• 한국전문물리치료학회지
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• 제17권2호
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• pp.17-24
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• 2010

The aim of this study was to determine the effect of action observational physical training (AOPT) on manual dexterity and corticomotor facilitation in stroke patients. Ten hemiparetic patients participated in this study. Each subject was asked to participate the three conditions; base condition (Base), physical training (PT), AOPT. Participants were asked to observe the action in the video that a therapist moved the blocks during the AOPT conditions. Corticomotor facilitation was determined in three conditions by monitoring changes in the amplitude of motor-evoked potentials (MEPs) elicited in hand muscles by transcranial magnetic stimulation. MEP responses were measured from the first dorsal interosseous after participants attended to three conditions. For the manual dexterity, Box and Block test (BBT) was used. The results of present study were summarized as follows: MEPs amplitude significantly tended to be larger than PT and Base condition. The scores of BBT in the AOPT condition were also significantly larger than other conditions. In conclusion, this finding of present study indicates that physical training for observation of an action is beneficial for enhancing a dexterity of paretic arm in stroke patients.

• 한국전문물리치료학회지
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• 제22권4호
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• pp.51-61
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• 2015

The purpose of this study were to translate the Fullerton Advanced Balance (FAB) scale into Korean and to verify the content validity by utilizing a back-translation method with a view to assessing balance function and the risk of falling in a clinical research setting. This research was conducted in six steps. First, three Korean physical therapists translated the FAB scale into Korean. Second, two bilingual professors of physical therapy and a physical therapist evaluated translation conformity of Korean-translated FAB scale. In the third and fourth steps, twelve physical therapists evaluated the degree of translation comprehension, and a translator back-translated the Korean FAB scale into the original language. Fifth, a bilingual professor of physical therapy and two native speakers evaluated the technical and conceptual equivalence between the original and translation versions. In this process, inappropriate translated items were revised using recommended substitute words or sentences, and all items were evaluated on the basis of three points or more on a rating scale in terms of translation comprehension, and the technical and conceptual equivalence of the back-translation. In the sixth and last step, the translation verification committee completed the final Korean version. The above process indicated that the content validity of the Korean-translated FAB scale was established by means of systematic translation methods, and it can therefore be used to assess balance function and the risk of falls in a clinical research setting.

• 대한물리의학회지
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• 제7권3호
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• pp.283-291
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• 2012

Purpose : The purpose of this study was to identify education, attitudes and beliefs, interest and perceived role, self-efficacy and barriers to physical therapists' implementation of evidence-based practice for people with stroke. Methods : The participants were 120 physical therapists providing services to people with stroke in Gwang-ju. The questionnaire contained items to evaluate practitioner and organizational characteristics and perceptions of research considered to influence evidence-based practice. The prevalence of practitioner and organizational factors was estimated using percentages. Logistic regression was used to examine relationships between sociodemographic and practice characteristics and each practitioner factor. Results : 40% of respondents had learned the foundations of EBP in their academic preparation or received training in searching or appraising research literature. 88.3% agreed that research findings are useful. Self-efficacy ratings were 45%. Conclusion : Lack of education, negative perceptions about research and physical therapists' role in evidencebased practice, and low self-efficacy to perform EBP activities represent barriers to implementating EBP for people with stroke that can be addressed through continuing education.

• 한국콘텐츠학회논문지
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• 제18권1호
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• pp.476-486
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• 2018

본 연구에서는 임상에서 재활을 담당하는 물리치료사가 장애인에 대해 갖고 있는 사회적 거리감을 알아보고자 실시하였다. 연구대상자는 경기지역 8곳을 선정하여 146명을 대상으로 하였으며, 성별, 연령, 종교, 근무연수, 주변인 장애유무, 주변인 장애 유형 별로 장애인에 대한 사회적 거리감을 알아보았다. 연구결과는 다음과 같다. 첫째, 장애인에 대한 사회적 거리감 지각 정도는 사회적 거리감(5점만점 평균 3.47점)과 하위요인인 신체적 거리감(5점만점 평균 3.77점), 대인적 거리감(5점만점 평균 3.17점)으로 지각하는 것으로 나타났다. 둘째, 연령이 높을수록(p<.05), 근무연수가 많을수록(p<.05), 남성에게서 사회적 거리감이 더 가깝게 느끼는 것으로 나타났으며(p<.05), 성별에 있어서 남성이 대인적 거리감에서 가깝게 느끼는 것으로 나타났다(p<.05). 셋째, 접촉요인에서 장애인 친구 유무에 따른 신체적 거리감과 사회적 거리감에서 통계적으로 유의한 차이를 나타났다(p<.05). 마지막으로, 치료사의 장애인에 대한 사회적 거리감 간의 상관관계에서 연령은 정적, 성별은 부적으로 유의미한 상관이 나타났으며, 근무연수와 연령의 정적 상관, 성별과 종교와는 부적 상관이 나타났다. 이러한 결과를 볼 때, 장애인과의 접촉 경험의 질과 기회에 따라 장애인에 대한 긍정적인 인식이 형성된다. 이를 통해 치료사를 대상으로 임상 초기부터 장애인 인식의 개선과 장애인과의 직접적인 경험을 통해 긍정적인 장애인에 대한 태도 및 행동의 변화를 유도할 교육을 실시할 필요가 있을 것이다.

• 대한물리의학회지
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• 제8권3호
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• pp.433-441
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• 2013

PURPOSE: The purpose of this study was to determine the effectiveness of three PNF stretching techniques for improving hamstring flexibility and to compare the effectiveness of three PNF stretching techniques(direct and indirect and mix(direct&indirect) of hold-relax technique). METHODS: The subjects were randomly assigned into three groups: group1-direct-hold-relax technique(n=10); group2-indirect-hold-relax technique(n=8); group3-mix(direct&indirect)-hold-relax technique(n=10). For each group, stretch was performed three times a week for a period of three weeks. Hamstring flexibility for each group was measured using the ASLR and PSLR. RESULTS: The results showed significant improvement in hamstring flexibility for all subjects of three groups. However, were not significantly different between the three groups. CONCLUSION: In conclusion, three PNF stretching techniques are confirmed to be useful for improving hamstring flexibility. The choice for a qualified technique has to be made individually according to patient and therapist.

• 대한물리치료과학회지
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• 제4권4호
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• pp.511-518
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• 1997

For the perfect cure of rheumatoid arthritis, the ultimate hope of patients and therapist, it is necessary to find a patient early and treat him properly and to teach him what rheumatoid arthritis is. 1. Although rheumatoid arthritis is a chronic disease and its cause is uncertain matke the patient understand that there are many ways to reduce symptoms and to prevent deformation. 2. Explain the peculiarity and the procedure of rheumatoid arthritis to the patient and encourage him. 3. Teach the patient how to protect his arthrosises by showing him concrete movement. 4. Teach the patient or his family the ways to relieve rheumatoid arthritis easily in his house for continuous remedy. In order to make that remedy most effective for the patient, a complex and balanced treatment, considering medication, surgical teatment and rehabilitative treatment, has to be applied, which needs team work. Team work occurs when doctors, physiotherapists, nurses, nutritionists, clinical psychologists, prosthesis manufacturers, social workers, employment agents and the family of the patient work together. The members of the tern have to onderstand the procedure of the treatment of rheumatoid arthritis and apply proper remedies according to the condition of the patient.

• PNF and Movement
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• 제2권1호
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• pp.13-23
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• 2004

Objective : Compare the results of CPM and PNF in recovery rates when applied as an initial physical therapy. Methods : Randomly selected 19 patients who underwent through total knee replacement surgery. 23 cases were studied and divided into 12 CPM and 11 PNF cases. CPM case was carried out for 60 minutes, a maximum allowed exercise without pain. PNF case was carried out for 20 minutes by a therapist to a patient as 'one on one'. Result : Result showed that PNF treatment was increased significantly at P<0.05 in flexor muscle strength in 8 days after the surgery. Conclusion : The study revealed that in comparison with CPM, PNF was more effective treatment increase of flexor muscle strength in rehabilitation on after total knee replacement surgery.

• 대한물리치료과학회지
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• 제9권4호
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• pp.155-168
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• 2002

The purpose of study to know hand function in order to prevent disability or handicap. The ability to perform precise refined movements of hand is an important human function. Improvement in object manipulation is common goal of therapist. The ability to manipulate an object in the hand is need for many functional tasks, including writing, handling coins, small objects and ADL skills. Therapists have commonly used hand grip and pinch strengths as baseline measures to evaluate hand function. The patterns of grasps are precision grasp, power grasp, hook grasp, spherical grasp, sylindrical grasp, disc grasp, pinch, three point pinch and tip pinch. And the motion of in-manipulation are finger to palm translation, palm to finger, shift, simple rotation and complex rotation. The hand function are include to evaluate of ROM, sensation, muscle strength of hand. It used to evaluate of decision of effect and suppose of disability and acceptance of vocation. Good evaluation is need to pretreatment and baseline of treatment and help to evaluate of effect on treatment.

• The Journal of Korean Physical Therapy
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• 제18권3호
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• pp.23-36
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• 2006

Purpose: The purpose of this study was to describe physical therapists' self-reported: (1) attitudes and beliefs about evidence~based practice(EBP), (2) education, knowledge, and skills related to obtaining and evaluating evidence, (3) attention to the literature relevant to practice, (4) access to and availability of information and (5) perceptions of the barriers to evidence-based practice. Methods: Our study sample consisted of a random sample of 90 physical therapists in gwang-ju and junnam. Participants completed a questionnaire. Responses were summarized for each item, and logistic regression analyses were used to examine relationships among variables. Results: According to the respondents, the primary barrier to implementing EBP was lack of time. The results suggest they believe that the use of evidence in practice was necessary, that the literature is helpful to them in their practice and decision making, and that quality of patient care is better when evidence is used. Many of the beliefs, skills and behaviors we examined were related to the education courses and sex. The majority of the respondents had access to online information at home. Conclusion: They noted that they needed to increase the use of evidence in their daily practice.

• Physical Therapy Rehabilitation Science
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• 제4권2호
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• pp.79-86
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• 2015

Objective: This study was carried out to compare changes in pain, swelling and range of motion (ROM) between the two groups according to physical therapy intervention. Design: Randomized controlled trial. Methods: There were a total of 20 elderly subjects ages 65-75 years old who have been admitted to the hospital for a total knee arthroplasty. After surgery, the experimental group (n=10) carried out quadriceps femoris muscle strengthening exercise, hamstring stretching exercises and gastrocnemius stretching exercise with a physical therapist for 30 minutes and additionally, received ice pack therapy for 20 minutes once a day. The control group (n=10) carried out continuous passive motion for 30 minutes and received ice pack therapy for 20 minutes once a day. The experimental group and control group carried out each intervention program for 2 weeks 3 times a week. The Visual Analogue Scale was used to assess pain, tape measurements were taken to assess swelling, and a steel goniometer was used to assess knee joint ROM. Results: As a result, the experimental group showed a statistically significant decrease in the pain and swelling, and a significant increase in knee flexion ROM after the intervention, compared to the control group (p<0.05). There was a significant improvement in pain, edema, and knee flexion and extension ROM in all subjects after intervention (p<0.05). Conclusions: According the results of this study, exercise in the experimental group is effect on the pain, swelling and ROM for total knee arthroplasty.