• 대한감각통합치료학회지
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• 제8권1호
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• pp.15-26
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• 2010

목적 : 본 연구는 다문화와 일반 가정 어머니의 양육태도와 그 자녀의 감각처리능력을 알아보기 위한 것이다. 연구 방법 : 만 3~7세의 자녀를 둔 다문화 가정 19명과 일반 가정 38명을 조사하였다. 설문지는 어머니와 자녀의 일반적인 특성, 어머니의 양육태도, 자녀의 감각처리능력에 관한 것이다. 대상자의 인구학적 특성은 기술통계, 두 집단간의 비교는 맨 휘트니 U 방법으로 분석하였다. 결과 : 다문화 가정과 일반 가정의 양육태도는 거부적 태도(p=.000)와 자율적 태도(p=.000)에서 유의한 차이를 나타내었다. 그리고 다문화 가정과 일반 가정 아동의 감각처리능력을 비교한 결과, 맛/냄새 민감성(p=.004), 움직임 민감성(p=.021), 과소반응/특정자극을 찾는 행동(p=.010), 청각여과하기(p=.016), 활력이 부족하고 허약함(p=.003), 시각/청각 민감성(p=.029), 총합(p=.002) 항목에서 유의한 차이를 나타내었다. 결론 : 본 연구를 통하여 다문화 가정과 일반 가정의 어머니 양육태도 특성과 만 3~7세 아동의 감각처리능력에 대해 알아보았다. 다문화 가정에 대한 심층적이고 질적인 연구를 통해 특성을 파악하고 놀이와 발달에 대한 정보를 제공하는 것이 필요하다.

• 대한방사선치료학회지
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• 제18권2호
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• pp.119-125
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• 2006

목 적: 본 연구에서는 근접치료 시 선량기준점에서 선량을 정확히 분석하고자 근접방사선치료용 다목적 팬텀(Multi Purpose Brachytherapy Phantom, MPBP)을 제작하여 그 유용성을 평가하고자 하였다. 대상 및 방법: 자체 제작된 근접방사선치료용 다목적 팬텀(MPBP)에서 다기능삽입구(Multi Function Applicator, MFA)를 이용하여 치료 시와 동일한 조건을 재현한 후 열형광선량계(TLD)를 이용하여 전산화 치료계획 장치에서 계산된 좌표와 동일한 기준점에서 선량을 측정하였다. 측정 대상은 근접방사선 치료환자 중 탄뎀(tandem)과 난형체(ovoid)를 사용한 자궁경부암 환자 4명을 대상으로 환자 당 5회씩 총 20회 A point와 B point 그리고 방광에서 선량을 측정하였다. 결 과: MPBP에서 TLD의 측정 결과는 A Point에서 측정한 환자의 상대오차가 각각 -3.2%, -0.2%, 0%, 3.8%를 보였고, B point에서는 -1.4%, -1.4%, 2.4%, 4.0%를 보였다. 그리고 방광에서는 1.3%, 2%, 5.4%, 7.15%의 상대오차를 나타내었다. 결 론: 자체 제작된 근접치료용 다목적 팬텀(MPBP)은 다기능삽입구(MFA)를 사용하여 치료 시와 동일한 조건에서 선량측정의 재현성을 이룰 수 있었고, A, B point지점과 방광의 선량을 정확히 분석할 수 있었다. 따라서 본 연구에서 제작된 근접방사선치료용 다목적 팬텀은 기준점 선량분석에 매우 유용한 것으로 판단된다.

• The Journal of Korean Physical Therapy
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• 제19권5호
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• pp.29-41
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• 2007

Purpose: The aim of this study was to examine the validity and reliability on Psychometric Arthritis Impact Measurement Scale-Short Form (AIMS-SF) in patients with knee osteoarthritis(OA). Methods: The sample consisted of 62 patients who had received physical therapy at the physical therapy units of the Andong Medical Center, Sungso Hospital, Ahn Orthopedic Surgery Clinic, and St. Luke Clinic in Andong city in June 2006. Questionnaire on the AIMS-SF was recruited by 5 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient: ${\alpha}$), item-discriminant validity, Pearson's relation coefficient. To explore construct validity we conducted a principal component factor analysis with varimax rotation analysis. The criterion for factor extraction was an eigenvalue >1.0. Results: 62 OA patients's an average $age{\pm}standard$ deviation was $53.8{\pm}14.4$ years (range: $40{\sim}81$ yr). The internal consistency reliability of 11 items, as estimated by Cronbach's ${\alpha}$ coefficient, was high ranging $0.60{\sim}0.78$ (except for 0.40 for mobility level and -0.48 for mood). The internal consistency reliability of item-each scale was also high $0.82{\sim}0.93$ (except for 0.48 for mood). Of 11 items, the item-discriminant validity on 6 items was high (${\alpha}$ coefficient range: $0.11{\sim}0.25$), however, others (0.57 for tension level, 0.48 for arthritis pain, 0.41 for walking and bending, and 0.40 for work) were a little low. The construct validity by factor analysis was a little low. Conclusion: In conclusion, the results reported here confirm the validity and reliability of the AIMS-SF in patients with OA of the knee. The Collection of information on health status using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the construct validity.

• 한국전문물리치료학회지
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• 제15권2호
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• pp.20-29
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• 2008

The purpose of this study was to examine the validity and reliability of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)-VA3.0 in patients with hip and knee osteoarthritis (OA). The sample consisted of 301 patients who had received treatments at the physical therapy units of 5 medical institutions in Andong City in june 2006. Questionnaires on the WOMAC were recruited by 12 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency (Cronbach's alpha coefficient: ${\alpha}$), item-discriminant validity, and Pearson's relation coefficient. To explore construct validity, we conducted a principal component factor analysis with varimax rotation analysis. The criterion for factor extraction was an eigenvalue >1.0. The average age of the patients was 62.1 years. All WOMAC subscales (pain, stiffness, and physical function) were internally consistent with Cronbach's coefficients of .81, .91, and .80, respectively. The internal consistency reliability of item-each scale were also internally consistent with Cronbach's coefficient of .89 (Pearson's correlation coefficient: .71~.84), .93 (.89~.91), and .96 (.67~.91), respectively. However, high correlation was found among 3 items (.66~.83, .66~.67, and .67~.83), so the item-discriminant validity was low (${\alpha}$ coefficient: .81, .91, .80, respectively). The construct validity by factor analysis was low because it was not consistent With WOMAC-VA3.0. In conclusion, the results reported here confirm the reliability of the WOMAC in patients with OA of the hip and knee. The collection of information on the hip and knee osteoarthritis using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the construct validity.

• 척추신경추나의학회지
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• 제14권2호
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• pp.15-28
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• 2019

Objectives : This study aimed to systematically and comprehensively review controlled clinical trials on the effectiveness and safety of Chuna Manual Therapy for stroke. Methods : By October 7, 2019, three core databases and three domestic databases were searched. Seven major academic journals on the related field were also hand-searched. Methodological quality of the included studies was evaluated using the Cochrane risk of bias tool. Meta-analysis was conducted and the quality of its evidence was assessed using the GRADE methodology. Results : Five articles met the eligibility criteria. The results of most of included studies were in favor of Chuna Manual Therapy. No study described any adverse events during or after the clinical trials. Meta-analysis of three eligible studies showed that the pre- and post-treatment scores on the Modified Barthel Index (mean difference 8.00, 95% confidence interval 0.26 to 15.74) and Berg Balance Scale (mean difference 3.57, 95% confidence interval 0.64 to 6.51) of the Chuna-treated group were significantly different, but only marginally higher than those of the non-treatment group. Thus, the level of evidence gathered from these studies was assessed to be low. Conclusions : Based on current available evidence, any confirmative conclusions cannot be made on the effectiveness and safety of Chuna Manual Therapy for stroke because of the small sample size, low methodological quality, presence of statistical heterogeneity, and missing safety information. More rigorously designed large-scale multi-center studies are needed to establish more specific and credible evidence to support or oppose the use of Chuna Manual Therapy for stroke.

• 한국전문물리치료학회지
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• 제22권3호
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• pp.33-40
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• 2015

The purpose of this study was to investigate the effect of multi joint-joint position sense (MJ-JPS) training on joint position sense, balance, and gait ability in stroke patients. A total of 18 stroke patients participated in the study. The subjects were allocated randomly into two groups: an experimental group and a control group. Participants in the experimental group received MJ-JPS training (10 min) and conventional treatment (20 min), but participants in the control group only received conventional treatment (30 min). Both groups received training for five times per week for six weeks. MJ-JPS is a training method used to increase proprioception in the lower extremities; as such, it is used, to position the lower extremities in a given space. MJ-JPS measurement was captured via video using a Image J program to calculate the error distance. Balance ability was measured using Timed Up and Go (TUG) and the Berg Balance Scale (BBS). Gait ability was measured with a 10 m walking test (10MWT) and by climbing four flights of stairs. The Shapiro-Wilk test was used to assess normalization. Within-group differences were analyzed using the paired t-test. Between-group differences were analyzed using the independent t-test. The experimental group showed a significant decrease in error distance (MJ-JPS) compared to the control group (p<.05). Both groups showed a significant difference in their BBS and 10MWT results (p<.05). The experimental group showed a significant decrease in their TUG and climbing results (p<.05), but the control group results for those two tasks were not found to be significant (p>.05). There was significant difference in MJ-JPS and by climbing four flights of stairs on variation of pre and post test in between groups (p<.05), but TUG and BBS and 10MWT was no significantly (p>.05). We suggest that the MJ-JPS training proposed in this study be used as an intervention to help improve the functional activity of the lower extremities in stroke patients.

• 산업진흥연구
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• 제6권4호
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• pp.59-68
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• 2021

본 연구는 회상요법을 적용한 집단미술치료가 치매노인의 우울, 의사소통, 자기효능감, 주관적 행복감에 미치는 영향을 확인하였다. 연구대상은 S군 S노인요양시설에 입소 중인 65세 이상의 치매노인 총 28명을 대상(실험군 14명, 대조군 14명)으로 2020년 11월 14일 부터 2021년 3월 6일 까지 주1회씩 16회기를 걸쳐 진행하였다. 자료 분석은 SPSS 24.0통계프로그램을 이용해서 신뢰도 검증, 빈도분석, 독립표본 T-test, 2×2 혼합변량분석, 대응표본 T-test, 집단 간 독립표본 T-test를 실시하였다. 본 연구결과는 다음과 같다. 회상요법을 적용한 집단미술치료는 치매노인들의 우울과 의사소통에 대한 부정적인 인식을 감소시키고, 자기효능감과 주관적 행복감을 증진시키는 효과가 있는 것을 확인할 수 있었다. 이러한 연구결과는 회상요법을 적용한 집단미술치료의 기초자료를 제공하였다는 점에서 의의가 있다.

• 산업진흥연구
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• 제6권4호
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• pp.47-58
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• 2021

본 연구는 회상요법을 활용한 집단미술치료가 치매노인의 우울, 대인관계, 주관적 행복감에 미치는 영향을 분석하였다. 연구대상은 S군에 소재하는 S주간보호센터 이용자 중 본 연구에 참여를 희망하는 65세 이상의 치매노인 총 30명을 대상으로 2020년 11월 7일 부터 2021년 1월 2일 까지 주1회씩 12회를 걸쳐 진행하였다. 자료 분석은 SPSS 24.0 통계프로그램을 이용해서 신뢰도 검증, 교차분석, 독립표본 T-test, 3×2 혼합변량분석를 실시하였다. 본 연구결과는 다음과 같다. 첫째, 회상요법을 활용한 집단미술치료는 치매노인의 우울감소에 효과가 있었다. 둘째, 회상요법을 활용한 집단미술치료는 치매노인의 대인관계 증진에 효과가 있었다. 셋째, 회상요법을 활용한 집단미술치료는 치매노인의 주관적 행복감 향상에 효과가 있었다. 따라서 회상을 활용한 집단미술치료가 치매노인의 우울을 감소시키고, 대인관계를 증진시키며, 주관적 행복감을 향상시키는데 효과적인 중재로서 유용하게 적용될 수 있음을 알 수 있다.

• 한국의학물리학회지:의학물리
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• 제26권4호
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• pp.250-257
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• 2015

양성자 치료를 위해서는 Snout이 부착된 받침대(gantry)를 사용하는데 빔의 형태를 만들기 위해 환자 종양의 크기와 거리에 맞게 황동 차폐체(aperture)가 많이 사용된다. 또한 빔의 거리를 보정하기 위해 PMMA를 이용한 거리 보상체도 사용된다. 이렇게 황동으로 만들어진 차폐체의 경우 가공하는데 많은 시간이 소요되며 비용 발생이 높다. 또한 치료 사용되었던 차폐체의 방사선 노출에 따라 재사용이 어렵다. 이러한 단점을 보안하기 위해 황동 차폐체 대신 X-선 치료에서 사용되는 수동형 다엽 콜리메이터 시스템을 도입하였다. 수동형 다업 콜리메이터는 여러 개의 황동판을 조립하여 차폐체를 제작하는 방식이다. 본 연구는 제작된 수동형 다엽 콜리메이터의 방사화 실험 및 필름을 이용해 선량측정을 진행하였다. 다엽 콜리메이터를 투과한 2차 발생 선량 1% 이하였으며, 여러 번의 230 MeV의 빔에서도 방사화가 2시간 이내에서 감소하였다. 이렇게 개발된 수동형 다엽 콜리메이터를 임상에 적용하여 일반 차폐체와 수동형 다엽 콜리메이터를 감마지표 분석을 했을 시 99.74%의 높은 일치도가 측정되었다. 또한, 일반 황동 차폐체에 비해 수동형 다엽 콜리메이터를 제작하는데 소요되는 비용과 시간을 1/10 이상 단축시킬 수 있다. 개발된 수동형 다엽 콜리메이터는 성공적으로 양성자 환자치료에 사용하고 있다.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.185-190
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• 2020

Purpose: Gait and cognitive impairment in stroke patients exacerbate fall risk and mobility difficulties during multi-task walking. Virtual reality can provide interesting and challenging training in a community setting. This study evaluated the effect of community-based virtual reality gait training (VRGT) using a 360-degree image on the gait ability of chronic stroke patients. Methods: Forty-five chronic stroke patients who were admitted to a rehabilitation hospital participated in this study. Patients meeting the selection criteria were randomly divided into a VRGT group (n=23) and a control group (n=22). Both these groups received general rehabilitation. The VRGT group was evaluated using a 360-degree image that was recorded for 50 minutes a day, 5 days per week for a total of 6 weeks after their training. The control group received general treadmill training for the same amount of time as that of the VRGT group. The improvement in the spatiotemporal parameters of gait was evaluated using a gait analyzer system before and after training. Results: The spatiotemporal gait parameters showed significant improvements in both groups compare with the baseline measurements (p<0.05), and the VRGT group showed more improvement than the control group (p<0.05). Conclusion: Community-based VRGT has been shown to improve the walking ability of chronic stroke patients and is expected to be used in rehabilitation of stroke patients in the future.