• Title/Summary/Keyword: Evaluation of rehabilitation

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The Clinical Study of the Properties of Patients Treated by Fasting Therapy (절식요법(節食療法)을 시행한 환자들의 특성에 대한 임상적 고찰)

  • Kim, Jeong-Hwan;Yun, Kyoung-Hwan;Kim, Mi-Young;Lim, Yang-Eui;Song, Yung-Sun;Moon, Seong-Won
    • Journal of Korean Medicine for Obesity Research
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    • v.3 no.1
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    • pp.37-47
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    • 2003
  • Objectives : The aim of His study is to investigate the properties of the patients treated by fasting therapy. Methods : We measured PIBW, BMI, BFR and WHR of the patients and investigated the purpose of fasting therapy, the cause of weight increase, the times of weight increase, the duration of fasting therapy and the number of times of fasting therapy. Result : 1 . The major age group was females in twenties. 2. The PIBW, BMI, BFR and WHR were highest in fifties. 3. In the purpose of fasting therapy, 'for beauty' was the most. 4. In the cause of weight increase, diet disorder was the most. 5. The number of times of fasting therapy was the most in thirties. Conclusions : Above study shows that evaluation of obesity is important and more researches into fasting therapy were required.

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Development of Questionnaire for Pattern Identification of Chronic Low Back Pain by Delphi Method (만성 요통 변증 설문지 개발을 위한 전문가 Delphi 조사)

  • Ahn, Min-Youn;Song, Yun-Kyung;Ko, Seong-Gyu;Lim, Hyoung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.143-158
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    • 2013
  • Objectives The aim of this study is to contribute to developing questionnaire for pattern identification of chronic low back pain using delphi method. Methods The questionnaire which includes symptoms and signs of chronic low back pain is studied by delphi method. Seven experts of Korean medicine, especially of rehabilitation medicine participated in delphi examination. Delphi examination was carried out through evaluating and correcting the questionnaire by e-mail. Results By the Delphi method and score evaluation, 20 items of the initial copy of questionnaire are chosen for pattern identification of chronic low back pain. Conclusions By the delphic method among experts, a reference questionnaire for pattern identification of chronic low back pain was suggested. Further research is necessary for modification of questionnaire by statistics and certification by clinical trial research.

Neoplasm Metastasis of Cervical Vertebrae Found in Lung Neoplasm Patient Suffering Neck Pain: A Case Report (폐암의 경추 전이로 인한 경추통 환자 1예)

  • Kim, Min-Woo;Lee, Ji-Won;Jo, Dong-Chan;Ko, Youn-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.3
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    • pp.133-139
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    • 2021
  • The purpose of this study is to report a case in which neoplasm metastases of cervical vertebrae were found in lung cancer patient during inpatient treatment for neck pain. Pain assessment and physical examination including numeral rating scale, range of motion of neck, Spurling's test, cervical compression test were performed. As a result, C-spine series X-ray was taken under the judgement it is not a simple neck pain. Bone metastases were suspected as X-ray showed loss of C7 left pedicle, indistinct C7 left transverse process and indistinct C4 upper margin. Magnetic resonance imaging and computed tomography were taken as further examination, and metastases of C4, C6, C7 were confirmed. The patient was transferred for professional treatment. In conclusion, this study shows the importance of appropriate diagnostic evaluation such as pain assessment and physical examination, and the need for diagnostic imaging in the treatment of patients with neoplasm history.

The Clinical Effects of Cupping Therapy at Bedtime for Sleep Disorder Induced by Traffic Accidents (수면 전 부항요법이 교통사고로 유발된 수면장애에 미치는 임상적 효과)

  • Lee, Eun-Jung;Jeoun, Tae-Dong;Yoon, Il-Ji;Oh, Min-Suck
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.1
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    • pp.193-208
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    • 2010
  • Objectives : The purpose of this study is to investigate the clinical effects of cupping therapy on sleep disorders induced by traffic accidents. Methods : The 46 patients were divided into 2 groups : Exp.group was treated with cupping therapy at bedtime and Con.group was treated except cupping therapy at bedtime. To evaluate the efficiency of cupping therapy, the SMH sleep questionnaire and Visual Analogue Scale(VAS) were applied before treatment and after 7 days treatment. Results : 1. The Exp.group has improved statistical significantly in delaying bedtime and bedtime arousal as compared to the Con.group. 2. The Exp.group was increased in total sleep time but had no statistical significance as compared to the Con.group. 3. The Exp.group was improved in subjective evaluation of satisfaction with sleep, depth of sleep, the overall sleep and difficulty in falling asleep. Conclusions : Cupping therapy at bedtime has clinical effects of improvement of sleep disorder induced by traffic accidents.

Electoacupuncture for Patients Undergoing Hip Arthroplasty: A Systematic Review and Meta-Analysis (고관절 치환술 환자에 적용한 전침치료: 체계적 문헌고찰 및 메타분석)

  • Oh, Eun-Mi;Hong, Su Min;Kim, Ho-Geol;Lee, Eun-Jung
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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    • pp.105-117
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    • 2020
  • Objectives The objective of this study is to assess the effectiveness of electroacupuncture for patients with hip arthroplasty. Methods According to participants, intervention, comparison, outcome, study design, we searched for clinical studies that conducted electroacupuncture for patients with hip arthroplasty. Results Finally 11 randomized controlled trials were chosen for systemic review and meta-analysis. The frequently used evaluation tools were Incidence of postoperative cognitive dysfunction (POCD), heart rate, blood pressure. Almost studies showed electroacupuncture has effects for patients with hip arthroplasty. Through meta analysis, Electoacupuncture showed statistically significant effect of reducing the anesthetic dosage and incidence of postoperative psychonosema and adverse reactions in intra-operation period, reducing the incidence of POCD in peri-operation period, incidence of deep venous thrombosis in post-operation period. Conclusion 11 studies reported that electroacupuncture has significant effects on hip arthroplasty. But, many studies were assessed in a probable high risk of bias. And all studies published in one overseas country. So, it requires attention to comprehend this study. To make up for this limitaion, more well designed clinical research are needed.

The effects of virtual reality-based physical therapy in stroke patients

  • Kim, Charyong;Min, Won-Kyu
    • Physical Therapy Rehabilitation Science
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    • v.2 no.1
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    • pp.7-11
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    • 2013
  • Objective: Final goal of nerve advancement therapy is to provide maximum ability to function independently in life to patients. This paper appraises and describes basic concepts of the virtual reality (VR) based exercise program to improve functional movement for neurologically impaired patients. Design: Review article. Methods: Stroke patients from the physical therapy department while wearing comfortable clothing receive therapy and also VR based motion therapy administered by the therapist in charge. After evaluation of stroke patients, therapy includes an exercise program that is suitable for use with stroke patients; stroke patients wear head-mounted display while in front of the computer, where the camera is located; they follow the action on the screen and the computer perceives the operation of the stroke patients according to subject accomplishment. Results: According to obstacle condition of stroke patients using the method, which is various environments after setting, in stroke patients, there is a possibility of presenting suitable therapeutic environments. The display presentation of the method, which is identical, causes difficulty for all stroke patients. According to subject accomplishment; stroke patients result in execution of repetition training and deepening study, which leads to mobility. Conclusions: The VR based rehabilitation training programs is a difference of the existing video training program, is immediate feedback and compensation method. It will provide rehabilitation training services for the family of the patient whose condition could be improved with rehabilitative therapy where it is a continuous circumstance as a matter of the social welfare facility therapy.

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The moderator effect of rehabilitation motivation on physical function, balance, and cognition of stroke patients (뇌졸중 환자의 신체기능, 균형, 인지 관계에서 재활동기의 조절효과에 관한 연구)

  • Park, Ji won;Kim, Sangwoo;Lee, Byounghee
    • Journal of Korean Physical Therapy Science
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    • v.27 no.2
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    • pp.13-24
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    • 2020
  • Background: This study evaluates physical function, balance, and cognition rehabilitation motivation. Design: Cross-sectional study. Methods: The subjects include 67 stroke patients to measure physical function, balance, and cognition rehabilitation motivation. For evaluation of physical function, Manual Muscle Test, Range of Motion, Modified Ashworth Scale for spasticity, grasping power, and balance was measured using Functional reach test (FRT), Berg Balance Scale (BBS). For evaluating Cognition, Korean-Mini Mental State Examination, motivation for rehabilitation scale was used to measure for motivation. Results: The results of this study that the moderating effect of rehabilitation motivation was significant in the effect of physical function on BBS (p<0.01), The moderating effect of rehabilitation motivation was significant in the effect of FRT on physical function (p<0.01), The moderating effect of external motivation was also significant in the effect of FRT on physical function (p<0.01). However, the results of the rehabilitation motivations generally divided into three groups (Lower, Average, Upper) and all three results were statistically significant only in groups of average and lower. Conclusion: This study confirms that the rehabilitation motive has demonstrated significant adjustment effects between the body function and balance. In this study, physical function, balance and cognition were significantly correlated with each other, and rehabilitation motivation proved a significant moderating effect between physical function and balance.

Reliability and Validity of the Clinical Judgment Rubric on Simulation Practice with a Post-operative Rehabilitation Case (수술 후 재활 사례에 적용한 임상 판단력 평가도구의 신뢰도 및 타당도)

  • Oh, Hye Kyung
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.145-152
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    • 2015
  • Purpose: The purpose of this study was to evaluate the reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. Methods: Methodological study design was used to evaluate the reliability and validity of the clinical judgement rubric on simulation practice. The participants were 35 students in a college of nursing. Results: There were showed reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. In terms of internal consistency, the Cronbach's ${\alpha}$ for all columns was .821. Factor analysis showed that planning, intervention and evaluation domains with Eigen values of 69.87% were bound, unlike the original tool where four factors including noticing, interpretation, responding and reflecting domains were bound. Convergent validity was established by the correlation between the total clinical judgement score and critical thinking disposition before and after simulation practice. Discriminative validity was established by the correlation between the total clinical judgement score and simulation effectiveness score. Conclusion: The findings of this study suggested that clinical judgement rubric on simulation practice is reliable. Repeated studies are needed to objectively evaluate the clinical judgement rubric of simulation practice for applying various clinical situations.

Exploring the Relationship Between International Classification of Functioning, Disability, and Health Items Linked to Clinical Assessments in Children With Cerebral Palsy

  • Park, Sang-Duk;Yi, Sook-Hee;Kim, Jeong-Soo
    • Physical Therapy Korea
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    • v.28 no.4
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    • pp.245-250
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    • 2021
  • Background: The International Classification of Functioning, Disability, and Health-Child and Youth version (ICF-CY) is designed to record the characteristics of developing children and examine the influence of a child's environment on their health. Objects: This study was designed to determine the relationship between the clinically extracted ICF-CY items and The Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Measure (GMFM) items. Methods: Thirty patients (17 males and 13 females) who were hospitalized in a pediatric and youth patient unit of a rehabilitation hospital were included in the study. Four health professionals (two physical therapists and two occupational therapists) working independently linked the PEDI and GMFM-66 items to the activity and participation domains of the ICF-CY. Results: There were strong negative correlations between the ICF-CY subdomains and the PEDI subdomains (r = 0.76-0.95; p < 0.05). There were positive strong correlations between the ICF-CY subdomains and the GMFM-66 (r = 0.76-0.95; p < 0.05). Conclusion: The extracted ICF codes were a valid tool for evaluating the mobility and selfcare conditions of cerebral palsy in the pediatric rehabilitation area.

Electromyography-signal-based muscle fatigue assessment for knee rehabilitation monitoring systems

  • Kim, Hyeonseok;Lee, Jongho;Kim, Jaehyo
    • Biomedical Engineering Letters
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    • v.8 no.4
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    • pp.345-353
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    • 2018
  • This study suggested a new EMG-signal-based evaluation method for knee rehabilitation that provides not only fragmentary information like muscle power but also in-depth information like muscle fatigue in the field of rehabilitation which it has not been applied to. In our experiment, nine healthy subjects performed straight leg raise exercises which are widely performed for knee rehabilitation. During the exercises, we recorded the joint angle of the leg and EMG signals from four prime movers of the leg: rectus femoris (RFM), vastus lateralis, vastus medialis, and biceps femoris (BFLH). We extracted two parameters to estimate muscle fatigue from the EMG signals, the zero-crossing rate (ZCR) and amplitude of muscle tension (AMT) that can quantitatively assess muscle fatigue from EMG signals. We found a decrease in the ZCR for the RFM and the BFLH in the muscle fatigue condition for most of the subjects. Also, we found increases in the AMT for the RFM and the BFLH. Based on the results, we quantitatively confirmed that in the state of muscle fatigue, the ZCR shows a decreasing trend whereas the AMT shows an increasing trend. Our results show that both the ZCR and AMT are useful parameters for characterizing the EMG signals in the muscle fatigue condition. In addition, our proposed methods are expected to be useful for developing a navigation system for knee rehabilitation exercises by evaluating the two parameters in two-dimensional parameter space.