• Safety and Health at Work
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• 제1권2호
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• pp.149-157
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• 2010

Objectives: To quantify disability level in salespeople with concurrent low back pain (LBP) and to determine the relative associations between demographic, occupational, psychosocial and clinical factors and back disability. LBP is the most common cause of work-related disability in people under 45 years of age and the most expensive cause of work-related disability, in terms of workers' compensation and medical expenses. Evidence suggests high prevalence of LBP in salespeople. Methods: A cross-sectional survey was conducted in which 184 saleswomen with a current episode of self-reported LBP working in a large up-scale department store filled out a battery of 6 self-administered questionnaires and received a standardised physical examination. Results: Saleswomen with concurrent LBP had low disability levels. Factors significantly associated with disability were pain intensity, measured by a visual analogue scale, in the past week (p < 0.001), physical and mental health status (p < 0.001, p = 0.003, respectively), fear avoidance scores for both work and physical activities (p = 0.031, p = 0.014, respectively), past history of LBP (p = 0.019), and self-reported frequency of pushing or pulling objects placed in high positions during work (p = 0.047). A significant level (45%) of the variance in disability status was explained by these variables. Conclusion: In clinical management of LBP workers who required prolonged standing, such as salespeople, clinicians should look for modifiable risk factors associated with disability. Specific measures need to be taken to prevent disability due to LBP among salespeople.

• 대한한방부인과학회지
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• 제29권3호
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• pp.110-120
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• 2016

Objectives: The object of this study is to report a clinical effect of oriental medical treatments with Chuna for acute low back pain during the early stages of pregnancy.Methods: The patient in this case, 31 years-old female was admitted for 1days (20th/June/2016-30th/June/2016) due to the acute low back pain on the 7 weeks of pregnancy. We diagnosed as 挫閃腰痛, 傷筋 (Sprain and strain of lumbar spine) and treated with Chuna therapy and other conservative treatments including acupuncture herbal mixture. And we measured Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ).Results: After treatments, Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ) were significantly improved in case.Conclusion: Oriental medical treatments with Chuna manual therapy were associated with improvement of acute low back pain during the early stages of pregnancy.

• 척추신경추나의학회지
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• 제10권2호
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• pp.73-85
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• 2015

Objectives : The purpose of this study is to evaluate clinical effect of Korean medical treatments for the patient who were diagnosed as the Cauda Equina Syndrome. Methods : The patient was treated by Korean medical treatments including acupuncture, pharmacopuncture, herbal medication. The Improvement of clinical symptoms was assessed by Visual Analog Scale(VAS), Oswestry Disability Index(ODI) and Muscle Manual Test(MMT). Results : After treatments, VAS and ODI were generally decreased, MMT was improved in case. Conclusions : The Oriental medical treatments might be effective methods to treat the patient who were diagnosed as the Cauda Equina Syndrome.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2010년도 제42차 하계학술발표논문집 18권2호
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• pp.449-452
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• 2010

이 연구는 컴퓨터 포인팅 게임이 중도(重度) 지적장애아동의 시지각 능력에 미치는 효과를 알아보는데 목적이 있다. 이를 위해, 시지각 능력에 효과적인 컴퓨터 포인팅 게임을 난이도 수준에 따라 3단계로 설계 및 개발하였다. 효과를 최대로 이끌기 위해, 1, 2주와 3주에 적용할 교수 학습 모형을 다르게 설계하였다. 그 효과를 알아보기 위해, 성남의 지적장애 H학교 초등부 재학생 중, 중도 지적장애아동이면서 낮은 시지각 능력을 보이지만, 교정시력과 손가락 사용에 어려움이 없는 4명의 아동을 대상으로 3주간 1회에 15분씩, 15회 실험을 실시하였다. 양적인 평가를 위해, 표준화 검사 도구인 한국판 시지각 발달검사(K-DTVP-2)를 4차에 걸쳐 진행하였고, 질적 평가를 위해, 관찰평가일지를 매주 실험이 끝난 후 작성하였다. 연구결과, 컴퓨터 포인팅 게임은 지적장애아동의 시지각 능력을 양적 질적 측면에서 향상시키는 것으로 나타났다.

• 대한물리치료과학회지
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• 제11권2호
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• pp.38-45
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• 2004

Appropriate physical position and balance means giving the least stress and the most useful biomechanically to the body. As this fails, one would have functional recovery problem regardless of disability. There reported better effective on Dynamic training rather than Static training for a proper recovery of physical position, and additionally required Sensory Feedback. Those who have disability of balance, especially Central Nervous System lesion should he provided with variety of Sensory Feedback, and also Dynamic Balance training used by is quite effective.

• 대한지역사회작업치료학회지
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• 제1권1호
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• pp.79-89
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• 2011

환경적 오염 및 산업화 등으로 인한 직 간접적인 문제는 장애인, 급 만성질환자 등의 수를 증가시키는 요인이 된다. 이로 인해 발생하는 장애아동의 수도 성인과 비슷한 비율로 매년 증가하고 있다 특히, 발달장애는 전체 아동의 약 5~10%정도에서 발생되는 높은 유병률을 보이고 있다. 발달장애 아동에게 적용하는 치료로는 작업치료, 물리치료, 언어치료, 심리치료, 미술치료 등이 있다. 시지각이란 시각 기관을 통해 외부환경을 인지하는 기능으로 일상생활에서 일어나는 대부분의 행동들이 시지각과 연관된다. 그러나 발달장애 아동은 충분한 시지각의 발달이 이루어지지 않기 때문에 일상과제 수행 면에 많은 영향을 초래하게 된다. 이러한 이유로 아동 작업치료 영역에서 시지각에 대한 평가와 치료에 관한 이해는 매우 중요하다고 할 수 있다. 시지각 기능을 향상시키기 위한 다양한 치료 방법 중에는 감각통합 훈련, 시지각 훈련 프로그램, 수예공작 프로그램 등이 있다. 특히, 수예공작은 주로 손을 사용하여 무엇인가를 만드는 대표적인 활동으로 누구에게나 적용할 수 있다. 뇌에 관한 연구가 활발해지면서 수예공작 활동을 통해 뇌기능을 사용하고 그 기능에 도움을 줄 수 있음이 증명되었으며, 소근육운동 또는 세밀하고 정확한 움직임을 필요로 하는 활동을 수행할 때 시지각 기술이 기반이 되기 때문에 수예공작을 통한 손 기능의 반복적인 사용은 두뇌기능을 발달시켜 시지각 기능 향상에 기여할 것임을 기대 할 수 있다. 이것은 수예공작이 분명한 치료적 가치가 있음을 시사한다. 또한 작업치료 영역에서 시지각의 발달과 시지각의 장애에 대한 중재가 큰 영역을 차지함에도 불구하고 그에 대한 연구가 매우 부족하다. 따라서 본 연구에서는 학위논문의 타당성 검증을 위한 사전연구로서 발달장애 아동의 수예공작 프로그램 수행의 필요성을 소고하고자 한다.

• 대한물리의학회지
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• 제15권3호
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• pp.21-27
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• 2020

PURPOSE: This study investigated the efficacy of interferential current (IFC) treatment on the improvement of pain, disability, and balance in patients with chronic nonspecific low back pain. METHODS: A double-blind randomized clinical trial was conducted with 40 patients with chronic nonspecific low back pain. The patients were randomly allocated into two groups: the IFC treatment group (n = 20) and the placebo treatment group (n = 20). The IFC group received 30 minutes of IFC treatment on the lumbar region, while the placebo group received IFC treatment without real electrical stimulation. The intervention was administered five days a week for two weeks. RESULTS: The primary outcomes of resting pain and pain during functional movement were measured by a visual analogue scale. The secondary measurements included the Oswestry disability index (ODI) for low back pain and postural sway. The measurements were performed before and after the two-week intervention period. Compared to the placebo treatment group, the IFC treatment group showed significantly greater improvement in pain during anterior trunk flexion in the standing position (p = .029), ODI (p = .039), and postural sway when subjects stood with their eyes closed (p = .010) at the end of the intervention. CONCLUSION: Our findings show that IFC treatment can improve pain, disability, and postural sway, thus, highlighting the benefits of somatosensory stimulation from IFC.

• 재활간호학회지
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• 제16권2호
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• pp.90-99
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• 2013

Purpose: This study aimed to examine influence of cognitive function, disease severity and disability on ability to perform activity of daily living (ADL) after ischemic stroke. Methods: A total of 88 patients with ischemic stroke were recruited from January 1, 2008 to December 31, 2012 and assessed with the standardized cognitive test battery and self-reports about disease severity, disability, and ADL. To analyze the data, ANOVA, Pearson correlation coefficients and multiple regression were conducted using SPSS/WIN program. Results: Significant correlations were found between ADL and visuospatial function, visual memory, executive function, and disability (r=.29~.38). Executive function and disability explained 17.3% of total variability in ADL performance after ischemic stroke. Conclusion: Executive function may be a promising target for cognitive rehabilitation after ischemic stroke. Thus, effective therapeutic interventions such as cognitive training for stroke patients should be considered to improve their ability to perform ADL.

• 여성건강간호학회지
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• 제10권1호
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• pp.8-14
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• 2004

Purpose: The purpose of this study was to look into back pain, pain disability, labour pain, and related areas of pain experienced by postpartum women. Method: A survey about pain including a Visual Analogue Scale (VAS), Oswestry pain disability, and pain drawing was used in a descriptive research method on 98 women 2-3 days after delivery. Result: 57.1% of those surveyed reported experiencing back pain before pregnancy. 75.5% reported experiencing back pain during pregnancy. The average starting time of back pain for pregnant women was 2.9 months into pregnancy. 48.8% reported the most severe back pain in the last trimester of pregnancy, while most women complained of left and right pubic pain and lumbar area pain during pregnancy. Statistical relations were calculated and menstrual symptoms (F=5.938, p=0.004), back pain prior to pregnancy (F=4.714, p=0.000), back pain during pregnancy (F=-3.429, p=0.001), and back pain disability prior to pregnancy (F=-1.994). Conclusion: There is a relation in postpartum women's back pain between back pain prior to pregnancy and back pain during pregnancy. Pelvic examinations early in pregnancy can determine if back pain will change for the worse or relapse. Therefore, the application of a pain relieving nursing intervention is needed.

• 임상간호연구
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• 제17권3호
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• pp.388-398
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• 2011

Purpose: This study was to develop a post-operative exercise program, apply it to patients undergone lumbar spinal fusion surgery, and evaluate the effectiveness of the program on pain and disability activities of daily living. Methods: Fifty six patients who had lumbar spinal fusion were enrolled in this study. The patients were divided into two groups; 28 patients in the intervention group completed post-operative lumbar exercise program including walking for four weeks and 28 patients in the control group only did walking exercises. The degrees of pain on low back and leg were evaluated using visual analog scale (VAS) and the functional outcome was evaluated using the Korean version of Oswestry Disability Index (KODI) before surgery and 5 weeks after surgery. The data were analyzed using descriptive statistics, Chi-square test, t-test with SPSS 18.0 program. Results: Low back and leg pain of the participants in both experimental and control groups were improved after surgery compared to pre-surgery pain. However, there was no statistically significant difference between the groups. KODI score in the intervention group was significantly lower than that of the control group (p=.014). Conclusion: The developed post-operative exercise program in patients with lumbar spinal fusion surgery seems to be a useful intervention to reduce disability in activities of daily living.