• 제목/요약/키워드: Functional independence

검색결과 212건 처리시간 0.027초

제 1형 척수소뇌실조 환자의 증례보고 (Clinical Case Report of Spinocerebellar Ataxia Type 1)

  • 손영진;정우석;문병순;윤종민
    • 동의생리병리학회지
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    • 제27권6호
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    • pp.842-846
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    • 2013
  • The purpose of this study was to report one clinical case of spinocerebellar ataxia(SCA) type 1 improved by herbal medicine and oriental medical treatment. As a treatment, Yukmijihwang-tang(Liuweidihuangtang)-gamibang, acupuncture, and moxa were tried upon the patient for 21 days in order to relieve the symptoms. In terms of observing the changes of symptoms, the progress of patient's condition was evaluated periodically by using the Korean-mini mental state examination(K-MMSE), Modified Barthel Index(MBI), Functional Independence Measure(FIM). In accordance with the observation under K-MMSE, MBI, FIM, the patient's symptoms had gradually improved throughout the treatment. Therefore, this report suggests that Yukmijihwang-tang(Liuweidihuangtang)-gamibang, acupuncture and moxa were probably effective in the treatment of SCA type 1.

SANAA의 뮤지엄 공간구성에서 나타나는 '새로운 위계성'의 표현 특성 (A Study on the Characteristics of Representation on 'The new hierarchy' that Appear in the SANAA's Space Configuration of Museum)

  • 신소명;윤상영;윤재은
    • 한국실내디자인학회논문집
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    • 제22권4호
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    • pp.149-157
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    • 2013
  • As a period of pluralism, today's museum architecture has been expanding social and cultural meaning. So, Various expressions are appearing in museum architecture. Accordingly, the museum must be very reproducible and comply with aesthetic requirements. At the same time, museum construction in urban design and features must satisfy professional requirements. SANAA is one of contemporary architects has been decisively deleted existing fixed and functional layout type of program through 'The new hierarchy'. Thus, the experience of the space will vary. Now, museum space is urgently needed than ever before crustal movements. Thus, this study aims to contribute an alternative to the museum space configuration according to the trend of the times through 'The new hierarchy' of SANAA. This paper is limited to the cases of the SANAA's museum architecture. We analyze the characteristics of representation on 'The new hierarchy' appear in the museum space configuration and then, examine the value of the spatial. SANAA's 'New Hierarchy' is going to set the cognitive boundary by expression targeting plane and the surface. It is completely different than the previous boundaries. Characteristics of the expression represents non-centrality, decentrally, non-oriented, uncertainty, non-territorialization, uniformity. It is steady that identity of Space, Human, Environment in Museum. They have a relationship each concept of Independence, autonomy, equality.

공리적설계 기반의 내부종속 AHP를 이용한 국방무기 해외 구매사업의 무기성능 평가방법 개발 (Development of Evaluation Method for Performance of Weapon System using Axiomatic Design based Inner Dependence AHP)

  • 조현기;김우제
    • 경영과학
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    • 제29권3호
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    • pp.45-65
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    • 2012
  • Test and evaluation of weapon system is an important task to evaluate the performance of overseas weapon system purchasing project. Especially, quantitative evaluation of performances is hardly completed in defense projects where multiple criteria are conflicted each other. In order to solve this problem, we apply Axiomatic Design (AD) and Inner Dependence AHP method. First, finite functional requirements (FRs) are categorized in hierarchy structure by selecting proper design parameters (DPs) to implement their corresponding FRs. If there are no ways to select DPs when design is coupled between FRs and DPs, then inner dependence is allowed to overcome the strict rule of independence in AHP. Second, the weights of DPs are calculated by applying both Inner Dependence AHP method for coupled design and normal AHP method for uncoupled or decoupled design. Finally, information axiom of AD is applied to the proposed weapon systems by calculating information contents for all parameters. Weapon system with minimum sum of information contents is considered as the best solution. The proposed method in this study should be used in multiple criteria decision making problems involving various conflicting criteria.

뇌졸중 환자에 대한 지역사회 재활시스템의 필요성 (Necessity of Community-Based Rehabilitation System after Stroke)

  • 원종임
    • 한국콘텐츠학회논문지
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    • 제8권1호
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    • pp.16-26
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    • 2008
  • 노인인구의 증가와 더불어 뇌졸중 환자들이 증가하고 있다. 치료에도 불구하고 대부분의 뇌졸중 환자들은 장애를 갖게 된다. 이런 장애를 개선하기 위한 뇌졸중 치료의 주요 목적은, 환자들의 기능적 독립을 촉진시키고, 지역사회에 통합하도록 하는 것이다. 지역사회재활 적용시 중요한 점은 장애인과 그들의 가족 그리고 지역사회가 서비스의 우선순위가 무엇인지를 결정하는 것이다. 지역사회 뇌졸중 환자는 물리치료, 작업치료, 언어치료, 보장구, 간호 등 포괄적인 서비스를 필요로 한다. 본 논문의 목적은 우리나라 뇌졸중 환자들에 대한 지역사회재활의 필요성에 대해 논구하는 것이다.

상지 운동학습에 의한 뇌졸중 환자의 일상생활동작 수행능력의 변화 (The Change of Activity of Daily Living on Motor Learning Program for Upper Extremity in Stroke Patients)

  • 방요순;손경현
    • 한국전문물리치료학회지
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    • 제10권2호
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    • pp.85-98
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    • 2003
  • The purpose of this study was to investigate the changes of the activities of daily living (ADL) by the motor learning program for upper extremity in stroke patients. The subjects were sixty-two members who were treated at the department of occupational therapy. The ADL were measured with Functional Independence Measure (FIM). The result's were as fol1ows; 1. The ability to perform daily activities after treatment was significantly increased independent of age, gender, cause, affected side and speech disability (p<.01). The differences between the pre-treatment and the post-treatment was no significant correlation to sex, cause, affected side and duration of treatment, but the speech disability was significant. Therefore the pre-treatment scores and post-treatment scores were significantly different. 2. The variation of the pre-treatment and the post-treatment in the detail item to the performance of daily life of the stroke patients through the upper extremity motor learning program was significantly increased in self-care, sphincter control, locomotion, mobility, communication and social cognition (p<.01) Consequently, The motor learning program for upper extremity significantly improved the performance level of all ADL areas in stroke patients.

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시신경척수염으로 인한 통증긴장연축과 하지 운동기능 저하를 호전시킨 독활기생탕을 포함한 한의치료 증례 보고 1례 (A Case Report on a Neuromyelitis Optica Patient with Painful Tonic Spasm and Decreased Motor Function Improved by Korean Medicine Treatment Including Dokwhalgisaeng-tang)

  • 김두리;윤종민
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.130-138
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    • 2018
  • Neuromyelitis optica (NMO) is an autoimmune inflammatory disorder of the central nervous system characterized by optic neuritis and longitudinally extensive myelitis. Painful tonic spasm is a common complication of NMO, but there have been no reports about it in Korean medicine studies. In this case, we treated a 53-year-old woman diagnosed with NMO with paraplegia, painful tonic spasm, and decreased visual acuity using Korean medicine treatment, including acupuncture, herbal medicine, cupping, and moxibustion. We measured changes in clinical symptoms using the manual muscle testing (MMT), the numeric rating scale (NRS), the modified Barthel Index (MBI), and the Functional Independence Measure (FIM). After treatment, clinical symptoms were improved. The results indicate that Korean medicine treatment may be effective in the treatment of an NMO patient with paraplegia and painful tonic spasm.

사지마비와 저림을 호소하는 길랑바레 증후군 환자의 한방치료 증례보고 1례 (A Case Report on a Patient with Guillain-Barre Syndrome Complaining of Quadriplegia and Paresthesia, Which Improved after Korean Medicine Treatment)

  • 이현승;김두리;심상송;백동기;윤종민;문병순
    • 대한한방내과학회지
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    • 제40권6호
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    • pp.1210-1218
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    • 2019
  • Objective: This study is a report on a case of a Guillain-Barre syndrome patient with quadriplegia and paresthesia, whose condition was improved by Korean medicine treatment. Methods: A 71-year-old woman diagnosed with Guillain-Barre Syndrome was treated by acupuncture, electroacupuncture, Sambi-tang-gami, cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), the Numeric Rating Scale (NRS), the Modified Barthel Index (MBI), and the Functional Independence Measurement (FIM). Result: After treatment, clinical symptoms showed improvement. Conclusion: Korean medicine treatment could be effective in the treatment of Guillain-Barre syndrome patients with quadriplegia and paresthesia.

치매노인의 일상생활동작과 균형 및 인지능력에 대한 운동프로그램의 효과 (The Effect of an Exercise Program on Activities of Daily Living (ADL), Balance and Cognition in Elderly individuals with Alzheimer’s Disease and Vascular Dementia)

  • 손호희;오정림;박래준
    • The Journal of Korean Physical Therapy
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    • 제22권1호
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    • pp.53-60
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    • 2010
  • Purpose: The purpose of our study was to evaluate the effects of an exercise program on activities of daily living (ADL), balance and cognition in elderly individuals with Alzheimer’s disease and vascular dementia. Methods: Thirty-two patients with mild to moderate cognitive impairment were assigned to one of two groups: an exercise group (n=16) and a control group (n=16). The exercise group carried on regular exercise for 60 minutes a day, 4-5 times per week for 8 weeks. The exercise group participated in an exercise program (treadmill training and physical training). ADL, balance and cognitive function were evaluated before and at the end of the program using the Korean modified Bathel Index (K-MBI), the Functional independence measure (FIM), the Berg balance scale (BBS), the Balance performance monitor (BPM), and the Mini mental state examination (MMSE) in both groups. Results: There were significant exercise-induced improvements in ADL and Balance from pre to post tests; but not in MMSE. Conclusion: Exercise programs can improve ADL and balance in elderly with Alzheimer’s disease and vascular dementia.

액세스망 분리와 설비제공: 해외 사례 및 시사점 (Access Network Separation and Facility Sharing: Recent Cases and Their Implications)

  • 이종용;구정은
    • 한국통신학회논문지
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    • 제38C권1호
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    • pp.78-88
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    • 2013
  • 국내에서는 규제에 의해 관로, 전주 및 케이블 등 필수설비를 경쟁사업자에게 제공해주고 있는 유선 기존사업자의 도매사업 부서와 가입자 모집 및 유지 등 소매활동을 담당하는 부서 사이의 독립성을 보장할 수 있는 제도적 장치가 아직까지 마련되어 있지 않고 있다. 이에 의무제공사업자의 도매부서는 소매사업부와 연계하여 경쟁사업자의 설비제공 요청을 의도적으로 방해할 유인이 존재하며, 궁극적으로 의무설비제공 대상설비에 대한 액세스 동등성이 확보되지 못하게 되어 국내의 설비제공 활성화를 저해하는 근본적인 요인으로 작용할 우려가 있다. 따라서 본 논문은 주요국의 액세스망 분리 사례를 분석하고, 설비제공 활성화를 위한 장기적 방안을 제안하고자 한다.

뇌성마비 아동의 소아 균형검사(PBS)와 대동작기능평가(GMFM)와의 상관관계 (Correlation between Pediatric Balance Scale(PBS) and Gross Motor Function Measurement(GMFM) Scores in Children with Cerebral Palsy)

  • 고명숙;정재훈;전혜선
    • 대한물리의학회지
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    • 제5권2호
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    • pp.281-288
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    • 2010
  • Purpose : The purpose of this study was to examine the correlation between Pediatric Balance Scale(PBS) and Gross Motor Function Measurement(GMFM) with cerebral palsy(CP) children. Methods : 31 ambulatory children with CP were recruited for this study. PBS is a modified version of the Berg’s Balance Scale to access the children with motor impairments. To access the motor functions that directly influence to the functional independence of the ambulatory CP children, total scores of standing category and walking/running/jumping category of GMFM were selectively compared with PBS score by Spearman correlation coefficient analysis. Results : The results revealed high correlation between PBS and GMFM scores both in standing and walking/running/jumping categories(r=.9). Conclusions : Therefore, this study indicates that PBS can be applied not only as a tool to access balance, but also as a measurement to predict and access the level of standing and ambulatory related functions of children with CP.