• The Journal of Korean Physical Therapy
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• 제23권2호
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• pp.61-68
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• 2011

Purpose: The purpose of this study was to provide basic data for the effectiveness and the necessity of home visiting physical therapy through examining performance ability and functional changes in daily life activities by investigating the life of disabled persons living at home. Methods: After selecting 100 people with physical disabilities greater than level 3 and brain damage related disabilities living in Youngam-Gun, we conducted mobility tests according to a Modified Bathel Index (MBI), the Berg Balance Scale (BBS), and floor and bed movements? for Activities of Daily Living evaluation. We did this before the experiment and after doing home visiting physical therapy for 90 minutes at a time, once a week for 6 months Results: 1) Persons who live in a bed are higher than those who live in a floor. There was a significant difference between persons who live in a floor and those who live in a bed in the change in MBI and BBS scores after home visiting physical therapy. 2) Those with a musculoskeletal disorder had a significantly different change in MBI and BBS according to the type of disease and kind of disability. Those with neuropathy had a significantly different change in MBI. Those with physical disabilities showed a significant difference in MBI and BBS. Conclusion: A home visiting physical therapist can cause an improved performance ability and lead to the ability of disabled persons living at home to carry out activities of daily livingin a large part and the study for brain lesion disabilities except physical disabilities and stroke which occupy large proportion of disabled persons should be done.

• 한국전문물리치료학회지
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• 제14권1호
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• pp.64-73
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• 2007

The purpose of this study was to find any correlations among Postural Assessment Scale for Stroke (PASS), Modified Barthel Index (MBI), Tone Assessment Scale (TAS), Motor Assessment Scale-Gait (MAS-G), Fugl Meyer-Balance (FM-B), and to predict MBI from subscales of the PASS. The subjects were 41 stroke patients of the Korea National Rehabilitation Center in Seoul. The main outcome measures were postural control (PASS), gait (MAS-G), Balance (FM-B), Tone (TAS), ADL (MBI). The data was analyzed using the Pearson product correlation. PASS scale was used between other clinical and instrumental indexes, multiple stepwise regression analyses were performed to identify prognostic factors for ADL incline, and Cronbach's alpha coefficient was used to identify internal consistency on PASS scale. The results of this study areas follows: 1. The highest level was sitting without support, the lowest level was standing on paretic leg on PASS scale. The highest level was chair/bed transfer, the lowest level was bathing on MBI. 2. All items of the PASS, except postural tone were significantly correlated with Gait, Balance, MBI (p<.01), 3. The Internal Consistency (Cronbach's alpha coefficient=.85) was very high, indicating that the PASS is homogeneous and is likely to produce consistent response. Furthermore, the sums of maintaining position items and of changing-position items were strongly correlated (r=.64, p<.05) and there were significant correlations between sums of PASS, sums of maintaining position items (r=.87, p<.01), and changing-position items (r=.93, p<.01). 4. The standing without support of the PASS items was the strongest variance ($R^2$=.85) of the predicting ADL function. These findings provide strong evidence of the predictive value of the postural control on gait, Balance, ADL function in stroke patients and to can provide a reference for the successful therapeutic program and more improved functional recovery.

• 한국전문물리치료학회지
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• 제14권3호
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• pp.64-71
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• 2007

The purposes of this study were to determine correlations between the Berg Balance Test (BBS), Timed -UP & Go Test, Fugl Meyer-L/E, Balance, Sensory (FM-L/E, B, S), Motor Assessment Scale-Gait (MAS-G), Comfortable maximal Gait Speed (C MGS), and the Modified Barthel Index (MBI). The subjects were 40 stroke patients of the Korea National Rehabilitation Center in Seoul. Main outcome measures were Balance control (BBS, FM-B), Gait (TUG, C MGS, MAS-G), ADL (MBI) and Motor Function of Lower Extremities (FM-L/E, S). The data were analyzed using Pearson product correlation. FM scales between other clinical and instrumental indexes and multiple stepwise regression analyses were performed to identify prognostic factors for Balance, Gait and ADL Motor Function of Lower Extremity inclinations. The results of this study were as follows: The BBS, FM-L/E, balance, sensory and MBI showed positive correlation relations, but TUG and C MGS showed negative correlations. The sensory factor of the FM-scale showed the strongest variance in predicting BBS. However the FM-balance showed the strongest variance in predicting TUG, MAS-G and C MGS. The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general clinical performance of the patients.

• 한국체육학회지인문사회과학편
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• 제57권1호
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• pp.405-419
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• 2018

이 연구는 치매행동 관련 홀니스 프로그램 적용 및 완충효과 검증 단계로 서울시에 위치한 M1과 M2 노인복지관에 개설되어 있는 주간보호시설 참여 노인 총 40명을 대상자로 선정하였다. 선정된 대상자들의 사전조사를 실시한 후 무작위로 M1노인복지관 노인 20명을 실험군으로, M2노인복지관 노인 20명을 통제군으로 배치하였다. 치매행동 관련 홀니스 프로그램 활동은 2016년 3월 14일부터 2016년 5월 30일까지 12주간, 주 2회, 60분간 수행하였다. 측정도구는 MMSE-K와 K-MBI, GDS-K를 사용하였다. 치매행동 관련 홀니스 프로그램에 참여하는 동안 치매행동 참여 전과 참여 후 총 2회를 측정하였으며 SPSS-PC(version 21.0) 통계프로그램을 이용하여 첫째, 실험군과 통제군의 동질성여부를 파악하기 위하여 독립표본 t-검증, 둘째, MMSE-K와 K-MBI, GDS-K에 대한 효과를 알아보기 위하여 사전검사와 사후검사 간 대응표본 t-검증, 셋째, 사전·사후 간 변화량을 확인하기 위하여 ANOVA를 실시하였다. 연구결과 노인의 치매행동 관련 홀니스 프로그램은 인지능력의 변화(MMSE-K), 신체능력의 변화(K-MBI), 우울수준의 변화(GDS-K)에 모두 효과가 있는 것으로 나타났다.

• 디지털융복합연구
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• 제15권10호
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• pp.349-356
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• 2017

본 연구는 병원행정직의 직무소진(MBI-GS: Maslach Bunout Inventory-General Survey)과 관련된 융복합적 요인들을 조사하고자 수행되었다. 조사대상은 임의로 선정된 J지역 9개 종합병원의 재직자 201명으로 하였으며, 자료수집은 2017년 7월 3일부터 2017년 7월 29일까지 무기명 자기기입식 설문지를 통해 이루어졌다. 위계적 다중회귀분석 결과, 조직헌신(OCQ: Organizational Commitment Questionnaire) 점수가 낮을수록, A형행동유형(TABP: Type A Behavior Pattern) 점수가 높을수록, 우울수준(CES-D: Center for Epidemiologic Studies Depression scale)이 높을수록 직무소진이 높았으며 이들의 설명력은 52.1%이었다. 이상의 연구결과를 볼 때, 병원행정직의 직무소진을 낮추기 위해서는 조직헌신을 높이고, A형행동유형과 우울수준을 낮추는 노력이 필요하다. 이러한 결과는 병원행정직의 직무소진을 낮추는 프로그램 및 인적자원관리에 활용이 기대된다. 향후연구에서는 병원행정직의 직무소진에 영향을 미치는 추가요인에 대한 구조방정식 모형의 분석이 필요하다.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.146-151
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• 2020

Purpose: To identify the effect of breathing training on the physical function and psychological problems in patients with chronic stroke. Methods: In total, 26 patients with chronic stroke were randomly assigned to one of two groups: the experimental group, who underwent breathing training and neurodevelopmental treatment, and the control group, who underwent neurodevelopmental treatment (13 patients per group). Physical function was evaluated using the balance and Activities of Daily Living (ADL). Psychological problems were assessed using the Depression. Balance was measured using the Berg Balance Scale (BBS). ADLs were measured using the Modified Barthel Index (MBI). Depression was measured using the Beck Depression Inventory (BDI). The BBS, MBI, and BDI were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for BBS, MBI and BDI after the experiment (p<0.05). In comparison between two groups, the experimental group showed more significant difference in BBS, MBI and BDI than the control group (p<0.05). Conclusion: This study showed that breathing training was effective improvement physical function, and psychological problems in patients with chronic stroke.

• 디지털융복합연구
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• 제17권11호
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• pp.349-355
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• 2019

가상현실 훈련은 신체 기능을 개선하기 위한 중재로 제안되었다. 그러나 급성 뇌졸중 환자의 ADL 개선에 초점을 둔 가상현실 훈련의 효과는 명확하지 않다. 본 연구의 목적은 급성 뇌졸중 환자의 손 기능 및 일상생활활동(ADL)에 대한 가상 현실 훈련의 효과를 조사하는 것이다. 급성 뇌졸중 환자 16명이 본 연구에 포함되었다. 실험 군(VRA군)은 각 세션마다 ADL에 중점을 둔 30분의 가상현실 훈련을 받았으며, 통제군은 30분의 보편적인 가상현실 훈련을 받았다. 피험자의 손기능과 ADL을 조사하기 위해 JTHFT(Jebsen-Tylor Hand Function Test)와 K-MBI (Korean Modified Barthel Index)를 각각 사용했다. 두 그룹 모두 중재 후 마비측과 비마비측의 손기능 및 K-MBI 총점에서 유의미한 개선을 보였다. 실험군은 통제군보다 중재 후 K-MBI의 자가관리 영역에서 유의하게 큰 향상을 보였다. 이러한 결과는 급성 뇌졸중 환자에서 ADL에 중점을 둔 가상 현실 훈련이 기존의 가상 현실 훈련보다 자기관리에 더 나은 영향을 줄 수 있음을 시사한다.

• 대한물리치료과학회지
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• 제4권2호
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• pp.405-419
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• 1997

This research has been conducted to provide the spinal cord injured patients with comprehensive necessity of and backup data for their rehabilitation in the community and make the aware of importance of overall community support to patients. The data was collected through questionnaire made to 83 patients charged to general hospital in Jeonbuk Province between 1 and 31 March 1997 to analyse the patients ability on activities of daily living through the research on general characteristics and Modified Barthel Index(MBI). As a result the outcome of the research was as follows : 1. Sexual distribution represented that 57 male (68.7%) and 26 female(31.3%) and in the age distribution majority group was 36 thirties (43.4 %) most active in social activities. 2. Analysis on occupation of patients showed majority group was in technicians, 21 people representing 25.4 % and the major cause of injury was traffic accident, 45people representing 54.2%, fall down, 17 people representing 20.5% and industrial accident, 13 people representing 15.7%, respectively. 3. In the multiple choice questionnaire on complications, the rate of appealing pain was highest and spasticity, pressure sore, contracture, depression which restrict the patients from activities of daily living ability were also appeared. 4. The theoretical points in MBI Should lie between 1 and 115 and the average point be 58 but the average point of the MBI among 83 patients was 63. 5. The MBI point by the level of injured represented statistically critical difference(P<0.001) and the MBI points tested by Duncan's Multiple Area Testing in lumbar(80.1) and in thoracic (65.8) represented critically higher than the one in cervical(42.5). 6. In the distribution of the method of Urination after spine injury, the intermittent catheterization represented highest numbar of 34(41.1 %). Testing by Duncan's Multiple Area Testing, as we found the critical difference in the analysis on MBI points(P<0.001), the point in independent self voiding patients ($90.87{\pm}29.34$) was higher than the one in other self voiding patients(P<0.05). 7. In th category of social activities after spine injury, the number of people classified in others, 41 people representing 49.5% was highest and in the MBI points of the spinal cord injured people in religious activity, hobby activity, private club, occupation was critically higher than the people classified in miscellancous(P<0.01) who are the spinal cord injured people and mostly depend on their family's assistance at home in their daily activities.

• 한국치위생학회지
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• 제9권4호
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• pp.569-579
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• 2009

Objectives : This study was to describe burnout and job satisfaction among dental hygienists in some legions. Methods : A cross-sectional survey of dental hygienists were conducted using a custom-designed and validated questionnaire which incorporated the Maslach Burnout Inventory-Human Services Survey(MBI-HSS) as well as questions about demographic factors job-related factors and job satisfaction. MBI-HSS scores were analysed in the three dimensions of emotional exhaustion(EE), depersonalization(DP) and personal accomplishment(PA). 84 dental hygienists were conducted the survey and the mean age of they were 26.9. Results : On the MBI-HSS, they had high burnout in EE, PA and average burnout in DP. There are significant differences of burnout according to job satisfaction. Conclusions : Dental hygienists should be educate about preventing burnout.

• 한국전문물리치료학회지
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• 제18권2호
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• pp.52-59
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• 2011

The purpose of this study was to examine the relationship of the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), and the Modified Barthel Index (MBI) in the acute stroke care setting. Twenty patients with their first stroke were evaluated using STREAM, BBS, and MBI initially and at 4 weeks. The data was analyzed using the independent t-test, paired t-test, and the Pearson product moment correlation analysis. The scores on the STREAM were strongly associated with the scores on both the BBS and MBI (with Pearson correlation coefficients ranging from .88 to .95), and there was significant improvement between the initial scores and those obtained four weeks later for STREAM, BBS, and MBI (p=.001, p=.001, p<.001). The results suggest that STREAM may be able to reflect functional recovery and to assess voluntary movement in patients who have suffered an acute stroke.