• Title/Summary/Keyword: 치료난이도

Search Result 69, Processing Time 0.024 seconds

The objective and quantitative analysis of malocclusion - Part 2. Influence of malocclusion components to treatment difficulty (부정교합의 객관적 정량분석: Part 2. 부정교합 요소들의 치료난이도에 미치는 영향)

  • Joo, Bo-Hoon;Lee, Ki-Soo
    • The korean journal of orthodontics
    • /
    • v.35 no.1 s.108
    • /
    • pp.69-81
    • /
    • 2005
  • As one of the variations in growth and development of the craniofacial complex. malocclusion shows lack of concordance In the recognition and severity of malocclusion for dentists as well as the acceptance and need of orthodontic treatment for the patient The purposes of this study were 1) to examine the relationships between objective malocclusion severity aid subjective treatment difficulty. 2) to evaluate the effect of malocclusion components to the subjective perceived difficulty of treatment. 3) to establish the weighted values of malocclusion components to reflect the treatment difficulty 100 pairs of dental casts with the general characteristics of malocclusion. were selected from the orthodontic departments of Kyunghee University and Samsuug Medical Center. The severity of malocclusion was evaluated by the author with the PAR index The perceived treatment difficulty and the estimated treatment duration on these dental models were evaluated by 8 experienced orthodontists. The relationships between the objective malocclusion severity and the subjective treatment difficulty were statistically evaluated. and the weighted values of malocclusion components to reflect treatment difficulty were statistically formulated. There were significant relationships between objective malocclusion severity and subjective treatment difficulty The malocclusion components which significantly affected the treatment difficulty and their weighted values in parentheses were as follows upper anterior alignment(1). overbite (2). buccal occlusion (3) middline (4), and overjet (5). This study Provides the fundamental principle to evaluate the objective malocclusion severity which is reflected by the subjective treatment difficulty of Korean orthodontists.

The objective and quantitative analysis of malocclusion : Part 1. Objective malocclusion severity and subjective treatment difficulty (부정교합의 객관적 정량분석: Part 1. 객관적 부정교합 경중도와 주관적인 치료난이도의 상관관계)

  • Joo, Bo-Hoon;Lee, Ki-Soo
    • The korean journal of orthodontics
    • /
    • v.35 no.1 s.108
    • /
    • pp.60-68
    • /
    • 2005
  • The evaluation of malocclusion has to be done quantitatively and qualitatively. This will be lead toward an analysis of malocclusion severity as well as treatment difficulty. The method of proper evaluation of malocclusion severity and treatment difficulty is necessary to assess treatment effect and efficiency for the orthodontists and to establish fundamentals for planning and executing the health-related policies in private and public institutions. The purposes of this study as the first part of the objective and quantitative analysis of malocclusion were 1) to measure treatment difficulty based on the opinions of several orthodontists. and 2) to investigate the relationships between objective malocclusion severity and subjective treatment difficulty 100 pairs of dental casts that had various types and severity of malocclusion were selected from the orthodontic departments of Kyurghee University and Samsung Medical Center The objective malocclusion severity was measured with the PAR (Peer Assessment Rating) index and the subjective treatment difficulty was evaluated by 8 experienced orthodontists. The relationships between objective malocclusion severity and subjective treatment difficulty were statistically evaluated. There were significant relationships between objective malocclusion severity and subjective treatment difficulty especially in the measurements of the upper anterior alignment, the buccal occlusion. the overjet, the overbite and the midline discrepancy en the malocclusion components. The results of this study can provide the background knowledge to develop a new occlusal index. which contains both the malocclusion severity and treatment difficulty for Korean orthodontists.

Preliminary Study on Developing Protocol for Music Therapy Assessment for Cognitive and Emotional-Behavioral Domain using Rhythm (MACED-Rhythm) (인지 및 정서행동 영역에서의 음악치료 사정을 위한 리듬 프로토콜(MACED-Rhythm) 개발 예비 연구)

  • Duerksen, George;Chong, Hyun Ju
    • Journal of Music and Human Behavior
    • /
    • v.10 no.1
    • /
    • pp.67-83
    • /
    • 2013
  • Assessment in music therapy is a vital part for both the therapist and client in the process of therapy. Based on what is assessed, objectives are identified to formulate specific action procedures and strategies. The existing assessment tools involve lists of skills and behaviors in developmental domains without the music assessment protocol. In this study, the authors attempted to develop an assessment protocol using rhythm production for assessing skills in cognitive and emotional-behavior domain, namely Music Therapy Assessment for Cognitive and Emotional Behaviors (MACEB). The test items of the MACEB-Rhythm were developed using rhythmic patterns varying in terms of item difficulty, which are based on the various degree of clarity in the grouping/gestalt, saliency in part-whole relationship, and complexity in repetition vs. variability. Also the developed tool purported to examine one's level of emotional behavior trait by analyzing performance of musical parameters such as tempo, pacing, and loudness in the reproduced output. In order to verify the logical sequencing of test items, firstly 61 subjects participated in verifying the item difficulty for the selected 15 pilot items. The test items were revised and re-sequenced based on the gathered scores of item difficulty. In the second procedure, seven experts in the fields of music education, music therapy and music psychology whose research interest lie in music cognition revised the developed rhythm protocol items focusing on learning sequence, cognitive process and feasibility for skills assessment. The study attempted to provide foundations for using rhythm as an assessment protocol prior to its verification of assessment validity and reliability.

Job Analysis Depending on Agency Type of Korean Pediatric Occupational Therapists Focused on Sensory Integration (감각통합치료를 하는 아동작업치료사의 기관별 직무 차이)

  • Hong, Eunkyoung;Choi, Jeong-Sil
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.16 no.2
    • /
    • pp.26-35
    • /
    • 2018
  • Objective : The aim of this study was to investigate job tasks of Korean pediatric occupational therapists focusing on sensory integration intervention provided in hospitals, private centers, welfare centers, and to identify job differences depending on the types of agency. Methods : A survey was performed for 122 pediatric occupational therapists focused on sensory integration intervention by utilizing a questionnaire from July to September 2017. The questionnaire was consisted of job description for the pediatric occupational therapists. Results : There were differences in tasks' importances, frequencies, and difficulties according to the three type of agency. Differences were showed total 10 tasks in importance, total 7 tasks in frequency, and total 2 tasks in difficulty depending on the agency type. Conclusion : Occupational therapists need to identify job differences depending on agency type and to develop essential competencies required to perform the job tasks which emphasized at each agency.

Paper Title of Validation of the Professional Identity for Occupational Therapist (국내 작업치료사의 전문직 정체성에 대한 타당성 연구)

  • Mun, Young-Ju;Jang, Jong-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.22 no.2
    • /
    • pp.240-247
    • /
    • 2021
  • The purpose of this study was to identify the professional identity levels and characteristics of occupational therapists through Rasch analysis and to use this as the basis for further assessment and research on the same subject. An online survey was conducted, and the response of 88 people working as occupational therapists between May and June 2020 was analyzed. The collected data included the frequency, analyzed by SPSS 22.0 and technical statistics, Winsteps 3.8.0 target and item suitability, item difficulty, level scale, and separation reliability. According to the analysis, 17 (16.3%) of the subjects and 5 (20%) out of 25 items were unsuitable. Item difficulty was the highest in the category "I systematically read professional publications on occupational therapy", and the lowest level of difficulty in "I make my own decisions about what to do." The three-point scale was suitable for the equilibrium scale, and the separation reliability was between .86 and .95. Thus, identity levels and characteristics of occupational therapists, the suitability of items and subjects, and difficulty levels can be identified through Rasch analysis. In the future, research should be conducted on various sample groups, to develop identity measurement tools specifically for occupational therapists, and to present items appropriate to the characteristics of their work.

Concurrent Validity of the Self-Report and Proxy-Report Versions of a Health-Related Quality of Life Measure: A Focus Group Study (초등학교 아동과 보호자에게 적용한 삶의 질 평가도구의 동시타당도 연구: 표적집단 파일럿연구)

  • Choi, Bongsam
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.21 no.2
    • /
    • pp.45-57
    • /
    • 2023
  • Objective : The purpose of this study was to investigate the concurrent validity of the self- and proxy-report versions of the KIDSCREEN-10 quality of life questionnaire. Methods : A total of nine children and nine parents were selected to represent a cohort registered for a school-based wellness program. Two versions of the KIDSCREEN-10 questionnaire (self- and proxy reports) were administered to the children and their parents. The Rasch rating scale model was applied to determine the dimensionality and item difficulty of the two versions of the questionnaire. Moreover, the item-person matching map and Spearman's rho were compared to confirm the concurrent validity of the two versions. Results : All items, except four items (i.e., autonomy, home life, concentration/learning, and peers/social support), fit the Rasch rating scale model of the children's self-report version of the questionnaire. With regard to the parent's proxy-report version, two items misfit the model. While the items of the self- and proxy-report versions showed similar item difficulties, the parents had a tendency to be more severe in their ratings than the children. The correlation between the two versions was relatively low (Spearman's rho = .533, p > .05). The scatterplots between the two versions showed differences in the item difficulties of the physical and psychological well-being and self-perception items. Conclusion : These findings suggest that the three identified items should be taken into consideration when measuring children's health-related quality of life using the KIDSCREEN-10 questionnaire.

Job Analysis of Pediatric Occupational Therapists in Korea: Focused on Sensory Integration Intervention (아동작업치료사의 직무분석: 감각통합치료 중심으로)

  • Choi, Jeong-Sil;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.15 no.2
    • /
    • pp.1-21
    • /
    • 2017
  • Objective : The aims of the this study is to identify job characteristics, to generate job description, and additionally to investigate duty task of the job for Korean pediatric occupational therapist focused on sensory integration intervention. Methods : In the first stage, job analysis of pediatric occupational therapist focused on sensory integration intervention was performed by an advisory committee consist of the DACUM panel. Through the job analysis, job description with definition was established. In the second stage, a survey was performed for 141 pediatric occupational therapist using a questionnaire based on the job description in order to investigate importance, frequency and difficulty of duty task and task elements of the job. This process was done from May to September 2017. Results : The job definition drew from this study was 'Pediatric occupational therapist provides occupational therapy services to children and adolescents to support occupational performance and social participation including daily activities and play". Through the job description established in this study, 9 duties (consulting, evaluation, intervention plan, intervention, document, education, self-development, management, and administration), 28 tasks and 169 task elements were drew. In the survey, among the duty tasks and task elements, 'ensure physical safety' and 'perform a session' were selected as the most important task, and 'ensure safety of children, sensory integrative equipment and environment' and 'prepare a safe environment' were selected as the most important element. Conclusion : This study defined job demands and characteristics of pediatric occupational therapist who performs sensory integration intervention. It is expected that this study can be used a resource to develop and/or improve educational program related.

Virtual Reality-Based Exercise Games for Finger Rehabilitation Following Chronic Stroke (만성 뇌졸중 환자의 손가락 재활을 위한 가상현실 기반의 운동 게임)

  • Park, Hee-Woo;Kim, Young;Seo, Jung-Yeon;Lee, Hwa-Min
    • Proceedings of the Korea Information Processing Society Conference
    • /
    • 2017.04a
    • /
    • pp.1100-1102
    • /
    • 2017
  • 손가락 운동은 뇌에 가장 큰 영향을 미친다고 알려져 있으며, 손의 기능은 운동과 감각의 복합 기능을 가지고 있기 때문에 식사하기, 옷 입기 등 일상생활을 하는데 있어 반드시 필요하다. 본 연구는 만성 뇌졸중 환자를 대상으로 손가락 재활치료를 위해 환자의 손동작 인식을 위한 'Real Sense'와 게임 개발 엔진인 'Unity3D'를 연동하여 게임을 개발하는 것을 목적으로 한다. 제안하는 게임은 활동성을 부가함으로써 손가락 재활이라는 특정 목적을 달성하는 기능성 게임이며, 주어진 과제를 단계별로 나누어 진행하도록 하여 난이도를 설정하였다. 우리는 환자들의 게임 참여도를 높이기 위해 딱딱한 화면이 아닌 친숙한 게임형식으로 구성하여 환자들이 지루함 없이 자발적으로 재활치료를 할 수 있도록 도움을 주며, 환자들은 우리의 게임을 이용하며 손가락을 균형 있게 사용함으로써 뇌 활동을 향상시킬 수 있다. 기존의 재활치료는 환자가 직접 병원을 가야하는 불편함과 가격이 비싼 재활 치료 기계를 사야하는 반면에 본 연구에서는 비교적 저렴하고 가벼운 'Real Sense'를 이용하여 시간과 공간에 얽매이지 않고 재활치료를 할 수 있도록 하였다.

Item Goodness-of-fit and Difficulty of Childhood Autism Rating Scale(CARS) - Application of Rasch Model - (아동기 자폐증 평정척도(CARS)의 문항 적합도 및 난이도 -Rasch 모형의 적용-)

  • Kim, Tae Hyung;Seo, Eunchul
    • 재활복지
    • /
    • v.20 no.4
    • /
    • pp.135-156
    • /
    • 2016
  • The purpose of this study was to investigate item goodness-of-fit of Childhood Autism Rating Scale(CARS), Rasch rating scale model was applied to 15 items of the CARS in a sample of pervasive development disorder(n=238). An assumption to test Rasch Model, which is satisfaction of unidimensionality, is regarded through PCAR analysis, and jMetrik 4.03 program is used to test the goodness-of-fit of items. The results of this study were: First, 5-point rating scale was appropriate for the CARS rather than 7-point original rating scale. Second, the result of examining the CARS questions goodness-of-fit, there was a overfitting or misfitting items according to the classified groups. Only in particular Q11 item in diagnosis subject of integration population of autism has become inappropriate. Therefore, it is necessary to provide education for the CARS more systematically. Thirdly, the result of comparing the personal attributes score and difficulty of a CARS question, Q2, Q3, Q10, Q11 items are necessary to distinguish conceptually defined in more detail. Fourth, the results of investigating the difficulty of CARS question, it was found to exhibit a verbal communication is most serious problem for the population of autism.