Effects of Community-based Rehabilitation Programs on Activities of Daily Living, Quality of Life and Assistive Technology Satisfaction for Disabled Adults in South Korea

Heo, Seo Yoon,Lee, Chang Hee,Choi, Wan Suk International Academy of Physical Therapy Research 2017 Journal of International Academy of Physical Ther Vol.8 No.1

The purpose of this study was to examine the effects of community-based rehabilitation (CBR) program on activities of daily livings (ADLs), quality of life and assistive technology satisfaction for disabled adults in South Korea. Fourteen community-dwelling subjects were participated in a home-based rehabilitation program which performed once a month for 2 months. The outcome measures included Modified Barthel Index (MBI) for assessing ADLs, EuroQol five-dimensions questionnaire (EQ-5D) for quality of life (QoL) and Quebec User Evaluation of Satisfaction with assistive Technology 2.0 (QUEST 2.0) for assistive technology. Significant improvements in ADLs, quality of life and assistive technology satisfaction were observed after the program. This study indicated that community-based rehabilitation program is an effective method for improving ADLs, quality of life and assistive technology satisfaction for adults with disabilities.

Immediate Effects of Lumbar Rotational Mobilization on the One-Legged Standing Ability in Healthy Individuals: A Randomized Controlled Trial

Heo, Seo Yoon,Kim, Bo Kyung,Moon, Ok Kon,Choi, Wan Suk International Academy of Physical Therapy Research 2018 Journal of International Academy of Physical Ther Vol.9 No.3

The original focus of this study was to investigate the immediate effects of lumbar rotational mobilization on the one-legged standing ability. Fifteen subjects (6 men and 9 women, mean age = 22.77 (SD = 1.21), mean height = 165.46cm (SD = 11.65), mean weight = 61.46kg (SD = 8.29) volunteers from healthy individuals were recruited and randomized to a lumbar rotational mobilization (LRM) group and a trunk rotational exercise (TRE) group. Mobilization (grade 3 or 4) was applied to the LRM group on the lumbar spine (L1 to L5) in a side-lying, and trunk twist exercise (left and right side) was applied the to the TRE group with lunge position. Center of pressure (COP) and the velocity of the center of pressure (VCOP) of each participant were measured as a balance ability through one leg standing position. Results are as follows. In within-group difference, the COP of the LRM group reduced during standing with the right foot, but the VCOP change of the LRM was not statistically significant. In between-groups difference, COP of TRE group was decreased compared with LRM group only during left leg standing in the eyes (p <.05). The results of this study suggest that LRM is more effective than TRE in improving balance ability.

Immediate Effects of Lumbar Rotational Mobilization on the One-Legged Standing Ability in Healthy Individuals: A Randomized Controlled Trial

Seo Yoon Heo,Bo Kyung Kim,Ok Kon Moon,Wan Suk Choi 국제물리치료연구학회 2018 Journal of International Academy of Physical Ther Vol.9 No.3

The original focus of this study was to investigate the immediate effects of lumbar rotational mobilization on the one-legged standing ability. Fifteen subjects (6 men and 9 women, mean age = 22.77 (SD = 1.21), mean height = 165.46cm (SD = 11.65), mean weight = 61.46kg (SD = 8.29) volunteers from healthy individuals were recruited and randomized to a lumbar rotational mobilization (LRM) group and a trunk rotational exercise (TRE) group. Mobilization (grade 3 or 4) was applied to the LRM group on the lumbar spine (L1 to L5) in a side-lying, and trunk twist exercise (left and right side) was applied the to the TRE group with lunge position. Center of pressure (COP) and the velocity of the center of pressure (VCOP) of each participant were measured as a balance ability through one leg standing position. Results are as follows. In within-group difference, the COP of the LRM group reduced during standing with the right foot, but the VCOP change of the LRM was not statistically significant. In between-groups difference, COP of TRE group was decreased compared with LRM group only during left leg standing in the eyes (p <.05). The results of this study suggest that LRM is more effective than TRE in improving balance ability.

Effects of Community-based Rehabilitation Programs on Activities of Daily Living, Quality of Life and Assistive Technology Satisfaction for Disabled Adults in South Korea

Seo Yoon Heo,Chang Hee Lee,Wan Suk Choi 국제물리치료학회 2017 Journal of International Academy of Physical Ther Vol.8 No.1

The purpose of this study was to examine the effects of communitybased rehabilitation (CBR) program on activities of daily livings (ADLs), quality of life and assistive technology satisfaction for disabled adults in South Korea. Fourteen community-dwelling subjects were participated in a home-based rehabilitation program which performed once a month for 2 months. The outcome measures included Modified Barthel Index (MBI) for assessing ADLs, EuroQol five-dimensions questionnaire (EQ- 5D) for quality of life (QoL) and Quebec User Evaluation of Satisfaction with assistive Technology 2.0 (QUEST 2.0) for assistive technology. Significant improvements in ADLs, quality of life and assistive technology satisfaction were observed after the program. This study indicated that community-based rehabilitation program is an effective method for improving ADLs, quality of life and assistive technology satisfaction for adults with disabilities.

조건 법리에 대한 재조명 : 영미법상 condition 법리의 시사점 - 대상판결 : 대법원 2020. 7. 9 선고 2020다202821 판결 -

허서윤(Heo, Seo-Yoon),이재형(Lee, Jae-Hyoung),김제완(Kim, Jewan) 서강대학교 법학연구소 2021 서강법률논총 Vol.10 No.3

민법에서 조건은 법률행위의 부관 관점에서 파악되고 있다. 대상판결도 이러한 법률행위의 부관으로서의 조건을 전제한 뒤, 분양대행자인 원고가 분양하지 못한 ‘미분양물건을 인수하는 조건으로 한다’는 조항에 대하여 ‘조건’이라고 할 수 없고 ‘미분양 세대를 인수할 의무를 부담한다’는 내용을 정한 것이라고 판시하였다. 그러나 실제 계약에서 조건은 상대 당사자에게 의무를 부과하는 과정에서 부가되는 경우가 많고, 조건을 활용하는 당사자의 의사가 반드시 조건의 성취 또는 불성취에 따라 법률행위의 효력을 좌우하려는 의사라고 단정할 수 없다. 이러한 이유에서 조건을 법률행위의 부관에 한정하여 보는 시각은 재고될 필요가 있고, 조건의 성취·불성취 효과를 채무불이행에 준하여 보는 등 다양하게 파악함으로써 보다 신축적인 해결을 도모할 수 있다. 당사자들의 의무 사이의 견련성을 중심으로 발전되어 조건의 많은 모습을 의무로 파악하고 있는 영미법의 조건 법리는 이러한 조건에 대한 새로운 시각에 시사점을 준다. 더불어 조건 성취의 효과와 관련하여 법률행위 효력의 발생 또는 소멸이 자동적으로 이루어지는 대신, 당사자 특히 조건에 의하여 이익을 보는 자가 선택권을 가질 수 있도록 해석할 수도 있는바, 기한이익 상실의 특약에 대한 대법원의 해석, 영미법의 해제조건이나 조건의 포기 법리 등은 그러한 해석의 가능성을 시사해준다. In civil law, conditions are understood from the point of view of an adjunct to a legal act. Even after the target judgment presupposes the condition of acting as an adjutant to these legal acts, the provision that the plaintiff, who is a pre-sale agent, has not been able to sell the unsold property is not a ‘condition’ and cannot be called a ‘condition to take over the unsold household’. It was decided that the content of ‘to bear the obligation’ was stipulated. However, in actual contracts, conditions are often added in the process of imposing obligations on the other party, and it cannot be concluded that the intention of the party using the condition is necessarily to influence the effect of the juristic act depending on the fulfillment or non-fulfillment of the condition. none. For this reason, it is necessary to reconsider the view of restricting the condition to the subordinate to the legal act, and a more flexible solution can be pursued by understanding the effect of fulfillment and non-fulfillment of the condition as equivalent to default. The principle of condition in English and American law, which has been developed centering on the robustness between the obligations of the parties and grasps many aspects of the condition as an obligation, gives a new perspective on these conditions. In addition, in relation to the effect of fulfillment of conditions, instead of automatically generating or extinguishing the effect of a juristic act, it can be interpreted so that the parties, especially those who benefit from the conditions, have the right to choose. Interpretation, the subsequent condition of the Anglo-American law, and the principle of waiver of conditions suggest the possibility of such an interpretation.

이중 체임버 구조가 내장된 뇌졸중 환자용 컵의 개발과 3차원 동작분석을 통한 운동 형상학적 유용성 검증

허서윤(Seo Yoon Heo),김경미(Kyeong-Mi Kim) 대한전자공학회 2016 전자공학회논문지 Vol.53 No.12

본 전향적 예비 임상연구를 통하여 이중 체임버 구조를 기반으로 하는 뇌졸중 환자용 컵을 개발하고 임상적으로 유용한지 검증하고자 했다. 체계적 과정을 거쳐 컵을 개발하고, 남녀 동수의 뇌졸중 환자 16명을 대상으로 개발된 컵을 사용하여 이들의 제한된 운동기능을 보완 할 수 있는지 3차원 동작 분석(3-dimensional motion analysis), 표면 근전도 검사(surface electromyography; sEMG), 3차원 체간 움직임 분석(3-dimensional trunk movement analysis)의 운동 형상학적 방법을 통하여 검증하고자 했다. 실험 결과, 이중 체임버 컵(dual chamber based assistive cups; DC) 데이터 그룹에서 플라시보 컵(placebo-cups; PC)의 경우 보다 어깨부위의 ROM(range of motion)이 더 적게 사용되었고, sEMG에서는 상부 승모근, 삼각근, 삼두근에서 근 활성도가 낮게 나타났다. 체간 분석에서 전방, 후방의 방향에서 체간의 개입이 더 적게 관찰되었다. This prospective pilot clinical trial mainly focuses on developing dual chamber-based assistive cups which are suitable for stroke patients who have struggled with using there affected arms. It is unable to provide motor and sensory enhancement during drinking activities and to examine the feasibility of the devices for acute phase, even for chronic stroke survivors. The stroke patients(n=16; male=8, female=8), in this trial, were provided informed consent to the investigation. All the individuals participated in 1 weeks of training for using cups, randomized over dedicated dual chamber based assistive cups(DC) or placebo-cups(PC) training. All the participants were assessed within 1 week before and after the intervention period. 3-dimensional motion analysis, sEMG(surface electromyography) and 3-dimensional trunk movement were assessed. The result presents DC data group compared with PC showed, they needed lesser ROM(range of motion) at the phase of drinking in shoulder movements and lesser muscle activities on upper trapezius, deltoid middle fiber and triceps brachii muscles, lesser tilting movement on front and back side in drinking phase, the differences were statistically significant(p<.05). Dual chamber-based assistive cup could be one of efficient way to complete ADLs(activities of daily living), especially drinking tasks, and these evidence data may contribute to determine certain rehabilitation policies related to assistive devise usage.

하사근을 침범한 안와의 Phakomatous Choristoma 1예

허서윤(Seo Yoon Heo),이행진(Haeng-Jin Lee),정명자(Myoung Ja Chung),안민(Min Ahn) 대한안과학회 2021 대한안과학회지 Vol.62 No.9

목적: 하사근을 침범한 안와의 phakomatous choristoma 1예를 보고하고자 한다. 증례요약: 2개월 남아가 출생 시부터 있었던 우측 안와 종괴를 주소로 내원하였다. 안와 자기공명영상에서 우측 안와의 하내측에 균일하게 조영증강되는 경계가 명확한 종양이 관찰되었고, 골미란 소견은 없었다. 이에 결막 경유 안와절개술을 시행하였고, 하사근을 침범한 안와종양을 확인한 후 절제하였다. 조직병리검사 결과 콜라겐 기질 내에 상피세포로 구성된 거짓샘 구조(pseudo-glandular structure)와 이를 둘러싸는 두꺼운 기저막, 기질 내의 일부 사종형 석회화(psammo-matous calcific foci)와 관내강의 호산성 물질이 관찰되었다. 면역조직화학검사상 S-100, 사이토 케라틴(cytokeratin) 양성 소견을 보여 phakomatous choristoma로 진단하였다. 결론: 본 증례는 하사근을 침범한 안와의 phakomatous choristoma를 확인한 국내 첫 보고이다. Phakomatous choristoma의 발생 빈도는 드물지만, 안와의 하내측에 발생한 종괴를 감별진단할 때 고려하여야 한다. Purpose: We report a case of phakomatous choristoma presenting as an orbital tumor with involvement of the inferior oblique muscle. Case summary: A 2-month-old male infant presented to our clinic with a right orbital mass that had been present since birth. Magnetic resonance imaging demonstrated a homogenous enhanced well-defined mass located in the inferomedial portion of the right orbit without bone erosion. By transconjunctival orbitotomy, the orbital tumor invading the inferior oblique muscle was identified and resected. Histopathology showed a thick basement membrane surrounding pseudoglandular structures embedded in a collagenous stroma, psammomatous calcific foci in the stroma, and eosinophilic material in the lumen. Immunohistochemical analysis showed positive staining for S-100 and cytokeratin. On histopathological evaluation, the tumor was diagnosed as phakomatous choristoma. Conclusions: To our knowledge, this is the first report in South Korea of phakomatous choristoma of the orbit with involvement of the inferior oblique muscle. Although rare, phakomatous choristoma should be included in the differential diagnosis of tumors occurring on the inferomedial side of the orbit.

비대칭적 두 눈 일차하사근기능항진에서 대칭적 두 눈 하사근근육절제술 시행 후 수직편위 변화

허서윤(Seo Yoon Heo),이행진(Haeng-Jin Lee),안민(Min Ahn) 대한안과학회 2021 대한안과학회지 Vol.62 No.12

목적: 비대칭적 두 눈 일차하사근기능항진 환자에서 수술 전 수직편위에 따른 대칭적 두 눈 하사근근육절제술의 수직편위 교정 효과를 알아보고자 하였다. 대상과 방법: 비대칭적 두 눈 일차하사근기능항진과 간헐외사시로 두 눈 하사근근육절제술과 외직근후전술을 시행하고 6개월 이상 경과 관찰한 환자를 대상으로 수술 전후 제일안위에서의 상사시 변화를 분석하였다. 또한 수술 전 수직편위 정도와 두 눈 하사근기능항진 차이에 따른 수술 후 수직편위 교정량, 잔여 상사시와의 상관관계 분석을 시행하였다. 결과: 총 89명 178안이 포함되었으며 제일안위 수직편위는 수술 전 3.2 ± 2.2 prism diopters (PD)에서 수술 후 0.5 ± 2.5 PD로 유의하게 감소하였다(Wilcoxon signed rank test, p<0.001). 두 눈 하사근기능항진 정도 차이와 수직편위 교정량(r=0.044, p=0.684), 잔여 상사시(r=-0.084, p=0.432)는 유의한 상관관계를 보이지 않았다(Spearman 순위상관분석). 수술 전 상사시가 클수록 수술 후 상사시 교정량이 커지는 유의한 상관관계를 나타냈고(r=0.733, p<0.001), 술 전 상사시양과 잔여 상사시는 유의한 상관관계가 없었다(Spearman 순위상관분석, r=0.182, p=0.087). 결론: V형 간헐외사시에 동반된 두 눈 비대칭 일차하사근기능항진에서 두 눈 외직근후전술과 같이 시행한 대칭적인 두 눈 하사근근육절제술은 수술 전 수직편위가 클수록 수직편위 교정 효과가 컸으며, 수술 후 하사근기능항진과 상사시도 적절하게 교정되었다. Purpose: This study assessed the effects of bilateral inferior oblique myectomy for hypertropia on the preoperative vertical deviation angle in patients with asymmetric primary inferior oblique overaction (IOOA). Methods: This study included patients who underwent bilateral inferior oblique myectomy and lateral rectus recession due to asymmetric primary IOOA and intermittent exotropia, and were followed up for at least 6 months postoperatively. Pre- and post-operative vertical deviation angles were compared. The correlation between the extent of correction of vertical deviation after surgery and residual hypertropia, according to the preoperative degree of vertical deviation and difference between bilateral IOOA, was evaluated. Results: This study included 178 eyes from 89 patients. The angle of hypertropia in the primary position was reduced from 3.2 ± 2.2 prism diopters (PD) preoperatively to 0.5 ± 2.5 PD postoperatively (Wilcoxon signed-rank test, p < 0.001). No significant correlation was observed between the preoperative interocular difference in IOOA and postoperative extent of correction of the vertical deviation (r = 0.044, p = 0.684), or between the preoperative difference in bilateral IOOA and residual hypertropia (Spearman s rank-order correlation, r = -0.084, p = 0.432). Increased preoperative hypertropia correlated with a greater extent of surgical correction of the vertical deviation (r = 0.733, p < 0.001). Preoperative hypertropia had no significant correlation with residual hypertropia (Spearman s rank-order correlation, r = 0.182, p = 0.087). Conclusions: In symmetric bilateral inferior oblique myectomy with bilateral lateral rectus recession for asymmetric bilateral primary IOOA with V-type intermittent exotropia, a positive correlation between the degree of preoperative vertical deviation and extent of correction of the vertical deviation was observed. Additionally, IOOA and hypertropia were significantly improved postoperatively.

RehaCom® 인지 판별 검사의 타당도 및 신뢰도 연구

허서윤(박사과정) ( Seo-yoon Heo ),김경미 ( Kyeong-mi Kim ) 대한인지재활학회 2016 대한인지재활학회지 Vol.5 No.1

목적: RehaCom® 인지 판별 검사의 타당도와 신뢰도를 알아보고자 하였다. 연구방법: 연구대상자는 울산지역의 재활 병원에서 치료를 받고 있는 뇌졸중 환자 37명과 부산, 울산, 경남지역에서 거주하는 만 30세∼70세 이상의 정상 성인34명이었다. 판별 타당도는 뇌졸중 환자와 정상 성인을 대상으로 RehaCom® 인지판별 검사 점수를 비교하여 검증하였다. 공인 타당도는 준거도구인 MMSE-K와 RehaCom® 인지 판별 검사 점수와의 상관관계를 통해 알아보았다. 검사-재검사신뢰도는 성인 뇌졸중 환자를 대상으로 RehaCom® 인지 판별 검사를 1주 간격으로 재검사하여 확인하였다. 결과: 판별 타당도 검증결과 뇌졸중 환자와 정상 성인 환자에서 시각적 분리 주의력, 지속적 주의력, 편측 무시/반맹증을 제외한 모든 항목에서 뇌졸중 환자가 정상 성인보다 통계적으로 유의하게 점수가 낮았다. 공인 타당도 분석결과 MMSE-K의 총점과 RehaCom® 인지 판별 검사 항목 간에는 통계학적으로 유의한 관계가 나타나지 않았다(p>.05). RehaCom® 인지 판별 검사의 시각적 탐색능력의 하위 항목 중 편측 무시항목과 MMSE-K의 기억 등록 사이에서(rs=.375), 작업 기억력의 하위 항목인 기억 용량과 MMSE-K의 기억 등록 사이(rs=.410)에서 양의 상관관계가 있었다(p<.05). 검사-재검사 신뢰도에서 시각적 탐색의 하위항목인 지속적 주의력을 제외한 나머지 항목에서 통계적으로 유의한 수준(p<.05)에서 높은 상관관계를 보였다 결론: RehaCom® 인지 판별 검사는 높은 판별타당도와 검사-재검사 신뢰도를 보이는 도구로 써 뇌졸중 환자의 인지검사에 적용 될 수 있을 것이다. Objective: The purposes of this study were to test the validity and reliability of the RehaCom® Screening Test. Methods: This study employed 37 stroke patients who was admitted to rehabilitation center located in Ulsan and 34 healthy adults living in Gyeongnam province for examining discrimination validity. Concurrent validity was examined using MMSE-K as a gold standard test. 37 stroke subjects were included to examine test-retest reliability within a week. Result: RehaCom® Screening Test showed good discrimination validity except sustained attention, neglect/hemianopsia and visual attention division. Concurrent validity were demonstrated in comparison with MMSE-K, but there were weak relationship between two tests. Test-retest reliability indicated high corelation except sustained attention. Conclusion: RehaCom® Screening Test was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the cognitive functions of stroke patients by professional therapists.

Effect of the Application of the CBD Output Management Technique for the Development of Operation Software for a Space Observation System

Seo, Yoon Kyung,Rew, Dong Young,Kirchner, Georg,Nah, Jakyoung,Jang, Bi-Ho,Heo, Jiwoong,Youn, Cheong The Korean Space Science Society 2014 Journal of Astronomy and Space Sciences Vol.31 No.3

The application of software engineering is not common in the development of astronomical observation system. While there were component-wise developments in the past, large-scale comprehensive system developments are more common in these days. In this study, current methodologies of development are reviewed to select a proper one for the development of astronomical observation system and the result of the application is presented. As the subject of this study, a project of operation software development for an astronomical observation system which runs on the ground is selected. And the output management technique based on Component Based Development which is one of the relatively recent methodologies has been applied. Since the nature of the system requires lots of arithmetic algorithms and it has great impact on the overall performance of the entire system, a prototype model is developed to verify major functions and performance. Consequently, it was possible to verify the compliance with the product requirements through the requirement tracing table and also it was possible to keep to the schedule. Besides, it was suggested that a few improvements could be possible based on the experience of the application of conventional output management technique. This study is the first application of the software development methodology in the domestic astronomical observation system area. The process and results of this study would contribute to the investigation for a more appropriate methodology in the area of similar system development.