• Title/Summary/Keyword: Cost of Rehabilitation

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The effect of Mental Practice on the upper extremity function of the Hemiplegic Patients (정신훈련이 뇌졸중환자의 상지 기능회복에 미치는 영향)

  • Park, Chang-Sik;An, Seung-Hun
    • Journal of Korean Physical Therapy Science
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    • v.12 no.3
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    • pp.59-69
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    • 2005
  • The purpose of this study was to investigate the effect of mental practice on the upper extremity function of the hemiplegic Patients, 8 subjects with hemiplegia patients participated in this study. They did the Mental Practice programme for twenty minute, two times a week, three weeks. The Mental practice effects was evaluated by Fugl-Meyer Assessment(FMA), Action Research Arm Test(ARA), Stroke Rehabilitation Assessment of Movement(STREAM). The data were analyzed using paired t-test. The result of this study are as follows: FMA score were significant difference test-retest(p<.05), ARA score were statistically significant improvement between test-retest(p<.05), On the STREAM, the patients had the score improved on 4 of the 10 items of the upper-extremity Scale. The result suggest that mental practice is a potentially useful method of practicing motor skills. Mental practice may be a cost-effective, non-invasive tool with wuhich patients with stroke can receive additional practice of functional skills, and realize greater outcome, than if therapy alone were used.

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Investigation of Current Practice on Hot In Place Recycling (HIR) in USA: Literature Review (현장가열재생 아스팔트 포장의 현재 미국 내의 적용 현황 연구: 문헌조사)

  • Im, Jeong Hyuk;Cho, Seong-Hwan;Hwang, Sung-Do
    • International Journal of Highway Engineering
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    • v.16 no.2
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    • pp.73-89
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    • 2014
  • PURPOSES : The objective of this study is to investigate the current state of the practice, examining the steps in the process recommended by various agencies and the Asphalt Recycling and Reclaiming Association (ARRA)-namely mix design, structural design, structural capacity evaluation, and material characterization-in order to better understand the implications of hot in-place recycling (HIR). METHODS : In addition, the current practice of state departments of transportation (DOTs) is here reviewed with the purpose of learning from successful past experiences so as to forestall any difficulties that may emerge under similar circumstances. Also, HIR benefits, including reduced costs, improved construction processes, and environmental friendliness are presented, as well as advantages and disadvantages of HIR application. RESULTS : Most of the United States highway system is now deteriorating so that rehabilitation or reconstruction techniques are required for the most distressed roads, taking into account ways to increase the effectiveness of existing budgets. Several options are available in rehabilitating distressed roads, and the choice among these depends on many factors, including pavement distress condition, funding, and design life. Among these techniques, Hot In-Place Recycling (HIR) has emerged as a cost-effective treatment for deteriorated pavements, and has been proven an effective long-term strategy for pavement rehabilitation.

The Oriental Medical Study of the Occupational Medicine (산업의학(産業醫學)의 한의학적(韓醫學的) 고찰(考察))

  • Lee, Moon-Kyu;Lim, Hyung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.3 no.1
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    • pp.125-139
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    • 2002
  • Objectives : The purpose of this study is to review and summarize about occupational medicine and to applicate the occupational medicine to oriental medicine. Methods : We investigated several books, articles and related internet sites to know occupational medicine's present conditions in Korea and other countries, and researched the plan on oriental medical participation in the industrial health. Results and Conclusion : The conclusions are as follows, 1. Recent years, industrialization has changed working environment and health condition in workplace, so industrial health service has became important part. 2. Occupational medicine has the purpose of protection. prevention, fitness, health management, medical treatment. rehabilitation, and primary medical service. The range of occupational medicine is enlarged mental, social good health and social, economical production capacity recently. 3. After research each country's occupational medicine, we can know the purpose is same, but the system and work contents are different one another. 4. Oriental medical participation in the industrial health has various benefits, satisfaction of workers, efficiency of cost, and increasing rate of medical treatment through the western and oriental medical cooperation.

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Ultrasound-guided epidural block in axial spondyloarthritis patients with limited spine mobility: a randomized controlled trial

  • Elsaman, AM;Hamed, A;Radwan, AR
    • The Korean Journal of Pain
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    • v.34 no.1
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    • pp.114-123
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    • 2021
  • Background: Evaluation of the effectiveness of caudal epidural injection on pain, spine mobility, disease activity, and activity of daily living in axial spondyloarthritis (SpA) patients. Methods: A total sample of 47 patients were registered in this study. They were randomly assigned into 2 groups; Group I received caudal epidural injections, ultrasound-guided, with 1% lidocaine hydrochloride mixed with triamcinolone, whereas Group II did not receive any injections. All participants fulfilled the ASAS criteria for axial SpA. Outcome measures were as follows: visual analogue scale, Oswestry disability index (ODI), modified Schober test, lateral lumbar flexion, and Ankylosing Spondylitis Disease Activity Score (ASDAS) with assessment at baseline, 2 weeks, and 8 weeks post-treatment. This clinical trial was registered on clinicaltrials.gov under the number NCT04143165. Results: There was a significant difference between both groups regarding pain, ODI, spine mobility and ASDAS scores in favor of group I. This effect was at its maximum after 2 weeks. Despite the decline of this effect after 2 months, the difference between the groups remained significant. Higher disease activity, younger age, and shorter disease duration were associated with better outcomes. Conclusions: Epidural injection of lidocaine and triamcinolone is a cost effective and a practical technique for controlling pain, as well as improving the function of the spine and disease activity scores in axial SpA patients with acceptable complications and relatively sustained effect.

A Study on Development of 2MHz High-frequency Rehabilitation Treatment Device for Deep Part (심부투열용 2MHz 고주파 재활치료기의 개발에 관한 연구)

  • Ahn, Jong-Bok;Kim, Sang-Beom;Won, Cheol-Hee;Kim, Sung-Hoon;Park, Chul-Won
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.66 no.3
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    • pp.117-122
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    • 2017
  • Due to the aging and obesity population in Korea, degenerative musculoskeletal diseases and people suffering from degenerative arthritis are increasing day by day. So, it is necessary to develop rehabilitation treatment device. Conventional high-frequency treatment devices have disadvantages in that therapeutic range is narrow, cost is high, image is adversely affected, treatment time is long, and failure rate is high. This paper proposes a customized therapy device that is stable and effective in reducing treatment time and output to target body part using 2MHz switching frequency, feedback control technique, and joint insulation flexible multipolar electrode. The device can be a new concept high-frequency stimulator to accommodate the advantages of CET and RET.

Perspective for Clinical Application and Research of Transcranial Direct Current Stimulation in Physical Therapy

  • Kim, Chung-Sun;Nam, Seok-Hyun
    • The Journal of Korean Physical Therapy
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    • v.22 no.6
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    • pp.91-98
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    • 2010
  • Neurostimulation approaches have been developed and explored to modulate neuroplastic changes of cortical function in human brain. As one of the most primary noninvasive tools, transcranial direct current stimulation (tDCS) was extensively studied in the field of neuroscience. The alternation of cortical neurons depending on the polarity of the tDCS has been used for improving cognitive processing including working memory, learning, and language in normal individuals, as well as in patients with neurological or psychiatric diseases. In addition, tDCS has great advantages: it is a non-invasive, painless, safe, and cost-effective approach to enhance brain function in normal subjects and patients with neurological disorders. Numerous previous studies have confirmed the efficacy of tDCS. However, tDCS has not been considered for clinical applications and research in the field of physical therapy. Therefore, this review will focus on the general principles of tDCS and its related application parameters, and provide consideration of motor behavioral research and clinical applications in physical therapy.

Economic and Fast-track Rehabilitation of Concrete Pavements and Bridge Decks

  • Ramseyer, Chris;Chancellor, Brent;Kang, Thomas H.K.
    • International Journal of Concrete Structures and Materials
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    • v.2 no.2
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    • pp.107-113
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    • 2008
  • The last 10 years have seen considerable growth in the use of proprietary and special repair cements for concrete pavements in the state of Oklahoma. Many of these products lend themselves to "fast track" construction techniques that allow reopening to traffic within 12 hours or less. These products achieve high early strengths by accelerating the Portland cement hydration process for both Type I and Type III cements. In this paper, the important features of a durable repair which include strength, compatibility and bond or adhesion are first discussed. Then the development, testing and field implementation of the aforementioned materials are discussed including the learning curve required to implement a repair system, not just install a new material. Some of the materials discussed, while expensive on a cost per unit basis, hold great promise for economical use on fast track project.

Supporting System far Safe Appraisal and Management of Agricultural Structures using Relational Database and Geographic Information (관계형 데이터베이스와 지형정보를 이용한 농업구조물의 안전점검 및 이력관리 지원시스템)

  • 김종옥;김한중;이정재;고만기
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.44 no.3
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    • pp.101-110
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    • 2002
  • Most of the agricultural structures are in shortage of feasible facility management because these structures are small in size and spacially distributed in rural area. Inspection tools based on visual inspections are generally used for agricultural structures in most of the countries, including Korea. It is necessary to survey data of the irrigation structures to maintain records, and to develop the interface program by constructing database of inspection data. This study was conducted to develop a system for safe appraisal and repair works on agricultural irrigation structures. Repair and rehabilitation method can be chosen from an optimum viewpoint if the information between the method and life-cycle management cost of agricultural structures is constructed in the database. In this study, the system assisting onsite field investigation and determining the typical rehabilitation method of typical agricultural structural problems such as fractures and cracks of members was developed.

Mandibular Posterior Rehabilitation Case after Occlusal Plane Correction using Micro-Implant Anchorage (Micro-Implant를 이용한 교정치료로 교합평면 개선 후 하악 구치부 수복증례)

  • Park, Ju-Mi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.20 no.2
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    • pp.143-150
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    • 2004
  • Endosseous implants have been used to provide anchorage control in orthodontic treatment without the need for special patient cooperation. However these implants have limitation like space requirement, cost, equipments. Recently titanium micro-implant for orthodontic anchorage was introduced. Micro-implants are small enough to place in any area of the alveolar bone, easy to implant and remove, and inexpensive. In addition, orthodontic force application can begin almost immediately after implantation. The mandibular first, maxillary first, mandibula second, and maxillary second molars were the four most commonly missing teeth in adult sample. In case of posterior molar teeth missing, deflective contacts in any position, over time, has produced pathologic change of occlusal scheme because of extrusion of opposing teeth. This case had interocclusal space deficiency by mandibular right molars missing over time. The micro-implants had been used for intrusion of maxillary right molars for interocclusal space. The micro-implant would be absolute anchorage for orthodontic movement. Therefore, the micro-implant would be effective method for correction of occlusal plane.

Visual Servoing System Based on Space Variant Imaging for Rehabilitation Robots (공간 변화 영상을 이용한 재활로봇의 비쥬얼 서보잉 시스템에 관한 연구)

  • 송원경;이희영;변증남
    • Proceedings of the IEEK Conference
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    • 1999.06a
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    • pp.763-768
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    • 1999
  • The space variant imaging system which mimics the human beings visual system has some merits such as wide field-of-view, the low computational cost and the high accuracy in matching of correspondence points of stereo images. In this presentation, a visual servoing system based on the space variant imaging technique is proposed for the control of the rehabilitation robot arm. The position information of an object obtained by space variant imaging techniques is used for the visual servoing. According to the empirical data, the degree of correlation extracted by the space variant imaging technique is more accurate than that of the space invariant imaging technique.

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