• Title/Summary/Keyword: functional assessment index

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The Discrimination and Vegetation Structure of Several Mountainous Wetlands in Chung-ju and Around Area (충주 및 주변지역 산지습지의 판별 및 식생 구조)

  • Kim, Hyeong Guk;Jeong, Young Sun;Koo, Bon Hak
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.11 no.2
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    • pp.55-65
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    • 2008
  • This study was surveyed to analyze vegetation structure of mountainous wetlands in Chung-ju city and around area from September to November, 2006. 6 sites of total 15 potential mountainous wetlands were discriminated throughout field survey. By classification system of mountainous wetlands presented in manual of forest wetlands research, types of wetlands were classified into slant and a flat. Many sites were covered with land plants as Pueraria thunbergiana and so on. To understand vegetation structure of mountainous wetlands, Height, DBH (diameter at breast height), DI (Dominance Index), Sociability and Constancy were surveyed and Based on this result, a projection chart was drawn. As results, Salix koreensis in tree layer and Persicaria thunbergii and Impatiens textori in herb layer were surveyed as broadly distributed species. This study is mainly focused on vegetation condition of mountainous wetlands. But, it will be needed studying on classification system of mountainous wetland type and functional assessment for conservation or management of wetlands.

The Identification and Vegetation Structure of Several Mountainous Wetlands in Dan-yang and Around Area (단양 및 주변 산지습지의 판별 및 식생 구조)

  • Kim, Hyeong-Guk;Jeong, Jin-Yong;Koo, Bon-Hak
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.13 no.1
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    • pp.1-13
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    • 2010
  • This study was accomplished to identify and analyze vegetation structure of Mountainous Wetlands in Dan-yang and around area, and surveyed from September to November, 2006. 6 sites of total 16 potential Mountainous Wetlands by GIS based wetland forecasting system (Korea National Arboretum, 2006) were identified as wetlands throughout field survey by the indicators such as hydrology, soil and vegetation. By classification system of Korea National Arboretum (2006), types of wetlands were classified into 3 slope-types and 3 flat-types. To understand vegetation structure of wetlands, height, DBH (diameter at breast height), DI (Dominance Index), sociability and constancy were surveyed and the projection diagram and charts ware drawn. As results, Salix koreensis in woody plant layer and Persicaria thunbergiiin and Juncus effusus var. decipiens in herb layer were surveyed as broadly distributed species. The wetlands of Dan-yang around area were similar to those of Chung-ju around area, but the species of plants and hydrology conditions were different. This study is mainly focused on vegetation condition of Mountainous Wetlands. But, further studies on functional assessment for management and restoration of wetlands were necessary.

Effects of 8 Weeks of Exercise station training on balance ability for the elderly women (8주간 Exercise Station을 이용한 운동프로그램이 노인의 균형능력 수행에 미치는 영향)

  • Han, Sang-Wan;Lee, Byung-Hoon;Lee, Han-Ju
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.27-34
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    • 2009
  • Purpose: The purpose of this study was to evaluate the effects of 8weeks of exercise station training with elastic band and swissball on body compositions and balance ability for elderly women. Methods: This study was designed as a experimental pre-post exercise station training evaluation. The experimental group performed exercises with band and ball for 8 weeks. The effects of the program were assessed using instruments measuring the body compositions and balance ability before and after participating in the training program. Results: There were no significant differences in body compositions and index of falling down risk, however, there were significant differences with balance index, functional reach test and one leg stand test. Conclusion: These findings suggest that exercise station training with elastic band and swissball can serve as an effective means of improving balance ability in elderly women.

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Internal Consistency and Concurrent Validity of Korean Language Version of WHODAS 2.0: 12 Item-Self Administered

  • Lee, Hae-Jung;Kim, Da-Jeong
    • The Journal of Korean Physical Therapy
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    • v.23 no.6
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    • pp.23-29
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    • 2011
  • Purpose: The aim of this study was to validate the Korean version of World Health Organization Disability Assessment Schedule 2.0 (KWHODAS 2.0) in 12 item-self administered version (12-self). Methods: The KWHODAS 2.0 and Korean Functional Rating index (KFRI) were tested for internal consistency, ceiling and floor effects, and concurrent validity in 111 patients with low back pain and/or neck pain. Results: A very high level of internal consistency was shown for both instruments; ${\alpha}$=0.96 with KWHODAS 2.0; 12-self and ${\alpha}$=0.97 for KFRI. No ceiling and/or floor effects were found in both the instruments. The KWHODAS 2.0 and KFRI were highly correlated (r=0.77), and the relationship of each item between KWHODAS 2.0 and KFRI was ranging from r=0.09 to 0.72. Conclusion: We conclude that the KWHODAS 2.0: 12-self and KFRI are reliable and are valid instruments for the measurement of disability in Korean speaking patients with low back and/or neck pain. Both instruments, the KWHODAS 2.0; 12-Self and KFRI are now suitable for use in clinical practice and research applications.

The Relationship of NIH(National Institutes of Health) Stroke Scale to Functional Improvement in Stroke Patients (뇌졸중 환자의 임상적 검사NIHSS(National Institutes of Health Stroke Scale)와 기능적 예후와의 상관관계)

  • Heo, Ji-Young;Kim, Chi-Hyok;Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.103-111
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    • 2002
  • The purpose of this study was NIHSS(National Institutes of Health stroke scale) to activities of Daily Living stroke patient. We designed a 17 item neurogic Examination NIHSS use in acute stroke therapy trials. In a study of stroke patient. Assessment were measured by the NIHSS and by the MBI (Modified Barthel Index) to evaluate activities of daily living(ADL). Fifty patients were subject in this study. Collected data analysis were completed by using t-test, ANOVA, correlation analysis and Multiple regression analysis. The following were as follow; Among the test of NIHSS(National Institutes of Health stroke scale) was significantly correlated with changes in MBI(Modified Barthel Index) score in 50 stroke patients. Among the subitems of NIHSS, Pupillary Response, a level of consciousness, best motor arm, best motor leg were the best predictors of functional improvement.

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The Assessment Tools in Palliative Medicine (완화 의학에서의 평가도구)

  • Gwak, Jung-Im;Suh, Sang-Yeon
    • Journal of Hospice and Palliative Care
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    • v.12 no.4
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    • pp.177-193
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    • 2009
  • The assessment of patient status in palliative medicine is essential for determining treatments and for clinical outcomes. The objective of assessment tools is to raise the quality of care for individual patients and their families. There are a number of tools available to assess pain, non-pain symptoms and quality of life. The tools are either uni-dimensional or multi-dimensional measures. Unfortunately, however, no single tool is recommended to be a superior to others in symptoms or quality of life assessment. Therefore, to select an appropriate assessment tool, one should consider the time frame and unique characteristics of tools depending on purpose and setting. The combination of prognostic index is highly recommended in prognostication, and web-based prognostic tools are available. Recently, a new objective prognostic score has been constructed through multicenter study in Korea. It does not include clinicalestimates of survival, but includes new objective prognostic factors, therefore, anyone can easily use it. For beginners in palliative medicine, relatively easy-to-use tools would be convenient. We recommend Eastern Cooperative Oncology Group performance status to assess functional status, numeric rating scale for pain assessment and the Korean version of brief pain inventory for initial pain assessment. Asking directly with numeric rating scale or the Korean version of MD Anderson Symptom Inventory would be desirable to assess various symptoms together. We think that European Organization Research and Treatment Quality of Life Questionnaire Core 15 for Palliative Care is good to assess the quality of life, while Objective Prognostic Score is convenient as prognostic index for beginners.

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The Effects of a Task-Related Circuits Program on Functional Improvements in Stroke Patients (뇌졸중 환자에서 순환식 과제지향 프로그램이 기능 증진에 미치는 효과)

  • Cho, Gyu-Hang;Lee, Suk-Min;Woo, Young-Keun
    • Physical Therapy Korea
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    • v.11 no.3
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    • pp.59-70
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    • 2004
  • The purpose of this study was to propose a task-related circuits program for stroke patients and to test the difference in functional improvements between patients undergoing conventional physical therapy and those participating in a task-related circuits exercise program. The subjects were 10 stroke in-patients of the Korea National Rehabilitation Center in Seoul. We measured the following variables: Motor Assessment Scale (MAS), Berg Balance Scale (BBS), Tone Assessment Scale (TAS), speed of gait, rate of step, physiological costs index, age, weight, height, site of lesion, onset day and whether the subject participated in an exercise program. Collected data were statistically analyzed by SPSS 10.0/PC using descriptive statistics, Mann-Whitney U test, Wilcoxon rank sum test and Spearman's correlation. The results of the experiment were as follows: (1) In the pre-test and post-test for function, there was not a statistical significance between the group partaking in a task-related circuits program and the group of conventional physical therapy (p>.05). (2) In the MAS, BBS and speed of gait test, the group undergoing conventional physical therapy showed a statistical significance (p<.05). (3) In the MAS, BBS, speed of gait, PCI, TAS (passive, associated reaction, TAS total score), the group of task-related circuits program showed a statistical significance (p<.05). As a result, the group participating in a task-related circuits program had a more functional improvement than the group participating in conventional physical therapy. Therefore, an intervention recommended for a stroke patient would be a task-related circuits program consisting of a longer session of each task for a more improved functional recovery.

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Cut-off Value for Body Mass Index in Predicting Surgical Success in Patients with Lumbar Spinal Canal Stenosis

  • Azimi, Parisa;Yazdanian, Taravat;Shahzadi, Sohrab;Benzel, Edward C.;Azhari, Shirzad;Aghaei, Hossein Nayeb;Montazeri, Ali
    • Asian Spine Journal
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    • v.12 no.6
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    • pp.1085-1091
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    • 2018
  • Study Design: Case-control. Purpose: To determine optimal cut-off value for body mass index (BMI) in predicting surgical success in patients with lumbar spinal canal stenosis (LSCS). Overview of Literature: BMI is an essential variable in the assessment of patients with LSCS. Methods: We conducted a prospective study with obese and non-obese LSCS surgical patients and analyzed data on age, sex, duration of symptoms, walking distance, morphologic grade of stenosis, BMI, postoperative complications, and functional disability. Obesity was defined as BMI of ${\geq}30kg/m^2$. Patients completed the Oswestry Disability Index (ODI) questionnaire before surgery and 2 years after surgery. Surgical success was defined as ${\geq}30%$ improvement from the baseline ODI score. Receiver operating characteristic (ROC) analysis was used to estimate the optimal cut-off values of BMI to predict surgical success. In addition, correlation was assessed between BMI and stenosis grade based on morphology as defined by Schizas and colleague in total, 189 patients were eligible to enter the study. Results: Mean age of patients was $61.5{\pm}9.6years$. Mean follow-up was $36{\pm}12months$. Most patients (88.4%) were classified with grades C (severe stenosis) and D (extreme stenosis). Post-surgical success was 85.7% at the 2-year follow-up. A weak correlation was observed between morphologic grade of stenosis and BMI. Rates of postoperative complications were similar between patients who were obese and those who were non-obese. Both cohorts had similar degree of improvement in the ODI at the 2-year followup. However, patients who were non-obese presented significantly higher surgical success than those who were obese. In ROC curve analysis, a cut-off value of ${\leq}29.1kg/m^2$ for BMI in patients with LSCS was suggestive of surgical success, with 81.1% sensitivity and 82.2% specificity (area under the curve, 0.857; 95% confidence interval, 0.788-0.927). Conclusion: This study showed that the BMI can be considered a parameter for predicting surgical success in patients with LSCS and can be useful in clinical practice.

Characteristics of Functional Recovery in Hemiplegia with and without Pusher Syndrome (편마비 환자의 밀기증후군 유무에 따른 기능 회복의 특성)

  • Kim Seung-Won;Chang Woo-Nam;Hwang Byong-Yong
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.34-45
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    • 2003
  • A 'pusher syndrome' encompassing postural imbalance and hemi-neglect is believed to aggravate the prognosis of stroke patients. The patients with pusher syndrome show a particular posture that pushing away from the unaffected side of the body. The objective of this study was to investigate associated proprioception, associated neuro-psychological symptoms and characteristics of functional outcome with and without pusher syndrome. The subjects of this study were 58 acute stroke patients who been rehabilitated at two university hospitals in Seoul and Buchun. Data were collected using proprioception test and line bisection test. The ability of ADL was assessed by the Modified Barthel Index, transfer by the Functional Independence Measure, and balance by the Modified Motor Assessment Scale. The results were that significant difference was found in the presence of proprioception, in the incidence of hemineglect and anosognosia, and in the score of ADL, transfer and balance between patients with and without pusher syndrome. Patients without pusher syndrome gained more motor score than patients with pusher syndrome. From improvement of view, patients with pusher syndrome gained the lowest score in ability of transfer. The finding suggest that the patients with pusher syndrome is a poorer functional outcome, be related to proprioception, hemineglect and anosognosia.

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Comparison of Quality of Life of Turkish Breast Cancer Patients Receiving Breast Conserving Surgery or Modified Radical Mastectomy

  • Acil, Hande;Cavdar, Ikbal
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5377-5381
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    • 2014
  • Purpose: The aim of this study was to investigate the differences in quality of life in patients who received breast conserving surgery (BCS) or modified radical mastectomy (MRM) for breast cancer. Materials and Methods: A total of 100 women with breast cancer who underwent either BCS or MRM between September 2011 and April 2012 at a private health center and completed their chemotherapy and radiation therapy cycles were included in the study. To assess the quality of life, we used a demographic questionnaire, the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the Quality of Life assessment in Breast Cancer (EORTC QLQ-BR23). Results: Using QLQ-C30, we found that patients who underwent BCS had better functional status and fewer symptoms than patients who underwent MRM. In QLQ-BR23, independent factors improving the functional scales were BCS, higher level of education and marital status (married); independent factors improving symptoms were BCS, higher level of education, younger age and low and normal body mass index (BMI). In QLQ-C30, independent factors affecting the functional and symptom scales were only BCS and higher level of education. Conclusions: We determined that patients who received BCS had better functional status and less frequent symptoms than patients who underwent MRM.