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대한통합의학회지 update

Journal of Korean Society of Integrative Medicine

  • : 대한통합의학회
  • : 의약학분야  >  기타(의약학)
  • : KCI등재
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수록정보
수록범위 : 1권1호(2013)~9권1호(2021) |수록논문 수 : 462
대한통합의학회지
9권1호(2021년 02월) 수록논문
최근 권호 논문
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KCI등재

1지지면에 따른 한 발 서기 운동이 20대 대학생들의 동적 균형 능력과 배 근육 두께에 미치는 즉각적인 효과 비교 연구

저자 : 박한규 ( Han-kyu Park ) , 이경순 ( Kyung-soon Lee ) , 박진 ( Jin Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 1-11 (11 pages)

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Purpose : The purpose of this study was to investigate the effect of single limb stance exercise according to the support surface on dynamic balance ability and abdominal muscle thickness.
Methods : We recruited 28 healthy subjects in this study. Subjects were assigned to 2 groups by matching method. The control group was 5 males and 9 females, and single limb stance exercise was performed on the stable support surface. The experimental group consisted of 6 males and 8 females, and trained to stand on the unstable support. During the single limb stance exercise, the dominant foot was set as the foot that appeared numerically through the exercise of the dynamic balance meter (Biorescue). Single limb stance exercise along the supporting surface was maintained for 15 seconds and then rested for 15 seconds. It was repeated 5 times. Particularly, the balance exercise on the unstable support surface was sufficiently practiced. Independent t test was performed for comparison between groups. Paired t test was performed to compare before and after each group.
Results : There was no difference between the control group and the experimental group in the comparison of dynamic balance ability (p>.05). However, there were significant differences before and after exercise in both the control and experimental groups (p<.05). Similarly, in the comparison of abdominal muscle thickness, there was a significant difference within each group, especially internal oblique and transverse abdominis (p< .05), and no difference between groups (p >.05).
Conclusion : Based on these results, although there was no difference between the groups, in the experimental group, numerical increase in dynamic balance ability and abdominal muscle thickness was confirmed. Therefore, single limb stance exercise on the unstable support surfaces activates core muscles and has a positive effect on dynamic balancing ability.

KCI등재

2가상현실 기반 작업치료프로그램이 학령기 지적장애 아동의 신체기능 및 학습능력에 미치는 영향

저자 : 김고운 ( Ko-un Kim ) , 오혜원 ( Hye-won Oh )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 13-22 (10 pages)

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Purpose : The purpose of this study was to investigate the effects of a virtual reality-based occupational therapy program on the physical function and learning ability of intellectually disabled school-aged children.
Methods : In this study, 20 intellectually disabled children of school age were randomly and evenly divided into experimental and control groups with children in the experimental group receiving a virtual reality-based occupational therapy intervention. The study adopted a pretest-posttest design. The intervention was conducted for a total of 12 sessions for six weeks, twice a week, and 50 minutes per session. As measurement tools, BOT-2 and grooved pegboard tests were used to compare physical function before and after the intervention program, and K-ABC was used to check changes in learning ability.
Results : The occupational therapy program produced a significant improvement in both physical function and learning ability of the experimental group. A significant difference was observed between the experimental and control groups.
Conclusion : This study confirmed the value and usefulness of virtual reality-based occupational therapy as a tool for enhancing the physical function and learning ability of intellectually disabled school-aged children. Based on the results, a variety of future studies are encouraged that would further test the effects of the occupational therapy program used here.

KCI등재

3도수 소생기와 풍선을 이용한 공기 누적이 폐 기능에 미치는 즉각적인 효과 비교

저자 : 류지윤 ( Ji-yun Ryu ) , 이동엽 ( Dong-yeop Lee ) , 홍지헌 ( Ji-heon Hong ) , 김진섭 ( Jin-seop Kim ) , 김성길 ( Seong-gil Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 23-31 (9 pages)

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Purpose : To compare the immediate effects of air stacking maneuver using resuscitator bags and balloons.
Methods : Twenty healthy young adults participated in this study. Forced vital capacity (FVC) and peak cough flow (PCF) tests were performed at pre-intervention, and then, the maximum insufflation capacity (MIC), forced expiratory volume in 1 s (FEV1), FEV1/FVC, peak expiratory flow (PEF), and peak cough flow (PCF) were measured using the air stacking maneuver via resuscitator bags and balloons. Interventions were randomly performed, and a 40-min break was provided between interventions. The evaluation process in this study was conducted in accordance with the guidelines of the American Thoracic Society (ATS) 2019. To compare the three outcomes measured at pre-and post-interventions, repeated measures analysis of variance was performed.
Results : A significant difference was found in the MIC, FEV1, PEF, and PCF after the air stacking maneuver using resuscitator bags and balloons, whereas no significant difference was observed between resuscitator bags and balloons.
Conclusion : No significant difference was found in the immediate effect of the air stacking maneuver using resuscitator bags and balloons in this study. Air stacking maneuver using balloons can increase the success rate of the techniques by providing visual feedback on the amount of air insufflation when performed with balloon blowing exercise. Balloons are cheaper and easier to buy compared to manual resuscitator bags; therefore, education on the air stacking maneuver using balloons will have a positive effect on pulmonary rehabilitation.

KCI등재

4근막변형모델이 최대악력, 힘 감각 그리고 관절가동범위에 미치는 효과

저자 : 김지영 ( Ji-young Kim ) , 김성렬 ( Seong-yeol Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 33-40 (8 pages)

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Purpose : The fascia is the body's largest sensory organ affected by mechanical stimuli such as pressure. Fascial distortion model (FDM) is one of the fascia treatment techniques, and it is based that most musculoskeletal problems are caused by three-dimensional distortion of the fascia. Until now, some studies have been conducted to investigate the effect of FDM, but it is still not enough. In this study, among the six techniques of FDM, trigger band (TB) and cylinder distortion (CyD) were applied to the forearm to investigate the immediate effect on the maximal grip strength, force sense and range of motion.
Methods : 22 healthy adults in their 20s and 30s participated. Before and after the application of FDM, maximal grip strength, force sense and range of motion were measured. For analysis, a paired t-test was performed, and the significance level was set to p<.05.
Results : After FDM, there were a significant differences that increased the force sense and the range of motion (p< .05). But the maximal grip strength did not show a significant difference (p >.05).
Conclusion : The results of this study, the FDM did not affect maximal grip strength, but it was shown to increase the sense of force and range of motion. We assumed that it is the result of the changes in the states of the fascia and changes in the activity of mechanical receptors induced by pressure and stretch from FDM application.

KCI등재

5실시간 압력정보 제공 진동 촉각 피드백이 만성 뇌졸중 환자의 정적균형능력과 체중 지지율에 미치는 영향 - 예비실험연구

저자 : 길기수 ( Ki-su Kil ) , 김호 ( Ho Kim ) , 신원섭 ( Won-seob Shin )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 41-48 (8 pages)

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Purpose : The purpose of this study is to find out if it helps to improve static balance ability and weight bearing rate for chronic stroke patients with poor balance in clinical intervention through a method of correcting movement errors while performing a task by vibrotactile bio-feedback providing pressure information.
Methods : Fifteen chronic stroke patients (12 male and 3 female) were participated in this study. To examine the effects of vibrotactile bio-feedback and general standing without bio-feedback on static balance ability and weight distribution symmetric index in all subjects randomized with R Studio. The static balance ability and weight distribution symmetric index of the participants was evaluated using a force plate. A paired t-test was used for comparison of each conditions. Statistical significance was set at α=0.05.
Results : The comparisons of static balance ability and weight distribution symmetric index in chronic stroke patients after two different condition are as follows. In the static balance ability and weight distribution symmetric index, the vibrotactile feedback providing pressure information showed a significant difference compared to none feedback (p<.001).
Conclusion : The vibrotactile bio-feedback providing pressure information in real time can support an improve in static balance ability, uniform weight bearing rehabilitation in chronic stroke patients. In the future, it is hoped that a follow-up study that provides a better direction of intervention compared to various feedback interventions commonly used in clinical practice.

KCI등재

6도수림프배출법이 유방암 환자의 근긴장도, 통증 및 우울증에 미치는 영향

저자 : 고민균 ( Min-gyun Ko )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 49-57 (9 pages)

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Purpose: The purpose of this study was to investigate the effect of manual lymphatic drainage (MLD) methods on muscle tone, pain, and depression in patients with breast cancer.
Methods: The study had a two-group pretest-posttest design. A total of 24 patients with breast cancer voluntarily participated in the study. Subjects were randomly assigned to the MLD (n=12) and control (n=12) groups. Measurements of muscle tone, pain, and depression were taken prior to starting the intervention and after completing the 4 week program. The muscle tone, pain, and depression were measured using noninvasive muscle tone measuring equipment, the short-form McGill pain questionnaire, and the Beck depression inventory, respectively. The intervention was performed for 20 minutes a day, three times a week, for four weeks. A paired t-test was used to compare pretest and posttest values within each group, and an independent t-test was used to compare to pretest and posttest changes between the groups.
Results: Comparison of the effects within the groups revealed significant reductions in muscle tone, pain, and depression in the MLD group after 4 weeks (p<.05), whereas the control group showed no differences. Comparison of the effects between the groups revealed significantly better reductions in muscle tone, pain, and depression in the MLD group than in the control group after 4 weeks (p<.05).
Conclusion: These results suggest that MLD is an effective method for reducing muscle tone, pain, and depression in patients with breast cancer.

KCI등재

7청소년의 성관계 경험 관련요인

저자 : 김종근 ( Jong-gun Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 59-67 (9 pages)

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Purpose : This study examined the factors related to sexual intercourse among adolescents in South Korea.
Methods : The study sample was comprised of 65,528 middle and high school students aged 12 to 18 years in 2016. For this study, using the data from the 12th Korea youth risk behavior web-based survey, a chi-squared test, and hierarchical logistic regression analysis we reconducted with the SPSS 22.0 program considering personal, family, school, and regional characteristics.
Results : The proportion of adolescents who had sexual intercourse was 6.0 % of boys and 2.7 % of girls, and 6.3 % of high school students and 2.4 % of middle school students. The statistically significant related factors of sexual intercourse were gender, grade, attempted suicide, ever drinking, ever smoking, habitual or purposeful drug use, weekly allowance, and coed school in the final model 4. Adolescents with suicide attempts had 2.49 times more sexual intercourse than adolescents with no experience of suicide attempts. Compared to adolescents without alcohol, smoking, and habitual drug use, those who have experienced alcohol, smoking, habitual or purposeful drug use were 2.22 times, 3.76 times, and 3.39 times more likely to have had sexual intercourse, respectively. Adolescents with a weekly allowance of more than 100,000 won per week and adolescents in coed schools were 2.84 times and 1.40 times more likely to have had sexual intercourse, respectively.
Conclusion : Multi-level interventions should be considered in school sexual education programs while considering the substantiality of sex education and the actual adolescents' needs. In addition, sexual health interventions in cyberspace for high-risk groups may be needed to consider the emotional and mental characteristics, given the factors related to sexual intercourse in adolescents.

KCI등재

8통합의료병원의 환자 미충족 의료서비스 및 경영개선을 위한 IPA

저자 : 정문주 ( Moon-joo Cheong ) , 전병현 ( Byeong-hyeon Jeon ) , 노세응 ( Se-eung Noh )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 69-90 (22 pages)

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Purpose : This study explores unmet medical services within a region for patients admitted to a single medical institution in one region and was to analyze the importance and satisfaction of hospital selection attributes. Through this, we tried to solve the unmet medical needs of patients and provide useful basic data in terms of hospital management in the region.
Methods : It were collected to a total of 250 questionnaires for patients admitted to the regional integrative medical hospital. However, 232 samples were used for the final analysis, excluding 18 copies not reported in good faith. For the analysis, first, demographic frequency analysis of inpatients and inpatients was performed, and second, characteristics of patients, including frequent disease receiving treatment, were analyzed. Next, descriptive statistics analysis was conducted on unmet medical service intentions. In terms of hospital selection attribute, the items of continuity maintenance (I quadrant), priority visibility (II quadrant), low priority (III quadrant), and excessive effort (IV quadrant) were derived using the IPA (importance-performance analysis) matrix technique.
Results : The derived results were classified by item and area. In the priority administration area, it was the reputation and recognition of medical institutions and the service area of medical institutions. In the case of items, there were 6 items including the importance of surgery and medical expenses, and diet at hospitalization.
Conclusion : Thus a result of this study, resources are efficiently allocated to priority correction areas with high importance but low satisfaction and circulatory medical treatment is performed in the departments required by patients who use medical care and, various methods, such as preparing a policy to support medical expenses, should be sought.

KCI등재

9국내 노인 주간보호시설 종사자의 작업치료사에 대한 인식조사 : 관리자 또는 시설장을 중심으로

저자 : 김민호 ( Min-ho Kim ) , 박성호 ( Sung-ho Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 91-100 (10 pages)

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Purpose : This study aims to investigate the awareness of occupational therapists among managers and directors of adult day care centers in Korea to explore the cause of the low employment rate of these therapists and offer the results as basic data that can be used to expand occupational therapy at adult day care centers.
Methods : This study collected data by conducting an online questionnaire with managers and directors of adult day care centers located in Seoul, Busan, Incheon, Daejeon, Gwangju, and Ulsan. A total of 70 completed questionnaires were divided into two groups a 'group with experience in occupational therapy information (OT experience)' and a 'group with no experience in occupational therapy information (OT inexperience)' and analyzed.
Results : First, the 'OT experience' was found to have higher levels of awareness of the scope of work of occupational therapists than the 'OT inexperience'. Second, significant differences were found in the degree of awareness and necessity of occupational therapists and plans to employ occupational therapists later between the 'OT experience' and the 'OT inexperience'. Third, it was shown that there were significant correlations between whether the respondents were familiar with occupational therapy and the degree of awareness and necessity of occupational therapists and plans to employ occupational therapists later.
Conclusion : Based on these findings, the following measures are recommended to expand the area of occupational therapy in adult day care centers, the need for occupational therapists should be mentioned in the health and welfare-related education for workers at these adult day care centers, policies such as a medical fee system for occupational therapy at these adult day care centers should be prepared.

KCI등재

10무릎 폄근 강화 운동 동안 압력 생체되먹임 장비 적용이 무릎관절 전치환술 환자들의 근력과 균형에 미치는 영향

저자 : 박진 ( Jin Park ) , 박한규 ( Han-kyu Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 1호 발행 연도 : 2021 페이지 : pp. 101-108 (8 pages)

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Purpose : The purpose of this study is to verify the effect of selective muscle strengthening of the knee joint extensor muscles using a pressure biofeedback unit to improve knee extensor strength and the balance ability of total knee replacement patients. Through this, we tried to provide clinical information.
Methods : In this study, 12 patients with total knee replacement were recruited from a rehabilitation hospital. They were divided into two groups: a feedback group (n=6) and a control group (n=6). All patients received 30 minutes of continuous passive motion and leg-strengthening exercises for 15 minutes five times a week for two weeks. Subjects performed knee extension exercises with or without biofeedback units in the sitting position. The knee extensor strength and balance ability were measured before and after exercise. Knee extensor strength was measured by Biodex system 3 and balance ability was measured by Balancia software.
Results : Both the experimental group and the control group showed a significant difference in the muscle strength of the knee joint extensor muscles after intervention (p<.05). In comparison, the experimental group showed a significant difference than the control group (p<.05). Both the experimental group and the control group showed a significant difference in the velocity average, path length, area 95 % center of pressure (COP), weight distribution, five times sit to stand test (FTSST) after intervention. In comparison, the experimental group showed a significant difference in velocity average, area 95 % COP, and FTSST than the control group (p<.05).
Conclusion : In order to strengthen the knee extensor muscle and improve the balance ability in total knee replacement patients, it is necessary to consider providing pressure biofeedback unit during leg strengthening exercises.

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1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

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