• Title/Summary/Keyword: Rehabilitation Strategy

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가정 방문 물리치료의 전략 (A Strategy of the Home Visiting Physical Therapy)

  • Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.180-189
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    • 2003
  • The purpose of this study was to emphasize the strategy of the home visiting physical therapy for elderly patients who have joint and musculoskeletal problems, disabled person who staying in home and early discharged person who staying in home with replacement of artificial hip joint and central nerve system problems with CP, CVA, SCI etc. Home visiting physical therapist can provide evaluation and diagnosis, treatment with their special knowledge and techniques, treatment council and education for the patients and family member and refer the patients to other specialist. Home visiting physical therapy can expects that patients will have better treatment with emotionally, economically and for long term care patients.

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요통환자에 대한 ICF Tool을 적용한 중재전략의 증례 (A Case Report of Intervention Strategy Applied ICF Tool on Patient with Low Back Pain)

  • 강태우;송명수;김창헌
    • PNF and Movement
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    • 제10권2호
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    • pp.17-24
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    • 2012
  • Purpose : The purpose of this study was to describe the Intervention strategy applied ICF Tool on patient with low back pain. Methods : The data was collected by low back pain patient. We applied the ICF Tool for low back pain patient. Parameters of result were collected for using the VAS, 6 minute walk test and ICF assessment sheet. Results : Significant differences were observed the low back pain patient for VAS, 6 minute walk test and ICF assessment sheet. low back pain patient improved all test. Conclusion : ICF Tool applied Intervention about low back pain patient is very useful and effective. It is effective in clinical practice.

Application of Supercharge End-to-Side (SETS) Obturator to Femoral Nerve Transfer in Electrical Injury-Induced Neuropathy to Improve Knee Extension

  • Katie Pei-Hsuan Wu;Li-Ching Lin;Johnny Chuieng-Yi Lu
    • Archives of Plastic Surgery
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    • 제49권6호
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    • pp.769-772
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    • 2022
  • Femoral nerve injuries are devastating injuries that lead to paralysis of the quadriceps muscles, weakening knee extension to prohibit ambulation. We report a devastating case of electrical injury-induced femoral neuropathy, where no apparent site of nerve disruption can be identified, thus inhibiting the traditional choices of nerve reconstruction such as nerve repair, grafting, or transfer. Concomitant spinal cord injury resulted in spastic myopathy of the antagonist muscles that further restricted knee extension. Our strategy was to perform (1) supercharge end-to-side technique (SETS) to augment the function of target muscles and (2) fractional tendon lengthening to release the spastic muscles. Dramatic postoperative improvement in passive and active range of motion highlights the effectiveness of this strategy to manage partial femoral nerve injuries.

FWD 처짐치에 의한 포장층 탄성계수 역산 및 해석기법 (Back calculation and solution Technique of E-modulus by FWD′s deflection data in Pavement)

  • 위성동
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2002년도 가을 학술발표회 논문집
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    • pp.188-200
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    • 2002
  • In this study, a pavement evaluation method is introduced by a case study of the measurement data obtained in Incheon International Airport. Based on the results obtained by both visual inspection and automobile inspection equipments, the pavement surface condition is evaluated and used for maintenance and rehabilitation strategy for pavement. In addition, the special attention was given to the back calculation and solution technique of E-modulus by FWD's deflection data in Pavement.

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CORE 안정성 훈련이 뇌졸중 환자의 자세조절, 균형 및 상지기능에 미치는 효과 (The Effects of Core Stability on Postural Control, Balance and Upper Motor Function in Patients with Stroke)

  • 이병희;김성렬;이종수
    • 한방재활의학과학회지
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    • 제19권3호
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    • pp.69-80
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    • 2009
  • Objectives : The purpose of this study was to evaluate the effects of core stability training on postural control and balance of hemiplegia patients who are difficult to control posture due to stroke. Methods : Subjects of the study were consisted of 25 adult hemiplegia patients(experimental 12, control 13) who were receiving rehabilitation therapy in hospital. Its group had a core stability training program by a physical therapists for 40 minutes, five times a week for nine-week period. Measurements of postural assessment scale for stroke(PASS), berg balance scale(BBS) and manual function test(MFT) were evaluated at initial presentation(pretest) and after completion of the each therapy program(posttest). Independent t-test and paired t-test was utilized to detect the mean difference between the groups. Results : Firstly, the result of PASS showed that postural control was significantly increased after the completion of core stability training(p<.01). Secondly, the result of BBS showed that balance control was significantly increased after the completion of core stability training(p<.01) and general physical therapy(p<.01). Lastly, the result of MFT showed that upper extremity's motor function was significantly increased after the completion of core stability training(p<.001). Conclusions : This study showed that core stability training is an effective treatment strategy on postural control, balance and upper extremity's motor function.

인체 자중 보상 및 로봇 경로계획법을 이용한 이동형 보행 재활 시스템 개발 (Development of Walking Assistive System using Body Weight Supporting and Path Planning Strategy)

  • 유승남;손웅희;서승환;이상호;한창수
    • 제어로봇시스템학회논문지
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    • 제16권10호
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    • pp.939-947
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    • 2010
  • With the rising numbers of elderly and disabled people, the demand for welfare services using a robotic system and not involving human effort is likewise increasing. This study deals with a mobile-robot system combined with a BWS (Body Weight Support) system for gait rehabilitation. The BWS system is designed via the kinematic analysis of the robot's body-lifting characteristics and of the walking guide system that controls the total rehabilitation system integrated in the mobile robot. This mobile platform is operated by utilizing the AGV (Autonomous Guided Vehicle) driving algorithm. Especially, the method that integrates geometric path tracking and obstacle avoidance for a nonholonomic mobile robot is applied so that the system can be operated in an area where the elderly users are expected to be situated, such as in a public hospital or a rehabilitation center. The mobile robot follows the path by moving through the turning radius supplied by the pure-pursuit method which is one of the existing geometric path-tracking methods. The effectiveness of the proposed method is verified through the real experiments those are conducted for path tracking with static- and dynamic-obstacle avoidance. Finally, through the EMG (Electromyography) signal measurement of the subject, the performance of the proposed system in a real operation condition is evaluated.

기억학교 경증치매노인의 인지재활사업에 관한 연구 (A Study on the Cognitive Rehabilitation Project of the Elderly with Moderate Memory Dementia)

  • 서경도;최인규
    • 디지털융복합연구
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    • 제15권5호
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    • pp.517-522
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    • 2017
  • 본 연구는 대구시 소재 기억의 주간보호시설을 활용하여 경증치매 노인대상의 인지활동을 중심으로 한 인지재활 프로그램을 개발하여, 지역사회 경증 치매노인에게 유용한 복지서비스를 제공함을 연구목적이다. 현재 우리나라에서는 아직 현 실정에 맞는 치매 환자에 대한 지역사회기반의 통합적 중재 프로그램에 대한 개발이 많이 이루어지지 않아 이에 대한 프로그램 개발이 절실히 필요하다. 본 연구의 경증치매노인 인지재활사업은 주로 지역사회 기반의 보호시설 등의 집단시설에서 적용하기에 적합한 경증치매환자 관리에 근간이 될 수 있다고 본다. 하지만 경증치매환자는 개인적 차로 인해 환자 모두가 동일하지 않고 인지재활방법과 그 효과는 분명히 차이가 있다. 결과적으로 개별적으로 적합한 전략에 의해 그 효과를 높일 수 있을 것으로 기대되며 이전 보다 특성이 있고 개별화된 노인요양 케어 프로그램의 개발도 연계될 것으로 사료된다.

비연성 철근 콘크리트 중력 프레임에 의한 지진 보강 (Seismic Rehabilitation of Nonductile Reidorced Concrete Gravity Frame)

  • Dong Choon Choi;Javeed A. Munsh;Kwang W. Kim
    • 한국농공학회지
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    • 제43권5호
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    • pp.116-123
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    • 2001
  • This paper represents results of an effort to seismically rehabilitate a 12-story nonductile reinforced concrete frame building. The frame located in the most severe seismic area, zone 4, is assumed to be designed and detailed for gravity load requirements only. Both pushover and nonlinear time-history analyses are carried out to determine strength, deformation capacity and the vulnerability of the building. The analysis indicates a drift concentration at the $1^{st}$ floor level due to inadequate strength and ductility capacity of the ground floor columns. The capacity curve of the structure, when superimposed on the average demand response spectrum for the ensemble of scaled earthquakes indicates that the structure is extremely weak and requires a major retrofit. The retrofit of the building is attempted using viscoelastic (VE) dampers. The dampers at each floor level are sized in order to reduce the elastic story drift ratios to within 1%. It is found that this requires substantially large dampers that are not practically feasible. With practical size dampers, the analyses of the viscoelastically damped building indicates that the damper sizes provided are not sufficient enough to remove the biased response and drift concentration of the building. The results indicate that VE-dampers alone are not sufficient to rehabilitate such a concrete frame. Concrete buildings, in general, being stiffer require larger dampers. The second rehabilitation strategy uses concrete shearwalls. Shearwalls increased stiffness and strength of the building, which resulted in reducing the drift significantly. The effectiveness of VE-dampers in conjunction with stiff shearwalls was also studied. Considering the economy and effectiveness, it is concluded that shearwalls were the most feasible solution for seismic rehabilitation of such buildings.

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개인회생제도 이용자의 스트레스 요인이 우울에 미치는 영향 : 희망의 조절효과를 중심으로 (Effects of Stressors on the Depression of Users of Individual Rehabilitation System : Focusing on the Moderating Effects of Hope)

  • 전병주
    • 디지털융복합연구
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    • 제13권7호
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    • pp.393-402
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    • 2015
  • 본 연구는 대전, 세종, 충 남북 지역에 거주하는 개인회생제도 이용자 236명을 조사대상자로 하여 그들의 스트레스 요인이 우울에 미치는 영향을 조사하였으며, 이 관계에서 희망의 조절효과를 검증하였다. 본 연구에서는 자료분석을 위하여 PASW Statistics 18.0을 이용하였다. 주요 연구결과는 다음과 같다. 첫째, 조사대상자의 우울 수준은 보통수준보다 높은 것으로 나타났다. 둘째, 우울은 연령, 거주 지역, 학력, 사회활동의 참여 여부에 따라 집단별로 유의미한 차이가 나타났다. 셋째, 우울에 영향을 미치는 요인은 거주 지역, 사회활동의 참여 여부, 스트레스 요인에서의 건강 경제 가족문제, 희망 등으로 나타났다. 넷째, 희망은 건강 경제 가족 등의 스트레스의 요인과 우울과의 관계에서 조절효과를 갖는 것으로 나타났다. 이러한 실증적 연구결과에 기초하여 개인회생제도 이용자들의 우울을 방지하기 위한 실질적이고 통합적인 방안을 제시하였다. 또한, 개인회생제도 이용자에 대한 실천영역에서의 최초의 분석결과를 제시함으로써 제도의 본래 목적을 달성하는데 기초자료를 제공했다는 점에서 본 연구의 의의를 찾을 수 있다.

누운 자세에서 조기재활 자전거 시스템의 하지 운동 근 활성도 분석 (Muscle Activity Analysis of Lower Limb Training for Early Rehabilitation Cycling System in Supine Position)

  • 신선혜;서신배;유미;정호춘;조광수;홍정표;홍철운;권대규
    • 한국정밀공학회지
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    • 제33권9호
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    • pp.753-760
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    • 2016
  • This study was undertaken to develop a bed-type cycling system of lower limbs for rehabilitation. This system consists of two modes of cycling: active and passive. Different velocity and loads are provided for improving the muscle function recovery and increasing the muscular strength. To analyze the muscle activity pattern, we measured muscular activity of lower limbs in the rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), medial gastrocnemius (MG), and soleus (SOL), while cycling in the supine position, and based on the pedaling direction. A total of 18 young and 23 elderly, healthy subjects participated in this study. Muscle activity of MG muscles was significantly different in the two age groups. This study could provide the reference data to develop cycling exercises for lower limbs during rehabilitation of the elderly patients.