• Title/Summary/Keyword: 재활 운동

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Web Accessibility of Healthcare Websites of Korean Government and Public Agencies: Automated and Expert Evaluations (정부 및 공공기관의 보건 관련 웹 사이트의 웹 접근성 - 자동 및 전문가 평가 -)

  • Yi, Yong Jeong
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.26 no.4
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    • pp.283-304
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    • 2015
  • The purpose of this study was to identify Web accessibility issues of healthcare websites of the Korean government and public agencies by evaluating these websites' accessibility in accordance with the Korean Web Contents Accessibility Guideline. This study conducted both automated and expert testing to assess the accessibility of a total of 27 health-related websites. The results of the assessment which was conducted in two stages indicated that institutions such as the National Hospital and National Rehabilitation Center demonstrated almost no Web accessibility error. In addition, the Korea Health Insurance Review and Assessment Service, the Ministry of Health and Welfare, the Health Services Agency, the Ministry of Food and Drug Safety, and the Korea Medical Dispute Mediation and Arbitration Agency attained very high web accessibility. However, the results of an expert evaluation highlighted that there were considerable errors in providing appropriate alternative text, which was not found in the automated test, and the color contrast of the text content did not comply with Web accessibility standard. Therefore, these websites did not support web accessibility for the sight-impaired. Furthermore, the present study found that it was difficult to deliver accurate information to users due to errors in the default language display and markup, and also, issues of skipping repeated content, content linearization, and compliance with keyboard use were considered as challenges that might arise for people with sight, cognitive and mobility impairments with respect to Web accessibility. It is the first study that evaluated accessibility of healthcare websites of the Korean government and public agencies based on the Korean Web Contents Accessibility Guideline. The present study made a contribution to research on Web accessibility by conducting expert testing, which provided a more complete assessment that identified the degree and specific issues of accessibility errors when compared to automated testing.

Effect of Convergence-Based Russian Current and Transcutaneous Electrical Nerve Stimulation at Quadriceps Muscles on Pain, Strength, and Performance in Persons with Anterior Cruciate Ligament Reconstruction (융복합기반 러시안전류와 경피신경전기자극이 앞십자인대재건술 환자의 넙다리네갈래근의 통증, 근력, 기능에 미치는 효과)

  • Lee, Deok-Jae;Shim, Jae-Hun;Yoon, Seoung-Ic;Park, Shin-Jun
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.77-87
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    • 2017
  • The purpose of This study was to compare the effect of Convergence-Based russian current(RC) and transcutaneous electrical nerve stimulation(TENS) on pain, muscle strength, function of knee who had a surgical anterior cruciate ligament reconstruction(ACLR). A total of 40 Participants divided into 2 groups, with ACLR, were assigned to russian current group(RCG) or transcutaneous electrical nerve stimulation group(TENSG). Both groups were measured by varieties of tests: visual analog scale(VAS), knee flexion & extension muscle strength, knee injury and osteoarthritis outcome score(KOOS), korean lower extremity functional scale(LEFS). Both groups has shown significant changes within the measurements of VAS, Knee Flexion & Extension muscle strength, KOOS and LEFS. The RCG had more significant increase within knee extension muscle strength, LEFS compared to TENSG. By studying this research, both interventions were effective to ACLR patients, moreover, RC was more effective for knee muscle strength and lower extremity function than the TENS.

The Effects of Evjenth-Hamberg Stretching on Upper-Extremity Function and Activities of Daily Living in Subacute Stroke Patients (에비안스-함베르크 스트레칭이 아급성 뇌졸중 환자의 상지기능과 일상생활활동에 미치는 영향: 단일 사례연구)

  • Choi, Hyeon;Cho, Young-Nam
    • Therapeutic Science for Rehabilitation
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    • v.3 no.1
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    • pp.47-55
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    • 2014
  • Objective : The purpose of this study is to assess effects of evjenth-hamberg stretching on upper-extremity function and ADL performance ability of patient with subacute stroke patients Methods : The object of this study K-hospital located in daegu, 39-year-old man who have receiving inpatient treatment with stroke. The subject during the period of four weeks, five times a week, and thirty minutes for one session, evjenth-hamberg stretching exercise of affected side. Before and after the intervention in order to compare upper-extremity function was assessed using manual function test(MFT), motor activity log(MAL) and ADL performance ability was assessed by functional independence measure(FIM). Results : Upper-extremity function of the object score improved from each 3 in MAL, the ADL performance ability score increased from 73 to 94. Conclusion : The result of this study evjenth-hamberg stretching in patients with subacute stroke upper-extremity function and ADL performance ability to promote was found that the effect. The evjenth-hamberg stretching in the occupational therapy, if appropriately utilized more on the functional recovery of patients is expected to be helpful.

A Methocarbamol Combination to Prevent Toxicity of Non-steroidal Anti Inflammatory Drugs (비스테로이드성 항염증제의 약물독성 예방을 위한 Methocarbamol의 약물조합)

  • Yeom, Seung-Min;Kim, Min-Seok;Lingenfelter, Eric;Broadwell, Jonathan
    • Korean Journal of Clinical Laboratory Science
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    • v.49 no.2
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    • pp.88-98
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    • 2017
  • To prevent toxicity from both robax platinum (methocarbamol, ibuprofen) and robaxacet (methocarbomol, acetaminophen), separately, we used stretches and naproxen as a non-steroidal anti-inflammatory drug (NSAID) to compare each effectiveness. This study used the United States Forces Korea Prescription form (Annex A-Over-The-Counter Prescription) and Alice Rich's Pain scale with robax platinum, robaxacet including narproxen. The IBM SPSS statics version 24 was used to calculate the data. The combined methocarbamol 500 mg, acetaminophen 325 mg tablet, and ibuprofen 200 mg (or naproxen) tablet can work as well as the combined methocarbamol 500 mg tablet with acetaminophen 325 mg tablet with stretches. Both methods were successful in managing pain. The drug combination of methocarbamol 500 mg, acetaminophen 325 mg and ibuprofen 200 mg tablets yielded similar benefits as the methocarbamol 500 mg and acetaminophen 325 mg tablets paired with physical stretching exercises regarding managing overall pain.

How does stereology help to inform translation from neuroscience to OT? (입체해석학을 통해 신경과학의 정보를 작업치료학에 어떻게 전달할수 있을까?)

  • Park, Ji-Hyuk;Lee, Joo-Hyun;Park, Jin-Hyuck
    • Therapeutic Science for Rehabilitation
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    • v.3 no.2
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    • pp.5-48
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    • 2014
  • Introduction : One of the important domains in OT is performance skills which include sensory perceptual skills, motor and praxis skills, emotional regulation skills, cognitive skills, and communication/social skills. All of these skills are support ed by integrated neurological processes. Body : Stereology robust tool when employed to investigate morphological changes in neurons, cortex area, and specific parts of brain involved in special brain function. Stereology is an interdisciplinary field focused or analyzing biological tissue with the three-dimensional interpretation of planer sections by using estimating method and mathematically unbiased sampling. With the unbiased stereological method based on probability theory, researchers can estimate morphological and anatomical changes in biological reference areas accurately and efficiently. Changes in anatomical and cytoarchitectural parameters, such as volume, number, and length, affect specific brain function related to the brain area. Occupational therapists provide treatment to improve functions for participation of occupation in neurological disorder. The functional improvements in neurological disorder reflect neurobiological changes because functional difficulties, such as motor cognitive disorder, are due to neurological disturbances. Thus, combination of two kinds of evidence, neurological changes and functional improvement, provide fundamental evidence for OT intervention in neurological disorder. Even though most of stereological studies are in animal model and in postmortem human because of practical and ethical issues, stereology provides fundamental knowledge to support OT theory and practice. Conclusion : Therefore, stereology informs translation from neuroscience to OT based on structure-function relationship in performance skills and experience-dependent neural plasticity.

Interpretation of geological structures and stratigraphy around the Kita-Yamato Bank in the East Sea (동해 키타-야마토 뱅크 주변 해역의 지질구조 및 퇴적층서 해석)

  • Huh Sik;Yoo Hai Soo;Park Chan Hong;Han Sang Joon;Jou Hyeong Tae
    • The Korean Journal of Petroleum Geology
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    • v.9 no.1_2 s.10
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    • pp.16-23
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    • 2001
  • The study area in the East Sea is located on the northeastern margins of the Ulleung Basin near the Kita-Yamato Bank. The research area provides the important clue to the development of Miocene basins which are characterized by the normal faults and volcanic activities related to rifting in the continental crust. Kita-Yamato Bank is a small sediment-filled graben which was formed by failed rifting in the Early Miocene. The basins rapidly vary the bathymetry, depth of acoustic basement and thickness of sedimentary layer. The tension in the study area caused the extensional lithospheric deformation before/during the Early Miocene. In consequence, tectonic forces resulted in the depression or subsidence of basement from continental rifting in the Kita-Yamato Bank followed by the opening of the Ulleung Basin, and caused the onset of graben or half-graben structure bounded by large blocked syn-rift faults. Afterward no significant tectonic deformation exists, with the consequence that post-rift normal faults with small heave were formed and reactivated by the resultant forces such as tectonic subsidence, sediment loading and volcanic activity. The Cenozoic sediment layer has a maximum thickness of 1.0 s along the center of the graben or half-graben, which overlies the consolidated acoustic basement. Seismic units V and IV supposed to be syn-rift sedimentary rocks are deformed by both the volcanic activities and numerous basement-involved normal faults induced from extension. In the uppermost layer, slump scars resulted from the slope failure are recognized.

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Result of the Early Exercise and Rehabilitation after Limited Posterior Operative Treatment of the Calcaneal Fractures (종골 골절의 제한적 후방 접근법 수술적 치료 후 조기 운동 및 재활 치료의 결과)

  • Song, Kyung-Won;Kim, Gab-Lae;Lee, Jin-Young;Lee, Kwang-Nam;Seo, Eun-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.93-99
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    • 2008
  • Purpose: To evaluate the result of the early exercise and rehabilitation after limited posterior operative treatment of the calcaneal fractures. Materials and Methods: Between May 2005 and December 2007, 43 cases with intraarticular calcaneal fractures were treated by open reduction with K-wires and Steinmann pins. Mean age and mean follow-up period were 42.5 years old and 15 months. All patients were treated with the same postoperative protocol, the early exercise of subtalar joint without short leg splint and cast was began after postoperative 1 day, non-weight bearing crutch ambulation did after 2 weeks, partial-weight bearing crutch ambulation did after 6 weeks, without crutch ambulation did after 10 weeks. The fractures was classified by Essex-Lopresti and Sanders classification using radiographs and the functional outcomes were evaluated by circle draw exercise, AOFAS score. Results: By Essex-Lopresti classification, the tongue type was 6 cases (14%), the joint depression type was 15 cases (35%), the combined type was 22 cases (51%). By Sanders classification, type II were 10 cases (23%), type III were 15 cases (58%), and type IV were 8 cases (19%). By AOFAS functional evaluation, the mean preoperative scores were 70.3 and 70.5 respectively, mean postoperative scores were 83.7 and 86.9 respectively. There were satisfactory results in 40 cases but 3 cases were unsatisfactory including on case of lateral impingement and 2 cases of traumatic arthritis of subtalar joint. Conclusion: We obtained satisfactory result of the early exercise of subtalar joint without short leg splint and cast and rehabilitation after limited posterior operative treatment of the calcaneal fractures.

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Changes in the Sensory Function after Transcranial Direct Stimulation on Dorsolateral Prefrontal Cortex Area (배외측전전두엽피질 영역에 경두개직류전류자극이 감각기능에 미치는 영향)

  • Min, Dong-Ki
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.445-452
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    • 2015
  • Transcranial direct current stimulation (tDCS) is a neuromodulatory technique that delivers a low-intensity direct current to the cortical areas, thereby facilitating or inhibiting spontaneous neuronal activity. This study was designed to examine the changes in various sensory functions after tDCS. A single-center, single-blinded, randomized trial was conducted to determine the effect of a single session (August 4 to August 29) of tDCS with the current perception threshold (CPT) in 50 healthy volunteers. Nerve conduction studies (NCS) were performed in relation to the median sensory and motor nerves on the dominant hand to discriminate peripheral nerve lesions. The subjects received anodal tDCS with 1mA for 15 minutes under two different conditions, with 25 subjects in each group. The conditions were as follows: tDCS on the dorsolateral prefrontal cortex (DLPFC) and sham tDCS on DLPFC. The parameters of the CPT was recorded with a Neurometer$^{(R)}$ at frequencies of 2000, 250 and 5 Hz in the dominant index finger to assess the tactile sense, fast pain and slow pain, respectively. In the test to measure the CPT values of the DLPFC in the anodal tDCS group, the values increased significantly in all of 250 and 5 Hz. All CPT values decreased for the sham tDCS. These results showed that DLPFC anodal tDCS can modulate the sensory perception and pain thresholds in healthy adult volunteers. This study suggests that tDCS may be a useful strategy for treating central neurogenic pain in rehabilitation medicine.

Massive Rotator Cuff Tear Repair (광범위 회전근 개 파열의 봉합술)

  • Shin, Sang-Jin
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.167-174
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    • 2010
  • Purpose: Anatomical repair of massive rotator cuff tear has been technically challenging because of medial retraction, muscle atrophy and fatty degeneration. Among several treatment options for massive rotator cuff tear, we reviewed rotator cuff repairs and investigated modalities for improvement of clinical outcomes, decreasing the re-tear rate, and increasing healing. Materials and Methods: Patient-related factors and rotator cuff-related factors were the two major groups of factors we considered when choosing a treatment plan. Results: Mobilization of a massive rotator cuff tear was increased by soft tissue release and by the interval slide technique. After meticulous soft tissue release, anatomical repair could be achieved. If the injury was not amenable to anatomical repair, alternative treatment options such as partial repair, the margin convergence technique and augmentation with a tenotomized biceps tendon were considered. Many reports of massive rotator cuff repair demonstrated satisfactory clinical outcomes, decreased pain, recovery of shoulder functions, and increases in muscle strength. However, the re-tear rate had been reported to be relatively high in long-term follow-up. Conclusion: Despite a high re-tear rate after massive rotator cuff repair, a better understanding of the pathogenesis, progression and clinical symptoms of massive rotator cuff tear and improved surgical materials and techniques will lead to satisfactory clinical outcomes.

Clinical Observation and Treatment of Fracture-Dislocation of Talus (거골 골절 및 탈구의 임상적 고찰)

  • Lee, Dong-Chul;Kim, Se-Dong;Jung, Hae-Hoon
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.302-311
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    • 1992
  • Talus is a important structure of the ankle joint and its function is critical for ambulation and weight bearing. The talus fracture is rare, but the complications of fracture and dislocation are serious and resulting in avascular necrosis, osteoarthritis. So its treatment is carefully considered at initial status. Authors reviewed 11 cases of fracture and dislocation of the talus treated at Yeungnam university hospital from 1984 to 1991. The longest follow up was 8 years and shortest, 1 year. The results were as follows. 1. There were all males, the average age was 30 years old. 2. The most common cause was fall down(8 cases), and next traffic accident(2cases), sports injury(1 case). 3. According to Marti-Weber classification, 1 cases was type I, 1 in type II, 4 in type III and 5 in type IV. 4. The method of treatment were open reduction and internal fixation in 6 cases, the others were closed reduction in 5 cases. 5. Final results(by Hawkins grading system) were as follows, 3 cases were excellent, 4 cases were good, 1 case was fair and 3 cases were poor. 6. Complications were AVN in 2 cases, degenerative arthritis in 8 cases, malunion in 1 case. 7. The range of motion of the ankle joint was relatively preserved(74%), but in the subtalar joint it was decreased(43%).

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