• Title/Summary/Keyword: Functional assessment

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Concurrent Validity of the Functional Gait Assessment, Berg Balance Scale, and Timed Up and Go Test in Patients With Stroke (뇌졸중 환자에 대한 기능적 보행평가, 버그 균형척도, 일어나 걸어가기 검사의 동시 타당도)

  • Won, Jong-Im;Kim, Ki-Song
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.43-51
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    • 2011
  • Balance is a complex motor skill that depends on interactions between multiple sensorimotor processes and environmental and functional contexts. Many rehabilitation specialists believe that balance assessment under multitask conditions may be a more sensitive indicator of balance problems and falls than balance assessment in a single-task context. Functional Gait Assessment has many tasks that allow for testing under multitask conditions. The purpose of this study was to determine the concurrent validity between the Functional Gait Assessment (FGA), Berg Balance Scale (BBS), and Timed "Up & Go" Test (TUG) in patients with stroke. One hundred and five participants with at least 3 months post stroke and able to walk at least 6 m with or without a mono cane, participated in this study. Concurrent validity between the FGA, BBS, and TUG was assessed using Spearman rank order correlation. The FGA correlated with the BBS (r=.80, p<.01) and TUG (r=-.77, p<.01). The good and moderate correlation between the FGA, BBS, and TUG establishes the concurrent validity of the FGA in patients with stroke. These measures provide clinicians with valuable information about patients' functional balance capabilities.

Case Study for Functional Hazard Assessment of A-SMGCS (A-SMGCS 기능 위험 평가 사례 연구)

  • Lee, Hongseok;Jo, Sanghoon;Choi, Hyungseok
    • Journal of Advanced Navigation Technology
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    • v.20 no.2
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    • pp.148-154
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    • 2016
  • Safety assessment is necessary to develop safety related CNS/ATM system. It includes functional hazard assessment (FHA), effects eliciting system safety requirement that mitigates system's hazardous event. This paper performs a case study for functional hazard assessment of A-SMGCS. To do this, related A-SMGCS studies from Eurocontrol and EMMA are surveyed, and assessment schemes of functional hazard from Eurocontrol and EMMA are combined. Not only FHA scope but also several assumptions for FHA are defined for Incheon airport. 29 hazards are identified and their severities are assessed. And exposures and safety objectives from hazards are analyzed using event tree analysis method. Differences between result of this study and result of EMMA are analysed, and assessment results in this study are also reviewed.

Effect of a PNF Training Program on Functional Assessment Measures and Gait Parameters in Healthy Older Adults (PNF 훈련 프로그램이 건강한 노인의 기능적 평가 측정과 보행에 미치는 효과)

  • Ma, Sang-Yeol;Kim, Hyeong-Dong
    • The Journal of Korean Physical Therapy
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    • v.22 no.1
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    • pp.39-45
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    • 2010
  • Purpose: The purpose of this study was to examine changes in functional assessment measures (FAMs) and spatiotemporal gait parameters (STGPs) in healthy older adults before and after a 6-week intervention of a proprioceptive neuromuscular facilitation (PNF) training program. Methods: Thirty healthy older adults (mean age: $73.37{\pm}1.21$ age range: 65-79) were randomly assigned either to an experimental group (participating in a 6-week intervention of PNF training) or a control group (only performing daily activities). Participants in the control group did not receive any training program. Performance was assessed by recording changes in the FAMs and STGPs using functional assessment tools and GAITRite. Results: Participants in the PNF group showed significantly improved functional assessment measures and increased stride length, cadence, velocity, and step width (p<0.05). No significant differences in FAMs and STGPs were found in the control group (p>0.05). Conclusion: Participation in a PNF training program improves FAMs and STGPs, thereby increasing the ability of healthy older adults to maintain dynamic balance during functional performance and gait. These findings support the use of PNF training programs as effective fall-prevention programs for the elderly.

Study on the Utilization of the Child-Adolescent Functional Assessment Scale in Mental Health Service (정신건강서비스 영역에서 아동청소년 기능평가척도의 활용에 관한 연구)

  • Row, Kyung Ran
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.4
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    • pp.197-212
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    • 2017
  • Objectives: This study aims to supplement the limitations of the preliminary study and expand the use of the Child-Adolescent Functional Assessment Scale by providing standardized T-scores for measuring function in different areas, as well as guidelines for their interpretation. Methods: The Child-Adolescent Functional Assessment Scale and Korean-Child Behavior Checklist were administered to a total of 623 individuals, including 467 parents of emotionally and behaviorally disturbed elementary school students, 45 parents of emotionally and behaviorally disturbed middle school adolescents and 111 parents of elementary school students with developmental disorders, as well as to a control group consisting of 186 parents of mainstream elementary school children in the Seoul metropolitan area. Results: In contrast to the preliminary study, the emotional domain was disassociated into two factors, negative affect and emotion regulation, and the coefficient of determination for misconduct was increased significantly. Also, the overall reliability and validity of the Child-Adolescent Functional Assessment Scale were similar to those in the preliminary study, and the item structure was consistent. This study provides standardized T-scores of function in different areas based on the revised scale, and provides guidelines for their interpretation. Conclusion: The Child-Adolescent Functional Assessment Scale can assist the Child Global Assessment in Functioning in providing the information necessary for case management and treatment planning by comparing the impairment severity in each area of functioning, and also determining changes in behavior and function after treatment interventions. On the other hand, this scale has yet to clearly distinguish between rebellious behavior and misconduct. Further research is necessary to provide standards for more diverse age groups and for its utilization.

Effect of Alpinia officinarum on the Formation of Advanced Glycation Endproducts and Aldose Reductase Activity

  • Lim, Soon-Sung;Kim, Hye-Mi;Kim, Sun-Young;Jeon, Young-Eun;Lee, Yeon-Sil;Kang, Il-Jun
    • Food Science and Biotechnology
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    • v.18 no.1
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    • pp.190-196
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    • 2009
  • The inhibition effects of an Alpinia officinarum (AO, Zingiberaceae) on the formation of advanced glycation end products, aldose reductase, and scavenging effect on 1,1-diphenyl-2-picryl-hydrazil (DPPH) radical for the prevention and/or treatment of diabetic complications were investigated. The ethyl acetate fraction of AO was the most effective among all fractions. Through the tests with electron impact-mass spectrometry and nuclear magnetic resonance, two compounds (compound 1 and 2) finally obtained from the ethyl acetate fraction of AO were identified as galangin (1) and kaempferide (2), respectively. In addition, the compound 1 and 2 and the ethyl acetate fraction were compared for the prevention effect on advanced glycation end products, aldose reductase, and the scavenging effect on DPPH radical. The ethyl acetate fraction was significantly more effective than the 2 compounds for those preventive activities.

Rubus coreanus Miquel Improves on Impairment of Memory in Senescence-Accelerated Mouse (SAM) (노화촉진마우스를 이용한 복분자의 기억력 감퇴 개선 효과)

  • Choi, Mi-Ran;Lee, Min-Young;Kim, Jeong-Eun;Hong, Ji-Eun;Jang, Kuen-Hye;Lee, Jae-Yong;Chun, Jang-Woo;Kim, Tae-Hwan;Shin, Hyun-Kyung;Kim, Eun-Ji
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.9
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    • pp.1253-1258
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    • 2012
  • In the present study, we investigated the effects of Rubus coreanus Miquel (RCM) on memory ability of senescence-accelerated mice (SAM). Prone 8 strains of SAM mice (SAMP8), which is a useful animal for investigating the mechanism of brain aging and senile dementia, were fed a diet containing 100 mg/kg body weight/day of RCM for 8 weeks. Memory ability of mice was examined by using passive avoidance test and Morris water maze test. SAMP8 mice showed remarkable memory impairment compared with senescence-resistant 1 strains of SAM (SAMR1). RCM significantly improved memory ability of SAMP8 mice. In addition, acetylcholineasterase activities decreased in the brain of SAMP8 mice treated with RCM. Taken together, these results suggest that RCM may act as an acetylcholineasterase inhibitor, thereby improving senescence-related memory impairment.

A Reliability Study of Sit-to-walk for Dynamic Balance Assessment in Stroke Patient (뇌졸중환자의 동적 균형 평가를 위한 sit-to-walk의 신뢰도 연구)

  • Kim, Da-Yeon;Choi, Jong-Duk;Ki, Kyong-Il
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.303-310
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    • 2013
  • Purpose: The purposes of this study were to evaluate the correlation of clinical tools for assessment of balance and ability of gait, in order to discriminate the phases of sit-to-walk movement of patients with stroke using the motion analysis system, and to investigate the reliability of the phase of sit-to-walk movement according to functional ability of patients with stroke. Methods: Twenty -one patients participated (men 17, women 4) in this study. Sit-to-walk movement of all patients was recorded by the motion analysis system. Berg Balance Scale, Timed Up and Go test, Functional Reach Test, 10 meter Walk Timed Test, and Performance-Oriented Mobility Assessment were used as functional assessment tools. Results: The results of this study showed significant correlation between the phase I, II, IV and total phase duration of sit-to-walk movement and functional assessment tools. In addition, the intraclass correlation coefficient (ICC) showed high reliability in accordance with the functional ability of patients with stroke (Pearson's r 0.93 to 1.00). Conclusion: In conclusion, there is high reliability between measures of the phase of sit-to-walk movement of chronic stroke patients and the clinical assessment tool. Results of this study suggest that measurement of the phase of sit-to-walk movement can be used significantly as an intervention and a clinical tool for patients with stroke.

A Study on the Hazard Identification for the Implementation of A-SMGCS (A-SMGCS 구현을 위한 위험요소 식별에 대한 연구)

  • Hong, Seung-Beom;Choi, Seung-Hoon;Choi, Youn-Chul
    • Journal of Advanced Navigation Technology
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    • v.19 no.1
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    • pp.41-47
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    • 2015
  • Recently, it is actively under study for the implementation of advance surface movement ground control systems (A-SMGCS) level IV in Korea. To ensure the safety of the A-SMGCS system needs the safety assessment, and Eurocontrol is encouraged to perform the functional hazard assessment, preliminary system safety assessment, and system safety assessment to the safety assessment of A-SMGCS. In this paper, we identify the hazard of A-SMGCS through a functional hazard assessment. Therefore, we will identify 29 types of hazard for the A-SMGCS level IV and serve as important data to evaluate the severity of each hazard.

The Functional Safety Assessment of WIG Craft in Design Stage (위그선 설계단계에서의 안전성 평가)

  • Lee, Soon-Sup;Park, Beom-Jin;Lee, Jong-Kap
    • Journal of Ocean Engineering and Technology
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    • v.24 no.6
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    • pp.103-108
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    • 2010
  • WIG crafts are high speed vessels with the features of a dynamic supported craft. These crafts, which are predominantly lightweight and operate at substantially greater speeds than conventional craft, could not be accommodated under traditional maritime safety instruments. WIG crafts inherently possess more hazard factors than conventional ships because of their relatively high speed, lightweight, and navigational characteristics, and an accident is likely to cause damage to the ship and a high loss of life. Because WIG crafts are composed of many systems and subsystems, the safety assessment of a WIG must use a commercial software system in the design stage. This paper reviews a safety assessment process and methodology proposed by the IMO interim guideline, which were developed in view of the configuration of WIG crafts. This safety assessment system was developed to fit the WIG's safety assessment process using a reliability analysis system widely used in commercial systems. The FHA was performed on the functional hazards of systems in the conceptual design stage.