• Title/Summary/Keyword: 회복평가척도

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Ultrasonography-Guided Multiple Needling for Calcific Tendinitis of the Shoulder (견관절 석회화 건염의 초음파 감시하 다발성 천공술)

  • Jeong, Woong-Kyo;Park, Jung-Ho;Moon, Joon-Gyu;Kim, Ho-Joong;Lee, Soon-Hyuck
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.2
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    • pp.74-78
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    • 2009
  • Purpose: To evaluate the effectiveness of ultrasonography-guided multiple needling for calcific tendinitis of the shoulder. Materials and Methods: We included 18 symptomatic calcific tendinitis patients who underwent ultrasonography-guided multiple needling and followed for average 17 weeks. The procedures were multiple needling or aspiration of the calcific deposit and injection of local anesthetics and steroid into the subacromial bursa under the ultrasound control. Clinical improvements were evaluated using pain VAS, UCLA score and KSS score. The size and status of calcific deposits were compared. Results: A significant improvement was seen in pain VAS, UCLA score and KSS score (p<0.05). At the final follow up, the calcific deposits had resolved completely of nearly completely in 39%, and the size was decreased in 61%. Conclusion: Ultrasound-guided multiple needling is considered as a useful method which could provide prompt pain relief and reduce calcific deposit for calcific tendinitis of the shoulder.

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An Evaluative Study on the Integrated Support Program for Children with ADHD Tendencies and Their Social Support System (ADHD성향 아동과 지지체계를 대상으로 한 통합적 지원 프로그램에 대한 평가 연구)

  • Choi, Goeun;Kwon, Jisung
    • Korean Journal of Social Welfare
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    • v.65 no.3
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    • pp.207-238
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    • 2013
  • The purpose of this study was to evaluate the integrated support program for children with ADHD tendencies and their social support system. The program, including individual art therapy, group life skills programs, culture experiences, individual counseling programs and regular network meetings between parents and teachers were carried out to children with ADHD tendencies in order to build environmental support systems. As results, the psychological and emotional behaviors of children with ADHD tendencies have changed. This study, also, was able to verify the possibility of positive changes for the children with ADHD. Based on these results, the practical guidelines for building the support systems of children with ADHD tendencies were suggested.

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Effects of Robot-assisted Therapy on Lower Limb in Patients with Subacute Stroke (아급성기 뇌졸중 환자에서의 로봇 보조 보행훈련 효과)

  • Kim, Ji Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.459-466
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    • 2016
  • This study examined the effects of robot-assisted therapy on the motor and functional recovery of the lower limbs in 53 subacute stroke patients. Robot-assisted therapy was performed using Lokomat? (Hocoma AG, Zurich, Switzerland) for thirty minutes per day, five times a week for four weeks. The outcome measures used were the Fugl-Meyer assessment, Motricity index(MI), Functional ambulation category(FAC), Berg balance scale(BBS) for gait function and balance ability, 10m walking test, K-Modified Barthel Index(K-MBI) for the activities of daily living and Mini mental state examination (MMSE), and Beck's depression inventory(BDI) for depression. All patients recruited underwent these evaluations before and after the four week robot-assisted therapy. For the evaluation, the somatosensory evoked potentials were used to assess the functional recovery. Robot-assisted therapy on the lower limb after subacute stroke showed improvement in motor strength, gait function, and the activities of daily living. All changes in terms of MI, FAC, BBS, and K-MBI exhibited a statistically significant difference after the four weeks robot-assisted therapy. The somatosensory evoked potential result showed a correlation with the MI and K-MBI. Robot-assisted therapy is believed to facilitate the motor and functional recovery of the lower limb in subacute stroke patients.

A Critical Analysis on Social Work Practice Researches in Korea (한국 사회복지실천연구 경향에 관한 반성적 고찰)

  • Kim, Miok
    • Korean Journal of Social Welfare
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    • v.67 no.4
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    • pp.153-180
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    • 2015
  • The purpose of this study is to analyze the research articles on social work practice and discuss tasks of social work practice research in broadening and deepening social welfare knowledge body in Korea. First, this paper arranges critical discussion and results on social work practice research since the dawn of history in Korean social welfare research. Second, this paper examines 874 research articles published in Korean Journal of Social Welfare from the volume one in 1998 to the volume 66(4) in 2014. The appearance rate of social work practice research was 16.6%(145 articles), and empirical research in relation to social work practice was 40.5%(363 articles). Among 145 articles, 8.6% were practitioners, and the rest of them were in the position of professors. In addition, 26.2% were researches on program effectiveness, and 29.0% were researches on social worker. Third, this paper was interviewed 8 professors who majored social work practice. They evaluate the present states of social work practice research as positioning to boundary, crisis and confusion. Finally, this paper discusses the tasks of Korean social work practice research in order to more solidly develop the knowledge body of social work practice in Korea.

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The Effects of Functional Task Training on Activities of Daily Living in the Fall Experienced Elderly (기능적 과제훈련이 낙상경험노인의 일상생활수행능력에 미치는 영향: 단일대상연구)

  • Woo, Ji Hee;Park, Hae Yean;Kim, Jong Bae
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.43-54
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    • 2016
  • Objective : The purpose of this study was to investigate the effects of occupational therapeutic intervention including functional task training on activities daily living of falls experienced elderly. Methods : This study used a single subject experimental design with alternating treatment and reversal design. One participant who have had falls experience among the community-dwelling elderly completed. This study a total of 18 sessions were conducted. Fall Efficiency Scale(FES), Berg Balance Scale(BBS) and task modification scale were used to assess the activities of daily living during each session, and Canadian Occupational Performance Measure(COPM) and Assessment of Home-based Activities(AHA) were used to evaluate the activities of daily living at pre-and post-test. Results : The participant showed significant improvements in the FES, BBS scores. However, the improvement was greater when progressive resistance exercise was practised along with functional task training. COPM and AHA scores improved at post-test. Conclusions : These findings provide evidence for occupational therapeutic intervention for falls-experienced elderly.

The Effect of Psychological Factors on Postoperative Pain in Gastric Tumor Patients after Endoscopic Submucosal Dissection (내시경 점막하 박리법을 시술 받은 위종양 환자에서 심리적 요인이 시술 후 통증에 미치는 영향)

  • Lee, Joon-Hyub;Jeon, Han Ho;Lee, San;Lee, Hyeok;Oh, Seung-Taek;Chang, Jhin Goo;Im, Woo Young;Park, Jaesub;Choi, Won-Jung
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.1
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    • pp.68-75
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    • 2018
  • Objectives : Since pain in cancer patients is an important factor that greatly affects the quality of life and prognosis, many attempts have been actively made to reduce the pain. Despite continuous effort on reducing pain after Endoscopic submucosal dissection (ESD), research has not been done on psychological factors as much as on biological factors affecting pain. The objective of this study is to investigate the psychological factors affecting postoperative pain in gastric tumor patients who underwent gastric ESD. Methods : 91 gastric tumor patients who visited National Health Service Ilsan Hospital in Korean between May 2015 and June 2016, and received ESD were evaluated. Baseline characteristics including sociodemographic factors, anxiety, depression, and resilience were evaluated before the procedure. Multivariate logistic regression was done to analyze factors affecting postoperative pain. Results : The group with high postoperative pain showed lower alcohol consumption and higher depressive symptom scores than the group with low postoperative pain. Also, the group with high postoperative pain showed lower total resilience score with lower subtotal scores in self-control and positive item. Multivariate logistic regression analysis of the postoperative pain showed that patients with lower score in self-control of resilience [odd ratio (OR), 0.911 ; 95% CI, 0.854-0.971, p=0.004) reported more pain after ESD. Conclusions : This study showed that patients with lower self-control ability of resilience felt more pain after ESD. Among the psychological factors evaluated in this study, resilience of an individual seems to have effect on pain.

A comparative study on the user satisfaction between two different piezoelectric engines (두가지 피에조 엔진의 사용자 만족도 비교)

  • Lim, Hyun-Mi;Lee, Kyu-Bok;Lee, Wan-Sun;Choi, So-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.269-277
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    • 2017
  • Purpose: The aim of this study is to compare the performance of two piezoelectric engine systems by surveying satisfaction from dental clinicians. Materials and Methods: Two piezoelectric systems were evaluated: TRAUS XUS10 (Saeshin), PIEZOSURGERY touch (Mectron). For this study, 20 dentists responded to the 11 questionnaires in which 5 point Likert-type scale was used. The two devices were operated for 10 seconds and measured 5 times to compare the maximum noise values. In heat emission test, the handpiece was operated for 3 minutes and heat was measured at three positions each. Results: TRAUS XUS10 had higher satisfaction level on motor noise (P < 0.05). About function key and handpiece heat generation, PIEZOSURGERY touch showed higher satisfaction (P < 0.05) than TRAUS XUS10. The maximum noise level for each of the devices was confirmed to be 56.6 dB for the TRAUS XUS10 and 56.0 dB for PIEZOSURGERY touch. The two piezoelectric engines satisfied the safety standards with an operation temperature below $41^{\circ}C$ after having been operated for 3 minutes. Conclusion: Except for the function key and handpiece heat emission, TRAUS XUS10 has comparable performance with PIEZOSURGERY touch.

The Evaluation on the Effectiveness of Inter-Agencies in Community Welfare Practice -The Attitudes of Practitioners and Clients of Community Welfare Association- (지역사회복지실천에 있어서 기관간 연계의 효과성 평가 -'지역사회복지협의체' 사업의 참여자와 수혜자의 태도-)

  • Han, Cheol-Ho
    • Korean Journal of Social Welfare
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    • v.55
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    • pp.309-339
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    • 2003
  • This study was made in order to evaluate the effectiveness on the activities of Community Welfare Association through the inter-agencies, carried out in 14 regions in our country as the examples. I'd like to emphasize the two main points in this study. One is whether the community practitioners have positive thoughts or not, about the evaluation on the activities through the inter-agencies. The other is how the receivers react to the inter-agency services. In order to find the solutions for two questions, the survey data of Korea Institute for Health and Social Affairs were reanalyzed. First, the attitudes of the practitioners are as follows; that is, the directors of the organizations have negative opinions about the communication, while practitioners have positive evaluations. About the performance of its roles, 68.2 percent of practitioners showed positive reactions, and 77.8 percent answered it's necessary to manage the community association continuously. The receivers have positive evaluations in general about the inter-agency services. In the comparison of the community activities between before and after, domiciliary services were improved because there was a meaningful statistical difference, however, other services such as medical care service were not bettered. And there was no difference between before and after in the CSQ.

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Analysis of Vegetation Variation after the Rehabilitation Treatment of Stream (자연형 하천 공법 적용후의 식생변화분석 - 서울시 양재천의 학여울 구간을 중심으로 -)

  • Shin, Joung-Yi
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.2 no.3
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    • pp.10-17
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    • 1999
  • In order to confirm the effectiveness of the natural river improvement technique, the analysis of vegetation was carried out in Yangjae stream between 1996 and 1998. The results of this study showed the numbers of riparian plants had increased from 41 species to 53 species, and the dominant species had changed from annual and biannual(Humulus japonicus, Persicaria thunbergii, Persicaria hydropiper, Panicum dichotomiflorum, Echinochloa crus-galli) to perennials (Phragmites communis). The variation in biomass and biodiversity index were measured and calculated according to the rehabilitation method. Biomass were varied 302 to $828g/m^2$ and biodiversity index was varied 1.53 to 1.52 at point bar plots(A treatment plots) from 1996 to 1998. In conclusion, the natural river improvement technique which has operated in Yanjaecheon for three years has contributed to restoration of riparian plants. Additionally, subsequent study using this technique should be followed in the near future.

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Dysphagia and Oral Function in Chronic Stoke Patient: 3 Months Follow up Study (만성 뇌졸중 환자의 시간에 따른 삼킴 기능 변화)

  • Im, Ikjae;Ko, Myoung-Hwan
    • 재활복지
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    • v.22 no.1
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    • pp.141-156
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    • 2018
  • The purpose of this study was to examine changes in the swallowing function with chronic stroke patient. Ten chronic stroke patients with dysphagia followed up for 3 months. Eight normal age match subjects were also participated. A total of 18 participated in this study and they were classified into two groups (stroke patient group and normal control group). Participants underwent videofluoroscopic swallowing examination. The swallowing function was evaluated over time. Oral transit duration, pharyngeal transit duration, laryngeal response duration, Modified Barium Swallowing Impairment Profile ($MBSImP^{TM(c)}$), and Functional Oral Intake Scale (FOIS) were applied. Chronic stroke patient group were showed significantly longer oral transit duration, pharyngeal transit duration and laryngeal response duration than normal control group at baseline. After 3 months in stroke patient group, the mean oral components score of MBSImP (1~5) significantly decreased and the mean score on FOIS increased compared to baseline. In conclusion, oral swallowing function and oral intake function improved by the 3 month evaluation. These results describe changes in swallowing function with chronic stroke patients over time and provide basic informations to understand dysphagia.