• Title/Summary/Keyword: physical therapy environment

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The Research for the Activation of Treatment Related Service According to the 'Special Education Law': Focusing on Physical.Occupational Therapy ('장애인 등에 대한 특수교육법' 시행에 따른 치료지원서비스 활성화 방안 : 물리.작업치료를 중심으로)

  • Lee, Byoung-Hee;Jung, Jin-Hwa
    • Journal of Korean Physical Therapy Science
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    • v.16 no.2
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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.

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Schizophrenia and Healing Environment (조현병과 치유환경)

  • Lee, Hae Kyung;Lee, Myung Soo;Noh, Jai Sung
    • Korean Journal of Biological Psychiatry
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    • v.22 no.3
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    • pp.95-100
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    • 2015
  • Treatment of schizophrenia is one of the most challenging areas in the field of psychiatry. There has been much improvement in psycho-pharmacotherapy, and at present, psycho-pharmacotherapy along with milieu therapy and social rehabilitation is the standard first-line treatment for schizophrenia. Healing environment, a concept which has arisen from the architectural field, has similarities in meaning to milieu therapy in psychiatry. In other words, healing environment may be an encountering point between psychiatry and architecture. In this encountering, each field can understand each other and expand its concept to aid the treatment of schizophrenia and to plan the build-up of the entire environment considering its social and psychological effects. In this paper, we aim to establish the basic concept of healing environment to alleviate the psychopathologies in schizophrenic patients. We worked under the premise that physical setting affects human behavior and mind, and that physical setting should play a role as a medium with therapeutic potential for patients with medical problems. The aims of this paper are as follows. First, theoretical discussion of the concept and the constructs of healing environment : second, understanding of the schizophrenic symptoms that may be affected by supporting environment : and third, discussion of supporting environment that may alleviate the symptoms of schizophrenia.

The Effects of Environment factors on a Type of Stroke (환경적인 요인이 뇌졸중의 유형에 미치는 영향)

  • Kim, Dong-Dae
    • Journal of Korean Physical Therapy Science
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    • v.13 no.4
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    • pp.17-25
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    • 2006
  • The main objective of treatment in stroke is the prevention of stroke. Therefore the purpose of this study were to investigate the effects of environment factors on a type of stroke. The results of this study were as follows: 1. Hemorrhagic stroke was more prevalent than ischemic stroke to male and person with personality of inactivity, against ischemic stroke was more prevalent than hemorrhagic stroke to female and person with personality of activity(p<0.05). 2. Hemorrhagic stroke was more prevalent than ischemic stroke to a laborer, against ischemic stroke was more prevalent than hemorrhagic stroke to an office worker (p<0.05). 3. Hemorrhagic stroke was more prevalent to person living in a house, against ischemic stroke was more prevalent to person living in a apartment. 4. The majority of the onset of stroke was occurred in the morning and winter. 5. Stroke was more prevalent to person living under much stress and do not play any sports.

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Clinical Application of AR System in Early Rehabilitation Program After Stroke: 2 Case Study

  • An, Chang Man;Kim, Dae Hyun
    • The Journal of Korean Physical Therapy
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    • v.31 no.3
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    • pp.141-146
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    • 2019
  • Purpose: To investigate the effect of an augmented reality (AR) system on muscle strength and function level of the paretic lower limb and the balance ability in the early rehabilitation program of acute stroke patients. Methods: The participants (30 or fewer days after stroke) were randomly assigned to receive intervention with an early rehabilitation program using an AR system (n=1) or an early rehabilitation program consisting of functional electrical stimulation and tilt table use (n=1). Patients in both subjects received interventions 4-5 times a week for 3 weeks. Results: In the paretic limb muscle strength, AR subject was increased from 15 to 39.6 Nm and Control subject was increased from 5 to 30.2 Nm. The paretic limb function of AR subject motor function was increased from 8 to 28 score and Control subject motor function was increased from 6 to 14 score. But sensory function was very little difference between the two subjects (AR subject: from 4 to 10 score, Control subject: from 3 to 10 score). In the balance ability, AR subject had more difference after intervention than control subject (AR subject: 33 score, Control subject: 22 score). Conclusion: The early rehabilitation program using the AR system showed a slightly higher improvement in the motor function of the paretic lower limb and balance ability measurement than the general early rehabilitation program. The AR system, which can provide more active, task-oriented, and motivational environment, may provide a meaningful environment for the initial rehabilitation process after stroke.

Review of Reactive Oxygen (활성산소에 대한 고찰)

  • Hyong, In-Hyouk;Moon, Sang-Eun;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.139-146
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    • 2006
  • Purpose : This study is to understand the reactive oxygen which is expected to be a causative factor of aging condition including dementia, atherosclerosis, even cancer. Methods : The reactive oxygen is generated usually when people do very hard exercise or is under severe stressful situation or in unhealthy environment and as a protective reaction to reactive oxygen, human body releases antioxidant enzyme systems like superoxide dismutase (SOD), catalase, glutathione peroxidase (GPX), glutathion-S-transferase (GST) and non-enzymetic antioxidant systems like glutathione, ascorbate, $\beta$-carotene, vitimin E. Results : Nowadays, we are getting more interested in the generation of reactive oxygen especially in the area of physical education, food and nutrition, alternative medicine etc. Conclusion : The study of reactive oxygen in patients with musculoskeletal disease is also required and among various physical therapeutic approaches, the method of general coordinative manipulation is considered more necessary.

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Analysis of Relationship Between Job Stress and Fatigue According to The Type A/B Behavior Pattern of Physical Therapists

  • Wang, Joong San
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.2
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    • pp.1135-1141
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    • 2017
  • Stress and fatigue are general physical aspects of our daily lives. It has been shown that physical therapists have different levels of job stress and fatigue according to the type A/B behavior patterns. This study collected data from 212 physical therapists between October 28 and November 23, 2016 using an anonymous, self-administered questionnaire. The study results showed the proportion of physical therapists with the Type A behavior patterns(TABP) was 18% greater than that of physical therapists with the Type B behavior patterns(TBBP). In this study, physical therapists with TABP were compared with physical therapists with TBBP. The results indicated that physical therapists with TABP were more inclined to experience higher levels of overall job stress and fatigue from the following stress factors: physical environment, job requirement, and job autonomy. Therefore, the stronger the tendency toward TABP, the stronger the feeling of job stress and fatigue from physical environment, job requirement, and job autonomy. Those with a tendency toward TBBP showed positive correlations between job requirement and the total job stress score; thus, the stronger the tendency toward TBBP, the stronger the feeling of overall job stress and fatigue from job requirement. This study suggests that it is necessary to manage the job stress and fatigue of physical therapists with both TABP and TBBP and to manage the job stress and fatigue of physical therapists with the type A behavioral pattern.

Development of Virtual Reality-based Visual Perception and Cognitive Rehabilitation Service

  • Song, YoHan;Kim, JinCheol;Lee, JeongA;Han, Shin;Lim, YoonGyung;Lee, HyunMin
    • The Journal of Korean Physical Therapy
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    • v.31 no.2
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    • pp.67-75
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    • 2019
  • Purpose: Patients with brain damage suffer from limitations in performing the activities of daily living (ADL) because of their motor function and visual perception impairment. The aim of this study was to help improve the motor function and visual perception ability of patients with brain damage by providing them with virtual reality-based contents. The usability results of the patients and specialists group were also evaluated. Methods: The ADL contents consisted of living room, kitchen, veranda, and convenience store, similar to a real home environment, and these were organized by a rehabilitation specialist (e.g., neurologist, physiotherapist, and occupational therapist). The contents consisted of tasks, such as turning on the living room lights, organizing the drawers, organizing the kitchen, watering the plants on the veranda, and buying products at convenience stores. To evaluate the usability of the virtual reality-based visual cognitive rehabilitation service, general elderly subjects (n=11), stroke patients (n=7), stroke patients with visual impairment (n=4), and rehabilitation specialists (n=11) were selected. The questionnaires were distributed to the subjects who were using the service, and the subjective satisfaction of individual users was obtained as data. The data were analyzed using SPSS 21.0 software. The general characteristics of the users and the evaluation scores of the experts were analyzed using descriptive statistics. Results: The usability test result of this study showed that the mean value of the questionnaire related to content understanding and difficulty was high, between 4-5 points. Conclusion: The virtual reality rehabilitation service of this study is an efficient service that can improve the function, interest, and motivation of stroke patients.

Comparison of the Perception of Service Quality Between Patients and Physical Therapists (물리치료환자와 치료사간의 물리치료서비스품질에 대한 지각 비교)

  • Bang, Sang-Bun;Lee, Yong-Seok
    • Physical Therapy Korea
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    • v.17 no.2
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    • pp.75-83
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    • 2010
  • This study purposed to analyze difference in the perception of service quality between physical therapy patients and physical therapists and to provide basic materials for maintaining high service quality that meets patients' expectation in each service area. For this study, we conducted a questionnaire survey with physical therapy patients and physical therapists in Jeju from the 6 to 30 of January, 2010. In the survey, we received 133 questionnaires from patients and 125 from physical therapists, and used them in analysis. The instrument used in this study to measure service quality was prepared by the researcher through adapting and supplementing the SERVQUAL model developed by Parasuraman et al (1991). For our physical therapy environment, and it consisted of a total of 23 questions in five areas, namely, tangibility, reliability, responsiveness, assurance, and empathy. Patients' perception of service quality was high in order of reliability, assurance, empathy, responsiveness, and tangibility. In four areas with exception of reliability, quality perceived by patients was lower than that perceived by physical therapists, and particularly in responsiveness(t=2.82, p=.00) and empathy(t=2.02, p=.04), the difference between patients and physical therapists was statistically significant. In order to reduce the difference in the perception of service quality between patients and physical therapists, it is considered necessary to enhance physical therapists' perception of service quality and to prepare measures for improving service equality so that services would be provided through respectful communication with maintaining the dignity of patients, rather than focusing on disease.

Inter-Rater Reliability of Abdominal Muscles Thickness Using Ultrasonography for Different Probe Locations and Thickness Measurement Techniques

  • Lim, One-Bin;Hong, Ji-A;Yi, Chung-Hwi;Cynn, Heon-Seock;Jung, Doh-Heon;Park, Il-Woo
    • Physical Therapy Korea
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    • v.18 no.4
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    • pp.60-67
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    • 2011
  • Ultrasonography (US) is a recent technique that has proven to be useful for assessing muscle thickness and guiding the rehabilitation decision-making of clinicians and researchers. The purpose of this study was to determine the inter-rater reliability of the US measurement of transversus abdominis (TrA), internal oblique (IO), and external oblique (EO) thicknesses for different probe locations and measurement techniques. Twenty healthy volunteers were recruited in this study. Muscle thicknesses of the transversus TrA, IO, and EO were measured three times in the hook-lying position. The three different probe locations were as follows: 1) Probe location 1 (PL1) was below the rib cage in direct vertical alignment with the anterior superior iliac spine (ASIS). 2) Probe location 2 (PL2) was halfway between the ASIS and the ribcage along the mid-axillary line. 3) Probe location 3 (PL3) was halfway between the iliac crest and the inferior angle of the rib cage, with adjustment to ensure the medial edge of the TrA. The two different techniques of thickness measurement from the captured images were as follows: 1) Muscle thickness was measured in the middle of the muscle belly, which was centered within the captured image (technique A; TA). 2) Muscle thickness was measured along a horizontal reference line located 2 cm apart from the medial edge of the TrA in the captured image (technique B; TB). The intraclass correlation coefficient (ICC [3,k]) was used to calculate the inter-rater reliability of the thickness measurement of TrA, IO and EO using the values from both the first and second examiner. In all three muscles, moderate to excellent reliability was found for all conditions (probe locations and measurement techniques) (ICC=.70~.97). In the PL1-TA condition, inter-rater reliability in the three muscle thicknesses was good to excellent (ICC=.85~.96). The reliability of all measurement conditions was excellent in IO (ICC=.95~.97). Therefore, the findings of this study suggest that TA can be applied to PL1 by clinicians and researchers in order to measure the thickness of abdominal muscles.

Effect of the Empowerment and Occupational Professionalism of Physical Therapists on their Job Satisfaction (물리치료사의 임파워먼트와 직업전문성이 직무만족도에 미치는 영향)

  • Seong-hwan Kim;Seong-hun Yu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.2
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    • pp.11-22
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    • 2023
  • Background: This study examined the relationship between the empowerment, and occupational professionalism of physical therapists, and the factors affecting their job satisfaction. Methods: The subjects of the study were 240 physical therapists who had worked at medical institutions for more than a year. Data were collected from April 1 to 30, 2022. Results: The mean scores for job satisfaction, empowerment, and occupational professionalism were 3.43±.52, 3.60±.60, and 3.74±.40 points, respectively. Empowerment was positively correlated with occupational professionalism (r=.75, p<.001) and job satisfaction (r=.59, p<.001). Also, occupational professionalism was positively correlated with job satisfaction (r=.68, p<.001). The factors influencing job satisfaction were empowerment (β=.17, p<.05) and occupational professionalism (β=.56, p<.001), showing an explanatory power of 48%. Conclusions: The results of this study revealed that the higher the empowerment and occupational professionalism, the higher the job satisfaction of physical therapists. To improve their job satisfaction, it is, therefore, necessary to develop and apply an effective program to improve their empowerment and occupational professionalism level. These research results can be useful as basic data for improving the job environment of these therapists and the policies relating to their work.

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