• 제목/요약/키워드: Rehabilitation brace

검색결과 31건 처리시간 0.03초

서울지구 소아재활원 실태조사 (A STUDY ON THE ACTUAL CONDITIONS OF CHILDREN′S REHABILITATION CENTERS IN SEOUL)

  • 김계숙
    • 대한간호학회지
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    • 제4권1호
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    • pp.64-80
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    • 1974
  • The social understanding of the rehabilitation and welfare work for the handicapped children is nearly devoid in Korea. Especially the medical rehabilitation or nursing for them is left ign. ored as well as the literature preferential to this study is wanted. For the purpose of conducting the study of this thesis Sam Yook Children's Rehabilitation Center, Inc. and Crippled Children's Center, Yonsei University Medical center sampled out; covering three months from Aug. 1 to Oct. 30, 1973, the problems of children's rehabilitation, the characteristics of the children, the medical rehabilitation, nursing, education, and vocational rehabilitation were interviewed and widely grasped. This thesis aimed at developing the rehabilitation, the professional nursing and especially aimed at contributing to the improvement of welfare for the handicapped by analysing, observing the result of this study. The result is as follows: 1. Sam Yook Children's Rehabilitation Center, Inc. has, since its establishment, contributed to the advancement of the crippled children and its purpose consists in implementing services, medical rehabilitation, nursing, education and vocational training. Crippled Children's Center, Yonsei University Medical Center is, being based on Christianity, aiming at the medical treatment and education for the crippled children. 2. All of the children admitted in the children's rehabilitation centers are the crippled children. The ratio of boys io girls is three to two. Boys are more than girls. Orphan formed 55.2 per sent of them. About 60 per cent of them is receiving medical attention free of charge. But there is no orphan in Crippled Children's Center, Yonsei University Medical Center. 3. 15.7 per cent of them have received the previous medical attention before their admitting in the centers; in Sam Yook Children's Rehabilitation Center 8.6 percent, Crippled Children's Center, Yonsei University Medical Center 50 percent; there is remarkable difference between the two. 4. On the standpoint of period of being in the centers, the children who have been over three years in Sam Yook Children's Rehabilitation Center formed 48.7 per cent; in Crippled Children's Center, Yonsei University Medical Center 2.6 percent; there is also considerable difference between the two; they couldn't discharge from the centers owing to the economic conditions and being orphan. 5. Among the diagnosis of the crippled children, poliomyelitis formed highest 51.7 percent of them ; cerebral palsy formed 30 percent secondly in order. Environmental factors (67.8 percent formed about three times of congenital factors (23.7 percent). 6. The children who are capable of doing independently activity of daily living formed 87.9 percent; 73.2 percent can walk about 300 m by wearing brace and so on. The ratio of wearing brace or leg prosthesis formed 47.4 per cent: crutch 44.3 per cent. The medical rehabilitation service and education for the crippled, are comparatively well carried out. But it is desired to improve and cultivate the vocational training, vocational guidance and special nursing to the insufficiency of their implementation. In the tendency that the rehabilitation and welfare for the handicapped are today emphasized, International Handicapped Rehabilitation Association, declaring that 1970s are the decade of rehabilitation, urged to improve positively the policy of rehabilitation and welfare for the handicapped. But here in korea the handicapped, being the object of social prejudice, ignorance, disdain lives in obscurity. Therefore the government or the community should draw up countermeasure on social under-standing, financial support, and rehabilitation services for the handicapped as well as should endeavor to make them participate in social activities as the productive total- person though they are physically imperfect.

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Effect of the Abdominal Bracing Maneuver on Muscle Activity of the Trunk and Legs during Walking in Healthy Adults

  • Park, Daechan;Lee, Miyoung;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • 제11권2호
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    • pp.119-126
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    • 2022
  • Objective: This study aimed to investigate the effect of the application of abdominal brace techniques on muscle activity of the trunk and lower extremities when walking. Design: Cross-sectional study Methods: This study was conducted on 26 healthy adults in their 20s, and the subjects performed two conditions in random order: walking with the abdominal bracing technique and walking in an abdominal relaxation state (normal gait). Muscle activity was measured on the dominant side of all subjects using surface electromyography, and the attachment sites were the erector spinae, external oblique, internal oblique, vastus lateralis, and vastus medialis oblique muscles. Each condition was measured three times to calculate and analyze the average value. Results: When walking using the abdominal brace technique, the muscle activity of the erector spinae, external oblique, internal oblique, and vastus lateralis increased significantly (p<0.05), and the muscle activity of the vastus medialis increased as well but was not significant. Conclusions: The results of this study indicate that it is possible to be used as an effective guide to increasing the muscle activity and stability of the trunk and lower extremities through the application of the abdominal bracing technique during walking.

수종 시판 경추보조기의 물성에 관한 평가조사 (An Evaluational Investigation of the Physical Properties for the Commercially Available Cervical Braces)

  • 박종철;김경태;서활
    • 대한의용생체공학회:의공학회지
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    • 제18권3호
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    • pp.205-210
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    • 1997
  • 본 시험조사는 정형외과, 신경외과, 재활의학과 등에서 경부 척추를 물리적으로 고정하는 데 널리 사용되고 있는 연성, 토마스, 미네르바 및 필라델피아 경추보조기의 물성을 조사하여 새로운 경추보조기를 고안하기위한 기초자료를 얻기 위하여 이루어 졌다. 인장강도는 토마스 보조기가 가장 우수했으며 지속적인 마모를 통한 재료 관통시험에서는 미네르바 보조기가 가장 우수한 내구력을 가진 것으로 나타났다. 이러한 결과로 미루어 볼 때, 에틸렌수지를 구조체로 사용하고 피부에 통기성을 부여하기 위해 재료에 다공성을 제공하는 것이 좋을 것으로 사료된다.

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비좌굴 가새를 이용한 대공간 구조물 내진 보강 설계 (Seismic Retrofit of Spatial Structures Using Buckling Restrained Brace)

  • 문희숙;김기철;강주원;이준호
    • 한국공간구조학회논문집
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    • 제18권4호
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    • pp.105-111
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    • 2018
  • In this study, the seismic performance and behavior characteristics of the upper truss structure of the large stadium are analyzed by nonlinear dynamic analysis. In the nonlinear dynamic analysis, the earthquake records were generated by site response analysis to simulate the nonlinear behavior of the relevant soil condition where the structure is located. Nonlinear dynamic analysis was performed using Perform-3D and the nonlinear properties of the substructure and the superstructure were determined in accordance with KISTEC guideline. According to the analysis results, excessive deformation occurred in the upper truss element, and plastic hinges exceeded the target performance in some members. Buckling-restrained brace is used for seismic retrofit of stadium structures and the analysis results shows the interstory drift satisfies the target performance level with dissipating the seismic energy efficiently.

자세 교정 제품 설계 기술의 한국 특허 출원 경향 (Korean Patent Application Trend of Posture Correction Product Design Technology)

  • 김민선;천종숙
    • 한국의류산업학회지
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    • 제22권4호
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    • pp.407-412
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    • 2020
  • This study investigated the technological development of Korean functional product design for posture correction. We analyzed registered and disclosed Korean patents (n=289) of KIPRIS. They were posture correction technology patents filed from 1999 to 2018. Keywords used in patent selection were posture correction, posture correction clothing, posture correction band, rehabilitation clothing, joint protection, protective equipment, and compression wear. These were then analyzed by patent application year, product type, effect pursued, and posture correction body part. The results showed that patent applications related to posture correction technology have increased since 2014. Products subject to patents for posture correction technology were device/brace (59.5%), footwear (22.5%), and clothing (18.0%). Patents for posture correction pursued various wearing effects. The effects pursued were dependent on the product type. The device/brace focused on joint protection (76.7%) and muscle reinforcement (40.7%). Footwear was focused on joint protection (90.8%). The clothes were focused on muscle reinforcement (50.0%) and body shaping (36.5%). The clothing and device/brace for posture correction were worn on various body parts of the upper limbs to feet. The posture correction product design patent was to correct various body parts. Patents pursuing upper body correction focused on spine posture correction (n=99). Patents for foot posture correction have steadily increased (n=102). Patents for posture correction of the pelvis and hip joints were relatively few (n=46). The results of this study implied the necessity to develop technology to correct posture by combining the functions of device/brace and clothing.

족관절 외측의 만성 불안정성에 Broström 술식과 Suture Tape을 이용한 보강술 후 조기에 시행한 등자보호대 착용 및 체중부하 보행 (Early Unrestricted Weight-Bearing in a Stirrup Brace Following the Broström Procedure with Suture Tape for Chronic Lateral Ankle Instability)

  • 이재영;권건호;정진화
    • 대한족부족관절학회지
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    • 제26권4호
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    • pp.171-176
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    • 2022
  • Purpose: This study reports on a series of patients with chronic lateral ankle instability that underwent the Brostrom procedure with suture tape augmentation and allowed early unrestricted weight-bearing in a simple stirrup brace. Materials and Methods: This retrospective study was conducted on 36 patients (22 males and 14 females of mean age 34 years [range 23~48 years]) with chronic lateral ankle instability treated using the Brostrom procedure using suture tape augmentation and inferior extensor retinaculum reinforcement with a fiber-wire connected to a SwiveLock screw inserted into the talus. When possible, patients started unrestricted weight-bearing in a stirrup brace from the third postoperative day. Demographics and functional outcomes, including American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot, visual analogue scale (VAS), and satisfaction scores, were recorded. In addition, varus stress radiographs obtained before and 24 months after surgery were compared. Patients were followed for a mean 29 months (range 25~40 months). Results: Mean AOFAS ankle-hindfoot scores increased from 51 points preoperatively to 92 points at final follow-up, and mean VAS decreased from 6.8 to 1.2 points. Mean patient satisfaction scores were 8.7 at 12 months and 9.6 at 24 months. Stress radiographs demonstrated that talar tilt decreased from a mean 18 degrees preoperatively to 7 degrees at 24 months. Conclusion: Early unrestricted weight-bearing in a stirrup brace following the Brostrom procedure with suture tape augmentation is a successful protocol for treating chronic lateral ankle instability.

무릎 신전 제한형 보조기 착용이 보행 시 하지 내 협응에 미치는 영향 (Influence on Intra-limb Coordination in Individuals Wearing a Knee Extension Constraint Brace during Walking)

  • 장윤희;정보라;강성재;류제청;김규석;문무성;고창용
    • 재활복지공학회논문지
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    • 제10권3호
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    • pp.207-214
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    • 2016
  • 본 연구의 목적은 무릎 신전 제한형 보조기 착용 후 보행시 하지 내 협응에 미치는 영향을 평가하는 하는 것이다. 본 연구에는 7명의 건강한 성인 남성($32.3{\pm}2.7$ 세, $175.2{\pm}3.8cm$, $76.2{\pm}8.7kg$)이 참여하였다. 이들은 무릎보조기를 착용하거나 착용하지 않고 10m의 평지를 보행하였다. 이때 시공간적 파라미터, 하지의 각도, 하지 내 연속상대 위상(CRP)를 측정 및 계산하였다. 그 결과 시공간적 요인은 차이가 없었다 (all p > 0.05). 무릎보조기 착용 시 엉덩관절의 가동범위 및 각도 변화는 없었으나, 무릎관절의 가동범위는 감소하였으며 ($65.5{\pm}3.75^{\circ}$ vs. $60.5{\pm}3.5^{\circ}$, p < 0.05), 최대 굴곡 역시 감소하였다 (입각기: $31.9{\pm}4.6$ vs. $25.6{\pm}5.5$, 유각기: $76.7{\pm}3.1$ vs. $68.9{\pm}3.4$, all p < 0.05). 발목관절의 가동범위는 변화가 없었으나, 최대 배측굴곡 ($22.4{\pm}2.6$ vs. $19.2{\pm}2.1$, p< 0.05)은 감소하였으며, 최대 족저굴곡이 증가하였다 ($9.5{\pm}3.0$ vs. $15.7{\pm}2.2$, p<0.05). 대부분의 CRP는 차이가 없었으며, 유각기 엉덩관절과 무릎관절 사이의 CRP만 감소하였다 ($93.0{\pm}7.8$ vs, $84.7{\pm}4.9$, p < 0.05). CRP의 표준편차는 대부분 증가하였다 (유각기 엉덩관절과 무릎관절사이: $25.1{\pm}6.7$ vs. $32.4{\pm}1.9$, 입각기 무릎관절과 발목관절사이: $46.0{\pm}12.9$ vs. $80.1{\pm}31.1$, 유각기 무릎관절과 발목관절 사이: $34.5{\pm}4.1$ vs. $37.6{\pm}3.1$, all p < 0.05). 이와 같은 결과로부터 무릎 신전 제한형 보조기 착용은 관절의 각도, 하지 내 협응에는 영향을 미치지만, 보행특성에는 큰 영향을 미치는 않는다는 것을 확인하였다.

편마비 환자의 단하지 보조기 착용유무에 따른 하지 체중지지율과 보행특성의 변화에 관한 연구 (A study on the immediate effects of weight distribution and gait patterns of hemiplegic patients through PLS on and off)

  • 김택훈;구애련;김종만
    • 한국전문물리치료학회지
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    • 제3권2호
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    • pp.55-76
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    • 1996
  • The objective of this study was to identify the immediate effects of the short leg brace on the weight bearing distribution and gait patterns of hemiplegic patients. The subjects of this study were 18 hemiplegic patients who had been hospitalized or visited out-patient department of Rehabilitation Hospital, Yonsei University College of Medicine, from January 5, 1996 through March 23, 1996. PLS(Posterior Leaf Spring) on and off changes in gait patterns were measured using ink foot print as well as by recording weight bearing distribution using a limb load monitor. The data were analyzed by the correlation and paired t-test. The findings were as follows: 1. Eighteen subjects were more weighted on the affected leg when PLS was put off(42.74%) than on(40.08%). 2. The defference in gait patterns between PLS on and off was statistically significant, with an increase in step length by 1.7cm on the involved side; a decrease in foot angle by 4.41 degree on the involved side; and a narrowing of base of support by 1.46cm when PLS were off. In conclusion, this study showed that PLS did not affect the weight bearing distribution and gait patterns of hemiplegic patients. Since, the evaluation method used in this study has limitations in regard to temporal distance gait values. Further studies are required to numerous experiments for subject and extensive study.

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척추측만증 조기검진의 필요성 (The review on the need for early screening of scoliosis)

  • 공상은;오민석
    • 혜화의학회지
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    • 제20권1호
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    • pp.137-142
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    • 2011
  • Objective : The purpose of this study was to review on the need for early screening of scoliosis. Methods : We have researched and analyzed theories and literatures of scoliosis screening program. Result : The following results were obtained in this study. 1. Scoliosis screening should be carried out to improve middle and high school students's health and learning abilities. 2. The methods are the forward bending test, Moire test and X-Ray. 3. After the examination held by differentiating the degree of scoliosis, surgery or brace treatment for students should be carried out. 4. After the examination, appropriate acupuncture, exercise therapy and orthodontic treatment for students should be carried out. 5. Spinal health courses for young people should be held regularly to equip and encourage a healthy body and healthy mind and contribute to improve the learning efficiency. Conclusion : Scoliosis screening and early detection should be done in the Daejeon city middle school or high school students, and appropriate treatment should be performed as soon as possible.

발달성 고관절 이형성증 또는 탈구 환자의 수술후 물리치료 (A Case Study of Physical Therapy for Developmental Dysplasia or Dislocation of the Hip After Operation)

  • 박소연
    • 한국전문물리치료학회지
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    • 제6권2호
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    • pp.77-86
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    • 1999
  • Developmental dysplasia or dislocation of the hip is the most pronounced form of a condition in which the femoral heads tends progressively to leave the acetabulum. In the young child the variability of findings and course suggest a spectrum of conditions in which there are a number of common features: restriction of movement, particularly of abduction in flexion; shortening; and abnormal radiology, including a sloping or dysplastic acetabulum and delay in the appearance of the upper femoral epiphysis. It is vital to make the diagnosis of a congenital dislocation as soon after birth as possible. Conservative treatment with an abduction brace before the child run begins to walk is completely adequate, but after the age of 4 even surgical repositioning is difficult and after the age of 7 it is almost impossible. The aim of the study was to gain insight into the value of physical therapy of developmental dysplasia or dislocation after operation.

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