• 제목/요약/키워드: Daily Living Activity

검색결과 568건 처리시간 0.026초

균형감각 및 보행 장애 뇌출혈 환자에 대한 한방치료 치험 3례 (The Effect of Korean Medical Treatment on Imbalance and Gait Difficulty of Cerebral Hemorrhage Patient: Report of Three Cases)

  • 김진엽;조희진;남상수;김용석
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.185-193
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    • 2014
  • Objectives : The purpose of this study is to find the effectiveness of Korean medical treatment on sense of balance by cerebral hemorrhage. Gaitview analysis and Berg balance scale(BBS) research were used to evaluate it. Methods : We selected patients who were hospitalized at the Kangnam Korean Hospital, Kyung Hee University Hospital from May 2014 to August 2014 that satisfied inclusion/exclusion criteria. Before taking treatment, we took gaitview analysis and BBS first to analyze the ability of balance and gait of patients. In gaitview analysis, we checked Center of gravity(COG), pressure ratio, ave pressure, gait time ratio, statistic score. For about 10 days, patients were given acupuncture treatment, herbal medicine and physical therapy. Afterwards, we compared patients' progression between before-treatment and after-treatment with the same evaluation scale. Results : In the period of treatment, patients showed static and dynamic index change within the normal range or increase. And in statistic score, 2 cases score are increased. In BBS, all cases score are increased. Conclusions : Korean medical treatment improves imbalance symptom of cerebral hemorrhage patient. So the ability of gait and activity of daily living is improved. But, this study has only 3 cases, and has no comparable study. Prospective and Larger study will be necessary.

오정요법(五正療法)에 에 의한 파킨슨병 치료종결 1례에 대한 고찰 (A study on a case of treatment termination of Parkinson's disease treated by 5 upright life cure regulations therapy)

  • 박병준;김동희
    • 혜화의학회지
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    • 제19권2호
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    • pp.57-64
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    • 2011
  • Parkinson's disease is a degenerative disease of a cranial nerve and has a main symptoms of irregular movement of muscle, stiffening, trembling which occurred by about 1% of population in the age of over 65. Moreover, the and prevalence rate and attack rate are soaring according to increase of elderly population. However, allopathy and surgery were done through dopamine and anticholinergic medicine for treatment but it developed a lot of complications due to medicine and progress since it makes slow progress or can't stop the treatment. Hereupon, I report that there is a case on one of the patients Young Jin Oriental Medical Clinic. The patient who is in state of treatment termination who doesn't need any further remedy and no worsening of symptoms after conduction of therapies of dialectic and 5 upright life cure regulations. 5 upright life cure regulations means five practive way for improvement of nature healing power. Upon undertaking the 5 upright life cure regulations, there were found significant results in such tests as Unified Parkinson Disease Rating Scale (UPDRS), Hoehn & Yahr Staging Scale, and Activity of Daily Living (ADL), and the ingestion of Benztropine 1mg and Requip 0.25mg was decreased from 3 times to 0 times. The study offers objective clinical data on Oriental Medicine treatment for Parkinson's disease which is one of representative neuro-degenerative diseases and thus broadens the application range of Oriental Medical treatment and presents the fundamental data on the clinical research on Parkinson's disease by adopting evidence-based medicine (EBM).

PRECEDE 모형을 적용한 치과위생사의 근골격계 통증 심각도 관련 요인 (The related factors of severity of musculo-skeletal pain in the dental hygienists based on PRECEDE model)

  • 문애은;박종
    • 한국치위생학회지
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    • 제15권4호
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    • pp.649-659
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    • 2015
  • Objectives: The purpose of the study is to investigate the musculo-skeletal pain prevalence and severity in the dental hygienists based on PRECEDE model. Methods: A self-reported questionnaire was completed by 483 dental hygienists in Gwangju from September 13 to October 12, 2013. Data were analyzed by frequency analysis, chi-square test, t-test, and multiple logistic regression analysis using SPSS 18.0 program. Musculo-skeletal pain severity was classified from 1 to 5 by PRECEDE model. The questionnaire consisted of six questions of the general characteristics of the subjects, one question of musculo-skeletal pain prevalence, one question of body part musculo-skeletal pain prevalence, one question of subjective health status, three questions of activities of daily living, six questions of working environment, one question of musculoskeletal system diseases knowledge, two questions of social support, two questions of education experience and data use method, and five questions of necessity of health education. Results: The prevalence rate of musculo-skeletal pain within a year was 83.9% and 22.8% of the dental hygienists complained of severe pain. The odds ratio of moderate pain severity was 1.99(95% CI, 1.10-3.60) and the odds ratio of unhealthiness was 3.27 (95% CI, 1.35-7.94). The odds ratio of pain severity in those working for 4-6 years was 0.21(95% CI, 0.08-0.57). The odds ratio of pain severity in those practicing 6-10 scaling cases per day was 0.33(95% CI, 0.17-0.65). The odds ratio of pain severity in wrist turning and bending was 3.56(95% CI, 1.19-10.62). Conclusions: The muscolu-skeletal pain severity in the dental hygienists was closely associated with subjective health condition, work duration, the number of scaling practice activity, and a treatment posture. Regular physical checkup for the dental hygienists will improve the musculo-skeletal pain due to scaling practice.

하지 연부조직 종양의 절제 후 발생한 결손의 재건을 위한 도서형 유경 피판술로서의 족배동맥 피판술 (Reconstruction of Soft Tissue Defect Caused by Excision of Soft Tissue Tumor Using Dorsalis Pedis Pedicled Island Flap)

  • 한정수;신동준;문지수;박현철
    • Archives of Reconstructive Microsurgery
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    • 제12권1호
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    • pp.38-43
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    • 2003
  • Purpose : Various free flaps and pedicled island flaps are effective for reconstruction of soft tissue defect developed after tumor excision. We want to know the advantage of dorsalis pedis island flap for reconstruction of soft tissue defect caused by soft tissue tumor excision. Materials and Methods : Between 1992 and 2002, we performed 4 dorsalis pedis island flap procedure for reconstruction of soft tissue defect of lower limb developed after soft tissue tumor excision. Average age was 54.7 years old $(40{\sim}68)$, and male 2 cases, female 2 cases. The kinds and number of soft tissue tumors were 2 squamous cell carcinoma and 2 malignant melanoma. The procedures that we performed were all dorsalis pedis island flap. The analysis for the result of treatment was retrospectively accessed by physical examination and questionnaire for whether the change of symptom after operation, range of adjacent joint motion. Also we reviewed associated complication after operative treatment. Results : All dorsalis pedis island flaps were alive. There is no problem for activity of daily living, no skin necrosis and no limitation of motion of adjacent joint. In 1 case of them, the patients died of distant metastasis. Conclusion: Dorsalis pedis island flap procedure as a pedicled island flap procedure is very effective and easy operative procedure for reconstruction of soft tissue defect of lower limb developed after tumor excision compared to free flap procedure because there is no need for microvascular surgery, we can obtain relatively large flap and the lesion and flap donor site locate in the same limb.

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소뇌 뇌졸중 환자에서 실조로 인한 균형장애에 대한 시각적 피드백 훈련 기반 테트락스의 치료적 효과: 후향적 연구 (Therapeutic Effect of Tetrax based on Visual Feedback Training on Balance Dysfunction due to Ataxia in Subjects with Cerebellar Stroke: A Retrospective Study)

  • 김민수
    • 대한물리의학회지
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    • 제11권4호
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    • pp.105-114
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    • 2016
  • PURPOSE: This study is to investigate the therapeutic effect of Tetrax on balance dysfunction caused by ataxia in cerebellar stroke. METHODS: A total of thirty subjects with cerebellar stroke were recruited. The participants was divided into two groups, the experimental (n=15) and the control group (n=15). Tetrax training and conventional physical therapy (CPT) were performed in experimental group, whereas the patients in the control group were treated with CPT twice a day. Each session of the Tetrax and CPT was carried out for 30 minutes, 5 times per week for 4 weeks. Korean version of the Scale for the Assessment and Rating of Ataxia (K-SARA) was the primary outcome measure, and the secondary outcomes covered Berg balance scale (BBS), falling index (FI), Timed up and go (TUG), and modified Barthel index of Korean version (K-MBI). All outcome measures were evaluated before and after 4 weeks. RESULTS: K-SARA was decreased significantly after 4 weeks intervention in both the experimental (p<.05) and the control group (p<.05). Furthermore, the experimental group produced significantly better outcomes in K-SARA, BBS, FI, and TUG compared with the control group (p=.012, p=.027, p=.008, and p=.048). There were significant correlations between K-SARA and BBS, FI, TUG, and K-MBI (p<.001, p<.001, p=.004, and p<.001). CONCLUSION: The restoration of ataxia was related with the improvement of the balance, falling risk, mobility, and activity of daily living. Tetrax training was effectively aided recovery of ataxia after cerebellar stroke.

일부 농촌지역 여성노인의 주관적 건강상태에 영향을 미치는 요인 (A Study on Self-Rated Health of Elderly Women in A Rural Community)

  • 장인순
    • 한국보건간호학회지
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    • 제17권1호
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    • pp.35-46
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    • 2003
  • The purpose of this study was to examine the self-rated health and to find various factors affecting it for elderly women in a rural community, to provide data necessary to establish health promotion programs for elderly. The subjects of the study included a total of 245 women with above 70 years of age reside in one rural community. VAS (Visual Analogue Scale) for self-rated health, Lawton's physical & instrumental activity of daily living scales, social network were evaluated. The results of the study were as follows: 1. The self-rated health of the elderly women were measured on a 100 point(VAS) scale and the score was 53.6, indicating that women rated their health as moderate. 2. Factors such as income(p=0.008), family size(p=0.031), the level of ADL(p=0.039), urinary symptom(p=0.039), nocturia(p=0.001), visual difficulty(p=0.023), the number of chronic diseases(p=0.015), presence of arthritis or neuralgia(p=0.015), social network(p=0.002), housework assistant(p=0.008), emotional support(p=0.031) were significantly related to self-rated health. 3. Through the stepwise multiple regression, social network, family size, visual difficulty, and housework assistant were identified as significant predictors of self-rated health(p<0.05), explaining $21.0\%$ of the variance of the dependent variable. Better understanding of the determinants of healthy aging hopefully will lead to effective interventions to improve the quality of life of the elderly.

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만성요통환자가 지각하는 가족기능과 우울의 관계 (The Relationship between Perceived Family Functioning and Depression in Patients with Chronic Low-Back Pain)

  • 손정태;박현숙
    • 기본간호학회지
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    • 제7권2호
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    • pp.316-331
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    • 2000
  • This study was conducted using a descriptive correlational survey design to identify how patients with chronic low-back pain perceived family function and to examine the relationship between family function and depression. The participants of the study were 116 patients with chronic low-back pain patient who were having follow-up treatment in a local pain clinic, located in Daegu. A structured questionnaire was filled out participants themselves and the structured interview was given during January and February, 2000. The data collection instrument were FACE II-Korean version and Beck's Depression Inventory(1983). The data collected were analysed using mean, standard deviation(SD), t-test, F-test, Duncan test and Pearson correlation coefficient, done with SAS. The results are as follows; 1. The mean of the respondents' perceived family function was 3.47, with emotional bonding at 3.61, acceptability and sharing at 3.61, participation at 3.23, negotiation and satisfaction at 3.24 and responsibility and expectation at 3.76. 2. The mean of the respondents' perceived depression was $17.53{\pm}8.76$. 3. There was significantly negative correlation between family function and depression(r=-0.4817, p=.0001). 4. Research variables included demographic characteristics and showed that subjects who were aged 65 years or older showed significantly lower scores in patient's perceived family function than those who were aged 45 years or below(p=.0502). Perceived family function of females respondents were significantly lower than males(p=.0026). The illiterate showed significantly lower scores than other groups(p=.0001). Respondents with spouse and extended family tended to show significantly higher scores than those who were living with spouse only or by themselves alone(p=.0091). Those who had higher income showed significantly higher scores than in the lower income group(p=.0001). 5. For family function regarding pain characteristics, those who reported severe pain-related daily activity impediments showed significantly lower scores in family function than others with less pain(p=.0357).

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사용자 움직임 인식이 가능한 휴대형 센서 디바이스 구현 (Implementation of a Mobile Sensor Device Capable of Recognizing User Activities)

  • 안진호;박세준;홍유진;김익재;김형곤
    • 대한전자공학회논문지SD
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    • 제46권10호
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    • pp.40-45
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    • 2009
  • 본 논문에서는 사용자의 일상적인 동작 분석자료를 기반으로 실시간으로 사용자의 움직임 추정이 가능한 휴대형 센서 디바이스 및 활용 결과를 소개한다. 센서 디바이스는 3차원 가속센서와 GPS를 장착하고 있으며 센서 데이터 처리 및 움직임 추정을 위한 32비트 마이크로컨트롤러, 그리고 센서 데이터 및 추정결과를 전송하기 위한 블루투스 타입의 무선 통신 모듈을 포함한다. 완성된 디바이스는 50*47*14(mm)의 크기이며 리튬이온 소형 배터리 기준으로 연속 사용시 최대 10시간, 대기시간은 약 160시간 정도의 소형/저전력 형태로 구현되었다. 추정 가능한 사용자 움직임의 종류는 크게 3가지("서기", "달리기", "걷기")이며 피실험자군에 의한 동일 동작에 대한 가속센서 변화량을 학습하여 결정 트리 형식으로 사용자 움직임을 결정한다. 실험 결과 사용자 움직임 추정에 대한 정확도는 90% 이상인 것으로 확인되었다.

한국 전통 농가 안방의 주생활 변화과정 - 1950년대 이후 평택군 오성면의 농가를 중심으로 - (Changes of Housing Styles in the Anbang of the Traditional Korean Farm House - After 1950 in Kyongki Province -)

  • 고도임
    • 대한가정학회지
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    • 제31권3호
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    • pp.197-212
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    • 1993
  • The purpose of this study was to find out the physical change of the farm house and its anbang(the main room : master bed room), to identify the behavioral changes : activity and awareness of anbang, and to clarify the relationship between the physical changes of the farm house, and the behavioral changes of housing life-style in the anbang space. Bibliographical studies, cultural approaches and field survey method with questionnaire were used to collect data from 55 residents of Anwhari and Yangkyori in Pyong Teck Koon. Tables and drawings were made to analyze the data. The major findings were 1) the heating system of the ondol anbang. The most popular type is the double heating system(new pipes added to the traditional ondol). This combination ondol system brought some conviniences to the farmers. This change in structure of the ondol were of four types : Complete change in style, enlarged-completely changed style, partially changed style, enlarged-partially changed style. 2) from 1960 through 1970 lighting of the anbang changed room oil lamp to electricity. 3) the finishing material of the anbang floor changed from traditional oil paper and straw mats to vinyl flooring. 4) Traditional furniture and small decor items are gradually disappearing and are being replaced by modern items. 5) The awareness and actual use of the ondol anbang has not much changed from the multi-functional and sacred space of daily living : which are the characteristics of Korean traditional ondol anbang. The biggest consistency in the ondol anbang is the heating system of the floor, which is the characteristic of ondol culture in Korea. This system will continue regardless of time and place in Korea.

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고령화연구패널조사를 이용한 경도인지장애 예측모형 (Prediction Models of Mild Cognitive Impairment Using the Korea Longitudinal Study of Ageing)

  • 박효진;하주영
    • 대한간호학회지
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    • 제50권2호
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    • pp.191-199
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    • 2020
  • Purpose: The purpose of this study was to compare sociodemographic characteristics of a normal cognitive group and mild cognitive impairment group, and establish prediction models of Mild Cognitive Impairment (MCI). Methods: This study was a secondary data analysis research using data from "the 4th Korea Longitudinal Study of Ageing" of the Korea Employment Information Service. A total of 6,405 individuals, including 1,329 individuals with MCI and 5,076 individuals with normal cognitive abilities, were part of the study. Based on the panel survey items, the research used 28 variables. The methods of analysis included a χ2-test, logistic regression analysis, decision tree analysis, predicted error rate, and an ROC curve calculated using SPSS 23.0 and SAS 13.2. Results: In the MCI group, the mean age was 71.4 and 65.8% of the participants was women. There were statistically significant differences in gender, age, and education in both groups. Predictors of MCI determined by using a logistic regression analysis were gender, age, education, instrumental activity of daily living (IADL), perceived health status, participation group, cultural activities, and life satisfaction. Decision tree analysis of predictors of MCI identified education, age, life satisfaction, and IADL as predictors. Conclusion: The accuracy of logistic regression model for MCI is slightly higher than that of decision tree model. The implementation of the prediction model for MCI established in this study may be utilized to identify middle-aged and elderly people with risks of MCI. Therefore, this study may contribute to the prevention and reduction of dementia.