• Title/Summary/Keyword: Rehabilitation Design

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Effects of Cardiac Rehabilitation Programs(Phase III) on Cardiovascular and Cardiorespiratory Function of the Elderly with Myocardial Infarction (심장재활 프로그램(Phase III)이 심근경색증 노인의 심혈관과 심폐기능에 미치는 효과)

  • Kim, Jeong-Sun;Kim, Young-Joo;Jeong, Myung-Ho
    • Korean Journal of Adult Nursing
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    • v.21 no.2
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    • pp.212-224
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    • 2009
  • Purpose: The purpose of this study was to examine the effects of the cardiac rehabilitation program(Phase III) on cardiovascular and cardiorespiratory function in the elderly (age, ${\geq}$ 60) who experienced acute myocardial infarction. Methods: The design of research was nonequivalent control group pretest-posttest design. Subjects were 10 people in the experimental group and 10 in the control group. The intervention program was the cardiac rehabilitation program(Phase III), and was performed for 50 ~ 60 minutes, twice a week for 8 weeks. The dependent variables were the cardiovascular and cardiorespiratory function. Results: Significant differences were shown in RHR, RSBP, SRPP, SBS, BMI, PT of the experimental group after the intervention. As for the differences in the amount of changes, there were differences among groups in RHR, RSBP, SRPP, SBS, PMET, and PT of the experimental group. Conclusion: The cardiac rehabilitation program(Phase III) may be effective in improving cardiovascular function and enhancing cardiorespiratory function in elderly patients with acute myocardial infarction.

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Dual task interference while walking in chronic stroke survivors

  • Shin, Joon-Ho;Choi, Hyun;Lee, Jung Ah;Eun, Seon-deok;Koo, Dohoon;Kim, JaeHo;Lee, Sol;Cho, KiHun
    • Physical Therapy Rehabilitation Science
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    • v.6 no.3
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    • pp.134-139
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    • 2017
  • Objective: Dual-task interference is defined as decrements in performance observed when people attempt to perform two tasks concurrently, such as a verbal task and walking. The purpose of this study was to investigate the changes of gait ability according to the dual task interference in chronic stroke survivors. Design: Cross-sectional study. Methods: Ten chronic stroke survivors (9 male, 1 female; mean age, 55.30 years; mini mental state examination, 19.60; onset duration, 56.90 months) recruited from the local community participated in this study. Gait ability (velocity, paretic side step, and stride time and length) under the single- and dual-task conditions at a self-selected comfortable walking speed was measured using the motion analysis system. In the dual task conditions, subjects performed three types of cognitive tasks (controlled oral word association test, auditory clock test, and counting backwards) while walking on the track. Results: For velocity, step and stride length, there was a significant decrease in the dual-task walking condition compared to the single walking condition (p<0.05). In particular, higher reduction of walking ability was observed when applying the counting backward task. Conclusions: Our results revealed that the addition of cognitive tasks while walking may lead to decrements of gait ability in stroke survivors. In particular, the difficulty level was the highest for the calculating task. We believe that these results provide basic information for improvements in gait ability and may be useful in gait training to prevent falls after a stroke incident.

DESIGN OF AIR SEAT CUSHION ORTHOSIS FOR PLEGIA

  • Hong, Jung-Hwa;Kim, Gyoo-Suk;Kim, Jong-Kwon;Mun, Mu-Seong;Ryu, Jei-Cheong;Lee, In-Huk;Lee, Jong-Keun
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.05a
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    • pp.121-123
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    • 2002
  • The design of an air seat cushion for preventing decubitus ulcer includes many design factors such as the even distribution of interface pressure, the minimization of mean and peak interface pressure values, and the reduction of interface shear force and pressure gradient. It involves the anatomic condition of plegia's buttock as well as air pressure in air cells of cushion. As a result, a suitable design of the cushion satisfying the all requirements is a difficult problem. Therefore, an appropriate and effective numerical tool to develop an air cushion orthosis is required. The purpose of the present study was to develop an air seat cushion orthosis having optimized air cells for evenly distributed interface pressure between the buttock and cushion surface. For the purpose, an advanced finite element (FE) model for the design of air cushion was developed. Since the interface pressure and shear force behavior, as well as stress analyses were primary concern, a FE air cell model was developed and verified by the experiments. Then, the interactions of two cells were checked. Also, the human part of the developed numerical model includes every material property and geometry related to buttock and femoral parts. For construction of dimension data of buttock and femoral parts, CT scans were performed. A commercial FE program was employed for the simulation representing the seating process on the orthosis. Then, sensitive analyses were performed with varying design parameters. A set of optimal design parameters was found satisfying the design criteria of the orthosis. The results were utilized to produce a prototype of the orthosis. Experimentally, the buttock interface pressure distributions from the optimized and previous ones were compared. The new seat orthosis showed a significantly improved interface pressure characteristics compared to the most popular one in the market. The new orthosis will be used for the development of the AI(artificial intelligent) controlled seat orthosis fur prevention of decubitus ulcer fur various plegic patients and the elderly.

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The Effect of Cognitive Rehabilitation Program Combined with Physical Exercise on Cognitive Function, Depression, and Sleep in Chronic Stroke Patients

  • Kim, SoHyun;Cho, SungHyoun
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.32-42
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    • 2022
  • Objective: This study was conducted to verify the effectiveness of a cognitive rehabilitation program consisting of physical exercises and mental activities for patients with chronic stroke with mild cognitive impairment (MCI). We aimed to investigate how this cognitive rehabilitation program affects patients' cognitive ability, depression, and sleep quality. Design: One group pretest-posttest design Methods: The study was conductedon 12 patients who participated in thecognitive rehabilitation complex exercise program for 16 weeks. The Korean version of the Montreal Cognitive Assessment (MoCA-K), Hamilton Depression Rating Scale (K-HDRS), and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the measured variables before and after study participation. The cognitive rehabilitation complex exercise program included 30 minutes of cognitive exercise and 30 minutes of Brill Exercise. The Wilcoxon signed-rank test was used to compare the variables before and after program participation. Cronbach's ɑ was used to assess the reliability of the test variables. Results: The post-program assessment showed a statistically significant increase in the MoCA-K score, which measures cognitive function (Z=-2.628, P=0.009). For depression ratings, there was a statistically significant decrease in the K-HDRS score (Z=-2.041, P=0.041). For sleep quality, although there was a numerical increase in the PSQI score, the difference was not statistically significant (Z=-0.702, P=0.483). The reliability test confirmed that all the individual test variables exhibited high reliability (cognitive function, 0.859; depression, 0.872; sleep, 0.822). Conclusions: We found that cognitive rehabilitation program used in this study had a positive effect on the cognitive function and depression in patients with chronic stroke with MCI.

Development of an Ankle Rehabilitation Robot for Ankle-Bending Rehabilitation Exercise (발목굽힘 재활운동을 위한 발목재활로봇 개발)

  • Jung, Jae-Hyeon;Kim, Gab-Soon
    • Journal of Institute of Control, Robotics and Systems
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    • v.22 no.1
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    • pp.31-39
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    • 2016
  • This paper describes the design of an ankle rehabilitation robot for the force measurement of a severe stroke patient staying in a bed ward. The developed ankle rehabilitation robot was attached to a three-axis force/torque sensor that could detect force Fx, Fz, and torque Tz and measure the ankle rotation force (Fx) exerted on the ankle and the signal force Fz and torque Tz to be used as a safety device. The robot was designed and manufactured for bedridden stroke patients, and the robot program was manufactured to perform the flexibility rehabilitation exercise for ankle bending and to measure the ankle force to judge the degree of rehabilitation. According to the result of the characteristics test of the developed rehabilitation robot, it was safely operated while the ankle-bending flexibility rehabilitation exercise and the emergency situation were performed. Therefore, it is thought that the developed rehabilitation robot can be used for severe stroke patients.

The Effects of a Recovery Education Program on Rehabilitation Motivation, Symptoms, and Function for Schizophrenic Patients (재기교육 프로그램이 정신분열병 환자의 재활동기, 증상 및 기능에 미치는 영향)

  • Kim Yi-Young;Park Hyun-Sook;Park Kyung-Min
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.542-550
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    • 2006
  • Purpose: This study investigated the effects of a recovery education program on rehabilitation motivation, symptoms, and function for schizophrenic patients. Method: The study employed a quasi-experimental design. Participants for the study were 27 patients with schizophrenia, 14 in the experimental group and the other 13 in the control group. Data were analyzed by using the SPSS/WIN 11.5 program with Fisher's exact test, t-test, and Repeated measures ANOVA. Results: After a 7 week intervention, participants in the recovery education program group reported increased rehabilitation motivation and function scores, which was significantly different from those in the control group. Conclusion: A recovery education program was effective improving rehabilitation motivation and function for schizophrenic patients. Therefore, this program is recommended as a rehabilitation strategy for schizophrenic patients.

Swing Phase Dynamic Simulation of Pneumatic Prosthesis (공압식 대퇴의지의 유각기 동역학 시뮬레이션)

  • Cho, H.S.;Ryu, J.C.;Mun, M.S.;Kim, G.S.;Kim, K.H.;Kim, S.K.;Cheon, M.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.267-271
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    • 1997
  • In this study, swing phase dynamic simulation of above-knee prosthesis is performed. The prosthesis consists of a single axis knee mechanism and pneumatic cylinder. The numerical modelling of the prosthesis is analyzed in two dimensions. The governing equation of thermodynamical pneumatic cylinder model is applied to construct the control of lower limb during swing phase. Knee flexion angle with respect to the orifice diameter of the pneumatic cylinder is produced. This analysis will be very useful to the design of pneumatic cylinder in prosthesis.

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A Study on the Spatial Composition of the Rehabilitation Medical Treatment in a General Hospital - focused on cases of metropolitan area - (종합병원 재활의학과의 공간구성에 대한 연구 - 수도권 사례 분석을 중심으로 -)

  • Phyo, Kun-Woo;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.1
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    • pp.23-31
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    • 2005
  • Rehabilitation medicine patients in Korea have increased due to the development of medical technology and the structural change of diseases resulted from life quality improvement. Following this trend, many hospitals are making efforts, such as renovating rehabilitation medicine, but architectural criteria are not sufficiently suggested for specialized rehabilitation medicine. The purpose of this study is to present the research data to improve the quality of rehabilitation medicine in general hospital. Data collecting skills such as drawing documents analysis, interviews, observation were used to examine the condition of rehabilitation medicine. And, case study method was used to generate the design data which can be used for the appropriate spatial composition and the area calculation

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Concept Analysis of Cancer Rehabilitation for Cancer Survivors (암 생존자의 암 재활에 대한 개념분석)

  • Chang, Hee-Kyung;Park, Yeon-Hwan
    • Perspectives in Nursing Science
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    • v.8 no.1
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    • pp.1-9
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    • 2011
  • Purpose: The purpose of this study was to identify and define the concept of cancer rehabilitation in the lives of cancer survivors. Methods: A hybrid model of concept development was used to interface theoretical analaysis and empirical observation with a focus on definition. A comprehensive literature review and semi-structured interviews with five cancer survivors were completed. Results: The concept of cancer rehabilitation was found to be a route toward a positive experience having meaning in two dimensions: recovery of the activities of daily living and intrapersonal growth. Four attributes and ten indicators were defined. Conclusion: Cancer rehabilitation was defined as a positive process of change through recovery of the activities of daily living and intrapersonal growth. Therefore, oncology nurses can be encouraged to design, implement, and evaluate cancer rehabilitation nursing interventions with the results of this study. Further research needs to develop cancer rehabilitation measurements.

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State of Practice of Performance-Based Seismic Design in Korea

  • Lee, Dong-Hun;Kim, Taejin;Kim, Jong-Ho;Kang, Dae-Eon
    • International Journal of High-Rise Buildings
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    • v.1 no.3
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    • pp.195-201
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    • 2012
  • Today, a great effort to develop PBSD procedure to be utilized in Korea is given by domestic structural engineers, academics, and governmental organizations. After Great East Japan Earthquake (2011) took place, lots of clients in Korea became to concern of their buildings so that requests of seismic performance evaluation and seismic rehabilitation for existing buildings have been gradually increased. Such interests in seismic events initiated a rapid development of a series of guidelines for seismic performance evaluation and seismic performance enhancement. For new buildings, however, design guidelines for PBSD are yet well prepared in Korea and prescriptive design methods are dominant design procedure still. Herein, seismicity demands used in seismic performance evaluation and some important design parameters in NLRH are introduced. Some project examples for seismic performance evaluation and rehabilitation applying passive energy dissipation devices are also described in the latter part of paper.