• 제목/요약/키워드: Rehabilitation Order

검색결과 1,119건 처리시간 0.027초

운동프로그램 중재가 돌림근띠 복원술 환자의 근 활성도에 미치는 영향 (Effects of Exercise Program Intervention on Muscle Activity in Rotator Cuff Repair Patient)

  • 강정일;문영준;박승규;이준희;양대중;최현;정대근;김용남;권혜민
    • The Journal of Korean Physical Therapy
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    • 제25권2호
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    • pp.56-63
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    • 2013
  • Purpose: This study was conducted in order to examine how an effective rehabilitation exercise program influences the activity of shoulder muscles, and to help the clinical application of a rehabilitation program, for prevention and relief of pain, adhesion, and joint stiffness of patients who undergo rotator cuff repair. Methods: Nine test subjects were placed randomly into each group for a total of 27 subjects and exercise program interventions according to the group were conducted for six weeks, after which maximum voluntary isometric contraction (%MVIC) value was re-measured for supraspinatus muscle, infraspinatus muscle, serratus anterior muscle, and middle deltoid muscle in all groups in order to compare changes in muscle activity before and after the experiment in order to perform comparative analysis of changes in muscle activity between groups, based on which four experimental hypotheses were confirmed. Results: Changes in muscle activity according to %MVIC showed a statistically significant difference (p<0.01) (p<0.001) in all muscles, except the middle deltoid muscle, and post-verification results showed that changes in muscle activity according to %MVIC were greater in test groups I and II, compared with the control group, for the supraspinatus muscle, infraspinatus muscle, and serratus anterior muscle. Conclusion: Therefore, rehabilitation through use of the methods described above should be applied efficiently in clinical settings and more research in development of much more efficient rehabilitation program interventions must be conducted.

도시정비사업의 효율적 추진을 위한 갈등조정 방안 연구 (A Study on the Conflict Resolution for the efficient promotion of Urban Rehabilitation Project)

  • 김구회;김형진;이주형
    • 한국산학기술학회논문지
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    • 제16권4호
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    • pp.2495-2504
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    • 2015
  • 본 연구는 도시정비사업의 효율적 추진에 영향을 미치는 갈등요인을 구축하고, 사업기간과 사업비용에 영향을 미치는 갈등요인을 PLS 회귀분석을 통해 도출하고자 한다. 자료 구축은 도시정비가 완료된 사업지역에 거주하고 있는 조합원, 세입자, 상인 등을 중심으로 하였다. 분석결과 사업기간의 경우 조합설립신청 및 인가, 철거 및 멸실신고, 사업시행계획 및 승인, 용역관련 이익집단의 사업지연 방해 등의 순으로 갈등요인이 중요한 것으로 도출되었으며, 사업비용의 경우 조합설립신청 및 인가, 매도청구, 이주, 철거 및 멸실신고, 관리처분계획 및 인가 등의 순으로 갈등요인이 중요한 것으로 나타났다.

자락요법(刺絡療法)의 문헌적(文獻的) 고찰(考察) (The Literature Study on Venesection therapy)

  • 민부기;;;오민석
    • 혜화의학회지
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    • 제13권2호
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    • pp.277-287
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    • 2004
  • I have come to next conclusions in consequence of documentary study about medical books of many generations regarding venesection therapy. 1. Venesection therapy is much used for five sensory organ disease. Besides that internal disease, pain paralysis disease of muscle and joints, sugical disease, disease of woman and children, fever sunstroke CVA emergency case follow that in the order of frequency of use. 2. It is used for swollen tongue, eye pain, pharyngitis, swelling and pain in the throat, bleeding from the eye ear nose mouth or subcutaneous tissue, tonsillitis, aphthae and so on in the five sensory organ disease. Focus, sosang, jinjin yuye, taiyang, baihui are used for five sensory organ disease in the order of frequency of use. 3. It is used for malaria, headache, precordial pain, head-wind, abdominal colic, diseases characterized by acute diarrhea and vomiting, and so on in the Internal disease. Superficial venules and lymph vessesls, taiyang, quze are used for Internal disease in the order of frequency of use. 4. It is used for low back pain, hypochondriac pain, numbness, knee pain, tinea pedis, red swelling pain of hand and arm, flaccidity-syndrome, and so on in the pain paralysis disease of muscle and joints. Weizhong, superficial venules and lymph vessesls, Ashi point, zhigou are used for pain paralysis disease of muscle and joints in the order of frequency of use. 5. It is used for furuncle, tinea capitis, and so on in the sugical disease. Focus, weizhong are used for sugical disease in the order of frequency of use. 6. It is used for inflammatory disease with redness of skin, and so on in the disease of woman and children. Focus, weizhong, yanglingquan, yaoshu, sanyinjiao are used for disease of woman and children in the order of frequency of use. 7. It is used for fever, CVA, sunstroke, cadaverous coma, common cold, and so on in the fever sunstroke CVA emergency case. Sosang, weizhong, chize are used for fever sunstroke CVA emergency case in the order of frequency of use. 8. The urinary bladder channel of foot-taiyang is most used. Next there are the du channel, the stomach channel of foot-yangming, the lung channel of hand-taiyin, the gall baldder channel of foot-shaoyang, the triple-warmer channel of hand-shaoyang, the large intestine channel of hand-yangming, the spleen channel of foot-taiyin, the kidney channel of foot-shaoyin the pericardium channel of hand-jueyin the liver channel of foot-jueyin, the ren channel, the heart channel of hand-shaoyin, the small intestine channel of hand-taiyang in the order of frequency in use. 9. Superficial venules and lymph vessesls, focus, five shu points, extra-point, back point are used in the venesection therapy, those are characteristic of locating an acupuncture point.

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재가 뇌졸중환자의 주간재활간호 프로그램 서비스 요구조사 (The Need for Rehabilitation Day Care Program Service of Stroke Survivors)

  • 정성희;서문자
    • 재활간호학회지
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    • 제2권1호
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    • pp.29-44
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    • 1999
  • This study was carried out to obtain basic data required to plan and develop Rehabilitation Day Care Program for the stroke Survivors at home in Korea. The subjects comprised of 118 stroke survivors who discharged from 4 hospitals in Seoul during the past 2 years. The data were collected from August 3, 1998 to September 18, 1998, through interviews with questionnaires about general characteristics, activities of dally living, depression and service need of rehabilitation day care program at the outpatient clinics by trained nursing graduates. Data were analyzed with descriptive analysis, Pearson's correlation analysis, and Stepwise multiple linear regression analysis using SPSS/WIN program. The results obtained are as follows ; 1. The mean score of the general need of rehabilitation day care program of stroke survivors was 2.78(range 1-4). The highest need among the service categories of the rehabilitation day care program was self-care and restorative activities category, and health services referral category, recreation category, psychosocial activities category in order. The needs of each category are as follows ; 1) In the health services referral category, the need for speech therapy was highest, followed by the need for physical therapy and occupational therapy. 2) In the psychosocial activities category, the need for self-help group was highest. 3) In the self-care and restorative activities category, the need for bathing was highest, followed by bowel training, and ambulation training. 4) The need for the recreation category was 2.62. 2. Among the need for the effect related to the utilization of day care program, the need for survivors' physical and psychological well-being was highest and was followed by the need for caregiver's physical and psychological wellbeing. Pearson's correlation analysis revealed following results ; 1. The need for rehabilitation day care program service displayed a correlation with the level of education, ADL, and the level of depression, and a reverse correlation with age. 2. The need for the effect related to the utilization of rehabilitation day program displayed a correlation with the level of education, ADL, and the level of depression. The stepwise multiple linear regression analysis revealed following results : 1. For the need for rehabilitation day care program service, 28.4% of the variance was initially explained by one variable, level of depression. The level of depression plus two variables, survivors' age and ADL, explained 34.2% of the variance in the need for rehabilitation day care program service. 2. For the need for the effect related to the utilization of rehabilitation day care program, 12.4% of the variance was initially explained by one variable, level of depression. The level of depression plus one variable, level of education, explained 20.4% of the variance in the need for the effect related to the utilization of rehabilitation day care program. In conclusion, above characteristics should be considered when we are planning to develop stroke survivors' rehabilitation day care program.

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건강인군과 편마비군에 시행한 침, 전침 및 박동성 전기자장 치료가 상지의 체열 변화에 미치는 영향 (Thermographic Study on Effectiveness of Acupuncture, Electro-Acupuncture and Acupuncture with Pulsed Electromagnetic Therapy on Upper Extremity of Healthy and Hemiplegic Group)

  • 이종하;송미영;금동호
    • 한방재활의학과학회지
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    • 제26권2호
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    • pp.85-96
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    • 2016
  • Objectives This study was performed to evaluate the effects of acupuncture, electro-acupuncture and acupuncture with pulsed electromagnetic therapy on upper extremity of healthy people and hemiplegic patients by D.I.T.I.. Methods 20 healthy people and 20 hemiplegic patients caused by stroke were selected. They have been treated three different types of treatment; acupuncture, electro-acupuncture and acupuncture with pulsed electromagnetic therapy. And skin temperature of upper extremity has been measured before and after each treatment by D.I.T.I.. The thermographic data was analyzed by 'Independent T-test' and 'Repeated measures ANOVA test'. Results 1. In healthy group, there was very statistical significant difference (p<0.001) of the amount of thermal change by each treatment, and the amount of change was arranged in descending order; acupuncture with pulsed electromagnetic, acupuncture and electro-acupuncture. 2. In hemiplegic group, the skin temperature of hemiplegic side was $0.97^{\circ}C$ cooler than non-hemiplegic side. 3. Skin temperature of all hemiplegic patients was increased after acupuncture treatment. 4. In hemiplegic group, there was statistical significant difference (p<0.05) of the amount of thermal change by each treatment, and the amount of change was arranged in descending order; acupuncture with pulsed electromagnetic, acupuncture and electro-acupuncture. Conclusions The results indicate that acupuncture, electro-acupuncture and acupuncture with pulsed electromagnetic therapy had good effect on the change of skin temperature by stimulating sympathetic nervous system.

정골의학적(Osteopathic) 수기요법 분석 및 경근추나와의 관련성 연구 (Analysis of Osteopathic Manipulation and Study on Relationship with Chuna Manual Therapy for Meridian Sinew System)

  • 권정주;임형호;송윤경
    • 한방재활의학과학회지
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    • 제21권2호
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    • pp.171-188
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    • 2011
  • Objectives : The aim of this study is to analyze the actual investigation and classification of osteopathic manipulation by investigation of the various literature of the inside and outside of the country, and to present the application plan of osteopathy in chuna manual therapy for meridian sinew system. Methods : I referred to the domestic and foreign books about osteopathy and chiropractic. In order to investigate domestic dissertations, I searched 4 Korean medical databases and 4 Korean medical journals of osteopathy. Search terms used were osteopathy, osteopathic, fascia, proprioreceptor, mechanoreceptor, muscle spindle, golgi tendon organ, osteopathic manipulation technics. And I classified all the searched studies into principle and region and etc. In order to investigate foreign dissertations, I search 'NCBI pubmed'. Search terms used were osteopathy, osteopathic technique, osteopathic manipulative technique. Results : 1. Osteopathy do not regard the systems which compose the human body in individual territory, but regard whole. It is diagnosis, prevention and medicine which treats 2. Osteopathic manipulation techniques are classified into direct techniques, indirect techniques, and compound techniques. 3. Osteopathic manipulation techniques are classified into fascia, muscle, ligament-joint in applied region. 4. I could search clinical cases in domestic and foreign study. I found cases about myofascial release technique(MFR), postisometric relaxation(PIR), proprioceptive neuromuscular fascilitation(PNF), muscle energy technique(MET), joint mobilization in domestic studies, and strain-counterstrain technique(SCS), MET, AK in foreign studies. Conclusions : Osteopathic manipulation techniques can be used in diagnosis and treatment of meridian muscle theory, because osteopathy and the oriental medicine have many similarities in theoretical background. So osteopathic manipulation technique can be useful in oriental medicine treatment techniques.

국도 아스팔트 포장의 NHPCI(National Highway Pavement Condition Index)를 활용한 보수공법그룹 결정에 관한 연구 (A Study for Determining the Rehabilitation Method Group using NHPCI on Asphalt Concrete Pavement of National Highway)

  • 손현장;권수안;이재준;백철민;임재규;신현진
    • 한국도로학회논문집
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    • 제15권2호
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    • pp.1-9
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    • 2013
  • PURPOSES : The PMS(Pavement Management System) has been utilized in order to efficiently allocate the limited budget for the maintenance of national highway system. In the PMS of national highway, surface pavement condition is evaluated by using the VI (Visual Index). However, the VI is determined only by considering the cracking rate (%) and rut depth (mm), which is not reflecting the IRI (International Roughness Index) that is known as an important factor of pavement performance. In this study, the NHPCI (National Highway Pavement Condition Index) which includes the cracking rate (%), rut depth (mm), and IRI (m/km) is suggested for determining the rehabilitation methods group. METHODS : First, the rehabilitation methods performed between 2008 and 2010 on the national highway is classified and then, NHPCI is determined for each rehabilitation method. Next, the NHPCI for each rehabilitation method is grouped through the interval estimation of the population mean and T-test analysis. RESULTS : According to NHPCI range, the rehabilitation methods are divided into four categories: Not Required, Preventive Maintenance, Overlay Treatment (with or without cutting), and Full-scale Treatment (i.e., reconstruction). CONCLUSIONS : Based on this study, it is recommended that the appropriate NHPCI range should be determined through the combination of the rehabilitation categories and Decision Procedure of Pavement Distress Condition Visual Index.

뇌졸중 환자가 지각한 스트레스와 임파워먼트가 재활동기에 미치는 융복합적 영향 (The convergent influence of Perceived Stress and the Empowerment on Rehabilitation motive of Stroke patients)

  • 강효정;권수혜;윤순철
    • 디지털융복합연구
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    • 제14권1호
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    • pp.291-303
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    • 2016
  • 본 연구는 뇌졸중 환자의 재활동기에 미치는 융복합적 영향요인을 확인하고자 시도되었다. 대상자는 재활병원 및 요양병원에 입원 중인 뇌졸중 환자 138명으로 일대일 면담을 통해 설문지를 작성하여 자료를 수집하였다. 자료는 기술적 통계, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression로 분석하였다. 연구결과, 뇌졸중 환자의 재활동기는 임파워먼트(r=.467, p<.001)와 유의한 상관관계가 있었으나 지각한 스트레스와는 유의한 관계를 보이지 않았다. 회귀분석 시 재활동기에 가장 큰 영향을 미치는 요인은 임파워먼트(${\beta}=.432$, p<.001)였고, 다음으로 주간호자(${\beta}=.175$, p=.023)로 확인되었으며, 이 변인들은 뇌졸중 환자의 재활동기를 총 24% 설명하는 것으로 나타났다. 따라서 본 연구의 결과에 따라 뇌졸중 환자의 재활동기를 증진시키기 위해 이들 영향요인을 고려한 융복합적 치료전략을 개발하고 적용할 필요가 있겠다.

뇌졸중 환자 및 보호자의 건강신념이 재활치료 이행 및 일상생활동작 수행능력에 미치는 영향 (Health beliefs of patients and caregivers of stroke rehabilitation in the implementation and impact the ability to perform everyday actions)

  • 이연섭;문병무
    • 대한물리치료과학회지
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    • 제18권4호
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    • pp.11-18
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    • 2011
  • Purpose : This study attempts to assist stroke patients lead independent daily life movements by providing basic data for stroke patients' successful rehabilitation program and understanding the relationship between health beliefs of stroke patients and their guardians, and patients' rehabilitation performance level and daily life movement fulfillment ability. Methods : 23 stroke patients receiving treatments at rehabilitation specializing hospital after getting diagnosed with a stroke, along with 23 guardians were selected as research subjects, and health belief was measured by modifying supplementing Byun Young-Hee(2002)'s health belief measurement tool for leg movement disorder patients. Research findings revealed the following relationship between health beliefs of stroke patients and their guardians, and patients' rehabilitation performance and daily life movement fulfillment ability. Results : The patients group's initial MBI score was $33.13{\pm}3.46$, and measurement after four weeks was $38.43{\pm}3.47$. As health beliefs got stronger, MBI score increased significantly(p<.05). Correlation analyses of factors that affect rehabilitation attendance rate showed that perceived susceptibility, seriousness and usefulness were statistically significant, and perceived disability was not statistically significant(p<.05). Guardians' health belief index(susceptibility, seriousness, usefulness, disability) had no correlation with rehabilitation attendance rate. Conclusion : In order to increase daily life movement fulfillment ability of patients who are being treated with stroke, health beliefs must be raised to increase changes in daily life movement fulfillment ability. Therefore, it is believed that managing programs that can increase health beliefs of stroke patients can allow patients obtain positive health beliefs, further increase rehabilitation performance rate of stroke patients as well as independent daily life ability.

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신경망을 활용한 손목재활 수부 동작 인식 최적화 기법 (Optimization Technique to recognize Hand Motion of Wrist Rehabilitation using Neural Network)

  • 이수현;이영근
    • 한국인터넷방송통신학회논문지
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    • 제21권2호
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    • pp.117-124
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    • 2021
  • 본 연구는 손목 재활을 위한 신경망을 이용하여 수부 동작 인식해주는 연구이다. 수부의 재활은 손상을 받은 수부의 기능을 최대로 회복시켜 일상생활과 직업, 취미생활을 가능하게 하는 것을 목표로 한다. 하지만 어느 장소를 찾아 치료를 하는 것은 경제적, 시간적으로 매우 비효율적이다. 이런 문제점을 해결하고자 본 연구에서는 환자가 직접 스마트 기기를 이용해 재활 치료를 하고자 한다. 이를 활용하면 비용이나 시간적인 면에서 매우 도움이 될 것이다. 본 연구에서는 총 10명의 사람으로부터 4 종류의 재활 운동에 대한 데이터를 수집하여 손목재활 데이터셋을 만들었다. 수부 제스쳐 인식은 신경망을 이용하여 모델을 구성하였다. 그 결과 93%의 정확도를 얻었으며, 본 시스템의 유용성을 검증하였다.