• 제목/요약/키워드: Functional assessment

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뇌졸중 환자에 대한 기능적 보행평가, 버그 균형척도, 일어나 걸어가기 검사의 동시 타당도 (Concurrent Validity of the Functional Gait Assessment, Berg Balance Scale, and Timed Up and Go Test in Patients With Stroke)

  • 원종임;김기송
    • 한국전문물리치료학회지
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    • 제18권2호
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    • pp.43-51
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    • 2011
  • Balance is a complex motor skill that depends on interactions between multiple sensorimotor processes and environmental and functional contexts. Many rehabilitation specialists believe that balance assessment under multitask conditions may be a more sensitive indicator of balance problems and falls than balance assessment in a single-task context. Functional Gait Assessment has many tasks that allow for testing under multitask conditions. The purpose of this study was to determine the concurrent validity between the Functional Gait Assessment (FGA), Berg Balance Scale (BBS), and Timed "Up & Go" Test (TUG) in patients with stroke. One hundred and five participants with at least 3 months post stroke and able to walk at least 6 m with or without a mono cane, participated in this study. Concurrent validity between the FGA, BBS, and TUG was assessed using Spearman rank order correlation. The FGA correlated with the BBS (r=.80, p<.01) and TUG (r=-.77, p<.01). The good and moderate correlation between the FGA, BBS, and TUG establishes the concurrent validity of the FGA in patients with stroke. These measures provide clinicians with valuable information about patients' functional balance capabilities.

A-SMGCS 기능 위험 평가 사례 연구 (Case Study for Functional Hazard Assessment of A-SMGCS)

  • 이홍석;조상훈;최형석
    • 한국항행학회논문지
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    • 제20권2호
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    • pp.148-154
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    • 2016
  • 안전과 관련된 CNS/ATM 시스템의 개발은 안전 평가 활동을 필요로 한다. 안전 평가에는 기능 위험 평가를 포함하며, 이는 시스템의 위험한 상황을 감소시키기 위한 시스템 안전 요구사항을 도출하는데 영향을 끼친다. 본 논문은 A-SMGCS에 대한 기능 위험 평가에 대한 사례 연구를 수행하였다. 이를 위해 관련연구인 Eurocontrol과 EMMA에서 수행한 연구를 분석하였으며 Eurocontrol 및 EMMA의 기능 위험 평가 체계를 통합하였다. FHA(functional hazard assessment) 범위뿐만 아니라 FHA를 위한 여러 가정 사항들을 인천국제공항에 대해서 정의하였다. 29개의 위험원이 식별되었고, 각각에 대해 심각도가 평가되었다. 그리고 위험원에 대한 노출빈도와 안전 목적이 이벤트 트리 분석 방법을 사용하여 분석되었다. 본 연구 결과와 EMMA의 결과에 대한 차이를 분석하였으며 또한 본 연구에서의 평가 결과에 대해서도 검토 하였다.

PNF 훈련 프로그램이 건강한 노인의 기능적 평가 측정과 보행에 미치는 효과 (Effect of a PNF Training Program on Functional Assessment Measures and Gait Parameters in Healthy Older Adults)

  • 마상렬;김형동
    • The Journal of Korean Physical Therapy
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    • 제22권1호
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    • pp.39-45
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    • 2010
  • Purpose: The purpose of this study was to examine changes in functional assessment measures (FAMs) and spatiotemporal gait parameters (STGPs) in healthy older adults before and after a 6-week intervention of a proprioceptive neuromuscular facilitation (PNF) training program. Methods: Thirty healthy older adults (mean age: $73.37{\pm}1.21$ age range: 65-79) were randomly assigned either to an experimental group (participating in a 6-week intervention of PNF training) or a control group (only performing daily activities). Participants in the control group did not receive any training program. Performance was assessed by recording changes in the FAMs and STGPs using functional assessment tools and GAITRite. Results: Participants in the PNF group showed significantly improved functional assessment measures and increased stride length, cadence, velocity, and step width (p<0.05). No significant differences in FAMs and STGPs were found in the control group (p>0.05). Conclusion: Participation in a PNF training program improves FAMs and STGPs, thereby increasing the ability of healthy older adults to maintain dynamic balance during functional performance and gait. These findings support the use of PNF training programs as effective fall-prevention programs for the elderly.

정신건강서비스 영역에서 아동청소년 기능평가척도의 활용에 관한 연구 (Study on the Utilization of the Child-Adolescent Functional Assessment Scale in Mental Health Service)

  • 노경란
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권4호
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    • pp.197-212
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    • 2017
  • Objectives: This study aims to supplement the limitations of the preliminary study and expand the use of the Child-Adolescent Functional Assessment Scale by providing standardized T-scores for measuring function in different areas, as well as guidelines for their interpretation. Methods: The Child-Adolescent Functional Assessment Scale and Korean-Child Behavior Checklist were administered to a total of 623 individuals, including 467 parents of emotionally and behaviorally disturbed elementary school students, 45 parents of emotionally and behaviorally disturbed middle school adolescents and 111 parents of elementary school students with developmental disorders, as well as to a control group consisting of 186 parents of mainstream elementary school children in the Seoul metropolitan area. Results: In contrast to the preliminary study, the emotional domain was disassociated into two factors, negative affect and emotion regulation, and the coefficient of determination for misconduct was increased significantly. Also, the overall reliability and validity of the Child-Adolescent Functional Assessment Scale were similar to those in the preliminary study, and the item structure was consistent. This study provides standardized T-scores of function in different areas based on the revised scale, and provides guidelines for their interpretation. Conclusion: The Child-Adolescent Functional Assessment Scale can assist the Child Global Assessment in Functioning in providing the information necessary for case management and treatment planning by comparing the impairment severity in each area of functioning, and also determining changes in behavior and function after treatment interventions. On the other hand, this scale has yet to clearly distinguish between rebellious behavior and misconduct. Further research is necessary to provide standards for more diverse age groups and for its utilization.

Effect of Alpinia officinarum on the Formation of Advanced Glycation Endproducts and Aldose Reductase Activity

  • Lim, Soon-Sung;Kim, Hye-Mi;Kim, Sun-Young;Jeon, Young-Eun;Lee, Yeon-Sil;Kang, Il-Jun
    • Food Science and Biotechnology
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    • 제18권1호
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    • pp.190-196
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    • 2009
  • The inhibition effects of an Alpinia officinarum (AO, Zingiberaceae) on the formation of advanced glycation end products, aldose reductase, and scavenging effect on 1,1-diphenyl-2-picryl-hydrazil (DPPH) radical for the prevention and/or treatment of diabetic complications were investigated. The ethyl acetate fraction of AO was the most effective among all fractions. Through the tests with electron impact-mass spectrometry and nuclear magnetic resonance, two compounds (compound 1 and 2) finally obtained from the ethyl acetate fraction of AO were identified as galangin (1) and kaempferide (2), respectively. In addition, the compound 1 and 2 and the ethyl acetate fraction were compared for the prevention effect on advanced glycation end products, aldose reductase, and the scavenging effect on DPPH radical. The ethyl acetate fraction was significantly more effective than the 2 compounds for those preventive activities.

노화촉진마우스를 이용한 복분자의 기억력 감퇴 개선 효과 (Rubus coreanus Miquel Improves on Impairment of Memory in Senescence-Accelerated Mouse (SAM))

  • 최미란;이민영;김정은;홍지은;장근혜;이재용;전장우;김태환;신현경;김은지
    • 한국식품영양과학회지
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    • 제41권9호
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    • pp.1253-1258
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    • 2012
  • 본 연구에서는 복분자 섭취가 노화에 의한 기억력 감퇴에 개선 효과를 나타내는지 조사하기 위해 노화촉진마우스 (SAM)를 사용하여 평가하였다. 28주령 SAMP8 마우스에 복분자 시료를 100 mg/kg body weight/day로 8주간 투여한 후 수동회피시험과 수중미로시험을 실시하여 기억력 개선효과를 평가하였다. 수동회피시험에서 노화 촉진 동물(SAMP8)은 대조동물(SAMR1)에 비해 밝은 방에서 체류시간이 현저히 감소하였다. 복분자를 섭취한 노화 촉진 동물의 밝은 방에서의 체류 시간은 복분자를 섭취하지 않은 동물에 비해 현저히 증가하였다. 수중미로실험에서 대조 동물에 비해 노화 촉진 동물의 평균 탈출잠복기는 길었고, 복분자를 섭취한 경우 평균 탈출잠복기가 유의적으로 감소하였다. 뇌의 대뇌피질과 해마 조직에서 대조군에 비해 노화 촉진 동물의 acetylcholinesterase 활성이 증가하였다. 복분자를 섭취한 노화 촉진 동물의 해마 조직 내 acetylcholinesterase는 복분자를 섭취하지 않은 동물에 비해 유의적으로 감소하였다. 이 결과들은 복분자가 노화촉진마우스에서 노화에 의한 기억력 감퇴에 대한 개선 효과를 나타내며, 이는 콜린성 신경전달에 중요한 역할을 하는 acetylcholinesterase 활성 감소를 통해 이루어짐을 나타낸다. 향후 더 많은 연구가 수행 되어야 하나, 본 연구는 복분자가 노인의 기억력 개선제 개발에 좋은 기능성 소재로 활용할 수 있음을 제시한다.

뇌졸중환자의 동적 균형 평가를 위한 sit-to-walk의 신뢰도 연구 (A Reliability Study of Sit-to-walk for Dynamic Balance Assessment in Stroke Patient)

  • 김다연;최종덕;기경일
    • The Journal of Korean Physical Therapy
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    • 제25권5호
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    • pp.303-310
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    • 2013
  • Purpose: The purposes of this study were to evaluate the correlation of clinical tools for assessment of balance and ability of gait, in order to discriminate the phases of sit-to-walk movement of patients with stroke using the motion analysis system, and to investigate the reliability of the phase of sit-to-walk movement according to functional ability of patients with stroke. Methods: Twenty -one patients participated (men 17, women 4) in this study. Sit-to-walk movement of all patients was recorded by the motion analysis system. Berg Balance Scale, Timed Up and Go test, Functional Reach Test, 10 meter Walk Timed Test, and Performance-Oriented Mobility Assessment were used as functional assessment tools. Results: The results of this study showed significant correlation between the phase I, II, IV and total phase duration of sit-to-walk movement and functional assessment tools. In addition, the intraclass correlation coefficient (ICC) showed high reliability in accordance with the functional ability of patients with stroke (Pearson's r 0.93 to 1.00). Conclusion: In conclusion, there is high reliability between measures of the phase of sit-to-walk movement of chronic stroke patients and the clinical assessment tool. Results of this study suggest that measurement of the phase of sit-to-walk movement can be used significantly as an intervention and a clinical tool for patients with stroke.

A-SMGCS 구현을 위한 위험요소 식별에 대한 연구 (A Study on the Hazard Identification for the Implementation of A-SMGCS)

  • 홍승범;최승훈;최연철
    • 한국항행학회논문지
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    • 제19권1호
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    • pp.41-47
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    • 2015
  • 최근 국내에서 A-SMGCS (advance surface movement ground control systems) 레벨 IV단계를 구현하기 위한 연구가 활발히 진행 중에 있다. 전체 A-SMGCS 시스템의 안전을 확보하기 위하여 안전성 평가가 필요하며, 유로컨트롤에서는 A-SMGCS의 안전성 평가를 위하여 기능별 위험요소 평가, 예비시스템 안전성 평가, 그리고 시스템 안전성 평가를 수행하도록 권고하고 있다. 본 논문에서는 기능별 위험요소 평가 방법을 통하여 전체 A-SGMCS의 위험요소를 식별한다. 따라서 A-SMGCS레벨 IV시스템에 대하여 29가지 위험 요소를 식별하고 각 위험요소의 심각도를 평가하는 자료로 활용할 것이다.

위그선 설계단계에서의 안전성 평가 (The Functional Safety Assessment of WIG Craft in Design Stage)

  • 이순섭;박범진;이종갑
    • 한국해양공학회지
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    • 제24권6호
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    • pp.103-108
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    • 2010
  • WIG crafts are high speed vessels with the features of a dynamic supported craft. These crafts, which are predominantly lightweight and operate at substantially greater speeds than conventional craft, could not be accommodated under traditional maritime safety instruments. WIG crafts inherently possess more hazard factors than conventional ships because of their relatively high speed, lightweight, and navigational characteristics, and an accident is likely to cause damage to the ship and a high loss of life. Because WIG crafts are composed of many systems and subsystems, the safety assessment of a WIG must use a commercial software system in the design stage. This paper reviews a safety assessment process and methodology proposed by the IMO interim guideline, which were developed in view of the configuration of WIG crafts. This safety assessment system was developed to fit the WIG's safety assessment process using a reliability analysis system widely used in commercial systems. The FHA was performed on the functional hazards of systems in the conceptual design stage.