Purpose : This study investigated the consumer satisfaction of the rehabilitation counseling via internet for parents of children with developmental disabilities aged under 6. Methods : The web site for internet counseling (ddchild.com) consisted of 1,500-page information for educating children at risk, with mental retardation, autism, learning disabilities, and cerebral palsy. Internet counseling was conducted in the form of Q/A, real-time chatting, monthly interview, and search engine. The consumer survey form was dispatched to a total of 1,459 registered members and 91 (7%) of them replied to the survey. The survey included general information of the respondents, the types of disabilities they used mostly, their satisfaction level, criticisms and suggestions to this internet counseling. Results : The general characteristics of the respondents were: (1) The users were distributed across the nation from Seoul and its vicinity (61%) to Cheju (1%); (2) The respondents’ 68% was middle or lower middle class; (3) The types of disabilities were children at risk including learning disabilities and ADHD (37%), autism (21%), mental retardation (21%), cerebral palsy(18.5%). The 68% of the respondents were satisfied with the internet counseling, and 65% actively used the data base consisted of rehabilitation information for educating children with developmental disabilities. Regarding the usage of the data base, 49% replied that this program was very helpful, because the instructions were described with concrete examples, 47.7% “helpful in understanding how to teach these children,” and 27.7% “in better understanding the behaviors of these children.” As to the suggestions, the respondents demanded two things. One is that the government build more schools and centers for educating these children along with more economic support, and the other requests are related to the operation of this internet counseling: enforcing of speech therapy program, opening of demonstration program with regard to the usage of this system, and setting up a psychological counseling for the parents. Conclusion : Operation of the internet counseling system can be a viable approach for providing early intervention programs for parents with developmental disabilities with low-cost effectiveness in the country where early intervention has not been systematically established.

본 연구에서는 과거의 비과학적인 포장관리의 한계를 극복하기 위해, 포장 상태를 정확하게 판단하고. 분석하여 적절한 유지보수 방법을 제시할 수 있는 경제적이고 효율적인 포장도로 유지관리 시스템(PMS)을 개발하였다. 우선 PMS에 관한 국내 외 자료와 서울시 포장 조사 데이터를 이용해서 포장 조사에서 분석 평가, 의사 결정 등의 일련의 과정에 대한 논리적 알고리즘을 구성하고, 국내 외 연구사례와 상세육안조사 결과를 통해서 이러한 알고리즘의 적합성을 평가하였다. 또한 개발된 알고리즘을 바탕으로 도로 관리자가 쉽게 사용할 수 있도록 통합 시스템으로서 PMS 프로그램과 GIS 프로그램을 개발하였다.

본 연구에서는 과거의 비과학적인 포장관리의 한계를 극복하기 위해, 포장 상태를 정확하게 판단하고. 분석하여 적절한 유지보수 방법을 제시할 수 있는 경제적이고 효율적인 포장도로 유지관리 시스템(PMS)을 개발하였다. 우선 PMS에 관한 국내 외 자료와 서울시 포장 조사 데이터를 이용해서 포장 조사에서 분석 평가, 의사 결정 등의 일련의 과정에 대한 논리적 알고리즘을 구성하고, 국내 외 연구사례와 상세육안조사 결과를 통해서 이러한 알고리즘의 적합성을 평가하였다. 또한 개발된 알고리즘을 바탕으로 도로 관리자가 쉽게 사용할 수 있도록 통합 시스템으로서 PMS 프로그램과 GIS 프로그램을 개발하였다.

This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents' demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.

Objective: The purpose of this study was to investigate the effects of cognitive function and Activities of Daily Living (ADL) improvement with Traumatic Brain Injury(TBI) and Stroke patient through Computer Assisted Cognitive Rehabilitation (CACR) program within specific approach and hierarchial approach training program. For this investigation CACR training was administered to 14 patients diagnosed of TBI and Stroke. Method: The CACR was given to the subject patient for 1months, 5times a week and each stimulation lasted 30 minutes. Cognitive function and activities of daily living were compared pre-CACR program with post-CACR program by MMSE and FIM . Results: Summarizing the results of this investigation; 1. Statistically significant improvement in 8 items of MMSE and 11 items of FIM was found after the application of CACR program training. 2. Cognitive function showed the spastically significant improvement after CACR program within specific approach and hierarchial approach training program 3. Activities of daily living showed the statistically significant improvement after CACR program within specific approach and hierarchial approach especially hierarchial approach more statistically significant increased than specific approach.

The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stroke, spinal cord injury, and cerebral palsy in addition to disabilities classified as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation services were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation services received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.

The welfare enhancement of discharged prisoners should be an important part in social welfare, criminal policy and correction services because it has great benefits for both discharged prisoners themselves and society. Even with these advantages, it has been relatively neglected in society and academic circles. This is caused by focusing on the programs, policies and systems related to criminals in prison. Also it is difficult to intervene their privacy because they already had their obligations for crime. Though every step of procedures for criminals as crime→ investigation→ justice→ correction→ after care for discharged prisoners has its own importance, the failure of the last stage to prevent discharged prisoners from committing crime again means that they can be fallen into vicious cycle and efforts so far have gone in vain. If the rehabilitation stage is executed scientifically and professionally, the effectiveness to prevent them from committing second offense could be high even though the prior steps were performed poorly. This study starts with the assumption that a health society can be established by helping discharged prisoners not to commit crimes again through systematic and scientific social support. So, especially it focuses on the roles of rehabilitation services and social network that help them overcome the obstacles surrounding them. Values and philosophy that should be planted in our society to promote discharged prisoners' social welfare. In addition, readjusting them to social life that can lead to enhance welfare and promise the public safety is examined based on interrelationship between prevention of second offence and rehabilitation services. Because rehabilitation agency for discharged prisoners rely on the justice department's policy, there are sufficient needs to examine and analyze the direction for rehabilitation services of government.

Recently, juvenile prostitution in Korea is increasing. The government and civic organizations presented various tough measures designed to fight ever-increasing prostitution involving girls, one of them is a Law on Protection for Juvenile's Sex enacted in June 2000. In comparison with the Anti-Prostitution Law, the law aggravates punishment on adult buying sex from under 19, but regards juvenile involved the prostitution as victims and prescribed protective disposition on prostituted juvenile to the exclusion of criminal punishment to promote reform through education and protection. When we analyzes the criminal-justice-system response to prostituted juvenile. we find the fact that police or prosecutors routinely release most of the prostituted juvenile(about 90% or more) to parents or guardians irrespective of investigation to prostituted juvenile's family environment, personality. and other relevant information. But considering that most of prostituted juvenile have run away from their homes or are from the structural and functional incomplete family, the police and prosecutor's routinized simple return home measure to prostituted juvenile is not seen as an effective measure. Also, juvenile involved in prostitution is difficult to easily overcome by temptation into prostitution for themselves, because they can make a great amount of money, with just the sacrifice of their body and without much excessive labor. On the other hand, in the case of voluntarily entering civil welfare facilities to accommodate prostitutes such as youth rest center, most of them are apt not to stay at there for a long time. Therefore, law enforcement officers are in need of actively making use of protective disposition attempting to harmonized the welfare function and judicial function. But, for the protective disposition to become effective measure to help the rehabilitation of prostituted juvenile needs a variety of changes in juvenile protection and rehabilitation policy. First, juvenile investigator system have to fulfill its function in practice through supplement of competent investigators, the increasement of funds and the development of inquiry technology. Second, treatment of prostituted juvenile are need of deciding centering around community based treatments than institutional treatments. In the order to fulfill functions for community based treatments especially Probation System, the number of the probation officers and volunteer probation officers such as university women students. Also, in case of the Community Service Order and Attendance Center Order, we have to develop the various program of the Attendance Center Order which are suitable and effective to prostituted juvenile and to amend the provision of the Juvenile Law in order that these measures will be applicable to the juvenile under 16 years old. Third, in case of commitment treatment to facilities, commitment to Facility for Guidance and Protection prescribed in the Anti-Prostitution Law abolishes and residential community treatment should actively be applied by juvenile courts. Now, child welfare facilities were supervised by the Ministry of Health and Welfare and youth protective facilities were supervised by Juvenile Court took. There was no governmental agency responsible for supervising the facilities in a consistent manner. Therefore the bureau should establish a special committee for residential community facilities. Lastly, we have to develop the commitment model suitable to prostituted juvenile such as group home and foster home. Fourth, we need to increase the number of the commitment facilities for medical treatment to accommodate the special prostituted juvenile who have disease and so on and to solve the budget-deficits problem.s

The purpose of this article was to explore the potential for the use of mental practice for the rehabilitation in persons with stroke. Clinical application of mental practice in physical medicine and rehabilitation have not flourished to the same extent as application of mental practice to sports psychology. Studies from the disciplines of kinesiology, neurophysioloy and psychology support the use of mental practice in the post-stroke population. A model is included to demonstrate how mental practice can work through motivation, cognition and neural reorganization to facilitate motor relearning and functional independence. Recent evidence using modern brain-imaging techniques suggest that motor planning during both imagined and actual movements use very similar brain centers. Influencing factors such as imaging ability, task, and method of instructions are discussed. The advantage and disadvantage of using mental practice are included. The potentials of mental practice as a method of promoting and acquiring the exercise functions of stroke patients are being recognized, and is expected to have high effectiveness as a method of improving the functions of the patients in the field of occupational therapy.

The purpose of this case is to find effectiveness of improvement of cognitive function with head injury patients through Computer-Assisted Cognitive Rehabilitation(CACR) program within various training programs. The subjects were three inpatient persons with head injury on Rehabilitation Hospital in Yonsei University and aged 28 and 14 and 2 woman and another man. It was used PSS CogRehab program during 15 days. Cognition, perception and activities of daily living(ADL) were compared pre-CACR with post-CACR by LOTCA, MVPT and MBI. According to this case study, in spite of short-term period, the subjects had changed of performance skills of cognition, perception and activities of daily living. Results were as follows : 1. LOTCA score of 3 cases showed increasing change after CACR performance, especially perception and visuoperception organization were increased. 2. Raw score was increased and processing time was controlled adjustable of MVPT within 3 cases. 3. MBI score of 3 cases were improved, especially dressing, feeding and toileting were improved each one step.

해안지역의 녹화 및 조경용으로 유용한 내염성 식물자원임과 동시에 서식지가 급격히 감소하고 있는 순기비나무를 대상으로 하여 생장특성과 번식방법을 규명하기 위한 연구를 수행하였던 바, 그 결과를 요약하면 다음과 같다. 1. 줄기의 생장형태는 포복줄기와 직립줄기가동시에 생장하고, 5개 주요 군락지에 직립줄기의 길이는 평균 46.6cm 이고, 포복경의 초대 길이는 7.6cm에 달하였다. 2. 종작발아율은 황적색의 무처리 종자와 GA3처리 종자에서 71.0~72.3%로 가장 높았으나, 두 처리군사이에는 발아율의 차이가 없었다. 종피현화를 목적으로 한 황산처리는 오히려 종자의 발아를 억제하였다. 3. 종피 색깔이 황적생인 종자는 흑갈색 종자에 비해 평균 21.1%(13~30%)발아율이 높았다. 실득모율은 30% 미만으로 아주 낮았으나 흑갈색 종자에 비해 황적색 종가자 약 2배 높았다. 또한 LD50은 황적색 종자가 흑갈색 종자보다 10~20일 짧았다. 4. 종피 색깔과 화학처리가 같은 조건에서 기건저장한 종자와 노천매장한 종자사이에는 발아율, 식득묘율, LD50등의 차이가 없었다. 5. 기건저장한 황적색 종자가 바다모래에서 30.3%의 발아율과 10.1%의 실득모율을 나타냈으나, 갯벌흙에서는 전혀 발아되지 않았다. 6. 삽목번식의 경우 추삽에서 발근육은 녹지삽이 가장 높았고, 다음이 반지숙삽, 숙지삽의 순이었다. 발근율이 가장 높은 것은 NAA 200ppm+sucrose 2%를 처리한 녹지로서 96.7%의 발근율을 나타내었다. 발근수는 전반적으로발근율에 비례하는 경향이었다. 7. 하삽에서 NAA 200ppm+sucrose 2%를 처리한 녹지, 반숙지, 숙지의 토양별 발근율은 vermiculite+ perlite(1:1)와 마사토에서는 81.1~87.8%로 높았고, 모래와 해상에서 48.9~77.8%로 낮았다.

Physical therapists should under stand motor control models and apply various models to evaluation and treatment of neurologically impaired patients. Thus, this paper reviews motor control models and applications in clinical settings. Assumptions and limitations of reflex models, hierarchical models, and systems models are presented. This paper also delineates goals and dissatisfaction of neurologic rehabilitation approaches for neurologically impaired patients. Muscle reeducation approach, neurotherapeutic facilitation approach, and contemporary task-oriented approach are explained.

This paper reviews the developmental plan of industry in the industrial present condition of Korean Assistive Technology (Rehabilitation Engineering). The discussion includes the important role that go ahead the research of present condition about the enterprise of Assistive Technology (Rehabilitaton Engineering), reinforce the standard of equipment, the enterprise requesting the enlargement of facilities must lease a low late by the bank financing, give a necessary funds to a excellent minor enterprise, support a variety custom reduce method to buy a machine parts and machinery. The education master plan for rehabilitation engineer must be necessary the national medical engineer by establishing over one department at one big city and one province Further more research studies are required to realize on the developmental plan of Assistive Technology (Rehabilitation Engineering).

This study was carried out to find out general characteristics and health-related be haviors of elders aged 60 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at An-Dong city and participated in this study. To collect data, the field survey was conducted from December 13 to 23, 1996 with structured questionnaires by 6 trained student interviewers. Chi-square test, t-test and Pearson's correlation were used for data analysis by use of SPSS/ program. The major findings were as follows; 1) In the individual characteristics of the respondents, the average age were 73.6 years old. 21.5% of the subjects were 60-69 years old, while 27.5% were 70-74 years old, 25.0% were 75-79 years old, 26.0% were 80 years old or over. 2) For the degree of the subject's perceptive health condition, the aver age 3.39 point and standard deviation 1.09. The perceptive health condition of the subjects was in the mid point range of health condition. 3) 46.6% of men and 25.8% of women practiced exercise regularly for their health maintenance and promotion. 4) For the degree of the subject's perceptive health condition, the difference by sex was not statistically significant. 5) 51.8% of men and 60.2% of women has idea for interventions to health promotion program by rehabilitation services.

Korea will soon experience a high demand for medical rehabilitation specialists, if it tries to deliver advanced health welfare service. In order to medical rehabilitation manpower policies, this study attempts to analyse, estimate and plan a long-term supply for physiatrists, physical therapists, and occupational therapists. The study analysed both national and foreign statistical data of manpower supply for medical rehabilitation specialists. A structured category of questionnaire was developed to survey the opinions of regarding the supply for rehabilitation specialists in Korea. Based on the above data, the demand of and supply for each specialists were estimated for long term up to the year 2030. Based on the comparative analysis results of the future demand and supply, the author intended to develop a new supply plan for the three specialist categories. The major findings of the supply plan are as follows : First, the replied proper mean ratios of rehabilitation professionals(physiatrists : physical therapists occupational therapists) appeared 1 : 5.93 : 3.59, and there is no significant difference between interprofessionals (p>0.05). Secons, the estimated demand for rehabilitation services by interprofessionals appeared significant difference among the interprofessionals (p<0.05).

The objective of this study was to develop a management strategy for the recovery of carbon storage capacity of abandoned coal mine forest rehabilitation area. For the purpose, the biomass and stand carbon storage over time after the forest rehabilitation by tree type for Betula platyphylla, Pinus densiflora, and Alnus hirsuta trees which are major tree species widely planted for the forest rehabilitation in the abandoned coal mine were calculated, and compared them with general forest. The carbon storage in abandoned coal mine forest rehabilitation areas was lower than that in general forests, and based on tree species, Pinus densiflora stored 48.9%, Alnus hirsuta 41.1%, and Betula platyphylla 27.0%. This low carbon storage is thought to be caused by poor growth because soil chemical properties, such as low TOC and total nitrogen content, in the soil of abandoned coal mine forest rehabilitation areas, were adverse to vegetation growth compared to those in general forests. DBH, stand biomass, and stand carbon storage tended to increase after forest rehabilitation over time, whereas stand density decreased. Stand' biomass and carbon storage increased as DBH and stand density increased, but there was a negative correlation between stand density and DBH. Therefore, after forest rehabilitation, growth status should be monitored, an appropriate growth space for trees should be maintained by thinning and pruning, and the soil chemical properties such as fertilization must be managed. It is expected that the carbon storage capacity the forest rehabilitation area could be restored to a level similar to that of general forests.

목적: 본 연구의 목적은 긍정 심리 프로그램이 스포츠 손상 선수의 정서, 자아존중감, 행복 및 재활 능력에 미치는 영향을 규명하는 것이다. 방법: 연구 참여자는 최소 8주 이상의 재활 기간이 남아있는 D 대학교 야구팀 손상 선수 14명으로 선정하였다. 본 긍정 심리 프로그램은 개방형 질문지를 활용한 요구분석 자료, 관련 선행연구 고찰 및 전문가 자문 자료를 통합하여 개발되었다. 본 연구에서 개발된 긍정 심리 프로그램(오리엔테이션, 음미하기, 감사하기, 강점 찾기, 주의집중력, 루틴, 희망 고취하기, 종결)은 주 1-2회, 50∼60분씩 총 8회기로 진행되었다. 측정도구로는 긍정정서 및 부정정서 검사지(PANAS), 자아존중감 검사지(RSE), 행복 검사지(Happiness measures), 재활 능력 검사지(RCQ)를 사용하였으며, 프로그램 종결 후 프로그램 평가지를 활용하여 프로그램에 대한 연구 참여자들의 인식을 측정하였다. 결과: 양적 검증 결과 긍정 심리 프로그램은 스포츠 손상 선수의 긍정 정서, 자아존중감, 행복 및 재활능력 향상에 통계적으로 유의한 영향을 미치는 것으로 나타났으며, 부정정서 감소에는 통계적으로 유의한 영향을 미치지 않는 것으로 나타났다. 질적 검증 결과는 긍정 심리 프로그램 구성의 적합성과 유효성을 지지해주었다. 결론: 본 연구의 제한점과 후속 연구에 대한 제언을 긍정 심리 프로그램 개발 및 현장 적용 측면에서 논의하였다.

목적: 본 연구의 목적은 대학 여자축구선수들이 재활과정에서 느끼는 심리적 변화를 탐색하고 이를 극복할 수 있 는 전략을 살펴보는 데 있다. 방법: 참가자는 2018년 대학 여자축구연맹에 등록되어 있고, 부상으로 인한 재활경 험이 있는 7명의 선수이다. 이들을 대상으로 개인 면담과 집단면담을 시행하여 수집된 자료를 구성주의 근거이론 (Constructing Grounded Theory) 접근방법을 통해 분석하였다. 결과: 선수들은 재활 과정 초기에서 부정적인 생각 을 하게 되는 동시에 긍정적으로 생각하려는 노력이 순환적으로 반복되는 심리적인 양상을 겪으며, 선수 생활에 대한 양가감정을 느끼는 것으로 나타났다. 재활 과정 중기의 심리적 변화에서는 재활상황 자체에 대한 초조함과 불안함, 심리적 압박감을 느끼면서도 점차 회복하는 신체에 자신감을 얻고 복귀를 위한 노력에 집중하는 것으로 나타났다. 재활 과정 후기에서는 복귀에 대한 설렘을 가지면서도 재발 불안감 등으로 부담과 압박을 느끼는 복귀 에 대한 양가감정이 드러났다. 선수들의 경험을 바탕으로 구성한 극복전략은 다음과 같다. 첫째, 자신감 향상전 략, 긍정적 사고의 전환 등의 심리적 극복, 둘째, 복귀를 위한 훈련을 포함한 신체적 극복, 셋째, 여자선수들을 위 한 전문적 프로그램 필요의 환경적 지원, 넷째, 주요타자지원과 같은 사회적 지원이다. 결론: 대학 여자축구선수 들은 재활과정에서 여러 가지 복합적인 심리적 변화를 겪으며, 선수로서의 삶을 진지하게 고민해보는 양가감정의 갈등이 함께 나타나는 것을 알 수 있었다. 이렇게 드러난 양가감정의 폭을 줄이거나 해결하는 심리적 과정은 선 수로서의 정체성을 재확립하는 계기가 될 수 있다. 이를 위해서는 이에 기반하는 내용을 포함한 전문적인 스포츠 심리상담과 체계적인 지원이 재활과정의 선수들에게 필요할 것이다.

NREX, an upper limb exoskeleton robot, was developed at the National Rehabilitation Center to assist in the upper limb movements of subjects with weak muscular strength and control ability of the upper limbs, such as those with hemiplegia. For the free movement of the shoulder of the existing NREX, three passive joints were added, which improved its wearability. For the flexion/extension movement and internal/external rotation movement of the shoulder of the robot, the ball lock pin is used to fix or rotate the passive joint. The force and torque between a human and a robot were measured and analyzed in a reaching movement for four targets using a six-axis force/torque sensor for 20 able-bodied subjects. The addition of two passive joints to allow the user to rotate the shoulder can confirm that the average force of the upper limb must be 31.6% less and the torque must be 48.9% less to perform the movement related to the axis of rotation.