• The Journal of Korean Physical Therapy
• /
• 제31권3호
• /
• pp.141-146
• /
• 2019

Purpose: To investigate the effect of an augmented reality (AR) system on muscle strength and function level of the paretic lower limb and the balance ability in the early rehabilitation program of acute stroke patients. Methods: The participants (30 or fewer days after stroke) were randomly assigned to receive intervention with an early rehabilitation program using an AR system (n=1) or an early rehabilitation program consisting of functional electrical stimulation and tilt table use (n=1). Patients in both subjects received interventions 4-5 times a week for 3 weeks. Results: In the paretic limb muscle strength, AR subject was increased from 15 to 39.6 Nm and Control subject was increased from 5 to 30.2 Nm. The paretic limb function of AR subject motor function was increased from 8 to 28 score and Control subject motor function was increased from 6 to 14 score. But sensory function was very little difference between the two subjects (AR subject: from 4 to 10 score, Control subject: from 3 to 10 score). In the balance ability, AR subject had more difference after intervention than control subject (AR subject: 33 score, Control subject: 22 score). Conclusion: The early rehabilitation program using the AR system showed a slightly higher improvement in the motor function of the paretic lower limb and balance ability measurement than the general early rehabilitation program. The AR system, which can provide more active, task-oriented, and motivational environment, may provide a meaningful environment for the initial rehabilitation process after stroke.

• 재활간호학회지
• /
• 제18권2호
• /
• pp.107-117
• /
• 2015

Purpose: This study was conducted to identify the effects of a self-monitoring rehabilitation program based on the Bandura's self-efficacy theory on the activities of daily living (ADL), 6-minute walking distances, self-efficacy and quality of life (QoL) among stroke patients after three to six months. Methods: The participants consisted of 29 patients in the experiment group and 28 patients in the control group who admitted at rehabilitation specific hospital. Self-monitoring program developed by the researcher lasted twice a week for 8 weeks from August to September, 2013. Results: ANCOVA showed that all of dependent variables of this study, ADL and 6-minute walking distances as a physical function, self-efficacy and QoL for intervention group were higher than those for control group(p<.001). Conclusion: The self-monitoring rehabilitation program based on the self-efficacy theory was found to be effective in improving physical function, self-efficacy and QoL for early post-stroke patients. Early rehabilitation program for stroke patients was recommended to consider the self-monitoring of current physical and psychosocial status as a strategy of self-management.

• 대한물리의학회지
• /
• 제6권4호
• /
• pp.455-464
• /
• 2011

Purpose : This study is to investigate difference in the isometric muscular function of knee joints according to the time of participation in rehabilitation exercise in patients who had anterior cruciate ligament reconstruction. Methods : The subjects of this study were patients by sports injury or accident in the sports rehabilitation center of G hospital. The early exercise program group (n=7) started functional ability exercise from 2 weeks after the surgery and the late exercise program group (n=7) from 6 weeks after the surgery. Statistical analysis was used repeated measure ANOVA to test mean difference by using SPSS 18.0 for windows. Results : First, as to quadriceps femoris muscle according to the time of participation in exercise program, significant difference was observed according to interaction and time. Second, as to hamstring muscle according to the time of participation in exercise program, significant difference was observed in muscle strength according to time. Conclusion : This results suggest that if the effect of exercise program is similar between the early starting group and the late starting group, it is not necessary to have a long period of fixation as in the late exercise program group but is desirable to start functional ability exercise early in order to relieve pains in the knee joints.

• Journal of Yeungnam Medical Science
• /
• 제38권4호
• /
• pp.361-365
• /
• 2021

Stroke patients have reduced aerobic capacity. Therefore, intensive structured exercise programs are needed. We report the case of a patient with stroke and cardiac disease who underwent early inpatient cardiac rehabilitation (CR). A 38-year-old male patient with atrial fibrillation, heart failure, and cerebral infarction underwent a symptom-limited exercise tolerance test (ETT) without any problems on day 45 after admission. He completed a 2-week inpatient program and an 8-week home-based CR program. Follow-up ETT showed increased exercise capacity. The present case might be the first to report a safely performed CR program in a patient with stroke and cardiac comorbidity in Korea. Systematic guidance is needed for post-stroke patients to receive safe and effective CR for the secondary prevention of stroke and cardiovascular risk.

• 한국전문물리치료학회지
• /
• 제8권1호
• /
• pp.35-50
• /
• 2001

The purposes of this study were to investigate the therapeutic effects of an early exercise program after mastectomy and to provide the early exercise program protocol for patients who had undergone mastectomy. The subjects were seventy women who were diagnosed with breast cancer. They were randomly as signed either to a experimental group (n=35) that received early postoperative exercise program or to a control group (n=35) that received only education by nurses. Data were obtained for each patient from goniometric measurements of shoulder flexion, abduction, external rotation, 10 elements of functional performance, and subjective pain evaluation using visual analogue scale (VAS). All variables were measured preoperatively, three days postoperatively, and one month postoperatively. Data were compared by groups using independent t-test and Mann-Whitney U test for parametric or non-parametric data, respectively. There were no significant differences between the groups for all variables preoperatively and at three days postoperatively. But there were significant differences at one month postoperatively. The experimental group showed a statistically significant increases in shoulder flexion, abduction, and external rotation and in the pain VAS at one month postoperatively (p<.05). Also, at one month postoperatively, the experimental group had less difficulty with three elements of functional performance-doing up a 'back' zippered article of clothing, reaching the ipsilateral scapula, and contralateral scapula with the fingers on the operated side-than the control group (p<.05). The results of this study suggest that, after mastectomy, the early exercise program conducted by a well-trained physical therapist can make a significant contribution to the return of more normal shoulder function and activities of daily living and to an increased quality of life.

• 대한관절경학회지
• /
• 제1권1호
• /
• pp.86-90
• /
• 1997

Good stability and complete range of motion should be the ultimate goal of a rehabilitation program after ACL reconstruction. In previous years. the rehabilitation of the ACL reconstructed knee focused on protecting the new ligament by blocking terminal knee extension, hut, despite good stability, this approach led to numerous postoperative complications. Nowadays, most of surgeons agree the accelerated rehabilitation program based on the concept of ligamentization and clinical experience. Accelerated rehabilitation program consists of maintain of full extension of the knee, early weight bearing and prompt recovery of ROM, and closed kinetic chain exercise. Meeting this goal requires effective communication between-members of the health care team-the physician, physical therapist, atheletic trainer, and the patient. We have to know the importance of rehabilitation, knowlege about the physical therapy, and to introduce for special physical therapist and equipment.

• 대한산업공학회지
• /
• 제14권2호
• /
• pp.63-70
• /
• 1988

Recently a new regime, called "back school" is advocated for the purpose of rapidly and economically returning a patient to full functional fitness and normal occupational activities. Assuming that this functional and vocational restoration is a goal of a regabilitation program, it is apparent that early recovery and higher success rate are major concern. In this study, a mixture model is developed and used to evaluate the recovery process of low back pain (LBP) patients in a rehabilitation program. The model provides (1) the probability of being recovered, and (2) the rate of recovery. Patients with gradual onset, with higher education, or of young age tend to show better prognosis.

• 대한간호학회지
• /
• 제30권2호
• /
• pp.463-475
• /
• 2000

The purpose of the study was to identify the effects of inpatient cardiac rehabilitation programs on motivation, the performance of health behavior, and quality of life in patients with coronary artery disease. The subjects consisted of 31 patients who participated in the rehabilitation program during their hospital stay, and were compared with 34 patients who did not participate. The study results are as follows: 1. The mean of cardiac risk factor scores for the subjects was 22.5 (SD = 5.5) at the level of low to moderate risk with some possibility to improve. The physiological and behavioral risk factors for the subjects were also in the normal range or slightly above the normal range. 2. The motivation level to preform health behaviors for both groups was improved after discharge. Also, perceived self-efficacy was significantly higher for the program participants than for the comparison group at the post-test. 3. The performance of cardiac related health behaviors improved for both groups after discharge, but there were no significant differences between the two groups. The program participants reported better performance in most health behaviors at the post-test, but the results failed to reach a statistical significant level. 4. As for motivation and health behavior, the subjects in the both groups showed an improved quality of life after the discharge. In addition, the program participants produced significantly higher scores in health and functioning dimension than the comparison group during the post-test. In conclusion, the study partially supported the effects of the inpatient cardiac rehabilitation program to motivate and improve the quality of life, and provide the need to apply early rehabilitation interventions for the patients after cardiac events. Further study with a longitudinal design is also suggested to verify the effect of cardiac rehabilitation program from hospitalization to discharge and subsequently to fully recover to the level of pre-hospitalized state.

• 문화기술의 융합
• /
• 제6권4호
• /
• pp.559-565
• /
• 2020

본 연구는 인터랙티브 멀티미디어 아트 공연을 초기 치매 환자의 재활 운동을 위해 활용하고자 한다. 무대 위의 퍼포머와 관객인 치매 환자의 소통과 참여로 인터랙티브 공연이 완성되며 이러한 과정을 통해 치매 환자는 흥미와 몰입을 동반한 효율적인 재활 운동을 하게 된다. 연구를 위해 초기 치매 환자의 특성과 효과적인 운동 방법을 살펴보고 환자의 공연 관람이 참여로 이어지면서 재활 운동으로 유도 될 수 있도록 프로그램 맵을 구축한다. 관객의 참여로 발생하는 동작과 소리는 Sound Level, Pitch, Velocity의 MIDI 신호로 변환되어 실시간으로 음악과 영상을 콘트롤하는 퍼포먼스가 된다. 이를 통해 환자는 흥미를 가지고 재활 운동에 몰입하게 되며 공연의 참여자로서 성취감을 가질 수 있을 것이다. 또한 이 연구는 인터랙티브 멀티미디어 아트의 다양한 활용과 응용으로 영역 확장의 의의가 있다.

• 혜화의학회지
• /
• 제20권1호
• /
• pp.137-142
• /
• 2011

Objective : The purpose of this study was to review on the need for early screening of scoliosis. Methods : We have researched and analyzed theories and literatures of scoliosis screening program. Result : The following results were obtained in this study. 1. Scoliosis screening should be carried out to improve middle and high school students's health and learning abilities. 2. The methods are the forward bending test, Moire test and X-Ray. 3. After the examination held by differentiating the degree of scoliosis, surgery or brace treatment for students should be carried out. 4. After the examination, appropriate acupuncture, exercise therapy and orthodontic treatment for students should be carried out. 5. Spinal health courses for young people should be held regularly to equip and encourage a healthy body and healthy mind and contribute to improve the learning efficiency. Conclusion : Scoliosis screening and early detection should be done in the Daejeon city middle school or high school students, and appropriate treatment should be performed as soon as possible.