• Journal of Acupuncture Research
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• 제38권1호
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• pp.8-19
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• 2021

Low-level laser therapy including laser acupuncture (LLLT/LA) has been widely used for non-specific chronic low back pain (NCLBP). However, there is no critically appraised evidence of its potential benefits. This study aimed to evaluate the effectiveness of LLLT/LA for NCLBP. There were 12 databases (MEDLINE, CENTRAL, EMBASE, KoreaMed, KMBASE, KISS, NDSL, KISTI, OASIS, CNKI, CiNII, J-stage) searched for randomized controlled trials using LLLT/LA for NCLBP up until June 2019. The primary outcome was pain intensity and functional status/disability due to NCLBP. A random-effects meta-analysis was conducted on 20 studies involving 1,323 participants. LLLT/LA showed a significant positive effect on pain relief scores compared with sham treatments (SMD -0.51, 95% CI: -0.88 to -0.13; χ2 = 31.12, I2 = 74%). Alone, the therapy showed a significant positive effect on function/disability scores (30 participants, MD -11.90, 95% CI: -17.37 to -6.43). As an add-on treatment, it showed a significant positive effect on pain relief (80 participants, MD -5.10, 95% CI: -9.31 to -0.88; χ2 = 28.99, I2 = 97%) and improved function/disability scores (120 participants, MD 5.44, 95% CI: 2.19 to 8.68; χ2 = 4.07, I2 = 75%). Among 20 studies, 9 studies reported no adverse events and 1 study reported mild adverse events. LLLT/LA may be an alternative or add-on treatment for NCLBP.

• 한국엔터테인먼트산업학회논문지
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• 제14권7호
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• pp.469-476
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• 2020

본 연구는 등받이 유무에 따른 하지 운동프로그램이 허리통증이 있는 대학생에게 미치는 영향을 알아 보기 위해 균형능력, KODI, VAS 검사를 이용하였다. 광주광역시 소재 K대학교 학생 32명을 대상으로 4주간 탄력밴드를 이용한 하지 운동프로그램을 진행하였으며 등받이의 유무에 따른 집단 별 16명씩 무작위로 선정하여 진행하였다. 균형능력과 KODI 점수에서는 집단과 시간에 의한 상호작용이 없는 것으로 나타난 반면 VAS 점수에서는 집단과 시간에 의한 상호작용이 나타났다. 또한 두 집단 모두 중재 후에 균형능력, KODI, VAS 점수에서 유의하게 증가하였다. 따라서 등받이 유무와 상관없이 의자에 앉아서 시행하는 하지운동 프로그램이 오랜시간 앉아서 생활하며 허리통증이 있는 학생과 직장인에게 일상에서 쉽게 할 수 있는 운동 프로그램으로 적용하는 것이 필요할 것으로 생각된다.

• 대한정형도수물리치료학회지
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• 제30권1호
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• pp.1-13
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• 2024

Background: The purpose of this study was to investigate the effects of stabilization exercise performed after abdominal drawing exercise using pressure biofeedback for 8 weeks on pain level, performance of transverse abdominis, back pain disability index, and quality of life in women in their 30s less than one year after giving birth. Methods: A total of 20 women who voluntarily participated less than one year after giving birth were randomly divided into a control group and an experimental group. The control group was subjected to abdominal drawing exercise before lumbar stabilization exercise, and the experimental group was subjected to abdominal drawing exercise using pressure biofeedback before lumbar stabilization exercise thrice a week for eight weeks. The quadruple visual analog scale (QVAS), the performance of transverse abdominis, the Korean version of the Oswestry disability index (KDOI), the inventory of functional status after childbirth (IFSAC), and the Short Form-12 item (SF-12) were evaluated before and after the intervention. Results: Except for the Physical Components Summary Scale of SF-12, after the intervention, the experimental group showed significant improvement in QVAS, performance of Transverse abdominis , KDOI, and Mental Components Summary Scale of SF-12 compared to the control group. Conclusion: Selective deep muscle activation through abdominal drawing exercises using pressure biofeedback can help rehabilitation for women after postpartum.

• 한국산학기술학회논문지
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• 제13권7호
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• pp.3057-3064
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• 2012

본 연구에서는 뇌졸중 환자의 건강신념과 환자의 운동기능 재활 이행 및 일상생활동작 수행능력의 관계를 파악하고 뇌졸중 환자의 성공적인 재활 프로그램에 대한 기초 자료를 제공함으로써 임상에서 뇌졸중 환자의 재활시 근거자료로 활용하고자 시도되었다. 전라북도 J시에 소재하고 있는 D병원에 뇌졸중으로 진단 받고 입원 치료중인 뇌졸중 환자들을 대상으로 본 연구목적을 이해하고 연구 참여에 동의한 환자에게 총 150부의 설문지를 배부한 후 132부를 회수하였고 그 중 자료가 불충분한 11부를 제외한 총 121부를 자료 분석하고, 평가를 실시하였다. 수집된 자료는 SPSS for Window(ver.12.0) 프로그램을 사용하여 대상자 일반적 특성을 파악하기 위해 빈도분석을 하였으며, 건강신념과 운동기능 재활 이행 및 일상생활동작 수행능력 사이의 상관관계를 알아보기 위하여 이변량 상관분석과 회귀분석을 실시하였다. 본 연구결과 지각된 민감성, 지각된 유익성, 지각된 심각성이 높아질수록 운동기능 재활 이행이 높았으며, 지각된 장애성 낮을수록 운동기능 재활 이행이 높아지는 것을 확인하였다.

• 치위생과학회지
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• 제14권4호
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• pp.488-494
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• 2014

본 연구는 경상북도 일개 도 농 복합시의 보건소에서 실시하는 노인 불소도포, 스케일링사업에 참여한 65세 이상 노인을 282명을 대상으로 하였다. 자료수집 기간은 2011년 1월부터 12월까지로 연구의 목적과 내용 및 취지를 설명하고 자발적인 연구 참여에 동의한 사람들을 대상으로 하였다. OHIP-14 설문 문항은 5점 만점으로 측정하였으며, 점수가 높을수록 구강건강 삶의 질이 낮아지는 것을 의미하며, 다음과 같은 결과를 얻었다. 1. 치아우식증 개수가 적을수록, 잔존치아 수와 일일 칫솔질 횟수가 많을수록, 의치를 장착하지 않은 그룹에서 구강건강 삶의 질이 유의하게 높았다. 2. 사회경제적 특성에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한 점수는 학력이 높을수록 적었다. 신체적 동통 점수는 나이가 많을수록, 학력이 낮을수록 더 많이 느끼고 있었다. 신체적 능력저하는 학력이 낮을수록 더 많이 느끼고 있었다. 3. 구강건강상태와 칫솔질 횟수에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한과 신체적 동통, 정신적 불편, 정신적 능력저하, 사회적 능력저하, 사회적 불리 점수는 치아우식증 개수가 많을수록 삶의 질이 낮았고, 잔존치아가 많을수록, 의치장착을 하지 않은 그룹에서 삶의 질이 좋았다. 4. 구강건강관련 삶의 질에 영향을 미치는 요인을 규명하기 위한 다중회귀분석 결과 충치의 개수와 의치장착이 유의한 변수로 나타났다. 이 연구결과 노인들의 구강건강상태의 수준과 노인들의 삶의 질이 유의한 관련성이 있는 것으로 나타났다. 구강건강 삶의 질을 유지하기 위하여 나이가 들더라도 잔존치아 수를 많이 유지할 수 있도록 하고, 필요한 경우에는 의치를 장착할 수 있도록 지원하는 것이 중요하다.

• 대한간호학회지
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• 제30권2호
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• pp.342-353
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• 2000

본 연구는 연구자들에 의해 개발된 관절염 건강증진 프로그램이 통증, 우울, 활동장애에 미치는 효과를 검정하고자 수행되었다. 유사실험 설계를 적용하여 1998년 11월 11일부터 12월 24일까지 인천시에 위치한 일개 대학병원의 류머티스 내과 외래에서 류머티스 관절염이라는 진단을 받고 통원치료를 받고 있는 환자들 중 중재에 참여한 실험 군 18명과 참여하지 않은 통제 군 18명을 대상으로 수행되었다. 중재는 건강증진적 기술 향상을 목표로 개발된 7주간 의 건강증진 프로그램 (CHPPRA)이었으며 프로그램 제공 후 CHPPRA가 통증, 우울, 활동장애에 미치는 효과를 검정하였다. 연구 결과에 따르면 프로그램에 참여 후 이들 변수들에 대한 집단간 차이가 통계적으로 유의하였다 (Hotelling's T =.30, F=3.11, p=.04). 어떤 변수가 이러한 차이를 나타내었는지를 ANOVA 분석을 통해 확인한 결과 우울과 통증은 집단간 차이를 나타내는데 유의한 변수였으나 (F=4.22, p=.05; F=4.35, p=.05 순) 활동 장애는 통계적으로 유의하지 않았다 (F=.04, p=.84). 연구결과를 요약하면 11가지 건강증진 기술 향상을 위해 7주간 제공된 본 건강증진 프로그램은 통증, 우울, 그리고 활동장애 등으로 대변되는 대상자의 삶의 질에 전체적으로 효과가 있는 것으로 제시되었는데 특히 통증과 우울을 감소시킴으로써 대상자의 삶의 질에 긍정적인 효과를 미친 것으로 나타났다.

• 대한간호학회지
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• 제29권3호
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• pp.665-678
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• 1999

Stroke is a major cause of death and long-term disability. Because muscle weakness is one of the most prominent consequences of stroke, it was considered important to determine whether exercise in order to improve muscle strength and range of motion could have an effect in limiting the learned disuse of the affected side. The purpose of the study was to identify the effects of an 8 week rehabilitation program on physical and cognitive ability in stroke patients. A total of 18 patients who were admitted to the oriental medicine unit of a K medical center in Seoul were recruited : ten for the experimental group and eight for the control group. The rehabilitation program consisted of three level's of active and passive exercises for prevention of muscle contracture and at range of motion. Muscle strength, flexibility of the upper and lower extremity, perceived balance, functional independence, depression, and quality of life for the two groups were compared at the pretest and 4 and 8 weeks after the rehabilitation program. The results are as follows : 1) When measuring muscle strengths of shoulder abduction and elbow flexion, hip flexion and knee extensor, ankle dorsi-flexor and muscle strength of knee flexor. Muscle strength of knee flexor for the experimental group was significantly higher than the comparison group at the 4 weeks. 2) Muscle strength and flexibility of the ankle dorsi -flexor for the experimental group was significantly better than for the control group at 8 weeks. 3) Functional independence, perceived balance, and Tinetti balance for the experimental group as measured at 4 and 8 weeks were better than for the control group. Also, there were changes over time in physical balance and functional ability, but there was no significant differences between the groups. 4) The experimental group showed a higher quality of life and lower depression than the control group at 8 weeks. 5) Muscle strength and flexibility of ankle dorsi -flexor were significantly changed over time and an interaction between group and time. The findings suggested that the rehabilitation program would improve the physical and psychological status of the stroke patients. Thus, the gains in actual or perceived ability to perform physical activities was marked.

• 한국전문물리치료학회지
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• 제16권1호
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• pp.52-60
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• 2009

The objectives of this study were to investigate the relationship between fear-avoidance beliefs and functional status in individuals suffering from low back pain, and to identify factors that influence on fear-avoidance beliefs, functional status and pain. A cross-sectional study included 214 individuals with low back pain. Each of subjects completed a fear-avoidance beliefs questionnaire (FABQ) which divided into two subscales, FABQ for physical activity (FABQ-PA) and FABQ for work(FABQ-W), Oswestry disability index (ODI) and numeric pain rating scale (NPRS). Individuals with radiating pain were significantly higher in FABQ-PA, FABQ-total, and ODI scores than with no radiation pain (p<.05). Individuals who had received surgery were significantly higher in FABQ-PA, FABQ-total, ODI and NPRS scores when compared with individuals who had not received it (p<.05). And individuals with taking medication were significantly higher in all variables (FABQ-PA, FABQ-W, FABQ-total ODI and NPRS) than individuals not taking medication (p<.05). In correlation analysis. age appeared to be significantly correlated with FABQ-PA, FABQ-total and ODI scores (p<.05), and all variables was significantly correlated with each other (p<.01). These findings indicate that individuals suffering from low back pain have psychosocial problems such as fear-avoidance beliefs as well as functional status and pain. Fear-avoidance beliefs may contribute to aggravate physical symptoms, and therefore it should be carefully considered for the management of individuals with low back pain.

• 복식
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• 제56권6호
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• pp.58-71
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• 2006

This research is aimed to develop the functional clothing designs for disabled women in the manner of investigating design preferences among them by means of questionnaire and interview with 150 disabled women as respondents and interviewees. The findings of this research are summarized as follows: 1. Regarding satisfaction with ready-made clothes, the respondents answered 'very satisfied' (1.6%), 'usually satisfied' (14.1%), 'moderate' (20.3%) and 'unsatisfied' (53.1%), suggesting that they had been generally unsatisfied with ready-made clothes. 2. There were more disabled women preferring to ready-made clothes with one-grade bigger (loose.) size than the actual one (53.1%) instead of completely fitted size (43.8%) when they purchased such clothes. This result indicates that they prefer to ready-made clothes with bigger size than the actual one because most of such clothes are made up of non-elastic materials which may be unfavorable for wearer's activities. 3. It was found that primarily worn upper garment among them was T-shirt (59.4%). The reason may be that T-shirt is favorable for using prosthesis and orthotics such as wheelchair, walking stick and crutches thanks to its remarkably high activity as well as simple to maintain, compared with other kinds of upper garments. 4. Regarding preferences to functional clothing designs, the primarily worn lower garment among them was trousers (85.9%); the reason was easiness to move. The main reasons of avoiding to wear a skirt included 'difficult to move' (40.6%) and 'exposed disabled region' (30.3%). Accordingly, functional clothing for disabled women should be developed in consideration for their individual characteristics of disability associated with the disabled region such as wheelchair user, crutch user or brace user, In addition, the designs should be made so that they are not different from those for non-disabled people.

• 한국전문물리치료학회지
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• 제14권1호
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• pp.46-54
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• 2007

The purposes of the present study were to determine the difference of functional outcome, and to identify factors associated with functional difference in patients with stroke. The sample consisted of 56 stroke patients who had received physical therapy at the physical therapy unit of the Dongeui Medical Center in Busan city between January 2000 and June 2002. Stroke patients were evaluated by physical therapists 3 times; The first day in physical therapy (PT) (T1), one month after the first day in PT (T2), and two months after the first day in PT (T3). Functional status was assessed with the Functional Independence Measure (FIM) instrument, a validated instrument for documenting the severity of disability and assessing the outcome of rehabilitation treatment. Functional gain was calculated over T2-T1, T3-T1, and T3-T2. SAS statistical software was used for the analysis. The Student's t-test, paired t-test, analysis of variance (ANOVA/Tukey and Scheffe), and analysis of covariance (ANCOVA) were used to examine the functional difference in variables. Repeated measures ANOVA was also used to analyze the functional difference by time (T1, T2, and T3). Multiple regression analysis was performed to determine the effects of independent variables on the difference of functional outcome as defined by the FIM score. A total of 56 stroke patients were evaluated, their average age${\pm}$standard deviation was $61.6{\pm}9.3$ years (range: 40~81 yr). The functional status of patients who received physical therapy for about 2~3 months was significantly improved (mean FIM scores, $20.5{\pm}1.8$, $28.9{\pm}1.9$, and $8.41{\pm}1.1$ points for each time period, respectively) (p<.0001). Diabetes was significantly associated with the FIM score for T2-T1 (p<.05). The type of diagnosis was significantly associated with the FIM score for T3-T1 (p<.05). Gender, smoking, and the FIM score on admission were significantly associated with the FIM score for T3-T2 (p<.05). In conclusion, gender, smoking, diabetes, the type of diagnosis, and the FIM score on admission were significantly associated with improved FIM scores. We recommend that further research should explore the functional outcome by using larger sample sizes, longer follow-up periods, and more sensitive assessment instruments.