• 제목/요약/키워드: Upper function

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AHP 기법을 이용한 우리나라 수산업관측사업의 추진방향에 관한 연구 (A Study on Development Strategies of the Korean Fisheries Outlook Project based on AHP)

  • 남종오;노승국
    • 수산경영론집
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    • 제41권1호
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    • pp.25-52
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    • 2010
  • The purpose of this paper is to suggest major strategies and necessary new projects for the medium- and long-term development of the Korean Fisheries Outlook Project. To suggest the Korean Fisheries Outlook Center with the above purpose, this paper employs Analytic Hierarchy Process analysis based on surveys obtained by special groups related with the KFOP. The survey is broadly composed of two goals; the medium- and long-term development directions and setting up of new furtherance projects. Each goal has upper and lower strategies respectively. The first goal, the medium- and long-term development directions, has four factors as upper strategies. The upper strategies are composed of accuracy, efficiency, timeliness, and political effectiveness of the fisheries outlook information. In addition, each upper strategy has three lower strategies respectively. For example, accuracy of the fisheries outlook information includes strength of data collection function, strength of satellite photography function, and strength of data analysis function. The second goal, setting up of new furtherance projects, has three factors as upper strategies. The upper strategies consist of accuracy promotion of outlook information using high-technique, field expansion of outlook species, and strength of analyzing function on oversea fisheries information. Each upper strategy has three lower strategies respectively. For instant, accuracy promotion of outlook information using high-technique has strength of information analysis function covered from production to consumption, strength of satellite information function, and structure of forecasting model on demand and supply by outlook species. The above upper and lower strategies were analytically drawn out through insightful interviews with special groups such as officials of the government, presidents of the producer and distributor groups, and researchers of the Korea Maritime Institute and other research institutes. As a result of AHP analysis, first, priorities of upper strategies with the medium- and long-term development directions are analyzed as accuracy, timeliness, political effectiveness, and efficiency in order. Also, priorities of all lower strategies reflecting priorities of upper strategies are examined as includes strength of data collection function on the fisheries outlook information, delivery of rapid information on outlook products for all people interested, strength of data analysis function on fisheries outlook information, strength of consumption outlook function on fish products, and strength of early warning system for domestic fish products in order. Second, priorities of upper strategies with the setting up of new furtherance projects are analyzed as accuracy promotion of outlook information using high-technique, field expansion of outlook species, and strength of analysis function on oversea fisheries information in order. In addition, priorities of all lower strategies reflecting priorities of upper strategies are examined as building up of forecasting model on demand and supply by outlook species, strength of information analysis function covering all steps from production to consumption, expansion of consumption outlook for consumers, strength of movement analysis function of oversea farming industry, and outlook expansion of farming species.

재가 뇌졸중 환자를 위한 패턴화된 감각향상(PSE) 상지운동 프로그램의 개발 및 효과 (The Development and Effects of an Upper Extremity Exercise Program Based on Patterned Sensory Enhancement for Home-bound Stroke Patients)

  • 홍명선
    • 지역사회간호학회지
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    • 제22권2호
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    • pp.192-203
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    • 2011
  • Purpose: This study was conducted to develop and assess the feasibility of an upper extremity exercise program based on Patterned Sensory Enhancement (PSE) for home-bound stroke patients by measuring the level of upper extremity function, depression, and interpersonal relationship. Methods: The experiments were performed on stroke patients at three different rehabilitation centers in Incheon City. Twenty patients participated in the experimental group or in the control group. The program was executed three times a week for 6 weeks. Data were collected from August to October, 2006. Manual Function Test was used to quantify and evaluate upper extremity function. The depression level and the effectiveness of interpersonal relationship were quantified and measured using CES-D and Relationship Change Scale, respectively. Results: The effectiveness of upper extremity function of stroke patients who participated in the PSE upper extremity exercise program was higher than that of non-participating patients. The depression level decreased and interpersonal relationship improved in the stroke patients who participated in this program compared to those who did not. Conclusion: These findings prove that the PSE upper extremity exercise program for home-bound stroke patients was an effective strategy for enhancing upper extremity function, decreasing the depression level, and improving interpersonal relationships.

유방암 생존자의 상지기능, 통증 및 불안과의 관계 (Relationships among Pain, Upper Extremity Function, and Anxiety in the Breast Cancer Survivors)

  • 임정선;김종임
    • 근관절건강학회지
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    • 제19권1호
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    • pp.37-45
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    • 2012
  • Purpose: This study was to compare pain, upper extremity function, and anxiety among disease characteristics in the breast cancer survivors and to clarify the relationship among these variables. Methods: One hundred twenty two participants with breast cancer survivors over the age of 30 were recruited from a general hospital. Data were collected from November 1 to December 25, 2006 using a structured questionnaire. Results: The mean age was 51.17 and their mean survival period was 38.08 months. The breast cancer survivors who had received radiation therapy reported lower levels of pain and upper extremity function, and higher levels of anxiety than those who had other treatments. Pain and anxiety were positively related, and upper extremity function was negatively related to pain and anxiety. Conclusion: The breast cancer survivors experienced pain, upper extremity function disorder and anxiety. This study indicates that nursing interventions for the breast cancer survivors may be needed to improve upper extremity function, and to reduce pain and anxiety.

체외충격파치료가 팔꿉관절 가쪽위관절염 환자의 통증과 악력 및 팔 기능에 미치는 영향 (Effect of Extracorporeal Shock-wave Therapy on Pain, Grip Strength, and Upper-extremity Function in Patients with Lateral Epicondylitis)

  • 송민정;강태우;김범룡
    • PNF and Movement
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    • 제18권1호
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    • pp.117-126
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of extracorporeal shock-wave therapy (ESWT) on pain, grip strength, and upper-extremity function in patients diagnosed with lateral epicondylitis and to provide an effective intervention method for lateral epicondylitis. Methods: Twenty patients with lateral epicondylitis were randomly assigned to the ESWT group (n = 10) and the stretching exercise group (n = 10). Interventions in both groups were performed six times twice a week for three weeks. The visible analog scale (VAS) was used to measure pain change. A dynamometer was used to measure grip strength (GS). Patient-rated tennis elbow evaluation (PRTEE) was used to measure the upper-extremity function. Results: There were significant differences in pain, grip strength, and upper-extremity function in both groups before and after intervention (p < 0.05). There were also significant differences in pain, grip strength, and upper-extremity function between the groups after intervention (p < 0.05). Conclusion: This study showed very positive improvement in pain, grip strength, and upper-extremity function after ESWT in patients with lateral epicondylitis. Therefore, ESWT can be recommended for patients with lateral epicondylitis.

타악기를 활용한 과제지향운동이 만성 뇌졸중 환자의 상지 기능에 미치는 영향 (Task-oriented Approach using Percussion Instruments in Chronic Stroke Patients Effect on Upper Limb Function: a Randomized Controlled Trial)

  • 김주학;김명권
    • 대한물리의학회지
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    • 제16권4호
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    • pp.103-116
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    • 2021
  • PURPOSE: This study examined the effects on the upper extremity function, muscle strength, and hand function of a task-oriented training approach using a percussion instrument for patients with chronic stroke. METHODS: Twenty-four chronic stroke patients accompanied with upper extremity hemiplegia were selected for research and were classified randomly into 12 experimental groups and 12 control groups. The experimental group performed a task-oriented approach, and the control group performed upper extremity occupational therapy. Stroke upper extremity test, Jebsen-Taylor Hand Function test, upper extremity muscle strength test, and hand muscle strength test were measured before and after training in the evaluation process. RESULTS: In the upper extremity test and Jebsen-Taylor test, there were no significant differences between the groups. In the upper extremity muscle strength test, there were significant differences in shoulder flexion, internal rotation, and elbow flexion in the experimental group. In the hand muscle strength test, there were significant differences in the grip, tip Pinch, lateral Pinch, and 3-jaw chuck in the experimental group and significant differences in only grip, tip pinch, and lateral pinch in the control group. In addition, there were significant differences in the lateral pinch compared to the amount of change. CONCLUSION: Task-oriented approach using percussion instruments for upper extremity rehabilitation in stroke patients is effective in the upper extremity function and strength, hand function, and strength.

과제 지향적 훈련이 뇌졸중 환자의 상지 기능, 인지 기능과 일상생활 수행에 미치는 효과 - 개별 훈련과 집단 훈련의 비교 - (The Effect of Task-Oriented Training on Upper Extremity Function, and Activities of Daily Living for Stroke Patients - Comparative of Group Training and Individual Training -)

  • 박은정;유찬욱;용미현
    • 재활치료과학
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    • 제2권2호
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    • pp.47-59
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    • 2013
  • 목적 : 뇌졸중 환자를 대상으로 과제 지향적 훈련을 집단과 개별로 실시하게 하여 상지 기능, 인지 기능과 일상생활 수행력에 미치는 영향을 알아보고자 실시하였다. 연구방법 : 2012년 6월부터 11월까지 약 5개월간 A병원에 입원하여 뇌졸중 진단을 받은 사람 중에 재활치료를 받은 환자를 대상으로 하였다. 과제 훈련군과 개별 훈련군은 각각 13명씩 무작위 배정 하였다. 두 군 모두 동일한 내용의 과제 지향 훈련을 1일 30분씩 3주간 시행하도록 하였다. 결과 : 훈련 전 두 군의 상지 기능과 인지 기능은 유의한 차이를 보이지 않았다. 훈련 전 일상생활 영역에서 목욕하기(p<.001), 식사하기, 개인위생과 총점(p<.05)이 집단 훈련군에서 더 높은 것으로 나타났고 훈련 후 상지 기능은 개별 훈련군에서 유의하게 높았다(p<.001). 두 그룹 모두 훈련 전후 상지 기능 식사하기, 개인위생,목욕하기, 옷 입기, 용변처리, 이동, 보행, 계단, 총점(p<.05)에 유의한 향상이 있었다. 두 그룹의 훈련 전후 변화량 비교에서 개별 훈련군이 상지 기능(p<.001)과 일상생활 영역에서 식사하기와 총점에서 더 유의한 향상을 나타냈다(p<.05). 결론 : 과제 지향적 훈련을 시행 시 집단 훈련군과 개별 훈련군 모두 상지기능, 일상생활 수행력에 향상을 가져오며, 특히 상지 기능의 향상이 클 경우에 더 높은 일상생활 수행력의 변화를 가져 올 수 있다. 앞으로 보다 많은 환자를 대상으로 장기간에 걸친 종단적인 사례 연구가 필요하다.

노인의 인지기능과 상지기능의 관련성에 관한 체계적 고찰 (A Systematic Review on the Association between Cognitive Function and Upper Extremity Function in the Elderly)

  • 문미숙;정민예
    • 재활치료과학
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    • 제5권2호
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    • pp.23-33
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    • 2016
  • 목적: 본 연구는 노인의 인지기능과 상지기능의 관련성을 알아보고자 하며, 근거 자료들을 P.I.C.O. 방법에 따라 제시하였다. 연구방법: 2015년 11월부터 2016년 1월까지 연구를 진행하였으며 2000년 1월부터 2015년 10월까지 국외 학술지에 개재된 논문을 Medline과 PubMed를 통하여 검색하였다. 검색용어로는 elderly, dementia, Alzheimer's disease, Mild cognitive impairment, age-related, aging, cognitive, upper extremity function, hand function, hand-grip strength, grip force, complex motor function, bimanual, dexterity, UE performance, coordination을 사용하였다. 연구결과: 본 고찰에 포함된 총 8개의 연구 중 7개의 연구에서 상지기능이 노화에 따라 영향을 받는다는 것으로 나타났고, 1개의 연구에서는 노화에는 영향을 받지 않으나, 쥐기 힘 및 성별에 의해 물건조작능력에 영향을 받는 것으로 나타났다. 연구 분석 결과 노인 및 치매환자의 인지기능이 상지기능에 영향을 미치며 상호 관련성을 보였다. 결론: 본 연구는 노인을 대상으로 인지기능이 상지기능에 미치는 영향 및 관련성을 알아보고자 하였으며, 인지기능 정도에 따른 작업치료 적용 및 중재기법을 선택하는데 근거 자료로 활용될 수 있을 것으로 사료된다. 향후 국내 연구에서는 다양한 평가도구를 사용하고 질적 수준이 높은 연구들이 체계적으로 이루어져야 할 것이다.

테이핑을 이용한 건측 억제유도 운동이 만성 뇌졸중 환자의 상지기능에 미치는 영향 (The Effect of Modified CIMT Combined with Kinesio-Taping on Upper Limb Function in Hemiplegic Patients)

  • 김명권;지상구;전혜진;이창렬;이문환
    • 대한물리의학회지
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    • 제4권3호
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    • pp.183-192
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    • 2009
  • Purpose:This study was conducted to investigate whether modified CIMT with Kinesio-Taping on paretic upper limb effects upper limb function in stroke patients in comparison to those receiving only modified CIMT. Methods:20 out-patients with hemiplegia were randomly assigned to either an experimental or a control group. Both groups received modified CIMT during a 10-week period. Additionally, an experimental group received modified CIMT with Kinesio-Taping on paretic upper limb and trunk. Results:In Manual function test, Grip strength, Jebsen-Taylor hand function test, MAL(Motor Activity Log) and Functional independence measure (FIM) were significantly different at all intervals of the study period(0, 3, 6, 10-week) in the experimental and control groups(p<.05). Exceptionally there was no significant difference in Jebsen-Taylor hand function test between the experimental and control groups. Conclusion:These results suggest that modified CIMT with Kinesio-taping improve the upper limb function. And also increase usage of affected upper limb and assist in daily living activity more than only modified CIMT.

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팔 뻗기 과제가 뇌졸중 환자의 상지기능 및 자기효능감에 미치는 영향에 대한 사례연구 (The Effects of Upper Limb Reaching task on Upper Limb Function and Self-Efficacy for Patients with Stroke: Case Study)

  • 송승일;조영남
    • 재활치료과학
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    • 제3권2호
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    • pp.59-69
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    • 2014
  • 목적 : 본 연구의 목적은 팔 뻗기 과제가 뇌졸중 환자의 상지기능 및 자기효능감에 미치는 영향에 대해 알아보고자 단일 사례연구를 실시하였다. 연구방법 : 본 연구의 대상자는 대구에 소재한 K병원에서 입원 치료를 받고 있는 중인 만 39세 뇌졸중 진단을 받은 남성을 대상으로 실시하였다. 팔 뻗기 과제는 6주 동안 주 3회 실시하였고 1회당 30분간 실시하였다. 과제 전-후의 상지기능 및 자기효능감의 변화를 알아보기 위하여 상자와 나무토막 검사, 자기효능감 척도를 사용하여 측정하였다. 결과 : 대상자의 상지기능은 상자와 나무토막 검사에서 중재 전 왼손 10개, 오른손 40개에서 중재 후 왼손 22개, 오른손 43개로 증가하였다. 자기효능감은 구체적 자기효능감 척도에서 중재 전 41점에서 중재 후 70점으로 증가되었다. 결론 : 본 연구를 통해 뇌졸중 환자에게 적용된 팔 뻗기 과제는 뇌졸중 환자의 상지기능 및 자기효능감을 향상시킴을 알 수 있었다.