• 보건의료산업학회지
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• 제5권3호
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• pp.53-61
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• 2011

This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise without therapist, and exercise in wards, were statistically significant differences between hospitals.

• 한국생산제조학회지
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• 제19권4호
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• pp.469-475
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• 2010

The objective of this study is to integrate reliability analysis into shape optimization problem using the evolutionary structural optimization (ESO) in the application example. Reliability-based shape optimization is formulated as volume minimization problem with probabilistic stress constraint under minimization max. von Mises stress and allow stress. Young's modulus, external load and thickness are considered as uncertain variables. In order to compute reliability index, four methods, i.e., reliability index approach (RIA), performance measure approach (PMA), single-loop singlevector (SLSV) and adaptive-loop (ADL), are used. Reliability-based shape optimization design process is conducted to obtain optimal shape satisfying max. von Mises stress and reliability index constraints with the above four methods, and then each result is compared with respect to numerical stability and computing time.

• PNF and Movement
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• 제9권1호
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• pp.31-38
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• 2011

Purpose : Sit-to-stand (STS) is one of the important activities of daily living (ADL) and each of its parameters is used frequently. This study aimed to examine the influence of different seat height on performance time and floor reaction force strength during an STS movement. Methods : Fifteen young-adult male subjects participated in this study. The subjects were divided into three groups based on lower leg length. Subjects performed an STS movement twice from chairs at height adjusted by the lower leg length of each subject. To examine the influence of the chair seat height, ground reaction forces during a STS performed with 3 chair heights adjusted to each subjects lower leg length were compared. Results : Vertical ground reaction force and time during an STS movement were measured to evaluate. Parameters regarding ground reaction force were selected for analyses. Significant differences were found in ground reaction force at G1 was greater than G2 and G3. Conclusion : The STS movement achievement strategy differed since chair seat height changes relatively by the difference in lower leg length. When conducting the ability to achieve STS movement rating test, chair seat height considering each subject's lower leg length may be needed.

• 한국보건간호학회지
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• 제23권1호
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• pp.40-49
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• 2009

Purpose: To investigate the relationships among stress, depression, family function, and activities of daily living in elderly females. Methods: Using a descriptive correlation for the study design, data was collected from 134 elderly females older than 60 years of age. Result: The level of depression among the subjects was 6.04($\pm5.30$) and level of stress was 1.62($\pm.70$). The performance capacity of the activities of daily living was 17.79($\pm0.87$), and the instrumental activities of daily living was 22.33($\pm2.66$). The family function was 2.82($\pm3.47$). Depression and stress showed a positive correlation(p<.001) and had a negative correlation with family function(p=.025), as the correlation with instrumental activities of daily living was negatively related(p=.008). Stress had a positive relationship with family function(p<.001). and was negatively related to instrumental activities of daily living (p=.041). Conclusion: For health promotion of elderly females, it is critical to make an effort to establish and constantly develop a program, as well as policy for the health of the elderly considering and understanding gender differences.

• 지역사회간호학회지
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• 제10권2호
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• pp.372-386
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• 1999

The purpose of this study was to explore the degree of stress in caregivers caring for CVA patients and the level of daily living performance of CVA patients. The subjects for the study were caregivers of 112 CVA patients who enter a hospital or out-patient-department (OPD) at two Oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL check list for daily living performance of patients and Choi's 4 sore scale for stress of caregivers. The survey was conducted from July 4th to August 30th in 1999. The survey results were analyzed with the Statistical Package for Social Science(SPSS) program and can be summarized as follows: 1. The level of daily living performance for the CVA patients was: 1) complete dependence (M=14.9, 13.1%), 2) complete independence (M=23.6, 20.9%), 3) incomplete independence (M=23.9, 21.0%), 4) incomplete dependence (M=26.6, 25%), 5) dependence and independence (M=23.0, 20.0%). The items for with there was a high level daily living performance were: 1) drinking (M=3.62), 2) eating(M=3.25). 3) position returning (M=3.18) : and the items for which there was a low level of daily living performance were: 1) ascending and descending stairs (M=2.08), 2) walking (M=2.47), 3) dressing and undressing trousers (M=2.55). 2. Degree of caregiver stress was: Mean=2.39 at 40 score. The items for which was a high level caregiver stress were: 1) medical fee (M=3.25), 2) being handicapped or recurrence (M=3.02) : and the items for which there was a low level of caregiver stress were: 1) discontinuity of patient's treatment (M = 1.98). 2) change of home atmosphere caused by patient's disease (M = 1.98), 3) desire of patient's knowing about disease (M= 1.99). 3. There was statistically significant difference in the degree of caregiver stress according to the following caregiver's demographic characteristics: education level (F=3.52, P=0.03). change of caregiver (F=5.41. P=0.02). 4. There was a statistically signifiant difference in the level of daily living performance according to the CVA patients demographic characteristics: patient's paralytic status (F=4.48, P=0.01), duration of disease (t=2.76, P=0.03). 5. There was significant difference in degree of caregiver stress according to the CVA patient's demographic characteristics: CVA status (F=4.75, P=0.01). 6. There was statistically significant difference in the degree of caregiver stress according to the level of daily living performance in CVA patients(r=-0.482, P<0.00).

• The Journal of Korean Physical Therapy
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• 제16권4호
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• pp.90-114
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• 2004

This study was conducted to examine the influence and effect of muscle enforcement program on Activity of daily living(ADL) improvement and posture balance of the old, and to provide more effective muscle enforcement program and educational data. The muscle enforcement exercise program was performed on the old(institution, 16 men, 10 women) for 8 weeks from April 22, 2002 through June 17,2002. Programed Exercise 1 - Exercise 10 were practised 8 times per program for 3 days a week. The load of exercise was increased per two weeks. The methods of measurement were questionnaire, Indiana 47903(action-response analysis machine) and Sample exercise protocol for KAT 2000(balance training device). SAS/PC statistic analysis was used for data analysis. T-test was used for analysis of change before and after exercise in this study. The summary and conclusions are as follows. 1. On subjectively recognized health states, the healthy were $42.3\%$. On the satisfaction with health states, the satisfied were $50.0\%$. On the factors of effects on daily-life behavior performance, the group who had troubles was $50\%$ and the group who was so and so was $34.6\%$ compared with the old of the same age. On prospect about health states in the future, the group who would be better was $38.\%$. On effective methods for problem solving, exercise was $42.3\%.\;88.5\%$ of respondents answered the need of health care. The participation intention in health program was $92.3\%$. 2. On the change of psychological emotion and behavior aspects, the group who had repeated complaints or anxieties and reduced activities or interests was effective(P<0.01). 3. On the improvement effects of IADL difficulties, the group who had difficulties in doing daily-life indoors was improved effectively compared with before and after exercise(P<0.01). On medication management, the effects of improvement after exercise were high compared with before exercise(P<0.01), the effects of improvement was high on the whole. 4. On the effects of ADL function improvement, putting on upper clothing and lower clothing was improved effectively(P<0.05), toilet use and individual sanitation was improved effectively(P<0.05). 5. On the effects of action-response, the results of 8weeks regular exercise program were not different significantly compared with before and after exercise. The behavior quickness of the old by muscle enforcement program was not increased. This means that the old needs much time for exercise sense training because of the regression of cognition sense. 6. In the effect of posture balance, the whole grades were effective from 1272.69 before excercise to 476.92 after exercise(P<0.01). Especially right balance 657.65 was lowered to 208.57 after exercise most effectively(P<0.01). Rear balance 776.34 before exercise was lowered to 136.65 after exercise. The results of measurement were significant(P<0.05).

• 대한물리의학회지
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• 제14권4호
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• pp.115-123
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• 2019

PURPOSE: This study compared the scores of the Mini-Mental State Examination-Korean version (MMSE-K) and Korean version Montreal Cognitive Assessment (K-MOCA), which assess cognitive function, the Fugl- Meyer Upper-Extremity Assessment (FMA), which assess the upper extremity function; and Modified Barthel Index (MBI), which that assesses activities of daily living among patients receiving inpatient treatment following a diagnosis of stroke to determine the correlations among MMSE-K, K-MOCA, FMA, and MBI. METHODS: The study assessed the cognitive function using the MMSE-K and K-MOCA, upper extremity function using FMA, and activities of daily living using MBI. The data were analyzed using Pearson's correlation analysis and multiple regression analysis. RESULTS: An analysis of the differences in the MMSE-K, K-MOCA, MBI, and FMA scores according to the affected side, revealed differences in the, K-MOCA scores according to the affected side, where patients with right hemiplegia showed better cognitive function (p <.05). Correlation analysis among MMSE-K, K-MOCA, FMA, and MBI Showed significant correlations (p <.05). The results indicate that those with higher cognitive and upper extremity functions had higher performance of activities of daily living. CONCLUSION: The cognitive and upper extremity functions were correlated with the activities of daily living in stroke patients. Accordingly, applying physical therapy with a focus on improving the cognitive function and training activities of daily living could assist in the functional recovery of stroke patients significantly.

• The Journal of Korean Physical Therapy
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• 제23권2호
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• pp.61-68
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• 2011

Purpose: The purpose of this study was to provide basic data for the effectiveness and the necessity of home visiting physical therapy through examining performance ability and functional changes in daily life activities by investigating the life of disabled persons living at home. Methods: After selecting 100 people with physical disabilities greater than level 3 and brain damage related disabilities living in Youngam-Gun, we conducted mobility tests according to a Modified Bathel Index (MBI), the Berg Balance Scale (BBS), and floor and bed movements? for Activities of Daily Living evaluation. We did this before the experiment and after doing home visiting physical therapy for 90 minutes at a time, once a week for 6 months Results: 1) Persons who live in a bed are higher than those who live in a floor. There was a significant difference between persons who live in a floor and those who live in a bed in the change in MBI and BBS scores after home visiting physical therapy. 2) Those with a musculoskeletal disorder had a significantly different change in MBI and BBS according to the type of disease and kind of disability. Those with neuropathy had a significantly different change in MBI. Those with physical disabilities showed a significant difference in MBI and BBS. Conclusion: A home visiting physical therapist can cause an improved performance ability and lead to the ability of disabled persons living at home to carry out activities of daily livingin a large part and the study for brain lesion disabilities except physical disabilities and stroke which occupy large proportion of disabled persons should be done.

• 재활치료과학
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• 제10권2호
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• pp.109-128
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• 2021

목적 : 본 연구는 타문화권에서 개발된 일상생활활동중심 작업기반 신경행동평가(A-ONE)를 국내 임상에서 사용할 수 있도록 한국판을 개발하고 한국 환자에게 적용하여 신뢰도와 타당도를 검증하고자 하였다. 연구방법 : 영문판 A-ONE을 한국어로 번역하고 문화적 차이를 검토하였다. 완성된 한국판을 13명의 작업치료학과 교수와 작업치료사에게 국내 적용 가능성을 확인받고, 뇌졸중 환자 42명을 대상으로 신뢰도와 타당성을 검증하였다. 결과 : 총 3개의 문항을 국내 문화에 알맞도록 수정한 결과, 한국판 A-ONE은 Index at the item level(I-CVI)=0.92-1.00을 보이며 평가 문항들이 국내 문화를 잘 대표하고 있는 것으로 나타났다. Functional Independence Measure(FIM)과 상관관계는 의사소통영역을 제외하고 r=0.52-0.77(p>0.01)로 높게 나타난 반면, Lowenstein Occupational Therapy Cognitive Assessment(LOTCA)와는 전반적으로 유의미한 상관관계를 보이지 않았다(p>0.05). 내적일치도는 기능적 독립성이 Cronbach's α=0.58-0.93, 신경행동손상이 α=0.42-0.93을 보였다. 검사-재검사 신뢰도는 기능적 독립성이 Intraclass correlation coefficient(ICC)=0.79-1.00, 신경행동손상이 ICC=0.74-1.00으로 높은 수준을 보였다. 마지막으로, 검사자간 신뢰도는 기능적 독립성이 ICC=0.75-1.00, 신경행동손상이 ICC=0.72-1.00으로 높은 신뢰도를 보였다. 결론 : 한국판 A-ONE은 뇌졸중 환자의 일상생활활동 수행능력과 신경행동손상의 종류 및 손상정도를 평가하기 위해 국내 임상에서 사용될 수 있는 유용한 평가도구이다.

• 재활치료과학
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• 제13권1호
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• pp.9-21
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• 2024

목적 : 본 연구의 목적은 뇌졸중 환자에게 일상생활활동 향상을 위해 중재를 시행한 국내 단일대상연구문헌의 특성과 질적 수준을 확인하는 것이다. 연구방법 : 학술연구정보서비스(Research Information Sharing Service), 누리미디어(DBpia), 학술교육원(e-article)의 원문제공 서비스를 통해 2009년부터 2023년까지 최근 15년간 발간된 논문 중 '뇌졸중', '일상생활활동', '단일대상연구'를 주요 키워드로 검색하였다. 총 9편의 논문을 대상으로 분석 대상 논문의 특징과 질적 수준을 알아보았다. 결과 : 9편의 분석 대상 논문 중 작업치료 분야 학회지에 실린 논문이 6편이었고, 분석 논문에서 적용한 연구 설계는 ABA 설계가 3편으로 가장 많았다. 대상자들의 성별은 남성과 여성이 각각 10명씩이었고, 대상자 수가 3명인 논문이 5편으로 가장 많았다. 연구 대상자들의 연령은 60대가 6명으로 가장 많았다. 일상생활활동 향상을 위해 적용한 독립변인은 강제유도운동치료, 상상연습, 시각되먹임을 차단한 자세 수직훈련, 양측성 상지운동, 가상현실을 이용한 과제훈련, 신경인지재활치료와 전통적인 작업치료, 체간 안정화 훈련, 완곡추적 안구운동과 경부신전근 진동자극법, 작업기반 지역사회 재활 각각 1편씩으로 다양한 중재들을 적용하고 있는 것으로 나타났다. 종속변인을 측정한 평가도구는 Assessment of Motor and Process Skills이 4편으로 가장 많았고, Modified Barthel Index와 Canadian Occupational Performace Measure가 각각 2편이었다. 분석 논문의 질적 수준을 평가한 결과 총 9편 중 높은 수준의 연구가 7편이었고, 중간 수준의 연구는 2편이었으며, 낮은 수준의 연구는 단 1편도 없었다. 결론 : 뇌졸중 환자의 일상생활활동 향상을 위한 중재법으로 여러 유형의 재활치료가 활발히 적용되고 있으며, 일상생활활동 중재를 적용한 단일대상연구들의 질적 수준은 신뢰할 수준인 것을 확인할 수 있었다.