• 제목/요약/키워드: Disabled patient

검색결과 143건 처리시간 0.026초

근전도 바이오피드백을 이용한 훈련이 안면신경마비 환자의 운동학습에 미치는 영향 (Effect of Electromyographic Biofeedback Training on the Muscle Activities of Unilateral Facial Palsy)

  • 김원호;박은영;장기연;이영정
    • 한국전문물리치료학회지
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    • 제9권3호
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    • pp.101-111
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    • 2002
  • The purpose of this study was to determine EMG biofeedback training effect on the muscle activities in 3 unilateral facial palsy patients along with multiple baseline design across subjects. The auditory feedback about facial muscles (orbicularis oris, orbicularis oculi, frontalis) was provided with each patient during facial exercise training. Electromyographic (EMG) activity during maximal voluntary contraction and maximal compound muscle action potential (CMAP) amplitude elected by supramaximal electrical stimulation on facial nerve of facial muscles were measured pre- and post- EMG biofeedback training to evaluate motor learning. EMG activity during maximal voluntary contraction was increased after EMG biofeedback training and CMAP amplitude elected by supramaximal electrical stimulation was not changed in all subjects. The results indicate that EMG biofeedback training is useful method to improve motor learning of facial excercise training in unilateral facial palsy patients.

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Breast Cancer Risk Assessment Using the Gail Model: a Turkish Study

  • Erbil, Nulufer;Dundar, Nursel;Inan, Cigdem;Bolukbas, Nurgul
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.303-306
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    • 2015
  • Purpose: This study was conducted to determine risk of developing of breast cancer among Turkish women. Materials and Methods: Using a descriptive and cross-sectional approach, data were collected from 231 women. Breast cancer risk was calculated using the National Cancer Institute's on-line verson of called as the Breast Cancer Risk Assessment Tool or the Gail Risk Assesment Tool. Results: The average age of women was $45.0{\pm}8.06$ years. It was revealed that 6.1% of participants reported having first degree relatives who had had breast cancer, with only four women having more than one first-degree relative affected (1.7%). The mean five-year breast cancer risk for all women was $0.88{\pm}0.91%$, and 7.4% of women had a five-year breast cancer risk >1.66% in this study. Mean lifetime breast cancer risk up to age 90 years was $9.3{\pm}5.2%$. Conclusions: The breast cancer risk assessment tool can help in the clinical management of patient seeking advice concerning screening and prevention. Healthcare providers in Turkey can use this approach to estimate an individual's probability of developing breast cancer.

스포츠 물리치료에서의 스트레칭의 개념 및 발달과정 (A Review of Conception and Developmental Process of Stretching in Sports Physical Therapy)

  • 장정훈;정동혁;박래준
    • The Journal of Korean Physical Therapy
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    • 제14권4호
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    • pp.423-440
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    • 2002
  • The purpose of this study is to investigate the conception and developmental process of stretching in sports physical therapy. This study is to find conception of stretching, feature and effect, principles and fundamental rule, consideration of enforcement and developmental process in order to use the basic material which is very helpful in the every field and the scene of sports needing stretching. Flexibility is the ability to move muscles and joints through their full ranges of motion. Flexibility is developed by stretching. About player who insufficiency of flexibility, patient and disabled person who restrict of range of motion, older adult who reduce of flexibility, promote of flexibility for upgrading stability and efficiency of body on the based of scientific principles is completed by stretching. The method of stretching has been developed with passive stretching, CR, PNF stretching, PIC stretching, MET stretching in the order. The effects that we can get through stretching are as follows : 1. Enhance physical fitness. 2. Optimize learning, practice and performance of many types of skilled movement. 3. Increase mental and physical relaxation. 4. Promote development of body awareness. 5. Reduce risk of joint sprain or muscle strain. 6. Reduce risk of back problem. 7 Reduce muscular soreness. 8. Reduce the severity of painful menstruation for female athletes. 9. Reduce muscular tension. 10. Advance recognition of body.

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동작인식센서를 이용한 재활 프로그램 콘텐츠 설계 (Design of Rehabilitation Program Contents using Motion Detection Sensors)

  • 장재열;이영식;김도문;이태희;최철재
    • 한국전자통신학회논문지
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    • 제13권4호
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    • pp.903-910
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    • 2018
  • 장애자들에게 필요한 재활치료의 횟수와 시간은 실제 이용회수에 못 미치는 상황으로 재활치료의 관심과 콘텐츠에 지속적인 투자와 인프라가 필요한 상황이며, 또한 재활치료의 종류에도 미술, 음악, 놀이치료가 가장 일반적인 장애자 재활방법이다. 제안한 논문에서는 장애자의 동작을 인식하는 과정을 통하여 사운드와 시각적 요소를 포함하고 있는 게임형 재활 콘텐츠를 제공함으로써 다양한 유형의 장애자들이 콘텐츠의 레벨관리가 가능한 디지털 게임 재활프로그램을 설계한다.

Bowel Perforation Due to Immobilization after Resurfacing Thumb with Anterolateral Thigh Free Flap in an Elderly Diabetic Woman

  • Park, Seong Hoon;Kim, Joo Hyun;Suh, In Suck;Kim, Kwang Yong;Jeong, Hii Sun
    • Archives of Reconstructive Microsurgery
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    • 제26권1호
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    • pp.18-22
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    • 2017
  • Inevitable immobilization after surgery on lower extremities can induce chronic constipation. Elderly diabetic women usually express ambiguous gastrointestinal symptoms and signs. We present here a case of panperitonitis developed from severe fecal impaction in an elderly diabetic woman after hand reconstruction using material harvested from the lower extremities. A 68-year-old diabetic female underwent anterolateral thigh free flap and wound revision twice on the left thumb. Three weeks after surgery, she complained about mild abdominal pain though she had daily defecation. Despite encouraging ambulation, her compliance was low. Resection of the sigmoid colon and colostomy were performed after diagnosis with bowel perforation. However, the patient went into septic shock and died with multiorgan failure after the guardians issued a DNR (do not resuscitate) order. For preventing bowel perforation, increased uptake of dietary fiber and early ambulation postoperatively should be encouraged, after even hand surgeries.

장애인과 보호자를 위한 접이식 전동휠체어 바디 제작 (Making of Foldable Electronic Wheelchair Body for the Disabled and Their Guardians)

  • 정현우;유재준;이동훈
    • 재활복지공학회논문지
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    • 제8권2호
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    • pp.89-94
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    • 2014
  • 본 연구는 고령화시대에 따라 한국의 장애인 증가로 인한 전동휠체어의 수요가 증가함에 따라, 시뮬레이션을 이용한 접이식 전동휠체어에 대해 기술하였다. 기존의 모터가 들어있는 전동휠체어를 보호자가 환자와 함께 탈 수 있는 구조로 설계 하였고 모터와 배터리를 분리하지 않고도 휠체어를 접을 수 있어 자동차트렁크나 작은 공간에 쉽게 넣을 수 있고 핸드카형식으로도 사용 할 수 있는 접이식 휠체어를 제안하였다. 또한 환자의 편리성을 위해 휠체어 디자인을 외산에 비해 경제적인 가격으로 개선했고 갑작스러운 가속이나 급정지에도 적절히 제어될 수 있도록 설계하였다.

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장애인과 보호자를 위한 전동휠체어 바디 제작 (Making of Electronic Wheelchair Body For the Disabled)

  • 정현우;유재준;김덕술;이동훈
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2014년도 춘계학술대회
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    • pp.503-506
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    • 2014
  • 이 연구는 고령화 시대에 맞게 한국의 장애인 증가로 인한 휠체어 사용의 증가를 이야기한다. 기존의 모터가 들어있는 전동휠체어를 보호자가 환자와 함께 탈 수 있게끔 하였고 모터와 배터리를 분해하지 않고도 휠체어를 접을 수 있어 자동차트렁크나 작은 공간에 쉽게 넣을 수 있고 핸드카형식으로도 사용할 수 있는 접이식 휠체어바디를 설계했다. 설계한 휠체어 바디는 Solidworks를 이용하여 시뮬레이션 하였다. 시뮬레이션은 인장응력, 변형률, 피로해석으로 나뉘어 휠체어가 튼튼하게 설계하였다. 또한 환자를 위한 휠체어 디자인을 개선했고 갑작스러운 가속이나 급정지에도 잘 제어되게끔 설계하였다.

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『알 카포네가 내 셔츠를 세탁한대』에 나타난 가족의 내적 성장 (Al Capone Does My Shirts and the Family's Spiritual Growth)

  • 최성희
    • 영미문화
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    • 제17권2호
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    • pp.63-88
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    • 2017
  • Al Capone Does My shirts is a book that received the Newbery Honor Award in 2005. The novel is set on Alcatraz Island, where the Alcatraz Federal Penitentiary housed the most dangerous and heinous criminals during the Great Depression era, and is centered on autism. The purpose of this study is to analyze the living conditions of a family with an autistic child in Al Capone Does My Shirts and the family's spiritual growth through conflict and pain. This study finds that the parents' and siblings' pain from the autistic child is certainly a negative experience, but such pain can help grow the family's love and spirit. Moose, the protagonist, grows into a mature teenager who truly understands his autistic sister and attempts to remedy his mother's wrongdoing. The mother also lays down her unreasonable expectations for her children, learns how to wait and observe from a patient's point of view, and mends her relationship with her son. This novel thus conveys a hopeful message: the family of disabled children can overcome difficulties stemming from the disability through continuously trying to understand each other.

조현병 관련 주요 일간지 기사에 대한 텍스트 마이닝 분석 (Text-Mining Analyses of News Articles on Schizophrenia)

  • 남희정;류승형
    • 대한조현병학회지
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    • 제23권2호
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    • pp.58-64
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    • 2020
  • Objectives: In this study, we conducted an exploratory analysis of the current media trends on schizophrenia using text-mining methods. Methods: First, web-crawling techniques extracted text data from 575 news articles in 10 major newspapers between 2018 and 2019, which were selected by searching "schizophrenia" in the Naver News. We had developed document-term matrix (DTM) and/or term-document matrix (TDM) through pre-processing techniques. Through the use of DTM and TDM, frequency analysis, co-occurrence network analysis, and topic model analysis were conducted. Results: Frequency analysis showed that keywords such as "police," "mental illness," "admission," "patient," "crime," "apartment," "lethal weapon," "treatment," "Jinju," and "residents" were frequently mentioned in news articles on schizophrenia. Within the article text, many of these keywords were highly correlated with the term "schizophrenia" and were also interconnected with each other in the co-occurrence network. The latent Dirichlet allocation model presented 10 topics comprising a combination of keywords: "police-Jinju," "hospital-admission," "research-finding," "care-center," "schizophrenia-symptom," "society-issue," "family-mind," "woman-school," and "disabled-facilities." Conclusion: The results of the present study highlight that in recent years, the media has been reporting violence in patients with schizophrenia, thereby raising an important issue of hospitalization and community management of patients with schizophrenia.

Understanding the Perspectives of Paediatric Physicians on Physiotherapy in Paediatric Rehabilitation in Chennai, India: A Qualitative Approach

  • Vadivelan Kanniappan;Abishek Jayapal Rajeswari;Pearlyn Esther Padma Lawrence;Subash Sundar
    • Journal of Preventive Medicine and Public Health
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    • 제57권2호
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    • pp.157-166
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    • 2024
  • Objectives: Children with disabilities may exhibit a multitude of symptoms, and treatment requires a multidisciplinary approach for a satisfactory outcome. Lack of awareness among physicians, lack of referral, and lack of inter-sectoral coordination have hindered paediatric practice in Tamil Nadu, a state in India with a striking childhood disability rate that warrants a timely interdisciplinary approach. However, the perspectives of paediatricians on paediatric physiotherapy are unknown. The aim of the study was to investigate the perspectives of practicing paediatric physicians in Chennai on the role of physiotherapy in paediatrics. Methods: For an in-depth exploration, qualitative semi-structured interviews were conducted in person with 10 paediatricians. Audio from the sessions was recorded and transcribed, and data saturation was achieved through iterative analysis. Results: A grounded theory analysis of the results yielded 5 domains under which the perspectives and expectations of the physicians were described, along with the barriers experienced by patients' parents as explained by their paediatrician. The responses highlighted deficits in awareness, structural support, accessibility and direct communication between physicians and physiotherapists. Conclusions: Paediatric physicians have different opinions, and some ignorance persists concerning paediatric physiotherapy. This study warrants a proper structure of the paediatric rehabilitation unit and regular interdisciplinary meetings and focus group discussions to increase access for parents and improve patient outcomes.