• 제목/요약/키워드: Early rehabilitation

검색결과 460건 처리시간 0.034초

뇌졸중의 재활치료에 대한 고찰 (The Effect of Rehabilitation in Stroke Patients and Factors Influencing Outcome and Length of Hospitalization)

  • 최금숙;김선희;손진철;최순철;박주현
    • 대한물리치료과학회지
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    • 제6권1호
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    • pp.879-887
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    • 1999
  • The purpose of this study was to know the state of rehabilitation treatment of stroke, to compare treatment with Bobath therapy or not, establish what factors have influence on treatment effect and hospitalization period and to be a great help for guide of treatment and education of patient and family We analyzed 87 stroke patients retrospectively for the patient's age, the subtype of diagnosis, the period at the start of treatment, the duration of treatment, the duration of hospitalization, the speech problem the co-morbid complication and the ambulatory function at discharge These patients visited the department of rehabilitation medicine, Holy Family Hospital, Catholic university of Korea from June 1993 to June 1998. The patients were classified into two groups. One group (47 patients) was treated by Bobath trerapy and the other (40 patients) was not. The results were as follow ; 1) The period at the start of treatment was 15.3 days and the duration of treatment was 32.4 days 2) The shorter the period at the start of treatment, the shorter the duration of admission 3) There was no significant difference between two groups for the duration of hospitalization, seventy two percent of patients with Bobath treatment was walked compared with 25% of patients without Bobath treatment was. 4) There was no relation between the speech problem and the duration of admission, but the group with no speech problem showed better results in ambulation than those with speech problem. On conclusion, as soon as possible early rehabilitation treatment of the stroke patients should be performed in order to reduce the duration of hospitalization. Special(or professonal) treatment with Bobath therapy show more improved funtional recovery than that without Bobath therapy. Therefore actualization of Bobath therapy is also required.

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재가노인의 MCI예방을 위한 AI,메타버스와 재활운동 융합적 기대효과 (Converged eXpected Effects of Ai,Metaverse, and Rehabilitation Exercise to Prevent MCI in Home-Based Seniors.)

  • 김명미
    • 한국전자통신학회논문지
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    • 제19권4호
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    • pp.733-740
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    • 2024
  • 본 연구는 재가 노인의 MCI(경도인지장애) 예방을 위한 재활 운동을 활성화하는 데에 그 목적이 있다. AI, 메타버스와 재활 운동을 융합함으로써 농어촌 등의 의료 취약 지역사회에서의 재활 운동 연계를 활성화하고 운동 데이터를 구축하여 통합적 건강 관리가 될 수 있게 하는 의료와 재활 운동의 통합적인 서비스를 제공할 수 있을 것이다. 이를 위하여 AI, 메타버스와 재활 운동의 융합적 기대효과로 전문가들의 학제적 참여와 인지기능 향상 및 근골격계 기능향상을 위한 유형별 게임 및 재활 운동치료 메뉴얼 제작 보급과 재가 노인에게 필요로 하는 재활 운동프로그램을 체계화하고, 체력 평가 개발 및 운영과 교육이 확대되어 나갈 수 있으며, 치매 조기 예방에 큰 도움이 될 것이다.

족관절 염좌에 SSP 전자침 요법을 병행한 동기침법(動氣鍼法)의 효과 (The Effects of Alphabet Exercise with SSP Electrotherapy on Lateral Ankle Sprain)

  • 심우진;류수민;신현대;우경하
    • 대한추나의학회지
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    • 제4권1호
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    • pp.89-98
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    • 2003
  • The multiple acupuncture techniques have been used to relieve the pain of lateral ankle sprain. Recently, early functional rehabilitation is emphasized in rehabilitative concepts using active ROM, facilitated proprioception, alphabet exercise and so forth. Similarly, in oriental rehabilition medicine, traditional movement technique called "Dong-Ki" has been used to relieve pain of ankle sprain. So we used "Dong-Ki" technique with SSP(silver spike point) electrotherapy transformed from alphabet exercise and evaluated the effects in method of randomized controlled trials. Methods : 27 outpatients with lateral ankle sprains were randomized into two groups : 15 samples and 12 controls. Sample group was treated with "Dong-Ki" technique(writing his name with foot) with SSP electrotherapy to relieve pain during additionally. "Dong-KI". Outcomes were measured by 10cm VAS and ankle circumference(cm). Results : In terms of VAS, Sample group had inclination of pain relieving but not significantly meaningful. In terms of ankle circumference measurement, Sample group showed significantly improved.

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언어 네트워크 분석(Semantic Network Analysis)을 활용한 장애인보조기구 연구동향 분석: 2002년 ~ 2014년 (System Analysis of Research Trends of Assistive Devices for People with Disabilities Using Semantic Network Analysis: 2002 to 2014)

  • 김창걸;강정배
    • 재활복지공학회논문지
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    • 제10권1호
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    • pp.93-100
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    • 2016
  • 본 연구에서는 장애인의 장애를 예방 보완하고 일상생활의 편의를 증진을 위하여 사용되는 보조기구에 대한 연구동향을 분석하였다. 그 결과 관련 연구는 꾸준히 증가 하여왔으며, 그 연구영역 또한 실태조사 연구에서 서비스관련 연구, 보조기구개발연구 등으로 확대되었음을 알 수 있다. 또한 관련 용어 사용에 있어서 초기에는 '재활공학', '재활보조공학'이라는 용어로 사용되는 부분이 현재에는 '보조공학', '보조공학서비스', '보조공학기', '보조기구'의 용어로 주로 사용되는 모습을 나타냈다.

안면마비 환자의 실태조사와 교정용 스프린트 개발에 관한 연구 (A Study of Survey for Facial Palsy Patients and Invention a Correction Splint to Facial Palsy)

  • 박지환
    • 대한정형도수물리치료학회지
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    • 제11권2호
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    • pp.19-25
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    • 2005
  • Purpose : Facial palsy goes together not only physical difficulties but also social life's of relationship to other people. Therefore we was devised correction splint and rehabilitation set for facial palsy proofreading. Method : This article was used by questionnaire survey that intended for 140 patients who had got facial palsied such as universities hospitals and oriental hospitals over the country in Korea. The subject matter that faced consciousness of a patient as opposed the awkward rehabilitating tool that a general matter and patient. In the object that the rehabilitation tool which now patient used through a wraps a face in only as a treatment object. Results : 1. The most chief complaints among the facial palsy patients were eating activity (41%), relationship to other people (29%), communication (20% )(Fig. 3). 2. The most needs of the facial palsy patients was aids for early treat (53%), prevented face deformity (16%) etc, (Fig. 4). 3. So we are going to make a correction splint and rehabilitation set for facial palsy, that makes common use broadly in based of medical utility (CAD. 1~7). Conclusion : We invented a correction splint and rehabilitation set for facial palsied patients in based of questionnaire survey.

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백두대간에 인접한 석회석 광산의 식생복구 연구(1) - 종자파종에 의한 옥계 광산복구 시험시공 - (A Study of Rehabilitation for Limestone Quarry Near Baekdu Daegan Mountain System(1) -In Case Study for Hydroseeding Experiment on Okke Quarry-)

  • 김경훈;주백;김학성
    • 한국환경복원기술학회지
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    • 제14권4호
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    • pp.55-66
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    • 2011
  • The objective of this study was to investigate the possibility of seeding methods for quarry rehabilitation. To achieve the objective, the experiment was designed for rehabilitation of quarry with seed mixing types (woody type and herbaceous type) and forest topsoil. Seeds and seeding materials were applied to the quarry slope using hydroseeding measures. The study was conducted in limestone quarry (Lafarge Halla Cement Inc.) near Baekdu Daegan Mountain System at Okke, Kanwon-do. The experimental seedbed was set in 2007 and field investigation was carried out from 2007 to 2010. As the result of experiment, it was found that the early-phase pattern for surveyed species to establish was affected by the soil mixture types. The mixture type of herbaceous seeds resulted in the higher plant coverage than the woody seeds. The application of forest topsoil showed a potential increase the plant diversity, but it was affected by mixing seeds. Naturally-emerged species as Alnus hirsuta, Quercus mongolica will be useful for rehabilitation at the quarry and damaged slopes.

가감소속명탕이 Monosodium Iodoacetate로 유발된 골관절염의 초기변화에 미치는 영향 (Effects of Gagamsosokmyeong-tang(Jiajianxiaoxuming-tang) Treatment on the Monosodium Iodoacetate-induced Early Stage Osteoarthritis in Rats)

  • 박동수;정수현;김순중;서일복
    • 한방재활의학과학회지
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    • 제21권4호
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    • pp.49-65
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    • 2011
  • Objectives: This study was performed to investigate the effects of Gagamsosokmyeong-tang(Jiajianxiaoxuming-tang) on the monosodium iodoacetate(MIA) induced early state osteoarthritis in rats. Methods: Osteoarthritis was induced by injection of MIA(0.25 mg) into knee joints of rats. Osteoarthritis rats were divided into control(n=8) and treated=8 group respectively, Control group was taken distilled water and treated group was taken extracts of Gagamsosokmyeong-tang(Jiajianxiaoxuming-tang) by orally for 20 days. Body weight was measured at 0, 5, 10, 15, 20 days after MIA injection. At the end of experiment, gross and histopathological examination on the articular cartilages of the knee joints were performed. Proteoglycan(PG) content of articular cartilages were analysed by safranine O staining method. The content of tumor necrosis $factor-{\alpha}(TNF-{\alpha})$, $interleukin-1{\beta}(IL-1{\beta})$ in synovial fluids were analysed by enzyme-inked inmunosorbent assay(ELISA) method. And also cycloxygenase-2(COX-2), matrix metalloproteinase 3(MMP-3), inducible nitric oxide synthase(iNOS), calpain immunochistochemical examination on the knee joints were performed. Results: PG content in articular cartilages of the treated group was significantly increased compared with control group. Histopathological osteoarthritic score of the treated group was significantly decreased compared with control group. $TNF-{\alpha}$ content in synovial fluids, expression of iNOS and calpain in synovial membrane of the treated group were significantly decreased compared with control group. But body weight, $1L-1{\beta}$ content in synovial fluids, expression of iNOS and MMP-3 of the treated group were not significantly changed compared with control group. Conclusions: On the basis of these results, we conclude that Gagamsosokmyeong-tang(Jiajianxiaoxuming-tang) has anti-arthritic effects on the MIA induced early stage osteoarthritis in rats.

UVB조사기의 홍반 발생 특성과 안전성에 관한 연구 (The Study of Characteristic of Induced Erythema and Safety by UVB Lamp)

  • 박래준;조용호;박소현;이윤미
    • The Journal of Korean Physical Therapy
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    • 제18권3호
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    • pp.79-87
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    • 2006
  • Purpose: The present study purposed to examine induced characteristic or erythema and safety by medium wave ultra violet(UVB) lamp. Methods: We compared sunshine and UVB lamp using spectroradiometer and UV radiometer. For measuring sunshine irradiation, we used spectoradiometer and detected from 8 to 18 o'clock every each hour on the beach, playground and rooftop of a 5 story building. The subjects for erythema examination were 5 healthy subjects who have no pathologic history of photosensitivity reaction, psoriasis and vitiligo. They were exposed to UVB radiation at the abdominal area for 2 hours and after irradiation, we observed the change of skin color every 12 hours over a period of 1 week. Results: Between sunshine and UVB lamp, sunshine had higher data on the chromaticity coordinates, dominant and peak wavelength, bandwidth and purity than the UVB lamp but on the color temperature, brightness the UVB lamp had higher data than the sunshine. In comparison of sunshine and UVB lamp, UVB lamp irradiated constantly such as $3.9-4.4{\mu}W/cm^2$ at a distance of 100cm between bed and lamp which was same as early morning irradiation on the sunshine. The erythema didn't appear to any subject. Conclusion: This results suggest that the UVB lamp has lower irradiance as much as early sunshine. Therefore the UVB lamp had no influence of inducing erythema at a distance of 100cm between bed and lamp.

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A New Training System for Improving Postural Balance Using a Tilting Bed

  • Yu, Chang-Ho;Kwon, Tae-Kyu;Ryu, Mun-Ho;Kim, Nam-Gyun
    • 대한의용생체공학회:의공학회지
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    • 제28권1호
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    • pp.117-126
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    • 2007
  • In this paper, we propose an early rehabilitation training system for the improvement of postural balance with multi-modality on a tilting bed. The integration of the visual, somatosensory and vestibular functions is significant to for maintaining the postural control of the human body. However, conventional rehabilitation systems do not provide multi-modality to trainees. We analyzed the characterization of postural control at different tilt angles of an early rehabilitation training system, which consists of a tilting bed, a visual feedback, a computer interface, a computer, and a force plate. The software that we developed for the system consists of the training programs and the analysis programs. To evaluate the characterization of postural control, we conducted the first evaluation before the beginning of the training. In the following four weeks, 12 healthy young and 5 healthy elderly subjects were trained to improve postural control using the training programs with the tilting bed. After four weeks of training, we conducted the second evaluation. The analysis programs assess (center of pressure) COP moving time, COP maintaining time, and mean absolute deviation of the trace before and after training at different tilt angles on the bed. After 4 weeks, the COP moving time was reduced, the COP maintaining time was lengthened, and the mean absolute deviation of the trace was lowered through the repeated use of vertical, horizontal, dynamic circle movement training programs. These results show that this system improves postural balance and could be applied to clinical use as an effective training system.

십자인대 재건술 후 닫힌사슬운동과 열린사슬운동의 효과 (Effect of Closed and Open Kinetic Chain Exercise after Cruciate Ligament Reconstruction)

  • 권순복;이현옥
    • The Journal of Korean Physical Therapy
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    • 제17권3호
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    • pp.297-310
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    • 2005
  • Open kinetic chain exercise has lost favour in rehabilitation after cruciate ligament reconstruction due to concerns that this exercise is harmful to the graft and will be less effective in improving function. Therefore rehabilitation has focused over the past decade on closed kinetic chain exercise. Open kinetic chain and closed kinetic chain exercises were compared for their effects on proprioception, muscle strength and knee instability in the early period of cruciate ligament reconstruction rehabilitation. The study subjects were 14 patients in 28weeks from cruciate reconstruction surgery(11 male, 3 female; mean age = 44.36 years). Closed kinetic chain exercise group used ball, balance pad and air cushion, to perform weightbearing exercises and the open kinetic chain exercise group used elastic rope and N-K table, to perform non-weightbearing exercises. Between tests, subjects trained 5 times per week for 2 weeks. Statistical analysis was by Wilcoxon signed rank test and Mann Whitney U test. In result, this study shows that both open and closed kinetic chain exercise programs lead to an improved muscle strength and Lysholm score. But there was no improvement in proprioception at both exercises. Closed versus open kinetic chain exercise in early period of rehabilitation after cruciate ligament reconstruction surgery do not differ in their effects on knee proprioception, muscle strength and instability. But the effect of closed kinetic chain exercises was showed more improvement than open kinetic chain exercises between pre-post exercises. Therefore further study is required to assess effect of both groups in more long period.

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