• 한국직업건강간호학회지
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• 제13권2호
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• pp.130-139
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• 2004

Purpose: The purpose of this study is to examine the effect of stretching exercise education on female workers' behavior for preventing musculoskeletal diseases. Method: This study educated occupational health nurses working in Seoul and Kyunggi area for stretching exercise methods and then had them educate female workers in each workplace for the stretching exercise methods. The subjects of this study were 205 female workers and the research period was from June to October 2003. Results: The female workers' self-efficacy on stretching exercise increased significantly. The female workers' perceived susceptibility on stretching exercise increased significantly. As for change in practical intention on preventive behavior for musculoskeletal diseases, those who replied to have a plan to exercise regularly and to want to participate in stretching exercise class increased significantly. According to whether to have subjective musculoskeletal symptoms or not, self-efficacy increased significantly after education in both workers with such symptoms and those without, and perceived susceptibility and cue to action increased significantly after education in workers without such symptoms. Conclusion: It is necessary to develop programs to increase self-efficacy and health belief and to apply them to female workers to prevent musculoskeletal diseases. In addition, it is necessary to provide repeated education for female workers' steady practice of preventive behavior.

• 한국전문물리치료학회지
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• 제15권3호
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• pp.53-61
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• 2008

The purpose of this study was to examine the path analysis of factors related to musculoskeletal diseases of shipbuilding workers by considering related factors synthetically. The survey was completed by 1,536 shipbuilding workers and except for poor responses, 1,532 were analyzed. The survey consisted of questions about lifestyle, duration of service, physical and mental stress, and musculoskeletal diseases. The collected data was analyzed with SPSS/PC+ (a descriptive statistics program) and with AMOS 4.0 (a statistical program for path modeling) to test whether the hypothesized path model fitted the collected data. The results of the correlation analysis showed that musculoskeletal disease was associated with duration of service (r=-.095), physical stress (r=.077), and mental stress (r=.602). The results of the hypothesized path model satisfied the criteria required in relation to fitting the collected data. Musculoskeletal disease was directly affected by mental stress but not by physical stress, duration of service and life style. Thus, it is suggested that reducing mental stress is a strategy for the prevention for musculoskeletal disease.

• 대한치위생과학회지
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• 제1권1호
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• pp.1-10
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• 2018

From October 01, 2017 to October 30, 2017, Busan. The following are the results of 185 studies on the identification of lifestyle habits and subjective symptoms of musculoskeletal disorders in Kyungnam dental hygienists. 1. The dental hygienist's lifestyle showed more regular exercise with age, and there was a significant difference according to age(χ²=34.17, p<.001). 2. The housework habits were more than 1 hour for older dental hygienists, and there were significant differences according to age(χ²=66.09, p<.001). 3. In the case of musculoskeletal diseases with or without age, dental hygienists experienced musculoskeletal disorders in the past and showed a significant difference according to age(χ²=39.51, p<.001). 4. 35~39 years old Dental hygienist There were present musculoskeletal diseases and there was a significant difference according to age(χ²=45.44, p<.001). 5. There was a significant difference between the dental hygienists aged 35~39 years due to musculoskeletal disorders and age(χ²=24.19, p<.001). As described above, the dental hygienist needs to adjust the work in consideration of the year, and in the case of low annual, measures are needed to prevent the disease.

• Journal of Acupuncture Research
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• 제26권4호
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• pp.11-18
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• 2009

Objectives : The objective of this review was to evaluate clinical trials of warming acupuncture for musculoskeletal pain diseases, to assess the methodologic quality of the trials and determine whether low-quality trials are associated with positive outcomes, to document adverse effects and to identify the effectiveness of the warming acupuncture. Methods : Seven databases and the Journal ZHONGGUO ZHENJIU(中國鍼灸) published between 2004－2008 were searched. Korean and Chinese randomized trials were evaluated for methodologic quality using the modified Jadad scale. Outcome measurements were pain, function and global improvement. The best-evidence synthesis was performed to determine the strength of evidence by control group. Results : Six clinical trials representing 564 patients with musculoskeletal pain diseases were identified. For pain and function, there was moderate evidence that warming acupuncture is more effective than manual acupuncture. For patient global assesment, there was limited evidence that warming acupuncture is more effective than manual acupuncture. However, for function, there was inconclusive evidence that warming acupuncture is more effective than acupuncture with TDP or western medicine or acupoint-injection treatment. Conclusions : The evidence suggests that warming acupuncture is more effective for musculoskeletal pain diseases than manual acupuncture, acupuncture with TDP, western medicine and acupoint-injection treatment. But the evidence is moderate to inclusive due to the low methodologic quality of the trials. Further clinical trials with high methodologic quality is required to investigate the effectiveness of warming acupuncture.

• Journal of Acupuncture Research
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• 제26권3호
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• pp.149-163
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• 2009

Objectives : The purpose of this study is to review RCTs on pharmacopuncture treatment for musculoskeletal diseases and to establish standards of pharmacopuncture treatment model. Methods : We searched articles up to date of March 2009 via computerized databases of Pubmed, The Journal of Korean Acupuncture & Moxibustion, Journal of Korean institute of Herbal Acupuncture, Journal of Oriental Rehabilitation and Journal of Korean Oriental Medicine. Only Randomized Controlled Trials (RCT) concerning the effects of pharmacopuncture on musculoskeletal diseases. The pharmacopuncture treatment methods were assessed based on STRICTA and items considering the feature of pharmacopuncture. And the methodological quality of the trials was assessed by FEAS and modified Jadad score. Results : Eighteen trials of pharmacopuncture on musculoskeletal diseases were analyzed. Except for 4 trials comparing the effect of SBV and BV, positive outcome was reported in ten trials. Among eighteen trials; most of the trials were about Bee Venom acupuncture, and most of the trials used about five acupuncture points, mainly local acupuncture points. But, the amount of injection to each point and total injection were various. And most of trials were lack in the information about method of stimulation. The adjusted FEAS score ranged from 0 to 12, and modified Jadad scoreranged from 1 to 5. Conclusions: To standardize pharmacopuncture treatment, we need more well-designed, high quality clinical trials. And methodological assessment tools designed for pharmacopuncture treatment are also needed.

• Journal of Acupuncture Research
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• 제31권3호
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• pp.35-43
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• 2014

Objectives : The purpose of this review is to overview and evaluate the current state of the usage of acupotomy. Methods : Eight electronic databases(Science direct, Pubmed, five Korean databases, CKNI) were searched for relevant articles and data from January 1999 to May 2014. Results : Thirty-nine articles were included. Acupotomy were used in musculoskeletal diseases(n=34) and other diseases(n=5). Among musculoskeletal diseases, lumbar spine(n=12) neck(n=5) and shoulder(n=3) diseases were mostly often used. Most studies(n=21) had small sample size(under 10 people) and combined with other therapies(acupuncture, herbal medicine, physical therapy, etc.). Conclusion : Acupotomy appears to be effective and useful for musculoskeletal diseases and some other diseases. But there were a few clinical studies for acupotomy and had many limitations to judge its effectiveness. Further modified studies are required.

• 한국콘텐츠학회논문지
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• 제11권1호
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• pp.216-224
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• 2011

본 연구는 한국보건사회연구원의 <2005년 국민건강영양조사 제 3기> 원 자료를 이용하여 노인들의 건강관련 삶의 질의 결정요인을 파악하기 위하여 이차분석을 실시하였다. 연구 결과는 다음과 같다. 첫째, 만성질환유무별 이환일수로 살펴본 의학적 건강상태에서 내분비계 질환의 유병이 많은 것으로 나타났다. 활동제한 년수로 측정한 기능적 건강상태에서는 근골격계 질환이 있을수록 활동제한 년수가 많은 것으로 나타났다. 주관적 건강상태에서 소화기계 질환, 내분비계 질환 순으로 건강상태가 나쁜 반면에 근골격계 질환이 없는 경우 건강상태가 가장 좋았다. 삶의 질에서는 내분비계 질환이 있을 경우 삶의 질이 낮았으며, 삶의 질에 대한 변수들의 효과에서는 주관적 건강상태가 가장 큰 효과를 보였다. 따라서 노인들의 주관적 건강상태를 높이는 것이 무엇보다도 중요하다고 할 수 있겠다.

• 한국치위생학회지
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• 제5권2호
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• pp.235-245
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• 2005

The changes in korean economic environment, from quantitative to qualitative growth of economy, go with making desperate efforts, that is, companies have put through many technical improvements, quality control, improvement of service, and so forth. Enterprises cut the number of employees through labor-management adjustment, so that a shortage of labor caused. An increase in intension of labor brought about growing the proportion of occupational diseases which is musculoskeletal diseases. Because of a rapid change in society and a change in our circumstances, we have many difficulties in examine a business disease closely. In support corroboration of relevance on admission of business, a criterion for dudging afford a basis for a causal relationship of medical science, take the state of working conditions into consideration, and at the same time, give a adaptable decision based on the purpose and point of "The Labor Standard Law" as well as "The Law about Industrial Accident Compensation insurance". In conclusion, it is necessary for the dental hygienists 10 reduce the on-duty hours a day, to make good postures in working, and to remove the stressful conditions in order to reduce the incidence of the lumbago. Good working postures, appropriate rest time, and early detection, care and education of the lumbago could be recommended for the dental hygienists.

• 대한통합의학회지
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• 제9권1호
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• pp.203-217
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• 2021

Purpose: The purpose of this meta-analysis was to examine the high-level evidence of the effects of manual therapy on musculoskeletal diseases. Methods: Domestic databases were searched for studies that conducted clinical trials associated with manual therapy on chronic musculoskeletal diseases. A total of 591 studies published between 2005 and 2018 were identified, with 18 studies satisfying the inclusion data. The studies were classified according to patient, intervention, comparison, and outcome (PICO). The search outcomes were items associated with pain and physical function. The 18 studies included in the study were evaluated by using the R meta-analysis (version 4.0). The quality of 18 randomized control trials was evaluated by using the Cochrane risk of bias (ROB). The effect sizes were computed as the corrected standardized mean difference (SMD). Subgroup and meta-regression analyses were also used. Egger's regression test was carried out in order to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were also conducted in order to analyze the data error. Results: The following factors showed the large effect size of manual therapy on chronic musculoskeletal diseases: pain (Hedges's g = 2.66; 95% CI = 1.47 ~ 3.85), and physical function (Hedges's g = 2.15; 95% CI: 1.22 ~ 3.08). The subgroup analysis only showed a statistical difference in the type of manual therapy (pain) and outcome (physical function). No statistically significant difference was found in the meta-regression analysis. Publication bias was found in the data, but the results of the trim-and-fill method showed that such bias did not largely affect the obtained data. Furthermore, there were no data errors in the cumulative meta-analysis and sensitivity analysis. Conclusion: This study provides evidence for the effectiveness of manual therapy on chronic musculoskeletal diseases in pain and physical function. Subgroup analysis suggests that only the type of manual therapy for pain and the type of outcome for physical function differed in effect size.

• 대한의료기공학회지
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• 제11권1호
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• pp.221-235
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• 2009

This study is made for the survey of the effectiveness of the auricular reflexology, now accepted as a part of alternative medicine, applied to the patients of musculoskeltal disease patients, and data about its cognition and the success rate of the therapy. 106 patient was employed in this study who works in various part in a company in Jun-ju in Junrabukdo. From them, data such as, musculoskeletal symptoms by questionnaire examination, and data from ear inspections and interviews were collected and used for the basal data. Auricular reflexology therapies were applied to them at the areas that reflect the musculoskeletal system, for five times, each time with intervals of three or four days. The data about the effectiveness were collected by questionnaire examination, including descriptive answers. The results are as follows; cognition to the auricular reflexology was 62.3%, and acceptance rate of this method was 81.1%. From this results, I think that this therapy can be easily acceptable. The success rates of this therapy were 32.1% after 1 time application, and 84.9% after 5 times applications. This result shows that auricular reflexology therapy has therapeutic effect in musculoskeletal diseases, and the success rates increase according to the application times. Between sex, its success rate were 80% in male patients, and 88.5% in female patients, so this therapy is rather more effective in female patients. According to the body weight, the success rate were 85.8% in normal weight patients, and 71.5% in over- weight patients, so this therapy is more effective in normal weight patients. Comparisons according to other factors, such as age, marriage state etc. shows no definite differences. Conclusively, I think that auricular reflex therapy is easy and useful preventative and treatment method in our usual life. With more investigation, we can apply this method to other musculoskeletal diseases and to the diseases of other systems in the body, I hope so.