• Title/Summary/Keyword: 장애평가

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Postural Control During Virtual Moving Surround Stimulation in Patients with Brain Injury (뇌기능 장애 환자의 가상 환경 움직임(Virtual Moving Surround) 자극에 따른 자세 균형 제어)

  • 김연희;최종덕;이성범;김종윤;이석준;박찬희;김남균
    • Science of Emotion and Sensibility
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    • v.5 no.4
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    • pp.67-75
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    • 2002
  • The purpose of this study is to assess the ability of balance control in virtual moving surround stimulation using head mount display (HMD) device and force platform in patients with brain injury. Fifteen patients with stroke (mean age 54.47 yrs) and fifteen healthy normal persons participated. COP parameters were obtained total path distance, frequency of anterior-posterior and medial-lateral component by FFT analysis, weight-spectrum analysis in the two different conditions; (1) during comfortable standing with opened or closed eyes, (2) during virtual moving surround stimulation delivered using HMD with four different moving pattern. Moving patterns consisted of close-far, superior-inferior lilting (pitch) , right-left tilting (roll) and horizontal rotation (yaw) movement. In all parameters, the test-retest reliability was high. Also, the construct validity of virtual moving surround stimulation was excellent (p<0.05). A posturographic balance assessment system equiped with virtual moving surround stimulation using HMD is considered clinically useful in evaluation of balance control in patients with brain injury.

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Development of the Social Story Application Designed to Improve the Social Skills of Students with ASD (자폐성장애 학생의 사회적 기술 향상을 위한 상황이야기 애플리케이션 개발)

  • Kim, Sori;Kang, Ock-Ryeo
    • Journal of Creative Information Culture
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    • v.5 no.3
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    • pp.329-343
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    • 2019
  • This study designed, developed and evaluated an application to improve the social skills of students with Autism Spectrum Disorders(ASD) based on the stage of the ADDIE model. The design stage aimed to factor in the characteristics and needs of students with ASD, and created guide maps and story boards accordingly. In the development stage, the application was made through a total of fourteen processes and four official tests. In the evaluation stage, heuristic usability evaluation was conducted on 10 teachers based on the their experience of using the application in the implementation stage. The results of the evaluation were all close to 'very good' in the areas of educational value, content implementation technology, content information and convenience. Finally, the application was fully developed after reflecting the corrections in accordance with the result of the usability evaluation. It is expected that this study have a role in invigorating the development of special educational software content.

Accessibility Evaluation of Accredited Certificate Subscriber Software (공인인증서 가입자 소프트웨어의 접근성 평가)

  • Hong, Kyoung-Soon;Choi, Seong-Eun;Kim, Suk-Il
    • The Journal of the Korea Contents Association
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    • v.11 no.2
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    • pp.40-53
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    • 2011
  • This paper proposes methods of evaluating and measuring accessibility of accredited certificate subscriber software which is one of crucial applications to submit personal certifications while web surfing. The presented methodology is to evaluate accessibility by using a certain assessment tool and is to normalize accessibility level into points, so that the software developers who are unfamiliar to screen readers can easily perform accessibility evaluation. The software from the major 78 organizations has went through the assessment. Those of 48 organizations, 62% out of the total, have acquired less than 70 points, implying the software of them is not accessible by the blind. The remaining 18 software got the highest point(88), are partly inaccessible by the blind that uses screen readers. This implies that the proposed methods are applicable to evaluate the accessibility of the software.

Developing and Exploring the Possibility of Serious Language Training Game for Students with Intellectual Disabilities (지적장애 학생을 위한 기능성 언어게임의 개발 및 적용 가능성 탐색)

  • Lee, Tae-Su;Kim, Yeon-Pyo
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.287-298
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    • 2017
  • The purpose of this study was to develop and to explore the possibility of the serious language training game for students with intellectual disabilities. To do this, words of language training program were extracted from the National Common Basic Curriculum of Special School and the contents design of language training program were developed based on the evaluation of significance and difficulty by special teachers, special education professors, and special education experts. To explore the possibility of applying the serious language training game, a usability evaluation was conducted with 45 special school teachers and 31 students with intellectual disabilities. The results showed that the serious language game had a high level of usability as the special school teachers received 4.25 and the students with intellectual disabilities received 4.33 out of 5. But there is no difference of usability evaluation on the level of school and the arrangement of school. As a result of this study, we can draw a conclusion that there is a high possibility of applying the serious language game to language education for students with intellectual disabilities.

Prevalence and Clinical Features of Probable REM Sleep Behavior Disorder-An Epidemiological Study in Osan City (유력 렘수면 행동장애 환자 유병률과 임상 양상-오산시 역학 연구)

  • Choe, Young-Min;Yoon, In-Young;Kim, Ki-Woong;Lee, Sang-Don;Ju, Ga-Won;Park, Joon-Hyuk
    • Sleep Medicine and Psychophysiology
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    • v.18 no.1
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    • pp.23-28
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    • 2011
  • Objectives: REM sleep behavior disorder (RBD) has received little attention in epidemiologic studies. This study aimed to determine the prevalence of probable REM sleep behavior disorder (pRBD) in the elderly population and its clinical features. Methods: A random sample of 1,588 was selected from a roster of 14,050 elderly population living in Osan city. The subjects were asked to fill out the REM sleep behavior disorder screening questionnaire (RBDSQ). Subjects whose score were 5 or higher on RBDSQ underwent a diagnostic phase of person-to-person assessment by experts in RBD. Results: Among 1,588 subjects, 886 elderly subjects participated in the screening phase and 123 subjects were assessed in the diagnostic phase. Eleven subjects were diagnosed as having pRBD, so prevalence was 1.5% (95% CI=0.70-2.30%). The frequency of depression and cognitive decline was significantly increased in patients with pRBD compared to subjects without pRBD, and there was no difference in sleep disturbances between two groups. Conclusions: Probable REM sleep behavior disorder is not rare in the elderly but frequently under-recognized. More attention should be paid to evaluation and treatment of RBD.

Association of Left Ventricular Diastolic Dysfunction and Epicardial Adipose Tissue (좌심실의 이완기장애와 심장외막지방두께와의 연관성 연구)

  • Kim, Sun-Hwa;Kang, se-sik;Kim, Jung-Hoon
    • Journal of the Korean Society of Radiology
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    • v.10 no.7
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    • pp.511-519
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    • 2016
  • Left ventricular diastolic dysfunction is mostly observed in patients with cardiac disease, such as myocardial ischemia or LVH, but linking is usually observed in healthy people without heart disease. Evaluation of left ventricular diastolic failure in normal cardiac output(systolic function) conditions can affect the progress and prognosis of heart failure. The direct relevance to the epicardial adipose tissue metabolism in cardiovascular engine for generating a bioactive moleculer, which leads to dysfunction of the later had a direct effect on myocardial heart. The purpose of this study is to measure the thickness of the epicardial adipose tissue was to study the relevance of the assessment of diastolic dysfunction in systolic function in normal conditions. Results epicardial adipose tissue thickness and diastolic dysfunction was analyzed to have a high correlation in a statistically significant level. In particular, the epicardial adipose tissue thickness measured at the measuring section EAT2 and diastolic function evaluation E' was found to have a high correlation. Thus epicardial adipose tissue thickness variation is believed can be used as a predictor to evaluate the left ventricular diastolic dysfunction.

An Investigation of Psychometric Adequacy of Korean Self-Evaluated Writing Scale for Students with Disabilities having Writing Difficulties (글씨쓰기에 어려움이 있는 장애학생을 위한 한국형 쓰기자기평가검사의 측정학적 적합성 검증)

  • Lee, Ok-In;Lim, Yang-Mi
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.6 no.2
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    • pp.197-208
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    • 2016
  • The purpose of this study was to verify the construct validity of self-evaluated writing scale for students with disabilities who had difficulties in writing. After interpreting the Here's How I Write scale developed by Goldstand et al. (2013), we administered Delphi survey to 40 special education professionals, calculated the content validity ratio and decided the final scale of 21 questions applicable to Korea. Additionally, we carried out the scale to 350 disabled and normal students for testing construct validity. The main results are as follows: For both students with disabilities and without disabilities, the overall internal consistency of scale are higher than .89 and the internal consistency of factors of scale are higher than .66. The confirmative factor analysis using AMOS 21.0 and SPSS 21.0 to verify construct validity showed fit index at relatively satisfactory level for students with disabilities and without disabilities. Furthermore, while there were relatively strong convergent validity and discriminant validity in the sub-factors of scale for students without disabilities, the level of convergent validity and discriminant validity were relatively lower for students with disabilities.

후각장애환자의 후각기능평가

  • 양경헌;안병준
    • Proceedings of the ESK Conference
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    • 1997.10a
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    • pp.244-245
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    • 1997
  • 후각장애를 가져오는 질환에는 비, 부비동 질환, 두부외상, 상기도 감염, 간질 및 노인성치매 등의 신 경게 질환, 칼만증후군과 같은 대사성 질환 등이 있으나, 현실적으로 후각장애의 정도를 측정하기가 쉽 지않고, 후각역치가 개인간에 차이가 많아 아직 연구가 미진한 상태이다. 특히 교통사고나 산업현장에서 쉽게 접할 수 있는 두부외상이나 독성화학물질 등에 의해 후각장애가 많이 나타나고 있으나 아직 보상의 기준이 없어 환자들이 어려움을 겪고 있다. 두부손상 후에 발생하는 후각장애는 병원에서도 놓치기 쉬우며, 알아내더라도 두렷한 치료방법이 없기 때문에 간과되어온 것이사실이다. 그러나, 이런 후각장애 환자들은 집안에서 가스가 새는 것을 느끼지 못하며, 화재로연기가 나더라도 알아차리지 못하고, 음식이 상해도 잘 모르므로 위험에 빠지기가 쉽고, 후각에 이상이 있으면 자연적으로미각도 감소하므로 식욕도 떨어지고, 때로는 우울증에 빠지기도하며, 주부의 경우에는 음식을 만들기가 어렵게 된다. 두부외상을 받은 전체 환자 의 약5 -10%에서 후각장애가 나타나는 것으로 알려져 있으나, 냄새가 나지만 정확히 무슨 냄새인지 이름을 대지 못하거나 어떤 냄새를 다른 냄새와 감별하지 못하는 경우까지 합하면 대개 20-30%로 생각된다. 두부 손상 후의 후각장애의 정도는 얼마나 크게다쳤는 가에 달려있지만, 조금 다치더라도 후각장애가 심한 경우도 있다.

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Difference of Functional Outcome Measurements between Total Knee Arthroplasty and Knee Amputation (슬관절 절단과 슬관절성형술간의 가능 수행 측정)

  • Sung, Paul S.
    • Physical Therapy Korea
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    • v.4 no.2
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    • pp.89-99
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    • 1997
  • 임상 결과의 측정에서 새로운 관점을 갖는 것은 중요하다. 의료 재활은 심리적 측정의 질들(표준화, 신뢰도, 타당도)에서 충분한 노력에 수행되어지지 않아 왔기 때문에 환자와 프로그램 사이에 일반화된 기능적인 평가 범위가 부족하다. 장애의 적절한 측정을 위한 요구는 기능적인 상태에서 변화들을 알리고 치료의 필요성을 평가하고 치료를 계획하고 결과를 예측하고 보상 방법을 측정하기 위한 환자의 치료와 임상 연구에서 모두 나타난다. 세계적으로 사용되어지고 있는 기능 평가 도구인 FIM으로부터 이 연구는 신체적 측정의 기대되어진 것에 유사한 비율로 기능적 평가 측정들을 구성한다. 노인 재활에서 기능적인 결과의 측정은 중요한 몇 가지 점이 있다. 첫째는 접근에 기초한 기능적인 결과는 치료 목표 설정에 필요하다. 둘째는 도구는 기능적인 향상을 예상하는데 유용해야 한다. 셋째는 기능 평가는 적절한 타당도와 신뢰도와 함께 고려되어져야만 한다. 넷째는 다른 기능적 도구들이 함께 평가되어져야 할 필요가 있다는 것이다. FIM의 목록의 어려운 접들은 손상을 입은 집단에서는 다소 다양하다. 가장 중요한 부분이기 때문에 하나의 운동범위는 요통과 화상을 입은 환자를 제외한 모든 손상을 입은 집단들에게 적용되어 질 수 있다. 기능의 운동과 인지적인 면은 구분되어지는 것이 중요하였고 분리되어져서 치료되어 졌다. 어려운 목록들은 손상을 입은 집단에서 다양하였고, 다양한 손상의 종류의 독특한 영향을 반영하였다. FIM은 기능적인 장애를 측정하기 위해 고안되어진 또 다른 도구이다. 그리고 다른 것들은 의료 재활을 위한 국제적 자료 체계를 만들기 위한 것이다. FIM의 목적은 의료 재활의 결과를 확인하고 장애의 정도의 측정을 포함한다. FIM은 7가지 수준에서 사회적 인지, 의사 소통, 이동, 움직임 (mobility), 소변 관리, 자조 활동을 평가한다. 범위는 총체적 도움의 비율로부터 완전하게 독립적인 것까지의 범위이고 도움, 감독, 도구의 사용의 범위를 고려한다. 27,009의 환자를 조사한 최근 검사 기록들은 FIM이 움직임(motor)과 인지 기능을 평가하는 것이라는 것을 보여준다(Hinemann, 1993). FIM의 저자들은 자료가 프로그램 평가의 시도에서 즉각적으로 적용 할 수 있기를 기대한다. FSI은 어떤 과제의 수행에서 어려움에 관계된 정보를 제공하는 것을 나타내고 과제를 수행하기 위한 환자를 위한 변경된 전략들을 발달시키기 위해 노력하는 임상가들에게 유용할 수 있다. 두 도구 모두는 전통적인 범위들보다 고관절 골절을 동반한 장애의 좀더 정확한 정보를 모으도록 할 수 있다. 고찰된 모든 연구의 결과들은 골절 후에 남아 있는 잔여 장애의 중요한 수준을 강조한다. 골절 전의 보행으로 회복된 사람은 매우 드물었다. 대부분은 기본적인 움직임 혹은 옷입기, 개인 위생에 관계된 활동들에서 의존적이었다. 많은 사람들은 사회에서 활동을 할 수 없었다. 장애의 적절한 측정의 요구는 환자 치료와 기능적인 상태에서 변화를 알고 치료의 요구도를 측정하고 치료를 계획하고 결과를 예상하고 보상 수단을 결정하는 임상적 연구에서 모두 나타난다. 물리치료 분야는 분야의 다른 영역에서 기능적인 결과를 충족시키고 발달시키는 것이 필요하다.

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Implementation of the Picture Vocational Interest Inventory System for People with Hearing Impairment (청각 장애인용 그림 직업흥미검사 시스템의 구현)

  • Ban, Chae-Hoon;Park, Hye-Jeon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.05a
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    • pp.437-440
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    • 2010
  • In modern society, people will obtain the necessary goods and find meaning of himself and his community through jobs. The meaning of job for people with disabilities is identical with people's with non-disabilities and people with disabilities will live as a member of society through jobs. Because people with hearing impairment have a problem about job such as the short longevity and high turnover, vocational aptitude test which evaluates psychological characteristics, aptitudes and interests is necessary for them. In this paper, we design and evaluate the picture vocational interest inventory supporting the Internet as a vocational aptitude test for people with hearing impairment. We use the picture vocational interest inventory of Korean Employment Development Institute as a implementation target. The previous tests for people with hearing impairment have a problem which an examinee, an examiner and a sign language interpreter are involved in the test at the same space and time. Therefore, our picture vocational interest inventory has no limitation of time and space because it processes on the Internet.

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