Bioelectrical impedance analysis for severe stroke patients with upper extremity hemiplegia.

[Purpose] This study is to analyze bioimpedance parameters and occupational assessment for severe stroke patients with upper extremity hemiplegia. [Subjects and Methods] Experimental subjects were 20 hemiplegic stroke patients receiving rehabilitation therapy between November to October, 2015. Prediction marker (PM), and phase angle (θ), a nd characteristic frequency (fc) were measured using bioelectrical impedance spectroscopy (MultiScan 5000). Bioelectrical impedance vector analysis (BIVA) was also obtained from the bioimpedance data. Then, these values were compared with occupational assessment tools. [Results] A significant differences in PM, θ, fc, and BIVA were observed between paretic region and non-paretic region of 5 severe stroke patients. These results were in good agreement with occupational assessment (pinch and hand grip strength, and ADL by MBI). [Conclusion] There were significant differences in impedance parameters between paretic region and non-paretic region of 5 severe stroke patients with upper extremity hemiplegia. Thus, the BIA could be useful tool for evaluating hemiplegic stroke patients receiving the rehabilitation therapy in the clinical application.

Analysis of affected and non-affected sides of stroke hemiparalysis patients and correlations between rehabilitation therapy assessments using the bioelectrical impedance analysis method.

[Purpose] The purpose of this study was to demonstrate the use of bioelectrical impedance analysis as an appropriate rehabilitation therapy evaluation tool for stroke hemiplegic patients. [Subjects and Methods] A group of 20 stroke patients diagnosed with stroke hemiplegia who underwent stroke rehabilitation from October to November 2015 participated in this study. Using bioelectrical impedance analysis, stroke hemiparalysis patients were examined, and the affected and non-affected sides were compared. This correlation between impedance measurement values and rehabilitation therapy as an assessment tool was determined. [Results] According to the whole-body bioimpedance measurements, prediction markers, reactances, and phase angles, there were significant differences between the non-affected and affected sides, and bioimpedance had a positive correlation with hand grip power, manual dexterity of hand function, and ability to perform activities of daily living. [Conclusion] There were significant differences between the impedance values of the affected and non-affected sides of hemiplegic stroke patients. These results suggest that bioelectrical impedance analysis can be used as an assessment during the rehabilitation of stroke patients.

Impact of task-oriented training on hand function and activities of daily living after stroke.

Purpose] We examined the improvement of hand function and activities of daily living in stroke patients after carrying out task-oriented training. [Subjects] Thirty-two patients who had been diagnosed with stroke and underwent rehabilitation therapy participated in the task-oriented training. [Methods] The participants carried out task-oriented training for 30 min per day for 4 weeks. Their hand function and activities of daily living were evaluated before and after the training. [Results] The task-oriented training had a significant impact in terms of improving hand function and activities of daily living. [Conclusion] According to the results of this study, task-oriented training resulted in improved hand function and activities of daily living in stroke patients.

Effect of computerized cognitive rehabilitation program on cognitive function and activities of living in stroke patients.

[Purpose] The objective of this study was to examine the effect of cognitive rehabilitation using a computer on cognitive function and activities of daily living in stroke patients presenting impairment of cognitive function. [Subjects] Forty-six stroke patients were divided into two groups (a training group and control group) through random assignment. [Methods] The training group received rehabilitation therapy and an additional computerized cognitive rehabilitation program using The RehaCom software 30 minutes/day, 5 times/week for 5 weeks. The control group received only rehabilitation therapy including physical and occupational therapy. A comparative analysis on all subjects was conducted before and after the experiment using a cognitive test and activities of daily living test. [Results] After 5 weeks of therapy, the training group presented statistically significant improvement in cognitive function assessment items of digit span, visual span, visual learning, auditory continuous performance, visual continuous performance, and others compared with the control group but did not present statistically significant improvement in activities of daily living. [Conclusion] It was revealed through this study that computerized cognitive rehabilitation with the RehaCom program results in improvement in cognitive function and can be used as a treatment tool beneficial to stroke patients presenting cognitive impairment.

Effects of task-oriented training on upper extremity function and performance of daily activities by chronic stroke patients.

[Purpose] The aim of this study was to determine the effects that task-oriented training has on upper extremity function and performance of daily activities by chronic stroke patients. [Subjects and Methods] Task-oriented training was applied to two chronic hemiplegic patients in this research. The training was provided to each patient for 30 minutes a day, five times a week for two weeks. The treatment program included six different types of training that could be performed by the patients themselves. Evaluation was performed four times, that is, once a week for three weeks before the intervention and once after the intervention. The change in upper extremity function was measured with the Manual Function Test, and the change in performance of daily activity was measured with the Functional Independence Measure. [Results] The upper extremity function of both subjects was improved after application of task-oriented training. However, in the performance of daily activities, subject one showed improvement compared to with before the intervention, whereas subject two showed the same results. [Conclusion] This research confirmed that two weeks of task-oriented training for chronic stroke patients is effective for improvement of upper extremity function and performance of daily activities by chronic stroke patients.

A study on physical status and life satisfaction of workers.

[Purpose] This study was conducted to examine physical status and life satisfaction of workers in Korea. [Subjects] In total, 25,455 workers from eight geographical areas were evaluated from 2007 to 2008. [Methods] Physical status of the subjects was measured based on cardiopulmonary endurance, muscular strength, muscular endurance, flexibility, and explosive muscular strength, and a life satisfaction index was used to measure life satisfaction. [Results] Higher levels of cardiopulmonary endurance, muscular strength, muscular endurance, flexibility, and explosive muscular strength of workers were correlated with higher life satisfaction. [Conclusion] The result suggests it is necessary to improve life satisfaction through continuous health management of workers.

The relationship between obesity and health-related quality of life of office workers.

[Purpose] This study aimed to understand how office workers' obesity, anxiety and health-related quality of life (HRQOL) affect each other. [Subjects] The study was conducted from February 1 of 2013 to March 31 of 2014 and targeted a total of 143 office workers working in Seoul, Republic of Korea. [Methods] The study collected data using both an assessment tool and questionnaire in order to learn the subjects' obesity index, anxiety and HRQOL. [Results] The study revealed a significant difference in the total scores in regard to how the obesity index influences anxiety, mental HRQOL and total HRQOL. The more overweight and the heavier the subjects were, the more severe was the anxiety observed, which resulted in decreased scores for mental HRQOL and total HRQOL. Obesity turned out to be significantly correlated with anxiety, mental HRQOL and total HRQOL, and in terms of how much anxiety the subjects felt, there was a significant correlation with the total scores for physical HRQOL, mental HRQOL and total HRQOL. [Conclusion] The present study found that overweight and obese office workers are more anxious than office workers with normal weights, as the former have a lower mental HRQOL. It also suggests that overweight and obese office workers should improve their mental HRQOL through professional workout programs, which would help with their obesity problem. The study also suggests that subsequent research should be carried out to observe the results of any such workout programs applied in the future.

Comparison of knowledge of and attitudes toward dementia between health-related and non-health-related university students.

[Purpose] This study compared the knowledge of and attitudes toward dementia between health-related and non-health-related students. [Subjects] The subjects consisted of a total of 416 people, 213 health-related students and 203 non-health-related students, at K University, which is located in Gyeongsangbuk-do, Republic of Korea, between May 1 and 14, 2014. [Methods] The subjects answered a self-administered questionnaire about their knowledge of and attitudes toward dementia. [Results] There was a significant difference in knowledge of and attitudes toward dementia between the two groups examined. [Conclusion] Health-related students displayed higher knowledge of dementia and a more positive attitude toward dementia compared with non-health-related students. In the future, education to cultivate professional knowledge about dementia and enhance positive attitudes toward dementia should be provided continuously to health-related students. This is because students in health-related fields will likely provide services to patients with dementia in the clinical field. Additionally, as they will likely provide support to the elderly in the future, non-health-related students also need to be educated about and develop positive attitudes toward dementia.

Study of the Physical Condition of Middle-aged Office and Field Workers Aged 50 and Older.

[Purpose] We investigated the physical condition of middle-aged workers in Korea by job category (office job vs. production job). [Subjects] In total, 3,650 middle-aged workers (production job, n = 2,615; office job, n = 1,035) ≥50 years of age from eight geographical areas were evaluated from 2007 to 2008. [Methods] The subjects' subjective physical condition, exercise status, smoking status, and drinking status were investigated, and precise physical measurements, cardiovascular endurance, muscular strength, muscular endurance, flexibility, reflexes, and reactions were measured. [Results] Subjectively, the physical condition and exercise status of those with office jobs were superior to those of production job workers. Office workers exhibited a higher rate of drinking than production workers, and also had better cardiovascular endurance, muscular strength, muscular endurance, reflexes, and reactions. However, production workers were more flexible than office workers. [Conclusion] Middle-aged production job workers in Korea have poorer overall physical condition than middle-aged office job workers. The physical condition of middle-aged and elderly workers must be managed through various health management programs to secure a productive aging society.