• Title/Summary/Keyword: physical therapist.

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Applying ICF model into practice in PNF (ICF 모형의 고유수용성신경근촉진법 실기 적용)

  • Lee, Moon-kyu;Kim, Tae-yoon
    • PNF and Movement
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    • v.7 no.1
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    • pp.17-23
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    • 2009
  • Purpose : To provide a convenient framework for PNF practice, we reviewed the relationship between ICF framework and PNF framework. Methods : We reviewed literatures related with ICF and PNF. Results : ICF model is useful tool for physical therapist who is working in PNF to identify the interactions the components of individual's health, especially the relationship between functioning and disability. A framework for PNF is philosophy which included the concept, functional approach. It is essential to identify primary activity limitation and causal impairment in PNF field and evaluate the their relationship. The ICF model can be used to classify the examination information. Next step is to prioritize the activity limitation and then evaluate the interrelationships among each components of the ICF framework. Conclusions : ICF model guides physical therapist in PNF practice to identify patient problems and evaluate the interrelationship of components of their health. This model is logical framework to directs functional approach as PNF philosophy to be approached the goal.

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Survey on the Gyeonggi-do Physical Therapists' in Awareness of National Responsibility for Dementia (경기도 물리치료사의 치매 국가책임제 인식도 조사연구)

  • Yeom, Junwoo;Kim, Gushik;Lee, Taehan;Park, Dongmin;Na, Hosung;Kim, Chanmun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.187-198
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    • 2020
  • Purpose : This study was conducted to provide basic data for the association's policy management and to improve the activity areas by investigating Gyeonggi-do physical therapists' recognition of the national responsibility for dementia. Methods : A total of 1,839 physical therapists participated in this survey, and the data from a total of 29 questionnaires were analyzed using SPSS 22.0 windows. Results : Among the physical therapists in Gyeonggi-do, 61.1 % had low awareness of the national responsibility for dementia, and the recognition of the center for dementia was also low. On the other hand, there was a remarkably high opinion that the physical therapist was a necessary workforce, and positive responses to dementia-related work and education participation were also high, 51.9 % and 68.5 %, respectively. Those with a high educational background, annual salary, clinical experience, or dementia-related institutions, such as nursing homes and physical therapy, had a high awareness of "dementia national responsibility", awareness of "center for dementia" and "participation in dementia-related work and education". On the other hand, "work participation" and "education participation" were found to be inversely related to age and clinical experience. Conclusion : Physical therapists based in Gyeonggi-do showed an awareness of dementia policy. This result will help the association's policy management and protect the physical therapist's rights and interests.

A Study on Therapeutic Approach of Constipation with Connective Tissue Massage (결합조직마사지를 통한 변비개선에 관한 연구)

  • Nam Kun-Woo;Bae Sung-Soo;Lee Hyun-Ok;Kim Soo-Min
    • The Journal of Korean Physical Therapy
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    • v.12 no.3
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    • pp.475-489
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    • 2000
  • This research is due to know the transformation after Physical Therapist(PT) was educated the Comunity Based Rehabilitation(CBR) at the strong point by Public Health tenter(PHC) of the CBR. It was the education of physical therapist of strong point by PHC of the CBR from April 17 to April 29 of 2000 in National Rehabilitation Center. The fellowing is the result of Questionnaire educated 39 peoples. First, male and female are same rate, average age, 33 years old, In the position, regular position $86.3\%$. irregular position $13.2\%$. Second. the $76.3\%$ was only working PHC one PT. the main patients were $73.7\%$ of chronic degeneration and over 65 years old who are treated, they are treating $60.5\%$ under 20 person in each day. Third. We asked thru Questionnaire, these are first, need CBR education. second. participating of the PT of the CBR projects. third. suggesting the CBR the another in the PHC. The most of $97.4\%$ was answered the positive. $89.5\%$ agreed that they can offer physical therapy to Handicapped man without responsibility. And all of these answered $100\%$ that they want to offer the physical therapy when they meet the handicapped. Are you can aviable to assess the part of handicapped they answered $71.1\%$, to therapeutic exorcise $52.6\%$, to transfer and family education $47.4\%$, to gait training and family education $55.3\%$. In the welfare policy, introduce job and rehabilitation information side. having answer$44.7\%$. It was negative. In the filed of social welfare also is it possible for them to educate far the another medical staffs and volunteers is PHC. It was $52.6\%$. In Conclusion, needs and participant's rate was high all the people but it was the less in professional physical therapy.

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The Effects of Manual Passive Exercise Performed by Physical Therapists on Autonomic Nervous System (물리치료사에 의해서 실시되는 도수수동 운동이 자율신경계에 미치는 영향)

  • Kim, In-Bae;Kim, Chung-Yoo;Kim, Eun-Kyung;Shin, Han-Ki;Kang, Jong-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.1
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    • pp.9-14
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    • 2015
  • PURPOSE: The purpose of this study was to investigate the effects of ten minutes of manual passive exercise performed by physical therapists on autonomic nervous system. METHODS: Thirty-five healthy adults, both male and female, were chosen as subjects for this study. The autonomic nervous system was measured by heart rate variability (HRV),before and after passive exercise using the following measurements: mean heart rate (mean HRT), low frequency (LF) and high frequency (HF) components, the LF/HF ratio, root mean square of the successive differences (RMSSD), and the HRV index. The exercise was performed on the subjects by a physical therapist with seven years of experience specializing in the nervous system. The exercise was conducted at the mid-range of motion on the upper and lower limbs of the subjects for two minutes and thirty seconds and for a total of ten minutes. RESULTS: There was a significant increase in the LF component. The mean HRT and the LF/HF ratio both increased, but these increases were not significant. The HF component, RMSSD, and HRV index all decreased, but these decreases were not significant. CONCLUSION: In conclusion, mid-range manual passive exercise does not induce stress on the autonomic nervous system. It can safely be performed by a physical therapist.

Effectiveness of Kinesio-Taping on Work-Related Musculoskeletal Symptoms of the Wrist of a Physical Therapist: Preliminary Randomized Controlled Study (물리치료사의 손목의 직업관련 근골격계 증상에 키네시오 테이핑이 미치는 영향)

  • Kim, Sung-Hyeon;Lee, Sang-Hun;Shin, Ho-Jin;Jung, Kyoung-Sim;Cho, Hwi-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.3
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    • pp.79-87
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    • 2020
  • PURPOSE: Physical therapists are always exposed to work-related musculoskeletal disorders. Although kinesio taping can support the joints and assist movement, studies of the effects of kinesio taping on these physical therapists are lacking. This study examined the effects of Kinesio-taping on pain, grip strength, range of motion and daily living skills in physical therapists with work-related musculoskeletal disorders. Pain was measured using a 100 mm VAS. The grip strength was measured using a handgrip dynamometer. The range of joint motion was measured using a goniometer. Living skills were measured by patient-rated wrist evaluation. METHODS: Twenty physical therapists with wrist pain (Kinesio taping: n = 10, Sham taping: n = 10) received taping for each group, and measured the pain, grip strength, range of motion and daily living skills before (Baseline) and after taping (Nine hours). RESULTS: All data were analyzed using Repeated Measure ANOVA (p < .05). In the Kinesio group, resting pain (-14.9), movement pain (-20.5), and daily living skills (-9.55) were improved significantly compared to the baseline (p < .05). The grip strength and range of motion were not changed (p > .05). The sham group showed no significant change in all variables (p > .05). CONCLUSION: Physical therapists with work-related musculoskeletal disorders of the wrist should apply kinesiotaping to improve the occupational tasks.

Physical Therapist's Understanding and the Usage of Assessment Tools for Children With Delayed Development and Cerebral Palsy (발달지연 아동 및 뇌성마비 아동의 평가실태와 물리치료사들의 평가에 대한 인식도 조사)

  • Park, Hey-Jeong;Yi, Chung-Hwi;Cho, Sang-Hyun;Kwon, Hyuk-Cheol
    • Physical Therapy Korea
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    • v.7 no.1
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    • pp.1-21
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    • 2000
  • The purposes of this study were to research the current state of evaluation of children with delayed development and cerebral palsy and determine pediatric physical therapists' knowledge of assessment tools and their use. The subjects were 130 pediatric physical therapists (general hospitals, university-related hospitals, rehabilitation centers, etc.). Data was obtained from August 24, 1999 to October 18, 1999 by means of a survey questionnaire. The results were as follows: 1. The current state of pediatric physical therapist evaluation of children with delayed development and cerebral palsy. 1) Tools used to assess functional areas of children with cerebral palsy were: subjective description format-128 (47.1%); the GMFM-58 (21.3%); facility-generated tool-51 (18.8%); and DDST-15 (5.5%). 2) Tools used to assess developmentally delayed children were: subjective description format-121 (50.6%); the GMFM-43 (18.0%); facility-generated tool-41 (17.2%); and DDS T-14 (5.9%). 3) After their college or university study, therapists who had attended lectures on evaluation were 113 (86.9%); 13 (10.0%) therapists had not attended any lectures on evaluation 2. Test scores of physical therapists' professional knowledge of evaluation procedures: high (more than 36 points)-74 (56.9%); moderate (18~35 points)-39 (30.0%); and low (below 17 points)-none. 1) For therapists treating cerebral palsied children, 73 (65.2%) were in the high range, 39 (34.8%) were in the moderate range and none were in the low range. 2) For therapists treating children with delayed development, 71 (65.7%) were in the high range, 37 (34.3%) were in the moderate range and none were in the low range. Although the general degree of professional knowledge of evaluation was quite high, there was a lack of variety in the assessment tools used With a large number of therapists depending on subjective description. Possible reasons for the low rate of objective asses sment tool use: 1) Poor clinical environment: too many clients and lirnited treatment time. 2) Lack of any medical insurance fee category for specific assessment tools. 3) Lack of continuing education opportunities in pediatric evaluation skills during or after either college-based (3 year) or university-based (4 year) education programs. Based on the study results, provision of more extended educational opportunities would promote the use of a greater variety of objective assessment tools by pediatric physical therapists.

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Relationships between Pain Types, Pain Intensity and Terms Used to Describe Pain (통증 어휘에 따른 통증 종류와 강도 간의 관련성)

  • Hwang, Ju-Seong;Jeon, Ji-Hoon;Lee, Young-Kyu;Lee, Chung-Min;Park, Min-Ji;Kim, Hyun-Hee
    • Journal of Korean Physical Therapy Science
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    • v.22 no.1
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    • pp.29-36
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    • 2015
  • Purpose : The purpose of present study was to improve communication of pain expressing terms and pain intensity between patient and physical therapist, and initiated to objectify a measurement of subjective pain. Methods : Data were delivered to 249 people by a self-completion questionnaire, and analyzed 160 copies except for 87 mark error of the collected 247 questionnaires. The questionnaire included a question on 55 terms used to describe pain, the type of the pain, and pain intensity using VAS (visual analogue scale). Results : The results were as follows; 'Tight' was the most frequently being expressed term of muscular pain, subsequently to 'knot' and 'dull'. 'Tear' was the term representing the most strong pain of muscular pain, subsequently to 'rupture' and 'squeeze'. 'Stinging' was the most frequently being expressed term of neurologic pain, subsequently to 'get shocked' and 'wriggle'. 'Burn' was the term representing the most strong pain of neurologic pain, subsequently to 'sear' and 'get shocked'. 'Creak' was the most frequently being expressed term of joint pain, subsequently to 'peel' and 'out of joint'. 'Break' was the term representing the most strong pain of joint pain, subsequently to 'peel' and 'crack'. Conclusion : The objectification of pain terms will be used to help physical therapist to check the patient's pain.

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The Review of Parkinson's Disease(PD) for Physical Therapist (파킨슨 질환에 대한 문헌적 고찰)

  • Kim, Jin-Ung;Ghang, Goon-Yong;Bae, Soo-Chan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.8 no.2
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    • pp.73-87
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    • 2002
  • Parkinson's disease(PD) is a progressive neurodegenerative disease that affects the functioning of the basal ganglia, a brain area that contributes to the control of movement. The disease is caused by the death of nerve cells in the brain that produce dopamine, a chemical messenger. The cells affected usually produce a neurotransmitter(a chemical that transmits nerver impulses) called dopamine, which acts with acetylcholine, another neurotransmitter, to fine-tune muscle control. In Parkinson's disease, the level of dopamine relative to acetylcholine is reduced, adversely affecting muscle control. When the supply of dopamine is depleted, the function of the basal ganglia is disrupted and its ability to control movement deteriorates. The result is that PD patients experience moderate rigidity, difficulty in initiating movements and slowness in executing them, and a rhythmical tremor at rest. Although the cause of Parkinson's disease is not known, genetic factors may be involved. About 3 in 10 people with the disorder have an affected family member. About 1 in 100 people over the age of 60 in the US have Parkinson's disease. And Parkinson's disease is slightly more common in men. The course of the disease is variable, but drugs may be the best effective in treating the symptoms and improving quality of life. But, The doctor may arrange physical therapy to help with physical mobility problems. It is important to continue to exercise and take care of your general health. Try to take a walk each day. Stretching exercises can help you maintain your strength and mobility. So, This papers will serve about the information of PD for clinical physical therapist. Finally, The aim of review is increasing approach method and technique for PD patients by the view of physical therapy.

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The Occupational Stress According to the Gender, Employee Type, Medical Facility, and the Treatment Field in Physical Therapists

  • Kim, Gyoung-Mo;Kim, In-Seop;Choi, Jae-Cheong
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.6
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    • pp.193-197
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    • 2020
  • The purpose of this study is to investigate the occupational stress of physical therapists. A total of 302 physical therapists participated in this study. All participants were responded to a Korean Occupational Stress Scale-short form to investigate occupational stress. We compared the occupational stress of physical therapists according to the gender, employee type, medical facility, and the department. Occupational stress showed a significant difference only in gender. Overall, the physical therapist showed low occupational stress in this study. However, among the 7 items on the Korean Occupational Stress Scale-short form, the 'Job demand' item score was higher than other items. This study suggests that the hospital administrator needs to provide proper job demand and environment considering the level of the physical therapists in order to effective occupational stress management.

Comparison of Rehabilitation Programs in Traumatic Low Back Injuries with Industrial Accident (산업재해로 발생한 외상성 허리손상에 대한 새로운 재활치료프로그램의 효과 비교)

  • Kim, Young-Bum;Kim, Seung Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.2
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    • pp.236-250
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    • 2019
  • Objectives: The purpose of this study was to investigate the effect of intensive rehabilitation programs on pain, range of motion (ROM), lumbar muscle strength, core muscle endurance, disability, and depression in patients with traumatic low back injuries and to compare the efficacy of this therapy with that of conventional rehabilitation therapy. Methods: The study was performed with a retrospective medical chart review of patients with traumatic low back injury referred to the rehabilitation center at the Daegu Hospital of the Korean Workers Compensation and Welfare Service. Forty-four patients were allocated to either the conventional rehabilitation group (CRG; n = 22) or the intensive rehabilitation group (IRG; n = 22). The CRG group patients, who received 30-min therapist-supervised physical therapy and modality therapy five times per week for four weeks, were compared with the IRG group patients, who received 60-min therapist-supervised physical therapy, 30-min therapist-patient 1:1 matching rehabilitation therapy, and modality therapy five times per week for four weeks. Outcome measures were a numerical rating scale, ROM, lumbar muscle strength, lumbar core muscle endurance, thickness of lumbar deep focal core muscle (transverse abdominis and lumbar multifidus), Oswestry disability index (ODI), and depression (Korean version patient health questionnaire-9). Results: There were statistically significant improvements after treatment in all outcome measures in both groups (p < 0.05). In the intergroup comparison, NRS scores on the activity and thickness of lumbar deep focal core muscles increased significantly more in the IRG than in the CRG (p < 0.05). There were no statistically significant intergroup differences in NRS scores on resting, ROM except left lateral bending, lumbar muscle strength, core muscle endurance, ODI, and depression. Conclusions: We could confirm the superior effectiveness of an intensive rehabilitation program compared to conventional rehabilitation therapy in patients with traumatic low back injuries.