• Title/Summary/Keyword: ADL training

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Relationship of Activity of Daily Living and Self-Care Agency in Patients with Spinal Cord Injuries (척수손상환자의 일상생활동작과 자가간호역량에 관한 상관연구)

  • Park Hyoung-Sook;Kim Myung-Hee;Jeong Hyeon Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.1
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    • pp.73-80
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    • 2005
  • Purpose: This study examined the relationship between level of activity of daily living (ADL) and Self-Care Agency in patients who have had a spinal cord injury. Method: The participants in the study were 78 persons who had a spinal cord injury and were between 20 and 70 years of age. The data were collected from November 1, 2003 to January 30, 2004. The instruments used in this study were the ADL Check List and Self-Care Agency Scale. The data were analyzed using the SPSS program and included numbers, percentages, t-test and ANOVA, and Pearson correlation coefficients. Results: The total mean score for activity of daily living was $44.21{\pm}16.63$. The total mean score fur Self-Care Agency was $107.45{\pm}15.71$, There was a significant difference between scores for ADL and Self-Care Agency. Conclusion: In order to increase the level of ADL, rehabilitation nurses should ensure that these patients receive training in ADL. Also, it was identified that informational support is important, that is, nurses should help to provide these patients with Self-Care Agency training for ADL.

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Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke (바이오휘드백을 이용한 운동훈련이 재가 편 마비 환자의 상지둘레, 악력, 근육강도, 관절운동범위, 일상생활활동에 미치는 효과)

  • 김금순;이소우;최명애;이명선;김은정
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.432-442
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    • 2001
  • Purpose: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. Result: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

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The Effect of Bilateral Arm Training for the Chronic Phase After Stroke in Activities of Daily Living (양측성 상지 활동이 만성 뇌졸중 환자의 일상생활활동에 미치는 영향)

  • Lee, Hyun-Jin;Kwon, Hyuk-Cheol;Chang, Moon-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.36-47
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    • 2013
  • Objective : To identify the effect of bilateral arm training for activities of daily living(ADL) of the chronic phase after stroke. Methods : 20 patients with stroke, randomized to an experimental group(n=10) and a control group(n=10). Both groups received the usual occupational therapy. In addition, an experimental group received an bilateral arm training, 30-min sessions per a day for 6 weeks. The Functional Independence Measure(FIM) was used to evaluate ADL for both groups. Results : First, there is a significant difference before and after receiving the bilateral arm training(p <.05). Second, there are significant differences in all ADL areas of Self-care, Transfer, Social cognition after bilateral arm training(p<.05). Third, there are significant differences in all sub-areas of Self-care, only stairs of Locomotion, and only Problem solving of Social cognition by comparing sub-areas as bilateral arm activity(before and after) and occupational therapy intervention(before and after). Conclusion : Using bilateral arm training for the chronic phase after stroke improved their abilities of ADL. Therefore, there are an expectation to use bilateral activity training for the chronic after stroke clinically and a need of further study about bilateral arm training related to ADL in the future.

Effects of a Cognitive Training Program on Cognitive Function and Activities of Daily Living in Patients with Acute Ischemic Stroke (인지훈련 프로그램이 급성 허혈성 뇌졸중 환자의 인지기능과 일상생활 수행능력에 미치는 효과)

  • Oh, Eun Young;Jung, Mi Sook
    • Journal of Korean Academy of Nursing
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    • v.47 no.1
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    • pp.1-13
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of a cognitive training program on neurocognitive task performance and activities of daily living (ADL) in patients who had a stroke. Methods: The research design for this study was a nonequivalent control group non-synchronized design. Patients were assigned to the experimental (n=21) or control group (n=21). The experimental group received a 4-week cognitive training program and usual care (i.e., rehabilitation service), while the control was received usual care only. Cognitive function was measured with a standardized neurocognitive test battery and ADL was assessed at baseline and one and two months after completion of the intervention. Repeated measures ANOVA was used to determine changes in cognitive function and ADL over 2 months. Results: The interaction of group and time was significant indicating that the experimental group showed improvement in attention, visuospatial function, verbal memory, and executive function compared to the control group which had a sustained or gradual decrease in test performance. A significant group by time interaction in instrumental ADL was also found between the experimental group with gradual improvement and the control group showing no noticeable change. Conclusion: Findings show that the cognitive training program developed in this study is beneficial in restoring cognitive function and improving ADL in patients following a stroke. Further study is needed to investigate the long-term relationship between cognitive training participation and cognitive improvement and effective functioning in daily living.

The Effect of an Exercise Program on Activities of Daily Living (ADL), Balance and Cognition in Elderly individuals with Alzheimer’s Disease and Vascular Dementia (치매노인의 일상생활동작과 균형 및 인지능력에 대한 운동프로그램의 효과)

  • Son, Ho-Hee;Oh, Jung-Lim;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.22 no.1
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    • pp.53-60
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    • 2010
  • Purpose: The purpose of our study was to evaluate the effects of an exercise program on activities of daily living (ADL), balance and cognition in elderly individuals with Alzheimer’s disease and vascular dementia. Methods: Thirty-two patients with mild to moderate cognitive impairment were assigned to one of two groups: an exercise group (n=16) and a control group (n=16). The exercise group carried on regular exercise for 60 minutes a day, 4-5 times per week for 8 weeks. The exercise group participated in an exercise program (treadmill training and physical training). ADL, balance and cognitive function were evaluated before and at the end of the program using the Korean modified Bathel Index (K-MBI), the Functional independence measure (FIM), the Berg balance scale (BBS), the Balance performance monitor (BPM), and the Mini mental state examination (MMSE) in both groups. Results: There were significant exercise-induced improvements in ADL and Balance from pre to post tests; but not in MMSE. Conclusion: Exercise programs can improve ADL and balance in elderly with Alzheimer’s disease and vascular dementia.

The influnce of Self rehabilition exercise for Activities of DailyLiving of disability elder (자가 재활운동이 장애노인의 일상활동 수행능력에 미치는 영향)

  • Kim, Soo-Min
    • Journal of Korean Physical Therapy Science
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    • v.17 no.1_2
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    • pp.53-66
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    • 2010
  • Background: It's very important method of treatment to improve physical activity for Activities of Daily Living(ADL) disability elder. So, We educated them Self rehabilition exercise and they did it by themselves, Then studied the influence in ADL disability elder. Methods: The participants of this study consited of 185 ADL disability elder in 18 located in Pusan & Kyungnam of elderly care hospital. We provided them 4 weeks of rehabilitation exercise training, and 4 weeks later we collected The state of ADL. Results: The ADL disability elder Who was educated and practiced Self rehabilition exercise, showed improvement on the several items of ADL, especially in Bathing. Conclusion: Self rehabilition exercise proved that it can improve ADL for disability elder I thank the system of Self exercise program has to be progressed.

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The Effect of Action Observation Training on Dexterity of Affected Upper Extremity Motor Function and ADL in Stroke Patients (과제지향적 동작관찰훈련이 뇌졸중 환자의 환측 상지기민성과 일상생활활동에 미치는 영향)

  • Eom, Sook;Kim, Su-Kyoung
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.1
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    • pp.55-66
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    • 2013
  • Objective : The purpose of present study was to determine effects of task oriented action observation training on dexterity of upper limb function after stroke. Training was progressed to imitation and intensive training after observation to required action in ADL. Method : 15 stroke patients were selected and one group pretest-posttest design was applied. Targets observed performance actions of task orientated task through a video and limitated action repeatedly, Training was performed 3 times a week and 20~30 minutes for each round for 3 weeks. Manual function test and 10-second test and Box and block test were performed for a dexterity of upper extremity motor function, Modified Barthel index and Motor activity log were performed for ADL. Result : After the training, a dexterity of affected upper extremity motor function of the target showed significant difference between before and after intervention, ADL showed significant improvement between before and after intervention. Conclusion : Task orientated Action observation lead a positive effect of recovering a dexterity of upper extremity motor function and ADL. Therefore, this study suggest a action observation training as one strategy of an intervention type of th e occupational therapy.

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Design of a Novel 1 DOF Hand Rehabilitation Robot for Activities of Daily Living (ADL) Training of Stroke Patients (뇌졸중 환자의 일상생활 동작 훈련을 위한 1자유도 손 재활 로봇 설계)

  • Gu, Gwang-Min;Chang, Pyung-Hun;Sohn, Min-Kyun;Shin, Ji-Hyeon
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.9
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    • pp.833-839
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    • 2010
  • In this paper, a novel 1 DOF hand rehabilitation robot is proposed in consideration of ADL training for stroke patients. To perform several ADL trainings, the proposed robot can move the thumb part and the part of 4 fingers simultaneously and realize the full ROM (Range of Motion) in grasp. Based on these characteristics, the proposed robot realizes several types of grasp such as cylindrical grasp, lateral grasp, and pinch grasp by using a passive revolute joint that can change the thumb movement direction. The movement of the thumb is driven by a cable mechanism and the part of 4 fingers is moved by a four-bar linkage mechanism.

The Effects of Task-Oriented Training Program on Balance, Activities of Daily Living Performance and Self-Efficacy in Stroke Patients : A Pilot Study (과제 지향적 훈련프로그램이 뇌졸중 환자의 균형, 일상생활동작 수행능력 및 자기효능감에 미치는 영향 : 예비연구)

  • Choi, Jinuk;Kang, Soonhee
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.4
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    • pp.15-24
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    • 2013
  • Purpose : The purpose of this pilot study was to examine the effects of task-oriented training program on balance, activities of daily living(ADL) performance, and self-efficacy in stroke patients. Method : Two subjects with stroke in experimental group participated in the task-oriented training program, while two subjects with stroke in control group received traditional rehabilitation therapy for 4 weeks, 30 minutes per session, four times per week. The task-oriented training program consisted of four tasks with 4 difficulty levels. In two groups, balance was examined with using the Berg Balance Scale(BBS), ADL performance was examined with using the Modified Barthel Index(MBI), and Self Efficacy was evaluated with using the Self-Efficacy scale(SES) before and after 4-week training. Result : After 4 weeks training, all scores of measurement variables increased in both the experimental group and the control group, but the average rates of change differed between the two groups. After the training program, the scores of BBS, MBI, and SES in experimental group increased to 11.4%, 9.9%, 15.4%, respectively than pre-training. Conclusion : According to the results of this study, task-oriented training program might be proposed as a intervention to improve balance ability, ADL performance, and self-efficacy in stroke patients.

The Effect of Visual Feedback Training on Balance and ADL in Cerebellar Ataxia : Case Report (시각되먹임 훈련이 소뇌 실조증 환자의 균형과 일상생활 수행에 미치는 영향 : 사례보고)

  • Yang, Hyun-Ju;Cho, Ba-Hoe;Jang, Jong-Sik
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.1
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    • pp.43-53
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    • 2013
  • Objective : The aim of this study was to identify the effect of visual feedback on balance and ADL in patient with cerebellar ataxia. Method : Between May of 2013, visual feedback applied to cerebellar ataxia patient. The visual feedback applied five times a week for two weeks to patient who are inpatients of Dae-jeon. To assess changes in balance, we performed the LOS, Romberg, BBS, We also assessed ADL using Canadian occupational performance measure(COPM). Result : For the patient of cerebellum ataxia, we can confirm the limitation of stability, and after the intervention, we can check out the changes which are maintained at Romberg test and Berg Balance Scale. In terms of daily activities, such as taking bath, moving to somewhere, using transportation, doing the laundry, and meeting activity, the level of performance and satisfaction has increased in all five fields. Conclusion : After the visual biofeedback training, patients with cerebellar Ataxia showed more increase in balance and ADL.

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