• The Journal of Korean Physical Therapy
• /
• 제29권5호
• /
• pp.259-264
• /
• 2017

Purpose: This study examined the effects of a positioning education program through the brochure or oral explanations for the parents of premature infants with a brain lesion and investigated the satisfaction level of physical therapy of parents of premature infants with a brain lesion. Methods: Forty parents of premature infants with a brain lesion participated in this study. The recruited premature infants were randomized into groups A (n=20) and B (n=20) for the purpose of the positioning education method through brochure or oral explanations. The level of satisfaction and recognition for the positioning education program was investigated by the parents of 12 month old infants. The gross motor function, measure-88, was examined at three months, six months, nine months, and twelve months of the corrected age. Results: No significant differences in the recognition of the position education program, level of satisfaction of the environment, and the attitude of the therapist were noted (p>0.05). Significantly high levels of satisfaction with the program of group B given the brochure were noted. The gross motor function measure-88 was also similar in both groups (p<0.05). Conclusion: This study suggests that the parents were satisfied with the positioning education program of the brochure. The differences in educational methods did not affect the development of premature infants.

• Journal of Acupuncture Research
• /
• 제18권2호
• /
• pp.1-17
• /
• 2001

Background and Objetive : Lack of uniformity in reporting facial nerve recovery in patients with facial nerve paralysis has been a major disadvantage in comparing treatment modalities. The objective evaluation of facial nerve function is a complex procedure. The House and Brackmann grading system, the Yanagihara grading system has been recommend as a universal standard for assessing the degree of facial nerve palsy. However, clinical studies for treatment of facial palsy have rarely used this universal standard in oriental medicine. That is the reason for analysing this facial nerve grading system. Material and Method : We choose 10 scales reported from 1955 till 1995. These facial nerve grading systems may be classified as Gross system, Regional system and Specific system. Result and Conculsion : The scales of Botmann and Jonkees, May, Peitersen, and House and Brackmann are the gross facial nerve grading systems with which we grossly assess the facial motor dysfunction and the secondary defect. Among these scales, H-B scale is the most widespred The scales of Yanagihara(若杉文吉), Smith, Adour and Swanson, Jassen, FEMA are the regional facial nerve grading system in which we weight, or unweight the facial motor dysfunction and the secondary defect. For example, the scales of Yanagihara(若杉文吉) and Smith are the unweighted regional scale, the scale of Adour and Swanson, Jassen, FEMA are the weighted regional grading system. The scale of Stennert is the Specific facial nerve grading system in which we respectively assess the grade of facial dysfunction at rest, in motion and the secondary defect. For the objective evaluation of the oriental medicine treatment for facial palsy, we must use the universal standard scale, i.e. the H-B scale, the Yanagihara scale.

• 재활복지
• /
• 제20권3호
• /
• pp.125-139
• /
• 2016

본 연구의 목적은 뇌성마비 아동의 운동활동에 대한 3가지 개념(능력, 수행능력, 수행)을 구분하고 능력(표준화된 환경에서 할 수 있는 것), 수행능력(일상 환경에서 할 수 있는 것), 수행(일상환경에서 하는 것) 사이의 관련성을 평가하기 위한 것이다. 연구는 평균연령 6.6세의 뇌성마비 아동 40명(남자 19명, 여자 21명)의 평가 기록을 이용한 단면조사 분석으로 수행되었다. 대운동기능분류체계(GMFCS)에 따른 중증도는 1단계 13%, 2단계 10%, 3단계 43%, 4단계 33%, 4단계 3%였다. 운동활동 능력은 대동작기능평가(GMFM)를 이용하여 측정되었다. 수행능력과 수행은 소아장애평가척도(PEDI)의 2가지 척도(기능적 기술, 보호자 도움)를 사용하였다. 연구결과 능력과 수행 사이의 상관관계는 0.811(p<.05)이었고, 수행능력과 수행 사이의 상관관계는 0.845(p<.05)로 가장 높았다. 능력과 수행 사이의 상관관계는 0.711(p<.05)로 가장 낮았다. 뇌성마비 아동의 운동에 대한 능력과 수행능력은 일상생활에서의 수행을 완전히 반영하지 못한다. 수행에는 배경요인(특히, 가족기능과 같은 사회적 요인)이 영향을 미치기 때문이다. 따라서 본 연구는 뇌성마비 아동의 능력, 수행능력, 수행에 대해 명확하게 구분하여 평가하는 것이 필요하다고 제안한다.

• 한국융합학회논문지
• /
• 제10권3호
• /
• pp.347-354
• /
• 2019

본 연구의 목적은 성인 선천성 심장 질환자의 불확실성과 삶의 질 간의 관계를 파악하기 위한 서술적 상관 관계연구이다. S시에 있는 종합 병원의 성인 선천성 심장 질환자 136명을 대상으로 하였다. 삶의 질은 불확실성과 대근육 운동기능 영역(r=-.15, p=.041), 인지(r=-18, p=.014), 통증(r=-.14, p=.045), 일상 생활(r=-.15, p=.039), 활력(r=-.16, p=.029)에서 모두 음의 상관관계가 있었다. 성인 선천성 심장 질환자의 대근육 운동 기능 영역, 일상 생활을 투입한 회귀모형은 유의한 것으로 나타났으며(F=6.15, p=.018), 모형의 설명력은 22.0%였다. 이를 통해 성인 선천성 심장 질환자의 불확실성을 개선시키기 위해서는 대근육 운동 기능 영역 및 일상 생활 기능을 증진시킬 수 있는 중재 프로그램이 제공되어야 할 필요가 있음을 알 수 있었다.

• 대한안전경영과학회지
• /
• 제7권3호
• /
• pp.37-46
• /
• 2005

There are very large differences on the standards of gross weight and single axle weight for commercial motor vehicles between international and Korean standards. Short Wheelbase Truck are produced and run only in Korea. It has very serious effects on the durabilities of bridges and roads and makes logistic competitive power fall back and overconsuming energy. This paper deals with a comparative study of the international standards with Korean, grasps the drawbacks and makes up the suggestions to strengthen the logistic competitive power of Korea and reduce the maintenance cost for the roads and the consumption of energy.

• 한국전문물리치료학회지
• /
• 제23권1호
• /
• pp.55-64
• /
• 2016

Background: The International Classification of Functioning, Disability, and Health-core set (ICF-core set) for children and youth (CY) with cerebral palsy (CP) provides a useful conceptual framework and a guide for health care planning and measuring the changes brought by interventions across a multitude of dimensions from body functions to personal activities, social participation, and environmental factors for them. Objects: This single case study was reported to illustrate the use of a goal directed approach in applying the ICF-core set for CY with CP from a physical therapist perspective. Methods: An eleven year old boy with spastic CP, Gross Motor Function Classification System (GMFCS) level V, and his mother participated in an evaluation of his functioning state. The intervention goal was set through an interview using the ICF-core set, Canadian Occupational Performance Measure (COPM) and Goal Attainment Scale (GAS). Physical therapy was carried out on an outpatient basis using a goal directed approach for 30 min, 1 time/week during 12 weeks and the boy's gross motor function was assessed using the Gross Motor Function Measure (GMFM)-66 version (item set 2) before and after the intervention. Results: As measured by the boy's mother, the COPM score showed a meaningful clinical change (performance=mean 3.5, satisfaction=mean 2.5) and the T-score of GAS changed 34.4 after the goal directed approach. The GMFM-66 (item set 2) score changed from 31.8 to 38.7 and evaluation using the ICF-core set displayed improvement in 6 items of activity level between before and after the intervention. Conclusion: The ICF-core set for CY with CP is useful for understanding the overall functioning of CY with this condition and provides an opportunity to share and integrate information and opinions from different disciplines. We consider it as a useful tool in the universal language for the therapy and education of CY with CP.

• 대한통합의학회지
• /
• 제10권2호
• /
• pp.155-167
• /
• 2022

Purpose : Accumulation of accurate data regarding the use and adequacy of subsidies is important to provide optimal development rehabilitation services. However, no reports have discussed the status regarding the use and adequacy of subsidies available for motor development rehabilitation as a part of development rehabilitation services in children and adolescents with cerebral palsy. In this study, we investigated the current use and subsidy adequacy of motor development rehabilitation as an essential part of development rehabilitation services in children and adolescents with cerebral palsy. Methods : The study included parents of children and adolescents with cerebral palsy, who underwent motor development rehabilitation of development rehabilitation services (n=148). The participants were administered a questionnaire to investigate the current use and subsidy adequacy of the motor development rehabilitation part of development rehabilitation services. Results : Most respondents indicated that 310,000-410,000 /month was an appropriate subsidy and agreed that the subsidy should be extended to adults with cerebral palsy. We observed a significant difference in the appropriate subsidy based on age groups (p=.029), as well as type of development rehabilitation service most needed (p=.005) and whether or not agree to extend the subsidy to adults according to gross motor function classification system level (p=.015). There were significant relations of appropriate subsidy (p<.001) and appropriateness of copay (p=.004) according to degree of transportation cost burden. Moreover, there were significant relations of appropriateness of current subsidy (p=.015) and appropriate subsidy (p<.001) according to degree of inconvenience of using transportation. Conclusion : This study highlights the need to increase subsidies for motor development rehabilitation of development rehabilitation services and that the subsidy should be determined based on the burden of transportation costs and the inconvenience of using transportation. Development rehabilitation service for adults with cerebral palsy should also be supported.

• Clinical and Experimental Pediatrics
• /
• 제48권12호
• /
• pp.1337-1341
• /
• 2005

목 적 : 한국형 영유아 발달검사는 발달 선별 검사의 하나로 조대운동, 미세운동, 개인-사회성, 언어, 인지-적응 등의 5가지 영역으로 검사가 이루어지며 본 연구에서는 한국형 영유아 발달검사를 미숙아에게 실시하여 발달지연의 추적 관찰에 있어서 선별 검사로 사용할 수 있는지를 검토하고자 하였다. 방 법 : 2002년 8월부터 2004년 7월까지 고려대학교 의과대학 안산병원에서 태어난 미숙아를 대상으로 하였으며, 한국형 영유아 발달검사를 1번 이상 시행한 환아 74명을 대상으로 하였다. 후에 신경학적 이상이 있는 것으로 판명된 경우(환아군)와 아닌 경우(정상군) 두 그룹으로 나누어 4개월, 7개월, 12개월, 18-24개월에 발달지수를 비교하였으며 80점 미만인 경우 비정상으로 판정하였다. 결 과 : 정상아군과 환아군에서 7개월경에는 미세운동(P<0.05)과 조대운동영역(P<0.01)에서 유의한 차이를 나타내었다. 12개월 및 12개월 이후에는 미세운동, 조대운동, 개인-사회성, 언어, 인지-적응 등 5가지 영역에서 환아군에서 유의한 차이를 나타내었다(P<0.05). 결 론 : 본 연구에서는 미숙아에서 한국형 영유아 발달검사가 후에 영유아의 신경학적 이상을 예측하는데 선별검사로 의미가 있는지를 알아본 결과 지속적인 관찰과 반복검사로 유용하게 사용될 수 있겠다.

• 한국소음진동공학회:학술대회논문집
• /
• 한국소음진동공학회 2000년도 춘계학술대회논문집
• /
• pp.1327-1332
• /
• 2000

Ultrasonic motors have an advantage over conventional electro-magnetic motors because of its excellent characteristics, such as high torque, low speed output, compact size, excellent controllability and, above of all, quite operation. The principle of operation of ultrasonic motors is to generate gross mechanical motion through the amplification and repetition of micro-deformations of active materials. A brief description of working principle and methods of analysis of dynamic behaviors of ultrasonic motors are given for the extended research and development activities anticipated in the mechanical engineering community.

• 대한물리치료과학회지
• /
• 제3권2호
• /
• pp.1037-1045
• /
• 1996

The purposes of this survey are to investigate which inventory are used to assess the disables children, to give information and basic data for developing new inventory for disabled children. 1. 8 institutes (40 %) have no test or evaluate tools. 2. Number of tools of rehabilitation institutes have more than hospital. 3. 86.8% of tools are made in United States. 4. 52.2 % of tools do not test validity and reliability 5. 43.5% of tools are tested for gross and fine motor functions. 6. The interval of reassesstment are very irregulary(43.5 %). So, We suggest that Korean physical therapist should be made tools which is tested motor, perception and cognition with validity and relability for CNS dysfuntion patients.