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뇌성마비 아동의 단기간 집중적 트레드밀 훈련이 균형과 보행에 미치는 영향
박하영,김지혜,권현숙,김은자 대한신경치료학회 2020 신경치료 Vol.24 No.2
Purpose The purpose of this study was to investigate the effects of shortterm intensive treadmill training on balance and gait in children with cerebral palsy. Methods A total of 20 subjects consisted of 10 fast gait treadmill training groups and 10 normal gait treadmill training groups. Treadmill training without weight support was performed 5 times a week for 20 minutes and 2 weeks. Pediatric Balance Scale (PBS)), Timed up and go test (TUG), and Stride length were used to evaluate the balance and gait before and after intervention. Result The results of this study showed that there was a significant difference in both the FTT groups and NTT groups before and after the PBS change (p <0.05), and also between the groups (p <0.05).There were significant differences in the TUG change between the FTT groups and NTT groups before and after the intervention (p <0.05), and between the groups (p <0.05). Before mediating in comparing stride length changes. There was no significant difference between the two groups (p> 0.05) in the postcomparison comparison and no significant difference (p> 0.05). Conclusion Shortterm intensive treadmill training in children with cerebral palsy is effective in increasing balance ability and gait function, and FTT affects balance and gait more than normal treadmill training.
한 도시 대학병원 자료를 이용한 입원환자의 의료서비스 이용량 변이에 관한 연구
박하영,신의철,맹광호,Park, Ha-Young,Shin, Eui-Chul,Meng, Kwang-Ho 대한예방의학회 1990 Journal of Preventive Medicine and Public Health Vol.23 No.4
The variation in resource utilization for hospitalized patients who had a group of similar diseases -- a Korean Diagnosis Related Group (KDRG) -- among the same type of hospitals was studied to assess the utillization variation due to the practice pattern of hospitals. Information about inpatients who were beneficiaries of the medical insurance for teachers and government officials discharged from 20 large university teaching hospitals in Seoul during 1986 and information about the hospitals were analyzed to achieve the study objective. A total of 20,223 non-outlier patients in 100 most frequent KDRGs were included in the analysis. Case charges after the review and length of stay (LOS) were used as measures of resource utilization during a hospitalization. A substantial variation among hospitals was found in most KDRGs : o the ratio of the maximum and the minimum among the mean case charges of hospitals was greater than 2 in 83 KDRGs ; o the difference between the maximum and the minimum among the mean case charges of hospitals was greater than 100,000 Won in 94 KDRGs : o the ratio of the maximum and the minimum among the mom LOS of hospitals was greater than 2 in 82 KDRGs ; o the difference between the maximum and the minimum among the mean LOS of hospitals was greater than 3 days in 94 KDRGs. The practice pattern of hospitals explained more than 20% of charge variation in 49 KDRGs and more than 20% of LOS variation in 43 KDRGs. The study results indicated need for a new health policy initiative for cost containment and quality assurance.