• Title/Summary/Keyword: selected patients

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A Systematic review of effects and methods of treadmill training applied to stroke patients (뇌졸중환자에게 적용된 트레드밀훈련의 효과 및 방법에 대한 체계적 고찰)

  • Kim, Jeong Ja;Lee, Jong Won
    • Journal of Korean Physical Therapy Science
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    • v.27 no.2
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    • pp.63-79
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    • 2020
  • Background: A physical therapy is required to restore motor function of stroke patients, especially gait function improvement is very important to them. Design: Systemic review. Methods: The purpose of this study is to provide objective evidence for the effectiveness of the treadmill training method applied to stroke patients. The literature search for a systematic review was performed on domestic data published from 2010 to 2020 at KISS, RISS, and DBpia. Results: 40 papers meeting the inclusion/exclusion criteria were finally selected. Data analysis was performed according to the research type, intervention method and process, measurement variables, and the risk of bias assessment was conducted as quality evaluation. Conclusion: Various training methods have been suggested and proved that treadmill intervention is an effective method for improving gait and balance. As the goal of rehabilitation for stroke patients is to improve walking and balance, we expect continuous clinical research to continue to establish a more systematic training program and present a new paradigm.

Quality of Life in Cancer Patients;Grounded Theory (암 환자 삶의 질에 대한 근거이론적 접근)

  • Lee, Eun-Hyun;Song, Yeoung-Suk;Chun, Mi-Son;Oh, Ka-Sil;Lee, Won-Hee;Lee, Young-Hee
    • Asian Oncology Nursing
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    • v.4 no.1
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    • pp.71-81
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    • 2004
  • The purpose of the study was to understand and explore the quality of life in cancer patients in the context of a Korean culture and society. Grounded theory method guided the data collection and analysis. A total of 10 cancer patients was selected by a theoretical sampling. The data were collected by an open question. All interviews were audio taped and transcribed verbatim. Constant comparison analysis was employed to analyze the data. As the results, eighty-five concepts and twelve categories were emerged, and "keeping well-being status" identified as a core category. Quality of life related categories derived from this study will academically contribute to the understanding and expansion of theoretical bases for quality of life of Korean cancer patients and to the contexts for the development of measurement of quality of life. Furthermore, they will function as the foundation of a intervention development for quality of life.

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The Scientific Research of Rehabilitation Training Program Participants in Stroke Patients (재활운동에 참가한 뇌졸중환자의 운동과학적 연구)

  • Jin, Young-Wan
    • Journal of Life Science
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    • v.20 no.11
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    • pp.1704-1710
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    • 2010
  • The purpose of this study was to describe the biomechanical characteristics of stroke patients. These characteristics were obtained during walking on a Zebris system, cinematography system and EMG system. Seven female stroke patients participated in this study. The magnitude of the profiles (joint peak angle, joint peak moments, foot pressure COP, EMG data) correlated with rehabilitation training duration using t-test. The significance level selected for this study was p<0.05, t-test. Joint analysis identified significant differences in hip joint peak angle and hip joint peak moment. Foot pressure verified significant differences in gait line length of COP. The EMG signal proved significant differences in rectus femoris and vastus lateralis.

The Development of a Homecare Nursing Assessment Tool for Terminal Cancer Patients (말기암환자의 가정간호 사정도구 개발)

  • Kim, Hae-Young;Chung, Hyun-Suk;Jeon, Byoung-Hak;Cho, Young-Yi
    • Journal of Home Health Care Nursing
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    • v.18 no.2
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    • pp.108-117
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    • 2011
  • Purpose: The purpose of this study is to develop a homecare nursing assessment tool for terminal cancer patients, testing the validity and reliability of the tool. Methods: This was a methodological study. The tool was developed in four stages: first, preliminary items were developed based on Gordon' functional health pattern model; second, a panel of specialists reduced the number of preliminary items using validity tests for content; third, final items were selected from the results of a pre-test. Finally, from August 4th, 2011 to August 26th, 2011, reliability and validity were tested using a sample of 125 terminal cancer patients in Seoul and Gyeonggi-do. Results: The final tool consisted of 39 items, with Cronbach's ${\alpha}$ 0.70. Using factor analysis, 10 factors were extracted; the correlation coefficient of these was over 0.3. Conclusion: The tool developed in this study was identified as having a high degree of reliability and validity. Given this, the tool can be effectively utilized for implementing and improving home care for patients with terminal cancer.

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Characteristics of Korean Stop Consonants by Using Electroglottography and Its Clinical Application (Electroglottography를 사용한 한국어 폐쇄자음의 특성 및 임상적 적용)

  • Chae, Y.J.;Kim, H.G.;Hong, K.H.
    • Speech Sciences
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    • v.4 no.2
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    • pp.157-177
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    • 1998
  • An electroglottography (EGG) was used to investigate the function of the vocal folds during their vibration. In this study, four Korean native speakers and 10 vocal polyp patients were selected. To investigate the dynamic change of EGG waveforms for the three-way distinction of Korean stops, a DSP-Sona graph model 5500, a Rino- Laryngeal stroboscope, a CSL model 4300B and a Laryngograph were used. An EGG Model 4338 was used to exam the vocal polyp of patients' voices during high, low, comfortable pitch production. The purpose of this study is to investigate the characteristics of Korean stop consonants in relation to pitch and to observe laryngeal movement during vocal fold vibration and speech production. The basic data accumulated during this research can be applied in clinical treatment. The results are as follows: on the Korean stop consonants, the aspirated stop is the highest in the GOT and PC1. On the angle of vowel contour, the angle of lenis is smaller than the angle of heavily aspirated and glottalized stops. The fundamental frequency is lowest at the lenis stop, In vocal polyp patients', the low pitch range is smaller than in normal speakers'. The pitch break and the vocal fry were observed. The jitter and OQ value are higher in vocal polyp patients than in those of normal speakers'.

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An Experimental Clinical Phonetic Study on Patients of Dysarthria, Tonsilhypertrophy, Nasal Obstruction, and Cleft Palate (마비성조음장애, 편도 비대, 비폐쇄 및 구개열 환자의 실험 임상 음성학적 연구)

  • Kim, H.G.;Ko, D.H.;Shin, H.K.;Hong, K.H.;Seo, J.H.
    • Speech Sciences
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    • v.2
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    • pp.67-88
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    • 1997
  • The aim of this study is to develop an assessment program of speech rehabilitation for children having some language and speech disorders. Patients of dysarthria, tonsillectomy, tonsilhypertrophy, and nasal obstruction were selected for this experimental clinical phonetic study. Formant variations ($F_1\;&\;F_2$) show pre- and post-operation differences in tonsillectomy and cleft palate patients. Nasal formants ($NF_1\;&\;NF_2$) show pre- and post-operation differences in nasal obstruction. The articulation reaction time (ART) as a parameter was used to assess Voice Onset Time(VOT). It was shown longer duration for hypokinetic dysarthria and shorter for atoxic dysarthria.. The diadochokinetic rate was measured by Visi-pitch. Lower diadochokinetic rate appeared to spastic and dysarthria in comparison with the control group. It was shown that the nasalance of tonsilhypertrophy, nasal obstruction, and cleft palate patients was seen to increase after operation. In addition, the assessment of nasality can be measured only by simple vowels such as /a/ and /i/.

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Development of System Dynamics Model for the Variation of Plasma Glucose Levels in Patients with Type 2 Diabetes (당뇨병 환자의 혈당 변동에 대한 시스템다이내믹스 모델 개발)

  • Choi, Eun-Ok;Kwak, Chan-Yeong
    • Korean System Dynamics Review
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    • v.9 no.1
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    • pp.155-170
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    • 2008
  • The purpose of this study was to develop a system dynamics model for management of glucose metabolism disorders that demonstrated dynamic relationships between insulin and plasma glucose levels over the time. The model was developed to 1) represent the physiology of glucose metabolism for an normal adult subject, 2) to draw causal loop diagram that demonstrate feedback systems of glucose regulation in normal condition and pathologic condition of the type 2 diabetes, 3) to develop an interactive computer simulation model for management of glucose metabolism disorders. The simulation results showed the plasma glucose level for normal persons varied from 75 to 140 which was consistent with clinical findings. As an example for patients we selected a case which varied from 110 to 310. Two types of interventions were chosen to review the model; meal control and insulin administration. The simulation results for those cases also matched well with clinical findings. The developed model can be used as an effective educational tool for patients to develop healthy lifestyle choices. The results also provide a blueprint for health providers to maintain normal blood glucose levels in diabetes patients.

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Effects of 6 Week Kinesiotaping and Extracorporeal Shock Wave Therapy on the Joint Range of Motion in Patients with Frozen Shoulder

  • Choi, Jung Hyun;Kim, Soon Hee;An, Ho Jung;Koo, Ja Pung;Kim, Nyeon Jun
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.1
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    • pp.1095-1099
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    • 2017
  • This study used both kinesiotaping and extracorporeal shock wave therapy on patients diagnosed with frozen shoulder - a common musculoskeletal disorder in adults - in order to observe the effects on the joint range of motion. 21 adult(male 12, female 9) were selected and distributed into randomized groups. One group received kinesiotaping (n=10) and the other group received kinesiotaping together with extracorporeal shockwave therapy (n=11). After a 6 week duration of receiving kinesiotaping and extracorporeal shockwave therapy, changes in the joint range of motion in the patients were observed. Post-treatment of frozen shoulder, the changes in abduction within the shoulder joint were as follows: in both groups there was a noticeable increase in the joint range of motion (p<.05). Post-treatment of frozen shoulder, the changes in external rotation within the shoulder joint were as follows: both groups showed a significant increase in the joint range of motion (p<.05). The result of suggest that, it can be inferred that both the extracorporeal shockwave therapy and kinesiotaping are effective in increasing the joint range of motion in patients with frozen shoulder.

Influence of Age, Gender, and Severity on Recovery of Patients with Brain Injury (뇌손상 환자의 회복에 대한 연령, 성별 및 중증도 영향 분석)

  • Oh, Hyun-Soo;Seo, Wha-Sook
    • Journal of Korean Academy of Nursing
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    • v.38 no.6
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    • pp.923-932
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    • 2008
  • Purpose: This study was conducted to investigate the individual and cross influences of age, gender, and severity on recovery of patients with brain injury. Methods: For the purpose of the study, traumatic or spontaneous brain injury patients admitted to the intensive care unit (ICU) were conveniently selected. The data regarding outcomes were collected 3 months after admission. Results: Individual influences of the study variables on patients' recovery were significant, except for gender. But while the individual influence of gender on recovery was not significant, cross influence of gender and age was significant, but only for the sub-dimension of 'arousalbility and awareness'. The study results also showed that 3-way cross influence of gender, age, and severity was only significant on the sub-dimension of 'arousalbility and awareness'. Conclusion: The sub-dimension of recovery cross influenced by the demographic factors of gender and age, and severity was 'arousalbility and awareness'. This might indicate that the study variables that cross influencing recovery had more influence on consciousness compared to physical function and psycho-social adaptation.

Qualitative Analysis of Nurses′ Metacommunicative Behaviors in a Pediatric Unit (아동간호사의 상위의사소통 행위)

  • Shin Hyun-Sook
    • Child Health Nursing Research
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    • v.8 no.4
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    • pp.458-468
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    • 2002
  • The purpose of this study was to identify metacommunicative behaviors between nurses and patients in a pediatric unit. The research method included observation using videotaping. Data were collected from December, 2001 to February, 2002. Total six nurses, and eight patients and their mothers in a pediatric unit participated in this study. The interactions were videotaped under the participants' consent. The participants were observed for total 8 hours over 2-day period. Special episodes which were identified as metacommunicative behaviors in the taped interactions were transcribed. Transcription included verbal and nonverbal interactions. Selected episodes were classified using Mitchell's definition. Each classified definitions were named, and categorized by its purpose. The results were as follows: Nineteen metacommunicative behaviors which used frequently by nurses-approaching, mediating eye level, eye contact, touching, encouraging, turnabout, mimic voice, giving choices, friendly demand, expansion, tagging, repeating and confirming, identification, reflection, baby talk, symbolization, description of acts, relaxed posture, turning away- were identified and organized into four categories. They were call for attention, facilitating response, empathy, and tension release. In conclusion, nurses in this study used metacommunicative behaviors frequently and these behaviors were effective in interacting with children. It is suggested that any educational programs to teach communication skills to nurses need to include techniques on metacommunicative behaviors. This will help nurses to be more sensitive to different characteristics of their patients.

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