PNF 패턴에 기초한 탄력밴드 훈련이 척수손상 환자의 상지 기능에 미치는 영향

신영일,이형수,Shin Young-Il,Lee Hyoung-Soo 대한물리치료학회 2004 대한물리치료학회지 Vol.16 No.3

The purpose of this study was to investigate the effect of elastic band based of PNF pattern on the U/E function in the spinal cord injury patient. 11 subjects with spinal cord injury participated in this study. They took elastic band excercise 5 times per week for 8 weeks. One time excercise spent 35minutes. The therapeutic effect was evaluated by Cybex 6000, BTE Work Simulator, how many seconds they needed to walk 100 meters. 11 cases were examined before, after 8 week, elastic band excercise. The results of this study are as follows; 1. Isokinetic power by Cybex 6000 : The elbow flexion, shoulder flexion and extension were significant difference between test-retest(p<.05). but elbow extension were not significant difference between test-retest. 2. BTE Work Simulator : Wheelchair Propulsion and Steering Torque were significant difference between test-retest(p<.05). 3. Wheelchair Propulsion velocity : There were significant difference between test-retest(p<.05). The findings suggest that SCI patients can improve their Isokinetic power on shoulder and elbow joint, wheelchair propulsion and Steering Torque by BTE Work Simulator, Wheelchair Propulsion velocity through elastic band based of PNF pattern.

향약구급방(鄕藥救急方)에 대(對)한 고증(考證)

신영일,Sheen, Yeong-Il 한국한의학연구원 1996 한국 한의학연구소 논문집 Vol.2 No.1

Hyang-Yack-Ku-Keup-Bang(鄕藥救急方) is our own, medical work written about the middle of the time of Korea Dynasty. I restored and researched this book because it needed to be illuminated about its medico-historic value and then I came to some conclusions as follows. 1. Hyang-Yack-Ku-Keup-Bang was published in Dae-jang-do-kam(大藏都監) of Kanghaw island(江華島) about the middle of Korea Dynasty. Choi Ja-ha(崔自河) republished it on original publication ground in Euiheung(義興) of Kyungsang-Province(慶尙道) in July, Taejong's(太宗) 17th year of Chosen Dynasty (A.D.1417) and this book was published again in Chungcheng Province(忠淸道) in Sejong's(世宗) 9th year(A.D.1427). The book published in Taejong's days was in the possession of books department of Kung-nae-cheng(宮內廳) in Japan and was the oldest medical book of existing ones. 2. Bang-Jung-Hyang-Yack-Mock-Cho-Bu(方中鄕藥目草部) of this book was originally intended to be adjusted in each division with the title of Bang-Jung-Hyang-Yack-Mock(方中鄕藥目). But Herb part(草部) only followed editing progress of Jeung-Lew-Bon-Cho(證類本草), the rest is not divided into each part and is together arranged at the below of Herb part with the title of Bang-Jung-Hyang-Yack-Mock-Cho-Bu. The Korean inscriptions on some drugstuffs in this book are different between Native Name(鄕名) of three volumes of provisions and general-spoken(俗云) of Bang-Jung-Hyang-Yack-Mock-Cho-Bu. In this, it is estimated that the publishing time and editor of tile volume of provisions and Bang-Jung-Hyang-Yack-Mock-Cho-Bu are different. I think Choi Ja-ha compiled this behind three volumes of provisions when he published. 3. This book picked some prescriptions which consisted of obtainable drugs with ease in Korea in the books of Chell-Keum-Yo-Bang(千金要方), Oi-Dae-Bi-Yo(外臺秘要), Tae-Peong-Sung-Hye-Bang(太平聖惠方), Ju-Hu-Bang(?後方), Kyung-Hum-Yang- Bang(經驗良方) Bo-Je-Bon-Sa-Bang(普濟本事方) Bi-Ye-Baik-Yo-Bang(備預百要方) and so on and got together our own prescriptions. On the whole Bi-Ye-Baik-Yo-Bang was a chief referrence book, On this, other books referred to and corrected. 4. In provisions quoted from Hyang-Yack-Jip-Sung-Bang(鄕藥集成方), there are seven provisions; leg-paralysis part, coughing part, headache part, obstetrics part, etc. don't show in this book. This is why Choi Ja-ha published only certain texts on Dae-jang-do-kam edition his own posession. So we can think the existing edition has a little misses compared with original edition. 5. This book recorded only names of drugstuffs in animal drug department like fowls, crab, goldbug, earthworm, etc. and didn't tell us ways of taking those. This is effect of Buddhist culture on medicine. This is efforts to practice 'Don't murder';one of Five Prohibition of Buddhism. 6. Beacause this book was published at the time, when our originative medicine would be set forth. This followed the Chinese ways in Theory, Treatment, Prescription and used 'Hyang Yack' in Medication out of theory of Korean medicine, which was a transitional form. So this is all important material which tell us aspects of development of 'Hyang Yack' the middle of Korea Dynasty.and this is also the beginning of originative, medical works like Dong-Eui-Bo-Kam(東醫寶鑑), Dong-Eui-Su-Bo-Won(東醫壽世保元). 7. There are few contents based on 'Byen-Jeung-Lon-Chi(辨證論治)'in this book. So we can see this book is not for doctors who study medical thoughts but for general public who suffer from diseases resulted from war. Because this book was written for a first-aid treatmeant, this is an index of medical service for the people those days. And this is also an useful datum for first-aid medicine or military medicine in these modern days. 8. Nowadays, parts of learned world of Korean medicine disregard essential theories and want to explain Korean medicine only by the theories or the methods o

향약집성방(鄕藥集成方)에 나타난 삼화자향약방(三和子鄕藥方) 조문(條文)의 연원(淵源)에 대한 연구

신영일,Sheen Yeong-il 대한한의학방제학회 1997 대한한의학 방제학회지 Vol.5 No.1

Samhwaja-hyangyakbang has been known as the book of herbalogy published by the man, Samhwaja. But there are no records about the additor, and the absence of the document, it is so difficult to be informed about the time when it published and other details. But in this document and Hyangyakgugeubbang, there are similar prescriptions to Sublingual Inflammation, Aphtose, Anthrax, Furoncle, Ulcer, Dysentery, etc. So the time it published is estimated to Goryo-dynasty Gojong epoch(1232-1251) when the Hyangyakgugeubbang was published. In addition, this document seems to be basis of Hyangyakjipseongbang, Because, Hyangyakjipseongbang quoted more than 140 provisions from this document. Prescriptions that are different from other books in dosage or taking method, took those of Biyebaekyobang. In explanation or classification of disease, this document almost copied those of Biyebaekyobang, so this document take Biyebaekyobang for origin and take Sikeuisimkam, Taepyungseonghyebang, etc, for reference.

요추 추간판 탈출증의 재발에 관한 통계적 연구

신영일,이현,이병렬 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : This study had been done to develop treatment and preventation on HIVD by using this result. Methods : To obtain this result, we examinated 51 case of patients who visit Dept. of Acupuncture and Moxibustion. Oriental Medical Hospital. Taejon University. diagnosed HIVD. Results : As a result of this examination, we detected the fact that reattack rate is 3.9% and it is important to exercise physically to prevent growing worse symptoms. And we develop further method of treatment to treat people more effectively. Detailed contents are as followed. Conclusion : We want to be put this knowledge to practical use on treating HIVD and think the study like this must be go on continuously.

골반압박벨트가 뇌졸중 환자에서 보행속도, 분속 수, 보장, 활보장, 및 동적 균형에 미치는 영향

신영일,김진영,이호종,Shin, Young-il,Kim, Jin-young,Lee, Ho-jong 대한정형도수물리치료학회 2019 대한정형도수물리치료학회지 Vol.25 No.1

Background: The purpose of this study was to determine the effects of a pelvic compression belt on gait abilities and balance in subacute stroke patients. Methods: Twenty two patients with subacute were recruited and randomly assigned into two group: Two group offered conventional physical therapy and occupational therapy for five day. The group was composed of twelve patients. Participants in the experimental group were given the pelvic compression belt and conventional physical therapy, conventional occupational therapy, although conventional physical therapy and occupational therapy provided in the subjects in the control group. To assess the gait ability, the GAITRITE system was used and the Balance system SD was used to test balance. All measurements were performed before and after intervention. Results: The experimental group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05) and show significant increase in the dynamic standing balance (p<.05). However, control group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05), but shows no significant differences in dynamic standing balance. Furthermore, there were significant differences gait velocity, dynamic standing balance between two groups (p<.05). Conclusions: The results demonstrated that the elastic pelvic belt application is effective to improve gait velocity, dynamic balance in the subacute stroke patients. Thus, the elastic pelvic belt is seemed to be one of the potential methods to facilitate the active rehabilitation program for hemiplegia patients.

高麗時代 醫學에 대한 考察

신영일 東新大學校 1995 論文集 Vol.7 No.-

Koryo dynasty had 3 ministries & 6 cabinets under the king, fixed the policy as that of "north-march", took Buddhism as a state religon, encouraged agriculture and made social-cultural development in many sides of manual industry, typography, geography, medical science, astronomy, etc. When Buddhism was a national religion, faith and healing had a close relation. So Pharmacist Buddha was the object of faith, and whenever epidermic prevailed, Sutra-chanting & pray were used as treatment. Besides, monks used medical skills, as method of mission. Occult arts for longevity of Taoism affcted to national health, and that religious ceremonies of Taoism infected the view of disease. The medical system of Koryo dynasty was fully arranged as compared with previous area. In the central portion Taeuikam(太醫監) that took role of whole medical policy, doctor's education and examination, Sangyakgook(尙藥局) that took care of people in the Royal palace. The other side, Prince's doctor, Hanlimuikwan(翰林醫官), food doctor, army doctor, veterinarian, prison doctor, etc. were there Dongsuodaebiwon(東西大悲院), Jewibo(濟危寶), Hyaemingook(惠民局), and Guogedokam(救濟都監) were as relief organization. Medical education fad been operated by doctor from Song(宋) dynasty in medical school from the period of the king Taejo, but from the king Gwangjong doctors who passed the exam were dispatched to provinces and take the education and healing. Koryo communicated with Song(china) and made a development of social culture. In the respect of medicine, Taeuigam invited doctors from Song to undertake both education and treatment, furthermore they brought 『Taepyongsunghyaebang(太平聖惠方)』 『Suongjaechongrok (聖濟總錄)』 『Jeungryuoboncho(證類本草)』 『Shinuibokuipbang(神醫普救方)』 『Taepyonghaeminhwajaegookbang(太平惠民和劑局方)』, that contributed to the development of medical theories and skills, Koryo spreaded advanced medicine to Japan, Arab, Yojin(여진), Gueran(거란), etc. by trade. Owing to developed skills of typography and papermaking since Shilla(新羅), Koryo reprinted medical books from china, and published Korean medical books as 『Jaejungiphyobang(濟衆立效方)』 『Shinjipuouichyoiyobang(新集御醫撮要方)』 『Donginghyonghumbang(東人經驗方)』. Scientific character of Koryo was due to social tendency that everyone could insist their own theory on the basis of understanding and arrangement of 『Hwangjenaekyoung(黃帝內經)』 『Kapuilkyoung(甲乙經)』 『Nankyoung(難經)』through public exam system. Since the king Kwangjong period, doctors published 『Hwangje81nankyoungjuuidoseolon(黃帝八十一難經注義圖序論)』, with notes and diagrams. In the field of herbalogy, escaping from the range of simple understanding 『Shinnongbonchokyoung(神農本草經)』, after inflow of 『Bonchoyokwal(本草要括)』 『Jeunglyouboncho(證類本草)』, knowleges of new herbs were accumulated gradually, and sort of herbs and thories were arranged. As clinical medicine developed, they put an importance on examination of pulse, not with dialectics, they treated people according to their symtoms by using crude drug. The appearance of 'Korean Herb(鄕藥)' is regarded as the ye important characteristics of Koryo medicine. The appearance of 'Korean Herb', on the basis of what "Herb out of Korea can cure disease in Korea", was transitional to creat original medical science, that's why, although they followed chinese medical 'theory, principle, prescription' that were grounded on "Yinyangohang(陰賜五行)", they, at least, used Korean 'Herb' as Korean Herb. As Korean herb appeared, korian books were published, those are, 『Hyanyaltguoguipbang(鄕藥救急方)』 『Samhwaiahyangyakbang(三和子鄕藥方)』 『Hyangyakhaeminhyounghumbang(鄕藥惠民經驗方)』 for people to get drugs easily, which contributed for the health of nations. Due to publishing books on fundamental theories and Korean herb, people could overcome their disease easily by Korean herbal book, and it was the improvement of medical theory through the comment or arrangement of the basic medical text that could create a new medical theory out of imitating chinese medicine.

요양보호사의 소명의식과 조직성과의 관계에서 직무만족의 매개효과

신영일 한국융합학회 2018 한국융합학회논문지 Vol.9 No.11

최근 장기요양보험제도에 도입된 시장화와 공급주체 다원화의 영향으로 조직성과에 대한 관심이 높아지고 있다. 본 연구는 장기요양시설의 조직성과에 요양보호사의 소명의식의 영향을 분석하고 그 경로에서 직무만족의 매개효과를 검증하기 위하여 서울시와 경기도의 요양보호사를 대상으로 자료를 수집하였다. 다중회귀분석으로 소명의식이 직무만족과 조직성과에 미치는 영향을 분석하였고 위계적 회귀분석으로 직무분석의 매개효과를 검증하였다. 분석 결과 소명의식은 조직성과와 직무만족에 정(+)의 영향을 미쳤고, 직무만족은 소명의식과 효과성 사이에서 완전매개효과를, 소명의식과 효율성 사이에서는 부분매개효과를 나타냈다. 이를 바탕으로 직무만족 관리를 통하여 효과성을 제고하고, 직무만족과 소명의식을 관리하여 효율성을 관리할 필요성을 논의하였다. Recently, interest in organizational performance has been increasing due to marketization and diversification of supplier introduced in long-term care system. To analyze the effects of caregivers' calling on the organizational performance of long-term care facilities and to examine the mediating effects of job satisfaction on the path, data were collected from caregivers in Seoul and Kyonggi-do. Multiple regression analysis was used to examine the effect of caregivers' calling on job satisfaction and job performance, and the mediating effect of job analysis was tested by hierarchical regression analysis. As a result, caregivers' calling had a positive effect on job performance and job satisfaction, and the job satisfaction showed full mediation effect between caregivers' calling and effectiveness and partial mediation effect between caregivers' calling and efficiency. Based on this, we discussed the need to improve efficiency through job satisfaction management and to manage efficiency by managing job satisfaction and vocation awareness.

경쟁가치모형에 근거한 보육교사의 감정노동과 소진의 상호작용효과가 이직의도에 미치는 영향

신영일 한국융합학회 2018 한국융합학회논문지 Vol.9 No.6

본 연구는 경영학의 경쟁가치모형을 보육직무에 적용하여 교사의 감정노동과 이직의도의 영향관계에서 소진의 조 절효과를 융합적으로 연구하였다. 이를 위하여 어린이집에 종사하는 보육교사 296명을 대상으로 설문하였으며, 자료 분석은 SPSS V22.0 프로그램을 사용하여 평균중심화 기법을 적용한 조절회귀분석을 실시하였다. 연구 결과를 요약하면 첫째, 표면 감정노동은 이직의도에 유의한 영향을 미쳤고 내면감정노동은 이직의도에 영향을 미치지 않았다. 둘째, 이직의도에 가장 크게 영향을 미치는 요인은 소진으로 확인되었다. 셋째, 소진과 내면감정노동의 상호작용효과는 이직의도에 유의한 조절효 과를 갖는 것으로 나타났다. 이 결과를 바탕으로 보육교사의 이직의도를 관리하기 위하여 보육교사의 소진을 완화시키는 정책적 방안을 제시하였고, 보육현장에서 교사소진과 내면감정노동의 상호작용효과를 활용하여 이직의도를 관리하는 제도 적ㆍ실천적 방안을 제시하였다. The purpose of this study is to investigate the moderating effect of burnout on the relationship between emotional labor and turnover intention of nursery teachers. For this study, 296 teachers in nursery centers were surveyed. The data were analyzed by moderated regression analysis using SPSS V22.0 program using mean centering method. The results of the study are as follows. First, expressive emotional labor affects turnover intention and internal emotional labor did not affect turnover intention. Second, the factors that have the greatest influence on turnover intention were identified as burnout. Third, the interaction effect between burnout and deep emotional labor showed a similar moderation effect on turnover intention. Based on these results, the policy and practical measures to alleviate the burnout of the nursery teachers were suggested, and the ways of managing turnover intention by utilizing the interaction effect of the teacher burnout and deep emotional labor were suggested.

鄕藥救急方에 對한 考證

신영일 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

Hyang-Yack-Ku-Keup-Bang(鄕藥救急方) is our own, medical work written about the middle of the time of Korea Dynasty. I restored and researched this book because it needed to be illuminated about its medico-historic value and then I came to some conclusions as follows. 1. Hyang-Yack-Ku-Keup-Bang was published in Dae-jang-do-kam(大藏都監) of Kanghwa island(江華島) about the middle of Korea Dynasty. Choi Ja-ha(崔自河) republished it on original publication around in Euiheung(義興) of Kyungsang Province(慶尙道) in July, Taejong's(太宗) 17th year of Chosen Dynasty (A.D. 1417) and this book was published again in Chungcheng Province(忠淸道) in Sejong's(世宗) 9th year(A.D. 1427). The book published in Taejong's daus was in the possession of books department of Kung-nae-cheng(宮內廳) in Japan and was the oldest medical book of existing ones. 2. Bang-Jung-Hyang-Yack-Mock-Cho-Bu(方中鄕藥目草部) of this book was originally intended to be adjusted in each division with the title of Bang-Jung-Hyang-Yack-Mock (方中鄕藥目). But Herb part(草部) only followed editing progress of Jeung-Lew-Bon-Cho(證類本草), the rest is not divided into each part and is together arranged at the below of Herb part with the title of Bang-Jung-Hyang-Yack-Mock-Cho-Bu. The Korean inscription on some drugstuffs in this book are different between Native Name(鄕名) of three volumes of provisions and general-spoken of Bang-Jung-Hyang-Yack-Mock-Cho-Bu. In this, it is estimated that the publishing time and editor of the volume of provisions and Bang-Jung-Hyang-Yack-Mock-Cho-Bu are different. I think Choi Ja-ha complied this behind three volumes of provisions when he published. 3. This book picked some prescriptions which considered of obtainable drugs with ease in Korea in the books of Chen-Keum-Yo-Bang(千金要方), Oi-Dae-Bi-Yo(外臺秘要), Tae-Peong-Sung-Hye-Bang(太平聖惠方), Ju-Hu-Bang, Kyung-Hum-Yang-Bang(經驗良方), Bo-Je-Bon-Sa-Bang(普濟本事方), Bi-Ye-Baik-Yo-Bang(備預百要方) and so on and got together our own prescriptions. On the whole Bi-Ye-Baik-Yo-Bang was a chief reference book. On this, other books were referred to and corrected. 4. In provisions quoted from Hyang-Yak-Jip-Sung-Bang(鄕藥集成方), there are seven provisions; leg-paralysis part, coughing part, headache part, pgstetrics part etc. don't show in this book. This is why Choi Ja-ha published only certain texts on Dae-jang-do-kam edition his own posession. So we can think the existing edition has a little misses compared with original edition. 5. This book recorded only names of drugstuffs in animal drug department like fowls, crab, goldbug, earthworm, etc. and didn't tell us ways of taking those. This is effect of Buddhist culture on medicine. This is efforts to practice "Don't murder"; one of Five Prohibition of Buddhism. 6. Because this book was published an the time, when our originative medicine would be set forth. This followed the Chinese ways in Theory, Treatment, Prescription and used 'Hyang Yack' in Medication out of theory of Korean medicine, which was a transitional form. SO this is an important material which tell us aspects of development of 'Hyang Yack' since the middle of Korean Dynasty and this is also the beginning of originative, medical works like Dong-Eui-Bo-Kam(東醫寶鑑), Dong-Eui-Su-Se-Co-Won(東醫壽世保元). 7. There are few contents based on "Byen-Jeung-Lon-Chi(辨證論治)" in this book. So we can see this book is not for doctors who study medical thoughts but for general public who suffer from diseases resulted from war. Because this book was written for a first-aid treatment, this is an index of medical service for the people those days. And this is also an useful datum for first-aid medicine or military medicine in these modern days. 8. Nowadays, parts of learned world of Korean medicine disregard essential theories and want to explain Korean medicine only by the theories or the methods of Western medicine. Moreover they don't adopt Chinese and Japanese theory & thoughts about Oriental medicine in our own style and just view in there level. What was worse, there is a growing tendency for them to indulge in a trimming policy of scholarship and to take others' idea. I think these trends to ignore our own medical thoughts involving growth of 'Hyang Yack' in the middle of Korea Dynasty, Dong-Eui-Bo-Kam and Dong-Eui-Su-Se-Won. So we, as researchers of Korean medicine, must get out of this tendency, and take over brilliant tradition and try to develop originative Korean medicine.

추나요법을 시행한 특발성 척추측만증 환자 30례에 관한 임상적 고찰

신영일,이병렬,홍권의,양기영,이현 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : The purpose of this study was to inspect the effect of Massotherapy on idiopathic scoliosis patients, utilizing Cobb's angle to determine the degree of curvature progression in the thoracic and lumbar regions. Methods : To obtain this result, we examinated 30 case of parents who visit Dept. of Acupuncture and Moxibustion Oriental Medical Hospital. Taejon University. with idiopathic scoliosis. We observe their age, sex, symptoms and Cobb's angle. Results : As a result of this examination, we detected the fact that it's difficult to treat isiopathic scoliosis fundamentally. But, Their symptoms are improved. So it is necessary to treat scoliosis actively with massotherapy . Conclusion : We want to be put this knowledge to practical use on treating Scoliosis and think the study like this must be go on continuously.