• Title/Summary/Keyword: Physical assessment

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Case Study for Application of Job Centered Curriculum in Department of Physiotherapy: Brighton University in England (영국 브라이튼대학교 물리치료학과의 직무중심 교육과정 적용 사례 연구)

  • Song, Ju-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.2
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    • pp.97-107
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    • 2018
  • PURPOSE: This study investigated the job-centered curriculum in the Department of Physiotherapy at the University of Brighton, England, to examine NCS (national competency standards) curriculum in physiotherapy. METHODS: The researcher visited the University of Brighton from September 2015 to May 2016 and conducted interviews with faculty members. Data were collected through the university's website and the Chartered Society of Physiotherapy. RESULTS: The undergraduate program is a three-year program and with a module system. There is a course leader for each module. Each grade requires 120 credits (10 hours per credit) and credit hours can be earned through lectures, tutorials, practical sessions, self-directed e-learning, group work, inter-professional classes, and seminars. Clinical placement is carried out six times during 3 years, for a total of 32 weeks, 35 hours per week, 1120 hours in total. Students are enrolled as a student members of the Chartered Society of Physiotherapy and are covered by professional liability insurance during clinical placement. The Center for Teaching and Learning holds regular workshops to discuss curriculum and module design, conduct course reviews, and review student assessment and feedback. All courses at the university must be approved, monitored annually, and re-approved every 5 years. CONCLUSION: This study can contribute to the development and operation of the NCS physiotherapy curriculum, as well as to the development of modules and assessment tools related to the application of this curriculum.

The effect of Mental Practice on the upper extremity function of the Hemiplegic Patients (정신훈련이 뇌졸중환자의 상지 기능회복에 미치는 영향)

  • Park, Chang-Sik;An, Seung-Hun
    • Journal of Korean Physical Therapy Science
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    • v.12 no.3
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    • pp.59-69
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    • 2005
  • The purpose of this study was to investigate the effect of mental practice on the upper extremity function of the hemiplegic Patients, 8 subjects with hemiplegia patients participated in this study. They did the Mental Practice programme for twenty minute, two times a week, three weeks. The Mental practice effects was evaluated by Fugl-Meyer Assessment(FMA), Action Research Arm Test(ARA), Stroke Rehabilitation Assessment of Movement(STREAM). The data were analyzed using paired t-test. The result of this study are as follows: FMA score were significant difference test-retest(p<.05), ARA score were statistically significant improvement between test-retest(p<.05), On the STREAM, the patients had the score improved on 4 of the 10 items of the upper-extremity Scale. The result suggest that mental practice is a potentially useful method of practicing motor skills. Mental practice may be a cost-effective, non-invasive tool with wuhich patients with stroke can receive additional practice of functional skills, and realize greater outcome, than if therapy alone were used.

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A Study on Analysis of the Physical Properties of Domestic and Foreign Sensitive Worsted Fabrics - Subjective hand assessments, Comparison between 1st and 2nd experiment - (국내.외 감성 소모직물의 물성분석에 관한 연구(II) - 주관적 태 평가, 1차, 2차 비교.분석 -)

  • Kim, Seung-Jin;Park, Kyung-Soon
    • Science of Emotion and Sensibility
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    • v.11 no.1
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    • pp.113-122
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    • 2008
  • This study surveyed the physical properties of the domestic and foreign worsted fabrics which are used for men's garments. For this purpose, forty specimens which were divided into 1st fourteen specimens and 2nd twenty six ones were prepared and the physical property assessment by Blind field test was carried out by test committee. The subjective test items by Blind field test were chosen as handle(softness, flexibility), color(brightness, deepness), appearance(cleanness, natural lustre) and comparison priority.

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The Effect Analysis of Conservative Treatment In Lumbar Intervertebral Disc (요추간판 탈출증의 보존적 치료효과 분석)

  • Kang, Jeom-Deok;Park, Hong-Duok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.7 no.2
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    • pp.41-49
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    • 2001
  • This study was undertaken to find out the effect analysis of conservative treatment in of lumbar intervertebral disc. The data was performed to evaluate the effect of conservative treatment in 50 patients aging from 20 to 67 with lumbar intervertebral disc patients. Changes in low back pain score were evaluated by age, occupation, duration of symptoms, marital status, education period, self assessment. Duration of symptoms in over 7 months was 62.0%. 8.6 scores of complete recovery was changes in low back pain score of self assessment patients. In the multiple regression of risk factors to changes in low back pain score were correlated with age, education period, marital status, duration of symptoms(p<0.05). All patients were assessed by the low back pain protocol which was composed of symptom, clinical sign and activities of daily living scales before and after the treatment. Poor result could be predicted after the nonoperative treatment in the patient groups of changes low back pain score decreased with aging, duration of symptom over 7 months.

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A Study on Control of Posture and Balance (자세와 균형 조절에 관한 연구)

  • Jeong Dong-Hoon;Kwon Hyuk-Cheol
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.23-36
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    • 1999
  • The very definitions of posture and balance have changed, as has our understanding of the underlying neural mechanisms, In rehabilitation science, there awe at least two different conceptual theories to describe the neural control of posture and balance : the reflex/hierarchical theory and system theory. A reflex/hierarchical theory suggests the posture and balance result from hierarchically organized reflex responses triggered by independent sensory systems. The systems approach suggests that action emerges from an interaction of the individual with the task and environment. That is to say, the systems approach implies that the ability to control our body's position in space emerges from a complex interaction of musculoskeletal and neural systems, collectively referred to as the postural control system. The specific organization of postural systems determined both by the functional task and the environment in which it is being performed, The postural control system is divided into three basic functional components for assessment : 1) musculoskeletal components, 2) motor coordination components, and 3) sensory organization components. It is proposed that a systemic functional understanding of human balance is critical to effective programs for balance rehabilitation. Thus, this article briefly reviews the basic functional components to consider in designing treatment plan and for the benefit of the balance assessment.

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A Study of Streetscape Evaluation Methods Using Computer Animation -A Comparison of Static and Dynamic Simulation Methods- (컴퓨터 애니메이션을 이용한 가로경관의 평가기법 연구 -정적 및 동적 시뮬레이션 기법의 비교-)

  • 김충식;이인성
    • Journal of the Korean Institute of Landscape Architecture
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    • v.26 no.4
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    • pp.1-13
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    • 1999
  • Previous research for visual assessment of streetscape employed static simulation methods to represent future landscape. However, streetscape is experienced sequentially, and thus dynamic simulations can be more effective. This study tried to adopt computer animation in the evaluation of streetscape, and examined its effects and possibilities. Three development scenarios for the redevelopment districts of Sokong-Ro and Banpo-Ro in Seoul were designed, and simulations were produced by three methods-photo-retouching, computer still image, and animation. A preference questionnaire was asked to 69 university students, and the effects of simulation methods on visual preference were examined. In addition, the frames of the animation were reclassed to identify the visibility of physical elements. The relationships between the visibility and visual preference were analyzed. The results showed that visual preference can be explained by three factors-Amenity, Tidiness, and Variousness-that account for 62.4% of the total variance, and the Amenity showed the highest proportion: 36.0%. Among the three simulation methods, animation showed the largest difference in preference for the most important factor(Amenity), and yielded the highest correlation between visibility of physical elements and Amenity. This result demonstrated that dynamic simulations can provide more accurate observation of visual changes, especially because the simulated landscape is experienced sequentially. The results also revealed that the sequential change in the visibility of physical elements can be examined easily and precisely by animation. This benefit of animation enables analysts to identify the points where the landscape varies the most, and thus visual preference should be evaluated.

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Can Functional Assessment Tools Reflect Balance Abilities at 3 Months after Total hip Arthroplasty?

  • Kim, Min-Woo;Ryu, Young-Uk
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.4
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    • pp.51-58
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    • 2018
  • PURPOSE: This study was conducted to determine if the Harrison hip score (HHS), a tool for assessing hip joint function, and the Burg balance scale (BBS), a general balance assessment tool, actually reflect the balance ability of total hip arthroplasty (THA) patients 3 months after surgery. In addition, this study investigated the initial weight distribution strategy for bilateral lower extremity after THA surgery to understand the balance of THA patients. METHODS: Fourteen 3-month THA patients performed static dual standing and sit-to-stand (STS) tasks. Ground reaction forces on each leg were collected to calculate the weight distribution symmetricity (SWD), and the HHS, functional HHS (f-HHS), and BBS were evaluated. Correlation analyses between SWD and the HHS (also f-HHS) and BBS were then applied to the THA patients. RESULTS: The correlations between functional evaluation tools (HHS, f-HHS, BBS) and SWD were weak strength for the static balance task, but moderate for the dynamic STS task. Among the evaluation tools used in the present study, f-HHS was most useful for evaluation of dynamic balance ability. CONCLUSION: The results suggest that use of HHS, f-HHS, and BBS as functional evaluation tools does not provide meaningful information regarding balance ability, but that they are useful for evaluating dynamic balance ability of THA patients. The dynamic balance ability at 3 months after THA seems to be under development.

Comparisons of Test-Retest Reliability of Strength Measurement of Gluteus Medius Strength between Break and Make Test in Subjects with Pelvic Drop

  • Jeon, In-Cheol
    • The Journal of Korean Physical Therapy
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    • v.31 no.3
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    • pp.147-150
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    • 2019
  • Purpose: The purpose of this study was to compare the reliability of unilateral hip abductor strength assessment in side-lying with break and make test in subjects with pelvic drop. Hip abduction muscles are very important in the hip joint structures. Therefore, it is essential to evaluate their strength in a reliable way. Methods: Twenty-five subjects participated in this study. Unilateral isometric hip abductor muscle strength was measured in side-lying, with use of a specialized tensiometer using smart KEMA system for make test, of a hand held dynamometer for break test. Coefficients of variation, and intra class correlation coefficients were calculated to determine test-retest reliability of hip abductor strength. Results: In make test, maximal hip abductor strength in the side-lying position was significantly higher compared with break test (p<0.05). Additionally, Test-retest reliability of hip abductor strength measurements in terms of coefficients of variation (3.7% for make test, 16.1% for break test) was better in the side-lying position with make test. All intraclass correlation coefficients with break test were lower than make test (0.90 for make test, 0.73 for break test). Conclusion: The side-lying body position with make test offers more reliable assessment of unilateral hip abductor strength than the same position with break test. Make test in side-lying can be recommended for reliable measurement of hip abductor strength in subjects with pelvic drop.

Correlation of Neuropsychological Symptoms and Incidence for Hemiplegia with Pusher Syndrome (편마비 환자의 밀기증후군 발생빈도와 신경정신학적 증상과의 관계)

  • Park, Yi-Su;Lee, Kang-Noh;Jang, Kee-Woo;Park, Sung-Il
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.1-7
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    • 1999
  • The objectives of this study was to investigate the incidence and any correction between hemiplegia with pusher syndrome and neuropsychological symptoms such as hemineglect and anosognosia. Pusher syndrome defines that the patient leans toward the hemiplegic side regardless of the position that patient was placed on and resists any attempt for passive correction of posture that would move his weight toward the midline of the body. The subjects of this study were 69 acute hemiplegia who had been rehabilitated at department of rehabilitation medicine, Asan Medical Center from May 1. 1999 through July 31. 1999. The data were analyzed by researchers who were trained for assessment of anosognosia and hemineglect. 12 subjects were excluded for confusion. The method of statistical analysis used for our study was Fisher's exact test. Results of the study disclosed 21 hemiplegia(38.6%) with pusher syndrome. In conclusion, these hemiplegic patients with pusher syndrome did not have any correlation with hemineglect and anosognosia and also had no preference of stroke side.

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Analysis of sEMG Median frequency and Ultrasound Image Echodensity of Normal Skeletal Muscle (정상 골격근의 근전도 중앙주파수 및 초음파 영상 밀도 분석)

  • Jeong, Jin-Gyu;Kim, Yong-Nam;Hwang, Tae-Yeun;Lee, Jeong-Woo;Kim, Tae-Youl
    • The Journal of Korean Physical Therapy
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    • v.18 no.1
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    • pp.83-94
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    • 2006
  • Purpose: This study conducts quantitative evaluation or structural and functional characteristics or normal skeletal muscle with ultrasound image and surface electromyography, and is to provide basic materials for utilizing ultrasound image analysis in physical therapy diagnosis and assessment of skeletal muscle. Methods: Measurement of three stages was conducted with 88 normal adults between their twenties and seventies, correlations and differences using collected data according to age and gender were compared and correlations among measured items were analyzed and then the following conclusions were obtained. Results: Analysis of ultrasound image of normal skeletal muscle showed that density, median frequency had the closest relations with age. In addition, it was found that there were high correlations between density explaining structural characteristics of skeletal muscle and median frequency explaining functional characteristics. Conclusion: Analysis of ultrasound image makes complex evaluation of structure and function of skeletal muscle possible when it is connected with functional evaluation method using physical measurement surface electromyography as well as quantitative evaluation of structural changes of skeletal muscle and is effective in complementing physical therapy diagnosis centering around functionality evaluation.

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