• Title/Summary/Keyword: walking limitation

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A Rehabilitation for Total Hip Replacement in Korean Medicine: A Report of Three Cases (고관절 전치환술 후 한방 재활치료에 대한 증례 보고)

  • Ha, Won-Bae;Lee, Jong-Ha;Ko, Youn-Seok;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.3
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    • pp.153-164
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    • 2016
  • The objective of this study was to propose a rehabilitation protocol for total hip replacement in Korean medicine and to report its effectiveness. Three patients who had undergone total hip replacement were treated using the rehabilitation protocol in Korean medicine. We evaluated the outcome evaluating physical examination findings of the hip joint, numeric rating scale, pain disability index, Harris hip score, and walking state. After the treatment, we observed that hip movement and muscular strength improved. Moreover numeric rating scale, pain disability index, Harris hip score, and walking state of patients improved. A rehabilitation in Korean medicine can be effectively used for total hip replacement patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean medicine.

The Clinical Effect of Korean Medical Rehabilitation Protocol for Total Knee Replacement: A Report of 4 Cases (슬관절 전치환술 후 한방 재활치료 프로토콜 적용의 임상적 효과: 증례 보고)

  • Han, Soo-Yeon;Kim, Mi-Hyun;Park, Eun-Sang;Kang, Jun-Hyuk;Kim, Dong-Yeong
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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    • pp.219-231
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    • 2020
  • The objective of this study is to propose a Korean medical rehabilitation protocol for total knee replacement (TKR) and to report its effectiveness. This study was conducted as a retrospective study which analyzes the medical records of 4 patients undergoing Korean medical rehabilitation with protocol and continuous passive motion exercise for more than two weeks after TKR. We evaluated the outcome checking physical examination findings of the knee joint, numeric rating scale (NRS), Lysholm knee score (LKS) and walking state. After the treatment, we observed that the function of knee joint, NRS, LKS, walking state of patients were improved. This study showed that Korean medical rehabilitation protocol has effect on knee joint recovery after TKR. The limitation of this study was the insufficient number of cases and short-term follow up. Further studies should be done steadily to report the effectiveness of a Korean Medical rehabilitation protocol for TKR.

Effect of a PNF Intervention Strategy with the ICF Tool Applied to a Patient with Bilateral Total Hip Replacement Walking a Crosswalk (양측 엉덩관절 전치환술 환자의 횡단보도 걷기 개선을 위해 ICF Tool을 적용한 PNF 중재전략: 사례보고 )

  • Jin-cheol Kim;Jae-heon Lim
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.1
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    • pp.95-105
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    • 2024
  • PURPOSE: This study aimed to utilize the International Classification of Functioning, Disability, and Health (ICF) tool to identify a problem list and explore intervention effects using proprioceptive neuromuscular facilitation (PNF) for improving the crosswalk performance of patients who have undergone a bilateral hip arthroplasty. METHODS: The subject of this study was a 43-year-old male who had undergone a bilateral hip arthroplasty. To address the subject's functional status, a clinical decision-making process was carried out in the order of examination, evaluation, diagnosis, prognosis, intervention, and outcome. Patient information during the examination was collected using the ICF core set. The evaluation involved listing the items of each problem using the ICF assessment sheet and identifying the interaction between activity limitations and the impairment level. The diagnosis explicitly described the causal relationships derived from the evaluation using ICF terminology. The prognosis presented activity goals, body function, and structured goals in terms of the activity and participation levels that needed to be achieved for an individual's functional status. The intervention approached problems through the four components of the PNF philosophy, namely basic principles and procedures, techniques, and patterns, in an indirect-direct-task sequence. Results were compared before and after the intervention using the ICF evaluation display. RESULTS: The results of the study showed that the primary activity limitation, which was the walking time across the crosswalk, showed improvement, and the trunk's counter rotation and the weight-bearing capacity of both the lower limbs, which were impairment level indicators, were enhanced. CONCLUSION: This study suggests that PNF intervention strategies will serve as a positive approach for improving crosswalk walking in patients with bilateral hip arthroplasty.

A Descriptive Study on Pain of Elderly (노인의 동통에 관한 조사연구)

  • 김주희;양경희;이현주
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.878-888
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    • 1996
  • The main purpose of this study was getting related to the pain charactristic data of elderly. It contains past and present health status, daily living activity level, pain frequency, causes, pain area, pain intensity, pain worse causes, and pain releave causes, pain management methods. The subject were 79 elderly whose age were over 65 years old. They were lived in their home environment. Half of them were resident of middle range city at province and the others were Seoul city. The data was collected from Dec. 1st. 1995 to Jan. 30th. 1996. Interviews were held with semi-structured questionaire after pilot study by researchers. Pain measurement tool were used graphic rating scale and Abstract of Korean Pain Language Scale. To analize the subject's general characteristics, past and present health status, daily living activity level, characteristics about pain, pain management methods statistical SPSS for win frequency were employed. The findings were as follows ; 1. There were 33(41.8%) male and 46(58.2%) female Below 69 year old were 20(25.3%), 70-79 year old were 42(53.2%), over 80 year old were 17(21.5%), mean age was 74(from 65 to 89). 2. Buddhist were 24(30.4%), Christian were 29(36. 7%), the other religious status or non religians were 26 (32.9%). 3. Past good health status were 63(79.7%), not so good status were 6(7.6%). Present good health status were 19(24.1%), moderated health status were 6(7.6%), not so good status were 14(17.7%). 4. Daily living activity limitation were 39(49.4%), nonlimitation of activity were 5(6.3%). 5. Walking limitation were 3(3.8%), nonlimitation walking were 52(65,8%). 6. Insomnia was 23(29.1%), no difficult were 38(48.1%). 7. Chronic pain complaints were 64(81%), diseases causes of pain were 25(31.6%), bad health behavior causes of pain were 27(34.2%). 8. Most pain area were back 30(29.4%), leg 17(16.7%), knee 16(15.7%), arm 13(12.7%), teeth, chest and head were each 5(4.9%), loin, trunk were each 4(3.9%), the other areas were 3(3%). 9. Pain intensity was 3.49(mean) by Korean Language Scale, 6.59(mean) by graphic rating scale. Sensitive pain was 3.5(47.9%), affective pain was 3(20.8%) It was high pain level and sensitive pain. 10. Most pain worse causes moving was 35(44.3%), pain relieving causes rest was 29(36.7%), 11. Pain management method were medication 40(42.1%), physiotherapy 23(24.2%), hospital 12(12.6%), the others 7(7.4%), none 13(13.7%). The conclusion ; Present health status of eldery was not so good. Almost half of them have some diseases. Most common diseases of eldery were arthristis, respitatory and heart problems. Foully nine percent of elderly had limitation of daily living activities. Eighty one percent of eldely had chronic pain. Most of them was back pain (30%). Pain intensity was high(score over 3.5). The worsening pain causes was moving and releiving causes was rest. Pain management method were pain medication, physiotherapy. Therefore, Nursing care plan for the elderly have to focus on pain because majority of elderly have chronic high level of pain related to the arthritis.

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Trend of Influencing Factors on Health-related Quality of Life in Korean Elderly (한국 노인의 건강관련 삶의 질과 영향요인 추이)

  • An, Jisook;Choi, Hye Young
    • Journal of Korean Public Health Nursing
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    • v.32 no.2
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    • pp.275-287
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    • 2018
  • Purpose: This study examined the trends of socio-demographic and health factors affecting the health-related quality of life (HRQoL) in Korean elderly. Methods: Data were obtained from the Fourth, Fifth and Sixth Korean National Health and Nutrition Examination Survey (KNHANES V-1, 2007, KNHANES V-1, 2010, KNHANES V-2, 2014). The sample consisted of 3,668 Korean individuals aged 65 years and older. The data were analyzed using a t-test, Chi-square test and multiple linear regression using the SPSS/WIN 20.0 program. Results: The HRQoL is improving consistently and the affecting factors on the HRQoL were the education level, activity limitation, subjective health and walking days per week in the three data of 2007, 2010, and 2014. Conclusion: A health care program focusing on improving activity limitation and physical activity should be considered for the improvement of HRQoL for the elderly in the community.

Implementation of network architecture for a humanoid robot (휴머노이드 로봇의 네트워크 구조 구현)

  • Sung, Yu-Kyoung;Kong, Jung-Shik;Lee, Bo-Hee;Kim, Jin-Geol
    • Proceedings of the KIEE Conference
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    • 2004.07d
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    • pp.2397-2399
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    • 2004
  • This paper deals with the messages scheduling of a CAN (Controller Area Network), based on the distributed control scheme to integrate actuators and sensors in a humanoid robot. In order to supply the distributed processing for a humanoid robot, each control unit should have the efficient control method, fast calculation and valid data exchange. The preliminary study has concluded that the performance of CAN is better and easier to implement than other network such as FIP (Factory Instrumentation Protocol), VAN (Vehicle Area Network), etc. Since humanoid robot has to treat the significant control signals from many actuators and sensors, the communication time limitation could be critical according to the transmission speed and data length of CAN specification. In this paper, the CAN message scheduling in humanoid robot was suggested under the presence of Jitter in the message group, the existence of high load of messages over the network and the presence of transmission errors. In addition, the response time under the worst case is compared with the simulation by using the simulation algorithm. As a result, the suggested messages scheduling can guarantee our CAN limitation, and utilized to generate the walking patterns for the humanoid.

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A study on the External Insulation and Waterproof Method of Rooftop (옥상부 외단열 및 외방수 공법 제안에 관한 기초연구)

  • Jang, Dae-Hee
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2019.05a
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    • pp.137-138
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    • 2019
  • To overcome the limitation in relation to thermal insulator's selection and installation method that is suitable for exterior insulation and waterproof construction methods, a production basis of thermal insulators of which manufacturing knowhow is held by companies was ensured and future-oriented construction methods to adopt new materials were applied. Performance verification was conducted through performance and mock-up tests of thermal transmittance on the cross sections where the flexible insulators were applied based on the improved prototype and performance data were obtained. To overcome the biggest drawbacks (walking feeling and damage etc.) in the exterior insulation and waterproof construction method, inserting a protective layer between thermal insulator and water-proof layer was proposed, and polypropylene corrugated cardboards.

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Benign Acute Childhood Myositis: Perplexing Complication after Acute Viral Pharyngitis

  • Choi, Sung-Won;Ko, Hoon
    • Korean Journal of Family Medicine
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    • v.39 no.6
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    • pp.375-378
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    • 2018
  • Benign acute childhood myositis (BACM) is a rare transient condition that occurs in children during the early convalescent phase of a viral upper respiratory infection. BACM is self-limiting and characterized by sudden-onset bilateral calf pain that leads to difficulty in walking. We report a case of a 5-year-old boy with BACM who presented with acute-onset bilateral calf pain after a resolved episode of viral pharyngitis and subsequently refused to walk. With conservative treatment, the patient recovered completely after approximately 1 week. Although perplexing and challenging for clinicians unfamiliar with BACM, awareness of this rare clinical condition is essential to preventing unnecessary investigations and reassuring the patient and parents of its excellent prognosis.

Stand-alone Real-time Healthcare Monitoring Driven by Integration of Both Triboelectric and Electro-magnetic Effects (실시간 헬스케어 모니터링의 독립 구동을 위한 접촉대전 발전과 전자기 발전 원리의 융합)

  • Cho, Sumin;Joung, Yoonsu;Kim, Hyeonsu;Park, Minseok;Lee, Donghan;Kam, Dongik;Jang, Sunmin;Ra, Yoonsang;Cha, Kyoung Je;Kim, Hyung Woo;Seo, Kyoung Duck;Choi, Dongwhi
    • Korean Chemical Engineering Research
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    • v.60 no.1
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    • pp.86-92
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    • 2022
  • Recently, the bio-healthcare market is enlarging worldwide due to various reasons such as the COVID-19 pandemic. Among them, biometric measurement and analysis technology are expected to bring about future technological innovation and socio-economic ripple effect. Existing systems require a large-capacity battery to drive signal processing, wireless transmission part, and an operating system in the process. However, due to the limitation of the battery capacity, it causes a spatio-temporal limitation on the use of the device. This limitation can act as a cause for the disconnection of data required for the user's health care monitoring, so it is one of the major obstacles of the health care device. In this study, we report the concept of a standalone healthcare monitoring module, which is based on both triboelectric effects and electromagnetic effects, by converting biomechanical energy into suitable electric energy. The proposed system can be operated independently without an external power source. In particular, the wireless foot pressure measurement monitoring system, which is rationally designed triboelectric sensor (TES), can recognize the user's walking habits through foot pressure measurement. By applying the triboelectric effects to the contact-separation behavior that occurs during walking, an effective foot pressure sensor was made, the performance of the sensor was verified through an electrical output signal according to the pressure, and its dynamic behavior is measured through a signal processing circuit using a capacitor. In addition, the biomechanical energy dissipated during walking is harvested as electrical energy by using the electromagnetic induction effect to be used as a power source for wireless transmission and signal processing. Therefore, the proposed system has a great potential to reduce the inconvenience of charging caused by limited battery capacity and to overcome the problem of data disconnection.

A Rehabilitation for Ankle Fracture in Korean Medicine: A Report of 4 Cases (발목 골절 수술 후 한방 재활치료 프로토콜 적용의 임상적 효과: 증례 보고)

  • Ha, Won-Bae;Lee, Jong-Ha;Lee, Yoon-Seung;Jo, Dong-Chan;Lee, Jin-Hyun;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.171-184
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    • 2017
  • The objective of this study was to propose a rehabilitation protocol for ankle fracture in Korean Medicine and to report its effectiveness. Four patients who had undergone ankle fracture by car accident were treated using the rehabilitation protocol in Korean Medicine. We estimated the outcome evaluating physical examination findings of the ankle joint, numeric rating scale, Olerud-Molander score, and walking state. After the treatment, we observed that ankle movement and muscular strength were improved. Moreover numeric rating scale, Olerud-Molander score, and walking state of patients were improved. A rehabilitation in Korean Medicine can be effectively used for ankle fracture patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean Medicine.