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Journal of Korean Society of Integrative Medicine

  • : 대한통합의학회
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수록정보
수록범위 : 1권1호(2013)~8권1호(2020) |수록논문 수 : 372
대한통합의학회지
8권1호(2020년 03월) 수록논문
최근 권호 논문
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KCI등재

1무릎뼈 관절가동술을 동반한 운동프로그램이 무릎관절 전치환술 환자의 관절가동범위, 근력, 보행에 미치는 영향

저자 : 이재홍 ( Lee Jaehong ) , 민동기 ( Min Dongki ) , 이상재 ( Lee Sangjae )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 1-14 (14 pages)

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Purpose : The purpose of this study was to investigate the effect of an exercise program with patella mobilization on range of motion, muscle strength, and gait in patients with total knee arthroplasty.
Methods : Thirty patients under the age of 65 who visited the T hospital in Daegu Metropolitan City and underwent total knee arthroplasty surgery were selected for this study. Fifteen patients were randomly assigned to the experimental group and took part in an exercise program with patella mobilization, and fifteen patients were randomly assigned to the control group and took part in just the exercise program. Each group took part in their intervention three times a week for four weeks. The measurement tools used included a goniometer, handheld dynamometer, and 10-meter walking test. In the statistical analysis results, to compare the about pre and post test differences within each group, a paried t-test was used, and to compare the differences between each group, an independent t-test was used.
Results : There was a significant difference (p<.05) in the range of motion, muscle strength of the quadriceps femoris and, hamstrings, and 10-meter walking test within each individual group and between the two groups before and after the intervention (p<.05).
Conclusion : All the results for the experimental group were significant. Therefore, it is expected that an exercise program with patella mobilization will be helpful for the recovery of the knee joint in patients who have undergone total knee arthroplasty.

KCI등재

2Effect of Sexual Harassment Experience on the Job of a Physical Therapist : Seoul Metropolitan Area

저자 : Kim Sunho , Yu Wonjong

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 15-25 (11 pages)

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Purpose : Sexual harassment cases involving health and medical workers, including physical therapists, nurses and psychotherapists, are on the rise. Despite the increased incidence of sexual harassment, prior studies show that physical therapists, nursing assistants and caregivers are not doing well cope with sexual harassment. Therefore this study examines the factors associated with sexual harassment damage experience among physical therapists, as well as the relationship between sexual harassment damage experience and job-related aspects. It is intended to prepare basic data for programs and research that can mediate these issues.
Methods : We conducted a self-reported questionnaire survey of 200 physical therapists working at medical institutions in the Seoul metropolitan area. The survey items included sexual harassment experience and job-related aspects such as satisfaction, stress, burnout, and engagement. A correlation analysis was conducted to clarify the relationship between sexual harassment experience and job-related factors, and multiple regression analysis was conducted to verify the correlations of sexual harassment experience on physical therapists' job.
Results : There was a weak correlation between sexual harassment experience, job satisfaction, and job engagement, and a moderate correlation between sexual harassment experience, job stress, and job burnout. The impact of sexual harassment experience on job had a significant correlation on job satisfaction, job stress and burnout.
Conclusions : Sexual harassment damage experience among physical therapists had a significant impact on many job aspects. Thus, there is a need for countermeasures and education to prevent sexual harassment, or at least effectively cope with the consequences. It is proposed to expand to other local or national units as follow-up studies, to study other factors affecting sexual harassment damage experience, and to develop and verify programs to cope with or prevent sexual harassment damage experience.

KCI등재

3테이핑의 종류가 만성 발목 불안정성을 가진 성인의 정적 및 동적 균형에 미치는 효과 비교

저자 : 권오현 ( Kwon Ohhyun ) , 김호 ( Kim Ho ) , 신원섭 ( Shin Wonseob )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 27-36 (10 pages)

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Purpose : The purpose of this study is to apply kinesiology taping and dynamic taping to subjects with ankle instability and to find out the change of static balance and dynamic balance ability and to use it more usefully in daily life.
Methods : The subjects were based on 30 Cumberland Ankle Instability Tool questionnaire scores of 24 or less, and were randomly assigned to the kinesiology taping group (n=15) and the dynamic taping group (n=15) to change the static balance and dynamic balance before and after taping Measured. The eyes were closed for 30 seconds and the average balance was measured three times through the Wii balance board in static balance, and the balance ability was evaluated by measuring functional reach test and star excursion balance test in dynamic balance.
Results : As a result, the static balance showed significant results in the dynamic speed and the moving distance in the dynamic taping group (p<.05). However, there was no significant difference in the shaking area and the difference in the kinesiology taping group (p<.05) However, both groups showed significant differences in dynamic balance (p<.05).
Conclusion : It was confirmed that the application of taping was effective for static and dynamic balance in subjects with ankle instability, and the application of dynamic taping was more effective than kinesiology taping.

KCI등재

4복합 해양치유 프로그램이 근골격계 및 대사성 질환자의 대사증후군 위험인자 및 CRP에 미치는 영향

저자 : 김현준 ( Kim Hyunjun ) , 신재숙 ( Shin Jaesuk )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 37-45 (9 pages)

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Purpose : The purpose of this study is to verify the effectiveness of combined marine healing programs by analyzing the physical composition of elderly musculoskeletal and metabolic patients, the risk factors of metabolic syndrome and the effects of the inflammatory factors, the C -reactive protein (CRP).
Methods : Individuals with musculoskeletal and metabolic diseases were identified, and marine healing programs were conducted for f our hours each day for two weeks with 11 elderly participants. A one-way RM ANOVA was conducted to determine the differences due to treatment with composite marine healing systems. The results are as follows. Results : After a two-week ocean healing program, weight decreased the most, while BMI also decreased and muscle mass increased. Waist circumference, a risk factor for metabolic syndrome and CRP, decreased, and CRP demonstrated a decreasing trend.
Conclusion : The above results show that the two-week marine healing program has a positive effect on the body composition and inflammatory factors of elderly musculoskeletal and metabolic patients.

KCI등재

5그립 유형에 따른 탄력밴드 저항운동 효과의 비교 연구 ; 유방절제술로 발생한 팔 림프부종 환자에 대한 통증 및 어깨관절가동범위에 대하여

저자 : 조예진 ( Jo Yejin ) , 이상열 ( Lee Sangryul )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 47-56 (10 pages)

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Purpose : The purpose of this study was to determine the effects of upper extremity volume, pain, and range of motion after participation in thera-band exercises according to the hand grip type in patients with breast cancer with upper extremity edema. We also aimed to determine the most efficient type of grip.
Methods : The subjects were 10 female patients diagnosed with stage 2 breast cancer who had stage 2 lymphedema. Randomly, 5 patients each were allocated to the experimental and control groups. For six weeks, the patients in both the experimental and control groups exercised daily. In both groups, manual lymph drainage was applied for 1 hour. Afterward, patients in the experimental group placed their hands in the thera-band ring and exercised with their fingers outstretched. Patients in the control group exercised while holding the thera-band ring with a finger. Both the experimental group and the control group underwent measurements of the circumference of the upper extremity, pain, and range of motion of the shoulder joint at weeks 1, 2, 4, and 6 before and after exercise.
Results : The upper arm circumference decreased by more in the experimental group in all weeks than before than that in the control group, and there was a statistically significant difference at 6 weeks. Compared with the difference between pre-exercise and 6 weeks post-exercise, the change in pain significantly decreased in the experimental group and showed a statistically significant difference. The shoulder range of motion increased in extension, external rotation, and internal rotation compared with that in the control group, and there was a statistically significant difference. Although the operating range increased in flexion and abduction, there were no statistically significant differences.
Conclusion : In this study, we found that thera-band exercises with an open-hand grip are more efficient than thera-band exercises with a closed-hand grip in edema reduction, pain, and range of motion. In addition, it was found that it was more effective to continue the thera-band exercises with open-hand grip extended for at least 6 weeks rather than for a short time.

KCI등재

6탄성밴드를 이용한 저항운동이 뇌졸중 환자의 근력, 근긴장도, 균형 및 보행에 미치는 영향

저자 : 안소영 ( An Soyeong ) , 강순희 ( Kang Soonhee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 57-66 (10 pages)

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Purpose : This study aimed to identify whether resistance exercise using elastic bands for six weeks can improve muscle strength, muscle tone, balance, and gait in patients with stroke.
Methods : In total, 35 patients with stroke were randomly divided into three groups: resistance exercise using elastic band training combined with less affected side training group, more affected side training group, and both sides training group. Muscle strength, muscle tone, balance, and gait were assessed using a hand-held dynamometer, the modified Ashworth scale, the Berg Balance scale (BBS), and wireless 3-axis accelerometer, before and after training.
Results : All three groups showed a significant increase in muscle strength of the lower extremity after training, and there was a significant difference among the groups. There was no change in muscle tone in all three groups. BBS scores increased significantly in all three groups after training, but these scores were not significantly different. The gait speed increased significantly in all three groups after the training, but the difference was not significant. The cadence increased significantly in Group 2 after training; however, there was no significant difference between Groups 1 and 3. There were no significant differences between the groups before and after the training. Step length increased significantly in Groups 2 and 3 after the training, but it was not significantly different in Group 1. After training, Groups 2 and 3 were significantly greater than Group 1 in the change in step length.
Conclusion : The results show that resistance exercise using elastic bands can improve strength, balance, and gait in patients with chronic stroke. Especially, more affected side training was more effective in improving muscle strength than less affected side training. More affected side and both sides training are thought to be more effective than less affected side training to improve step length.

KCI등재

7남성노인의 코어 안정화 운동 형태가 근 두께에 미치는 영향

저자 : 임재길 ( Lim Chaegil )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 67-76 (10 pages)

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Purpose : The purpose of this study was to provide more effective interventions for elderly men with weak core muscles by measuring the thickness of the muscles according to the five core stabilization exercise and comparing the thickness differences in muscles in each posture.
Methods : The study selected 29 elderly men aged 65 to 80 years old among outpatient patients at S Medical Center in B city, and measured the muscle thickness by exercise posture once. In order to find out the thickness of the external oblique (EO), internal oblique (IO), and transverse abdominis (TrA) muscles were measured by using rehabilitative ultrasound imaging (RUSI) in five exercise conditions.
Results : A significant change in the thickness of the EO muscles in each group was measured by the method of motion, followed by the abdominal crunches (1.67±0.15), the lower body rotations (1.54±0.07). As a result of measuring the thickness of the IO muscles of each group according to the exercise method, the bridge group (1.14±0.22) was the highest, followed by the abdominal drawing group (1.05±0.03). As a result of measuring the thickness of the TrA muscles of each group according to the exercise method, the abdominal crunches (0.98±1.00) were the highest, and the bridge group (0.57±0.05) were higher in order of magnitude.
Conclusion : Consequently, the five core stabilization exercises all affect changes in abdominal thickness and are expected to continue to require training studies on muscle posture.

KCI등재

8간호대학생의 전공만족도, 생명의료윤리인식이 간호전문직관에 미치는 영향

저자 : 이경임 ( Lee Keyoungim ) , 정경순 ( Jeong Gyeongsun )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 77-86 (10 pages)

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Purpose : This study is a descriptive survey research that examines the effect of nursing students' satisfaction in major and consciousness of biomedical ethics on nursing professionalism.
Methods : The research subjects consisted of junior and senior nursing students enrolled in four colleges located in City B, South Korea Structured questionnaires were distributed to the subject and a total of 262 copies of survey responses were analyzed. The collected data were analyzed by frequency, percentage, mean and standard deviation, t-test, and analysis of variance (ANOVA) using SPSS/WIN 22.0 program. The correlation relationship was investigated based on the Pearson correlation coefficient. Multiple regression was used to capture the effect on the nursing professionalism.
Results : A positive correlation was observed between the nursing students satisfaction in major and consciousness of biomedical ethics (r=.280, p<.001), between satisfaction in major and nursing professionalism (r=.581, p<.001), and between consciousness of biomedical ethics and nursing professionalism (r=.290, p<.001). General satisfaction (β=.227, p=.001), and relationship satisfaction (β=.248, p=.000) among major satisfaction had the strongest prediction power for the nursing professionalism of nursing students, followed by right to life of fetus (β=.190, p=.000) among consciousness of biomedical ethics and motivation for admission (β =.137, p=.006). These predictors explained 36.9 % of the variable of nursing professionalism.
Conclusion : Based on this study result, repeated studies are required that can confirm diverse influential factors on the nursing professionalism of nursing students. Operation of curriculums and development of programs that increase the nursing students' satisfaction in major and foster their nursing professionalism are required in the future.

KCI등재

9체감각 자극치료가 뇌졸중 환자의 감각, 상지 기능 및 자아존중감의 변화에 미치는 영향

저자 : 이지웅 ( Lee Jiyung ) , 최원호 ( Choi Wonho )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 1호 발행 연도 : 2020 페이지 : pp. 87-99 (13 pages)

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Purpose : This study aims to investigate the effect of somatosensory stimulation on the upper limb sensory and function and self-esteem of stroke patients.
Methods : This study period was march 4 to april 4 (5 weeks). The subject were 20 stroke patients with somatosensory impairment in B hospital, seongnam, gyeonggi province. They were devided into two group-experimental and control-with 10 members each. The members of the experimental group underwent somatosensory stimulation, whereas the members of the control group underwent an occupation-based intervention for 5 weeks. Thirty-minute therapy was provided 3 times per week for 5 weeks. Before and after the intervention, both groups were evaluated via light touch, static two-point discrimination, stereognosis, Fugl-Meyer assessment (FMA), and self-esteem scale
Results : In this study, light touch was not significant in both groups. Static two-point discrimination was significant among the experimental group member's index fingers. Among the control group members, it was significant in the ring finger. The comparison between the two groups was significant in the index finger. The stereognosis results were significant in the experimental group but not in the control group. The comparison between the groups after the intervention was not significant. FMA was significant in the shoulder/ elbow/ forearm (SEF), hand and coordination among the experimental group. Among the control group, it was significant in the SEF and hand. The comparison between the groups was significant in the SEF, hand and coordination. The self-esteem scale results were significant among both groups, and the comparison between the group's score was likewise significant.
Conclusion : In conclusion, somatosensory stimulation therapy increases the static two-point discrimination, stereognosis, upper extremity function, and self-esteem of patients with stroke. Therefore, while somatosensory stimulation therapy is not the best therapy, it is one of the best occupational therapies for stroke patients.

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Purpose : The purpose of this study was to identify the comparison of the effects of manual therapy combined with exercise on range of motion (ROM), muscle strength, and functional performance in adolescent baseball players with internal impingement syndrome of the shoulder.
Methods : The subjects were 30 patients diagnosed with impingement syndrome of the shoulder. Thirty subjects are randomly assigned to each 3 different groups; Group 1. (exercise group), Group 2. (exercise+mobilization; EMOB group), Group 3. (exercise+mobilization with movement; EMWM group). The interventions were performed three times a week for 4 weeks. The main outcome measures were goniometer, Biodex dynamometer, and Korean Kerlan Jobe shoulder-elbow (K-KJOC) scores. The ROM (external and internal rotation), muscle strength (external and internal rotation: 60 °/sec., 180 °/sec.), and functional performance were compared among the groups.
Results : No significant difference was observed among the groups in the range of external rotation of the shoulder before and after the intervention, but the range of internal and total rotation was significantly increased in Group 2, 3 compared to Groups 1. Muscle strength of external and internal rotation (60 °/sec., 180 °/sec.) was not significantly different among Group 1, 2, 3, and functional performance was significantly increased in Group 2, 3 compared to Group 1. However, there was no significant difference between Group 2 and Group 3 in all measurements.
Conclusion : An intervention with manual therapy such as EMOB and EMWM was more effective than exercise alone for rapid recovery from shoulder injury and improvement in functional performance. However, further efforts are needed to identify effects of specific interventions with manual therapy.

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