• Title/Summary/Keyword: Elderly rehabilitation

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Affecting Factors of Cancer Screening for Persons with Disabilities (장애인 암 검진 수검에 영향을 미치는 요인)

  • Kim, Yesoon;Kim, Seonyong;Nam, Younghee
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.43-52
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    • 2019
  • Purpose: This study aimed to analyze the affecting factors related to cancer screening for persons with disabilities. Methods: We examined the factors affecting cancer screening in individual aged older than 20 years who participated in the 2017 National Survey of the Disabled. The subjects were 6031 individuals with disabilities who were aged older than 20 years. Data were analyzed using descriptive statistics, the chi-square test, and multiple logistic regression with the SPSS Win 21.0 software. Results: Cancer screening among persons with disabilities is differentiated based on age, education level, marital status, type of disability, grade of disability, subjective house economic status, health insurance, chronic disease, unmet healthcare needs, suicidal thinking, and health screening. The significant predictors of health screening were age, marital status, chronic disease, and health screening. Conclusion: Based on the results of this study, it is necessary to develop a program for young, medical care recipients to improve the participations of disabled in cancer screening.

Rasch Analysis of the Korean Western Ontario McMaster (KWOMAC): In the Out-Patients Over 65 Years With Osteoarthritis of the Knee (한국판 Western Ontario MacMaster(WOMAC)의 Rasch분석)

  • Koh, Eun-Kyung;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.14 no.1
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    • pp.82-89
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    • 2007
  • The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a valid and widely used instrument for the assessment of osteoarthritis patients. In this study, data was obtained from the out-patients with painful osteoarthritis of the knee. One hundred-three out-patients were interviewed by physical therapists. In an exploratory way, a Korean version of the KWOMAC was analyzed for unidimensionality, item separation, and item difficulty using the Winsteps programs. Ninety-five patients with osteoarthritis of the knee over 65 years were analyzed for Rash analysis. In the analysis several functional items poorly fit to the model. These items included "heavy domestic duties" and "standing". In the pain domain, one item ("at night while in bed") did not fit the model. In the stiffness domain one item ("after sitting, lying, or resting later in the day") did not fit the model. Although 4 items from the 3 domains (pain, stiffness, function domain) do not fit well, the KWOMAC domains were confirmed by Rasch analysis. Thus the KWOMAC needs to be further examined before it can be used to properly determine the health status of the elderly with OA.

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Development of a Progressive Exercise Program for Older Adults with Osteoarthritis (골관절염 환자를 위한 점진적 운동강화 자조관리 프로그램 개발)

  • Park, In-Hae;Lee, Eun-Nam;Park, Sang-Youn
    • Journal of muscle and joint health
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    • v.15 no.2
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    • pp.155-165
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    • 2008
  • Purpose: The purpose of this study was to develop a progressive exercise program based on clinical guidelines for exercise prescription for older adults with osteoarthritis, which was planned to improve the existing arthritis self-help program. Method: We analyzed the contents of the arthritis self-help program and closely reviewed the guideline of exercise prescription for elderly with osteoarthritis. Results: The major contents of the revised arthritis self-help program are as follows: 1) The weekly education is composed of one-hour exercise and one-hour health education about various subjects. 2) The weekly main exercise is composed of muscle strengthening and endurance exercise. 3) Endurance exercise consists of three steps. 4) Muscle strengthening exercise is performed by gravity at first, and then the Thera-Band muscle strengthening exercise is followed on the 4th week. Conclusion: It is necessary to verify the effect of the progressive exercise program for older adults with osteoarthritis. It is thought that this revised program could be adopted as a rehabilitation program for older adults with osteoarthritis.

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Comparative Analysis of Muscle Activities for Upper Extremity During Resistance Exercises Using Variable and Elastic Loads (가변부하 및 탄성부하를 이용한 저항성 기구 운동 시 발현되는 상지근육의 근 활동치 비교분석)

  • Lim, Young-Tae
    • Korean Journal of Applied Biomechanics
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    • v.16 no.2
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    • pp.37-44
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    • 2006
  • The purposes of this study were to analyze and compare EMG activities of the pectoralis major, biceps brachii, triceps brachii, and brachioradialis muscles during biceps curls using a VRT device and an elastic tubing. Fifteen male college students were recruited as subjects and they performed 10-RM and 20-RM biceps curls. For each load and device condition, the mean and peak normalized EMG levels during different phases of a biceps curl were computed. For each load and phase, paired t-test (p.05) was used to find the significant difference between two devices. ANOVA with repeated measures was also used to find the significant difference among phases in terms of EMG values for each muscle. For each load and device condition, the peak and mean EMG levels during different phases of a biceps curl were computed The significant differences between devices were found in biceps brachii for EA, MD, LD phases, and triceps brachii muscles for all phases, respectively. However, no differences were found among phases for any muscle. This indicated that elastic band could have a similar characteristics of VRT. High antagonistic muscle activity as a function of injury prevention which found particularly in VRT device may suggest that elastic tubing can be a safer training device than VRT. This also imply that elastic tubing could be very effective as a home exercise tool for rehabilitation patients and elderly people.

Literature Review of Forest Healing Therapy on Korean Adults (한국 성인에게 적용한 산림치유요법 고찰)

  • Chae, Young Ran;Kim, Joo Hyun;Kang, Hyunwook
    • Journal of Korean Biological Nursing Science
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    • v.20 no.2
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    • pp.122-131
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    • 2018
  • Purpose: This study was conducted to ascertain the effectiveness of forest healing therapy by analyzing researches on forest healing therapy applied to Korean adults and to confirm that forest healing therapy can be used as a therapeutic intervention program for elderly nursing or rehabilitation nursing. Methods: We searched 972 research papers on forest therapy applied to Korean adults. We reviewed appropriate 25 research papers with experimental design among them in the final analysis. Results: Forest healing therapy had physiological and psychosocial effects. First of all, it showed physiological effects to reduce stress index such as heart rate variation. Forest therapy also improved melatonin level in blood of middle-aged women with menopause and increased alpha wave in electroencephalogram and decreased lipid level and superoxide dismutase in blood. Second, forest healing therapy showed psychosocial effects to reduce depression and to improve mental health. But the effects appeared differently depending on the implementing type, period of forest healing therapy, and the professionalism of therapists. Therefore, if forest healing therapy would be applied to nursing, it should be based on its key principle, in other words, its principle of action-interaction-response of forest healing therapy. Conclusion: The results of this study could be used to develop a forest healing program as an intervention of nursing.

A Study on the Spatial Organization of Outpatient Department in General Hospital - Focused on the Latest Planned General Hospital of Scale more than 500 Beds - (종합병원 외래진료부의 공간구성과 규모계획에 관한 조사연구 - 최근 계획된 500병상 이상 규모의 종합병원을 중심으로 -)

  • Son, Jae-Won;Lee, Teuk-Koo
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.2
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    • pp.53-60
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    • 2007
  • Various changes in medical environments including growing elderly population, chronic diseases, deepening competition among hospitals since opening to foreign medical service, economic strategy for improvement of profit system have caused hospitals to be specialized. In this backgrounds, the purpose of this study is to receive basic data for architectural planning on the spatial organization of outpatient department in general hospital. The results of this study were as follows; First, major changes of outpatient department in general hospital are composed of 'co-work in medical examination and treatment', 'decentralization of diagnosis and treatment(D/T)' and 'patient-oriented medical service'. Changes by co-work system include appearance of medical offices for co-work, activation of specialized clinics, grouping of E/T section for outpatient and various types of specialized centers. Second, the grouping of E/T sections means the modification of E/T system and organization in general hospitals, and a new spatial organization will be needed. Third, the types of specialized centers are getting varied. they are classified into several types including disease-resource, social stratum-resource, human organ-resource, health-resource, rehabilitation-resource, alternative medical center and so on.

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Comparison of Lower Extremity Muscle Activity depending on using Sit-to-Stand Assistive Device in Elderly People with Degenerative Arthritis (무릎 보조도구의 사용 유무에 따른 뼈관절염을 가진 노인의 하지 근육 활성도 비교)

  • Pyo, Seung-hyeon;Lee, Dong-geon;Hong, Soung-kyun;Jung, Sun-hye;Lee, Seung-hoo;Jeong, BeomHo;Lee, GyuChang
    • Proceedings of the Korea Contents Association Conference
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    • 2018.05a
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    • pp.359-360
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    • 2018
  • 본 연구에서는 무릎 보조도구를 착용하지 않은 상태와 착용한 상태에서 앉았다 일어서기 동작 시의 무릎 근육의 활성도 차이를 비교하여, 착용형 무릎 보조도구가 무릎 뼈관절염을 가진 노인들의 하지 근육의 근 활성도에 미치는 영향을 알아보았다. 그 결과, 무릎 보조도구를 착용하지 않은 상태에 비해 보조도구를 착용한 상태에서 안쪽넓은근과 가쪽넓은근의 근 활성도가 통계적으로 유의하게 감소한 것으로 나타났다. 이를 통해, 무릎 보조도구가 앉았다 일어서기 동작 시 하지 근육을 보조하여 근 활성도를 감소시키는 등 무릎의 뼈관절염을 가진 노인들의 일상생활 보조에 유용할 수 있는 가능성을 확인할 수 있었다.

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Study on Gait Analysis of Elders and Hemiplegia Patients using 3D Motion Analysis (고령자 및 편마비 환자의 3 차원 동작분석을 통한 보행 특성에 관한 연구)

  • Jang, Hye-Youn;Han, Jung-Soo;Han, Chang-Soo
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.7
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    • pp.730-736
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    • 2012
  • Latest, many researchers do research on wearable robot. The purpose of the researches is very diverse, it will improve efficiency in the industry, taken to replace the many workers in the military field and taken to assist bodily functions run out by aging. However, there is no clear Differentiated strategy depending on the purpose for design and control of the wearable robot. Although a common purpose is to drive the robot by the sensor signal (intent signals), the optimization about the mechanism and control studies must be done according to the user's physical ability and purpose. In this study, the study's first phase for the development of wearable robotic gait rehabilitation, gait characteristics were analyzed elders and hemiplegia patients using a 3D gait analysis system (VICON512). As a result, asymmetric gait characteristics of the hemiplegia patients were found compared with the normal elderly.

The Study of Stroke Patient's of Social Support, Self- Efficacy and Qualty of Life (뇌졸중환자의 자기 효능감, 사회적지지, 삶의질 연구)

  • Lee, hye sun
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.219-225
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    • 2018
  • This study was conducted to see if a correlation between social support, self-efficacy and quality of life of stroke patients. The study sample was composed of 60 stroke patients who participated in the rehabilitation hospital in G-city and P-city. The survey period for data collection was from August 8.1 - October 10.1, 2017. social support, self-efficacy and quality of life of stroke were administered to those patients. Among the sum of social support, self-efficacy and quality of life marks, a significant correlation was shown statistically at all levels. Through this study, it shows a solid data base is necessary for the improvement of cognitive function in elderly stroke patients.

Determinants analysis of affecting to Health screening among Persons with Disabilities (장애인의 건강검진 수검에 영향을 미치는 요인 분석)

  • Kim, Ye-Soon;Kim, Seon-Yong;Nam, Young-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.2
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    • pp.25-36
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    • 2019
  • Purpose: The purpose of this study was to examine the factors affecting of health screening among persons with disabilities. Method: The study examines the factors affecting of health screening using over 20 years of age who participated in the 2017 National survey of the disabled data. Subjects were 6,332 person with disabilities over 20 years of age. Data were analyzed using descriptive statistics, X2-test, multiple logistic regression with the SPSS win 21.0 program. Results: Health screening among persons with disabilities is differentiated with education level, marital status, Subjective House economic status, Health insurance, Economic activity, Type of disability, Grade of disability, Stress recognition, Depressive symptom, Suicidal thinking, Suicidal attempt, and grade of disability. The significant predictors of the health screening were age, Subjective House economic status, Economic activity, and Grade of disability. Conclusion: We should consider age, disability level, and economic level when developing a screening program for people with disabilities. Especially, the development and promotion of the health screening program for persons with disabilities and related education are required.