• 제목/요약/키워드: Physical Form

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한의원의 한방물리요법 이용 현황과 건강보험 급여화에 대한 인식 (The Utilization of Physical Therapies in the Korean Medicine Clinics : A Survey for National Health Insurance Planning)

  • 신미숙;신병철;이명종;김호준;송윤경;송미연;신승우;임병묵
    • 한방재활의학과학회지
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    • 제19권3호
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    • pp.101-109
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    • 2009
  • Objectives : This study aimed to investigate the present status of physical therapies provided in the Korean medicine clinics, and to find out the priorities among and the estimated fees of physical therapies for the National Health Insurance plan. Methods : We administered nationwide survey to Korean medicine doctors using the on-line survey system. 16 physical therapies were listed in the Web-based questionnaires, and responders were asked to mark the therapies they used for their patients, and, for each therapy they marked, to fill in the form including the frequencies of service, service fees, target diseases, and priorities for health insurance coverage, etc. Results : Of 488 respondents, 93.7% provide more than one physical therapy for their patients, and each responder uses 5.9 physical therapies on average. 60-90% of physical therapies are being given to patients for free because they are not covered by the National Health Insurance. There is little evidence that the specialties of Korean medicine doctors are related with the use of physical therapies, but, in some therapies, the doctors with longer career years use the physical therapy more frequently. Most physical therapies are applied to the patients with musculoskeletal diseases, cardiovascular diseases, and nervous diseases, etc. Conclusions : Physical therapies are widely used among Korean medicine doctors without proper compensation. This could be the one of the main factors distorting the profit structure of Korean medicine clinics, and it encourages the National Health Insurance to cover physical therapies provided in the Korean medicine clinics.

The Effects of Treadmill Obstacle-Stepping on Physical Activity in Ambulatory Patients After Stroke

  • Kim, Jeong-soo;Jeong, Yeon-gyu
    • 한국전문물리치료학회지
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    • 제22권4호
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    • pp.71-78
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    • 2015
  • Previous studies have investigated stepping over obstacles in treadmill walking training (TWT-OS) and treadmill walking training (TWT) alone for walking capacity not considering real physical activity. As such, we investigated the effects of TWT-OS on physical activity and changes in different levels of physical activity based on community ambulation in stroke patients. Thirty subjects were randomly assigned to either the experimental group or the control group, with 15 and 15 subjects, respectively. However, one subject from the control group was excluded because of inadequate treatment sessions. All subjects underwent routine physical therapy in the form of treadmill walking. The subjects in the experimental group underwent simultaneous training in obstacle-stepping while walking on the treadmill for 30 min/day, five times/week, for four weeks. Subjects were given a three-axis accelerometer to wear at the hip on a belt for one-week pre- and post-training physical activity. Step counts for seven days, average daily step counts, and the average of minutes spent in sedentary, light, and above moderate activity were chosen as outcome measures of physical activity. No significant differences between the groups were found in terms of step counts for seven days, average daily activity, or daily activity spent at sedentary levels after four-week interventions. However, the average daily activity spent at light levels (-42.60 min vs. -6.71 min) was significantly lower in the experimental group than in the controls. Conversely, average daily activity spent at above moderate levels was higher (19.86 min vs. 11.07 min) (p<.05) after adjusting for each baseline value. Significant pre- and post-training differences were found in all variables of the experimental group (p<.05). Thus, TWT-OS could improve physical levels above moderate activity as a community-oriented task more than simple repetitive waking on a treadmill, and it could provide an opportunity for patients ambulatory after stroke to participate in the community again.

신체활동증진 프로그램이 노인의 신체 기능 및 삶의 질에 미치는 효과 (Effect of the Physical Activity Promotion Program on Physical Function and Quality of Life in Elderly)

  • 김영희
    • Journal of Korean Biological Nursing Science
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    • 제10권1호
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    • pp.11-18
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    • 2008
  • Purpose: The purpose of this study was to identify the effect of the physical activity promotion program on physical function and quality of life in the elderly. Method: The research was designed with one single pre-post group. The study group of 295 elderlies were selected through the convenience sampling form in a senior citizen's center in Ulsan city. The subjects received the physical activity promotion program for 60 min three times a week for 3 months. To evaluation the effects of the physical activity promotion program, body mass index (BMI), physiological index, physical function (muscle endurance, agility, balance) and quality of life were measured at before and after the program. The data was analyzed through SPSS 10.0 program for descriptive statistics and paired t-test. Result: After performing the physical action promotion program for 3 months, the results were follows. 1) There were significantly increased in BMI (t=4.36, p=.000). 2) There were significantly decreased in diastolic pressure (t=.68, p=.009). 3) There were significantly improved in muscle endurance (t=6.50, p=.000), agility (t=4.74, p=.000) and Rt. leg balance (t=4.15, p=.000). 4) There were significantly improved in quality of life (t=7.28, p=.000). Conclusion: These findings showed that the physical activity promotion program was effective in improving physical function and quality of life in the elderly. Therefore, the physical activity promotion program could be applied as an effective nursing intervention program for the elderly to promote their health.

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The Influence of COVID-19 on Physical Activity, Sleep Quality, and the Quality of Life in Adults by Age Group

  • Kim, Tae-Yeon;Choi, Sil-Ah
    • The Journal of Korean Physical Therapy
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    • 제34권1호
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    • pp.18-25
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    • 2022
  • Purpose: The purpose of this study was to identify changes in physical activity, sleep quality, and quality of life (QOL) during COVID-19 in adults by age group. Methods: An online survey was conducted on a total of 160 participants who were divided into three groups by age; young adults, middle-aged adults, and old adults. The participants responded to the self-reported assessment of the impact of social distancing during COVID-19, International Physical Activity Questionnaire (IPAQ), Pittsburgh Sleep Quality Index (PSQI), and Short Form-36 Health Survey (SF36). Descriptive statistics, analysis of variance, and Pearson's correlation were used for data analysis. Results: There were significant differences between the three age groups in physical activity (p<0.05) and PSQI (p<0.01) and a post hoc analysis showed that the young adults' group had significantly higher physical activity than the old adults' group, while the old adults' group had significantly lower scores of PSQI (better sleep quality) than the others. The young adults' group showed a significant negative correlation between the stress from social distancing and QOL (r=-0.27, p<0.05) and between PSQI and QOL (r=-0.48, p<0.05). For the middle-aged adults' group, there was a significant negative correlation between PSQI and QOL (r=-0.53, p<0.05). The old adults' group showed a significant negative correlation between the stress from social distancing and physical activity (r=-0.35, p<0.05) and PSQI (r=-0.50, p<0.05), while there was a significant positive correlation between physical activity and PSQI (r=0.30, p<0.05) and QOL (r=0.30, p<0.05). Conclusion: The results of this study could be used as basic data for the promotion of physical and mental health in the post-COVID-19 era.

조형으로부터의 'Fun' 감성의 발생 메커니즘에 대한 이론적 고찰 (A Theoretical Study on the Mechanism of Occurrence of 'FUN' through Form-Giving)

  • 김유진;이동연
    • 디자인학연구
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    • 제15권4호
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    • pp.139-148
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    • 2002
  • 본 연구에서는 조형(Form-Giving)이 가지는 언어적 능력 또는 기능으로써 'Fun' 감성의 발생과 수용을 다루고 있다. 조형언어로써 'Fun' 감성은 넓은 의미로 사용자가 인공물과의 관계를 통한 경험으로서 소유의지(가지고 싶은)를 갖게 하는 감성으로 정의한다. 좁은 의미로는 보다 능동적이고 의식적인 인지과정에서 겪게 되는 예상치 못한 조형 정보에 대한 물리적.심적 체험의 결과로써 소유의지가 생기는 경우의 감성을 'Fun' 감성으로 본다. 'Fun' 감성의 발생은 사용자의 인지적 특성으로부터 심적 정체(mental block)의 인지과정(여기서는 사용과정으로 보고 있음)을 통한 심적 정체의 해소 시점에서 발생됨을 유추할 수 있었다. 조형요소의 변형 및 규칙, 그리고 적용 조건을 인지적 관점에서 사용자 경험과 조형 컨텍스트(context)의 상호작용으로부터 제안하였다. 이는 목적하는 감성에 부합하는 조형(form-giving)에 있어 매우 중요한 요소로 다루어진다. 또한 다루고 있는 심적 정체로부터 'Fun' 감성 지향을 위한 조형 요소의 활용을 논하였다. 따라서 본 연구 내용을 기반으로 향후, 보다 실증적 연구를 통해, 디자인에 있어서 'Fun' 감성의 발생 메커니즘의 활용이 보다 매력적이고 흥미있는 제품 컨셉과 제품 형태에 효과적으로 적용되길 기대한다.

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농어촌지역 노인의 지각된 건강상태, 주관적 신체증상, 우울에 관한 연구 (A Study on Perceived Health Status, Physical Symptom, Depression in the Elderly of Rural Areas)

  • 최희정
    • 재활간호학회지
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    • 제11권2호
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    • pp.74-80
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    • 2008
  • Purpose: The purpose of this study was to investigate the relationships among perceived health status, physical symptom, and depression in the elderly of Rural areas. Method: subjects were 633 elders selected during Feb. to May in 2005. All subject agreed to participate and filled out the survey questionnaire after signing the consent form. scales used in this study are the Perceived Health Status, the Physical Health Questionnaire(PHQ) and the Geriatric Depression Scale(GDS). Data was analyzed by the SPSS/PC 12.0 program. Result: 1) The mean score of perceived health status was 7.78; the mean score of physical symptom was 18.56; the mean score of depression was 8.53, and 64.6% of the subjects belonged to the depression group. 2) Perceived health status had significant relationship with educational level, spouse, and economic status; between physical symptom and educational level, number of chronic disease; between depression and spouse, economic status, number of chronic disease. 3) Depression had negative correlation with perceived health status, but had positive correlation with physical symptom. Conclusion: Considering these findings, it is necessary that depression management programs and care intervention programs considering regional and environmental elements for the elderly in Rural areas.

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혈액암 환자의 지지적 간호 요구도 예측요인 (Predictive Factors of Supportive Care Needs in Patients with Hematologic Malignancy)

  • 정아랑;이명선
    • 성인간호학회지
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    • 제23권5호
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    • pp.460-471
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    • 2011
  • Purpose: This study was designed to investigate the levels of anxiety, depression, physical symptoms, and supportive care needs in patients with hematologic malignancy and to identify predictive factors of supportive care needs. Methods: The data were collected from 100 subjects undergoing treatments during 2010 in Korea. The questionnaires included the Hospital Anxiety-Depression Scale, the M. D. Anderson Symptom Inventory, and the Supportive Care Needs Survey-Short Form 34. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. Results: Forty percent of the subjects had anxiety and 58% had depression. Thirty-eight percent of the subjects reported to have moderate-to-severe levels of physical symptoms. The most severe physical symptom was lack of appetite, followed by fatigue and pain. In terms of supportive care needs, the health system and information domain showed the highest among all domains. Supportive care needs had a significant positive correlation with anxiety, depression, and physical symptoms. And its predictive factors were identified as anxiety, physical symptoms and marital status, with the explanatory power of 48.9%. Conclusion: These findings demonstrate that anxiety and physical symptoms should be assessed and treated to meet the supportive care needs of patients with hematologic malignancies.

만성요통환자의 보행특성에 관한 연구 (A Study on the Characteristics of Gait in Patients with Chronic Low Back Pain)

  • 김경;고주연;이성용
    • The Journal of Korean Physical Therapy
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    • 제21권2호
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    • pp.79-85
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    • 2009
  • Purpose: This study examined the characteristics of gait in patients with chronic low back pain. Methods: The subjects were out-patients suffering from chronic low back pain at the department of physical therapy, B hospital in Seoul. Gait analysis was performed by dividing the subjects into two groups. The study and control group comprised 15 chronic low back pain patients and 14 healthy people, respectively. Gait analysis was performed using a VICON 512 Motion Analysis System to obtain the spatio-temporal and kinematic parameters. Results: First, there was a significant difference in the spatio-temporal parameters between the two groups (p<0.05). Second, the study group showed significant differences in the kinematic parameters during the stance phase (p<0.05). Third, there were significant differences in kinematic parameters in the study group during the swing phase (p<0.05). Conclusion: The gait pattern of patients with chronic low back pain is characterized by more rigid patterns. Compared to the control group, there was a decrease in the spatio-temporal parameters and kinematic parameters in patients with chronic low back pain. These findings are expected to play a role as basic data and to form a rehabilitation program for low back pain patients.

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근막이완술과 부항의 접목 (Connection of Myofascial Release to Cupping)

  • 백승룡;정형국;배성수
    • The Journal of Korean Physical Therapy
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    • 제8권1호
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    • pp.109-119
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    • 1996
  • Although the physical therapy of both East and West has been based on an identical philosophy, they have had their own therapy with difference in its form and pattern. In general, cupping is used to diagnose and treat viscera by means of acupuncture point, and myofascial release is also used for both diagnosis and orthopedic treatment on the basis of trigger point and myofascial however, when they have a lot of identical facts such as using both mental and physical aspects of human beings for treatment, keeping nervous action balanced, and recovering depressed nervous functions and relieving the pain. In addition. their identical fact includes that they tend to treat patients by using symptoms and reaction shown in their skin, and that both East and West try to consider myofascia as an integrated totality and as a unified body of organic functions with correlations. Among the principles of myofascial release, recently, it has been very identical that stimulus given to the skin results in synapse to sympathetic nerve through dosal horn cell has an effect on viscera, and that cupping is sued for diagnosis and treatment of viscera. It is required, therefore, to continue to carry out studying on this field.

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DMRUT-MCDS: Discovery Relationships in the Cyber-Physical Integrated Network

  • Lu, Hongliang;Cao, Jiannong;Zhu, Weiping;Jiao, Xianlong;Lv, Shaohe;Wang, Xiaodong
    • Journal of Communications and Networks
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    • 제17권6호
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    • pp.558-567
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    • 2015
  • In recent years, we have seen a proliferation of mobile-network-enabled smart objects, such as smart-phones and smart-watches, that form a cyber-physical integrated network to connect the cyber and physical worlds through the capabilities of sensing, communicating, and computing. Discovery of the relationship between smart objects is a critical and nontrivial task in cyber-physical integrated network applications. Aiming to find the most stable relationship in the heterogeneous and dynamic cyber-physical network, we propose a distributed and efficient relationship-discovery algorithm, called dynamically maximizing remaining unchanged time with minimum connected dominant set (DMRUT-MCDS) for constructing a backbone with the smallest scale infrastructure. In our proposed algorithm, the impact of the duration of the relationship is considered in order to balance the size and sustain time of the infrastructure. The performance of our algorithm is studied through extensive simulations and the results show that DMRUT-MCDS performs well in different distribution networks.