Evaluation of Current Resources Available for Community-Based Cardiac Rehabilitation in Korea: A Nationwide Survey Study

Kim Chul,Sung Jidong,Han Jae-Young,Jee Sungju,Lee Jang Woo,Lee Jong Hwa,Kim Won-Seok,Bang Heui Je,Baek Sora,Joa Kyung Lim,Kim Ae Ryoung,Lee So Young,Kim Jihee,Kim Chung Reen,Kwon Oh Pum 대한의학회 2022 Journal of Korean medical science Vol.37 No.14

Background: In Korea, the actual distribution of cardiac rehabilitation (CR) to the clinical field is insufficient due to the many barriers for cardiovascular patients to participate in CR. Community-based CR is a useful alternative to overcome these obstacles. Through a nationwide survey, we investigated the possibility of regional medical and public health management institutes which can be in charge of community-based CR in Korea. Methods: The questionnaires on recognition of CR and current available resources in health-related institutions were developed with reference to the CR evaluation tools of York University and the International Council of Cardiovascular Prevention and Rehabilitation. The questionnaires were sent to regional public and private medical institutions and public health management institutions. Results: In total, 2,267 questionnaires were sent to 1,186 institutions. There were 241 and 242 responses from 173 and 179 regional private and public medical institutions, respectively. And a total of 244 responses were gathered from 180 public health management institutions. Although many institutions were equipped with the necessary facilities for exercise training, there were few patient-monitoring systems during exercise. Most institutions were aware of the need for CR, but were burdened with the cost of establishing personnel and facilities to operate CR. Conclusion: Most regional medical, and public health management institutions in Korea are unprepared for the implementation of community-based CR programs. To encourage the utilization of such, there should be efforts to establish a national consensus.

노인환자에 있어서 인지기능 및 기타 임상증상의 치료 경과에 따른 변화에 대한 연구 : To Compare Organic Mental Disorder with Functional Mental Disorder 기능성 정신장애군과 기질성 정신장애군을 비교하여

정영조,김 인,장안기,이영호 大韓神經精神醫學會 1993 신경정신의학 Vol.32 No.1

In order to compare the change of the cognitive, psychotic and depressive symptoms in treatment between functional mental disorder and organic mental disorder, we administrated MMSE, BCRS,BPRS and HRSD to 43 patients with functional mental disorder and 22 patients with organic mental disorder for 5 times biweekly. Patients with functional mental disorder showed less cognitive dysfunction. In them, improvement of cognitive symptoms was parallel with changes of other symptoms, but in patients with organic mental disorder, cognitive symptoms and other symptoms improved only during first two weeks of treatment. The assessment of different type of symptoms by treatment stage, as like depressive symptoms in early stage and psychotic symptoms in middle stage, may be helpful to differentiate two groups. And the assessment of symptoms changes from second weeks to fourth weeks was also more significant than the assessment at the other stages to differentiate two groups. In the symptomatic differentiation between functional mental disorder and organic mental disorder before treatment, attention(MMSE); concentration(BCRS);hostility, blunted and inappropriate affect, disorientation and conflusion(BPRS); late insomnia, psychomotor retardation(HRSD) subscales had high discriminant powers for organic mental disorder.

Effects of Dynamic Ankle-Foot Orthosis on Postural Balance Control in Hemiparetic Patients

Hong Min Kim,Min Ho Chun,Chung Reen Kim,Ji Young Park 대한재활의학회 2011 Annals of Rehabilitation Medicine Vol.35 No.2

Objective To determine the effects of dynamic ankle foot orthosis (AFO) on balance control by comparing it with conventional plastic AFO and barefoot conditions in hemiparetic patients. Method Fifteen hemiparetic patients with brain lesions were recruited for this study. All subjects were capable of standing up independently and had a modified Ashworth score of less than two. The postural control capabilities of the subjects were assessed using the timed up and go (TUG) test, and TetraxⓇ tetra-ataxiametric posturography. The stability index, weight distribution index, and synchronization index were measured at six different head positions with dynamic AFO, conventional AFO and under barefoot conditions. Results There were nine males and six females, whose average age was 45.1 years. There was a significantly even weight distribution for the dynamic AFO and conventional AFO conditions relative to the barefoot condition in neutral, right-sided head, and left-sided head with eyes closed (p<0.05). And there was significantly increased stability in left sided-head, neck flexed positions with eyes closed for dynamic AFO and conventional AFO (p<0.05). However, there was no significant difference in weight distribution or stability between dynamic and conventional AFO conditions, except the stability in right-sided head position with eyes closed. Conclusion In this study, the balance control of hemiparetic patients with dynamic AFO was better than in the barefoot condition, and was similar to conventional AFO. Therefore, we suggest that dynamic AFO may be a useful orthosis for hemiparetic patients with mild to moderate spasticity with poor balance control and foot drop.

Changes in Grip Strength and Associations with Grip Strength in Breast Cancer Survivors Treated with Adjuvant Chemotherapy

( Sungwook Son ),( Changbae Lee ),( Ju Yeon Lee ),( Dong Seok Yang ),( Chung Reen Kim ) 대한물리치료학회 2020 대한물리치료학회지 Vol.32 No.3

Purpose: The aim of this study was to identify the change in hand grip strength (HGS) for consecutive 6 months in breast cancer survivors (BCS) undergoing postoperative adjuvant chemotherapy (adjCTX) and to determine the factors relevant to HGS after chemotherapy completion Methods: This study was a retrospective observational cohort study. BCS (N=38) who underwent breast cancer surgery and subsequent adjCTX were enrolled. The HGS of both sides was measured before adjCTX and 3 weeks, 2 months and 6 months after adjCTX. And we also collected body composition, anthropometric measurements, social demographics and clinical data. Then we analyzed the changes in HGS over time, and correlation of collected data with HGS at 6 months. Results: A significant increase in HGS of the unaffected side was observed within the first 3 weeks of adjCTX and maintained up to 6 months. In correlation analysis, HGS of both sides was positively correlated with the ipsilateral HGS at 3 weeks, and contralateral HGS at 6 months. And skeletal muscle mass was also positively correlated with the HGS of the unaffected side. In addition, subjects treated with targeted therapy had lower HGS of the unaffected side. However, HGS of the affected side was significantly lower in subjects with breast reconstruction and treated without radiotherapy. Conclusions: To maintain the early recovery of HGS, active and continuous exercise intervention for strengthening might be necessary.

Changes in Grip Strength and Associations with Grip Strength in Breast Cancer Survivors Treated with Adjuvant Chemotherapy

Son, Sungwook,Lee, Changbae,Lee, Ju Yeon,Yang, Dong Seok,Kim, Chung Reen The Korean Society of Physical Therapy 2020 대한물리치료학회지 Vol.32 No.3

Purpose: The aim of this study was to identify the change in hand grip strength (HGS) for consecutive 6 months in breast cancer survivors (BCS) undergoing postoperative adjuvant chemotherapy (adjCTX) and to determine the factors relevant to HGS after chemotherapy completion Methods: This study was a retrospective observational cohort study. BCS (N=38) who underwent breast cancer surgery and subsequent adjCTX were enrolled. The HGS of both sides was measured before adjCTX and 3 weeks, 2 months and 6 months after adjCTX. And we also collected body composition, anthropometric measurements, social demographics and clinical data. Then we analyzed the changes in HGS over time, and correlation of collected data with HGS at 6 months. Results: A significant increase in HGS of the unaffected side was observed within the first 3 weeks of adjCTX and maintained up to 6 months. In correlation analysis, HGS of both sides was positively correlated with the ipsilateral HGS at 3 weeks, and contralateral HGS at 6 months. And skeletal muscle mass was also positively correlated with the HGS of the unaffected side. In addition, subjects treated with targeted therapy had lower HGS of the unaffected side. However, HGS of the affected side was significantly lower in subjects with breast reconstruction and treated without radiotherapy. Conclusions: To maintain the early recovery of HGS, active and continuous exercise intervention for strengthening might be necessary.

국내 프로 축구 리그 경기에서 즉각적인 교체가 이루어진 부상의 발생률과 특징

박기봉 ( Ki-bong Park ),정광환 ( Kwang-hwan Jung ),김충린 ( Chung-reen Kim ),황일영 ( Il-yeong Hwang ),장성민 ( Seong-min Jang ) 대한스포츠의학회 2020 대한스포츠의학회지 Vol.38 No.3

Purpose: To identify the incidence and characteristics of immediate substitutions of injured players that occurred during Korean professional football league matches. Methods: This study included injuries that resulted in immediate substitutions of injured players during Korean professional football league matches. The match broadcasting records were used to check the date of the match, home-away matches, the team to which players belong, the position on the field of play, and the time of injury. The match recording videos were used to evaluate the injury mechanism and the injured area. Results: In 228 matches, 66 immediate substitutions of injured players occurred, with an incidence rate of 0.3 per match. Total number of substitutions due to injuries most frequently occurred in May, with 15 substitutions in 30 matches; however, after considering the number of substitutions per match in each month, November was the most severe month with 0.53 substitutions after injuries per match. Most frequently injured players were defenders (36.4%), followed by midfielders, forwards, and goalkeepers. Immediate substitutions of injured players took place 32 times in the first half and 34 times in the second half. 51.5% of all injuries were related to collisions, and injuries to the knee and thigh accounted for 45.5% of all injuries. Conclusion: There were 66 immediate substitutions of injured players during a single season of the Korean professional football league, with 0.3 substitutions after injuries per match. To prevent and manage serious injuries that can occur during a football match, a thorough analysis of risk factors of injuries that lead to immediate substitution is required.

Pain Management with Extracorporeal Shockwave Treatment in Multiple Level Clay-shoveler’s Fracture in a Novice Golfer: A Case Report

( Seongho Woo ),( Kwangohk Jun ),( Hyoshin Eo ),( Koowon Mo ),( Sunyoung Joo ),( Donghwi Park ),( Chung Reen Kim ) 대한물리치료학회 2023 대한물리치료학회지 Vol.35 No.6

A 30-year-old male novice golfer was diagnosed with a clay-shoveler’s fracture. During golf practice, he experienced persistent posterior neck and upper back pain for a month. Cervical radiographs and computed tomography revealed a series of sequential spinous process fractures from C7 to T3. The patient was prescribed analgesic medication and fitted with a cervical brace alongside extracorporeal shockwave therapy (ESWT) directed explicitly toward the upper back region, subsequently leading to a notable reduction in pain. Therefore, ESWT could be considered an additional method for pain management in patients with clay-shoveler’s fractures.