• 제목/요약/키워드: Physical rehabilitation

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지역사회중심 재활에서 물리치료사의 참여 (A Participation of Physical Therapist for Community Based Rehabilitation)

  • 김찬문
    • 대한물리치료과학회지
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    • 제4권2호
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    • pp.461-466
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    • 1997
  • The physical therapist's participation in community based rehabilitation(CBR) is necessary, in a variety of ways, to ensure the disabled quality service. Although CBR needs the Physical Therapist's help, participation is limited due to unstable CBR policy, and because there is a lack of financial support, skilled Physical Therapist's are usually not hired. Physical Therapist's themselves do not seem to completely understand this. The experts active participation is needed for effective rehabilitation service. Therefore, the trained Physical Therspist's participation is absoutely necessary is CBR policy if it is even to provide completely effective service.

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욕창과 물리치료적 접근에 관한 고찰 (Pressure Ulcers Treatment in Physical Therapy)

  • 이현민;천송희;강종호;방현수;김진상
    • 대한물리의학회지
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    • 제3권1호
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    • pp.39-45
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    • 2008
  • Purpose : The purpose of this study was understanding the pressure ulcers and consider the physical therapy for pressure ulcers. Methods : This is a literature study with books, articles and poster. Results : We consider pressure ulcers can be treated with physical therapy which can promote healing process. Conclusion : Physical therapy in patients with pressure ulcers is required and among various physical therapeutic approaches, the method of general coordinative manipulation is considered more necessary.

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The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries

  • Atar, Merve Orucu;Kamaci, Gizem Kilinc;Ozcan, Fatma;Demir, Yasin;Aydemir, Koray
    • Journal of Trauma and Injury
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    • 제35권3호
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    • pp.202-208
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    • 2022
  • Purpose: There is limited research on the effects of neuropathic pain (NP) on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries. This study evaluated whether patients with combat-related extremity injuries with and without NP had differences in quality of life, sleep quality, and depression levels. Methods: A total of 98 patients with combat-related extremity injuries, 52 with NP and 46 without, were included in this cross-sectional study. The presence of NP was determined using the Leeds Assessment of Neuropathic Symptoms and Signs questionnaire. The outcome measures were a visual analogue scale (VAS), the 36-Item Short Form Survey, the Beck Depression Inventory, and the Pittsburgh Sleep Quality Index (PSQI). Results: The VAS subparameter scores for pain (all P<0.05), PSQI sleep dur ation subscale scores (P=0.025), PSQI sleep disturbance subscale scores (P=0.016), and PSQI total scores (P=0.020) were significantly higher in patients with NP than those without. Logistic regression analysis showed that VAS scores of 5 and above for average pain during the previous 4 weeks contributed independently to the prediction of NP. Conclusions: Patients with combat-related extremity injuries with NP had more pain and poorer sleep quality than those without NP. Sleep quality should be evaluated as part of the diagnostic work-up in patients with combat-related extremity injury with NP, and interventions to improve sleep quality may help manage NP in this patient group.

의료재활 서비스 수요전망 및 인력수급에 관한 재활인력간 응답특성 (A Comparative Study of the Future Demand for Medical Rehabilitation Services by Rehabilitation Professionals)

  • 권혁철;김종갑
    • 한국전문물리치료학회지
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    • 제3권2호
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    • pp.8-18
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    • 1996
  • Korea will soon experience a high demand for medical rehabilitation specialists, if it tries to deliver advanced health welfare service. In order to medical rehabilitation manpower policies, this study attempts to analyse, estimate and plan a long-term supply for physiatrists, physical therapists, and occupational therapists. The study analysed both national and foreign statistical data of manpower supply for medical rehabilitation specialists. A structured category of questionnaire was developed to survey the opinions of regarding the supply for rehabilitation specialists in Korea. Based on the above data, the demand of and supply for each specialists were estimated for long term up to the year 2030. Based on the comparative analysis results of the future demand and supply, the author intended to develop a new supply plan for the three specialist categories. The major findings of the supply plan are as follows : First, the replied proper mean ratios of rehabilitation professionals(physiatrists : physical therapists occupational therapists) appeared 1 : 5.93 : 3.59, and there is no significant difference between interprofessionals (p>0.05). Secons, the estimated demand for rehabilitation services by interprofessionals appeared significant difference among the interprofessionals (p<0.05).

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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.

Comparison of ultrasound-guided subacromial corticosteroid and ozone (O2-O3) injections in the treatment of chronic rotator cuff tendinopathy: a randomized clinical trial

  • Merve Orucu Atar;Nurdan Korkmaz;Sefa Gumruk Aslan;Ozge Tezen;Sinem Uyar Koylu;Yasin Demir;Serdar Kesikburun
    • The Korean Journal of Pain
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    • 제36권1호
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    • pp.128-136
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    • 2023
  • Background: The authors aimed to compare the effects of a one-time ultrasound (US)-guided subacromial corticosteroid injection and three-time ozone (O2-O3) injection in patients with chronic supraspinatus tendinopathy. Methods: Participants were randomly assigned to the corticosteroid group (n = 22) or ozone group (n = 22). Injections in both groups were administered into subacromial bursa with an US-guided in-plane posterolateral approach. Primary outcome measure was the change in the Western Ontario Rotator Cuff Index (WORC) score between baseline and 12-weeks post-injection. Secondary outcome measures included visual analog scale and Shoulder Pain and Disability Index scores. Assessments were recorded at baseline, and 4-weeks and 12-weeks post-injection. Results: Forty participants completed this study. Based on repeated measurement analysis of variance, a significant effect of time was found for all outcome measures in both groups. Both the groups showed clinically significant improvements in shoulder pain, quality of life, and function. Baseline, 4-week post-injection, and 12-week post-injection WORC scores (mean ± standard deviation) were 57.91 ± 18.97, 39.10 ± 20.50 and 37.22 ± 27.31 in the corticosteroid group, respectively and 69.03 ± 15.89, 39.11 ± 24.36, and 32.26 ± 24.58 in the ozone group, respectively. However, no significant group × time interaction was identified regarding all outcome measures. Conclusions: Three-time ozone injection was not superior to a one-time corticosteroid injection in patients with chronic supraspinatus tendinopathy. It might be as effective as corticosteroid injection at 4-weeks and 12-weeks post-injection in terms of relieving pain and improving quality of life and function.

일차성 두통에서 초음파 유도 하 후두신경 차단술: 해부학적 주사부위에 따른 두 가지 테크닉의 비교 (Ultrasound-Guided Greater Occipital Nerve Block for Primary Headache: Comparison of Two Techniques by Anatomical Injection Site)

  • 유명철;김희상;이종하;유승돈;윤동환;김동환;이승아;소윤수;김용;한영록;권정호;장하늘;전진만
    • Clinical Pain
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    • 제18권1호
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    • pp.24-30
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    • 2019
  • Objective: Greater occipital nerve block (GONB) is a widely accepted treatment of primary headaches. Two ultrasound (US)-guided blockade techniques exist: 1) the classical distal nerve block technique performed medial to the occipital artery at the superior nuchal line, and 2) the new proximal nerve block technique performed at the obliquus capitis inferior muscle at the level of C2. Our study aim was to perform a head-to-head comparative study of these two US-guided techniques. Method: Forty-nine patients with primary headache treated in our university hospital were recruited. Patients were randomized into two groups of the classical nerve block and the new proximal nerve block techniques. The headache questionnaire was made to assess the intensity of the pain of headache attacks, number of days they experience headache, duration of headache, and amount of pain medication they consumed. Results: In both groups, a decrease in the severity and frequency of the headache was observed. There was no measurable difference in outcome between the two groups. Conclusion: Our study showed that the classic and new proximal techniques are equally effective in decreasing the headache severity and frequency.