• 제목/요약/키워드: FIM

검색결과 254건 처리시간 0.026초

Reliability and Validity of the Korean Translation of the Pediatric Evaluation of Disability Inventory in School-Aged Children With Cerebral Palsy

  • Kim, Won-Ho;Park, Eun-Young;Park, So-Yeon
    • 한국전문물리치료학회지
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    • 제17권4호
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    • pp.69-76
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    • 2010
  • The purposes of this study were to examine the reliability and validity of Korean translation of Pediatric Evaluation of Disability Inventory (PEDI-K) in school-aged children with cerebral palsy (CP). The PEDI-K, Functional Independence Measure for Children (WeeFIM) and Gross Motor Function Classification System (GMIFCS) were completed in 104 school-aged children with CP by therapists. The internal consistency of the PEDI-K was calculated by Cronbach's alpha (${\alpha}$) for assessing reliability. Concurrent validity was evaluated by correlation with the subsets of WeeFIM. Discriminant validity was assessed by comparing GMFCS levels with tests of the PEDI-K. The results showed that internal consistency was good (Cronbach's ${\alpha}$ ranged from .97~.98). Concurrent validity was demonstrated. The correlation with WeeFIM was high in the Functional Skills (self-care, r=.74~.94; mobility, r=.59~.91; social function, r=.65~.93) and in the Caregiver Assistance (self-care, r=.75~.94; mobility, r=.63~.90; social function, r=.78~.96). Discriminant validity was demonstrated on significant decreases in domain scores with increasing GMFCS levels. Reliability and validity have been demonstrated on the PEDI-K. This study extends usage of PEDI-K in clinical activities and research.

Production and characterization of monoclonal antibodies (MAb) against flounder serum immunoglobulin (Ig)

  • Jang, Han-Na;Cho, Young-Hye;Park, Sang-Hoon
    • 한국어업기술학회:학술대회논문집
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    • 한국어업기술학회 2000년도 춘계수산관련학회 공동학술대회발표요지집
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    • pp.446-446
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    • 2000
  • Specific polyclonal and/or monoclonal antibodies (MAbs) to immunoglobulins (Igs) and their subunits have proved to be valuable tools in immunological research and in immunological assays. In this study, we developed and characterized MAbs against flounder serum Igs. To obtain the pure flounder serum Igs, mouse IgG (mIgG) was immunized to flounder. Flounder Igs were purified by using mIgG-agarose affinity column chromatography. The structure of purified flounder Ig was observed, on denatured SDS-PAGE, to be composed of two heavy chains (77 and 72 kd) and two light chains (28 and 26 kd). MAbs were produced by fusion of myeloma cells (SP2/0) with Balb/c mouse spleen cells previously primed with the flounder Igs. Finally, three hybridoma clones, FIM 511, FIM 519 and FIM 562 were established to recognize both 2 heavy chains, 26 kd of light chain and 28 kd of light chain, respectively. On the other hand, the flounder immune sera collected on the weekly basis were tested on ELISA and immunoblot analysis whether boosting effect is present in flounder humoral immune system. As a result, the secondary immune response in flounder was ascertained on ELISA, but not on immunoblot analysis. Further, we observed an alteration of serum protein levels following immunization. Our MAbs and basic information on flounder humoral immune system obtained in this study will be helpful to control and monitor the efficiency of fish vaccines and therapeutic process of flounder diseases.

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재가 뇌졸중 환자의 삶의 질에 영향을 미치는 요인 (Factors Affecting the Quality of Life in Stroke Patient at Home)

  • 김정화;강현숙;김원옥;왕명자;장정미
    • 재활간호학회지
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    • 제9권1호
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    • pp.49-55
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    • 2006
  • Purpose: The purpose of this study was to identify factors affecting the Quality of Life of the Stroke Patients. Method: The subjects were 249 Stroke Patients who had visiting at the hospital and health care center. The research tools were FIM, CES-D, ATD PA, Quality of life Scale. Data were analyzed with SPSS WIN program in which frequency, percentage, Pearson's correlation and stepwise regression were used examination the factors affecting the quality of life. Result: There were positive correlation between patient's FIM and Quality of life, depression and physical disability, and negative correlation between FIM and depression and physical disability. Depression was the most important factor with influence on quality of life. Conclusion: Based on the results, Active nursing intervention to decreased depression and to improve patients physical functional status in needed.

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편마비 환자의 균형 기능과 감각조직화 (The Relationship Between Sensory Organization and Balance in Patients With Hemiplegia)

  • 김종만;이정원;이충휘;노정석
    • 한국전문물리치료학회지
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    • 제4권3호
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    • pp.61-69
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    • 1997
  • The ability to maintain an upright position during quiet standing is a useful motor skill. The Sensory Organization Test (SOT) is a timed balance test that evaluates somatosensory, visual, and vestibular function for maintenance of upright posture. The Fugl-Meyer Sensorimotor Assessment (FMSA) balance subscale is the functional status assessment that indicates amount of assistance needed during various balance tasks. Functional Independence Measure (FIM) is the functional status assessment tool and FIM can be used clinically as an outcome measure. The purpose of this study was to see if the SOT can be used as a evaluation tool to measure hemiplegic patients' balance ability. Thirty-six patients with hemiplegia participated in this study. SOT scores were significantly correlated with FMSA balance scores and FIM scores(p<0.05). However correlation coefficients were not so high (r=0.60, and r=0.51, respectively). Therefore, further study is needed to verify the SOT's usefulness when physical therapists are evaluating for hemiplegic patients' balance ability.

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뇌졸중 환각에서 알렌인지수준과 일상생활활동, 인지기능 및 상지기능의 상관관계 (Correlation between ACLT and FIM, MMSE-K, and MFT in Stroke Patients)

  • 이상헌
    • 한국콘텐츠학회논문지
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    • 제9권9호
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    • pp.287-294
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    • 2009
  • 연구를 통하여 뇌졸중 환자에서 알렌인지수준과 인지기능, 일상생활활동 및 상지기능과의 상관관계를 분석하고자 하였다. 연구 대상자는 뇌졸중 환자 38명으로 인지기능은 알렌인지주순검사(Allen Cognitive Level Test) 와 한국형 간이 정신상태검사(Mini-Mental Screening Exam-Korea)로, 일상생활활동은 기능적독립성측정(Functional Independence Measure)로, 뇌졸중 상기 기능은 뇌졸중 상지기능검사(Manual Function Test)로 검사하였다. 피어슨 상관관계 분석을 이용하여 상관관계를 분석하였다. 알렌인지수준과 한국형 간이정신상태검사, 기능적독립측정, 뇌졸중 상기기능검사 간에 상관관계가 유의하였다(p<.05). 본 연구에서는 알렌인지수준 검사와 일상생활활동과의 상관성 및 인지평가도구로서의 유용성을 제시하였고 편마비 환자 적용에 있어 문제의 가능성과 이에 따른 연구 필요성을 제기하였다.

발병기간에 따른 뇌졸중 환자의 클라이언트 중심 작업치료 중재가 일상생활활동과 삶의 질에 미치는 효과 (A Study on the Activities of Daily Living and Life Quality of Stroke Patients after the Client-centered Occupational Therapy Intervention According to the Periods of its Outbreak)

  • 장철;송민옥;사공상;변승배
    • 대한통합의학회지
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    • 제3권2호
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    • pp.79-87
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    • 2015
  • Purpose: This study was conducted to provide occupational performance evaluated by stroke patients themselves as an intervention according to the periods of its outbreak and examine the effects of it on their activities of daily living and life quality by using the Canadian Occupational Performance Measure (COPM). Method: The subjects of this research were divided into nine persons for the experimental group receiving the client-centered occupational therapy intervention and another nine for the control group getting the conventional occupational therapy intervention. And the intervention was performed for 30 minutes, three times a week, for total eight weeks. The level of activities of daily living was evaluated by the Functional Independence Measure (FIM), and life quality was tested by using SS-QOL. Results: First, about the difference of change in the FIM points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Second, about the difference of change in the SS-QOL points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Third, regarding the coefficient of difference in the change of FIM and SS-QOL points according to the two groups, there existed statistically significant correlation in all the evaluations of before, in the middle of, and after the FIM points and also before, in the middle of, and after the SS-QOL points (p<.05). Conclusion: With the findings of this research, we can see that the client-centered occupational therapy training group shows more improved activities of daily living and life quality than the conventional occupational therapy training group. Therefore, it is expected that the client-centered occupational therapy training will be applied usefully to clinical situations as an intervention to improve stroke patients' activities of daily living as well as life quality.

전자게임을 이용한 가상현실프로그램이 경직성 뇌성마비 아동의 균형과 일상생활활동에 미치는 영향 (Evaluation of Balance and Activities of Daily Living in Children with Spastic Cerebral Palsy using Virtual Reality Program with Electronic Games)

  • 한지혜;고주연
    • 한국콘텐츠학회논문지
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    • 제10권6호
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    • pp.480-488
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    • 2010
  • 이 연구의 목적은 PBS(Pediatric Balance Scale)와 WeeFIM(Functional Independence Measure for Children)을 이용해 전자게임을 이용한 가상현실프로그램이 경직성 뇌성마비 아동의 균형 및 일상생활활동에 미치는 영향을 알아보고 평가도구 간의 상관관계를 구하는데 있다. 대동작기능분류체계 제 I, II 단계의 경직성 뇌성마비 아동 20명을 가상현실군과 대조군으로 10명씩 무작위 배치하여 주 3회, 매 30분씩 12주간 운동을 실시하였다. 가상현실군은 근력운동과 가상현실프로그램을, 대조군은 근력운동만 실시하였다. 그 결과, 가상현실군에서 실험 후에 균형과 일상생활활동이 유의하게 향상되었고(p<0.05), PBS와 WeeFIM 간에 유의한 상관관계를 나타냈다(p<0.05). 가상현실프로그램은 경직성 뇌성마비아동의 균형과 일상생활 활동을 향상시킬 수 있는 흥미로운 중재법으로 사용될 수 있을 것이며, PBS는 뇌성마비아동의 기능을 예측할 수 있는 유용한 평가도구 임을 알 수 있었다. 또한 저렴한 비용의 가상현실프로그램을 홈 프로그램으로도 이용할 수 있을 것이다.

독거노인과 가족동거 노인의 시간관리능력과 일상생활활동의 비교 (Comparison of Time-Management Ability and ADL between Elderly People Living Alone and Living with Family)

  • 윤정애;이향숙;차정진;노종수;박지훈;오동환
    • 대한지역사회작업치료학회지
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    • 제3권2호
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    • pp.1-12
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    • 2013
  • 목적 : 본 연구는 대전광역시에 거주하는 독거노인과 가족동거 노인들을 대상으로 시간관리능력과 일상생활 활동을 비교하고, 집단 간의 관계를 파악함으로써 노인의 건강관리 방안을 찾는 기초자료를 제공하고자한다. 연구방법 : 연구대상은 65세 이상의 독거노인과 가족동거 노인을 MMSE-K로 선별한 후 각 40명씩 총 80명을 선정하였다. 시간관리능력은 설문지를 사용하였고, 일상생활활동은 FIM을 사용해 평가하였다. 연구기간은 2013년 5월부터 6월까지 진행되었다. 본 연구의 자료분석은 SPSS 20.0 프로그램을 사용하였다. 결과 : 독거노인과 가족동거 노인의 시간관리능력 및 FIM에 대한 총점의 점수비교는 두 집단 간에 통계적으로 유의한 차이를 보이지 않았다. 집단 간 세부항목 점수의 비교에서는 FIM의 세부항목 중 사회적 인지항목에서 사회적 상호작용, 문제해결능력, 기억력 모두 두 집단 간에 통계학적으로 유의한 차이를 나타냈다. 결론 : 본 연구를 통해 가족동거 노인에 비해 상호작용의 기회가 부족한 독거노인이 사회적 인지기능에 저하가 있음을 알 수 있었다. 이를 바탕으로 향후 지역사회 작업치료 안에서 노인의 인구 사회학적인 특성을 고려한 다양한 프로그램 개발과 연구가 이루어져야 할 것이다.

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