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대한물리의학회지 update

Journal of the Korean Society of Physical Medicine

  • : 대한물리의학회
  • : 의약학분야  >  기타(의약학)
  • : KCI등재
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  • : 연속간행물
  • : 계간
  • : 1975-311X
  • : 2287-7215
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수록정보
수록범위 : 1권1호(2006)~15권3호(2020) |수록논문 수 : 787
대한물리의학회지
15권3호(2020년 08월) 수록논문
최근 권호 논문
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KCI등재

1Effect of Muscle Fatigue on the Proprioception by the Taekwondo Training Type

저자 : Byoung-do Seo , Hui-jae Kim , Joung-youl Ju

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 1-9 (9 pages)

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PURPOSE: This study examined the effects of muscle fatigue on proprioception in the type of taekwondo training, causing injury to taekwondo athletes.
METHODS: The subjects were divided into Taekwondo Kyorugi athletes (n = 14) and Taekwondo Poomsae athletes (n = 14). After inducing muscle fatigue to the subjects, the joint position sense (JPS) and the force reproduction sense (FRS) were measured before and immediately after the induction of muscle fatigue.
RESULTS: Studies have shown no significant impact on the JPS and FRS caused by muscle fatigue induced by Poomsae and Kyorugi (p > .05). The JPS, however, showed a significant difference before and after Kyorugi (p < .05). The FRS showed significant differences before and after Poomsae (p < .05). Through this study, the injuries to taekwondo athletes appear to be influenced by the joint position and force reproduction. Moreover, the injury appears to affect the joint position sense in Kyorugi athletes and the force reproduction sense in Poomsae athletes.
CONCLUSION: The results will contribute to injury prevention and athlete protection. In addition, the information can be used as basic data for the development of sports injuries prevention and rehabilitation programs for Taekwondo athletes. Research is needed on the customized management of sports methods and self-care to prevent sports damage, considering the athletic characteristics of the taekwondo athletes in the future.

KCI등재

2Effects of Reciprocal Inhibition Using Thera-band on Scapular Muscle Activities During Arm-lifting Exercises in Subjects with Rounded Shoulder Posture

저자 : Chi-hun Lee , Heon-seock Cynn , A-reum Shin , Ji-hyun Lee

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 11-20 (10 pages)

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PURPOSE: Excessive activity of the upper trapezius (UT) muscle contributes to a rounded shoulder posture (RSP) through abnormal rotation of the scapula that weakens the lower trapezius (LT) and serratus anterior (SA) muscles. This study compared the effects of two arm-lifting exercises with and without the use of a Thera-band on the activities of LT, SA, and UT muscles, and the LT/UT and SA/UT activity ratio in subjects with a rounded shoulder posture.
METHODS: Sixteen subjects with RSP participated in this study. All subjects performed arm-lifting (AL), diagonal arm-lifting (DAL), arm lifting with isometric adduction (ALIA), and diagonal arm-lifting with isometric adduction (DALIA) exercises. The surface electromyography data, LT, SA, UT, and the LT/UT and SA/UT activity ratios were measured. A paired t-test was used to compare the differences between two arm-lifting exercises and two arm lifting with isometric adduction exercises.
RESULTS: In ALIA and DALIA exercises, the UT muscle activity decreased significantly, whereas the LT/UT, SA/UT activity ratio increased significantly. The activity of SA muscle increased significantly more with DALIA than that with DAL.
CONCLUSION: Arm-lifting exercises using a Thera-band can be implemented as an effective way to reduce the UT overactivity and increase the SA activity and LT/UT, SA/UT activity ratio in subjects with RSP.

KCI등재

3Effects of Interferential Current Treatment on Pain, Disability, and Balance in Patients with Chronic Low Back Pain: A Randomized Controlled Study

저자 : Kyoung-sim Jung , Tae-sung In

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 21-27 (7 pages)

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PURPOSE: This study investigated the efficacy of interferential current (IFC) treatment on the improvement of pain, disability, and balance in patients with chronic nonspecific low back pain.
METHODS: A double-blind randomized clinical trial was conducted with 40 patients with chronic nonspecific low back pain. The patients were randomly allocated into two groups: the IFC treatment group (n = 20) and the placebo treatment group (n = 20). The IFC group received 30 minutes of IFC treatment on the lumbar region, while the placebo group received IFC treatment without real electrical stimulation. The intervention was administered five days a week for two weeks.
RESULTS: The primary outcomes of resting pain and pain during functional movement were measured by a visual analogue scale. The secondary measurements included the Oswestry disability index (ODI) for low back pain and postural sway. The measurements were performed before and after the two-week intervention period. Compared to the placebo treatment group, the IFC treatment group showed significantly greater improvement in pain during anterior trunk flexion in the standing position (p = .029), ODI (p = .039), and postural sway when subjects stood with their eyes closed (p = .010) at the end of the intervention.
CONCLUSION: Our findings show that IFC treatment can improve pain, disability, and postural sway, thus, highlighting the benefits of somatosensory stimulation from IFC.

KCI등재

4Effects of Posture Correction Exercise on Muscle Activity and Onset Time during Arm Elevation in Subject with Forward Head and Rounded Shoulder Posture

저자 : Sun-wook Park , Han-suk Lee

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 29-41 (13 pages)

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PURPOSE: The aim of this study was to provide evidence for the treatment of Forward Head and Rounded Shoulder Posture (FHRSP) using posture correction exercises by comparing muscle activity and onset time around the neck and shoulder area during an arm elevation task.
METHODS: The subjects were divided into FHRSP (21 persons) and non-FHRSP (19 persons) groups to measure muscle activity and onset time of muscle contraction. Wireless surface electromyography was used to assess the muscle activity and onset time of the right and left sternocleidomastoid (SCM), splenius capitis, anterior deltoid, middle deltoid, serratus anterior, upper trapezius, pectoralis major, and infraspinatus during an arm elevation task. After the pre-measurement, the participants performed the postural correction exercises, and then the postmeasurement was conducted.
RESULTS: After the posture correction exercises, there were significant differences in the muscle activity and onset time of all muscles in the FHRSP group. The results of the comparison of the muscle onset time during an arm elevation task demonstrated that after the postural correction exercises, the muscle onset time was significantly reduced in the right and left SCM and left splenius capitis, but there were no significant changes in the onset time of other muscles.
CONCLUSION: The results of this study help us understand the change in muscle activities and muscle contraction onset time in a person with FHRSP when lifting the arm and suggest the relevant basis to apply the posture correction exercise in clinical settings.

KCI등재

5수면장애가 있는 성인의 통증, 목과 어깨의 기능장애수준, 두통 및 스마트폰 중독 간 상관성 연구

저자 : 박세연 ( Sei-youn Park ) , 최태석 ( Tae-seok Choi ) , 김대훈 ( Dae-hun Kim ) , 유병호 ( Byeong-ho Ryu ) , 이상빈 ( Sang-bin Lee )

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 43-50 (8 pages)

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PURPOSE: To investigate the correlation between sleep quality, neck and shoulder pain, neck and shoulder disability, headache, and smartphone addiction in adults, as well as factors affecting sleep disorders in adults.
METHODS: A total of 112 adults in their 20s were recruited for participation in this study. This study measured Pearson's correlation of sleep quality, neck and shoulder pain, neck and shoulder disability, headache and smartphone addiction. Logistic regression analysis (sleep disorder, without sleep disorder adults), was performed to analyze factors affecting sleep disorders.
RESULTS: Sleep quality index was positively correlated with shoulder pain and disability index(SPADI)-pain score, SPADI-global score and smartphone addiction score. There was a significant difference in SPADI-pain score between the group with sleep disorders and the group without sleep disorders. Shoulder pain and disability were identified as factors affecting sleep disorders. The group with sleep disorders showed 1.088 times more shoulder pain than the group without sleep disorders, and the group with sleep disorders showed 1.006 times higher frequency of shoulder disorders than the group without sleep disorders.
CONCLUSION: The results of the present study indicate that as sleep quality worsens, shoulder pain , disability, and smartphone addiction get worse. The group with sleep disorders had significantly increased shoulder pain compared to the group without sleep disorders. We also found that shoulder pain and disability were factors affecting sleep quality. Comparison between intervention method is warranted to better understand adults with sleep disorders.

KCI등재

6자가 신장운동이 전방머리자세를 동반한 만성 목통증 환자의 자세개선에 미치는 영향

저자 : 강정일 ( Jeong-il Kang ) , 정대근 ( Dae-keun Jeong ) , 박승규 ( Seung-kyu Park ) , 양대중 ( Dae-jung Yang ) , 김제호 ( Je-ho Kim ) , 문영준 ( Young-jun Moon ) , 백승윤 ( Seung-yun Baek )

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 51-59 (9 pages)

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PURPOSE: The purpose of this study was to provide clinical basic data to reduce pain and improve function by comparing neck muscle activity and neck alignment using self-stretching and passive stretching exercises for chronic neck pain caused by forward head posture.
METHODS: The subjects were divided into 15 subjects assigned to perform self-stretching exercise and 15 subjects assigned to perform passive stretching exercise. The intervention was conducted for a total of 4 weeks. The muscle activity in the neck was measured by surface electromyography (EMG) before intervention, and craniovertebral and cranial rotation angles were measured by X-ray. The 4-week intervention was conducted and the above items re-measured in the same manner and analyzed.
RESULTS: Muscle activity within both groups after intervention using self-stretching or passive stretching exercise was significantly different (p < .05)(p < .01). Neck alignment of both groups was significantly different (p < .001)(p < .01). Further, muscle activities of the upper trapezius and splenius capitis muscles showed significant differences (p<.05). Lastly, neck alignment showed statistically significant difference (p < .05).
CONCLUSION: Self-stretching exercise activated motor nerves as a posture correction exercise, thereby improving inhibition of muscle activity, muscle contraction delay, and pathological conditions of the muscle. For future research, interventions of self-stretching exercise will be needed for patients with chronic back pain accompanied by forward head posture, and various clinical studies on postural improvement of forward head posture by maintaining a normal muscle tone state are needed.

KCI등재

7국가대표 투기종목 선수들의 급속 체중 감량과 신체적, 심리적 고충

저자 : 김현철 ( Hyun-chul Kim ) , 박기준 ( Ki-jun Park )

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 61-68 (8 pages)

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PURPOSE: The purpose of this study was to investigate the current state of rapid weight loss and physical and mental complaints among elite combat athletes who were selected and trained as national representatives.
METHODS: A total of 127 combat athletes who had trained at the national training center in 2019 were enrolled. The questionnaire used as the survey tool was interpreted as words that Korean athletes could easily understand based on the Portuguese version of the 'Rapid Weight Loss Questionnaire' (RWLQ). χ2tests was performed to determine the differences in physical and mental changes according to sports and weight loss method.
RESULTS: Combat athletes in Korea regularly undergo rapidly weight loss within a short period of time prior to competition. There were statistically similar results in terms of weight loss method, physical and mental changes and information about weight loss according to the sport. Weight loss methods often limit food and water intake and dehydrate. The physical complaints associated with them are symptoms such as “no energy”, “dizziness”, and “muscle spasms”. The mental complaints include “irritability”, “concentration loss” and “anxiety”. These symptoms can be caused by side effects such as food intake limitation, water restriction and dehydration. Information sources for weight loss were in the order of “senior or colleagues”, “supervisor or coach”, and “Internet”. No information was obtained from a doctor or dietitian.
CONCLUSION: These results provide a baseline for predicting proper weight loss in athletes and provide useful information for developing performance enhancement as well as weight loss.

KCI등재

8상지의 움직임과 저항 적용에 따른 Formetric 4D를 이용한 척추의 3차원적 분석

저자 : 김현진 ( Hyun-jin Kim ) , 신원섭 ( Won-seob Shin )

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 69-77 (9 pages)

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PURPOSE: The aim of this study was to measure changes in spine inclination and thoracolumbar structure and morphology according to upper-extremity movements with and without resistance in order to evaluate the spine stability in workers.
METHODS: Forty-eight middle-aged male workers (mean age, 40.48 ± 6.27 years) participated in this study. Using the spine analysis system, changes in the inclination of the spine and structure as well as shape of the thoracolumbar spine were measured. For posture measurement, the postures of standing, lifting the right and left arms (shoulder joint 90° flexion), and lifting with both arms were measured in random order. In addition, variables were measured using a resistance of 3 kg for each posture. The statistical significance level was set at α = .05 for all variables.
RESULTS: There were statistically significant differences between the front and back inclinations of the spine, kyphotic curve of the thoracic spine, lordotic curve of the lumbar spine, rotation changes in the thoracolumbar spine, and rotation changes in the T4 vertebra (p < .05). However, there was no significant difference in the left and right tilts of the spine. In the post-hoc analysis, rotation changes in the T4 vertebra showed a significant difference in posture when resistance was applied to the left and right sides
CONCLUSION: Causes of musculoskeletal diseases include excessive thoracic spine rotation, torsion, and hyperlordosis of the lumbar spine. Therefore, it is necessary to improve the working environment in order to ensure a healthy posture and prevent musculoskeletal diseases that can reduce the ability to carry various and/or excessive loads.

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9물리치료사의 손목의 직업관련 근골격계 증상에 키네시오 테이핑이 미치는 영향

저자 : 김성현 ( Sung-hyeon Kim ) , 이상훈 ( Sang-hun Lee ) , 신호진 ( Ho-jin Shin ) , 정경심 ( Kyoung-sim Jung ) , 조휘영 ( Hwi-young Cho )

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 79-87 (9 pages)

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PURPOSE: Physical therapists are always exposed to work-related musculoskeletal disorders. Although kinesio taping can support the joints and assist movement, studies of the effects of kinesio taping on these physical therapists are lacking. This study examined the effects of Kinesio-taping on pain, grip strength, range of motion and daily living skills in physical therapists with work-related musculoskeletal disorders. Pain was measured using a 100 mm VAS. The grip strength was measured using a handgrip dynamometer. The range of joint motion was measured using a goniometer. Living skills were measured by patient-rated wrist evaluation.
METHODS: Twenty physical therapists with wrist pain (Kinesio taping: n = 10, Sham taping: n = 10) received taping for each group, and measured the pain, grip strength, range of motion and daily living skills before (Baseline) and after taping (Nine hours).
RESULTS: All data were analyzed using Repeated Measure ANOVA (p < .05). In the Kinesio group, resting pain (-14.9), movement pain (-20.5), and daily living skills (-9.55) were improved significantly compared to the baseline (p < .05). The grip strength and range of motion were not changed (p > .05). The sham group showed no significant change in all variables (p > .05).
CONCLUSION: Physical therapists with work-related musculoskeletal disorders of the wrist should apply kinesio-taping to improve the occupational tasks.

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10편측 정적스트레칭이 보행 비대칭자의 하지 유연성과 대칭성 및 시간적 보행 변인에 미치는 영향

저자 : 권영애 ( Young-ae Kwon ) , 유경태 ( Kyung-tae Yoo ) , 이호성 ( Ho-seong Lee )

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 3호 발행 연도 : 2020 페이지 : pp. 89-98 (10 pages)

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PURPOSE: This study investigated the effects of unilateral static stretching on the flexibility and symmetry of the lower leg, and temporal gait variables in gait asymmetry people.
METHODS: Twenty gait asymmetry people were divided into a unilateral static stretching group (USG, n = 10) and control group (CON, n = 10). The USG performed unilateral static stretching for 60 minutes, three times a week, and eight weeks. The flexibility of the lower leg (SR), and symmetry (BR), and temporal gait variables (Step length; SL, gait speed; GS) were measured before, after four and eight weeks of unilateral static stretching. Moreover, SI (symmetry index; SI) was calculated from the measured SL value. Statistical analyses were conducted using one-way ANOVA and two-way ANOVA with repeated measures, a paired t-test, and multiple comparisons according to Scheffe.
RESULTS: SR and BR in the dominant and non-dominant side, and GS were increased significantly at USG after eight-weeks compared to before unilateral static stretching (p < .05). The difference in BR in the dominant and non-dominant side, and step length (SI) decreased significantly at USG after eight-weeks compared to before unilateral static stretching (p < .05).
CONCLUSION: Unilateral static stretching improves the flexibility and symmetry of the lower leg, and temporal gait variables in gait asymmetry people.

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