• 대한물리의학회지
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• 제16권4호
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• pp.67-75
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• 2021

PURPOSE: This study examined the level of awareness of the guidelines of the physical therapist specialization system. METHODS: This study was a cross-sectional survey of 364 clinical physical therapists working in hospitals. A structured questionnaire consisting of 17 questions was used. The questionnaire consisted of standards and management for the institutionalization of physical therapist specialization, intentions to acquire specialized physical therapist qualifications, specialized fields, and general information of the research subjects. RESULTS: At least five years of clinical experience and a bachelor's degree or higher were required to obtain a specialized physical therapist qualification. Many physical therapists said they would accept the qualification of a specialized physical therapist. Training and examination were appropriate for acquiring specialized physical therapist qualifications, and it was desirable to manage qualifications at the national level or the association of physical therapists. As for the specialized fields of physical therapy, musculoskeletal physical therapy, pediatric physical therapy, and nervous system physical therapy were prioritized, and electrotherapy was not recognized as a specialized field. CONCLUSION: A detailed discussion is needed on the system and cost for acquiring a specialized physical therapist qualification and economic benefits after acquiring the qualification.

• 대한물리의학회지
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• 제8권1호
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• pp.99-109
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• 2013

PURPOSE: This study was designed to evaluate the current state of training in assistive technology(AT) for pediatric physical therapists(PPTs) and pediatric occupational therapists(POTs), in addition, investigate therapists' preferred training methods and contents. The eventual purpose was to suggest the essential fundamental factors to adapt the assistive technology in clinics. METHODS: The subject of this study were 167 therapists(98 PPTs and 69 POTs) who work at general hospitals, welfare center, facilities for the disabled, and special education school in Seoul and Gyeonggi province. Frequency analysis and Chi-squared test were used. RESULTS: Significant numbers of PPTs(66 therapists, 67.3%) and POTs(50 therapists, 72.5%) answered that they had received training in AT. More than 48% answered no training experience or low adequacy in each classification scheme for questions. The most difficulty in the training was indicated by lack of education opportunity(90 therapists, 53.9%). The most required device training was seating and position device training(43 therapists, 21.9%) for PPTs and orthosis and prosthesis device training(29 therapists, 21.0%) for POTs. In assistive technology service, PPTs needed evaluation to AT device training(69 therapists, 35.2%) and POTs needed evaluation to disabilities for AT training(41 therapists, 29.7%). Both therapists answered that the most effective training is continuous education(52 therapists, 31.1%) and college education(48 therapists, 28.7%). CONCLUSION: Our findings indicate that PPTs and POTs need more opportunities for training in AT. For effective clinical app lication of AT, there should be continuous education such as on-the-job training, mentoring program, technical manual, and college education.

• 한국전문물리치료학회지
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• 제7권1호
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• pp.1-21
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• 2000

The purposes of this study were to research the current state of evaluation of children with delayed development and cerebral palsy and determine pediatric physical therapists' knowledge of assessment tools and their use. The subjects were 130 pediatric physical therapists (general hospitals, university-related hospitals, rehabilitation centers, etc.). Data was obtained from August 24, 1999 to October 18, 1999 by means of a survey questionnaire. The results were as follows: 1. The current state of pediatric physical therapist evaluation of children with delayed development and cerebral palsy. 1) Tools used to assess functional areas of children with cerebral palsy were: subjective description format-128 (47.1%); the GMFM-58 (21.3%); facility-generated tool-51 (18.8%); and DDST-15 (5.5%). 2) Tools used to assess developmentally delayed children were: subjective description format-121 (50.6%); the GMFM-43 (18.0%); facility-generated tool-41 (17.2%); and DDS T-14 (5.9%). 3) After their college or university study, therapists who had attended lectures on evaluation were 113 (86.9%); 13 (10.0%) therapists had not attended any lectures on evaluation 2. Test scores of physical therapists' professional knowledge of evaluation procedures: high (more than 36 points)-74 (56.9%); moderate (18~35 points)-39 (30.0%); and low (below 17 points)-none. 1) For therapists treating cerebral palsied children, 73 (65.2%) were in the high range, 39 (34.8%) were in the moderate range and none were in the low range. 2) For therapists treating children with delayed development, 71 (65.7%) were in the high range, 37 (34.3%) were in the moderate range and none were in the low range. Although the general degree of professional knowledge of evaluation was quite high, there was a lack of variety in the assessment tools used With a large number of therapists depending on subjective description. Possible reasons for the low rate of objective asses sment tool use: 1) Poor clinical environment: too many clients and lirnited treatment time. 2) Lack of any medical insurance fee category for specific assessment tools. 3) Lack of continuing education opportunities in pediatric evaluation skills during or after either college-based (3 year) or university-based (4 year) education programs. Based on the study results, provision of more extended educational opportunities would promote the use of a greater variety of objective assessment tools by pediatric physical therapists.

• 대한감각통합치료학회지
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• 제15권2호
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• pp.1-21
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• 2017

목적 : 본 연구의 목적은 감각통합치료를 하는 아동작업치료사의 직무를 정의하고, 직무기술서를 도출하며 아동작업치료사를 대상으로 각 책무별 과제와 과제요소의 중요도, 빈도, 난이도 인식도를 조사하는 것이었다. 연구방법 : 2017년 5월부터 9월까지 직무분석을 하였다. 1단계에서 직무분석을 위해 10명의 전문가로 구성된 DACUM 위원회를 조직하였고, 워크숍 및 메일을 통해 감각통합치료를 하는 아동작업치료사의 직무를 정의하고 직무기술서를 완성하였다. 2단계에서 141명의 아동작업치료사를 대상으로 완성된 직무기술서로 설문조사하여 과제와 과제요소의 중요도, 빈도, 난이도를 알아보았다. 연구결과 : 직무의 정의는 '아동 청소년에게 작업치료서비스를 제공하여 일상생활 및 놀이를 포함한 작업수행과 사회참여를 지원한다'이었다. 직무기술서를 통해 9개의 책무(상담, 평가, 치료계획, 치료, 기록, 교육, 자기개발, 관리, 행정), 28개의 과제, 169개의 과제요소가 도출되었다. 중요지수가 가장 높은 과제는 '안전유지하기'와 '치료실행하기'이었고, 과제요소는 '아동과 도구, 주변의 안전 확보하기', '안전한 환경 준비하기'이었다. 결론 : 본 연구의 결과는 감각통합치료를 하는 아동작업치료사의 직무범위를 정의하고, 관련 교육과정을 개발 및 개선하는데 활용할 수 있을 것으로 보인다.

• 대한감각통합치료학회지
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• 제16권3호
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• pp.23-33
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• 2018

목적 : 본 연구는 국내 아동 작업치료사들이 사용하고 있는 평가도구를 영역별로 구체화하여, 평가도구의 사용 동향을 파악하고자 하였다. 연구방법 : 본 연구는 아동 작업치료사를 대상으로 평가도구 사용에 대한 설문을 실시하였다. 평가도구의 하위영역은 작업수행, 일상생활활동, 교육, 놀이, 감각-지각, 운동 및 실행, 인지, 사회적 상호작용 기술, 발달, 이학적 검사로 구성하였다. 설문에 응답한 105명의 자료를 대상으로 기술통계 및 빈도분석을 사용하여 분석하였다. 결과 : 본 연구 결과는 초기 평가 시 소요되는 시간은 30~60분(41.9%)이 가장 많았으며, 재평가 주기는 3~6개월(41.0%)로 가장 많이 실시하는 것으로 나타났다. 영역 별 평가도구를 살펴보면, 작업 수행은 Canadian Occupation Performance Measure(55.2%)을, 일상생활활동은 Wee Functional Independence Measure(57.1%)을, 교육은 School Function Assessment(2.5%)를, 놀이 평가도구는 Revised Knox Preschool Play Scale(28.6%)을, 감각-지각은 Developmental Test of Visual Perception(94.3%)을, 운동 및 실행 평가도구는 Bruininks-Oseretsky Test of Motor Proficiency-2(42.9%)를, 인지 평가도구는 Lowenstein Occupational Therapy Cognitive Assessment(11.4%)를, 사회적 상호작용 기술은 Evaluation of Social Interaction(6.1%)을, 발달은 Denver Developmental Screening Test-II(92.4%)를, 이학적 검사는 임상관찰(89.5%)을 주로 사용하는 것으로 나타났다. 결론 : 본 연구를 통하여 국내 아동작업치료사들이 사용하고 있는 평가도구를 영역별로 구체적으로 파악할 수 있었으며, 이를 통해 추후 평가 교육 및 개발을 위한 기초적인 근거자료가 될 것으로 기대된다.

• The Journal of Korean Physical Therapy
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• 제27권4호
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• pp.183-189
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• 2015

Purpose: The aim of this study was to examine the test-retest and inter-rater reliability of the pediatric functional muscle testing (PFMT) when applied to children with developmental delay. Methods: Sixteen children with developmental delay (seven females, nine males) participated in this study. For the inter-rater reliability, each was scored on the PMFT by two pediatric physical therapists with more than 8 years of clinical experience on the same day. For assessment of the test-retest reliability, one therapist tested the children again within 10 days. The second measurement was performed by taking a first measurement in video. Intraclass correlation coefficient (ICC) was calculated to determine the test-retest and inter-rater reliability of the PFMT, and Chronbach's alpha was used to measure internal consistency. Results: The results of this study were as follows: 1) The test-retest ICC of the score of the infant action month and the right side of the PFMT was from 0.53 to 1.00 and from 0.63 to 0.99, respectively. 2) The inter-rater ICC of the score of the infant action month and the right side of the PFMT was from 0.66 to 1.00 and from 0.64 to 1.00, respectively. 3) Chronbach's alpha was 0.93. The internal consistency indicated excellent. Conclusion: In conclusion, this study showed that the test-retest and inter-rater reliability of the PFMT was relatively high, except for a few items. Therefore, it can be suggested that the PFMT will be a useful tool for measurement of muscle strength for children with developmental delay if it be some modifications.

• 한국산학기술학회논문지
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• 제13권9호
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• pp.3999-4008
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• 2012

본 연구는 물리치료사의 직무에 따른 Work-Related Musculoskeletal Disorder(WMSD)s에 대한 증상을 파악하기 위하여 통증치료군(56명), 성인 운동치료군(53명), 소아 운동치료군(22명)을 대상으로 근골격계 증상조사표와 Rapid Upper Limb Assessment(RULA)를 사용하여 근골격계 증상 및 작업의 유해도를 알아보기 위해 실시하였다. 그 결과 통증치료군 69.6%, 성인 운동치료군 84.9%, 소아 운동치료군 81.8%, 평균 77.9%의 자각 증상 호소율을 보였다. RULA를 이용한 인간공학적 위험 평가에서 Final Wrist & Arm Score와 Final Score에서 성인 운동치료군이 단위 시간당 작업 부하량이 가장 많은 것으로 나타났으며 Action Level은 통증치료군이 평균 $3.0{\pm}0.9$, 성인 운동치료군은 $3.3{\pm}0.6$, 소아 운동치료군은 $3.2{\pm}0.8$로 성인 운동치료군에서 가장 높았다. 근골격계 증상에 영향을 미치는 요인 중 키, 가사 노동, 육체적 부담정도, 과거 사고가 통계적으로 유의하였다. 이에 따라 물리치료사의 WMSDs를 방지하기 위한 장비 및 교육시스템이 보급되어야 할 것으로 사료된다.

• 대한통합의학회지
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• 제8권4호
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• pp.13-18
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• 2020

Purpose : The purpose of this paper is to look at educational needs based on the academic background to improve continuing education (CE) for physical therapists in the Republic of Korea. Methods : 350 people who attended the CE were selected for analysis of the need of the education in Gwangju Metropolitan city of the Korean Physical Therapy Association. Final education was classified as college, university, and master of science course (MSc) or higher. The authors selected 11 subjects such as basic education, musculoskeletal system, nervous system, pediatric, cardiopulmonary, sports, senior citizens, physical therapy, women, oriental medicine, and others. Simple linear regression analysis was performed using dummy variable to identify the needs of the CE according to the academic background. Results : The need for CE in the MSc or higher was greater than college graduation in the nervous system (R2=.019, B=.347), pediatric (R2=.028, B=.491), cardiopulmonary system (R2=.038, B=.600), sports (R2=.037, B=.584), geriatric (R2=.030, B=.261), oriental (R2=.033, B=.597), and others (R2=.028, B=.531). University graduation was lower than college graduation in the need of physical agents (R2=.037, B=-.277). Conclusion : Authors infer that CE was not fully satisfied with physical therapists especially according to academic background that's why present study showed no meaningful statistical results were found. Therefore, we still think that a wider survey of CE will be needed, and the efforts are constantly required for both the Korean physical therapy association and people who working as physiotherapists to strengthen their awareness of the education.

• 한국전문물리치료학회지
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• 제23권1호
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• pp.55-64
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• 2016

Background: The International Classification of Functioning, Disability, and Health-core set (ICF-core set) for children and youth (CY) with cerebral palsy (CP) provides a useful conceptual framework and a guide for health care planning and measuring the changes brought by interventions across a multitude of dimensions from body functions to personal activities, social participation, and environmental factors for them. Objects: This single case study was reported to illustrate the use of a goal directed approach in applying the ICF-core set for CY with CP from a physical therapist perspective. Methods: An eleven year old boy with spastic CP, Gross Motor Function Classification System (GMFCS) level V, and his mother participated in an evaluation of his functioning state. The intervention goal was set through an interview using the ICF-core set, Canadian Occupational Performance Measure (COPM) and Goal Attainment Scale (GAS). Physical therapy was carried out on an outpatient basis using a goal directed approach for 30 min, 1 time/week during 12 weeks and the boy's gross motor function was assessed using the Gross Motor Function Measure (GMFM)-66 version (item set 2) before and after the intervention. Results: As measured by the boy's mother, the COPM score showed a meaningful clinical change (performance=mean 3.5, satisfaction=mean 2.5) and the T-score of GAS changed 34.4 after the goal directed approach. The GMFM-66 (item set 2) score changed from 31.8 to 38.7 and evaluation using the ICF-core set displayed improvement in 6 items of activity level between before and after the intervention. Conclusion: The ICF-core set for CY with CP is useful for understanding the overall functioning of CY with this condition and provides an opportunity to share and integrate information and opinions from different disciplines. We consider it as a useful tool in the universal language for the therapy and education of CY with CP.

• 대한물리의학회지
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• 제12권4호
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• pp.133-138
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• 2017

PURPOSE: The purpose of this study was to investigate the effect of modified motor developmental intervention on the SCM muscle thickness and the range of motion (ROM) of neck in subjects with congenital muscular torticollis. METHODS: Thirteen subjects who had congenital muscular torticollis were participated in this study and they were offered the modified motor developmental interventions for 8 weeks by pediatric physical therapist. SCM thickness of affected and non-affected side and ROM of neck rotation were collected between before and after intervention. SCM thickness was measured by using Ultrasound Unit (IU 22, Ultrasound system, Philips, Netherlands) and ROM of neck was measured by using the goniometer (Arthrodial protractor, North coast, USA). Data were represented as means ${\pm}SD$. Paired t-test was used to determine the effect of interventions on the SCM muscle thickness and neck ROM. RESULTS: SCM thickness of affected side was significantly decreased after the modified motor developmental interventions and that of non-affected side was generally increased but it was not significantly difference between pre and post interventions. ROM of neck rotation and lateral flexion was significantly increased after interventions. CONCLUSION: These results suggested that the modified motor developmental interventions could improve the recovery of SCM muscle thickness and neck ROM.