• Safety and Health at Work
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• 제1권2호
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• pp.149-157
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• 2010

Objectives: To quantify disability level in salespeople with concurrent low back pain (LBP) and to determine the relative associations between demographic, occupational, psychosocial and clinical factors and back disability. LBP is the most common cause of work-related disability in people under 45 years of age and the most expensive cause of work-related disability, in terms of workers' compensation and medical expenses. Evidence suggests high prevalence of LBP in salespeople. Methods: A cross-sectional survey was conducted in which 184 saleswomen with a current episode of self-reported LBP working in a large up-scale department store filled out a battery of 6 self-administered questionnaires and received a standardised physical examination. Results: Saleswomen with concurrent LBP had low disability levels. Factors significantly associated with disability were pain intensity, measured by a visual analogue scale, in the past week (p < 0.001), physical and mental health status (p < 0.001, p = 0.003, respectively), fear avoidance scores for both work and physical activities (p = 0.031, p = 0.014, respectively), past history of LBP (p = 0.019), and self-reported frequency of pushing or pulling objects placed in high positions during work (p = 0.047). A significant level (45%) of the variance in disability status was explained by these variables. Conclusion: In clinical management of LBP workers who required prolonged standing, such as salespeople, clinicians should look for modifiable risk factors associated with disability. Specific measures need to be taken to prevent disability due to LBP among salespeople.

• International Journal of Human Ecology
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• 제7권2호
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• pp.75-84
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• 2006

Internalizing and externalizing behavior problems may be more common in children with disability families but rarely known is the magnitude of the problem and the risk factors compared to those in children with non-disability families. This study was undertaken to examine if socio-economic factors, parental health, and family functioning affect children's internalizing and externalizing behaviors differently between two comparison groups. The research literature on childhood behaviors was briefly reviewed. The data was derived from the Mental Health of Children and Young People in Great Britain, 2004. Regression analyses provide evidence that the family type, economic status, and income level are uniquely associated with an increased risks of internalizing or externalizing behavior problems in children with disability families, whereas sex, age, family size, parental health, and family functioning factors have similar impacts on the child's internalizing or externalizing variances between two groups. Intervention is desirable to address the concerns influencing internalizing and externalizing performances among children with disability or non-disability families.

• 한국전문물리치료학회지
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• 제22권1호
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• pp.58-68
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• 2015

This study aimed to determine the effect of lower trapezius muscle strengthening exercises on pain, neck disability index (NDI), cervical range of motion (ROM), and lower trapezius muscle strength in patients with unilateral neck pain. Following baseline measurements, the subjects (N=40) with unilateral neck pain were randomized into one of two 5 weeks exercise intervention groups: a experimental group (EG, $n_1=20$) that received strength training of the lower trapezius muscles or a control group (CG, $n_2=20$) that received routine physical therapy program. Each group participated in the intervention for 30 minutes, 3 times a week, for 5 weeks. All participants performed 2 repetitions of each intervention per day. The numeric pain rating scale for pain, NDI, ROM, and lower trapezius strength were recorded both pre- and post-intervention for both groups. Paired t-tests were used to determine significant changes post-intervention compared with pre-intervention and independent t-tests were used to analyze differences in the dependent variables between the 2 groups. After the 5-weeks intervention, both groups experienced significantly decreased pain and disability level (p<.05) and significantly increased cervical flexion, extension, lateral flexion, and rotation ROM (p<.05). The EG that received strength training of the lower trapezius muscles showed greater improvements in pain and functional disability level, cervical rotation, and lower trapezius strength than the CG (p<.05). These results suggest that a lower trapezius strengthening exercises reduce neck pain and neck disability level and enhance cervical ROM and lower trapezius strength level in patients with unilateral neck pain.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.19-29
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• 2020

Background: Stretch-oriented home exercise programs are often used as treatments for patients with adhesive capsulitis; however, there is lack of research on home exercise programs to strengthen rotator cuffs. Objects: The aim of this study is to investigate the effect of home exercise programs for rotator cuff strengthening on pain, range of motion (ROM), disability level, and quality of life in patients with adhesive capsulitis. Methods: Twenty-two patients with adhesive capsulitis volunteered to participate in this study. The subjects were randomly divided into an experimental group (n = 11) and control group (n = 11). For the experimental group, manual therapy and home exercise programs for rotator cuff strengthening were applied for 6 weeks; for the control group, only manual therapy was applied for 6 weeks. Shoulder pain (quadruple visual analogue scale, QVAS), ROM, disability (shoulder pain and disability index-Korean version, SPADI), and quality of life (world health organization quality of life scale-Korean version, WHOQOL-BREF) were evaluated at baseline, after 3 weeks, and after 6 weeks of intervention. The changes in the measurement variables were analyzed by using repeated measure analysis of variance. Results: Significant differences were observed between the experimental group and control group in the QVAS; SPADI-pain scores; SPADI-disability scores; SPADI-total scores; flexion, abduction, internal and external rotation ROM of the glenohumeral joint; and WHOQOL-BREF total, overall, physical health, and psychological scores. All groups displayed statistically significant improvements as observed in the QVAS, SPADI, flexion, abduction, external and internal rotation ROM of the glenohumeral joint, and WHOQOL-BREF. Conclusion: Home exercise programs for rotator cuff strengthening had a positive impact on shoulder pain, shoulder ROM, disability level, and quality of life in patients with adhesive capsulitis. Therefore, we propose the use of home exercise programs for rotator cuff strengthening in the exercise rehabilitation of patients with adhesive capsulitis.

• 대한물리의학회지
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• 제13권4호
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• pp.149-162
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• 2018

PURPOSE: The aim of this study was to investigate the effect of scapular dynamic taping on pain, disability, upper body posture, and range of motion (ROM) in the postoperative shoulder. METHODS: Twenty-two patients who underwent acromioplasty and rotator cuff repair surgery volunteered for this study. The subjects were randomly divided into an experimental group (EG, n=11) and a control group (CG, n=11). For the EG, exercise therapy, manual therapy, and scapular dynamic taping were applied for 6 weeks; for the CG, only exercise therapy and manual therapy were applied for 6 weeks. Shoulder pain, disability, upper body posture, and ROM were evaluated at baseline, after 3 weeks of intervention, and after 6 weeks of intervention. Assessment tools included quadruple visual analog scale (QVAS) for level of pain; shoulder pain and disability index (SPADI) for functional disability level; forward head angle (FHA), forward shoulder angle (FSA), and pectoralis minor index (PMI) for upper body posture; and ROM testing. RESULTS: Significant differences were observed between the EG and CG in SPADI total scores; internal rotation and external rotation ROM of the glenohumeral joint ; FSA ; and PMI. All groups showed statistically significant improvement in QVAS; SPADI; flexion; abduction; external rotation and internal rotation ROM of the glenohumeral joint; FSA; and PMI. CONCLUSION: These results suggest that, for patients who have undergone acromioplasty and rotator cuff repair surgery, the addition of scapular dynamic taping during therapy is effective for improvement of shoulder disability level, ROM, and upper body posture.

• 재활치료과학
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• 제11권2호
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• pp.63-76
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• 2022

목적 : 본 연구의 목적은 장애 중증도 수준뿐만 아니라 장애 유형 또한 함께 고려하여 장애인의 고용현황을 분석함으로써 기존의 장애 중증도 수준에 기반한 의학적 손상을 기준으로 하여 직업적 능력을 고려하는 것에 한계가 있음을 지적하는 데에 있다. 연구방법 : 장애인고용공단(2019)에서 조사한 장애인 고용패널조사 2차 웨이브 4차 조사 자료를 사용하였다. 독립변수는 장애인의 장애 중증도와 장애 유형, 종속변수는 고용여부로 하여 장애 중증도에 따른 장애 유형의 고용가능성 오즈비를 로지스틱 회귀분석으로 산출하였다. 결과 : 장애정도가 심한 군은 고용가능성은 관련 변수들을 보정했을 때, 신체외부장애 유형에 비해 신체내부장애의 고용가능성이 0.413(95% CI: 0.271-0.629)배로 유의하게 낮았고(p<.001), 장애정도가 심하지 않은 군에서는 신체외부장애에 비해 신체내부장애가 0.475(95% CI: 0.327-0.690)배로 고용가능성이 낮았다(p<.001). 결론 : 장애 중증도 수준이 같다 하더라도 장애 유형에 따라 고용가능성이 달라질 수 있음을 확인하였다. 장애 유형과 중증도를 모두 고려하여 고용가능성의 편차를 줄일 수 있는 판정 기준의 마련이 필요하다.

• 보건행정학회지
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• 제26권4호
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• pp.352-358
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• 2016

Summary measures of population health (SMPHs) have been used to estimate the burden of diseases. Among various type of SMPHs, disability adjusted life year (DALY) and healthy life expectancy (HALE) have been calculated in the global and national burden of disease studies. In order to calculate DALY and HALE, disability weight is an essential element. Disability weights quantify the level of disability for health states or diseases and have values between 0 (full health) to 1 (being dead). In this study, we reviewed the main disability weights studies and determined their meaning and limitations. Furthermore, we provided the whole process of typical disability weight study and reviewed key issues as follows: health state or disease description development, panel composition, valuation method, validation of disability weight, cross-cultural variability in health state or disease, and so on. The results from this study will be helpful to conduct future disability weight studies for adapting disability weights and developing new methodologies.

• 한국사회복지학
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• 제59권4호
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• pp.273-296
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• 2007

본 연구는 장애정체감을 평가하는 도구로 개발된 23문항의 척도를 Rasch 모형을 적용하여 문항을 재구성한 연구이다. 척수손상 장애인 397명을 대상으로 개발한 장애정체감 척도(이익섭 신은경, 2006)는 요인분석으로 타당도를 검증한 것으로 문항의 적합도나 난이도 및 응답범주의 적절성을 평가하지는 못하였다. 본 연구에서는 요인분석 절차에서 파생될 수 있는 한계를 보완하고자 문항반응이론(item response theory)의 하나인 Rasch 모형을 각 하위차원별로 적용하여 장애정체감 척도를 재검토하였다. 결과로는 4개차원의 20문항으로 축소되는 것이 문항의 적합도가 높은 것으로 나타났으며, 문항의 난이도 측면에서는 평균수준의 문항이 많은 것으로 드러났다. 응답범주는 4점 척도가 적절했다고 평가되었다. 이러한 척도의 재구성을 통하여 장애정체감의 문항 적합도와 난이도 및 응답범주의 적절성을 객관적으로 평가할 수 있었다.

• 대한물리치료과학회지
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• 제13권4호
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• pp.43-62
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• 2006

The survey was conducted with participation of the 289 handicapped persons residing at the rural area OOeup-gun in Kyungbook for the period of March 2 - May 31, 2006, to study the nature in general of the handicapped and the boundaries of their need. For the nature in general of the handicapped, the study was done by gender iscrimination, age, marital status, religion, educational level, occupation, monthly income, disability cause, disabled duration, disability type, disability level. For the boundaries of their need, the study was done by demand of financial support, educational demand, demand of voluntary workers, need of rehabilitation and medical treatment, job training, improvement of living conditions, or so. Using the Win.SPSS program, we made a frequency analysis and conclusions on the nature in general of the handicapped and the boundaries of their need on a 2-test. Conclusions are : 1. Nature in general of the handicapped The existence of the handicapped shows high at the age over 51 (71.6%), male-handicapped (65.1%), primary school graduates (62.9%), farming engaging (65.2%), monthly income less than one million Won (80.5%), cause by disease (53.8%), duration more than 10 years (61.6%), disability at level 3 (39.8%), extremity disability (66.4%). 2. Correlation of nature in general with demand of the handicapped a. In demanding the financial support, support for helper’s compensation shows high (p<0.05). In demanding the necessity of voluntary workers, the male-handicapped appears high during the absence of family assistance and the female-handicapped appears differently per week and also appears high during the absence of family assistance (p<0.05). b. In educational demand of the handicapped by their age, the age below 30 demands technical-job training and the age over 31 demands medical education for health care (p<0.01). c. In demanding the financial support by educational level, support for living cost shows high (p<0.05). d. In demanding improvement of living conditions by postnatal cause of disability, improvement of house structure shows high (p<0.05). e. In demanding assistance of voluntary workers by disabled duration, "No Need" shows high in the disabled duration more than 4 years (p<0.05). f. In demanding rehabilitation and medical treatment by disability type, home-visiting treatment, oriental medical treatment and physical therapy show high (p<0.001). g. In educational demand by disability level, medical education for health care shows high (p<0.01).

• 융합정보논문지
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• 제10권9호
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• pp.222-228
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• 2020

본 연구의 목적은 65세 이상 노인들의 참여활동수준과 ICF에 기반한 기능장애에 대해 조사하는 것이다. 도시에 거주하고 있는 노인 100명을 대상으로 하였으며, 한국형 활동분류카드(KACS)와 세계보건기구 장애평가척도 2.0(WHODAS 2.0)를 통해 자료를 수집하였다. 수집된 자료는 기술통계 및 상관분석, 다중회귀분석을 이용하여 분석하였다. 참여활동수준에 대한 조사결과, 도구적 일상생활 영역이 75.06%로 가장 높게 나타났다. WHODAS 2.0 하위영역 중 사람들과 어울리기, 사회참여 영역에 어려움이 가장 많았고, 자기관리와 일상생활활동에서의 어려움이 가장 낮게 나타났다. 참여활동 보유율과 기능장애에 대한 상관성을 분석한 결과, 모두 유의한 음의 상관관계가 있는 것으로 나타났다. 기능장애에 영향을 미치는 요인들로는 사회활동과 도구적 일상생활의 참여활동수준, 직업상태(은퇴)가 유의미한 것으로 나타났다. 연구를 통하여 참여활동수준이 기능장애를 설명하는 중요한 요인임을 확인할 수 있었다. 추후 연구결과의 일반화를 위한 표준화 연구가 이뤄질 필요가 있다.