• Journal of rehabilitation welfare engineering & assistive technology
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• v.11 no.3
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• pp.119-126
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• 2017

In the clinical setting, the pressure bio-feedback device is used for the spinal rehabilitation of patients with back pain, but it has several disadvantages. The purpose of this study was to develop a digitalized pressure biofeedback system that provides precise exercise method and posture in real time during the spinal rehabilitation exercise by sensing and monitoring body movements and balance of users and providing biofeedback to users. After that, the usability testing for a digitalized pressure biofeedback system will be conducted to identify problems such as safety, performance, operability, and satisfaction, and suggest improvement directions. A total of 33 subjects were participated in the usability testing. The experts group and the users group evaluated the developed digitalized pressure biofeedback system on a scale of 5 points after using the equipment. In the user group, safety was 3.59, operability was 4.38, satisfaction was 4.49. In the expert group, safety was 2.86, operability was 3.91, and performance was 4.28. Based on the usability evaluation, if the problems of stability of the cradle for tablet PC, air injection, screen display, etc. are solved, it becomes a exercise device capable of accurately exercising and evaluating the function of the spine by checking its own motion state while the spinal stabilization exercise.

• 재활복지
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• v.21 no.1
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• pp.47-70
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• 2017

The aim of this study was to explore the effects of the epidemiological factor (depression), the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), reinforcing factors (family support, professional support), and enabling factor (resource availability, accessibility) on quality of life in home-dwelling disabled people in rural areas. The conceptual model for this study was established on the basis of the PRECEDE model which was developed by Green and Kreuter. Data were drawn from the "Preliminary Investigation for Community-centered rehabilitation" conducted by a public health center located in the O province in 2011 and 186 of 190 disabled people who participated in the survey were included in the final analysis. Data were analyzed using Direct effects on quality of life arose from latent variables depicting the epidemiological factor (depression)and reinforcing factor (family support, professional support), while indirect effects arose from the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), and enabling support (resource availability, accessibility). This model explained 85.5% of the variance in quality of life among rural disabled individuals. These findings may have shed some light on the necessity of including strategies to reduce depression and to strengthen supports from family and healthcare professionals when performing rehabilitation programs to improve quality of life in home-dwelling disabled people in rural areas. Furthermore, it suggested that it would be useful to develop specific strategies and tactics which might increase self-efficacy and to expand linkages between public health centers and other professional institutions such as hospitals for community-centered rehabilitation services for individuals with disabilities.

• Therapeutic Science for Rehabilitation
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• v.12 no.2
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• pp.43-53
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• 2023

Objective : In this study, the rehabilitation motivation evaluation tool for stroke patients was identified, and the characteristics of the evaluation tool were analyzed to analyze the conceptual framework and characteristics used in the composition of the evaluation contents. Methods : From 2000 to May 2022, documents registered in major domestic and foreign databases (PubMed, NDSL, Medline, and EMbase) were searched and selected according to the selection and exclusion criteria. The evaluation tools used in the selected documents were analyzed, and the characteristics of this evaluation tool were analyzed. Results : A total of 30 documents were selected, and they were classified into a total of five rehabilitation motivation evaluation tools. The most widely used in Korea was the measurement tool for rehabilitation motivation for the disabled, and the most widely used overseas was the intrinsic motivation inventory. Three evaluation tools constructed the evaluation contents based on the self-determination theory, and two constructed the evaluation contents through expert agreement. The number of evaluation items and 8 to 45 items were varied, and the evaluation scale was also used in various ways from 4 to 7 point scale. Conclusion : It was possible to identify the evaluation tools mainly used for the evaluation of rehabilitation motivation, and to identify the main conceptual framework based on the development of the rehabilitation motivation evaluation tool. The results of this study are expected to be used as basic data for research on the development of rehabilitation motivation evaluation tools for stroke patients in the future.

• 재활복지
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• v.20 no.1
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• pp.1-22
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• 2016

This research aimed to examine the problems in a current national emergency management system that does not consider the disabled in the face of manmade catastrophes and natural disasters, and to conduct an expert opinion survey to explore the direction of disabled-inclusive public disaster management system. As a result of the analysis, the respondents of the survey revealed a need for a designated government department for disaster management systems for the disabled and the experts preferred the Ministry of Public Safety and Security (50%) than the Ministry of Health and Welfare (37.5%). However, 12.5% of the surveyed experts perceived cooperation between the two Ministries, rather than selecting a certain ministry, as necessary to establish a disaster management system for the disabled. Additionally, the experts recognized the response period (43.8%) of the disaster management life cycle to be the most important phase. Thus, at the disaster response period, the experts suggested utilizing an emergency alarm system to effectively rescue the disabled in the face of disaster. Based on this discussion, the paper explores ways to establish a disabled-inclusive public disaster management system.

• The Korean Journal of Rehabilitation Nursing
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• v.4 no.2
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• pp.232-239
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• 2001

이 논문의 목적은 재활기능을 측정하는 FIM 도구(영문)를 한국어로 번역하고 한국 한국문화에 적합한지를 문화적 타당도를 검증하기 위함이다. 이를 위해 FIM 도구를 소개하고 타당도 검증을 위해 Flaherty et al.(1988) 등이 소개한 횡문화적 일치성 검증을 위한 5가지 단계 중 2가지 단계 즉 전문가 집단의 내용타당도 검증과 역번역 절차를 사용하였다. 연구 결과 FIM 도구는 사회 심리적 도구가 아닌 재활환자의 기능을 측정하기 위해 사용된 도구여서 여기에 사용된 용어나 문장들은 비교적 간결하고 번역에 혼동을 초래할 수 있는 형용사나 은유법은 거의 사용되지 않아서 의미는 일치한 수준으로 나타났다. 그러나 47쪽에 해당되는 방대한 도구를 번역함에 있어 연구자가 5문장을 해석하지 않은 것이 나타나 재해석을 하였고, 의미를 더 정확하게 전하게 하기 위해 '사고 없음'의 문장을 '옷이나 침요에 실금하여 적시는 사고가 없음'으로 풀어서 설명하였고, '배뇨 사고 없음' 혹은 '배변 사고 없음'으로 번역하였다. 생활양식의 차이로 인해 크게 2가지 차이가 나타나 한국에서 이 도구를 사용하고자 할 때는 신뢰도 검증은 물론 다소의 변형이 불가피 한 것으로 나타났다. 2가지의 생활양식의 차이는 식습관의 차이와 온돌과 침대 문화의 차이였다. 첫째, 한국에서는 식사시에 포크 대신 젓가락을 사용한다. 그러나 손을 잘 사용하지 못하는 장애인의 경우 젓가락 대신 포크를 사용하게 되므로 이 때 포크 사용은 보조기로 고려되어서 측정 점수는 7점이 아닌 6점으로 측정되어야 할 것을 제안한다. 둘째, 한국 사람들은 온돌문화를 갖고 있어 전통 양식의 가옥에 거주하는 장애인의 경우 개조된 가옥에서는 휠체어를 사용 할 수 있지만 그렇지 않은 경우 휠체어 없이 앉아서 침대나 욕실 및 변기로 이동이 가능하다. 이런 경우 앉아서 이동할 수있는 환자들의 기능 정도를 정밀하게 검토하여 측정 가능한 점수로 환원해서 사용할 것을 제안한다.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.9 no.1
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• pp.61-66
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• 2015

Chest X-ray images is the most common and widely used in clinical findings for a wide range of anatomical information about the prognosis of the disease in patients with cardiopulmonary rehabilitation. Many analysis algorithm was developed by a number of studies regarding the region segmentation and image analysis, there are specific differences due to the complexity and diversity of the image. In this paper, a diagnosis support system of the chest X-ray image based on image processing and analysis methods to detect the cardiopulmonary disease. The threshold value and morphological method was applied to segment the pulmonary region in a chest X-ray image. Anatomical measurements and texture analysis was performed on the segmented regions. The effectiveness of the proposed method is shown through experiments and comparison with diagnosis results by clinical experts to show that the proposed method can be used for decision support system.

• Journal of The Korean Society of Integrative Medicine
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• v.10 no.3
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• pp.73-84
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• 2022

Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care. Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema. Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient. Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

• 재활복지
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• v.16 no.3
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• pp.421-437
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• 2012

The goal of this study is to provide the basic information for improvement of domestic standards on the powered scooter and the electric wheelchair considering using environments in the nation. The international standards and domestic standards have been analyzed and compared, in order to propose improved domestic standards. Based on the research, the items and standards for general and functional recommendations, electric features, and other suggestions have been reexamined so that the improvements on test item and standards have been identified, corrected, and summarized including max. speed, brake system, lights and so on. We have been preparing the reference data for the improvement of standards on the powered scooter and the electric wheelchair through the comparison & analysis on the international and domestic standards.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.3
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• pp.17-37
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• 2024

Objectives: The purpose of this study was to explore school counselors' experiences with the Support Project for School Visits by Mental Health Experts. Methods: Focus Group Interview were conducted with 13 school counselors to explore the experience of Support Project for School Visits by Mental Health Experts. Reseults: The effectiveness of the project were identified as "Changing school and parental perceptions and attitudes", "Strengthening the capacity of school counselors", "Improving school mental health response capabilities". The facilitating factors and barriers to the effectiveness of the program were identified. And the following improvements were suggested. Conclusion: Based on this, suggestions were made for differentiating the mental health professional school visitation support project and the role of mental health professionals in revitalizing the project.

• Science of Emotion and Sensibility
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• v.17 no.3
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• pp.129-142
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• 2014

Due to the increase of the aged population and population of the disabled today, there is a growing demand for rehabilitation medical instruments. Furthermore, there is a growing demand for evaluation indices for services that should be provided for uses of the rehabilitation medical instruments. In order to evaluate rehabilitation medical instrument designs in this study, the basic index for design evaluations shall be identified to search for assessment plans. Through this, new evaluation indices will be deduced through discussions and analysis of rehabilitation medical experts, biomedical engineers, and designers. The results of this study are summarized as follows. First, the existing design evaluation indices were collected and analyzed to construct 10 rehabilitation medical instrument design evaluation indices and 44 sub-evaluation items. These will be important evaluation standards for designing rehabilitation medical instruments in the future. Second, the design evaluation indices that must be taken into consideration when developing health care rehabilitation medical instruments are the 10 design evaluation indices of usability, cognition, safety, learning, motility, durability, economic feasibility, space, aesthetics and environmental aspects. Third, design evaluation indices of environment, space, cognition, usability, economic feasibility and aesthetics are indices that must be taken into consideration for product design, while learning, safety, motility and durability are factors that must be given special consideration for rehabilitation medical instrument design evaluation indices. Fourth, if existing product design evaluation indices placed importance on environment, space, cognition, usability, economic feasibility and aesthetics of products for design evaluation indices, rehabilitation medical instrument design evaluation indices placed importance on learning, safety, motility and durability on top of usability and economic feasibility, which are the differences between the design evaluation indices of rehabilitation medical instrument and other product designs. The 10 rehabilitation medical device design evaluation indices and 44 sub-evaluation items were carried out in this study. This research is only on the overall rehabilitation medical device design evaluation indices. In future research, the evaluation indices will be applied in the actual rehabilitation medical design device through production of prototypes, while making revisions and supplementations where necessary.