• Title/Summary/Keyword: psychological therapy

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Literature Review of Exercise Therapy Effects in Patients with Breast Cancer (유방암 환자의 운동치료 효과에 대한 문헌고찰)

  • Kim, Inseop
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.2
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    • pp.49-58
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    • 2014
  • Purpose : This study was to evaluate the effectiveness of exercise therapies for breast cancer patients through review analysis of the rehabilitation they had usually received to increase the quality of their lives. Exercise therapy for breast cancer patients has proven to be highly effective, so it is strongly recommended. Method : Focusing on breast cancer-related journal articles published since 1990, an analysis using the Spolit and Medline search engines was undertaken of breast krebs, tumors, cancer, sportaktivitaet, and exercise in patients with breast cancer. Exercise for breast cancer patients has been considered to have positive effects on fatigue, muscle weakness, and the range of motion of upper extremities, as well as on depression. Breast cancer patients have to be divided according to their identifying clinical characteristics, and then have to be prescribed a suitable exercise program. In accordance with previous articles, a varied exercise program was organized in terms of frequency, duration, and intensity. The frequency was more than three times per week. Its duration was about 30 minutes per session. Result : The intensity of exercise was moderate. The types of exercises included recommended strengthening exercises, as well as various aerobic exercises. Based on previous data, a new exercise method for breast cancer patients was introduced in this study. Conclusion : Above all, exercise programs should be planned according to the different characteristics of breast cancer patients, in order to reduce physical impairments and psychological problems.

Relationship between Job Stress and Self-esteem of Physical Therapists (물리치료사의 자아존중감과 직무스트레스의 상관관계)

  • Ro, Hyo-Lyun
    • The Journal of Korean Physical Therapy
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    • v.22 no.1
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    • pp.83-90
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    • 2010
  • Purpose: This study aimed to determine the degree of job stress and self-esteem of physical therapists as well as the correlation between the two variables. Method: This study targeted 218 physical therapists of Busan City, and was carried out from July 16 to August 6, 2009 as survey research. A structured questionnaire referring to advance researches was used as a research tool. Job stress symptoms were measured one a 5 point scale, the higher the point total, the higher the job stress. Self-esteem was measured on a 4 point scale, the higher the point total, the lower the self-esteem. After data collection we determined descriptive statistics, and did reliability analysis, factor analysis, Spearman's correlation analysis, and regression analysis. Results: Reliability analysis indicated that reliability for the job stress questionnaire was 0.93 and for the self-esteem was 0.83. The average job stress score of physical therapists was 1.19 points which was not high. The average self-esteem score was 1.76 points, whichwas high. It appeared that the higher the self-esteem, the lower the job stress. Also, self-esteem had an influence on psychological symptoms among job stress factors. Conclusion: Job stress and self-esteem of physical therapists are well-correlated and influence each other. Accordingly, self-esteem can be used as a variable for adjusting job stress of physical therapists.

A Case Report of Panic Disorder with Agoraphobia;Focusing on Observation from Recent Onset (광장공포증을 동반한 공황장애 환자의 1례 보고;발병초기부터 관찰한 내용을 중심으로)

  • Kim, Jee-Hoon;Seok, Seon-Hee;Koo, Byung-Soo;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.2
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    • pp.251-263
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    • 2008
  • Panic disorder with agoraphobia is an anxiety disorder in which there are repeated attacks of intense fear and anxiety, and a fear of being in places where escape might be difficult, or where help might not be available in case of a panic attack. We experienced a 39 year-old man who had Panic disorder with agoraphobia from recent onset and whose condition was improved through oriental medical treatment. We treated the patient with Herbal medications and Giungoroen (至言高論)-wise saying and lofty opinion) and Gyeongjapyeongji (驚者平之)-mental stress must be eased with tranquilizers) and Relaxation therapy. Giungoroen is psychological therapy that promotes patient's recognition of disease and will to cure it through conversation. Gyeongjapyeongji is desensitizing the unease. Relaxation therapy is the use of muscular relaxation techniques in treatment. This result suggests that oriental medical treatment has good effect on Panic disorder with agoraphobia.

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The Development of a Checklist for Quantitative Assessment of Risk Factors of Musculoskeletal Complaints in Shipbuilding Workers (조선소 근로자의 근골격계 자각증상에 대한 위험요인 평가척도 개발)

  • Kim, Won-Ho
    • Physical Therapy Korea
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    • v.16 no.1
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    • pp.42-51
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    • 2009
  • The purpose of this study was to develop a checklist of risk factors for quantitative assessment of musculoskeletal complaints in shipbuilding workers. A key point was to develop comprehensive a checklist including the worker's physical ability, as ergonomic and workload factors. ln the first, through correlation analysis between musculoskeletal complaints and physical abilities in shipbuilding workers, risk factors related to physical abilities were selected. In the second, after the development of a checklist was composed of physical, ergonomic and workload factors, factor analysis was used to test the validity of the developed checklist. Each factors selected finally showed that physical factors were hand grip strength, spinal curvature, and flexibility (sit to reach), ergonomic factors were posture, total exposed time, duration, and force of working, and workload factors were physical and psychological workload perceived by worker. The results showed that musculoskeletal complaints was associated with physical abilities (p<.05). The developed checklist had a reliability of .761 (Cronbach=.761) and a validity and explanation of 54.9%. The criterion of management was classified in 4 stages by relative weights of each factor. It is suggested that active intervention is needed to reduce musculoskeletal complaints in workers with more than a 14.31 score.

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Health Status and Improvement Plans for Korean Elderly (한국 노인의 건강실태와 대책방안)

  • Hwang, Hyun-Sook
    • Journal of Korean Physical Therapy Science
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    • v.6 no.2
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    • pp.953-975
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    • 1999
  • The purpose of this document is to provide the direction of the policy for welfare of the elderly, by identifying the problems and status of the welfare service for the elderly. The primary source of degrading the living standard of the elderly is the increase of the elderly population and life longevity. The Welfare service for the elderly to enhance the poor living level of the elderly population should be established, to compensate their former economic and social contribution in the society and also to promote the basic human right. The agenda to achieve this goal sums up like these : First, the basic living of the unhealthy elderly belonging to the low-income group, such as government-provided income and medical service should be provided. Second, for those with working ability, more opportunity for working and social activities should be given, focusing on expanding the employment rather than adding income. Third, for those with middle and high income, silver industry and pastime activities should be nurtured. Lastly, rather than institutional protection for the elderly, the welfare service for those staying home should be enforced, thus naturally leading to the family support for the elderly. There cannot be a sound policy for welfare and improvement of living standard ignoring the Well-being of the elderly population. The effort to better the welfare for the minority groups who compose the base of the social base will, eventually, result in the progress of the entire society.

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Analysis of Drug Compliance Status for the Hormone Replacement Therapy (HRT) Treatment Patients (호르몬대체요법 환자의 복약실태분석)

  • Hong, Sun Shik;Lee, Eui Kyoung
    • Korean Journal of Clinical Pharmacy
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    • v.10 no.1
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    • pp.7-12
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    • 2000
  • This study is intended to provide information to menopausal women so they can control their symptoms. The basic data was gathered by interviewed 200 postmenopausal women on a HRT program. The women were questioned about their perception of menopause and compliance to the therapy with the fellowing result $71.7\%$ of the women experianced hot flushes, and $64.1\%$ experienced short term memory loss and some psychological symptoms. The women reported that these symptoms reduced their quality of life. $53\%$ of the women responded that menopause is a natural state and $59.1\%$ agreed to HRT based on their doctor's recommendation. $76.2\%$ of the women reported that HRT was effective, with $74.7\%$ reporting reduced hot flush symptoms $67.3\%$ of the women reported compliance with the medication schedule. and $43.9\%$ reported periodic non-compliance. Although HRT has been shown to be an effective treatment, the study found that less than $10\%$ of postmenopausal women are currently being treated and these treated women are generally negligent in continuing with HRT, The study recommends that a program be developed that explains the benefits and risks of HRT to be distributed to patients being treated by doctors and pharmacists. In conclusions, It is very important for hormone replacement therapy on menopausal women to take more intensive medication consultation to increase medication compliance and effectiveness of pharmacotherapy.

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The Effect of Contract-Relax with Agonist Contraction on Hamstring Extensibility in Normal Subjects (무릎굽힘근의 신장성에 대한 수축-이완 기술의 효과)

  • Song, Eun-Ji;Oh, Sung-Hee;Lee, Seung-Hwa;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.1 no.1
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    • pp.55-60
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    • 1994
  • Thirty healthy adults aged 20 to 29 with no history of musculoskeletal or neurogenic disorder volunteered for this study. The contract-relax with agonist contration(CRAC) was applied to the right hamstring muscles with the subject in the supine position. Each hamstring group was stretched on three sucessive days with several repetitions of the technique lasting 1min, 3min, and 5min. respectively. Hamstring extensibility at the knee(ROM) was measured before and after stretching using on electronic digital inclinometer(EDI). The results, namely the increase in ROM, were analysed using one-way repeated ANOVA at p<0.05. The differences were not significant. Possible factors influencing the results are excessive sensitibility of the measuring instrument, the psychological and physical status of the subjects, and the level of muscle fatigue. The mean increases in ROM were 3.0 at 1min., 2.6 at 3min, and 2.1 at 5min. Inclusion of a control group would have further defined the effects of the stretching technique.

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Comparison of the effects of transcutaneous electrical nerve stimulation, low level laser, and placebo treatment on temporomandibular joint disorders: a single-blind randomized controlled trial

  • Kim, Hyunjoong
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.244-251
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    • 2020
  • Objective: Physical therapy techniques are required for patients with temporomandibular joint disorder (TMD), but the effects of treatment have not been compared. Therefore, effects of transcutaneous electrical nerve stimulation (TENS) and low level laser (LLL), which are most commonly used interventions, were compared. Design: Randomized controlled trial. Methods: Thirty-six participants with pain in the temporomandibular joint were enrolled, and 12 participants were randomly assigned to either the TENS group, LLL group, or placebo group. Each intervention was performed for a total of 6 sessions for 2 weeks. For the evaluation of the participants, the mouth opening (MO), pressure pain threshold (PPT), and stress were measured at three time periods: baseline, post-test, and follow-up at 2 weeks. Results: Significant interaction between groups according to each evaluation point was found only in PPT-masseter (p<0.05). The evaluation time point at which a significant difference appeared was at the post-test and follow-up at 2 weeks time periods. As a result of the post-test, the LLL group showed a significant improvement compared to the TENS group (p<0.05), and at 2 weeks follow-up, the TENS group showed a significant improvement compared to the placebo group (p<0.05). Conclusions: In this study, an experiment was conducted to compare the treatment effects when TENS, LLL, and placebo were given to patients with TMD. In addition, by quantitatively presenting the effect size of each treatment, this study suggests clinical use of TENS and LLL treatment for TMD.

Factors Influencing Distress in Premenopausal Patients with Breast Cancer Undergoing Endocrine Therapy (내분비요법 중인 폐경 전 유방암 환자의 디스트레스 영향 요인)

  • Kim, Jiyoung;Kang, Younhee
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.15-24
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    • 2019
  • Purpose: The purpose of this study was to investigate relationships among menopausal symptoms, functional status, and distress and to identify factors influencing distress in premenopausal breast cancer patients who had been on endocrine therapy. Methods: A descriptive correlational study was conducted. Data were collected using questionnaires from 140 patients with breast cancer undergoing endocrine therapy at a general hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Tukey HSD test, Pearson's correlation analysis and hierarchical regression analysis. Results: The mean scores for menopausal symptom, functional status, and distress were $19.65{\pm}7.86$, $2.67{\pm}0.33$ and $3.69{\pm}2.19$, respectively. The menopausal symptoms and distress were positively correlated (r=.76, p<.001). The menopausal symptoms and functional status (r=-.43, p<.001) and functional status and distress (r=-.31, p<.001) were negatively correlated. The most influential factor for distress was menopausal symptoms (${\beta}=.79$, p<.001). Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and distress are recommended.

Effect of Fascial Distortion Model on the Cobb's Angle in Adolescents with Idiopathic Scoliosis

  • Lee, Woo-Jin
    • The Journal of Korean Physical Therapy
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    • v.31 no.1
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    • pp.31-34
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    • 2019
  • Purpose: This study examined the effects of the fascial distortion model (FDM) method on Cobb's angle. Methods: Fourteen subjects participated in this study. The idiopathic scoliosis group performed FDM treatments eight times in four weeks. A Shapiro-Wilks test was used to verify the normality of a group of idiopathic scoliosis patients. A paired t-test was performed to determine the satisfaction with the normality. Results: The difference in Cobb's angle was reduced significantly (p<0.05) by an average of $5.72^{\circ}{\pm}2.24$ from $15.51^{\circ}{\pm}1.81$ before the experiment. Conclusion: This study found that the use of the FDM method was effective in improving the Cobb's angle. The application of a FDM treatment appears to stabilize the fascia with decreased ability to adapt physiologically. The application of the CD and TB method of FDM treatment improved the asymmetry spine by dispersing moisture in fascia and improving the contraction and relaxation ability. The results suggest that the Cobb's angle is reduced when FDM is applied, thereby preventing the progression of curvature and avoiding psychological and physical problems that can arise from improving patients with scoliosis.