• 한국산학기술학회논문지
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• 제13권9호
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• pp.3999-4008
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• 2012

본 연구는 물리치료사의 직무에 따른 Work-Related Musculoskeletal Disorder(WMSD)s에 대한 증상을 파악하기 위하여 통증치료군(56명), 성인 운동치료군(53명), 소아 운동치료군(22명)을 대상으로 근골격계 증상조사표와 Rapid Upper Limb Assessment(RULA)를 사용하여 근골격계 증상 및 작업의 유해도를 알아보기 위해 실시하였다. 그 결과 통증치료군 69.6%, 성인 운동치료군 84.9%, 소아 운동치료군 81.8%, 평균 77.9%의 자각 증상 호소율을 보였다. RULA를 이용한 인간공학적 위험 평가에서 Final Wrist & Arm Score와 Final Score에서 성인 운동치료군이 단위 시간당 작업 부하량이 가장 많은 것으로 나타났으며 Action Level은 통증치료군이 평균 $3.0{\pm}0.9$, 성인 운동치료군은 $3.3{\pm}0.6$, 소아 운동치료군은 $3.2{\pm}0.8$로 성인 운동치료군에서 가장 높았다. 근골격계 증상에 영향을 미치는 요인 중 키, 가사 노동, 육체적 부담정도, 과거 사고가 통계적으로 유의하였다. 이에 따라 물리치료사의 WMSDs를 방지하기 위한 장비 및 교육시스템이 보급되어야 할 것으로 사료된다.

• PNF and Movement
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• 제20권2호
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• pp.157-166
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• 2022

Purpose: The aim of this research was to investigate the effects of self-sit-to-stand training on balance ability and sit-to-stand ability in hemiplegic stroke patients using a multisensory feedback device. Methods: A total of 19 stroke patients participated in this study, and they were divided into two groups: 10 underwent self-sit-to-stand training using a multisensory feedback device, and 9 underwent sit-to-stand training with a physical therapist. In both groups, sit-to-stand training was performed for 30 min, 3 times a week, for 6 weeks. The subjects also underwent physical therapy twice a day for 30 min, 10 times a week, for a total of 60 sessions. Balance ability was evaluated using the AFA-50 and Berg Balance Scale. Sit-to-stand ability was evaluated using the five times sit-to-stand test. Results: Sway length, pressure, and total pressure all significantly increased in both groups, and there was no difference between the two groups. The Berg Balance Scale results showed that balance ability significantly increased in both groups, and there was no difference between the two groups. The five times sit-to-stand test results showed that sit-to-stand ability significantly increased in both groups, and there was no difference between the two groups. It was found that the self-sit-to-stand training using a multisensory feedback device had a positive effect on balance control and sit-to-stand ability. When the two groups were compared, no difference in balance ability or sit-to-stand ability was observed. Conclusion: The findings of this study indicate that self-sit-to-stand training using a multisensory feedback device is as effective as sit-to-stand training with a physical therapist. Hence, self-sit-to-stand training using a multisensory feedback device could be an effective home-based exercise protocol for hemiplegic stroke patients to improve their balance and sit-to-stand abilities.

• 대한물리의학회지
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• 제8권3호
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• pp.303-315
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• 2013

PURPOSE: The present study was aimed at providing political basic data for introduction home-based physical therapy service through conducting In-depth interviews with professionals for complementing the survey of previous studies. METHODS: we conducted In-depth interviews to 10 professionals with their consent after describing the intent and purpose of the study. RESULT: Interviewees has significant recognition of home-based physical therapy service, and were sympathetic to the need for the introduction of the home-based physical therapy service. They suggest that it should be required to public relations, incorporation home-based physical therapy into the regular curriculum and research the foreign cases. Also home-based physical therapy system service should be include therapeutic exercises, education for families & caregivers and providing the rehabilitation of the team approach. Most professionals think the sooner Home-based physical therapy service introduction, the better for public. Also they propose that hospitals and clinics under the national and local government become a principal and operate in conjunction with the health center. CONCLUSION: Home-based physical therapy service should be conducted in early for relieving the physical, mental and social discomfort of patients, physical therapists and caregivers, also providing the quality of physical therapy to chronically ill patients. It is necessary to efforts of the physical therapy association and physical therapist and government`s political supports. In addition, we must be prepared on the basis of policy development and operation through continuously converging the opinions of experts who have been associated with home-based physical therapy service.

• 보건의료산업학회지
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• 제5권4호
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• pp.161-175
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• 2011

The purpose of this study was to expand the home-based rehabilitation services in the long term care insurance. This study was reviewed on the home-based physical therapy in the OECD. The way of this study was literature search and review. This was to reviewed Proquest, Sciencedirect, SpingerLink, Pubmed. Kew word is "home-based therapy". This was collected 71 articles and final analyzed article was 49. The results were as follows; The article number is seven in Canada, fifteen in USA, five in UK, six in Australia, three in Sweden, five in New Zealand, two in Netherlands, one in Turkey, South Korea, Japan, France, Spain, Italy respectively. Randomized controlled trial is fifty, case-control study is eleven, interview is three, literature review is two, and case report, cost-analysis, cost-effectiveness, pilot study, single blinded parallel design, demonstrative study, survey is one respectively. Physical therapist played an important role in home-based rehabilitation among OECD than nurse. Therefore, we must introduce home-based physical therapy in long term care insurance in South Korea.

• 대한물리치료과학회지
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• 제2권1호
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• pp.413-422
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• 1995

The trigger point phenomenon is an extremely common syndrome in physical therapy room. The symptoms created by these syndromes may be interpreted as originating in discogneic disease, nerve entrapment syndromes, viscerosomatic pain, and certain myalgic pain of unknown etiology. Injuries, viral or bacterial infections, immobilization, psychogenic stress, and other environment factors can preciptate and perpetuate these syndromes, which may occur in any of the voluntary muscles of the human body and thus lead to a multitude of myofascial pain syndromes. Obviously symptomatic treatment can meet with only partial success. Knowledge of the trigger point phenomenon will aid the diagnostician in understanding otherwise in explicable symptom. The trigger point are $2{\sim}5mm$ in diameter, hyperirritable palpable taut in a tissue, when compressed, is locally tender, if sufficiently hypersensitive, give rise to referred pain and tenderness, and sometimes to referred automatic phenomena and distortion of proprioception. The treatment of myofascial trigger point pain syndrome is not difficult once the source of the problem has been determined. Where as many modalities may be used, two of the most effective are spray-and stretch and TP injection. These can be followed by deep massage, specific, manual resistive exercise, and an exercise program which the patient can follow at home. The goal of management is to inactivate the TPs and to restore shortened and stretch resistent muscles to their full range of motion. The purpose of this case study was to know about the pathophysiologic mechanism of the trigger point and will enable to physical therapist to direct his treatment to the real source of trouble.

• 대한물리치료과학회지
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• 제16권2호
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• pp.45-55
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• 2009

Background: This thesis aims at suggesting the direction for the introduction of public free treatment support system according to the establishment of [Special Education Law] and the right settlement of therapeutic support service. Method: It introduced the characteristics and the contents of school based PT & OT, diagnosis and evaluation, and operation method. It set up question items and presented intervention plan, and substantial intervention, beginning from the request of whole process. The diagnostic evaluation was described from 4 aspects, which are consideration matters in the time of document drawing and diagnostic evaluation, chiefly centering around SOAP. The flow of overall treatment support service, the allocation of 16 handicapped children for 1 therapist, and the weekly treatment frequency according to the treatment support location and environment were suggested in the concrete operation method. Result: The concrete method should be explored in order to provide handicapped students with requisite services, which are offered by various experts in the amended 'Special Education Law'. In addition, work condition and social welfare, which are equal to school teachers, should be provided for all experts. Conclusion: Along with these things, special education support center should establish the road-map for the education rehabilitation of the handicapped children from the evaluation of early diagnosis of the handicapped children to treatment support and lifelong education.

• 한국전문물리치료학회지
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• 제5권2호
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• pp.106-117
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• 1998

The pain is common among individuals with physical disabilities. It can interfere with therapy since patients with pain can become uncooperative and reluctant to move. This paper reviews the natural physiological mechanisms that can reduce pain perception, and considers physiological mechanisms which contribute to clinical pain by describing how the pain system changes its sensitivity depending upon the body's needs. The peripheral and central mechanisms contributing to sensitised nociceptive system are described with reference to the symptoms of clinical pain such as hyperalgesia, allodynia sopntaneous 'on-going'-projected and referred pain. It is suggested that in some chronic pain the nociceptive system maintains a state of sensitivity despite the absence of on-going tissue damage and under such circumstances the nociceptive system itself may have become dysfunctional. Such situations are often initiated by damage to nervous tissue which results in changes in the activity and organization of neuronal circuits within the central nervous system. The ability of the nociceptive system to operate in a suppressed state is also discussed with reference to pain modulation. The physical therapist can help facilitate the activation of these mechanisms through a combination of noninvasive modalities, functional activities, and the therapeutic use of self.

• 대한물리의학회지
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• 제11권4호
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• pp.27-32
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• 2016

PURPOSE: This study compared the immediate effect of a passive mobilization of upper cervical spine (Kaltenborn's joint mobilization) and an active upper cervical stretching (Olaf's Auto-stretching) on patients with neck pain and ROM. METHODS: Twenty-three subjects were randomized selected in the passive group (Kaltenborn's joint mobilization) included twelve subjects and the active group (Olaf's Auto-stretching) included eleven subjects. VAS (Visual Analogue Scale) was measured before and after neck rotation performance. DUALER IQ PRO (JTECH Medical, U.S.A.) was used to measure the neck ROM. Mean value of double measurement was used before performance and after performance. SPSS version 18 was used to compare values independent t-test and paired t-test were used to compare pain and ROM. RESULTS: There are significant difference in the pain and the ROM in both of two group (p<.05). But there are no significant difference pain and ROM between two groups. CONCLUSION: Both of the passive mobilization of upper cervical spine and the active upper cervical stretching are effected on symptom improvement of patients with neck pain reduction and ROM increasing. Especially active upper cervical stretching is more economical, because it has similar effects with the passive mobilization, help to maintain the treatment effect of therapist by themselves and can help to save medical expenses of patients.

• The Journal of Korean Physical Therapy
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• 제20권2호
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• pp.43-48
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• 2008

Purpose: The purpose of this study is to investigate the importance of grade decision and role of physical therapist which follows enforcement of elderly long-term residential care insurance system. Methods: One of the data from grade decision meeting in Bukgu, Busan on 2007 which was 88 case of attached finding of doctor was compared with findings of visited investigator. Result: Eighty-four investigation subjects had 186 diseases that included stroke and arthritis, requiring the need for physical therapeutic approaches. In addition, the results of the door-to-door research project in the northern district of Busan showed that there was no match out of 88 subjects who submitted the viewpoint of the doctor. Such a result was produced as the doctors did not diagnose the patient directly, but rather the diagnoses were obtained from guardians and a door-to-door researcher who had a poor understanding of geriatric motion and function. Conclusion: To enforce long-term care successfully, a re-investigation should be performed for the welfare of the aged.

• 대한물리의학회지
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• 제1권1호
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• pp.1-12
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• 2006

Purpose : The purpose of this study was to investigate the effect of electromechanical gait trainer therapy in stroke patients. The gait trainer was designed to provide nonambulatory subjects the repetitive practice of a gait-like movement without overstraining therapist. To simulate normal gait, discrete stance and swing phase, lasting 60% and 40% of the gait cycle respectively, and the control of the movement of the centre of mass were required. Methods : This preliminary study investigated during 8 weeks therapy on the gait trainer could improve gait ability in 5 subacute and chronic hemiparetic stroke patients. Gait ability(time up & go [TUG], comfortable and maximal gait speed and functional ambulation category[FAC]), functional movement of lower extremity(Fugl-Meyer Assessment [FMA] and composite spasticity score [CSS]) and sensory of lower extremity(Fugl-Meyer Assessment sensory [FMA-s])were the measured. Results : TUG, comfortable and maximal gait speed and FMA were improved significantly. Although FAC, FMA-s and CSS were improved, there were not statistically significant. Conclusion : Therefore, the gait trainer enabled affected patients the repetitive practice of a gait-like movement, which is important for the restoration of walking ability.