정상 성인남자와 요추간판탈출증 수술후 성인남자의 요추부 굴곡근 및 신전근의 등속성 근력평가

오승길 凡石學術奬學財團 1998 凡石學術論文集 Vol.2 No.-

신장장애인의 삶의 질에 영향을 미치는 사회적 환경요인

오승길,최건식 21세기사회복지학회 2013 21세기사회복지연구 Vol.10 No.2

본 연구는 신장장애인의 주관적 삶의 질에 미치는 영향을 사회적 환경측면에서 알아보려는 것이다. 본 연구에서, 사회적 환경요인 중에서 가족지지가 삶의 질에 가장 영향을 크게 미치고, 다음으로 직업유무, 교육수준의 순으로 영향을 미치는 것으로 나타났으며, 가족지지와 직업유무 및 직업유무와 교육수준은 통계적으로 유의한 상관관계에 있었다. 그러므로 신장장애인의 주관적 삶의 질을 향상시키기 위한 복지서비스에는 첫째, 신장장애인이 자신의 증상과 예후를 현실적으로 수용하여 최대의 생활을 하면서 살아갈 수 있도록 적응시킬 수 있는 구조화된 교육프로그램의 개발이 필요하고, 둘째, 신장장애인의 가족을 만성질환자의 스트레스에 직면하여 가장 크게 영향을 받는 또 다른 클라이언트 체계로 이해하고 가족들에 대한 복지서비스의 필요성이 강조되어야 하며, 셋째로 신장장애인의 직업재활과 고용증진을 이룰 수 있는 직업재활전문가의 양성과 직업재활기관의 설치가 필요하다고 생각한다.

사무직 근로자의 요추부 굴곡근 및 신전근의 등속성 근력평가 : Isokinetic Evaluation of the Trunk Flexors and Extensors for the White Collar Workers in Adult Males

오승길,최병옥 대한물리치료사학회 2000 대한물리치료과학회지 Vol.7 No.1

After warming-up exercise for 20minutes, Isokinetic measurement of trunk strength for flexor and extensor was done by using Cybex 6000 TEF Unit on 91healthy male white workers from 22years old to 49 years old, and compared each other. 20 repetitions of trunk extension-flexion were done at 120°/sec angular velocity. After resting for 1minutes, Four repetitions at two different angular velocities(60°/sec, 120°/sec) were done with 30seconds of resting interval between each angular velocity. The purpose of this study is to obtain the isokinetic normative strength values for trunk extensors and flexors, and is to know the correlation between age, height, weight of subjects and data from isokinetic trunk strength measurement, and is to provide a guideline for exercise program of male white collar workers The collected data were analyzed by ANOVA, Duncan's Multiple Range Test, and Pearson correlation coefficiency in PC-SAS program. The results obtained were as follow; 1. There is significant positive-correlation with the statistic value between weight and peak torque of trunk muscles at two different angular velocities(60°/sec, 120°/sec)(p<0l), between height and peak torque of trunk muscles at two different angular velocities(60°/sec, 120°/sec) except peak torque of trunk flexor at 60°/sec(p<.0l). 2. There is nagitive-correlation between age and peak torque of trunk muscles at two different angular velocities(60°/sec, 120°/sec), there is significant differences with statistic value between age and peak torque of trunk extensor at 120°/sec(p<.0l). 3. Mean peak torque and mean peak torque % by body weight of trunk extensor is 1.1times higher values than trunk flexor at 60°/see. 4. There is the increase in peak torque angle of trunk flexor with increasing of age, and the decrease in peak torque angle of trunk flexor with increasing of age at two different angular velocities(60°/sec, 120°/sec). there is significant differences with statistic value in peak torque angle of trunk flexor at 120°/sec(p<.0l). 5. There is significant decrease in endurance ratio of trunk extensor with increasing of age at 120°/sec(p<.0l). In conclusion, peak torque of trunk extensor is 1.1 times higher values than trunk flexor in healthy male white collar workers.

사무직 근로자의 요추부 굴곡근 및 신전근의 등속성 근력평가 : 서울시 일부지역의 21세 ~ 49세 남자 직장인을 중심으로

오승길,최병옥 凡石學術奬學財團 1999 凡石學術論文集 Vol.3 No.-

요통과 천장관절기능이상에 대한 고찰

오승길,Oh, Seung-Kil 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.3

Motion at the sacroiliac joints(SIJ) has been reported in the medical literature since the mid-19th century. However, for many years authorities vie~d that no movement occurred at the sacroiliac joints and therefore were not clinically significant. Recent contributions from both the basic and clinical sciences caused a change in perception of the role of the sacroiloiac joint in low back pain(LBP). Movement within the sacroiliac joint is now generally recognized, although it is only a small amount. Controversy continues as to the type of motion available and the axes of motion, and continues as to the ability of a clinician to identify a significant sacroiliac dysfunction. Dysfunction of the pelvic girdle is complex and not easily understood. It is common to find serveral dysfunctions within the same pelvic girdle. Each needs to be individually diagnosed and appropriately treated. The diagnostic and therapeutic system designed by Philip E. Greenmam, D. O. allows the operator to deal with any combination of physical findings that are found within the pelvic girdle Restoration of pelvic girdle function within the walking cycle is a major therapeutic goal, particularly from the biomechanical postural-structural model.

요통환자의 천장관절에 대한 도수교정 전과 후의 골반경사 비교

오승길,이진행,Oh, Seung-Gil,Lee, Jin-Haeng 대한물리치료과학회 2000 대한물리치료과학회지 Vol.7 No.2

The purposes of this study were to compare pelvic tilt before and after manipulation of sacroiliac joint in 31 low back pain patients (11 males, 20 females) with sacroiliac joint dysfunction. The sacroiliac joint of patients was manipulated on the side of anterior pelvic tilt, using the technique described by Stoddard (1962) and Greenmann (1996). I used this technique because it usually eliminated sacroiliac joint dysfunction in one treatment session. SPSS for window computer system was used to analyze the data. Also t-test was performed for comparison of pelvic tilt angle before and after manipulation, and Pearson product-moment correlation analysis was performed for intratester reliability for measurements of pelvic tilt angle before and after manipulation. The result were as follows: 1. Intratester reliability was good for measures of pelvic tilt (r=.98). 2. The pelvic tilt after manipulation was significantly decreased (mean=$3.40^{\circ}$) compared with the pelvic tilt before manipulation (p=.001). All subjects showed asymmetrical right versus left pelvic tilt before manipulation. 40% of subjects showed decreased asymmetrical right versus left pelvic tilt after manipulation, and 60% of subjects showed symmetrical right versus left pelvic tilt after manipulation. I think that pelvic tilt asymmetry with hypomobility due to loss of joint play could be symmetrized by manipulation or mobilization, but pelvic tilt asymmetry with unilateral pelvic muscle shortening could not be symmetrized by manipulation or mobilization without relaxation and stretching of shortened muscles.

요통환자의 물리치료사 만족도에 대한 조사 : 서울 및 의정부 시 일부 병 , 의원에 내원하는 외래 , 재진 환자를 중심으로

오승길 대한물리치료학회 1997 대한물리치료학회지 Vol.9 No.1

Low back Pain(LBP) is a common problem, and the resulting disability frequently contains nonorganic, psychological and social elements that are difficult for the physical therapists to manage. The physical therapist-patient relationship is the most important factors in the management of low back pain as chronic disease. The purpose of this study was to evaluate and to identify factors that had influenced law, back pain patients satisfaction with physical therapist. The subjects of this study were 223 out-patients(116 males and 107 females) who had been visited to physical therapy room of medical institutions in Seoul and Uijongbu city. They were examined by the questionaire of Dimatteo and Hays which was amended to serve the purpose of this study by author. The collected data was analyzed by ANOVA according to the purpose of this study. There was no difference with statistic value in LBP patient's satisfaction according to occupation, sex, schooling, religion, marital status, medical security, duration of disease, the time required, recurrence, but was a difference according to age, income, period of treatment, cost, diagnosis, waiting time, the number of physical therpy's sort, sex ane age of physical therapists (p$lt;.05). LBP patients was satisfied with physical therapist's communicative behavior, but was dissatisfied with physical therapist's technical competence.

요통환자의 엉치엉덩관절 기능부전에 대한 도수교정 후에 하지의 생체역학적인 변화

오승길,유승희,Oh, Seung-Gil,Yoo, Seung-Hee 대한물리치료과학회 2001 대한물리치료과학회지 Vol.8 No.1

The purposes of this study were to compare pelvic tilt. range of motion(ROM) of hip rotation, and leg length difference before and after manipulation and to investigate correlation between changes of each variables after manipulation of sacroiliac pint in 31 low back pain patients(11 males, 20 females) with sacroiliac pint dysfunction. The sacroiliac pint of patients was manipulated on the side of anterior pelvic tilt, using the technique described by Stoddard(1962) and Greenmann (1996). I used this technique because it usually eliminated sacroiliac Pint dysfunction in one treatment session. SPSS for window computer system was used to analyze the data. Also t-test was performed for comparison of the variables before and after manipulation, and Pearson product-moment correlation analysis and regression analysis were performed for changes of each variables after manipulation. The result were as follows: 1. The pelvic tilt after manipulation was significantly decreased(mean=$2.79^{\circ}$) compared with the pelvic tilt before manipulation(p=.001). 2. The PROM of hip internal rotation ipsilateral to anterior pelvic tilt after manipulation significantly decreased (mean = $1.88^{\circ}$) compared with hip internal rotation before manipulation (p=.008). The PROM of hip internal rotation ipsilateral to posterior pelvic tilt after manipulation significantly increased(mean = $1.29^{\circ}$) compared with hip internal rotation before manipulation (p=.029). 3. The PROM of hip external rotation ipsilateral to anterior pelvic tilt after manipulation significantly increased(mean=$2.42^{\circ}$) compared with the hip external rotation before manipulation(p=$2.42^{\circ}$) compared with the hip external rotation ipsilateral to posterior pelvic tilt after manipulation significantly decreased(mean = $1.84^{\circ}$) compared with the hip external rotation before manipulation (p=.008). 4. Leg length difference after manipulation significantly decreased(mean=2.15 mm) compared with leg length difference before manipulation (p=.008). Regression analysis revealed that a fair correlation was found between change in leg length difference and change in anterior pelvic tilt after manipulation(p=.009). 5. Pearson product-moment correlation coefficient was used to assess differences of the variables after manipulation. A fair correlation was found between change in leg length difference and change in anterior pelvic tilt after manipulation(r=.462, p<.01). A fair correlation was found between change in anterior pelvic tilt and change in hip internal rotation ipsilateral to anterior pelvic tilt(r=.397, p<.05) and between change in anterior pelvic tilt and change in hip external rotation ipsilateral to anterior pelvic tilt(r=.516, p<.01). A fair correlation was found between change in posterior pelvic tilt and changes in hip internal rotation ipsilateral to posterior pelvic tilt (r=.441, p<.05) and between change in posterior pelvic tilt and change in hip external rotation ipsilateral to posterior pelvic tilt(r=.361, p<.05). A fair correlation was found between change in hip internal rotation ipsilateral to anterior pelvic tilt and change in hip external rotation ipsilateral to posterior pelvic tilt(r=.388, p<.05) and between change in hip internal rotation ipsilateral to posterior pelvic tilt and change in hip internal rotation ipsilateral to anterior pelvic tilt(r=.426. p<.05).

정상 성인남자와 요추간판탈출증 수술후 성인남자의 요추부 굴곡근 및 신전근의 등속성 근력평가

오승길 대한물리치료학회 1998 대한물리치료학회지 Vol.10 No.1

Isokinetic evaluation of truck flexors and trunk extensors was performed at 60°/sec and 120°/sec of angular velocity by using cybex 6000 TEF Unit on 31 healthy male white workers and 15 post-operative HILD patients with no significant difference in mean age and mean body weight between two groups, and compared each other. The purpose of this study is to obtain the isokinetic normative strength values and endurance ratios for trunk extensors and trunk flexors, and is to provide a guideline for rehabilitation program of post-aperative HILD patients. The collected data were analyzed by ANOVA, Duncan's Multiple Range Test, and Pearson correlation coefficiency in PC-SAS program. The results obtained were as follow ; 1. Post-operative subjects has lower isokinetic values than normal subjects in peak torque, peak torque % by body weight, total work, total work % by body weight, average power, average power % by body weight, TAE of trunk flexors and trunk extensors, and there are significant differences with statistic value in trunk extensors at 60°sec, and in trunk flexors and trunk extensors at 120°/sec between two groups(p$lt;0.05). 2. Post-operative subjects has lower values for angle of peak torque than normal subjects in trunk extensors, and there are significant differences with statistic value at 60°/sec(p$lt;0.1) and 120°/sec(p$lt;0.01) between two groups. 3. Post-operative subjects has higher values for endurance ratios than normal subjects in trunk extensors and flexors, but there are no significant differences with statistic value between two groups. 4. Post-operative subjects has higher values than normal subjects in peak torque ratios, total work ratios, average power ratios of trunk flexors to trunk extensors, and there are significant differences with statistic value between two groups(p$lt;0.01). 5. There is significant positive-correlation with statistic value between peak torque and height and body weight in normal subjects(p$lt;0.05), but There is significant negative-correlation between peak torque of trunk extensor at 120°/sec and age (p$lt;0.05). 6. There is significant positive-correlation with statistic value between peak torque of trunk flexors and body weight in post-operative subjects(p$lt;0,05), but There is significant negative-correlation between peak torque of trunk extensor and age (p$lt;0.05). In conclusion, post-operative subjects have greater weakness in trunk musculature than normal subjects, especially there is more significant weakness in trunk extensors than in trunk flexor.

단순요통 및 하지통을 동반한 요통의 관절운동학적 치료법에 대한 고찰

오승길,Oh, Seung-Kil 대한물리치료과학회 1997 대한물리치료과학회지 Vol.4 No.1

The joint dysfunction is the major cause of pain in trunk and extremities according to J. McM. Mennell who mentioned that there were no pathological changes that was found in the painful joint. The referred pain due to joint dysfunction has to be differentiated from other painful conditions, particularly of the neuromusculoskeletal system. Most of the pain in the lower extremities is due to the sacroiliac joint dysfunction according to Setsuo Hakata who had developed arthrokinematic approach(AKA) for sacroiliac joint in 1989. AKA for sacroiliac dysfunction is made up of distraction & gliding technics that are no violent to recover the disturbed intra-articular movement and result in immediate relief of pain.