• 제목/요약/키워드: handicap

검색결과 283건 처리시간 0.03초

사람의 평형감각 측정시스템 개발 (Development of an Equilibrium Sensation Measuring System for Human Being)

  • 김갑순
    • 한국정밀공학회지
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    • 제26권11호
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    • pp.62-69
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    • 2009
  • This paper describes the development of the new type equilibrium sensation measuring system for human with handicap in the equilibrium sensation. The medium and small hospital could not use the developed equilibrium sensation measuring system, because it is very high prices. Therefore, the new type system should be developed to measure the numerical value of the equilibrium sensation in human with handicap. In this paper, First, two 3-axis force/moment sensors which can measure force Fz, moments Mx and My simultaneous were designed and manufactured, second, the high speed measuring device which can acquire the output from two 3-axis force/moment sensors, third, the new type equilibrium sensation measuring system was developed, then the characteristic test of the developed equilibrium sensation measuring system carried out, it is confirmed that the system could measure the swing body of human with handicap.

식도발성 환자의 음향학적 특성과 음성장애지수의 상관성 (The Relationship between Acoustic Characteristics and Voice Handicap Index in Esophageal Speakers)

  • 장효령;심희정;신희백;고도흥;김현기
    • 말소리와 음성과학
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    • 제6권2호
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    • pp.115-121
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    • 2014
  • This paper investigates the relationship between acoustic characteristics and voice handicap index for 29 males with esophageal speakers. Acoustic characteristics were measured by using a sustained vowel /a/ three times. The stable vocalization for 2 seconds was analyzed by MDVP program. Specifically, relationships between four VHI scores (total, functional, physical, and emotional) and three acoustic characteristics (jitter, shimmer, and NHR) were investigated using the Pearson correlation coefficient. As results, we found no relationship between NHR and VHI scores. However, both jitter and shimmer had statistically significant correlations with all four VHI scores. This research will contribute to establishing a baseline related to speech characteristics in voice rehabilitation with esophageal speakers. Further research could be done to examine the overall quality of life survey, which is widely used as a subjective measure about voice for patients with esophageal speakers.

장애인의 보조기 사용에 대한 현황과 만족도에 관한 연구 (A Study on the How the Handicapped Use Orthosis and Their Satisfaction)

  • 김동길
    • 대한물리치료과학회지
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    • 제9권3호
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    • pp.129-140
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    • 2002
  • This study intended to find out how the handicapped use medical aid, their satisfaction at using it and so on. First a preliminary survey(Apr. 20$\sim$24, 2002) was made for the handicapped who had been cured for rehabilitation by wearing medical aid at hospitals and welfare center in Jeonbuk region. Then total 120 subjects were asked to fill out a standardized questionnaire from May 15$\sim$22, 2002. Out of total 95 questionnaires collected, 84 questionnaires were analyzed except for 11 cases unsuitable for the intention of this study. The results can be outlined as follows: 1. In general characteristic, it was found that the causes of disability included disease(35 respondents; 41.7%), traffic accident(23 respondents, 27.4%) and so on. In addition, 1st handicap comprised the majority(32 respondents; 58.2%) in handicap grade and ankle foot orthosis(or b-k orthosis) was most often used as medical aid(28 respondents: 33.3%) 2. In particular, it was also shown that the 1st handicap mainly resulted from traffic accident(15 respondents, 27.3%) and post-disease disability (11 respondents, 20.0%). They wore medical aid for 1 year or less on the average, because they were hospitalized for cure, which showed statistically significant level(P<0.05). 3. It was found that total 69 respondents(82.1%) were more or less satisfied with their medical aids depending on the causes of disability, and total 46 respondents(83.6%) were satisfied with their aids according to their handicap grade, but there were no statistical significance. 4. Total 56(66.7%) respondents answered that they would purchase medical aid on their own expenses, when they became handicapped. And the price of medical aid ranged from $\300,000{\sim}400,000$(25 respondents: 29.8%) to \ 500,000 or more(24 respondents: 28.6%). It means that they purchased more or less expensive medical aid on their own expenses, which showed statistical significance(P<0.05). 5. If there was any failure of medical aid, 9 respondents(37.5%) answered that they would be serviced from medical companies, and 7 respondents(29.2%) would be serviced from medical aid manufacturers. Most respondents were serviced for their medical aids from related companies. For the question about the causes of dissatisfaction upon repair service, 11 respondents(45.8%) answered that existing service company provided unskilled repair services and other respondents answered that there was no spare part or higher service expenses than they thought. These answers had the statistical significance(P<0.05). However, 20 respondents(79.2%) answered that they were satisfied with the repair service, which means that most respondents are satisfied with the service. In view of the results as described above, it can be concluded that their handicap or disability results from disease or sequelae after traffic accident and most of the affected wear their own medical aid. In the future, it is required that the medical insurance should cover those medical aids, and the service for failed medical aids should be commissioned by technical serviceman to realize customized manufacture and repair service according to different causes so that the handicapped can enjoy more or less comfort and convenience in their daily lives without any extreme difficulty.

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운동발달장애아 어머니와 아버지의 스트레스 비교 (Comparison of Stress Between the Mother and Father Who Have Children)

  • 송주영
    • 한국전문물리치료학회지
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    • 제5권2호
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    • pp.65-80
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    • 1998
  • Parents of handicapped children are experiencing difficulties in their children's care, social isolation, change of life style and lirnited leisure time. Because the parents should take care of the children's daily life, they have lots of psychological and physical stress. Chronic stress of parents puts stress to the other family members and affects the development of children with handicap. The purpose of this study were to identify the level of stress in each of parents of children with motor problem, the characteristics of the children and general information related with the children, and to analyse the stress by reasons. Specially organized questionnaire were used for an investigation method. "Test of stress in mother who has children with chronic illness" by Kim Hee-soon were modified and used. The questionnaire answered by 43 mothers and 35 fathers were analyzed. Data analysis includes frequency analysis, Pearson correlation coefficients, paired-samples t-test and MANOV A by SPSSWIN. The results were as follows: 1) Degree of handicap was most moderate (46.5%), level of motor development was most pull to walk (34.9%), and combined handicap was 69.8%. 2) Sexual distribution represented that 51.2% male and 48.8% female. The cost of physical therapy was 69.8% in no more than 100,000 won. 3) The mean of age, for the mother was 32.8 years and 35.3 years. Level of motor development that mother and father expect was 88.4%, 83% walk alone. 4) Both mother and father experienced stress in other of Part II (changes in father was the illness status of the child and difficulty in taking care of child), Part III (prognosis of the child's condition), Part I (social-personal relationships and the responsibility of the care givers). In the total score of stress, mother's stress is indicated higher level than father's stress. 5) There was no correlationship between characteristics and stress of mother and father. 6) There was no statistically significant difference between characteristics and related general information of children with handicap and stress of mother and father. As a results, the mother of children with handicap are experiencing more stress than the father. Both of parents have the most difficulties in the changes in the illness status of the child and difficulty in taking care of child. This study can be used as resources of education, therapy and counselling for children with handicap and their parents. This study, also, can be used to encourage the quality of Iife for the children with handicapped and their family.

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초기 노인성 난청자에서 인지장애가 일상생활 듣기 어려움에 미치는 영향 (Effects of Cognitive Impairment on Self-reported Hearing Handicap in Older Adults with Early-stage Presbycusis)

  • 이수정
    • 한국노년학
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    • 제38권1호
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    • pp.1-14
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    • 2018
  • 노인성 난청은 일상생활 속 듣기 어려움(hearing handicap)을 유발함으로써 노년기 삶의 질을 저하시킨다. 본 연구에서는 초기 노인성 난청을 보이는 경도인지장애 노년층 40명과, 평균 연령 및 청력을 일치시킨 정상 노년층 40명을 대상으로 K-HHIE 설문을 실시하여 일상생활에서 느끼는 주관적 듣기 어려움 정도를 비교해보고자 하였다. 연구 결과, 첫째, K-HHIE의 사회적/상황적 점수, 정서적 점수, 그리고 총점에서 경도인지장애 노년층 집단이 정상 노년층 집단에 비해 유의하게 높은 점수를 나타내었다. 둘째, K-HHIE의 4개 요인 모두에서 경도인지장애 노년층 집단이 정상 노년층 집단에 비해 유의하게 높은 점수를 보였고, 특히 요인 1(대인관계 및 사회성)에서 집단 간 차이가 두드러졌다. 셋째, 집단에 따라 K-HHIE 문항별 평균 점수가 높은 상위 항목들을 비교한 결과, 경도인지장애 노년층과 정상 노년층 모두 8번 항목(작은 소리 듣기 어려움)과 15번 항목(TV 시청 불편함)에서 가장 많은 어려움을 호소하였으며, 특히, 경도인지장애 노년층은 요인 1에 해당하는 항목인 21번(식당에서 듣기 어려움)과 6번(모임 참석 시 듣기 어려움), 3번(대인기피), 20번(사회생활 제한) 항목들에서 높은 점수를 나타내었다. 본 연구는 초기 노인성 난청자 중에서도 인지장애가 있을수록 일상생활에서 더 많은 듣기 어려움을 호소하며, 특히 다화자 상황이나 배경 소음이 있는 상황에서의 듣기 어려움이 두드러지고, 이는 노년층의 사회활동을 제한시킬 뿐만 아니라 대인기피 등과 같은 정서적 문제를 야기할 수 있음을 확인하였다는 점에서 그 의의가 있다.

지체장애인 여성의 장애유형과 연령에 따른 인체계측 연구 (Study on the Measurements of the Body of Physically Handicapped Women According to their Handicap Types and Age)

  • 정삼호;이현정
    • 복식
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    • 제56권3호
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    • pp.107-115
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    • 2006
  • This study is aimed to personally measure the body of physically handicapped women and compare the measurements to the results of the fifth project to investigate the measurements of the body of Koreans, identity the differences in the measurements in accordance with the subjects' handicap types and age, and find the characteristics of their physical figures, with a view to propose basic data for developing clothes suitable to the body of physically handicapped people. The findings of this study are summarized in the following: 1. There were significant differences in the measurements of the subjects' shoulder width, breast circumference, waist circumference, hip circumference, armpit circumference, left and right upper arms' circumference, length between front walls of the armpit, and length between back walls of the armpit after the subjects' handicap types were classified into paralysis of the lower half of the body, cerebral apoplexy, cerebral palsy, and amputation and the differences in the subjects' bodily measurements were compared and analyzed. 2. The shoulder width gradually increased for those in their 50s or younger while that of those in 60s or older is almost the same as that of those in their 30s. The waist circumference gradually increased in all the subjects. As a result, the present author concludes that the body of physically handicapped women increases the same way as the body of ordinary adult women does in its circumferential measurements as the subjects grow older.

소아 성대결절 : 음성치료 후 음성장애지수를 이용한 장기 추적관찰 결과 (Pediatric Vocal Fold Nodules : Long-term Follow up with Voice Handicap Index after Voice Therapy)

  • 이성원;노종렬;최승호;김상윤;남순열
    • 대한후두음성언어의학회지
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    • 제17권2호
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    • pp.133-137
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    • 2006
  • Objectives : The purpose of this paper is to know the efficacy of voice therapy for vocal fold nodules in children. Materials and Methods : Sixty two patients with vocal nodules(46 boys and 16 girls) were retrospectively reviewed. Age ranged from 4 to 15 years with mean age of 8 years. Questionnaire survey was carried out with voice handicap index, at pretherapy and post-therapy(3 months and 5 years after voice therapy). Results : Sixty two percent of the patients showed improvement by voice therapy. Twenty five patients continued education at home after voice therapy, but only eight childrens were included this group in pre-school aged children. Voice handicap index was improved in 3 months and 5 years after voice therapy. In contrast, pre-school children group showed slight aggravation in 5 years, especially in emotional subdomain. Conclusion : Voice therapy is effective primary treatment in children with vocal fold nodules. Different result between preschool aged children and school aged group shows needs for age specific approach of voice therapy.

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양성 후두 질환 환자의 후두미세 수술 전후 음성 장애 지수의 변화 (Change of Voice Handicap Index After Laryngeal Microsurgery for Benign Vocal Fold Lesions)

  • 김지희;최효근;박범정
    • 대한후두음성언어의학회지
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    • 제26권1호
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    • pp.34-39
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    • 2015
  • 후두 미세 수술을 받은 환자에서 수술 전과 후 전체적인 음성 장애 지수를 비교했을 때 모두 호전이 있는 것으로 나타났다. 영역별로는 기능적, 물리적 영역에서는 남녀간의 차이가 없었으나 감성적 영역에서는 여자보다 남자에서 수술 후 만족도가 큰 것으로 나타났다. 이번 연구를 통해 음성 장애 지수가 음성의 상태를 모두 대변할 수는 없지만 객관적인 음향, 공기역학적 검사로 평가할 수 없었던 음성 장애에 대한 환자의 인식 정도를 정량화하여 평가할 수 있는 편리한 도구임을 확인 할 수 있었다.

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후두미세수술 후 음향지표의 변화와 환자의 만족도 비교 (Change of Acoustic Parameter and Voice Handicap Index after Laryngeal Microsurgery)

  • 김범석;신지훈;김기용;이용섭;김경래;태경
    • 대한후두음성언어의학회지
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    • 제19권2호
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    • pp.142-145
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    • 2008
  • Background and Object: The aim of this study is to evaluate the change of patient's subjective voice handicap index (VHI) and acoustic parameters before and after laryngeal microsurgery for benign vocal cord disease. Materials and Method: We analyzed 78 patients who received laryngeal microsurgery for benign vocal cord disease from January 2004 to February 2007 retrospectively. There were 28 vocal polyp, 40 vocal nodule, 5 intracordal cyst and 5 Reinke's edema. Jitter, shimmer, harmony to noise ratio (HNR) were analyzed before surgery and 2-3months after surgery using the Doctor's speech science program. The voice handicap index introduced by the Pittsburgh Voice Center was used to examine patient's subjective change of voice quality. Results: Acoustic parameters of jitter, shimmer and HNR were improved in patients with vocal polyp and vocal nodule after surgery. The acoustic parameters were not improved in patients with Reinke's edema, statistically. Only jitter was improved significantly in patients with intracordal cyst (p<0.05). The VHI was significantly improved after surgery. The change of jitter and shimmer was significantly correlated with the change of VHI after surgery. Conclusion: The acoustic parameters and VHI were significantly improved in patients with benign vocal disease after laryngeal microsurgery.

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