• The Journal of Korean Physical Therapy
• /
• v.34 no.1
• /
• pp.26-37
• /
• 2022

Purpose: Japan established the convalescent rehabilitation wards, corresponding to Korea's rehabilitation medical institutions, in 2000 and developed it into the present system through continuous revisions. This study sought to analyze the issues and tasks faced by Japan segregated by the period of revision of convalescent rehabilitation ward-related medical fee regulations, through a literature review and further aimed to explore the direction of development of domestic rehabilitation medical institutions. Methods: Ten revisions of the medical fee regulations were classified into three stages based on quality evaluation: (1) the quantitative expansion stage (2000-2006); (2) quality evaluation introduction stage (2008-2014); and (3) quality evaluation maturity stage (2016-2020). Results: The following issues and tasks emerged: (1) For the quantitative expansion stage; insufficient rehabilitation within the ward, insufficient after-hour rehabilitation, insufficient connection with acute-stage hospitals and maintenance facilities, and the low ratio of specialists. (2) For the quality evaluation introduction stage; disparity in the manpower between institutions, the necessity of a 365-day rehabilitation system, avoidance of critical patients, and the problem that an increase in the amount of rehabilitation did not lead to a qualitative improvement. 3) For the quality evaluation maturity stage; cream-skimming issues in selecting patients, inappropriate evaluation of rehabilitation effects, and the necessity of follow-up measures after discharge. Conclusion: It is worth referring to the established regulations in Japan, and concurrently it is necessary to strengthen the evaluation of the structures, processes, and results when operating and evaluating rehabilitation medical institutions in Korea taking into account the side effects that could be identified in Japan.

• Journal of The Korean Society of Agricultural Engineers
• /
• v.52 no.5
• /
• pp.97-108
• /
• 2010

The objective of this study is to develop evaluation indices which can be applied to analyze rational rehabilitation-policy directions of redundant farmlands. To achieve this objective, the main tasks of this research are 1) categorizing the redundant farmlands rehabilitation types 2) developing the evaluation indices of redundant farmlands rehabilitation 3) determining the weights of each index. The redundant farmlands rehabilitation types were classified into agricultural rehabilitation type, non-agricultural rehabilitation type and hybrid type which are called by agricultural income model, rural environment improvement model and hybrid model as development project name, respectively. The 5 parts and 21 indices for evaluation of redundant farmlands rehabilitation directions were extracted by case studies and experts brainstorming. The weights of each index were determined by Analytic Hierarchy Process (AHP). The developed evaluation indices were applied to study areas located on Yanghwa district of Gongju-city and Aewol district of Jeju-city. From the results of this study, it was ascertained that the evaluation indices developed in this study would help the decision-makers in the planning process of redundant farmlands rehabilitation directions.

• Science of Emotion and Sensibility
• /
• v.17 no.3
• /
• pp.129-142
• /
• 2014

Due to the increase of the aged population and population of the disabled today, there is a growing demand for rehabilitation medical instruments. Furthermore, there is a growing demand for evaluation indices for services that should be provided for uses of the rehabilitation medical instruments. In order to evaluate rehabilitation medical instrument designs in this study, the basic index for design evaluations shall be identified to search for assessment plans. Through this, new evaluation indices will be deduced through discussions and analysis of rehabilitation medical experts, biomedical engineers, and designers. The results of this study are summarized as follows. First, the existing design evaluation indices were collected and analyzed to construct 10 rehabilitation medical instrument design evaluation indices and 44 sub-evaluation items. These will be important evaluation standards for designing rehabilitation medical instruments in the future. Second, the design evaluation indices that must be taken into consideration when developing health care rehabilitation medical instruments are the 10 design evaluation indices of usability, cognition, safety, learning, motility, durability, economic feasibility, space, aesthetics and environmental aspects. Third, design evaluation indices of environment, space, cognition, usability, economic feasibility and aesthetics are indices that must be taken into consideration for product design, while learning, safety, motility and durability are factors that must be given special consideration for rehabilitation medical instrument design evaluation indices. Fourth, if existing product design evaluation indices placed importance on environment, space, cognition, usability, economic feasibility and aesthetics of products for design evaluation indices, rehabilitation medical instrument design evaluation indices placed importance on learning, safety, motility and durability on top of usability and economic feasibility, which are the differences between the design evaluation indices of rehabilitation medical instrument and other product designs. The 10 rehabilitation medical device design evaluation indices and 44 sub-evaluation items were carried out in this study. This research is only on the overall rehabilitation medical device design evaluation indices. In future research, the evaluation indices will be applied in the actual rehabilitation medical design device through production of prototypes, while making revisions and supplementations where necessary.

• Therapeutic Science for Rehabilitation
• /
• v.12 no.2
• /
• pp.43-53
• /
• 2023

Objective : In this study, the rehabilitation motivation evaluation tool for stroke patients was identified, and the characteristics of the evaluation tool were analyzed to analyze the conceptual framework and characteristics used in the composition of the evaluation contents. Methods : From 2000 to May 2022, documents registered in major domestic and foreign databases (PubMed, NDSL, Medline, and EMbase) were searched and selected according to the selection and exclusion criteria. The evaluation tools used in the selected documents were analyzed, and the characteristics of this evaluation tool were analyzed. Results : A total of 30 documents were selected, and they were classified into a total of five rehabilitation motivation evaluation tools. The most widely used in Korea was the measurement tool for rehabilitation motivation for the disabled, and the most widely used overseas was the intrinsic motivation inventory. Three evaluation tools constructed the evaluation contents based on the self-determination theory, and two constructed the evaluation contents through expert agreement. The number of evaluation items and 8 to 45 items were varied, and the evaluation scale was also used in various ways from 4 to 7 point scale. Conclusion : It was possible to identify the evaluation tools mainly used for the evaluation of rehabilitation motivation, and to identify the main conceptual framework based on the development of the rehabilitation motivation evaluation tool. The results of this study are expected to be used as basic data for research on the development of rehabilitation motivation evaluation tools for stroke patients in the future.

• Journal of Sensor Science and Technology
• /
• v.23 no.6
• /
• pp.357-361
• /
• 2014

This paper describes the evaluation of the effectiveness of rehabilitation therapy for patients with finger paralysis based on a two-finger force measurement system (TFFMS). The paralyzed fingers can be recovered through rehabilitation therapies. The finger pressing force of the patients can be measured utilizing the TFFMS previously developed by the author [7]. The TFFMS, however, has not been fully adopted as a standard method for evaluating the therapy owing to the lack of a standard protocol. The pressing force of healthy volunteers and patients is analyzed with the TFFMS to explore the feasibility of the TFFMS as an evaluation device. The test confirms that the established standard protocol is useful to quantitatively assess the progress of finger rehabilitation therapy.

• Journal of Biomedical Engineering Research
• /
• v.35 no.6
• /
• pp.197-202
• /
• 2014

The cognitive rehabilitation training is important for treating many cognitive impairment conditions, including Parkinson's disease, stroke, and ADHD. In this study, we developed a new evaluation system to improve the measurement of the conventional evaluation systems for cognitive rehabilitation training. The developed system measured the activity of dopamine(DA) and an autonomic nervous system(ANS) with photoplethysmography and electromyography. The results demonstrated that the cognitive capacity was increased but the activity of DA was decreased with unbalanced ANS by short-term stress. Based on the results, the effect of short-term stress should be recognized for the cognitive rehabilitation training.

• ETRI Journal
• /
• v.45 no.4
• /
• pp.603-614
• /
• 2023

Advancements in remote medical technologies and smart devices have led to expectations of contactless rehabilitation. Conventionally, rehabilitation requires clinicians to perform routine muscle function assessments with patients. However, assessment results are difficult to cross-reference owing to the lack of a gold standard. Thus, the application of remote smart rehabilitation systems is significantly hindered. This study analyzes the factors affecting the real-time evaluation of muscle function based on biometric sensor data so that we can provide a basis for a remote system. We acquired real clinical stroke patient data to identify the meaningful features associated with normal and abnormal musculature. We provide a system based on these emerging features that assesses muscle functionality in real time via streamed biometric signal data. A system view based on the amount of data, data processing speed, and feature proportions is provided to support the production of a rudimentary remote smart rehabilitation system.

• Physical Therapy Rehabilitation Science
• /
• v.11 no.4
• /
• pp.414-420
• /
• 2022

Objective: In this study, the test-retest reliability and validity were presented to evaluate the usability of isokinetic rehabilitation equipment for the knee joint. Design: Cross-sectional design, reliability & validity study. Methods: Thirty healthy adults participated in the study. A CSMI dynamometer was used as a standardized measuring device to present the validity of the equipment. It was measured based on the dominant leg. The average peak torque value was selected as the measurement variable. After the measurement, a questionnaire was conducted on safety, satisfaction, and performance through the usability evaluation questionnaire. Results: The knee joint isokinetic rehabilitation equipment showed high reliability with Intraclass Correlations Coefficients (ICC) =0.883~0.956. In order to check the validity of the equipment, the 95% confidence interval of the mean difference limit was confirmed by the Bland & Altman plot. As a result, all three angular velocities showed a smaller confidence interval in the flexion than in extension. There were less than 10 plots that were not included in 2 Standard Deviation (SD) between all measurements. As a result of the usability evaluation questionnaire, the average of the safety domain(4.9±0.4), satisfaction domain(4.1±0.8), performance domain(4.3±0.8). Conclusions: If the product is improved by supplementing the items identified in the usability evaluation process, it is judged that it can be used as a useful device in various knee joint rehabilitation fields.

• The Journal of Internal Korean Medicine
• /
• v.38 no.2
• /
• pp.118-124
• /
• 2017

Objective: This study describes the case of a patient with a left basal ganglia (BG) infarct who had made almost a complete recovery upon discharge from the hospital in 2014 but who was re-admitted after 31 months with a worsened hemiplegic gait. Methods: The patient had undergone no rehabilitation treatment in the 31 months since his discharge. When the patient was re-admitted to our hospital in 2017, stance and gait data were collected on the patient using a treadmill gait analysis system. In addition, the patient underwent a manual muscle test (MMT) evaluation, and his Motricity index (MI) and modified Barthel index (MBI) scores were recorded. After rehabilitation for one month, the patient was reassessed, and the results were compared to those on the day of re-admission and those recorded in 2014. Results: Compared to the 2014 evaluation results, the patient's stance parameters and gait parameters had worsened at re-admission. However, there was no significant change in the patient's MMT grade or MI and MBI scores in comparison to the results of the 2014 evaluation. After one month of rehabilitation, the patient was re-evaluated again, but there was no significant change in comparison to the evaluation results at re-admission. Conclusion: Some of the stroke patients who have passed six months since the onset of their stroke may require ongoing rehabilitation although the functions of them is almost recovered. Because there is a possibility that recovered functions get worse again without any rehabilitation for a long time. And once the recovered functions get worse, re-recovery of them is not easy.

• Journal of Korean Medicine Rehabilitation
• /
• v.26 no.4
• /
• pp.45-55
• /
• 2016

Objectives The aim of this review is to provide fundamental data for temporomandibular disorders diagnosis and evaluation criteria which can be used in clinical trial. Methods We investigated the clinical studies on temporomandibular disorders via PubMed. Also, we searched domestic articles through "OASIS", "NDSL", "KISS", "Korean Traditional Knowledge Portal (KTKP)". The articles we focused on were the recent decade from 2007 to 2016. A total of 139 studies were analyzed: 42 domestic articles and 97 overseas articles. This study focuses on the diagnosis and evaluation criteria on temporomandibular disorders. Results 1) In diagnosis criteria, Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) was used 14 times in domestic articles and 63 times in overseas articles. Clinical symptoms were used 13 times in domestic articles, 17 times in overseas articles. 2) In evaluation criteria, Visual Analog Scale (VAS) was used as a pain scale 12 times in domestic articles, 63 times in overseas articles. Pressure Pain Threshold (PPT) was used 16 times in overseas articles. Whereas, no clinical trials used PPT in domestic articles. In psychological scale, Symptom Checklist-90-Revised (SCL-90-R) was used 6 times. However, SCL-90-R was used 2 times in domestic articles. ROM(Maximum Mouth Opening (MMO), Maximum Comfortable Opening (MCO) were used 24 times in overseas. In domestic articles, MMO was counted 12 times, while MCO was counted 5 times. Conclusions This research reviewed the tendency of using diagnosis methods and evaluating outcomes of the clinical on TMD. It is expected that this investigation would develop further treatment for TMD in the Korean Medicine.