• 제목/요약/키워드: rehabilitation service

검색결과 659건 처리시간 0.025초

가정.방문물리치료 및 학교물리치료의 적정 보험수가 개발의 필요성과 인식에 대한 연구 (Research to the recognition and the need of development for proper insurance costs for Home Physical Therapy, Visiting Physical Therapy and School of Physical Therapy)

  • 권혜정;김용권;문태순;황성수;이광재
    • 대한물리치료과학회지
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    • 제20권1호
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    • pp.27-35
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    • 2013
  • Background : This study aims to examine the awareness as to the terminological comprehension about the home and visiting physical therapy and the school physical therapy and the need for development as to the associated insurance costs. And the purpose of the study is to provide the basic data in terms of the preparation process for implementation of the related system. Methods : The study conducted the research that targeted the physical therapists, who were working at the rehabilitation hospital located in Seoul and Gyeonggi-do as for the survey questionnaires as to the need and awareness of development of the adequate insurance fee of home physical therapy, visiting physical therapy and school physical therapy. Result : Even though the level of understanding for the terminologies was low, the need for development of insurance fee for home physical therapy, visiting physical therapy and school physical therapy was shown to be high regardless of age and work experience. However, there was not a statistical difference in accordance with age and work experience (p>.05). Conclusion : It directly reflects the result, which hopes home physical therapy, visiting physical therapy and school physical therapy to enter immediately into the frame of system.

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요양시설 내 재활대상 노인의 지지가 죽음불안에 미치는 영향 (The effect of social support on elderly people for rehabilitation at nursing homes)

  • 신소홍;이재홍;권원안;권용현;김창숙
    • 한국산학기술학회논문지
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    • 제12권6호
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    • pp.2616-2623
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    • 2011
  • 본 연구는 요양시설 입소 노인의 죽음 및 불안과 관련하여 사회적 지지와의 상관성을 알아보기 위해 대구 경북에 소재하고 있는 노인 요양시설 6개를 임의 모집하여 노인환자 300명(남성: 183명, 여성:117명)을 대상으로 조사하였다. 연구의 결과는 사회적 지지에서 물질적 지지와 정보적 지지가 죽음 불안과 관련이 있는 것으로 나타났고 죽음 불안과 일반적 특성의 연관성에서는 고령일수록, 입소기간이 길수록 증가되는 것으로 나타났다(p<.05). 따라서 요양시설 입소 노인이 느끼는 죽음·불안에 대한 두려움을 개선하도록 하며 자아 존중감, 자아 통합감을 향상시키고 우울을 해결할 수 있도록 전문적인 상담과 프로그램을 개발하여 실시하는 것이 필요하다.

난청과 이명을 동반한 외상성 안면신경마비 치험 1례 (Clinical Case Study of Facial Nerve Paralysis with Sensorineural Hearing Loss and Tinnitus Caused by Traumatic Temporal Bone Fracture)

  • 장여진;양태준;신정철;김혜화;김태광;정미영;김재홍
    • Journal of Acupuncture Research
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    • 제33권1호
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    • pp.95-101
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    • 2016
  • Objectives : The aim of this report was to investigate the effects of Korean medical treatment on facial nerve paralysis with sensorineural hearing loss and tinnitus caused by traumatic temporal bone fracture. Methods : We treated a patient with acupuncture, herbal medicine and physiotherapy. The effect of these treatments was evaluated by House-Brackmann facial grading scale, Yanagihara's unweighted grading system and by Digital Infrared Thermographic Image. Results : After 21 days of Korean medical treatment, House-Brackmann facial grading scale changed from III to II and Yanagihara's unweighted grading score increased from 14 to 27. Digital Infrared Thermographic Image also improved. Conclusions : These results suggest that Korean medical treatments were effective in treating facial nerve paralysis with sensorineural hearing loss and tinnitus caused by traumatic temporal bone fracture. We hope that a more efficient application of this treatment will be the result of clinical data accumulated in future studies.

인지훈련 프로그램이 급성 허혈성 뇌졸중 환자의 인지기능과 일상생활 수행능력에 미치는 효과 (Effects of a Cognitive Training Program on Cognitive Function and Activities of Daily Living in Patients with Acute Ischemic Stroke)

  • 오은영;정미숙
    • 대한간호학회지
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    • 제47권1호
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    • pp.1-13
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of a cognitive training program on neurocognitive task performance and activities of daily living (ADL) in patients who had a stroke. Methods: The research design for this study was a nonequivalent control group non-synchronized design. Patients were assigned to the experimental (n=21) or control group (n=21). The experimental group received a 4-week cognitive training program and usual care (i.e., rehabilitation service), while the control was received usual care only. Cognitive function was measured with a standardized neurocognitive test battery and ADL was assessed at baseline and one and two months after completion of the intervention. Repeated measures ANOVA was used to determine changes in cognitive function and ADL over 2 months. Results: The interaction of group and time was significant indicating that the experimental group showed improvement in attention, visuospatial function, verbal memory, and executive function compared to the control group which had a sustained or gradual decrease in test performance. A significant group by time interaction in instrumental ADL was also found between the experimental group with gradual improvement and the control group showing no noticeable change. Conclusion: Findings show that the cognitive training program developed in this study is beneficial in restoring cognitive function and improving ADL in patients following a stroke. Further study is needed to investigate the long-term relationship between cognitive training participation and cognitive improvement and effective functioning in daily living.

Trends of Intellectual Property on Musculoskeletal Disorder, Motion Capture Technology and Ergonomics

  • Yoon, Sang-Young;Jung, Myung-Chul
    • 대한인간공학회지
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    • 제34권5호
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    • pp.437-445
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    • 2015
  • Objective: The aims of this study are to investigate the trends of intellectual property in order to identify the ergonomic approaches on musculoskeletal disorders, harmful factors of musculoskeletal disorders, and to find the potential applicability of motion capture technology. Background: Ergonomic posture assessment tools often showed interrater variance, though the usage is easy and practical in industrial fields. Moreover new technologies such as motion capture showed the potential applicability in posture assessment. So ergonomists and practitioners became interested in the intellectual properties on musculoskeletal disorder and motion capture technology. Method: Intellectual properties were collected with the combination of keywords such as ergonomic, musculoskeletal disorder, and motion capture using the KIPRIS (Korea Intellectual Property Rights Information Service). Collected intellectual properties were classified into ergonomic area and non-ergonomic area, except unexamined intellectual properties. This study investigated the trend of application of intellectual properties and the probability of using motion capture technology. Results: Few intellectual properties with ergonomic approach on musculoskeletal disorders were founded, despite many products for rehabilitation and sports. One hundred twenty five patents in 1105 patents on musculoskeletal disorders and 138 patents in 1908 patents on motion capture technology were classified into the patents that ergonomic approach can be applied. The patents related to ergonomics area are rapidly increasing after 2010, and there are good opportunities for ergonomists to apply the patents. Conclusion: This study found opportunities on novel methodology in detecting the harmful factors of musculoskeletal disorders, and that the motion capture technology is applicable in ergonomic posture assessment. Application: The results of this study can help ergonomists prepare the ergonomic patents, and can show the potential use of motion capture technology in detecting the harmful posture of musculoskeletal disorders.

신경계물리치료에서의 근거중심실기(2) -지속가능한 EBP 수행을 위한 정보검색 기술- (Evidence-Based Practice in Neurological Physical Therapy (2) -Information Research Technology for Sustainable Practice of EBP-)

  • 이문규;김태윤;임재헌
    • PNF and Movement
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    • 제15권2호
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    • pp.115-124
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    • 2017
  • Purpose: Researchers found that blocks of evidence-based practice (EBP) implementation lacked opportunities for EBP education. The study found that physical therapists had negative views of research as well as their roles in EBP, lacked confidence in EBP, and had limited access to web-based materials. The purpose of this study was to highlight the importance of information research technology for efficient EBP in a clinical environment. Methods: The web-based information research technologies that should be used for sustainable EBP include: the clinical practice guideline (CPG) and PubMed's My NCBI service. Journal mailing services and other academic information sources should also be used to gather information from RSS feeds. An EBP library or archive must be created. A site that provides EBP-specific information is also needed. Results: We should usually do EBP. Practitioners must learn and use information technologies that will help them improve their EBP skills. Conclusion: Facilitating EBP implementation and building an EBP system require related education as well as a practical work environment and equipment. However, the highest priority is individual efforts and trial. Information technology will complement the lack of time. It is important to use information research technology to overcome real obstacles. Lasting EBP must use a number of web-based information research technologies to overcome the practical challenges encountered in EBP implementation.

한국 근현대건축에 나타난 전통성 표현에 관한 연구 (A Study on the Expression of Traditionality in Korean Architecture)

  • 정순영;윤인석
    • 건축역사연구
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    • 제8권3호
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    • pp.53-64
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    • 1999
  • The subjects of the research is the architecture expressed traditionality from the time of the Open Port on, including North Korea region. The scope is divided into three periods; the first is from the Open Port to the Rehabilitation (光復),1945, the second is from then to 1960, and the last is from 1960 to the present. The expression of Koreanity(韓國性) should be concerned with the states at the time. In the beginning of the first period the alienate culture and the new modern facilities, like electricity, telecommunication system, train service, etc., rushes to Korea and the traditional architecture accepted the most of the new-comings; therefore, the original form was transformed. That seems to be the beginning of the discourse on traditionality in Korea architecture. The expression was showed up in four parts: ${\bullet}$ Korea traditional architecture accepting the foreign culture and the modern facilities ${\bullet}$ the compromise between foreign and traditional architectural form ${\bullet}$ the compromise between the Modem and traditional architecture ${\bullet}$ the Imperial Crown Style(帝冠樣式) which is the eclectic architecture with transformed roof. The figurative expression in the present architecture was showed up in roughly two parts: ${\bullet}$ the traditional form directly depicted wholly / partially ${\bullet}$ the abstract traditional form wholly / partially Moreover the results on the research traditional architecture have been collected, the principles have been drawn out. Especially the first beauty is not on form or figure of a building but on the composition of architectures and the harmony of the natural circumstances and architectures. So many contemporary architects make efforts to apply the principles to the composition and formation of current architecture.

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유착성 관절낭염에 대한 추나요법의 효과: 체계적 문헌고찰과 메타분석 (Chuna Manual Therapy for Adhesive Capsulitis : A Systematic Review and Meta Analysis)

  • 조주찬;허인;박선영;신병철
    • 척추신경추나의학회지
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    • 제14권2호
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    • pp.1-14
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    • 2019
  • Objectives : To evaluate the effectiveness of Chuna Manual Therapy for adhesive capsulitis by a systematic review manner. Methods : Five foreign electronic databases (Pubmed, Ovid-medline, Embase, Cochrane library, Chinese Academic Journals (CAJ)) and two Korean medical electronic databases (Oriental Medicine Advanced Searching Integrated System (OASIS) and Research Information Sharing Service (RISS)) were searched to find all randomized controlled trials (RCTs) using Chuna Manual Therapy as a treatment for adhesive capsulitis. The methodological quality of each RCT was assessed using the Cochrane risk of bias tool. Results : Twenty-one RCTs met our inclusion criteria. The meta-analysis showed positive results on the use of Chuna Manual Therapy combined with acupuncture or exercise therapy in terms of the efficacy rate and pain using the Visual Analogue Scale (VAS), compared to acupuncture or exercise alone [SMD-1.81 (95% CI & -2.54, -1.08), P<0.001, RR 1.19 (95% CI 1.14, 1.23), P<0.001)]. Positive results in terms of efficacy rate were also obtained comparing Chuna Manual Therapy to acupuncture alone [RR 1.10 (95% CI 1.02, 1.18), P=0.01]. Conclusions : Our systematic review found favorable results on the effectiveness of Chuna Manual Therapy for pain and efficacy rate of adhesive capsulitis. However, evidence was limited due to the lack of well-designed RCTs. More qualified clinical trials are needed to obtain stronger evidence.

장애인 공동생활가정 종사자의 업무환경이 직무만족에 미치는 영향 (The Effects of Work Environment of Staff in Group Home for the People with Disabilities on their Job Satisfaction)

  • 석여희;최희철
    • 한국콘텐츠학회논문지
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    • 제16권1호
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    • pp.655-665
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    • 2016
  • 본 연구는 장애인그룹홈 종사자 148명을 대상으로 종사자의 업무환경이 직무만족에 어떠한 영향을 미치는지 분석한 것이다. 연구결과, 종사자들은 직장의 업무환경의 6개 하위영역 중 도전과 역할모호성에 대해서는 3.08점과 3.61점으로 보통 이상의 수준에서 인식을 하고 있었으나, 편안함, 금전적 보상, 역할갈등, 업무량에 대해서는 평균 1.80점에서 2.73점 사이로 보통 이하의 수준으로 상대적 취약성을 보였다. 다중회귀분석 결과 도전과 역할모호성이 유의미한 영향을 미치는 것으로 나타났다. 이러한 결과는 업무환경에서는 사회재활교사의 업무기준을 명시하고 다양한 방법으로 그룹홈 지원체계를 강화하여 종사자들의 자기개발과 도전의 기회를 높이고, 문제해결을 위해 필요한 지원이나 지지를 높여나가야 함을 제언하였다.

성능보증제도를 적용한 일반국도 유지보수공사 시범사업 (Case Studies of a Performance-Based Contract for National Highway Pavement Maintenance)

  • 임재규;김용주;김명일;이재준
    • 한국도로학회논문집
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    • 제20권1호
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    • pp.1-8
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    • 2018
  • PURPOSES : Case studies of an asphalt-overlay project with a performance-based contract method were conducted on a national highway in Korea to evaluate the effect of the method on asphalt pavement maintenance. This study evaluated the procedure of the performance-based contract method. METHODS : In this study, an asphalt-pavement maintenance project for a national highway was assessed with a performance-based contract to investigate the advantage of the new contract procedures. This is the first trial applying the performance-based contract to a pavement-rehabilitation project in Korea. In the four case studies, the warranty period of the performance-based contract was designed for seven years. The research team monitored the construction site to compare the normal contract method with the performance-based contract method. The case studies' project sites were investigated after the end of the construction. RESULTS : Based on the limited case studies, the performance-based contract method could extend the service life of the asphalt pavement and reduce the pavement-maintenance budget because the quality control was well managed by the contractors. However, a few construction laws would be necessary to apply the performance-based contract method in the future. CONCLUSIONS : Using the performance-based contract, the construction company made great efforts to guarantee the warranty period and to apply the optimal maintenance method, based on the pavement distress condition. The contractor and the agency would need to understand the new performance-based contract system for it to be activated. Therefore, a proper education program for the performance-based contract system would be needed to educate the stakeholders regarding the procedures and their effects on the pavement management and maintenance.