• 디지털융복합연구
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• 제12권4호
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• pp.379-397
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• 2014

본 연구의 목적은 장애인의 소득보장정책을 포함한 장애인 고용정책으로 전환하기 위한 필수요건인 근로능력평가 척도를 개발하기 위한 것이다. 현행 체계는 장애연금이 의학적 기준에 의해 신체상의 장애상태를 평가하고 있어 근로능력에 대한 강한 예측력을 보여주지 못하고 있는 문제가 있다. 이에 선행연구, 국 내외의 근로능력평가 척도, 국제기능장애건강분류(ICF) 모델의 결과를 토대로 전국 880명의 장애연금 장애인을 대상으로 자료를 수집하여 인분석 한 결과 최종적으로 7요인 58문항의 척도를 개발하였다. 확인적 요인분석을 실시하여 적합도 지수를 구한 결과 촉도의 개념 구성 타당도가 검증되었다. 개발된 척도의 신뢰도 검증에서 척도 전체의 Cronbach's ${\alpha}$계수가 .94이고 7개요인 각각의 신뢰도는 .74~.90이다. 향후 근로능력평가 척도의 타당도를 높이기 위해서 본 연구에서 제시된 평가척도를 표준화하는 방안, 각 평가에 대한 세부 지침, 다수에 의한 평가 체계 운영 방안의 추후 연구 과제를 제시하였다.

• 한국산학기술학회논문지
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• 제15권1호
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• pp.377-385
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• 2014

본 연구에서는 국제기능장애건강분류체계인 ICF 코드와 국제표준위원회 재활보조기기 분류체계인 ISO 9999의 코드 매칭을 활용한 재활 보조기기 사용자 맞춤형 정보 지원 시스템 구축에 활용할 수 있는 모바일 어플리케이션과 시각장애인을 대상으로 한 사용성 평가를 조사하였다. 장애인의 일상생활에서의 어려움을 분석하여 기능을 보다 향상시키고 어려움을 경감시킬 수 있도록 개인적 특성과 기기의 장점을 서로 매칭시켜 주는 모바일 어플리케이션은 10명의 시각장애인을 대상으로 사용성 평가를 실시한 결과 본 연구에서 개발된 ICF 코드를 활용한 모바일 어플리케이션이 온라인 의 기존 재활보조기기 신청 방식보다 효과적인 것으로 나타났다. 결과 분석은 대응표본 t-검정을 수행하였으며 신뢰수준 95%를 기본값으로 하였다. 본 연구를 통해 도출된 프로토 타입 개발에 사용된 원천 기술은 온라인 클라우드 정보 기반 서비스로 확장할 수 있으며 관련 산업 및 시장의 활성화를 촉진 시킬 수 있을 것이다.

• 대한물리의학회지
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• 제19권1호
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• pp.95-105
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• 2024

PURPOSE: This study aimed to utilize the International Classification of Functioning, Disability, and Health (ICF) tool to identify a problem list and explore intervention effects using proprioceptive neuromuscular facilitation (PNF) for improving the crosswalk performance of patients who have undergone a bilateral hip arthroplasty. METHODS: The subject of this study was a 43-year-old male who had undergone a bilateral hip arthroplasty. To address the subject's functional status, a clinical decision-making process was carried out in the order of examination, evaluation, diagnosis, prognosis, intervention, and outcome. Patient information during the examination was collected using the ICF core set. The evaluation involved listing the items of each problem using the ICF assessment sheet and identifying the interaction between activity limitations and the impairment level. The diagnosis explicitly described the causal relationships derived from the evaluation using ICF terminology. The prognosis presented activity goals, body function, and structured goals in terms of the activity and participation levels that needed to be achieved for an individual's functional status. The intervention approached problems through the four components of the PNF philosophy, namely basic principles and procedures, techniques, and patterns, in an indirect-direct-task sequence. Results were compared before and after the intervention using the ICF evaluation display. RESULTS: The results of the study showed that the primary activity limitation, which was the walking time across the crosswalk, showed improvement, and the trunk's counter rotation and the weight-bearing capacity of both the lower limbs, which were impairment level indicators, were enhanced. CONCLUSION: This study suggests that PNF intervention strategies will serve as a positive approach for improving crosswalk walking in patients with bilateral hip arthroplasty.

• 대한정형도수물리치료학회지
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• 제17권1호
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• pp.35-44
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• 2011

Background: This study was to suggest the process of making strategy for effective intervention and evaluation on functional problems of the frozen shoulder patient applied International Classification of Functioning Disability and Health (ICF) Tools. Methods: The patient was 48years old woman with right shoulder adhesive capsulitis and calcific tendinitis. In first phase, therapists could list the information relating to functional problems used by the ICF Core set and then could confirm the interaction among the problems using the ICF assessment sheet. In second phase, therapist is needed to make the hypothesis and hypothesis testing and then set a primary functional goals and therapeutic goals in detail after prioritizing the problems to be managed based on the problem list. Lastly, after setting the confirmed problems as the purpose of intervention through the hypothesis testing, therapist could do some intervention after making a plan to solve these problems. Results: This report illustrates how to apply the process based on ICF concept into physical therapy practice. The decided hypothesis and goal that are to solve the problems the client faced were remarkably meaningful. Conclusions: Clinical decision making for the most effective intervention requires that therapists use the clinical reasoning process based on ICF concept.

• PNF and Movement
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• 제16권1호
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• pp.7-17
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• 2018

Purpose: The aim of this study was to investigate the effects of coordinative locomotor training in a chronic stroke patient. Methods: A left hemiplegic patient diagnosed with a right middle cerebral artery stroke participated in this research. The patient's functional conditions were assessed, and a coordinative locomotor training program was initiated to resolve the problems identified. A set of movements deemed difficult based on the brief International Classification of Functioning, Disability and Health core set for stroke and d4501 (long-distance walking) were agreed as improvement targets. The program comprised warm up, main, cool-down, and home exercises. Repeated measurements were obtained, as follows: five times at baseline (A), 10 times during the intervention (B), and five times after the intervention (A). The study period was 7 weeks, and the intervention period was 1 h per day, twice a week for 5 weeks. Various tools, including the community walking test (CWT), 10-m walking test (10 MWT), 6-min walking test (6 MWT), and timed up and go (TUG) test, were conducted to assess the patient's walking ability. Changes in functional domains before and after the ICF Qualifier were compared. The mean values of the descriptive statistics were calculated, and a visual analysis using graphs was used to compare the rates of change. Results: The results showed that the CWT, 10 MWT, 6 MWT, and TUG test scores during the intervention period improved and that this improvement remained, even during the baseline period. In addition, the ICF Qualifier before and after the comparison decreased from moderate to mild. Conclusion: Based on the results, we propose that coordinative locomotor training can have positive effects on community ambulation of chronic stroke patients.

• PNF and Movement
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• 제14권3호
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• pp.219-229
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• 2016

Purpose: Patients with Parkinson's disease suffer many restrictions in daily life. This case report investigated how intervention with proprioceptive neuromuscular facilitation (PNF)-based physical therapy can affect the activities of Parkinson's patients. Methods: The subject was a 67-year-old female patient diagnosed with Parkinson's disease 3 years ago. Since the last five months, overall activities have become difficult for her, and she finally visited a hospital to take outpatient physical therapy because of the gait difficulties she suffered. The patient's medical history, system review, body structure and function, and activities were evaluated. The patient had difficulties in activities such as lying down, sitting, standing, maintaining a standing position, and walking. The PNF-based intervention was used for treating the impairments and improving the activities. The intervention was performed for 30 min a day, three times a week, for eight weeks. The qualifier of the international classification of functioning, disability, and health was used to measure the result, and the measurement was conducted before and after the intervention for eight weeks. Results: According to the result, the scores for maintaining a standing position, moving around within the home, and going to the toilet improved to "no problem" from "moderate problem." The scores for shifting the body's center of gravity, walking short distances, and washing oneself improved from "moderate problem" to "mild problem." The scores for sitting and standing improved to "no problem" and "mild problem" from "complete problem." The scores for preparing meals and doing housework improved from "severe problems" to "mild problem" or "moderate problem." The scores for walking long distances, moving around outside the home and other buildings, and using transportation did not show significant changes. Conclusion: Intervention with PNF-based physical therapy improved the activity of patients with Parkinson's disease, thus proving its effectiveness. The case report suggested that a therapist can use PNF as a physical therapy intervention for patients with Parkinson's who suffered restrictions in daily activities.

• The Journal of Korean Physical Therapy
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• 제33권1호
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• pp.7-15
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• 2021

Purpose: This study was examined to improve the standing posture of a scoliosis client using the ICF Tool. Methods: For examination, the study subject was a 16-year-old female student diagnosed with 3curve-pelvic (3CP) type scoliosis. Information about her were collected through a client interview and based on international Classification of Functioning, Disability and Health (ICF). The ICF core set was for post-acute musculoskeletal conditions, and the ICF level 2 items suggested by National Rehabilitation Information Center (NARIC) were added to the recommendations for scoliosis. For evaluation, the ICF assessment sheet was used to identify the interaction among the problems. For the diagnosis, the client's functional problems were described in ICF terms. For the prognosis, the global goals for reaching the client's functional activity and participation level were presented as the long-and short-term goals. For the intervention, a coordinative locomotor training program composed of warm-up, main exercise, and cool-down was applied 3 times a week, 50 minutes a day, for 5 weeks. For the outcome, the differences between before and after the intervention were compared with the ICF qualifier and are shown with the ICF evaluation display. Results: Clinical advantages were observed in body function and structure (7° decrease of thoracic angle, 7 score increase of trunk muscle power, 6.47s improve of one leg standing, 4 score decrease of neck pain). The activity for maintaining the standing posture, in which the client had a primary limitation, was improved. Conclusion: Applying the coordinative locomotor training program is expected to improve scoliosis client's standing posture.

• 한국학교ㆍ지역보건교육학회지
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• 제24권4호
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• pp.39-50
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• 2023

Objectives: This study aimed to provide a scoping review of the impact of COVID-19 on people with disabilities. Methods: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Group's key questions (PICO) for systematic reviews, a literature search was conducted from January 1, 2020 to June 30, 2023 using the "AND" search formula. The databases used were Korea DB: RISS, SCIENCEON, and KoreaMed, and International DB: PubMed, CINAHL, and Embase. Results: Among a total of 22 selected articles, 4 studies were published in korea journals: 3 were survey studies (75.0%), 1 was an analysis study (25.0%), and 18 studies were published in international journals. Through a literature review, we confirmed the differences in difficulties between PwD (People with Disability) and PwoD (People without Disability) in the COVID-19 situation, differences by disability type, and post-COVID-19 impact. In order to examine this systematically and objectively, the results were examined by dividing them, which are components based on the International Classification of Functioning, Disability and Health (ICF). Conclusion: In order to respond well to crises and establish effective health policies in similar pandemic situations in the future, understanding and exploration of more diverse types and areas of disability are necessary. In addition, the development and application of appropriate health education and health promotion programs for disability type and ICF component area are required. In addition, it is necessary to develop and apply appropriate health education and health promotion programs tailored to the type of disability and ICF component area.

• 한국사회복지학
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• 제51권
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• pp.157-182
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• 2002

본 연구는 세계적으로 변화해 가고 있는 장애인에 대한 사회적 인식을 검토하고, 이러한 사회적 인식의 변화가 우리나라에서 장애인을 위한 사회복지실천 현장에 어떤 과제들을 요구하고 있는가를 제시하고자 한다. 이러한 연구 목적을 달성하기 위해서는 먼저, 보편적인 차원에서 장애에 대한 사회적 반응에 따라 장애인에 대한 서비스 패러다임이 어떤 방향으로 변화하고 있는지를 살펴본다. 이러한 논의를 바탕으로 장애에 대한 사회적 반응 및 서비스 패러다임의 변화가 우리나라의 실천현장에 요구하고 있는 함의들을 모색한다. 장애인에 대한 20세기 이전의 사회적 반응은 사회적으로 부적합하며, 장애는 개인의 책임으로 생각하였다. 그러다가 20세기 중반기와 후반기를 거치면서 장애에 대한 사회적 책임이 중요하게 제기되었다. 이러한 장애에 대한 사회적 반응의 변화는 장애를 설명하는 개념적 모델에서도 변화를 초래하였는데, 이른바 개별적 모델에서 사회적 모델로의 변화이다. 또한 사회적 반응 및 개념적 모델의 변화는 세계보건기구의 장애정의 및 분류에 영향을 미쳐서 1980년, 1997년, 2001년에 걸쳐서 새로운 정의와 분류체계들이 제시되었다. 이러한 변화들은 장애인에 대한 사회복지서비스 패러다임의 변화와 관련이 있으며, 이러한 흐름은 강점중심의 접근, 능력강화접근법, 사례관리, 자립생활모델 등을 통해서 설명된다. 장애에 대한 사회적 반응, 장애 개념, 서비스 패러다임의 변화는 동일한 방향으로 일관되게 전개되고 있다. 이러한 일관된 변화에 대한 논의를 통해서 본 연구에서 제기하는 실천현장에서의 함의는 사정과정에서 장애 당사자의 참여 강화, 사회 환경적 관점을 강조하는 방향으로의 사정 도구의 재검토, 장애당사자의 자기결정능력을 극대화하기 위한 정보제공 기능의 강화, 장애 당사자의 공식적 및 비공식적 원조망에 대한 지원 강화, 자조집단 프로그램의 강화, 배치모델에서 지원모델로의 전환 등으로 요약될 수 있다.

• International Journal of Computer Science & Network Security
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• 제22권11호
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• pp.141-148
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• 2022

The development of the education system and the labor market today requires new conditions for unification and functioning, the introduction of an innovative culture in the field of Education. The construction of modern management of innovative development of a higher education institution requires consideration of the existing theoretical, methodological and practical planes on which its formation is based. The purpose of the article is to substantiate the modern paradigm of organizing the mechanism of managing the innovative development of higher education institutions. Innovation in education is represented not only by the final product of applying novelty in educational and managerial processes in order to qualitatively improve the subject and objects of management and obtain economic, social, scientific, technical, environmental and other effects, but also by the procedure for their constant updating. The classification of innovations in education is presented. Despite the positive developments in the development of Education, numerous problems remain in this area, which is discussed in the article. The concept of innovative development of higher education institutions is described, which defines the prerequisites, goals, principles, tasks and mechanisms of university development for a long-term period and should be based on the following principles: scientific, flexible, efficient and comprehensive. The role of the motivational component of the mechanism of innovative development of higher education institutions is clarified, which allows at the strategic level to create an innovative culture and motivation of innovative activity of each individual, to make a choice of rational directions for solving problems, at the tactical level - to form motives for innovative activity in the most effective directions, at the operational level - to monitor the formation of a system of motives and incentives, to adjust the directions of motivation. The necessity of the functional component of the mechanism, which consists in determining a set of steps and management decisions aimed at achieving certain goals of innovative development of higher education institutions, is proved. The monitoring component of the mechanism is aimed at developing a special system for collecting, processing, storing and distributing information about the stages of development of higher education institutions, prediction based on the objective data on the dynamics and main trends of its development, and elaboration of recommendations.