• Title/Summary/Keyword: Low vision rehabilitation

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Barriers to Low Vision Services and Challenges Faced by The Providers in Pakistan

  • Javed, Momina;Afghani, Tayyab;Zafar, Kunza
    • Journal of Korean Clinical Health Science
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    • v.3 no.3
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    • pp.399-408
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    • 2015
  • Objective. There were two objectives of the study, first was to identify the barriers as perceived by the patients and providers to access the low vision services and second was to identify the challenges faced by the main providers. Study design. Structured questionnaire based interviews of patients and providers Methodology. To find out the barriers to access of low vision services, the interviews based on structured questionnaire were conducted for two patient groups. The first group consisted of 97 visually impaired individuals attending the department of low vision services at Al-Shifa Trust Eye Hospital Rawalpindi while the second group included 56 visually impaired individuals attending the four rehabilitation centers/schools for the blind in Rawalpindi/Islamabad. To identify the barriers as perceived by the main providers of low vision services and challenges faced by them the interviews based on structured questionnaire were conducted for 19 low vision service providers. Results. From patients point of view, major barrier to low vision services identified was inability to visit hospital /rehabilitation center alone - 29.8% in hospital group and 33.9% in rehabilitation centers group, while the lack of social support, lack of family support, cost of travelling, long distance, afford ability, hesitation in using devices and lack of satisfaction were other important barriers identified. From providers' point of view, major barrier to uptake of services was the need for repeated follow-ups. Optometrists were the main provider of low vision services contributing to 47.4% of the providers. The major challenge faced by the providers was motivation of patients to use low vision devices. Conclusion. The major barrier to low vision services according to the patients is inability to visit the hospital alone, while according to providers, it is the need for repeated follow up which proves major barrier towards uptake of services. The motivation is the major challenge faced by providers, majority of which are optometrists.

Reliability and Validity of the Korean Version of Melbourne Low-Vision ADL Index (한국판 맬버른 저시력 일상생활지수(Melbourne Low-vision ADL Index: MLVAI)의 신뢰도 및 타당도)

  • Yoo, Yeon Hwan;Park, Ji-Hyuk;Jung, Min-Ye;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.7 no.2
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    • pp.51-61
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    • 2018
  • Objective: The purpose of this study was performed to modify the performance-based assessment tool, Melbourne Low-Vision ADL Index (MLVAI) had been developed in Australia to suit the Korea culture to verify the reliability and validity. Methods: The subjects were only over the age of 20 living in communities, 26 with low-vision and 42 normal persons. The Korean MLVAI was completed through the expert translation verification and validation of the configuration tool. The validity of the Korean MLVAI was established through the content, discriminant, and convergent validity. Also, the reliability was analyzed through internal consistency reliability for the items, test-retest, and interrater reliability. Results: The Content Validity Index(CVI) was more than .78. There was a statically significant low in low-vision. Also, there was a statically significant low in low-vision. The convergent validity was determined the correlation coefficient of .751 analyzing LVQOL and Korean MLVAI total score, had a significant correlation(p<.05). Cronbach's ${\alpha}$ coefficient indicated an internal consistency of .983(p<.05). Test-retest reliability had a high, significant correlation of .976 and interrater reliability had a high, an intraclass correlation coefficient of .91(p<.05). Conclusion: The results of this study mean that the Korean MLVAI which was modified to fit the Korean is the ADL assessment tool with both validity and reliability. Based on this study, the Korean MLVAI can be used as a useful ADL assessment for OT interventions in low vision.

Functional Status and Long-Term Care Services for the Community-Dwelling Low-Income Elderly (저소득층 재가노인의 기능상태와 요구되는 요양서비스 유형 분석)

  • Jeon, Eun-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.12 no.2
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    • pp.92-101
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    • 2009
  • Purpose: This study was conducted to explore the functional status and long-term care services for the community-dwelling low-income elderly. Method: A descriptive research design was used in this study. The functional status of the participants was obtained using Minimum Data Set-Home Care Version 2.0 and the long-term care services were identified via Michigan's choice. Total of 154 persons aged 65 years or older completed Korean Minimum Data Set-Home Care Version 2.0 on the community dwelling low-income elderly. Results: The average of Activities of Daily Living was 4.19, and the range was 0-55, while the average of Instrument of Activities of Daily Living was 4.85 and the range was 0-56. Among the subjects, 46.1% belonged to the Information and Referral group and 1.3% to the Nursing Home group. Severe daily pain was reported by 14.9%, and 76.6% of the participants had impaired vision. The Activities of Daily Living was difference according to living with, education, vision, and depression. The long-term care services differed according to gender, pain, vision, hearing, and depression. Conclusion: The support policy for the elderly needed to focus on impaired visual and depression to enhance the activities of daily living. Moreover, there is a need for the Information and Referral group to arrange and develop nursing intervention resources.

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Recognition of Physical Rehabilitation on the Upper Limb Function using 3D Trajectory Information from the Stereo Vision Sensor (스테레오비전 센서의 3D 궤적 정보를 이용한 상지 재활 동작 인식)

  • Kwon, Ki-Hyeon;Lee, Hyung-Bong
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.8
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    • pp.113-119
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    • 2013
  • The requirement of rehabilitation is increasing from the stroke, spinal cord injury. One of the most difficult part is the upper limb rehabilitation because of its nervous complexity. A rehabilitation has effectiveness when a professional therapist treats in work at facility, but it has problems of an accessibility, a constant availability, a self-participation and taking lots of cost and time. In this paper, we test and experiment the accuracy and execution time of the pattern recognition algorithms like PCA, ICA, LDA, SVM to show the recognition possibility of it on the upper limb function from the 3D trajectory information which is gathered from stereo vision sensor(Kinect). From the result, PCA, ICA have low accuracy, but LDA, SVM have good accuracy to use for physical rehabilitation on the upper limb function.

A Study on Factors Affecting Social Integration of Visually Impaired People in Korea (시각장애인의 지역사회통합 실태와 관련 요인)

  • Lee, Ik-Seop;Park, Soo-Kyeong;Kwak, Jee-Young
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.149-176
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    • 2003
  • The purpose of this study is to examine the degree of community integration of visually impaired people who have the limitation of mobility in comparison with another disabled and to find factors affecting community integration. The data were obtained through telephone interview with visually impaired people. The final sample was consisted of 1,004 respondents. The data were analyzed using statistical techniques such as crosstabulation, t-test, and hierarchical regression. In this study, the factors affecting community integration was divided into four dimensions : the attribution to disability, physical functioning, psychology and social support system. The major findings of this study were as follows: First, the factors affecting community integration of visually impaired people were age, education, economic status, social support, information support and participation of rehabilitation service. Second, the factors affecting community integration of the low vision and the blind are the limitation of daily activities and social support. But the factors affecting community integration of the blind are participation of education for braille and that of the low vision are information support and participation of rehabilitation service. Finally, the person losing eyesight since school age were the more limitation of daily activities than the person losing eyesight in babyhood. The factors affect community integration of the former are social support, information support, participation of education for braille, and rehabilitation service. The current findings suggest that intervention and policy aimed at improving social support system and formal services such as education, rehabilitation services should be considered by rehabilitation professionals and policy makers.

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A Study on the Factors Affecting the use of Optical Aids by the aged with Low Vision (저시력 노인의 시력보조기구 사용에 영향을 미치는 요인에 관한 연구)

  • Yeum, D.M.;Sim, M.Y.;Jung, S.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.3
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    • pp.213-219
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    • 2014
  • This study applied the data of 384 senior citizens over 65 years old having difficulties in everyday life, among the ageing research panel of Korea Labor Institute in 2000, due to their visual impairment in the final analysis to investigate factors affecting the use of vision aids by the aged with visual impairment. The analysis was based on the service usage Andersen-Newman model and the factors were classified into preceding factors, potential factors and desire factors. To examine the effects of each factors on the use of vision aids by the aged with visual impairment, logistic regression analysis was carried out. In the analysis results, the level of vision aids usage was shown to increase significantly with unemployed status and higher education level in the preceding factors, lower subjective stratum consciousness in the potential factors, and higher cognitive function in the desire factors. The limitation and implication of this study were suggested on the basis of the results.

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Effects of Low Visual Acuity Simulations on Eye-Hand Coordination and Brainwaves in Healthy Adults

  • Woo, Hee-Soon;Song, Chiang-Soon
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.296-303
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    • 2022
  • Objective: In general, macular degeneration, cataracts and glaucoma generally cause visual injury in clinical settings. This study aimed to examine the effects of low visual acuity simulations on hand manual dexterity function and brainwaves in healthy young adults. Design: Cross-sectional study design Methods: This study was an observational, cross-sectional study. Seventy healthy young adults participated in this study. To evaluate the effects of low visual acuity simulations on hand function and brain waves, this study involved four different visual conditions including (1) normal vision, (2) simulated cataracts, (3) simulated glaucoma, and (4) simulated macular degeneration. The hand function was measured to use the Minnesota manual dexterity test (MMDT), and the brainwaves was also measured to use the electroencephalography. Results: In hand function, placing and turning performance on the MMDT in the normal visual condition was significantly different than that in the cataract and macular degeneration conditions (p<0.05), and the placing performance was significantly differred in the normal condition than that in the simulated glaucoma. However, turning was not significantly different in the normal condition than that in the simulated glaucoma. The alpha, beta, and gamma waves did not significantly differ among the four visual conditions (p>0.05). Conclusions: The results suggest that limited visual information negatively affects the ability to perform tasks requiring arm-hand dexterity and eye-hand coordination. However, the effectiveness of low visual acuity on the brainwaves should be further studied for rehabilitative evidence of visual impairment.

Accessibility Analysis of Mobile Applications for Open Platforms (개방 플랫폼용 모바일 애플리케이션 접근성 분석)

  • Moon, Hyun Ju;Min, Hong Ki;Kim, Sukil
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.2
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    • pp.187-198
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    • 2017
  • In this study, we analyzed the accessibility of open platform Android mobile banking applications, based on Korean mobile application accessibility KS standard, Section 508 technical standard of Rehabilitation Act, and European BBC guidelines. Experimental result showed that there are no mobile banking applications of 8 commercial banks in Korea that satisfy all guidelines of three standards. Typical violations included missing alternative text, keyboard focus violations, control size and spacing non-compliance, and low contrast ratio. These violations are fatal in that they make the accessibility of the blind, the disabled and the low vision and the elderly impossible. The reason that mobile banking applications do not comply with accessibility is that mobile application developers and providers have low awareness of accessibility and do not know how to implement accessibility properly. Comparing Korea mobile application accessibility guidelines with the revised standard of the Section 508 of Rehabilitation Act and the BBC standard, many guidelines are missing. Also, evaluation criteria are ambiguous and abstract, making it difficult for developers to refer specifically. Therefore, improving mobile application accessibility requires developer and government efforts and complementation of standards.

Usability Testing of OpenCourseWare(OCW) by College Students with Visual and Hearing Impairments - Focused on the Accessibility of KOCW - (시각 및 청각장애 대학생의 오픈코스웨어(OCW) 사용성 평가 - KOCW의 접근성을 중심으로 -)

  • Son, Ji-Young;Yeom, Myung-Sook
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.2
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    • pp.127-132
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    • 2016
  • The purpose of the study is to identify the accessibility of OpenCouresWare(OCW) from the perspective of college students with visual and hearing impairments. Six students with visual impairments(3 blind and 3 low vision) and four students with hearing impairments(2 deaf, 2 hard of hearing) implemented usability testing. Two modules in KOCW were selected for testing. Students implemented usability testing and then each individual case was analyzed through quantitative and qualitative methods. As results, the degree of usability and accessibility in two modules indicated low level. Implications and recommendations for designing OCW module based on the results were suggested.

Case History: Micropiling for Existing Foundation Retrofits (마이크로파일을 이용한 기초보강공법의 국내 적용 사례)

  • Lee, Jung-Hoon;Choi, Chang-Ho;Cho, Sam-Deok;Lee, Ki-Hwan;Jo, Hyun
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.03a
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    • pp.359-365
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    • 2008
  • As housing supply ratio has become over 100%, the strategic vision of government's policies has been changed from new construction to maintenance and regeneration of old architectural-structures. This fact has brought a light on the reconstruction and remodeling industries and a need for retrofit and rehabilitation techniques of existing foundation. Various methods of foundation for architectural-structures do exist. Among them, micropiling technologies are increasingly applied in foundation rehabilitation and seismic retrofitting projects. Micropiling techniques provide environmental-friendly methods for minimizing disturbance to adjacent structures, ground, and the environment. The installation is possible in restrictive area and general ground conditions. The fact that the installation procedures cause minimal vibration and noise and require very low ceiling height makes the micropiling methods to be commonly used for underpin existing structures. Specialized drilling equipment is often required to install the micropiles for existing basement facilities. This paper presents a case study in which micropiles were constructed to support a superstructure for vertical extension of existing elevator core and provide accessibility to underground parking lot. It is intended to become useful reference for the similar remodeling project.

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