• Title/Summary/Keyword: (physical) Health

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A Prospect for Supply and Demand of Physical Therapists in Korea Through 2030 (물리치료사 인력의 수급전망과 정책방향)

  • Oh, Youngho
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.4
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    • pp.149-169
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    • 2018
  • Purpose : This study was to develop a strategy for modeling future workforce projections to serve as a basis for analyzing annual supply of and demand for physical therapists across the South Korea into 2030. Methods : In-and-out movement model was used to project the supply of physical therapists. The demand was projected according to the demand-based method which consists of four-stages such as estimation of the utilization rate of the base year, forecasting of health care utilization of the target years, forecasting of the requirements of clinical physical therapists and non-clinical physical therapists based on the projected physical therapists. Results : Based on the current productivity standards, there will be oversupply of 39,007 to 40,875 physical therapists under the demand scenario of average rate in 2030, undersupply of 44,663 to 49,885 under the demand scenario of logistic model, oversupply of 16,378 to 19,100 under the demand scenario of logarithm, and oversupply of 18,185 to 20,839 under the demand scenario of auto-regressive moving average (ARIMA) model in 2030. Conclusion : The result of this projection suggests that the direction and degree of supply of and demand for physical therapists varied depending on physical therapists productivity and utilization growth scenarios. However, the need for introduction of a professional physical therapist system and the need to provide long-term care rehabilitation services are actively being discussed in entering the aging society. If community rehabilitation programs for rehabilitation of disabled people and the elderly are activated, the demand of physical therapists will increase, especially for elderly people. Therefore, healthcare policy should focus on establishing rehabilitation service infrastructure suitable for an aging society, providing high-quality physical therapy services, and effective utilization of physical therapists.

The Legal System for the Independent Practice of Physical Therapy (물리치료원 독립 개원을 위한 제도적 장치)

  • Bae Sung-Soo;Kim Dae-Young;Nam Sung-Woo;Park Hwan-Jin;Jeon Jae-Kyun
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.253-263
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    • 1998
  • To provide physical therapy service of good quality keeping people healthy and obstain structural reformation coping with the demands of in medical service market to foreign intercourse on 21C, we should make legal system fer the physical therapy practice. Thus we suggest the Ministry of Health and Health and the authorities should, 1. Exclude the provision of physical therapist from the classfication of medical technician on the Medical Technician Law Article 2. and establish the independent Physical Therapist Law 2. Eliminate the provision of physician or dentist's guide the Medical Technician Law Article 1. or reform it to physician or dentist's request so that physical therapists may have a independent practice, or 3. Add the provision of the physical therapy center to the Medical Technician Law, the enforcement ordinances and enforcement regulations, such as the provision of optometrist or dental technician.

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The Research of Korea Physical Therapy Charge (우리나라 물리치료 수가에 관한 연구)

  • Kim, Hyoung-Su;Shim, Je-Myung;Park, Sung-Su;Han, Jin-Tae;Kim, Eun-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.173-182
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    • 2010
  • Purpose : This study aims to figure out problems in Korea's physical therapy, how to improve it, and the need for it by examining the nation's physical therapy charges. Methods : This study was performed based on materials from the National Health Insurance Corporation, Korean academic theses, and domestic medical charge system. Results : The number of patients with physical therapy stood at around 17,764,428 in 2008, and then has gradually rose to 3 out of 100,000 citizens. The National Health Insurance Charge System based on relative values, which has been applied since 2001, is not desirable in that it is increasing patients' financial burden. Also, in deciding the amount of work carried out by physical therapists, their amount of input time, efforts, labor, and stress from their patients were not considered and the false relative value system has made patients pay more. Conclusion : Korean medical insurance charges and the overall system should be improved, so that physical therapists can perform specialized services of global physical therapy and service receiving patients do not incur losses.

The Effect of Progressive Exercise on the Activities of the Elderly (점진적 근력 운동이 노인의 활동에 미치는 효과)

  • Kim, Hyun-Sook
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.19-33
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    • 2000
  • For the purpose of disclosing the effects of progressive low intensity exercise on the activity of the elderly, questionnaire survey and physical fitness examination were performed on the subjects who were 65 years old or older. The subjects were assigned into two groups using paired matching on gender and age: experimental group (33 persons) and control groups (35 persons). The subjects in experimental group was put on the low intensity exercise program (exercising upper and lower limbs for 12 weeks using dumbbell and lead-packed weight). The results showed that the difference of physical and social behavior scores among activities before and after exercise were significantly higher in all variables of general characteristics, health habits and status, perception, and physical fitness. The findings of this research suggested that the progressive low intensity exercise improves the activities of the elderly, physical activity, self assessed activity, activities of daily living, instrumental activities of daily living, social behavior of the elderly be affected by general characteristics, health habits and status, perception, and physical fitness.

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A Survey Study Of Physical Therapy Professors and Clinical Lecturers on Clinical Practice of Physical Therapy Students in Korea (전국 물리치료과 교수 및 임상실습 강사들의 임상실습에 대한 의식조사)

  • Park Ji-Whan;Park Youn-Ki;Kim Han-Soo
    • The Journal of Korean Physical Therapy
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    • v.9 no.1
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    • pp.81-87
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    • 1997
  • Although most of Korean PT professors and clinical lecturers has been thought the importance of the PT student's clinical practice, there has got a lot of training problems in clinical field. As the result, of our survey study pointed out trouble of the (1) training duration (2) training credits (3) training evaluation (4) training workbook (5) training fee (6) training hospital numbers and (7) training quality etc, in Korean today's situation. So we suggest the Internship-training system for above half a year after student has got a PT licence, as a desired training model.

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Review of neuromuscular junction to understand myasthenia gravis (중증근무력증의 이해를 위한 신경근 연접부에 대한 고찰)

  • Song, Ju-Min;Nam, Ki-Won;Kim, Souk-Boum;Chae, Yun-Won;Kwon, Young-Shil;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.761-767
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    • 2001
  • Myasthenia gravis is an autoimmune disorder mainly caused by antibodies to the muscle acetylcholine receptors at the neuromuscular junction Loss of these receptors leads to a defect in neuromuscular transmission with muscle weakness and fatigue. In this study, to understand of myasthenia gravis, were viewed about anatomical and physiological view of neuromuscular junction.

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A Review of Elderly Person Characteristics and Geriatric Physical Therapy Factors (노인에 대한 특성과 노인물리치료관련요인에 대한 연구)

  • Kwon, Hei-Jeoung;Lee, Kyung-Hee
    • Journal of Korean Physical Therapy Science
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    • v.2 no.4
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    • pp.793-805
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    • 1995
  • The purposes of this review are to know the characteristics and physical changes of elderly person, and to give the information about elderly person when the geriatric physical therapy will be needed in Korea. Current literature on physiological changes that occur in humans owing to aging is reviewed. The musculoskeletal, cardiopulmonary, neurological, perceptual, gastrointestinal, endocrine and immunological systems are discussed. Also, The cognition, personality, and role changes are discussed. We are discussed the changes of aging; biological theory, psychosocial theory and environmental theory. The effects of disuse and of exercise are reviewed. Implications for geriatric physical therapy are suggested.

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Improvement of physical fitness and work ability of the middle-aged and aged workers through exercise prescription program (운동처방 프로그램을 통한 중·고령 근로자의 체력향상을 통한 노동력 증진)

  • Yang, Dong Joo;Kang, Dongmug;Yang, Yeong Ae;Yu, Jang Jin;Kim, Yeun Hee
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.19 no.3
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    • pp.297-306
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    • 2009
  • The purposes of this study were to investigate whether the program of health promotion and follow up feedback by periods could improve physical fitness related to work ability of the middle-aged and aged workers. Subjects were composed of two groups; workers aged below forty five and forty five and over who had measured their health-related physical fitness twice for 2 years (2006 & 2007) through the program of health promotion operated by Korea Occupational Safety & Health Agency. Paired t-test was used to evaluate the difference between the first measurement and re-measurement of health-related fitness which was operated after six to twelve months from the first one. We used 0.05 level for statistical significance. The results of this study were as follows. All measurement items including body fat ratio(%), $VO_2max$, grip strength, sit-up, and trunk flexion were significantly improved in both groups. The improvement(%) of $VO_2max$, grip strength of workers of forty five and above was lower than those of workers of below forty five. Servicing the program of health promotion and follow up feedback by periods may help workers' improvement of health-related physical fitness related to work ability.

Health beliefs of patients and caregivers of stroke rehabilitation in the implementation and impact the ability to perform everyday actions (뇌졸중 환자 및 보호자의 건강신념이 재활치료 이행 및 일상생활동작 수행능력에 미치는 영향)

  • Lee, Yeon-Seop;Mun, Byeong-Mu
    • Journal of Korean Physical Therapy Science
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    • v.18 no.4
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    • pp.11-18
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    • 2011
  • Purpose : This study attempts to assist stroke patients lead independent daily life movements by providing basic data for stroke patients' successful rehabilitation program and understanding the relationship between health beliefs of stroke patients and their guardians, and patients' rehabilitation performance level and daily life movement fulfillment ability. Methods : 23 stroke patients receiving treatments at rehabilitation specializing hospital after getting diagnosed with a stroke, along with 23 guardians were selected as research subjects, and health belief was measured by modifying supplementing Byun Young-Hee(2002)'s health belief measurement tool for leg movement disorder patients. Research findings revealed the following relationship between health beliefs of stroke patients and their guardians, and patients' rehabilitation performance and daily life movement fulfillment ability. Results : The patients group's initial MBI score was $33.13{\pm}3.46$, and measurement after four weeks was $38.43{\pm}3.47$. As health beliefs got stronger, MBI score increased significantly(p<.05). Correlation analyses of factors that affect rehabilitation attendance rate showed that perceived susceptibility, seriousness and usefulness were statistically significant, and perceived disability was not statistically significant(p<.05). Guardians' health belief index(susceptibility, seriousness, usefulness, disability) had no correlation with rehabilitation attendance rate. Conclusion : In order to increase daily life movement fulfillment ability of patients who are being treated with stroke, health beliefs must be raised to increase changes in daily life movement fulfillment ability. Therefore, it is believed that managing programs that can increase health beliefs of stroke patients can allow patients obtain positive health beliefs, further increase rehabilitation performance rate of stroke patients as well as independent daily life ability.

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Work Environments and Work Conditions Associated with Stress Symptoms Among Korean Manufacturing Factory Workers (작업환경 및 근무조건 특성과 제조업 근로자의 스트레스 증상 간의 관련성)

  • Park, Kyoung-Ok
    • Journal of Environmental Health Sciences
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    • v.30 no.3
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    • pp.272-282
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    • 2004
  • Stress is a primary health promotion issue in worksite research because psychological distress is closely related not only to workers  health status but also to their job performance. This study identified the work environment and work condition factors affecting workers  stress symptoms among the Korean manufacturing factory workers. A total of 7,818 factory workers employed in 1,562 manufacturing companies participated in the Korean nation-wide occupational health survey conducted by the Korean Occupational Safety and Health Agency in 2003. Participants were selected by the stratified proportional sampling process by standardized industry classification, company size, and locations. Trained interviewers visited the target companies and interviewed the factory workers randomly selected in each company. Work environments included physical work environments (temperature, noise, hazardous organic compounds, and so on) and psychological work environments (job demands, job control, and social support at work), and work conditions included daily working hour, rest time, and so on. Men were 71.5% and the mean age was 34.0 years old. The average working period in the present company was 6.9 years. The average stress score was 26.2 under the perfect score, 50, which means the moderate level of stress. Perceived stress had significant correlations with young age, poor physical work environment, high fatigue, bad perceived health status, and high job demands in Pearson's simple correlation analysis. Perceived health status and perceived fatigue explained 21% variance of stress symptoms and the work environment factor explained 4.8% of that; however, work condition did not have the sufficient effect. In particular, psychosocial work environment variables (job demand, job control, and social support at work) had a clear effect on stress symptoms rather than the physical work environments. Poor perceived health status, severe perceived fatigue, poor physical work environment, high job demands, low social support, heavy alcohol consumption and little exercise were significantly related to high stress symptoms in the Korean manufacturing workers.