• The Journal of Korean Physical Therapy
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• v.33 no.3
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• pp.168-177
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• 2021

Purpose: This study applies the ICF to identify the patient's body function, structure, and participation, evaluates the patient's environmental factors and individual factors, and is a high level of movement to return to the society of patients with multiple ligament injury of the knee joint. Methods: Progressive strength training and ROM exercise were performed 30 minutes a day, 5 times a week for 6 weeks. The evaluation was performed by examining the ROM, length, MMT, instability, dynamic balance, pain and depression. Results: The ROM of the knee joint was improved from 110° to 135° after intervention, and the knee flexion length decreased from 69 cm to 45 cm. Knee flexor is Good after intervention from Poor-, and knee extensor is Good+ after intervention from Poor, and the plantar flexor of the ankle joint improved from Poor- before intervention to Good after intervention and dorsi-flexor of the ankle joint improve to Good from Poor. Pain index was moderate before and after the intervention, with a score of 3, 2 after the intervention, and when maintaining the sitting cross-legged, the before intervention score was 7 to 4 after the intervention. Conclusion: The patient's posture of sitting cross-legged was maintained from 30 seconds before intervention to 14 minutes after intervention. These results were able to set the hypothesis design, intervention method and goal that the multifaceted approach of environment and individual factors as well as body function and structure area, activity and participation area using ICF checklists, it is helped the patient to return to daily life.

• Clinics in Shoulder and Elbow
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• v.3 no.2
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• pp.68-74
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• 2000

The purpose of this study is to evaluate the final outcome after arthroscopic calcific removal in the calcific tendinitis of the shoulder joint and to analyze the influencing factors to affect the surgical treatment on the final results. From September, 1993 to March, 2000, arthroscopic removal of the calcific deposit in the shoulder joint was performed in 34 consecutive patients who had had typical symptoms and failed with the conservative treatment and 21 cases of 20 patients could be followed up at least 2 years. Fourteen cases(67%) were located in the supraspinatus, 5 cases(24%) in the infraspinatus and 2 cases(9%) in the subscapularis. Preoperative severity of symptoms was correlated with higher postoperative score. Pain was relieved from 7.6 to 0.9(Visual Analogue Scale:VAS) and UCLA score improved from 13.9 preoperatively to 32.0 postoperatively, but there was no statiscally significant difference in according to the deposit size(P=0.386). Pain and UCLA score improved from 7.9 to 0.4 and from 12.7 to 33.0 respectively when a calcific deposit was located in the supraspinatus, from 7.6 to 1.0 and from 14.8 to 33.4 in the infraspinatus but pain relieved from 6.5 to 4.0 and UCLA score improved from 20.0 to 22.5 in the subscapularis and these outcomes were shown a statiscal significance(P=0.001). Completeness of removal did not affect the final results(P>0,05). Excellent was 23.8% in 5 cases, good 66.7% in 14 cases, fair 4.8% in 1 and poor 4.8% in 1, and patients were satisfied with their final results in 81 %.

• Physical Therapy Korea
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• v.24 no.1
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• pp.19-29
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• 2017

Background: Patients after rotator cuff (RC) surgery experienced pain, weakness and limited of motion of the shoulder. Physical therapists have used heat therapy, electrotherapy, range of motion (ROM) exercise and other methods to treat patients after RC surgery. In addition, functional taping is also used to support joint movement and to increase shoulder joint stability. Objects: The purpose of this study was to determine the initial effects of functional taping using non-elastic tape on pain, strength and ROM of the shoulder following RC surgery. Methods: Forty-eight patients with who underwent RC surgery volunteered for this study. The subjects were randomly divided into an experimental group (EG, $n_1=25$) and a control group (CG, $n_2=23$). First, non-allergic tape was applied to the shoulder to prevent skin irritation. The EG applied functional taping using non-elastic tape and the CG applied sham taping using elastic tape. Assessment tools included the shoulder pain and disability index for functional activity score, visual analog scale for level of pain, shoulder muscle strength, hand grip strength and ROM testing. Results: Pain score in the both group significantly decreased (p<.05), and change in pain score of in the EG increased significantly than in the CG (p<.05). Shoulder strength and ROM in the both group significantly increased (p<.05). Especially external rotation and extension of the shoulder ROM in the EG increased significantly more than in the CG (p<.05), but the rate of change in the two groups showed no significant difference. Conclusion: These results suggest that functional taping using non-elastic tape was initially effective in decreasing pain score level in patients with RC surgery.

• Journal of muscle and joint health
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• v.12 no.1
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• pp.7-15
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• 2005

Purpose: The purpose of this study was performed to understanding of family support, pain and self-esteem, activities of daily living(ADL) in patient with ankylosing spondylitis(AS) and to identify the relationship among variables. Method: This study was conducted on 55 adults diagnosed with AS in C hospital in Daejeon during January 15th to June 20th, 2004. Instruments in this study were pain scale (VAS), family support scale, self-esteem scale, ADL scale. The data were analyzed mean, standard deviation, one-way ANOVA, Pearson's Correlation Coefficient using SPSS WIN(ver 10.0) program. Results: 1) 83.6% of the subjects was men, 30.9% of the subjects' age was below 29. And the 90.9% of the subjects was no experience of education about AS, 41.8% of the subjects was doing exercise. 2) The pain score was 48.36, family support score was 3.98, self-esteem score was 3.52 and ADL score was 81.41. 3) Family support was positively correlated with self-esteem and ADL and negatively correlated with pain. self-esteem was negatively correlated with pain and ADL. Conclusion: The results in this study can help nurse who care patients with AS understanding the relationships among family support, self-esteem, ADL, pain. And this findings showed that the patients with AS have few experience for disease-related education to manage and to understand AS. Therefore disease-related educational nursing program based on family support, pain, ADL of AS is needed to understand and manage AS. Because family support, pain, ADL of AS were significant correlated.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.31 no.5
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• pp.375-380
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• 2009

Objective : Trauma has been a controversial issue although it has been considered to be a major factor for the temporomandibular disorder(TMD). We evaluated the relationship between macrotrauma or microtrauma and TMD. Methods : This study was performed in patients with TMD undergoing treatment at SNUBH from October 2006 to January 2007. Sixty one male patients and 166 female patients(total 227) were included and the average age was 34 years(ranging from 14 to 85 years). We investigated the possible etiologic factors, diagnosis and treatment with the review of medical records and radiography. Chronic pain, depression, somatic score(including pain item), somatic score(excluding pain item) were evaluated on the basis of diagnostic index from the Research Diagnostic Criteria on TMD. Results : Eighteen patients(7.9%) out of 227 patients suffered from TMD as a result of macrotrauma. Ninety four(41.4%) patients had microtrauma and six patients(2.6%) had both macro- and microtrauma(etiologic factor). The main symptoms included pain. joint noise and mouth opening limitation while the other symptoms were headache and tinnitus. The patients had suffered from TMD for average 41 weeks (ranging from 1 to 480 weeks). 116 patients took splint as a major treatment. As a prognosis, 19 patients(8.4%) recovered completely. 26(11.0%) had improvement and 181(80%) had persistent symptoms. 1 patient(0.4%) underwent an arthroplasty. Diagnostic index from RDC chart showed that macrotrauma was the highest score(except depression score) among the other etiologic factors. Conclusion : This study showed that macro- and microtrauma can be considered to be the major etiologic factors of TMD, which also affect the chronic, depression and somatic discomfort.

• Journal of muscle and joint health
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• v.12 no.2
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• pp.119-131
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• 2005

Purpose: The purpose of this study was to examine effect of Tai-Chi exercise program on pain, flexibility, perceived health status and instrumental activities of daily living for osteoarthritis patients. To evaluate the effects, quasi-experimental study was used for pre and post test with a nonequivalent control group. Method: Fifty-two subjects participated in the experiment(twenty-seven for experimental group and twenty-five for control group) and they were from two different senior citizen centers in J city. The experiment period was from April 2002 through August 2002. The experiment group took part in Tai-Chi exercise program for eighteen weeks(three times a week for four weeks and five times a week for fourteen week). The exercise was performed for 50 minutes at every time (15 minutes for warm-up, 30 minutes for Tai-Chi exercise, and 5 minutes for ending). In order to pursue study purpose, the SPSS/WIN 8.0 program was chosen for the statistical analysis; ANCOVA was employed in examining test hypothesis; t-test and $X^{2}-test$ were used to examine homogeneity between experimental and control group. Result: The study results were as follows: Score of pain decreased significantly after of Tai-Chi exercise program. Score of flexibility increased significantly after of Tai-Chi exercise program. Score of perceived health status increased significantly after of Tai-Chi exercise program. Score of IADL increased significantly after of Tai-Chi exercise program. Conclusion: As shown in the results, Tai-Chi exercise program can be effective nursing intervention for osteoarthritis patient to improve pain, flexibility, perceived health status and Instrumental Activities of Daily Living.

• Journal of Oral Medicine and Pain
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• v.44 no.3
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• pp.92-102
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• 2019

Purpose: To investigate the masticatory function of patients with different temporomandibular disorders (TMD) phenotypes, and to explore the risk factors for the masticatory function of TMD patients among multiple biopsychosocial variables using patient-reported outcomes (PROs). Methods: Clinical features and TMD diagnoses of 250 cases were investigated by reviewing medical records. Psychosocial factors were evaluated using four questionnaires representing pain severity and pain interference (Brief Pain Inventory), pain catastrophizing (Pain Catastrophizing Scale, PCS), psychological distress (Symptom Check List-90-Revised, SCL-90R) and kinesiophobia (Tampa Scale for Kinesiophobia for Temporomandibular Disorders, TSK-TMD). Masticatory function, as a dependent variable, was determined using the Jaw Functional Limitation Scale (JFLS). Kruskal-Wallis test and Spearman's rank correlation were used for analyses. Results: A total of 145 cases were included and classified into four subgroups including group 1: TMD with internal derangement without pain (n=14), group 2: TMD with muscle pain (n=32), group 3: TMD with joint pain (n=60) and group 4: TMD with muscle-joint combined pain (n=39). Pain severity (p=0.001) and interference (p=0.022) were the highest in group 2, but the mean global score of JFLS was the highest in group 3, followed by group 4, group 2, and group 1 (p=0.013). Pain severity, pain interference, the mean global score of PCS and the mean global score of TSK-TMD showed significant and moderate correlation with the mean global score of JFLS. All subdimensions and the global severity index of SCL-90R had significant, but weak correlations with all scores of JFLS. Conclusions: The results suggest that masticatory functional limitation depends on the TMD phenotypes. Among the various PROs, pain perception, pain catastrophizing and kinesiophobia seem to be more influential risk factors on jaw function than psychological distress, such as depression and anxiety.

• Journal of the Korea Society of Computer and Information
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• v.26 no.3
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• pp.35-42
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• 2021

In this paper, we propose a deep learning-based person re-identification method using a three-dimensional RGB-Depth Xtion2 camera considering joint coordinates and dynamic features(velocity, acceleration). The main idea of the proposed identification methodology is to easily extract gait data such as joint coordinates, dynamic features with an RGB-D camera and automatically identify gait patterns through a self-designed one-dimensional convolutional neural network classifier(1D-ConvNet). The accuracy was measured based on the F1 Score, and the influence was measured by comparing the accuracy with the classifier model (JC) that did not consider dynamic characteristics. As a result, our proposed classifier model in the case of considering the dynamic characteristics(JCSpeed) showed about 8% higher F1-Score than JC.

• Journal of muscle and joint health
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• v.28 no.3
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• pp.283-292
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• 2021

Purpose: In this descriptive study, we aimed to identify factors influencing safe nursing activities of nurses working at public hospitals. Methods: We collected data in March 2021 through an online survey. The subjects were 199 nurses who had worked for at least six months at public hospitals. The self-reported questionnaire consisted of items pertaining to safe nursing activities, perception of patient safety culture, and the general characteristics of the subjects. To examine the differences in the safe nursing activities and perception of patient safety culture by general characteristics, we employed a t-test and ANOVA. We conducted a multiple linear regression analysis to explore the factors affecting safe nursing activities. Results: The mean score for safe nursing activity was 4.59±0.39. Perception of patient safety culture and age group were found to be the main factors affecting the safe nursing activities of nurses working at public hospitals (F=17.24, p<.001, Adj. R²=.40). When the score for perception of patient safety culture increased by 1 point, the score for safe nursing activities increased by 0.58 points. In addition, the score for safe nursing activity in the 40s age group was 0.16 points higher than for those in the 20s age group. Conclusion: Effective management and leadership in public hospitals is needed to improve the culture of patient safety at various levels so as to ensure safe nursing activities.

• Journal of muscle and joint health
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• v.16 no.1
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• pp.13-25
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• 2009

Purpose: The purpose of this study was to investigate the relationships between job stress and work-related musculo-skeletal symptoms among nurses working in general hospitals. Method: A descriptive correlational research design was utilized. The participants were 438 nurses currently working in 4 general hospitals. Data were collected from Jan 2007 to Feb 2007, with Korean Occupational Stress Scale(KOSS)-basic form, KOSHA code H-30 and a questionnaire for general characteristics. Descriptive statistics, t-test, ANOVA, multiple logistic regression analyses were utilized. Result: Most participants(90.4%) complained of work-related musculo-skeletal symptoms. However, symptomatic nurses satisfying NIOSH screening criteria(symptomatic nurses) were 66.9%(293 persons). The most complained body part was back(39.5%). shoulder(37.7%), leg and foot(36.5%), wrist and hand(21.7%), neck(18.7%), and arm(9.8%). The mean of total score of occupational stress was 51.11. In multiple logistic regression analyses, age, working posture and total score of occupational stress showed significant associations with back symptoms. Exercise and total score of occupational stress were significantly related with shoulder symptoms. Hours of daily house keeping and working posture were related with leg and foot symptoms. Marital status and working posture were related with wrist and hand symptoms. Working posture only showed significant relations with neck symptom. Marital status, hours of daily house keeping, shift work, working posture, and total score of occupational stress were related with the symptoms in the arm. In conclusion, job stress of nurses might be related with work-related musculo-skeletal symptoms.