• 한국방사선학회논문지
• /
• 제7권1호
• /
• pp.99-106
• /
• 2013

본 연구는 급성염증과 비슷한 지연성 근육통이 있을 때 초기 한냉치료를 적용함에 있어 냉기에 의한 냉각통증을 최소화하면서, 근육온도를 낮출 수 있는 방법으로 냉기단독과 냉기와 적외선 조사 병용을 적용하여 피부온도에 미치는 영향을 측정하고, 냉기와 적외선 병용치료의 효율성을 평가함과 동시에 초음파를 통한 근 두께를 바탕으로 등척성 근기능을 평가해보고자 하였다. 본 연구의 결과 냉기와 적외선 병용치료 시 냉기 단독치료보다 냉각통증의 빈도가 낮게 나타났으며, 냉각통증 자각 시점도 늦게 나타났다. 또한 충분한 냉기적용 후 피부온도가 재가온되는데 있어서 냉기를 2회 적용할 때가 1회 적용할 때 보다 더 느려지며, 냉기 단독치료보다 냉기와 적외선 광선 조사 병용치료 시 더 느려짐을 나타내어 2회 이상의 반복적인 냉기 적용이 냉기의 효용이 있다고 나타났다. 또한 상완이두근 두께 변화에 있어서 병용군이 대조군보다 더 크게 나타나 이 효과를 뒷받침하게 되었다. 이러한 연구결과 자료는 향후 급성염증이 있는 환자에게 한냉치료와 관련된 치료적인 자료로써 활용될 수 있을 것이라 생각되고 근골격계 초음파 진단기를 활용하여 통증에 대한 자각도를 간접적으로 표현하는 것이 구체화되어 임상에서 널리 활용될 것으로 보여진다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제15권1호
• /
• pp.23-32
• /
• 2009

Among welfare facilities for the elderly, necessity for the elderly welfare with diverse advantages is rising in the Small-scale Elderly Care Facilities. The government is expecting great demand in the future. However, current the Facilities lack construction plans that consider characteristics of the elderly. Accordingly, 14 case facilities located in JeollaNamdo and Gwangju were selected to comprehensively analyze the circulation of seniors at care facilities by computing spatial depth and visible area variables. As a result of this study, average spatial depth of bathroom, resting room, physical therapy room and dining hall that seniors frequently get in contact with was found to be deep, but visible area appropriate for the function of space was not available. It showed that the circulation for the elderly was deep spatially and long physically, and the spatial rank along circulation which is perceived visually by the admitted the elderly was clear, thus, providing them abundant visual experience supported by high openness as they move from private space to public space. The obtained visibility, however, was observed not to be matched with the function of each space. Since the Small-scale Elderly Care Facilities require various spaces within small surface area, actual functions of each space must be taken into consideration with hierarchical space organization to obtain an environment that stimulates senses such as vision and hearing. In addition, since the circulation of seniors using facilities must consider aging characteristics and delicate care on spatial depth and physical distances, in-depth studies on planning of the circulation in care facilities are deemed necessary.

• 한국임상보건과학회지
• /
• 제4권2호
• /
• pp.566-570
• /
• 2016

Purpose. The purpose of this study was to determine the using state of computers and internet in university students. Method. This research conducts a survey of 50 university students. Researcher personally visited lecture room to explain the purpose of research. The questionnaire was made by the researcher and consists of seven questions. Result. In this study, university students of 74% using computer more than one hour per day. The most of purpose of internet use was internet surfing and writing a document. University students of 42% were play games with internet. Conclusion. The continuous tracking is need of computer and internet use and need to be healthy for the use of guidance of university students.

• 보건의료산업학회지
• /
• 제6권2호
• /
• pp.71-80
• /
• 2012

The purposes of this study were to effect the upper extremities strength and ADL with upper extremities in frail elders. This study comparison upper extremities strength to pre-exercise and post-exercise and ADL with upper extremities. 30 elders who was in C silver hospital in Busan after resistance exercise during 12 weeks using elastic band, It was confirmed that improvement upper extremities strength and ADL with upper extremities after resistance exercise. As a result of study about effect of elastic band based resistance exercise on ADL of frail elders, it seems to have good effect on over all items(eating, dressing, bathing, make-up, go to a rest room). Therefore, it is necessary to find method about rehabilitation exercise for frail or partial disability elders.

• 한국융합학회논문지
• /
• 제9권10호
• /
• pp.141-147
• /
• 2018

본 연구의 목적은 유도된 발목 근피로 시 테이핑, 스트레칭 그리고 초음파가 융합적 균형능력에 미치는 효과를 알아보는 데 있다. 건강한 성인 남녀 39명이 본 연구에 자발적으로 참여하였다. 발목 근피로 유발 이후 대상자들은 테이핑, 정적 스트레칭 또는 초음파 그룹으로 무작위 선정되었다. 그리고 각 그룹에 해당하는 중재방법이 적용되었다. 균형 능력은 Space Balance 3D를 이용하여 발목 근피로 전과 후 그리고 중재 후에 측정되었다. 균형능력은 그룹 간 유의한 차이는 없었지만(p>.05), 그룹 내 모두에서 유의하게 증가하였다(p<.001). 그러므로 발목 근 피로에 테이핑, 정적 스트레칭 그리고 초음파는 융합적 균형능력에 효과적일 것이다. 향후 연구에서는 다양한 측정변수 측정과 치료적 중재를 적용하여 치료적 효과를 증명할 필요가 있다.

• 대한물리치료과학회지
• /
• 제2권3호
• /
• pp.653-666
• /
• 1995

본 연구는 고둥학생들의 요통경험을과 관련된 위험요인을 분석하기위해, 1993년 6월 28일부터 7월 10일까지 2주일 동안 경상북도 안동시 소재 4개의 남여 고등학교(인문계 2, 실업계 2) 3학년에 재학중인 총 816명 중 설문지가 회수되지 않거나 내용이 부실한 38명을 제외한 총 778명(95.3 %)명을 대상으로 분석하였는데, 그 결과는 다음과 같다. 1. 분석대상자 총 778명 중 211명이 요통을 경험하였다고 하여 27.1 %의 요통경험을을 보였다. 2. 요통경험자들의 요통원인은 잘모르겠다는 원인불명이 47.4%로 가장 높았다. 3. 요통유무와 일반적인 특성과의 관계 중학교구분에서 인문계 고둥학생들의 성적 57.8%의 요통경험율이 실업계 학생들의 42.7 % 보다 조금 높게 나타났고(P = 0.001), 연령은 18세 이상의 그룹이 60.2 %로 17세 이하 그룹의 39.8 % 보다 통계적으로 높게 나타났다(P = 0.031). 4. 요통유무와 일상생활동작과의 관계에서 가방드는 방법 중 한쪽 어깨로 가방을 매는 학생들의 55.8 %는 양쪽어깨를 이용한 경우의 42.8 % 보다 통계적으로 유의하게 높았다(P = 0.001). 5. 요통유무와 취침방 형태와의 관계에서 온돌방을 사용한 요통경험 학생들이 80.1 %로 침대방 사용 학생들의 11.8% 보다 훨씬 높게 나타났다(P = 0.012). 6. 요통과 스트레스와의 관계에서 요통학생들의 경우 보통 정도로 스트레스를 느낀다가 40.7 %로 가장 높았고, 심하게 느낀다가 24.5 %, 약간 느낀다가 15.6 %, 매우 심하게 느낀다가 13.7 %, 전혀 느끼지 않는다가 5.2 % 등의 순으로 나타나(P = 0.027), 보통이상으로 스트레스를 느끼는 경우가 79.0 %로 스트레스가 높았다. 7. 요통유무에 영향을 미치는 관련변수를 알아보기 위한 로지스틱 회귀분석 결과, 가장 영향을 미치는 변수는 학교구분으로 인문계학생 일수록 요통에 영향을 더 많이 주었고(P = 0.0019), 그 다음은 스트레스 경험정도인데 스트레스를 많이 경험할 수록 요동에 영향을 더 주었다(P = 0.0034). 그리고 연령에서 연령이 증가할 수록 요통에 영향을 더 많이 미치는 변수로 나타났다(P = 0.0183). 즉, 학교구분, 스트레스, 연령 둥의 순서별로 요통유무에 영향을 주었음이 통계적 차이에 의해서 나타났다. 본 연구결과에서 일부지역 고둥학생들의 요통경험율과 유의하게 관련성이 있었던 독립변수들이 요통경험에 직접적인 인과관계 였다고는 단정할 수 없으나 요통경험에 큰 영향을 미치고 있음을 알 수 있다. 따라서 이들 변수를 중심으로 향후 전향적인 연구(prospective study)가 요구된다.

• The Journal of Korean Physical Therapy
• /
• 제14권4호
• /
• pp.308-322
• /
• 2002

The main objective of this paper is to examine the working conditions of physical therapists and to investigate the level of job satisfaction and organizational commitment under different working conditions. A survey was conducted through structured questionnaire for the physical therapists working in Busan area, and data from 175 therapists were utilized in the final analysis. Survey items included general characteristics of the therapists(sex, age, education, marital status, religion, income, career years, etc.), their working conditions(kinds of organizations they work in, location of PT room, weekly working hours, average number of patients, number of co-workers, equipments/facilities, etc.), and organizational effectiveness measured in terms of job satisfaction and organizational commitment. Major results are as follows: 1) As for the general characteristics of the surveyed physical therapists, male(51.4$\%$) slightly exceeded female(48.6$\%$) and majority(more than 90$\%$) was 20-39 in age. Also, there were more single(57.7$\%$) than married(42.3$\%$), and 54.9$\%$ of the respondents had religion while 45.1$\%$ did not. In terms of the ranks in their organizations, only a few of them(6.9$\%$) were managers, and monthly salary mostly ranged from $\￦$1,000,000 to $\￦$2,500,000. More than half of them worked in various kinds of hospitals, with the remaining in health centers or social welfare institutions. 2) In regard to the working conditions of the respondents, 19.4$\%$ of PT rooms were located in basement areas while the remaining 80.6$\%$ in first to third floors. 34.3$\%$ of them treated 15 patients or less per day, whereas 25.1$\%$ treated 31 patients or more. Also, 52$\%$ recorded physical therapy charts periodically. As for the equipments and facilities, 25.1$\%$ felt 'sufficient' and 40$\%$'insufficient.' 3) The respondents provided various kinds of suggestions for the improvement of their working conditions, where the most important were 'salary raise' and 'reduction of working hours.' In addition, their requests to the PT Association included 'permission of opening of independent practice,' 'permission of legal specialty,' and 'vitalization of the Association.' 4) The comparative analysis of job satisfaction and organizational commitment among different characteristics of the respondents revealed that there was no significant difference between male and female, but in terms of age, the group of 40 or older was highest in both aspects. Besides, therapists who had 15 or more years of hospital career reported higher job satisfaction and organizational commitment than the others. It was also found that the level of organizational commitment increased as the rank of the respondents got higher. There were no significant differences in terms of marital status and religion. 5) Comparison with regard to working conditions showed that therapists employed in university hospitals, health centers and social welfare institutions felt higher job satisfaction and organizational commitment than those in community hospitals and clinics. Also, respondents who worked in basement areas had significantly lower job satisfaction than otherwise. The length of weekly working hours did not really affect the level of job satisfaction, but it was important to maintain 'regular working hours' for the hospitals to improve the employees' organizational commitment. As for the number of patients per day, 'medium level' (21-25 patients) had highest scores in both aspects. And, finally, sufficiency of equipments and facilities was found to be important for the improvement of organizational commitment.

• 기본간호학회지
• /
• 제2권1호
• /
• pp.87-101
• /
• 1995

This study was conducted with the subject of showing the importance of early rehabilitation and exercise therapy in patients who have stroke, of confirming the adavntage of ward exercise conducted by nurse, which had been conducted mainly by physical therapist only in physical thrapy room and of developing the exercise program as the independent rehabilitation nursing intervention. A total of 62 patients were selected as object from April, 5th, to May, 17th, 1995, who had been hospitalized in K medical center, and the half of them were assigned to Experimental group in ramdom assignment using a coin. It was ADL check list tool developed by Kang and Ward Exercise Program developed by the researcher that were used as a treatment. Ward Exercise Program was conducted by the reseacher and the physical therapist measured ADL score before and after Ward Exercise Program. The data were analyzed using ANOVA, pearson correlation, Chi-Square test and the effect of Ward Exercise Program was analyzed by t-tast. The result of this study is as follows. 1. The experimental group showed eminent improvement of ADL compared with the counter group with statistical significance. In eating(t=6.10, df=60, p=.000), personal hygiene performing(t=4.86, df=60, p=.000), wearing(t=5.86, df=60, p=.000), elimination(t=7.89, df=60, p=.000), mobility on the bed(t=13.36, df=60, p=.000), moving(t=9.11, df=60, p=.000), walking(t=7.45, df=60, p=.000) 2. There was no qualitative difference between experimental group and control group with the significance of $p{\le}.05$. 3. There was no relation between the general condition and the difference of ADL, while there was significant relation between the starting point of exercise and the difference of pre-exercise and post exercise ADL. As a result, it should be emphasized that the early rehabilitation and exercise therapy are important in patients who have stroke, and that it is necessary to extend the exercise therapy to the ward. Therefore, this Ward Exercise Program could be recommended as a independent clinical exercise nursing intervention in rehabilitation nursing of patients who have stroke.

• 한국전문물리치료학회지
• /
• 제4권3호
• /
• pp.17-33
• /
• 1997

The objective of this study was to identify pulmonary functional variations in relation to postural changes, lapse after changing position, and the use of abdominal band in the cervical cord injured. The subjects of this study were 19 quadriplegic patients who had been admitted to the department of the Rehabilitation Hospital, College of Medicine, Yousei University, from April, 1997 through May 3, 1997. A spiroanalyzer was used to measure pulmonary function in supine, standing, time after changing position, and recording to the position, application method, and tightness of the abdominal band. The data were analyzed by the repeated measure one-way ANOVA, and Wilcoxon signed rank test. The findings were as follows: 1. All phase of the patients' pulmonary function improved significantly in supine posture in contrast to standing (vital capacity by $0.46{\ell}$ and expiratory reserve volume by $0.09{\ell}$). 2. The longer the time lapsed from supine posture to standing, the patient's expiratory reserve volume, maximum ventilation volume, vital capacity, and forced expiratory volume increased. 3. When the patient lay in supine position, the maximum ventilation volume, vital capacity, and the forced vital capacity increased then the center line of the abdominal band was placed along iliac crest; on the other hand, when the patient was standing, placing the bottom line of the abdominal band along iliac crest increased the maximum ventilation volume, vital capacity, and forced expiratory volume. 4. In placing the abdominal band in the patients, leaving space between the top and bottom lines of the band helped increased in maximum ventilation volume, vital capacity, and forced vital capacity for patient in supine as well as in standing. 5. When placing the abdominal band to patients in supine posture, reducing the length of the band by 2.5% along the patient's waist line increased the patients' vital capacity, while reducing the length by 10% to patients in standing increased the maximum ventilation volume. The abdominal band should be placed in such a way that the bottom part of the band should be more tightly fastened while leaving enough room for a hand to be placed in between the body and the band for the top part of the hand. It should also be noted that in a supine position, the bottom line of the band should be placed along the iliac crest, while in standing, the center line should be placed along the iliac crest. The length of the band should also be reduced by 2.5% of the waist line in supine position, and in standing, the length should be reduced by 10%. It should also be noted that the pulmonary function of the patients should be measured at least 10 minutes after one position change.

• 대한물리의학회지
• /
• 제9권1호
• /
• pp.45-53
• /
• 2014

PURPOSE: In this study, we tried to find out what kind of exercise was more effective in sleep disorder by comparing melatonin in blood after applying low intensity with high intensity exercise to sleep disordered rats induced by experiment. METHODS: We used male Sprague-Dawley rats which were 8weeks old and weighted 300g. They were supplied with water and food without any restriction. We kept the room temperature at $25^{\circ}C$ and controld the length of day and night in 12 hours blocks, respectively. We divided the rats 60 into 2 groups. To one group we applied low intensity exercise, and to the other we applied high intensity exercise for 15minutes per day over a period of 4 weeks. We extracted the blood from abdominal aorta before, after exercise, moved into EDTA tube, performed centrifugation. We decanted the serum $200{\mu}l$ from the blood into microcentrifuge tube by samples and moved into polypropylene culture tubes with micro pipette. We split enzyme solution $50{\mu}l$ into the tubes with melatonin direct kits and make them react at $37^{\circ}C$ for 2 hours. We split assay buffer $50{\mu}l$ into each tube and mixed melatonin tracer $50{\mu}l$ and melatonin antiserum $50{\mu}l$, respectively. After we made them react in room temperature, we decanted the superficial layer with a centrifuge and measured the activity for 1 minute by competitive method with ${\gamma}$-counter equipment. We draw a standard curve through logit-log graph with CPM(counts per minute) and counted the melatonin by B/B0. We conducted independent t-test to examine the homogeneous of melatonin value of before low-intensity and high-intensity exercise. We performed paired t-test to compare before and after low-intensity and high-intensity exercise, respectively. We carried out independent t-test to compare melatonin value after low-intensity and high-intensity exercise. Significance level was .05. RESULTS: The results were as follows; firstly melatonin was more increased in the group who was exposed to high intensity exercise when we compared before to after high and low intensity exercise, respectively. Secondly, high intensity exercise was more effective than low intensity exercise when we compared the two. CONCLUSION: In conclusion, secretion of melatonin which is the material of sleep improvement could be promoted by high intensity exercise. Low intensity exercise acted as a stress rather than improving sleep and had a negative effect on the secretion of melatonin because the melatonin was affected by stress.