• Title/Summary/Keyword: physical therapist.

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Recovery from Stroke and Physical Therapy (뇌졸중 후 회복과 물리치료)

  • Kwon, Oh-Yun;Kim, Suhn-Yeop
    • Physical Therapy Korea
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    • v.2 no.2
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    • pp.98-107
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    • 1995
  • Physical therapists use assumptions about motor control in every aspect of their work in treating stroke patients. An understanding of the recovery process after stroke, some neural mechanism of recovery and therapeutic model is critical factor for physical therapist to evaluate and obtain a higher final stage of recovery. The purpose of this article was to review the recovery process after stroke, some neural mechanism of recovery, the role of rehabilitation in the process of recovery, therapeutic model and its limitation. This article will help understanding of recovery process. evaluation, and treatment of the stroke patients. Each therapeutic method consists of a different set of assumptions and they are not completely independent of one another. Therefore specializing in any techniques of physical therapy will not be enough to treat stroke, so we are in need of integrated approach and objective measurement instrument to adequately evaluate and treat stroke patients.

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Clinical Diagnosis by Physical Therapist (물리치료사에 의한 임상 진단)

  • Bae Sung-soo;Lee Sang-youl
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.65-71
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    • 2004
  • The function of a diagnosis is to provide information that can guide treatment. The physicians provides only a limited amount of information that is pertinent to the physical therapy management of the patient. In only a very general way does the diagnosis direct the physical therapy's treatment. Thus, by the members of the physical therapy profession recognizing their role and responsibility to become diagnosticians, they can begin to classify signs and symptoms more actively and develop the categories that will enhance the effectiveness of their practice and their contributions to health care.

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Korean Cultural Adaptation of Working Alliance Inventory and Its Reliability (한글판 치료협력 설문지 개발 및 신뢰도 분석)

  • Yoo, Seunghun;Ha, Haekyung;Lee, Haejung
    • The Journal of Korean Physical Therapy
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    • v.26 no.2
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    • pp.90-96
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    • 2014
  • Purpose: The aim of the study was to develop the Korean version of the Working Alliance Inventory (KWAI) and to assess reproducibility of both its therapist and client forms. Methods: The 12-item WAI was translated into Korean. The translation procedure followed the guidelines proposed by Beaton et al. (2000). Development of KWAI involved its translation, back-translation, and pilot testing of the pre-final version to establish Korean cultural adaptation of the original version of WAI. For test-retest reliability, therapists (N=30) and clients (N=47) completed the questionnaire on two different occasions. The interval between occasions was two to seven days, depending on subject availability. Data were collected from clinicians working in general hospitals and private clinics, and clients who had received treatment within three months. The intra-class correlation (ICC ($_{2.1}$)) was calculated for assessment of the reproducibility of the translated questionnaire. Results: The test-retest ICC ($_{2.1}$) of the client form and the therapist form was 0.92 (95%CI:0.86-0.95) and 0.94 (95%CI:0.89-0.97), respectively. Answers to items 2, 8, and 11 showed a tendency to be omitted due to ambiguity of meaning in Korean. Idiomatic expression was employed rather than word-to-word translation to have clear meaning of those items. Conclusion: The KWAI was successfully translated and adapted for applications to Korean clients and therapists, with a satisfactory level of reliability. Therefore, it can be suggested that the KWAI is useful in providing a reliable assessment of working alliance between therapists and clients.

A Clinical Application with the Principle of Hanging Point In the Sling Exercise Therapy (슬링운동치료에서 Hanging Point의 원리와 임상적 적용)

  • Kim, Suhn-Yeop;Kim, Taek-Yean;Park, Sung-Jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.9 no.2
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    • pp.25-45
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    • 2003
  • Sling exercise treatment(S-E-T) is a therapeutic exercise based on scientific studies for the purpose of treating musculoskeletal or neurological disorders thereby improving strength, endurance, and skills for sensory-motor integration. Exercise resistance and intensity can be modified in various ways by changing the length of rope, patient position, therapist's manual resistance, and using elastic rope. The therapist can also progress to successively higher levels of exercise resistance and intensity by changing the position of the hanging point: the subject of this article. In brief, there are three axial components in S-E-T; hanging point, motor axis, and suspension point. The hanging point can be changed in several ways in relation to the joint; axial, superior, inferior, medial, and posterior hanging points. The position of the hanging point affects the amount of load on agonist and antagonist muscles as well as on the range of motion. To create an advanced exercise program, selection of hanging point can be two-dimensional such as superior-lateral or anterior-medial. Therapists, therefore, can freely but carefully select the best hanging point based on the purpose of the exercise and their level of knowledge in S-E-T.

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Moderating Effect of Self-efficacy and Social Support in the Relationship between Physical Therapist's Job Stress and Psychological Burnout

  • Yoon, Hye-Jeong;Moon, Kyung-Rye
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.8
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    • pp.137-144
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    • 2020
  • In this paper, we propose the moderating effects of self-efficacy and social support on the relationship between physical therapists' job stress and psychological burnout. Based on the previous studies, this study set up three types of variables: 1) independent variable, 2) moderating variable, 3) dependent variable. Job stress was identified as an independent variable, self-efficacy and social support was identified as a moderating variable and psychological burnout was identified as a dependent variable. To empirically conduct this study, a total of 200 questionnaires were distributed to physical therapists. Consequently, a total of 155 survey responses were collected. The survey results are as follows. First, the result showed a high-level of correlation among job stress, psychological burnout, self-efficacy, and social support. Second, self-efficacy was found to have a moderating effect on the relationship between the physical therapists' job stress and psychological burnout. Third, social support was found to have a moderating effect on the relationship between the art therapists' job stress and psychological burnout.

Short-term Benefits of Mobilization for Patients with Non-Specific Neck Pains: Executive Function and Neck Pain Intensity

  • Choi, Wansuk;Heo, Seoyoon
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.2
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    • pp.1803-1809
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    • 2019
  • Background: Cervical mobilization has been applied mainly for the improvement of arm and neck movements and pain reduction, and little research has been done to improve the executive function. Since this kind of so-called mechanical neck pain is one of most common symptoms, there are controversial issues about this with spine alignment. Posteroanterior (PA) mobilization from the Maitland concept is a process of examination, assessment, and treatment of neuromusculoskeletal disorder by manipulative physical therapy. Objective: To examine the short-term benefits of mobilization for patients with non-specific neck pain. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental research Methods: Fourteen participants (male 8, female 6; 20's of their age) with non-specific neck pains which are distributed all the unilateral or bilateral body side were recruited. Participants were categorized to Neck Pain with Movement Coordination Impairments (NPMCI) and Neck Pain with Mobility Deficits (NPMD) groups according to the results of physical examination. Professional physical therapist who has over 15-years-of clinical experience applicated manipulative therapy for the neck pain, an occupational therapist only conducted evaluations; K-NDI (Korean version of the Neck Disability Index), VAS (Visual Analog Scale), BDS-K (Korean version of Behavioral Dyscontrol Scale) for decreasing possible adverse effects; there were no person who reported other symptoms followed 4 weeks from the trial. Results: In the NPMCI group, data analysis indicated statistical differences between the PA mobilization interventions in NDI and BDS-K; even though, pain was reduced in VAS, this is not a significantly differ. In the NPMD group, data analysis represented statistical differences between the PA mobilization interventions in NDI, VAS and BDS-K; the scores were represented to be increased or the pain got relief. Conclusions: PA mobilization techniques according to Maitland concept have beneficial effects in patients with neck pain and other clinical positive effects which included neck disability, pain itself and motor function of upper extremity.

The Influence of Physician's Assistants on National Health Insurance Revenue and Number of Patients in Clinic (의원 의료보조인력이 건강보험 진료비와 환자수에 미치는 영향)

  • Cho, Suk-Ju;Kim, Sang-A;Park, Woong-Sub
    • Health Policy and Management
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    • v.17 no.2
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    • pp.18-32
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    • 2007
  • The purpose of this study was a quantitative analysis for the influence of physician's assistants on national health insurance revenue and number of patients in clinic. The data was derived from the Korean national health insurance. That was complete enumeration. Dependent variables were measured by national health insurance revenue and number of patients. Independent variables were reported physician's assistants that the number of nurse, nurse-aid, technologist of clinical laboratory, physical therapist and radiologist in clinic. Confounding variables were classified by demand(region, number of inhabitants, number of clinics, number of bed per a hundred thousand persons) and supply(sex and age of representative, number of bed, subjective of medical treatment). On the multiple regression analyses, the physician's assistants that nurse, nurse-aid, technologist of clinical laboratory and physical therapist were statistically significant for outputs. But radiologist was statistically significant only for number of patient.

Effect of Horse Riding on Balancing Ability in Children with Cerebral Palsy

  • Kang, Ok-Deuk;Kang, Min-Soo;Kang, An-Na
    • Journal of Animal Science and Technology
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    • v.54 no.3
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    • pp.227-231
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    • 2012
  • This study was conducted to investigate the effect of a horse riding program on balancing ability in children with cerebral palsy. Eleven children (five males and six females) diagnosed with cerebral palsy participated. The horse riding exercises (walking and trotting) were conducted twice per week for 30 minutes during 24 weeks. Balancing ability was measured three times at pre, mid, and post-test using an air pad by the same physical therapist. The data were analyzed using a two-way repeated-measures analysis of covariance with time (0, 12, and 24 weeks) using SPSS version 18.0. A comparison of horse riding between patients with hemiplegia and paraplegia was conducted with the Willcoxon signed-ranktest at a predetermined probability rate of 5%. The results showed a significant increase in balancing ability after horse riding than that before horse riding (p<0.01). The average balancing score increased greater in males ($54.59{\pm}84.05$) than that in females ($27.84{\pm}12.67$) after the horse riding exercise program compared to that before the program (p < 0.05). Thus, horse riding exercise was considered an effective to improve balance in children with cerebral palsy. These results provide useful basic data for horse riding for the disabled.

Physical Therapy Strategies for the Patient With Hysterical Motor Paralysis Disorder : A Case Report and Literature Review

  • Oh, Duck-Won;Yoo, Eun-Young
    • Physical Therapy Korea
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    • v.11 no.4
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    • pp.43-49
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    • 2004
  • It is not common in rehabilitation situation to encounter patients exhibiting paralysis or other disabilities which have no apparent organic basis. Even without organic causes for their signs and symptoms these patients often require comprehensive treatment and management. Patients with conversion disorder often pose particular difficulties because of diagnostic confusion and the lack of therapeutic strategies for rehabilitation management. We feel that systematic functional rehabilitation is helpful in resolving symptom and recovering normal function in the patient suffering from conversion disorder since it provides motivation and reduces reinforcements which contribute to sustained disabled state. This report describes the patient with hysterical motor paralysis who is successfully treated with structured physical therapy. The objectives of this report are to provide therapeutic guidelines for physical therapy and to emphasize the role of physical therapist in the assessment and treatment of hysterical paralysis.

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A Strategy of the Home Visiting Physical Therapy (가정 방문 물리치료의 전략)

  • Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.180-189
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    • 2003
  • The purpose of this study was to emphasize the strategy of the home visiting physical therapy for elderly patients who have joint and musculoskeletal problems, disabled person who staying in home and early discharged person who staying in home with replacement of artificial hip joint and central nerve system problems with CP, CVA, SCI etc. Home visiting physical therapist can provide evaluation and diagnosis, treatment with their special knowledge and techniques, treatment council and education for the patients and family member and refer the patients to other specialist. Home visiting physical therapy can expects that patients will have better treatment with emotionally, economically and for long term care patients.

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