• Title/Summary/Keyword: Functional assessment

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Clinical Assessment of Pain and Sensory Function in Peripheral Nerve Injury and Recovery: A Systematic Review of Literature

  • John, Albin A.;Rossettie, Stephen;Rafael, John;Cox, Cameron T.;Ducic, Ivica;Mackay, Brendan J.
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.427-439
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    • 2022
  • Peripheral nerve injuries (PNIs) often present with variable symptoms, making them difficult to diagnose, treat, and monitor. When neurologic compromise is inadequately assessed, suboptimal treatment decisions can result in lasting functional deficits. There are many available tools for evaluating pain and functional status of peripheral nerves. However, the literature lacks a detailed, comprehensive view of the data comparing the clinical utility of these modalities, and there is no consensus on the optimal algorithm for sensory and pain assessment in PNIs. We performed a systematic review of the literature focused on clinical data, evaluating pain and sensory assessment methods in peripheral nerves. We searched through multiple databases, including PubMed/Medline, Embase, and Google Scholar, to identify studies that assessed assessment tools and explored their advantages and disadvantages. A total of 66 studies were selected that assessed various tools used to assess patient's pain and sensory recovery after a PNI. This review may serve as a guide to select the most appropriate assessment tools for monitoring nerve pain and/or sensory function both pre- and postoperatively. As the surgeons work to improve treatments for PNI and dysfunction, identifying the most appropriate existing measures of success and future directions for improved algorithms could lead to improved patient outcomes.

Validation of the Korean Functional Gait Assessment in Patients With Stroke (뇌졸중 환자를 대상으로 실시한 한글판 기능적 보행평가의 타당도)

  • Park, So-yeon
    • Physical Therapy Korea
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    • v.23 no.2
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    • pp.35-43
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    • 2016
  • Background: The Functional Gait Assessment (FGA) was developed to measure of gait-related activities. The FGA was translated in Korean but only a few psychometric characteristics had been studied. Objects: The purpose of this study was to evaluate the validity and reliability of the Korean version of FGA scale using Rasch analysis. Methods: The study included 120 patients with stroke (age range=30~83 years; mean${\pm}$standard deviation=$58.3{\pm}11.1$). The FGA and Berg Balance Scale were performed, and were analysed for dimensionality of the scale, item difficulty, scale reliability and separation, and item-person map using Rasch analysis. Results: The 4 rating scale categories of FGA were satisfied with optimal rating scale criteria. The most items of the FGA showed sound item psychometric properties except 2 items ('gait with the horizontal head turns', and 'gait with narrow base of support'), and the 2 misfit items were excluded for all further analyses. The 8 items were arranged in order of difficulty. The most difficult item was 'gait with eyes closed', the middle difficult item was 'gait level surface', and the easiest item was 'gait with vertical head turns.' A person separation reliability was .93 and the person separation index was 3.57. Conclusion: This study suggests that the 8-item Korean FGA are valid measure of assess the gait-related balance performance, and to set the goal of rehabilitation plan in patient with stroke.

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

  • Kim, Jong-Man;Lee, Jeong-Weon;Yi, Chung-Hwi;Roh, Jung-Suk
    • Physical Therapy Korea
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    • v.4 no.3
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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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Inhibitory Effect of quercetin-3-O-$\alpha$-L-rhamnopyranoside from Chamaecyparis obtuse on Aldose Reductase and Sorbitol Accumulation (백나무로부터 분리된 quercetin-3-O-$\alpha$-L-rhamnopyranoside의 알도스 환원효소 및 솔비톨 억제효과)

  • Kim, Seon-Ha;Kim, Jin-Kyu;Lee, Yeon-Sil;Bae, Young-Soo;Lim, Soon-Sung
    • Korean Journal of Medicinal Crop Science
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    • v.18 no.5
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    • pp.305-310
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    • 2010
  • Taxifolin-3-O-$\beta$-D-xylopyranoside and quercetin-3-O-$\alpha$-L-rhamnopyranoside were isolated from an EtOAc-soluble extract of the leaves of Chamaecyparis obtuse. Quercetin-3-O-$\alpha$-L-rhamnopyranoside was found to possess a potent inhibitory activity of human recombinant aldose reductase in vitro, its $IC_{50}$ value being $11.5\;{\mu}M$. Kinetic analysis showed that quercetin-3-O-$\alpha$-L-rhamnopyranoside exhibited uncompetitive inhibition against DL-glyceraldehyde. Also, quercetin-3-O-$\alpha$-L-rhamnopyranoside suppresses sorbitol accumulation in rat lens under high glucose conditions, demonstrating the potential to prevent sorbitol accumulation in vivo. These results suggest that this compound may be a promising agent in the prevention or treatment of diabetic complications.

Case Study on the Assessment of SIL Using FMEDA (FMEDA 기법을 적용한 SIL 등급 판정에 관한 사례연구)

  • Kim, Byung Chul;Kim, Young Jin
    • IE interfaces
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    • v.25 no.4
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    • pp.376-381
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    • 2012
  • As the number, complexity and interaction of electrical, electronic and programmable electronic (E/E/PE) systems increase, a growing emphasis has been placed on the concept of functional safety during product development. IEC 61508 provides guidelines and standardized procedures in the development of reliable and dependable E/E/PE systems to assure functional safety. Determining risk classes (i.e., safety integrity levels, SILs) associated to a specific E/E/PE item may be recognized as one of the most crucial activities in the product development per IEC 61508 since SILs are used to specify necessary safety requirements for achieving an acceptable residual risk. This article presents a case study on the assessment of SILs applying failure modes, effects and diagnostic analysis (FMEDA) from which failure rates may be derived for each important failure category by combining a standard FMEA with online diagnostic techniques.

Selection of Indicator and Establishment of System for a Functional Assessment of Green Space - Focused on Forest Green Space - (녹지의 기능적 평가를 위한 지표 선정 및 평가체계 구축 - 산림형 녹지를 중심으로 -)

  • Lee, Woo-Sung
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.15 no.5
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    • pp.31-48
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    • 2012
  • The purpose of this study is to select indicators by a methodical approach and to establish a functional assessment system as a basic study for planning and constructing green space of forest. The types of green space were divided into 6 classes based on theoretical reviews of literature and the functions of green space were restricted to 'nature-ecological function', 'environment-control function' and 'usage function'. As a result of the selection of indicators, 35 indicators were initially selected by theoretical review and these indicators were reduced to 29 through brainstorming. Also, these indicators were classified into three functions such as 12 indicators (nature-ecological function), 8 indicators (environment-control function), 6 indicators (usage function) by analysis of suitability. According to the result of selection of the optimum indicators using MCB (Multiple Comparisons with the Best treatment) analysis, the optimum indicators of 7, 5, and 4 respectively by each function were selected for forest green space. The results of AHP (Analytic Hierarchy Process) for the establishment of the assessment system in forest, the weight of nature-ecological function was evaluated highest at 0.558, while the weight of environment-control and usage function were calculated at each 0.277, 0.165. 'Naturality (0.189)', 'Carbon sink (0.235)', and 'Accessibility (0.354)' among indicators showed highest by each function. The weight of indicator and assessment system may be used as a valuable guideline in case of assessing synthetically green space within urban planning.

The Relationship Between Activities of Daily Living and Cognitive Score in Stroke Patients (뇌졸중 환자의 인지기능이 일상생활활동에 미치는 영향)

  • Lee, Seong-Ran;Kwon, Hyuk-Cheol
    • Physical Therapy Korea
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    • v.10 no.3
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    • pp.41-51
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    • 2003
  • The purpose of this study was to examine the effects of stroke patients' cognitive score on their the activities of daily living. The subjects of this study were 30 stroke patients who were admitted to T$\breve{a}$e-Bong hospital from November, 2002 to March, 2003. The subjects were administerd an MMSE as a cognitive assessment and an MBI as a functional assessment upon referral to physical therapy initially. The results were as follows: 1. The MMSE scores for the stroke patients were related to the patients' abilities to perform their activities of daily living. The changes of MBl scores significantly correlated with the changes of MMSE scores (p<.05). 2. The subjects with left hemispheric lesion scored higher in MMSE than those with right hemispheric lesions (p<.05). 3. The hemispheric lesions did not significantly affect the activities of daily living score (p>.05).

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Study on Reliability Assessment for the Medical Device Software from the Viewpoint of Functional Safety (기능 안전 관점에서의 의료기기 소프트웨어 신뢰성 평가 방법에 관한 연구)

  • Kim, Sung Min;Ko, Byeonggak;Do, Gyeong-Hun;Kim, Hye Jin;Ham, Jung-Keol
    • Journal of Applied Reliability
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    • v.16 no.3
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    • pp.216-223
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    • 2016
  • Purpose: This paper suggests the procedure to enhance the reliability of the software of the medical device that is to cure, treat, diagnose, and prevent a disease or an abnormal health conditions. Methods: After test requirements are classified by the software requirements specification for safety and backgrounds, reliability assessment methods are suggested. Results: Verification and validation for function and safety can be performed whether the medical device software are implemented as intended. Conclusion: Procedure on the static analysis, unit test, integration test, and system test are provided for the medical device software.

Analysis and improvement of weapon system software development and management manual based on functional safety standards (기능 안전 표준 기반의 무기체계 소프트웨어 개발 및 관리 매뉴얼 분석 및 개선 방안 연구)

  • Kim, Taehyoun;Bak, Daun;Paek, Ockhyun
    • Journal of Software Engineering Society
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    • v.29 no.1
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    • pp.7-12
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    • 2020
  • As interest in functional safety has recently increased, application of functional safety standards has been required in various industrial fields. A functional safety standard is a document that defines functional safety-related activities required to prevent system malfunctions. All activities defined in this standard are required differentially according to the classification results calculated through the risk analysis and assessment of the system. In the field of domestic weapon systems, there is a manual for the development and management of weapon system software issued by the Defense Acquisition Program Administration (DAPA ). This manual requires static and dynamic analysis of software for functional safety related activities. However, the manual does not specifically address the classification activity through risk analysis and assessment as required for the preceding activities. Therefore, in this study, we analyze the problems of the manual based on the representative functional safety standards, and propose improvement plans.

The Immediate Effect of Functional Massage on Pain, Range of Motion, Balance Ability and Gait Speed in Patients with Total Hip Replacement (기능적 마사지가 엉덩관절 전치환술 환자의 통증, 관절가동범위, 균형능력, 보행속도에 미치는 즉각적인 영향)

  • Park, Si-hyun;Jeong, Eui-young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.1
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    • pp.9-17
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    • 2022
  • Background: Functional massage is a therapeutic massage that incorporates joint motion in non-end-range to reduce pain and improve range of motion (ROM) in patients. This study was aimed at investigating the immediate effect of functional massage on pain, range of motion, balance ability and, gait speed of patients having undergone total hip replacement. Methods: Twenty patients were treated by one participating orthopedic manual physical therapist and randomly assigned to the control group (n=10) or the experimental group (n=10). To treat patients of each group, functional massage and range of motion exercises were used. The experimental group received a functional massage and the control group received range of motion exercise for minutes for one session. The visual analog scale was used for pain assessment. Balance ability was measured using a timed up and go test and a one-leg standing test for patients. The 10-meter walk test was used for the measurement of gait speed assessment of patients. Results: Significant improvements were observed in terms of balance ability (p<.05), gait speed (p<.05), and ROM (p<.05) after functional massage. There was no significant inter-group difference (p>.05). Conclusion: Application of the functional massage showed that statistically significant improvements in ROM, gait speed, and balance ability after a single treatment session. This technique may be a useful treatment in patients having undergone total hip replacement.