• Title/Summary/Keyword: Intervention strategy

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A Case Report of Progressive Intervention Strategy Applied ICF Tool about Gait for TBI Patient (ICF Tool을 적용한 외상성 뇌손상 환자의 보행능력 증진을 위한 점진적 중재전략의 증례)

  • Kang, Tae-Woo;No, Hyun-Jung
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.2
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    • pp.137-147
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    • 2012
  • Objective : The purpose of this study was to describe the Progressive Intervention strategy applied ICF (International Classification of Functioning, Disability and Health) Tool about Gait for TBI(Traumatic Brain Injury) patient. Methods : The data was collected by TBI patient. We applied the progressive Intervention strategy applied ICF Tool to TBI patient. Parameters of result were collected for using the Berg balance scale, TETRAX, Timed up and go test, Sit to stand test and ICF Evaluation Display Results : Significant differences were observed the TBI patient for Berg balance scale, TETRAX, Timed up and go test, Sit to stand test and ICF Evaluation. TBI patient improved all test. Conclusion : Progressive Intervention strategy applied ICF Tool is very useful and effective. It is effective in clinical practice.

The influence of ankle strategy exercise on equilibrium ability in women of octogenarians (발목관절 전략 운동이 80대 노인 여성의 균형능력에 미치는 영향)

  • Lee, Woo-Hyung
    • Journal of Korean Physical Therapy Science
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    • v.17 no.1_2
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    • pp.67-76
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    • 2010
  • Background: The purpose of this study was to evaluate the influence of ankle strategy exercise on balance ability in the women of octogenarians. Methods: Ankle strategy exercise group(n=14), leg strengthening exercise group(n=14) were measured an balance ability by Berg Balance Scale(BBS) scores and Balance Performance Monitor(BPM) at pre-intervention and post-intervention in 6weeks. Results: This study were summarized as follows : 1. The BBS scores, sway area, sway path length, sway maximum velocity of ankle strategy exercise group and leg strengthening exercise group were significantly different among the intervention period(p<.05). 2. The improvement of BBS scores, sway area, sway path length, sway maximum velocity were significantly different between ankle strategy exercise group and leg strengthening exercise group at in 6weeks(p<.05). Conclusion: Learned from the ankle strategy exercise could improve BBS scores, sway area, sway path length, sway maximum velocity and a balance for the women of octogenarians. Ankle strategy exercise need to be applied clinically for balance ability of the women of octogenarians.

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A case report of the intervention strategy & documentation in a patient with post stroke applied a International Classification of Functioning, Disability and Health (ICF를 적용한 뇌졸중 환자의 문서 기록과 중재 전략의 실례)

  • Lee, Sun-Ui;Kim, Tae-Yoon
    • PNF and Movement
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    • v.8 no.2
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    • pp.57-67
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    • 2010
  • Background and Purpose : Many Physical therapist are inclined to communicate less effectively each other because they hardly use the standard terminology. The purposes of this case report are (1) to apply ICF-based documentation in evaluation (2) to submit the strategy of intervention process to improve the ability of walking short distance of the client who has post-stroke. Description : The client was 44-years-old man with hemiplegia who was in 1 month post-stroke problems were diagnosed while applying the ICF core set. The goals agreed with client were independently walking short distance, stairs and obstacles. To come up with the intervention strategy, hypothesis was set and 4 weeks of intervention was carried out after proposing the short goal and detailed purpose. Outcome : The client's performance in walking short distance and confidence were increased after impairment focused intervention, that are improved in walking velocity, endurance, supporting ability in lower limbs, rhythmical movement in upper limbs and the coordination of both limbs. Activities focused intervention also enhanced the ability in climbing steps and walking around obstacles. Conclusion : The decided hypothesis and goal that are to solve the problems the client faced were remarkably meaningful.

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Cognitive Strategy Intervention Affects Performance Skills of Daily Living in Individuals with Stroke: A Randomized Controlled Trial (뇌졸중 환자의 인지적 전략개발 중심 중재가 수행기술에 미치는 효과 비교 : 무작위 비교연구)

  • Ahn, Si-Nae
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.75-84
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    • 2016
  • Objectives : The aim of this study was to compare a treatment focusing on the physical function to an intervention focusing on a cognitive strategy in stroke patients which improves their performance skills of daily activities. Methods : This study design was a randomized control trial selecting 43 people with stroke patients. This study consisted of a control group, which received conventional occupational therapy focusing on physical function, and an experimental group which was trained to develop a cognitive strategy by themselves. Both groups each received 10 sessions of the treatment. This study compared the skills for performing daily activities before and after the intervention and analyzed the data with SPSS Ver. 18.0. Results : This study showed a significant improvement in all performance skills in the experimental group (p<.05). There was no statistically significant difference in the performance skills before and after the intervention in the control group (p>.05). Conclusions : It was verified that stroke patients to develop a cognitive strategy by themselves is more effective than to improve the physical function in performance skills for daily activities.

School-based nutrition education improves breakfast-related personal influences and behavior of Indonesian adolescents: a cluster randomized controlled study

  • Indriasari, Rahayu;Nadjamuddin, Ulfah;Arsyad, Dian Sidik;Iswarawanti, Dwi Nastiti
    • Nutrition Research and Practice
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    • v.15 no.5
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    • pp.639-654
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    • 2021
  • BACKGROUND/OBJECTIVES: Many adolescents in developing countries skip breakfast. Innovative nutrition education (NE) strategies are needed to enhance knowledge and skills related to the breakfasts of adolescents in a low socioeconomic setting. The objective was to evaluate short- and long-term effects of a multi-strategy, school-based NE intervention on adolescents' breakfast-related personal influences and behaviors. SUBJECTS/METHODS: An intervention study with a cluster randomized controlled trial design was conducted in 4 senior high schools in Makassar, Indonesia. The multi-strategy NE intervention was delivered for 3 months. Data were collected using a self-administered questionnaire and a 3-day breakfast recall (face-to-face interview). Wilcoxon, McNemar, and Mann-Whitney tests were used to determine intra- and intergroup differences. RESULTS: Unlike knowledge, improvement was observed in attitude and self-efficacy scores in the intervention groups (IGs) (P < 0.01); however, no significant changes were observed in the control group (CG). More students showed improved motivation in the IG than in the CG (P > 0.05). Changes in breakfast frequency and macronutrient intake from breakfast were greater in the IG than in the CG (P < 0.05). CONCLUSIONS: A multi-strategy NE intervention is effective in producing positive changes in breakfast-related attitude, self-efficacy, and motivation of adolescents from a low-middle socioeconomic setting. The intervention improved breakfast frequency and nutrient intake. This intervention has promise for sustaining the observed changes over the long-term.

ICF Tool applied Intervention Strategy and Charting on Upper Extremity Functional Recovery of the Frozen Shoulder Patient - Case Study (동결견 환자의 상지 기능 회복에 대한 ICF Tool을 적용한 중재 전략과 문서 기록-사례연구)

  • Kong, Sun-Woong;Lim, Hyoun-Chyoul;Jung, Yeon-Woo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.1
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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.

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A PNF Intervention Strategy with ICF Tool Applied for Improvement of Dressing in a Patient with Rotator Cuff Syndrome : A Case Report (회전근개 파열 환자의 옷입고 벗기 향상을 위해 ICF Tool을 적용한 PNF 중재전략 : 증례보고)

  • Kim, Jin-Cheol;Lee, Jeong-A
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.49-60
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    • 2018
  • PURPOSE: This study was conducted to investigate the intervention effect obtained by applying an ICF tool to improve the dressing in a patient with rotator cuff syndrome to schematize the problems and approaching with PNF to solve the problems. METHODS: The subject of this study was a 44-year-old patient who underwent surgery after complete right rotator cuff tear. To treat his symptoms, the processes of clinical practice were implemented in the order of examination, assessment, diagnosis, prognosis, intervention, and outcome. During examination, patient information was collected using the ICF core set. In the assessment, the problems were schematized, and an ICF assessment sheet was used to identify the interaction of the problems. The diagnosis was made by clearly describing the causal relationship derived from the assessment in ICF terms. To solve the problems, the intervention was given in the order of indirect, direct, and task based on the philosophy of PNF. To evaluate the outcome, the differences before and after the intervention were compared. Additionally, the comparison for the ICF qualifier is presented with the ICF evaluation display. RESULTS: The results of the study showed clinical advantages in shoulder strength, eccentric control, range of motion, scapular stability, and shoulder pain. Overall, our patient with rotator cuff syndrome showed improvement in dressing and undressing activity in response to the PNF strategy. CONCLUSION: Application of the PNF intervention strategy after complete rotator cuff tear would have a positive effect on patient upper extremity function.

The Effect of Power Card Strategy on Improvement of Vocabulary in Children With Autism Spectrum Disorder (파워카드 전략이 자폐범주성장애아동 어휘 향상에 미치는 효과)

  • Ahn, Ah-Hyeon;Park, Sun-Hee
    • Therapeutic Science for Rehabilitation
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    • v.8 no.3
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    • pp.83-95
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    • 2019
  • Objective: The purpose of this study was to investigate the effects of the Power Card strategy on the receptive vocabulary and expressive vocabulary in children with autism spectrum disorders. Method: Three children with autism spectrum disorder were selected for this study and the power card strategy language intervention was applied, using a multiple baseline design across individuals. The target vocabulary was selected by examining the individual preferred characters. Power cards were constructed, and intervention was applied to improve the receptive vocabulary and expressive vocabulary through the baseline stage, intervention, and maintenance. Result: The application of the power card strategy showed that the acquisition rate of receptive vocabulary in children with autism spectrum disorder was increased, and expressive vocabulary acquisition rate was also improved. Conclusion: During the intervention period using the power card strategy, the children's target receptive vocabulary and expressive vocabulary acquisition rates improved, and the acquisition rate was maintained, even after the intervention. This suggests that the power card strategy is effective in improving the vocabulary of autistic children with disabilities, of school age.

Differences of Career Stress Coping Strategy and Commitment to Career Choice among the Career Types for College Students (대학생의 진로유형별 진로스트레스 대처방식 및 진로결정몰입의 차이)

  • HWANG, Ji-Young;KO, Mi-Na
    • Journal of Fisheries and Marine Sciences Education
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    • v.27 no.4
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    • pp.1041-1052
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    • 2015
  • The purpose of this study was to analyze group differences of Commitment to career choice and Career stress coping strategy by the Career decision and Career preparation behavior for College Students. Through the results of this study we wanted to look for discriminatory implications for the counseling intervention. The data of 720 college students were collected for the study. The distinction of four types was revealed by the results from Crosstabs and One-way ANOVA. The frequency of upper grades indicated ideal type. But the immature type was fourth grade. There were significant differences in accordance with the two-dimensional typology of Commitment to career choice and Career stress coping strategy by One-way ANOVA. Discussion focused on effective intervention strategies in career counseling based on group differences by the Career decision and Career Preparation Behavior.

A Case Report of Intervention Strategy Applied ICF Tool about Patient with Cerebellar Hemorrhage (소뇌 출혈 환자에 대한 ICF Tool을 적용한 중재전략의 증례)

  • Kang, Tae-Woo;Park, Young-See
    • PNF and Movement
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    • v.11 no.2
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    • pp.1-7
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    • 2013
  • Purpose : The purpose of this study was to describe the Intervention strategy applied ICF Tool about patient with cerebellar hemorrhage. Methods : The data was collected by patient with cerebellar hemorrhage. We applied the ICF Tool for patient with cerebellar hemorrhage. Parameters of result were collected for using the Timed up and go test, Berg balance scale and ICF assessment sheet. Results : Significant differences were observed the patient for Timed up and go test, Berg balance scale and ICF assessment sheet. patient with cerebellar hemorrhage improved all test. Conclusion : ICF Tool applied Intervention about patient with cerebellar hemorrhage is very useful and effective. It is effective in clinical practice.