• PNF and Movement
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• 제21권1호
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• pp.129-137
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• 2023

Purpose: The physical therapy diagnosis process requires high-level background knowledge, the ability to obtain added information from patients, accurate examination skills, and a framework for transforming thoughts into a diagnostic decision. Thus, the physical therapy diagnostic process is highly complicated and difficult work. To function as autonomous professionals, physical therapists must develop effective clinical diagnosis skills. As such, mobile application aids can help with accurate and scientific diagnoses. Therefore, this study aims to develop and evaluate the usability of a mobile application for physical therapy diagnoses. Methods: In this study, a diagnostic application was developed using App Inventor, the development environment was the Chrome web browser for Windows 10, and the mobile application was run on a Google Pixel 5. The developed application was evaluated for usability by 20 physical therapists with more than 5 years of clinical experience in the musculoskeletal physical therapy field, and a usability evaluation was conducted using a 5-point Likert scale for accuracy, convenience, satisfaction, and usability. The collected Likert scores were converted into percentages and analyzed as descriptive statistics. Results: The graphical user interface consisted of an initial screen with program guidance, 18 screens presenting the algorithm, and 12 screens presenting the estimated diagnosis based on the algorithm. As such, the usability evaluation of the developed application was as follows: accuracy 100%, convenience 90%, satisfaction 91%, and usability 88%. Conclusion: The newly developed mobile application for physical therapeutic diagnoses has a high accuracy, and it will aid in building an easy and reliable physical therapy diagnosis system.

• 대한물리의학회지
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• 제1권1호
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• pp.125-137
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• 2006

Purpose : The purpose of the study was to examine lumbar pain through literature reviews about herniated intervertebral disc (HIVD). Methods : Diagnosis was made by patient's history, physical examination, simple radiography, myelography, spinal computerized tomography, electromyography, somatosensory evoked potential, etc. Results : There are two treatment modalities, one is conservative and the other is operative. About 90% of patients with HIVD have been recovered only by conservative treatment and therapeutic exercise was the most effective one among these conservative treatments. Conclusion : We consider HIVD can be treated with therapeutic exercise which can correct muscular imbalance and facet joint problems and make the degenerative process of intervertebral disc slower.

• 대한물리치료과학회지
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• 제7권1호
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• pp.275-284
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• 2000

Orthopedic medicine specializes in the diagnosis and treatment of musculoskeletal conditions. The physical therapy speciality, Orthopedic Manipulative Therapy(OMT) is an important part of orthopedic medicine. Much of OMT is devoted to the evaluation and treatment of joint and related soft tissue disorders and one of the primary treatment methods is mobilization. When examination reveals joint dysfunction, especially decreased range of motion, joint mobilization techniques are often utilized. Soft tissue mobilization techniques are used to improve mobility and other soft tissues. The therapist should have precautions for a patient. These precautions are based on the patient's concurrent medical and surgical diagnosis. Lastly, the literature describing therapeutic interventions in patients with musculoskeletal problem is poor because the painful conditions are poorly characterized and the therapeutic interventions are poorly described; so, where Kaltenborn-Evjenth concept for patient with musculoskeletal problem were identified, the treatment concept are introduced.

• 대한물리치료과학회지
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• 제16권2호
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• pp.45-55
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• 2009

Background: This thesis aims at suggesting the direction for the introduction of public free treatment support system according to the establishment of [Special Education Law] and the right settlement of therapeutic support service. Method: It introduced the characteristics and the contents of school based PT & OT, diagnosis and evaluation, and operation method. It set up question items and presented intervention plan, and substantial intervention, beginning from the request of whole process. The diagnostic evaluation was described from 4 aspects, which are consideration matters in the time of document drawing and diagnostic evaluation, chiefly centering around SOAP. The flow of overall treatment support service, the allocation of 16 handicapped children for 1 therapist, and the weekly treatment frequency according to the treatment support location and environment were suggested in the concrete operation method. Result: The concrete method should be explored in order to provide handicapped students with requisite services, which are offered by various experts in the amended 'Special Education Law'. In addition, work condition and social welfare, which are equal to school teachers, should be provided for all experts. Conclusion: Along with these things, special education support center should establish the road-map for the education rehabilitation of the handicapped children from the evaluation of early diagnosis of the handicapped children to treatment support and lifelong education.

• 대한정형도수물리치료학회지
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• 제20권2호
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• pp.35-42
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• 2014

Background: The purpose of this study was to effect of the manual therapy and pelvic floor muscle exercise interventions in patient with acute lumbar sprain. Based on this, proceed to present an effective physical treatments. Methods: Subject was 55 year old female patient with acute lumbar sprain. Subject was damaged, wash in the morning. Subject was hoping to return to work and Activity daily living (ADL) without pain. I proceed in order screening, evaluation, diagnosis, prognosis, treatment planning and intervention, re-screening. To solving problem, was conducted in parallel to a manual therapy and therapeutic exercise. Results: To investigate changes in body functions and activities was measured, Visual analog scale (VAS) and Oswestry disability index (ODI), changes in posture, maintain in posture, 10m walk test. The improved results were compared before and three weeks after mediation interventions. Conclusions: Frequency manual therapy and pelvic floor muscle exercise is thought to be an efficient way of patients with acute lumbar sprain.

• The Journal of Korean Physical Therapy
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• 제10권2호
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• pp.183-193
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• 1998

여성의 요실금 치료방법을 선택하는데 있어서는 무엇보다도 정밀한 진단이 필요하며, 이 정확한 진단을 통하여 치료방법을 선택하여야 한다. 여러 논문을 검토해본 결과 요실금 치료의 밥법은 다양하며 극히 일부분의 수술을 요하는 환자를 제외하고는 대부분의 환자가 약물이나 전기치료, 운동처방만으로도 치료가 가능하다고 한다. 따라서 본 논문은 여러 문헌을 종합하여 물리치료의 한 영역으로써 요실금 치료에 기여할 수 있는 여러 분야 중 운동치료 분야에 관해 간략히 언급하였다. 운동을 위해서는 먼저 정확한 진단과 평가가 요구되며, 초기에 각 운동을 실시할 때는 복압이 증가하지 않게 누워서 치료를 시작할 것과 쉬운 운동부터 시작하여 전차 어려운 운동으로 발전시키며, 환자의 진전에 따라 자세의 변화와 치료시간도 점점 늘여가도록 한다. 또한 요실금 환자는 커피와 같은 자극성이 있는 음료는 삼가도록 한다. 요실금에 관한 물리치료는 더욱 많은 연구와 치료개발이 필요하다고 생각되며, 임상치료에 많은 도움이 되길 바란다

• 대한물리치료과학회지
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• 제2권4호
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• pp.817-822
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• 1995

Even though back pain therapy has greatly improved as spinal bio-mechanics is introduced, many patients still have difficulties due to low back pain. At the initial therapeutic stage, the aim of rehabilitation therapy for low back pain is pain control, but, at the later therapeutic stage, the prime aims are to reduce the late complication and to prevent the recurrence of low back pain. Accurate diagnosis should be a first step before any therapy is planned. Thus, accurate physical, neurologic, E.M.G. and radiologic tests are required to give prescription for therapeutic exercise to the patients. In addition to this, the roles of theraphists and therapeutic exercise should be re-evaluated after the therapeutic exercise is performed. Fist of all, the most important things are to educate the patients to understand the low back pain and to let the patients join the therapeutical planning. 1. Bed rest and muscle relaxing exercise for releasing the muscle tention are required for the treatment of acute low back pain. An active exercise is recommended rather than a passive exercise. If the therapeutic exercise depravate the low back pain, the exercise should be immediately terminated and the therapeutical exercise should be replanned. 2. For the treatment of the chronic back pain, stretching exercise and para-spinal muscle strengthening exercise should be performed steadily and actively to prevent the recurrence of low back pain and the low back injury due to minor damage. The patients should be educated to do proper exercise and to maintain good posture in everyday life. 3. As the low back pain is released and the body function is recovered, control of whole body function is necessary. Swiming, bicycling and walking for $30\sim40$ minutes a day and $3\sim4$ days a week are recommended. Other exercise could be recommended depending on the patients condition.

• 공업화학
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• 제31권4호
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• pp.352-359
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• 2020

무기 나노입자는 나노미터 크기에서 유래된 광학 및 자성 성질과 같은 물리적 특성을 활용하여 생명-의학 분야에 적극적으로 응용되어왔다. 최근에는 물리적 성질 이외에 무기 나노입자가 갖는 화학적 성질, 특히 효소와 유사한 촉매활성을 이용한 새로운 진단법들이 개발되고 있다. 효소 모사 활성의 검증에 집중하던 초기연구에서, 현재는 활성 메커니즘의 이해를 통한 적극적 활성 제어 및 치료 특성의 직접적 응용으로 연구 범위가 확장되고 있다. 본 총설에서는 효소 모사 활성을 갖는 무기 나노입자, 소위 "나노자임"의 촉매 활성 제어와 치료 및 진단 분야에서의 연구성과들에 대한 최근 동향을 정리하였다. 무기 나노입자의 효소 모사 활성은 입자의 고유한 물리적 성질과 결합되어 새로운 진단 및 치료법의 개발로 이어질 것으로 기대한다.

• 정형스포츠물리치료학회지
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• 제14권2호
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• pp.109-115
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• 2018

Purpose: McKenzie is a widely-used and conventional clinical therapeutic exercise for patients with mechanical lower back pain. It is a well-designed assessment and classification system for the spine. Main issue: Patients with mechanical lower back pain are classified into one of three mechanical syndromes (posture, dysfunction, or derangement syndrome) by mechanical loading strategies. These methods evaluate symptomatic and mechanical responses during repeated end-range movement and sustained postures. The goal of McKenzie mechanical syndrome diagnosis is to determine directional preferences. Directional preference is a phenomenon of preference for posture or movement in one direction, which reduces or centralizes pain. However, in Korea, there is a lack of awareness of basic McKenzie mechanical syndromes diagnostic concepts. Koreans tend to think of the McKenzie method as a simple lumbar extension exercise. However, an accurate diagnosis of a mechanical syndrome must precede the application of McKenzie exercise. Conclusions: Thus, in this study, I present a classification method of McKenzie mechanical syndrome diagnosis and clinical characteristics of each mechanical syndrome.

• The Journal of Korean Physical Therapy
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• 제3권1호
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• pp.221-227
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• 1991

Regardless of the age, Low back pains are appeared to the highest occurrence ratio and every one meet with the disease once at least through life. In order to treat a pain, therefore, it make a accurated treatment program by the accurated a cause and evaluation and can expected to effects of treatment. In order to do the perfected physical therapy, futhermore, it is nessessary more systematic studies not a cause and physical diagnosis but pathological aspects.