• 제목/요약/키워드: Physical therapy service

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집중 복합 물리치료 프로그램이 외상성 요통 환자의 통증, 관절가동범위와 근기능에 미치는 영향: 예비연구 (Effect of Intensively Complex Physical Therapy Program on Pain, Range of Motion and Muscle Function in Traumatic Low Back pain: A preliminary study)

  • 배영현;고문주;김영범;김성신;서경주;박찬;김선미;최준경
    • 대한물리치료과학회지
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    • 제29권4호
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    • pp.75-85
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    • 2022
  • Background: The purpose of this study was to investigate the effect of intensively complex physical therapy program on pain, range of motion (ROM) and muscle function in traumatic low back injury by industrial accident. Design: Prospective study Methods: Eight patients with traumatic low back injury by industrial accident participated in this study. They were treated the intensively complex physical therapy program including daily 60 minutes therapist supervised physical therapy at 5 times a week and 30 minutes manual therapy at 5 times a week in 12 weeks. Evaluation was performed before the commencement of the training and again 4, 8 and 12 weeks. There were measured Numerical Rating Scale (NRS) for evaluating pain, ROM of trunk, and isometric muscle strength of trunk, core muscle endurance, neuromuscular control ability for evaluating muscle function. Results: NRS was significantly improved according to time (p<0.05). ROM of extension and rotation, isometric muscle strength of trunk and hip, core muscle endurance and neuromuscular control ability were significantly improved according to time (p<0.05). Conclusion: We could confirm the superiority effect of intensively complex physical therapy program on pain, ROM of trunk and muscle function in traumatic low back pain with industrial accident.

가족중심 물리치료 조기 중재에 관한 연구 (Review of Family-Center Physical Therapy Early Intervention)

  • 김중선
    • The Journal of Korean Physical Therapy
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    • 제12권3호
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    • pp.387-394
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    • 2000
  • Family-center service(FCS) is a popular phrase widely used to encompass a set of ideas about service delivery to children and their families. The purpose of this anicle is to review the history behind FCS. the dennition of FCS, the theory and conceptual framework for FCS, and the implications of FCS for physical therapists. This article provides some informations about FCS.

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우리나라 중소도시 뇌졸중 환자의 임상적 특성과 재활서비스 수혜 실태에 관한 연구 (The study of clinical pictures and received rehabilitation service patterns of stroke patients)

  • 배성수;이진희
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.799-814
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    • 2001
  • This study was performed to investigate the clinical pictures and rehabilitation service patterns of stroke patients in cities of kimchon(kumi), jinju. pohwang, jeonju and jeju from January 1,2001 to march. Authors developed structured questionnaire, and distributed it to each physical therapist. Total number of distributed questionnaire was 400, and 301 questionnaire were col looted and analysed finally.1. The occurrence rate of hemorrhagic stroke(60.5%) was higher than that of ischemic stroke(39.5%). The highest incidence of the stroke was noted in the group of 50 years and ratio of male to female 1.3 : 1. 2. The several warning sign is motor deficit(42.5%). headache. dizziness, vomitting(31.9%) and difficulty speaking or understanding(10.6%). 3. The most important contributing factor of stroke was hypertension both hemorrhagic(50.0%) and ischemic stroke(40.3%). 4. In the painful stroke patients(53.2%). the major problems were shoulder pain(51.3%) and shoulder-hand syndrom(31.3%). 5. In hemorrhagic stroke. the seasonal preference was autumn and summer. In ischemic stroke. the seasonal preference was autumn and winter. 6. In the surgery, hemorrhgic stroke(44.5%) was higher than that of ischemic stroke(20.2%). 7 The major impairment were motor deficit(95.3%), psychological deficits(24.4%), hearing and speech deficit(23.4%). vision deficit(14.7%) and perception deficit(12.7%). 8. The rehabilitation services for stroke patients were physical therapy(98.0%), occupational therapy(41.5%), oriental therapy(35.1%), speech therapy(17.5%) and psychological therapy(7.4%). 9. The start of rehabilitation service was different according to surgery. 36.5% of patients started physical therapy in 4 week and 32.0% of patients started in 8 week later in surgery and 53.1% of patients started physical therapy in 2 week in not surgery( P<0.05). 10. The highest frequency of rehabilitation service was six times per week.

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가정 물리치료제도에 대한 인식 및 필요에 대한 조사연구 -가정간호수습생을 대상으로- (A Study on the Needs and Understanding about the Home Physical Therapy System)

  • 권혜정;홍완성;김명준;양영애;황성수
    • 대한물리치료과학회지
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    • 제6권3호
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    • pp.125-143
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    • 1999
  • The purpose of this study was to investigate the need and understanding about the physical therapy. The subjects of this study were 101 licensee nurses who was taking the home nursing trainers. The results were as follows: 1. The home nursing trainers(97.1%) were required the need for home physical therapy service. The reasons which requires the home physical therapy were 'the increased elderly patients(97.0%)', 'the early leaving of the hospital(96.0.%)', 'the lack of caretakers(96.0%)', and 'the increased chronic patients(96.0%)'. 2. The ratio of affirmation of home physical therapy system was 97% of the home nursing trainers, the reasons which were helped the patients was 'the saved time(97.0%)'. 'the decreased psychological stress(95.0%)' 'the continuing treatment after discharge(93.0%)' and 'the teaching patients and caretakers(93.0%)'. 3. The main center which was organized the home physical therapy service was 'the department of home physical therapy arid the home nurse(42.6%)', 'the department of home nurse(22.8%)', and 'the department of home physical therapy(1l.9%)'. 4. The home nursing trainers wanted to learn the home physical therapy methods for chronic patients(95.0%). The contents of home physical therapy methods was 'the therapeutic exercise for preventing deformity(15.4%)', and 'maintenance of normal posture and howe to change body position(12.4%)'. 5. Statistically significant difference in the teams (the home physical therapy, the home nurse, and the home physical therapy with the home nurse) was found between the age groups, and statistically significant difference in the teams was found between the educational degree groups.

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지역사회중심 재활에서 물리치료사의 참여 (A Participation of Physical Therapist for Community Based Rehabilitation)

  • 김찬문
    • 대한물리치료과학회지
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    • 제4권2호
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    • pp.461-466
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    • 1997
  • The physical therapist's participation in community based rehabilitation(CBR) is necessary, in a variety of ways, to ensure the disabled quality service. Although CBR needs the Physical Therapist's help, participation is limited due to unstable CBR policy, and because there is a lack of financial support, skilled Physical Therapist's are usually not hired. Physical Therapist's themselves do not seem to completely understand this. The experts active participation is needed for effective rehabilitation service. Therefore, the trained Physical Therspist's participation is absoutely necessary is CBR policy if it is even to provide completely effective service.

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'장애인 등에 대한 특수교육법' 시행에 따른 치료지원서비스 활성화 방안 : 물리.작업치료를 중심으로 (The Research for the Activation of Treatment Related Service According to the 'Special Education Law': Focusing on Physical.Occupational Therapy)

  • 이병희;정진화
    • 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.

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재활.물리치료서비스 수가항목의 인적 투입요소 구조분석 연구 (An Analytical Study on the Structure of Personal Input Factors of Fees for Rehabilitative and Physical Therapeutic Services)

  • 임정도
    • 대한물리치료과학회지
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    • 제3권2호
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    • pp.1065-1077
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    • 1996
  • Fees for medical insurance services in Korea has not being been set based on service costing. Recently in the USA, fees for physican services are determined by developing and applying Resoure Based Relative Value Scales (RBRVS). This study attempts to develop relative value scales for personal factors of rehabilitative and physical therapeutic services. The personal factors were classified into four categories as having been done in the USA;service time, treatment technology and physical efforts, mental efforts and judgement, and stress. Input factors were measured using Magnitude Estimation Method (MEM), and relative value units were calculated for each of twenty eight rehabilitative and physical therapeutic services. Results show that service time surveyed differs from that provided in the public fee schedules in 24 services; the three personal factors but the service time are highly correlated; the physical therapists hold treatment technology and physical efforts to be the most important factor in setting the for services; and that relative values developed for noninsurance services such as Silver Spike Electrode (SSP) and Proprioceptive Neuromuscular Facilitation (PNF) are higher than those of similar insurance services. The policy implications and measures for improvement for the above findings were suggested respectively.

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일부 노인 장기요양보호기관 종사자간의 서비스연계 조사 (The Analysis of Factors on the Service-Linkage of Long-term Care Workers for the Elderly)

  • 유재응;김경;차용준
    • The Journal of Korean Physical Therapy
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    • 제24권1호
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    • pp.35-40
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    • 2012
  • Purpose: This study was to analyze the factors that affect the service relationship of long term care workers for the elderly and to provide basic resource for the successful connection of long term care services. Methods: 259 subjects who were engaged in long term care units completed a self-administered questionnaire that measured the extent of service linkage among one another. The Cronbach's ${\alpha}$ score determined the internal consistency of the acquired data and the discriminated validity was estimated by Pearson's correlation coefficient. Multiple regression analysis was conducted to investigate the influence of the known factors on the service linkage. Results: Acceptance and participation negatively influenced on the service linkage. Reliance, comprehension, recognition on service, and frequent contact with others positively activated the service linkage of long term care workers. Conclusion: The establishments of systemic training courses providing education that emphasizes reliability and recognizes other services, including work environment to contact easily are needed to improve the service-linkage of long-term care workers for the elderly.

Recognizable Investigation on Home Visiting Physical Therapy of Physical Therapist in Gwangju and Jeonnam

  • Yu, Seong-Hun;Kim, Seung-Rae;Cho, Sung-Hyoun;Seo, Tae-Hwa;Moon, Young-Sung;Kim, Myeong-Hui;Kim, Hyun-Jin
    • 대한물리의학회지
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    • 제11권3호
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    • pp.19-34
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    • 2016
  • PURPOSE: This study seeks to examine the awareness and need of home visiting physical therapy among physical therapist in Gwangju and Jeonnam province. METHODS: Survey was conducted during the continuing education on physical therapist held in Gwangju in 2015 with 297 participants. The survey questionnaire consisted of 12 questions on the characteristics of physical therapists, 8 questions regarding the awareness of home visiting physical therapy, and 7 questions on need. RESULTS: Significant differences were found regarding service period, according to categories of the inconvenience associated with commuting to/from hospitals, long-term treatment for patients, high quality treatment with intensive care, treatment at a time of patients' choosing. The category of hospital fees reduced due to early discharge from the hospital also saw significant differences, depending on respondents' marital status, dependent family, and service period. Providing treatment without causing discomfort to patients in front of others also saw significant differences according to physical therapist career period. Home visiting physical therapy is easier for family members to take care of patients also saw significant differences according to education and physical therapist career period. CONCLUSION: Survey indicates that physical therapist province feel the need for home visiting physical therapy in many respects. However, since as many as half of the surveyed physical therapists have only heard of home visiting physical therapy or are have no awareness of the this form of treatment, it appears that there is a need to raise awareness of home visiting physical therapy among physical therapist and introduce appropriate policies.

노인장기요양보험제도에 있어 방문물리치료서비스에 대한 보건소 방문사업팀의 인식도 조사 (A Survey on Home Care Team's Perception in Health Center about Home-based Physical Therapy among Home Care Service for Long Term Care Insurance)

  • 윤태형;김희라;박래준
    • 대한물리치료과학회지
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    • 제16권3호
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    • pp.43-53
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    • 2009
  • Background: The purpose of this study was to investigate the perception of home care team's home based physical therapy in public health center Method: We surveyed 11 questionnaires for hone care team in health center from 1st to 30th, November in 2008. Results: The person who recognized the exclusion fact of home-based physical therapy in long term care insurance was 64.2% in whole 109 people. About necessity of home-based physical therapy, "absolutely necessary" as the person answer was 43.1%. Home-based physical therapy in the insurance must come to be provided with a precedence was 81.3%. About starting time of hereafter home-based physical therapy "after 1 years" the opinion which was 60.7%. Opinion about operation institution of home-based physical therapy "the pubic hospital or health center" was 52.3%. In composition form of the home-based physical therapy team "with the physical therapist and occupation therapist come together" was investigated with 37.4%. Conclusion: As long term care insurance will be developed, discussion about quality- of-service must be continuous and depth. Relates hereupon, the academic, researchers, and the persons concerned must consider the best quality of life improvement of the citizen and prepare the ground which systemic, rational, and actual on starting of home-based physical therapy in long term care insurance.

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