Browse > Article

Effects of Home Visiting Physical Therapy on Activites of Daily Living and Function in Disabled Persons Living at Home  

Park, Seung-Kyu (Department of Physical Therapy, School of Public Health, Daebul University)
Ji, Hey-Young (Department of Physical Therapy, Graduate School of Public Health, Daebul University)
Heo, Jae-Won (Department of Physical Therapy, Graduate School of Public Health, Daebul University)
Publication Information
The Journal of Korean Physical Therapy / v.23, no.2, 2011 , pp. 61-68 More about this Journal
Abstract
Purpose: The purpose of this study was to provide basic data for the effectiveness and the necessity of home visiting physical therapy through examining performance ability and functional changes in daily life activities by investigating the life of disabled persons living at home. Methods: After selecting 100 people with physical disabilities greater than level 3 and brain damage related disabilities living in Youngam-Gun, we conducted mobility tests according to a Modified Bathel Index (MBI), the Berg Balance Scale (BBS), and floor and bed movements? for Activities of Daily Living evaluation. We did this before the experiment and after doing home visiting physical therapy for 90 minutes at a time, once a week for 6 months Results: 1) Persons who live in a bed are higher than those who live in a floor. There was a significant difference between persons who live in a floor and those who live in a bed in the change in MBI and BBS scores after home visiting physical therapy. 2) Those with a musculoskeletal disorder had a significantly different change in MBI and BBS according to the type of disease and kind of disability. Those with neuropathy had a significantly different change in MBI. Those with physical disabilities showed a significant difference in MBI and BBS. Conclusion: A home visiting physical therapist can cause an improved performance ability and lead to the ability of disabled persons living at home to carry out activities of daily livingin a large part and the study for brain lesion disabilities except physical disabilities and stroke which occupy large proportion of disabled persons should be done.
Keywords
Visiting physical therapy; ADL; Disabled persons living at home;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Kim TS, Baek JS, Sin HY. The theory of welfare administration. Seoul, Dae-Young Co, 1998:411-6.
2 Lee KU. A study on problem and rehabilitation measure for welfare of disabled persons in rural. Chungang University. Dissertation of Master's Degree. 1994.
3 Cheong YI, Kim KK, Lee CE. A study on the development of health care delivery system for Gimhae city under the local autonomy system. Gimhae Develop Institute. 1997;1(1):217-55.
4 Jetta LF. Home care for the client who has had a CVA. Albany, Delmar Pub, 2000.
5 Han DW, Moon TH, Lee EM et al. Development of the system for home visiting physical therapy. J Kor Soc Phys Ther. 2005;17(1):1-26.   DOI   ScienceOn
6 Hwang BY, Lee EJ, Han SD. Effect of home visiting physical therapy on motor function and ADL in the persons with chronic stroke. J Kor Soc Phys Ther. 2003;15(4):319-30.
7 Bae SS. A strategy of the home visiting physical therapy. J Kor Soc Phys Ther. 2003;15(4):180-9.
8 Kim JW. Path analysis of determinants influencing ADL among the adult population with cerebral palsy. Korean Journal of Social Welfare. 2006;58(2):57-85.
9 Cheong SM. Rehabilitation, welfare of the disabled persons. 4th ed. Seoul, Chungang Gyeongjesa. 2003.
10 Granger CV, Albrecht GL, Hamilton BB. Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel Index. Arch Phys Med Rehabil. 1979;60(4):145-54.
11 Kwon OJ, Choi JS, Ha HH. A study on residential alterations by characteristics of the physically disabled. The Architectural Institute of Korea. 2001;17(11):19-28.
12 Null RL, Cherry KF. Universal design: Creative solutions for ADAcompliance. Professional Pubns Inc. 1996.
13 Kim HW, Ko YJ, KangSY. The relationship of MMSE to functionalImprovement in brain injured patients. The Journal of Korean Academy of Rehabilitation Medicine. 1998;22(6):1179-84.
14 Lee JH. Comparison study for the modified Barthel index (MBI) and functional independence measure (FIM) in patients with CVA. Kyunghee University. Dissertation of Master's Degree. 1995.
15 Lee EJ. Effects on home visiting physical therapy on the motor function and ADL in the persons with chronic stroke. Yongin University. Dissertation of Master's Degree. 2002.
16 Rodriquez AA, Black PO, Kile KA et al. Gait training efficacy using a home-based practice model in chronic hemiplegia. Arch Phys Med Rehaill. 1996;77:801-805.   DOI   ScienceOn
17 Kim SH. Awareness and attitudes on the introduction of a physical therapy home visiting program. Yonsei University. Dissertation of Master's Degee. 1996.
18 Han DU. The degree of demand and features of service required for home visiting physical therapy. Chungnam National University. Dissertation of Master's Degee. 1999.
19 Hwang SJ, Lee SY, Lee JA. The correlation of the berg balance scale, timed up & go test, and functional independent measure in the elderly people. KAUTPT. 2004;11(1):27-34.
20 Harada N, Chiu V, Damron-Rodriguez Jet al. Screening for balance and mobility impairment in elderly individuals living in residential care facilities. Phys Ther. 1995;75(6):462-9.
21 O'Sullivan SB, Schmitz TJ. Physical rehabilitation: Assessment and treatment. 4th ed. Philadelphia, FA Davis Co, 2000.
22 Ministry of Health and Welfare. Disability Registration. Disability Policy Dept. 2009.
23 Loewen, S.C., Anderson, B.A.. Predictors of stroke outcome using objective measurement scales. Stroke, 1996;21(1);78-81.
24 Yi CH, Park KH, Lee HJ.Functional independence measure of disabled persons living at home in rural community. KAUTPT. 2000;7(3):49-61.
25 Wylie CM, White BK. A measure of disability. Arch Environ Health. 1964;8:834-9.   DOI   ScienceOn
26 Berg KO, Maki BE, Williams JI et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992;73(11):1073-80.
27 Kottke FJ, Lehmann JF. Krusen's handbook of physical medicine and rehabilitation. 4th ed. Philadelphia, WB Saunders Co, 1990:876-903.
28 Hwang BY. A pilot survey for the community based rehabilitation in uiwang. J Kor Soc Phys Ther. 1999;11(2):75-80.
29 Kollen B, Kwakkel G, Lindeman E. Hemiplegic gait after stroke: Is measurement of maximum speed required? Arch Phys Med Rehabil. 2006;87(3):358-63.   DOI   ScienceOn
30 Bae SS, Pack RJ. Rehabilitation of geriatric patient. J Kor Soc Phys Ther. 1990;2(1):95-101.
31 Chandler JM, Duncan PW, Studenski SA. Balance performance on the postural stress test: comparison of young adults, healthy elderly and fallers. Phys Ther. 1990;70(7):410-5.
32 Lee SA, Kim HA.Housing improvement for physical disabled people: team-approach. The Journal of Korean Society of Occupational Therapy. 2004;12(2):1-14.
33 Byeon YC, Kim SH, Yun SY et al. Research on the actual condition of disabled persons in 2005. KoreaInstitute for Health and Social Affairs. 2006.
34 Lee SC, Kang WY, Jo JS. Rehabilitation method. seong-won. 1992:19.
35 Lee HY, Park RJ, Kim JS et al. A study on the Japanese home care service. J Kor Soc Phys Ther. 2000;12(1):113-8.
36 Kim TG. A study on the medical rehabilitation service system for the disabled people staying at home. Dong-A University. Dissertation of Master's Degree. 1999.
37 Ryu HS. Analyses on the mean length of stay of and the income effects due to early discharge days of car accident patients at the general hospital. J Korean Commun Nursing. 1999;10(1):70-9.
38 Ministry of Health and Welfare. 2000 National Disability Survey. Seoul, Korea Institute for Health and Social Affairs, 2001:50.
39 An DH. Effects on improvement of activities of daily living through short-term home visiting physical therapy. KAUTPT. 2007;14(2):53-60.
40 Lee SJ, Lee JK, Ryu HS. A preliminary study for expending of hospital-based home health care coverage-focused on accident inpatients who has the workers compensation insurance. J Kor Acad Soc Home Care Nursing. 1999;6:5-18.