• 제목/요약/키워드: assessment of disability

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근로능력평가지표의 취업에 대한 영향 비교: 장애등급, ICF 활동참여수준, 일상생활 도움필요정도 및 자기평가건강상태를 중심으로 (Effects of work ability on the employment status of people with disabilities: Comparing degrees of disability, ICF activity limitations & participation restriction, levels of assistance needed for daily activities, and self-assessed health status)

  • 이선우
    • 사회복지연구
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    • 제42권2호
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    • pp.323-350
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    • 2011
  • 근로능력은 장애인소득보장정책과 장애인고용정책에서 정책대상자를 선정하는 핵심요인이다. 우리나라에서 사용하고 있는 근로능력평가지표인 장애등급은 의학적 손상에 기초하여 결정되는 것으로, 제대로 근로능력을 평가하지 못한다는 비판을 받고 있다. 이 연구에서는 장애등급, ICF 활동참여수준, 일상생활도움필요정도 및 자기평가건강상태의 4 근로능력평가지표들이 장애인의 취업여부에 대한 설명력을 비교함으로써 가장 적절한 평가지표를 찾아 내고자 하였다. 그 결과, ICF 활동참여수준이 장애인의 취업여부에 대한 설명력이 가장 높았으며, 이어서 일상생활도움필요정도, 장애등급, 그리고 자기평가건강상태의 순으로 나타났다. 결론적으로 장애인연금제 및 장애인고용정책 등에서 적절하게 활용할 수 있는 근로능력평가지표는 ICF 활동제한 및 참여제약 영역에 해당하는 지표들이라고 할 수 있다. 따라서 ICF 활동제한 및 참여제약 영역을 바탕으로 한 근로능력 평가지표가 장애등급보다 더 적절한 근로능력평가지표라고 할 수 있을 것이다.

뇌손상 환자의 장애정도와 간병가족의 교육요구도 (Brain Injury Patients's Disability Degree and Educational Needs of Family Caregivers)

  • 윤선희;유양숙;조옥희;황경혜
    • 가정∙방문간호학회지
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    • 제19권1호
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    • pp.37-45
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    • 2012
  • Purpose: This study was conducted in order to identify the brain injury patients's disability degree and educational needs of family caregivers. Methods: A convenience sample of 94 families with brain injury patients, who have been receiving treatment at the neurological intensive care unit and neurosurgery ward, were used. Data was collected with a self-report questionnaire from September 5 to November 28, 2011, and was analyzed using SAS program. Results: 'Defecation/urination' disability was the highest score of patient's physical disability and the next ranking was 'paralysis'. 'Memory impairment' disability was the highest score of patient's cognitive disability, and the next ranking was 'personality changes'. Overall, educational needs of family caregivers scored 4.15 out of the perfect score of 5. The factor, which scored highest, was 'information related with disease'. In addition, educational needs of family caregivers were positively related with patient's degree of. Conclusion: Educational needs of family caregivers are distinct, according to the disability degree of brain injury patient. Therefore, the study suggests the development of individualized educational program for family with brain injury patient.

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Neck Pain and Functioning in Daily Activities Associated with Smartphone Usage

  • Lee, Hae-jung
    • The Journal of Korean Physical Therapy
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    • 제28권3호
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    • pp.183-188
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    • 2016
  • Purpose: The aim of the study was to investigate neck posture, range of motion, muscle endurance and self-report of pain and disability in smartphone users. Methods: Seventy-eight university student volunteers, aged between 18 and 30 years (mean age 23.2), were assessed for: a head-neck posture by measuring cranial vertical angle, neck range of motions using cervical range of motion device, and a deep neck flexor endurance using a stabilizer. Finally, subjects were asked about their neck pain and completed disability questionnaires, ie, Short Form McGill Pain Questionnaire, Neck Disability Index, and World Health Organization Disability Assessment Schedule 2.0. Results: Thirty-eight subjects experienced recurrent neck pain with/without upper limb pain (neck pain group) and 40 reported no current neck pain with/without upper limb pain (no neck pain group). Differences were found between groups on pain and disability questionnaires. Subjects with neck pain had significantly higher disability scores than those of no neck pain group. However, there were no differences observed between groups in a head-neck posture, neck range of motions, and deep neck muscle endurance time. The smartphone usage time was negatively correlated with neck pain intensity and disability score whereas it had positive relationship with flexibility and posture. Conclusion: Group differences were observed as lower capacity not only for neck specific daily activities but for general functioning in daily routine when the neck pain and no neck pain groups were compared. Therefore, functioning in daily activities should be investigated as prevention for further developing neck pain in smartphone users.

전통적 종이형태의 평가와 전자매체를 적용한 평가에 따른 지적장애인들의 시지각 능력과 시각적 주의집중의 차이에 관한 연구 (A Study about the difference of the Visual Perception and Attention of the People with Intellectual Disabilities from the Application of the Electronic Media and Traditional Paper Material)

  • 손성민;전병진
    • 한국엔터테인먼트산업학회논문지
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    • 제13권8호
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    • pp.505-514
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    • 2019
  • 본 연구는 전통적 종이형태의 평가와 전자매체를 이용한 평가적용에 따른 지적장애인들의 시지각과 주의집중의 차이를 분석하는 데 있다. 연구대상은 지적장애인 12명이다. 대상자들에게 전통적 평가방식과 전자매체를 활용한 평가방식을 적용하였으며, 그 차이를 비교하였으며, 그 차이를 비교하기 위해 대상자들의 시지각과 시각적 주의집중을 평가하였다. 시지각을 평가하기 위해 Motor free visual perception test-3를 활용하였으며, 주의집중을 평가하기 위해 Trail making test를 활용하였다. 그 결과, 전자매체를 적용한 평가에서 대상자들의 시지각과 주의집중 모두 높게 나타났다. 전자매체는 지적장애인들의 시지각과 주의집중에 영향을 줄 수 있는 요인으로 작용할 수 있다. 따라서, 지적장애인들에게 전자매체를 적용할 경우 이러한 차이를 고려하여야 할 것이다.

우리나라 20세 이상 장애인 건강검진 수검률 추이 및 관련 요인분석 (Trends and Factors Affecting Participation Rate in Korean National Health Screening among People with Disabilities)

  • 윤지은;임보라미;호승희
    • 보건행정학회지
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    • 제24권2호
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    • pp.172-180
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    • 2014
  • Background: People with disabilities have higher prevalence rates and earlier onset of chronic disease than the non-disabled; therefore, their participation in health screening is important. This study evaluates the participation rate and trends in health screening of people with disabilities, and examines the association between their participation rate and disability characteristics, and socioeconomic status. Methods: Data on disability-related characteristics were collected from the National Disability Registry, and participants' corresponding health examination data were taken from the Korean National Health Insurance Corporation between 2002 and 2011. A total of 873,819 participants aged ${\geq}20$ years were analyzed in this study. Results: The rate of participation of people with disabilities in health screening has increased each year, but their participation rate is lower than that of the total population. The participation rate was lower in females than in males; the elderly group than in the younger group; those who live in city areas than rural areas; self-employed for health insurance than employees; those with an internal organ disability than those with an external physical disability; those with a severe disability than those with a mild disability; and those with a short-term disability than for those with a long-term disability. Conclusion: The factors associated with participation rate are age, sex, socioeconomic status, and disability characteristics. These findings indicate that health check-ups of people with disabilities should be promoted using an approach that takes into account the large individual differences in socioeconomic status and disability characteristics in this population.

요통의 통증과 기능장애 평가에 관한 고찰 (The study of pain and functional disability scales for low back pain)

  • 이현종;남상수;이윤호
    • Journal of Acupuncture Research
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    • 제19권2호
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    • pp.137-148
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    • 2002
  • Objective : The low back pain was the main reason of receiving acupuncture treatment. Despite its widespread prevalence, objective data assessing the pain and the results of various forms of treatment were difficult to find in korea. In order to compare the value of different types of treatment, it was necessary to use standard and meaningful forms of assessment. Methods : Pain and functional disability scales for low back pain were reviewed for contents, measurement properties and current methodological issues. Results and Conclusions : 1. The SF-36 Bodily Pain Scale and the Graded Chronic Pain Scale were commonly used for the standard pain scale. 2. The Oswestry Disability Questionnaire and the Roland-Morris Disability Questionnaire were commonly used for the standard function scale. 3. When evaluated, there was no definite answer to the results of the treatment. In the literature, the responsiveness of the Roland-Morris Disability Questionnaire ranged from 2 to 8 points but clinically, the ranges should be minimally changed from 2 to 3 points. 4. In the future, scale for low back pain should be standardized in multiple dimension so that the computerized adaptive testing by Item Response Theory could be widely used.

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발달장애아 부모의 재활적 의료 욕구도 (Rehabilitation Medical Desire of Parents with Developmental Disability Children)

  • 김연순;이수경;양충용
    • 동의생리병리학회지
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    • 제19권2호
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    • pp.568-572
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    • 2005
  • This study is aiming for evaluating the factors influencing rehabilitation medical desire in parents (RMDP) with developmental disability children. This study was made with a randomized sample of 156 parents, who were given a questionnaire about how they feel medical needs for their children. The results of the study were as follows: The RMDP is significantly high in relatively the older aged parents group(p<.01). The RMDP is significantly high in severe disability group(p<.01). The RMDP is significantly high in the more spend group of monthly medical cost(p<.05). The group difference of RMDP by monthly income or movement type of disability is not significant(p>.05). It is thought that medical staff need to be actively involved in parents group with developmental disability children to improve motivation, who is relatively the younger than 35 years old or has mild to moderate disability degree of child.

동적 요부 안정화 운동 치료법이 요통 환자에 미치는 영향 (The Effect of Dynamic Lumbar Stabilization Exercise on Low Back Pain Patients)

  • 김종순;주무열;배성수
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.495-507
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    • 2001
  • The purpose of this study was to find the effects of the dynamic lumbar stabilization exercise on functional recovery of low back pain patients. The subjects were consisted of sixty patients who had nonspecific subacute low back pain. All subjects randomly assigned to dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group. The dynamic lumbar stabilization exercise group received modalities treatment with dynamic lumbar stabilization exercise. Williams exercise group received modalities treatment with Williams flexion exercise and modalities treatment group received modalities treatment without exercise. The Oswestry low back pain disability questionnaire was used to measure disability of low back pain. Assessment was carried out before treatment fur obtain baseline measurement of low back pain and reassessment were carried out at after 20 and 40 treatment sessions. The results of this study were as following: 1. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in dynamic lumber stabilization exercise group(p<.05). 2. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in Williams exercise group(p<.05). 3. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in modalities treatment group(<.05). 4. There were no statistical difference between the 3 groups at pre-treatment with Oswestry low back pain disability questionnaire scores(p>.05). 5. There were no statistical difference between the 3 groups after 20th treatment with Oswestry low back pain disability questionnaire scores(p>.05). 6. There were statistical difference between the 3 groups after 40th treatment with Oswestry low back pain disability questionnaire scores(p<.05). 7. The Oswestry low back pain disability questionnaire scores were significantly decreased after 40th treatment in all 3 groups and the decrement were greater in order of dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group.

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Utilization of Computer Pointing Game for Improving Visual Perception Ability of Children with Severe Intellectual Disability

  • Kim, Kyoung-Ju;Kim, Nam-Ju;Seo, Jeong-Man;Kim, Sung-Wan
    • 한국컴퓨터정보학회논문지
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    • 제23권4호
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    • pp.41-49
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    • 2018
  • The purpose of this study is to investigate the effect of computer pointing game on the visual perception ability of children with severe intellectual disability. Based on a literature review, we developed a computer pointing game to improve visual perception ability, which consisted of three stages; catching a hamburger, catching a hamburger and a soda, and catching various foods. At each stage, different instructional models were applied by difficulty level of the contents. Experiments were performed among four children with severe intellectual disabilities for three weeks. They belonged to H public school in Kyeonggi, Korea. Their visual perceptions were quantitatively measured four times by utilizing the Korean Developmental Test of Visual Perception tool (K-DTVP-2). For qualitative evaluation, an observation assessment diary was written and analyzed. All four children at the fourth test showed better visual perception ability, compared with the ability at the first test. As a result of the analysis of the observation assessment, they were considered successful in their learning and ordinary life related to visual perception. It can be concluded that the computer pointing game may play a role in helping children with severe intellectual disabilities improve their visual perception ability.