• Title/Summary/Keyword: 손 기능 분류 체계

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Correlation between Manual Ability Oassification System and Functional Evaluation in Children With Spastic Cerebral Palsy (경직형 뇌성마비 아동의 손 기능 분류 체계와 기능적 수행도 평가 간의 상관)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.248-256
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    • 2009
  • The purpose of this study was to investigate the relationship among functional evaluation systems, the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy and to provide the foundation data about MACS for evaluation system of hand function in children with spastic cerebral palsy. For this, sixty children with spastic cerebral palsy were employed in this study. The sixty children were evaluated by using the MACS for their hand function and by using the GMFCS for their motor function. The functional status were assessed by using the Functional Independence Measure of Children (WeeFIM). There were a significant correlation between the MACS and the GMFCS (r =.659, p <.05). The good correlation between the MACS and WeeFIM was found (r = -.576, p <.05). The functional status according to the hand function level evaluated by using the MACS were different significantly (p <.05). The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

Verification of Validity on the Manual Ability Classification System in Children With Spastic Cerebral Palsy (경직형 뇌성마비 아동의 손 기능 분류 체계의 타당도 검증)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.10 no.1
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    • pp.317-324
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    • 2010
  • The purpose of this study was to examine the validity of the Manual Ability Classification System (MACS) by analysing of relation between MACS and Jebsen-Talyor Hand Function Test. The concurrent validity was examined by calculation of correlation between MACS and Jabsen-Talyor Hand Function test and the discriminant validity was examined by measurement of hand function difference according to MACS level. For this, eighty-one children with spastic cerebral palsy were employed in this study. The children were evaluated by using the MACS and Jebsen-Taylor Hand Function Test for their hand function. There were a significant correlation between the MACS and Hand function (r = .870, p < .05). The good correlation between the MACS and subtest of Jabsen-Talyor Hand function (p < .05). The hand function according to the MACS level were different significantly (p < .05). The MACS is valid classification system for assessment of hand function of children with cerebral palsy. The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

Utility of Function Classification System in Children with Cerebral Palsy (뇌성마비 아동의 기능적 수준 분류 체계의 유용성)

  • Park, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5709-5714
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    • 2011
  • The purpose of this study was to investigate the utility of function classification system in children with cerebral palsy (CP). For this, relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with cerebral palsy form September 2008 to August 2010. The participants was 217 children with CP in this study. The 217 children were evaluated by using the MACS for their hand function and by using the GMFCS for their motor function. The functional status were assessed by using the Functional Independence Measure of Children (WeeFIM). The GMFCS have a significant correlation with total score and domains of WeeFIM (p<.05) There were a significant correlation with total score and domains of WeeFIM (p<.05) except no significancy with communication domain in dyskinesia type. The highest number of participants were in level 1 (20.3) and level 5 (40.6%) for GMFCS. For MACS, the highest number of participants were level 2 (48.8%) and level 5 (16.6%). The function classification of GMFCS and MACS in practice will provide usefulness for assessment of function in children with CP.

A Systematic Review of Sensory Integration Intervention for Children in Korea (아동을 대상으로 한 감각통합치료의 중재효과에 대한 체계적 고찰: 국내 연구를 중심으로)

  • Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.2
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    • pp.55-68
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    • 2020
  • Objective : The purpose of this study is to summarize the best-available intervention evidence for children's sensory integration therapy, drawn from studies published domestically in Korea over the last 10 years. Methods : The articles evaluated in this study were collected from the RISS and DBpia databases using the search terms "sensory integration," "sensory processing," and "Ayres Sensory Integration (ASI)". A total of 19 papers were analyzed. The selected studies were then assessed using the Population, Intervention, Outcomes, and Comparison method, the International Classification of Functioning, Disability and Health (ICF) method, and the modified Evidence Alert Traffic Light Grading System. Results : Development delay was the most commonly applied diagnosis for children's sensory integration therapy and individual sensory integration therapy was the most frequently used intervention method. The intervention effect was 91 percent in the body structure and function of ICF. The areas concentrated on were sensory modulation, sensory processing, fine and gross motor, body scheme, body-self concept, balance, basic movement, postural control and hand function, attention, and self-esteem. Conclusion : This simple overview of the efficacy of children's sensory integration therapy provides a basis for easy understanding and use by therapists, researchers and families with children.

Reliability of the Manual Ability Classification System for Children With Cerebral Palsy (뇌성마비 아동에서 손 기능분류체계의 신뢰도)

  • Park, Eun-Young;Lee, Young-Jung;Kim, Won-Ho
    • Physical Therapy Korea
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    • v.17 no.1
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    • pp.62-68
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    • 2010
  • The purposes of this study were to examine inter-rater reliability of the Manual Ability Classification System (MACS) by children's age and to identify the correlation between the MACS and the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP). Twenty-six children with CP older than two years participated. Children with CP were classified according to the MACS and the GMFCS by two physical therapists. Inter-rater reliability was analyzed using the Intraclass Correlation Coefficients (ICCs). The results showed that the reliability of the MACS for children aged 2~3 years was .88 and for children aged above 4 years was .98 (p<.05). Children with quadriplegia had a higher level of MACS than children with spastic hemiplegia and diplegia. A moderate relationship between the MACS and the GMFCS was found in all children (rater 1, r=.631; rater 2, r=.438). The MACS will be used for classification of children with CP according to the manual abilities. Thus, it offers a reliable method for communicating between therapists about the manual ability of children with CP who are older than 2 years.

Management Planning of Wind Corridor based on Mountain for Improving Urban Climate Environment - A Case Study of the Nakdong Jeongmaek - (도시환경개선을 위한 산림 기반 바람길 관리 계획 - 낙동정맥을 사례로 -)

  • Uk-Je SUNG;Jeong-Min SON;Jeong-Hee EUM;Jin-Kyu MIN
    • Journal of the Korean Association of Geographic Information Studies
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    • v.26 no.1
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    • pp.21-40
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    • 2023
  • This study analyzed the cold air characteristics of the Nakdong Jeongmaek, which is advantageous for the formation of cold air that can flow into the city, in order to suggest the wind ventilation corridor plans, which have recently been increasing interest as a way to improve the urban thermal environment. In addition, based on the watershed analysis, specific cold-air watershed areas were established and management plans were suggested to expand the cold air function of the Nakdong Jeongmaek. As a result of the analysis of cold air in the Nakdong Jeongaek, cold air was strongly generated in the northern forest of the Jeongamek, and flowed into nearby cities along the valley topography. On average, the speed of cold air was high in cities located to the east of the Jeongmaek, while the height of cold air layer was high in cities located to the west. By synthesizing these cold air characteristics and watershed analysis results, the cold-air watershed area was classified into 8 zones, And the plans were proposed to preserve and strengthen the temperature reduction of the Jeongmaek by designating the zones as 'Conservation area of Cold-air', 'Management area of Cold-air', and 'Intensive management area of Cold-air'. In addition, in order to verify the temperature reduction of cold air, the effect of night temperature reduction effect was compared with the cold air analysis using weather observation data. As a result, the temperature reduction of cold air was confirmed because the night temperature reduction was large at the observation station with strong cold air characteristics. This study is expected to be used as basic data in establishing a systematic preservation and management plan to expand the cold air function of the Nakdong Jeongmaek.

Optimization for the Process of Ethanol of Persimmon Leaf(Diospyros kaki L. folium) using Response Surface Methodology (반응표면분석법을 이용한 감잎(Diospyros kaki L. folium) 에탄올 추출물의 최적화)

  • Bae, Du-Kyung;Choi, Hee-Jin;Son, Jun-Ho;Park, Mu-Hee;Bae, Jong-Ho;An, Bong-Jeon;Bae, Man-Jong;Choi, Cheong
    • Applied Biological Chemistry
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    • v.43 no.3
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    • pp.218-224
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    • 2000
  • The efforts were made to optimite ethanol extraction from persimmon leaf with the time of extraction$(1.5{\sim}2.5\;hrs)$, the temperature of extraction$(70{\sim}90^{\circ}C)$, and the concentration of ethanol$(0{\sim}40%)$ as three primary variables together with several functional characteristics of persimmon leaf as reaction variables. The conditions of extraction was best fitted by using response surface methodology through the center synthesis plan, and the optimal conditions of extraction were established. The contents of soluble solid and soluble tannin went up as the concentration of ethanol went up and the temperature of extraction went down, and the turbidity went down as the concentration of ethanol went down. Electron donation ability was hardly affected by the extraction temperature and had the tendency to go up as the concentration of ethanol went up. The inhibitory activity of xanthine oxidase(XOase) had the tendency to go up as both the concentration of ethanol and the temperature of extraction went up. The inhibitory activity of angiotensin converting enzyme(ACE), the significance of which still was not recognized, showed the maximum when the concentration of ethanol was 27%. In result, the optimal conditions of extraction was the extraction time of two hours, the extraction temperature of $75{\sim}81^{\circ}C$, and the ethanol concentration of $33{\sim}35%$.

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