• Title/Summary/Keyword: 재활 중재

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The Effect of Self Swallowing Exercise Program with Neuromuscular Electrical Stimulation(NMES) on Swallowing Function of Dysphagia (신경근 전기자극치료와 함께 적용된 자가 삼킴 운동 프로그램이 삼킴 장애 환자의 삼킴 기능 향상에 미치는 효과)

  • Yoon, In-Jin;Kim, Du-Ri;Cho, Young-Moon
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.23-34
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    • 2015
  • Objective : The purpose of this study is to investigate the effect of self swallowing exercise program with neuromuscular electrical stimulation(NMES) on swallowing function. Methods : Subjects who were diagnosed in dysphagia were randomly divided into the control group or experimental group. Both group were received NMES during 60 minutes with traditional swallowing therapy during 30 minutes. Additionally the experimental group was received self swallowing exercise during 30 minutes. We invested subject's characteristics through medical chart. We used VDS(Videofluoroscopic Dysphagia Scale) and PAS(Penetration Aspiration Scale) for assessing the swallowing function. Results : There were not significantly different in both group's pre swallowing function. The control group was significantly improved on pyriform sinus residue, aspiration, and VDS total score(p<.05). The experimental group was significantly improved on vallecular residue, pyriform sinus residue, and VDS total score(p<.05). Both group's difference of pre and post swallowing function were not significantly different. Conclusion : Self swallowing exercise and traditional swallowing therapy with NMES and traditional swallowing therapy with NMES are positive effect on swallowing function. The self swallowing exercise is not effective factor.

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A Systematic Review on Rehabilitation Research for Improving the Range of Motion of Shoulder Joint Motion in Patients with Breast Cancer Resection (유방암 절제술 환자의 어깨 관절가동범위 증진을 위한 재활 연구에 관한 체계적 고찰)

  • Park, Bo-Ra
    • Journal of Convergence for Information Technology
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    • v.10 no.11
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    • pp.257-264
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    • 2020
  • The purpose of this study is to investigate the types and effects of rehabilitation by systematically examining the rehabilitation research for improving the shoulder ROM in breast cancer resection patients. For a systematic review, a total of 8 studies were finally selected through three databases including RISS. As a result of this study, the level of qualitative was 4 studies(50.0%) in level III, and the rehabilitation period varied from 4 weeks to 12 weeks. As for the type of rehabilitation, 3 studies(37.5%) were occupational therapy and physical therapy. The ROM of the shoulder joint was 7 studies(87.5%) of flexion, extension, and external rotation. A goniometer was used in 8 studies(100.0%) to evaluate the ROM of the joint as a measuring tool. This study is expected to provide basic data in the field of convergence when developing and applying interventional protocols for patients with limited ROM due to breast cancer resection.

Comparison of Dysphagia Rehabilitation Therapy with Natural Recovery on Swallowing Ability among Acute Stroke Patients (연하재활치료의 효과와 자연회복과의 비교연구 - 급성기 뇌졸중 환자를 중심으로 -)

  • Heo, S.Y.;Kim, K.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.2
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    • pp.109-118
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    • 2014
  • The purpose of this study was to compare the effectiveness of rehabilitation therapy with natural recovery in patients who had dysphagia due to stroke. Swallowing functions were examined on a total of 98 patients with stroke-caused dysphagia based on a videofluoroscopic swallowing study (VFSS) for 8 weeks. The each group was evaluated with DOSS, DSS and FOSS to assess swallowing ability in the first week and re-evaluated in the $8^{th}$ week during the session for investigating the recovery status. The author compared the above initial data and follow-up data using a Mann-Whitney U test, Kruskal-Wallis test and Wilcoxon's Signed Rank test, ANCOVA to confirm statistically controlling for the effects of other continuous variables, performed by IBM SPSS Statistics 20.0 for windows. There was statistically significant recovery in the experimental group except measure of DOSS (p>0.05). In the control group, it showed improvement in all the scales(p<0.05). After terminating each session, the comparison of the two group of patients showed statistical significant differences in DSS and FOSS(p<0.05). These results suggest that possibility of natural neurologic recovery has positive effects on early stage of dysphagia caused by stroke.

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Developing a Home-based Self-management Support Intervention for Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 환자의 호흡재활을 위한 재가 자가관리 증진 중재 개발)

  • Song, Hee-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.75-87
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    • 2015
  • Purpose: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. Methods: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. Results: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. Conclusion: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.

Factors Convergent Influencing Rehabilitation Motivation among Stroke Patients (뇌졸중 환자의 재활동기에 미치는 융복합적 영향 요인)

  • Kim, Seon-Yeon;Kim, In-Hong
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.375-384
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    • 2017
  • The Purpose of this study was to examine, the effects of depression, family Support, and medical suport on rehabilitation motivation among stroke patients. Participants in this cross- sectional, descriptive study were 206 stroke patients who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, correlation and stepwise multiple regression analyses with IBM SPSS Win 22 Program. Family support, medical support, education and age were strong predictors of rehabilitation motivation in stroke patients. These variables explained 58.3% of the variance in rehabilitation motivation. Depression was not a predictor of rehabilitation motivation. A higher level of rehabilitation motivation was associated with lower levels of depression and higher levels of family support and medical support. These results show that effective strategies for improving family support and medical support. are needed to improving rehabilitation motivation among stroke patients.

The Factors Affecting Job Satisfaction in Speech-Language Pathologists

  • Moon, Kyung-Im;Cho, In-Sook;Park, Woong-Sik
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.11
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    • pp.263-270
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    • 2019
  • The propose of this study was to investigate the factors affecting job satisfaction in Speech-Language Pathologists and to identify the relationships among job satisfaction self-efficiency and job stress. The participant of this study were 145 Speech-Language Pathologists. The results of present study are as follows. The mean score for job satisfaction was 3.62. job satisfaction was found to have a positive correlation with self-efficiency, and a negative correlation with job stress. The influencing factors impacting on job satisfaction were self-efficiency and job stress. This factors explained that job satisfaction was 46.8% of the variance. Conclusion: This study is expected be useful to find ways to improve subjects' job satisfaction by increasing their self-efficiency, decreasing their job stress and developing intervention programs as basic data.

Effect of Postural Support with a Custom Seating System on Upper Extremity Access to Mouse for Children with Cerebral Palsy: a Single Subject Research (맞춤형 착석장치를 통한 자세지지가 뇌성마비 아동의 상지 마우스 사용에 미치는 영향: 단일대상연구)

  • Jeong, Dong Hoon
    • 재활복지
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    • v.16 no.2
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    • pp.287-309
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    • 2012
  • The purpose of this study was to determine the effect of custom seating system on upper extremity access to mouse for a child with cerebral palsy. A single-subject ABAB design was used with one 13years old participant. The measurements were response time and accuracy of mouse click in the participant's typical position and in an intervention position. The intervention position was taken by using current clinical guideline and research on promoting upper extremity movement. The intervention position was achieved through hands-on postural support to the participant's typical seating. The results of this study were as follow: first, response time was decreased in the intervention position compared with the typical seating. Second, accuracy of mouse click was highly in every phases. So further analyses were not conducted on these data. The results of this study provide empirical evidence of the positive effects of functional seating on access to mouse for children with cerebral palsy. Further research is required to confirm the positive effect of the custom seating system across other disabilities type and more subjects.

Effects of Shoulder Rehabilitation Exercise Convergence Program on Pain, Range of Motion and Exercise Self-efficacy After Shoulder Surgery (어깨재활운동 융합프로그램이 어깨수술 후 통증, 관절운동범위 및 운동자기효능감에 미치는 효과)

  • Lee, Hye-Rim;Kim, Ju-Sung;Cho, Soo-Min
    • Journal of the Korea Convergence Society
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    • v.9 no.4
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    • pp.409-421
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    • 2018
  • The purpose of this study was to examine the effects of shoulder rehabilitation exercise convergence program. This study used a nonequivalent control group pretest-posttest design. A sample of 58 patients undergoing shoulder surgery, was included. The experimental group was given shoulder rehabilitation exercise convergence program including audiovisual education, shoulder rehabilitation exercise and exercise monitoring. The data were collected using a structured questionnaire and measured range of motion(ROM) of shoulder joint and were analyzed using descriptive statistics, ${\chi}^2-test$, t-test and ANCOVA. The experimental group reported significantly lower shoulder pain than control group(p<.001). Shoulder joint ROM and exercise self-efficacy were significantly higher in the experimental group than in the control group(p=.038; p<.001). This findings indicate that shoulder rehabilitation exercise convergence program can be an effective intervention for shoulder surgery patients. Continued development of convergence interventions for patients undergoing various conditions in practice, is suggested.

Research trends in rehabilitation program for disabled applying virtual reality technology in Korea (가상현실기술을 적용한 국내 장애인재활프로그램 연구동향)

  • Kim, Mi-Jung
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.381-391
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    • 2015
  • The purpose of this study was to investigate the trends in research on the effects of virtual reality technology applied to rehabilitation for disabled. I have collected 60 papers published in Korea(2000-2014), and analyzed it by the P.I.C.O. method. As a result, adults and the elderly are most common subjects, and projection type has been used frequently in researches. It were included mostly balance, upper extremity function, and gait that the dependent variables represents the intervention effects. I interpreted it as the ICF factors. So, research topics were the most common mobility, in contrast to educational, vocational, recreational area as dealing with the participation area is very small. In the future, we should focused on social aspects for useful intervention in real life of people with disabilities based on virtual reality technology, and virtual reality technology should be easy to apply in terms of cost and accessibility.

The Effect of a Participatory Rehabilitation Program on the Physical Activity of Adults with Developmental Disability (참여형 재활프로그램이 의료취약계층 성인발달장애인의 신체활동 능력에 미치는 영향)

  • Seo, Tae-Hwa;Kim, Jin-Young;Lee, Dong-Woo
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.619-626
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    • 2019
  • This study was conducted to investigate the effects of a participatory rehabilitation program on sit-rise and rise-to-walk test performances, and perception and motor skills in adults with medically vulnerable individuals and, adults with developmental disabilities in particular. Seventeen adults with developmental disabilities participated in a participatory rehabilitation program using resistance bands and exercise balls, for 60 minutes once weekly over 13 weeks. Their performances were measured before and immediately after the intervention, and 12 weeks after. The findings were as follows. In the sit-rise test, the number of times rising from sitting posture increased after the intervention versus before, but the difference was not statistically significant. In the rise-to-walk test, the performance showed statistically significant difference over time, and the post-hoc test showed a significant effect after the intervention versus before. There was no significant difference in perception and motor skills. In sum, the participatory rehabilitation program positively influenced dynamic balancing related to functional activities but had no significant effect on perception and motor skills, which is related to motor control and motor learning. It is suggested that to increase the participation in community activities, reduce fall risk, and improve dynamic balancing abilities in adults with developmental disabilities, participatory rehabilitation programs should be utilized to promote the physical wellbeing.