• 한국전문물리치료학회지
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• 제10권1호
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• pp.139-158
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• 2003

This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents' demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.

• The Journal of Korean Physical Therapy
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• 제30권5호
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• pp.193-198
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• 2018

Purpose: The purpose of this study was to analysis of effectiveness between cognitive function assessment scores and gaming cognitive rehabilitation system in children with intellectual impairment. Methods: Five children (male=5, $age=10.00{\pm}0.80$) with intellectual impairment participated in this study and were randomly assigned to the experiment that played (received) gaming cognitive rehabilitation system (Neuroworld). The children were applied 2 times a week for 30 minutes during 3 months. The children were assessed K-WSIC-VI (Korean-Wechsler intelligence scale for children-fourth edition) and recorded that gained score in gaming cognitive rehabilitation system before and after intervention. K-WSIC-VI contained five primary index scores: verbal comprehension index, visual spatial index, fluid reasoning index, working memory index, and processing speed index. Gaming cognitive rehabilitation system scoring was composed visual recall, target recall, sequence recall, selective attention, continuous attention, and exploration. Results: In the intelligence quotient (IQ) of K-WSIC-VI, there were significant increased in all children. The visual recall item was highest effective in all children. However, sequential recall showed the lowest improvement in all children. The performance speed of selective attention item was decreased, this means that children's skills have improved. Also, their ability to explore has improved significantly. Conclusion: In conclusion, gaming cognitive rehabilitation system was significant effectiveness in cognitive function in some categories for children with intellectual impairment. However, the visual recall and performance speed don't represent of all cognitive function. Therefore, further studies will need to verify by applying more subject and longer duration.

• 한방재활의학과학회지
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• 제33권4호
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• pp.195-201
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• 2023

Objectives This study analyzed the correlation between lumbar spine and pelvic body parameters measured using body shape analysis system and X-ray view. Methods Body shape analysis system and X-ray view were performed for 100 patients to diagnose subluxation using body parameters such as pelvic obliquity angle, anterior superior iliac spine to posterior superior iliac spine angle (ASIS-PSIS angle), lumbar lateral flexion angle. The correlation analysis using body parameters obtained through the body shape analysis system and X-ray view was performed by measuring the Pearson correlation coefficient, a parameter test. Results Significant correlations were observed between the values for pelvic obliquity angle, ASIS-PSIS angle, lumbar lateral flexion angle measured by X-ray view and body shape analysis system. The most significant correlation was observed in the value of pelvic obliquity angle. Conclusions Body parameters and posture analysis measured by the body shape analysis system can be used in place of X-ray view. Additional research and samples are still necessary.

• 한국컴퓨터그래픽스학회논문지
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• 제24권3호
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• pp.93-100
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• 2018

본 논문은 뇌졸중 환자가 가상의 집에서 일상 재활 훈련을 할 수 있는 소근육 재활 시스템을 제안한다. 뇌졸중 환자는 마비증상으로 인해 일상생활 활동이 제한적이며 이들을 위한 재활 훈련에는 전등 켜고 끄기, 문 여닫기, 가스 밸브 잠그기, 자물쇠 열기 등 집안에서 일어나는 활동을 재현하는 작업 치료 훈련이 다수 있다. 본 논문에서는 가상현실 기술로 집 내부를 구현하여 앞서 언급한 일상 재활 훈련 요소를 배치하고 손동작 인식 장치인 립모션(Leap Motion)을 활용하여 환자가 손과 손가락을 충분히 사용하여 재활 훈련을 할 수 있는 재활 시스템을 제안하였다. 이 시스템을 이용하면 뇌졸중 환자는 불편한 몸으로 치료 기관에 방문하지 않고도 가상현실로 소근육 재활이 가능하며, 기존 작업 치료 도구의 단조로움을 탈피하여 흥미롭게 재활 훈련을 받을 수 있을 것으로 기대된다.

• 한국수자원학회논문집
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• 제41권2호
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• pp.127-135
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• 2008

하수관거 개량사업의 주된 목적은 Inflow/Infiltration (I/I)를 제거 및 통수능력 확보이다. 최근 노후 하수관거의 개 보수 및 신설 사업이 활발히 이루어지고 있으나 현재의 사업들은 관거 데이터의 부족, 유량 및 수질 자료의 장기적인 측정 미비 등으로 인하여 효율적인 사업을 진행시키기에 무리가 있다. 본 연구에서는 하수관거 개량사업을 보다 효율적으로 진행시키기 위하여 Rehabilitation Weighting Model (RWM)과 Rehabilitation Priority Model (RPM)로 구성된 의사결정모형을 개발하였다. RWM은 시간 및 예산상의 제약으로 인하여 주요 지점에서만 관측되는 I/I를 상류의 각 관거별로 I/I를 산정하며, 관거별 I/I는 Analytic Hierarchy Process (AHP)를 통하여 산정된 8개 결함항목별 가중치에 따라서 결정된다. RPM은 Genetic Algorithm (GA)를 이용하여 소유역별 최적개량우선순위를 산정한다. 이것은 공사 기간 중 발생하는 I/I를 최소화시키기 위한 소유역별 공사 순서를 설정함으로써 하수처리장의 처리비용을 절감시킴으로써 하수관거 개량사업의 효율적인 시행을 위한 판단 기준을 제시해준다.

• 한방재활의학과학회지
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• 제18권1호
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• pp.141-151
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• 2008

Objectives : The purpose of this study was to investigate effects of long-term taxi driving posture on the balance of musculoskelectal system. Methods : The author practiced Moire topography by using IBS-2000 for 30 male taxi drivers and general people. Then we measured difference of contour lines, difference of shoulder joint height, interval between vertical baseline of pelvis and vertical baseline of neck, ratio of thoracic curve and lumbar curve, difference of width between right and left through Moire topography. After we statistically analyzed difference of Moire topography's data between long-term employed male taxi drivers and general people. Results : 1. Taxi drivers, difference of contour lines in scapular, lumbar, gluteal region was bigger than general people and significant difference(p<0.05) was observed between subject group. 2. Taxi drivers, diference of shoulder joint height was more large than general people and significant difference(p<0.01) was observed between subject group. 3. Taxi drivers, diference of interval between vertical baseline of pelvis and vertical baseline of neck was more large than general people and significant difference((p<0.05) was observed between subject group. 4. Taxi drivers, ratio of thoracic curve was more large than general people and ratio of lumbar curve was more less than general people and significant difference(p<0.05) was observed between subject group. Conclusions : According to above results long-term taxi driving posture might cause musculoskelectal system unbalance.

• 대한기계학회논문집A
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• 제35권5호
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• pp.459-467
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• 2011

상지 운동기능 장애인의 재활치료에 대한 지속적인 관심과 훈련의 정량적인 평가가 요구되고 있다. 이러한 문제를 해결하기 위해서 햅틱 장치를 개발했다. 피험자가 햅틱 장치의 손잡이를 움직일 때, 가상의 힘을 제시하여 그들의 동작에 대해 어시스트력이나 항력을 제시할 수 있다. 개발한 상지 운동훈련 프로그램과 시스템의 유효성을 검토하기 위해, 5 명의 운동기능 장애인을 대상으로 직선동작 훈련 프로그램을 수행할 때의 손잡이 위치, 수행 속도, 손잡이의 오차 및 상지의 EMG 신호를 측정하였다. 5 명의 피험자의 손잡이의 궤적 및 EMG 활동이 유사함을 보였다. 이러한 결과는 가상 현실의 힘을 손잡이에 제시함으로써 EMG 활동이 증가하였다고 볼 수 있다. 본 실험의 결과, 객관적이며 정량적인 상지 재활치료 시스템의 개발 및 평가 방법이 시사되었다.

• 대한통합의학회지
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• 제10권3호
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• pp.73-84
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• 2022

Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care. Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema. Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient. Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

• Physical Therapy Rehabilitation Science
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• 제6권3호
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• pp.134-139
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• 2017

Objective: Dual-task interference is defined as decrements in performance observed when people attempt to perform two tasks concurrently, such as a verbal task and walking. The purpose of this study was to investigate the changes of gait ability according to the dual task interference in chronic stroke survivors. Design: Cross-sectional study. Methods: Ten chronic stroke survivors (9 male, 1 female; mean age, 55.30 years; mini mental state examination, 19.60; onset duration, 56.90 months) recruited from the local community participated in this study. Gait ability (velocity, paretic side step, and stride time and length) under the single- and dual-task conditions at a self-selected comfortable walking speed was measured using the motion analysis system. In the dual task conditions, subjects performed three types of cognitive tasks (controlled oral word association test, auditory clock test, and counting backwards) while walking on the track. Results: For velocity, step and stride length, there was a significant decrease in the dual-task walking condition compared to the single walking condition (p<0.05). In particular, higher reduction of walking ability was observed when applying the counting backward task. Conclusions: Our results revealed that the addition of cognitive tasks while walking may lead to decrements of gait ability in stroke survivors. In particular, the difficulty level was the highest for the calculating task. We believe that these results provide basic information for improvements in gait ability and may be useful in gait training to prevent falls after a stroke incident.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2003년도 ICCAS
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• pp.1495-1499
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• 2003

There is some equipment that helps user to exercise and to walk. But almost all equipments require some physical strength of their muscles. So we developed a system that could assist walking action of the people with lower-limb disability. The system called as walking stand adopted the balancing mechanism which assures the stable walking, and the 4 link-based mechanism that had 2 degrees of freedom on each leg. The walking stand uses four motors and has two sets of the special link-structure to simulate the human walking mechanism. With our system, even serious disabled with lower-limb disability may enjoy walking rehabilitation. And by adjusting the power, it can be used as the walking assistant mechanism instead of conventional wheelchairs. Experiments showed that our walking stand is applicable to the rehabilitation and also to the mobile device in our daily life for those people who do not have enough physical ability to walk by themselves.