• Title/Summary/Keyword: Rehabilitation Center

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Relationship between the Characteristics of Caregivers and Adults with Intellectual Disability and the Social Support, Family Function, and Rehabilitation Needs in Caregivers (성인기 지적장애인과 주부양자의 특성, 사회적지지, 가족기능, 재활의 필요성 사이에 관련성)

  • Moon, Jonghoon;Kim, Yesoon;Oh, Hyunmin;Hong, Bokyoon;Ho, Seunghee
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.4
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    • pp.171-182
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    • 2018
  • Purpose : The purpose of this study was to examine the relationship between the characteristics of caregivers and adults with intellectual disability, and social support, family function, and rehabilitation needs in caregivers. Methods : A total 98 pairs of adults with intellectual disability and their caregivers participated in this study. The researchers examined the general characteristics of the adults with intellectual disability and their caregivers. The evaluation included analysis of the level of activities of daily living, ability to communicate, and health status of the adults with intellectual disability, while the family income, health status, utility and the need for rehabilitation, social support (multidimensional scaled perceived social support, MSPSS) and family function (adaptation, partnership, growth, affection, resolve, and APGAR index) of the caregivers were measured. The data collected were analyzed to determine the relationship of the characteristics of adults with intellectual disability and the social support, family function, and rehabilitation needs of caregivers using regression and correlation analysis. Results : The rehabilitation needs were significantly correlated with the age of the adults with intellectual disability (p<.01), and the subjective health status of the caregivers (p<.05). The education level of the caregivers affected social support significantly ($R^2=.058$, p=.021). The communication ability of the adults with intellectual disability affected family function ($R^2=.071$, p=.01). The social support of caregivers had a significant effect on family function ($R^2=.488$, p<.001). Conclusion : These findings suggest that the barriers to community rehabilitation should be lowered, and the authors discussed the results of the present investigation.

Development of Surface Myoelectric Sensor for Myoelectric Hand Prosthesis

  • Choi, Gi-Won;Moon, In-Hyuk;Sung, So-Young;Lee, Mynug-Joon;Chu, Jun-Uk;Mun, Mu-Seong
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.1268-1271
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    • 2005
  • This paper proposes a compact-sized surface myoelectric sensor for myoelectric hand prosthesis. To fit the surface myoelectric sensor in the socket of the myoelectric hand prosthesis, the sensor should be a compact size. The surface myoelectric sensor is composed of a skin interface and a single processing circuit that are mounted on a single package. Since the skin interface has one reference and two input electrodes, and the reference electrode is located in middle of two input electrodes, we propose two types of sensors with the circle- and bar-shaped reference electrode, but all input electrodes are the bar-shaped. The metal material used for the electrodes is the stainless steel (SUS440) that endures sweat and wet conditions. Considering conduction velocity and median frequency of the myoelectric signal, we select the inter-electrode distance (IED) between two input electrodes as 18mm, 20mm, and 22 mm. The signal processing circuit consists of a differential amplifier with band pass filter, a band rejection filter for rejecting 60Hz power-line noise, amplifiers, and a mean absolute value circuit. We evaluate the proposed sensor from the output characteristics according to the IED and the shape of the reference electrode. From the experimental results we show the surface myoelectric sensor with the 18mm IED and the bar-shaped reference electrode is suitable for the myoelectric hand prosthesis.

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Effect of Multi-Channel Vibration Stimulation on Somatosensory Sensibility (다채널 진동자극이 체성감각에 미치는 영향)

  • Bae, Tae-Soo;Kim, Hyung-Jae;Kim, Sol-Bi;Chang, Yun-Hee;Kim, Shin-Ki;Mun, Mu-Seong
    • Journal of the Korean Society for Precision Engineering
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    • v.28 no.6
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    • pp.651-656
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    • 2011
  • Although prosthetic training was received, most of amputees mainly depend on visual feedback to use prostheses, not on cutaneous and proprioceptive sensibility. Our objective of this study was to determine if there are changes in the somatosensory sensibility of amputees compared to non-amputees using multi-channel vibration stimulation system. One transradial amputees and ten non-amputees were involved. To investigate changes of residual somatosensory sensibility at stump, we set up custom-made vibration stimulation system including eight actuators (4 medial and 4 lateral) and GUI-based acquisition system. The results showed that there was similar pattern of subjective response at most of channels among group as stimulation increases. However, amputees' subjective response at channel 8 for 238Hz vibration was more sensitive than that of healthy persons. With respect to channels, response at channel 4 (medial) corresponding region to flexor carpi ulnaris for transradial amputees was most sensitive than other channels. In addition, sensitivity of four medial channels was on average about 0.5 scale than that of four lateral channels. Somatosensory sensibility was amputee, women, and men in sensibility order.

Design of Carbon Composite Prosthetic Feet using Finite Element Methods (유한요소 해석기법을 이용한 탄소복합소재 인공발의 설계)

  • Cho, Hyeon Seok;Cha, Gook Chan;Park, Jin Kook;Kim, Shin Ki;Lee, Suk Min;Mun, Mu Sung;Kim, Chang Bu
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.7
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    • pp.769-776
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    • 2013
  • The dynamic compliance characteristics of a prosthetic foot midgait are very important for natural performance in an amputee's gait and should be in a range that provides natural, stable walking. In this study, finite element analysis (FEA) and classical laminate theory were used to examine the mechanical characteristics of a carbon-epoxy composite laminate prosthetic foot as a function of variation in the lamination composition. From this analysis, an FEM model of a prosthetic keel, made from the composite material, was developed. The lamination composition of the keel was designed for improved stiffness. The prototype product was fabricated using an autoclave. Vertical loading response tests were performed to verify the simulation model. The results of the experiments were similar to those from simulations below the loading level of the gait, suggesting use of the proposed simulation model for prosthetic keel design.

Safety of Soshihotang Soft Extract after Single Oral Administration in Healthy Male Volunteers, Single Center Study (소시호탕연조엑스의 단회 경구투여 후 안전성 평가에 대한 단일기관 연구)

  • An, Sung-Hu;Park, Kyungtae;Yeom, Seung-Ryong;Kwon, Young-Dal;Cho, Hea-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.2
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    • pp.153-164
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    • 2020
  • Objectives This study is designed to evaluate the safety of Soshihotang soft extract in healthy male volunteers. Methods 12 healthy male volunteers were recruited and this study was carried out by a single center. Laboratory test results, vital signs of the volunteers were collected to evaluate safety. According to registration order, the 12 subjects were allocated by serial number. To evaluate safety, blood samples were taken and vital signs were checked 4 times-screening, pre administration, post administration and follow up-during the whole trial. The incidence of all adverse effects are shown in percentage. The mean and standard deviation were used to to describe and summarize continuous data. To evalate the effectiveness of the intervention, data of blood tests was analyzed by Wilcoxon signed rank test or paired T-test (p<0.05). Results In the case of red blood cell, hemoglobin, hematocrit, neutrophils, protein, albumin, alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, γ-glutamyl transpeptidase values, the normality test result of the variable for the difference value before and after the dosing has a significance level <0.05. But most of values did not deviate from the normal range, and the deviation from the normal range could not be regarded as the significance associated with this clinical trial. And adverse event wasn't observed associated with the clinical trial drug. Conclusions Soshihotang soft extract were considered to be safe for healthy male volunteers.

Surface Modification of Latex with Parylene by Chemical Vapor Deposition (화학기상증착법의 Parylene 코팅에 의한 천연 라텍스 표면개질)

  • Song, Jeom-Sik;Choi, Seo-Yoon;Jung, Seong-Hee;Cha, Gook-Chan;Lee, Suk-Min;Mun, Mu-Seong
    • Elastomers and Composites
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    • v.39 no.4
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    • pp.301-308
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    • 2004
  • Three types of parylene (PA-N, PA-C, PA-D) were used for coating the surface on natural latex rubbers in order to improve surface characteristics including mechanical properties and biocompatibility. The parylene coating was the CVD (chemical vapor deposition) method, and the surface properties of the modified latex were measured. Annealing effects on the mechanical properties of the coated latex were also investigated. The adhesion between latex and parylene was good for all the types of parylene used. As annealing temperature was increased, latex modified with PA-N became more hydrophobic, while the latex treated with PA-C and PA-D became more hydrophilic. As the annealing temperature was raised, the tensile strength was increased, and the elongation was decreased. The biocompatibility was noticeably improved on the latex surface modified with the parylenes through CVD method.

Active Compliance Control for the Rehabilitation Robot with Cable Driven Transmission (케이블 구동 메커니즘을 이용한 재활 로봇의 능동 컴플라이언스 제어)

  • Kang, Sang-Hoon;Chang, Pyung-Hun;Park, Hyung-Soon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.28 no.12
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    • pp.1823-1832
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    • 2004
  • In this paper, we proposed a TDC based F/T sensorless active compliance control algorithm for a rehabilitation robot (KARES II). The preference of compliance of the disabled is presented by clinical testing at Korea National Rehabilitation Center with the disabled. The KARES II was designed to work 12 predefined tasks which are very essential for helping the disabled. Among the tasks, some contact tasks between the robot and the disabled exist. Therefore, TDC based F/T sensorless compliance control algorithm is developed for these tasks without additional cost. We verified the proposed algorithm with experiment. Also for the practical use, suitable compliance for contact tasks is chosen by clinical testing at Korea National Rehabilitation Center.

The Content Analysis of Pediatric Nursing Practical Learning in the Children's Rehabilitation Center by Nursing Students (간호학생의 장애아 보육실습 내용 분석)

  • Jung Hyang-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.4 no.2
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    • pp.296-316
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    • 1998
  • The practical learning experience is the heart of nursing's professional program of study, have been the most widely disscussed and yet the least studied of all nursing education activities. The major goal of practical learning experience is to provide opportunities in realistic work settings that permit the nursing student to develop the knowledge, skill It attitudes of a beginning practitioner. The purpose of this study is to identify the experience of practical learning in the children's rehabilitation center by nursing students, to provide basic information for developing practical learning in pediatric nursing education. The study design was a descriptive study. Data were collected 74 cases of journaling which came from senior nursing students who cared for the handicapped children in P rehabilitation center from 24, August, 1997 to 29, Decmber, 29, 1998. The collected data were analyzed using the content analysis by Kim & Lee(1986), Kim(1987). The results are as follows : The content of practical learning in the children's rehabilitation center were classified with 5 domains. The domains were , , , , and .

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Analysis on the Effect of Lordosis Changes at Lumbar Joint using 3-dimensional Musculoskeletal Model (근골격계 모델을 이용한 요추전만 각도 변화가 요추 관절에 미치는 영향 분석)

  • Bae, Tae-Soo;Kim, Shin-Ki;Ryu, Je-Chung;Mun, Mu-Seong
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.10
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    • pp.116-121
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    • 2009
  • It is important to consider lumbar lordotic angle for setup of training program in field of sports and rehabilitaton to prevent unexpected posture deviation and back pain. The purpose of this study was to analyze the biomechanical impact of the level of lumbar lordosis angle during isokinetic exercise through dynamic analysis using a 3-dimensional musculoskeletal model. We made each models for normal lordosis, excessive lordosis, lumbar kyphosis, and hypo-lordosis according to lordotic angle and inputted experimental data as initial values to perform inverse dynamic analysis. Comparing the joint torques, the largest torque of excessive lordosis was 16.6% larger and lumbar kyphosis was 11.7% less than normal lordosis. There existed no significant difference in the compressive intervertebral forces of each lumbar joint (p>0.05), but statistically significant difference in the anterioposterior shear force (p<0.05). For system energy lumbar kyphosis required the least and most energy during flexion and extension respectively. Therefore during the rehabilitation process, more efficient training will be possible by taking into consideration not simply weight and height but biomechanical effects on the skeletal muscle system according to lumbar lordosis angles.

Impact of Additional Therapeutic Exercises on Functional Performance of the Lower Extremities in Stroke Inpatients Within 3 to 6 Months After Stroke Onset (발병 3~6개월의 뇌졸중 환자에서 부가적 운동치료가 하지의 기능수행능력에 미치는 영향)

  • Kim, Won-Ho;Park, Chung-Yill;Lee, Se-Hoon;Koo, Jung-Wan;Kang, Sae-Yoon;Kim, Soon-Duck;Kim, Joo-Sup
    • Physical Therapy Korea
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    • v.12 no.2
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    • pp.58-72
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    • 2005
  • The purposes of this study were to determine the effects of rehabilitation programs on functional performance of the lower extremities and whether additional therapeutic exercise with routine rehabilitative therapy improves functional performance more than just routine rehabilitative therapy by it self for inpatients who have suffered a stroke with below moderate severity within 3 to 6 months after the onset of the stroke. Fifty-eight subjects were divided into two groups. Group I was given routine rehabilitative therapy and group II was given additional therapeutic exercise along with the routine rehabilitative therapy. Each group received 6 weeks of rehabilitation. The timed get-up and go test (TUG), the Fugl-Meyer score (FMS), functional independence measure (FIM), functional reach (FR), gait velocity (GV), and the strength of knee extensor and flexor were selected to measure effect of rehabilitation programs. The main results were measured and analysed at baseline, 3 weeks, and 6 weeks after the start of the rehabilitation programs. The results revealed that all of functional performance of the lower extremities in 3 weeks after the start of the rehabilitation programs were significantly improved compared with before the rehabilitation programs in both groups. In 6 weeks, TUG, FIM, FR, GV, and the strength of knee extensor in group I, TUG, FMS, FIM, FR, GV, and the strength of knee extensor and flexor in group II were significantly improved compared with the results after 3 weeks. At 3 weeks after rehabilitation programs, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee flexor compared to the group I. At 6 weeks, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee extensor and flexor compared to the group I. In conclusion, rehabilitation programs for stroke patients within 3 to 6 months after stroke onset significantly contributed to improve functional performance of the lower extremities. It is desirable for improvement of functional performance of the lower extremities to perform additional exercise with routine rehabilitative therapy.

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