• 제목/요약/키워드: physical strategy

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ICF를 적용한 뇌졸중 환자의 문서 기록과 중재 전략의 실례 (A case report of the intervention strategy & documentation in a patient with post stroke applied a International Classification of Functioning, Disability and Health)

  • 이선의;김태윤
    • PNF and Movement
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    • 제8권2호
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    • pp.57-67
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    • 2010
  • Background and Purpose : Many Physical therapist are inclined to communicate less effectively each other because they hardly use the standard terminology. The purposes of this case report are (1) to apply ICF-based documentation in evaluation (2) to submit the strategy of intervention process to improve the ability of walking short distance of the client who has post-stroke. Description : The client was 44-years-old man with hemiplegia who was in 1 month post-stroke problems were diagnosed while applying the ICF core set. The goals agreed with client were independently walking short distance, stairs and obstacles. To come up with the intervention strategy, hypothesis was set and 4 weeks of intervention was carried out after proposing the short goal and detailed purpose. Outcome : The client's performance in walking short distance and confidence were increased after impairment focused intervention, that are improved in walking velocity, endurance, supporting ability in lower limbs, rhythmical movement in upper limbs and the coordination of both limbs. Activities focused intervention also enhanced the ability in climbing steps and walking around obstacles. Conclusion : The decided hypothesis and goal that are to solve the problems the client faced were remarkably meaningful.

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유착성 관절낭염 환자의 상지 기능에 대한 ICF Tool을 적용한 PNF 중재전략의 증례보고 (A Case Report of PNF Strategy Applied ICF Tool on Upper Extremity Function for Patient Adhesive Capsulitis)

  • 강태우;김태윤
    • 대한물리의학회지
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    • 제12권4호
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    • pp.19-28
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    • 2017
  • PURPOSE: The purpose of this study was to describe the Proprioceptive Neuromuscular Facilitation (PNF) Intervention strategy applied International Classification of Functioning, Disability and Health (ICF) Tool about strength, range of motion, scapular stability, pain and function of shoulder for patients with adhesive capsulitis. METHODS: The data was collected by patient with adhesive capsulitis. The patient was a 50-year-old male diagnosed with right shoulder with adhesive capsulitis. We applied the PNF Intervention strategy applied ICF Tool to patient with adhesive capsulitis. PNF interventions were consisting of such as combination of isotonic and stabilizing reversal technique and various positions. PNF interventions were applied, such as those aiming at decreasing pain and disability and increasing range of motion and function for the four weeks. Parameters of result were collected for strength, range of motion, scapular stability, pain and function of shoulder using the hand held dynamometer, goniometer, lateral scapula slide test, and shoulder pain and disability index, respectively. RESULTS: Clinical benefits were observed the patient with adhesive capsulitis for strength, range of motion, scapular stability, pain, and function of shoulder. The patient with adhesive capsulitis improved strength, range of motion, scapular stability, pain, and function of shoulder. CONCLUSION: Patient reported improved strength, range of motion, scapular stability, pain, and function of shoulder after intervention.

원예치료가 치매 환자 주 부양자의 분노조절에 미치는 영향 (Effect of Horticultural Therapy on Anger Control of the Primary Caregivers for Dementia Patients)

  • 박경남;허계영
    • 한국환경과학회지
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    • 제32권1호
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    • pp.1-9
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    • 2023
  • In this study, a horticultural therapy program was performed by employing the anger experienced by people during daily life activities in the emotion regulation strategy-based program to identify the influence of the horticultural program on anger control in the caregivers for patients with dementia. To measure this influence, two tools were used: a self-administered questionnaire survey, which is a subjective test, and an instrumental test, which can measure the physical index that detects the physical changes through anger. For the preliminary test, depression, stress, self-esteem, anxiety, and anger state-characteristic were tested using the self-administered questionnaire. For the follow-up test, the self-administered survey and the test using the physical index were performed in a manner similar to that of the preliminary test. The self-administered questionnaire comprised questions suitable to this study and considered the age, education level, and economic aspect of the subjects. The test results indicated that the experimental group subjected to the emotion regulation strategy-based horticultural therapy showed very significant reduction in depression and anger and significant reduction in stress, self-esteem, and anxiety. In the physical index test, the systolic and diastolic blood pressures were reduced, and the pulse rate and respiration rate reduced before and after the therapy, thus, proving the effectiveness of the therapy in anger control.

기립균형시 슬관절 전략이 안정성 한계에 미치는 영향 (The Effect of Knee Strategy on Limits of Stability in Standing Balance)

  • 권혁철;정동훈
    • 한국전문물리치료학회지
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    • 제6권3호
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    • pp.11-21
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    • 1999
  • Human balance is maintained through a complex process involving sensory detection of body motions, integration of sensorimotor information within the central nervous system, and execution of appropriate musculoskeletal responses. The basic task of balance is to position the body center of gravity (COG) over some portion of the support base. When the COG extends beyond the base of support, the person has exceeded the limits of stability (LOS). At this point, a step or stumble is required to prevent a fall. Automatic postural responses operate to keep the COG over the base of support. They are a set of functionally organized, long-loop responses that act to keep the body in a state of equilibrium. There are four commonly identified automatic postural responses, or strategies. These are ankle strategy, hip strategy, suspensory (knee) strategy, and stepping strategy. Thus, the purpose of this study was to evaluate the LOS using various knee strategies. Forty subjects participated in this study. The subjects were comprised of 20 males and 20 females who were without neurologic, orthopaedic or balance performance impairments. The LOS was measured with a Balance Performance Monitor (BPM) Dataprint Software Version 5.3. The results of this study were as follows: 1) Knee joint angle which is to increase stability of standing balance with using knee strategy was at mid-range. 2) There were statistically significant differences in anteroposterior LOSs according to the knee strategy. 3) There were no statistically significant differences in mediolateral LOSs according to the knee strategy. 4) There were statistically significant differences of anteroposterior LOSs with using knee strategy according to gender. 5) There were no statistically significant differences in mediolateral LOSs with using knee strategy according to gender.

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한국 해외투자 현지법인의 인재등용 방안에 관한 연구 (A Study of Localization of Human Resources Recruitment in the Overseas Investment of the Korean Firms)

  • 김희수
    • 정보학연구
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    • 제10권2호
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    • pp.11-27
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    • 2007
  • This thesis is analysing localization of human resources recruitment in the overseas investment of the Korean firms. The main results of the analysis can be summarized as follows: first, Korean overseas local corporations have achieved localization for physical workers. But localization above middle manager level is very poor. Second, local corporations are managed by the employee from Korean parent company. Third, parent company mentioned language ability, work process ability of local business, responsibility, leadership as selection basis for the workers in overseas local corporations. Localization propel strategy of local corporation human resources recruiting : (1) human resources recruiting strategy is the strategy of outsider. simple global human resources recruiting strategy is the recruiting of person dispatched from headquarter rather than local human resources (2) human resources recruiting strategy is the strategy of multidomestication. multidomestication human resources recruiting strategy is the strategy to use in case of stabilization in local area.

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동결견 환자의 상지 기능 회복에 대한 ICF Tool을 적용한 중재 전략과 문서 기록-사례연구 (ICF Tool applied Intervention Strategy and Charting on Upper Extremity Functional Recovery of the Frozen Shoulder Patient - Case Study)

  • 공선웅;임현철;정연우
    • 대한정형도수물리치료학회지
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    • 제17권1호
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    • pp.35-44
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    • 2011
  • Background: This study was to suggest the process of making strategy for effective intervention and evaluation on functional problems of the frozen shoulder patient applied International Classification of Functioning Disability and Health (ICF) Tools. Methods: The patient was 48years old woman with right shoulder adhesive capsulitis and calcific tendinitis. In first phase, therapists could list the information relating to functional problems used by the ICF Core set and then could confirm the interaction among the problems using the ICF assessment sheet. In second phase, therapist is needed to make the hypothesis and hypothesis testing and then set a primary functional goals and therapeutic goals in detail after prioritizing the problems to be managed based on the problem list. Lastly, after setting the confirmed problems as the purpose of intervention through the hypothesis testing, therapist could do some intervention after making a plan to solve these problems. Results: This report illustrates how to apply the process based on ICF concept into physical therapy practice. The decided hypothesis and goal that are to solve the problems the client faced were remarkably meaningful. Conclusions: Clinical decision making for the most effective intervention requires that therapists use the clinical reasoning process based on ICF concept.

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발목관절 근력훈련과 균형조절 훈련이 발목전략을 이용한 균형반응에 미치는 영향 (The Effect of Adjusted Balance Training and Muscle Training on Balance Using Ankle Strategy)

  • 김하람;김혜진;이정화;이지영;이지은;구현모
    • PNF and Movement
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    • 제12권3호
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    • pp.133-142
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    • 2014
  • Purpose: The purpose of this study was to investigate the effect of balance using ankle strategy during adjusted balance training and muscle training in normal young female adults. Methods: There were eighteen participants. All subjects were randomly assigned to three groups, the control group (n=6), the adjusted balance training group (n=6) and the muscle training group (n=6). Subjects were assessed for each subject by a pretest and a posttest at 1 week, 2 weeks, and 3 weeks, measuring the anterior-posterior limit of stability, trace length and EMG data for the tibialis anterior and lateral gastrocnemius. Results: The anterior-posterior limit of stability significantly increased in the training group (p<0.05). The trace length significantly decreased in the training group (p<0.05). The muscle activity of the tibialis anterior and lateral gastrocnemius also significantly decreased in the training group (p<0.05). Conclusion: We confirmed that both the balance training group and the muscle training group significantly increased the anterior-posterior limit of stability and decreased trace length and muscle activity. Further studies are needed to analyze the long-term effects on subjects resulting from these changes.

노인의 넘어짐으로 인한 고관절 골절 예방프로그램의 효과: 문헌 고찰 (The Literature Review on the Effectiveness of Fall-related Hip Fracture Prevention Programs)

  • 이세영;김승수;임기택;최우철
    • 한국전문물리치료학회지
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    • 제28권1호
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    • pp.1-12
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    • 2021
  • While efforts have been made to address fall-related injuries in older adults, the problem is unsolved to date. The purpose of this review is to provide a guideline for fall and injury prevention programs in older adults, based on evidence generated over the past 30 years. Research articles published between 1990 and 2020 have been searched on PubMed, using keywords, including but not limited to, falls, hip fracture, injuries, intervention, older adults, prevention, hip protector, vitamin D, safe landing strategy, and exercise. Total of 98 articles have been found and categorized into five intervention areas: exercise program, hip protector, safe landing strategy, vitamin D intake, and compliant flooring. Furthermore, the articles have been rated based on their study design: class 1, randomized controlled trials; class 2, non-randomized controlled trials; class 3, experimental studies; class 4, all other studies. Exercise programs have shown to decrease the risk of fall, and associated injuries. Hip protectors, safe landing strategy, and vitamin D intake were effective in reducing a risk and incidence of hip fracture during a fall. Furthermore, compliant flooring has also decreased hip fracture risk without affecting balance. An integrated approach combining exercise program, wearing a hip protector, teaching safe landing strategies, scheduled vitamin D intake, and compliant flooring installation, is suggested to address fall-related injuries in older adults.

An Investigation of Perceived Value of Physical Exercise In Aging Baby Boomers: Marketing Implications in the Sporting Goods Context at a Store Level

  • George, Spais;Konstantinakos, Pantelis;Avgerinou, Vasiliki
    • 마케팅과학연구
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    • 제17권4호
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    • pp.175-199
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    • 2007
  • The linear regression method was used to model the relationship among a set of perceptions regarding to the importance of physical exercise and the perceived value of physical exercise (as a leisure activity) for aging baby boomers. In terms of a pilot study, we developed two alternative models tested at two different convenience samples. The first sample consisted of 82 aging baby boomers aged 55.65 (sample 1) and the second one consisted of 458 citizens aged 18.45 (sample 2). Through this research approach, we intended to lead to a better understanding of perceived value of physical exercise in the sporting goods marketing context for aging baby boomers. We addressed the core research themes of our study using a convenience survey. Data was collected by means of face to face interviews during the seven week period. The research results showed that the "model 2" better predicts perceived value of physical exercise as a leisure activity for aging baby boomers. We believe that the final findings of our research try can recognize the differences in buying behaviors between aging baby boomers and other target markets and advance marketers of sporting goods strategic tries regarding to consumer strategy management at a store level.

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제조업 근로자의 직무스트레스 요인과 대처전략, 스트레스 반응간의 관계 (The Relationships between Job Stressor, Coping Strategies, and Stress Responses of Manufacturing Workers)

  • 김정희;윤순녕
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.387-399
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    • 1999
  • The purpose of this study is to identify the relationships of job stressor. coping strategies. and stress responses of manufactoring workers. Data were collected through self-reported questionnaires from 262 of the manufacturing workers in a local electronic company from July to August. 1999. For data analysis. Cronbach's a. Factor Analysis. Descriptive statistics. ANOVA. and Pearson's correlation coefficient with SPSS/PC+ 7.5 version program were used. The results were as follows: 1. Regard to the stress responses and coping strategies by sociodemographic variables. 'the overall stress responses' showed significant differences by sex. age. marrital state. The use of 'control coping strategy' showed significant differences by sex and the type of work. The use of 'avoid coping strategy' showed significant differences by sex. age. married state. year of career. and income. 2. The average scores of 'the job characteristics and participation in decision making factor'. 'the physical environmental factor'. and 'the role and leadership factor' were 2.66. 2.59. 2.59 in order. The average scores for 'the avoid coping strategy' and 'the control coping strategy' were 3.03. 2.97. The average scores for 'the overall. psychosoical. and physical stress responses' were 2.18. 2.18. 2.23. 3. The 'control coping strategy' was negatively related to 'the job characteristics and participation in decision making factor'. 'the role and leadership factor'. 'the psychosocial stress responses'. and 'the overall responses'. 'The control coping strategy' was positively related to all of 'the job stressors'. 'the physical stress responses', and' the overall stress responses'. 'The physical environment factor' was positively related to all of 'the stress reponses'. 'the role and leadership factor'. and 'the job characteristics and participation in decision making factor'. According to the results of this study, the suggestions were as follows: 1. The coping strategies of manufacturing workers in the specific job stress situation should be considered to future studies. 2. In order to applying the stress management program in the workplace. The organizational intervention focused on 'the job characteristics and participation in decision making' will be needed. 3. To support and use of 'control coping strategy' of the workers. the organizational efforts should be required.

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