• 제목/요약/키워드: Functional assessment

검색결과 1,266건 처리시간 0.027초

Effects of corrective exercises on selective functional movement assessment and health risk appraisal in middle-aged women

  • Kim, Jae Eun;Kim, Cheong;Kim, Sinseop
    • Physical Therapy Rehabilitation Science
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    • 제5권4호
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    • pp.185-192
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    • 2016
  • Objective: The purpose of this study was to find the limited patterns of middle-aged women in selective functional movement evaluation and analyze the effects of pattern improvement exercises and general control groups on the Health Risk Appraisal (HRA). Design: Randomized controlled trial. Methods: The 31 subjects were physically healthy middle-aged women aged 40-59 living in Seoul, The subjects were randomly divided into an experimental group and a control group. Forty-three physically healthy women were originally recruited and randomly assigned to either the experimental group (n=22) or the control group (n=21). However, due to lack of participation, a total of seventeen subjects in the exercise group and fourteen subjects in the control group participated in the study. All subjects were tested using Selective Functional Movement Assessment (SFMA) and HRA for the baseline measurement and joined an exercise program of their group for one hour per session, twice a week for four weeks. The experimental group was provided with the corrective exercises and the control group was given the general fitness program. A follow-up test was conducted after eight weeks from the baseline measurement. Results: Both experimental and control group showed significant changes in SFMA and HRA scores (p<0.05). In the experimental group and control groups, the SFMA and HRA showed significant improvement from baseline to 4 weeks (p<0.05). Also, in the experimental group, the SFMA was significantly improved from baseline to 8 weeks (p<0.05). For the experimental group, there was a significant improvement in SFMA after 4 weeks compared to the control group (p<0.05). Conclusions: The corrective exercise in the experimental group had a positive effect on the SFMA score as well as the general squat exercise in the control group. The corrective exercise and general control group had the same positive effect on the HRA score.

뇌졸중 환자에 대한 기능적 보행평가의 신뢰도 (Reliability of the Functional Gait Assessment in Patients With Stroke)

  • 원종임;유경훈
    • 한국전문물리치료학회지
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    • 제18권1호
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    • pp.64-73
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    • 2011
  • After stroke, many people have problems with balance during movement. Balance is essential for the optimal functioning of the locomotor system and the performance of many activities of daily living. The Functional Gait Assessment (FGA) is a clinical tool for evaluating balance ability during walking. The test consists of ten tasks, seven tasks of the Dynamic Gait Index and three additional tasks. The purpose of this study was to evaluate the reliability and internal consistency of data obtained with the Korean version of the FGA when used with people after suffering a stroke. One-hundred participants, at least three months poststroke and able to walk at least six meters with or without a walking aid, participated in the study (age range=30~83 years; $mean{\pm}SD=58.8{\pm}10.9$). Two physical therapists and two physical therapy students rated the FGA. Intrarater and interrater reliability of the FGA were assessed using kappa statistic and intraclass correlation coefficients (2,1). The internal consistency of the FGA was assessed using the Cronbach alpha. The Cronbach alpha was good (${\alpha}$=.86~.93). The intrarater (intraclass correlation coefficient=.92~.95) and interrater reliability (intraclass correlation coefficient=.91, .95) of the total scores administered by the therapists and students were good, whereas the reliability for single item scores when administered by the physical therapists was moderate to good (kapa value=.42~.97). This study found that intrarater and interrater reliability for total FGA scores and internal consistency were good. Therefore, the Korean version of the FGA can be used as a reliable tool to assess the functional gait performance of patients after stroke.

HGM을 이용한 화포천 습지의 기능평가 (Assessment of Hwapo riverine wetland function using Hydrogeomorphic Approach)

  • 윤선화;김덕길;김형수;곽재원
    • 대한토목학회논문집
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    • 제30권1B호
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    • pp.53-60
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    • 2010
  • 습지는 종 다양성이 높고 영양물질이 풍부하며 생산성이 높은 생태계로서 수문학적으로나 생태학적으로 여러 가지 기능을 수행하고 있다. 본 연구는 습지 기능을 평가하는데 이용되는 다양한 평가 방법중 하나인 HGM (Hydrogeomorphic)을 적용하여 화포습지에 대한 기능평가를 실시하였다. HGM방법은 하나의 기준습지를 선정한 후 대상습지와의 비교를 통해 습지의 기능을 지수화하여 평가하는 방법이다. 본 연구에서는 람사르 협약에 등록된 우포늪을 기준습지로 선정하여 화포천 습지의 기능을 평가한 결과 대부분의 기능이 0.6점 이상으로 우포늪과 비교하여 비교적 긍정적인 기능지수의 값을 보여주었다. 이는 화포천 습지가 수문학적, 생지화학적, 식물서식처, 동물서식처 기능을 수행하고 있고 보전 및 관리를 한다면 보다 더 효과적으로 기능을 수행할 수 있을 것으로 판단된다.

방사선치료를 받는 암환자의 피로와 삶의 질 변화 (Changes in Fatigue and the Quality of Life of Cancer Patients Receiving Radiotherapy)

  • 이은숙;조루시아
    • 대한간호학회지
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    • 제27권3호
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    • pp.489-502
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    • 1997
  • Quality of life(QOL) and fatigue in cancer patients receiving the radiotherapy was assessed. The subjects were 46 cancer patients who daily attended the radiotherapy department. Assessment was done on four occassions : the first assessment was done on the treatment simulation visit, the second one was four weeks after treatment started, the third one at the completion of treatment and the last assessment was done between six and eight week following treatment. The results are as follows : The fatigue scores of the patients at each stage of assessment ranged from 5.49 points to 7.67 points and highest score was recorded at the third assessment that is, at the completion of treatment. The fatigue points showed an increase from the 1st. to 3rd. stage. However, at the 4th. stage, fatigue points decreased to the level at the first stage of assessment. QOL were assessed in three areas namely, physical, emotional and social /functional. The QOL scores in the physical area showed the highest score, followed by social /functional and emotional areas. The QOL scores decreased gradually to the third. stage of assessment thereafter recovered to the level of the first. stage. Correlation between QOL and fatigue scores during the treatment indicated that the level of QOL decreased as the level of fatigue increased. In particular, fatigue persisted after completion of the treatment and showed a significantly negative correlation with QOL. The present study strongly suggests that a strategy to restore the emotional well being level of the patient should be devised in order to improve QOL and reduce fatigue of patients receiving radiotherapy.

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자동차 기능안전성을 위한 온톨로지 기반의 위험원 분석 및 위험 평가 (An Ontology-Based Hazard Analysis and Risk Assessment for automotive functional safety)

  • 노현경;이금석
    • 한국컴퓨터정보학회논문지
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    • 제20권3호
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    • pp.9-17
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    • 2015
  • 본 논문에서는 자동차 기능안전 표준인 ISO 26262에서 요구하는 위험원 분석 및 위험 평가에서 온톨로지와 추론 규칙을 적용하는 방법을 제안한다. 위험원 분석 및 위험 평가는 일반적으로 수작업으로 수행되어 많은 노력이 소요되고 오류가 발생하기 쉬우며 일관성과 정확성이 부족한 문제점이 있다. 이러한 문제를 해결하기 위해서 본 논문에서는 위험원을 온톨로지로 표현하고, 평가를 위한 온톨로지 규칙을 정의하여 자동화하고 일관성 및 정확성 문제를 개선한다. 본 제안 방법을 검증하기 위해서 ESCL(electronic steering column lock) 시스템에 적용하였다. 온톨로지 규칙 적용 결과를 DL(Description Logics) Query를 실행하여 제대로 동작하는지 확인하였으며, 이를 통해 위험 평가 시에 발생할 수 있는 오류를 파악할 수 있었다.

초기 강직성 척추염 약침치료 1례에 관한 기능적 평가와 유용성에 관한 연구 (Effect of herbal acupuncture on ankylosing spondylitis and its evaluation of functional scale)

  • 서동민;이상훈;이재동;최도영;김창환;이윤호;강성길
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.234-246
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    • 2002
  • Objective : Ankylosing spondylitic is a chronic inflammatory disease which most frequently the sacro-iliac joints of young men and known as rare disease. There was no clinical report on functional assessment of ankylosing spondylitis. In order to evaluate the effect of clinical treatment, it was necessary to apply valuable and useful of assessment. Methods : We evaluate 1 cases of diagnosed patient with askylosing spondylitis by AIMS2, M-HAQ, K-HAQ, BASFI, and BASDAI after a series of herbal acupuncture treatment.(Solution of herbal acupuncture is made of vaporizing extraction method from the prescription Sineumheo 1.) Results : Herbal acupuncture had relieved pain and morning stiffness successfully and recovered ankylosing spondylitis functionally. Conclusion : 1. Herbal acupuncture had relieved pain and morning stiffness of ankylosing spondylitis. 2. AIMS2 was not useful to evaluate ankylosing spondylitis because of long evaluation time and low specificity. 3. Although there is no translation version of them, BASFI, and BASDAI are clinically useful of assessment, because of short evaluation time and high specificity. 4. K-HAQ with M-HAQ is useful to evaluate the treatment of ankylosing spondylitis because of snort evaluation time and high specificity.

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기능성 연구개 인두부전증의 보조 치료로서의 지방 삽입술 (Fat Injection of Functional Velopharyngeal Insufficiency as the Supportive Treatment)

  • 안철민;김용우
    • 음성과학
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    • 제3권
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    • pp.18-25
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    • 1998
  • Background: The results of treatment in functional velopharyngeal insufficiency (VPI) was not good compared to physician's common practice. Objectives: Authors conducted this study to evaluate the efficacy of fat injection on posterior pharyngeal wall in the functional velopharyngeal insufficiency as the supportive treatment. Materials and Methods: The preoperative assessment includes history of patients, the perceptual analysis of patient's voice, nasopharyngoscopic finding of velopharyngeal movements, nasometer, movement findings of soft palate during phonation and swalling. Fat which was taken from umbilical area was injected in 5 patients with conducted functional velopharyngeal insufficiency. Results: All 5 patients had good results in voice quality after fat injection. Conclusions: Fat injection is a good treatment method in functional velopharyngeal insufficiency as a supportive method.

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데이터 맵핑기술을 이용한 건축물 LCCO2 평가시스템 개발 (Development of Buildng LCCO2 Assessment System through Data Mapping Technology.)

  • 금원석;태성호;노승준;방준식
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2012년도 춘계 학술논문 발표대회
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    • pp.151-152
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    • 2012
  • Recently, there are growing interests in building LCCO2 Assessment to reduce carbon emissions. However, existing methods of assessment system include inefficiency in the process of CO2 calculation requiring considerable data input. Therefore, the purpose of this study is to develop an efficient building assessment system appropriate to material production in construction stage. To that end, quantity input technology was limited to data mapping. Also quantity calculation based on work breakdown structure and item codes consisted of hierarchical structure that is based on facet classification were analyzed. As a result, connectivity links of quantity calculation and CO2 functional units through item codes for data mapping, and assessment system including calculation and database parts were developed.

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Effect of a Combined Functional Electrical Stimulation with Action Observation Training on the Upper Limb Global Synkinesis and Function of Patients with Stroke

  • Kang, Jeongil;Kim, Huikyeong;Jeong, Daekeun;Park, Seungkyu;Yang, Daejung;Kim, Jeho;Moon, Youngjun
    • 국제물리치료학회지
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    • 제11권1호
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    • pp.2012-2020
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    • 2020
  • Background: Multifaceted approaches will be needed, such as global synkinesis (GS) achieve functional improvements in the arms of stroke patients from involuntary movements during exercise. Objective: To identify changes in arm GS and muscle activity, functional evaluation and the correlation with variables through action observation training, combined with functional electrical stimulation (FES), thereby verifying the effect on stroke patients. Design: A quasi-experimental study. Methods: The subjects of this study were 20 stroke patients who were divided into two groups: Control group (n=10) and experimental group (n=10). Before the intervention, arm GS and muscle activity were measured using surface electromyography (EMG), and arm function was evaluated using the Fugl-Meyer Assessment (FMA) scale. At the end of the intervention, which lasted 4-wk, arm GS and muscle activity were measured again using the same scale. Results: There was a decrease statistically significant difference in GS during the bending action in experimental group (P<.01). Both groups showed a significant difference increased only in the activity of the anterior deltoid (AD) and biceps brachii (BB) (P<.05). The results of the arm functional assessment revealed a significant difference increase in both groups (P<.05). In the between-group comparison, there was a significant difference decrease in GS during the bending action (P<.05). Only the muscle activity of the AD and BB were significantly increase different (P<.05). There was a significant between-group difference increase in the arm functional assessment (P<.05). There was a positive correlation between GS and muscle activity on the FMA in the control group (r=.678, P<.05). In experimental group, GS during the bending arm action exhibited a negative correlation (r=-.749, P<.05), and the muscle activity of the AD and BB showed a positive correlation (r=.701, P<.05). Furthermore, in experimental group, the activity of the extensor carpi radialis increased, and the activity of the flexor carpi radialis decreased, which exhibited a negative correlation (r=-.708, P<.05). Conclusion: These results suggest that brain plasticity could be more efficiently stimulated by combining surface stimulation in the affected arm of stroke patients.