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.

우리나라의 주요 교역권은 아시아, 미주, 유럽 교역권으로 나눌 수 있다. 일반적으로 대량의 화물운송은 해상운송이 주를 이루지만 다른 지역과 다르게 유럽 교역권은 철도 운송이 가능하다. 또한, 중국의 성장으로 동북아 물류 중심지로서의 경쟁력이 약화된 우리나라는 지금의 경쟁구조와는 다른 방안인 철도운송에 주목할 필요가 있다. 이러한 배경 하에 본 연구에서는 한반도 종단 철도(TKR)와 시베리아 횡단철도(TSR)를 이용한 유럽 지역과의 운송 경로를 비교하여 경제성 분석에 주안점을 두었다. 분석의 요소로는 운송거리, 운송기간, 운송비, 추가비용을 중심으로 사용하였으며 분석 결과 6가지의 운송경로 중에서 TKR과 연계한 TSR(Route 1)이 경제적이라는 분석 결과가 나왔다. 따라서 향후 러시아 푸틴정부의 극동발전 전략에 대비하여 우리나라는 TKR과 TSR의 철도운송을 활용하는 것이 국가 경쟁력을 높일 수 있는 방안이 될 것이다.

Nowadays, road transportation which has played a key role in the market of both passenger and freight transportation is facing with a serious problem, the traffic congestion causing a delay of transportation. Therefore, railroad transportation is considered as an attractive alternative mode of inland transportation due to its inherent merits in mass transportation such as relatively low cost compared with road transportations, less air pollution and noise than other mode ets. In this paper, therefore, we examine the current situation of railroad transportation markets including TKR(Trans- Korean Railway}, TSR(Trans-Siberian Railway} and prospects for the connection of TKR-TSR. And then we examine the structure of the container transportation market by railroad in Korea with a brief analysis of the traffic volume of TKR-TSR.