• Title/Summary/Keyword: 재활치료

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견관절 불안정성 진단 및 치료방침의 결정

  • Choe, Chang-Hyeok
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2007.11a
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    • pp.104-109
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    • 2007
  • 외상성 전방탈구의 경우 일차성 탈구이거나 일상생활에 큰 불편을 호소하지 않는 불안정성이 있을 경우 및 비외상성 다방향 불안정성의 경우 보존적 치료가 바람직하며, 10대 및 20대의 재탈구로 인한 불안정성이 유발될 경우 관절경적 혹은 개방성 Bankart 술식을 통하여 관절순의 해부학적 정복 및 술 후 잘 조절된 재활치료를 시행할 경우, 좋은 결과를 얻을 수 있다. 치료 방법의 선택 시 가장 중요한 요소는 환자의 원하는 결과를 만족 시켜줄 수 있는 치료 방법을 선택하는 것이며, 이는 불안정성의 원인, 정도, 탈구의 횟수, 환자의 활동도 및 재활 의지등을 종합적으로 감안하여 결정되어야 한다.

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Functional Outcome After Complete Spinal Cord Injury With Left Below Elbow Amputation, Medial Nerve Palsy at Right Hand: A Case Report (척수손상과 좌측하박절단, 우측 손의 정중신경손상 등 복합장애를 가진 척수손상 환자의 재활치료: 증례연구)

  • Kim, Tack-Hoon;Cynn, Heon-Seock;Lee, Jae-Ho
    • Physical Therapy Korea
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    • v.6 no.4
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    • pp.30-35
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    • 1999
  • 본 증례연구는 복합손상을 가진 척수손상환자의 재활치료과정을 소개하여 유사한 사례의 치료에 도움이 되고자 하는 것이다. 증례연구의 대상자인 26세의 남자환자는 흉수 4번 완전손상과 사고 당시 전기화상에 의한 좌측하박 절단과 우측손의 정중신경이 마비되었다. 치료초기에는 일상생활동작 검사에서 MBI (Modified Barthel Index) 점수가 22점으로 독립적으로 가능한 것은 거의 없었고, 기능적으로도 모든 도움이 필요한 상태였으나 재활치료결과 독립적으로 가능한 기능수행 능력은 돌아눕기, 일어나 앉기, 침상에서 의자차로 이동하기, 의자차 굴리기였고 제한적이기는 하지만 독립적으로 가능한 일상생활동작은 식사, 상의 입기, 의자차와 같은 높이의 이동 등이 가능하여 MBI 점수가 47점을 나타내었다. 이 환자의 초기의 장기치료목표는 전동 의자차를 이용하여 보호자의 도움을 줄이는 것이었다. 그러나 환자가 익숙하게 의지를 사용하였으며 일반 의자차 사용을 위해 필요한 만큼의 근력증가가 있었고, 의자차에 앉은 상태의 균형감각이 증가하여 목표를 수정하여 일반 의자차를 사용하도록 하였다. 환자 본인이 가지고 있는 재활 잠재력을 최대로 이끌어낼 수 있도록 유도한 결과 부분적으로 제한이 있었지만 실내에서는 의자차를 이용하여 독립적인 생활이 가능하였다.

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Wearable Elbow Rehabilitation Robot Capable of Mirror Therapy (거울치료가 가능한 착용형 팔꿈치 재활로봇)

  • Yang, J.H.;Baek, J.S.;Moon, I.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.2
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    • pp.73-78
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    • 2014
  • In this paper we propose a wearable elbow rehabilitation robot applied the mirror therapy for elbow rehabilitation. To implement the mirror therapy, a data suit for measuring healthy elbow motion is developed. A powered elbow exoskeleton wearing in paralyzed arm is controlled by the measured data from the healthy elbow motion. In experiments, the elbow rehabilitation exercise by the mirror therapy is performed. From the experimental results we show the wearable exercise robot including the data suit is applicable to the mirror therapy for elbow rehabilitation.

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Study of Porspective Speech and Language Pathologist Competence by Completion of Clinical practicums (언어재활실습 여부에 따른 예비언어재활사의 역량조사)

  • Wha-Soo Kim;Ye-Joo Koo;Ji-Woo Lee;Ju-Hyeon Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.219-228
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    • 2023
  • The purpose of this study is to find out the competence of porspective speech and language pathologist according to Clinical practicums and to use it as basic data in guiding porspective speech and language pathologist. The porspective speech and language pathologist competence consisted of tasks, knowledge, skills, and language areas, and a total of 36 questionnaires were organized by dividing the language areas into sub-areas of smantics, morphology and pragmatics. A total of 105 questionnaires were collected from students with experience in Clinical practicums. A t-test, Pearson correlation analysis, and simple regression analysis were conducted to analyze the competence of porspective speech and language pathologist according to whether or not they practiced. The results of this study are as follows. First, there were significant differences between groups in all areas of knowledge, tasks, skills, and language in the competence area. Second, there was a very strong correlation between competence and language sub-areas. Third, it was found that it had a significant explanatory power in the sub-area of competence and language areas, and had a positive effect on the competence of porspective speech and language pathologist. This study is meaningful in that it should be based on theoretical knowledge of language elements to enhance the competence of porspective speech and language pathologist, and it can be confirmed that theory affects the competence of porspective speech and language pathologist. It is expected to be meaningfully used as a basis for efficient teaching methods based on the improvement of the capabilities of porspective speech and language pathologist, training training professional language rehabilitators, and theory, and theory.

Study on the Degree of Perceptions and Needs regarding the Driving Rehabilitation of the Students of Occupational Therapy in Busan and Gyeongnam (운전재활에 대한 부산 경남지방 작업치료과 학생들의 인식도 및 요구도 조사)

  • Song, Min-Ok;Jang, Chel
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.2
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    • pp.85-95
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    • 2013
  • Objective : The purpose of this study was to know the degree of the perceptions and the needs regarding the driving rehabilitation of students of occupational therapy. Method : Subjects are 317 students, department of occupational therapy of 4 colleges in Gyeongnam and Busan. Questionnaire consist of 15 questions of perceptions of the driving rehabilitation, 9 questions of needs of the driving rehabilitation, and 4 questions of subjects. The period of surveys was from 12, May to 12, Jun, 2013. Result : 73(23.1%) students answered that they knew about the driving rehabilitation and 47(14.8%) students answered that they experienced the driving rehabilitation. The answers about the channels of knowing and experience regarding driving rehabilitation had 'through the college'. The perceptions regarding the specialist and programs of driving rehabilitation was low compared with the knowing of the driving rehabilitation. The perception of needs regarding the driving rehabilitation for people with disabilities was high and they answered that they need the educations regarding driving rehabilitation. The 3rd grade students had high degree of perceptions and needs compared with 1st and 2ed grade students. And A college students had high degree of perceptions and needs compared with C and D college students. Conclusion : It is important that subject regarding of the driving rehabilitation include in curriculum of occupational therapy for strengthen the role of the occupational therapist in the driving rehabilitation.

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The Effect of Leisure Activity, Based on the Model of Human Occupation, on Leisure Satisfaction, Activities of Daily Living and Rehabilitation Motivation in Elderly Patients: Implications for occupational therapy (여가활동을 통한 작업치료가 노인 환자의 여가 만족도, 일상생활활동 수행 능력, 재활 동기에 미치는 영향)

  • Baik, Jisoo;Yang, Yeong-Ae;Shin, Yong-Il
    • 한국노년학
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    • v.39 no.2
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    • pp.285-304
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    • 2019
  • The purpose of this study was to investigate the effects of leisure-based occupational therapy on leisure satisfaction, activities of daily living, and rehabilitation motivation in elderly patients with chronic diseases. In the study, Subjects were assigned to either the control or experimental group. The experimental group consisted of 10 and the control group of 14 patients. The experimental group receive a Leisure-based occupational therapy intervention, and the control group receive a conventional occupational therapy intervention. Leisure satisfaction, activities of daily living, and rehabilitation motivation were measured to Canadian occupational performance measure(COPM), Korean Activities of Daily Living(K-ADL·K-IADL), and Patient Questionnaire of Rehabilitation Motivation(PAREMO). Evaluation scores were compared before and after intervention to determine whether or not there were differences over time. And we examined the correlation between the variables. The results of this study were as follows: 1) The leisure-based occupational therapy has a significant effect on leisure satisfaction and rehabilitation motivation(p<.01). 2) The conventional occupational therapy has a significant effect on activities of daily living(p<.01). 3) There was a significant correlation between ADL and IADL(p<.01). 4) There was a significant correlation between leisure satisfaction and Rehabilitation Motivation(p<.01). Implications for occupational therapy include that we must offer appropriate approach with considering the interests and value of patients to them. And proposing studies to demonstrate the efficacy of occupational therapy approaches.

Effectiveness of Community-Based Rehabilitation After Traumatic Brain Injury : A Systematic Review (지역사회 재활이 외상성 뇌손상 환자에게 미치는 효과: 체계적 고찰)

  • Park, Young-Ju;Chang, Moon-Young;Kim, Kyeoung-Mi
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.13-23
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    • 2012
  • Objective : The purpose of this study was to provide evidence for effectiveness of community-based rehabilitation methods and results after traumatic brain injury through systematic review. Methods : The materials of the research were collected by retrieving research items in the areas of "community-based rehabilitation" and "traumatic brain injury" from the data base of Ovid and PubMed. Among the collected materials, 7 research results are suggested concerning the effectiveness of rehabilitation in community-based after traumatic brain injury in terms of subjects, measurement tools, cure methods and results. Results : Characteristics of subjects were diverse in numbers of subject, age, level of impairment and duration of disease. Research designs were all experimental studies and the most outcome parameters of community-based rehabilitation was occupational performance(27.7%). Cure methods were used occupational therapy programs concerning rehabilitation programs, cognitive therapy, cognitive behavioral therapy and home based occupational therapy. Conclusion : The results implied that community-based rehabilitation is effective on occupational performance, participation, prevention, and occupational justice, partially effective on adaptation, health and wellness, and non effective on the role competence. It is suggested the future research need to be done to develop intervention programs and studies in every types.

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Principle of Rehabilitation after the Arthroscopic Anterior Cruciate Ligament Reconstruction (관절경적 전방 십자인대 재건술 후의 재활 치료 원칙)

  • Kyung Hee-Soo;Kim Hee-Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.6-14
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    • 2003
  • The goal of rehabilitation after ACL reconstruction are return the patient to a reinjury level of activity with stable joint, removing pivot shift phenomenon, preservation of meniscus, restoration of range of motion, and minimize patello-femoral complication. The ACL reconstruction should avoid immediate surgery. The preoperative phase emphasizes two important factors. (1) The patient should have a resolution of knee swelling, a return of full ROM, and a normal gait. (2) The patient should be mentally prepared for the operation and subsequent rehabilitation. The postoperative rehabilitation program emphasizes extension, closed kinetic chain function exercises. The regular follow-up is important.

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Design of System for Upper-limbs Rehabilitation Using Kinect Sensor (키넥트 센서를 이용한 상지재활 시스템의 설계)

  • Park, Myeong-Chul;Jung, Hyon-Chel
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2015.07a
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    • pp.309-310
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    • 2015
  • 본 연구는 뇌졸중 등의 상지 기능 손상에 대하여 원격지에 위치하는 환자에게 치료와 진단을 포함하는 재활 콘텐츠를 제공하는 시스템을 개발하기 위한 설계를 목적으로 하고 있다. 설계 콘텐츠의 구조는 가상현실로 재활과 관련된 상지의 움직임을 제시하고 실제 움직임을 키넥트 센서를 이용하여 추적하여, 시각/청각/촉각 피드백을 제시함으로써 재활 치료 효과와 몰입감을 높이고 상지 운동 기능을 평가하는 것으로 구성된다.

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Digital Medicine Taken by Eye and Ear : rehabilitation treatment for chronic brain disease using VR/AR technology (눈과 귀로 복용하는 디지털 치료제 : VR/AR 공감 반응을 활용한 만성 뇌 질환 재활치료방법 개발)

  • Lee, Jong-Hyun;Kwon, Young-Sung
    • Trans-
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    • v.12
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    • pp.21-49
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    • 2022
  • This study examines the possibility of chronic brain disease rehabilitation treatment using VR/AR technology and raises the research need for the development of digital therapeutics. In addition, by proposing a digital therapeutic research and development process this study intends to contribute to the development of VR/AR rehabilitation treatment. To this end, this study identified research trends of VR/AR technology, neurophysiology, and chronic brain disease and proposed a method for applying VR/AR technology to treat chronic brain disease patients in three stages. The first stage is to prepare a neurophysiological basis for rehabilitation treatment of brain disease patients using VR technology. The second stage is to provide a treatment method using VR/AR technology and systematize the contents characteristics. The third stage is to conduct clinical trails and validate that the treatment method and contents utilization is effective for the patient. It is hope that this study serves as a guide for developing media production base technology for treating patient with a chronic brain disease.