• 제목/요약/키워드: individual rehabilitation

검색결과 322건 처리시간 0.023초

만성질환 예방을 위한 맞춤형 건강관리 서비스의 접근전략과 발전방향 (Strategies to approach the customized health management service to prevent chronic diseases)

  • 김영복
    • 보건교육건강증진학회지
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    • 제33권4호
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    • pp.89-100
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    • 2016
  • Objectives: Life style modification leads to decrease health risk and change of health status for person at health risk. This study aimed to suggest essential components and effective strategies for customized health management service to provide individual and risk group in public and private health care organizations. Methods: To systematic review the essential component of health management service, I performed to collect political legislation, research papers, reports, publication and public release for heath management service from 2008 to 2016. Essential components of heath management service were service scope, service design, organizations and applied technology. Results: Service cope was composed of health risk factors, such as smoking, drinking, nutrition, physical activity and weight control. Main strategies were customized health management services, personalized behavior modification programs, evidence-based service protocol, utilization of information and communications technology (ICT), multi-dimension and multi-level approach, and public and private organizations partnership through health policies and health care system. Conclusions: To make the most of the limited resources, it should require a systematic approach that focuses on continuous monitoring and partnership of health management service.

Reliability and Validity of the CAP for Computer Access Assessment of Persons with Physical Disabilities

  • Jeong, Dong-Hoon
    • The Journal of Korean Physical Therapy
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    • 제27권1호
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    • pp.30-37
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    • 2015
  • Purpose: The purpose of this study was to develop a computer access assessment tool for persons with physical disabilities and to evaluate reliability and validity. Methods: We developed a computerized Computer access Assessment Program (CAP) through many kinds of literature review and tools analysis for evaluation of computer access, task analysis of fundamental input devices operation and expert review. The CAP data were obtained from 105 normal university students and 16 students with physical disabilities. The test items of CAP are composed of four timed mouse tasks, four timed keyboard tasks, and a timed scanning task. Thus, the software measures user performance in skills needed for computer interaction, such as keyboard and pointer use, navigating through menus, and scanning. To determine the validity of these measurements, we compared data on CAP reports to a Compass report. Compass software allows an evaluator for assessment of an individual's computer input skills. Results: Results of this study showed that the CAP had high internal consistency, reliability of test-retest, concurrent validity, and convergent validity. Conclusion: Therefore, the CAP is appropriate for evaluation and determination of computer access skill of persons with physical disabilities. It is possible to get clear quantitative data on performance when providing computer access services if you can use the CAP data. Using this quantitative evidence, insights can be gained into the specific nature of any difficulties experienced by persons with physical disabilities and find wise solutions.

균형훈련과 환경강화가 외상성 소뇌 손상 흰쥐의 운동 수행력에 미치는 영향 (The Effect of Balance Training and environmental enrichment on motor performance after Traumatic Cerebellar Injury in the Rat)

  • 송주민;김진상
    • The Journal of Korean Physical Therapy
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    • 제16권2호
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    • pp.72-89
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    • 2004
  • The purposes of this study were to test the effect of balance training and environmental enrichment on motor performance after traumatic cerebellar injury in the rat. Traumatic cerebellar injury was induced by weight drop model and after operation they were housed in individual standard cages for 24 hours. Twenty two Sprague-Dawley rats were randomly assigned into control and experimental groups. The control group was housed in standard cage for 7 days. The experimental group I was housed in standard cage after balance training for 7 days. The experimental group II was housed in environmental enrichment cage after balance training for 7 days. Vestibular drop test and tilting plane test was examined at preoperation, on 1st day after operation and 7th day after operation to the rats. The results of this experiment were as follows: 1. In motor behavioral test, at preoperation and on 1 day after operation, the outcomes were not different among the groups. But on 7th day after operation, the outcomes of group I were better than that in control group, and group II were better than group I. These results suggest that behavioral motor outcome by simultaneously application of balance training and environmental enrichment in traumatic cerebellar injured rats were more improve than that by just balance training.

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DNA Barcode Examination of Bryozoa (Class: Gymnolaemata) in Korean Seawater

  • Lee, Hyun-Jung;Kwan, Ye-Seul;Kong, So-Ra;Min, Bum-Sik;Seo, Ji-Eun;Won, Yong-Jin
    • Animal Systematics, Evolution and Diversity
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    • 제27권2호
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    • pp.159-163
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    • 2011
  • DNA barcoding of Bryozoa or "moss animals" has hardly advanced and lacks reference sequences for correct species identification. To date only a small number of cytochrome c oxidase subunit I (COI) sequences from 82 bryozoan species have been deposited in the National Center for Biotechnology Information (NCBI) GenBank and Barcode of Life Data Systems (BOLD). We here report COI data from 53 individual samples of 29 bryozoan species collected from Korean seawater. To our knowledge this is the single largest gathering of COI barcode data of bryozoans to date. The average genetic divergence was estimated as 23.3% among species of the same genus, 25% among genera of the same family, and 1.7% at intraspecific level with a few rare exceptions having a large difference, indicating a possibility of presence of cryptic species. Our data show that COI is a very appropriate marker for species identification of bryozoans, but does not provide enough phylogenetic information at higher taxonomic ranks. Greater effort involving larger taxon sampling for the barcode analyses is needed for bryozoan taxonomy.

Breast Cancer Risk Assessment Using the Gail Model: a Turkish Study

  • Erbil, Nulufer;Dundar, Nursel;Inan, Cigdem;Bolukbas, Nurgul
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.303-306
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    • 2015
  • Purpose: This study was conducted to determine risk of developing of breast cancer among Turkish women. Materials and Methods: Using a descriptive and cross-sectional approach, data were collected from 231 women. Breast cancer risk was calculated using the National Cancer Institute's on-line verson of called as the Breast Cancer Risk Assessment Tool or the Gail Risk Assesment Tool. Results: The average age of women was $45.0{\pm}8.06$ years. It was revealed that 6.1% of participants reported having first degree relatives who had had breast cancer, with only four women having more than one first-degree relative affected (1.7%). The mean five-year breast cancer risk for all women was $0.88{\pm}0.91%$, and 7.4% of women had a five-year breast cancer risk >1.66% in this study. Mean lifetime breast cancer risk up to age 90 years was $9.3{\pm}5.2%$. Conclusions: The breast cancer risk assessment tool can help in the clinical management of patient seeking advice concerning screening and prevention. Healthcare providers in Turkey can use this approach to estimate an individual's probability of developing breast cancer.

Digital Fluoroscopy System을 이용한 견갑면에서 일어나는 견갑상완 리듬 분석 (Analysis of Scapulohumeral Rhythm in Scapular Plane by Digital Fluoroscopy System)

  • 김재헌;배성수
    • The Journal of Korean Physical Therapy
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    • 제14권3호
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    • pp.92-105
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    • 2002
  • This research described dynamic scapulohumeral rhythm though the measurement of inter relationship between humorous and scapular movement during elevation of the arm in the scapular plane. In the previous studies static plane film X-ray has usually been used, but the limitation of such method was that it did not show the real· movement. In this study, we investigated real movement of humorous and scapular bones by Digital fluoroscopy system. 1. In resting position, humorous was taken to lie at the average $5.97^{\circ}$ in abduction, and scapular at the average $3.66^{\circ}$ in internal rotation. 2. At the maximal abduction, humorous was abducted to the average of 181.25", and scapular was rotated externally to $51.43^{\circ}$. 3. This research has shown that there is a variety of scapulohumeral rhythm from resting position to $60^{\circ}$ abduction in elevation of humorous. This case study demonstrated that the ratio n of scapulohumeral rhythm is 3.46 to 1, but there was individual difference.

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노인의 우울증과 일상생활동작능력의 관련성 (Correlation of Depression and Activities of Daily Living in the Elderly)

  • 정순미;박래준;노효련
    • The Journal of Korean Physical Therapy
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    • 제22권2호
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    • pp.31-38
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    • 2010
  • Purpose: We investigated the relationship of depression and the ability to engage in activities of daily living in the elderly. Methods: Subjects (n = 182) were 60 years or older and who attended the Senior College of Gimhae Senior Welfare Center. We collected data via a questionnaire, through a Self- recording method and through individual interviews. We collected data on personal and general characteristics, level of depression, and activities of daily living. Results: Among all subjects, 51.1% reported having depressionMild depression was reported by 29.7% (54 subjects), moderate depression by 13.2% (24 subjects), and severe depression by 8.2% (15 subjects). Activities of daily living, including walking, climbing stairs, standing from a chair and sitting on and using toilets, using a telephone, bathing, shopping, cleaning house, and managing money were significantly lower in elderly subjects who were depressed (p<0.05). The greater the level of depression, the less able they were to engage in activities of daily living. Conclusion: These findings may help us achieve early detection of depression in the elderly and provide mediated arbitration so that they can have better health condition and greater ability to engage in activities of daily living.

키보드 유형에 따른 뇌성마비 학생의 문자입력 속도 및 정확도 비교: 사례연구 (Comparative Study of Text Entry Speed and Accuracy Using the Three Different Keyboard Type in Students with Cerebral Palsy: Case Study)

  • 정동훈
    • 대한물리의학회지
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    • 제10권1호
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    • pp.23-35
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    • 2015
  • PURPOSE: People with physical disabilities such as cerebral palsy usually experience obstacles when interacting with computer through conventional keyboard because of their motor disabilities. The purpose of this study is empirically compare of text entry(alphabet and word) speed and accuracy using the three different keyboard type on four students(male 2 and female 2) with cerebral palsy. METHODS: This research design used a replicated single-case experimental approach to compare the individual performance. An alternating treatments design was used to examine the effectiveness of standard QWERTY keyboard and alternative keyboard(mini and big keyboard) on computer access for students with cerebral palsy. To avoid changes in posture that influence a keyboard character entry training and evaluation was carried out using his sitting in a wheelchair. Compass software program used in this study as an assessment tool to measure speed and accuracy when performance of text entry(alphabet and word). This was repeated until the stable status of reaction time. RESULTS: As a result, the alternative keyboard seems to be the most effective device for students with cerebral palsy to perform text entry. But various factors such as peculiarity of motor disabilities, experience and preferences of the user are heavily related. CONCLUSION: Thus, we must perform the objective and systematic assessment for computer access and if sustained training is accomplished, it could to improve speed and accuracy of text entry(alphabet and word).

장애인 암 검진 수검에 영향을 미치는 요인 (Affecting Factors of Cancer Screening for Persons with Disabilities)

  • 김예순;김선용;남영희
    • 대한통합의학회지
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    • 제7권4호
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    • pp.43-52
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    • 2019
  • Purpose: This study aimed to analyze the affecting factors related to cancer screening for persons with disabilities. Methods: We examined the factors affecting cancer screening in individual aged older than 20 years who participated in the 2017 National Survey of the Disabled. The subjects were 6031 individuals with disabilities who were aged older than 20 years. Data were analyzed using descriptive statistics, the chi-square test, and multiple logistic regression with the SPSS Win 21.0 software. Results: Cancer screening among persons with disabilities is differentiated based on age, education level, marital status, type of disability, grade of disability, subjective house economic status, health insurance, chronic disease, unmet healthcare needs, suicidal thinking, and health screening. The significant predictors of health screening were age, marital status, chronic disease, and health screening. Conclusion: Based on the results of this study, it is necessary to develop a program for young, medical care recipients to improve the participations of disabled in cancer screening.

Effects of Knee Extension Exercise Using Blood Flow Restriction on the Thickness and Balance Ability of Tendons

  • Park, Jae-Cheol;Kim, Yong-Nam
    • The Journal of Korean Physical Therapy
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    • 제30권2호
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    • pp.41-46
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    • 2018
  • Purpose: This study examined the effects of knee extension exercise using blood flow restriction on the changes in the thickness and static balance ability of the tendon of the rectus femoris muscle and achilles tendon. Methods: A total of 30 subjects was were divided into two groups of 15 subjects each. The changes in the thickness and balance of their tendons were measured by ultrasonography and balance equipment. The measurements were taken three times: before the experiment, 4 weeks after, and 8 weeks after. The results were analyzed by repeated measure ANOVA, one-way ANOVA was conducted in cases where there were time-to-group interactions in the intra-individual effects test. Results: Significant differences in the thickness of the tendon of the rectus femoris muscle and Achilles tendon were found between the groups, over time, and in the time-to-group interactions (p<0.05). The changes in balance in both feet when the supporting positions between eye-open and eye-closed states were significantly different in the time-to-group interactions (p<0.05), but were not different between the groups (p>0.05). Conclusion: Knee extension exercise using blood flow restriction leads to significant differences in the increase in tendon thickness and changes in balance, indicating that the results of this study can be utilized as basic data for future studies and for rehabilitation treatment at clinics.