• 제목/요약/키워드: Rehabilitation Strategy

검색결과 223건 처리시간 0.022초

경기도 안성 도시구조의 근대화과정에 관한 기초연구 (A Basic Study on the Urban Structure's Modernization Process of Anseong, Gyeonggi-do, Korea)

  • 조용훈;이을규
    • 한국농촌건축학회논문집
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    • 제8권1호
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    • pp.101-110
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    • 2006
  • During high speed economic growth period in Korea, our society has focused it's energy on the economic and social development based on the strategy of demolition and destruction of all our natural and man-made environment. In progress with that trend, our small cities in Korea also have just followed the metropolitan physical development pattern and considered that imitation of those metropolitan cities' or western cities' changes be the same meaning of "modernization". Therefore, our valuable urban and architectural heritages have been constantly destructed and that situation has been same in Anseong. Now in the new trend of environmentally sustainable urban design and at the new millenium period, we have to focus our attention on the retaining strategy of city's historicity as a city planner or an architect, and the first step for this strategy shall be to clarify the transition process of urban structure, especially of C.B.D. area of small cities since pre-industrial period.

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A study of the multicomponent therapeutic recreation function intervention strategy by analysis on the operating condition of the cognitive rehabilitation program in dementia care center

  • Moon-Sook Lee;Byung-Jun Cho;Jae-Sik Yang
    • 한국컴퓨터정보학회논문지
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    • 제28권12호
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    • pp.155-166
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    • 2023
  • 이 연구는 치매안심센터 인지재활 프로그램의 현황 및 실태분석을 통한 활성화 방안과 다차원적 치료레크리에이션 프로그램에 대한 개발방향과 내용을 도출하고자 D시의 치매안심센타 인지재활 치료프로그램 참여 노인 각 50명씩(5개구)을 선정하였고, 9명을 전문가 집단 의견수렴 대상으로 선정하였다. 수집된 자료는 SPSS ver. 18.0 통계 프로그램을 이용하여 기술통계와 구성요소별 중요도 및 우선순위는 계층구조분석을 시행함으로써, 첫째, 현재 제공되고 있는 인지재활 지원 프로그램은 이용자의 요구와는 달리 지원프로그램이 충분하지 않아 경험이 상당히 낮게 나타났으며, 이에 대한 개선점으로는 돌봄이나 보호시설 확대와 이용자의 요구를 충족할 다양한 프로그램 개발이 중요하다고 나타났고, 둘째, 치료레크리에이션 구성요소별 중요도와 우선순위는 대분류(6개) 운동요법, 중분류(16개) 운동요법의 행동중심 접근법, 소분류(47개) 힘뇌체조, 실버건강체조가 가장 높게 나타났다. 이는 치료레크리에이션 프로그램 개발시 각 영역의 우선순위를 고려한 다차원적 프로그램 계획이 이루어져야 함을 보여주는 결과라 할 수 있다.

ICF를 적용한 뇌졸중 환자의 문서 기록과 중재 전략의 실례 (A case report of the intervention strategy & documentation in a patient with post stroke applied a International Classification of Functioning, Disability and Health)

  • 이선의;김태윤
    • PNF and Movement
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    • 제8권2호
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    • pp.57-67
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    • 2010
  • Background and Purpose : Many Physical therapist are inclined to communicate less effectively each other because they hardly use the standard terminology. The purposes of this case report are (1) to apply ICF-based documentation in evaluation (2) to submit the strategy of intervention process to improve the ability of walking short distance of the client who has post-stroke. Description : The client was 44-years-old man with hemiplegia who was in 1 month post-stroke problems were diagnosed while applying the ICF core set. The goals agreed with client were independently walking short distance, stairs and obstacles. To come up with the intervention strategy, hypothesis was set and 4 weeks of intervention was carried out after proposing the short goal and detailed purpose. Outcome : The client's performance in walking short distance and confidence were increased after impairment focused intervention, that are improved in walking velocity, endurance, supporting ability in lower limbs, rhythmical movement in upper limbs and the coordination of both limbs. Activities focused intervention also enhanced the ability in climbing steps and walking around obstacles. Conclusion : The decided hypothesis and goal that are to solve the problems the client faced were remarkably meaningful.

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PubMed 검색을 통한 요추 추간판 탈출증의 침치료 연구 동향 (The Research Trends on the Acupuncture Treatment of Lumbar Herniated Intervertebral Disc Using PubMed Database)

  • 신우석;박원형;차윤엽
    • 한방재활의학과학회지
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    • 제24권4호
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    • pp.49-60
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    • 2014
  • Objectives The purpose of this study is to research current trends of acupuncture treatment of lumbar herniated intervertebral disc using the PubMed database. Methods We set up the search strategy and investigated clinical trials on acupuncture treatment of lumbar herniated intervertebral disc through PubMed search. This study analyzed previous researched papers published from January 1st, 2000 to April 30th, 2014, and classified them by publication year, journal names, types of literature, treatment methods and evaluation scales. To assess the quality of the reviewed literature, randomized controlled trial (RCT) studies were assessed by Cochrane's risk of bias (ROB) tool and non-RCT studies were assessed by risk of bias for non-randomized studies (RoBANS). Results We found 35 studies on the acupuncture treatment of lumbar herniated intervertebral disc. Papers on this topic have been published, on average, three to four times annually in 9 journals since the mid-2000's. The journal with the largest number of publications was Chinese Acupuncture & Moxibustion, and most of articles were classified as RCT. Acupuncture treatment was performed individually or together with other treatments. The most frequently used pain evaluation index was visual analogue scale (VAS). The index of effective rate was used frequently but there was a lack of objectivity. In regards to the quality of the studies, outcome assessment in RCT showed that random sequence generation, allocation concealment, and the blinding of participants and personnel increase potential of risk of bias. For non-RCT assessment, outcome showed that confounding variable, measurement of intervention were at high risk of bias. Conclusions In order to obtain objective clinical evidence of acupuncture treatment of lumbar herniated intervertebral disc, further clinical studies should be designed to minimize the risk of bias, using STRICTA with larger sample sizes.

코어프로그램이 편마비환자의 동적 균형 감각에 미치는 영향 (The Effect of Core Program Exercise on Dynamic Balance of the Patient with Post-Stroke Hemiplegia)

  • 김광수;서현두;이병희;김성렬;이종수
    • 한방재활의학과학회지
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    • 제20권2호
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    • pp.79-87
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    • 2010
  • Objectives : The purpose of this study is to analyze and to compare the difference and the change between dynamic balance exercise group and dynamic balance exercise with core program exercise group. Also, based on this data, to prescribe effective exercises for hemiplegic patients and the pubis in order to achieve more effective dynamic balance exercise rehabilitation and better dynamic balance exercise in the field of therapeutical exercise. Methods : Twenty subjects(Core program exercise plus Dynamic balance exercise group, CP: 10, Dynamic balance exercise group, NCP: 10) were chosen among hemiplegic patients. Measurements of dynamic balance were evaluated at initial presentation(pretest) and after 4, 8, 12 weeks'. Paired t-test and Repeated measured ANOVA was utilized to detect the mean difference between the groups. Results : Firstly, after 4 weeks' and 8 weeks' and 12 weeks' CP exercise and NCP exercise, there were all significant difference to increase dynamic balance (p<0.05). secondly, after 4 weeks' and 8 weeks' and 12 weeks' CP and NCP exercise, there was significant difference to increase dynamic balance more CP group than NCP group. Lastly, among 4 weeks' and 8 weeks' and 12 weeks' CP exercise, there was progressively significant difference to increase dynamic balance(p<0.05). Conclusions : This study showed that dynamic balance exercise with core program exercise is an effective treatment strategy for hemiplegic patients than dynamic balance exercise rehabilitation.

중심축은 무엇인가? 지역사회중심재활(CBR)을 중심으로 한 NGO 활동전략 (What is Pivot? Implementation Strategies in NGOs under CBR)

  • 신숙경
    • 재활복지
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    • 제22권4호
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    • pp.23-41
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    • 2018
  • 많은 NGO 단체들은 장애인들의 재활과 권리를 보장하기 위하여 오랜시간동안 중요한 역할을 수행해 왔다. 그러나 많은 단체들이 장애인들의 권익과 복지향상을 위한 장기간의 자발적인 노력에도 불구하고 개발도상국의 장애인들은 여전히 힘들고 열악한 상황에 있다. 이에 본 논문은 세계적으로 많은 NGO단체들이 활동하고 있는 인도를 중심으로, 그들의 NGO 활동이 보다 효과적인 결과를 가져오게 올 수 있도록 활동 전략을 제시하되, 지역사회중심재활(CBR) 패러다임을 적용하고자 한다. 인도와 같은 개발도상국의 장애인을 위한 재활전략으로 CBR이 효과적인라는 많은 연구들이 있어 왔다. 이를 위하여 본 논문은 우선 인도의 장애인에 대한 사회적 인식과 주요 현황, 그리고 재활서비스에 대한 정보를 제공하였다. 그리고 그들의 권리를 지속적으로 보장하기 위한 중요한 전략 중 하나인 CBR을 중심으로, NGO 실무자 및 자원봉사자의 역할, 지역사회의 리더 및 장애인 당사자와 관련단체들의 역할에 대한 몇가지 제언을 하였다.

현장가열재생 아스팔트 포장의 현재 미국 내의 적용 현황 연구: 문헌조사 (Investigation of Current Practice on Hot In Place Recycling (HIR) in USA: Literature Review)

  • 임정혁;조성환;황성도
    • 한국도로학회논문집
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    • 제16권2호
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    • pp.73-89
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    • 2014
  • PURPOSES : The objective of this study is to investigate the current state of the practice, examining the steps in the process recommended by various agencies and the Asphalt Recycling and Reclaiming Association (ARRA)-namely mix design, structural design, structural capacity evaluation, and material characterization-in order to better understand the implications of hot in-place recycling (HIR). METHODS : In addition, the current practice of state departments of transportation (DOTs) is here reviewed with the purpose of learning from successful past experiences so as to forestall any difficulties that may emerge under similar circumstances. Also, HIR benefits, including reduced costs, improved construction processes, and environmental friendliness are presented, as well as advantages and disadvantages of HIR application. RESULTS : Most of the United States highway system is now deteriorating so that rehabilitation or reconstruction techniques are required for the most distressed roads, taking into account ways to increase the effectiveness of existing budgets. Several options are available in rehabilitating distressed roads, and the choice among these depends on many factors, including pavement distress condition, funding, and design life. Among these techniques, Hot In-Place Recycling (HIR) has emerged as a cost-effective treatment for deteriorated pavements, and has been proven an effective long-term strategy for pavement rehabilitation.

뇌성마비 환아 어머니의 사회적 지지와 부담감 (Burden and Social Support of Mothers with Cerebral Palsy Children)

  • 김은숙;김희순
    • 재활간호학회지
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    • 제12권1호
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    • pp.39-46
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    • 2009
  • Purpose: The purpose of this study was to identify the level of burden and social support of mothers with Cerebral Palsy (CP) children, and to determine whether providing social support is an effective strategy to relieve the burden of those mothers. Method: From October to November 2007, the data were collected from 63 mothers with CP children who were admitted and treated for CP at Y rehabilitation center in Seoul. The data were analyzed with t-test, ANOVA, Scheffe's test, Pearson's Correlation Coefficient, and Stepwise Multiple Regression using SPSS 12.0. Results: Burden of mothers was related to the Gross Motor Function Classification System (GMFCS) of the CP children. Social support was negatively correlated and GMFCS was positively correlated with burden of mothers. Social support and GMFCS was statistically significantly related with burden of mothers with CP children by multiple regression analysis. Conclusion: There was a significantly negative correlation between social support and burden. It demonstrated that social support, an important factor relating to burden imposed on mothers of CP children, can be considered as an intervening variable which can contribute to decrease of burden. In addition, applying developmental screening measures are needed to decrease disability severity.

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Effect of Acupuncture on 6-Hydroxydopamine-induced Nigrostriatal Dopaminergic Neuronal Cell Death in Rats

  • Kim, Yeung-Kee;Song, Yun-Kyung;Lim, Hyung-Ho
    • 대한한의학회지
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    • 제26권4호
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    • pp.98-107
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    • 2005
  • Objectives: Acupuncture treatment has been clinically used for functional recovery in Parkinson's disease. In the present study, we investigated the effect of acupuncture at Zusanli (ST36) on nigrostriatal dopaminergic neuronal cell death in rats. Methods: A Parkinson's disease model was induced by the unilateral injection of 6-hydroxydopamine (6-OHDA) into the striatum. Acupuncture treatment was performed at Zusanli (ST36) and at the hip, as a non-acupoint, once a day for 14 days. Two weeks after 6-0HDA injection, an apomorphine-induced rotational behavior test showed significant rotational asymmetry in rats with Parkinson's disease. Immunostaining for tyrosine hydroxylase demonstrated a dopaminergic neuronal loss in the substantia nigra and dopaminergic fiber loss in the striatum. Results: Acupuncture at the ST36 acupoint significantly inhibited rotational asymmetry in rats with Parkinson's disease, and also protected against 6-OHDA-induced nigrostriatal dopaminergic neuronal loss. These effects of acupuncture were not observed for non-acupoint acupuncture. Conclusions: The present study shows that acupuncture treatment, especially at the ST36 acupoint, can be used as a useful strategy for the treatment of Parkinson's disease.

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Behavior of pre-cracked deep beams with composite materials repairs

  • Boumaaza, M.;Bezazi, A.;Bouchelaghem, H.;Benzennache, N.;Amziane, S.;Scarpa, F.
    • Structural Engineering and Mechanics
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    • 제63권5호
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    • pp.575-583
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    • 2017
  • The study covers the behavior of reinforced concrete deep beams loaded under 4-point bending, failed by shear and repaired using bonding glass fiber reinforced plastics fabrics (GFRP) patches. Two rehabilitation methods have been used to highlight the influence of the composite on the ultimate strength of the beams and their failure modes. In the first series of trials the work has been focused on the reinforcement/rehabilitation of the beam by following the continuous configuration of the FRP fabric. The patch with a U-shape did not provide satisfactory results because this reinforcement strategy does not allow to increase the ultimate strength or to avoid the abrupt shear failure mode. A second methodology of rehabilitation/reinforcement has been developed in the form of SCR (Strips of Critical Region), in which the composite materials reinforcements are positioned to band the inclined cracks (shear) caused by the shear force. The results obtained by using this method lead a superior out come in terms of ultimate strength and change of the failure mode from abrupt shearing to ductile bending.