• Title/Summary/Keyword: 재활기기

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Effect of Convergence-Based Russian Current and Transcutaneous Electrical Nerve Stimulation at Quadriceps Muscles on Pain, Strength, and Performance in Persons with Anterior Cruciate Ligament Reconstruction (융복합기반 러시안전류와 경피신경전기자극이 앞십자인대재건술 환자의 넙다리네갈래근의 통증, 근력, 기능에 미치는 효과)

  • Lee, Deok-Jae;Shim, Jae-Hun;Yoon, Seoung-Ic;Park, Shin-Jun
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.77-87
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    • 2017
  • The purpose of This study was to compare the effect of Convergence-Based russian current(RC) and transcutaneous electrical nerve stimulation(TENS) on pain, muscle strength, function of knee who had a surgical anterior cruciate ligament reconstruction(ACLR). A total of 40 Participants divided into 2 groups, with ACLR, were assigned to russian current group(RCG) or transcutaneous electrical nerve stimulation group(TENSG). Both groups were measured by varieties of tests: visual analog scale(VAS), knee flexion & extension muscle strength, knee injury and osteoarthritis outcome score(KOOS), korean lower extremity functional scale(LEFS). Both groups has shown significant changes within the measurements of VAS, Knee Flexion & Extension muscle strength, KOOS and LEFS. The RCG had more significant increase within knee extension muscle strength, LEFS compared to TENSG. By studying this research, both interventions were effective to ACLR patients, moreover, RC was more effective for knee muscle strength and lower extremity function than the TENS.

Design and Manufacture of Improved Obstacle-Overcoming type Indoor Moving and Lifting Electric Wheelchair (향상된 장애물 극복형 실내 이·승강 전동휠체어의 설계 및 제작)

  • Kim, Young-Pil;Ham, Hun-Ju;Hong, Sung-Hee;Ko, Seok-Cheol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.851-860
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    • 2020
  • With an increase in the aging population and a rising social interest in health and welfare, studies to improve healthcare in the elderly are being actively conducted. This study attempted to improve the current design and manufacture of elevating electric wheelchairs to enhance user safety and convenience. Seat design based on the user's body shape, convenience while boarding or alighting, caster turning radius and, safety and stability features that prevent shaking when the user gets up or sits down were improved. A driving experiment was conducted to evaluate the operation of the indoor electric wheelchair designed and manufactured with these additional functionalities. During the test, the performance parameters evaluated were continuous driving time, turning radius, maximum lifting and lowering load, maximum lifting height, noise level, minimum distance sensing by the driving auxiliary sensor, ability to interact with server and app programs, and the duty cycle maximum error rate. The test confirmed that this improved electric wheelchair successfully met target parameters. In a future study, we will evaluate this improved electric wheelchair from a user's perspective for its usability parameters, such as satisfaction, convenience and stability.

Case Study on Functional Bike Design for Elderly and Disabled (고령자.장애인을 위한 기능성 자전거디자인 사례연구)

  • Hong, Jung-Pyo;Hyoung, Sung-Eun;Jin, Hye-Ryeon;Seo, Seung-Hyun;Lee, Se-Hee;Yu, Mi;Kwon, Tae-Kyu
    • Science of Emotion and Sensibility
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    • v.14 no.1
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    • pp.17-26
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    • 2011
  • Health care service's added value and sustainability has been formed, through the product developing about sports equipment and special equipment for disabled in order to improve the life quality, with the increasing population of elderly and the attention about health care. This research's design and 3 testing sections has been done according to design process for design development of functional bike. 1st test is done through researching from 4 aspects: structure, aesthetic, function and using. In the 2nd testing, 10 universal design items were used to evaluate 10 modeling samples, and sample F which has high evaluation overall was chosen. In 3rd test, evaluation was done from the user service scene about the mock-up with 1/4 scale size. PPP (product performance program) which is constructed with 60 evaluation items about functional bike's service was tested, and these items were fixed through discussing with experts. Through the result we knew the aesthetic elements had relationship with proportion, unity and typicality. In 10 items (55 survey items), the scores of items with physical exposure's minimization, simple and intuitively usage showed high, on the contrary, the other items' scores was very low, such as information delivery's consideration and thought, failure preventing. The evaluation will be done once more by health care experts, designers and elderly together if the physical model could be made for getting accurate measurement about above test result in the future.

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Establishing EMG Measurement System for Measurement of Motor Nerve Response in Transcranial Magnetic Stimulation (경두개 자기자극 시 운동신경 유발응답 측정을 위한 근전도 측정 시스템 구축)

  • Lee, Geun-Yong;Kim, Su-Hwan;Jo, Jae-Hyun;Yoon, Se-Jin;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.12 no.4
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    • pp.413-418
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    • 2019
  • Studies are now actively underway to confirm the degree of treatment and rehabilitation of patients with brain-related diseases (dementia, schizophrenia, depression, Parkinson's disease). Among them, Transcranial magnetic stimulation (TMS) is widely used in treatment because it is a technique that is used for noninvasive brain neuron control in patients with brain disorders. It can be seen that muscle fatigue of normal people increases during Transcranial magnetic stimulation. Therefore, in this paper, our purpose is to build an EMG measurement system to measure motor neuron-induced response during transcranial magnetic stimulation and We identify a motor-neutral response system using tendency in the RMS graph. As an experimental method, the Raw Data received through the surface EMG device and analyzed by RMS technique, after the contraction and relaxation movement of the biceps brachii. As a result of the experiment, we confirmed the trend of rising RMS graph, and it will can be used to determine the self-stimulation intensity for each individual in consideration of the data of the motor-neutral response.

Integrative medicine rehabilitation of simultaneous intra-dermal acupuncture (IDA) and neurodevelopmental treatment (NDT) for children with cerebral palsy: Pilot Study of Functional Near-Infrared Spectroscopy (뇌성마비 소아에 대한 중추신경계재활치료 및 피내침 병용치료에 관한 연구 - 기능성 적외선 분광법(fNIRS)를 이용한 예비 연구 -)

  • Chang, Seok Joo;Nam, Yeon Gyo;Kim, Ji Hyun;Ko, Mun Jung;Kwon, Bum Sun;Lim, Chi-Yeon;Min, Sang Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.35 no.1
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    • pp.139-147
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    • 2021
  • Objectives The purpose of this study is to investigate differences in brain activities when Neurodevelopmental treatment (NDT) is used alone compare to NDT is combined with intradermal acupuncture (IDA) treatment, using functional infrared spectroscopy (fNIRS) Methods Three children less than 7 year-old with cerebral palsy were participated. On their first visit, only NDT was used. After a week, they were treated with both NDT and IDA. During the treatment, fNIRS was used to measure any changes in their brain activities. Results In first patient with NDT, oxyhemoglobin level was increased during Standing exercise and Gait training compared to resting state. When the patient was treated with NDT and IDA, oxyhemoglobin level was decreased during Standing exercise and Gait training compared to resting state, and the result was significant (p<0.05). In second patient, oxyhemoglobin level was decreased in Gait training compared to resting state when NDT was used, but the level was increased when NDT and IDA were used in Gait training compared to resting state (p<0.05). In third patient, the difference in oxyhemoglobin levels between Gait training and resting state was significant (p<0.05). Conclusions Treatment involving both NDT and IDA has more potential to improve brain activities compared to that of NDT alone, and no adverse effect was reported. In order to confirm the finding, larger scale randomized controlled trials are needed.

A Systematic Review of Occupational Therapy Interventions for Children With Cerebral Palsy: Focus on Single-Subject Research Design (뇌성마비 아동을 위한 작업치료 중재에 대한 체계적 고찰: 국내 단일대상연구를 중심으로)

  • Shin, Chae-Eun;Choi, Yoo-Im
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.25-42
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    • 2023
  • Objective : The purpose of this study was to identify the characteristics of a single-subject research study and qualitative levels in which occupational therapy interventions were performed on children with cerebral palsy. Methods : This study targeted papers, published in Research Information Sharing Service (RISS), National Digital Science Library (NDSL), Koreanstudies Information Service System (KISS), and E-article from May 20 to 29, 2022. The search terms were 'cerebral palsy' AND 'single subject research design' OR 'individual subject study'. Eleven papers, were finally selected and analyzed. Results : Most of the studies were medium in methodological quality, and the subjects were pre-school age and spastic hemiplegia. Among the single-subject designs, intervention-removal designs were the most common, and among them, ABA designs were the most common. Interventions included assistive devices, constraint-induced therapy, neurodevelopmental therapy, and sensory integration therapy were 2, and upper extremity exercise, interactive metronome, and CO-OP were 1. Dependent variables were measured with 2 to 4 measurement tools, Significant improvements were found in postural control ability, gait and balance, hand function, and upper extremity function. Conclusion : This study confirmed that it is helpful to apply cerebral palsy occupational therapy by presenting the characteristics of cerebral palsy, intervention sessions and effects, measurement tools and methodological quality levels.

A Study on the Factors for the Elderly Living in the Community to Determine Their Participation in the Cognitive Improvement Program: With the Application of Anderson Model (지역사회 거주 노인의 인지 향상 프로그램 참여 의사 결정 요인에 관한 연구: 앤더슨 행동 모형(Anderson model)의 적용)

  • Lee, Hey Sig;Park, Da Sol;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.11 no.1
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    • pp.87-99
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    • 2022
  • Objective : Through the application of the Anderson model, this study provides an empirical analysis of the decision-making factors for participation in cognitive improvement programs for the elderly living in the community. Methods : This study was conducted through an online survey. The participants were elderly people aged 65 years or older living in the community. The survey had 154 participants and was conducted over a two-month period from August to September 2020. Results : The main results of this study were as follow: first, there was no correlation between the predisposing factors and cognitive improvement program; second, among the enabling factors, diversity, interest, and effectiveness of the program were correlated with the cognitive improvement program; and third, there was no correlation between participation in the cognitive improvement program and need factors. Conclusion : This study shows that the results of basic information and evidence will be identified through analysis of the results of the study and that the implications for the development of cognitive improvement programs will be obtained in the future.

Clinical Outcomes of Minimum 12-Month Follow-Up of Anatomical Double Bundle ACL Reconstruction with a Longitudinally Split Tibialis Anterior Allograft (종분할된 전경골 동종건을 이용한 해부학적 전방 십자 인대 이중다발 재건술의 최소 12개월 임상 결과)

  • Seo, Young-Jin;Song, Si Young;Kim, In Sung;Ahn, Jung Tae;Yoo, Yon-Sik
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.2
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    • pp.99-107
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    • 2011
  • Purpose: The purpose of this study was to investigate the clinical results after a anatomical double bundle ACL reconstruction using a longitudinally split tibialis anterior allograft. Materials and Methods: We evaluated 24 patients with a minimum follow-up of 12 months who had undergone anatomical double bundle ACL reconstructions. The grafts utilized in all cases were tibialis anterior allografts which were longitudinally split into two strands. A standard rehabilitation protocol was applied in all patients. The pre- and post-operative data including Lysholm scores, International Knee Documentation Committee (IKDC) scores, Lachman test, pivot shift test and the side-to-side differences of anterior laxity measured by KT-2000 arthrometer were analyzed by use of a statistical method Results: The mean side-to-side instrumented laxity measured by the KT-2000 arthrometer significantly improved to a mean of $1.04{\pm}0.80\;mm$ (P < 0.001). The Lysholm knee scores also improved from $58.34{\pm}15.32$ to $86.25{\pm}6.48$ after surgery (P < 0.001). The patients exhibited improved IKDC scores (A: 15 cases, B; 9 cases) at the final follow-up, compared to preoperative scores (B: 5, C: 10, D: 9). Conclusion: Our data demonstrated that clinical results of anatomical double bundle ACL reconstruction with a split tibialis anterior allograft are encouraging with excellent side-to side laxity, significantly improved Lysholm knee score, IKDC score, Lachman and pivot shift data.

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