• 제목/요약/키워드: 신체적 기능장애

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A Study on Usability Evaluation for Human Care Contents based Rehabilitation Training Equipment (휴먼 케어 콘텐츠 기반의 재활 훈련 장비의 사용성 평가 연구)

  • Kim, Hansang;Choi, Byung-Jae
    • Journal of the Korean Institute of Intelligent Systems
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    • v.27 no.2
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    • pp.157-163
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    • 2017
  • Due to economic development and advancement of medical science, an aging society where the proportion of the elderly population increases is coming. Korea's aging speed is growing rapidly compared to that of other developed countries. The physical and mental abilities of elderly people with aging are getting worse more and more. They want a kind of auxiliary system in order to mitigate and prevent their weakness. The supplementary system can greatly contribute to improving the quality of life for elderly people. In particular, some devices that include muscle strengthening and cognitive and balance ability enhancement are useful for the most older people. In this paper, we introduce a development of human care contents based rehabilitation equipment to enhance these functions, and present its usability evaluation. The evaluation is conducted for rehabilitation specialists as well as expected users and their results are analyzed.

Association of Body Mass Index and Cognitive Function in Alzheimer's Disease and Mild Cognitive Impairment (알츠하이머병과 경도인지장애에서 체질량지수와 인지기능과의 연관성)

  • Lim, Eun Jeong;Lee, Kang Joon;Kim, Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.184-190
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    • 2016
  • Objectives : This study analyzed the differences of body mass index(BMI) in Korean patients with Alzheimer's diseases(AD), Mild Cognitive Impairment(MCI), and healthy controls to verify whether low BMI is associated with cognitive impairment. Furthermore, this study also sought to examine any association between BMI and Mini Mental State Examination-Korean version(MMSE-K), Clinical Dementia Rating(CDR), and Global Deterioration Scale(GDS). Methods : A total of 257 subjects were included in the study. History taking, mental status examination, physical examination and neurocognitive function test were carried out for the diagnosis of AD and MCI. The subjects' demographic data and presence of diseases were also surveyed. The overall cognitive function and severity of diseases were assessed using MMSE-K, GDS, and CDR. Results : The order of BMI was found to be healthy controls>MCI>AD, with statistically significant differences among the groups. The order of MMSE-K scores was similar, with healthy controls>MCI>AD in statistically significant differences. The healthy controls had the lowest CDR and GDS scores, and AD patients had the highest scores. There was a significant positive correlation between BMI and MMSE scores(r=0.238, p=0.000). BMI was negatively correlated with CDR(r=-0.174, p=0.008) as well as with GDS(r=-0.233, p= 0.000). Conclusions : Measuring BMI of patients with AD or MCI is expected to be meaningful in that BMI could be a clinical indicator of AD. We expect this to be beneficial for the diagnosis, prevention, and therapeutic approach of AD and also expect large-scale, long-term longitudinal studies to follow.

A CASE OF PANDAS WITH CHILDHOOD DISINTEGRATIVE DISORDER (소아기 붕괴성 장애의 양상을 보이는 PANDAS 1례)

  • Cho, Soo-Churl;Seong, Deock-Kyu
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.1
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    • pp.149-156
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    • 2001
  • After the fact that obsessive-compulsive symptoms or tic symptoms are common in Sydenham's chorea which is a sequale of rheumatic fever produced by group A beta-hemolytic streptococcus was reported, the association between group A beta-hemolytic streptococcus and a subgroup of obsessivecompulsive disorder(OCD) or tic disorder has been attentioned. This subgroup shared a unique clinical course, characterized by an abrupt onset of symptoms and/or dramatic exacerbations. And this subgroup was distinguished by pre-pubertal onset of symptoms, neurological abnormalities(choreiform movements and a unique pattern of motoric hyperactivity), as well as by relapsing and remitting symptom course. Acronym PANDAS(pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection) was used to denote a subgroup of OCD or tic disorder patients with these clinical characteristics. Then, there was a report suggesting that PANDAS category include some of attention-deficit/hyperactivity disorder(ADHD) and were two case reports of anorexia nervosa and body dysmorphic disorder with characteristics of PANDAS. This case is a patient who developed normally until age of 7, but after pharyngeal inflammation with high fever, he showed disturbance of cognition, social relationship, and language and communication, as well as tic symtoms and abnormal movement on face, hand, and foot. We report this case with review of literatures, because we think that this case belongs to the PANDAS category. Based on this observation, we suggest that PANDAS category include some of childhood disintegrative disorder as well as OCD, tic disorder, and ADHD.

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Characteristics of PMS and PMDD in Female College Students (여대생에서의 월경전기증후군 및 월경전불쾌장애의 특성)

  • Lee, Moon-Soo;Yang, Jae-Won;Ko, Young-Hoon;Ko, Seung-Duk;Joe, Sook-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.22-31
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    • 2012
  • Objectives : We investigated the prevalence and functional impairment of premenstrual dysphoric disorder (PMDD) and premenstrual syndrome(PMS) in young women. Methods : A total of 1063 female college students were recruited from two urban areas(Seoul and Suwon) of Korea. Questionnaires for sociodemographic data and risk factors of PMDD, attitude about menstruation, and the Premenstrual Symptoms Screening Tool(PSST) were applied. Results : The prevalence of severe moderate to severe PMS and PMDD were 16.9% and 11.7%, respectively. There were differences in the alcohol and coffee consumption, severity of menstrual cramp, and family history of PMS among the moderate to severe PMS, PMDD, and no/mild PMS groups. Although some participants did not fulfill diagnostic criteria for PMDD, they showed significant functional impairment. Participants with negative attitude about menstruation reported premenstrual symptoms more frequently than those with positive or ambivalent attitude about menstruation. Conclusion : These results suggest that PMS and PMDD were prevalent and associated with functional impairment in young females. Some participants reported significant functional impairments although they did not meet the full DSM-IV diagnostic criteria for PMDD. Negative attitude about menstruation was associated with more premenstrual symptoms experiences.

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A Systematic Review of the Intervention Study to Improve Participation of Children With Cerebral Palsy (뇌성마비 아동의 참여증진을 목표로 한 중재연구에 관한 체계적 고찰)

  • Kim, Se-Yun
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.289-296
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    • 2020
  • The purpose of this study was to identify article measuring treatment outcome for children with Cerebral Palsy in participation. The 6 database included EBSCohost was used for literature search. Key words for search strategy were "Cerebral Palsy and Children and Participation and Interventions". A total of 11 studies were searched and studies of evidence level I was 6(54.5%), studies of intervention method focused on physical function, activity and participation was 7(63.7%). The dependent variables of 2 studies(18.2%) were body structure and function, activity and participation, that of 4 studies(36.4%) were both body structure and function and participation, that of 3 studies(27.3%) were activity and participation, that of 2 studies(18.2%) were only participation. The COPM were used in 5 studies(45.5%).

A Study of Temporomandibular Disorders and Food Intake Ability among Dental Clinic Outpatients (일부 치과 외래환자의 측두하악장애 실태와 음식섭취능력에 관한 연구)

  • Han, Se-Young;Yu, Ji-Su
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.285-292
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    • 2011
  • The purpose of this study was to analyze and investigate temporomandibular disorders(TMD) and dental clinic outpatients by food intake ability to improve the quality of life. A survey of questionnaires with 208 subjects visiting a dental clinics located in Daejeon city from January to September in 2010 was performed. Analysis were performed with survey results, in which a symptoms of TMD, parafunctional habits and abnormal functions, food intake ability : 1. The main symptoms of TMD showed pain on TMJ(45.7%), pain on joint sound(45.2%), pain during chewing(41.3%), pain during mouth opening(38.0%), pain during non chewing(19.7%) and pain on joint dislocation(13.0%) in turn. 2. The symptoms of TMD by gender showed joint dislocation of 18.0% for male and 8.3% for female(p=0.038); pain on chewing of 49.0% for male and 34.3% for female(p=0.031), which were statistically significant. 3. The parafunctional habits and abnormal functions by gender showed clenching habit of 35.0% for male and 22.0% for female; bruxism of 21.0% for male and 9.3% for female, which were statistically significant. 4. The symptoms of TMD by age showed 52.8% of 27.8% for often and 25.0% for sometimes of 21-30 age in pain on TMJ, which were statistically significant(p=0.001). 5. The parafunctional habits and abnormal functions by age showed over 31 age of 48.3%, which were statistically significant(p=0.003). 6. The food intake ability by symptoms of TMD showed no joint sound(p=0.000), no pain on chewing(p=0.000) and without pain on TMJ(p=0.000), which were statistically significant. 7. The food intake ability by parafunctional habits and abnormal functions showed no clenching habit(p=0.000), no bruxism(p=0.000) and no headache, which were statistically significant. 8. The distribution type of operation by symptoms of TMD showed 30.8% of rest, 24.0% of physical medicine and 16.4% of pharmacotherapy. The pain on chewing showed 36.0% of pharmacotherapy; 52.4% of pain on TMJ for often and 40.5% for sometimes, in which pharmacotherapy and physical medicine were statistically significant(p=0.000). These results showed that management run parallel with survey for multiple factors in TMD we consider aspect of physical, social, physiology to enhance quality of life to increase food intake, construction of program for treatment and prevention because the individual differences need to be multifaceted, further research is suggested to continue.

Effect of K-ADL·K-IADL and Quality of life in Day Hospital Program for Stroke Patients (뇌졸중 환자의 낮병원 프로그램이 도구적·일상생활활동 수행 능력과 삶의 만족도에 미치는 영향)

  • Park, Chang-Sik;Song, Byung-Ho
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.267-277
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    • 2012
  • This study was to evaluate the effects how to have an influence on activities daily living and quality of life in day hospital program for the stroke patient. 41 experimental groups and 41 control groups in National rehabilitation hospital selected and examined K-ADL, K-IADL and quality of life. The result of this study indicated that experimental group was higher than control group in activity daily living performance and instrumental activity daily living performance. also experimental group was higher than control group all of total items in quality of life. age and economic state of general characteristic had an effect on K-ADL, K-IADL and quality of life and economic state, scholarship, marriage, job, helper had effect on quality of life. pain, social function, mental health, physical role in item of quality of life had effect on K-ADL and limit of physical role had best effect on K-IADL. Consequently we found that it needs to continuous rehabilitation to maintain body function, to prevent secondary disability, to improve social integration and quality of life for stroke patient actually.

A Study on the Clinical Characteristics of Burning Mouth Syndrome (구강내 작열감 증후군의 임상적 특징에 관한 연구)

  • Jin-Woo Chung;Ki-Yong Hyun;Sung-Woo Lee
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.7-23
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    • 1994
  • 구강내 작열감 증후군은 객관적 징후없이 구강점막에 작열감을 나타내는 만성동통장애이다. 다양한 원인요소들이 제시되어 있지만, 이러한 요소들의 관련성에 대해서는 아직 분명하지 않은 실정이다. 그러므로, 이러한 구강내 기능이상의 근본적이고 효과적인 치료를 위해서는 다양한 임상적 관찰과 원인요소의 분석등이 계속 연구 조사되어져야 할 것이다. 저자는 구강내 작열감 증후군의 증상을 호소하는 112명의 환자의 임상적 특징에 대해 조사하고자, 환자군과 대조군에 대해 구강내 작열감 증후군에 관한 설문조사 및 구강검사와 혈액학적 검사를 시행하였으며, 점도계를 사용하여 구강내 작열감 증후군 환자의 자극이 전타액의 점도를 측정하였다. 또한, 환자의 심리적 요인을 파악하고자 간이정신진단검사를 실시한 결과 다음과 같은 결론을 얻었다. 1. 구강내 작열감 증후군은 주로 페경기 전후의 여성에서 많이 나타났으며, 호발부위는 혀, 치주 및 치조점막, 구개, 협점막의 순이었다. 2. 구강내 작열감 증후군 환자에게서 대조군 비해 구강건조감, 미각 및 수면장애, 빈혈, 소화기 장애, 두통과 기타 다른 신체불편감의 호소 등이 더 많이 나타났다. 3. 혈액학적 검사결과, 구강내 작열감 증후군 환자중의 26%와 12%에서 각각 혈중 엽산농도와 철분농도의 저하를 나타냇다. 4. 자극시 분비된 전타액의 점도는 40대와 50대이상의 연령군에서 구강내 작열감 증후군 환자가 정상인에 비해 높았다.(p<0.01). 5. 구강내 작열감 증후군 환자군의 간이정신진단검사의 각 증상차원 및 전체지표의 T점수의 평균치는 정상범위내에 있었으며, 신체화(SOD)와 우울 (DEP)차원의 평균치가 가장 높았다.

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Clothing for the Handicapped(Part II) - Wheelchair & Crutch Users - (장애인을 위한 의복디자인(제2보) -휠체어 및 목발 사용자를 증심으로-)

  • Hong, Sung-Soon;Seok, Hye-Jung;Kim, You-Mi
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.10
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    • pp.1791-1800
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    • 2001
  • 연구의 목적은 지체장애인들의 신체적 특성을 고려하여 움직이기 편하면서 외관이 보기 좋은 기능성 의복을 제작하는데 있다. 휠체어, 크러치를 사용하는 여성 장애인을 대상으로 쟈켓, 바지, 휠체어 랩을 제작하여 외관상 기성복과 차이가 나지 않으면서 보조기구를 사용하는데 불편함이 없는 디자인을 제시하였다. 연구의 결과는 다음과 같다. 첫째, 휠체어사용자 쟈켓은 어깨와 팔의 동작을 쉽게 하기 위해서 뒤 bodice 소매둘레부위에 artion pleats를 주었으며 팔꿈치 부위에 주름으로 처리하여 당김과 움직임을 수월하게 하였다. 바지는 허리선 위치를 수정하고 굽혀져 있는 무릎부위에 앞은 주름, 뒤는 다아트로 처리하였다. 둘째, 크러치 사용자는 전체적으로 외관이 올라간 것처럼 보이는 것을 막기 위하여 쟈켓 길이를 길게 하고 쟈켓 위에 조끼를 덧입은 것처럼 보이게 하였다. 바지의 허리선은 고무벨트를 달았으며 양쪽 옆트임을 하여 지퍼를 달았다. 셋째, 휠체어 랩은 방수와 방한을 대비하여 만든 옷으로 전체적인 외관이 롱 원피스 형이며 발부위에 사각형 발판을 만들어 바람이 들어오지 못하도록 하였고, 양쪽 옆 지퍼를 사용하여 여밈 처리하였다.

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Health Conditions, Activities of Daily Living, Depression, Sleep, and Cognitive Functions of the Elderly at Care Facilities and Their Related Factors (요양시설 노인들의 건강상태, 일상생활수행능력, 우울, 수면과 인지기능정도와 관련요인)

  • Kim, Jong-Im
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.463-473
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    • 2016
  • The purpose of this study was to investigate the relations between the cognitive functions, health conditions, activities of daily living, depression and sleep states among the elderly at care facilities. The subjects include 204 elderly people aged 65. The data collected were analyzed using descriptive statistics, the t-test, ANOVA, Pearson correlation, and hierarchical multiple regression. The findings show that the cognitive functions of the elderly at care facilities are related to their engagement in regular exercise, duration of residency, grade of care, lack of physical freedom, listening ability, state of teeth, urinary incontinence, activities of daily living, and state of sleep. Their cognitive functions had positive correlations with activities of daily living and negative correlations with state of sleep. Their cognitive impairment was significantly influenced by their engagement in regular exercise, duration of residency, grade of care, listening ability, ADL, IAD dependency, and sleep disorder. In short, the cognitive functions of the elderly at care facilities are highly related to their health conditions as perceived and felt by them. It is thus required to develop, apply, and consistently assess and manage cognitive rehabilitation training programs to provide interventions for the factors that influence their cognitive impairment.