• Physical Therapy Rehabilitation Science
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• 제12권1호
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• pp.43-47
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• 2023

Objective: To present a case study of a 69-year-old woman with COVID-19 who developed neurological complications due to Extracorporeal Membrane Oxygenation (ECMO) therapy and highlight the importance of daily neurological examinations and rehabilitation in the early detection and management of ECMO-related neurological complications in an isolation ICU. Design: A case report Methods: The patient received ECMO therapy, followed by neurological monitoring and rehabilitation in an isolation ICU. Daily neurological examinations were conducted to monitor the patient's neurological symptoms. Computed tomography was performed to confirm the presence of a hematoma in the left hamstring, which was identified as the cause of the neurological complication. Ultrasound-guided aspiration was immediately performed, and sciatic neuropathy predominantly involving the peroneal division was identified after aspiration. Results: Successful recovery was made possible by the early detection of neurological complications and rehabilitation in an isolation ICU. Although electrodiagnostic tests were not performed due to limited access to the isolation ICU, the appropriate intervention time could be determined through daily neurological examinations and rehabilitation, thereby minimizing neurological sequelae. Conclusions: ECMO-related neurological complications are well known, and their recognition in the ICU can be challenging. The presented case highlights the importance of daily neurological examinations and rehabilitation in the early detection and management of ECMO-related neurological complications in an isolation ICU, which can minimize neurological sequelae.

• 재활복지
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• 제17권4호
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• pp.401-420
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• 2013

본 연구는 신경인지재활치료가 뇌졸중 환자의 상지기능 회복과 일상생활동작 수행능력에 미치는 효과를 알아보고 장기적인 치료를 위한 기초자료를 제시하고자 한다. 연구대상은 뇌졸중으로 인한 편마비 환자 총 30명을 대상으로 신경인지재활치료군과 전통적인 작업치료군을 각각 15명씩 무작위로 선정하였으며, 실험은 1회 30분, 주 5회, 4주 동안 적용하였다. 대상자의 실험 전과 후의 기능회복 정도는 뇌졸중 상지기능검사(Manual Function Test; MFT)와 Fugl-Meyer Assessment Scale(FMA), 한국판 수정바델지수(Korean-Modified Bathel Index; K-MBI) 점수를 활용하였다. 연구 결과 신경인지재활치료군이 상지기능검사에서 MFT와 FMA 측정값이 유의하게 증가하였으며(p<.05), 두 군 간의 차이를 비교한 결과 상지기능이 통계학적으로 유의한 차이를 보였다. 일상생활동작 검사에서는 신경인지재활치료군에서만 K-MBI 값이 유의하게 향상되었다(p <.05). 연구결과를 통하여 신경인지재활치료가 뇌졸중 환자의 상지 기능과 일상생활동작 수행능력향상에 효과적임을 알 수 있었다.

• 한국노년학
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• 제39권2호
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• pp.285-304
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• 2019

본 연구는 여가를 통한 작업치료가 노인 환자의 여가 만족도, 일상생활활동 수행 능력, 재활 동기에 미치는 영향을 알아보는 데 목적을 두고 있다. 연구 방법은 실험집단 10명, 통제집단 14명을 대상으로 실험집단에는 인간작업모델(MOHO) 이론 및 Dattilo(2015)의 여가 교육 프로그램 4th Ed. 을 참고하여 구성한 여가를 활용한 작업치료를, 통제집단에는 전통적 작업치료를 실시하였다. 캐나다작업수행측정(COPM)과 일상생활활동 수행 능력 평가(K-ADL·K-IADL), 재활 동기 설문지(PAREMO)를 사용하여 여가 만족도, 일상생활활동 수행 능력, 재활 동기를 측정하였으며 이를 통하여 중재 전, 후 비교와 각 변수 간 상관관계를 분석하였다. 연구 결과, 여가를 통한 작업치료는 여가 만족도, 재활 동기에 유의한 효과를 주는 것으로 나타났다(p<.01). 둘째, 일상생활활동 수행 능력에서는 전통적 작업치료 중재 집단이 통계적으로 더 유의한 결과를 보였다(p<.01). 셋째, 기본적 일상생활활동, 수단적 일상생활활동 사이에서 유의한 상관관계를 보였다(p<.01). 마지막으로, 재활 동기-여가 만족도 사이에서 유의한 상관관계를 보였다(p<.01). 따라서 여가를 활용한 작업치료 중재는 노인 환자의 여가 만족도, 재활 동기에, 전통적 작업치료 중재는 노인 환자의 일상생활활동 수행 능력에 더 긍정적인 효과를 가져온다는 것을 확인할 수 있었다. 후속연구를 진행하여 효과의 일반화 및 지속성, 과정 분석의 객관성을 검증해 나가야 할 필요성이 있으며 구조화된 작업치료 중재 프로토콜에 대한 연구가 추가적으로 진행되어야 할 필요성이 있다.

• 재활간호학회지
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• 제12권1호
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• pp.47-54
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• 2009

Purpose: This paper was to review the concept of rehabilitation sports for the disabled. Method: This paper was reviewed related papers published by KODDI(Korea Disabled People's Development Institute) concerning rehabilitation sports. Result: Rehabilitation sports that is integration of rehabilitation therapy and sports, was introduced in the U.K. during the World War I for the people wounded in the war. Since then, it was introduced into Germany for the wounded and disabled, and institutionalized in public health insurance program since 1960s. The present day, rehabilitation sports in Germany has been affected on promotion of physical, psychological, and social function and is being considered an importance field of sports and rehabilitation therapy for the disabled. Now, in our country, research is being carried out to introduce rehabilitation sports for the people with disabilities.

• The Journal of Korean Physical Therapy
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• 제27권5호
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• pp.375-380
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• 2015

Purpose: The purpose of this study was to evaluate the impact of differences in computer-aided cognitive rehabilitation aimed at stroke patients on cognitive function and daily life. Methods: The study subjects were Gwangju, Jeonnam including the attention group (group I), memory group (group II), and visual perception group (group III), who were randomly placed in each of a 10 by one problem solving group (group IV). The PSSCogRehab was applied to all subjects who underwent eight weeks once a week after 20 minutes in each group by strengthening mediation 10 minutes 30 minutes total, with a five minute break in the middle. Results: Cognitive function and activities of daily living is security and inter-group differences before intervention, and post-test results in the memory training group II, the intervention group I, III, IV and more on cognitive function and activities of daily living compared to it was effective. Conclusion: The results of computer-aided cognitive rehabilitation measuring cognitive function and ADL in patients with stroke in accordance with the group I, III, and IV group cognitive function and activities of daily living compared to IV showed that it was more effective.

• 대한물리치료과학회지
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• 제6권4호
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• pp.209-220
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• 1999

This study was conducted in order to determined the risk factors and general characteristics in stroke patients. This study was performed by interviewing a total of 92 hospitalized in Hanil hospital, Chinju and Eulji Medical Collage Hospital, Taejon from January 1, 1998 to February 28, 1999. The results are as follow; 1. Of the types of the strokes, hemorrhagic was 58.8%, ischemic was 41.1%. 2. The family history was appeared to 72.2% of total and did not exercise 64.1% of male and 59.5% of female during weak. 3. The korean peoples as the likes rather Chinese medicine and folk remedy than Wes-ern medicine so late treatment of early stage. 4. Generally, in drinking, smoking, fatness and overeating meat known to affect on stroke both male and female had signification difference. 5. These 75.5% of the subjects was recognizing to necessity of physical therapy.

• The Journal of Korean Physical Therapy
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• 제18권1호
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• pp.33-40
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• 2006

Purpose: The purpose of this study was to investigate the effects of cervical mobilization on the tension type headache recovery. : The subjects were consisted of 70 patients with tension type headache. All subjects randomly assigned to cervical mobilization group and massage group. The mobilization group received cervical mobilization with modality treatment and massage group received cervical massage with modality treatment. Visual analogue scala(VAS) was used to daily headache hours and patient's pain level. Results: The results of this study were summarized as follows: 1. The Visual Analogue Scale(VAS) was mobilization group showed significant1y decreased more than massage group(p<.01). 2. The daily headache was mobilization group showed significantly decreased more than massage group(p<.01). Conclusion: mobilization is beneficial treatment for tension type headache.

• 척추신경추나의학회지
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• 제9권2호
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• pp.45-55
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• 2014

Objectives : The aim of this study was to evaluate clinical effects of Needle embeeding therapy on Chronic low back pain. Methods : The patients have been treated only with Needle embeeding therapy for once a week for 4 weeks. To estimate the efficacy of Needle embeeding therapy and functional changes of patients we have checked VNRS and ODI every week. Results : The Needle embedding therapy reduced VNRS and ODI score. Conclusion : The result suggests Needle embeeding therapy can be effective treatment on patients with Chronic low back pain.

• The Journal of Korean Physical Therapy
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• 제16권4호
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• pp.264-282
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• 2004

The purpose of the study was to investigate the effectiveness of ankle mobilization on neck and shoulder position. One hundred volunteers, aged between 18 and 26 years (mean age 22), were recruited and each subject was divided into four mobilization groups by their body type, which is based on the concept from 'general coordinative manipulation' and a control group. Ankle mobilization was applied based on their body type and no mobilization was applied on those of the control group. The positions of shoulders and neck were measured in comfortable standing posture. All measurements were taken before and after ankle mobilization from each subject in mobilization groups and those of control group was measured twice between ten minutes by a different tester on three different occasions. Twenty subjects were in each group basis of their body type and a control. In the position of neck and shoulder, all subjects regardless group showed significantly changed their neck

• The Journal of Korean Physical Therapy
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• 제4권1호
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• pp.13-18
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• 1992

Most of the electromagnetic agents used in physical therapy rely for their effects on tissue heating and photoreaction of the body. Infrared and untraviolet light on the other hand, owns its place in medicine because it produces direct photochemial reaction when it interacts with the body. This study was carried out to investigate and review for photoreaction of the akin. The results were an follows. 1. The effects of the infrared are heat production, increasing metabolism, increasing circulation, vasodilatation and pigmentation. 2. Directed photoreactions are divided into acute reaction and chronic reaction, and the acute reaction makes pigmentation from $290\~320nm$ of ultraviolet ray. 3. Ultraviolet ray formated pigmentations, which are melanoblasts excited from ultraviolet ray and received chemical stimulation, that make melanin granule. 4. If exposured with long duration, at ultraviolet ray, it makes skin thickening and epithelioma. 5. Indirected photoreaction is made by existenced hypersensitivity of photoreaction or lack of photodefence structure. 6. The phototoxic reactions are synthesized by chemical reaction of excitement from ultraviolet ray also this time analysis, synthesis and polymerization from energy of a circumferenced substance. 7. Sunscreen substances are P-amino benzoic acid and oxidate titan.