• 제목/요약/키워드: physical rehabilitation

검색결과 4,261건 처리시간 0.027초

A Web-based Platform for Managing Rehabilitation Outcome Measures

  • Sujin Kim;Jiwon Jeon;Haesu Lee
    • 한국전문물리치료학회지
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    • 제31권2호
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    • pp.174-181
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    • 2024
  • Background: Effective management of clinical assessment tools is critical in stroke and brain injury rehabilitation research. Managing rehabilitation outcome measures (ROMs) scores and training therapists in multicenter randomized clinical trials (RCTs) is challenging. Objects: The aim of this study was to develop a web-based platform, the Korean Rehabilitation Outcome Measurement (KoROM), to address these limitations and improve both therapist training and patient involvement in the rehabilitation process. Methods: The development of the KoROM spanned from June 2021 to July 2022, and included literature and web-based searches to identify relevant ROMs and design a user-friendly platform. Feedback from six physical therapy and informatics experts during pilot testing refined the platform. Results: Several clinical assessment tools categorized under the International Classification of Functioning, Disability, and Health (ICF) model are categorized in the KoROM. The therapist version includes patient management, assessment tool information, and data downloads, while the patient version provides a simplified interface for viewing scores and printing summaries. The master version provides full access to user information and clinical assessment scores. Therapists enter clinical assessment scores into the KoROM and learn ROMs through instructional videos and self-checklists as part of the therapist standardization process. Conclusion: The KoROM is a specialized online platform that improves the management of ROMs, facilitates therapist education, and promotes patient involvement in the rehabilitation process. The KoROM can be used not only in multi-site RCTs, but also in community rehabilitation exercise centers.

Three-dimensional kinematic motion analysis of door handling task in people with mild and moderate stroke

  • Lee, Jung Ah;Kim, Eun Joo;Hwang, Pil Woo;Park, Han Ram;Bae, Jae Hyuk;Kim, Jae Nam
    • Physical Therapy Rehabilitation Science
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    • 제5권3호
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    • pp.143-148
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    • 2016
  • Objective: This study aimed to quantify one of the useful upper extremity movements to evaluate motor control abilities between the groups of people with mild and moderate arm impairments performing a door handling task. Design: Cross-sectional study. Methods: Twenty-one healthy participants and twenty-one persons with chronic stroke (9 mild stroke and 12 moderate stroke) were recruited for this study. Stroke participants were divided into 2 groups based on Fugle-Meyer Assessment scores of 58-65 (mild arm) and 38-57 (moderate arm). All they performed door handling task including the pronation and supination phases 3 times. We measured some movement factors which were reaction time, movement time, hand of peak velocity, hand of movement units to perform door handling task using the three-dimensional motion analysis. Results: The majority of kinematic variables showed significant differences among study groups (p<0.05). The reaction time, total and phase of movement time, hand of peak velocity, the number of movement units discriminated between healthy participants and persons with moderate upper limb stroke (p<0.05). In addition, reaction time, total and phase of movement time, the number of movement units discriminated between those with moderate and mild upper limbs of stroke patients (p<0.05). Conclusions: Three-dimensional kinematic motion analysis in this study was a useful tool for assessing the upper extremity function in different subgroups of people with stroke during the door handling task. These kinematic variables may help clinicians understand the arm movements in door handling task and consist of discriminative therapeutic interventions for stroke patients on upper extremity rehabilitation.

Associations among Physical Activity, Comorbidity, Functional Capacity, Peripheral Muscle Strength and Depression in Breast Cancer Survivors

  • Vardar-Yagli, Naciye;Sener, Gul;Saglam, Melda;Calik-Kutukcu, Ebru;Arikan, Hulya;Inal-Ince, Deniz;Savci, Sema;Altundag, Kadri;Kutluk, Tezer;Ozisik, Yavuz;Kaya, Ergun Baris
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.585-589
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    • 2015
  • Physical inactivity may an important outcome in the prognosis of breast cancer. Physical activity levels decrease significantly for breast cancer patients following the treatment and remain low after oncology treatment is completed. The aim of this study was to determine physical activity levels and to examine associations among physical activity, comorbidity, functional capacity, peripheral muscle strength, and psychosocial status in breast cancer patients. Forty breast cancer survivors were included in this study. Demographic and clinical characteristics were recorded. Physical activity was assessed with a short form of the International Physical Activity Questionnaire (IPAQ). We defined comorbid diseases according to the Charlson Comorbidity Index (CCI). Functional capacity was evaluated with a six-minute walk test (6MWT). Peripheral muscle strength was measured for quadriceps femoris muscle with a hand-held dynamometer. Psychosocial status was measured with the Hospital Anxiety Depression Scale (HADS). Forty percent of patients were inactive. The IPAQ total score was significantly related with quadriceps muscle strength (r=0.492; p<0.001) and HADS depression score (r=0.341; p<0.05). Marked correlations were also observed between IPAQ walking score and quadriceps muscle strength (r=0.449; p<0.001), HADS depression score (r=0.341; p<0.05), and CCI (r=-0.433; p<0.001). The CCI score was also markedly associated with quadriceps muscle strength (r=-0.413; p<0.001). 6MWT distance was not significantly correlated with any of the parameters. Regression analyses revealed that psychosocial status and peripheral muscle strength were significant predictors of physical activity estimated with the IPAQ short form and when combined, they explained 35% of the variance. Comorbidities, peripheral muscle strength and psychosocial status partially explain the variability of physical activity level in breast cancer survivors. These results suggest that physical inactivity contributes to worsening health in breast cancer survivors.

통증유발물질과 작용기전에 대한 고찰 (Review of Pain Potential Substance and Action Mechanism)

  • 배성수;김호봉;이상용;김은영
    • The Journal of Korean Physical Therapy
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    • 제13권1호
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    • pp.205-218
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    • 2001
  • Interpretation of pain by the patients and the observers as well as the methods of treatment remain as varied as are the concepts of pain. The physiologic mechanism of pain is undergoing a serious revision. It is nociceptive receptive mechanism and Melzak concept of gate theory of pain transmission and etc. Therefore pain depend on the evaluator's learning, experience, or specialty.

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슬개대퇴골각에 관한 고찰 (A Review of Patellofemoral Angle)

  • 배성수;김호봉;이상용;김은영
    • The Journal of Korean Physical Therapy
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    • 제13권1호
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    • pp.197-204
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    • 2001
  • Knee is a middle joint in lower extremity and has relationship with hip joint and ankle joint alignment. Therefore the knee joint alignment is very important in aspect of biomechanically. Knee joint alignment depend upon patellar stability. Instability of the patellofemoral articulation, in the form of patellar subluxation or dislocation may be associated with a number of factors. Normal range of patellofemoral angle is very different by the reporter and by the gender also.

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앙와위에서 복와위로 구르기 (Rolling from a Supine to a Prone Position)

  • 권미지;박래준
    • The Journal of Korean Physical Therapy
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    • 제5권1호
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    • pp.101-108
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    • 1993
  • Physical therapy for patients with Multiple sclerosis, Parkinson's disease, Spinal cord injury. Osteoporosis, CVA and Cerebral Palsy often includes the evaluating and teaching of rolling movements. Motor abilities such as rolling from a supine to a prone position, moving to sitting. getting up on all fours and ultimately standing up from a supine position. represents progression toward physical independence. Rolling is important functional abilities for need to dressing, decubit prevent. bed mobility, neck control, crawling, creeping, sitting, standing and walking. The purposes of this study were to describe motor development concept and rolling task patterns and to approach the therapeutic exercises.

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뇌졸중환자 평가를 위한 Chedoke-McMaster Stroke Assessment의 측정자간 신뢰도 (Inter-Rater Reliability of Chedoke-McMaster Stroke Assessment for Stroke Patients)

  • 원종혁;김용욱
    • 한국전문물리치료학회지
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    • 제4권3호
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    • pp.45-60
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    • 1997
  • This study was performed to determine the inter-rater reliability of the Chedoke-McMaster Stroke Assessment translated in Korean. This measures the physical impairments and disabilities that impact on the lives of individuals with stroke. The purposes of this measure were 1) to stage motor recovery to classify individuals in terms of clinical characteristics, 2) to predict rehabilitation outcomes, and 3) to measure clinically important change in physical function. Twenty-two subjects from physical therapy unit were assessed by two physical therapists. The ratings were compared by Spearman's rank correlation The correlation between two raters ranged from 0.85 to 0.98. Inter-rater reliability coefficient for total scores ranged from 0.95 to 0.97. This study confirms that the Chedoke-McMaster Stroke Assessment yields reliable results.

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