• Title/Summary/Keyword: Functional Independence Measurement

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A Case Report of a Patient with Guillain-Barre Syndrome Complaining of Quadriplegia and Anorexia Improved by Korean Medicine Treatment (사지마비와 식욕부진을 호소하는 길랑바레 증후군 환자의 한방치료 증례보고 1례)

  • Ahn, Jae-yoon;Sim, Sang-song;Jeong, Sol;Shin, Yong-jeen;Moon, Byung-soon;Yun, Jong-min
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.769-776
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    • 2020
  • Objective: This case study reports improvement in a case of Guillain-Barre Syndrome by Korean medicine treatment in a patient with quadriplegia and anorexia. Methods: A 79-year-old woman diagnosed with Guillain-Barre Syndrome was treated with acupuncture, electroacupuncture, Bojungikgi-tang-gami, cupping, moxibustion, and rehabilitation. Her clinical symptoms were measured with the Manual Muscle Test (MMT), Modified Barthel Index (MBI), Functional Independence Measurement (FIM), and the EuroQol five-dimensional descriptive system (EQ-5D-5L). Results: After treatment, improvements in the MMT, MBI, FIM, and EQ-5D-5L were observed and her anorexia decreased. Conclusion: Korean medicine treatment appeared to be effective in the treatment of a patient with Guillain-Barre Syndrome with quadriplegia and anorexia.

A Case Report on a Patient with Guillain-Barre Syndrome Complaining of Quadriplegia and Paresthesia, Which Improved after Korean Medicine Treatment (사지마비와 저림을 호소하는 길랑바레 증후군 환자의 한방치료 증례보고 1례)

  • Lee, Hyun-seung;Kim, Du-ri;Shim, Sang-song;Baek, Dong-gi;Yun, Jong-min;Moon, Byung-soon
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1210-1218
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    • 2019
  • Objective: This study is a report on a case of a Guillain-Barre syndrome patient with quadriplegia and paresthesia, whose condition was improved by Korean medicine treatment. Methods: A 71-year-old woman diagnosed with Guillain-Barre Syndrome was treated by acupuncture, electroacupuncture, Sambi-tang-gami, cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), the Numeric Rating Scale (NRS), the Modified Barthel Index (MBI), and the Functional Independence Measurement (FIM). Result: After treatment, clinical symptoms showed improvement. Conclusion: Korean medicine treatment could be effective in the treatment of Guillain-Barre syndrome patients with quadriplegia and paresthesia.

Measuring cohesion of a component (컴포넌트의 응집성 측정)

  • Go, Byeong-Seon;Park, Jae-Nyeon
    • The KIPS Transactions:PartD
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    • v.9D no.4
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    • pp.613-618
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    • 2002
  • The component-based development methodology becomes famous as the new technology for reuse. That technology can help us easily develop a complex and large system by composing reusable components in short period with high-quality and low-cost. The component-based system nay be developed by composing more than one component. So, the quality of component-based system is determined by individual component duality. Therefore, it is necessary to measure individual component quality for the improvement in quality of component-based system. Hence, in this paper, we propose new component metrics for measuring the cohesion as relationship between classes and interfaces or among classes. Those can be applied in the early stage of software development life cycle. So, we can measure the functional cohesion of component which will be developed. Predicting functional independence of a component, we expect to reduce the software developing cost & effort and improve software quality by reusing a component.

Correlation Between the Activities of Daily Living Assessment and Gross Motor Function Measures in Children with Spastic Cerebral Palsy

  • You, Hee-Joo;Park, Sun-Wook;Lee, Han-Suk
    • The Journal of Korean Physical Therapy
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    • v.27 no.6
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    • pp.425-429
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    • 2015
  • Purpose: This study was to identify the whether there is any correlation between Gross Motor Function Measures (GMFM) and Functional independence Measurement for children (WeeFIM) in order to identify a relevance of daily life motor with gross motor function of children with cerebral palsy. Methods: Subjects were instructed to evaluated by an occupational therapist using WeeFIM (reliability 0.83-0.99) and by a physical therapist using GMFM (reliability 0.93). 10 male children and 13 female children among 23 children being diagnosed as cerebral palsy were targeted for this study. A correlation between GMFM and WeeFIM was analyzed with Kendall correlation. Results: Participants showed significant correlation between GMFM and WeeFIM in all categories, except in the GMFM's walking running jumping category, standing category of GMFM and self care, sphincter control, communication category of WeeFIM. Lying rolling and sitting and crawling kneeling area of GMFM showed a significant correlation with self care(r=0.35, 0.39, 0.4), sphincter control (r=0.45, 0.43, 0.61), mobility transfer (r=0.44, 0.36, 0.64), locomotion (r=0.41, 0.35, 0.74), communication (r=0.4, 0.44, 0.51), and social cognition (r=0.43, 0.51, 0.64) area of WeeFIM (p<0.05). Standing of GMFM and mobility transfer (r=0.74), locomotion (r=0.47) and social cognition (r=0.4) area of WeeFIM showed a significant correlation (p<0.05). Conclusion: These findings indicated significant correlation between activity of daily living (ADL) and gross motor function of children with cerebral palsy. However, because there are a few results that are not significant, both assessment tools should be used for evaluations so that treatment can be achieved with an accurate assessment and establish a therapeutic plan.

Daoyin Exercise Therapy for Stroke : A Systematic Review (뇌졸중에 대한 도인 운동요법의 효과: 체계적 문헌 고찰)

  • Lee, Sang-Hyun;Shin, Byung-Cheul;Hwang, Eui-Hyoung;Heo, In;Park, Sun-Young;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.29-42
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    • 2019
  • Objectives : This study aimed to review the effects of Daoyin exercise on stroke patients in clinical studies. Methods : In this study, we reviewed 11 electronic databases (CAJ, EMBASE, Cochrane Library, Web of Science, Pubmed, RISS, Dbpia, NDSL, KISTI, KISS, KMBASE) on October 27, 2019. We included only randomized controlled trials (RCTs) which evaluated the effect of Daoyin exercise on stroke patients. The methodological quality of the included studies was checked using the Cochrane risk of bias tool. Results : After screening the papers, eleven RCTs fulfilled the inclusion criteria. The results of the meta-analysis showed that Daoyin exercise improves the measurement value on the Fugl-Meyer Assessment, Modified Barthel Index and National Institutes of Health Stroke Scale in stroke patients. Conclusions : We concluded that Daoyin exercise has therapeutic effects in functional recovery and in enhancing the independence of daily living activities for stroke patients. However, the quality of the original articles was low and the number of papers included were few. Thus, to confirm these results, further well-designed RCTs should be conducted.

Test-retest Reliability of Sit-to-Stand and Gait Assessment Using the Wii Balance Board (Wii Balance Board를 이용한 Sit-to-Stand와 보행기능 측정의 검사-재검사 신뢰도)

  • Yang, Seong-rye;Oh, Yu-ri;Jeon, Ye-rim;Park, Dae-sung
    • Physical Therapy Korea
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    • v.23 no.3
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    • pp.40-47
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    • 2016
  • Background: Assessments of Sit-to-Stand (STS) and gait functions are essential procedures in evaluating level of independence for the patients after stroke. In a previous study, we developed the software to analyze center of pressure (COP) in standing position on Wii Balance Board (WBB). Objects: This purpose of this study is to measure test-retest reliability of ground reaction forces, COP and time using WBB on STS and gait in healthy adults. Methods: Fifteen healthy participants performed three trials of STS and gait on WBB. The time (s), vertical peak (%) and COP path-length (cm) were measured on both tasks. Additionally, counter (%), different peak (%), symmetry ratio, COP x-range and COP y-range were analyzed on STS, 1st peak (%), 2nd peak (%) of weight were analyzed on gait. Intra-class correlation coefficient (ICC), standard error measurement (SEM) and smallest real difference (SRD) were analyzed for test-retest reliability. Results: ICC of all variables except COP path-length appeared to .676~.946 on STS, and to .723~.901 on gait. SEM and SRD of all variables excepting COP path-length appeared .227~8.886, .033~24.575 on STS. SEM and SRD excepting COP path-length appeared about .019~3.933, .054~11.879 on gait. Conclusion: WBB is not only cheaper than force plate, but also easier to use clinically. WBB is considered as an adequate equipment for measuring changes of weight bearing during balance, STS and gait test which are normally used for functional assessment in patients with neurological problems and elderly. The further study is needed concurrent validity on neurological patients, elderly patients using force plate and WBB.