• Title/Summary/Keyword: maintenance therapy

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A Survey of the Rehabilitation Services Needs of the Elderly in Rural Area (지방도시 거주 노인들의 재활서비스에 대한 요구 조사 - 안동시 거주 노인들을 중심으로 -)

  • Kim, Suhn-Yeop
    • Physical Therapy Korea
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    • v.4 no.3
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    • pp.1-16
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    • 1997
  • This study was carried out to find out general characteristics and health-related be haviors of elders aged 60 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at An-Dong city and participated in this study. To collect data, the field survey was conducted from December 13 to 23, 1996 with structured questionnaires by 6 trained student interviewers. Chi-square test, t-test and Pearson's correlation were used for data analysis by use of SPSS/$PC^+$ program. The major findings were as follows; 1) In the individual characteristics of the respondents, the average age were 73.6 years old. 21.5% of the subjects were 60-69 years old, while 27.5% were 70-74 years old, 25.0% were 75-79 years old, 26.0% were 80 years old or over. 2) For the degree of the subject's perceptive health condition, the aver age 3.39 point and standard deviation 1.09. The perceptive health condition of the subjects was in the mid point range of health condition. 3) 46.6% of men and 25.8% of women practiced exercise regularly for their health maintenance and promotion. 4) For the degree of the subject's perceptive health condition, the difference by sex was not statistically significant. 5) 51.8% of men and 60.2% of women has idea for interventions to health promotion program by rehabilitation services.

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A Study of Comparative on Dynamic Balance and QOL according to Cognitive Function in Elderly (노인의 인지기능에 따른 동적 균형과 삶의 질에 대한 비교 연구)

  • Lee, Kwang Jae
    • Journal of Korean Physical Therapy Science
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    • v.19 no.4
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    • pp.35-40
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    • 2012
  • Background : The purpose of this study is to provide the basic data. Elderly cognitive identify the difference between dynamic balance and quality of life according to the performance level of the clinical exercise therapy and cognitive training. Methods : This study was conducted to collect data from October 17th in 2011 until October 28th, to target seniors who living in Yong-in, Gyeonggi-do. Results : The results of the statistical analysis according to the cognitive ability to function. Higher cognitive functions, the dynamic balance ability was higher, and higher quality of life. Also showed that the dynamic balance ability and a high quality of life to the higher cognitive functions(p<.05). Conclusion : For the maintenance and promotion of cognitive function in the elderly, physical therapy approach seems to improve the quality of life and still plays an important role, as well as the promotion of dynamic balance ability. Therefore, to improve cognitive function is thought to be the appropriate intervention methods and approaches to be developed.

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Association of chairside salivary aMMP-8 findings with periodontal risk assessment parameters in patients receiving supportive periodontal therapy

  • Schmalz, Gerhard;Kummer, Max Kristian;Kottmann, Tanja;Rinke, Sven;Haak, Rainer;Krause, Felix;Schmidt, Jana;Ziebolz, Dirk
    • Journal of Periodontal and Implant Science
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    • v.48 no.4
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    • pp.251-260
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    • 2018
  • Purpose: The aim of this retrospective cross-sectional study was to evaluate whether salivary findings of active matrix-metalloproteinase 8 (aMMP-8) chairside (point of care; POC) tests were associated with periodontal risk assessment parameters in patients receiving supportive periodontal therapy (SPT). Methods: A total of 125 patients receiving regular SPT were included, and their records were examined. The following inclusion criteria were used: a diagnosis of chronic periodontitis, at least 1 non-surgical periodontal treatment (scaling and root planning) with following regular SPT (minimum once a year), at least 6 remaining teeth, and clinical and aMMP-8 findings that were obtained at the same appointment. In addition to anamnestic factors (e.g., smoking and diabetes), oral hygiene indices (modified sulcus bleeding index [mSBI] and approximal plaque index), periodontal probing depth simultaneously with bleeding on probing, and dental findings (number of decayed, missing, and filled teeth) were recorded. Salivary aMMP-8 levels were tested using a commercial POC test system (Periomarker, Hager & Werken, Duisburg, Germany). Statistical analysis was performed using the t-test, Mann-Whitney U test, Fisher's exact test, and ${\chi}^2$ test, as appropriate (P<0.05). Results: Only the mSBI was significantly associated with positive salivary aMMP-8 findings (aMMP-8 positive: $27.8%{\pm}20.9%$ vs. aMMP-8 negative: $18.0%{\pm}14.5%$; P=0.017). No significant associations were found between aMMP-8 and smoking, diabetes, periodontal parameters, or parameters related to the maintenance interval (P>0.05). Conclusions: Salivary aMMP-8 chairside findings were not associated with common parameters used for periodontal risk assessment in patients receiving SPT. The diagnostic benefit of POC salivary aMMP-8 testing in risk assessment and maintenance interval adjustment during SPT remains unclear.

A Study on the Appropriateness of Community Rehabilitation Job Knowledge and Education for Community Care : Focusing on the Job as an Occupational Therapist (커뮤니티케어를 위한 지역사회 재활 직무 지식과 교육의 적절성 조사연구 : 작업치료사 직무 중심으로)

  • Bae, Seong-Hwan;Jo, Seok-Min;Baek, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.379-388
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    • 2021
  • This study was conducted to find out the appropriateness of knowledge and education of occupational therapists' community rehabilitation jobs for community care. A questionnaire was developed to find out the job knowledge level of occupational therapists working in the community and the appropriateness of school education and maintenance education, and the validity and reliability were verified through a preliminary survey. Based on the verified questionnaire, a survey was conducted on occupational therapists working in the community. As a result, overall, the average score was low in the level of knowledge about the job of occupational therapists engaged in the community and the appropriateness of school education and maintenance education. Through this study, we were able to know the necessary knowledge in the practice of community occupational therapy, understand the level of knowledge retention of occupational therapists working in the community, and learn about the appropriateness of school education and maintenance education. Referring to the results of this study, if a systematic education program related to community occupational therapy jobs is developed in existing medical institution-centered education, the job knowledge level of occupational therapists in the community can be raised. Amid the rapidly changing times and the pandemic of infectious diseases, additional research is needed on job-related knowledge and education corresponding to various occupations in charge of rehabilitation in the community.

The Comparison of Effects Mulligan's Technique Applied to Shortened Hamstring (단축된 슬괵근에 적용한 멀리건 기법의 효과 비교)

  • Choi, Yul-jung;Sim, Hyun-po;Lee, Jun-yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.1
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    • pp.7-14
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    • 2018
  • Background: The purpose of this study is to investigate the effects of Mulligan's bent leg raise (BLR), two leg rotation (TLR) and straight leg raise with traction (traction SLR) technique on the change of shortened hamstring length. Methods: Sixty subjects participated in this study. The subjects were randomly assigned to either the BLR group (n=20) or TLR group (n=20) or traction SLR group (n=20). 90-90 SLR test was performed for evaluation of hamstring shortening at initial time of study. After intervention, immediate effect(immediately after intervention) and effect of maintenance (after 60 minutes from intervention) were assessed. Results: All three groups showed significant differences in the immediate evaluation and the post evaluation after 60 minutes on the change of shortened hamstring length compared to the initial evaluation. When three groups were compared, in the immediate effect, BLR and traction SLR groups were higher than TLR group (p<.05). And the effect after 60 minutes, BLR group was higher than the other two groups (p<.05). Conclusion: In the results of this study, three groups showed immediately and lasting effectiveness in flexibility of shortened hamstring. In addition, BLR and traction SLR groups were more flexible than TLR group in the immediate evaluation and BLR group had better maintenance of flexibility than the other two groups in the post evaluation after 60 minutes.

A Study on the Needs and Understanding about the Home Physical Therapy System (가정 물리치료제도에 대한 인식 및 필요에 대한 조사연구 -가정간호수습생을 대상으로-)

  • Kwon, Hei-Jeoung;Hong, Wan-Seong;Kim, Myung-Joon;Yang, Yung-Ae;Hwang, Seong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.125-143
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    • 1999
  • The purpose of this study was to investigate the need and understanding about the physical therapy. The subjects of this study were 101 licensee nurses who was taking the home nursing trainers. The results were as follows: 1. The home nursing trainers(97.1%) were required the need for home physical therapy service. The reasons which requires the home physical therapy were 'the increased elderly patients(97.0%)', 'the early leaving of the hospital(96.0.%)', 'the lack of caretakers(96.0%)', and 'the increased chronic patients(96.0%)'. 2. The ratio of affirmation of home physical therapy system was 97% of the home nursing trainers, the reasons which were helped the patients was 'the saved time(97.0%)'. 'the decreased psychological stress(95.0%)' 'the continuing treatment after discharge(93.0%)' and 'the teaching patients and caretakers(93.0%)'. 3. The main center which was organized the home physical therapy service was 'the department of home physical therapy arid the home nurse(42.6%)', 'the department of home nurse(22.8%)', and 'the department of home physical therapy(1l.9%)'. 4. The home nursing trainers wanted to learn the home physical therapy methods for chronic patients(95.0%). The contents of home physical therapy methods was 'the therapeutic exercise for preventing deformity(15.4%)', and 'maintenance of normal posture and howe to change body position(12.4%)'. 5. Statistically significant difference in the teams (the home physical therapy, the home nurse, and the home physical therapy with the home nurse) was found between the age groups, and statistically significant difference in the teams was found between the educational degree groups.

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Long-term evaluation of teeth and implants during the periodic maintenance in patients with viral liver disease

  • Yoon, Da-Le;Kim, Yong-Gun;Cho, Jin-Hyun;Lee, Sang-Kyu;Lee, Jae-Mok
    • The Journal of Advanced Prosthodontics
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    • v.8 no.4
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    • pp.321-328
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    • 2016
  • PURPOSE. This study was designed to investigate the maintenance of teeth and implants in patients with viral liver disease. MATERIALS AND METHODS. 316 patients without any significant systemic disease were selected as a control group. Liver disease group was consisted of 230 patients. Necessary data were collected using clinical records and panoramic radiographs. Then, the patients were subdivided into 2 groups based on the type of active dental therapy received before maintenance period (Pre-Tx). Analysis for finding statistically significant difference was performed based on the need for re-treatment of active dental therapy (Re-Tx) and change in the number of teeth (N-teeth) and implants (N-implants). RESULTS. Comparing to control group, the patients with liver disease showed higher value on N-teeth, N-implants, and Re-Tx. Statistically significant differences were found on N-teeth (P=.000) and Re-Tx (P=.000) in patients with non-surgical Pre-Tx. Analysis based on severity of liver disease showed that N-teeth and Re-Tx were directly related to severity of liver disease regardless of received type of Pre-Tx. Significant differences were found on N-teeth (P=.003) and Re-Tx (P=.044) in patients with non-surgical Pre-Tx. CONCLUSION. In this study, it was concluded that liver disease might influence the loss of teeth and cause the relapse of dental disease during maintenance period in patients. A significant positive relationship between tooth and implant loss and severity of liver disease seems to exist.

Effects of Methadone Maintenance Therapy on Thyroid Function of Adult Men

  • Bozchelou, Shahrzad;Delirrad, Mohammad
    • Toxicological Research
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    • v.35 no.1
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    • pp.9-12
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    • 2019
  • One of the major challenges in methadone maintenance therapy (MMT) for drug dependence is the physiological side effects on endocrine hormones. Because of the key role of the thyroid gland in the normal functioning of the human body and brain, this study examined the effect of MMT on thyroid function. Thyroid hormones (T3, T4, and thyroid-stimulating hormone (TSH)) were evaluated in normal and user treated with MMT who were referred to the Province Clinical & Pathology Center of Urmia, Iran. The study was conducted for three months using the Case Series method. A total of 270 samples were collected, 215 were from individuals who were not treated, whereas 55 were from men treated with methadone. Average levels of T3 and T4 in non-treated sample of men are $1.34{\pm}0.02ng/mL$ and $90.96{\pm}1.38ng/mL$ while the corresponding values for patients treated with methadone are $1.39{\pm}0.04ng/mL$ for T3 and $94.57{\pm}2.72ng/mL$ for T4. Mean TSH levels of the non-treated group and the methadone consuming group were $1.75{\pm}0.08{\mu}IU/mL$ and $3.17{\pm}0.45{\mu}IU/mL$, respectively. These results indicate that although men treated with methadone had higher levels of T3, T4, and TSH than normal individuals, only the difference in TSH level was significant. The importance of this difference among individuals on methadone maintenance programs should be investigated in larger samples over long periods of time. Additionally, the effects of methadone treatment on women should be examined.

HbA1c changes in patients with diabetes following periodontal therapy

  • Kim, Su-Hwan;Lee, Jihye;Kim, Won-Kyung;Lee, Young-Kyoo;Kim, Young-Sung
    • Journal of Periodontal and Implant Science
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    • v.51 no.2
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    • pp.114-123
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    • 2021
  • Purpose: This retrospective cohort study aimed to assess the effect of nonsurgical periodontal therapy on glycated hemoglobin (HbA1c) levels in patients with both type 2 diabetes and chronic periodontitis. Methods: The intervention cohort (IC) comprised 133 patients with type 2 diabetes who received nonsurgical periodontal treatment, while the matching cohort (MC) included 4787 patients with type 2 diabetes who visited the Department of Endocrinology and Metabolism of Asan Medical Center. The patients in each cohort were divided into 3 groups according to their baseline HbA1c level: subgroup 1, HbA1c <7%; subgroup 2, 7%≤ HbA1c <9%; and subgroup 3, HbA1c ≥9%. Changes in HbA1c levels from baseline to 6 and 12 months were analyzed. In addition, the association between changes in HbA1c levels and the number of periodontal maintenance visits was investigated. Results: There were no statistically significant changes in HbA1c levels in the IC and MC or their subgroups when evaluated with repeated-measures analysis of variance. However, the IC showed maintenance of baseline HbA1c levels, while the MC had a trend for HbA1c levels to steadily increase as shown by pairwise comparisons (baseline to 6 months and baseline to 12 months). IC subgroup 1 also maintained steady HbA1c levels from 6 months to 12 months, whereas MC subgroup 1 presented a steady increase during the same period. The number of periodontal maintenance visits had no association with changes in HbA1c levels during the 1-year study duration. Conclusions: For patients with both type 2 diabetes and periodontitis, nonsurgical periodontal treatment and periodontal maintenance may help to control HbA1c levels.

Nutritional Assessment and Nutritional Management for GI Cancer Patients

  • Mi Hyang Um;Yoo Kyoung Park
    • Journal of Digestive Cancer Research
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    • v.2 no.1
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    • pp.15-20
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    • 2014
  • Cancer, especially GI cancer itself and any associated treatments have profound effect on the patient's nutritional status. It is therefore very important to understand various nutritional issues in GI cancer patients for the cure and for increasing the compliance during the course of the treatment. Screening and identification of nutritional risk for the GI cancer patients is very essential and is plays a critical part of the treatment to help improve patient outcomes. Maintaining optimal nutritional status is an important goal in the management of individuals diagnosed, treated with cancer. Maintenance of adequate nutritional intake is important whether patients are undergoing active therapy, recovering from cancer therapy, or are in remission and striving to avoid cancer recurrence. The goals of nutrition therapy are to prevent or reverse nutrient deficiencies, preserve lean body mass, help patients better tolerate treatments and minimize nutrition-related side effects and complications, etc. Recent interest in clinical settings is also in maximizing quality of life of the patients which can also be modulated by appropriate nutrition.

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