• Physical Therapy Korea
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• v.9 no.1
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• pp.1-15
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• 2002

The purpose of this study was to compare the balance and gait between fallers and non-fallers in elderly. A brief questionnaire was used to obtain the fall history. Twenty-seven women subjects were evaluated in this study. Eleven subjects and a mean age of 84.5 years (SD=4.6) were designated as the faller group. Sixteen subjects and a mean age of 80.3 years (SD=5.3) were designated as the non-faller group. The fall-related factors (mental status, balance, range of motion and muscle strength of lower extremity, sensation of foot, and cadence, walking velocity, stride length) were compared between faller group and non-faller group and measured. The results showed that faller group had significantly less range of motion of the hip flexion and knee extension, and strength of the knee extensor and ankle dorsiflexor and plantar flexor than non-faller group. The scores of the Functional reach test and One leg standing were significantly less in faller group than in non-faller group. Faller group showed less walking velocity and stride length compared to non-faller group. However, there was no significant difference in cadence during comfortable waking and fast walking between two groups. There were no significant differences in pressure, position sensory between two groups. These results suggest that exercise for improving the flexibility, muscle strength of the lower extremity and balance may be useful strategies to prevent fall in elderly. Further studies are needed to identify which specific factors are related to fall in the elderly population.

• The Korean Journal of Rehabilitation Nursing
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• v.6 no.1
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• pp.70-78
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• 2003

This study was a quasi-experimental study of nonequivalent control group pretest-posttest design to investigate the effect of rhythmic dance movement training on the physical and psychological functions of the elderly. The data were collected from November, 2001 to February, 2002. The subjects for this study were 34 elderly who was over 65 years old and was living in J city. The elderly selected for this study were: free from heart and pulmonary disease and not regular exercise. The rhythmic dance movement training in watching video tape was rhythmic dance movement and education and supportive care. The rhythmic dance movement was 40-60 intensity, 8 weeks' period, three times a week, 60 minutes a day. The data were analysed by $X^2$-test, paired t-test and unpaired t-test and ANCOVA through SAS/PC program. The results of the study were as follows: 1. There was insignificant difference in the gait length experimental and control group. 2. There was significant difference in the gait speed between the two groups. 3. There was significant difference in the dynamic valance between the two groups. 4. There was no significant difference in the depression between the two groups. 5. There was no significant difference in the Quality of life between the two groups. As shown above, the results of the 8 weeks' rhythmic movement program for the elderly produced positive effects on gait speed, dynamic valance. And this program was expected that it was more effective in different intervention period, verified program. Also it was needed follow study.

• The Korean Journal of Rehabilitation Nursing
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• v.5 no.2
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• pp.205-216
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• 2002

This quasi-experimental study was done to test the effects of meta-memory enhancing program for elderly women. Data were collected 12 to 30, August 2002 from 34elderly women over 65 years living in Busan city. Subjects were 15 of experimental group and 19 of control group. The metamemory enhancing program was developed by five sessions composing of 1.5-2.0 hours one session. In experiment group, this program was performed for three weeks, twice per week. The degrees of four memory performance tasks were measured using instrument of Elderly Verbal Learning Test(Choi Kyung Mi, 1988) and Face Recognition Instrument(Min Hye Sook, 1999) and the metamemory were measured using MIA questionnaire(Dixon et al., 1988). Research results are as following. 1. After participating in five times memory training programs, experimental group has the significant increase of metamemory in comparison with control group.(t=59.58, p< 0.0001). In particular, the concepts of strategy(t=20.44, p< 0.0001), achievement (t=21.94, p< 0.0001), and locus degree (t=59.58, p< 0.0001) among sub-concepts of the metamemory are increasing significantly. 2. After participating in five time memory training programs, the degree of immediate word recall(t=17.25, p< 0.0001) and face recognition(t=16.69, p< 0.0001) among four memory tasks in experimental group are increasing significantly compared with those measures of control group. Considering this results, this metamemory enhancing program was found as an effective nursing program for metamemory improvement of elderly women's memory.

• Physical Therapy Rehabilitation Science
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• v.9 no.4
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• pp.261-268
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• 2020

Objective: This study was conducted to provide basic data on physical function improvement activities of elderly care facilities by identifying the degree of physical improvement activities of elderly caregivers. Design: Descriptive correlational study. Methods: The instrument of this study consisted of 12 questions on the general characteristics of the subject. For the assessment of improvement in physical function activities, the measuring tool used for the elderly consisted of a total of 20 questions. For data analysis, Pearson's correlation coefficient & Spearman's rho and multiple regression were used. Results: The higher the age of the subjects, the lower their educational background (r=-0.273, p<0.05), and the higher the probability of having a religion (r=-0.258, p<0.05), the more stable the employment type (r=-0.333, p<0.05). The higher the level of education, the higher the monthly income (r=0.187, p<0.01), and the shorter the career (r=-0.204, p<0.05). The more stable employment, the more unstable duty (r=-0.245, p<0.05), and the more unstable work, the higher the monthly income (r=-0.206, p<0.05) and the longer the career, the higher the monthly income (r=0.247, p<0.05). The more stable the employment, the more activities to improve physical function were found (r=0.341, p<0.05), and the more unstable the duty, the more activities to improve physical function were found (r=0.321, p<0.05), and the higher monthly income, the less physical function improvement activities (r=-0.196, p<0.05). Conclusions: It is necessary to provide regular services by a dedicated physical therapist for physical function improvement activities in order to improve the quality of life of the elderly in the future.

• Journal of Korean Physical Therapy Science
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• v.29 no.4
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• pp.43-53
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• 2022

Background: It is suggested that the decline in functional level due to aging influences the increase in traffic accidents among elderly drivers. Among the functions related to the driving behavior of older drivers, physical function is related to muscle strength and motor control, and aging causes deterioration of motor control and a defect in motor output variability. Method: Data Search The online databases used for literature search are PubMed, ProQuest(PML), NDSL, and literature searches were conducted from April 19 to April 26, 2022. For the search, 'aging', 'driving', and 'braking' were used in the investigation. Results: The physical functions related to the braking ability of elderly drivers were analyzed in muscle strength, reaction ability, motor control, and other related factors. In terms of muscle strength, 3 studies analyzed the above factors. 8 studies analyzed the above factors for response ability. For motor control, two studies analyzed the above factors. In addition, related factors were analyzed in one piece. Conclusion: As a result of the analysis, physical function for reaction ability showed the highest frequency, followed by the strength item with the highest frequency. This study suggests that factors that can increase physical function must be included in the development of a rehabilitation program for the driving ability of the elderly.

• 한국노년학
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• v.31 no.1
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• pp.49-61
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• 2011

The purpose of this study was to analyze the effects of the Group Reminiscence Counseling on ego integrity, depression and death anxiety of the institutionalized compared to the home stay elderly. This study is conducted for 16 weeks from March 9, 2010 to June 22, 2010. The subjects of experimental group consisted of 14 elderly persons of G city. The control group consisted 13 who matched in D city. The experimental group was provided with group 60 minutes session once a week during 16 weeks. The results of this study were first, the experimental group showed higher statistically significant mean scores than control in ego integrity. second, the experimental group showed lower statistically significant mean scores than control in depression and death anxiety. Based on the above results, elder's ego integrity was improved, elder's depression and death anxiety were decreased after reminiscence counseling. it is expected that the group reminiscence counseling can be used as one program to improvement the psychological well-being of the elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.11
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• pp.157-163
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• 2019

This study determines the difference in prevalence of anemia and hemoglobin concentration between chronic obstructive pulmonary disease (COPD) and control groups in the elderly. Moreover, this study also examines the prevalence of anemia and hemoglobin concentration according to the severity of COPD in the elderly. Medical records of 8150 participants who answered the 7th National Health and Nutritional Survey conducted in 2016 were reviewed, and a total of 694 participants was included in the analysis. Participants were classified into two groups: COPD and control groups. Laboratory studies on hemoglobin, hematocrit, red blood cell concentration and prevalence of anemia were collected. Subgroup analysis was also conducted according to the severity of COPD. No significant differences were determined for the prevalence of anemia and hemoglobin concentration between both groups. Hemoglobin concentration was significantly higher in the COPD group. Although not statistically significant, there was a tendency for decrease in the prevalence of anemia and increase in the hemoglobin concentration as the severity of COPD increased. Our findings present specific data about the prevalence of anemia and hemoglobin concentration in elderly patients with COPD. Hence, we propose that occurrence of anemia in elderly patients with COPD requires further evaluation of the causes.

• The Journal of Korean Physical Therapy
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• v.23 no.2
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• pp.17-21
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• 2011

Purpose: The purpose of this study was to determine the correlations, if any, between SPPB (Short physical performance battery), FRT (Functional reach test), and TUG (Timed up and go test) in hospitalized frail people. Methods: Seventy frail elderly patients (male/female: 16/54) participated in this study. All subjects could walk with or without an assisting device and they had no mental problems. Subjects were scored on physical functioning using the SPPB, FRT, and TUG. The data were analyzed using Pearson Correlation Coefficients. Results: There was a statistically significant difference between (a) SPPB and (b) FRT (p<0.01) and TUG (p<0.01). SPPB and FRT scores showed a positive correlation (r = 0.38) and SPPB and TUG scores showed a negative correlation (r = -0.56). Conclusion: SPPB, FRT, TUG scores are correlated with each other. From these results, we conclude that the SPPB is a useful method for predicting walking, balance, and physical function in frail elderly people.

• Journal of the Korean Society for Precision Engineering
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• v.29 no.7
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• pp.705-710
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• 2012

Research involving discomfort or pain related to haptic vibratory stimulation the for prosthesis users of myoelectrical hand is very lacking. Our objective of this study was to evaluate the displeasure and sensitivity of areas in forearm using vibration stimulation system between upper limb amputees and non-amputees. Twenty transradial amputees and forty non-amputees (20 youth, 20 elderly) were involved. We set up custom-made vibration stimulation system including eight actuators (4 medial parts and 4 lateral parts) and GUI-based acquisition system, to investigate changes of residual somatosensory sensibility and displeasure at proximal 25% of forearm. Eight vibration actuators were attached to the circumference of proximal 25% point of forearm at regular intervals. Sensitivity tests were used to stimulate the 120Hz and discomfort experiment was used to 37 ~ 223Hz. The subjective responses were evaluated by 10 point scale. The results showed that both groups were similar in sensitive areas. Response at around of radius was most sensitive than other areas in all subjects. Elderly group do not appear discomfort of vibrotactile; however, youth group and amputee presented discomfort of vibrotactile. Prosthesis with a vibrotactile feedback system should be developed considering the sensitivity. Furthermore, Future studies should investigate the scope of application of that principle.

• Journal of The Korea Institute of Healthcare Architecture
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• v.3 no.4
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• pp.35-49
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• 1997

The percentage of postnatal disabled people and elderly population is rapidly increased by the industrialization, and the improvement of medical technology. The disparity between the city and rural area is in the way to disabled people who need rehabilitation. To solve these problems, Community Based Rehabilitation(CBR) is suggested by WHO. In this study, at first, the CBR model considering the specific characteristics of AnSan City are presented. Secondly, the first, the second, and the third rehabilitation facilities in AnSan City are classified by the CBR model. Thirdly, the estimation of optimum space for physical therapy and occupational therapy at rehabilitation center and public health center are sugested, which are the second level rehabilitation facilities. There are some differences in the distribution of population between new and old area in AnSan City. In other words, the subject population of CBR program in old area is relatively higher than that of new area. So, the CBR program for AnSan City must reflect their regional characteristics. In this study, the therapeutic boundaries of second level rehabilitation facilities is decided through the survey of physical therapists and occupational therapists in general hospitals and nursing homes.