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A Study on Problem-based Learning Model of Orthopedic Manual Physical Therapy (정형도수물리치료의 문제중심학습 모형에 관한 고찰)

  • Kim, Ho-Bong;Bang, Sang-Bun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.2
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    • pp.31-39
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    • 2012
  • Background: The purpose of this study was to develop a problem-based learning model for orthopedic manual physical therapy. A problem-based learning (PBL) model for orthopedic manual physical therapy developed from PBL module of Jeju C university (Halla-Newcastle PBL Center). A summary of this study is as follows: 1) PBL model is comprised of a class of 30 students, operated small group as of 4~5 students. 2) PBL is suggested a scenario of clinical case, induced variety reaction through group discussion and presentation. 3) PBL is occurred wide variety learning through group work activity and self-directed learning. 4) The tutor as a facilitator is played a guide for group discussion, work activity and team learning. 5) The evaluation for PBL is performed such as student self-evaluation, group activity evaluation, individual presentation, and practice. This model is considered wide variety learning through team learning and self-directed learning by clinical reasoning and problem solving for musculoskeletal clinical case. We suggest problem based learning for the education of orthopedic manual physical therapy in which the learners are very interested in and has the effective outcome.

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A Case Study of the Effect of the Manual Therapy on Patient with Posttraumatic Stress Disorder, Sleep Disturbance and CLBP (외상후 스트레스 장애를 가진 만성요통 환자에게 도수치료가 외상후 스트레스와 수면 장애 및 통증에 미치는 영향-사례 연구)

  • Yu, Seong-Hun;Kang, Yong-Ju;Kim, Tae-Won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.1
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    • pp.47-52
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    • 2014
  • Background: This case study is to describe the manual therapy for the patient with posttraumatic stress (PTSD), sleep disturbance, and pain such as chronic low back pain (CLBP). Methods: The patient who participated in this study was a 60 year-old male PTSD patient with CLBP. His CLBP is not from any genetic or family history but a sequelae of torture that he had gone through about 30 years ago. Prior to the intervention, it was assessed that the PDS-K score was 16, PQSI-K was 12, SLR-90-R was low, VAS score was 10, and KODI socre was 25. The intervention was conducted through manual therapy (myofascial release, muscle energy technique, lumbar stabilization) twice a week for eight weeks in total. Results: After eight week-intervention, the PDS-K, SLR-90-R, VAS, and KODI score were improved whereas PQSI-K was not sufficiently fast improved. Conclusions: The manual therapy is substantially effective in dealing with PTSD and CLBP.

Development of Manual for Standard Counseling of Obesity Patients in Korean Medicine (한의 비만 표준 상담 매뉴얼의 개발)

  • Chung, Won Seok;Kim, Koh Woon;Jo, Jun Young;Kim, Hojun
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.2
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    • pp.113-118
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    • 2019
  • A counseling manual for the standardized management of obesity in Korean Medicine was developed. Four specialist for obesity and ten advisors participated in the development. The development process was conducted in order to investigate the needs of clinical doctors for obesity, search for related books and references, determine the contents of the manual, produce the manual, and review of the advisors. The contents of the manual were written in order of goal of obesity counseling, assessment of obesity and health risk factors, assessment of obesity-related lifestyles, counseling for weight management, and counseling for Korean Medical treatment. This manual is the first standardized counseling manual developed, and it is meaningful to provide a counseling method for comprehensive Korean Medicine obesity care. Although there were various limitations in the review of the advisory committee, it is expected that this study will be used as a basic data for the establishment of obesity-related health care policy. We hope that obesity counseling of Korean Medicine will be settled as one of the certified korean medical treatment.

Effects of Manual Therapy on Upper Extremity Pain after Breast Cancer Surgery: A Systematic Review and Meta-analysis

  • Kim, Sangyeop;Kim, Hyun-Joong
    • Physical Therapy Rehabilitation Science
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    • v.10 no.3
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    • pp.343-350
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    • 2021
  • Objective: The most common type of cancer in women is breast cancer, and pain in the upper extremity and trunk is a discomfort experienced by more than half. Based on the evidence that manual therapy is effective for pain control in postoperative rehabilitation, this study aims to analyze the effects of manual therapy on upper extremity pain and function in patients after breast cancer surgery. Design: A systematic review and meta-analysis. Methods: We searched MEDLINE, Embase, PEDro, and CINAHL databases until August 2021. We included randomized controlled trial evaluating pain and function in patients after breast cancer surgery. Qualitative analysis was performed using Cochrane's risk of bias tool, and quantitative analysis was performed using RevMan 5.4 to analyze post-intervention outcomes. Results: Four randomized controlled trials were selected to evaluate the effects of upper extremity pain and function in 133 patients who underwent manual therapy after breast cancer surgery. In the results of qualitative and quantitative analysis, the experimental group treated with manual therapy showed a significant improvement in pain compared to the control group (-0.62; 95% confidence interval (CI) -0.97 to -0.27). However, there was no significant improvement in upper extremity function (-0.09; 95% CI -0.43 to 0.25). Conclusions: Current evidence shows that manual therapy is effective for pain control in patients who complain of upper extremity pain after breast cancer surgery.

Usefulness of Manual Analysis of Bone Mineral Density Using Dual Energy X-ray Absorptiometry (이중에너지엑스선흡수기(Dual energy X-ray Absorptiometry: DXA)를 이용한 골밀도검사 결과분석에서 수동분석법의 유용성 평가)

  • Kim, Eun Hye;Kwak, Jong Gil;Kim, Ho Sung
    • Journal of Radiation Industry
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    • v.12 no.4
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    • pp.317-324
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    • 2018
  • The results of bone mineral density analysis using DXA were compared between automatic and manual methods. The purpose of this paper is to verify the range of errors of each analysis method in the same patient and select a proper method to minimize errors. Comparisons between automatic and manual analysis methods were made using BMD, BMC and AREA. Basal and follow up examinations were performed with the patients of normal, osteopenia and osteoporosis. In the basal examinations, the precision errors between automatic and manual method showed 1.9% in normal, 3.1% in osteopenia and 3.8% in osteoporosis. In case of follow up studies, the precision errors between automatic and manual method showed 2.3% in normal, 3.2% in osteopenia and 3.5% in osteoporosis. BMC and AREA also showed a tendency to increase precision errors on osteopenia and osteoporosis. Therefore, a manual method would be a better option to minimize errors in patients with osteopenia and osteoporosis.

IMO SAR 해상수색패턴 적용 시뮬레이션 결과 분석

  • 박재홍;정중식
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2023.05a
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    • pp.173-174
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    • 2023
  • IAMSAR Manual 국문본인 국제항공 및 해상수색 구조편람에 따른 확대사각(SS: Expanding Square Search) 수색패턴은 수색 대상의 표류 위치를 한정할 수 있을 때 적용하도록 하고 있으며, 수색 기법에 있어 추측항법 적용의 필요성과 함께 조난대상의 표류 추정 위치인 Datum으로부터의 첫 번째 수색 방향 S의 결정은 바람이 불어오는 쪽인 풍상 측을 향하도록 하여 항해 오차를 최소화할 것을 요구하고 있다. 그러나 첫 직행 구간 S 결정에 있어 IAMSAR Manual 영문본 및 USCG SAR Manual에 따르면 S는 풍하 측 또는 표류하는 방향으로 결정하는 것이 옳은 것으로 해석될 수 있으며 이는 항해 오차를 최소화하기 위한 추측항법 적용 관점에도 부합하는 것으로 보이는바, 이 연구에서는 USCG SAR Manual 등 다른 수색 지침서에서는 Drift 방향으로 제시한 첫 번째 S 방향을 근거로 IAMSAR Manual 국문본의 오류 가능성을 제시하였고, 풍상과 풍하 측으로 상반된 첫 번째 S 방향에 따른 수색 결과의 비교를 위해 선박조종시뮬레이션을 활용, 확대사각 수색상황을 재연하여 각각의 수색패턴을 비교 분석하였다. 이를 통하여 확대사각 수색패턴 결과에서 수색 대상에 더욱 근접한 첫 번째 S 방향은 수색 대상이 표류하는 방향과 일치하는 풍하 측임을 확인하였다.

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Chuna Manual Therapy for Premature Infants: A Literature Review (조산아의 추나 치료에 대한 문헌 고찰)

  • Ju-Chan Cho;Hye-Jin Park;In Heo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.18 no.2
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    • pp.23-29
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    • 2023
  • Objectives This study aimed to explore literature evidence regarding Chuna manual therapy for premature infants and determine its applicability. Methods Eight electronic databases were searched, and randomized control trials (RCTs) applying Chuna manual therapy to premature infants were sought. The Cochrane risk of bias tool was employed to assess the methodological quality of each RCT. Results Two RCTs met the inclusion criteria and were subjected to analysis. Each study compared the usual care group with the pediatric Chuna group. The results indicated improvements in nutritional status, a reduction in hospitalization days, and enhancements in growth indicators. Conclusions Chuna manual therapy is worth applying to premature infants. However, evidence is limited due to a lack of well-designed RCTs. More qualified clinical trials are needed to obtain stronger evidence.

Activation and Ratio of Shoulder Stabilizer Muscles on Variations of Manual Resistance during Three Dimensional Shoulder Rehabilitation Exercises (3차원적 어깨재활운동 시 도수 저항의 강도에 따른 어깨안정근의 활성도 및 비율)

  • Min-Hyeok Son;Hyun-Been Roh;Du-Jin Park
    • PNF and Movement
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    • v.22 no.2
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    • pp.315-324
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    • 2024
  • Purpose: The aim of this study was to compare the activation of shoulder stabilizer muscles to variations of manual resistance during three-dimensional shoulder rehabilitation exercises. Methods: A total of 13 participants were included in this study. To normalize each muscle's activity, a maximal isometric voluntary contraction was performed by all participants. After receiving 30 minutes of training in three-dimensional shoulder rehabilitation exercises, participants randomly performed PNF arm and scapular patterns according to the intensities of manual resistance. The activities of the upper trapezius, lower trapezius, and serratus anterior were measured during these patterns. All exercises were performed for five seconds, and the average of three seconds, excluding the first and last seconds, was used for data analysis. Results: Lower trapezius activity was significant among manual resistance intensities. In both the PNF arm and scapular patterns, using 80% manual resistance of maximum resistance showed higher activity of the lower trapezius muscle compared to 20% of the maximum resistance. Conclusion: It is expected that PNF arm and scapular patterns, with varying intensities of manual resistance, can be used for early rehabilitation of patients with shoulder impingement syndrome.

A study on an error recovery expert system as a part of man-robot system (Man-robot system의 일환으로서 에러회복 전문가시스템에 관한 연구)

  • 이순요;김창대
    • 제어로봇시스템학회:학술대회논문집
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    • 1988.10a
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    • pp.518-523
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    • 1988
  • A Teaching and Operating Expert System (TOES) was designed in order to perform a task effectively which is inaccessible to man. Once an error occurs in the middle of the task operation, the automatic mode is converted into a manual mode. After recovering the error by the manual mode, the manual mode should be converted into the automatic mode. It was necessary to improve the manual mode in order to increase the availability of a man-robot system, a part of the human interface technique. Therefore, the Error Recovery Expert System must be constructed and developed.

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A Study on The Development of Environment Manual Management System (EMS 구축을 위한 환경매뉴얼 관리시스템 개발에 관한 연구)

  • 강보철;조재립
    • Journal of Korean Society for Quality Management
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    • v.25 no.4
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    • pp.131-139
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    • 1997
  • In EMS(environmental management system), environmental documents are very important elements to achieve ISO 14000 series certification. A organization or company which hope to acquire the certification must prescribe daily operation procedure and document them properly. Also these documents must be updated in new version. Especially, environment manual, describing EMS factors and correlation between them, is a basic document system. Therefore, a proper manual management tool help a organization or company to reduce the efforts to establish and to revise documents. So, in this paper we will present environment manual management system using database and a, pp.ication computer program.

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