• 제목/요약/키워드: Stream Rehabilitation

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급성기 뇌졸중 환자에서 Stroke Rehabilitation Assessment of Movement와 Berg Balance Scale, Modified Barthel Index와의 상관관계 (Correlations of the Stroke Rehabilitation Assessment of Movement, Berg Balance Scale, and Modified Barthel Index in Patients With Acute Stroke)

  • 정유회;송은지;이강노;안준수;성준혁;송문성
    • 한국전문물리치료학회지
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    • 제18권2호
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    • pp.52-59
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    • 2011
  • The purpose of this study was to examine the relationship of the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), and the Modified Barthel Index (MBI) in the acute stroke care setting. Twenty patients with their first stroke were evaluated using STREAM, BBS, and MBI initially and at 4 weeks. The data was analyzed using the independent t-test, paired t-test, and the Pearson product moment correlation analysis. The scores on the STREAM were strongly associated with the scores on both the BBS and MBI (with Pearson correlation coefficients ranging from .88 to .95), and there was significant improvement between the initial scores and those obtained four weeks later for STREAM, BBS, and MBI (p=.001, p=.001, p<.001). The results suggest that STREAM may be able to reflect functional recovery and to assess voluntary movement in patients who have suffered an acute stroke.

도시하천의 생태적 재생계획에 관한 연구 - 안양시 수암천을 대상으로 - (A Study on the Ecological Rehabilitation Plan for Urban Stream - Focused on Suam Stream in Anyang City -)

  • 최정권
    • 한국환경복원기술학회지
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    • 제13권6호
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    • pp.133-144
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    • 2010
  • The objective of this planning proposal is to rehabilitate the urban stream which has been ecologically disturbed in the urban process. The experimental stream, Su-am stream located in Anyang City is typical urban stream in adjacent land use and the spatial condition. The stream in the watershed context, is the second tributary of Han River, in the Anyangcheon watershed. The Characteristics of the stream reach were analyzed by the river corridor survey. In the conceptual phase, Rehabilitation Programs were established based on the hydrological, ecological and spatial characteristics of the stream. Spatial zoning concept according to the characteristics of the stream and adjacent land use, was suggested 4 types of zoning; ecological preservation zone, natural landscape zone, neighborhood water-friendly zone and CBD water-friendly zone. Implementation Practices can be summarized as follow: For The longitudinal river continuum, some In-stream practices were suggested and implemented; such as channel alignment, step & pool, pool & riffle and low-flow channel bank. For latitudinal continuum and intimate spatial relationship between Sam-duk Park & Su-am stream, gentle sloped bank was planned and implemented. After stream improvement & ecological Implementation, follow-up monitoring and adaptive management programs will be a meaningful process for ecological rehabilitation.

뇌졸중 환자 평가를 위한 Stroke Rehabilitation Assessment of Movement의 측정자간 신뢰도 (Inter-Rater Reliability of Stroke Rehabilitation Assessment of Movement for Patients With Stroke)

  • 윤성준;원종혁;이충휘
    • 한국전문물리치료학회지
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    • 제17권3호
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    • pp.48-58
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    • 2010
  • The aim of this study was performed to determine the inter-rater reliability of the Stroke Rehabilitation Assessment of Movement (STREAM) translated in Korean. This was a new clinical measurement tool for evaluating the recovery of voluntary movement and basic mobility following stroke. A direct-observation reliability study was conducted on 20 patients who had strokes and were in a rehabilitation setting. Subjects were assessed by two physical therapists. The reliability of the STREAM scores was demonstrated by weighted kappa statistics for inter-rater agreement on scores for individual items ranged from .83 to 1.0, intraclass correlation coefficients for total score was .99, and for subscale scores was ranged from .96 to .99. The internal consistency of the STREAM scores was demonstrated by Cronbach alphas of greater than .99 on the subscales and overall. These high levels of reliability support the use of the STREAM translated in Korean instrument for the measurement of motor recovery following stroke.

하천구조 개선에 따른 어류 서식적합도와 물리적 교란의 상관분석 (A Correlation Analysis between Physical Disturbance and Fish Habitat Suitability before and after Channel Structure Rehabilitation)

  • 최흥식;이웅희
    • Ecology and Resilient Infrastructure
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    • 제2권1호
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    • pp.33-41
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    • 2015
  • 본 연구는 어류서식적합도 향상을 위해 유전자알고리즘을 이용한 하천의 구조개선 방안을 제시하였다. 하천구조 개선에 의한 수리특성의 변화에 따른 어류 서식적합도와 물리적 교란양상과의 상관특성을 분석하였다. 원주천의 하천 환경조사와 어류의 군집특성을 이용하여 수중 생태계를 대표할 수 있는 복원 목표어종으로 참갈겨니를 선택하였다. 참갈겨니의 서식적합지수를 사용한 서식적합도 분석은 PHABSIM 모형을 이용하였다. HEC-RAS를 이용한 수리특성 분석과 하천교란 평가방법을 이용하여 물리적 교란평가를 수행하였다. 서식적합도 향상을 위한 최적의 저수로 폭의 개선방안을 제시하였다. 하천구조의 개선에 의한 수리특성의 변화에 따른 서식적합도와 물리적 교란의 상관성을 분석하여 어류 서식적합도와 물리적 교란 평가점수의 향상이 있음을 확인하였다. 서식적합도 향상을 위한 하천의 구조 개선은 물리적 교란의 평가점수의 향상을 가져옴을 확인하였다.

도심하천 복원에 따른 하천유지유량 산정 연구 (A Study for the Calculation of Instream Flow in the Rehabilitation of Urban stream)

  • 최계운;장연규;한만신
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2004년도 학술발표회
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    • pp.448-452
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    • 2004
  • Instream flow is necessary to manage the basic function of the rivers. The evaluation method of instream flow in a big river has been studied widely. However, the study in a urban hasn't researched. In theses days the environmental function of a river becomes very important. The evaluation method and secure of instream flow are basic conditions to perform it. Especially view of stream, recreation, protection of ecology are highly demanded In a urban according to the multipurpose of river spaces. In this paper the evaluation methods of instream flow were compared and investigated with many papers. This paper presents a proper evaluation procedure of instream flow in a urban stream through comparison and examination. According to the demanded hydraulic conditions the method can be considered the environmental function depend on the purpose of river restoration. The relationship of the coefficient of roughness and the slope of the river bed were examinated in order to estimate the minimum instream flow corresponding to proper Hydraulic conditions. Also calculate the instream flow of Sueng-gi stream in In-cheon.

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균형능력 운동치료 시스템을 이용한 치료가 급성기 뇌졸중 환자의 균형과 이동능력에 미치는 영향 (The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients)

  • 이남현;이진;이강노
    • 한국전문물리치료학회지
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    • 제17권3호
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    • pp.11-19
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    • 2010
  • The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

정신훈련이 뇌졸중환자의 상지 기능회복에 미치는 영향 (The effect of Mental Practice on the upper extremity function of the Hemiplegic Patients)

  • 박창식;안승헌
    • 대한물리치료과학회지
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    • 제12권3호
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    • pp.59-69
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    • 2005
  • The purpose of this study was to investigate the effect of mental practice on the upper extremity function of the hemiplegic Patients, 8 subjects with hemiplegia patients participated in this study. They did the Mental Practice programme for twenty minute, two times a week, three weeks. The Mental practice effects was evaluated by Fugl-Meyer Assessment(FMA), Action Research Arm Test(ARA), Stroke Rehabilitation Assessment of Movement(STREAM). The data were analyzed using paired t-test. The result of this study are as follows: FMA score were significant difference test-retest(p<.05), ARA score were statistically significant improvement between test-retest(p<.05), On the STREAM, the patients had the score improved on 4 of the 10 items of the upper-extremity Scale. The result suggest that mental practice is a potentially useful method of practicing motor skills. Mental practice may be a cost-effective, non-invasive tool with wuhich patients with stroke can receive additional practice of functional skills, and realize greater outcome, than if therapy alone were used.

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