• Title/Summary/Keyword: 척수 손상환자

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손 재활 로봇 연구동향

  • Gu, Gwang-Min;Jang, Pyeong-Hun
    • ICROS
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    • v.16 no.3
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    • pp.16-20
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    • 2010
  • 손 재활 로봇 연구의 목표는 손 기능 장애를 갖는 환자들을 대상으로 치료사를 대신하여 치료는 수행하는 것이다. 일반적으로 손의 운동기능 장애는 골절, 인대 손상 또는 노화에 의한 근력 소실에 의해 발생하거나 뇌졸중이나 파킨슨병, 척수 손상 등에 의한 신경계 문제에 의해 발생할 수 있다.

An Explanatory Model for Patient Adherence of Rehabilitation in patients with Spinal Cord Injury (척수손상 환자의 재활 치료 지속이행 설명모형)

  • Kim, Aee-Lee
    • Korean Journal of Adult Nursing
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    • v.22 no.1
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    • pp.90-102
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    • 2010
  • Purpose: The purpose of this study was to identity factors affecting patient adherence and to develop an explanatory model for patient adherence in patients with spinal cord injury. 8 Variables that were based on the previous research and a review of literature were used to construct hypothetical model. Social support, economic status, perceived barrier, patient provider relationship and rehabilitation related knowledge were the exogenous variables, depression, self-efficacy and patient adherence were the endogenous variables. Methods: Data form 117 patients with SCI were analysed to test the hypothetical model, using SAS and LISREL 8.53 program. Results: The overall fitness of the model was good (GFI=.991, AGFI=.915, NNFI=1.299, NFI=.953, p=.632) Depression, powerlessness, economic status were the strong factors influencing patient adherence. Powerlessness was significant factors for self-efficacy. Conclusion: To improve of patient adherence should focus on nursing intervention for depression, powerlessness and economic status.

반복측정된 실험자료 분석에 관한 고찰

  • Ha, Il-Do;No, Gyu-Jeong;Go, Jeong-Hwan
    • Journal of the Korean Data and Information Science Society
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    • v.7 no.1
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    • pp.129-135
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    • 1996
  • 본 논문은 의뢰인의 Pilot Study를 상담한 것으로서 당뇨병 및 암 환자에게 효능이 있는 약으로 밝혀진 Steroid계통의 Methyl Prednisolone이 척수손상 환자에게 효능이 있는지를 알아보기 위해, 토끼를 실험대상으로 하여 얻은 반복측정자료를 분석하였다.

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Convergence Study on the Recognition and Need of Spinal Cord Injury Occupational Therapy Guidelines (척수손상 작업치료 가이드라인 인식 및 요구에 대한 융합연구)

  • Ha, Sung-Kyu;Park, Hae-Yean
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.69-74
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    • 2020
  • Prior to the development of guidelines for occupational therapy for spinal cord injury, this study explored the actual condition of occupational therapy applied to patients with spinal cord injury and the range of guidelines required by the clinic, thereby raising the necessity and establishing an evidence-based rehabilitation intervention service system. It is thought that it will be used for research in the same field. As a survey method, a total of 15 days of surveys were conducted from October 3 to 17, 2019, among 112 occupational therapists, focusing on the organizations currently employed by occupational therapists. As a result, there are 106 physical activity training (94.6%), daily life movement training (85.7%), education-counseling-information 44 (39.3%), and guardian education 39 (34.8). %). The research results confirmed the recognition and clinical needs of occupational therapy guidelines.

Knowledge and Practice of the Spinal Cord Injury Patients for the Clean Intermittent Self Catheterzation (재가 척수손상환자의 청결자가도뇨 실태 및 지식 조사 연구)

  • Song, Chung-Sook;Yoo, Hye-Ra
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.1
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    • pp.71-79
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    • 2000
  • The purpose of this study was to examine the knowledge and practice of the Clean Intermittent Self Catheterization (CIC) conducted by Spinal Cord Injury Patients (SPIC) or their significant others as an activity of daily living at their homes or working places. Forty-seven patients were participated in this study. Three questionnaires developed by researchers for this study were used to collect demographic data, knowledge and practice skill of CIC. Descriptive statistics and ANOVA were used to analyze the data. Nineteen (19) patients experienced Urinary Track Infection (UTI) during the last one years and two of them have had several times of UTI. Knowledge level of the participant was not high enough to perform correct CIC. Some evidences indicated that the knowledge did not apply to their practice. Systematic analysis and development of educational content based on this study results was recommended and the systematic instructional design before actual patient education was strongly recommended.

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Pattern Extraction of EMG Signal of Spinal Cord Injured Patients via Multiscaled Nonlinear Processing (다중스케일 비선형 처리를 통한 척수 손상 환자의 근전도 신호 패턴 추출)

  • Lee, Y. S.;Lee, J.;Kim, H. D.;Park, I. S.;Ko, H. Y.;Kim, S. H.
    • Journal of Biomedical Engineering Research
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    • v.22 no.3
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    • pp.249-257
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    • 2001
  • The voluntary contracted EMG signal of spinal cord injured patients is very small because the information from central nervous system is not sufficiently transmitted to $\alpha$ motor neuron or muscle fiber. Therefore the acquisited EMG signal from needle or surface electrodes can not be identified obvious voluntary contraction pattern by muscle movement. In this paper we propose the extraction technique of voluntary muscle contraction and relaxation pattern from EMG signal of spinal cord injured patient whose EMG signal is composed of the linear sum of mo색 unit action potentials with two noise sources, additive noise assumed to be white Gaussian noise and high frequency discharge assumed to be not motor unit action potential but impulsive noise. In order to eliminate impulsive noise and additive noise from voluntary contracted EMG signal, we use the FatBear filter which is a nonarithmetic piecewise constant filter, and multiscale nonlinear wavelet denoising processing, respectively. The proposed technique is applied to the EMG signal acquisited from transverse myelitis patients to extract voluntary muscle contraction pattern.

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Anterolateral Surgical Decompression and Instrumentation in Thoracolumbar Bursting Fracture (외상성 흉요추접합부 파열골절의 전측방경유법에 의한 신경감압 및 기구고정술)

  • Bae, Jang-Ho
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.234-242
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    • 1996
  • Ten patients with a thoracolumbar spine fractures were treated with Kaneda internal fixation device through anterolateral approach during last 1 year. In all cases, spinal decompression, internal instrument fixation and hone fusion with rib were performed. No patient showed neurological deterioration after surgery and 6(60%) patients improved postoperatively with entering the next Frankel subgroup. Follwo-up patient evaluation showed the correction of the fracture deformity with good bony fusion, but 3 patient arc remained back pain. According to above results we concluded that anterolateral internal fixation combined with hone fusion using rib was good mechanical stability and decompression of protruding ventral bone fragments above conus medullaris level.

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The Relationship Between Activity Daily Living and Powerlessness of Spinal Cord Injury Patient's (척수손상환자의 일상생활동작과 무력감에 관한 연구)

  • Jeong, Hyeon-Suk;Park, Hyoung-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.2
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    • pp.197-206
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    • 2004
  • Purpose: This study examined the relationship between the level of activity daily living and powerlessness of spinal cord injury patients'. Method: The subjects for the study consisted of 68 persons agreed above twenty below seventy had had spinal cord injury. The data were collected from November 1, 2003 to January 30, 2004. The instruments used for this study were ADL check List and Powerlessness Scale. The data were analysed by using SPSS computerlized program and included number, percentage, t-test and ANOVA, Pearson Correlation Coefficient. Results: The mean of activity daily living was paraplegia $49.53{\pm}10.91$ and tetraplegia $25.65{\pm}13.24$. The mean of powerlessness was paraplegia $35.22{\pm}9.50$ and tetraplegia $37.55{\pm}9.01$. In the relationship between activity daily living and powerlessness were significant difference. Conclusion: in order to increase the level of activity daily living of rehabilization nurse should be helpful to provide them. Also, it could be identified that informational support was important, that is, the lesser the informational support, spinal cord injury patient don't feel the powerlessness.

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Hope, Self-esteem and Quality of Life in People with Spinal Cord Injury (척수손상 환자의 희망, 자아존중감과 삶의 질에 관한 연구)

  • Hwang, Hye-Min;Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.189-197
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    • 2011
  • Purpose: The purpose of the study was to identify levels of hope, self-esteem, and quality of life, and to find correlations among these variables in people with spinal cord injury. Methods: This study was a cross-sectional descriptive survey. The data were collected by survey interview in 2010 from 120 people with spinal cord injury living in the community. To measure hope, self-esteem and quality of life, the Dispositional Hope Scale, Self-Esteem Scale, and World Health Organization's Quality of Life Instrument were utilized respectively. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression analysis using SPSS version 12.0. Results: Mean score of hope was 2.56 and that of self-esteem was 3.23. Mean score of quality of life was 3.01. Statistically significant relationships were found between quality of life and hope (r=.73, p<.001), and between quality of life and self-esteem (r=.67, p<.001). Multiple regression analyses showed that hope and self-esteem were statistically significant in predicting quality of life with the explanatory power of 59.1%. Conclusion: The results of this study indicate that nursing interventions fostering hope and self-esteem should be integrated in developing rehabilitation programs to improve quality of life for people with spinal cord injury.