2012-01-29

1

PT education and standards in Korea

Paul S. Sung, PT, PhD, DHSc.Department of Physical Therapy

College of Health ScienceKorea University

Contents

1

2

3

History of physical therapy in KoreaHistory of physical therapy in Korea

History of KPTA

PT education and standardsPT education and standards3

4 Future directionsFuture directions

2012-01-29

2

In 1945, right after the end of World War II, physical therapy

was introduced in Korea by American physical therapist

Geraldine Lindberg, who worked in the US Army hospital in

History of Physical Therapy in Korea

Korea until 1949.

In 1949, American Methodist missionary and physical therapist

Thelma Maw (Korean name: Maw Woo-sook) was dispatched

to Korea, and the first physical therapy practice in Korea began

in Severance Hospital.

On June 25, 1950, the Korean War broke out, which resulted in

many injured soldiers who required rehabilitation by physical

therapists.

Physical therapy education was started in Korea 50 years ago, and

Korean physical therapy has made rapid progress since that time.

Korean physical therapy first began by missionaries dispatched from

other countries like America and Canada during the Korean War

(1950).

K b f ll b f th W ld C f d ti f Ph i l Korea became a full member of the World Confederation of Physical

Therapy (WCPT) in 1974 and held the 2nd Asia Pacific

Confederation of Physical Therapy assembly in 1984 and WCPT

assembly in 2005.

2012-01-29

3

Due to this need, physical therapists were trained with the

medical technology support of America, Canada, Denmark,

and Sweden as well as positive activities of foreign physical

therapists.

As the war ended in 1953, physical therapy was actively being

performed at Severance Hospital with Thelma Maw as the

center of it.

Ms. Thelma Maw

2012-01-29

4

Ms. Marion Current

At the same time, Dr. RA Torry established the Korean Amputee

Rehabilitation Center in Daejeon and opened a Seoul branch in

Seoul Severance Hospital, supplying prosthetic arms and legs

for many amputees.

In October 1958, the National Medical Center opened in Seoul

under the cooperation between the Korean government and the

technology of Norway, Sweden, and Denmark.

2012-01-29

5

At that time, the first physical therapists to come to the

department of physical therapy were Miss Martha K. Bencher

(Sweden) and Miss Kirstein Schemist (Denmark). Since then,

foreign physical therapists took turns coming to Korea and

propagated physical therapy in Korea.

The Korean Physical Therapy Association (KPTA) was founded

October 1, 1965.

In 2010, there were about 35,000 licensed physical therapists,

there are physical therapy departments in 74 universities, and

17 universities have master's or doctor's degree courses.

There are more than 10 academic journals related to physical

therapy that are published.

Many Korean physical therapists are working in various Many Korean physical therapists are working in various

countries like America and Australia, and they are

acknowledged with excellent treatment technology and

academic performance.

2012-01-29

6

1960• Hosted the first general meeting for organizing KPTA

• Approval of a corporation as KPTA

History of Korean Physical Therapy Association (KPTA)

• Associate degree in physical therapy at Health Science Junior College (1963)

1970• Renewed medical assistant certification to medical technician certification

• Initially joined the 8th WCPT conference and 7th international meeting

• Hosted the first KTPA general meeting

1980• Bachelor degree at Yonsei University (1979)

• Second Asia Pacific Confederation of PT assembly in 1984

• WCPT, 2005

1990• The 15th nation-wide scientific conference

• Joined the 4th Asia-Oceania meeting and Asia-Pacific international meeting

• Hosted the 7th tentative representative conference.

2000• The 45th overall scientific conference (Participants : Sandra Moore, a president of

WCPT, and about 1000 other PTs)

• The 4th Asia-Western Pacific of WCPT conference and the 9th ACPT conference

2012-01-29

7

The number of members of KPTA working at hospitals and institutions 

is currently about 35,000, and is expected to increase rapidly in non‐

surgical neuro musculo skeletal care each year

1

PT Scope  1PT Scope  1

surgical neuro‐musculo‐skeletal care each year

We expect that the role of physical therapists will become 

more important due to an increase in the elderly population2

Now, there are 38 colleges available with a three‐year‐course, 37 with 

a four‐year‐course, 20 graduate schools, and 5 doctoral degree 

courses, which raise about 2020 students every year

3

PT Scope  2PT Scope  2

• Medical institutions (general hospitals, private hospitals, traditional 

oriental hospitals, dental hospitals, hospitals for medical treatment, 

etc)

4

etc)

• Sports facilities (professional sports club medical offices, exercise 

treatment offices, sports research institutes, etc)5

• Rehabilitation research institutes, medical instrument companies, 

government agencies for rehabilitation, etc6

2012-01-29

8

PT Scope  3PT Scope  3

• Overseas employment (after obtaining American

physiotherapist certification)7

• Institutions for rehabilitation, health center for the

disabled, special schools teacher (must complete a

course of teaching)

8

PT school  1PT school  1

2012-01-29

9

PT school  2PT school  2

www.themegallery.com

2012-01-29

10

KU Motion Lab Publications (After 2008)1. Sung P*, Three dimensional kinematic lumbar spine motion analyses of trunk motion during axial rotation activities. Journal of Spinal Disorders & Techniques (In Revision)2. Sung P*, Nonlinear analysis of surface electromyography. Electromyography / Book 1, pp. 1-24, Intech open access publisher, Rijeka, Croatia (In Print)3. Sung P*, Kim YH. A kinematic analysis of symmetric axial trunk rotation on the dominant hip. Journal of Rehabilitation and Research Development (In Print) SSCI Journal4 Song AY Jo HJ Sung P* Kim YH A three dimensional kinematic analysis of pelvic and lower extremity differences during trunk4. Song AY, Jo HJ, Sung P*, Kim YH. A three dimensional kinematic analysis of pelvic and lower extremity differences during trunk rotation in subjects with chronic low back pain. Physiotherapy (In Print)5. Lee TR, Kim YH, Sung P*. A comparison of pain level and entropy changes following core stability exercise intervention. Medical Science Monitor 2011;17(7):CR362-86. Jo HJ, Song AY, Lee KJ, Lee DC, Kim YH, Sung P*. A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain. Eur Spine J 2011;20(8):297-303 상위 10% Journal7. Sung P*, Baek JY, Kim YH. Reliability of the Intelligent Stretching Device for Ankle Stiffness Measurements in Healthy Individuals. The Foot 2010;20:126-328. Ham YW, Kim DM, Baek JY, Lee D, Sung P*. Kinematic analyses of trunk stability in one leg standing for individuals with recurrent low back pain. Journal of Electromyography and Kinesiology 2010;20:1134-11409. Sung P*, Ham YW. Comparing postural strategy changes following adapted versus non-adapted responses in subjects with and without spinal stenosis. Manual Therapy 2010;15(3):261-26610. Lee TR, Kim YH, Sung P*. Spectral and entropy changes for back muscle fatigability following spinal stabilization exercises. g y g g y gJournal of Rehabilitation and Research Development 2010;47(2):133-142 SSCI Journal11. Sung P*, Zurcher U, Kaufman M. Reliability difference between spectral and entropic measures of erector spinae muscle fatigability. Journal of Electromyography and Kinesiology 2010;20:25–30.12. Sung P*, Lee D, Gender differences in onset timing and activation of the dominant knee's muscles during stair climbing. The Knee 2009;16:375-380.13. Sung P*, Lammers A, Daher P. Different parts of erector spinae muscle fatigability in subjects with and without low back pain. The Spine Journal 2009;9(2):115-120.14. Sung P*, Park H. Gender difference in ground reaction force changes following perturbations in subjects with low back pain. Gait and Posture 2009;29:290-295. 상위 10% Journal15. Sung P*, Zurcher U, Kaufman M. Gender differences in spectral and entropic measures of erector spinae muscle fatigue. Journal of Rehabilitation and Research Development 2008;45(9):1431-1440 SSCI Journal

2012-01-29

11

Publications (Before 2008)

1. Kaufman M*, Zurcher U, Sung P. Entropy of electromyography time series. Physica A: Statistical Mechanics and its Applications 2007; 386(2):698-707.2. Pickar J*, Sung P, Kang Y, Ge W. Response of lumbar paraspinal muscles spindles is greater to spinal manipulative loading compared with slower loading under length control, The Spine Journal 2007;7(5):583-595.3 S P* Z h U K f M C i f t l d t i f f EMG ti i A il t t d

- International Journals

3. Sung P*, Zurcher U, Kaufman M. Comparison of spectral and entropic measures for surface EMG time series: A pilot study. Journal of Rehabilitation and Research Development 2007;44(4):599-610. SSCI Journal4. Sung P*, Zurcher U, Kaufman M. Nonlinear analysis of electromyography time series as a diagnostic tool for low back pain. Medical Science Monitor. 2005;11(1):CS1-5.5. Sung P, Kang Y, Pickar J*. Effect of spinal manipulation duration on low threshold mechanoreceptors in lumbar paraspinal muscles: a preliminary report. Spine. 2005;30(1):115-122. 상위 10% Journal6. Sung P*, Spratt K, Wilder D. A possible methodological flaw in comparing dominant and non-dominant sided lumbar spine muscle responses without simultaneously considering hand-dominance. Spine. 2004;29(17):1914-1922. 상위 10% Journal7. Sung P*. The efficacy of median frequency on multifidi muscles during one-minute back extension. Archives of Physical Medicine and Rehabilitation. 2003;84:1313-1318.8. Sung P*, Bottomley J, Echternach J. Post-hip fracture rehabilitation in subacute care. Journal of Rehabilitation Outcomes Measurement. 1999;3(2):1-48.

INTRODUCTION

Low Back Pain (LBP)Prevalence of 60% ~ 80% 85% f LBP N ifi F i l85% of LBP → Nonspecific or Functional causes

Posture &

Balance

Rehabilitation and Converged Research Development

Enhance QUALITY OF LIFE

2012-01-29

12

1.timeholdingRequested

timeholding Successful (RHT) timeholding Relative Eq

timeholdingRequested

2. timeholding Successful

timeStandstill (RST) timestandstill Relative Eq

3.2)_

(2)_

(2)_

( Eqmeanz

Rz

Rmeany

Ry

Rmeanx

Rx

RRxyz

2012-01-29

13

Figure 2. Identification of successful holding time and standstill time for computing the stability index

Figure 3. Distribution of stability indexes of core spine and corresponding 3D rotation angle (Rxyz) from control group (◇) and LBP subjects (O).

2012-01-29

14

Comparing Kinematic and Force plate stability in upper trunk between groups

0.8

1

Head

0.8

1

Thorax

0.8

1

Spine1

0.8

1

Spine2

0.8

1

Spine3

0.8

1

SpineRoot

Patient Right (Blinded · and unblinded o)

ty

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

1

Head

1

Thorax

1

Spine1

1

Spine2

1

Spine3

1

SpineRoot

Control Right (Blinded · and unblinded o)

Kinm stabilit

ForcePlate stability

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

Kinm stability

ForcePlate stability

Comparing Kinematic and Force plate stability in lower extremity between groups

Patient Right (Blinded · and unblinded o)

0.8

1

Pelvis

0.8

1

R.Thigh

0.8

1

R.Shank

0.8

1

R.Foot

0.8

1

L.Thigh

0.8

1

L.Shank

0.8

1

L.Foot

ility

Control Right (Blinded · and unblinded o)

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

0 0.5 10

0.2

0.4

0.6

1

Pelvis

1

R.Thigh

1

R.Shank

1

R.Foot

1

L.Thigh

1

L.Shank

1

L.Foot

Kinm stab

ForcePlate stability

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

0 0.5 10

0.2

0.4

0.6

0.8

2012-01-29

15

x

y

+

A

-

C7 R. ShoulderL. Shoulder

Rotation to the left Rotation to the right

B

Initial Position

T9

Sacrum

R. PSISL. PSIS

x

z

15

C l LBP

ROM (Degree)

*

‐5

0

5

10Control LBP

Rotation from left to the right Rotation from right to the left

‐10 10010 20 30 40 50 60 70 80 900

Time (% rotation)

2012-01-29

16

Majors1-2 Human Anatomy Medical English

2-1

Clinical Kinesiology andPractice

PhysiologyBiochemistry for

RehabilitationNeuroanatomy

Functional AnatomyDiagnostics forPhysical Therapy

(Musculoskeletal System)

Introduction toPhysical Therapy

Exercise Physiology

O th di Ph i l Th O th di Di ti

PT Curriculum in Korea University

2-2

Orthopedic Physical Therapy Practice

NeuroscienceOrthopedic Medicine

DiagnosticImage Reading

Systemic Processes inPhysical Therapy

Diagnostics for Physical Therapy(Nervous System)

Biomechanics

3-1

Therapeutic Exercise Ⅰ(Basic Principle)

NeurologicalPT

Emergency Medicine and

PracticePathology

Hydrotherapy and Practice Pediatric PTRehabilitation

Medicine

Therapeutic Exercise and

3-2

Cardiopulmonary PTTherapeutic Exercise and

Practice II(Applied Principle)

Neurosurgery Geriatrics PT

Electro-Photo Therapy andPractice

Research Methods inPT

4-1 Clinical Practice Ⅰ,Ⅱ,Ⅲ Health StatisticsGuidance on

Research

4-2Pharmacology in Rehabilitation Oriental Medicine

Orthotics and Prosthetics

Topics Course

Health Related Laws Public Health

PHYSICAL THERAPY

Syllabus and Exam Organizational Template

COURSE NUMBER:

COURSE NAME:

CREDIT/CONTACT HOURS:

SEMESTER:

COURSE COORDINATOR:

COURSE INSTRUCTORS:

OFFICE PHONE/EMAIL:

OFFICE HOURS:

CATALOG DESCRIPTION:

COURSE DESCRIPTION:

COURSE OBJECTIVES:

REQUIRED TEXTBOOKS AND READINGS:

TEACHING METHODS & LEARNING EXPERIENCES:

COURSE SCHEDULE:

COURSE EVALUATION AND GRADING:

STANDARD COURSE REQUIREMENTS/EXPECTATIONS:

ASSIGNMENTS:

WRITTEN EXAMS:

PRACTICAL EXAMS:

2012-01-29

17

Introduction of Korean Board

Communication with other professionals

Future direction

Quality of Education and Research

Preparation for global Standards of Physical Therapy Association

Physical Therapy Specialties Achievement of Private Practice

Establishment of Direct Access

Physical Physical Therapy Therapy In KoreaIn Korea

Doctor of Physical Therapy Program