• Title/Summary/Keyword: 하반신마비

Search Result 33, Processing Time 0.021 seconds

The Effectiveness of Hand Acupressure in Relieving Constipation among Patients with Paraplegia (수지요법이 하반신마비 환자의 변비완화에 미치는 효과)

  • Kim, Yeoun-Ok;Choi, Soon-Ock
    • Journal of East-West Nursing Research
    • /
    • v.24 no.2
    • /
    • pp.130-138
    • /
    • 2018
  • Purpose: The purpose of this study was to determine the effectiveness of hand acupressure in relieving constipation among patients with paraplegia. Methods: Data were collected from a total of 52 participants with paraplegia from a spinal cord injury. Data were analyzed by chi-square test and t-test using SPSS/WIN 21.0. Results: The numbers of bowel movements per week increased in the experimental group who have received hand acupressure increased as compared with the control. Satisfaction with defecation of the experimental group improved as compared with the control. The level of constipation in the experimental group decreased compared to the control. Conclusion: We found that hand acupressure is effective in relieving constipation among patients with paraplegia from a spinal cord injury.

A Study on the Paraplegia Men′s Ready-made Pants Pattern and Grading Method (하반신마비 남성의 기성복 바지원형 및 그레이딩 연구)

  • Kim, Kyung-Im;Lee, Jeon-Ran
    • Journal of the Korean Society of Clothing and Textiles
    • /
    • v.27 no.12
    • /
    • pp.1441-1452
    • /
    • 2003
  • 오늘날 지체장애인의 수는 후천적 원인으로 인하여 점점 증가하는 추세에 있다. 이에 본 연구는 훨체어를 사용하는 하반신마비자 중 성인남성을 중심으로 인체계측을 통해 적합성이 높은 바지를 개발하는데 목적이 있다. 연구 결과는 다음과 같다. 1. 인체계측 결과 하반신마비자들은 정상인과 비교했을 때 허리둘레 및 배둘레에서 유의한 차이를 보여 새로운 치수체계가 필요로 함을 알 수 있었다 또 자세 변화에 따른 둘레항목의 치수 변화와 피부 신축율에 의해 허리선의 변화가 고려되어 평상시의 휠체어에 앉은 자세에서 계측한 항목으로 원형이 설계되어야 할 필요가 있다고 분석되었다. 2. 연구원형은 기성복화 하기 위한 방법으로 먼저 기준치수(98-102)를 선정하고, 원형 각 부위는 절대치로 수치화 시켜서 제시하였다. 뒤밑위길이선은 허리선에서 8cm 늘이고 앞밑위길이선은 허리선에서 6cm 줄여 앉은 자세에서 편안함을 확보할 수 있도록 하였다. 기준치수의 경우 바지길이 107cm, 밑위길이 26cm, 밑위선 28cm, 엉덩이둘레선은 밑위선 위로 8.5cm, 바지부리는 10.5cm이고 외관과 기능성 평가 결과 대부분의 항목에서 우수한 평가를 받았다. 3. 계측 대상자 계측치를 근거로 치수의 출현율을 고려하여 연구 치수체계를 기본 신체부위인 앉은 허리둘레와 앉은 엉덩이둘레의 순으로 적용하여 총 7개의 치수로 설정하였다. 기준치수(98-102)의 연구원형을 마스터 패턴으로 하고 구체적인 원형 부위별 절대치로써 치수 차를 검토하여 연구 그레이딩 룰을 설계하였으며 기준치수 보다 작은 사이즈 88-93과 큰 사이즈 108-111의 적합성을 검증하였다.

Development of a Transcutaneous FES System and Its Application to Paraplegic Walking (표면 전극용 기능적 전기자극 시스템의 개발 및 하반신 마비환자의 보행)

  • Song Tongjin;Yi Jeong Han;Khang Gon
    • Journal of Biomedical Engineering Research
    • /
    • v.24 no.6 s.81
    • /
    • pp.523-531
    • /
    • 2003
  • We developed a PC-based 8-channel electrical stimulation system for transcutaneous functional electrical stimulation (FES), and applied it to FES exercise and paraplegic walking. The PC program consists of four parts: a database, a stimulation pattern generator, a stimulus parameter converter, and an exercise program. The stimulation pattern can be arbitrarily generated and edited by using the mouse on the PC screen, and the resulting stimulus parameters arc extracted from the recruitment curves, and transmitted to the 8-channel stimulator through the serial port. The stimulator has nine microprocessors: one master and eight slaves, Each channel is controlled by the slave microprocessor, and is operated independently. Clinical application of the system to a paraplegic patient showed significant increase in the knee extensor torque, the fatigue resistance, and the leg circumference, The patient can now walk about 50 meters for more than 2 minutes.

A Study on Design of FES Hardware System for Walking of Paraplegics (하반신마비 환자의 보행기능 제어를 위한 FES하드웨어 시스템 설계에 관한 연구)

  • 김근섭;김종원
    • Journal of Biomedical Engineering Research
    • /
    • v.12 no.1
    • /
    • pp.1-7
    • /
    • 1991
  • This paper describes and discusses the employment of HMG pattern analysis to provide upper-motor-neuron paraplegics with patient-responsive control of FES ( functional electrical stimulation) for the purpose of walker-supported walking. The use of above-lesion EMG signals as a solution to the control problem is considered. The AR(autoregressive)parameters are identified by time-varying nonstationary Kalman filler algorithm using DSP chip and classified by fuzzy theory. The control and stimuli part of the below-lesion are based on micro-processor(8031). The designed stimulator is a 4-channel version. The experiments described above have only attempted to discriminate between standing function and sit-down function A further advantge of the this system Is applied for motor rehabilitation of social readaption of paralyzed humans.

  • PDF

FES Exercise Program for Independent Paraplegic Walking (하반신 마비환자의 FES 독립보행을 위한 근육 강화 프로그램)

  • Khang, Seon-Hwa;Khang, Gon;Choi, Hyun-Joo;Kim, Jong-Moon;Chong, Soon-Yeol;Chung, Jin-Sang
    • Journal of Biomedical Engineering Research
    • /
    • v.19 no.1
    • /
    • pp.69-80
    • /
    • 1998
  • This research was designed to investigate how the exercise program affects paraplegic standing and walking employing functional electrical stimulation(FES). Emphasis was also given to fatigue of major lower extremity muscles induced by different types of electrical stimulation. We applied continuous and intermittent rectangular pulse trains to quadriceps of 10 normal subjects and 4 complete paraplegic patients. The frequencies were 20Hz and 80Hz, and the knee angle was fixed at 90$^{\circ}$and 150$^{\circ}$to investigate how muscle fatigue is related to muscle length. The knee extensor torque was measured and monitored. We have been training quadriceps and gastrocnemius of a male paraplegic patient by means of electrical stimulation for the past two year. FES standing was initiated when the knee extensors became strong enough to support the body weight, and then the patient started FES walking utilizing parallel bars and a walker. We used an 8-channel constant-voltage stimulator and surface electrodes. The experimental results indicated that paralyzed muscles fatigued rapidly around the optimal length contrary to normal muscles and confirmed that low frequency and intermittent stimulation delayed fatigue. Our exercise program increased muscle force by approximately 10 folds and decreased the fatigue index to half of the initial value. In addition, the exercise enabled the patient to voluntarily lift each leg up to 10cm, which was of great help to the swing phase of FES walking. Both muscle force and resistance to fatigue were significantly enhanced right after the exercise was applied every day instead of 6 days a week. Up to date, the patient can walk for more than two and half minutes at 10m/min while controlling the on/off time of the stimulator by pushing the toggle switch attached to the walker handle.

  • PDF

북한 결핵이야기 - 죽음을 담보한 탈북, 그리고 결핵

  • Jeon, Jeong-Hui
    • 보건세계
    • /
    • v.58 no.1
    • /
    • pp.14-17
    • /
    • 2011
  • <보건세계> 원고 부탁을 받고 하나원에서 간호사로 12년 넘게 근무하면서 만났던 북한이탈주민들 중 간호했던 한 결핵환자와의 인연을 떠올리게 되었습니다. '지금 그녀는 어떻게 살고 있을까?' 그들 가운데 가장 기억에 남는 K에 관한 얘기를 기억 속에서 꺼내보려 합니다. 이 글은 북한사회의 경제적 어려움 때문에 결핵 진단을 받고도 약을 구할 수 없어 치료를 방치하다 결핵균이 뇌막염을 일으켜 하반신 마비라는 영원한 장애를 갖게 된 이야기입니다. 영화 갈이 멀기만 한 이야기가 바로 오늘 우리와 함께 사는 탈북민의 이야기이며, 우리가 그들과 함께 더불어 살아야하는 이유입니다.

  • PDF