• Title/Summary/Keyword: In-home physical therapy

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Evaluation of the Home-based Rehabilitation Program Based on CBR Model Through In-depth Interviews With Visiting Physical Therapists

  • Lee, Minyoung;Chung, Jinjoo;Hong, Hye Jung;Yoon, Bum Chul
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.68-77
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    • 2015
  • Purpose: This study was conducted in order to explore home visiting therapists' self-perceived role, problems, and supplement points of the home-based rehabilitation (HR) program based on the community-based rehabilitation (CBR) model. Methods: Four home visiting physical therapists, who conducted the HR program, participated in this study. After completion of the HR program, in-depth interviews were conducted using a semi-structured questionnaire for participants to explore their self-perceived role, problems, and supplement points of the HR program. Results: Participants regarded the role of the HR program as for "the linkage between recipient & society", "maintenance & improvement of recipients' physical function", and "education of recipient about the way of self rehabilitation". The problems and supplement points were derived from all phases of the HR program, including "human & material resources", "training program for human resources for HR service", "selection of recipient of HR service", "contents of the intervention for HR service", and "duration of HR service". Conclusion: These findings indicate that participants well recognized the intention of the HR program based on the CBR model, and suggest that high-quality human resources with rich expertise and experiences, a training program for HR service led by experts, and selection of recipients led by experts are necessary for an effective HR program. In addition, strategies and capacities specified to HR service should be identified, and applied to the training program for human resources for HR service. The results of this study could provide useful information when the government decides on the next guideline for home visiting health service.

Strategic Plan for Specialize of Disabled Person in Physical Therapy (장애인 전문화를 위한 물리치료학과 특성화 방안)

  • Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.7 no.1
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    • pp.77-86
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    • 2001
  • The main purpose of this article is to make a new physical therapy program for disabled students in department physical therapy. From 1963 to 2001, education schools which has department physical therapy is 34 colleges or universities, graduate students is 2,000 persons. In order to competition non-disabled students, we need a strategic plan for specialize of disabled person in physical therapy at college. Therefore our study suggest a new physical therapy program for disabled students ; that is educated and trained student intensively to be a specialized physical therapist by disability pattern in college. A sort of specialized physical therapist are in fields of orthopedic manual therapy, massage and home physical therapy.

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Detection and Quantification of Screw-Home Movement Using Nine-Axis Inertial Sensors

  • Jeon, Jeong Woo;Lee, Dong Yeop;Yu, Jae Ho;Kim, Jin Seop;Hong, Jiheon
    • The Journal of Korean Physical Therapy
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    • v.31 no.6
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    • pp.333-338
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    • 2019
  • Purpose: Although previous studies on the screw-home movement (SHM) for autopsy specimen and walking of living persons conducted, the possibility of acquiring SHM based on inertial measurement units received little attention. This study aimed to investigate the possibility of measuring SHM for the non-weighted bearing using a micro-electro-mechanical system-based wearable motion capture system (MEMSS). Methods: MEMSS and camera-based motion analysis systems were used to obtain kinematic data of the knee joint. The knee joint moved from the flexion position to a fully extended position and then back to the start point. The coefficient of multiple correlation and the difference in the range of motion were used to assess the waveform similarity in the movement measured by two measurement systems. Results: The waveform similarity in the sagittal plane was excellent and the in the transverse plane was good. Significant differences were found in the sagittal plane between the two systems (p<0.05). However, there was no significant difference in the transverse plane between the two systems (p>0.05). Conclusion: The SHM during the passive motion without muscle contraction in the non-weighted bearing appeared in the entire range. We thought that the MEMSS could be easily applied to the acquisition of biomechanical data on the knee related to physical therapy.

Exploring Recipients' Experience with the Home-based Rehabilitation Program Based on CBR Model through In-depth Interviews

  • Lee, Minyoung;Chung, Jinjoo;Hong, Hye Jung;Kim, Eunseung;Yoon, Bum Chul
    • The Journal of Korean Physical Therapy
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    • v.27 no.2
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    • pp.96-105
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    • 2015
  • Purpose: This study was conducted in order to explore self-perceived objectives, effects, determinant factors of satisfaction and demands on home-based rehabilitation service (HBRS) based on a community-based rehabilitation (CBR) model in community-dwelling disabilities. Methods: This research was conducted through in-depth interview. HBRS was conducted by four physical therapists for one hour a day, once a week, for eight weeks. After an eight-week intervention period, in-depth interviews were conducted using a semi-structured questionnaire for five recipients of HBRS and six care givers. Results: For the physical effect, some participants experienced positive effects, whereas others did not due to the short-term intervention period. For the social and emotional effects, 'occurrence of motivation for exercise', 'change of surroundings' and 'sorriness for the therapist' emerged as keywords. For the determinant factors of satisfaction, 'movement-inducing therapy', 'therapy from the specialist', 'development of friendship & social network', and 'learning the way of self-rehabilitation' emerged as keywords. For further demands on HBRS, participants stated that 'sufficient time for therapy', 'user opinion-reflected therapy', 'additional instructions for therapeutic exercise & activities of daily living', and 'active promotion for HBRS' were necessary. Conclusion: Participants were satisfied with the physical, social, emotional, and educational aspects of HBRS. In particular, the participants regarded educational aspects as the significant factor throughout self-perceived objectives, determinant factors of satisfaction and the demands. This result suggests that when providing HBRS to community-dwelling persons with disabilities, therapists should recognize the necessity and significance not only of the physical, but also the educational aspect of HBRS.

The Survey of Awareness and Necessity on Introduce Home Physical Therapy in the Long-term Care Insurance (노인장기요양보험제도 내 가정방문물리치료 도입에 관한 인식도 및 필요성 조사)

  • Jung, Dae-In;Kim, Chan-Kyu;Ko, Dae-Sik
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.298-306
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    • 2014
  • This study aims to investigate the awareness and needs of patients as consumers and therapists as providers on the introduction of home physical therapy in the long-term care insurance. The survey participants were 96 patients and 132 physical therapists to a questionnaires, we analyzed for frequency of each questionnaire about awareness and necessity. As a result of the test, they considered that physical activity support services provided by nurse and nurses aid ware not specialized enough(pt 60,4%, PT 75,4%) and quality therapy should be available through a home physical therapy(pt 47.9%, PT 59.2%). Also, patients responded that the priorities to improve long-term care insurance were given to lowering expenses(35,4%) and expanding coverage of subjects(32.3%) while the physical therapists responded that professionals should be expanded(73.8%) and diverse rehabilitation services(20.2%) and a rehabilitation team should be introduced. They responded that the reasons of home physical therapy were needed that it was hard for patients to visit medical centers(PT 30.0%) themselves and it would be improvable for them to get physical function in elderly(pt 47.1%) through the service. In conclusion, as most patients as well as physical therapists responded that home visit therapy services should be introduced and their awareness of it was very high, it is suggested that the service should be quickly introduced as soon as possible.

The Patient Education and Its Strategy in Physical Therapy (물리치료에서 효율적인 환자교육과 전략)

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.100-110
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    • 2005
  • Patient education is one of the most important roles of a physical therapist. Physical therapists have to teach and provide information about illness, instruct for home exercise, and give advice relating to correct posture and daily activities et al. For an efficient education some strategies are required. The purpose of this article is to review general learning methods, to introduce elements that influence the procedure of patient education and learning, and to plan an education strategy.

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Functional Independence Measure of Disabled Persons Living at Home in Rural Community (농촌지역 재가장애인의 일상생활 수행능력 실태조사)

  • Yi, Chung-Hwi;Park, Kyoung-Hee;Lee, Hyun-Ju
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.49-61
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    • 2000
  • Although the availability of home care rehabilitation services have been greatly increased since community-based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled persons living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapists. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly-disabled persons whose ages were 61 years old or above, and 69.5% of respondents has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self-feeding, urination, defecation, and comprehension ability were mildly dependent. These results revealed that functional evaluation/treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.

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The Effects of Home-Exercise Rehabilitation Program with Gluteus-Medius Strengthening Exercise on the Ankle Function and Quality of Life: Randomized Controlled Trial (중간볼기근 강화운동을 포함한 가정운동 재활 프로그램이 발목기능 및 삶의 질 향상에 미치는 영향: 무작위 대조 실험)

  • Ye-ji Kim;Do-hyun Kim;Yi-jun Chae;Myoung-kwon Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.30 no.1
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    • pp.61-73
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    • 2024
  • Background: The purpose of this study is to investigate the effect of ankle strengthening and proprioceptor exercise, including gluteus-medius strengthening exercise, on ankle strength, dynamic and static balance, ankle function, and quality of life in 24 adults without ankle instability. Methods: After randomly classifying 12 people per group into the experimental group and the control group, Home-exercise rehabilitation program was conducted for a total of 2 weeks. The control group performed ankle strengthening and proprioceptor exercise 5 times a week for 15 minutes, and the experimental group was performed by adding 15 minutes of gluteus-medius strengthning exercise to the exercise performed by the control group. The SPSS 27.0 program was used for statistical analysis. Results: Both groups showed statistically significant differences in the plantar flexion muscle strength, Y-Balance test, side hop test, quality of life. But, only experimental group showed statistically significant differences dorsi-flexion muscle strength and hip abduction muscle strength. There was no statistical difference in comparison of difference values between groups. Conclusion: These exercises can provide useful home rehabilitation programs for sports populations seeking to prevent injury in sports.

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Home Based Dysphagia Rehabilitation for Stroke Patients Using Information and Communication Technology

  • Kim, Heejeong;Kown, Yonghwa;Choi, Heesu
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.1
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    • pp.2267-2271
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    • 2021
  • Background: Recently, a new home-based dysphagia rehabilitation method using information and communications technology (ICT) has been reported, but clinical evidence is still lacking. Objectives: To investigate the effects of home-based dysphagia rehabilitation using ICT on tongue muscle strength and volume in patients with developed dysphagia after stroke. Design: Randomized controlled trial design. Methods: Twenty patients who developed dysphagia after stroke were enrolled. The experimental group received dysphagia rehabilitation in the form of ICT-based home care. In contrast, the control group received traditional rehabilitation based on swallowing under the supervision of occupational therapists. All interventions were conducted five times a week for four weeks. Results: Both groups showed statistically significant increases in tongue muscle strength and volume after the intervention (P<.05, both). However, there were no significant differences in tongue strength or volume between the two groups after the intervention (P>.05, both). Conclusion: Home-based dysphagia rehabilitation using ICT showed effects similar to those of conventional swallowing rehabilitation in patients who developed dysphagia after stroke. These findings suggest that dysphagia rehabilitation can be conducted at home without the help of a therapist.

Effects of Home Exercise Program on the Improvement of Balance in the Elderly (가정운동 훈련프로그램이 노인의 균형증진에 미치는 영향)

  • Kim, Han-Soo;Goo, Bong-Oh;Kim, Sang-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.113-121
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    • 2002
  • The purpose of this study was to investigate the effects of home exercise program on the improvement of balance in the elderly. Subjects were twenty members living in Daegu (10 males, 10 females), between 65 and 81 years of age. The subjects for the experimental group were participated in the home exercise program for 8 weeks, between April 2001 and June 2001. The results of this study were as follows: After the exercise program, balance ability by CTSIB in the experiment group improved with no statistical significance. On the other hand, balance ability by OLST was significantly improved in the condition with open eyes than dosed eyes. Balance ability by OLSTR was improved 37.2% (p<0.001) on the hard surface with open eyes and improved 41.1% (p<0.01) on the soft surface with open eyes. Balance ability by OLSTL improved 37.1% (p<0.001) on the hard surface with open eyes and improved 72.5% (p<0.001) on the soft surface with open eyes. Balance ability by BBT also improved 1.7% (p<0.05).

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