Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Home Visiting Physical Therapy on the Motor Function, Activity of Daily Living, and Pain for Disabled Veterans

가정방문물리치료가 국가유공자 재가장애인의 운동기능, 일상생활동작 수행 및 통증수준에 미치는 영향

  • Kwon, Chun-Suk (Department of Physical Therapy, The Graduate School, Daejeon University) ;
  • Kim, Suhn-Yeop (Department of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Jang, Hyun-Jeong (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • 권춘숙 (대전대학교 대학원 물리치료학과) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 장현정 (대전대학교 자연과학대학 물리치료학과)
  • Received : 2014.02.11
  • Accepted : 2014.04.02
  • Published : 2014.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The objectives of this study were to investigate the effects of physical therapy provided at home on the motor function, activity of daily living (ADL), and level of pain in veterans men with disabilities, and to provide the information. METHODS: The participants were 108 patients men with disabilities living in the cities Seoul, Pusan, Daegu, Gwangju and Daejeon; they performed physical therapy at home-provided by physical therapy services- that included therapeutic exercise for 50 minute, 1~2 times a week for 24 weeks. The motor function was measured by using motor assessment scale (MAS) and ADL, the level of pain were recorded both before and after physical therapy. The data form both before and after physical therapy were analyzed by using the paired t-test. All statistical tests in this study were performed with the level of significance set at .05. RESULTS: After 24 weeks of physical therapy, we observed significant improvement in the MAS and ADL scale, as well as significant decrease in the level fo pain in the participants (p<.01). Significant improvement was also observed in the MAS and ADL scale, as well as a decrease in the level of pain among participants with stroke and spinal disease (p<.05). CONCLUSION: The findings of this study show that physical therapy provided at home can lead to an improvement in the motor function as well as improved ADL and pain control; physical therapy also has positive effects in relieving symptoms of veterans with disabilities.

Keywords

References

  1. An DH. Effects on improvement of activities of daily living through short-term home visiting physical therapy. Phys Ther Kor. 2007;14(2):53-60.
  2. Bang YS. The change of activity of daily living on task-oriented learning program in young adult. J Korean Soc Occup Ther. 2003;11(2):87-99.
  3. Carr JH, Shepherd RB, Nordholm L, et al. Investigation of a new motor assessment scale for stroke patients. Phys Ther. 1985;65(2):175-80. https://doi.org/10.1093/ptj/65.2.175
  4. Choi CH, Kim SH, Lee YS, et al. Correlation between the likert scale and the numeric rating scale for evaluating knee pain. J Korean knee Soc. 2011;23(1):14-8. https://doi.org/10.5792/jkks.2011.23.1.14
  5. Davies L, Felce D, Lowe K, et al. The evaluation of nimrod, a community-based service for people with mental handicap: Revenue costs. Health Services Manage Res. 1991;4(3):170-80. https://doi.org/10.1177/095148489100400302
  6. Evashwick CJ, Rundall T, Goldiamond B. Hospital services for older adults. Gerontologist. 1985;25(6):631-7. https://doi.org/10.1093/geront/25.6.631
  7. Farrar D, Raoof N. Bell's palsy childbirth and epidural analgesia. Int J Obstet Anesth. 2011;10(1):68-70.
  8. Gill TM, Kurland BF. Prognostic effect of prior disability episodes among nondisabled community-living older persons. Am J Epidemiol. 2003;158(11):1090-6. https://doi.org/10.1093/aje/kwg237
  9. Hesse S, Stats M, Werner C, et al. Ambulatory rehabilitation exercises for stroke patients at home-preliminary results of scope methods and effectiveness. Nervenarzt. 2001;72(12):950-4. https://doi.org/10.1007/s001150170009
  10. Holmquist GP. Chronic low-dose lesion equilibrium along genes: Measurement. molecular epidemiology and theory of the minimal relevant dose. Mutat Res. 1998;405(2):155-9. https://doi.org/10.1016/S0027-5107(98)00132-8
  11. Jamison RN, Gintner L, Rogers JF, et al. Disease management for chronic pain: Barriers of Program Implementation with primary care physicians. Pain Med. 2002;3(2):92-101. https://doi.org/10.1046/j.1526-4637.2002.02022.x
  12. Kim JS. Study on system integration in North and South Korea veterans. Graduate School of Kyunghee University. Docter's thesis. 1999.
  13. Kim KJ. A study of the effect of hospitalization stress on the quality of old-aged veterans. Hanyang University of Dissertation of Master Degree. 2012.
  14. Korea Veterans Health Service. Bohun-THIS Growth and development workshop materials. 2013.
  15. McCaffery M, Beebe A. selecting an NSAID for pain control. Nursing. 1995;25(10):32C-D, F. https://doi.org/10.1097/00152193-199525020-00014
  16. Lee EJ. Effects of home visiting physical therapy on motor function and ADL in the persons with chronic stroke. Yongin University of Dissertation of Master Degree. 2002.
  17. Lee GH. The effectiveness of home based occupational therapy with stroke patients at home on quality of life and activities of daily living. Daegu University of Dissertation of Master Degree. 2008.
  18. Lee JB. A study of home physical therapy on awareness patient and physician. Gachon University of Dissertation of Master Degree. 2004.
  19. Loewen SC, Anderson BA. Predictors of stroke outcome using objective measurement scales. Stroke. 1990;21(1):78-81. https://doi.org/10.1161/01.STR.21.1.78
  20. O YT, Current ME, Chung BI, et al. Activities of daily living performance features of elderly residents in the Wonju area. J Korean Soc Occup Ther. 2000;8(1):1-14.
  21. Park RJ, Han DU. Necessity and features of service required for home visiting physical therapy by activities of daily living. Special Education & Rehabil Science. 2000;39(2):175-200.
  22. Park HS. Effects of the group task-related program training on functional independence and quality of life for CVA patients. Dankook University Master's thesis. 2005.
  23. Park UJ. A study of factors affecting the survival rate of cancer patients at veterans hospital: Focused on sociodemographic and clinical characteristics. Wonkwang University of Dissertation of Master Degree. 2013.
  24. Poole R, Kelly WJ. Physicians travel to review health care systems. Pa Med. 1979;82(1):20-3.
  25. Rodriquez AA, Black PO, Kile KA, et al. Gait training efficacy using a home-based practice model in chronic hemiplegia. Arch Phys Med Rehabil. 1996;77(8):801-5. https://doi.org/10.1016/S0003-9993(96)90260-9
  26. Roh KH. The effect of home rehabilitation exercise program of home stayed chronic hemiplegic stroke patients. Catholic University of Dissertation of Doctor Degree. 2002.
  27. Salonen JT, Kottke TE, Jacobs DR Jr, et al. Analysis of community-based cardiovascular disease prevention studies-evaluation issues in the North Karelia Project and the Minnesota Heart Health Program. Int J Epidemiol. 1986;15(2):176-82. https://doi.org/10.1093/ije/15.2.176
  28. Shim SY, Park HJ, Lee JM, et al. An overview of pain measurements. J Korean Acupuncture. 2007;24(2):77-97.
  29. Werner RA. Kessler S. Effectiveness of an intensive outpatient rehabilitation program for postacute stroke patient. Am J Phy Med Rehabil. 1996;75(2):114-20. https://doi.org/10.1097/00002060-199603000-00006
  30. Wolfe CD, Tilling K, Rudd AG. The effectiveness of community-based rehabilitation for stroke patients who remain at home: A Pilot Randomized Trial. Clin Rehabil. 2000;14(6):563-9. https://doi.org/10.1191/0269215500cr362oa
  31. Yang YA, A positive study on home-visiting physical therapy system. Hanyang University of Dissertation of Master degree. 1997.
  32. Yoon TH. A study of the inclusion of home-based physical therapy services in the long term care insurance. Hanyang University of Dissertation of Master degree. 2009.

Cited by

  1. Recognizable Investigation on Home Visiting Physical Therapy of Physical Therapist in Gwangju and Jeonnam vol.11, pp.3, 2014, https://doi.org/10.13066/kspm.2016.11.3.19