• Title/Summary/Keyword: Rehabilitation Strategy

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A Study on Disability Database and Applicable System to Provide Continuous and Comprehensive Rehabilitation Service (지속적·포괄적 재활서비스 제공을 위한 장애인 통합 데이터베이스 및 활용체계 연구)

  • Lee, Hee-Yeon;Ho, Seung-Hee;Kang, Hyun-Gyu;Lee, Seung-Young
    • Health Policy and Management
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    • v.21 no.2
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    • pp.279-308
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    • 2011
  • Background : Demands have increased for a variety of welfare services and customized services for persons with disabilities(PWD). A management System focused on PWD was needed to provide for comprehensive services. The purpose of this study was to design a disability database and an application system in order to provide continuous and comprehensive rehabilitation service for PWD. Methods : We analyzed local and abroad disability-related policies and systems and derived the contents that should be included in the integrated database for PWD through a survey among rehabilitation specialists. Result : The integrated database for PWD was composed of 7 categories including General Characteristics, Health & Medicine, Assistance, Education, Employment, Economics and Daily & Social Life. The applicable system of integrated database for PWD was proposed to help conducting policies in such areas as follows ; 'welfare', 'education and culture', 'economic activity', 'social participation' and 'Health'. Conclusion : The main goal of disability policy and strategy should be established by systematically analyzing disability-related data integrating database of PWD. Accordingly, specific objectives and directions for disability policies should be set and efficiently managed and operated. The integrated database for PWD may be utilized for disability-related policies and service monitering, sustainable and integrated management and community participation and integration based on the rights of the disabled.

Adaptation Process of The Family with Hemodialysis (혈액투석 환자 가족의 적응 과정)

  • Lee, Young-Ae
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.2
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    • pp.184-192
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    • 1999
  • Hemodialysis is a way of treatment for the patients with acute and chronic renal failure. "Marginal man" depicts the enormous amount of stress that hemodialytic patients suffer. It is known that family with chronic illness get stressed along with the patients and they need nursing care also. This qualitative study was conducted in order to identify the family adaptation process in patients with hemodialysis. 6 dyads of hemodialytic patients and caregivers were interviewed for this research. By way of grounded theoretical strategy the data was collected from October 20, 1999 to November 20, 1999. at a hemodialytic unit that was located in Iksan, Chonbuk by the researcher. The main research questions were "What's the adaptation experience of a patient since after being received with hemodialysis?" to the patients, and "What's the family adaptation experience of hemodialysis?" to the caregivers. The collected data was analyzed by grounded theoretical strategy built by Glaser & Strauss in 1967. Results were as follows; 7 grounded concepts were observed from the patients with hemodialysis and 4 grounded concepts were found from the caregivers. Two categories were derived ; 1) Holding hope that is related with treatment 2) Changing a value system.

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The effects of a task-oriented circuit training program of lower limb on walking ability after stroke (순환식 하지 훈련이 뇌졸중 환자의 보행능력에 미치는 영향)

  • Kong, Sun-Woong;Kim, Ji-Sun;Moon, Seong-Jang;Jin, Won-Hwa;Yun, Tae-Won;Han, Mi-Ran;Cho, Young-Hwan
    • PNF and Movement
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    • v.8 no.2
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    • pp.47-55
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    • 2010
  • Purpose : The purpose of present study was to determine effects of a task-oriented circuit training(TOCT) for lower limb on walking ability after stroke. Methods : Twenty one chronic stroke patients participated. Participants were randomly divided into either TOCT group or control group(11 experimental, 10 control). All of participants were in-patients at local rehabilitation centre and had been receiving a traditional rehabilitation program, five days a week. TOCT group have additionally undergone for four weeks, three days a week, the TOCT program but control group was not received any additional program except the traditional rehabilitation program. The 10 m walking test (10MWT), the 2 min walking test (2MWT), the step test (ST) and the figure-8 walking test (F8WT) to measure a walking ability were carried out twice before and after training. Results : After participation in the program, subjects of TOCT demonstrated a significant improvement in the scores of the 10MWT, 2MWT, the ST, the F8WT. The control group had no change on the any tests. After the training, the results to improve significantly in TOCT group compared to post-test of control group were the time of 10MWT and the time and the step of curved walking of F8WT. Conclusion : The present study suggests that the TOCT program may become a useful strategy for enhancing walking ability in the rehabilitation of stroke patients.

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Effects of the Movement Strategies on Functional Forward Reach in Standing (운동전략이 기립자세의 기능적 전방 팔뻗기에 미치는 영향)

  • Park, Je-Sang;Kwon, Oh-Yun;Choi, Houng-Sik;Kim, Tack-Hoon
    • Physical Therapy Korea
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    • v.7 no.1
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    • pp.46-54
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    • 2000
  • The purpose of this study is to determine whether movement strategies affect functional forward reach distance in a standing position. Forty-seven healthy subjects were selected for this study: 23 men and 24 women, with an average age of 22.3. Functional forward reach distances were measured as hip strategy and squat strategy (included knee and ankle movement strategy) in a standing position, respectively. The mean values of functional forward reach distance in hip strategy, squat strategy were 33.57 cm, 29.48 cm, respectively. There was significantly difference in functional forward reach distance between hip strategy and squat strategy(p<.001). There was no difference of functional forward reach distance between male and female in hip strategy, but there was significant difference in other strategy(p<.05). These results suggest that movement strategies should be considered during functional forward reach test in standing. Further study is required to determine whether movement strategies affect functional reach distance in elderly and disabled groups.

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A Case Report of Inter-expert Cooperation Strategy for Increasing Community Ambulation in Stroke Patient (뇌졸중 환자의 지역사회 보행능력 증진을 위한 동일 전문가 간 협력 사례)

  • Cho, Hyuk-Shin;Chung, Hyun-Ae
    • PNF and Movement
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    • v.9 no.3
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    • pp.41-48
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    • 2011
  • Purpose : The purpose of this study was to describe the Inter-expert cooperation strategy for community ambulation in stroke patient. Methods : The data was collected by stroke patient. We applied the Inter-expert cooperation strategy for community ambulation to stroke patient. Parameters of result were collected for using the 10m walk test, 6 minute walk test and ICF assessment sheet. Results : Significant differences were observed the stroke patient for 10m walk test, 6 minute walk test and ICF assessment sheet. stroke patient improved all test. Conclusions : Inter-expert cooperation strategy applied community ambulation is very useful and effective. It is effective in clinical practice.

Effects of Hospital Location Strategy and Internal Competence on Reintegration Intention -Adjustment of Hospital Types- (병원의 입지전략과 내부역량이 재이용의도에 미치는 영향 -병원유형의 조절효과-)

  • Kim, Duck Ki;Kim, Woo-Jong
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.75-86
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    • 2018
  • This study analyzed the relationship between re-applications and the degree of re-applications under the assumption of a complex interaction between the location strategy and the internal capacity of a nursing home. The results of the study are as follows. First, although the relative influence on re-use is greater in hospital internal capacity (${\beta}=0.303$) than in hospital location strategy (${\beta}=0.313$) both factors have a statistically significant effect on the degree of re-use. Second, the importance of location strategy was found to be more important for rehabilitation-enhanced nursing hospitals than for general care (${\beta}=0.43$). It is suggested that detailed preparations should be made based on factors such as location marketability, traffic infrastructure, building sales, and medical concentration. Third, internal hospital capacity did not show any adjustment effects due to hospital type, and it was confirmed that both were important factors for general care and rehabilitation-enhanced hospitals.

Vegetation Rehabilitation and Management Strategy of the fired Woodland in Chesuk-bong of Mt. Chiri (지리산(智異山) 제석봉(帝釋峰) 산화적지(山火跡地)의 식생회복(植生回復) 및 관리방안(管理方案))

  • Chung, Jae-Min;Moon, Hyun-Shik;Ma, Ho-Seop
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.2 no.1
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    • pp.58-65
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    • 1999
  • The purpose of this study was to evaluate the effect of rehabilitation measures on the fired woodland of Chesuk-bong in Mt. Chiri through the vegetation structure and comparison of growth pattern between natural seedlings and transplanted Abies koreana seedlings. It was also discussed the rate of standing and fallen trees of dead conifers in the management strategy for vegetation regeneration and protection of sub-alpine area. In this fired woodland, shrub layers consisting of Weigela subsessilis, Sambucus williamsii var. coreana, Rhododendron schlippenbachii, R. mucronulatum, Tripterygium regelii, and etc. were gradually expanded, and tree species such as Betula ermani, Sorbus commixta, Acer pseudosieboldianum, and Malus baccata var. mandshurica were also regenerated. The growth of height and crown width of Abies koreana seedlings transplanted for vegetation regeneration were a little lower than those of natural seedlings. The seedlings of A. koreana transplanted in this fired woodland grew about 50.6% normally, but the others had multi-branched or growth stopped by death of terminal shoot. Because the number of dead conifers by fire tend to be gradually increased as time passed, it can occurs to the soil erosion and landslide by weakness of the cohesion and resistance of soil. Therefore, it is consider that rehabilitation measures projects of the fired woodland in subalpine area may be more prevention a natural disaster like soil erosion, flood and landslide.

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Sewerage rehabilitation strategy based on sewer capacity evaluation (하수관거 통수능 검토를 통한 관거 개선방안 연구)

  • Ryu, Jaena;Oh, Jeill;Oh, Sukho
    • Journal of Korean Society of Water and Wastewater
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    • v.23 no.1
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    • pp.47-55
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    • 2009
  • Sewers are important national infrastructure and play an essential part by handling both wastewater and stormwater to minimise problems caused to human life and the environment. However, they can cause urban flooding when rainfall exceeds the system capacity. Sewer flooding is an unwelcome and increasingly frequent problem in many urban areas, and its frequency will increase over time with urbanisation and climate change. Under current standards, sewers are designed to drain stormwater generated by up to 10 year return period storms, but data suggests that many in practice have been experienced flooding with exceeding system capacity under increased storm events. A large number of studies has considered upgrading or increasing the design standard but there are still lack of information to propose a suitable return period with the corresponding system quantity to achieve. A methodology is required to suggest a proper level of standard within a suitable sewerage rehabilitation planning that can avoid the exceedance problem. This study aimed to develop a methodology to support effective sewer rehabilitation that could prevent urban flooding mainly resulted from the exceedance of existing storm sewer system capacity. Selected sewerage rehabilitation methods were examined under different storm return periods and compared to achieve the best value for money.

Development of a Multi-Function Myoelectric Prosthetic Hand with Communicative Hand Gestures (의사표현 손동작이 가능한 다기능 근전 전동의수 개발)

  • Heo, Yoon;Hong, Bum-Ki;Hong, Eyong-Pyo;Park, Se-Hoon;Moon, Mu-Seong
    • Journal of Institute of Control, Robotics and Systems
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    • v.17 no.12
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    • pp.1248-1255
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    • 2011
  • In daily life, another major role of human hand is a communicative function using hand gestures besides grasp function. Therefore, if amputees can express their intention by the prosthetic hand, they can much actively participate in social activities. Thus, this paper propose myoelectric multi-function prosthetic hand which can express 6 useful hand gestures such as Rock, Scissors, Paper, Indexing, Ok and Thumb-up. It was designed as under-actuated structure to minimize volume and weight of the prosthetic hand. Moreover, in order to effectively control various hand gestures by only two EMG sensors, we propose a control strategy that the signal type are expanded as "Strong" and "Light", and hand gestures are hierarchically classified for the intuitive control. Finally, we prove the validity of the developed prosthetic hand with the experiment.

A Study on the Field Application and Prospect of Artificial Intelligence and Bio-Sensing Technology in Physical Therapy: Focusing on Customized Rehabilitation Treatment (물리치료 분야에서 인공지능 및 바이오센싱 기술의 현장적용 및 전망에 관한 연구: 맞춤형 재활치료를 중심으로)

  • Kyung-Tae Yoo
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.3
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    • pp.73-84
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    • 2023
  • PURPOSE: This study analyzed the impact of AI and biosensors on physical therapy, identifying the stage of customized technology development and future prospects. AI and biosensors improve the efficiency, establish customized treatment plans, and expand patient treatment opportunities. The study employed a literature review by searching databases and collecting research. METHODS: This study searched various databases related to the topic, collected existing research, papers, and reports, evaluated the literature, and summarize the results. RESULTS: Exercise therapy utilizing artificial intelligence can provide personalized and optimal exercise plans while monitoring rehabilitation progress. In addition, biosensors such as EMG sensors and accelerometers can monitor the individual progress in physical therapy, particularly in stroke patients, which can help improve physical therapy strategy and promote patient recovery. CONCLUSION: This study suggested that artificial intelligence can be applied in many areas of physical therapy, such as exercise therapy, customized treatment plans, rehabilitation and management, pain management, neuro rehabilitation, and auxiliary devices. Using AI technology, it is possible to analyze and improve exercise and posture, retrain the central nervous system, establish customized treatment plans for individual patients, predict and compare patient progress before and after treatment, and provide customized pain analysis and treatment methods. In addition, AI can provide neuro rehabilitation programs and customized auxiliary devices.