• Title/Summary/Keyword: Disability and Health

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Relationship between Compulsory Employment System for persons with Disabilities and Health Status (장애인 의무고용제도와 건강상태 간의 연관성)

  • You, Jin Ha;Kim, Ye Won;Yang, Jeong Min;Kim, Jae Hyun
    • Korea Journal of Hospital Management
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    • v.27 no.2
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    • pp.53-66
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    • 2022
  • Aim : The purpose of this study is to investigate the influence of the awareness level of the mandatory employment system for the disabled and the help of the employment increase on the health status of the disabled. Based on this, the purpose of this study is to raise awareness of the compulsory employment system for the disabled and to suggest a way to improve the health of the disabled. Methods : In this study, the first data of the second wave of the 2016-2018 Employment Panel Survey for the Disabled was used to analyze the participation of the disabled in economic activities. a total of 1,648 subjects were analyzed using the chi-square test and generalized estimating equation (GEE). Results : Compared to the group knowing about the compulsory employment system for the disabled, in the group who did not know about the compulsory employment system, the cognitive level was significantly higher for subjective health status (Odds Ratio [OR]: 1.573, 95% Confidence Interval [CI]: 1.252-1.977) and chronic diseases (OR: 1.407, 95% CI: 1.091-1.816), Compared to the group that the compulsory employment system for the disabled is helpful in increasing employment, the group that said it was not helpful at all had depression feel (OR: 2.330, 95% CI: 1.219-4.452) and subjective health status (OR: 2.052, 95% CI: 1.232. -3.416) significantly affected. Conclusion : It was found that the lower the level of awareness and help of the compulsory employment system for the disabled, the negative impact on their health status. Therefore, it is necessary to promote employment growth by raising awareness of the employment system for the disabled. Furthermore, in order to improve the health of the disabled, public relations plans to increase the understanding of the disabled on the system and policies to protect the disabled people who lose their will to work due to difficulties in accessing employment were enacted, and Changes to a disability-friendly working environment should be activated so that participants can participate.

The Improvement of the Balance and Breath Abilities for Mental Retardation by Sensory Integrative Intervention: Single Subject Research (지적장애 아동의 균형과 호흡 기능 향상을 위한 감각통합치료: 개별 실험 연구)

  • Kim, Kyeong-Mi;Hong, Eun-Kyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.1
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    • pp.33-44
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    • 2011
  • Objective : Sensory integration is the organization for sensation for use. The purpose of this study is to carry out the sensory integrative intervention for the mental retardation with child and to examine change of child's balance and breath abilities. Methods : The study performed from 25 May to 13 Autumn, 2009. The design is AB design(baseline 3sessions, intervention 21sessions) of single-subject research design. We carried out the sensory integrative intervention(3 sessions per week) for baseline period and the sensory integrative intervention(3 sessions per week) with sensory diet every day for intervention period. Results : The results of the sensory integrative intervention with sensory diet had positive effects for child's breathe and balance. Conclusion : The occupational therapists recognize the effects of the sensory integrative intervention with sensory diet and need to recommend for the family of child with disability.

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Effect of Exercise Programs for Chronic Low Back Pain Patients : A Systematic Review (만성 허리통증환자의 운동프로그램에 대한 효과)

  • Kang, Kwon-Young;Kim, Eun-Kyung;Hong, Gi-Hoon
    • Journal of Korean Physical Therapy Science
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    • v.18 no.2
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    • pp.1-8
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    • 2011
  • Background: The purpose of this study was to systematic review the effect of exercise programs for chronic low back pain patients. We needs systematic development of low back pain exercise program to reduce economic cost further doing great service to public health promotion. Methods: We searched to the effects of exercise programs for chronic low back pain patients by Dankook University electronic library databases of DBPIA, KSI KISS, CINAHL, MEDLINE and PEDro combined with a hand search of papers published in relevant journals. Any type of study relevant to the topic published during time period from 1970 to 2007 was included. Results: The literature search identified 30 studies. 1.Performing the flexion exercise increased abdominal muscle activity but acute herniated intervertebral disc should be avoided. 2.The general lumbar extension exercise used lumbar extension machine and the muscle power increases, significant probability the change. 3.The spinal segments exercise for the patients offered significant efficacy and appeared to be a reasonable therapeutic option. 4.Spinal stabilization exercises appear to improve trunk endurance and balance to patients with chronic low back pain. This exercise programs had effective decrease pain and disability. Conclusion: The review suggests that although the exercise programs for chronic low back pain patients, and we expected the efficacy of the exercise programs for chronic low back pain patients used in this study should be further investigated in a long period study and objective outcomes.

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Effect of Partial Weight Supported Treadmill Training on Balance, Dysfunction and Pain in Patients With Chronic Low Back Pain (부분적 체중부하를 통한 트레드밀 훈련이 만성요통환자의 균형능력과 기능장애, 통증에 미치는 영향)

  • Kim, Dae-hyun;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.1-10
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    • 2016
  • Background: Patients with chronic low back pain (CLBP) functionally adapt to decreased postural control due to impaired processing of sensory information. Standing postural control has been the focus of recent research in CLBP. Change in postural control may be a risk factor for CLBP, although available studies are not conclusive. Objects: This study aimed to identify the role of partial weight supported treadmill training (PWSTT) in improving balance, dysfunction, and pain in patients with chronic low back pain. Methods: The study included 22 patients with CLBP. Patients in the control group ($n_1=8$) performed three 20 min stabilization exercise sessions per week, for 4 weeks. Patients in the full weight treadmill training group ($n_2=7$) performed treadmill training for 30 min after stabilization exercise. Patients in the PWSTT group ($n_3=7$) performed PWSTT with 20% of their body weight unloaded after stabilization exercises. By using the Biodex balance system, the dynamic balance abilities of the patients in the three groups were assessed in the quiet standing position under combined conditions of visual feedback (eyes open and closed) and platform stability (level 8). The Korean version of the Oswestry Disability Index and visual analogue scale score were used as the main measure. Results: The results of this study showed that dysfunction and pain were significantly improved in all groups. Although dynamic postural stability with eyes closed was significantly improved only in the PWSTT group (p<.05), no significant difference was found in the other groups. Conclusion: The results of this study indicate that PWSTT improved balance, dysfunction and pain in the patients with CLBP. Thus, this intervention is necessary for patients with CLBP with decreased postural control.

Increased Prevalence of Chronic Disease in Back Pain Patients Living in Car-dependent Neighbourhoods in Canada: A Cross-sectional Analysis

  • Zeglinski-Spinney, Amy;Wai, Denise C.;Phan, Philippe;Tsai, Eve C.;Stratton, Alexandra;Kingwell, Stephen P.;Roffey, Darren M.;Wai, Eugene K.
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.5
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    • pp.227-233
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    • 2018
  • Objectives: Chronic diseases, including back pain, result in significant patient morbidity and societal burden. Overall improvement in physical fitness is recommended for prevention and treatment. Walking is a convenient modality for achieving initial gains. Our objective was to determine whether neighbourhood walkability, acting as a surrogate measure of physical fitness, was associated with the presence of chronic disease. Methods: We conducted a cross-sectional study of prospectively collected data from a prior randomized cohort study of 227 patients referred for tertiary assessment of chronic back pain in Ottawa, ON, Canada. The Charlson Comorbidity Index (CCI) was calculated from patient-completed questionnaires and medical record review. Using patients' postal codes, neighbourhood walkability was determined using the Walk Score, which awards points based on the distance to the closest amenities, yielding a score from 0 to 100 (0-50: car-dependent; 50-100: walkable). Results: Based on the Walk Score, 134 patients lived in car-dependent neighborhoods and 93 lived in walkable neighborhoods. A multivariate logistic regression model, adjusted for age, gender, rural postal code, body mass index, smoking, median household income, percent employment, pain, and disability, demonstrated an adjusted odds ratio of 2.75 (95% confidence interval, 1.16 to 6.53) times higher prevalence for having a chronic disease for patients living in a car-dependent neighborhood. There was also a significant dose-related association (p=0.01; Mantel-Haenszel chi-square=6.4) between living in car-dependent neighbourhoods and more severe CCI scores. Conclusions: Our findings suggest that advocating for improved neighbourhood planning to permit greater walkability may help offset the burden of chronic disease.

The Effect of Skating Exercise on Balance Ability Improvement in Cerebral Palsy (뇌성마비인의 균형 능력 향상에 미치는 스케이트 운동의 효과)

  • Lee, Hyun-Hee;Park, Rae-Joon;Lee, Moon-Hwan;Ma, Sang-Yeol;Kim, Seung-Hak
    • The Journal of Korean Physical Therapy
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    • v.19 no.2
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    • pp.21-31
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    • 2007
  • Purpose: This study investigated effect of skating exercise on balance ability improvement in cerebral palsy. Methods: Total five subject with cerebral palsy were recruited from school for disability childen in Daegu, and the skating exercise was conducted 3times at a week during 8 weeks the skating exercise. Balance test was measured using Balance System with overall index, anterior/posterior index, medial/lateral index of balance ability. Results: There was significant difference between 4 and 8weeks training session in the overall index(p<0.05). There was no significant difference between 4 and 8weeks training session in the anterior/posterior index(p<0.05). There was significant difference between 4 and 8weeks training session in the medial/lateral index(p<0.05). There was significant difference between 4 and 8weeks training session in the anterior/posterior index and medial/lateral index(p<0.05). Conclusion: This study showed that skating exercise was effect on balance ability improvement in cerebral palsy. The future study needs more detailed research and comparison about effect of skating exercise on balance ability improvement in cerebral palsy.

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The Effect of Worker' Consumption Patterns on Depression: Focusing on Baby-boomers (경제활동참여 베이비부머의 소비유형과 우울의 관계)

  • Park, Seo-Young;Hong, Song-Iee
    • Journal of Digital Convergence
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    • v.16 no.1
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    • pp.439-452
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    • 2018
  • This study aims to empirically structure the patterns of consumption and their effects on depression among the employed baby-boomers who were born in 1955 to in 1963. We used the 5th wave of Korea Retirement and Income Study(KReIS) in 2013 (n=2,585). The Latent Profile Analysis(LPA) estimated the empirical patterns of consumption and then a multiple regression analyzed the effect of consumption patterns on depression. The LPA results showed that the consumption patterns consist of four groups: Basic life-oriented class, Social life-oriented class, Home-based lifestyle class, and Advanced consumption-oriented class. The working baby boomers' depression was associated with their consumption patterns. Specifically, the social life-oriented class showed significantly lower depression than the basic life-oriented class and advanced consumption-oriented class. Other associates with higher levels of depression were found as lower education, having no spouse, lower self-rated health, higher levels of physical limitation, having a diagnosed disability, lower satisfaction with leisure activities, lower income, and lower subjective economic status in this study. Based on the results of this study, we propose the need for specialized financial intervention better for baby-boomers' retirement preparation in Korea.

The Study on Physical Therapy Students Attitude and Behavior for the Person with Disability (물리치료(학)과 학생의 장애인에 대한 태도와 행동에 관한 조사연구)

  • Oh, Jung-Lim;Son, Ho-Hee;Kim, Gi-Yeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.425-432
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    • 2016
  • The purpose of this research was to examine the attitudes and behavior of physical therapy students toward the disabled. The subjects were 776 students at 6 cities and provinces nationwide with physical therapy. Self-reported questionnaires were used to collect data from 800, and 776 returned forms was analyzed using SPSS 21.0 ver. As a summary of the results, first, there was a more positive significant difference in the behavior toward disabilities in men than women; the higher grade they were, the more negative the significant difference in attitude toward the disabilities. Second, the subjects with disabled family members or friends had a positive attitude and behavior. Third, there was no difference as to whether to take classes related to disabilities, and there was a positive significant difference in the students who took voluntary service. Based on these results, interactions with disabled people affect the positive attitudes and behaviors toward disabilities. In addition, implications of the important roles of education curricula to take direct experience are suggested.

Cordyceps Militaris Complex extract Treatment for Rheumatoid Arthritis : A Retrospective Observational Study (동충하초 복합추출물로 치료받은 류마티스 관절염 환자군에 대한 후향적 관찰 연구)

  • Ko, Seong Hwan;Kim, Sang Woo;Kim, Nam Hoon;Kim, Si Yeon;Lee, Eun-jung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.35 no.5
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    • pp.193-198
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    • 2021
  • The purpose of this study is to observe the effect of Cordyceps Militaris(CM) complex extract treatment on patients diagnosed with rheumatoid arthritis(RA). We reviewed medical records of 9 rheumatoid arthritis patients who visited the pain & rehabilitation center, Daejeon Korean Medicine Hospital of Daejeon University and were treated with CM complex extract from October 14, 2019 to October 14, 2020. We analyzed the records of DAS 28(Disease Activity Score 28), CDAI(Clinical Disease Activity Index), SDAI(Simplified Disease Activity Index), VAS(Visual analogue Scale), and KHAQ-D(Korean Health Assesment Questionnaire-Disability Index) before and after treatment to evaluate the effects of CM complex extract on RA. As a result, the scores of DAS 28(p<0.05), CDAI(p<0.01), SDAI(p<0.01) and VAS(p<0.01) were statistically significantly decreased, after 8 weeks of taking CM complex extract in RA patients. In conclusion, CM complex extract treatment may have potential effects of reducing disease activity and pain and improving quality of life in patients diagnosed with RA.

A study on analysis of the Relationship Oral bacteria to dental caries experience in disabled student's: in Gyeong-nam (경남지역 특수학교 학생의 구강내 세균검사에 따른 영구치우식경험률에 관한 연구)

  • Cho, Pyeong-Kyu;Park, Sung-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.4
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    • pp.115-125
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    • 2008
  • The purpose of this study was to examine the relationship between the Dentocult SM and LB scores of students and their DMF rate. The subjects in this study were 134 special school students in south Gyeong-sang province. After they were tested to find out their, they received tooth brushing education and preventive treatment. The test, education and treatment were all conducted from March 17 to April 9, 2008. Their oral state was checked and recorded by using a mirror and explorer, and then the data on oral state were analyzed to their DMFT, DT, FT and MT rates. All the collected data were analyzed with SPSS 15.0 for Windows program, and independent-samples t-test, one-way ANOVA and crosstabs analysis were implemented to see what differences their disability type, gender, Dentocult-SM scores and Dentocult-LB scores made. The findings of the study were as follows: 1. As for connections between disability type and DMFT rate, the students with mental retardation were similar to the other students in that regard. The mentally retarded students had higher DT and FT rates than the other students, and the MT rate of the latter was higher than that of the former. 2. Concerning the relationship of gender to DMFT and DT rates, the girls had larger DMFT and DT rates than the boys, and the FT and MT rates of the boys were higher than those of the girls. 3. As to links between Dentocult SM scores on the tongue and DMFT, the students whose bacteria was mildly activated had the highest DMFT rate, and the students who had a severely activated bacteria had the highest DT and FT rates. Those who had a moderately activated bacteria had the highest MT rate. 4.Regarding the connection of Dentocult SM scores on maxillyright molar to DMFT and DT rates, the students whose bacteria was severely activated had the highest DMFT and DT rates. Those who had no activated bacteria had the largest FT rate, and the students who had a mildly activated bacteria had the highest MT rate. 5.Regarding the connection of Dentocult SM scores on maxillyleft molar to DMFT and DT rates, the students whose bacteria was severely activated had the highest DMFT and DT rates. Those who had no activated bacteria had the largest FT rate, and the students who had a mildly activated bacteria had the largest MT rate. 6. Regarding the connection of Dentocult SM scores on mandibularright molar to DMFT and DT, FT rates, the students whose bacteria was severely activated had the highest DMFT and DT, FT rates. Those who had a moderately activated bacteria had the highest MT rate. 7. Regarding the connection of Dentocult SM scores on mandibularleft molar to DMFT and DT rates, the students whose bacteria was mildly activated had the highest DMFT and DT rates. Those who had no activated bacteria had the largest FT rate, and the students who had a moderately activated bacteria had the highest MT rate. 8. Regarding the connection of Dentocult LB scores to DMFT and DT rates, the students whose bacteria was severely activated had the highest DMFT and DT rates. Those who had no activated bacteria had a moderately FT rate, the students who had a mildly activated bacteria had a mildly MT rate.

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