• Title/Summary/Keyword: disability evaluation

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The association between pain, balance, fall, and disability in patients with lumbar spinal stenosis with vascular claudication

  • Gunes, Musa;Ozmen, Tarik;Guler, Tugba Morali
    • The Korean Journal of Pain
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    • v.34 no.4
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    • pp.471-478
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    • 2021
  • Background: The effect of lumbar spinal stenosis (LSS) and peripheral vascular disease (PVD), which occurs with similar degenerative conditions, when seen together, has not been studied. The aim of this study is to examine and compare the relationship between pain, balance, disability, fear of falling, and kinesiophobia in LSS patients with intermittent vascular claudication (IVC). Methods: Seventy-two patients diagnosed with LSS using magnetic resonance imaging participated in this study. Thirty-five patients with IVC symptoms and showing vascular lesions by lower extremity venous and arterial Doppler ultrasonography imaging were included in the IVC-LSS group. The pain, static balance, dynamic balance, disability, fear of falling, and kinesiophobia were evaluated using the numeric rating scale, single leg stance test, Time Up and Go (TUG), the Oswestry Disability Index (ODI), Fall Efficacy Scale-International (FES-I), and Tampa Scale for Kinesiophobia (TSK), respectively. Results: Age and female sex were found to be higher in the IVC-LSS group (P = 0.024; P = 0.012). The IVC-LSS group had a shorter single leg stance time and TUG test duration, pain intensity, ODI, FES-I, and TSK scores were higher than patients with LSS (P = 0.001). Pain, fear of falling, and kinesiophobia were moderately correlated with disability in the IVC-LSS group. No relationship was found between pain and dynamic balance. Also, the pain was not related to kinesiophobia. Conclusions: The findings indicated that IVC causes loss of balance and an increase in pain, disability, fear of falling, and kinesophobia in patients with LSS.

A Study of Functional Assesment in Children With Cerebral Palsy (뇌성마비의 기능성평가도구에 대한 고찰 - GMFCS, GMFM 과 PEDI 중심으로 -)

  • Lyu, Sun-Ae;Kim, Bo-Kyong
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.1
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    • pp.13-42
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    • 2010
  • Objectives: This study is to investigate the method for assesment of cerebral palsy(CP), especislly focusing on function assesment Methods: We searched the recent date of the publication and paper in Cerebral Palsy Results: Measuring the function of children with cerebral palsy is mobility, self-care and social ability. Early adequate evaluation of motor development and prognosis of degree of long-term motor disability is very important not only for parents, but also for correct management of goal oriented rehabilitation treatment and for planning of preventive measures. 1. Gross Motor Function Classification System(GMFCS) is valuable to prognostication about gross motor progress in children with CP, using longitudinal observation. 2. Gross Motor Function Measure(GMFM) is the instrument most commonly used to measure gross motor function in children with cerebral palsy(CP). 3. Pediatric Evaluation of Disability Inventory(PEDI) is one of the most commonly used assessments for children with a disability. Conclusions: The functional Assesment of children with CP are used GMFCS, GMFM and PEDI.

A Study on the Educational Welfare Facilities for Disability-friendly Campus (장애친화적 캠퍼스를 위한 교육복지시설에 관한 연구)

  • Kim, Hak Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.24 no.4
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    • pp.25-32
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    • 2022
  • The purpose of this study is to provide design guidelines necessary for creating disability-friendly campuses. To this end, a literature survey and a survey on the current educational welfare facilities for disabled college students were conducted. The fact-finding survey was conducted in writing and visiting evaluations on 19 campuses located in Gangwon-do(province). The results of this study are summarized as follows: 1) The college enrollment rate of the disabled has doubled since 2000, but it was found to be half of the enrollment rate based on school enrollment, and the number of students who gave up in the middle is increasing. This is due to an obstacle in the learning environment, so it is necessary to improve welfare facilities. 2) As a result of evaluating the status of educational welfare support for students with disabilities, it was found that the overall evaluation result was improved, but the absolute evaluation result was less than 70%, and it was not improved. 3) As a result of evaluating the actual conditions of the intermediate facilities, indoor facilities, sanitary facilities, guidance and other facilities, and unit spaces, it is necessary to expand and improve them due to the lack of disabled parking marks, continuity of access roads, pedestrian safety passages, lifts, and rest areas for the disabled.

A Model to Determine the Appropriate Monetary Redress for Accidents Involving Compensable Injury to Person

  • Kim, Seong-In
    • Journal of Korean Institute of Industrial Engineers
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    • v.1 no.2
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    • pp.65-72
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    • 1975
  • A System of evaluation is developed which determines a uniform and individualized monetary redress. It can be applied not only to permanent disability but to temporary disability cases and considers all factors affecting monetary redress in determining process. As objects of compensation this model considers five factors, the degree of injury, the change of earning capacity, medical fee, job suspension and the degree of contributory negligence. For each object is defined a subfunction measuring its magnitude. Then by assigning reasonable weighted values to these five subfunctions according to their relative importance, we get main function which determines appropriate monetary redress.

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Two Cases of Patients with Developmental Disorder Treated by Herbal Medicine Alone (발달장애 아동의 한약치료에 관한 치험 2례 - GMFM과 PEDI 중심으로)

  • Yu, Sun-Ae
    • The Journal of Pediatrics of Korean Medicine
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    • v.25 no.2
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    • pp.39-54
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    • 2011
  • Objectives: The purpose of this study is to report clinical effect of herbal medicine on developmental disorder Methods: The patients were treated with herbal medicine and evaluated by gross motor function measure(GMFM), and pediatric evaluation of disability inventory(PEDI). Results: The patient's gross motor function measure, and pediatric evaluation of disability inventory were significantly improved after six months to nine months of herbal medicine treatment. Conclusions: This study shows that herbal medicine is effective on developmental disorder induced. However, further clinical studies are needed.

THE EVALUATION OF ORAL HEALTH CARE STATUS AND TYPES OF DENTAL TREATMENT IN CHARITY FREE DENTAL CLINIC FOR THE DISABLED PEOPLE (장애인 무료 치과 진료소에 내원한 장애인의 구강진료 현황 분석)

  • Shin, Hyunok;Kim, Mi Sun;Lee, Hyo-Seol;Choi, Sung Chul;Kim, Kwang Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.2
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    • pp.67-72
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    • 2017
  • The purpose of study was to analyze the types of dental treatment and their frequencies in a charity dental clinic for the disabled people, and to figure out baseline data for developing oral health policies. This study was based on the 141 patient records who visited the charity free dental clinic between 2011 and 2016. Data were evaluated according to gender, types of disability, types of treatment, and the average number of caries. The number of dental treatment according to sex was 70% for men and 30% for women. Patients were classified according to types of disability. The most common type of disability is intellectual disabilities (53.9%). After that, developmental disabilities were 37.5%, and brain lesions were 8.51%. The highest frequency of dental treatment is preventive treatment (45.1%). The mean number of dental caries was higher than the number of initial dental caries in all types of disability. Preventive oral care education and regular oral screening are necessary for the oral health of patients with disabilities.

Reduction of opioid intake after cooled radiofrequency denervation for sacroiliac joint pain: a retrospective evaluation up to 1 year

  • Tinnirello, Andrea
    • The Korean Journal of Pain
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    • v.33 no.2
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    • pp.183-191
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    • 2020
  • Background: Opioids can present intolerable adverse side-effects to patients who use these analgesics to mitigate chronic pain. In this retrospective analysis, cooled radiofrequency (CRF) denervation was evaluated to provide pain and disability relief and reduce opioid use in patients with sacroiliac joint (SIJ) derived low back pain (LBP). Methods: Twenty-seven patients with pain from SIJ refractory to conservative treatments, and taking opioids chronically (> 3 mo), were included. Numeric rating scale (NRS) and Oswestry disability index (ODI) scores were collected at 1, 6, and 12 months post-procedure. Opioid use between baseline and each follow-up visit was compared for the entire group and for those who experienced successful (pain reduction ≥ 50% of baseline value) or unsuccessful CRF denervation. Results: Severe initial mean pain (NRS score: 7.7 ± 1.0) and disability (ODI score: 50.1 ± 9.0), and median opioid use (morphine equivalent daily dose: 40 ± 37 mg) were significantly reduced up to 12 months post-intervention. CRF denervation was successful in 44.4% of the patients at 12 months. Regardless of procedure success, patients demonstrated similar opioid reductions and changes in opioid use at 12 months. Two patients (7.4%) experienced neuritis following CRF denervation. Conclusions: CRF denervation of the SIJ can safely elicit pain and disability relief, and reduce opioid use, regardless of intervention success. Future studies may support CRF denervation as a dependable therapy to alleviate opioid use in patients with SIJ-derived LBP and show that opioid use measurements can be a surrogate indicator of pain.

Effect of Bee Venom Acupuncture Therapy on Patients with Cervical Spondylosis (변형성(變形性) 척추증(脊椎症)의 봉약침(蜂藥) 치료(治療) 효과(效果))

  • Ahn, Byeong-Joon;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.24 no.3
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    • pp.111-117
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    • 2007
  • Objectives : This study was to evaluate the effectiveness of Bee Venom acupuncture therapy on patients with cervical spondylosis. Methods: We investigated 29 cases of patients with cervical spondylosis. We divided patients into two groups: Bee venom Acupuncture was performed at one group, and the other group we did acupuncture therapy. To evaluate the effectiveness of treatment applied for two groups, we used visual analog scale(VAS) and neck disability index(NDI). We compared the VAS and NDI score of two groups statistically. Results : As a result of evaluation by using visual analog scale(VAS) and neck disability index(NDI), treatment score at final was significantly different from that at the baseline in each groups. Treatment at final, Bee venom acupuncture therapy group showed significant difference on visual analog scale(VAS) and neck disability index(NDI) compared with acupuncture therapy group. Conclusions : Bee Venom acupuncture therapy can be used with acupuncture therapy for highly effective in the patient with cervical spondylosis.

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The Effectiveness of Bee Venom Acupuncture Therapy on the Treatment of Sprain of L-spine(A Randomized Controlled Trial; Double Blinding) (좌섬요통(挫閃腰痛)에 있어 봉약침(蜂藥鍼)의 효과(效果)에 대한 연구(硏究)(A Randomized Controlled Trial; Double Blinding))

  • Kim, Kyung-Tae;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.22 no.4
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    • pp.113-120
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    • 2005
  • objectives : This study was to evaluate the effectiveness of Bee Venom acupuncture therapy for sprain of L -spine. Methods : A randomized double blinding study of bee venom acupuncture therapy was conducted on sprain of L-spine. We divided sprain of L-spine patient into 2 groups: one group with both acupuncture and saline acupuncture therapy, and another group with both acupuncture and bee venom acupuncture therapy. To estimate the efficacy of treatment that applied for two groups, we used visual analog scale(VAS) and oswestry disability index(ODI). We compared the VAS and ODI score of two groups statistically. Results : 1. As a result of evaluation by using visual analog scale(VAS) and oswestry disability index(ODI), treatment score after 5 days was marked more higher than score before treatment and treatment score after 10 days treatment was more higher than treatment score after 5 days on each groups. 2. After 10 days treatment, acupuncture and bee venom acupuncture therapy group had significant result on visual analog scale(VAS) and oswestry disability index(ODI) compared with acupuncture and saline acupuncture therapy group. Conclusion : Bee Venom acupuncture therapy can be used with acupuncture therapy for highly effective treatment for sprain of L-spine.

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