• 한국노년학
• /
• v.30 no.4
• /
• pp.1293-1309
• /
• 2010

This study is aimed to evaluate the effects of community-based prehabilitation program developed to prevent functional decline in the frail elderly and to provide a basis to practically operate this program in the public health care service. From March to August 2009, 110 frail elderly people were recruited among the registered participants of the home visit program in Korea to perform a prospective randomized community trial. We randomly assigned these people into two groups. One group (n=50) participated in the visiting prehabilitation program for 3 months focusing on improving their muscle strength of upper and lower limbs, walking ability, and balancing. The other group (n=60) underwent our visiting fall prevention program for control. To assess the effectiveness of prehabilitation program, physical functioning (PF) and short physical performance battery (SPPB) were measured for the primary outcomes and also some other indicators: exercise performance, nutritional status, emotional functioning, experience of admission, and events of fall. As a result, significant improvements of geriatric functional status were noticed among the participants. After 3 months, PF increased by 1.3 ± 3.8 points in prehabilitation group and decreased by 1.1 ± 5.4 points in controls (p=.020). SPPB improved by 2.4 ± 2.0 points in prehabilitation group and increased only 0.3 ± 1.5 points in controls (p<.001). Significant effects were also shown in their exercise performance tests and emotional status, the number of multiple falls, and the experience of functional decline after the fall (p .002-.038). Visiting prehabilitation program is safe and effective program for frail older adults. Thus, it is strongly recommended to universally adopt this program to prevent functional decline in the frail elderly.

• Journal of Korean Physical Therapy Science
• /
• v.12 no.4
• /
• pp.25-31
• /
• 2005

이 사례연구는 2002년 10월 15일 칼에 의한 좌상으로 경추 3-4번의 불완전 척수손상을 입은 25세의 남자 환자가 최초 병원에서 2002년 12월 한달 간의 치료를 마친 후, 2003년 1월 3일부터 4월 28일까지 태릉에 위치한 N 재활센터에서 주 5회 2시간의 자세조절 훈련, 심폐지구력 훈련, 웨이트 훈련, 스포츠(축구, 소프트 볼), 여가활동(등산)의 프로그램을 적용하여 척추손상 환자의 사회적응을 돕기위한 재활 프로그램의 다양화를 꾀하기 위한 기초 선행 작업으로 시작되었다. 신체능력을 평가하기 위한 측정도구는 관절가동범위(Range of Motion), 수동근력검사(Muscle Manual Test), 경직(Spasticity), 신체체력(Physical Fitness), 발란스(Balance: one leg stand), 상대적인 등속성 하지근력(Isokinetic Muscle Strength) 그리고 신체조성(Body Composition)로 하였다. 재활기간을 통해 처음 시작 일자에서 45일 간격으로 3차례의 측정을(1월 3일부터 4월 28일까지 실시하였다) 실시하였다. 최초 환자의 상태는 부분적으로 일상생활의 도움을 받아야 하는 상태로 동작을 시작하려 할 때 경직이 발생되어 옷을 입고 벗기, 신발 신고 벗기, 운전, 식사, 보행과 계단보행, 경사보행에서 보조자의 도움이 필요했으며, 작은 물건 잡기와 글씨쓰기, 타이핑 작업은 불가능 한 상태였다. 또한 스포츠 활동과 여가활동 역시 불가능 한 상태였다. 3달 15일간의 기간 동안 환자는 복학을 준비하기 위해 적극적으로 치료에 임했으며, 결과는 다음과 같았다. 신체조성은 재활 훈련을 통해 체중, 체지방율(%), 복부지방율(WHR)의 많은 감소를 가져왔다. 경직을 측정하는 Ashworth Scale은 정상에 가깝게 감소하였다. 관절가동범위는 고관절, 무릎, 발목에서 모두 증가하였다. 수동근력검사(0-9)는 많은 향상을 가져왔다. 신체체력능력 항목에서 근지구력의 윗몸일으키기와 팔굽히기, 악근력, 유연성으로 앉아 체간 숙이기, 민첩성으로 사이드 스텝, 순발력의 서전트는 모두 크게 향상되었다. 환자의 일상능력에서도 옷을 입고 벗기, 신발 신고 벗기, 운전, 식사, 보행과 계단보행, 경사보행에서 보조자의 도움이 필요없었으며, 타이핑 작업은 5손가락을 모두 사용하지는 않았지만, 1분에 80타로 큰 향상을 가져왔다. 또한 축구와 소프트볼, 등산을 달에 1회 정도 실시하여 약간의 도움만으로 가능하게 되었다.

• Journal of Korea Game Society
• /
• v.9 no.3
• /
• pp.121-128
• /
• 2009

In this paper, we have developed the balance board with electronic devices to use in various fields of remedial and physical balance exercise with interesting game and the functional game. Rehabilitation training using a funny game will be effective for patient's rehabilitation training. A Personal training system uses a balance board with an acceleration sensor and the game controlled by physical balance. To evaluate the operation of the developed system, we developed rehabilitation training game. The proposed game can be applicable to rehabilitation and balance training, and suggested game interface method could use a commercial game with various function through our emulator.

• Journal of the Institute of Convergence Signal Processing
• /
• v.20 no.3
• /
• pp.151-158
• /
• 2019

Patients with disabilities from various reasons such as disasters, injuries or chronic illness or elderly with limited body motion range due to aging are recommended to participate in rehabilitation programs at hospitals. But typically, it's not as simple for them to commute without help as they have limited access outside of the home. Also, regarding the perspectives of hospitals, having to maintain the workforce and have them take care of the rehabilitation sessions leads them to more expenses in cost aspects. For those reasons, in this paper, a home-based remote rehabilitation system using motion recognition is developed without needing help from others. This system can be executed by a personal computer and a stereo camera at home, the real-time user motion status is monitored using motion recognition feature. The system tracks the joint range of motion(Joint ROM) of particular body parts of users to check the body function improvement. For demonstration, total of 4 subjects with various ages and health conditions participated in this project. Their motion data were collected during all 3 exercise sessions, and each session was repeated 9 times per person and was compared in the results.

• Journal of Convergence for Information Technology
• /
• v.9 no.8
• /
• pp.260-267
• /
• 2019

The purpose of this study is to find out how underwater rehabilitation exercises affect physical fitness and blood lipids for 10 weeks and provide basic data to help prevent middle-aged women from cardiovascular diseases. The subjects of this study were middle-aged women living in Seoul, Korea. The underwater rehabilitation exercise was performed for 1 week and 3 times for 10 weeks, and the exercise time was 60 minutes for 1 time including the warm up, the main exercise and the cool down. The exercise intensity was set at 60-70% of the heart rate reserve calculated from the pre-exercise test. The measurement variables were physical fitness and blood lipid. In the data processing, descriptive statistics were presented for each measurement item and a 2-way RGRM ANOVA was conducted to examine the interaction effects between groups. The results have shown significant interaction effects in physical fitness(Flexibility, Cardiorespiratory Endurance, Muscular Endurance) and the blood lipids(TG, TC, HLD-C, LDL-C). This study found that the 10-week underwater rehabilitation exercise program of middle-aged women increased physical fitness level and decreased and increased blood lipid, which could be an effective and convergent program to prevent and reduce cardiovascular disease.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.12 no.4
• /
• pp.23-29
• /
• 2012

Injured peoples usually care their body at medical institutions. But if they need some more rehabilitation to the affected area thus exist. These medical institutions according to the scale there are significant differences in rehabilitation programs, most of the small-scale rehabilitation program for medical doctors and patients to be progression of the conversation is an issue. In this paper, in a small medical facility rehabilitation to assist in the accuracy and reliability, physical contact and force sensors that can measure a combination of substitution and the tactile sensor and tactile sensor alternative with a similar function is proposed. Perceptron neural networks by applying the contact evaluation according to the algorithm to determine the pattern is applied.

• Korean Journal of Social Welfare
• /
• v.37
• /
• pp.171-193
• /
• 1999

The ultimate goal of rehabilitation is social integration. Reemployment is, for the disabled workers, the primary source of not only income, but also identity and interaction. Unfortunately, for most disabled workers employment represents only a yet-to-be-fulfilled hope, a close but inaccessible goal, a daily reminder that they are not among the majority. The purpose of this study is to estimate reemployment rate in the industrial injured and to find factors affecting reemployment of disabled workers owing to industrial injury, and to make policy implication for the better industrial injury compensation rehabilitation system. The data were obtained through telephone interview with disabled worker who completed work injury compensation process in 1996-1997. The final sample was consisted of 1,060 respondents. The major findings were that almost lout of 3 disabled worker returned to work, and that the factor affecting reemployment of the disabled workers were severity injury, ADL(activity of Daily Living), the perception of disability severity, controlling for the demographic factors such as sex, age, education, marital status. The results indicated that psychosocial factors as well as physical function had influces on returning to work. The current findings suggests that rehabilitation services and policy aimed at enhancing vocational rehabilitation program and rehabilitation engineering services, and improving psychosocial resources should be considered by rehabilitation professionals and policy makers.

• Journal of Korea Multimedia Society
• /
• v.17 no.2
• /
• pp.248-256
• /
• 2014

This paper designs a serious game for rehabilitation of patients with body pains because they sit down for a long time in the same position, or less physical movement. Activity-based game induces to player improvements in physical exercise with fun elements of the game through entertainment to help the body function and substantially increases the player's commitment during challenging goal. This research is a game design that combines the treatment of color and movement of body to the rhythm of the music. We constructed with XNA Game Studio and KINECT interface with gesture recognition technology. We need to research of evaluation system and test for the actual effect of the treatment and advanced functions of game playes like adding various musics and variety of motion.

• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.5 no.1
• /
• pp.27-33
• /
• 2011

Estimating algorithm of physical activity energy expenditure and physical activity intensity was implemented by using a tri-axial accelerometer motion detector of the SVM(Signal Vector Magnitude) of 3-axis(x, y, z). A total of 10 participants(5 males and 5 females aged between 20 and 30 years). The ActiGraph(LLC, USA) and Fitmeter(Fit.life, korea) was positioned anterior superior iliac spine on the body. The activity protocol consisted of three types on treadmill; participants performed three treadmill activity at three speeds(3, 5, 8 km/h). Each activity was performed for 7 minutes with 4 minutes rest between each activity for the steady state. These activities were repeated four weeks. Algorithm for METs, kcal and intensity of activities were implemented with ActiGraph and Fitmeter correlation between the data.

• The Journal of the Korea Contents Association
• /
• v.14 no.3
• /
• pp.203-214
• /
• 2014

In this study, a meta-analysis was conducted to investigate the effect of community-based rehabilitation on patients with brain injury by ICF factor in previous studies and examine the application of recent community-based rehabilitation program. Total 15 articles that satisfied the selection criteria were divided by ICF factors to obtain the effect size. Homogeneity and publication bias were tested for those selected papers. As a result, the overall effect size of community-based rehabilitation was 0.22; the effect size by physical function and structure among the ICF factors came to be 0.21; and the effect size of activity and participation was 0.20, indicating a small effect size. The studies involved in a meta-analysis were considered as the absence of heterogeneity and publication bias, which indicates that the results of this study are subjectively reliable. These results well explained the level of change on ICF factors, especially physical function and structure, activity and participation, in other words, the intervention effect of community-based rehabilitation on patients with brain injury.