• Physical Therapy Rehabilitation Science
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• v.8 no.3
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• pp.170-174
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• 2019

Objective: The objective of this study was to investigate the differences in the quality of life between two groups of patients who received or did not receive total knee replacement (TKR) surgery after being diagnosed with knee osteoarthritis (OA), and to investigate changes in the quality of life for persons who had TKR surgery. Design: Cross-sectional study. Methods: The subjects were randomized into a surgery group (n=70) and a non-surgery group (n=65). Subjects were selected from individuals diagnosed with knee OA from Himchan Hospital in Seoul, South Korea. Their sex, age, weight, height, body mass index, unilateral or bilateral, and quality of life were evaluated. Changes in the quality of life was measured using the Short Form-36 Health Survey (SF-36). Seventy out of 135 patients had TKR surgery, and their quality of life was evaluated at 6 months and 12 months after the surgery. Results: SF-36 scores were significantly improved at 6 months and 12 months after the surgery compared to the scores before the surgery (p<0.05). Also, the comparison between 6 and 12 months after surgery showed that the Vitality and Social Function scores in the SF-36 were significantly increased (p<0.05). Conclusions: The findings of this study showed that TKR surgery has a positive effect on the quality of life for persons with knee OA as a therapeutic intervention.

• 한국노년학
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• v.38 no.4
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• pp.811-835
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• 2018

Social relations and cognitive function in old age are closely related to each other, and social relation is classified into structural characteristics and qualitative characteristics reflecting cognitive and emotional evaluation. The concept of social isolation is the focus of attention in relation to the social relations of old age. Social isolation has a multidimensional theoretical structure that is divided into objective dimension such as social network, type of furniture, social participation, and subjective dimension such as lack of perceived social support and loneliness. There is also a close relationship between cognitive function and interpersonal conflict in old age. In this study, we examined the effect of subjective social isolation, which shows the structural characteristics of social relations, and subjective social isolation and interpersonal conflict on the dementia occurrence by age group in the elderly. The data were analyzed by applying a random effect panel logit model using 1,740 panel data from the first year to the third year of KSHAP. The results of the analysis are summarized as follows. First, the cognitive impairment increased sharply with age. Objective and subjective social isolation were both U-shaped distribution with an inflection point of 80 years old. Second, the main effect on the probability of cognitive impairment was statistically significant with objective and subjective social isolation, but the type of interpersonal conflict did not appear to be significant. Third, the results of two-way interaction effect analysis on the probability of cognitive impairment are as follows. The relationship between subjective social isolation and the probability of occurrence of cognitive impairment was significantly different according to the level of conflict with spouse. In addition, the higher the subjective social isolation, the higher the probability of cognitive impairment in the elderly(over 85) than in the young-old(65~74). In addition, as the level of conflict with spouses increases, the probability of cognitive impairment of the oldest-old(aged 85 or older) is drastically lower than that of the young-old(aged 65~74). Based on the results of this study, policy and practical implications for reducing the cognitive impairment of the elderly age group were suggested, and limitations of the study and suggestions for future research were discussed.

• Cross-Cultural Studies
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• v.25
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• pp.627-648
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• 2011

The study analyzed a diachronic distribution, social meanings and social evaluations of ROOJIN. 'Headline Database of Newspaper Articles' and 'Balanced Corpus of Contemporary Written Japanese' by KOKKEN were used as research data. There were 305 newspaper articles (About 0.2%) which contained the word ROOJIN at 'Headline Database of Newspaper Articles'. The number of newspaper articles related to ROOJIN started to increase in a rapid rate in 1972 and 1973. They were also increased in 1976, from 1981 to 1987, 1992 and 1993. The reasons of increasing of newspaper articles related to ROOJIN on those 4 periods of time could be summarized as follows. Firstly, there was a increasement of ROOJIN who are lonely, are not able to move about freely or live alone. Secondly, the understanding of a symptom of aging called BOKE was necessary. Thirdly, there were negative evaluations in a society towards ROOJIN. There were 453 cases which contained the word ROOJIN at 'Balanced Corpus of Contemporary Written Japanese' on the data since 2000. The most frequently used words were ones that are related to senior care facilities. There were 109 cases (24%) which contain those words. '~SISETSU', '~SENTA-', '~HO-MU' were presented as words related to senior care facilities. Among them, 78 cases contained the word '~HO-MU' which was similar to a home with family members. The second most frequently used words were ones that are related to 'welfare for the aged' and they are led by 'medical care for the aged'. They occupied about 8%. Institutionalization of medical care for the aged, medical expenses, nursing were presented as words related to 'medical care for the aged'. Words that were related to 'welfare for the aged' led by 'senior care facilities' and 'medical care for the aged' occupied about 32% of research data. As mentioned above, problems of the aged in Modern Japan such as negative evaluations in a society towards ROOJIN, ROOJIN who are lonely, are not able to move about freely or live alone, BOKE could be identified by analyzing the data. Also, The frequent usage of words such as 'Home for the aged', 'medical care for the aged' and 'nursing' could be identified. The outcome of analysis suggested that a family traditionally had a function of solving problems of the aged but that function was reduced in modern Japan. It also suggested that there was a tendency to outsource problems of the aged as much as possible.

• 한국노년학
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• v.32 no.4
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• pp.993-1011
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• 2012

The purpose of this study is to investigate the factors associated with the incidence and the transition of disability among Korean older adults. Samples consist of 1,454(42.7%) men and 2,032(58.3%) women aged 65 and over who participated in the 1st and 2nd wave of the Korea Longitudinal Study of Aging: KLOSA. To estimate the level of disability, ADL and IADL disability indexes are used. As the results, major risk factors for ADL/IADL disability incidence include injury, vision problem, cognitive function, depression, health behavior, socioeconomic characteristics and age. Among the normal older adults, the odds ratio of having dementia symptoms at 2nd wave(2008) are 2.0 times greater for the older adults who have less cognitive function than those who don't have at 1st wave(2006). Among the older adults with chronic diseases, the odds ratio of having disability at 2nd wave are 1.8 times greater for the older persons who have depression than those who don't have at 1st wave. Secondly, concerning the predictors affecting the disability transition among the disabled older adults at 1st wave, the likelihood of remaining at the same level or deteriorating the level of IADL disability, as compared with improving the level, is associated with having less instrumental support or being older. These results indicate that it is necessary to prefer multilevel intervention in order not only to prevent the incidence of disability, but also to prolong the deterioration of disability in the older adults.

• Korean Journal of Social Welfare Studies
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• v.41 no.4
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• pp.247-276
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• 2010

This study aimed to examine the model to explain the mediator effect of care evaluation(care stress, care satisfaction) on the effect of stress factors and resource on the psychological well-being of the parents of the adult intellectual disabilities. Examining whether there is a difference between the gender of parents was another aim of this study. Study results showed that with the care stress as an endogenous variable, the daily life function and maladjustment behavior of adult children and the health state of parents had a significant direct effect on the psychological well-being of parents. With care satisfaction as an endogenous variable, family support, expert support and care stress had a significant direct effect. With the psychological well-being as an endogenous variable, care satisfaction and care stress had a significant effect, but the health state of parents didn't. In case of indirect effect, the care stress had a significant mediator effect on the effect of the physical function and maladjustment behavior of adult children and the health state of parents on the psychological well-being of parents. Care satisfaction had a significant mediator effect on the effect of family support, expert support and care stress on the psychological well-being of parents. According to the result of the Multiple Group Analysis, the path showed a statistically significant difference between gender was friend support→care satisfaction, care stress→psychological wellbeing, expert support→care satisfaction. On the basis of the study results, practical suggestions were made.

• Physical Therapy Rehabilitation Science
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• v.9 no.3
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• pp.131-139
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• 2020

Objective: The purpose of this study was to evaluate the effect of virtual reality (VR)-based core stabilization exercise on upper extremity function, postural control, and depression among persons with stroke with hemiplegia. Design: Randomized controlled trial. Methods: This study was conducted with the inclusion of 24 participants and were randomly assigned to either the VR-based trunk stability exercise group (n=12) or control group (n=12). The VR-based trunk stability exercise group performed core stabilization exercises in a VR environment for 30 minutes. Meanwhile, the control group conducted general core stabilization exercises for 30 minutes. The participants trained 3 times a week for 4 weeks. The manual functional test (MFT), Box and Block Test (BBT), Berg Balance Scale (BBS), Trunk Impairment Scale (TIS), the Geriatric Depression Scale (GDS) were used to assess all participants before and after the intervention. Results: The VR-based core stabilization exercise group had a significant improvement in upper extremity function (MFT, BBT) and postural control (BBS) compared with the control group (p<0.05). The VR-based core stabilization exercise showed a significant difference after intervention in the TIS and GDS scores (p<0.05), but they did not significantly differ between the two groups. Conclusions: The result showed that VR-based core stabilization exercise can be effective in improving upper extremity function and postural control among patients with stroke more than the sole application of general physical therapy.

• Physical Therapy Rehabilitation Science
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• v.9 no.2
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• pp.90-97
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• 2020

Objective: This study investigated the effects of combining both mobilization and hold-relax (HR) technique on the function of post-surgical patients with shoulder adhesive capsulitis. Design: Randomized controlled trial. Methods: Forty-five surgical patients with shoulder adhesive capsulitis participated in this study and were randomly divided into three groups; both mobilization with movement (MWM) and HR technique (HR-MWM) group (n=15), the MWM group (n=15), and control group (n=15). All participants received three different interventions; 1) MWM combined with HR technique in PNF stretching on the shoulder, 2) MWM on the shoulder, 3) general physical therapy and intervention with neither MWM or HR stretching. Pre- and post-intervention, each subject was randomly evaluated for shoulder flexion range of motion (ROM), shoulder flexor muscle strength, Visual Analogue Scale (VAS), and the Korean version of the Shoulder Pain And Disability Index (SPADI). Results: The MWM combined with HR technique group had significant effects on shoulder flexion ROM, shoulder flexor muscle strength, VAS and SPADI compared to the MWM and control group (p<0.05). The MWM group showed a significantly greater increase in shoulder flexion ROM compared to the control group (p<0.05). Conclusions: These findings suggest that combining both the MWM and HR technique on the shoulder may more effectively improve shoulder function than MWM alone or without MWM&HR technique. Therefore, combining both the MWM and HR technique is a suggested intervention for increasing function due to shoulder adhesive capsulitis after surgery.

• Korean Journal of Social Welfare
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• v.67 no.2
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• pp.137-159
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• 2015

This longitudinal study examined the influence of substandard housing conditions and housing affordability on physical and mental health. Using data from the Korea Welfare Panel Study, this study followed 8,583 adults who continued to participate in the survey from 2009 to 2013. Multivariate analyses involved linear and logistic regression models with the hybrid method that incorporates both fixed and random effects. Results show that substandard housing conditions and excess housing cost burden had significant adverse effects on adults' mental health (e.g., depressive symptoms). About one fourth of the entire sample and one third of those in poverty reported having lived in substandard housing conditions. Additionally, nearly one fourth of those in poverty reported having experienced excess housing cost burden, which is 4 times greater than that of the entire sample. Our findings show that a substantial proportion of individuals, particularly among the poor, have a difficulty in accessing to decent, affordable housing, and that housing assistance may have additional benefits of improving the mental health of individuals with housing issues.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.7
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• pp.544-554
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• 2020

The purpose of this research was to determine the effect of baking and pastry activity programs on the cognitive function of the elderly with dementia. The study was carried out on 19 elderly with dementia who attended K city C daycare center and who provided consent. A total of 10 elderly were assigned to the experimental group, and the other nine were assigned to the control group. To test the effectiveness of the program, this research used the pretest-posttest control group design. The experimental group administered the program from January 2, 2017 to February 28, 2017. However, the control group did not undergo a separate program. Fisher's accuracy test was performed to identify the homogeneity of the experimental and control groups. Mann-Whitney U Test was conducted to identify the homogeneity of the cognitive functions of the experimental and control groups prior to the launch of the program. Wilcoxon Matched-Pairs Signed-Rank and Mann-Whitney U Test were conducted to determine the effects of the program on the cognitive function of the elderly with dementia. As a result, the program verified the effect on the cognitive function of the elderly with dementia. According to these findings, the important issues and limitations of the research are discussed.

• Journal of The Korea Institute of Healthcare Architecture
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• v.20 no.4
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• pp.81-89
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• 2014

Purpose : An aging phenomenon was recognized as only negative aspect, which impediment a development with the decrease of a developing population and increase of social burden. Nevertheless, the problem of aging cannot be treated as a problem of individuals or social burden. Because Every mankind sometime will be the person directly involved the aging. Methods : Korea, predict to reach the aging society with over 20 percent of elderly in the whole population in 2020, should find an active political plan for responding. Because a previous discussion about the aging phenomenon focused on social welfare, the housing plan for the elderly with a consideration of the physical environment for sustaining elderly's life with happiness will be primary task. Results : This research considers housing policy, focusing on the medical service. It is because statistics, which 85 percent of elderly people suffer from chronic diseases because of physical aging signify the importance of medical service to the elderly in every-day-life. Implications : We prescribe the elderly as a population over 65. In this duration, the elderly retirees from the workplace e and spend the majority of time in their home. Thus, for the elderly, the residential space is a field of action and passageway connecting with the surroundings For the solution of physical space preparing the aging phenomenon, the combination of residential and medical function creates a new type of a lifestyle.