• 제목/요약/키워드: complex rehabilitation intervention

검색결과 29건 처리시간 0.028초

시각차단 복합운동프로그램이 낙상을 경험한 노인의 균형 및 보행능력에 미치는 영향 (The Effects of Complex Exercise on Balance and Gait Ability in Elderly with Experienced Fall)

  • 박근홍;김진영
    • 대한정형도수물리치료학회지
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    • 제24권2호
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    • pp.69-74
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    • 2018
  • Background: The purpose of this study was to investigate the effect of a complex exercise program for elderly people who had experienced a fall on their balance ability and proprioception when their visual sense was blocked. Methods: The subjects were 24 elderly people with experienced fall. They were equally and randomly divided into a blind group and a general group. The subjects performed the complex exercise program for 30 minutes, twice a day, five days a week for 4 weeks a total of 20 times. Outcome measures were the 10-meter walking test (10MWT), Berg balance scale (BBS), Fukuda stepping test(FST), proprioception test (PT). Results: After the intervention, the blind group showed improvements in 10MWT, BBS, FST, PT. The general group showed improvements in 10MWT and PT. Conclusions: The complex exercise program for elderly people helped enhance their balance ability and proprioception.

삼각섬유연골 복합체 손상의 한의학 치료에 대한 국내외 임상 연구 동향 (Trends in Domestic and International Clinical Research on Korean Medicine Treatments for Triangular Fibrocartilage Complex Injury)

  • 박상민;권태경;백지훈;이민주;최새롬;최지연
    • 한방재활의학과학회지
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    • 제34권2호
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    • pp.71-83
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    • 2024
  • Objectives The purpose of this study is to analyze the trends in domestic and international clinical research on the Korean medicine for triangular fibrocartilage complex (TFCC) injuries and to contribute to future domestic research. Methods In this study, clinical studies on TFCC injuries treated with Korean medicine were searched through databases such as Research Information Sharing Service, ScienceON, DBpia, China National Knowledge Infrastructure, PubMed, Medline, and Embase. Fifteen clinical studies were selected, of which publication years, intervention methods, assessment tools, and various other factors were analyzed, including potential side effects. Results Among the selected 15 studies, total of 13 intervention methods were used. Electroacupuncture was the most frequently used method (40%), followed by herbal medicine (33%), acupuncture (26.7%), chuna manual therapy (26.7%), pharmacopuncture (20%), acupotomy (13%), herbal ointment (13%), hot medicinal compress therapy (13%) and etc. Most studies showed that Korean medicine treatments effectively alleviated TFCC injuries, with visual analogue scale being the most commonly used assessment tool. Conclusions Korean medicine treatments for TFCC injuries appears to be effective; however, further research is needed to enhance understanding. Large-scale clinical trials comparing the efficacy of Korean medicine treatments, along with investigations into side effects and recurrence rates are necessary. By doing so, the safety and efficacy of Korean medicine treatments for TFCC injuries can be further established.

동물실험에서 한약제재 경구투여가 비만에 미치는 영향에 대한 국내 연구보고 고찰 - 2010년 이후 발표된 논문을 중심으로 (The Effect of Oral Administration at Herbal Medicines in Animal Models on Obesity: A Review of Animal Study Reports Published in Korea after 2010)

  • 김정민;최수민;양두화;안희덕
    • 한방재활의학과학회지
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    • 제27권3호
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    • pp.13-32
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    • 2017
  • Objectives This study is to review the effect of herbal medicines on obesity in animal models reported in Korean domestic journals after 2010. Methods The Databases (Koreantk, KISS, NDSL) are searched with terms as obesity, and animal study reports on obesity with herbal medicines after 2010 were reviewed. Animal model, intervention, and obesity indicator were extracted. Results 69 articles were reviewed. 57 studies used high fat diet to induce obesity. 56 studies used complex herbal medicines. Most used herbal material for anti-obesity effect is Ephedrae Herba. Each study shows significant changes of obesity indicators. Conclusions These results suggest that herbal medicine is effective treatment to obesity. But we need continuously agonize and research more effective and safe herbal medicine.

복합부위통증증후군의 작업치료적 접근에 관한 고찰 (A Review of Occupational Therapy Approach for Complex Regional Pain Syndrome)

  • 최유임;박수현
    • 한국콘텐츠학회논문지
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    • 제10권1호
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    • pp.286-294
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    • 2010
  • 복합부위통증증후군은 외상, 신경 손상, 골절, 뇌졸중, 척수 손상과 수술 등에 의해 부적합하게 발생하는 만성 신경병성 통증증후군으로, 질환의 경과, 치료법 등 모든 면에서 생물심리사회적 요인의 영향을 받는다. 작업치료에서는 생물학적, 심리적, 사회적 요소를 고려한 다학제적인 치료적 접근이 유용할 것이다. 생물학적 치료는 모든 영역에서의 독립성을 향상시키기 위해 사지의 기능적 사용을 증가시키는 것이다. 심리적 치료는 이완/바이오피드백 훈련과 인지행동치료를 제공하고, 사회적 치료는 레크리에이션 치료와 직업 재활을 실시할 수 있다. 복합부위통증증후군에 대한 작업치료는 다양한 전문 분야의 협조적인 치료과정을 통해 기능 회복과 통증 관리, 심리적 요인들의 회복을 이끌어 내야 할 것이다.

중환자실 뇌혈관질환자에게 수행된 간호중재분석 (A study of the Nursing Interventions performed by the ICU nurses to the patients with Cerebrovascular disorders)

  • 박영례;최경숙
    • 재활간호학회지
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    • 제4권1호
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    • pp.94-104
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    • 2001
  • The purpose of this study was to analysis of nursing interventions performed by the ICU nurses to the patients with cerebrovascular disorder practically from one university hospital in Seoul. The data were collected from 15 nurses with 86 cerebrovascular disorder cases from one ICU with the questionaire to write frequency of nursing care done by the surveyee from May, 2, 2000 to July, 3, 2000 and the list of 66 nursing interventions selected out of 433 NIC(Nursing Interventions Classification) of Iowa University which were translated into Korean (44 items) and core nursing interventions by ICU nurses (22 items; KIm, Su-Jin, 1997). The data were analysed with SPSS program. The results are as follow : 1. The most frequently used nursing interventions were vital sign monitoring, fall prevention, cerebral edema management, dysreflexia management, neurologic monitoring, cardiac care, communication enhancement, technology management, bed rest care, respiratory monitoring in rank. 2. The most frequently used nursing intervention domains were 'Physiological : Complex', 'Physiological : basic', 'Behavior', 'Safty', 'Health system' in rank. In the domain of physiological : basic, the most frequently used nursing interventions were bed rest care, urinary elimination management, tube care : urinary, physical restraints in rank. In the domain of physiological : complex, the most frequently used nursing interventions were cerebral edema management, dysreflexia management, neurologic monitoring, cardiac care in rank. In the domain of behavior, the most frequently used nursing interventions were communication enhancement, touch, active listening in rank. In the domain of safty, the most frequently used nursing interventions were vital sign monitoring, fall prevention in rank. In the domain of health system, the most frequently used nursing interventions were technology management, specimen management in rank. 3. some difference of the frequency practicing the nursing interventions according to the shift of duties was found. For example, medication administration was common at day duty, touch was practiced at evening duty, temperature regulation was performed.

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Effect of Therapeutic Feedback on Non-Face to Face Exercise for Forward Head Posture: Posture, Muscle Strength, Pressure pain Threshold

  • Kim, Yeri;Kim, Gayoung;Kim, Daye;Shin, Hyeri;Oh, Seonghoon;Yu, Pyeonghwa;Jung, Kyusang;Shin, Wonseob
    • Physical Therapy Rehabilitation Science
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    • 제10권2호
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    • pp.147-155
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    • 2021
  • Objective: This study is to investigate the effect of real-time feedback from the therapist on posture, muscle strength, pain of subjects with forward head posture based on a non-face-to-face complex exercise program. Design: Two-group pretest-posttest design. Methods: Thirty healthy men and women in their twenties with forward head posture with a Craniovertebral angle of 52° or less were targeted, the final selection was made as 15 experimental groups who performed the non-face-to-face intervention program while receiving real-time feedback and 15 control subjects who performed the non-face-to-face intervention program without providing feedback. Six of them were eliminated, and a total of 24 were conducted as subjects. All exercise groups performed an exercise program three times a week, 30 minutes each, for a total of two weeks. Before and after exercise, Craniovertebral angle (CVA), CranioRotation angle (CRA), muscle strength, and tenderness threshold were evaluated. Results: Significant differences were shown in both groups in CVA, and tenderness threshold before and after exercise (p<0.05), and CRA, the left middle trapezius muscle strength, only in the experimental group (p<0.05). In the comparison of theamount of change between exercise groups, the group that received feedback on CVA, CRA and tenderness threshold showed a significant change than the group without feedback (p<0.05). Conclusions: As a result of this study, it can be seen that the therapist's real-time feedback is more effective in improving the forward head posture. This requires feedback from the therapist on posture correction during non-face-to-face exercise intervention.

복합운동훈련이 신생 흰쥐의 알코올성 소뇌손상 후 운동기능 및 신경연접가소성에 미치는 영향 (The Effects of Complex Motor Training on Motor Function and Synaptic Plasticity After Neonatal Binge-like Alcohol Exposure in Rats)

  • 이선민;구현모;권혁철
    • 한국전문물리치료학회지
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    • 제12권3호
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    • pp.56-66
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    • 2005
  • The purposes of this study were to test that complex motor training enhance motor function significantly, to test change in cerebellum, and to test the synaptic plasticity into the immunohistochemistry response of synaptophysin. Using an animal model of fetal alcohol syndrome - which equates peak blood alcohol concentrations across developmental period - the effects of alcohol on body weight during periods were examined. The effect of complex motor training on motor function and synaptic plasticity of rat exposed alcohol on postnatal days 4 through 10 were studied. Newborn rats were assigned to one of two groups: (1) normal group (NG), via artificial rearing to milk formula and (2) alcohol groups (AG), via 4.5 g/kg/day of ethanol in a milk solution. After completion of the treatments, the pups were fostered back to lactating dams, where they were raised in standard cages (two-and three animals per cage) until they were postnatal 48 days. Rats from alcohol group of postnatal treatment then spent 10 days in one of two groups: Alcohol-experimental group was had got complex motor training (learning traverse a set of 6 elevated obstacles) for 4 weeks. The alcohol-control group was not trained. Before consider replacing with "the experiment/study", (avoid using "got" in writing) the rats were examined during four behavioral tests and their body weights were measured, then their coronal sections were processed in rabbit polyclonal antibody synaptophysin. The synaptophysin expression in the cerebellar cortex was investigated using a light microscope. The results of this study were as follows: 1. The alcohol groups contained significantly higher alcohol concentrations than the normal group. 2. The alcohol groups had significantly lower body weights than the normal group. 3. In alcohol groups performed significantly lower than the normal group on the motor behavioral test. 4. In alcohol-control group showed significantly decreased immunohistochemistric response of the synaptophysin in the cerebellar cortex compared to the nomal group. These results suggest that improved motor function induced by complex motor training after postnatal exposure is associated with dynamically altered expression of synaptophysin in cerebellar cortex and that is related with synaptic plasticity. Also, these data can potentially serve as a model for therapeutic intervention.

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한국형 전산화 인지재활프로그램(CoTras)이 외상성 뇌손상 환자의 전두엽-집행기능에 미치는 영향 (Effects of Korean Computer-Based Cognitive Rehabilitation Program(CoTras) on Frontal-Executive Functions in Patients with Traumatic Brain Injury)

  • 한승협;조은주;노동희;감경윤
    • 한국산학기술학회논문지
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    • 제16권5호
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    • pp.3344-3352
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    • 2015
  • 본 연구는 외상성 뇌손상 환자를 대상으로 한국형 전산화 인지재활프로그램(CoTras)이 전두엽-집행기능에 미치는 효과를 알아보고자 하였다. 2013년 8월부터 2014년 3월까지 경남 창원에 위치하는 C병원에 내원한 외상성 뇌손상 환자 10명을 두 그룹으로 무작위 할당한 후 실험군에게 한국형 전산화 인지재활프로그램을, 대조군에는 자가인지훈련을 1일 1회, 주 5회, 4주 동안 적용하고 그룹 간 비교를 실시하였다. 이때 중재의 효과를 검증하기 위하여 한국판 몬트리올 인지평가(Korean Montreal Cognitive Assessment; K-MoCA), 시계 그리기 검사(Executive Clock Drawing Test; ECDT), 선로잇기 검사(Trail Making Test; TMT), Rey-도형 검사(Rey Complex Figure Test; RCFT)를 사용하였다. 그 결과, 실험군은 K-MoCA, TMT, RCFT-delayed recall에서 유의하게 향상된 반면(p<.05), 대조군은 모든 평가에서 유의한 변화가 없었다. 또한, K-MoCA, TMT, RCFT-delayed recall에서 실험군과 대조군의 변화량이 서로 유의한 차이가 있음을 확인하였다(p<.05). 본 연구는 한국형 전산화 인지재활프로그램이 외상성 뇌손상 환자의 전두엽-집행기능을 향상시키기 위해 국내 임상 환경에서 사용하기에 적절한 중재 도구임을 지지한다.

동결견 환자에 대한 한의복합치료 효과: 후향적 차트 리뷰 (Effect of Complex Korean Medical Treatment in Patients with Frozen Shoulder: A Retrospective Chart Review)

  • 고성환;이은정
    • 한방재활의학과학회지
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    • 제33권3호
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    • pp.115-127
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    • 2023
  • Objectives Through this study, we investigated the effects of Korean medicine treatments on range of motion recovery and pain reduction in patients with Frozen shoulder. Methods In this study, the medical records of 26 patients diagnosed with frozen shoulder were retrospectively observed and analyzed through the IBM SPSS Statistics 25 program. We used range of motion to observe the patient's motion recovery and numeric rating scale to evaluate pain reduction. Results The shoulder range of motion increased statistically significantly from 160.0 (123.5~170.0) to 170.0 (160.0~180.0) (flexion), 115.0 (90.0~135.0) to 167.5 (130.0~178.8) (abduction), 40.8±22.1 to 58.3±16.0 (external rotation) (p<0.001). The average of numeric rating scale reduced statistically significantly from 6.7±2.0 to 3.2±1.4 (p<0.001). Depending on the period, the range of motion increased statistically significantly when visited within 3 months, also the pain score decreased 7.0 (5.4~8.0) to 3.0 (1.8~3.6) statistically significantly when visited within 3 months. In the treatment intervention, the increase in the range of motion and the decrease in pain were statistically significant, especially when the bee venom acupuncture and chuna manaul therapy were used together. Conclusions Korean medicine treatments was effective in improving the range of motion and reducing pain in frozen shoulders. In particular, when treated within 3 months of onset and when bee venom acupuncture and chuna manual therapy were used together, it was effective in recovering the range of motion and reducing pain.

노년기 성에 대한 동.서 간호학적 고찰 (Literature View of East-west Nursing on Elderly Sexuality)

  • 김귀분;석소현;오혜경
    • 동서간호학연구지
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    • 제5권1호
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    • pp.75-89
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    • 2000
  • Today, elderly population have tendency to increasing much fast in the world. As aging. elderly people have been changing more in physical, psychological, mental and there is spring to more concerns of health management on old period. But particularly sexuality have been little viewed in health management of elderly people. This is considered that there is bring on complex issues of mental-social, social. cultural, psychological, physical situation with negligence of sexuality on elderly-selves. This research was attempted to provide as basic data for east-west nursing intervention of elderly sexuality through literature view about east-west nursing view and management on elderly sexuality that we attend yet. Conclusively, oriental nursing management, for sexual management of elderly people, is ; 1. Decrease coitus times as physical conditions. 2. If sexual need is present, it don't inhibit painfully. 3. Somebody who have hepatitis, diabetes, heart disease, poor constitution avoids coitus. And western nursing management, for sexual management of elderly people, is ; 1. There is approaching with psychological, pharmacological, technical, surgical area in healthy sexual rehabilitation by Smith(1999). 2. Psychological-Social approaching method by Hooyman & Kiyalk(1996) can be provided for elderly sexuality. As this, concrete nursing intervention can be applied and additional counsel is needed with professional medical-nursing team. Through there understand and percept importance and need of elderly sexuality management on results of literature view, as above, concrete east-west nursing intervention of elderly sexuality will be researched. And research which confirm the meaning, How elderly people, themselves have been perceived, will be processed. This will have more contribution on elderly-oriented nursing intervention without false viewing of elderly sexuality.

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