• Title/Summary/Keyword: Evaluation of rehabilitation

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Motor Control Models and Neurologic Rehabilitation Approaches: A Literature Review (운동조절이론과 중추신경계 손상환자를 위한 치료 접근법의 재검토)

  • Kim, Jong-Man;Cynn, Heon-Seock
    • Physical Therapy Korea
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    • v.8 no.1
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    • pp.97-106
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    • 2001
  • Physical therapists should under stand motor control models and apply various models to evaluation and treatment of neurologically impaired patients. Thus, this paper reviews motor control models and applications in clinical settings. Assumptions and limitations of reflex models, hierarchical models, and systems models are presented. This paper also delineates goals and dissatisfaction of neurologic rehabilitation approaches for neurologically impaired patients. Muscle reeducation approach, neurotherapeutic facilitation approach, and contemporary task-oriented approach are explained.

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A Study of Research on Related Driving Rehabilitation (운전재활과 관련된 연구에 관한 고찰)

  • Kim, Bora;Lee, Hyunjin
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.3
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    • pp.23-30
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    • 2014
  • Purpose : The purpose of this study was to grasp the general status and trend of the driving rehabilitation research focusing on interested topics, study subjects, therapeutic approaches, study designs, etc. Methods : It targeted 18 papers published in the RISS (Research Information Service System) from 2000 to 2014, and performed a descriptive statistical analysis by classifying these papers to topics, study subjects, study forms, study designs, study fields, and researchers. Results : As a result of the analysis, for the study form in the driving rehabilitation field, the rate of experimental papers was 61.1%, the highest. Major study subjects turned out to be occupational therapists, the disabled, and the aged, in order. For the study quality and design, the rate of survey and non randomized-single experimental study, which correspond to stage IV, was the highest, and the general study quality was found to be low. For the study field, the rates of the roles and recognition of occupational therapists, evaluation on driving ability of the disabled, and institutional improvement and future measures were the highest, each of which being 16.7%. Conclusion : Through this study, major study subjects and study quality in the driving rehabilitation field could be grasped, and it could be found that for development of the driving rehabilitation field, higher quality researches on more various study subjects would be needed in the future.

Effect of Korean Medicine Treatment Including Help Motion Style Acupuncture Treatment for a Baastrup's Disease Patient In Korean Medicine Hospital: A Case Report (한방병원에 입원한 Baastrup's Disease 환자의 보조자가 있는 동작침법을 포함한 한의학적 치료 효과: 증례보고)

  • Hankyul Kim;Seongmin Lee;Sohyun Cho;Hyungwook Ji;Ilhwan Ko;Jiwon Kim;Jungmin Yun;Hyukjin Jeong;Siwon Kim;Seeyoung Park;Hwangwoo Seok;Junha Jeon
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.4
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    • pp.235-242
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    • 2023
  • The purpose of this study is to report the effects of Korean medicine treatment in baastrup's disease. We treated the patient for 34 days using Korean medicine treatment such as acupuncture, pharmacopuncture, herbal medicine, Chuna manual therapy and help motion style acupuncture treatment. Numerical rating scale (NRS), EuroQol five dimension (EQ-5D) index, Oswestry disability index (ODI), and lumbar range of motion (ROM) were used as evaluation tools for the state. NRS decrease from 5 to 3, and EQ-5D index, ODI, L-spine ROM were improved by the treatment. In conclusion, this case study shows that Korean medicine treatment can be effective for baastrup's disease.

A Tele-rehabilitation System with an Automated Pegboard Utilizing Radio Frequency Identification

  • Jeong, Da-Young;Ryu, Mun-Ho;Yang, Yoon-Seok;Kim, Nam-Gyun;Kim, Seong-Hyun
    • International Journal of Contents
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    • v.6 no.4
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    • pp.8-13
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    • 2010
  • Due to the expense of health care and the need to contain costs, many stroke patients are discharged from hospitals while still in an impaired condition. Using Tele-rehabilitation, these patients can receive rehabilitation services remotely. A pegboard is a conventional rehabilitation therapeutic device that integrates cognition, sensation and hand motor function. This study proposes a Tele-rehabilitation content with automated pegboard and shows its functional feasibility. The evaluation of the pegboard session was automated with RFID (radio frequency identification), and a 16-hole pegboard was rapid-prototyped. After a pegboard session is completed, the session result is uploaded to a server automatically for viewing on a web browser by a remote therapist. The therapist can also send messages to remote patients to encourage them or to manage the rehabilitation process.

The Study on Performance Evaluation and Improvement of the Information System for the Disabled (장애인관련 정보시스템의 성과평가 및 개선 방안에 관한 연구)

  • Lee, Seung-Young;Ho, Seung-Hee;Chae, Young-Moon;Kim, Deog-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.10 no.1
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    • pp.45-57
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    • 2007
  • Purpose: The study tried to suggest the ways to improve the national disability welfare information projects with evaluating the present condition of the projects. Method: Firstly, the study analyzed the disability information system and disability websites. Secondly, the study found out the problems of the registration of disability and management system through the situation analysis. Finally, the study conducted a survey of the disabled and the information system workers and performance evaluation of the information system. Result: The study offered a proposal of The Disability Unity Management System(DUMS) for the disability registration and management. When the disabled visit the hospital or the public health center, their information is registered automatically in The Disability Unity Management System(DUMS), which helps not to miss out the disability registration. Through this system, they are given the proper service which they need, and the information can be shared with the facilities providing the service for the disabled. Conclusion: The Disability Unity Management System(DUMS) contributes significantly in avoiding the repetition of the support for the disabled and improving the quality of service.

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A Case Report of a Patient with Lateropulsion in Lateral Medullary Infarction Improved by Korean Medicine Treatment Including Scalp Acupuncture (가쪽쏠림보행을 동반한 외측 연수경색 환자의 두침요법을 병행한 한의치료: 증례보고)

  • Hyun, Jae-Cheol;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.193-201
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    • 2021
  • The aim of this study was to report the effect of Korean medicine treatment with scalp acupuncture of patient with lateropulsion, dizziness, headache caused by lateral medullary infarction. We treated the patient with scalp acupuncture, acupuncture, herbal medicine. Numeric rating scale (NRS), Korean version of berg balance scale (K-BBS), gait balance evaluation, dizziness handicap inventory (DHI), activities-specific balance confidence scale (ABC) and vestibular disorders activities of daily living scale (VADL) were used to evaluate symptoms. NRS of Lateropulsion, dizziness, headache were decreased. K-BBS score increased from 4 to 56, and in the gait balance evaluation, it returned to normal. DHI, VADL score were decreased and ABC score increased from 0 to 1,300. This case report shows that Korean medicine treatment with scalp acupuncture can be effective in lateral medullary infarction. However, further controlled studies are needed to confirm the effect of scalp acupuncture on such patients.

Effects of Manual Therapy on Chemotherapy-Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • Eunsang Lee;Hyunjoong Kim
    • Physical Therapy Rehabilitation Science
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    • v.12 no.1
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    • pp.12-18
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    • 2023
  • Objective: Chemotherapy is usually given to inhibit cancer progression. It is the most common side effect of chemotherapyinduced peripheral neuropathy (CIPN) after chemotherapy, and its symptoms include pain such as paresthesia, dysesthesia, allodynia, hyperalgesia, and electrical stimulation. Therefore, in this review, randomized controlled trials (RCTs) were combined to analyze the effect qualitatively and quantitatively in order to find out the effect of manual therapy on patients with CIPN through a meta-analysis. Design: A systematic review and meta-analysis Methods: This review conducted a literature search through international databases (CINAHL, Embase, MEDLINE, Web of Science) in December 2022 to synthesize the effect of manual therapy on the symptomatic improvement of CIPN. Qualitative evaluation (risk of bias) and quantitative evaluation using ReVMan provided by the Cochrane Group were expressed as a random effect model and standardized mean difference (SMD). Results: In four RCTs 165 patients with CIPN were evaluated for symptoms of neuropathy. The experimental group consisting of manual therapy and its subcategories showed significant improvement compared to the control group. The results analyzed through the random effects model were SMD=-1.11; 95% confidence interval, -1.97 to -0.24. Conclusions: We came to the conclusion that manual therapy could significantly contribute to improving the symptoms of CIPN, and since it may vary depending on the technique of manual therapy, further studies on manual therapy suitable for neuropathy are needed.

Comparison between Isokinetic Peak Torque and Isotonic 1RM on the Knee Joint

  • Jaehyun Yoo
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.201-205
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    • 2023
  • Objective: Resistance exercise is a necessary element to improve quality of life, and measurement and evaluation of muscle strength provide important information for prescription and management of rehabilitation and exercise programs. This study analyzed the correlation between direct and indirect 1RM for isokinetic maximum torque of the knee joint in order to provide useful information in the field of exercise programs. In addition, the flexion-extension ratio and the difference in left-right deviation were verified. Design: A cross-sectional study Methods: The subjects of this study were 33 healthy adult men and women without medical problems who participated in the health exercise class program at S University in Seoul. The correlation between isokinetic maximum torque and direct and indirect 1RM was analyzed, and a dependent t-test was performed to analyze the flexion-extension ratio and left-right deviation. Results: There was a high correlation between the isokinetic maximum torque and direct and indirect 1RM, and no statistically significant difference was shown between the test methods in the analysis of the flexion-extension ratio and left-right deviation. Conclusions: Isokinetic muscle function measuring equipment is expensive, so it is difficult to use it in local exercise rehabilitation and training sites. Through this study, it was found that direct and indirect 1RM isokinetic maximum torque showed a high correlation, and there was no difference in evaluating muscle function such as flexion-extension ratio and left-right deviation. Therefore, it is considered that the muscle function evaluation using 1RM in general field can be usefully utilized.

Development of Evaluation Factors for Breakwater Rehabilitation (방파제 성능개선을 위한 평가항목 개발)

  • Park, Su-Yeul;Yun, Won-Gun;Kang, Go-Une;Kim, Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.67-74
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    • 2021
  • Domestically, technical condition evaluation for breakwaters has been conducted through safety checks and safety diagnosis. If necessary, maintenance for the facility is conducted. However, in recent years, the need for infrastructure management has been increasing from a life-cycle-cost perspective. For these reasons, the "Sustainable Infrastructure Management Basic Act" was enacted. Previously, only the technical part of the breakwaters was evaluated. However, based on the act, comprehensive management of breakwaters will be possible through performance improvement by adding economic and political evaluations. In this study, evaluation factors and evaluation methods were developed for a breakwater rehabilitation project. The purpose of this study is to present a development direction, items, and methods for the evaluation of breakwater performance improvement to be applied in future practice. This study reviews the concept of maintenance and performance improvement, the literature related to performance improvement, and the project type for the common standard of performance improvement. Evaluation items and evaluation methods for breakwater rehabilitation are suggested to be reviewed by experts. The methodology suggested in this study could be used for preventive maintenance and to reduce accidents.

The Effect of Patient-customized Insole on Both Feet Velocity in Pes Planus (편평족의 환자 맞춤형 인솔 보조기가 양발속도에 미치는 영향)

  • Min, K.K.;Park, K.Y.;Park, S.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.2 no.1
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    • pp.19-25
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    • 2009
  • Pes planus is a condition where the arch of the foot collapses and comes in contact with the ground. The purpose of study was to confirm the effect of a patient-customized insole on both feet velocity of pes planus with and without the insole, in order to establish both feet velocity as a rehabilitation evaluation factor of pes planus in future. As a result, the average velocity shifts of both feet showed that left foot is 2.96%, right foot is 1.09% via gait experiment with 13 pes planus patients with and without insole. Therefore this study verified that the patient-customized insole effects on both feet velocity of pes planus. However further study needs to demonstrate both feet velocity as a rehabilitation evaluation factor in pes planus.

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