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Journal of Korean Society of Integrative Medicine

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수록정보
수록범위 : 1권1호(2013)~8권4호(2020) |수록논문 수 : 442
대한통합의학회지
8권4호(2020년 12월) 수록논문
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KCI등재

1염증성 근육뼈대계 질환에 대한 미세전류의 효과: 메타분석

저자 : 이정우 ( Lee Jeongwoo ) , 고운 ( Ko Un ) , 두영택 ( Doo Yeongtaek )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 1-11 (11 pages)

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Purpose : The purpose of this meta-analysis was to examine the effects of microcurrent on inflammatory musculoskeletal diseases.
Methods : Domestic databases (RISS, NDSL, KISS, DBpia, and Kmbase) were searched for studies that conducted clinical trials associated with microcurrent and its impact on inflammatory musculoskeletal diseases. A total of 606 studies published between 2002 and 2019 were identified, with 8 studies satisfying the inclusion data. The studies were classified according to patient, intervention, comparison, and outcome (PICO). The search outcomes were items associated with blood component, pain, and function. The 8 studies that were included in the study were evaluated using R meta-analysis (version 4.0). The quality of 7 randomized control trials was evaluated using Cochrane risk of bias (ROB). The quality of 1 non-randomized control trial was evaluated using risk of bias assessment tool for non-randomized studies (RoBANS). Effect sizes were computed as the corrected standard mean difference (SMD). A random-effect model was used to analyze the effect size because of the high heterogeneity among the studies. Egger's regression test was carried out to analyze the publishing bias.
Results : The following factors had a large effect size involving microcurrent on inflammatory musculoskeletal diseases: blood component (Hedges's g=-2.46, 95 % CI=-4.20~-0.73), pain (Hedges's g=3.51, 95 % CI=2.44~4.77), and function (Hedges's g=3.06, 95 % CI: 1.53~4.58). Except for function (t=1.572, p=.191), Egger's regression test showed that the publishing bias had statistically significant differences.
Conclusion : This study provides evidence for the effectiveness of microcurrent on inflammatory musculoskeletal diseases in terms of blood component, pain, and function. However, due to the small sample sizes used in the included studies, the results of our study should be interpreted cautiously, especially considering the publishing bias.

KCI등재

2Differences in Needs of Continuing Education by Academic Background for Physical Therapists

저자 : Ki-jong Kim , Seong-hun Yu

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 13-18 (6 pages)

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Purpose : The purpose of this paper is to look at educational needs based on the academic background to improve continuing education (CE) for physical therapists in the Republic of Korea.
Methods : 350 people who attended the CE were selected for analysis of the need of the education in Gwangju Metropolitan city of the Korean Physical Therapy Association. Final education was classified as college, university, and master of science course (MSc) or higher. The authors selected 11 subjects such as basic education, musculoskeletal system, nervous system, pediatric, cardiopulmonary, sports, senior citizens, physical therapy, women, oriental medicine, and others. Simple linear regression analysis was performed using dummy variable to identify the needs of the CE according to the academic background.
Results : The need for CE in the MSc or higher was greater than college graduation in the nervous system (R2=.019, B=.347), pediatric (R2=.028, B=.491), cardiopulmonary system (R2=.038, B=.600), sports (R2=.037, B=.584), geriatric (R2=.030, B=.261), oriental (R2=.033, B=.597), and others (R2=.028, B=.531). University graduation was lower than college graduation in the need of physical agents (R2=.037, B=-.277).
Conclusion : Authors infer that CE was not fully satisfied with physical therapists especially according to academic background that's why present study showed no meaningful statistical results were found. Therefore, we still think that a wider survey of CE will be needed, and the efforts are constantly required for both the Korean physical therapy association and people who working as physiotherapists to strengthen their awareness of the education.

KCI등재

3시각적 피드백을 병행한 머리-목 굽힘 운동이 팔의 움직임 동안 전방머리자세의 근 활성도에 미치는 영향

저자 : 김민규 ( Kim Minkyu ) , 강효정 ( Kang Hyojeong ) , 양회송 ( Yang Hoesong )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 19-27 (9 pages)

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Purpose : We aimed to investigate the effect of cranio-cervical flexion exercises(CCFE) with visual feedback(VF) on the muscle activity of the upper trapezius in forward head posture (FHP) and whether deficits in proprioception affect the changes in muscle activity.
Methods : Twenty subjects with FHP were assigned to one of 2 groups according to deficits in proprioception. The muscle activity of the upper trapezius during arm movement under three exercise conditions (resting, CCFE, and VF + CCFE). Repeated-measures analysis of variance was used to compare differences in muscle activity according to the exercise conditions between the groups and to analyze the interactions between groups and conditions.
Results : Significant differences were observed in muscle activity according to the exercise condition (p<.05), with no significant differences between the groups. The muscle activity of the upper trapezius was significantly different between the resting and VF +CCFE conditions (p< .05), with no significant difference between the resting and CCFE conditions (p >.05).
Conclusion : The results of this study showed that the CCFE combined with VF are an effective intervention for FHP to train deep muscles selectively. In addition, the loss of proprioceptive sensation is not related to changes in muscle activity during exercises.

KCI등재

4모래사장 위 맨발걷기와 운동화걷기가 허리통증이 있는 노인의 통증, 장애, 운동기능, 수면만족도, 삶의 질에 미치는 효과 비교

저자 : 이가인 ( Lee Gain ) , 전재중 ( Jeon Jaejung ) , 함석찬 ( Hahm Sukchan )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 29-38 (10 pages)

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Purpose : The purpose of this research was to investigate the effects of barefoot walking on the sandy beach on pain intensity, disability, motor function, sleep satisfaction, and quality of life in the elderly with low back pain (LBP).
Methods : A single-blinded randomized controlled trial was conducted involving 32 elderly with LBP who underwent sand walking barefoot (intervention, n=16) or with sneakers (control, n = 16). Both walking methods were carried out for 30 minutes per day, three times a week for four weeks. Pain intensity and disability were assessed using the visual analog scale and Oswestry disability index, respectively. Balance and gait were evaluated using the Berg balance scale and timed up and go test, respectively. Sleep satisfaction was quantified with the Verran and Snyder-Halpern sleep scale. Finally, quality of life was assessed through the WHO quality of life scale's abbreviated Korean version.
Results : Compared with the control group, the intervention group showed significant differences in pain intensity (p=.005), disability due to LBP (p=.002), static balance ability (p=.003), dynamic balance ability (p=.002), and sleep satisfaction (p=.017). There was no significant difference in the quality of life between the two groups.
Conclusion : Barefoot walking on a sandy beach is significantly effective in improving pain, disability due to LBP, balance ability, and sleep satisfaction in the elderly with LBP. Further studies with larger sample sizes and longer intervention periods must to be conducted to generalize using barefoot walking in LBP management.

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Purpose : This study examined the effect of a home visit cognitive training program that uses a tablet-based digital recognition rehabilitation application, Brain Doctor, on local elderly people's cognitive function and depression.
Methods : This study featured 20 elderly people living in Busan Metropolitan City, South Korea, who received a voucher for a home visit service to prevent dementia. The subjects were evenly divided into an intervention group provided with Brain Doctor and a control group provided with a conventional cognitive training program. Korean version of Mini Mental State Examination (MMSE-K) and Korean version of Montreal Cognitive Assessment (K-MoCA) were used to assess cognitive function in each group. Patient Health Questionnaire-9 (PHQ-9) was used to evaluate the depression levels.
Results : The intervention group showed a significant change in cognitive function and depression after the intervention (p<.05). There was a statistically significant change in cognitive function and depression between the intervention and control groups (p<.05).
Conclusion : This study confirmed that Brain Doctor had a positive effect on the cognitive function and depression of elderly people in the local community. It is expected to become a useful home visit program for dementia prevention in the future.

KCI등재

6국내 고령자의 Y-DuCog 표준치, 인지기능에 관한 연구

저자 : 곽호성 ( Kwak Hosoung )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 59-66 (8 pages)

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Purpose : This study aimed to present normative data for older Korean adults completing the Yonsei dual task cognitive screening test (Y-DuCog) and identify changes in cognitive function on the Montreal Cognitive Assessment - Korean (MoCA-K) with age.
Methods : From May 2019 to August 2019, 195 healthy adults aged ≥60 years participated in this study. All participants completed the Y-DuCog to assess their dual-task performance and the MoCA-K to assess their cognitive function. Participants were divided into three groups based on their age: 60~69 years, 70~79 years, and ≥80 years.
Results : The results of the Y-DuCog showed that dual-task performance time, effect, and correct response rate decreased significantly with age (p<.001). Scores from the three groups showed differences on all items (p<.001). Cognitive function on the MoCA-K also decreased significantly with age (mean score ± standard deviation [SD]; 27.33 ± 2.61 in subjects aged 60~69 years; 24.82 ± 3.20 in subjects aged 70~79 years; and 22.10 ± 4.91 in subjects aged ≥80 years; p<.001).
Conclusions : Occupational therapists should be aware of the decline in cognitive function and dual-task performance time, effect, and correct response rate in older adults and consider interventions to treat this decline. Further studies are needed with larger groups of participants to examine factors, such as sex and education, that may impact dual-task performance and cognitive function.

KCI등재

7우울과 삶의 질이 노인의 자살 의도에 미치는 영향

저자 : 김진희 ( Kim Jinhee ) , 윤정숙 ( Yun Jungsook )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 67-77 (11 pages)

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Purpose : Recently, Korea has entered an aging society due to the steadily increasing proportion of the elderly population. Additionally, elderly suicidal rate in Korea is the highest among OECD member countries.
Because old age is a time when all functions are weakened physically, mentally, and socially, negative experiences, including depression and poor quality of life in the elderly, may lead to suicidal intentions. This study attempts to understand the relationship between depression and quality of life experienced by the elderly and their suicidal intentions.
Methods : The survey was conducted from January 2 to March 31, 2019 by administering a questionnaire targeting people aged ≥ 65 years, who were registered at public health centers located in U-city, Gyeonggi-do. In total, 1,015 copies of data were used for the final analysis. The collected data were analyzed using the SPSS/WIN 23.0 program. The χ2 test was performed to investigate the relationship between the demographic characteristics and the suicidal intentions of the elderly subjects. The t-test was performed to determine the relationship between suicidal intentions, depression, and quality of life in elderly subjects.
Results : The study results revealed that 168 people (16.6 %) had thought of suicide and 3.2 % had actually tried to commit suicide. The reasons for suicidal thoughts were family problems in 60 (5.6 %), economic problems in 49 (4.6 %), and physical illness in 44 (4.1 %). Those with suicidal intentions had higher levels of depression (t=11.712, p<.001) and higher quality of life scores (t=-9.565, p<.001).
Conclusion : Based on these results, it is proposed that a suicide prevention policy and program that can improve the elderly's depression and quality of life is necessary.

KCI등재

8골관절염을 진단받고 비스테로이드성 항염제 복용 중인 65세 이상 환자의 위장관보호제 처방양상 연구

저자 : 천성민 ( Chun Seongmin ) , 최윤희 ( Choi Yoonhee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 79-92 (14 pages)

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Purpose : The purpose of this study was to evaluate the prescription pattern of NSAIDs and GPAs in the arthritis patients over 65 years old to prevent the GI adverse events. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly used agents to treat arthritis, can cause gastrointestinal (GI) adverse effects. Recent guidelines recommend that moderate risk patients who have one or two risk factors, should be prescribed either combination of non-selective NSAID (nsNSAIDs) and gastroprotective agent (GPAs) or selective NSAID alone.
Methods : Study population was National Patient Sample of 2011. Number of drugs used were 138 for NSAIDs and 21 for GPAs. Chi-square test was used to compare prescribing patterns.
Results : The appropriate prescription rate follows the guideline was 11.2%: co-prescription with nsNSAID and proton pump inhibitor (PPI) or misoprostol was 1.6% and selective NSAID alone was 9.6%. Inappropriate prescription rates were as follows: co-prescription with nsNSAID and Histamine-2 receptor antagonist (H2RA) or antiacid was 53.8% and nsNSAID alone was 35.0%. The appropriate prescription rate among the types of medical institute was 54.4% in tertiary hospital, 31.2% in secondary hospital, and 6.0% in primary hospital. The appropriate prescription rate among the regions was 19.4%, highest in Seoul and 4.2%, lowest in Jeju. The appropriate prescription rate among the medical departments was as follow: 12.2% in orthopaedic surgery, 11.0% in internal medicine, and 7.7% in other departments.
Conclusion : This finding suggests the needs to revise the national medical insurance imbursement policy, provide continuing medical education about the guideline of medical doctors.

KCI등재

9치과위생사의 감정노동이 직무만족과 이직의도에 미치는 영향

저자 : 배선영 ( Bae Sunyoung ) , 김지영 ( Kim Jiyoung )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 93-106 (14 pages)

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Purpose : This study examines dental hygienists' emotional labor, job satisfaction, and turnover intention and defines how this emotional labor affects job satisfaction and turnover intention in hospitals.
Methods : Among the dental hygienists currently working for the dental department in hospitals and clinics located in Busan, South Korea, 216 dental hygienists who understood the purpose of this research and agreed to participate were instructed to answer a self-administered questionnaire from April 1 to April 30, 2019. A statistical analysis was subsequently conducted on the responses using the SPSS Win 23.0 program.
Results : Emotional labor and job satisfaction showed a negative relationship; thus, as emotional labor was low, job satisfaction was high. Moreover, emotional labor and turnover intention were found to be positively correlated, while job satisfaction and turnover intention were shown to be negatively related (p<0.01).
Conclusion : The present study demonstrated that the emotional labor of dental hygienists affects job satisfaction and turnover intention. The results suggests that through systematic organization and human resource management, hospitals should design and implement in practice programs to increase dental hygienists' job satisfaction. In addition, these hospitals should secure compensation systems that are motivating enough to enhance the severe emotional labor of dental hygienists to decrease turnover intention. As another method to lower turnover intention, dental hygienists may attempt to resolve emotional disharmony with their own problem-solving methods; however, it is necessary to develop and support organizational culture for the improvement of their working environment.

KCI등재

10경도 인지장애 선별에 적용된 이중과제 평가에 대한 체계적 고찰

저자 : 김선호 ( Kim Sunho ) , 곽호성 ( Kwak Hosoung )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 4호 발행 연도 : 2020 페이지 : pp. 107-115 (9 pages)

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Purpose: This study aims to systematically review the dual-task evaluation applied to the screening of mild cognitive impairment. It also aims to present various evaluation items and results analysis methods for dual tasks applied to patients with mild cognitive impairment.
Methods: We conducted a systematic search of published studies in PubMed databases and KISS from January 2000 to August 2020 using the main keywords such as “Dual task,” “Mild Cognitive impairment,” “Elderly,” and “Screening.” We selected a total of 10 studies for the analysis from 1314 searched articles.
Results: We analyzed the qualitative level of 10 studies that were nonrandomized two-group studies with evidence level II (100.0%). These results suggest that the evidence level of the studies was high. We analyzed 10 studies and identified 12 motor tasks and 19 cognitive tasks. Walking was the most commonly used evaluation motor task and counting backward by ones and naming animals were the most commonly used evaluation cognitive tasks. Moreover, the velocity speed was the most used result analysis method. The results indicate that there were significant differences in dual-task performance between patients with normal and mild cognitive impairment.
Conclusion: The results of this study can be used as a basis for the selection of dual-task evaluation items and methods of analyzing the results for screening mild cognitive impairment. Furthermore, they are expected to be used for research on the development of dual-task evaluation tools. It is necessary to compare and analyze the usage trends of dual-task evaluation by cultural differences in future studies.

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1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

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