• 제목/요약/키워드: Rehabilitation Design

검색결과 1,547건 처리시간 0.033초

Effects of and barriers to hospital-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

  • Kim, Sang Hun;Jeong, Jong Hwa;Lee, Byeong Ju;Shin, Myung-Jun;Shin, Yong Beom
    • Physical Therapy Rehabilitation Science
    • /
    • 제9권2호
    • /
    • pp.82-89
    • /
    • 2020
  • Objective: The purpose of this study was to assess the effect of hospital-based pulmonary rehabilitation (PR) on exercise capacity and quality of life as well as barriers to participation in persons with chronic obstructive pulmonary disease (COPD) in South Korea. Design: One-group pretest-posttest design. Methods: A total of 14 patients were enrolled in this study in an 8-week PR program with two 60-minute sessions per week. The program included: flexibility exercises, breathing techniques, strengthening exercises, and aerobic exercises. The outcomes were defined as changes in the variables before and after the PR program. A change in the 6-minute walk distance (6MWD) was defined as the primary outcome, and changes in pulmonary function test, respiratory and grip strength, and the St. George's Respiratory Questionnaire (SGRQ) about quality-of-life results were secondary outcomes. A dropout was defined as missing >3 of the 16 sessions. Results: Patients who completed the program showed a significant improvement of 43.57±39.43 m in the 6MWD (p<0.05), but no significant differences were noted for the other function tests. The SGRQ showed a significant improvement in the activity and total score (p<0.05). The total dropout rate was 53.3%. Newly developed symptoms, exacerbation of COPD, transport problems, and lack of motivation were major barriers to PR. Conclusions: Our study showed that an 8-week hospital-based PR program improved exercise capacity and quality of life but had a high dropout rate in individuals with COPD. Since comprehensive PR has only recently been established in South Korea, patient motivation and education are critical.

산재재활전문병원 재활센터의 규모 및 공간구성에 관한 연구 (A Study on the Area Calculation and Spatial Composition of Medical Rehabilitation Center in the Workplace Accident Rehabilitation Hospitals)

  • 이특구;최광석
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
    • /
    • 제14권2호
    • /
    • pp.3-14
    • /
    • 2008
  • The rehabilitation for the workplace accident victims is basically aimed to get them back to their working place through the secondary care processes which have some more special and more professional rehabilitation than any others, after the primary treatments like operation in an acute hospital since the accident. They need more concentrative rehabilitation efforts according to classified injury types during the period of acute, sub-acute and convalescent. This study is for the partial research of rehabilitation hospital for workers' accident victims and presents design data which can be used for the appropriate area calculation and spatial composition. Drawing documents analysis, interviews, observation were used to examine the condition of existing rehabilitation hospitals.

  • PDF

근위 경골 절골술 후 한방 재활치료 프로토콜을 적용한 재활치료의 임상적 효과: 증례 보고 (A Rehabilitation Protocol for High Tibial Osteotomy in Korean Medicine: A Report of 3 Cases)

  • 금지혜;하원배;고낙용;이정한
    • 한방재활의학과학회지
    • /
    • 제28권3호
    • /
    • pp.107-118
    • /
    • 2018
  • In this study, we propose a rehabilitation protocol involving Korean medicine for patients after high tibial osteotomy (HTO) and report its effectiveness. Three patients underwent HTO using the rehabilitation protocol involving Korean medicine. We estimated the outcome evaluating physical examination findings of the knee joint, numeric rating scale, pain disability index, Lysholm knee score, and walking state. After the treatment, we observed that knee movement and muscular strength were improved. In addition, the numeric rating scale, pain disability index, Lysholm knee score, and walking state of patients were improved. Therefore, a rehabilitation protocol involving Korean medicine can be effectively used for patients after HTO. The limitation of this study was the insufficient number of cases and the difficulty of follow-up because of the characteristics of this operation and the long periods of time that are needed for each phase of the protocol. Further studies are needed to design a rehabilitation protocol involving Korean medicine.

원위 요골 골절에 대한 한방 재활치료 프로토콜 적용의 임상적 효과: 증례 보고 (The Clinical Effect of Rehabilitation Protocol for Distal Radius Fracture in Korean Medicine: A Report of 3 Cases)

  • 하원배;금지혜;고낙용;이정한
    • 한방재활의학과학회지
    • /
    • 제28권3호
    • /
    • pp.97-106
    • /
    • 2018
  • The objective of this study was to propose a rehabilitation protocol for distal radius fracture in Korean Medicine and to report its effectiveness. Three patients who had undergone distal radius fracture were treated using the rehabilitation protocol in Korean Medicine. We estimated the outcome evaluating physical examination findings of the wrist joint, numeric rating scale and quick the Disabilities of the Arm, Shoulder and Hand (DASH) score. After the treatment, we observed that wrist movement, numeric rating scale and quick DASH score were improved. A rehabilitation in Korean Medicine can be effectively used for distal radius fracture patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean Medicine.

고관절 전치환술 후 한방 재활치료에 대한 증례 보고 (A Rehabilitation for Total Hip Replacement in Korean Medicine: A Report of Three Cases)

  • 하원배;이종하;고연석;이정한
    • 한방재활의학과학회지
    • /
    • 제26권3호
    • /
    • pp.153-164
    • /
    • 2016
  • The objective of this study was to propose a rehabilitation protocol for total hip replacement in Korean medicine and to report its effectiveness. Three patients who had undergone total hip replacement were treated using the rehabilitation protocol in Korean medicine. We evaluated the outcome evaluating physical examination findings of the hip joint, numeric rating scale, pain disability index, Harris hip score, and walking state. After the treatment, we observed that hip movement and muscular strength improved. Moreover numeric rating scale, pain disability index, Harris hip score, and walking state of patients improved. A rehabilitation in Korean medicine can be effectively used for total hip replacement patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean medicine.

개별 심장재활교육이 경피적 관상동맥 중재술(PCI) 환자의 지식과 불안에 미치는 효과 (The Effects of Individualized Cardiac Rehabilitation Education for Percutaneous Coronary Intervention (PCI) Patients)

  • 김남초;최경옥
    • 기본간호학회지
    • /
    • 제13권1호
    • /
    • pp.42-49
    • /
    • 2006
  • Purpose: This study was done to evaluate the effectiveness of cardiac rehabilitation education individualized to PCI patients in order to improve their knowledge of these diseases and to lessen their anxiety. Method: A Quasi experimental design with non-equivalent control group non-synchronized design was used. The experimental group had the PCI operation for ischemic heart disease and individualized cardiac rehabilitation education and counseling twice for 25 minutes each time using an educational booklet developed by the authors. The effects of the education were analyzed using a knowledge assessment tool, state anxiety inventory and anxiety visual analogue scale. Results: The experimental group who received the individualized cardiac rehabilitation education showed a high level of knowledge about diseases compared to the control group and particularly showed a significant difference in knowledge about the drugs used for treatment. However, no significant difference was observed between the two groups in the level of state anxiety and anxiety visual analogue scale. Conclusion: Individualized cardiac rehabilitation education did not reduce anxiety but it was effective in enhancing the participants' knowledge about the diseases. Thus, it can be utilized effectively in addressing risk factors in ischemic heart diseases by providing education individualized according to patients' demands and knowledge levels.

  • PDF

Performance-based plastic design for seismic rehabilitation of high rise frames with eccentric bracing and vertical link

  • Karimi, Rouhina;Rahimi, Sepideh
    • Earthquakes and Structures
    • /
    • 제17권6호
    • /
    • pp.623-633
    • /
    • 2019
  • A large number of available concrete buildings designed only considering gravity load that require seismic rehabilitation because of failure to meet plasticity criteria. Using steel bracings are a common type of seismic rehabilitation. The eccentric bracings with vertical link reduce non-elastic deformation imposed on concrete members as well as elimination of probable buckling problems of bracings. In this study, three concrete frames of 10, 15, and 20 stories designed only for gravity load have been considered for seismic improvement using performance-based plastic design. Afterwards, nonlinear time series analysis was employed to evaluate seismic behavior of the models in two modes including before and after rehabilitation. The results revealed that shear link can yield desirable performance with the least time, cost and number of bracings of concrete frames. Also, it was found that the seismic rehabilitation can reduce maximum relative displacement in the middle stories about 40 to 80 percent. Generally, findings of this study demonstrated that the eccentric bracing with vertical link can be employed as a suitable proxy to achieve better seismic performance for existing high rise concrete frames.

인지재활 프로그램이 뇌졸중환자의 인지기능, 우울 및 일상생활수행능력에 미치는 효과 (Effect of Cognitive Rehabilitation Program on Cognitive Function, Depression, and Activities of Daily Living among Patients with Strokes)

  • 장윤정;전성숙
    • 성인간호학회지
    • /
    • 제24권3호
    • /
    • pp.305-316
    • /
    • 2012
  • Purpose: The purpose of this study was to test the effectiveness of a cognitive rehabilitation program for the patients having an acute stroke. The variables evaluated were cognitive function, depression and activities of daily living (ADLs). Methods: A non-equivalent control group pretest-posttest design with sixty-two subjects from two separated institutions was the design for the study. Thirty-three patients were assigned to the treatment group and 29 patients comprised the comparison group. The treatment group participated in the nursing intervention for cognitive rehabilitation for a three week period of time. The study was conducted from September 2010 to April 2011. Results: Following the three week intervention, the cognitive function and activities of daily living of the treatment group were significantly improved compared to the comparison group (t=6.33, p<.001; t=4.57, p<.001). Specifically, depression was significantly decreased in the treatment group (t=3.95, p<.001). Conclusion: The cognitive rehabilitation program was effective in increasing the treatment group cognitive function and activities of daily living along with a decrease in depression scores. Therefore, Cognitive Rehabilitation Program could be expected a beneficial nursing intervention in stroke patients.