• Journal of Periodontal and Implant Science
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• 제36권1호
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• pp.69-84
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• 2006

Reports on the comparison of clinical effect between non-surgical and surgical therapy, and the change of the clinical parameters during maintenance phase have been rarely presented in Korea. This study was to observe the clinical changes during maintenance phase of 6 months in patients with chronic periodontitis treated by non-surgical or surgical therapy in Department of Periodontics, Chonnam National University Hospital. Among the systemically healthy and non-smoking patients with moderate to severe chronic periodontitis, twenty eight patients (mean age: 47.5 years) treated by non-surgical therapy (scaling and root planning) and nineteen patients (mean age: 47.3 years) treated by surgical therapy (flap surgery) were included in this study. The periodontal supportive therapy including recall check and oral hygiene reinforcement was started as maintenance phase since 1 month of healing after treatment. Probing depth, gingival recession. clinical attachment level and tooth mobility were recorded at initial, baseline and 1, 2, 3 and 6 month of maintenance phase. The clinical parameters were compared between the non-surgical and surgical therapies using Student t-test and repeated measure ANOVA by initial probing depth and surfaces. Surgical therapy resulted in greater change in clinical parameters than non-surgical therapy. During the maintenance phase of 6 months, the clinical effects after treatment had been changed in different pattern according to initial probing depth and tooth surface. During maintenance phase, probing depth increased more and gingival recession increased less after surgical therapy, compared to non-surgical therapy. The sites of initial probing depth less than 3 mm lost more clinical attachment level, and the sites of initial probing depth more than 7 mm gained clinical attachment level during maintenance phase after non-surgical therapy, compared to surgical therapy. Non-surgical therapy resulted in greater reduction of tooth mobility than surgical therapy during maintenance phase. These results indicate that the clinical effects of non-surgical or surgical therapy may be different and may change during the maintenance phase.

• The Journal of Korean Physical Therapy
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• 제13권1호
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• pp.33-40
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• 2001

Objectives: This study was to identify the effect of physical therapy and related factors on depression in stroke patients. Methods: Questionnaires were completed by 46 stroke patients at physical therapy room in Busan Dongeui Medical Center from September 1999 to April 2001. The self·rating depression scale(SDS)was used to assess the differences for depression score in patients who had suffered a stroke. The design of this study was follow-up study between initial physical therapy and one month after initial. Results: A little decreased score(-0.17) was seen in patients treated with physical therapy in difference of depress between initial physical therapy and one month after initial, but there was no significant difference. In gender, male had -0.42 decreased score, female. on the contrary, had +0.09 increased score. Depress score for 50 years group was decreased(-2.08), but below 50 years and above 60 were increased in age (+1.25 and +0.27, respectively). There were no significant difference in weight, educational level, religion, side of paresis, and diabetes. Significant variables related to difference of depress in multiple regression analysis were weight(p=0.0082)and diagnosis(cerebral infarction, hemorrhage)(p=0.0473, R2=0.4241). Conclusions: This study was indicated that the more weight was a higher, the higher difference of depress score was. Difference of hemorrhage patients was smaller than that of infarction patients.

• Journal of Periodontal and Implant Science
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• 제23권3호
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• pp.526-534
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• 1993

The purpose of this study was to evaluate the changes of the tooth mobility and maximal bite force over 4 weeks following initial therapy on the periodontal disease. Tooth mobility and maximal bite force due to change of viscoelastic property of periodontium were influenced by inflammation of periodontal tissue. 10 patients with the chronic adult periodontitis participated in this study. Each tooth was divided into anterior areas, premolar areas and molar areas. Tooth mobility was tested using Periotest(Siemens Co. Germany) and maximal bite force was evaluated with MPM-3000(Nihon kohden Co. Japan). Tooth mobility and maximal bite force were recorded at the initial examination, 1, 2, 3 and 4 weeks following initial therapy. All data were analyzed statistically. The obtained results were as follows ; 1. The changes of the tooth mobility following initial therapy were generally decreased in maxilla, showing the significant decrease at 1 and 4 weeks on premolar areas (p<0. 05). 2. The changes of the tooth mobility following initial therapy were generally decreased in mandible, however this changes were not statistically significant. 3. The changes of the maximal bite force following initial therapy in maxilla were significantly increased at 3 and 4 weeks on anterior areas, at 4 weeks on premolar areas (p<0. 05). These were decreased at 1 week on molar areas, but generally increasing with time. 4. The changes of the maximal bite force following initial therapy in mandible were significantly increased at 3 and 4 weeks on anterior areas (p<0. 05, p<0. 01). These were decreased at 1 week on premolar but molar areas, and generally increasing with time. 5. As tooth mobility increased, maximal bite force decreased with significance (p<0. 01), and they had high negative correlation on anterior areas but low negative correlation on premolar and molar areas.

• The Journal of Korean Physical Therapy
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• 제10권2호
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• pp.41-55
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• 1998

본 연구는 뇌졸중 환자들의 퇴원 후 1개월까지의 물리치료양상 및 기능변화와 이에 관련된 요인을 알아보기 위해 1998년 1월 1일부터 5월 31일까지 약 5개월 간 부산시, 대구시, 구미시 및 안동시 등에 소재하고 있는 1개 병원에서 물리치료를 시작한 뇌졸중환자 87명을 대상으로 물리치료를 시작한 시점, 1개월 후, 퇴원 시, 그리고 퇴원 후 1개월이 지난 시점까지 추적하여 기능변화를 평가하였다. 뇌졸중환자의 물리치료 시작시점의 BI점수는 26.32였고, PS점수는 11.34이었다. 물리치료 시작시점을 기준으로 할 때 입원 1개월 후의 81점수 변화는 평균 16.61(p<0.001). 퇴원 시는 33.51(p<0.001), 퇴원 1개월 후는 43.56 만큼 호전되었다(p<0.001). PS점수도 각각 -2.1, -3.94, 그리고 -5,52만큼 호전되었다(p<0.001). 그리고 퇴원시에 비해 퇴원 후의 변화도 81점수는 10.06만큼, PS점수는 -1.51만큼 모두 유의하게 호전되었다 (p<0.001). 물리치료 시작시점과 회원시의 BI점수 변화와 유의한 관련이 있는 요인은 물리치료 시작시점의 BI점수와 연령이었는데(p<0.05), 시작시점의 BI점수가 낮고 연령이 낮을수록 기능호전이 컸다. 시작시점과 종료시점 사이의 변화는 시작시점의 BI점수. 퇴원시의 BI점수, 종교유무가 유의하게 관련이 이었다(p<0.05). 즉, 종교를 믿고 있거나 물리치료 시작시점의 BI점수가 낮고 퇴원시의 BI 점수가 높을수록 기능호전이 컸다. 퇴원 시와 1개월 후에는 퇴원시의 BI점수와 종교유무였는데, 퇴원시의 BI점수가 낮고 종교를 믿는 환자에서 기능호전이 유의하게 컸다.(p<0.05). 물리치료 시작시점과 퇴원시의 PS점수 변화와 유의한 관련이 있는 요인은 물리치료 시작시점의 PS점수였는데(p<0.05), 시작시점의 PS점수가 높을수록 기능호전이 컸다. 시작시점과 종료시점사이는 시작시점의 PS점수, 퇴원시의 PS점수, 퇴원 1개월 후에 적극적으로 물리치료를 받았는지의 여부 등이었다(p<0.05). 즉, 시작시점의 PS점수가 높고, 퇴원시의 PS점수는 낮으면서 적극적으로 물리치료를 받은 환자가 기능호전이 켰다. 퇴원 시와 1개월 후에는 퇴원시의 PS접수가 높고 적극적으로 물리치료를 받을수록 기능호전이 유의하게 컸다(p<0.05). 이상의 결과를 요약하면, 뇌졸중환자의 물리치료 효과를 BI점수로 평가하면 물리치료 시작시점 및 퇴원시의 BI점수, 연령 및 종교유무가 중요한 요인이고, PS점수로 평가하면 시작시점 및 퇴원시의 PS점수와 퇴원 1개월 후에 적극적으로 물리치료를 받았는지의 여부가 중요한 요인으로 생각된다.

• 대한지역사회작업치료학회지
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• 제4권2호
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• pp.75-83
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• 2014

목적 : 본 연구는 강원도 태백지역에 거주하는 초기치매환자를 대상으로 실시한 방문 인지 작업치료 프로그램의 효과를 알아보고자 하였다. 연구방법 : 초기치매환자 30명을 대상으로 작업치료학과 학생 30명과 자원봉사자들이 주 1회 총 8회기의 가정방문 인지작업치료 중재를 실시하였다. 프로그램 전후의 대상자들의 인기기능의 변화를 알아보기 위해 MMSE-K를 사용하여 측정하였다. 또한 가정방문 인지작업치료에 대한 초기치매 환자들의 인식과 만족도를 확인하였다. 결과 : 초기 치매환자에게 가정방문 인지작업치료 적용한 결과 전반적인 인지기능의 향상이 나타났으며 특히 지남력, 기억회상, 주의집중력, 언어력의 경우 통계학적으로 유의한 향상이 나타났다. 결론 : 인지기능의 향상과 일상생활능력의 향상을 위한 가정방문 작업치료 프로그램이 치매환자의 중재에 있어 유용하게 적용될 것으로 사료되며 향후 가정방문 작업치료 서비스 도입을 위한 다양한 가정방문 작업치료 중재 프로그램 개발이 필요하다.

• The Journal of Korean Physical Therapy
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• 제10권1호
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• pp.7-21
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• 1998

본 연구는 뇌졸중 환자들의 퇴윈 후 1개월까지의 물리치료 양상 및 기능변화와 이에 관련된 요인을 알아보기 위해 1996년 11월 1일 부티 1997년 3월 31일까지 약 4개월 간 부산시 및 대구시, 안동시 등에 소재하고 있는 10개 병원에서 물리치료를 시작한 뇌졸중환자 101명을 대상으로 물리치료를 시작한 시점. 1개월 후, 퇴원 시, 그리고 퇴원 후 1개월이 지난 시점까지 추적하여 기능변화를 평가하였다. 뇌졸중환자의 물리치료 시작 시점의 BI점수는 $27.18\pm23.7$이었고, PS점수는 $17.54\pm4.33$이었다. 물리치료 시작시점을 기준으로 할 때 입원 1개월 후의 BI점수 변화는 평균 21.39(P<0.001), 퇴원시는 37.47(P<0.001), 퇴원 1개월 후는 46.49 만큼 호전되었다(P<0.001). PS점수도 각각 -2.02, -4.52, 리고 -6.26만큼 호전되었다(P<0.001). 그리고 퇴원시에 비해 퇴원후의 변화도 BI점수는 9.01만큼, PS점수는 -1.73만큼 유의하게 호전되었다.(P<0.001). 물리치료 시작시점과 퇴원 시의 BI점수 변화와 유의한 관련이 있는 요인은 물리치료 시작시점의 BI점수와 연령으로 (p<0.05), 물리치료 시작시점의 BI점수가 낮고 연령이 40세 미만에서 기능호전이 컸다. 물리치료 시작시점과 종료시점 사이의 BI점수의 변화는 물리치료 시작시점의 BI점수, 퇴원 1개월 후에 적극적으로 물리치료를 받았는지의 여부, 연령 그리고 수술여부와 유의한 관련성이 있었다. (p<0.05). 즉, 무리치료 시작시점의 BI점수가 낮고, 퇴원 1개월 후에 적극적으로 물리치료를 받은 환자, 연령 40세 미만에, 그리고 수술을 받지 않은 환자에서 기능호전이 컸다. 퇴원시와 퇴원 1개월 후의 BI점수 변화와 관련 있는 변수는 퇴원시의 BI점수, 마비부위, 종교유무 이었는데, 퇴원시의 BI점수가 낮고 좌측마비환자이며 종교를 믿는 환자의 기능호전이 유의하게 컸다(p<0.05). 물리치료 시작시점과 퇴원시의 PS점수 변화와 유의한 관련이 있는 요인은 물리치료 시작시점의 PS점수와 연령이었는데(p<0.05), 물리치료 시작시점의 PS점수가 높고 40세 미만에서 기능호전이 컸다. 물리치료 시작시점과 종료시점 사이의 PS점수 변화와 관련 있는 분수는 물리치료 시작시점의 PS점수, 퇴원 1개월 후에 적극적으로 물리치료를 받았는지의 여부, 연령, 교육수준, 퇴원 후 물리치료 받은 기간, 수술여부 등이었다.(p<0.05). 즉, 물리치료 시작시점의 PS점수가 높고, 퇴원 1개월 후에 적극적으로 물리치료 받은 환자, 연령이 40세 미만, 학력이 높을수록, 퇴원 후 물리치료 받은 기간이 짧은 환자, 그리고 수술을 받지 않은 환자에서 기능호전이 컸다. 퇴원시와 퇴원 1개월 후의 PS점수의 변화는 퇴원시 PS점수가 높고, 학력이 높을수록, 퇴원 1개월 후에 적극적으로 물리치료를 받은 환자, 그리고 퇴원 후 물리치료 기간이 짧고, 남자에서 기능호전이 유의하게 컸다.(p<005). 이상의 결과를 요약하면, 뇌졸중환자의 물리치료 효과를 BI점수로 평가하면 물리치료 시작시점의 BI점수와 연령이 중요한 요인이고, PS점수로 평가하면 역시 물리치료 시작시점의 PS점수와 연령 그리고 교육수준이 중요한 요인으로 생각된다.

• Physical Therapy Rehabilitation Science
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• 제10권1호
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• pp.16-21
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• 2021

Objective: To control the rate at which body weight drops, forefoot initiates floor contact with the limb relatively extended at each joint. However, when the knee joints could not extend enough with going down the stairs, the forefoot cannot be contact initially. The purpose of this study was to investigate the differences between forefoot and whole foot in initial contract on soleus and tibialis anterior for health young adults when descending stairs. Design: A cross-sectional observational study design. Methods: Fifteen healthy young adults participated in this study. To compare between forefoot and whole foot in initial contact when going down the stairs, this study measured muscle activation on soleus and tibialis anterior. This study used the paired t-test to analyze the collected data and compare the supporting conditions. Results: After analyzing, the muscle activation of soleus was not statistically significant difference as 25.16% at forefoot initial contact and 24.37% at whole foot initial contact when descending stairs (p>0.05). However, the muscle activation of tibialis anterior muscle was significantly difference was 49.19% at forefoot contact and 71.55% at whole foot contact. Conclusions: The results of this study was that the muscle activation of the tibialis anterior was a higher at whole foot contact than that at fore foot contact when descending stairs. This study suggests that the landing strategy of the initial contact is a beneficial effect at the forefoot contact to maintain the postural balance and the muscle performance effectively when descending stairs in individuals with healthy young adults.

• 대한후두음성언어의학회지
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• 제28권2호
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• pp.112-117
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• 2017

Background and Objectives : The purpose of this study was to classify patients with unilateral vocal fold paralysis according to their fixed location and to analysis the effects of two treatment methods by early voice therapy and injection laryngoplasty. Materials and Methods : Twenty patients who were classified as full abduction and slight abduction according to the position of paralysis were treated injection laryngoplasy, and 23 patients were treated by voice therapy. Twenty patients were treated injection laryngoplasy and 23 patients were treated voice therapy. Results were evaluated by acoustic analysis, electroglottography, cepstrum analysis before and after therapy. The voice therapy was conducted by improving the larynx movement and glottal contact, whilst removing hypertension of the supraglottic and use the breathing. Results : Significant improvement was found in the acoustic parameter, cepstrum parameter, and EGG before and after treatment in both groups. There was no significant difference between the two groups when compared before and after treatment to compare the effects of injection laryngoplasty and voice therapy. Conclusion : The initial treatments for unilateral vocal cord paralysis are injection laryngoplasty and voice therapy. however, there is no precise standard about which method should be applied first. Therefore, in this study, we tried to classify patients according to their paralysis position and then apply two methods. The results of this study suggest that voice therapy and Injection laryngoplasty at the initial stage is a very useful method to improve voice quality of vocal fold paralysis and improve laryngeal function.

• 대한정형도수물리치료학회지
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• 제18권2호
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• pp.23-29
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• 2012

Background: The present study was conducted with 30 adult males in order to examine the muscle activity of the trunk and the lower extremities at diverse initial bending angles of the hip joint during bridge exercise on a stable surfaces and on an unstable surface that is widely performed for stabilization. Methods: The initial angles of the hip joint used were $0^{\circ}$, $45^{\circ}$ and $90^{\circ}$ and the subjects were divided into a matt experimental group and a balance training group. Results: In maximum values of muscle activity at different exercise methods and angles, the matt experimental group showed statistically significant differences in the muscle activity values of the rectus abdominis muscle, the erector spinae muscle, the rectus femoris muscle and the peroneus muscles between different angles while the balance training group showed significant differences only in the muscle activity values of the erector spinae muscle between different initial angles of the hip joint. The matt experimental group showed significant differences in muscle activity between initial angles $0^{\circ}$ and $90^{\circ}$, between $45^{\circ}$ and $90^{\circ}$ in the rectus abdominis muscle, between $0^{\circ}$ and $90^{\circ}$ in the erector spinae muscle, between $45^{\circ}$ and $90^{\circ}$ in the rectus femoris muscle and between $0^{\circ}$ and $90^{\circ}$ in the peroneus muscles while the balance training group showed significant differences between $0^{\circ}$ and $90^{\circ}$ in the erector spinae muscle. Conclusions: Therefore, it is thought that bridge exercises should be applied to patients using diverse methods.

• 대한물리치료과학회지
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• 제18권3호
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• pp.33-39
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• 2011

Background : The purpose of this study was to apply cervical orthosis for temporal parameters of gait was to evaluate the effect. Methods : Seven normal adults participated in this study. Before and after applying a cervical orthosis compared to gait. Outcome measure were: general characteristics, temporal parameters of gait. General chacteristics included age, gender, height, weight. Temporal parameters included the Velocity cycle, Stride length, Step length, Cadence cycle, Initial double support time. Temporal parameters of gait, using the motion analysis system for cervical orthosis were evaluated before and after applying. The data was analyzed using SPSS 12.0 software and the Wilcoxon's signed-ranks test. Results : Velocity cycle and Step length were no significant differences(p>0.05). But Stride length, Cadence cycle, Initial double support time were significant(p<0.05). After apply Cervical orthosis in gait, Stride length and Initial double support time was decreased and Cadence cycle was increased. Conclusion : Changes in temporal of temporal parameters of gait was apply a cervical orthosis with the limitations of vision due to take effect. Therefore, Cervical orthosis does not interfere with the normal gait pattern by limiting the Range of Motion so that we consider to apply.