• 대한물리의학회지
• /
• 제19권1호
• /
• pp.143-154
• /
• 2024

PURPOSE: The present study was conducted to improve the understanding of the Korean Standard Functional, Disability, and Health Classification (KCF) and its ease of use in the clinical domain of the musculoskeletal system by comparing, analyzing, and linking the KCF codes with items from patient-reported outcome measures (PROMs), which are currently mainly used to evaluate patients with neck, shoulder, waist, and knee pain. METHODS: The items of the most widely used PROMs, the Neck Disability Index (NDI), Disabilities of the Arm, Shoulder, and Hand (DASH) scores, Oswestry Disability Index (ODI), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the codes of the KCF were linked by two experts according to the linking rules. RESULTS: The concordance between the items of each of the PROMs and the KCF code linked by the two experts was NDI,86.4%86.4%, DASH 83.3%, ODI 92.0%, and WOMAC 80.7%. The NDI, DASH, and WOMAC indexes were found to comprise items corresponding to physical function, activity, and participation areas, and were linked to 22, 43, and 31 KCF codes, respectively. In addition to these two areas, the ODI included items related to environmental factors and was linked to 25 codes (duplicated codes are treated as one). CONCLUSION: This research can be used by adding the KCF code to the questions of the currently used evaluation tool. This coding can be easily applied and will contribute to the easy understanding of the KCF.

• The Journal of Korean Physical Therapy
• /
• 제24권4호
• /
• pp.282-289
• /
• 2012

Purpose: The purpose of this study is to analyze the home-stay disability's activity, as well as the participation domains and the environment factor domains of international classification of functioning (ICF), in order to examine the effect of the home visiting physical therapy and the disability's activity. Methods: A total of 211 home-stay disabled subjects with brain lesions or crippled disorder, living in 5 cities and districts of Jeollanam-do, underwent 90 minutes of home visiting physical therapy per week during a 6-month period, and using the ICF checklist, evaluated the subject's activity and participation domains and environmental factor domains. Results: The performance qualifier showed a significant statistical change in the movement, self-care, domestic life, interpersonal interactions and relationships, community, society and civic life domains (p<0.05); and the capacity qualifier showed a significant change only in the mobility domains in the before and after of the home visiting physical therapy (p<0.05). The barrier factor in the order of services, systems and policies domains, product and technology domains, and attitude domains it influenced significantly in the performance (p<0.05), and in the facilitator factor in the order of product and technology domains, support and relationships domains, services, systems and policies domains it influenced significantly in the performance of the disabled (p<0.05). Conclusion: The visiting physical therapy can help in the improvement of the activity and participation of the home-stay disabled subjects, and for the accurate evaluation of the home-stay disabled subjects, it is considered that an evaluation including various environmental factors, such as ICF, must be fulfilled.

• 한국인터넷방송통신학회논문지
• /
• 제21권1호
• /
• pp.163-173
• /
• 2021

디지털 트랜스포메이션 시대에 교통약자들은 기술 발전에 따른 혜택을 받지 못한 소외계층으로 남아있다. 교통약자를 위한 전동보조기기는 교통약자들의 이동성을 증진시키지만 현재의 교통 환경에 적합한 서비스를 제공하기에는 부족한 상황이다. 본 논문에서는 기존 전동보조기기를 이용하는 사용자의 경험을 바탕으로 물리적인 거리를 효율적으로 이동하도록 사용자 만족도 조사를 통해 필수요소를 도출하여 IoT 스마트 모빌리티를 개발한다. 이는 사용자 만족도 조사를 통해 수집한 데이터를 기반으로 TF-IFD를 활용한 정량적 분석, QFD를 기반으로 한 정성적 분석을 실시하여 사용자 요구사항의 중요도를 파악한다. 필수 기능을 반영한 IoT 스마트 모빌리티 디자인 결과물 평가는 다양한 분야의 전문가 평가단을 구성하여 사용성 검증을 진행한다. 추후에는 교통약자에게 IoT 스마트 모빌리티를 활용하여 효율적인 공공서비스가 제공될 수 있도록 디자인하여 교통약자의 이동편의성을 증진 및 이동서비스 솔루션을 제공할 수 있는 서비스디자인 연구를 진행할 예정이다.

• 한국전문물리치료학회지
• /
• 제17권4호
• /
• pp.69-76
• /
• 2010

The purposes of this study were to examine the reliability and validity of Korean translation of Pediatric Evaluation of Disability Inventory (PEDI-K) in school-aged children with cerebral palsy (CP). The PEDI-K, Functional Independence Measure for Children (WeeFIM) and Gross Motor Function Classification System (GMIFCS) were completed in 104 school-aged children with CP by therapists. The internal consistency of the PEDI-K was calculated by Cronbach's alpha (${\alpha}$) for assessing reliability. Concurrent validity was evaluated by correlation with the subsets of WeeFIM. Discriminant validity was assessed by comparing GMFCS levels with tests of the PEDI-K. The results showed that internal consistency was good (Cronbach's ${\alpha}$ ranged from .97~.98). Concurrent validity was demonstrated. The correlation with WeeFIM was high in the Functional Skills (self-care, r=.74~.94; mobility, r=.59~.91; social function, r=.65~.93) and in the Caregiver Assistance (self-care, r=.75~.94; mobility, r=.63~.90; social function, r=.78~.96). Discriminant validity was demonstrated on significant decreases in domain scores with increasing GMFCS levels. Reliability and validity have been demonstrated on the PEDI-K. This study extends usage of PEDI-K in clinical activities and research.

• 대한통합의학회지
• /
• 제4권4호
• /
• pp.91-100
• /
• 2016

Purpose : The purpose of this study has been performed to find the changes in the balance and activities of daily living on children with ataxic cerebral palsy from dual task training. Methods : This study selects 3 subjects for 7.6 years old who were diagnosed with children with ataxic cerebral palsy. The dual task training applied three times a week for six weeks to ataxic cerebral palsy. To assess changes in balance, we performed the length and surface area ellipse of central of pressure, Pediatric Balance Scale, We also assessed activities of daily living using Pediatric Evaluation of Disability Inventory. Result : There were statistically significant differences in the changes during training period for the static(length and surface area ellipse of central of pressure) and functional balance(PBS). There were statistically significant differences in the changes during training period for the Pediatric Evaluation of Disability Inventory including self-care and mobility domains, except for social function domain. Conclusion : The results from this case study suggest that dual task training may have a beneficial changes on balance and activities of daily living for children with ataxic cerebral palsy.

• Pediatric Infection and Vaccine
• /
• 제15권1호
• /
• pp.20-29
• /
• 2008

The basis of the economic evaluation of vaccination is the balance between the use of the resources (input) and the improvements that result from the vaccination (output). Techniques used for economic evaluation of vaccination are cost analysis, cost-minimization analysis, cost-effectiveness analysis, cost-utility analysis and cost-benefit analysis. Cost analysis seeks to characterize the costs of a given vaccination program. Cost-effective analysis is to helps policy-makers decide on the best use of allocated resources, whether cost-benefit analysis is to helps policy-makers decide on the overall allocation of resources. Cost-utility analysis is a specific form of cost-effective analysis in which outcomes are reduced to a common denominator such as the quality-adjusted life year (QALY) or disability-adjusted life year (DALY). Many economic analyses have been conducted on vaccines in the world, but there have been a little studies on economic evaluation on vaccines in Korea. This paper reviewed the methodology used to economic evaluation on vaccines and immunizations and addressed some examples of the methods.

• 혜화의학회지
• /
• 제24권2호
• /
• pp.1-16
• /
• 2016

Objectives : This study was designed to evaluate various tools including C-spine X-ray for estimating cervical curvature and identify the effect of wooden pillow on patients diagnosed with straightening of cervical curvature. Methods : This study was carried out on 51 subjects who were encountered traffic accident suffering cervical pain and diagnosed with straightening of cervical curvature by X-ray. 51 subjects were divided into wooden pillow(experimental) group and conservative therapy(control) group. Visual analogue scale, neck disability index and lateral pictures were used and compared after treatment. C-spine AP., Lat. X-ray were used on admission day to calculate cervical curvature and scoliosis by various ways. Results : 4 different measurements of cervical curvature didn't show common results. Both wooden pillow(experimental) group and conservative therapy(control) group showed significant improvement in the visual analogue scale(VAS) and neck disability index(NDI) after hospital treatment. Comparison between center line pictured by lateral view and C-spine Lat. pictured by X-ray showed significant difference in cervical curvature. Lateral deviation of cervical vertebra showed lengthened distance between mastoid process and spinous process of C7. Conclusion : As a result of this research, I found out that various tools for calculating cervical lordosis could derive different results and C-spine AP., Lat X-ray could cause artificial cervical lordosis. According to visual analogue scale(VAS) and neck disability index(NDI) wooden pillow was not effective to reduce pain & disability caused by straightening of cervical curvature. Futhermore, correction effect of straightening of cervical curvature and scoliosis by wooden pillow was weak.

• 한방재활의학과학회지
• /
• 제28권3호
• /
• pp.87-96
• /
• 2018

Objectives The purpose of this study is to provide more whiplash injury-specific measurement tools for Korean patients by measuring the validity and reliability of Korean version of Whiplash Disability Questionnaire (WDQ). Methods Bilingual clinicians translated the original WDQ into Korean. After consensus conference between researchers, it was back-translated into English. The pre-final version was completed and administered to 71 hospitalized patients diagnosed with whiplash injury. Validity was evaluated by concurrent validity. Reliability was assessed using Cronbach's ${\alpha}$ and intraclass correlation coefficient. Results The Korean WDQ showed good reliability with high internal consistency and intra-class correlation coefficient (Cronbach's ${\alpha}=0.96$, intraclass correlation coefficient [ICC]=0.82). Concurrent validity demonstrated positive correlations between Neck Disability Index, 36-Item Short Form Health Survey and WDQ. Conclusions The Korean version of WDQ is a valid and reliable tool for use as a measurement of whiplash injury in Korean patients, and it will be a very useful evaluation tool for both clinicians and researchers.

• 대한장애인치과학회지
• /
• 제10권2호
• /
• pp.101-105
• /
• 2014

Moebius syndrome is a rare, congenital neurological disease involving facial paralysis and limitation of eye movements. It results from maldevelopment of the sixth and seventh cranial nerves. Dental features of this syndrome include micrognathia, microstomia, tongue deformity, cleft palate, hypoplasia of the teeth, and congenital missing teeth. A 7-year-old female with Moebius syndrome was referred from a local dental clinic for caries treatment. She presented with facial paralysis and microstomia. Oral findings included multiple caries with enamel hypoplasia, congenital missing teeth, and tongue deformity. Dental treatments including restorative and preventive procedures were performed. Oral findings and management aspects of Moebius syndrome for this case are discussed. Early evaluation and multidisciplinary care are needed for children with Moebius syndrome.

• 한국HCI학회논문지
• /
• 제7권2호
• /
• pp.43-48
• /
• 2012

Usability assessment has been installed into a wide range of software that focuses on assessing product usage from the user's perspective. Usability assessment of the quality of life technology for individuals with disability is being discussed and tentatively designed which is also expanded to the products for non-disabled people with minor adjustment of the usability assessment protocol. Designing an appropriate usability assessment protocol by referencing the currently available international standards on software usability tests with number of modifications to produce valuable feedbacks is under evaluation process regarding product usability enhancement. The feasibility study on usability assessment protocol into quality of life technologies is presented with discussions on further research.