• 제목/요약/키워드: manual data

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근육뼈대계 질환에 대한 도수치료의 효과: 메타분석 (Effects of Manual Therapy on Musculoskeletal Diseases : A Meta-Analysis)

  • 이정우;공광식;김동연;고운
    • 대한통합의학회지
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    • 제9권1호
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    • pp.203-217
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    • 2021
  • Purpose: The purpose of this meta-analysis was to examine the high-level evidence of the effects of manual therapy on musculoskeletal diseases. Methods: Domestic databases were searched for studies that conducted clinical trials associated with manual therapy on chronic musculoskeletal diseases. A total of 591 studies published between 2005 and 2018 were identified, with 18 studies satisfying the inclusion data. The studies were classified according to patient, intervention, comparison, and outcome (PICO). The search outcomes were items associated with pain and physical function. The 18 studies included in the study were evaluated by using the R meta-analysis (version 4.0). The quality of 18 randomized control trials was evaluated by using the Cochrane risk of bias (ROB). The effect sizes were computed as the corrected standardized mean difference (SMD). Subgroup and meta-regression analyses were also used. Egger's regression test was carried out in order to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were also conducted in order to analyze the data error. Results: The following factors showed the large effect size of manual therapy on chronic musculoskeletal diseases: pain (Hedges's g = 2.66; 95% CI = 1.47 ~ 3.85), and physical function (Hedges's g = 2.15; 95% CI: 1.22 ~ 3.08). The subgroup analysis only showed a statistical difference in the type of manual therapy (pain) and outcome (physical function). No statistically significant difference was found in the meta-regression analysis. Publication bias was found in the data, but the results of the trim-and-fill method showed that such bias did not largely affect the obtained data. Furthermore, there were no data errors in the cumulative meta-analysis and sensitivity analysis. Conclusion: This study provides evidence for the effectiveness of manual therapy on chronic musculoskeletal diseases in pain and physical function. Subgroup analysis suggests that only the type of manual therapy for pain and the type of outcome for physical function differed in effect size.

멀리건 도수치료가 여성 퇴행성 슬관절염 환자의 통증과 근 기능평가에 미치는 효과 (The effect of mulligan manual therapy on pain and muscle assessment questionnaire in female elders with osteoarthritis of the knee)

  • 마상렬
    • Journal of the Korean Data and Information Science Society
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    • 제21권4호
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    • pp.641-650
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    • 2010
  • 본 연구는 퇴행성 슬관절염 여성 30명을 대상으로 물리치료와 멀리건 도수치료를 병용하여 4주간 실시한 후 운동전, 2주 후, 그리고 4주 후에 통증과 근 기능평가 측정에 미치는 효과에 대해 알아보기 위해 실시하였다. 본 연구의 측정은 시각적 상사 척도 검사, 근력 검사, 근 기능 검사, 그리고 협응력/균형감을 검사하였다. 반복측정자료 분산분석 결과, 물리치료와 멀리건 도수치료를 병용한 실험군에서 중재기간에 따라 효과적 이었으며, 시간과 그룹 간 상호작용도 있었다. 퇴행성 슬관절염의 통증과 근 기능평가를 개선시키기 위해 물리치료와 멀리건 도수치료 병용 시 효과적이란 것을 검증하였다.

추나 수기 이완요법으로 치료한 공황장애 증상을 주소로 하는 환자 1례에 대한 임상보고 (A Clinical Report on Symptom of Panic Disorder Improved by Chuna Manual Relaxation Therapy)

  • 한창;김지형;류기준;안건상;권승로
    • 척추신경추나의학회지
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    • 제3권2호
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    • pp.1-8
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    • 2008
  • Objective : This study is designed to evaluate the effects of an oriental medical therapy, the Chuna Manual Relaxation Therapy on symptom of Panic disorder. Method : The clinical data was analyzed on a patient with Panic disorder whose main symptoms were palpitation, perpirtion, hydrodipsomania, chest pain, burning sensation. Result : After treatment, the patient's main symptoms were disappeared and secondary symptoms were improved. Conclusion : This study suggests that the Chuna Manual Relaxation Therapy is significantly effective in treatment of Panic disorders.

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건설공사 설계도서매뉴얼의 전자화 절차구성 및 실무 적용효과 분석 (Procedure Development for Organizing Electronic Technical Manual of Construction Design Information and Applicability Analysis for Practical Project)

  • 강인석;문현석;곽중민
    • 한국철도학회논문집
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    • 제10권2호
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    • pp.103-111
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    • 2007
  • The existing design materials by document type are restricted in searching and acquiring necessary design information because the materials consist of huge information and various document types. This study suggests a methodology to develop an electronic technical manual that can manage construction design materials by XML-base integrated information system. Electronic technical manual for design materials can provide visualized information through various multimedia tools such as multi-link, virtual reality and animation. Using an integrated electronic manual for construction project can prevent to miss necessary design information. The results of this study includes a data flow diagram to develop an interactive electronic technical manual (IETM) for construction design information. Finally the study suggests some scenarios for practical use and quantitative analysis of application effect analysis by AHP method.

과민성 장 증후군의 추나 치료에 대한 체계적 문헌 고찰 (Chuna Manual Therapy for Irritable Bowel Syndrome; A Systematic Review)

  • 서하라;이혜윤;황만석
    • 척추신경추나의학회지
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    • 제11권2호
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    • pp.1-9
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    • 2016
  • Objectives: To evaluate the effectiveness of Chuna manual therapy for irritable bowel syndrome. Methods: The researcher conducted search across the 3 electronic databases (Pubmed, Wanfang data(included CAJ) and Oasis) to find all of randomized controlled clinical trials(RCTs) that used Chuna manual therapy for irritable bowel syndrome. Results: Eight RCTs met inclusion criteria. The meta-analysis showed positive results for the use of Chuna manual therapy in terms of the therapeutic effects or symptom score compared to west medication, herbal medication, acupucture and moxa treatment alone. Conclusions: The review found encouraging but limited evidence of Chuna manual therapy for irritable bowel syndrome. More highquality clinical trials research is needed on Chuna, manipulative therapy of irritable bowel syndrome.

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가상아바타에 따른 가상의복의 비교평가 (Comparative Assessment of Virtual Garments using Direct and Manual Avatars)

  • 임호선
    • 복식문화연구
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    • 제19권6호
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    • pp.1359-1371
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    • 2011
  • The purpose of this paper is to compare two avatars made using direct and manual methods and to evaluate the fit and appearance of two virtual garments on the direct and manual avatars. In this study, two subjects were measured by $[TC]^2$ body scanner and the avatars and virtual garments were created by OptiTex software. The direct avatar was made by the direct importation of 3D body scan data and the manual avatar was made by manual input from extracted body measurement. Two virtual garments in a tank-top were evaluated by distance, transparency, and stretch maps. In the results of comparing difference of the direct and manual avatars, the bust and back of the manual avatar are protruded slightly more than that of the direct avatar and the manual avatar is slightly larger dimensions at the bust, waist, abdomen, and hip area in the side view in case of subject 1 and 2. In the results of comparing difference of the fit and appearance of two virtual garments on the direct and manual avatars, in case of subject 1 and 2, the back of the virtual garment on the manual avatar are protruded more than that of the direct avatar. Also, the ease in the bust area of the virtual garment on the manual avatar with a projected bust area was smaller than that of the virtual garment on the direct avatar and the stretch of that of the manual avatar was also high in the bust area. The results of this study are expected to be used as basic information in the apparel industry using virtual try-on technology.

한국의 정형도수물리치료 실태조사 (Survey on The Current Status of Orthopedic Manual Physical Therapy in South Korea)

  • 황성수;김명준;전범수
    • 대한정형도수물리치료학회지
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    • 제27권1호
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    • pp.41-49
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    • 2021
  • Background: The purpose of this survey was to know the current states and future suggestions of orthopedic manual physical therapy (OMPT) system on Korea. Methods: Questionnaires were directly distributed to physical therapists who participated in the training and collected at the educational or clinical site. The questionnaire was sent and collected by E-mail. Data were classified into two groups, metropolitan and city, and clinical experience was grouped into four groups. Then, 337 subjects (male: 195, female: 142) were recruited from us. Results: The states of Korea, 72.1% of therapists have been executed orthopedic manual physical therapy, the fee of one treatment was 50,000 ~ 60,000 Korean won, the time of treatment was 21~30 minutes, the number of patients of one day was under 9. The suggestion of future orthopedic manual physical therapy of Korea, 83.4% of therapist were agreed with manual physical therapy system, the education center of certificate for manual therapist was manual therapy academic group, the career of clinical experiences was 3 years, the training hours was more 300 hours, academic degree was diploma. Conclusion: In the future orthopedic manual physical therapy proposal, the environment and education system differ from country to country, but Korean OMPT agreed to an accredited orthopedic manual physical therapy system and wanted systematic management.

COVID-19 사회적 거리두기 전후 추나요법 이용 현황 연구 (Status of Chuna Manual Therapy Usage Before and After COVID-19 Social Distancing)

  • 임형호
    • 척추신경추나의학회지
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    • 제18권2호
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    • pp.53-64
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    • 2023
  • Objectives This study aimed to investigate the status of Chuna manual therapy(CMT) usage before and after COVID-19 social distancing measures. Methods This study utilized Health Insurance data from April 2019 to May 2023. Quarterly data were collected for Simple Chuna (code 40710), Complex Chuna (code 40720;50% patient expense), Complex Chuna (code 40721;80% patient expense), and Special Chuna (code 40730). Results During the period covered by health insurance, the number of CMT patients was 8,315,838, with 19,332,786 instances of CMT, and a total cost of 544,651,407 won. Due to COVID-19, the application of CMT decreased in the first quarter of 2020, but recovered from 2021, showing an increase in usage by the first quarter of 2023. The decline in the use of all medical institutions in the fourth quarter is believed to be due to restrictions on health insurance coverage for CMT. Conclusions Further research on CMT health insurance is necessary. This research should inform discussions on policies aimed at expanding health insurance coverage for CMT.

두부 방사선 규격사진 컴퓨터 분석기의 신뢰도에 관한 연구 (A Study on Reliability of Computerized Cephalometric Analysis System)

  • Woo-Cheon Kee
    • Journal of Oral Medicine and Pain
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    • 제19권2호
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    • pp.47-55
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    • 1994
  • To investigate the reliability and reproducibility of the computerized cephalometric analysis system, se compared the differences of the 10 linear and 13 angular measurements by manual works and the use of computerized cephalometric analysis system. We obtained as follows : 1. There was not significant difference between maean values of 22 manual and computerized measurements. 2. There was not significant difference between mean differences of manual and computerized cephalometric analysis data taken by same examiner except facial depth, facial length and posterior facial height. 3. There was not significant difference between mean differences of two trials of the computerized cephalometric analysis data by same examiner in all measurements. 4. There was not significant difference between mean differences of the computerized cephalometric analysis data by two examiners except FMIA and IMPA. According to this result, we guess the use of computerized cephalometric analysis system is useful on diagnosis and treatment planning of othodontic patients.

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대한정형도수물리치료학회지의 연구논문유형과 분석조사 (The Analysis Study and Types of the Journal of Korea Academy of Orthepedic Manual Physical Therapy)

  • 권혜정;황성수
    • 대한정형도수물리치료학회지
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    • 제18권2호
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    • pp.9-21
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    • 2012
  • Background: The purpose of this study was to analysis and to give information about the type of orthopedic manual physical therapy research by KAOMPT Journal from 1995 (Volume 1) to 2011 (Volume 17). The number of research paper were total 212 studies. Method: The studies were analysed with retrospective descriptive study. The results of data analysis was as follow; Results & Conclusion: 1. The studies was analysed 6 study field; manual therapy for disease field (130 studies), the therapeutic (16 studies), the effects of manual therapy education method, learning model (7 studies), medical insurance, history, politics of manual therapy (3 studies), and others (19 studies). 2. In the manual therapy of disease field, there were 4 groups of disease; bone disease (43 studies), soft tissue and muscles disease (57 studies), nerve disease(24 studies), and the others (6 studies). The main disease were low back pain, stroke, HIVD. 3. In the assessment, and intervention field, there were only 5 studies during from 1995 to 2000, but the studies from 2001 to 2011 were more increased 21 studies. 4. In the effects of manual therapy education method, learning model, there were very few studies (7 studies), so it will be needed more studies in this field. 5. In the other fields such as more political issue, history, medical insurance for the manual therapy there were few studies, so it will be needed more advanced studies in this field.

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