• Journal of Korean Academy of Nursing
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• v.27 no.1
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• pp.109-119
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• 1997

This study has been attempted to set up the strategies of the nursing which can promote the activity performance for early rehabilitation for the patients by examining the effect of the structured patient education on the early rehabilitation knowledge and activity performance of the C.V.A patients. The study method has been done by investigating the experiment group and control group in advance through the question papers and interview and observation on 65 patients who had been hospitalized at oriental medicine hospital of K Medical Center from July 1st 1995 to the end of Sep, 1995. The analysis of the collected material had been done for the homogeneity test in which general characters of experiment group and control group had been tested by X²and the homogeneity test of ADL by t-test. To test the hypothesis the t-test had been given for the difference of the early rehabilitation knowledge and activity performance between the two groups and the correlation between early rehabilitation knowledge and activity performance had been tested by Pearson's Correlation Coefficient. The result of the test of the hypothesis is as the below. 1 The 1st hypothesis “The experiment group which had received the structured education should be higher in the early rehabilitation knowledge than the control group” was supported(t=4.45. p=.000). 2. The 2nd hypothesis “The experiment group which received the structured education should be higher in the early rehabilitation activity performance than the control group”was supported(t=2.11, p=.036). 3. The 3rd hypothesis “The higher the early rehabilitation knowledge of the patient the higher the activity performance degree” was rejected (r=.1546, p=.219). In conclusion, the patients who received the structured education showed the increase in the degree of early rehabilitation knowledge and activity performance, so it has been judged that education has been prerequisite in increasing the knowledge and activity performance of early rehabilitation.

• The Journal of Korean Academy of Sensory Integration
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• v.2 no.1
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• pp.11-19
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• 2004

Objective : This study is to provide the norms of normal children when comparing the performance ability of preschool children while using the kinesthesia test of Sensory Integration and Praxis Tests(SIPT). Methods : Participants consisted of 90 normal children ranging in age from four to six years. The kinesthesia test of SIPT was utilized to investigate the performance ability. Results : 1. Regarding the kinesthesia ability according to age, the average value of kinesthesia performance error decreased as age getting older and that value showed the statistically significant differences between four and five, six age(p<0.05). 2. The kinesthesia performance ability according to gender, the accuracy of both hands and the dominant hand did not show the statistically significant differences. 3. Regarding the kinesthesia performance ability of test items, 1R item and 6R item(26.2cm), 5R item and 2L item(20.2cm) passing through the midline of body and having the large movement in distance and angle showed the difficulty to perform in all the children between 4 and 6 age. Conclusion : By providing the norms of the kinesthesia performance ability in normal children of the above results to the occupational therapists treating children, the helpful data to the hand skill development of children, exercise plan and implementation, and the performance therapy of ADL through the proper evaluation and training of kinesthesia is considered for the occupational therapists to be provided.

• Proceedings of the Korea Society for Simulation Conference
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• 2002.11a
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• pp.73-77
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• 2002

이 논문은 빠른 ASIP(application specific instruction processor) 시뮬레이션을 위한 재적응성을 가진 컴파일드 시뮬레이션 기법에 대해 이야기 한다. 다양한 응용분야에서의 설계 요구사항을 충족시키는 ASIP의 빠른 개발을 위해서, 건전한 설계 방법론 및 고성능의 시뮬레이터가 필요하다. 본 논문에서는 HiX$R^2$라는 ADL(architecture description language)을 이용하여 인스트럭션 수준에서 컴파일드 시뮬레이터를 자동 생성하였다. 컴파일드 시뮬레이션은 시뮬레이션 수행 시 반복되는 인스트럭션 페칭 및 디코딩 부분을 시뮬레이션 런-타임 이전에 미리 수행함으로서 일반적으로 사용되는 인터프리티브 시뮬레이션에 비하여 큰 성능향상을 얻을 수 있다. HiX$R^2$에 기반 한 컴파일드 시뮬레이션은 ARM9 프로세서와 CalmRISC32 프로세서 예제들로 수행하였고, 결과로서 인터프리티브 방식에 비해 150배 이상의 성능향상이 있었다.

• Journal of the Korean Society for Precision Engineering
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• v.26 no.4
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• pp.64-71
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• 2009

A 3-D rehabilitation robot system is developed in this paper. The robot system is for the rehabilitation of upper extremities, especially the shoulder and elbow joints, and has 3-D workspace for enabling occupational therapy to recover physical functions in activities of daily living(ADL). The rehabilitation robot system, which is driven by actuators, has 1 DOF in horizontal rotational motion and 2 DOF in vertical rotational motion, where all actuators are set on the ground. Parallelogram linkage mechanisms lower the equivalent inertia of the control elements as well as control forces. Also the mechanisms have high mechanical rigidity for the end effector and the handle. Passive motion mode experiments have been performed to evaluate the proposed robot system. The results of the experiments show and excellent performance in simulating spasticity of patients.

• The Journal of Korean society of community based occupational therapy
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• v.1 no.2
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• pp.11-20
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• 2011

Objective : The purpose of this study was to investigate the effects of the activities of daily living on time-use of the Elderly in facility. This study is also to provide basic data of the redesign time management and lifestyle as occupational therapy. Methods : The subjects were 20 elderly people (over 65 years) who live in S institution of Daejeun from August 11th, to August 22th in 2008. We used time table, interview and FIM which was to evaluate the ability to collect the general characteristics of these subjects(gender, age, moving period, education). Results : There was no significant different between the general characteristics of the subjects and activity of daily living. The more they spent time in Active BADL and IADL, the more they got higher scores in ADL performance ability(p<0.01). The more they spent time in the more they got higher score in ADL performance ability(p<0.05). Conclusion : We could know the amount of spending time of the elderly in Daejeun area facility and it related to activity of daily living. To improve the efficiency of time-use of the elderly, it is needed the role of occupational therapists. They should prepare a intervention to maintain active and positive life of the elderly.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.4
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• pp.143-152
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• 2019

PURPOSE: This examined the effects of a sling exercise based on music on the cognition, physical performance of patients with dementia. METHODS: Thirty subjects with dementia volunteered to participate in this study. All subjects were allocated randomly to either the experimental group or control group, with 15 subjects in each group. All subjects underwent the exercise program for an average of 60 minutes per day for 16 weeks. The experimental group performed sling exercise based on music, and the control group performed the general exercise program. Assessments were made using the Korean version of mini-mental state examination (MMSE-K), 10 m walk test (10MWT), Tinetti mobility test (TMT), and Katz's Index of Independence in activity daily living (KIIADL) to detect changes in the cognitive level and physical performance before and after the 16-week training period. A paired t-test was conducted to compare the within-group change before and after the intervention. An independent t-test was performed to compare the between-group difference. The statistical significance level was set to α=.05 for all variables. RESULTS: The experimental group showed significant within-group changes in the MMSE-K, 10MWT, TMT, and KIIADL (p<.05). The control group showed a significant change in only the KIIADL (p<.05). A significant difference was observed between the experimental group and the control group regarding the change in MMSE-K and KIIADL after the interventions (p<.05). CONCLUSION: A music-based sling exercise program effectively improves cognition, physical performance, and ADL in patients with dementia. Further studies with a wider range of subjects and scientific equipment will be needed to strengthen the results of this study.

• PNF and Movement
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• v.10 no.3
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• pp.7-18
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• 2012

Purpose : This study was to compare the difference Trunk Control Test(TCT), Postural Assessment Scale for Stroke(PASS-TC), and Trunk Impairment Scale(TIS) and its subscales in relation to the difference MBI(Modified Barthel Index), BBS(Berg Balance Scale), and to establish the association between MBI, BBS, Fugl Meyer-motor function(FM-M), and to predict MBI-subscales from the variables. Methods : 58 stroke patients, attending a rehabilitation programme, participated in the study. Trunk control was measured with the use of the TCT, PASS-TC, TIS, and the performance of Activities daily living was obtained by MBI, and dynamic balance ability(by BBS). Trunk control scores from the difference MBI, BBS were compared using the 1-way ANOVA(Mann Whitney U test) and the data were analyzed using Pearson product correlation. Multiple stepwise regression analyses were performed to identify prognostic factors for ADL subscale. Results : Trunk control scores showed significant differences between MBI(F=2.139~13.737, p<.05~.001), BBS(t=3.491~7.705, p<.01~.001). It was significantly related with value of the MBI(r=.25~.50), BBS(r=.38~.68), FMM( r=.31~.48). Stepwise linear regression analysis showed an additional, significant contribution of the TCT, in addition to the PASS-TC, dynamic sitting balance subscale of the TIS for measures of MBI subscales. Conclusion : Measures of trunk control were significantly related with values of MBI, BBS score, so the management of trunk rehabilitation after stroke should be emphasized. The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general performance of the stroke patients. Further study about trunk control is needed using a longitudinal study design.

• Journal of the Korean Society of Manufacturing Technology Engineers
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• v.19 no.5
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• pp.589-595
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• 2010

This paper presents a reliability-based shape optimization (RBSO) using the evolutionary structural optimization (ESO). An actual design involves uncertain conditions such as material property, operational load, poisson's ratio and dimensional variation. The deterministic optimization (DO) is obtained without considering of uncertainties related to the uncertainty parameters. However, the RBSO can consider the uncertainty variables because it has the probabilistic constraints. In order to determine whether the probabilistic constraint is satisfied or not, simulation techniques and approximation methods are developed. In this paper, the reliability-based shape design optimization method is proposed by utilization the reliability index approach (RIA), performance measure approach (PMA), single-loop single-vector (SLSV), adaptive-loop (ADL) are adopted to evaluate the probabilistic constraint. In order to apply the ESO method to the RBSO, a sensitivity number is defined as the change of strain energy in the displacement constraint. Numerical examples are presented to compare the DO with the RBSO. The results of design example show that the RBSO model is more reliable than deterministic optimization.

• Journal of East-West Nursing Research
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• v.20 no.2
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• pp.145-153
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• 2014

Purpose: The purposes of this study were to evaluate the degree of social support, self-esteem, and motivation for rehabilitation in stroke patients and examine correlations between activities of daily living and study variables. Furthermore, this study explored factors that influence on activities of daily living. Methods: The study population was 192 stroke patients admitted in two general hospitals and two rehabilitation hospitals in M city. We collected the data using the structured questionnaires from July 11 to September 30, 2013. Results: The higher degree of social support, self-esteem, motivation for rehabilitation, the higher performance level for activities of daily living. Influencing factors of activities of daily living in the participants were motivation for rehabilitation(${\beta}$=.32, p<.001) and social support(${\beta}$=.31, p<.001). The model explained 45.9% of the variance. Conclusion: This study shows that intrinsic motivation of change in stroke patients themselves, a strong will to return to society and social supports are important factors on activities of daily living. Therefore, it is needed to develop a systemic nursing intervention improving activities of daily living in stroke patients through positive social support from patients' family members and health care providers.

• Journal of Korean Academy of Nursing
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• v.36 no.2
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• pp.403-414
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• 2006

Purpose: The purpose of this study was to investigate the effects of constraint-induced (CI) movement using self-efficacy on U/E function of chronic hemiplegic patients. CI movement discourages the use of the unaffected U/E, combined with intensive training of the affected U/E. Method: A non-equivalent pretest-posttest design was used. Study subjects were 40 hemiplegic patients conveniently selected from 2 different community health centers. The experimental subjects participated in the CI movement program for 6 hours daily over a period of two weeks. The exercises for affected U/E consisted of warming up, main exercise and ADL practice. To encourage the participants' behaviors self-efficacy enhancing strategies were used, which included performance accomplishment, vicarious experience, verbal persuasion and emotional arousal. Result: After 2 weeks of treatment, the grip power, pinch power, wrist flexion/extension, elbow flexion, and shoulder flexion/extension were significantly higher in the experimental subjects than in the control subjects. However, there was no significant difference in hand functions of the two groups. Conclusion: The above results show that the constraint-induced movement using self-efficacy could be an effective nursing intervention for improving U/E function of chronic hemiplegic patients. Long term studies are needed to determine the lasting effects of constraint-induced movement.