Background: Cerebral palsy presents significant challenges in motor function for affected children. While conventional bottom-up approaches are common in physical therapy, there is increasing interest in the efficacy of the top-down approach. Objectives: To investigated the impact of applying the top-down approach in physical therapy for a child diagnosed with cerebral palsy, focusing on functional improvement and quality of life. Design: A single-case study. Methods: The patient was a 15-year-old boy with spastic diplegic cerebral palsy who was entering middle school. Cerebral palsy treatment approach of the top-down method (jumping rope) was used to guide and direct physical therapy. Results: The child improved in muscle strength of lower extremity, gross motor function, participation and self-esteem, but the pattern of his gait seemed to be more severe on tiptoe. When the child participated in a jumping rope class, he was able to do more than 10 jumps. Conclusion: The effectiveness of the top-down approach in enhancing functional outcomes and quality of life in children with cerebral palsy. It highlights the potential of this approach in pediatric physical therapy, warranting further research validation.

Background: Problem-based learning (PBL) is presented as a superior teaching method compared to existing lecture-based learning. Objectives: To analyzed the effectiveness of creative problem-solving competency, class participation, and self-efficacy in physical therapy students after PBL. Design: Questionnaire design. Methods: This study involved 29 physical therapy students and analyzed changes in their creative problem-solving competency, class participation, and self-efficacy and the correlations between these measurement variables before and after PBL on the “Therapeutic Exercise & Practice” subject. Results: PBL in the musculoskeletal exercise therapy-related subject significantly improved class participation and self-efficacy (P<.05) compared to conventional lecture-based learning, but there was no significant difference in creative problem-solving competency. There was also a positive correlation between a higher level of class participation and higher self-efficacy (P<.05). Conclusions: PBL in the “Therapeutic Exercise & Practice” subject in the Department of Physical Therapy can be an effective educational strategy to increase students’ class participation and self-efficacy. Accordingly, instructors in this department should systematically construct the design of PBL curricula to improve the quality of educational content.

Background: Outcome measures (OMs) are essential components of evidence- based practice as they help in implementing interventions and assessing changes in a patient's status before and after treatment. However, many therapists do not utilize OMs in their practice, and research on the factors that influence physical therapists' decisions regarding the use of OMs primarily consists of quantitative or survey-based studies. Objectives: The purpose of this study was to select research studies on OMs use among physical therapists through a systematic review, identify questionnaire characteristics, and assess the quality of items collection and research. Design: A systematic review. Methods: This study systematically collected survey studies on the use of OMs from five databases (KMBase, RISS, KCI, Pubmed, and Cochrane) based on the criteria of PRISMA's systematic review flowchart. The quality of the studies was assessed using the AXIS Tool. Results: A total of eight studies were selected. In most of the studies, the questionnaires were developed internally, validated through preliminary research, and reliability testing was not conducted. The items used within OMs were divided into 10 categories, with the highest frequency of questions centering around how to use OMs, and the lowest frequency regarding work environment and reasons. All eight studies were determined to be of good quality. Conclusion: The collected OMs questionnaires revealed variations in the item frequency. Future qualitative research and participant feedback are needed to develop a consistent questionnaire and validate its validity and reliability.

Background: Junior colleges have been establishing plans for the development of start-up education for students and have been providing various educational programs to support students’ start-up businesses. Objectives: The effects of entrepreneurship and entrepreneurial self-efficacy on the start-up intention of college physical therapy students were analyzed. Design: Questionnaire design. Methods: Surveys on entrepreneurship, entrepreneurial self-efficacy, and start-up intention were conducted with 269 college physical therapy students, and the levels of individual measurement variables, correlations, and variables affecting start-up intention were analyzed. Results: College physical therapy students showed differences in start-up intention between genders, and male students tended to have a higher startup intention (P<.001) than female students. The correlations among the major variables were analyzed. According to the results, all sub-factors of start-up intention had significant positive correlations with all sub-factors of entrepreneurship and entrepreneurial self-efficacy (P<.05). In addition, multiple regression analysis was conducted to identify factors affecting start-up intention. Start-up education was shown to have no direct effect on start-up intention. Innovation (β=.238, P=.000), risk sensitivity (β=.228, P=.000), and initiative (β=.220, P=.001), which are sub-factors of entrepreneurship, were shown to have effects on start-up intention. Self-regulated efficacy (β=-.193, P=.039) and task challenge (β=.210, P=.004), which are sub-factors of entrepreneurial self-efficacy, were found to have effects on start-up intention. Conclusions: To boost the start-up intention of college physical therapy students and induce their start-ups, customized start-up education that considers entrepreneurship level and gender is necessary.

Most advanced countries that are members of the World Physiotherapy have established a 4-year education system or specialized graduate school system for physical therapists based on national standards. They have also expanded their laws and systems to provide physical therapists with the autonomy and independence to offer services in their clinics. However, compared with developed countries in North America and Europe, there are issues with the autonomy and independence of physical therapists in Korea related to national regulations. Social status and recognition of the profession are also lagging. Korea is expected to become a super-aged society by 2025. To reduce the financial burden of healthcare and welfare on the government, it is necessary to extend the time spent by older adults on independent activities and minimize their time spent using medical services. To achieve this goal and maximize the active life of older adults, a plan to efficiently use licensed physical therapists in the country should be prepared. Korea should increase the license utilization rate of physical therapists to reduce waste at the national level and increase the professional hope of the younger generations of physical therapists. To create a healthcare policy focusing on the use of physical therapy personnel, similar to that in advanced countries, it is necessary to unify educational systems and produce excellent physical therapists. Providing professional autonomy can help physical therapists develop a sense of job satisfaction. Outstanding talent will choose physical therapy as a profession if they can see hope for their future careers, and if physical therapy services in Korea are similar to those delivered in advanced countries, physical therapy in Korea can develop into a healthcare service that people desire.

Background: Korea citation index (KCI) enhances the quality of journals by securing a management system for domestic journals and strengthening the international competitiveness of excellent domestic journals. Errors in studies, papers, and investigations of statistical methods have been reported worldwide in the medical field. However, there is a lack of studies on statistical methods and error investigations in physical therapy journals in Korea. Objectives: To investigated the frequency of statistical methods and research errors in physical therapy journal articles evaluated by KCI. Design: Review. Methods: Ten journals classified as physical therapy journals by December 2021, which are candidate journals or higher, were targeted. The study focused on original articles published from 2017 to 2021 and investigated the frequency of statistical methods used, sample size calculations, result tables, effect sizes, and confidence intervals. Results: Statistical methods used in physical therapy studies in Korean journals mainly employed group comparative analysis. However, in most cases, the basis for sampling, effect size, and confidence interval were not presented, even though most of the results tables were included. Conclusion: This study allowed us to examine the most frequently used statistical methods in Korean physical therapy studies and assess the reporting status of sample size calculations, result tables, effect sizes, and confidence intervals. Efforts are needed to publish high-quality papers to improve the quality of Korean physical therapy journals.

Background: This study was carried out to determine whether non-face-to-face physical therapy would have similar exercise effects to face-to-face physical therapy. Hence, we developed an approach for patients, unable to visit hospitals due to circumstances such as the COVID-19 pandemic, to conduct physical therapy comfortably at home. Objects: This study aimed to compare the effects of a face-to-face and a non-face-to-face physical therapy treatment on improving a rounded shoulder posture. Methods: The participants with rounded shoulders were randomly divided into a face-toface group (n = 15) and a non-face-to-face group (n = 15), and each group performed exercises for four weeks. The exercise program consisted of the bare hands exercise, Thera-Band exercise, and foam roller exercise. The participants in the face-to-face group came to a designated place to perform their exercises, and those in the non-face-to-face group performed the exercises at their own home using Google Meet (Google). Acromial height, total scapular distance (TSD), shoulder pain and dysfunction index (SPADI), and pectoralis minor thickness were measured. Data analysis was performed using the R Statistical Software (R Core Team), and a normality test was performed using the Shapiro-Wilk test. Results: There were no significant differences between the face-to-face and the non-face-toface groups (p > 0.05). When comparing the differences before and after the exercises, both the face-to-face and the non-face-to-face groups showed significant differences in acromial height, SPADI, and pectoralis minor thickness (p < 0.05), and both groups showed no significant difference in TSD before and after the exercises (p > 0.05). Conclusion: The results of this study support the results of previous studies reporting that shoulder stabilization exercise and pectoralis minor stretching training improves round shoulders. In addition, this study revealed that both the face-to-face and the non-face-to-face physical therapy treatments had therapeutic effects.

Background: After the coronavirus disease 2019 (COVID-19) pandemic, many changes in education were observed, particularly non-face-to-face classes. Many studies have focused on the suitability of non-face-to-face classes and the satisfaction of both students and teachers with this teaching method. However, no study on the suitability of numerous teaching methods in teaching physical therapy subjects has been conducted. Objectives: To investigated the suitability of three teaching methods, namely, face-to-face, non-face-to-face, and mixed classes, in teaching physical therapy subjects. Design: Survey research. Methods: 336 students studying physical therapy participated. A survey was conducted on the suitability of face-to-face, non-face-to-face, and mixed classes for 16 subjects. The survey was conducted using a Google questionnaire. Results: Face-to-face classes were found to be suitable for teaching the basic fields of physical therapy, and face-to-face and mixed classes were suitable for teaching the principle of diagnostic evaluation. Furthermore, faceto- face classes were found to be suitable for teaching physical therapy interventions. In other subjects, face-to-face classes were suitable for teaching rehabilitation medicine, non-face-to-face classes were suitable for teaching medical terms, and mixed classes were suitable for teaching daily life activities. Conclusion: The results of this study can be used as a basis for choosing the appropriate methods for learning and teaching physical therapy subjects.

Background: Low back pain is a very common musculoskeletal disorder. Since low back pain can indicate physical and psychological problems, reducing the pain level of low back pain can be the primary goal of rehabilitation. Objectives: This study was performed to explain the personalized treatment protocol of Maitland orthopedic physiotherapy based on the brick wall concept for low back pain patients with hypomobility. Design: Randomized controlled study. Methods: A total of 14 chronic low back pain patients were divided into two groups. The experimental group received orthopedic manual physical therapy intervention. The control group received traditional physical therapy intervention. After the 3 days intervention, the joint range of motion and pain of the low back were measured. Results: The low back flexion, extension, lateral flexion, and rotation joint range of motion was significantly increased in the experimental group than in the control group (P<.05). Low back pain was significantly reduced in the experimental group than in the control group (P<.05). Conclusion: It was confirmed that Maitland orthopedic physical therapy was an effective method as an intervention method to improve the joint range of motion and pain of chronic low back pain patients.

Background: Due to the COVID-19 pandemic, untact online classes have expanded in universities. To ensure continuous improvements in the quality of university education, it is important to analyze factors affecting students’ satisfaction with lectures in this untact online environment. Objectives: The aim of this study was to investigate lecture satisfaction among physical therapy students with experience of untact online classes. Design: Questionnaire design. Methods: The study population comprised 124 physical therapy students with experience of participation in untact online classes. We analyzed various factors affecting students’ satisfaction with lectures delivered via untact online classes and the correlations between these factors. Results: In terms of untact educational system quality, the level of satisfaction was significantly lower among students who had experienced more semesters with untact online classes than among those who had experienced fewer semesters with untact online classes (P＜.05). Untact educational service quality, untact educational information quality, untact educational system quality, and lecture satisfaction/recommendation intention showed statistically significant positive correlations (P＜.001). Conclusion: It is necessary to continuously improve online support systems and untact educational service quality to enhance physical therapy students’ satisfaction with lectures delivered via untact online classes.

Background: Women patients who have undergone high tibial osteotomy need management to control walking and balance and to enable functional daily life. In that way, land-based physical therapy and aquatic physical therapy were performed. Objectives: To investigated the effect of land-based and aquatic physical therapy on the balance and walking of women who had undergone high tibial osteotomy. Design: Randomized control trial. Methods: In all, this randomized controlled trial enrolled 21 patients with high tibial osteotomy who received land-based physical therapy (LP, n=7), aquatic physical therapy (AP, n=7), and land-based and aquatic physical therapy (LAP, n=7). Single-leg standing balance, 10-m walk test, and Knee injury and Osteoarthritis Outcome (KOOS-12) scores were. The intervention period was 3 days per week for 6 weeks. Results: One-leg standing balance and 10-m walk test increased statistically, and KOOS-12 score also increased statistically. All three groups have improved. As a result, the variable changes were compared in three groups, and although there was no significant difference between the land-based and aquatic physical therapy groups, the land-based and aquatic physical therapy combined programs improved further than the previous two groups. Conclusion: The balance and walking of female patients with high tibial osteotomy were found to have been very effective in land physical therapy and aquatic physical therapy. In addition, the land-based and aquatic physical therapy combination program can improve balance and walking more effectively.

Background: The traditional treatment protocol in adhesive capsulitis cases is physical therapy agents and a home exercise program. The extensive majority of patients respond to conservative treatment, but the painful rehabilitation program makes it inconvenient for individuals to fully comply with the treatment. In order to reduce pain and spasm, intraarticular injections or suprascapular nerve block may be effective before the rehabilitation program. Objectives: To investigated the effect of suprascapular nerve block (SNB), which is added to standard physical therapy on pain, functionality and range of motion in patients with adhesive capsulitis (AC). Design: Retrospective study. Methods: This study included 46 patients who were treated for AC. Patients in both groups were given 15 season physical therapy and home exercise. The treatment group consisted of patients who underwent multiple SNB in addition to physical therapy and home exercise. Datas were analyzed retrospectively. Results: The Visual Analogue Scale (VAS), ROM, Shoulder Pain and Disability Index (SPADI) and Constant scores in both groups after treatment and at the third month follow-up (P<.001). In the comparison between the groups, it was determined that the improvement in VAS, ROM and SPADI scores in the treatment group at the 3-month control was statistically significant (P<.05). Conclusion: Multiple SNB added to physical therapy and home exercise program in cases of AC may be effective in terms of pain control, increasing joint range of motion and improving functionality.

목적: 물리 치료사의 업무 중 근골격계 장애를 유발하는 환경 적 요인 및 자세 요인에 대한 실태 조사 및 결과를 분석하고 산업안전공단 근골격계 질환 예방 메뉴얼에 따른 개선 방안을 제시하고 그 결과를 알아보기 위해 실시하였다. 방법: 본 연구에서는 신경계 치료 분야 종사자 30 명, 근골격 치료 분야 종사자 30명, 총 60명을 대상으로 하였다. 측정 방법은 물리 치료사의 치료 영상을 30 분 동안 촬영했다. 작업 자세는 2분 간격으로 15번 절단하여 분석하였다. 평가 도구는 OWAS 및 REBA를 사용한 자세 분석을 사용하였다. 근골격계 및 신경계 대상자들은 문제점을 파악하고 그에 맞는 산업안전공단 근골격계 질환 예방 매뉴얼을 통해 2주간 중재 후 변화를 측정하였다. 결과: 신체 부위 별 유병률과 특징적 분포는 신경계와 근골격계에서 허리 통증의 비율이 가장 높았다. OWAS 기준에 따른 작업 자세 분포는 신경계 분야에서 신체, 다리, 체중, 활동에서 유의한 감소를 보였으며(p <0.05), 근골격계 분야에서 다리와 활동에서 유의한 감소를 보였다(p <0.05). REBA 평가 기준에 따른 근무 태도 분포는 모두 유의한 감소를 보였다(p <0.05). 결론: 본 연구에서는 작업 관련 근골격계 증상 예방을 위한 부적절한 작업 자세 예방 교육의 중요한 기초 자료로 활용될 수 있다. 근골격계 예방 교육을 마련하고 질병을 줄이기위한 환경 적 요인과 자세 요인을 바꾸는 것이 가능할 것으로 보인다.

Esophageal cancer is a representative cancer that occur physical deterioration but, physical problems after surgery were not well reported. The purpose of this study is to report on the long thoracic neuropathy after surgery, and to identify the symptoms and effects of physical therapy after esophageal cancer surgery. This is a case of a 61-year-old man who showed winging of the scapula with long thoracic nerve injury on the results of electromyography after an esophageal cancer surgery. Physical therapy programs were implemented 8 sessions during hospitalization. The quality of life, fatigue, shoulder range of motion (ROM), numeric rating scale (NRS), 6-minute walk test, and 30-second chair stand test were assessed. The quality of life, fatigue, shoulder ROM, NRS (pain), 6-minute walk test, and 30-second chair stand test were improved. However, the esophageal-specific symptom was not different after physical therapy program. As esophageal cancer suffers from physical difficulties after surgery, physical therapy programs are thought to be helpful.

The purpose of this study was to measure empathy in physical therapy students using a self-report measure of empathy. One hundred seventy students from three different majors participated in the study. The physical therapy group consisted of 49 people, 24 men and 25 women. The psychotherapy group has 59 people, 17 males and 42 females. 62 participants were randomly assigned to the engineering group, with 18 males and 44 females. It was hypothesized that empathy would be higher in physical therapy students compared to those in engineering. Empathy Quotient (EQ) supported the research hypothesis, with students in physical theapy higher than students in engineering There is no statistically significant difference in the EQ between physical therapy and psychotherapy. There were also differences in empathy according to major and gender. Our research suggests that empathy needs to be promoted through education and training.

목적 : 작업치료중재를 통한 유방암 환자의 신체기능과 근 활성도 및 삶의 질에 미치는 효과를 알아보고자 하였다. 연구방법 : 본 연구는 유방암 환자 15명을 대상으로 스트레칭, 치료적 활동 및 일상생활활동으로 구성된 작업 치료중재 프로그램을 40분씩 주 2회 총 12주 동안 실시하였다. 신체기능은 한국판 간이 피로 평가지 (Korean version of Brief Fatigue Inventory; BFI-K), 기본 호흡곤란 지표(Baseline Dyspnea Index; BDI)를, 근 활성도는 surface Electromyoghraphic (sEMG)를, 그리고 암 치료 관련 기능적 평가 - 유방 암(Functional Assessment Cancer Therapy-Breast; FACT-B)를 통하여 삶의 질을 측정하였다. 결과 : 신체기능에서 피로도와 호흡곤란 정도는 감소하였으며(p<.01), 근 활성도는 앞쪽․중간 어깨세모근, 큰가슴 근의 복장갈비머리 부분, 가시아래근에서 유의하게 증가하였다(p<.05). 삶의 질은 총점과 하위 영역 중 Physical Well-Being(PWB), Functional Well-Being(FWB), Breast Cancer Subscale(BCS)가 통계적 으로 유의한 차이를 나타냈다 (p<.001). 결론 : 중재 후 신체기능과 근 활성도, 삶의 질 모두에서 향상을 보였으며 이는 작업치료 중재가 유방절제 술 환자의 회복에 도움이 될 것으로 생각된다.

The purpose of our study was to determine the effect of Maitland orthopedic manual therapy, Silver Spike Point, dietary fiber and gymnastic exercise on the improvement of constipation. Forty patients with constipation participated in the study (Maitland Orthopedic Manual Therapy Group(n=10), Silver Spike Point Therapy Group(n=10), Dietary Fiber Group(n=10) and Gymnastics Exercise Group(n=10)). The assessment scale and weekly bowel frequency were measured before and after the experiment. Assessment scale was significantly increased in Silver Spike Point Therapy, Maitland orthopedic therapy, gymnastic exercise compare to dietary fiber. Weekly bowel frequency was significantly increased in gymnastic exercise compared to dietary fiber. The results of this study suggest that Silver Spike Point Therapy, Maitland orthopedic therapy, gymnastic exercise improve the symptom in patients with constipation.

Since the conventional methods of physical therapy may decrease the motivation of a patient for rehabilitation due to repetitive, monotonous movement, a new physical therapy system inducing a motivation from the patient is needed. The present study is intended to develop a physical therapy serious game for enhancement of dynamic balance control. The balance control therapy game was developed by the following steps: (1) survey of existing balance control therapy systems, (2) analysis of balance control literature, (3) ideation and architecture planning of the balance control therapy game, and (4) implementation of the balance control therapy game. The proposed physical therapy serious game can provide better usability, satisfaction, clinical effectiveness for balance control than the conventional methods.

The purpose of the present study is to apply Maitland orthopedic manual physical therapy to patients to examine the effects of the therapy on the digestive system through serum gastrin tests that can identify the motility of the digestive system and dyspepsia symptoms and can provide basic data for internal medicinal physical therapy. Maitland orthopedic manual physical therapy was implemented on 20 subjects in total, with 10 in a dyspepsia group and 10 in a control group, for 20 minutes per day, three days per week for three weeks, and the following results were obtained. In the control group, serum gastrin values significantly decreased between before and after treatment(p<.01), and among questionnaire items regarding dyspepsia, those regarding epigastric pain and belching showed significant decreases in these symptoms(p<.05). In the dyspepsia group, serum gastrin values significantly decreased between before and after treatment(p<.01) and all questions regarding dyspepsia showed significant decreases in all symptoms(p<.01). According to the analysis, the dyspepsia group decreased significantly more than the control group in serum gastrin values and all dyspepsia symptoms, except for belching(p<.001). Through the present study, it was identified that Maitland orthopedic manual physical therapy can improve dyspepsia symptoms and is an effective treatment method for internal diseases, such as dyspepsia, by improving gastric motility to become close to the normal state.

This study aims to identify the effect of home physical therapy on patients who left the hospital after total knee arthroplasty, compared to the Daily living group, when it was applied to them, under the guidance of physical therapists. As research subjects, 20 patients that were scheduled to leave the hospital after unilateral total knee arthroplasty, were chosen, and they were randomly divided into a home physical therapy group(10 patients) and an Daily living group(10 patients) in order to conduct an experiment. During the 4-week research, home physical therapy was offered for 40 mins once for 5 days a week, and muscular strength, gait components were measured. For muscular strength, quadriceps muscle strength, hamstring muscle strength were measured, and as gait components, endurance, speed, step time, single-limb support were analysed. For this experiment, pre- and post-measurement were performed, and collected data were analyzed using SPSS ver. 18.0 statistical program. From the analysis of data, the following study results were obtained. Home physical therapy group and Daily living group both showed significant improvements in quadriceps muscle strength, hamstring muscle strength, and quadriceps muscle strength, hamstring muscle strength of home physical therapy group more significantly improved than Daily living group's. In relation to gait components, gait endurance, gait speed, step time significantly improved in both of home physical therapy group and Daily living group, whereas home physical therapy group only showed significant improvements in single-limp support. According to the comparison between two groups, gait speed, single-limp support and step time improved more significantly in the home physical therapy group than in the Daily living group. In conclusion, positive results were revealed in both home physical therapy group and Daily living group, with regard to muscular recovery of lower limbs of patients discharged from the hospital after total knee arthroplasty and walking, but considering the comparison results between two groups, it seems that applying home physical therapy is more effective than maintaining a daily life.