• Title/Summary/Keyword: Early rehabilitation

Search Result 460, Processing Time 0.025 seconds

Correlation of Depression and Activities of Daily Living in the Elderly (노인의 우울증과 일상생활동작능력의 관련성)

  • Jung, Soon-Mi;Park, Rae-Jun;Ro, Hyo-Lyun
    • The Journal of Korean Physical Therapy
    • /
    • v.22 no.2
    • /
    • pp.31-38
    • /
    • 2010
  • Purpose: We investigated the relationship of depression and the ability to engage in activities of daily living in the elderly. Methods: Subjects (n = 182) were 60 years or older and who attended the Senior College of Gimhae Senior Welfare Center. We collected data via a questionnaire, through a Self- recording method and through individual interviews. We collected data on personal and general characteristics, level of depression, and activities of daily living. Results: Among all subjects, 51.1% reported having depressionMild depression was reported by 29.7% (54 subjects), moderate depression by 13.2% (24 subjects), and severe depression by 8.2% (15 subjects). Activities of daily living, including walking, climbing stairs, standing from a chair and sitting on and using toilets, using a telephone, bathing, shopping, cleaning house, and managing money were significantly lower in elderly subjects who were depressed (p<0.05). The greater the level of depression, the less able they were to engage in activities of daily living. Conclusion: These findings may help us achieve early detection of depression in the elderly and provide mediated arbitration so that they can have better health condition and greater ability to engage in activities of daily living.

A Study of Functional Assesment in Children With Cerebral Palsy (뇌성마비의 기능성평가도구에 대한 고찰 - GMFCS, GMFM 과 PEDI 중심으로 -)

  • Lyu, Sun-Ae;Kim, Bo-Kyong
    • Journal of Oriental Neuropsychiatry
    • /
    • v.21 no.1
    • /
    • pp.13-42
    • /
    • 2010
  • Objectives: This study is to investigate the method for assesment of cerebral palsy(CP), especislly focusing on function assesment Methods: We searched the recent date of the publication and paper in Cerebral Palsy Results: Measuring the function of children with cerebral palsy is mobility, self-care and social ability. Early adequate evaluation of motor development and prognosis of degree of long-term motor disability is very important not only for parents, but also for correct management of goal oriented rehabilitation treatment and for planning of preventive measures. 1. Gross Motor Function Classification System(GMFCS) is valuable to prognostication about gross motor progress in children with CP, using longitudinal observation. 2. Gross Motor Function Measure(GMFM) is the instrument most commonly used to measure gross motor function in children with cerebral palsy(CP). 3. Pediatric Evaluation of Disability Inventory(PEDI) is one of the most commonly used assessments for children with a disability. Conclusions: The functional Assesment of children with CP are used GMFCS, GMFM and PEDI.

Biomechanical Test for Repair Technique of Full-thickness Rotator Cuff Tear

  • Lim, Chae-Ouk;Park, Kyoung-Jin
    • Clinics in Shoulder and Elbow
    • /
    • v.19 no.1
    • /
    • pp.51-58
    • /
    • 2016
  • The arthroscopic rotator cuff repair is now considered a mainstream technique with highly satisfactory clinical results. However, concerns remain regarding healing failures for large and massive tears and high revision rate. In recent decades, various repair strategies and construct configurations have been developed for rotator cuff repair with the understanding that many factors contribute to the structural integrity of the repaired construct. The focus of biomechanical test in arthroscopic repair has been on increasing fixation strength and restoration of the footprint contact characteristics to provide early rehabilitation and improve healing. These include repaired rotator cuff tendon-footprint motion, increased tendon-footprint contact area and pressure, and tissue quality of tendon and bone. Recent studies have shown that a transosseous tunnel technique provides improved contact area and pressure between rotator cuff tendon and insertion footprint, and the technique of using double rows of suture anchors to recreate the native footprint attachment has been recently described. The transosseous equivalent suture bridge technique has the highest contact pressure and fixation force. In this review, the biomechanical tests about repair techniques of rotator cuff tear will be reviewed and discussed.

Predicting Employment Status of Injured Workers Following a Case Management Intervention

  • Awang, Halimah;Mansor, Norma
    • Safety and Health at Work
    • /
    • v.9 no.3
    • /
    • pp.347-351
    • /
    • 2018
  • Background: The success of an injury intervention program can be measured by the proportion of successful return to work (RTW). This study examined factors of successful return to employment among workers suffering from work-related injuries. Methods: Data were obtained from the Social Security Organization, Malaysia database consisting of 10,049 RTW program participants in 2010-2014. The dependent variable was the RTW outcome which consisted of RTW with same employer, RTW with new employer or unsuccessful return. Multinomial logistic regression was performed to test the likelihood of successful return with same employer and new employer against unsuccessful return. Results: Overall, 65.3% of injured workers were successfully returned to employment, 52.8% to the same employer and 12.5% to new employer. Employer interest; motivation; age 30-49 years; intervention less than 9 months; occupational disease; injuries in the lower limbs, upper limbs, and general injuries; and working in the manufacturing, services, and electrical/electronics were associated with returning to work with the same employer against unsuccessful return. Male, employer interest, motivation, age 49 years or younger, intervention less than 6 months, occupational disease, injuries in the upper limbs and services sector of employment were associated with returning to new employer against unsuccessful return. Conclusion: There is a need to strengthen employer commitment for early and intensified intervention that will lead to improvement in the RTW outcome.

The Effects of Working Memory Load on Word Frequency (작업기억 부하가 단어빈도에 미치는 효과)

  • Lee, Chang-Hoan;Oh, Ji-Hyang;Pyun, Sung-Bom;Lim, Heui-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.10 no.3
    • /
    • pp.567-571
    • /
    • 2009
  • This study was conducted in order to investigate the role of working memory in word recognition. As a preliminary step in tackling this topic, word frequency and working memory load were manipulated in a naming task. The results showed that word frequency is significantly involved with the working memory load. The effects of working memory load were greater in low-frequency word processing than in high-frequency word processing. These results indicat that working memory is involved more in the processing of low-frequency words. The implications for the teaching of children at the early reading acquisition stage are discussed in this paper.

Effect of Motor Imagery Training on Somatosensory Evoked Potentials and Upper Limb Function in Stroke Patients

  • Choi, Jongbae;Yang, Jongeun
    • Journal of International Academy of Physical Therapy Research
    • /
    • v.11 no.1
    • /
    • pp.2005-2011
    • /
    • 2020
  • Background: Motor imagery is the mental representation of an action without overt movement or muscle activation. However, few previous studies have demonstrated motor imagery training effects as an objective assessment tool in patients with early stroke. Objective: To investigate the effect of motor imagery training on Somatosensory Evoked Potentials (SSEP) and upper limb function of stroke patients. Design: A quasi-experimental study. Methods: Twenty-four patients with stroke were enrolled in this study. All subjects were assigned to the experimental or control group. All participants received traditional occupational therapy for 30 minutes, 5 times a week. The experimental group performed an additional task of motor imagery training (MIT) 20 minutes per day, 5 days a week, for 4 weeks. Both groups were assessed using the SSEP amplitude, Fugl-Meyer assessment of upper extremity (FMA UE) and Wolf motor function test. Results: After the intervention, the experimental group showed significant improvement in SSEP amplitude and FMA UE than did the control group. Conclusion: These findings suggest that the MIT effectively improve the SSEP and upper limb function of stroke patients.

Prevalence and associated factors of dysphagia in patients hospitalized with acute stroke (급성 뇌졸중 입원 환자의 연하장애 유병률과 관련요인)

  • Chang, Hee-Kyung;Yun, Suk-Kyung;Gil, Cho-Rong
    • The Journal of the Convergence on Culture Technology
    • /
    • v.5 no.1
    • /
    • pp.417-428
    • /
    • 2019
  • The aims of this study were to evaluate the prevalence of dysphagia in patients hospitalized with acute stroke and to identify factors associated with dysphagia. The study was conducted in a tertiary hospital and a total of 131 patients hospitalized with acute stroke (aged 34-92 years old, 58.0% male) were enrolled. The prevalence of dysphagia was 24.4% out of 131 participants and risk factors associated with dysphagia were age, neurological severity, oral health status, and dependence in activity of daily living of participants. Considering the long-term rehabilitation trajectory, it is necessary to apply the early screening and preventive nursing intervention for dysphagia during acute stage of stroke patient.

Psychiatric understanding and treatment of patients with amputations

  • Jo, So-Hye;Kang, Suk-Hun;Seo, Wan-Seok;Koo, Bon-Hoon;Kim, Hye-Geum;Yun, Seok-Ho
    • Journal of Yeungnam Medical Science
    • /
    • v.38 no.3
    • /
    • pp.194-201
    • /
    • 2021
  • Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient's adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

Chronic Obstructive Pulmonary Disease Combined with Interstitial Lung Disease

  • Choi, Joon Young;Song, Jin Woo;Rhee, Chin Kook
    • Tuberculosis and Respiratory Diseases
    • /
    • v.85 no.2
    • /
    • pp.122-136
    • /
    • 2022
  • Although chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD) have distinct clinical features, both diseases may coexist in a patient because they share similar risk factors such as smoking, male sex, and old age. Patients with both emphysema in upper lung fields and diffuse ILD are diagnosed with combined pulmonary fibrosis and emphysema (CPFE), which causes substantial clinical deterioration. Patients with CPFE have higher mortality compared with patients who have COPD alone, but results have been inconclusive compared with patients who have idiopathic pulmonary fibrosis (IPF). Poor prognostic factors for CPFE include exacerbation, lung cancer, and pulmonary hypertension. The presence of interstitial lung abnormalities, which may be an early or mild form of ILD, is notable among patients with COPD, and is associated with poor prognosis. Various theories have been proposed regarding the pathophysiology of CPFE. Biomarker analyses have implied that this pathophysiology may be more closely associated with IPF development, rather than COPD or emphysema. Patients with CPFE should be advised to quit smoking and undergo routine lung function tests, and pulmonary rehabilitation may be helpful. Various pharmacologic agents and surgical approaches may be beneficial in patients with CPFE, but further studies are needed.

다직종 연계교육(IPE) 프로그램이 대학생의 팀 의료에 대한 태도에 미치는 효과

  • Oh, Kun-Seok;Kim, Eun-Ju;Kim, Kye-Ha
    • Journal of Integrative Natural Science
    • /
    • v.15 no.2
    • /
    • pp.55-61
    • /
    • 2022
  • Recently people require complex access to problems in various fields of health, medical and welfare by an aging society. For this reason, the need for interprofessional education is required at the site of university education. This study was conducted to investigate the effect of interprofessional education (IPE) on attitudes towards health care teams. The subjects were 29 sophomores in the fields of health, medical and welfare in a university. Attitudes Towards Health Care Teams Scale (ATHCT) was used to measure the attitudes towards health care teams of subjects. The subjects were provided with a IPE program. The collected data were analyzed by descriptive analysis and paired t-test using the SPSS 26.0 version program. The attitudes towards health care teams of subjects increased significantly after IPE education (t=-4.28, p<.001). And there were significant differences in the three sub-factors of attitudes towards health care teams (Team efficacy, t=-4.44, p<.001; Benefit of communication, t=-3.30, p=.003; Team value, t=-3.21, p=.003). Therefore, the IPE program is considered to be an effective education program to improve attitudes towards health care teams.