• 한국전문물리치료학회지
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• 제28권4호
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• pp.245-250
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• 2021

Background: The International Classification of Functioning, Disability, and Health-Child and Youth version (ICF-CY) is designed to record the characteristics of developing children and examine the influence of a child's environment on their health. Objects: This study was designed to determine the relationship between the clinically extracted ICF-CY items and The Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Measure (GMFM) items. Methods: Thirty patients (17 males and 13 females) who were hospitalized in a pediatric and youth patient unit of a rehabilitation hospital were included in the study. Four health professionals (two physical therapists and two occupational therapists) working independently linked the PEDI and GMFM-66 items to the activity and participation domains of the ICF-CY. Results: There were strong negative correlations between the ICF-CY subdomains and the PEDI subdomains (r = 0.76-0.95; p < 0.05). There were positive strong correlations between the ICF-CY subdomains and the GMFM-66 (r = 0.76-0.95; p < 0.05). Conclusion: The extracted ICF codes were a valid tool for evaluating the mobility and selfcare conditions of cerebral palsy in the pediatric rehabilitation area.

• 성인간호학회지
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• 제19권4호
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• pp.527-534
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• 2007

Purpose: The purpose of this study was to identify the effect of a simulated disability program on attitude and stereotyping by nursing students toward people with disabilities. Methods: A total of 107 undergraduate nursing students attended and completed pre-and post-questionnaires on attitude and stereotyping. The experimental group participated in a simulation exercise program which was composed of wheel-chair mobility and vision modification in Nam-won Rehabilitation Center. The data were analyzed by the SPSS 12.0 program including frequency, percentage, ${\chi}^2$ test and t-test. Results: There was no significant difference in attitude toward people with disabilities between the two groups (t=-.743, p=.459). But there was a significant difference in stereotyping between the experimental and the control group(t=-4.097, p=.000). Conclusion: As the result of this study, we can conclude that the program was effective to improve stereotyping toward people with disabilities.

• 한국직업건강간호학회지
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• 제16권2호
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• pp.188-196
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• 2007

Purpose: The objective of this study was to evaluate long-term care needs using RAI MDS-HC and MI-CHOICE among the disabled workers. Methods: Data were obtained from 45 personal care recipients with the disability of mental and nervous system, and analyzed using SAS 9.1 by applying t-test, ${\chi}^2$ test, or fisher's exact test. Results: Only 'bed mobility' and 'indoor ambulation' items of ADL and problem activity were statistically significant factors by the level of personal care benefit. By MICHOICE grouping, 20.0 percent of subjects belonged to nursing home group, 51.5 percent were home care service, 28.9 percent were intermittent personal care. Conclusion: Personal care services in industrial accident compensation insurance have been categorized with two groups according to level of disability. But our results could contribute to provide personal care service according to the long term care needs.

• 대한물리의학회지
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• 제16권1호
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• pp.49-61
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• 2021

PURPOSE: Hamstring muscle shortening is related to low back pain, and it is important to check the hamstring muscle flexibility and pelvic mobility to analyze the effects of the intervention. This study examined the effects of hamstring muscle shortening on flexibility and pelvic mobility according to the method of stretching the hamstring muscle in patients with low back pain. METHODS: Forty Low Back Pain Patients participated. The subjects performed the Visual Analogue Scale (VAS), Fear Avoidance Belief Questionnaire (FABQ), Korean version of Oswestry Disability Index (KODI), Myovision, and sensbalance therapy cushion (pelvic mobility, proprioception). The subjects were divided into two groups to perform the passive and active stretching protocol. The intervention was conducted three times a week for four weeks. RESULTS: Hamstring muscle flexibility was increased significantly in both groups (p < .05), and there was no difference between the groups. VAS, FABQ was decreased significantly in both groups (p < .01), and there was no difference between the groups. The left lower back muscle impedance was decreased significantly in both groups (p < .05). The passive stretching group showed a significant increase in the pelvic anterior, posterior, and left tilt ROM (p < .05). The active stretching group showed a significant increase in the pelvic anterior, posterior tilt ROM (p < .05). CONCLUSION: Both stretching methods may be useful intervention methods for pelvic mobility and pain recovery and can assess back pain recovery.

• 한국전문물리치료학회지
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• 제10권3호
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• pp.109-126
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• 2003

This study was designed 10 investigate the effects of therapeutic gymnastic ball exercise on pain, flexibility, lumbar disability level and daily activity levels in male patients of the armed forces medical hospital who complain of chronic low back pain. Twenty-three males were placed in the experimental group and twenty-nine males were placed in the control group. All of the subjects were chosen on the basis of availability among in-patients who were diagnosed with low back pain. The control patients were matched to the experimental group and they were selected considering gender, pain duration and age. Gymnastic ball exercise therapy was developed by the author with the assistance of a rehabilitation specialist. Gymnastic ball exercise therapy includes muscle relaxation, flexibility, muscle strength and posture development exercises. The gymnastic ball exercise therapy was carried out by the experimental group three times a week for eight weeks. Before and after the experiments, the intensity of pain, the lumbar joint mobility (flexibility), the lumbar disability levels, and the daily activity levels of the subjects were measured, respectively. The intensity of pain and the lumbar disability levels were measured by the Visual Analogue Scale, the level of flexibility by a measurement ruler, and the level of disability by the Oswestry Low Back Pain Disability Scale. Data were analysed using a t-test, a paired t-test and an unpaired t-test. The results were as follows: 1. The intensity of pain in the lumbar spine in the experimental group was significantly decreased compared with that of the control group during the 4th week and 8th week. 2. The flexibility of the lumbar spine in the experimental group was significantly increased compared with that of the control group during the 4th week and 8 week. 3. The level of pain caused by anterior, posterior, left lateral and right lateral bending and by rotation in experimental group was significantly decreased compared with that of the control group. 4. The Oswestry Disability score of the experimental group was significantly increased compared with that of control group. These findings indicate that gymnastic ball exercise therapy could be effective in decreasing pain and lumbar disability, and increasing the daily activity levels and lumbar flexibility in patients with chronic low back pain. The study also suggests that gymnastic ball exercise therapy could be an essential factor for effective nursing intervention for patients suffering from chronic low back pain.

• 대한물리치료과학회지
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• 제3권4호
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• pp.147-152
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• 1996

Therapeuticre rehabilitation of young children has often included the use of walker as mobility aids. Traditional walkers have four vertical legs, a horizontal bar in front of child, and horizontal bars on either side which also serve as hand grip. Child pushes it. It is called 'anterior walker'. 'Posterior walker' have been introduced which the child pull along behind himself during ambulation. The purpose of this investigation was to compare specific gait characteristics of children with developmental disability, while they ambulated with anterior and posterior walker. Using the posterior walker, specific gait characteristics improve than using anterior walker.

• The Journal of Korean Physical Therapy
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• 제22권3호
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• pp.37-44
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• 2010

Purpose: The purpose of this study was to describe the functional (mobility, self-care, social ability) and health-related quality of life in children with cerebral palsy (CP). Methods: A cross- sectional survey of 202 children with CP, mean age $5.91{\pm}1.57$ years, was carried out using the Gross Motor Function Classification System (GMFCS), Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), and Child Health Questionnaire (CHQ). Results: The functional assessment of children with CP showed that a more severe GMFCS level was associated with lower functional abilities (p<0.05). The health-related quality of life assessment showed that psychosocial well-being was less impaired than physical well-being. The internal consistency of the three instruments was satisfactory (cronbach's ${\alpha}$>0.80). The three different scales were correlated from moderate to strong (r=0.44 to 0.92). It was also found that mobility, tone distribution, and the parents' education level exerted a significant effect on the quality of life of children with CP (p<0.05). Conclusion: These findings suggest that children with CP have reduced function and quality of life and these are influenced by various factors. However, planning and application of various task-oriented functional interventions to childhood CP may be useful.

• 한국융합학회논문지
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• 제11권12호
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• pp.451-456
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• 2020

본 연구의 목적은 장애인의 보행 보조 기구의 사용 능력에 따른 보행 보조 기구의 사용과 일상생활 수행정도를 비교하는 것이다. 연구자료는 2014년 한국복지패널 표본에서 추출하였다. 전체 435,947 자료를 교차분석과 t-검정을 이용하여 분석하였다. 연구 결과, 독립적으로 보행 보조 장치를 사용할 수 없는 장애인들이 장애정도가 더 심하고 일상생활 수준도 낮은 것으로 나타났다. 또한 사회참여 수준과 여가활동 수준도 역시 비교그룹에 비해 독립적으로 사용하는 그룹에서 현저히 낮았다. 보행보조기는 장애인의 보행보조기 사용에 있어 장애인의 독립성 수준에 따라 맞춤형으로 해야 한다는 결론이 도출되었다.

• The Korean Journal of Pain
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• 제34권1호
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• pp.114-123
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• 2021

Background: Evaluation of the effectiveness of caudal epidural injection on pain, spine mobility, disease activity, and activity of daily living in axial spondyloarthritis (SpA) patients. Methods: A total sample of 47 patients were registered in this study. They were randomly assigned into 2 groups; Group I received caudal epidural injections, ultrasound-guided, with 1% lidocaine hydrochloride mixed with triamcinolone, whereas Group II did not receive any injections. All participants fulfilled the ASAS criteria for axial SpA. Outcome measures were as follows: visual analogue scale, Oswestry disability index (ODI), modified Schober test, lateral lumbar flexion, and Ankylosing Spondylitis Disease Activity Score (ASDAS) with assessment at baseline, 2 weeks, and 8 weeks post-treatment. This clinical trial was registered on clinicaltrials.gov under the number NCT04143165. Results: There was a significant difference between both groups regarding pain, ODI, spine mobility and ASDAS scores in favor of group I. This effect was at its maximum after 2 weeks. Despite the decline of this effect after 2 months, the difference between the groups remained significant. Higher disease activity, younger age, and shorter disease duration were associated with better outcomes. Conclusions: Epidural injection of lidocaine and triamcinolone is a cost effective and a practical technique for controlling pain, as well as improving the function of the spine and disease activity scores in axial SpA patients with acceptable complications and relatively sustained effect.

• 한국정보시스템학회지:정보시스템연구
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• 제31권3호
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• pp.47-65
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• 2022

Purpose With the recent development of Big Data and Artificial Intelligence technology, self-driving technology has developed into three stages (partial self-driving) or four stages (conditional self-driving), it is expected to bring a new paradigm to transportation in the city. Although many researchers are researching related technologies, there is no research on self-driving for disabled persons. In this study, the basic research was conducted based on the assumption that the shared self-driving car used by the disabled person is similar to the special transportation currently driving. Design In this study, data analysis and machine learning techniques were utilized to analyze the mobility patterns of disabled persons by type and to search for leading factors affecting the traffic volume of special transportation. Findings The study found that external physical disorders and developmental disorders often visit general welfare centers, internal organ disorders often visit general hospitals, and the elderly and mental disorders have various destinations. In addition, machine learning analysis showed that the main transportation routes for the disabled person use arterial roads and auxiliary arterial roads and that the ratio of building usage-related variables affecting the use of special transportation for a disabled person is high. In addition, the distance to the subway and bus stops was also mentioned as a meaningful variable. Based on these analysis results, it is expected that the necessary infrastructure for shared self-driving cars for disability person traffic will be used as meaningful research data in the future.