• 제목/요약/키워드: Disability and Health

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발달장애 자녀 어머니의 양육부담이 우울에 미치는 영향 : 사회적 지지의 조절효과를 중심으로 (The effect of care burden on depression among mothers of children with developmental disabilities - The role of social support as a moderator -)

  • 박수경;김보경;송지연;남지현
    • 한국가족관계학회지
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    • 제23권3호
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    • pp.153-175
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    • 2018
  • Objectives: The purpose of this study is to examine the effects of care burden among mothers of children with developmental disabilities on depression and the moderating effects of formal and informal social support. Method: The self-report questionnaires were administered to 200 mothers of children with developmental disabilities (aged 6~20 years) in pre-adulthood in Gyeongi-do. A hierarchical regression analysis was conducted. Result: First, There is a need to provide a mental health program that can relieve depression. Second, Individualized intervention strategies for mothers' psychological counseling and support programs for intensive case management and parenting stress management programs are needed. Third, Individual visit case management is required. In addition, it is necessary to expand the eligibility for care services and to maintain long-term programs. Conclusion: The findings suggested that there is a need to provide mothers with not only personal assistance program but also services such as mothers' psychological counseling, peer mentor program, and parenting stress management.

여성 노인에서 집단과 개별 요부 운동이 요부 안정화 및 체중 부하에 미치는 효과 (Comparing the Effects on Elderly Women of Bearing Weights and Lumbar Stabilization Using Lumbar Muscle Exercises-Group vs. Individual Sessions with a Physical Therapist)

  • 유영열;김희수
    • The Journal of Korean Physical Therapy
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    • 제22권5호
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    • pp.17-23
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    • 2010
  • Purpose: The purpose of this study was to compare the effects, in elderly women, of (a) physical therapy with (b) individual and group lumbar muscle exercise Methods: Forty-two elderly women took part in this study. Their average age was 52.59 years. All subjects participated in the study for 8 weeks, doing exercises 3 days per week. All participants were assessed on the Oswestry disability index (ODI), Gaitview. The data were analyzed using paired t-tests. Results: Foot pressure and ODI scores showed statistically significant pre- to post-exercise differences for both groups. We also found significant differences between group therapy and individual therapy. There were changes in mean ODI scores, but these were not significant. Conclusion: Eight weeks participation in an was found to be effective in improving the health of older women. Individual therapy with a physical therapist is more effective than group therapy in creating harmonious movement of the lower extremity and lumbar stability. The results of our study suggests the benefit of an exercise program with a physical therapist.

치과기공사의 소음 스트레스 (Stress of Noise on Dental Technician)

  • 이주희
    • 대한치과기공학회지
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    • 제36권2호
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    • pp.111-118
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    • 2014
  • Purpose: Production of dental prosthesis by a dental technician causes a loud noise. Thus, we investigated stress of dental technicians due to a noise using a structured questionnaire. Methods: A survey was conducted on working dental technicians across the country from July 2013 to November 2013; among 200 sets of survey distributed, 166 were completed and returned, and excluding the 11 that deemed unsuitable, 155 sets were used for statistics. The program SPSS 19.0 was used to analyze the correlation among the collected data. Results: The stress of noise was found to be 2.83/5 points (2.93/5 for physical stress, 2.72/5 for emotional stress). Recognition of noise was found to be 2.71/5 points (3.39/5 for recognition of noise, 2.64/5 for accidents caused by noise, 2.29/5 for experiencing disability due to noise). For general items, the highest stress were shown for the following catogories: by gender, females (p=.008); by position, chief engineer (p=.033); by monthly pay, 2.51M-3.0M KRW (p=.023); by interior comfort, 'very unpleasant' was the highest recognized (p=.014). For the effect of time exposed to noise, its stress (p=.000) and recognition (p=.000) rose with increase of time. Conclusion: Dental technicians performs tasks in work environments exposed to extreme noise. This research attempts to re-emphasize the necessity for improving the work environment for noise and provide measures of blocking noise and precaution.

수부손상 환자의 직업복귀를 위한 조기 물리치료 (Physical Therapy at Early Stage for Return to Work in The Hand Injury)

  • 배성수;곽정인;황보각
    • The Journal of Korean Physical Therapy
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    • 제11권2호
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    • pp.11-20
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    • 1999
  • We can sec the case of hand injury patient in the industry field. Hand injury has more particularity than other injury cases. Because it is densely a lot of muscle, tendon, bone, vessels, and in progressing speedily to fibrosis, adhesion, stiffness than other joints. If it has baud injury, it is important to the physical therapy in early stage after operation. Otherwise, it is difficult to recover the function. Hand malfunction intimately has to do with the return to work and the grade of disability. There are many different hand injury cases but, we want to investigate several cases. : fracture. joint injury, tendon injury, and want to looking for treatment tine and method about these. So, we'll understand hand injury of industry disaster. and acknowledge of the importance of physical therapy in the early stage through these.

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저항운동이 CAD환자와 노인의 유산소 능력에 미치는 영향 (The Effect of Resistance Exercise on Aerobic Capacity for Old Adults and CAD Patients)

  • 윤병곤;진영완;곽이섭
    • 생명과학회지
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    • 제18권11호
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    • pp.1612-1616
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    • 2008
  • 심폐지구력은 질병, 장애, 수명 등과 연관된 중요한 건강 지표이다. 지구성 운동이 대개 심폐지구력향상을 위한 방법으로 알려져 있는 반면 대부분의 저항성 운동은 심폐지구력향상을 위한 좋은 방법으로 고려치 않고 있다. 그러나, 짧은 휴식기간을 가진 저 강도 혹은 중간 강도의 저항성운동은 특히 노인들이나 관상동맥질환을 가진 환자들의 심폐지구력향상에 도움을 줄 수 있을 것이다. 본 총설은 지구성운동과 저항성운동 시의 생리학적변화를 이해하고, 저항성운동이 심폐지구력향상에 도움을 줄 수 있다는 사실을 이론적으로 뒷받침하고자 한다.

Mulligan의 Sustained Natural Apophyseal Glides Mobilization이 만성 요통 환자의 요부근 활성도에 미치는 효과 (Effects of Mulligan's Mobilization with Sustained Natural Apophyseal Glides on the Paraspinal Muscle Activity of Subjects with Chronic Low Back Pain)

  • 김세윤;김난수
    • The Journal of Korean Physical Therapy
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    • 제25권1호
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    • pp.10-15
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    • 2013
  • Purpose: Low back pain occurs and frequently recurs in many people. An imbalance of paraspinal muscle activity can cause low back pain. Mulligan's concept of mobilizations with sustained natural apophyseal glides (SNAG) is a common method for treating low back pain. The purpose of this study was to investigate the effects of this method on paraspinal muscle activity in patients with chronic low back pain. Methods: Twenty-one patients with low back pain participated in this study. Patients were classified using the Oswestry disability index. The subjects' paraspinal muscles were measured by surface electromyography both before and after the SNAG mobilization. We measured the root mean square value of the paraspinal muscles during lumbar flexion and extension. Results: Paraspinal muscle activity in patients with chronic low back pain was different between the right and left sides. Importantly, paraspinal muscle activity significantly decreased after using the SNAG mobilization method. Conclusion: This study shows a difference between paraspinal muscle activity in chronic low back pain patients and finds that the Mulligan's concept of SNAG mobilization is effective at reducing imbalances in paraspinal muscle activity in low back pain patients.

기공요법을 활용한 만성두통환자 1례에 대한 증례보고 (A clinical study on the case of Qigong therapeutics on chronic headache patient)

  • 한창현;송익수;김병회;김봉석;신미숙;최선미
    • 동의신경정신과학회지
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    • 제18권3호
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    • pp.331-340
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    • 2007
  • The etiology of chronic headache is not yet fully explained, the treatment of this symptom is not simple. We show the effect of Qigong therapeutics applied on chronic headache patient, in order to establish a primary data for further studies of new treatments. We treated 2 times a weeks for 3 weeks. The acupoints, (太陽穴)(Ex-HN5), (老龍穴), (大趾甲下穴), and (百會穴)(GV20) were stimulated for 10 seconds by Qigong-Acupuncture, and after that Qigong therapy was performed for 30 minutes The effects were analyzed using VAS scores, PPI(Present Pain Intensity), HI(Headache Index) and HDI(The Henry Ford Headache Disability Inventory). We concluded that Qigong therapeutics applied on chronic headache patient showed effects of relieving pain, improving general activities and changing the mood. Further researches are needed to evaluate the distinct functional mechanism of Qigong therapeutics, hut this study is meaningful in the sense that it will act as a fundamental study to build on.

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근재교육훈련이 급성안면신경마비 환자의 안면마비 회복정도와 기능에 미치는 효과 (The Effect of Muscle Reeducation Training on Recovery and Function in People with Acute Facial Nerve Paralysis)

  • 박상규;신원섭
    • The Journal of Korean Physical Therapy
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    • 제26권4호
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    • pp.240-248
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    • 2014
  • Purpose: The purpose of study was to determine the effects of muscle reeducation training in patients with acute facial nerve paralysis. Methods: Thirty patients were randomly assigned to either the experimental group (n=15) or the control group (n=15). The experimental group received muscle reeducation training for 20 minutes after electrotherapy and the control group received conventional electrotherapy for only 40 minutes. Therapeutic intervention for each group was performed four times per week for four weeks. The patients were measured for recovery of paralysis using the House-Brackmann Grading System (H-B grade), the Movement Distance of Mouth, Nasolabial Angle (NA), and Facial Disability Index (FDI). Results: In within group comparison, the experimental group showed significant improvements for all variables (p<0.01). In comparison between two groups, the experimental group showed relatively greater significant improvements for all variables (p<0.01). Conclusion: These findings suggest that muscle reeducation training is more effective than conventional therapy in improving the condition of patients with facial nerve paralysis. In particular, the results of this study indicate that muscle reeducation training can be recommended by clinicians since it provides more benefits.

DASH로 평가한 상지 근골격계 질환자의 기능 제한 (Determining the Degree of Disability in Workers with Upper Limb Musculoskeletal Disorders using DASH)

  • 김규상;장기언
    • 대한인간공학회지
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    • 제29권3호
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    • pp.311-320
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    • 2010
  • This study aimed to examine the development and characteristics of the workers with upper limb musculoskeletal symptoms and disorders and to analyze the upper limb musculoskeletal symptoms and disorders for its relationship with the individual socio-demographic characteristics. This study investigated the effect on the limitations of physical activities using standardized surveillance tool and clinical diagnosis. Musculoskeletal symptoms and the limitations of physical activities were examined. The clinical diagnosis of musculoskeletal disorders were carried out by physical examination, radiological examination and electromyography-electroneuronography for 22 workers in kitchen hood assembly process and 50 workers in toggle process of leather product manufacturing. The proportion of workers with musculoskeletal disorders was higher and the DASH score was also statistically higher in female and aged workers with longer working hours, longer household working hours, less leisure/hobby activity and higher physical load. Physical activities component score increased in the following order: workers in normal health, workers with musculoskeletal symptoms, and workers with musculoskeletal disorders as clinically diagnosed. Score for each DASH component increased in the following order: sports/performing arts ability, social activities, specific physical functional activities, work or other regular daily activities, work ability, psychological activities, insomnia and upper limb symptoms. The overall and each component DASH scores were higher in workers with symptoms of status praesens and of more severity, and receiving medical intervention. Musculoskeletal symptoms and disorders are associated with individual socio-demographic characteristics, and DASH score for physical activities of upper limb was higher in workers with musculoskeletal disorders. Musculoskeletal symptoms and disorders have a remarkable epidemiological significance for physical activities, social activities, work or other regular daily activities, upper limb symptoms and insomnia, where work ability, sports/performing arts ability and preventive measure is needed.

Comparative Study of Lumbar Magnetic Resonance Imaging and Myelography in Young Soldiers with Herniated Lumbar Disc

  • Kang, Suk-Hyung;Choi, Seung-Hong;Seong, Nak-Jong;Ko, Jung-Min;Cho, Eun-Suk;Ko, Kwang-Pil
    • Journal of Korean Neurosurgical Society
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    • 제48권6호
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    • pp.501-505
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    • 2010
  • Objective : This study was undertaken to compare the diagnostic performances of magnetic resonance imaging (MRI), MR myelography (MRM) and myelography in young soldiers with a herniated lumbar disc (HLD). Methods : Sixty-five male soldiers with HLD comprised the study cohort. A visual analogue scale for low back pain (VAS-LBP), VAS for leg radiating pain (VAS-LP), and Oswestry disability index (ODI) were applied. Lumbar MR, MRM, and myelographic findings were checked and evaluated by four independent radiologists, respectively. Each radiologist was asked to score (1 to 5) the degree of disc protrusion and nerve root compression using modified grading systems devised by the North American Spine Society and Pfirrmann and the physical examination rules for conscription in the Republic of Korea. Correlated coefficients between clinical and radiological factors were calculated. Interpretational reproducibility between MRI and myelography by four bases were calculated and compared. Results : Mean patient age was $20.5{\pm}1.1$. Mean VAS-LBP and VAS-LP were $6.7{\pm}1.6$ and $7.4{\pm}1.7$, respectively. Mean ODI was $48.0{\pm}16.2%$. Mean MRI, MRM, and myelography scores were $3.3{\pm}0.9$, $3.5{\pm}1.0$, and $3.9{\pm}1.1$, respectively. All scores of diagnostic performances were significantly correlated (p < 0.05). However, none of these scores reflected the severity of patients' symptoms. There was no statistical difference of interpretational reproducibility between MRI and myelography. Conclusion : Although MRI and myelography are based on different principles, they produce similar interpretational reproducibility in young soldiers with a HLD. However, these modalities do not reflect the severity of symptoms.