• 제목/요약/키워드: functional assessment index

검색결과 188건 처리시간 0.027초

뇌졸중 환자에 대한 상지기능 평가도구의 검사자간 신뢰도 (Interrater Reliability of Upper Extremity Function Assessment on Stroke)

  • 황성수;김푸름;원지인;유선주;윤준병;이근우;이왕재
    • PNF and Movement
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    • 제10권1호
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    • pp.1-7
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    • 2012
  • Purpose : To verify the interrater reliability of upper extremity function assessment among three tools(Wolf motor function test, Motor assessment scale, Fugl-meyer assessment scale). Methods : The subjects of this study 40 (20 was physical therapists and 20 was physical therapy students). For the test one patients with chronic hemiparesis after stroke participated in the study. The Wolf Motor Function Test consists of 16 functional tasks. The motor assessment scale consists of 3 functional tasks. The fugl-meyer assessment scale consists of 8 functional tasks. All test sessions were videotaped and scored by 40 subjects. Analysis : The data was analysis by SPSS PC 14.0 with Cronbach alpha Coefficients, intraclass Correlation Coefficients Kendall tau-b value. Results : WMFT was highly scored in Cronbach's value, Cronbach's ${\alpha}=0.819$ that means high interrater reliability among assessment. WMFT was highly scored all items in p-value except one item, that means high p-value between therapists and students. WMFT was highly scored in Intrarater correlation coefficient (ICC) = 0.79, that means high interrater reliability of each examination item. WMFT was low index of coincidence from all items, MAS was low index of coincidence from a tim and FMA was low index of coincidence from 4 items. Conclusion : The interrater reliability of WMFT were compared with MAS, FMA and highly verified. WMFT can be more useful tool among upper extremity function assessment.

노인의 기능 치아 수와 구강건강평가(GOHAI)와의 관련성 (Relationship between the number of functional teeth and Geriatric Oral Health Assessment Index(GOHAI) in elderly)

  • 조민정;정은경;신해은;신아라;조화영;최연희;송근배
    • 한국치위생학회지
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    • 제16권3호
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    • pp.455-461
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    • 2016
  • Objectives: The purpose of the study was to investigate the association between remaining functional teeth and oral health-related quality of life using Geriatric Oral Health Assessment Index(GOHAI) in the elderly. Methods: A self-reported questionnaire was completed by 237 female elderly in Daegu from May to September, 2015. The questionnaire consisted of general characteristics of the subjects and Geriatric Oral Health Assessment Index(GOHAI). A total of 216 female elderly data were analyzed for oral health status and their GOHAI score. Data were analyzed using SPSS 23.0 version. Logistic regression analysis showed the association of functional teeth and GOHAI score. Results: Number of functional teeth can affect oral health related quality of life in the elderly. When functional teeth is small, the odds ratio(OR) was 2.119(95% CI: 1.215-3.696). After adjusting age, residence type and education, OR was 1.900(95% CI: 1.060-3.399). Policies to preserve natural tooth should be recommended for increasing quality of life in general. Conclusions: This study showed significant association between number of functional teeth and the GOHAI score of the elderly women.

HGM을 이용한 화포천 습지의 기능평가 (Assessment of Hwapo riverine wetland function using Hydrogeomorphic Approach)

  • 윤선화;김덕길;김형수;곽재원
    • 대한토목학회논문집
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    • 제30권1B호
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    • pp.53-60
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    • 2010
  • 습지는 종 다양성이 높고 영양물질이 풍부하며 생산성이 높은 생태계로서 수문학적으로나 생태학적으로 여러 가지 기능을 수행하고 있다. 본 연구는 습지 기능을 평가하는데 이용되는 다양한 평가 방법중 하나인 HGM (Hydrogeomorphic)을 적용하여 화포습지에 대한 기능평가를 실시하였다. HGM방법은 하나의 기준습지를 선정한 후 대상습지와의 비교를 통해 습지의 기능을 지수화하여 평가하는 방법이다. 본 연구에서는 람사르 협약에 등록된 우포늪을 기준습지로 선정하여 화포천 습지의 기능을 평가한 결과 대부분의 기능이 0.6점 이상으로 우포늪과 비교하여 비교적 긍정적인 기능지수의 값을 보여주었다. 이는 화포천 습지가 수문학적, 생지화학적, 식물서식처, 동물서식처 기능을 수행하고 있고 보전 및 관리를 한다면 보다 더 효과적으로 기능을 수행할 수 있을 것으로 판단된다.

이질적 경관에서의 연결성 측정: 리뷰 및 적용 (Measuring Connectivity in Heterogenous Landscapes: a Review and Application)

  • 송원경;김은영;이동근
    • 환경영향평가
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    • 제21권3호
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    • pp.391-407
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    • 2012
  • The loss of connectivity and fragmentation of forest landscapes are seriously hindering dispersal of many forest-dwelling species, which may be critical for their viability and conservation by decreasing habitat area and increasing distance among habitats. For understanding their environmental impacts, numerous spatial models exist to measure landscape connectivity. However, general relationships between functional connectivity and landscape structure are lacking, there is a need to develop landscape metrics that more accurately measure landscape connectivity in whole landscape and individual patches. We reviewed functional and structural definition of landscape connectivity, explained their mathematical connotations, and applied representative 13 indices in 3 districts of Seoul having fragmented forest patches with tits, the threshold distance was applied 500m by considering the dispersal of tits. Results of correlation and principal component analysis showed that connectivity indices could be divided by measurement methods whether they contain the area attribute with distance or not. Betweenness centrality(BC), a representative index measuring distance and distribution among patches, appreciated highly stepping stone forest patches, and difference of probability of connectivity(dPC), an index measuring including area information, estimated integrated connectivity of patches. Therefore, for evaluating landscape connectivity, it is need to consider not only general information of a region and species' characteristics but also various measuring methods of landscape connectivity.

Oswestry Disability Index(ODI) 평가 도구를 이용한 요통환자의 기능장애에 영향을 미치는 요인 연구 (The Study of Factors Affecting Functional Disability of the Low Back Pain Patients Using Oswestry Disability Index(ODI) Assessment Tool)

  • 이상호;박지환
    • 대한정형도수물리치료학회지
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    • 제13권1호
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    • pp.18-25
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    • 2007
  • Objective: The Purpose of this study is the factive and descriptive research to identify the factors affecting the functional disability of the chronic low back pain patients. We investigated the effect of ODI by the Questionnaire and questioned an 70 patients who were back pain unit at G university hospital in D city from March to May, 2007. The functional disorder in this study were based on the Oswestry Disability Index(ODI) lower back pain disability questionnaire by fairbank(1980), and these data were proceeded by using SPSS/WIN version 10.0. Result: 1. The functional disorder in accordance with age, gender, academic background, occupation, diagnosis, pain cause, pain experience, treatment duration had no significantly similar difference statistically(p>0.05). 2. The functional disorder in accordance with duration of painful generation had statistically significance(P<0.05). Conclusion: we could verify that duration of painful generation affect on the factors affecting the functional disability of the low back pain patients.

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A Patient with Ankylosing Spondylitis Treated with Acupotomy and Traditional Korean Medicine

  • Kim, Beom Seok;Kim, Jae Ik;Kim, Hyo Bin;Lee, Ye Ji;Sung, Ki Jung;Jeon, Ju Hyun;Kim, Eunseok;Kim, Young Il
    • Journal of Acupuncture Research
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    • 제36권3호
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    • pp.172-181
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    • 2019
  • This case report relates to a 40-year old male patient diagnosed with ankylosing spondylitis who was treated with acupotomy and traditional Korean medicine. He showed a significant improvement in joint range of motion (ROM) in cervical and lumbar vertebrae, and in pain and functional disorder symptoms. The patient received acupotomy, acupuncture, pharmacopuncture, herbal medicine and physical therapy (November 26, 2018 to December 17, 2018). Joint ROM for cervical and lumbar vertebrae was measured, and the pain level was assessed using a numerical rating scale. The functional disorder and quality of life scales were also assessed using the Bath Ankylosing Spondylitis Functional Index, Bath Ankylosing Spondylitis Disease Activity Index, Korean Health Assessment Questionnaire, and Modified Health Assessment Questionnaire. After applying acupotomy and traditional Korean medicine, the patient exhibited increased joint ROM and reduced pain, also in conjunction with improved responses in functional disorder and quality of life.

The Effect of Upper Extremity Training with a Focus on Functional Reaching, on Trunk Control and ADL Performance in Post-Stroke Hemiplegic Patients

  • Song, Bo-Kyung
    • The Journal of Korean Physical Therapy
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    • 제23권3호
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    • pp.71-77
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    • 2011
  • Purpose: In this study, we tried to determine the effect of upper extremity training such as functional reaching on improved trunk control and ADL performance in post-stroke hemiplegic patients. Methods: We randomly selected 11 stroke patients in the hospital, who had a problem with the upper extremity, trunk and ADL performance. The patients were divided into the conservative training group and the functional reaching training group. We applied general occupational therapy only in the conservative training group whereas we applied upper extremity training with a focus on functional reaching in the functional reaching training group. To compare the two groups we used several assessment tools such as Modified Barthel Index (MBI), total Trunk Impairment Scale (TIS), static TIS, dynamic TIS and coordinative TIS. Results: The results obtained were as follows: (1) In the functional reaching training group, there was a statistically significant difference in the total TIS score, dynamic TIS score, and MBI. (2) We compared the results obtained before training with the changes in the results obtained after training and found that there was a relation between the assessment outcomes. Especially, static TIS score showed a relation in both groups. Conclusion: Functional reaching training influenced both the trunk control and ADL performance. Especially, the functional reaching training group demonstrated better static trunk control ability than the conservative treatment group.

HGM을 이용한 질날늪 기능평가 연구 (Functional Assessment of Jilnalnup Wetland by HGM)

  • 김예화;이란;문상균;구본학
    • 한국환경복원기술학회지
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    • 제16권2호
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    • pp.13-22
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    • 2013
  • Wetlands occupy an important ecological position on the earth, carrying out very important functions and roles both ecologically and hydrologically. However, due to past industrialization, not only wetland areas but also the biodiversity of organisms has severely decreased due to several artificial interferences and damage as wetlands began to be perceived simply as targets for development and reclamation. However in recent times, with the importance of wetlands coming to the fore, the assessment of the function and value of wetlands is being made for their wise use and systematic maintenance. Accordingly, this study targeted the Jilnal Wetlands located in Haman, Gyeongnam, and conducted a functional appraisal of this wetland using the modified HGM Model which was modified & developed appropriately for the actual conditions of our country. The result of its appraisal by selecting the Upo Wetland as the reference wetland, which is a criterion of the index, showed a comparatively positive functional index with 0.89 of the Upo Wetland average. This means that the Jilnal Wetland carrys out more than 89% of the functioning of the Upo Wetland. In this regard, it is thought that the Jilnal Wetland could carry out the wetland functioning equivalent to that of the Upo Wetland through a little more systematic management.

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.

Can Observational Gait Assessment Tools be used to Assess Independent Walking in Stroke Patients?

  • Ju, Sung-Kwang
    • 대한물리의학회지
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    • 제17권1호
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    • pp.11-20
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    • 2022
  • PURPOSE: A gait assessment is an important component of the rehabilitation process, and observational gait assessment (OGA) is used routinely in clinical settings. This study examined the association of OGA tools with the independent walking ability in stroke patients to determine a cutoff value of the OGA tool according to independence levels of stroke patient gait. METHODS: Two hundred ten hemiparetic stroke patients participated in the study. The independence of gait was identified using the Functional Ambulation Category (FAC) classifications. The walking ability was assessed using OGA tools (Rivermead Visual Gait Assessment [RVGA], Wisconsin Gait Scale [WGS], Tinetti Gait Scale [TGS], and Functional Gait Analysis [FGA]). RESULTS: Stepwise multiple regression analysis showed that among the OGA tools, the FGA correlated with the FAC. The FGA explained approximately 77% of the variance in FAC. In distinguishing the independence levels, the cutoff values were as follows: between FAC 1 and FAC 0 was .5 points; between FAC 2 and lower levels, 5.5; between FAC 3 and lower levels, 11.5; between FAC 4 and lower levels, 14.5; and between FAC 5 and lower levels, 18.5. Items 1, 2, 3, and 10 were identified as explaining most of the variance in the FGA in the stepwise multiple regression. CONCLUSION: The present study found that the FGA is an assessment tool related to the level of gait independence after stroke. Furthermore, the FGA total score can serve as an index of the increase in independence level after stroke.