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2010, Vol.5, No.2

  • 1.

    Dream of Korean Physical Therapist

    배성수 | 2010, 5(2) | pp.125~131 | number of Cited : 0
    Purpose:The objective of this study was conducted to find out solution that physical therapist can get own clinic. Method:This is a literature study with books and reviewing the dismiss a suit of the court of constitutional law. Results:Physical therapist can have own clinic with legislature by the legislation and the Executive activities. Physical therapist is not only head of rehabilitation but all so controller. Physical therapist has different roll for the patient than medical doctor. Conclusion:Physical therapist was educated for the patient‘s activities. Physical therapist can increase task performance of the patient and life of quality.
  • 2.

    The Consideration of Definition of Physical Therapy in South Korea

    송민영 | 최문희 | 김경모 and 1other persons | 2010, 5(2) | pp.133~141 | number of Cited : 6
    Purpose:To contribute to the development and globalization of physical therapy in south korea. In the near future setting up the new definition of physical therapy making up for present problem and analysis of the physical therapy business. Methods:Checking the definition of physical therapy be in use, and then we draw a new concept and definition according to the job description at ICF of WHO, WCPT, Korea Job Information System, National Health Personnel Licensing Examination Board Analyses. Results:The existing Definition of the korea physical therapy is focus on physical factor and rehabilitation. But, new Definition of physical therapy is contain prevention, functional limitation, therapy of disorder and be made up of definition more detailed and specialized. Conclusion:If definition of the physical therapy out of WCPT used modify and supplement for Korean society, help globalization as well as public relations of national at the Korea physical therapy and take rights physical therapist.
  • 3.

    The Necessity of Independent Clinic Open by Physical Therapist in South Korea

    Bongoh Goo | Lee Sang-yeol | 김강훈 and 1other persons | 2010, 5(2) | pp.143~150 | number of Cited : 4
    Purpose:In this study, by recognizes the legal constraints of a independent physical therapy clinic open, the other countries's law on physical therapist and the expected effect of independent clinic open, we suggest the need for independent clinic open in South Korea. Methods:To recognize the necessity and expected effect of independent physical therapy clinic open, by comparing the system and situation in South Korea with the countries joined in The World Confederation for Physical Therapy. Results:Effects of the independent physical therapy clinic open were following;1. it could be guaranteed the option of the medical consumer 2. reduce the economic and time burden 3. provide a good quality medical service Conclusion:Independent physical therapy clinic open will provide a better therapeutic environment for consumer and contribute much to improving the benefit of welfare part of the nation. For provide a good quality to medical consumer, independent physical therapy clinic open and the amendment of related law and institutional device are positively necessary.
  • 4.

    The Comparison of Curriculums of Physical Therapy Education Department in the World

    Lee, Han-Suk | 이진희 | 김재헌 | 2010, 5(2) | pp.151~164 | number of Cited : 4
    Purpose:The purpose of this study was to investigate curriculums of physical therapy department in order to provide the basic data for developing educational standard. Methods:We identified the curriculums of physical therapy department in the world from January to may 2010 by internet, e-mail, fax and telephone. We compared the credits, education semesters, the names of departments, the numbers of departments for physical therapy education in all countries of the world and suggested some alternative for improvement. Results:The mean credits of 25 senior colleges were 140 and the mean credits of 22 Junior colleges were 136.6 in south Korea. The mean educational semesters and the mean credits were 9 semesters, 175.8credits of 1,363 universities in 73countries in the world. Of the 1,289 universities in the world, South Korea was ranked the fifth in the number of existing physical therapy education institutions with the number of 72. The name of department were comprised of physical therapy(1,289, 94.6%) and compound name(75, 5.4%)Conclusion:We suggest that the KAPT gradually rearranges senior college(4years), 170 creditS and consider time of community services and forms commission on accreditation in physical therapy education for developing educational standard. Also, we suggest to change the name of department into compound name because the student can have a chance to studies various subjects and get a chance to more occupations. We hope that the results of study can be helpful in order to rearrange the curriculum and the KAPT encourages the universities about following the educational standard.
  • 5.

    The Review on Physical Therapy Curriculum in South Korea

    Bongoh Goo | 박민철 | 이명희 and 2other persons | 2010, 5(2) | pp.165~172 | number of Cited : 6
    Purpose:The purpose of this study was to investigate curriculums of physical therapy education. Methods : We identified the curriculums of physical therapy education by internet. Results : In Korea, education on physical therapy started as a two-year program in 1963, and recently reorganized as three or four years programs. Currently some ten schools offer physical therapy programs for master's and doctor's degrees. The member countries of the World Confederation for Physical Therapy (WCPT) provide approximately ten types of education programs that take two to six years. In Korea, the same programs have three or four years of education periods. The American Physical Therapist Association (APTA) launched on the doctor of physical therapy (DPT) course in the late 1990s, encouraging physical therapists to acquire a doctorate degree. In addition, the U.S. Vision 2020 envisions that all physical therapists acquire DPT by the year 2020. As the medical field becomes more professional and specialized, physical therapists are expected to supplement and even replace works of doctors, instead of merely assisting them. It is necessary to reinforce education programs and improve related school systems to enhance status of physical therapist in accordance with the changing social needs and to provide quality service to patients. Conclusion : We suggest to change the curriculum of Korea. It is more accurately reflected the scope, depth, breadth, and rigor of the high-quality education preparation needed for current and future practice.
  • 6.

    The Research of Korea Physical Therapy Charge

    김형수 | 심제명 | 박성수 and 2other persons | 2010, 5(2) | pp.173~182 | number of Cited : 2
    Purpose:This study aims to figure out problems in Korea's physical therapy, how to improve it, and the need for it by examining the nation's physical therapy charges. Methods:This study was performed based on materials from the National Health Insurance Corporation, Korean academic theses, and domestic medical charge system. Results:The number of patients with physical therapy stood at around 17,764,428 in 2008, and then has gradually rose to 3 out of 100,000 citizens. The National Health Insurance Charge System based on relative values, which has been applied since 2001, is not desirable in that it is increasing patients' financial burden. Also, in deciding the amount of work carried out by physical therapists, their amount of input time, efforts, labor, and stress from their patients were not considered and the false relative value system has made patients pay more. Conclusion:Korean medical insurance charges and the overall system should be improved, so that physical therapists can perform specialized services of global physical therapy and service receiving patients do not incur losses.
  • 7.

    The Relationships between Job Characteristics and Empowerment, Organizational Commitment of Physical Therapist to Professionalism of Rehabilitation Service

    임정도 | LeeYong-Chul | 정용모 and 1other persons | 2010, 5(2) | pp.183~192 | number of Cited : 2
    Purpose:This study purposes to suggest some basic data for the efficiency of a hospital management by drawing out the efficient ways to manage manpower to professionalism of rehabilitation service. Methods:The study used the questionnaire written by respondents themselves, and conducted the regression analysis on the relationships among the job characteristics, the empowerment and organizational commitment. Rusults:Among job characteristics, the wage was the influential factor on the empowerment(psychological, structural), and the specialty physical therapist license was the factor affecting on the psychological empowerment. Among the psychological empowerment factors, the higher meaning of his/her existence, the lower self-decision level, the higher structural empowerment are, the higher organizational commitment was. Conclusion:There were not identified any significant job characteristics influencing on the organizational commitment. Among the structural empowerment factors, the apply of job performance was the largest factor affecting on the organizational commitment.
  • 8.

    The Effect of the Circuit Exercise and Conventional Exercise on Walking Ability in Chronic Stroke

    송우석 | 박민철 | 심제명 | 2010, 5(2) | pp.193~201 | number of Cited : 1
    Purpose:This study achieved to search the effect of the circuit exercise and conventional exercise on walking ability(walking speed, endurance, dynamic balance, speed, endurance and pedestrian crossing) in chronic stroke. Methods:Since is diagnosed by stroke, to 30 chronic stroke patients who more than 1 year past the 15 circuit exercise group, the 15 conventional exercise group random the circuit exercise group applied circuit exercise 3th 8 weeks each week after neurological treatment because assigning and the conventional exercise group executed round trip walk exercise in parallel bar 3th 8 weeks each week after neurological treatment. The data of 25 patients who complete experimental course were statistically analysed. Results:The results of this dissertation were as following:1) There were significantly increased after experimental of 10 meter walk test, 6 minutes walk test and Timed “Up and Go” test in circuit exercise group (p<.001). 2) There were significantly increased after experimental of 2, 4 and 6 lane road crossing mobility in Walking circuit exercise group(p<.01). 3) There were significantly differences after experimental of 10 meter walk test, 6 minutes walk test and Timed “Up and Go” test change quantity between circuit exercise group and conventional exercise group(p<.05). 4) There were correlations were found between the TUG test and 2, 4 and 6 lane road (2 lane road; r=.463, p<.01., 4 lane road; r=515, p<.01., 6lane road; r=.710, p<.01), and there were correlations were found between the 10 meter walk test and 6 minutes walk test(r=.595, p<.01), TUG test(r=.662, p<.01) and 6 lane road(r=.527, p<.01). Conclusion:Even if improvement of walk function through training consists in room, transfer of actuality pedestrian crossing is no change outside the room. Because it is much variable of the weather, seasonal factor, temperature, pedestrian number, state of underneath etc. outside the room. Then, in room after direction promotion of walk function to be promotion of walk function in actuality life and need development of connectable training method consider.
  • 9.

    The Effect of Pelvic Floor Muscle Exercise Program on Pelvic Floor Muscle Strength and Lower Urinary Tract Symptom of Women with Urinary Incontinence after Stroke

    최세종 | Yongwoo Lee | Changho Song | 2010, 5(2) | pp.203~210 | number of Cited : 0
    Purpose:The purpose of this study was to evaluate the effect of Pelvic Floor Muscle Exercise(PFME) in women with urinary incontinence (UI) after ischemic stroke. Methods:Thirty women were divided into two groups by randomly Experimental Group(15 subject) and Control Group(15 subject) in a single blinded, randomised study. Experimental Group was conducted for the 6-weeks PFME program and had a structured training program for 60 minutes, 3 days per week and they were encouraged to PFME at home seven days for a period of 6weeks. They were measured by questionnaire of urinary symptoms and perineometry. Results:A significant improvement in pelvic floor muscle strength and lower urinary tract symptom was also demonstrated within the Treatment Group(p<.05), but not in the Control Group. Conclusion:PFME program had a significant effect in women with UI after stroke measured by pelvic floor muscle strength and lower urinary tract symptom.
  • 10.

    The Effects of Walking and Yoga Exercise on the Cognitive Functions in the Elderly Women

    김용건 | Han, Dong-wook | Lee, Byoung-Kwon | 2010, 5(2) | pp.211~221 | number of Cited : 8
    Purpose:The purpose of this study is to find out the effects of combined exercise including walking and yoga on cognitive functions in the elderly women. Methods:Sixteen elderly women aged above 65 are invited in this study. Each subject participated in exercise three times a week for eight weeks from July 14th to September 13th in 2008. The changes between pre and post exercise are analyzed by Wilcoxon sign rank test and repeated ANOVA test with SPSS (ver 17.0) package program. Results:After exercise, In the below 23 points group, only interference STROOP test (p<.05) among sub items of Cognition Scale for Older Adults (CSOA) is improved significantly. In the above 24 points group, words memory (p<.05), delayed recall (p<.05), and picture naming (p<.05) among sub items of CSOA are improved significantly. But it is no different to the change patterns among two groups. Conclusion:These results show that combined exercise including walking and yoga is helpful to improve cognitive functions. And we find that exercise is helpful in the above 24 points elderly women more than in the below 23 points.
  • 11.

    아기띠와 슬링 착용이 체간과 하지의 근활성 및 족저압에 미치는 영향

    육군창 | Park,Rae-Joon | 이현영 and 4other persons | 2010, 5(2) | pp.223~231 | number of Cited : 14
    Purpose:The Purpose of this study was to compare muscle activation and foot pressure on baby carrier and sling for baby care. Methods:Thirty one women subjects (mean age 23.2 years) participated in four static conditions: unloaded quite standing, carrying an anterior baby carrier, carrying a posterior baby carrier, and sling. The baby carrier and sling were loaded with baby model that filled 7.6kg loads. Surface electromyography was used to measure activity in the internal oblique, T4, L3, L5 paraspinal muscle, vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius for four conditions. And foot pressure was measured by using MatScan system(Tekscan, USA). Results:The activation of Biceps femoris, T4, L3, and L5 paraspinal muscle were significant differences(p<.05), but other muscles were no significant differences in four conditions(p>.05). Right foot contact area and peak pressure of right mid foot area were significant differences in four conditions(p<.05). Conclusion:The results of this study indicate that the use of baby carrier of sling for baby care were influenced postural responses of young women. Further work is recommended to find out the influences of various assistive devices for baby care.
  • 12.

    The Effect of Sling Exercise and Conservative Treatment on Cross-section Area Change of Lumbar Muscles

    이우형 | 정성관 | Park,Rae-Joon | 2010, 5(2) | pp.233~243 | number of Cited : 8
    Purpose:This study aimed to examine the effects of sling exercise therapy on the relief of low back pain and the cross-sectional area change of lumbar muscles by CT analysis for chronic low back pain patients. Methods:Forty-one patients with diagnosis of chronic low back pain was divided sling exercise therapy group(SEG) 19 subjects and conservative physical therapy group(CPG) 22 subjects. we randomized and treated them(subjects) for 12 weeks. As using visual analogue scale(VAS), we evaluated recovery accuracy of pain, and for investigating cross-section area change of lumbar muscles for before and after treatment we used computed tomography(CT). Results:This study were summarized as follows : 1) As treatment period, in each compared testing on VAS of SEG and CPG, the both group was significantly different(p<.05). 2) Compared testing on VAS of between-subject groups(SEG and CPG) were not significantly different(p>.05). 3) At SEG of before and after treatment, in compared testing on cross-section area size of lumbar muscles, All muscles of psoas major, quadratus lumborum, erector spinae and multifidus were significantly different(p<.05). At CPG, psoas major was significantly different(p<.05). But other muscles were not significantly different(p>.05). Conclusion:From this result, both sling exercise therapy and the conservative physical therapy are effect on decrease of pain for chronic low back pain patients. but Increasing of the cross-section area being proportioned with muscular strengthening of low back muscle is noticeable difference in SEG. Therefore, sling exercise therapy have affect both decreasing of pain for chronic low back pain patients and lumbar muscles strengthening.
  • 13.

    The Effect of Exercise Program for Falls Prevention on Balance and Quality of Life in the Elderly Women

    myungchul kim | An,Chang-Sik | 김용성 | 2010, 5(2) | pp.245~254 | number of Cited : 22
    Purpose:The purpose of this study is to investigate the effects of falls prevention exercise program(center of gravity control training, multiple sensory training, strategic posture training, ambulation training, muscle strengthening training) to balance and muscular strength in the elderly females. Methods:A total of 30 elderly womens participated in this study. All subjects have participated in exercise program on three times a week for eight weeks. Before and after of exercise program, They have measured about Berg Balance Scale (BBS), Performance Oriented Mobility Assessment (POMA), Time Up & Go (TUG), Sit to stand, Fall Efficacy Scale (FES), Quality of Life (QOL). Results:The results of this study were as follows ; 1) There were statistically significant difference in the BBS, POMA, FES, QOL test on within-subject. 2) There were not significant difference in the TUG, Sit to stand test on within-subject. 3) The BBS was correlated with POMA and QOL. The POMA was also correlated with QOL. Conclusion:The result of this study shows that falls prevention exercise program was meaningful increasing of balance ability and quality of life on elderly women.
  • 14.

    The Effects of Regular Resistive Exercise on Cardiopulmonary Ability and Cerebral Blood Flow Velocity

    유재호 | lee suk-min | 2010, 5(2) | pp.255~264 | number of Cited : 8
    Purpose:The purpose of this study is to analysis effects of resistive exercise on cardiopulmonary fitness and cerebral artery blood flow velocity. Methods:Ten healthy university students had done resistive exercise without aerobic exercise over one year participated resistive exercise group and ten general university students, then were calculated oxygen consumption (VO2) and respiratory exchange rate(VO2/VCO2). After a week, they were measured Transcranial Doppler Ultrasonography(TCD) at moderate exercise(HRmax 50%), maximal exercise (HRmax 100%) for taking cerebral blood flow velocity. Results:In the comparison between groups, resistive exercise group showed significant higher oxygen consumption and lower respiratory exchange than controls(p<0.05). In resistive exercise group, oxygen consumption was significant negative correlation with cerebral artery pulsatory index(p<0.05). but, oxygen consumption was significant positive correlation with systolic blood flow velocity in controls(p<0.05). Conclusions:After considering all the factors, important value in resistive exercise is regular participation and help us increasing contingency response ability.
  • 15.

    Effects of Electroacupuncture on Activity of GOT, GPT, LDH and Functional Recovery in the Motor Injury Rats by the 6-hydroxydopamine

    하미숙 | RHO MIN HEE | 2010, 5(2) | pp.265~272 | number of Cited : 1
    Purpose:This study was investigated the effect of electroacupuncture stimulation on the change of blood biochemical components in the rat spinal cord injury(SCI) damaged by the 6-hydroxydopamine. Methods:SCI model rats were damaged in L1-L2 injected with 6-hydroxydopamine. The thirty Sprague-Dawley adult male rats were randomly divided into normal group, control group and electroacupuncture group. Experimental groups were applied as electroacupuncture(Es-160, ITO, Japan) for 15minutes during the low frequency(2 Hz) stimulation to zusanli. The enzyme concentration levels analysis of the hematological changes were measured of Glutamate Oxaloacetate Transaminase(GOT), Glutamate Pyruvate Transaminase(GPT), Lactate dehydrogenase(LDH) and motor function recovery change was evaluated by the rota-rod test. Results:This study were as follow : The concentration of GOT, LDH in experimental group was lower than control group(p<.05). The experimental group showed increase of motor function recovery more in compared to control group(p<.05). Conclusion:The results of this study showed that electroacupuncture to zusanli point have an effect on functional recovery after the 6-hydroxydopamine induced SCI in rats.
  • 16.

    Effect of Low Frequency Electrical Stimulation on VEGF Expression of Suspension Induced Atrophic Muscle

    강종호 | Han jong man | 2010, 5(2) | pp.273~280 | number of Cited : 0
    Purpose:The purpose of this experiment was to evaluate the pre-application effect of low frequency electrical stimulation(LFES) on VEGF expression of atrophic muscle and to determine the optimal pre-application period of LFES for prevent muscle atropy Methods:Twenty-five adult sprague-dawley rats were randomly assigned to weight bearing group, hindlimb suspension for 14 days group, hindlimb suspension with pre-application of LFES for 14 days group, hindlimb suspension with pre-application of LFES for 11 dsys group and, hindlimb suspension with pre-application LFES for 7 dsys group. 16Hz of Biphasic pulse current was applied to gastrocnemius for 15min per days. Results:VEGF were decreased expression in HSG groups, whereas VEGF were significantly increased in HS+ES14G, HS+ES11G, HS+ES7G groups Conclusion:LFES during the hindlimb suspension showed a positive effect in VEGF induction and early application is strongly encourage VEGF induction. This indicated that pre-application of LFES could prevent muscle atrophy.
  • 17.

    뇌성마비 아동의 소아 균형검사(PBS)와 대동작기능평가(GMFM)와의 상관관계

    고명숙 | Hye-seon Jeon | 정재훈 | 2010, 5(2) | pp.281~288 | number of Cited : 5
    Purpose:The purpose of this study was to examine the correlation between Pediatric Balance Scale(PBS) and Gross Motor Function Measurement(GMFM) with cerebral palsy(CP) children. Methods:31 ambulatory children with CP were recruited for this study. PBS is a modified version of the Berg’s Balance Scale to access the children with motor impairments. To access the motor functions that directly influence to the functional independence of the ambulatory CP children, total scores of standing category and walking/running/jumping category of GMFM were selectively compared with PBS score by Spearman correlation coefficient analysis. Results:The results revealed high correlation between PBS and GMFM scores both in standing and walking/ running/jumping categories(r=.9). Conclusions:Therefore, this study indicates that PBS can be applied not only as a tool to access balance, but also as a measurement to predict and access the level of standing and ambulatory related functions of children with CP.
  • 18.

    The Effects of Exercise with Taping on Muscle Strength and Bone Mineral Density, IGF-1 in Blood of Elderly Women

    박일봉 | 안소윤 | 2010, 5(2) | pp.289~300 | number of Cited : 3
    Purpose:This study was to explore the effects of knee joint taping exercise on muscle strength, bone mineral density, pain and IGF-1 in blood of elderly women with knee Osteoarthritis. Methods:Thirty elderly women with knee osteoarthritis were divided into three groups: the taping with exercise group (n=10), the regular exercise group (n=10) and control group (n=10). Participants' muscle strength, bone mineral density, pain and IGF-1 in blood were measured three times: before exercise, after 6 weeks, and after 12 weeks. Results:Participants in both exercise (taping & non-taping) groups showed improvement in muscle strength, bone mineral density, pain and IGF-1 in blood after 6 and 12 weeks compared to before exercise. In particular, the taping exercise group had a greater effect on muscle strength than the regular exercise group. Conclusion:Both exercise programs considerably improved muscle strength, bone mineral density, reduced pain and IGF-1 in blood in elderly women with knee Osteoarthritis. The knee joint taping exercise is perhaps a better exercise to improve muscle strength than the regular exercise in treating elderly women with knee Osteoarthritis.