• 재활간호학회지
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• 제4권1호
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• pp.31-45
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• 2001

The purpose of this study was to investigate the relationship between self-concept and self-care activities of the cerebral palsied adolescents and to gain the baseline data for development of effective rehabilitation nursing intervention program of the cerebral palsied adolescents. The design of this study was a descriptive correlational study. The subjects of the study were 160 cerebral palsied adolescents attending at special schools located in Seoul and Kyonggi and rehabilitation centers located in Seoul, Kyonggi and Kyongnam province. The data was collected from May 20 to July 20, 2000. The instrument used for this study were the self-concept scale(50items 4point scale) and self-care activities scale(29items 4point scale). Self-Concept Scale had developed by Fitt(1965), which was standardized by Chung(1968) and modified by Kim(1984). Self-Care Activities Scale developed by the researcher through out the consulting of expert and pilot study on the basis of ADL check list developed by Kang(1984) and LDSQ-3(Lambeth Disability Screening Questionnair-3) developed by Na et al. (1995). The data was analyzed by the SPSS/PC+program using frequency, percentage, mean, standard deviation, t-test, ANOVA & Scheffe test and Pearson's correlation coefficient. The results of this study were as follows; 1. The mean score of self-concept was $138.55{\pm}17.20$(range: 50-100), which the item mean score was $2.77{\pm}0.34$(range: 1-4). The score of subarea of the self-concept was the highest score in family self ($3.01{\pm}0.54$) and the lowest score in physical self ($2.52{\pm}0.42$). 2. The mean score of self-care activities was $95.25{\pm}21.69$ (range: 29-116), which the item mean score was $3.28{\pm}0.75$ (range: 1-4). The score of subarea of the self-care activities was the highest score in feeding($3.75{\pm}0.59$) and the lowest score in walking($2.64{\pm}1.21$). 3. There were statistically significant difference in the score of self-concept according to the age (F=3.24, P=.04), the grads (F=4.36, P=.01), and types of cerebral palsy (F=2.42, P=.03). 4. There were statistically significant difference in the score of self-care activities according to the age (F=8.29, P=.00), the grads (F=16.05, P=.00), types of living place (F=6.46, P=.00), types of cerebral palsy (F=48.92, P=.00), whether or not receiving a rehabilitation therapy (t=-3.64, P=.00), whether or not receiving a vocational training (t=2.14, P=.03), and whether or not using a device (t=-7.42, P=.00). 5. There was not significant correlation between self-concept and self-care activities (r=.081, P=.311).

• The Journal of Korean Physical Therapy
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• 제31권2호
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• pp.103-110
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• 2019

Purpose: This study evaluated the usefulness of International Classification of Functioning, disability and health core set for children and youths with cerebral palsy (ICF-core set for CP) by comparing the Gross Motor Function Measure-88 (GMFM-88), which is the most widely used outcome measure in children with cerebral palsy (ICF-core set for CP). Method: One subject (Female, 14) was evaluated by GMFM-88 and ICF-core set for CP. In addition, the concept of GMFM-88 was compared with the concept of the ICF-core set for CP in compliance with ICF linking rules. The numerical values both of the GMFM-88 categories and the ICF-core set for CP's items were compared. Results: The ICF b760 was linked to the GMFM-88 59~61. d415 was linked to 57~58 of GMFM-88. d450 was linked to GMFM-88's 65~72. d455 was linked to GMFM-88 at 77and 80~83. Conclusion: The association of the ICF-core set for CP and GMFM-88 was confirmed. In addition, the number of categories of ICF-core set for CP was smaller than the number of items of GMFM-88. In conclusion, the ICF-core set for CP is an evaluation tool that can identify the various features of children. In addition, GMFM-88 was linked to the ICF core set for CP according to the ICF linking rules.

• The Journal of Korean Physical Therapy
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• 제25권1호
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• pp.10-15
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• 2013

Purpose: Low back pain occurs and frequently recurs in many people. An imbalance of paraspinal muscle activity can cause low back pain. Mulligan's concept of mobilizations with sustained natural apophyseal glides (SNAG) is a common method for treating low back pain. The purpose of this study was to investigate the effects of this method on paraspinal muscle activity in patients with chronic low back pain. Methods: Twenty-one patients with low back pain participated in this study. Patients were classified using the Oswestry disability index. The subjects' paraspinal muscles were measured by surface electromyography both before and after the SNAG mobilization. We measured the root mean square value of the paraspinal muscles during lumbar flexion and extension. Results: Paraspinal muscle activity in patients with chronic low back pain was different between the right and left sides. Importantly, paraspinal muscle activity significantly decreased after using the SNAG mobilization method. Conclusion: This study shows a difference between paraspinal muscle activity in chronic low back pain patients and finds that the Mulligan's concept of SNAG mobilization is effective at reducing imbalances in paraspinal muscle activity in low back pain patients.

• 재활복지공학회논문지
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• 제11권1호
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• pp.1-7
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• 2017

현재 전세계적으로 필요 장애인구의 약 5-15% (10 명 당 한 명 꼴)만이 신체기능의 저하를 보완하거나 보조할 수 있는 보조기기(assistive products)를 접할 수 있다[1]. GATE(Global Cooperation on Assistive Technology)는 이러한 보조기술에 관계한 모든 이해당사자들이 현재와 미래의 문제들에 대응하기 위해 제품 디자인, 가격 책정, 전달 및 서비스의 문제뿐만 아니라 의료 및 사회 시스템, 전문가 훈련, 그리고 정책 등과 같이 보조기술에 대한 전반적인 대응을 위한 WHO 주도의 보조기술에 관한 국제협력 방안이다. 본 논문에서는 보조기술에 관한 글로벌한 모든 이해당사자들의 협력관계의 구축을 통해 누구나 보조기술에 대한 접근성을 향상시키는 WHO GATE의 목표와 실행 계획을 소개한다.

• PNF and Movement
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• 제7권1호
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• pp.17-23
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• 2009

Purpose : To provide a convenient framework for PNF practice, we reviewed the relationship between ICF framework and PNF framework. Methods : We reviewed literatures related with ICF and PNF. Results : ICF model is useful tool for physical therapist who is working in PNF to identify the interactions the components of individual's health, especially the relationship between functioning and disability. A framework for PNF is philosophy which included the concept, functional approach. It is essential to identify primary activity limitation and causal impairment in PNF field and evaluate the their relationship. The ICF model can be used to classify the examination information. Next step is to prioritize the activity limitation and then evaluate the interrelationships among each components of the ICF framework. Conclusions : ICF model guides physical therapist in PNF practice to identify patient problems and evaluate the interrelationship of components of their health. This model is logical framework to directs functional approach as PNF philosophy to be approached the goal.

• 한국산학기술학회논문지
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• 제14권1호
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• pp.157-168
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• 2013

본 연구의 목적은 취업준비 과정에서 장애인이 경험하게 되는 진로장벽을 파악하고, 이러한 진로장벽이 역기능적 진로사고에 미치는 영향을 분석하는 것이다. 이를 위해 직업훈련중인 장애인 180명을 조사한 결과 첫째, 장애인이 지각하는 진로장벽은 직업정보의 부족, 낮은 사회적지지, 자기명확성 부족, 낮은 자기효능감, 중요한 타인과의 갈등 순으로 나타났다. 둘째, 장애인의 연령변인은 자기명확성 부족과 직업정보 부족에서 유의한 차이를 보였으며, 학력 특성에 따라 직업정보 부족에 차이가 나타났다. 또한 장애 유형 중에서는 정신장애가 사회적 지지에 높은 유의미성이 검증되었으나, 성별 차이와, 취업 경험은 모두 차이를 보이지 않았다. 셋째, 역기능적 구직의사결정 혼란에 가장 영향을 미치는 변인은 자기명확성 부족, 중요한 타인과의 갈등 그리고 낮은 자기효능감이었으며, 장애인의 수행불안에 가장 영향을 미치는 진로장벽은 낮은 자기효능감과 중요한 타인과의 갈등으로 나타났다.

• 대한물리치료과학회지
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• 제18권1호
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• pp.33-49
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• 2011

The process of physical therapy uses a problem-solving approach to enhance a patients's functioning status. The International Classification of Functioning, Disability and Health(ICF) is the common concept for the functioning in the world. Physical therapists require the ability to identify problems, formulate hypothesis, and plan intervention strategies through clinical reasoning. In the clinical process, physical therapists need to use standard and common languages in speech and in documentation. The purpose of this study was to suggest the process of making strategy for efficient intervention, examining and evaluating the functional problem of the person with stroke using ICF tools. For the first step in this process model, therapists could list the information relating to functional problems used by the ICF Core set and then could identify the interaction among the problems using the ICF assessment sheet. For the next step, therapist is needed to make the hypothesis and hypothesis testing, and then set a primary functional goals and therapeutic goals in detail after prioritizing the problems to be managed based on the problem list. Finally, after setting the identified problems as the purpose of intervention through the hypothesis testing, therapist could do some intervention after making a plan to solve these problems, and find out the outcomes using the ICF evaluation display. This report illustrates how to apply the process based on ICF concept into physical therapy practice. Making a decision for the most efficient intervention requires that therapists use the clinical reasoning process based on ICF concept.

• 한국컴퓨터산업학회논문지
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• 제3권1호
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• pp.45-56
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• 2002

본 연구는 수학 학습부진아의 수 개념 학습시스템 설계 및 구현에 있다. 기존의 학습 부진아 교수 시스템은 학습부진아의 정의적 특성보다는 학습내용의 반복훈련을 통해 기능을 습득하는 단순 반복형 학습시스템 유형이 많았다. 이는 학습초기 학습매체가 가지는 흥미와 동기가 학습이 지속될수록 반감되어 간다는 단점이 있다. 본 학습시스템은 생활장면을 애니메이션 자료화하여 수 개념 학습에 제공하고, 마우스를 이용한 구체적 조작학습을 통하여 학습의 결과에 대한 즉각적인 보상과 피드백을 주어 학습자의 학습동기를 지속할 수 있도록 하였다. 본 시스템이 부진아의 지도에 활용된다면 학습에 대한 지속적인 동기유발에 도움이 될 것이며, 학습부진아의 학습내용과 속도에 맞는 수준별 학습을 가능하게 하여 학습부진아 긍정적 학습태도의 형성에 도움이 준다.

• Physical Therapy Rehabilitation Science
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• 제9권3호
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• pp.149-154
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• 2020

Objective: This study aimed to evaluate the effects of the Kaltenborn-Evjenth concept of nerve mobilization combined with intermittent cervical segment traction (ICST) on pain, Neck Disability Index (NDI) scores, range of motion (ROM) and endurance in persons with cervical radiculopathy (CR). Design: Two-group pretest-posttest design. Methods: Thirty subjects participated in this study and were randomly assigned to two groups. The ICST group (n=15) was performed simultaneously with nerve mobilization and cervical traction for the segment with cervical pain at the same time. The intermittent cervical total traction (ICTT) group (n=15) performed nerve mobilization and cervical traction for the whole cervical area at the same time. In this study, outcome measures such as the Visual Analog Scale (VAS), NDI, ROM, endurance (cranio-cervical flexion test), and passive intervertebral motion performed before and 4 weeks after the experiment were compared to investigate the effects of each intervention. Results: In both groups, there were significant differences in the VAS, NDI scores, and endurance, and there were significant differences between the two groups except for endurance (p<0.05). In the ICST group, significant differences were found in all ROM, and in the ICTT group, significant differences were found in only extension, and there were significant differences between the two groups (p<0.05). Conclusions: The ICST group showed more improvement than the ICTT group in pain, NDI scores and ROM. Moreover, our findings show that the ICST could be used as a new strategy for manual therapy in persons with CR.

• 한국사회복지학
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• 제59권1호
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• pp.223-249
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• 2007

본 연구는 개인에 대한 직업재활서비스의 적격성이 장애 등급만으로 결정될 수 있는지를 탐색하기 위해 수행되었다. 이론적 검토를 통해 '기능제한(functional limitation)'개념이 이에 대한 대안이 될 수 있음을 확인하였고 변형바델지수(Modified Barthel Index)를 이용하여 기능제한 정도를 측정하였다. 전체 381명의 뇌성마비인을 대상으로 신체적 손상(impairment)과 기능제한 그리고 취업여부의 관계를 파악한 결과, 뇌성마비유형과 부위 등 신체적 손상과 관련된 변인은 취업여부에 직 간접적 영향을 미치지 않았으나 통증문제와 이동능력은 간접적인 경로를 통해, 자기관리능력은 직접적인 경로를 통해 취업여부에 영향을 미침을 알 수 있었다. 이러한 연구결과를 통해 향후 각종 장애관련 연구나 서비스 전달체계의 적격성을 파악하는 과정에서 무엇을 '장애'로 규정할 것인지에 대해 고민해야 하며, 그 대안으로 신체적 '기능제한' 정도를 개념화 하는 것에 대한 추가적인 연구가 수행되어야 함을 알 수 있었다.