• Title/Summary/Keyword: 일상생활 동작

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A comparative study of ADL and IADL of residential home and home for the aged dwelling elderly (노인의 거주 형태에 따른 일상생활동작(ADL) 및 도구적 일상 생활 동작(IADL)의 수행능력 비교)

  • Park, Chan-Eui;Chang, Chung-Hoon;Lee, Jae-Hyoung
    • The Journal of Korean Physical Therapy
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    • v.18 no.4
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    • pp.61-70
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    • 2006
  • Purpose: The purpose of this study was to investigate the activities of daily living (ADL) and instrumental activities of daily living (IADL) of residential home dwelling elderly and home for the aged dwelling elderly. In attempt to address medical professional caring the elderly, this comparative study examines the factors associated with dependence in the ADL and IADL in two samples of elderly people living in two different environments. Methods: The instrument of ADL and IADL widely used Katz ADL and IADL. Katz ADL and IADL was not a perfect fit for Korean. In concern with cultural factors Won developed K(Korean)-ADL and K-IADL scale reflecting Korean's own language expression and cultural factors in year of 2002. The assessment tool of this study was K-ADL and K-IADL. Differences of ADL and IADL were tested for statistical significance using group t-test and x2 test for comparisons between the residential home dwelling elderly and the home for the aged dwelling elderly. Results: Comparison of assessment for K-ADL and K-IADL in two different dwelling types was significant. Performance of ADL and IADL depend upon their living environment such as social status, number of children, income, present illness as well as age group. This study also showed significant differences of performance in some activities of ADL and IADL between the elderly who live in their own home and live in home for the aged. Comparison of performance of ADL and IADL in different dwelling types revealed that only one item of ADL was significant but only one item of IADL was not significant. It means that IADL is more difficult activities in the home for the aged dwelling elderly than the residential home dwelling elderly. The coupled elderly has more independent in some ADL and IADL activities compared with the single elderly. Conclusion: Using K-ADL and K-IADL is more convenient for Korean elderly. Medical professional consider some factors like dwelling style, social status, existing diseases and disabilities in order to care the elderly and train him/her activities of daily living as well as instrumental activities of daily living. Medical professional, especially physical and occupational therapist emphasize the training items which are bathing of ADL and grooming, housework, preparing meals, laundry, traveling, public transportation, shopping, using telephone and taking medicine of IADL based on the result of this study.

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The Effect of the Elderly's Ability to Perform Daily Activities on Life Satisfaction: Focusing on Mediating Effect of Depression (노인의 일상생활 동작수행이 삶의 만족도에 미치는 영향: 우울감의 매개효과 중심)

  • Yoon, Mee-Ra;Lee, Mee-Ae
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.187-196
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    • 2022
  • The purpose of this study is to examine the mediating effect of depression in the relationship between the performance of daily activities in the elderly and their life satisfaction. The subjects of the study were 10,097 people from the Survey on the Elderly (2020), and the SPSS 25.0 program was used for data analysis. The main research results that analyzed the elderly's daily life movement performance by dividing it into daily life discomfort and movement performance difficulty are as follows. First, it was confirmed that the effects of discomfort and difficulty in performing daily activities of the elderly on life satisfaction were significant. Second, the effects of discomfort in daily life and difficulty in motion performance in the elderly on depression were found to be at a statistically significant level. Third, the effect of depression on life satisfaction was found to be statistically significant. Fourth, the partial mediating effect of depression was examined in the relationship between the daily life discomfort and difficulty in motion performance of the elderly on life satisfaction. These results clarified that daily life discomfort, difficulty in performing movements, and depression should be reduced in order to improve life satisfaction of the elderly. Through this, a discussion was presented to increase the life satisfaction of the elderly.

Changes in Activities of Daily Living of Children with Spastic Cerebral Palsy According to Gross Motor Function Classification System After One Year of Physical and Occupational Therapy (물리 및 작업치료 1년 후 대동작 기능분류체계에 따른 경직성 뇌성마비 아동의 일상생활동작 변화)

  • Lee, Kwon-Woo;Kim, Won-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.431-440
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    • 2019
  • This study was conducted to investigate changes in activities of daily living (ADLs) according to the Gross Motor Function Classification System (GMFCS) after one year of physical and occupational therapy and to compare the responsiveness of ADL tools. A total of 48 children with spastic cerebral palsy participated in the study. The GMFCS, Functional Independence Measure for Children (WeeFIM), and Pediatric Evaluation of Disability Inventory (PEDI) were measured. The results showed that the GMFCS was significantly correlated with the PEDI (p<0.05), while there was a significant difference in the change of ADLs measured by the PEDI, but not the WeeFIM. There was a significant difference in the changes in ADLs according to the GMFCS, and the change in ADLs in the high functional level group was significantly higher than in the low functional level group (p<0.05). After physical and occupational therapy, the degree of improvement of ADLs varied according to the GMFCS, but seemed to be improved in a clinically meaningfully way. The PEDI is sensitive to changes in ADLs, so it may be used widely in clinical practice.

Structural Equation Modeling of Factors Contributing to Activities of Daily Living in Children With Cerebral Palsy (뇌성마비 아동의 일상생활동작에 영향을 미치는 요인에 관한 구조방정식 모형 검증)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.9 no.10
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    • pp.206-217
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    • 2009
  • The purpose of this study was to investigate the cause-effect relationship between motor impairments, hand function, gross motor function and activities of daily living (ADL) in children with cerebral palsy through the analysis of structural equation modeling. For this, 105 children with cerebral palsy (between 6 and 12 years old) were assessed about muscle tone and strength, range of motion, abilities of selective motor control, hand function, gross motor function and ADL. The results of this study were follows: Firstly, there were significant correlations between motor impairments of muscle tone, muscle strength, the abilities of selective motor control and ADL (p < .05); Secondly, a good correlation between the gross motor function, hand function and ADL was found in all children (p < .05); Thirdly, the appropriateness of research model was good. This study focused on exploration of the relationship between the motor impairment, gross motor function, hand function and ADL through structural equation modeling.

The Relationships between Stress and ADL in Elderly Living Alone (융합시대의 일 지방 독거노인의 일상생활동작과 스트레스)

  • Seo, Eun-Joo;Cha, Nam-Hyun
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.251-258
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    • 2016
  • This study was to identify the relationships between activities of daily living(ADL) and stress by health characteristics in elderly living alone. A total of 260 subjects were selected through convenient sampling. Data were collected with a self-reported questionnaire from October 20 to November 20, 2014. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficients. Differences in ADL and stress according to health characteristics were as follows. ADL were significantly different according to problem of dietary habits. drinking, unsuitable health care, management groups. Stress were significantly different according to stress and availability and drug abuse. There was a negative correlation between ADL and stress. The findings of this study may be useful in understanding the health status of elderly living alone and developing more specific programs about ADL and stress control. Getting older, with the change in weight and chronic diseases, as the elderly living alone are indisposed with ADL, the applicatiom of physical activity programs and a stress management strategy is required.

Study on Lower Extremities Activities Pattern of ADL and Treadmill Gait According to Harness Body-Weight Support Percentages (일상생활 동작 및 하네스 체중지지율에 따른 트레드밀 보행 시 하지 패턴에 관한 연구)

  • Song, S.M.;Yu, C.H.;Kim, K.;Kim, J.J.;Song, W.K.;Hong, C.U.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.4
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    • pp.319-329
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    • 2015
  • The purpose of this paper is to analyze lower extremities pattern of daily activities and walking on the treadmill with passive body support system. The experiments will be used for basic research of developing active harness system. The experimental procedure has been validated on 5 healthy male subjects and we measured foot pressure and 8 section of lower limb muscles activities. The EMG results of ADL indicate that there have specific muscle activity patterns followed by each activities. The vastus lateralis muscle activities were highly seems on the activities that requires flection and extension of knee joint. The foot pressure value of stair descent activity was the highest due to the fact that it is come down to the direction of gravity. The results with the passive body weight support percentages show that the EMG and foot pressure values were declined according to increasement of the body weight support percentages. Therefore the body weight support system could apply gait rehabilitation system for various patients by changing the percentages of the body weight support.

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미래 고령화 사회를 위한 실버 기기

  • 김남균
    • Journal of the KSME
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    • v.44 no.1
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    • pp.66-71
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    • 2004
  • 이글에서는 상지 동작 훈련 지원 시스템, 보행 훈련 및 하지 기능 회복 지원 시스템, 자세 균형 훈련장치 등 신체 기능 회복 및 훈련 지원 시스템과 자립형 이동을 위한 동작보조장치, 일상생활 지원 실버 기기, 개인 휴대형 골정 방지 시스템 등 일상생활 보조 지원 실버 기기에 대해 소개한다.

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Quality of Life, Perceived Health Status, Pain, and Difficulty of Activity of Daily Living of Degenerative Arthritis Patient in Island Residents (일 도서지역 퇴행성관절염 환자의 삶의 질, 지각된 건강상태, 통증 및 일상생활동작 장애)

  • Lee, Myung-Suk
    • Journal of agricultural medicine and community health
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    • v.34 no.3
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    • pp.291-302
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    • 2009
  • Objectives: The purpose of this study was to identify and relationships among quality of life, perceived health status, pain and difficulty of daily activity with degenerative arthritis living in island residents. Methods: The participants were 601 degenerative arthritis patients. Data were collected using structured questionnaires from June 23th to Oct. 08th, 2008 and analyzed using the SPSS 12.0 program. and it included descriptive statistics, t-test, $x^2$-test, Pearson correlation coefficient. Results: The mean quality of life score was 115.87, perceived health status was 4.40, pain was 6.31 and difficulty of daily activity was 77.62. On the demographic variables, age, living arrangement, level of economics showed significant difference for the quality of life and sex and age showed significant difference for the perceived health status, pain, difficulty of daily activity. On the disease-related variables, duration of disease, use of analgesic drug showed significant difference for the dependent variables. There was a significant positive correlation among the quality of life, perceived health status, significant negative correlation pain and difficulty of daily activity. Conclusions: These results suggested that nursing intervention program including pain reduction, enhancing the perceived health status, ADL abilities and quality of life were necessary for the osteoarthritis patients in island residents.

The Effect of Gradually Observation-Reduction Action Observation Training on Upper Extremity Function and Activities of Daily Living in Patients with Chronic stroke: a Pilot Study (점진적 관찰감소 동작 관찰훈련이 만성기 뇌졸중 환자의 상지 기능과 일상생활 활동에 미치는 영향 : 예비 연구)

  • Han, Min;Park, Ju-Hyung
    • Journal of Convergence for Information Technology
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    • v.10 no.8
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    • pp.229-238
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    • 2020
  • This study was conducted to investigate the effect of gradually decreasing action observation training on the upper extremity function and Activities of daily living in chronic stroke patients. For patients with chronic stroke, the groups were divided into experimental group undergoing gradually decreasing action observation training(n=4), control group receiving existing action observation training(n=3) and the study was conducted 6 times a week, 30 minutes per session for a total of 2 weeks. The results of the comparison between the groups before and after intervention and the comparison between the two groups did not show statistically significant differences in BBT, FMA, K-MBI, and MAL, but the experimental group showed a greater difference in terms of average score than the control group. As a result, it was confirmed that gradually decreasing action observation training can have a more positive effect than the existing action observation training.

The Study of Functional Independence and Bone Mineral Density in Athletes With Spinal Cord Injury (척수 손상을 가진 운동선수와 비운동선수의 일상생활 기능과 골밀도 비교연구)

  • Shin, Hwa-Kyung;Kim, Youn-Joung
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.119-124
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    • 2012
  • 목적 : 본 연구는 척수손상환자들 중 신체활동 정도가 급격하게 차이 나는 운동 선수군과 비선수군의 일상생활동작과 골밀도를 비교 분석하는데 그 목적이 있다. 방법 : 본 연구를 위해 20명(선수 10명, 비선수 10명)의 SCI 환자가 실험에 참가하였다. 골밀도 측정을 위해 이중에너지 방사선골밀도 측정기(Lunar Prodigy, GE Healthcare. England)를 이용하여 종골부위(calcaneus)의 골밀도를 측정하였다. 척수손상환자의 일상 생활 기능을 측정하기 위해 자조관리(self care), 호흡과 괄약근 조절 (respiration and sphincter management task), 이동(transfer)의 세 영역으로 나누어진 SCIM II(Spinal Cord Injury Measurement II)을 이용하였다. 척수손상환자들 중 운동 선수군과 비운동 선수군의 일상생활 동작과 골밀도를 비교 하기 위해 SPSS 14.0 통계 프로그램의 independent t-test를 이용하여 통계분석을 실시하였고 일상생활 동작과 골밀도의 상관관계는 Pearson correlation을 실시하였다. 유의수준은 ${\alpha}$=.05로 통계처리 하였다. 결과 : 검사 결과 선수군이 비선수군보다 통계적으로 유의하게 큰 SCIM 점수와 T-score를 보여주었다. 결론 : 일상생활동작을 측정하기 위하여 SCIM II(SpinalCordIndependenceMeasureII) 척도를 사용하였는데 선수군이 비선수군에 비해 유의하게 높은 SCIM II 총점을 나타내어 운동을 통한 훈련이 척수손상환자의 기능적 활동을 향상시킬 수 있다고 사료된다. 그리고 골밀도 측정 결과 선수군이 비선수군에 비해 통계적으로 유의하게 높은 골밀도를 나타내었다. 이 역시 강도 높은 훈련이 척수손상환자에게 나타날 수 있는 신체구성을 강화시켜줄 수 있을 것으로 사료된다. 운동을 통한 재활 중에서 그 강도가 높을수록 신체의 구성적, 기능적 측면 뿐 아니라 신경의 가소성 측면에서도 증가를 기대해 볼 수 있을 것으로 판단된다.