• 보건행정학회지
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• 제26권4호
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• pp.352-358
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• 2016

Summary measures of population health (SMPHs) have been used to estimate the burden of diseases. Among various type of SMPHs, disability adjusted life year (DALY) and healthy life expectancy (HALE) have been calculated in the global and national burden of disease studies. In order to calculate DALY and HALE, disability weight is an essential element. Disability weights quantify the level of disability for health states or diseases and have values between 0 (full health) to 1 (being dead). In this study, we reviewed the main disability weights studies and determined their meaning and limitations. Furthermore, we provided the whole process of typical disability weight study and reviewed key issues as follows: health state or disease description development, panel composition, valuation method, validation of disability weight, cross-cultural variability in health state or disease, and so on. The results from this study will be helpful to conduct future disability weight studies for adapting disability weights and developing new methodologies.

• Journal of Preventive Medicine and Public Health
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• 제33권4호
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• pp.409-414
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• 2000

Objectives : To estimate the weighting for the disability caused by major cancers in Korea using the Delphi method. Methods : We selected 19 panelists to estimate the disability weighting of major cancers in Korea by using the Delphi method. To select the relevant kinds of cancers, we used National Death Certificate Data produced by the National Statistical Office in 1996. Then the stability of each delphi round was calculated by using the coefficient of variance. Results : The disability weight of major cancers for males was pancreas cancer(0.36), liver cancer(0.35), esophageal cancer(0.30), stomach cancer(0.27), lung cancer(0.26), and colorectal cancer(0.30). The disability weight of major cancers fer females was pancreas cancer(0.36), liver cancer(0.34), esophageal cancer(0.29), stomach cancer(0.28), lung cancer(0.26), and colorecial cancer(0.28). Conclusion : The results of this study will provide baseline data useful for the measurement of the burden of disease caused by cancers in Korea.

• Journal of Preventive Medicine and Public Health
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• 제56권4호
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• pp.291-302
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• 2023

Objectives: Disability weights require regular updates, as they are influenced by both diseases and societal perceptions. Consequently, it is necessary to develop an up-to-date list of the causes of diseases and establish a survey panel for estimating disability weights. Accordingly, this study was conducted to calculate, assess, modify, and validate disability weights suitable for Korea, accounting for its cultural and social characteristics. Methods: The 380 causes of disease used in the survey were derived from the 2019 Global Burden of Disease Collaborative Network and from 2019 and 2020 Korean studies on disability weights for causes of disease. Disability weights were reanalyzed by integrating the findings of an earlier survey on disability weights in Korea with those of the additional survey conducted in this study. The responses were transformed into paired comparisons and analyzed using probit regression analysis. Coefficients for the causes of disease were converted into predicted probabilities, and disability weights in 2 models (model 1 and 2) were rescaled using a normal distribution and the natural logarithm, respectively. Results: The mean values for the 380 causes of disease in models 1 and 2 were 0.488 and 0.369, respectively. Both models exhibited the same order of disability weights. The disability weights for the 300 causes of disease present in both the current and 2019 studies demonstrated a Pearson correlation coefficient of 0.994 (p=0.001 for both models). This study presents a detailed add-on approach for calculating disability weights. Conclusions: This method can be employed in other countries to obtain timely disability weight estimations.

• 대한정형도수물리치료학회지
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• 제10권1호
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• pp.103-116
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• 2004

The purpose of this study was to investigate between low back pain scale and disability index owing to gait pattern. For the period of February 1 to February 29, 2004, we had conducted a questionnaire and direct interview with 100 persons lived in Daejeon. The result were as follows: 1. The stride length of experimental group. the male was $49.9{\pm}12.9cm$. the female $45.7{\pm}12.9cm$ and the width of feet, the male was $13.5{\pm}5.7cm$, the female $12.2{\pm}4.8cm$. 2. The Fick angle of all subjects was showed in external disposition, the left angle showed in asymmetry, the male was $11.0{\pm}5.7^{\circ}$, the female $8.5{\pm}1.3^{\circ}$. 3. The foot arch was similar to sex as a weight bearing and non-weight bearing, the male was $1.3{\pm}0.8cm$, the female $1.3{\pm}0.9cm$. 4. The impedimental index according to back pain grade, men was a lower than women, the male was $5.7{\pm}6.9$ and the female $7.2{\pm}5.3$. 5. The relation to difference between foot arch and disability index according to back pain grade as a weight bearing and non-weight bearing, the higher foot arch, the higher back pain grade was statistically significance(p<.05). 6. The relation between width of feet and disability index according to back pain grade, the wider width of feet, the higher back pain grade was statistically significance(p<.01). 7. The relation between stride length and disability index according to back pain grade, the wider stride length, the higher back pain grade was statistically significance(p<.05).

• Journal of Sport and Applied Science
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• 제4권4호
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• pp.1-6
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• 2020

Purpose: The purpose of this study is to identify the effect of 24-week sensory integration activity training on fitness of children with intellectual disability. Research design, data, and methodology: The subjects were 10 children with intellectual disability, 60 min training of sensory integration activity for 24 weeks. Obesity, cardiovascular endurance, muscular strength and muscle endurance were measured pre and post training. Frist, characteristics of subjects were measured with age, height, weight, IQ and SQ. Second, the subjects then performed sensory integration activity training for 24 weeks. Last, weight, strength, endurance, cardiovascular endurance and flexibility were measured. Data were calculated for average and standard deviation by SPSS 25.0 statistic program, and dependent sample t-test was processed to analyze the change between pre and post training. All statistical significance level was set to 0.5. Results: The result was shown that weight, strength and endurance changes between pre and post were significant. However, cardiovascular endurance, flexibility changes between pre and post were not significant. Conclusions: The lack of training frequency of 60 minute per week were acknowledged per week from this result. In future research, increased intensity and frequency are need for an in-depth and meaningful study and the measured data can be used basic information for the study.

• Asian Spine Journal
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• 제12권6호
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• pp.1106-1116
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• 2018

Study Design: Prospective observational study. Purpose: To evaluate the disability domains relevant to Indian patients with low backache and propose a modified disability questionnaire for such patients. Overview of Literature: The Oswestry Disability Index (ODI) is a self-reported measurement tool that measures both pain and functional status and is used for evaluating disability caused by lower backache. Although ODI remains a good tool for disability assessment, from the Indian perspective questions related to weight lifting and sexual activity of ODI are questioned in some of the earlier studies. Activities of daily living in Indian patients vary substantially from those in other populations and include activities like bending forwards, sitting in floor and squatting which are not represented in the ODI. Methods: In this prospective observational study, a seven-step approach was used for the development of a questionnaire. Thirty patients were interviewed to identify the most challenging issue they faced while performing their daily activities (by free listing) and understand how important the questionnaire items were in terms of the standard ODI. Thus, a comprehensive disability questionnaire comprising 14 questions was developed and administered to 88 patients. Both qualitative (interviews) and quantitative methods (to establish the validity, reliability, and correlation with the Visual Analog Scale [VAS] and Rolland Morris disability questionnaire) were used to identify the 10 questions that best addressed the disability domains relevant to Indian patients. Results: According to free listing, four new questions pertaining to bending forward, sitting on the floor, walking on uneven surfaces, and work-related disabilities were included. In the second phase, wherein the questionnaire with 14 items was used, 56.8% patients did not answer the questions related to sexual activity, whereas 23.8% did not answer those related to walking on uneven surfaces. The modified questionnaire demonstrated good internal consistency (Cronbach's alpha=0.892) and correlation with the Rolland Morris questionnaire (Cronbach's alpha=0.850, p>0.05), as well as with the VAS score for disability (Cronbach's alpha=0.712, p>0.05) and pain (Cronbach's alpha=0.625, p>0.05). Conclusions: A modified disability questionnaire that was designed by adding two questions related to bending forward and work status and removing questions related to sexual activity and weight lifting or traveling (depending on the occupation) can help evaluate disability caused by back pain in Indian population.

• 한국전문물리치료학회지
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• 제6권1호
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• pp.47-61
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• 1999

The purpose of this study was to investigate factors influencing on the early treatment of children with developmental disability. Data was collected from 102 mothers of children with developmental disability who were treated at 4 rehabilitation facilities in Kyunggi-Do and Kangwon-Do. The results were as follows: 1) Of a total of 102, 63 children began to receive rehabilitation therapy during the period 0~12 months (early treatment group), 38 children after 1 year of age (delayed early treatment group). 2) There were statistically significant differences between the early treatment group and delayed early treatment group for prematurity, low birth weight, the time to discover developmental abnormalities, the time of first diagnosis, and first treatment (p<0.05). 3) There were no statistically significant differences in the two groups for level of education, economic status, risk factors (except prematurity and birth weight), home care, family's cooperation and commuting time (p>0.05). Based on this study, the important factors for early treatment were early detection, early diagnosis and constant follow-up for high-risk babies.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.211-218
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• 2012

Objectives: The objective of this study was to identify the differences in obesity rates among people with and without disabilities, and evaluate the relationship between obesity rates and the existence of disabilities or characteristics of disabilities. Methods: Mass screening data from 2008 from the National Disability Registry and National Health Insurance (NHI) are used. For analysis, we classified physical disability into three subtypes: upper limb disability, lower limb disability, and spinal cord injury. For a control group, we extracted people without disabilities by each subtype. To adjust for the participation rate in the NHI mass screening, we calculated and adopted the weight stratified by sex, age, and grade of disability. Differences in obesity rates between people with and without disabilities were examined by a chi-squared test. In addition, the effect of the existence of disabilities and grade of disabilities on obesity was examined by multiple logistic regression analysis. Results: People with disabilities were found to have a higher obesity rate than those without disabilities. The obesity rates were 35.2% and 35.0% (people with disabilities vs. without disabilities) in the upper limb disability, 44.5% and 34.8% in the lower limb disability, 43.4% and 34.6% in the spinal cord injury. The odds for existence of physical disability and grade of disability are higher than the nondisabilities. Conclusions: These results show that people with physical disability have a higher vulnerability to obesity.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제9권1호
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• pp.58-64
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• 2006

목 적: 뇌성마비 등 뇌병변장애환자는 여러 가지 원인으로 영양장애와 성장장애가 오나 사지마비와 사지구축 자세이상 등으로 성장상태를 정확하게 측정하기도 어렵고 열량대사가 정상인과 달라서 영양 요구량을 아는 것이 쉽지 않다. 저자들은 경관 영양을 하는 중증 사지마비성 뇌병변장애환자의 영양상태와 열량섭취량을 알아보고자 하였다. 방 법: 2004년 1월에 본 서울시립아동병원에 입원하고 있는 환자 중에 2세 이상 30세 사이의 경관 영양을 하는 중증 사지마비성 뇌병변장애환자 86명을 대상으로 하여 신장, 체중, 상완둘레, 피부주름두께를 재고 섭취 에너지 열량을 계산하여 신장 및 체중에 대한 단위 섭취 열량을 측정하였다. 결 과: 1) 체중은 나이와 연령에 따른 평균의 46.5%이고, 신장은 84.2%, 상완둘레는 74.5%, 피부주름두께는 44.6%였다. 2) 열량섭취량은 한국인의 1일 열량권장량의 평균 45.2%를 섭취하고 있었으며 Mayo clinic nomogram에 맞추어는 평균 69.4%였다. 3) 단위 신장당 평균 7.2cal/cm, 단위 체중당 평균 57.0cal/kg을 섭취하고 있었다. 신장과 섭취열량과의 관계가 (Fig. 1, r=0.476) 체중에 따른 섭취 열량과의 관계(r=0.263)보다 상관계수가 높았다. 결 론: 중증뇌병변장애환자는 여러 가지 원인으로 성장장애가 와 있으며 경관 영양 하루 열량이 평균 $880.9{\pm}207.4kcal$, 즉 한국인 1일 열량권장량의 45.2%를 섭취하고 있었다. 하루 500kcal에서 1,100kcal, 즉 일일열량권장량의 16~50%라도 충분하다는 보고도 있지만 개개인에서 체중변화와 열량섭취를 충분한 시간을 가지고 주의 깊게 살펴서 열량 조절을 하는 방법을 적용해야 하며 이들의 열량 요구량에 대한 연구가 더욱 필요할 것으로 생각된다.

• 한국엔터테인먼트산업학회논문지
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• 제14권7호
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• pp.469-476
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• 2020

본 연구는 등받이 유무에 따른 하지 운동프로그램이 허리통증이 있는 대학생에게 미치는 영향을 알아 보기 위해 균형능력, KODI, VAS 검사를 이용하였다. 광주광역시 소재 K대학교 학생 32명을 대상으로 4주간 탄력밴드를 이용한 하지 운동프로그램을 진행하였으며 등받이의 유무에 따른 집단 별 16명씩 무작위로 선정하여 진행하였다. 균형능력과 KODI 점수에서는 집단과 시간에 의한 상호작용이 없는 것으로 나타난 반면 VAS 점수에서는 집단과 시간에 의한 상호작용이 나타났다. 또한 두 집단 모두 중재 후에 균형능력, KODI, VAS 점수에서 유의하게 증가하였다. 따라서 등받이 유무와 상관없이 의자에 앉아서 시행하는 하지운동 프로그램이 오랜시간 앉아서 생활하며 허리통증이 있는 학생과 직장인에게 일상에서 쉽게 할 수 있는 운동 프로그램으로 적용하는 것이 필요할 것으로 생각된다.