• The Journal of Korean Physical Therapy
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• 제15권3호
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• pp.239-250
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• 2003

This study was performed to investigate the effect of low power laser irradiation on Substance P(SP) expression in the burned skin of the rats. Burns of about 3cm in diameter were created with $75^{\cric}C$ water on the back of the rats, and the lesion of experimental group were irradiated on days 1, 2, 3 and 4 postwounding. Control leasions were not irradiated. After burns, low power laser irradiation was applied by using 1000Hz, 830nm GaAlAs(Gallium-aluminum-arsenide) semiconductor diode laser. The expression of evaluated Substance P(SP) immunohistochemistry on rabbit anti-SP The results of this study wereas follows 1. The Substance P was expressed in the lamina I and II of dorsal horn of spinal cord. In expression of SP, the lesion of control group made SP to more induce significantly than experimental leasions. 2. SP immunoreactivity in burned leasion of spinal cord were decreased markedly 4 days after burns, and decreased gradually from 1 day to 2 days in burns which is laser irradiation These data suggest that low power laser have a pain release effect in the burned skin of the rats.

• 한방재활의학과학회지
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• 제15권1호
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• pp.163-169
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• 2005

Objective : Direct moxibustion applied on painful point of injured ligament, not acu-point, is effective method to treat acute pain and chronic weakness of injured ligaments. We recently experienced 3 case of sprain treated with direct moxibustion on painful point of ligaments. Methods : Patients who injured in lateral collated ligament, anterior talo-fibular ligament, and collateral ligament of finger were treated by direct moxibustion on tender points of injured ligaments. Results and conclusion : There was successful results that pain and ROM was improved. It seems that burns due to moxibustion facilitate repair of ligament and control inflammation.

• 재활복지
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• 제21권2호
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• pp.217-231
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• 2017

안면부 및 경부 화상 환자에게 적절한 영양 공급을 위해 일차적으로 고려하여야 할 요소는 삼킴기능의 평가와 재활치료이며, 이와 더불어 타인과의 효과적인 의사소통과 심미적 기능을 만족시키기 위해 말능력에 대한 자세한 평가와 재활 역시 고려하여야 한다. 본 연구의 목적은 안면부 몇 경부화상 환자의 삼킴장애 및 말운동장애, 음성 장애 등을 종합적으로 파악할 수 있는 의사소통장애 선별프로토콜의 예비 문항을 정리하는데 있다. 화상으로 초래되는 여러 가지 의사소통장애를 다루고 있는 국외 연구들을 참고하여 '구강기제(oral mechanism)', '호흡/음성(respiration/voice)', '삼킴(swallowing)', '조음(articulation)'을 포함한 총 4개의 평가영역으로 나누고 하위범주와 이에 필요한 문항들을 작성하였고, 전문가 5인에 의한 내용타당도 검증 후 예비 문항을 선정하였다. 내용타당도 범위는 .50~.84로 나타났다. 구강기제 및 조음 평가 영역에 포함된 대부분의 선별평가 문항들이 적절하게 나타난 것과 다르게 호흡/음성 및 삼킴 평가 영역의 경우, 전문가마다 조금씩 다른 의견을 보이기도 하였다. 안면부 및 경부 화상 환자가 보이는 의사소통장애의 이질적인 특성 상, 본 연구를 통해 정리된 선별 프로토콜 항목을 바탕으로, 향후 화상 환자의 유형 및 중증도별 평가를 통해 각 환자에게 맞춘 평가 양식으로 적절히 수정하여 활용할 수 있을 것으로 예상한다. 이로써 구강조음기관의 기능적 해부와 생리에 대한 지식이 있고 이에 적합한 재활훈련이 가능한 언어재활사들이 화상 환자의 의사소통장애에 대해 더욱 종합적인 평가와 치료 적용이 가능할 것으로 기대한다.

• 대한간호학회지
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• 제37권2호
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• pp.221-226
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• 2007

Purpose. Hypertrophic scarring and depression are the principal problems of bum rehabilitation. This study was done to verify the effects of skin rehabilitation massage therapy (SRMT) on pruritus, skin status, and depression for Korean bum survivors. Methods. A pretest - posttest design using a nonequivalent control group was applied to examine the effects of SRMT for 3 months in a group of 18 bum survivors. The major dependent variables - including pruritus, objective and subjective scar status, and depression - were measured at the beginning and at the end of the therapy to examine the effects of SRMT. Results. Bum survivors receiving SRMT showed reduced pruritus, improved skin status, and depression. The remaining scar also showed improvement in skin pigmentation, pliability, vascularity, and height (compared to the surrounding skin) as measured on the Vancouver Scar Scale (VSS). Conclusions. The findings demonstrate that SRMT for bum survivors may improve their scars both objectively and subjectively, and also reduce pruritus and depression.

• The Journal of Korean Physical Therapy
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• 제14권3호
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• pp.226-237
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• 2002

This study was performed to investigate the effect of low power laser irradiation on epidermal growth factor(EGF) expression in the burned skin of the rats. Burns of about 3cm in diameter were created with 75'c water on the back of the rats, and the lesion of experimental group were irradiated on days 1, 2, and 3 postwounding. Control tensions were not irradiated. After burns, low power laser irradiation was applied by using 1000Hz, 830nm GaAlAs (Gallium-aluminum- arsenide) semiconductor diode laser. The expression of epidermal growth factor evaluated immunohistochemistry on mouse anti-EGF. The results of this study were as follows 1. In expression of EGF, the lesion of experimental group made EGF to more induce significantly than control tensions. 2. EGF immunoreactivity in burned skin were increased markedly 3 days after burns, and increased gradually from 1 day to 2 days in burns which is laser irradiation These data suggest that low power laser have wound healing effect in the burned skin of the rats.

• 근관절건강학회지
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• 제23권1호
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• pp.28-38
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• 2016

Purpose: The purpose of this study was to investigate post-burn itching relevant characteristics in the rehabilitation phase. Methods: Ninety four burn patients who were hospitalized in the rehabilitation phase participated in the study. Self-reported Leuven itch scale-Korean was used to evaluate itching related characteristics. Data were analyzed with descriptive analysis, $x^2$ test, and Kruskal-Wallis test. Results: All subjects except two had the itching. Itching frequency revealed that 68.1% of subjects experienced itching one or more episodes a day or always, and 18.7% had episode durations lasting more than 2 hours per incidence. Mean severity and distress of itching was $5.3{\pm}2.4$ and $5.2{\pm}2.5$, respectively. Itching sensation dimension of tickling was 56.4%. More than 25% of subjects "often" or "always" affected reduced quality of life, loss of concentration, bad mood, and difficulty in falling asleep. Satisfaction with itching treatment was intermediate level. Conclusion: Post-burn itching in the rehabilitation phase was a significant problem despite pruritus treatment. Based on the finding of this study, development of comprehensive and tailored nursing intervention programs for itching could be suggested.

• Journal of Korean Biological Nursing Science
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• 제17권2호
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• pp.179-187
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• 2015

Purpose: This study was done to evaluate the effects of a recreation therapy program on burn rehabilitation patients to determine if the program is an effective nursing intervention which can affect mental health problems and heart rate variability. Methods: Subjects were 54 hospitalized burn rehabilitation patients (25 in the control group, 29 in the experimental group). The experimental group participated 6 times in a recreation therapy program led by a qualified instructor. Brief symptoms inventory-18 (somatization, anxiety, depression) questionnaire, and heart rate variability were checked before and after the recreation therapy program. Results: The mental health scale showed significant differences in somatization (p<.001), anxiety (p<.001) and depression (p<.001). There was no significant difference in heart rate variability (autonomic activity, autonomic balance, stress resistance, stress parameter and fatigue, mean heart rate, electro-cardiac stability). Conclusion: The findings from this study suggest that a recreation therapy program is an effective nursing intervention to decrease the level of mental health problems of burn rehabilitation patients. However, a subsequent study is needed to develop an intervention program that will induce the effect of physiological parameters like heart rate variability (HRV).

• 근관절건강학회지
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• 제30권3호
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• pp.208-217
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• 2023

Purpose: The aim of this study was to investigate the degree of stress, resilience, focusing manner, and quality of life among burn rehabilitation patients. Furthermore, it seeks to identify factors affecting the quality of life in this patient group. Methods: The participants of this study were 129 burn patients, aged 19 or older, who received treatment at the rehabilitation of a university hospital in Seoul. Data were collected from June 22 to August 31, 2022 through self-report questionnaires covering stress, resilience, focusing manner and quality of life.The data were analyzed using the SPSS 29.0 program. Results: Multiple regression analysis showed that education level, cause of burn, area of burn, pain, stress, and focusing manner significantly affected the quality of life, explaining 74.5% of the variance. Conclusion: In particular, focusing manner was a major factor affecting the quality of life in burn rehabilitation patients. Therefore, there is a need to develop intervention programs aimed at increasing focusing manner in this patient group.

• 대한화상학회지
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• 제23권2호
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• pp.31-36
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• 2020

Purpose: Scar contracture influence the outcome of burn patients significantly. This study aims to investigate the feasibility of robot-assisted training for the lower extremity rehabilitation of burn patients. Methods: This pilot study was conducted on 7 burn patients for 8 weeks between January 2019 and November 2019. Two of 7 patients withdrew from this study because one had skin abrasion on the legs which thigh fastening devices were applied on and the other was not participate in the assessment at 4 weeks after training. Final 5 patients received gait training with SUBAR^® and numeric rating scale (NRS), 6-minutes walking test, and range of motion in flexion and extension of knee and ankle joint were evaluated before training, 4 weeks and 12 weeks after training. Results: The subjects had a mean age of 51.8±98 years, mean total burn surface area of 30.8±13.7%, mean duration from injury to 1^st assessment of 102.8±39.3 days. Anyone of 5 patients did not have musculoskeletal or cardiovascular side effects such as increased or decreased blood pressure or dizziness. The significant improvement in NRS, gait speed, and range of motion in knee extension and ankle plantarflexion after robotic training (all P<0.05). Conclusion: Robot-assisted training could be feasible for the rehabilitation of burn patients and it could improve muscle strength and range of motion in lower extremities, and gait function.

• Clinics in Shoulder and Elbow
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• 제21권2호
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• pp.101-104
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• 2018

Since shoulder have a higher proportion of muscle which would have low electrical resistance, there could be more electrical damage to the rotator cuff muscles. We present a patient with acute rotator cuff tear by sudden uncontrolled jerking contractions caused by an electrical shock. A case of 42-year-old man with acute rotator cuff tear due to electrical injury to the shoulder was presented. Magnetic resonance imaging showed a full thickness tear and an undulating appearance of the peripheral end of the torn supraspinatus and infraspinatus muscle, suggesting an acute complete rupture. By arthroscopic surgery, the torn rotator cuff tendons were repaired with a suture bridge technique. At the final follow-up, the patient had a full, pain-free range of motion and had fully recovered shoulder muscle power.