• Title/Summary/Keyword: Disability and Health

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Effect of Craniocervical Flexion Exercise with Masticatory Muscle Contraction on Deep Cervical Muscle Thickness and Neck Disability Index in Patient with Neck Pain (씹기근육 수축을 동반한 머리목굽힘운동이 목통증 환자의 깊은목뼈굽힘근의 수축두께와 목장애지수에 미치는 영향)

  • Park, Eun-Soo;Choi, Ho-Suk;Shin, Won-Seob
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.4
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    • pp.139-146
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    • 2016
  • PURPOSE: The purpose of this study was to determine the effect of craniocervical flexion exercise with masticatory muscle contraction in patients with neck pain. Patients with neck pain also experience muscle weakness and limitation of activities of daily living. Craniocervical flexion exercise with masticatory muscle contraction may increase the thickness of the deep cervical flexor muscles, thereby reducing pain and limitations on activities of daily living. METHODS: Twenty-six volunteers participated in this study. The subjects were randomly divided into an experimental group (n=13) and a control group (n=13). Both groups performed craniocervical flexion exercise using a pressure biofeedback unit; the experimental group performed craniocervical flexion exercise with masticatory muscle contraction for 20 minutes, 3 times a week for 4 weeks. Assessment tools included ultrasonography for measurement of muscle thickness and the Neck Disability Index for the level of pain and function. RESULTS: The rate of change in muscle thickness in both groups significantly increased (p<.05), with a significantly greater increase in the experimental group than in the control group (p<.05). The Neck Disability Index score significantly improved (p<.05) in both groups, with significantly greater improvement in the experimental group compared with the control group (p<.05). CONCLUSION: These results suggest that craniocervical flexion exercise with masticatory muscle contraction can be effective in increasing muscle thickness and improving the Neck Disability Index score in patients with neck pain.

The Effects of Dry-Hydrotherapy on The Low Back Disability and Pain for Patients with Low Back Pain (건식수치료가 요통환자의 통증과 요부장애에 미치는 영향)

  • Song, Chang-Ho;Bae, Ha-Suk;Lee, Seung-Won
    • The Journal of Korean Physical Therapy
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    • v.18 no.2
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    • pp.1-6
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    • 2006
  • Purpose: The purpose of this study was to evaluate the effects of dry-hydrotherapy to release pain in patient with low back pain. Methods: The subjects of the study were fifty patient with low back pain in orthopedic clinic. Fifty patients who had low back pain were randomly divided into 2 groups, 1) dry-hydrotherapy group 2) control group. Visual analog scale(VAS) and Oswestry low back pain disability questionnaire were measured before and after treatment. The treatment plan Was as follows; 15 min. exercise per day and 5 days per week for 2 weeks. Results: 1. Before dry-hydrotherapy, there was no significant difference in VAS score and Oswestry low back pain disability questionnaire score between two groups. 2. The VAS score was significantly decreased in both groups after 2-week dry-hydrotherapy and the decrease in the AS score in dry-hydrotherapy group was significantly lower than in control group. 3. The Oswestry low back pain disability questionnaire score was significantly decreased in both groups after 2-week dry-hydrotherapy and the decrease in Oswestry low back pain disability questionnaire score dry-hydrotherapy group was significantly lower than in control group. Conclusion: In conclusion, the dry-hydrotherapy was effective to alleviate pain in patients with low back pain.

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State of dental treatment among disabled patients at K university hospital pediatric dentistry (K 대학 소아치과에 내원한 장애인의 구강진료 실태)

  • Kim, Chang-Hee;Park, Jae-Hong;Kim, Jin;Kim, Sun-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.3
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    • pp.357-368
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    • 2009
  • The purpose of this study was to examine the state of dental treatment among disabled patients by the type of disability. After the medical records of 531 disabled patients who received treatment at the pediatric dentistry in K university hospital, the following findings were given: 1. As for age distribution by year, the rate of patients aged 10 or down rose to 42.5 from 5.1 percent, and the 16-20 age group increased from 16.7 to 24.8 percent. But the rates of patients aged between 11 and 15 and aged 21 and up were on the rise(p<.05). 2. Concerning the type of disability by year, there was an increase in the number of patients with brain lesions, mental retardation, developmental disorder and Down's syndrome(p<.05). As to the number of dental caries by the type of disability, the patients with heart diseases had the most dental caries that numbered 8.49, followed by Down's syndrome, metal retardation, brain lesions, the other disabilities and developmental disorder. 3. In relation to dental treatment experiences by the type of disability, the patients with developmental disorder(57.5%) received the most dental treatment, followed by mental retardation, the other disabilities, brain lesions, Down's syndrome and heart diseases(p<.05). 4. Regarding general anesthesia experience by the type of disability, the patients with mental retardation(31.6%) were put under general anesthesia the most, followed by developmental disorder, brain lesions, the other disabilities, heart diseases and Down's syndrome(p<.05). In conclusion, nationwide efforts to nurture separate dental personnels responsible for the disabled, to expand relevant facilities and to improve the health care insurance are required to promote the oral health of disabled children.

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The Effect of Disability Acceptance Mediated with Policy Trust on the Life Satisfaction: Group Comparison of Disability Type (장애수용이 정책신뢰도를 매개로 삶의 만족에 미치는 영향: 장애유형별 집단 비교)

  • Choi, Youn Jeong
    • 재활복지
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    • v.22 no.3
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    • pp.145-168
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    • 2018
  • The purpose of this study is to analyze the effect of disability acceptance mediated with policy trust on the life satisfaction and group difference of disability type. For this purpose, the raw data(2nd wave, 2st survey) of Panel Survey of Employment for the Disabled(PSED) conducted by the Korea Employment for the Disabled were used. Among the respondents, the data of 2,378 of the external physical disabled and 571 of mental disabled were analyzed. For the analysis, the structural equation model was used to verify the effect of mediation and group difference. The result of the study were as follows. First, disability acceptance of the disabled people effect on the life satisfaction by policy trust, and this was verified with partial mediated model. Second, In both groups, the external physical disabled and metal health disabled, disability acceptance and policy trust were the predictors of life satisfaction. Third, the difference in path coefficients between the two groups of external physical disabled and mental disabled was identified. Based on the results of this study, action plans were discussed to improve the life satisfaction of the disabled.

The Relationship of Late-Life Function and Disability(LLFDI) with Quality of Sleep in Older Men with Prostatic Hypertrophic Symptoms (노인의 전립샘 비대증상, 일상생활 수행능력 및 수면의 질)

  • Shin, Kyung-Rim;Gong, Su-Ja;Kang, Youn-Hee;Oak, Ji-Won;Lim, Eun-Ju
    • Korean Journal of Adult Nursing
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    • v.21 no.1
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    • pp.43-52
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    • 2009
  • Purpose: The purpose of this study was to investigate the relationships between LLFDI and quality of sleep in older men with prostatic hypertrophic symptoms. Methods: The secondary analysis of data collected for the 2nd stage BK(Brain Korea)21 project was performed. The original data were collected using a cross-sectional, face-to-face, and private interview method. The questionnaires consisted of prostatic hypertrophic symptoms, late-life function and disability, quality of sleep, and demographic profiles. Results: A total of 112 older men included in this study. The major findings of this study were as follow; 1) 29.5% of participants had more than moderate symptoms of prostatic hypertrophy. 2) There were a significant positive correlation of prostatic hypertrophic symptoms with subjective sleep quality, sleep latency, sleep disturbances, use of sleeping medication, and daytime dysfunction found, whereas there was a negative relationship with frequency dimension. 3) The LLFDI is significantly associated with urgency, weak stream, and intermittency. The quality of sleep is significantly associated with weak stream which explained 11.2% of variance. Conclusion: These results may contribute to a better understanding late-life function and disability, quality of sleep in older men with prostatic hypertrophic symptoms. Therefore, health programs for prompting older men's health should be planned based on results of the study.

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Rasch Analysis to Neck disability Index with Neck Pain Subjects (경부통증대상자에 대한 경부장애지수의 Rasch분석)

  • Kim, Tae-Ho;Kim, Joong-Hwi;Gong, Won-Tae
    • The Journal of Korean Physical Therapy
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    • v.21 no.3
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    • pp.1-8
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    • 2009
  • Purpose: The purpose of this study was to examine the functional category, the item structure and the model-data fit of the neck disability index (NDI) of neck pain subjects by performing a Rasch rating scale analysis. Methods: The data was obtained from the assessments of 71 college students (males: 27, females: 44) with neck pain. The data of the NDI was applied to the Rasch's rating scale model to estimate the difficulty of items, the goodness-of-fit of each item, the separation reliability and index, and the rating scale. Results: The 'sleep' item showed misfit and nine items were founds to be fits for self-reporting of disability due to neck pain. The most difficult item of the remaining 9 items was 'work' and the easiest item was 'headache'. The transformation formula score=(logit score+7.10)/(7.10+0.11)$\times$100. The 6 response levels of the NDI were validated according to the structure of the rating scale. The item and subject reliability of the separation reliability was 0.97 and 0.85, respectively. Conclusion: We proved that the NDI for self-reporting of disability of daily activities due to mild neck pain was valid and reliable. This study suggests that individuals with mild neck pain may be assessed by using the modified NDI that does not include the 'sleep' item in the 10 items of NDI.

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The long-term Effects after Self-help Program for Fibromyalgia (섬유조직염환자를 위한 자조관리과정 지속효과에 관한 연구)

  • Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.9 no.2
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    • pp.154-165
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    • 2002
  • Purpose: The purpose of this study was to find out long-term effects of the self-help program including the stretching exercise of patient with fibromyalgia, Our findings will have the way for the nursing intervention for reduction of fibromyalgia symptoms and physical disability. Method: The research design was pre-post test design of an experimental group. 41 subjects with fibromyalgia were subjected to our study. Participants of this program were participated with a group of 8 to 12 members with duration of two and half hours for two years(March. 1998 to January. 2000). The Self-efficacy was measured by the Self-efficacy scale. Symptom was converted to scores based on visual analog scale. Physical disability was measured with questionnaires prepared by researchers of this study. Data were collected by the structured interview using questionnaires after self-help program and after 8 months. Data were analyzed by frequency, $x^2$-test and repeated t-test using SPSS 11.0 for windows. Result: Daily activities were not changed but self-described symptom was changed after 8 months. After 8 months, exercise performance along with taking drugs showed significantly lowering trend with respect to self-help program. Relieved symptom of patient with fibromyalgia has continued until 8months after 6weeks program of self-help. Also Promoted self-efficacy of patient with fibromyalgia continued after 8months. After 8 months, in self-described physical disability has showed significantly worse off than after self-help program. Conclusion: In this study, the long-term effects after self-help program for fibromyalgia have showed all symptoms and self-efficacy except exercise performance and physical disability. Therefore, it will be desirable that application of the follow up program with peer group meeting.

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The Influence of the Characteristics of Disability on Older Adults' Perception of Discrimination : A Mediating Effect of Leisure Activities (장애노인의 장애특성이 차별인식에 미치는 영향 - 여가활동의 매개효과를 중심으로 -)

  • Kim, Dong-bae;Chae, Su-jin;Park, Eun-young
    • Korean Journal of Social Welfare Studies
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    • v.40 no.1
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    • pp.63-86
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    • 2009
  • This research aims to focus on how the perception of discrimination changes through the mediation effect of various leisure activities between the characteristic of disability and perception of discrimination. This research is based on the 2005 survey of the disabled conducted by the Korea Institute for Health and Social Affairs, which studied 1,241 seniors over 65 with physical disabilities. The results of the study are as follows. First, the type of disability, duration of disability, and IADL are the influencing factors to the relation between the characteristic of disability and individual perception of discrimination. Second, the type of leisure activities was influenced by the characteristics of their disability. Especially, the degree of IADL was statistically significant in choosing the type of leisure. Third, leisure activities with specific purposes, such as amusement and self-development, have only partial mediation effect on the relation between the characteristic of disability and individual perception of discrimination.

Factors Associated with Non-Participation in Health Screening for People with Disabilities (장애인의 건강검진 미수검에 영향을 미치는 요인)

  • Kim, Seok-Yeong;Lee, Jung-Chan;An, Byeung-Ki;Kim, Yang-Kyun
    • The Korean Journal of Health Service Management
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    • v.11 no.4
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    • pp.89-104
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    • 2017
  • Objectives : The purpose of this study was to find the determinants for non-participation in health screenings among the disabled. Methods : We used 2014-15 Korea Health Panel data and analyzed 1,073 people with disabilities older than 19 years to investigate the two-year health screening participation rates. Multiple logistic regression analyses were conducted to analyze the factors affecting non-participation in health screenings. Results : Of the 1,073 people with disabilities who were analyzed, 29.8% and 27.1% participated in NHI mass screenings and cancer screenings, respectively. In both screenings, non-participation rates were higher in people aged 19-49 and lower in people aged 50 -69 than those aged 70 or older; higher in people with lower education, higher in people with private health insurance; higher in people with fewer chronic diseases; and higher in people with severe disability ratings. Conclusions : People with disabilities should be provided with more appropriate preventive care services according to their disability types and severity compared to people without disabilities.

A Study of Undergraduate Student's Attitudes on the Person with Disabilities

  • Milim Cho;Joongil Shin
    • Physical Therapy Rehabilitation Science
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    • v.13 no.2
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    • pp.171-178
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    • 2024
  • Objective: The objective of this study was to investigate undergraduate student's attitudes toward person with disabilities. Design: Questionnaire-based study Methods: This study conducted a survey of 350 undergraduate students attending two universities in cities B and C from March to April 2024. Out of a total of 350 questionnaires, 334 questionnaires were analyzed after excluding 16 questionnaires due to incomplete content. The questionnaire was revised and enhanced by the researchers and was supplemented through revision and verification by another occupational therapist as professor. Results: As a result of the study, significant differences in undergraduate students' positive attitudes toward the disabled were found to be gender and taking disability-related curriculum, while significant differences in negative attitudes were found to be gender, presence of a disabled person in the family, and religion. Gender, taking disability-related curriculum, and religion showed significant differences in neutral attitude, and in all areas, gender, taking disability-related subjects, having a family member with a disability, and religion showed significant differences. Conclusions: Factors that influence undergraduate students' attitudes toward person with disabilities include gender, whether or not they take disability-related curriculum, whether a family member is disabled, and religion. As our society's policies and perceptions of person with disabilities are rapidly changing, in order to improve our society's attitude and awareness of disabilities, we need to provide students with a correct understanding of disabilities and develop positive attitudes through positive experiences about disabilities. Educational programs should be provided.