격물치지론에 대한 철학치료적 접근 -세계, 나, 타자의 이해를 위한 자아성찰-

이기원 ( Lee Giwon ) 성균관대학교 인문학연구원(성균관대학교 인문과학연구소) 2016 人文科學 Vol.0 No.63

철학상담과 철학치료에서는 스스로 사고의 균형 상태를 유지하고 사고할 수 있는 능력을 갖도록 돕는다. 사고의 균형 상태를 유지하기 위해서는 이성과 감성이 균형 상태를 유지할 수 있어야 한다. 사고의 균형 상태가 중요한 이유는 자신과 타자, 자신을 둘러싼 세계를 어떻게 이해하고 인식, 수용할 것인가의 문제가 있기 때문이다. 우리가 무엇을 판단하거나 결정할 때 그 판단이나 결정이 어떠한 의미를 가지며, 자기뿐만이 아니라 타자와 사회 공동체에 어떠한 영향을 미치는지 다양한 변수를 고려할 필요가 있다. 여기에는 자신의 정체성 문제나 삶과 일상, 타자, 나아가 사회를 보는 이른바 세계관적 관점이 관계한다. 격물치지는 자기를 둘러싼 세계와 매일 부딪히는 타자를 어떻게 이해하고 받아들여야 하는지, 어떠한 삶의 방식으로 살아가야 하는지 이른바 관계성과 변용, 지속의 문제와 그 해결에 관계한다. 격물치지는 세계, 존재의 본질, 도덕 윤리 등 세계를 구성하는 모든 것에 대한 사유를 통해 삶의 방향과 질서를 형성하는 것이다. 따라서 격물치치를 통해 병리적인 문제를 만들어 내는 근본 원인을 밝히고 치유의 가능성을 모색할 수 있는 방법을 찾을 수 있다. 격물치지는 자기를 관찰하면서 자각과 성찰이 가능하다는 점에서 철학치료의 방법으로 기능할 것이다. The philosophical therapy helps clients have a abilities to maintain the balance of thinking by themselves. In order to maintain the balanced condition of thinking, the reason and emotion should be balanced. The balanced condition of thinking is important because it is the matter of how to understand, cognize, and accept oneself, others, and the surrounding world. When judging or deciding something, it would be necessary to consider diverse variables like the meaning of the judgment or decision and its influence on oneself, others, and social community. Here, it is related with the world view on identity, life, daily life, others, and society. The Investigation of Things and Extension of Knowledge provides a method to reveal the fundamental reasons why such fixed & conceptualized behaviors create pathological problems, and then to seek for the possibility of healing. The Investigation of Things and Extension of Knowledge is associated with the relation, transformation, continuance, and solution such as how to understand/accept the surrounding world and others in daily life, and also how to live. The Investigation of Things and Extension of Knowledge is to form the direction and order of life by thinking about everything composing the world like world, essence of being, morality, and ethics. As self-awareness and discernment can be done while observing oneself through the Investigation of Things and Extension of Knowledge, it could work as a method of philosophical therapy.

요통환자에 있어 신전운동이 통증감소에 미치는 효과

김지선,김명회,유병규,Kim, Ji-Sun,Kim, Myung-Hoe,Yu, Byoung-Kyu 대한물리치료과학회 1996 대한물리치료과학회지 Vol.3 No.1

The purpose of this study was to determine whether extension exercise is effective in reducing low back pain. Nine patients with low back pain were randomly assigened to one of two groups-one was an experimental group in which the patient were treated with extension exercise(McKenzie method) and conservative therapy. The other was a control group in which the patients were treated with conservative therapy only. Treatment was performed for a period of ten days during Which we examed each patient three times: the first exam was done at the begining of treatment, the second after fives days, and the third after ten days. We used 'The Oswestry low back pain disability questionnaire'(r=.99) as the examination tool. The results were as follows: 1. Both experimental and control groups showed nonsignificant differences before and after treatment, and the between group difference was also non-significant(P>.05). 2. There was no effective reduction of low back pain by MecKenzie's extension exercise(p>.05). We admit that our study protocol had several shortcomings. If they had been accounted for, the result might have been different. Further study should be done with a better experimental design, a larger sample, and a longer experimental duration.

추나 요법 병행 요부 안정화 운동과 MedX 재활운동 프로그램이 남성 만성요통환자들의 요부 근력, 굴신비율 및 통증지수 변화에 미치는 영향

이광수(Lee, Kwang-Soo),한길수(Han, Gil-Soo) 한국체육과학회 2013 한국체육과학회지 Vol.22 No.5

The purpose of this study applied different exercise therapies to 19 male patients with lumbar pain (9 in Chuna Therapy/Spinal Stabilization Exercise Group(CTSSEG) and 10 in MedX Exercise Group(MEG)) for 8 weeks and measured and analyzed changes in lumbar muscular strength, extension/flexion strength ratio and Visual Analogue Scale(VAS) to obtain the following conclusions: 1. For the change in lumbar muscular strength, there was a statistically significant increase in the muscular strength of both groups at 0˚, 12˚, 24˚, 36˚, 48˚, 60˚ and 72˚(p<.001) after the 8-week treatment. 2. For the change in the ratio of lumbar flexion/extension, it decreased by 13.52% in CTSSEG while 31.60% on average in MEG, and there was a statistically significant difference in MEG(p<.01). 3. For the change in VAS, it decreased by 66.59% in CTSSEG while 62.74% on average in MEG, and there was a statistically significant difference in both groups(p<.001). To sum up the above results, as methods of improving the lumbar pain of male patients with chronic low back pain, Chuna therapy/spinal stabilization exercise and MedX isotonic rehabilitation exercise had positive impacts on the ratio of lumbar flexion/extension and the reduction of subjective VAS as well as the increase of lumbar flexion/extension muscular strength.

A Comparative Case Study of Palmar Static and Dorsal BlockDynamic Digit Extension Splinting with Post Operative Dupuytren’s Contracture Release

Mary Son Pesco 대한작업치료학회 2002 대한작업치료학회지 Vol.10 No.2

Objective: This study compares the effectiveness of palmar static digit extension splinting with dorsal block dynamic digit extension splinting on preventing postoperative secondary joint flexion contracture of metacarpophalangeal joints and proximal interphalangeal joints. Method: Six patients with Dupuytren’s Disease were randomly selected for this study and divided equally into two groups. Group A was fitted with the palmar splint and Group B with the dorsal splint. Both groups were fitted with the experimental splints at the end of their first initial evaluation session. All patients received six months of comprehensive hand therapy. Patients were also assigned a program of independent daily home exercise. Objective measurements of at the initial evaluation and during the 12th and 24th week of hand therapy. Results: This study found significantly greater improvement of ROM from using the dorsal block dynamic digit extension splint than with the palmar static digit extension splint when combined with comprehensive hand therapy.

하지심부정맥 혈전증을 동반한 광범위 내장정맥 혈전증

권성욱,민현식,윤대성,최원준,최인석,나유미,강포순,이상억 대한혈관외과학회 2011 Vascular Specialist International Vol.27 No.1

Extensive visceral vein thrombosis, including the femoral vein, iliac vein, superior mesenteric vein, splenic vein and portal vein, is an uncommon type of thrombosis that is associated with significant mortality and morbidity. Making an early diagnosis and adequate management are very important. We present here the case of a 39-year-old woman with extensive visceral vein thrombosis and complicated small bowel necrosis and perforation. She had no known prothrombotic conditions, but the laboratory findings showed an elevated level of factor VIII. The patient’s condition improved without complication after resection of the infarcted and perforated small bowel along with immediate postoperative anticoagulant therapy. On the follow up, the size of the thrombosis was decreased and there was no complication.

면역억제제를 복용 중인 환자에서 안구표면 편평상피세포암의 안구 내 침범 1예

박은우(Eu Noo Bak),류진숙(Jin Suk Ryu),곽상인(Sang In Khwarg),오주연(Joo Youn Oh) 대한안과학회 2016 대한안과학회지 Vol.57 No.3

목적: 면역억제제를 복용 중인 환자에서 발생한 안구표면 편평상피세포암의 안구 내 침범에 대한 임상적, 조직학적 소견과 치료 경과에 대해 보고하고자 한다. 증례요약: 신장이식 후 17년간 면역억제제를 복용 중인 59세 남자 환자가 재발하는 우안 결막의 하얀 병변을 주소로 내원하였다. 병변의 절제적 생검 후 절제부위에 mitomycin C 점적 및 양막이식술을 시행하였다. 조직학적 검사상 편평상피세포암으로 확인되었다. 당시 시행한 안와 전산화 단층촬영검사상 특이소견은 관찰되지 않았다. 술 후 6개월간 Interferon alpha 2b 안약을 점안하였다. 술후 1년째 우안 결막 병변이 재발하여 절제적 생검과 mitomycin C 점적, 반복적 냉응고요법, 양막이식술을 시행하였다. 같이 시행한 안와 전산화 단층촬영검사에서 우안 내측에 1.9 cm의 고밀도 종괴가 관찰되어 편평상피세포암의 안구 내 침범으로 진단하고 우안안와내용물제거술을 시행하였고, 조직학적 검사상 편평상피세포암으로 확인되었다. 결론: 면역억제제 복용 환자에서 발생한 안구표면 편평상피세포암은 빠르게 다른 부위로 침범할 수 있음을 고려할 때 수술적 완전절제 후에도 적극적인 경과 관찰이 필요하다. Purpose: To report a case of ocular surface squamous cell carcinoma with intraorbital extension in a patient with renal transplantation and long-term immunosuppressive therapy. Case summary: A 59-year-old Korean male presented with a whitish mass in the medial limbus and conjunctiva of the right eye. The patient had undergone renal transplantation 17 years prior due to lupus nephritis and was on systemic immunosuppression with daily prednisolone (10 mg), tacrolimus (5 mg), and mycophenolate sodium (720 mg). The complete excision of the mass was performed and mitomycin C application and amniotic membrane transplantation on the excised area were combined. Histopathological examination revealed the mass was squamous cell carcinoma. There were no abnormal findings on the orbit computed tomography (CT). The patient was additionally treated with topical interferon alpha 2b 6 months postoperatively. One year later, a mass recurred at the same site in the right eye. The complete excision of the mass, mitomycin C application, cryotherapy, and amniotic membrane transplantation were performed. Orbit CT showed a 1.9 cm-sized intraorbital mass involving the medial rectus of the right eye. The orbital exenteration was performed and the intraorbital mass was histologically proven to be squamous cell carcinoma. Conclusions: Ocular surface squamous neoplasia in patients with renal transplantation and long-term immunosuppressive therapy should be monitored closely for the possibility of orbital invasion.

고압산소요법을 병행한 저항운동이 중년여성 요통환자들의 요부근력, 굴신비율 및 통증변화에 미치는 영향

김건도(Kim, Gun-Do),한길수(Han, Gil-Soo),정영호(Jung, Yeong-Ho) 한국체육과학회 2017 한국체육과학회지 Vol.26 No.5

This study is aimed to determine the effects of lumbar extension strength, ratio of lumbar flexion/extension and Visual Analogue Scale(VAS) after conducting different exercises for 8 weeks in 20 middle-aged female patients of low back pain(10 patients in a resistance exercise group with hyperbaric oxygen therapy, and 10 patients in a resistance exercise group). Both group were trained twice per weeks for 8 weeks and measured on MedX machine for lumbar extension strength at 7 difference angles including Visual Analogue Scale(VAS) and flexion/extension strength ratio. Results showed the following 1. Both groups indicated a significant increase in lumbar extension strength(p<.001) at 0°, 12°, 24°, 36°, 48°, 60°, and 72° degrees. 2. A resistance exercise group with hyperbaric oxygen therapy was decreased by 42.34%, and a resistance exercise group was decreased by 34.64% in the flexion/extension strength ratio, which presented a significant difference(p<.001). 3. A resistance exercise group with hyperbaric oxygen therapy indicated 52.38% decrease and a resistance exercise group indicated 46.75% decrease in VAS, which presented a significant difference(p<.001). Therefore, a resistance exercise with hyperbaric oxygen therapy was effective in reducing the flexion/extension strength ratio and pains for low back pain patients and it should be proposed as one of a recommendable training program for LBP patients.

자연과학편 : 키네시오테이핑과 운동치료 프로그램의 복합적용이 요추 추간판 탈출증 수술환자의 요부신전근력과 통증정도에 미치는 영향

주성범(SungBumJu),이원재(WonJaeLee) 한국체육학회 2006 한국체육학회지 Vol.45 No.3

본 연구는 요추 추간판 탈출증 수술환자들에게 키네시오테이핑과 운동치료 프로그램의 복합적용에 따른 요부신전근력과 통증정도에 미치는 영향을 살펴보는 것이다. 이를 위하여 요추 추간판 탈출증 수술환자 15명을 통제군 7명과 실험군 8명으로 나누어 12주간의 적용 전, 후에 요부신전근력 및 통증정도를 측정하였다. 요부신전근력의 변화에서는 키네시오테이핑과 운동치료 프로그램 적용 그룹에서 요부굴곡각도( 0°, 12°, 24°, 36°, 48°, 60°, 72°)에서 적용 전에 비해 적용 후에 요부신전근력의 유의한 증가를 나타냈으며(p<.05), 통증정도의 변화에서는 키네시오테이핑과 운동치료 프로그램 복합적용 그룹에서 보행시 자유도를 제외한 13가지의 통증척도가 적용 전에 비해 적용 후에 유의한 감소를 나타냈다(p<.05). 이처럼, 요추 추간판 탈출증 수술환자들에게 키네시오테이핑과 운동치료 프로그램의 복합적용은 요부기능 향상 및 통증감소에 도움을 주는 것으로 나타났다. The purpose of this study is to evaluate the effects of kinesio taping and exercise therapy program on lumbar extension muscle strength, visual analogue scale in operation patients of lumbar disk herniation. Subjects was divided in to 2 group(control group, kinesio taping and exercise therapy program group) from 15 operation patients of lumbar disk herniation. The patients were treated with kinesio taping and exercise therapy program for 12 weeks and the effects on lumbar extension muscle strength, visual analogue scale have been evaluated. The kinesio taping and exercise therapy program group was significantly increased lumbar extension muscle strength( 0°, 12°, 24°, 36°, 48°, 60°, 72°) and there were significantly decreased all visual analogue scale factor except walking freedom after 12weeks. To conclude, Applying of kinesio taping and exercise therapy program for operation patients of lumbar disk herniation will be effectively appeared to improvement of lumbar function and decreasing of pain.

중력과 부력상황에서 가중된 부하량(%BW)에 따른 보행자세의 비교분석

류재청(CheCheongRyew) 한국체육학회 2008 한국체육학회지 Vol.47 No.2

중력과 부력장에서 체중비(%Wt) 하중의 증가에 따른 보행의 비교를 통하여 수중재활요법 처방과 운동의 효과를 위한 수중운동프로그램의 적용가능성에 대한 타당성을 규명하는 데 있다. 이를 위하여 연구대상은 중력장과 부력장에서 잠수장비의 하중에 숙련자(다이빙 회수 약 1,000회)를 참여시켰다. 각각 실험은 동일한 피험자에 대해 동일한 방법으로 3차원 영상분석을 하였다. 즉 1스트라이드 보행동안 분석변인에 대한 변인을 토대로 볼 때 중력상황에 비해 부력상황의 경우가 더 많은 시간과 체력을 소모했을 때 완전한 보행을 수행했고, 더 많은 운동량을 발휘하였다. 또한 하지분절에 음성부력 물체를 가중한다면 더 안정되고 더 많은 운동량을 소모할 것으로 사료된다. 그러나 더욱 정확한 운동량과 객관적인 자료를 위해서는 두 실험상황에서 운동학적 변인과 에너지대사율을 측정하여 효율성을 고려하는 것이 필요할 것으로 사료된다. The study was undertaken to investigate the validity of whether applicable to prescription for underwater rehabilitation therapy and exercise effects or not through comparison of gait according to loads of %BW between gravitation and buoyancy fields. the subject participated was the same one skilled diver( about experienced 1,000times diving) in two experiments and two kinds of experimental method was the same procedure and depended on 3dimensional cinematographic analysis. the gait of buoyancy field was elapsed more time and more long and fast in cog displacement & velocity during gait completion than gravity field. angular displacement and velocity of leg segments and trunk in buoyancy field was more range of flexion & extension and fast than gravity field.

頸項痛에 대한 東醫學的 病理 및 臨床資料

河智容 대한동의병리학회 1996 동의생리병리학회지 Vol.10 No.1

역대문헌에 있어 경항통에 관하여 특별히 기술한 곳은 그리 많지 않는데 이는 그 당시 경항통의 질환이 없었다기보다는 여타 질환에 비해 그 빈도 및 중요성이 떨어진다고 보았을 것으로 보여진다. 그러나 시대의 변천에 따라 의학계에 있어서도 많은 질환의 치료법이 개발되었으며 스트레스, 불량한 자세의 장시간 작업 등 여러 정신적 환경적 요인에 의해 경항통, 특히 추간판탈출증의 질환이 대두되어 이에 역대 의가들의 병리학적 사고와 치료법을 검증하고자 한다. 경항부위에 있어 해부학적 위치와 구조에 관하여 기술하고 그에 따른 구조적 기능손상에 의하여 통증을 유발하는 질환을 열거하여 현 서양의학에서 말하는 경항통의 질환을 기술하였고 그다음 한의학에 있어서 역대 의가들의 경항통에 관한 병리학적 사고와 이의 변증방법 및 치료법을 열거하였다. 한의학에서 경항통의 원인을 대개 풍한(風寒), 풍습(風濕)으로 보아 태양병(太陽病)의 범주에 넣어 발산지제(發散之劑)로 치료하였지만 그 외에 상실하허(上實下虛) 및 간신허손(肝腎虛損)으로 보아 보음지제(補陰之劑)를 사용하는 경우도 있었으며 치료에 있어서도 단순히 침구와 처방외에 훈세법(熏洗法), 견인요법(牽引療法), 수침요법(水鍼療法), 추나요법(推拿療法) 등을 병행하기도 하였다. Neck pain was accoused singly or compoundly by surgical trauma of neck, affection due to external wind-cold, wind-damp, weakness. This disease reported less than others in past oriental area, but it has become important for the necessity of complete treatment of neck pain, especially for the which come from the psychiatry and environment of working. What doctors through all ages have researched were summarized as follow: 1. Cause of disease was generally affection due to external wind-cold and wind-damp. Minor was upper excess and lower deficiency, deficiency in both the liver and kidney. 2. Prescription was choiced either dispersing or invigorating yin of drugs by cause. 3. Treatments were prescription, acupuncture and moxibustion, steaming and washing method, therapy of extension, fluid acupuncture therapy, massage manipulation. 4. Preventing methods was suitable pose in working, the careful adjustment of daily life, prevention of external affections, avoidance of sexual indulgence, proper movement.