mean aged 21.83) from 18 to 29. All subjects randomly assigned to the control group, back muscle stretching group. back muscle stretching group received back muscles stretching for 20 minutes per day and 3 times a week during 3 week period. Spine motion analyzer (Spinal Mouse) was used to measure the flexibility of spinal column. All measurement of each subjects were measured at pre-experiment, after 10 days, and after 21 days. Results : The results of this study were summarized below 1. The sacral tilt angle of the hip joint of control group, back muscle stretching group was no significantly differences at pre-experiment and after 10 days(p>0.5), but differency of each group occurred at after 21 days(p<0.5). the sacral tilt angle significantly increased at the back muscle stretching group rather than the control group. 2. The thoracic vertebral tilt angle of the control group, back muscle stretching group was no significantly differences at pre-experiment, after 10 days, after 21 days(p>0.5). 3. The lumbar vertebral tilt angle of the control group, back muscle stretching group was no significantly differences at pre-experiment, after 10 days, after 21 days(p>0.5). 4. The spinal tilt angle of control group, back muscle stretching group was no significantly differences at pre-experiment and after 10 days(p>0.5), but differency of each group occurred at after 21 days(p<0.5). the spinal tilt angle significantly increased at the back muscle stretching group rather than the control group(p>0.5). 5. The length of the spinal column of control group, back muscle stretching group was no significantly differences at pre-experiment and after 10 days (p>0.5), but differency of each group occurred at after 21 days(p<0.5). the length of the spinal column significantly increased at the back muscle stretching group rather than the control group(p<0.5). Conclusion : These data suggests that 3-week back muscle stretching improved the flexibility of sacrum, spinal column, and also improved spinal column lengthening. Additional randomized controlled trials to more fully investigate treatment effects and factors that may mediate these effects are needed.

• 대한통합의학회지
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• 제8권3호
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• pp.181-188
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• 2020

Purpose : The purpose of this study is to compare the effects on abdominal muscle thickness and breathing by applying trunk strength exercise and deep stabilization exercise along with breathing exercise, which is the main respiratory muscle during breathing, to present an efficient exercise method with diaphragm breathing. Methods : This study was performed on normal 6 females and 14 males subjects. They were divided into 2 groups which trunk strength exercise and deep stabilization exercise group. The trunk strength exercise group (TSE) attended prone press-up, crunch and pelvic tiling. The deep stabilization exercise group (DSE) attended abdominal drawing, horizontal side-support and bridging exercise. Breathing exercise was performed for each set break time for 1 minute. Results : First, in the comparison of the change in the thickness of the abdominal muscle between the trunk strength training group and the deep stabilization group before and after exercise, there was a statistically significant difference in the comparison of transverse abdominis (TrA), rectus femoris (RF), external oblique (EO), internal oblique (IO) (p<.05). However, there was no significant difference in any comparison between groups (p>.05). Second, in the comparison of changes in respiratory function between the trunk strength exercise group and the deep stabilization exercise group before and after exercise, there were statistically significant differences in the exerted forced vital capacity (FVC), forced expiratory volume at one second (FEV₁), peak expiratory flow (PEF) in the comparison before and after the experiment (p<.05). However, there was no significant difference in any comparison between groups (p>.05). Conclusion : As a result of this study, it can be said that both trunk strength exercises and deep stabilization exercises along with diaphragm breathing are exercises that strengthen deep and superficial muscles, and have a positive effect on breathing function as well as muscle strength. However, it is not known which exercise was more effective, and because it was combined with breathing exercise, the interference effect appeared.

• 한국산림과학회지
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• 제98권1호
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• pp.26-32
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• 2009

현대 사회에는 도시 생활과 환경으로 인한 건강 문제가 증가하고 있는데 자연환경은 이러한 문제에 좋은 대안으로 대두되고 있다. 특히 숲과 나무는 예전부터 치유를 위한 공간으로 알려져 왔다. 주요우울장애는 매우 일반적이고 만성적인 질병으로 치료방법에는 약물치료와 다양한 심리치료가 포함되어 있다. 그러나 이러한 치료들은 환자들의 기능과 활동을 복귀시키는 것 보다는 기분 증상을 치료하는 것에 집중되어 있다. 본 연구에서는 우울증 환자들의 재활을 위한 산림활동 심리프로그램을 개발하였다. 본 연구에는 약물치료로 우울 증상은 개선되었으나 활동과 기능이 회복되지 못한 9명의 우울증 환자들이 참여하였다. 산림치유 프로그램은 4회기가 진행되었으며 매 회기마다 환자들의 우울증상과 심박변이도를 측정하였다. 4주간의 산림활동 심리프로그램 후 HRSD(Hamilton Rating Scale for Depression)로 측정된 우울감이 유의하게 감소하였으며, 건강관련 삶의 질을 측정하는 SF-36의 하위 척도의 점수가 상승하였고 심박통일성이 증가하였다. 본 예비적 연구 결과, 산림환경을 이용한 활동과 심리치료적 프로그램은 약물치료 중인 우울증 환자들의 기능회복과 재발방지에 긍정적인 역할을 할 가능성을 확인하였다.

• 대한물리의학회지
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• 제3권3호
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• pp.203-213
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• 2008

Purpose : The purpose of the study was to investigate the effects of sustained natural appophyseal glides (SNAGS) on pain and lumbar stability in patients with chronic low back pain. Methods : The subjects were assigned randomly devided SNAGS group(n=18) and control group(n=18). The SNAGS group received Infrared(IR) used thermal therapy for 20minutes, Interference current therapy(ICT) used electrical therapy for 10minutes and SNAGS for 10minutes to 15minutes. The control group received IR used thermal therapy for 20minutes, ICT used electrical therapy for 10minutes and active stretching exercise for 10minutes to 15minutes. The visual analogue scale(VAS) and lumbar stability were measured at pre-treatment and post-treatment. Results : The results of this study were summarized as follows : 1. The VAS score of SNAGS group and control group was significantly within-subjects pre-test and post-test (p<.05), there was significantly difference between-subjects on each groups(p<.05). 2. The SNAGS group was significantly increased in variation of lumbar stability on $0^{\circ}$, $180^{\circ}$, $90^{\circ}$, $-90^{\circ}$, $45^{\circ}$, $-45^{\circ}$, $135^{\circ}$ and $-135^{\circ}$ within-subjects pre-test and post-test(p<.05), but The control group wasn't significantly increased in variation of lumbar stability on $0^{\circ}$, $180^{\circ}$, $90^{\circ}$, $-90^{\circ}$, $45^{\circ}$, $-45^{\circ}$, $135^{\circ}$ and $-135^{\circ}$ within-subjects pre-test and post-test(p>.05). There was significantly difference between-subjects on each groups(p<.05). Conclusion : In conclusion, SNAGS found that effective to decrease of pain and increase of lumbar stability. Therefore, the results of this study suggests that SNAGS is beneficial treatment for chronic low back pain.

• 대한통합의학회지
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• 제9권2호
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• pp.119-130
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• 2021

Purpose : We aimed to validate a new manual therapy to treat tension type headache(TTH) by applying myofascial release techniques to the scalp and to examine the changes in the quality of life and the headache characteristics after treatment and at the 6-month follow-up. Methods : Thirty patients were recruited in this study and were assigned to two groups through simple random sampling. Fifteen patients were assigned to the manual therapy group (MT) and 15 patients to the scalp myofascial release technique (SMT) group. However, five patients from the MT group and one from the SMT group were excluded. Therefore, 24 patients with TTH (10 males, 14 females) participated in the study. Patients underwent either MT or SMT. The procedures were performed by a physical therapist twice per week for 4 weeks. The quality of life [using the brief pain inventory (BPI) and the headache impact test (HIT)], and the frequency, duration, and intensity of the headache [on a visual analog scale (VAS)] were assessed before and after the treatment, and at the follow-up. Results : After 4 weeks of SMT, the frequency (p<.001), duration (p<.05), and intensity (p<.001) of the headache and the quality of life (HIT; p <.001, BPI; p<.001) significantly improved in the patients with TTH. The improvement in these parameters remained significant even after 6 months of follow-up. Similarly, After 4 weeks of MT, the frequency (p<.05), duration (p<.05), and intensity (p<.01) of the headache, and the quality of life (HIT; p<.05, BPI; p<.001) significantly improved in the patients with TTH. The improvement in these parameters remained significant even after 6 months of follow-up. There was no significant difference in these parameters between the two groups. Conclusion : It has been suggested that MT using the SMT can be used as a non-invasive treatment to treat the frequency, duration, and intensity of the TTH, and to improve the quality of life.