• Title/Summary/Keyword: Functional classification

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The Effect of Weight-support Treadmill Training on the Balance and Activity of Daily Living of Children with Spastic Diplegia

  • Choi, Hyun-Jin;Nam, Ki-Won
    • The Journal of Korean Physical Therapy
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    • v.24 no.6
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    • pp.398-404
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    • 2012
  • Purpose: This is designed to study the effect of weight-support walking training through motor learning on motor functions of children with cerebral palsy, in particular their activity of daily living and balance. Methods: Thirteen children with spastic cerebral palsy, at gross motor function classification system (GMFCS) levels III~IV, underwent treadmill walking training. It used principles of weight support, 4 times a week for 7 weeks, 10 minutes at a time, before and after neurodevelopmental physical therapy. Everyday functions were measured using Functional Independence Measure for Children (Wee-FIM). The ability to keep their balance was measured using electronic measuring equipment from good balance system and the assessment was made before and after the experiment. Results: There were significant differences (p<0.05) between pre and post experiment levels of functional independence in everyday life, in self-care activities, mobility, locomotion and social cognition. With regard to changes in standing balance, there were significant differences before and after the experiment (p<0.05) in GMFCS level III. There was a reduction in the agitation velocity in the x- and y-axes which measures the left-to-right shaking; in GMFCS level IV, velocity moment was reduced. Conclusion: Walking training using a treadmill can help improve the everyday activity and balance in children with spastic cerebral palsy. It can also be served as a useful purpose as a method of intervention in pediatric care.

The Identification and Vegetation Structure of Several Mountainous Wetlands in Dan-yang and Around Area (단양 및 주변 산지습지의 판별 및 식생 구조)

  • Kim, Hyeong-Guk;Jeong, Jin-Yong;Koo, Bon-Hak
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.13 no.1
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    • pp.1-13
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    • 2010
  • This study was accomplished to identify and analyze vegetation structure of Mountainous Wetlands in Dan-yang and around area, and surveyed from September to November, 2006. 6 sites of total 16 potential Mountainous Wetlands by GIS based wetland forecasting system (Korea National Arboretum, 2006) were identified as wetlands throughout field survey by the indicators such as hydrology, soil and vegetation. By classification system of Korea National Arboretum (2006), types of wetlands were classified into 3 slope-types and 3 flat-types. To understand vegetation structure of wetlands, height, DBH (diameter at breast height), DI (Dominance Index), sociability and constancy were surveyed and the projection diagram and charts ware drawn. As results, Salix koreensis in woody plant layer and Persicaria thunbergiiin and Juncus effusus var. decipiens in herb layer were surveyed as broadly distributed species. The wetlands of Dan-yang around area were similar to those of Chung-ju around area, but the species of plants and hydrology conditions were different. This study is mainly focused on vegetation condition of Mountainous Wetlands. But, further studies on functional assessment for management and restoration of wetlands were necessary.

Reliability and Validity of the Korean Translation of the Pediatric Evaluation of Disability Inventory in School-Aged Children With Cerebral Palsy

  • Kim, Won-Ho;Park, Eun-Young;Park, So-Yeon
    • Physical Therapy Korea
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    • v.17 no.4
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    • pp.69-76
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    • 2010
  • The purposes of this study were to examine the reliability and validity of Korean translation of Pediatric Evaluation of Disability Inventory (PEDI-K) in school-aged children with cerebral palsy (CP). The PEDI-K, Functional Independence Measure for Children (WeeFIM) and Gross Motor Function Classification System (GMIFCS) were completed in 104 school-aged children with CP by therapists. The internal consistency of the PEDI-K was calculated by Cronbach's alpha (${\alpha}$) for assessing reliability. Concurrent validity was evaluated by correlation with the subsets of WeeFIM. Discriminant validity was assessed by comparing GMFCS levels with tests of the PEDI-K. The results showed that internal consistency was good (Cronbach's ${\alpha}$ ranged from .97~.98). Concurrent validity was demonstrated. The correlation with WeeFIM was high in the Functional Skills (self-care, r=.74~.94; mobility, r=.59~.91; social function, r=.65~.93) and in the Caregiver Assistance (self-care, r=.75~.94; mobility, r=.63~.90; social function, r=.78~.96). Discriminant validity was demonstrated on significant decreases in domain scores with increasing GMFCS levels. Reliability and validity have been demonstrated on the PEDI-K. This study extends usage of PEDI-K in clinical activities and research.

A Study on the Type and the Interior Design of Mezzanine Unit Plan for Home Office (홈 오피스를 위한 단위공간의 운형과 복층 실내계획에 관한 연구)

  • Kim Sung-Kyu;Choi Ung
    • Korean Institute of Interior Design Journal
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    • v.13 no.6
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    • pp.107-114
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    • 2004
  • The purpose of this study is to propose the unit plan for home office which can substitute the existing unvaried unit plan in housing and homogeneous working space in office building through the recognition of necessity and possibility about whether home-basedworkandhomeofficecanbeformedornot. Based on the above contents of a research, the following conclusions were summarized; 1. The unit plan of home office was divided into 'jointly-used type' and 'independent-separated type' in accordance with the relationship between housing and working space, 'dwelling-emphasis type' and 'working-emphasis type' in accordance with the grade of ranks between housing and working space. And the universal validity which could accept properly the dweller's characteristics was drawn by the above classification of unit types. 2. The required characteristics in a unit plan for home office were classified into flexibility, privacy, efficiency, identity, amenity. And the analyzing system of planning methodology was assigned according to dividing interior components into space-functional, space-designing interior facts. The planning methodology would have to be considered on the correlation with each required characteristic. As a result of the study, through a planning of independent-separated type, In especial, 'vertical-separated type', it was certificated that vertical-separated type could satisfy a variety of required characteristic in space-designing as well as space-functional aspect.

Hemodynamic Evaluation of St. Jude Medical Prosthesis (센 쥬드 판막의 혈류 역학적 고찰)

  • 문광덕
    • Journal of Chest Surgery
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    • v.28 no.12
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    • pp.1122-1131
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    • 1995
  • One hundred eighty-eight patients[August.23,1988,through July.30,1994 underwent aortic[AVR , mitral[MVR , or double [DVR valve replacement with the St.Jude Medical prosthesis. The author analyzed 100 patients with valvular heart disease,who underwent valve replacement with the St.Jude Medical prothesis from 1990 to 1994, at Hanyang University hospital Cardiovascular department. Information on volume and functional change of the heart chamber can be obtained by cardiac echocardiography and cartheterization. Out of 100 patients, 40 patients were male[40% and 60 patients were female [60% . Age ranged from 13 years to 68 years, with mean age of 42.6 years. Mean height was 160.3cm and mean body weight was 54.9Kg. According to NYHA functional classification, class III is most frequent and 60 patients could be classfied under it. MVR [involved Redo MVR was performed in 40 patients, AVR [involved Redo AVR was performed in 18 patients, and DVR [involved Redo DVR was performed in 42 patients. Warfarin [Coumadin anticoagulation was recommended for all patients. Life long warfarin anticoagulation was necessary to all patients who underwent valve replacement with St.Jude Medical prosthesis. Ideal prothrombin time was maintained about 30% during warfarinization. There were no case of mechanical failure. It followed a comparison of echocardiography before and after valve replacement at Hanyang University hospital [30 patients and a preoperative evaluation of cardiac catheterization and angiography [64 patients . The St.Jude Medical cardiac valve is a viable alternative in the surgical therapy of valvular heart disease.

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A Study on Organization of Service Function on the Integrated Management Platform of the u-City (u-City 통합운영플랫폼의 서비스 기능 구성에 관한 연구)

  • Kang, Joon-Mook;Baik, Song-Hoon;Kim, Nam-Gyu;Park, Joon-Kyu
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.27 no.4
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    • pp.477-484
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    • 2009
  • An Integrated Management Platform, which plays a core role in managing u-City, intelligently control various infra-structure components by accommodating a large number of sensors and devices; and analyzing data received from these sensors and devices through wired/wireless sensor networks. In this paper, the services provided by the integrated management platform for u-City are classified into common application service, operational management service, and platform gateway service, and furthermore detailed functions for each service are defined. These functions, through their roles and information flows, will clarify the requirements of the integrated management platform, and through their addition and modification will be utilized as a reference model for the functional organization of the integrated management platform.

A Study on the Wearing Conditions of Development for Functional Snowboarding Apparel (기능성 스노보드 웨어 개발을 위한 착용실태 조사)

  • Kim, Ji-Eun;Choi, Hei-Sun;Kim, Eun-Kyong
    • Journal of the Korean Society of Clothing and Textiles
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    • v.35 no.10
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    • pp.1252-1263
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    • 2011
  • This study examined the current state of snowboarding apparel. We investigated the preferred design, the required functions, and inconvenient factors in snowboard apparel through interviews with snowboard pro-players and questionnaires with functional apparel consumers. The research was conducted as follows. In order to raise problems through interviews with pro-snowboarders and grasp the individual traits of consumers, a survey was conducted with male and female consumers in their 20s-30s who enjoy snowboarding and those who had purchased specialized brand snowboarding apparel more than once. After the survey with consumers, this study set the classification standard for snowboard maniacs according to snowboarding frequency and classified the snowboarders into two groups. Both groups carry MP3 players most frequently in ordinary times and they preferred notable and brilliant colors and partially-used patterns (printed patterns). Through the investigation of the mobile functions that the snowboarders wanted for snowboarding apparel, it was found that the most preferred functions were those of listening to music and photo/video image-taking.

Activated Carbon Fibers from Chemically Modified Coal Tar Pitches

  • Ryu, S.K.;Shim, J.W.;Yang, K.S.;Mochida, I.
    • Carbon letters
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    • v.1 no.1
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    • pp.6-11
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    • 2000
  • Coal tar pitch was chemically modified with 10 wt% benzoquinone (BQ) to raise the softening point of isotropic pitch precursor and the precursor was melt-spun into pitch fibers, stabilized, carbonized and activated with steam at $900^{\circ}C$. The weight loss of carbon fiber-benzoquinone (CF-BQ) increased with the increase of activation time like other fibers, but was lower than those of Kureha fiber at the same activation time in spite of larger geometric surface area. Those adsorption isotherms fitted into 'Type I' according to Brunauer, Deming, Deming and Teller classification. However, there was very thin low-pressure hysteresis that lower closure points of the hysteresis are about 0.42-0.45. From the pore size distribution curves, there might be some micropores having narrow-necked bottle; a series of interconnected pore is more likely than discrete bottles. FT-IR studies showed that the functional groups such as carboxyl, quinone, and phenol were introduced to ACFs-BQ surface after steam activation. Methylene blue decolorization and iodine adsorption capacity of ACF-BQ increased linearly with the increase of specific surface area and was larger than that of ACF-Kureha at the same specific surface area.

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Assessment of the Influence of Physical Impairments on Activities in Persons With Stroke

  • Woo, Young-Keun
    • Physical Therapy Korea
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    • v.18 no.4
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    • pp.11-18
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    • 2011
  • The aim of this study was to analyze the relationship between physical impairments and daily activities on the basis of the outcome measurements in stroke patients. Seventy-six stroke patients participated in this study. Two physical therapists evaluated 3 clinical common measurements, i.e., the Fugl-Meyer Assessment (FMA), the Berg Balance Scale (BBS), and the Functional Independence Measure (FIM). Multiple regression analysis was used, as the dependent variables were the BBS and FIM; the independent variables were post-stroke duration, FMA of Upper Extremity (FMU), and FMA of Lower Extremity (FML). In the regression equation of the BBS, the coefficient of determination ($R^2$) was .383, and the FML was found to be the most important variable for determining the BBS score. In the regression equation of the FIM, $R^2$ was .531, and the FML was found to be the most important variable for determining the FIM. These results suggest that there is a need to determine the function of activities on the basis of the physical impairments of stroke patients. More variable measurement tools on the levels of body function and structure, as well as activity limitations are required.

Changes in Activities of Daily Living of Children with Spastic Cerebral Palsy According to Gross Motor Function Classification System After One Year of Physical and Occupational Therapy (물리 및 작업치료 1년 후 대동작 기능분류체계에 따른 경직성 뇌성마비 아동의 일상생활동작 변화)

  • Lee, Kwon-Woo;Kim, Won-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.431-440
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    • 2019
  • This study was conducted to investigate changes in activities of daily living (ADLs) according to the Gross Motor Function Classification System (GMFCS) after one year of physical and occupational therapy and to compare the responsiveness of ADL tools. A total of 48 children with spastic cerebral palsy participated in the study. The GMFCS, Functional Independence Measure for Children (WeeFIM), and Pediatric Evaluation of Disability Inventory (PEDI) were measured. The results showed that the GMFCS was significantly correlated with the PEDI (p<0.05), while there was a significant difference in the change of ADLs measured by the PEDI, but not the WeeFIM. There was a significant difference in the changes in ADLs according to the GMFCS, and the change in ADLs in the high functional level group was significantly higher than in the low functional level group (p<0.05). After physical and occupational therapy, the degree of improvement of ADLs varied according to the GMFCS, but seemed to be improved in a clinically meaningfully way. The PEDI is sensitive to changes in ADLs, so it may be used widely in clinical practice.