c%4~1-H~14 =           1 J -4~I: 4184 R2~2010" 6% J. of the Korean Proprioceptivc Neuromuscuiar Facilitation Association V...
x4d=Ho]- v~H. %x]] xl~                  ~ P ~ : }9 = >~= ~x]I=                                                            ...
%~~J- 0~ " 4 7 N - ~PPll 8P d e = 0 C 4                      " 4 <1~~ 4Ho1-H, ~a== 0 ~Pl 77171= 7~~~ ~77b~@< ~ ~ J R      ...
&9 1. Outpatient Physical Therapy Improvement in Movement Log(OPTIMAL)Therapy Improvement in Movement Log)k + ] + o ]     ...
y t(Geyb o, 2004)4 o)go+ ~               ). o ~                           y~ ~ ~q o ~ ~ ~ go ol-qgA o y gQ Q N I>)~ 4.%4 «...
j) ~         ~ g ~ g g dA j > l     0p )    l4 7(E ~lp-I                                                                  ...
wg 2 oP — Q g+ — ~~~ >V]@               o]P                                               ) ) oc =PI@ >IIR~ 2 » < l >I>15 ...
3) M=4 +I      > - I~I~-I~I " %~1~1=- Ao ™ »- ~l                                                           5) gl I. >o — ~...
~~IoI — ~o> 81<ol ~I>$ -~ — = 8>PI+10 j5~       -                                                 >l~o~ @~o1 -r P o~~k >VN...
9 = 5-6= 9 9 ~ ~ 9 . ~ " 8 > ] W - .                              1CF Core Sets fo r        p a t ients w it h c h ronic  ...
Dickson,4 Peter Frommelt, Zaliha Omar, Nenad      WCPT Keynote. Health Classifications 2; Using theKostanjsek, Haim RingS ...
Upcoming SlideShare
Loading in …5
×

씨티재활병원 재활센터에서 진행중인 도큐멘테이션을 정리하여 투고한 논문입니다. 현재 우리 재활센터에서는 EBP, ICF, Clinical Reasoning을 기반으로 도큐멘테이션하는 전략과 절차를 시도하고 있

3,552 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
3,552
On SlideShare
0
From Embeds
0
Number of Embeds
2,686
Actions
Shares
0
Downloads
12
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

씨티재활병원 재활센터에서 진행중인 도큐멘테이션을 정리하여 투고한 논문입니다. 현재 우리 재활센터에서는 EBP, ICF, Clinical Reasoning을 기반으로 도큐멘테이션하는 전략과 절차를 시도하고 있

  1. 1. c%4~1-H~14 = 1 J -4~I: 4184 R2~2010" 6% J. of the Korean Proprioceptivc Neuromuscuiar Facilitation Association Vol.8, Vo.2, June 2010. pp,57-67 Pl+dol . 4EII S~ <IEISS %a~J«3.58M~~rliud 54~124~ A case report of the intervention strategy & documentation in a patient with post stroke applied a International Classification of Functioning, Disability and Health. Surt-Ui Lee, P.T., Tae-Yoon Kim, P.T., Ph.o. Dept of Rehobilitotioti Center, Gwan~u City Hospital *Dept. of Physic& Theropy, Wonibvang Heaith Science UiuvervitySackgruuntl and Purpose Many Physical therapist are inclined to conununicate less effectively each other because theyhardly use the standard terminology. The purposes of this case rcport are (I) to apply lCF-based documentation inevaluation (2) to submit the strategy of intervention process to improve the ability of walking short distance of the clientwho has post-stroke.Descripfion: Ihe client was 44-years-old man with hemiplegia who was in 1 month post-stroke problems were diagnosedwhile applying the ICF core set, Ibe goals agreed with client were independently walking short distance, stairs andobstacles. To come up with the intervention strategy, hypothesis wasset and 4 weeks ofintervention was carried out afterproposing the short goal and detailed purpose.Oulcorm: Ihe clients performance in walking short distance and confidence were incmmd afler impairment focusedintervention, that are itnproved in walking velocity, endurance, supporting ability in lower limbs, rhythmical rnovcrnent inups limbs and the coordination of both limbs. Activities focused Intervention also enhanced the ability in climbing stepsand walkmg around obstacles.Conclusion - The decided hypothesis and goal that are to solve the problems the client faced were remarkably meaningful.Key Wonh: ICF, Intervention strategy, Docum entation, Physical therapy.~~>1z)xl: >P421, E — sun-ui@hanmail.net mail: :2010~ 4A 06-3 / 4~ - : 2 0 10~64 10J / 4 44 — ,J : 2 0104 6% 205
  2. 2. x4d=Ho]- v~H. %x]] xl~ ~ P ~ : }9 = >~= ~x]I= ]-} ".4 —: 44-.]-~»]." — A«=]H, x]~e 8A-o] ]~ %.x]]do %m s }~])~ggo] ~ ~]M I ~xNo g 34 . ~x=1 > ~ 1 a ] } c]- ol 4 > f l>]~o-]ol ~o ~~A — 0 — — xi+]>]=c) % Gordon, J~g ~ Cli n ical Reasoning)ol ~~-ko]r]; ~ox2005). ~gx@h]= 5x]l~»gg z]~xylol x}F]I « ]y %~8 X]ag].do F4W -]gt ol- 1I +z]%. d ]o ] =] ] a v so] <V 1: ~«~o- v] P ~+4 I W1o 9 Nq ] .-14 =]149 ~ 5 — o ~o] ~i&o]-9(Jette,2006). x]K xl~o x8+]o]W N x~~« >+ o ]c]-(Mark Jones &"P~- ] 4 : } o — Jo ] ->] % ]¹ S4 — >] Darren Rivett, 2005). %.ol- x]%1].— o]2]<} ~~]«~~ lc]- ~2]g c]1 ~X)~ p]% y ~ 8 + o ] : o}c]+f ].~~ 5.>] o}~] rr]IW ~oN=-4 c].— ~A~% +]o] ~ 1¹ ] %" — a8 8~ 6 + 4~] --] — ~]o]p) os } goW]-~o] o]go]z]z] ~].-i oic] «9>3 ICF9 ~~-]~i ~] r]W4 9S 4 ~]-o-]~~ g x&%4>B= l ~J — 1 >]oOFtinction), xylo]](Disability) .qo }1q y q ~W 1o o] -.-} gx]] ~ d }(Health)o]I ~ 9 2 ) p op o]— . Wo x}xd ~]«4 x%]~~ =]~] % R8 ~] o , o + Il, 4>o} ~ ( I n ternationalClassification of Functioning, Disability and Health;ICF)% d=-]-W(WrW, 2001). ICFq ~]-P ~~g]lgxi~o + o T>1 ~7J- nl 47J 1. HistoryxI]QQ go~i+ R~ ~p~~ x]Ix]8]7] ~o]~} A~o]r]-. ICF=. > . . 0 ]- ~4-=}4 . . o 1 >5-o]-~ " 0 1) P4o/x-I+xi/] 7] — o ~ +~(Body function & Body structure) o] . ~ OO ( 44!M) ~~]- st}~o ~~i +Q(Activity & participation)4 — -r ~] xl g g - x ] ~ i =]. ~$g o]8} ~ gpss].u] lq] I-i g]lolp~ s]~p~ ~ago]p) y]4-o]. ~ ~ 4] 8 0 kg ~]o(functioning)~ P x x ] I >] o ~ P o J oJ 5 i : 201 0. 6. 4 o]W xo}oII(disability) ~MA : o ]k(M)~gimpairment) ~~i P~o ~]]~Nativity limitation)g~ v] : 1 cm 74 4] (participation restriction)~o ] c ]-. rF o} ICF ~ o] 2) o} 7]]i) ~g]- g}< p) xJ~ko421. ~iW got~ «go]~> 2 010 < 5-5 12" x1~~~ " M -- x ] ] ~ ]- 4o]+~]4 HAH <~9]~1 x="%~I =o~-N9% xl+=]. H~ ola} o ~ z ) u]-u]y >J~H~fo ~wp~og ] 201pago] 7]lotto ~]~o, «o]] ~W~+ 74~P >J-Q% ~}Wo].8 7] 64 4g 4~]x]Mg 4 ] -r]o]I Q~ g + ] ] I ~ ] ]o]~4g ~ % R CP T , 2007). oi ~flS5%~o O =-I=].gq. ~ 49 ICF-— I 3 9+ 4M o ] ~ = P ] 4 N o]V~]%-]- 99 » > ~l"-W~ old~- ]%~PHD, 2(N5). W~l 4- 9 x ] V W = - x ] -.-].3 ~~= t-~ 3 i ~xl El 8 % }~o <AM=]-o] gHL=]o-Io]= ~}jc]-. >]~ ICF<] ] . r Di o n -I — 3- ~Co oH=o-] ol ]x] r gqICF Core Set~ og« ~~i~]qo Wg~ opto yp - » e 1 x ]ol ~ ~ o p ol=] ] ~I= o i . o~~]-g xi~)>4~ @WCieza ~, 2004: Grill o, 2005 o % M o}>]], 8>]o>P~>]I, +4~Sean —, 2009). x]I,:-]a~, 8u]o4, ~398], xl%-~8, ~J-«~Jx]I ]~pl ®N ig hA~g]. d4o 8-~ % x]] xla o]r]
  3. 3. %~~J- 0~ " 4 7 N - ~PPll 8P d e = 0 C 4 " 4 <1~~ 4Ho1-H, ~a== 0 ~Pl 77171= 7~~~ ~77b~@< ~ ~ J R ~ %91 J 3-.H ~la" ~ ~ J le =1143 71== @80; 71 —.= ~4 1 ~ 1-~3 01~1 g]ggol.tJj oJ o 51- + o 171gJ+0 71.+o 7J-%101 01+~ 01 J.g 0 "~7Jpl 0 r J ~ A+4 ~ 1 2101.~~ 7.14~ = 1 9 . 0 2. Systems review 71-0 7,1.01 wig~ 01 o II ~P.171-A17,1+i 0$71.$0401" O ~~ ~1A 4 — - M — 7P - 1 = « 17N g1+I 7Q — ~j~oM]g ~~J.xylo Il~] — x )71- g I 1+=-W ~ JH 4 -.I=~)l, =5=1 ~~l "718 =1 ot-l- 71 ~a~o) 4% 71 1¹ 1 Mi ~o101 oP1 o yo l % a l4 m o J C II=1. Hl — o ~ ~ 1 01HJ-xgoJ 7$7101+ yg x j 71 .7g 0~1 w1+ Q1111 ol-~ Il gl 7J- ~)~ -o-g~~ o1>1 1 N.~l; ~-IH ~ W ~ IJ 4 JN 1 % +J AM P - 5~1I 2-35 xB- 4>I 1- 79+b~ N 0 1 71.0o ~ 0 0 1 alcl. ~ q. g gq a l e 7 ~q 7 1 ~ol-~~ 0~1~~oK~ 03q.91>l 7]~] d ~ ol-71 ~l qq ~ ) 70~"g+ ql-I] -$~0 71 01 ~0 o] g o l 5c .o ) 4 0 ~ ] 0 1 jH+ -roIt-I; ~~ = ~ 111I= J ~ o "- o I719 - = I Mpq~gl. ~7gl g ~ 4 5 7 1-oq q~gl g g ~g olg 71 1 ol~> 4 — ]g = 8 - - 5 -r 5 — 0 0 — II " 19>3 — ~< ~Jtl ~~1~~% ~>k 0- 7 l=fol= 8 ~ — re 01 ~g)171 o1 ~1~~ gm~o < 71 Q 1m=W- ~~lI 9WW+4 7N1 ~971- ~tV- o =-1k ~ V8 ~PJ~h% ~471I=H ~ J- >R= PI + "71-8 7Ja=l-~~ odd cp] A! %~~$7II a le] ogx4 DJQ Q ~+711 ~~7 1 71I, tl171-711 - ll=~1711 71-W+l= ~ P 1 d 5 ~>. ~ 4) I730I ~+ ~ I EII 711o 710 I l l ~ gl. o ) y> ~ g l ol] y w 7011-.I] @.01 4 9 J->A~ 4 4 1 . 1 " ¹ 1 1 1 4 0 - 4 8 — - do 6 % J J- ~: ~ 5 ~ » 1 == . < J ~— 1 4~~o9 <Nl>1 4~ 0 1 dt=I.. OJ8 -raJ1-I~ 8 o q] Vl-oPMO 70 t t lI 7]stol 111= =~ .Oll .1 ¹ 1 9 9 > 1 - - ~ll¹ l % a . A8 ~~= ~3<=~ ~P1==01~~ 0JCO. =-oI 0 ~= 4 >l~= 5 - - 9+ ~ = ~1 J ~¹ k Z~1 7 1 ll 4 ~ 001 7)qo~ ~l-.".-9 ll~li 5= 4~ =Pl = =-dA~ N VOP~<~ Olult-1~ ~~-llama go1 7.1-t-old, ~~40 >0+1< gg ~~] Jz,g] xl peal -I 0] Jol J gl~ « 1 11~3<lR 71~Jol >1 fl ~~~J -0171% 7PI~~ 5 9 + 1-9 1~1171 =~18 -=0 P 4 P 7 1~1 1 I"1-„-1173 ~~~ ~ 0 1~ ~ 1 9 o1 5) gI X l ~olial Elle ~HVl0W ~~5-] 8~ ~1-~N ~~~1 4=-6 0 ~ OP~~l HH0>k 88 71~=1~~ 5.~~ ~~171 4 1 Cgl%>1~01 s-I «9 old ~ ~ ~~ 0 o1 0$ ~W ~ P~ ~ O 0 1 ~1 . 0+g + . 173 4~~ 0~k ~ 0P a W~ 71 ~3~1 -1=1. o1oq A W l . l x ~ ~ 1~o d 71 =1o1-~ d1=I. 73 — = o ~ ~ 3 o7 ) 1 ~ +J 3 I I — g est c l rlcl M&3sLlre) vg All@a]g < ) 7I=1 % 0 I I A=i - + + I S I - " -l74 jul. 7I.~~ol o ~ 71Iol 71 xl XE3-~goMxI 1 - 1== 9.9~1-1 %t= 44>3 9= 8 < +1~ ] ~ ) oil (?PTIMAI.(Outpatient Physical
  4. 4. &9 1. Outpatient Physical Therapy Improvement in Movement Log(OPTIMAL)Therapy Improvement in Movement Log)k + ] + o ] « ii " N g+ Guccione ~, 2005). ~]-~J4 ~~W-— 1~4~= ~~ ]=].% o 9 o]dk P~ atI = ) g >~ o ~ ~g ) -1 = ~ g] = ]. o ~)]-r aJ~ "~ i 5~ 3 ~ ~~ 3 ~p J C. •90 4 P ] 0 - ]-~] — =J~ o =8-o]= - ~ d ti-o]-9,=~i] % — 3~-] 4~]~ HI+3 47] ~ ] W - . ~ >4= ~2A -»< =.<~ 9 ~ ]~1~oo] o>l. s)o]+~ ~0«E]]%onI -»~ g]o~t ~P I ]>P] ~] ~ o ] = 8 ~ — o]]+]= ~3 - — o]-] ]- ~] ~el 2 — oPlol xixI = Q ~ ~ i .~J< ~)=I= t-]-Ht-]]5+~~J l ~~). ~I=].5ui 3~] ~ 3=~ 43k ~ 9 » ,2 9~ t- -E]A ] 2) o~ 8p[ x1[~ xi@i — aj >]+" — ~~-1 ]->I T]3 do]>l>] "~- < ]>]]I o> =p]go g~, g]g] . go o >] < ~ ] o]oII — ]~~o]]g3 15 RPMo— o]+o> «g>]- oJ g ~)~] RP]](One — Standing) leg %.=- ~] J=- >-] — "a~ 1. 4-]-, 9 - <~~%.c]-. ~=)~ox] +] „1= ~3 — -RcVZ J 2 5r ) . r - ~]] -] 4a4 o o1oi]>34 oI= — "o — Jo].~~1 3 —1. 1 — -~ ]] . R~i= o]+=A ~]% >]-+]Ioi]>3 -»8]=- =-. 1- 3 1- ~ 4>]]o] $]cf~ ~2 L ]]p A~s$o3 15~w] ~Ay ] 51c]2 5 f<g, X]:o 55 kgo]gQ, %.=1. ~l Q +]r] >] ~]J= ~ 2~ ]: 31~ L]E] -~W. - 3) natl ~«o I<i <P$ g c .i] f i I o ~o I o P]I nI o M % -~ = ~ 3 =— ]-~I r]d >]+~ -]- > ] 4 9 2 m~J — <1 I + >0 m=. ~d~]] o]o] 6 m M~ 4+]= 4 ~1-x]-o] v] —>go) -z]]= 4+1 — o]-7] o]o=Q ICF Gore
  5. 5. y t(Geyb o, 2004)4 o)go+ ~ ). o ~ y~ ~ ~q o ~ ~ ~ go ol-qgA o y gQ Q N I>)~ 4.%4 «)M 1 Hg3 o «}do ) 4 ~) ooJ — «Joj 41~ >«)) — W~~j-«) )o0 + W 4M=~~ JCF Assesrnent sheeLoO ~})~o" o)-5t:); 3) gl«<~ - 2}Ioi~p Z~(Environmental 8 Personal factor) 1) gg- RI l(Activity limitation)W~ 8o1 Wl~ (Participation Restriction) o).g ~go «.)-g ~~tpy ol81 «+1«J-go ~)-o)Q a)2}I/I +a~a~)-+)<«J o o)+~+ tr)l M%«)% o)+oWt-I. % g~l- ~~p~~o oJ=+ o))>)«)Q ~o «)~oFnergy & )go ~~o >/~a o)Mist- + og«)ol. ~«-w xp >1)~o Drive function)o)I ~>lg ~)g 9. 1(Barrier)o) gMt=)..ddt <)d«k>) ~4~ «I)9 — ~~44= %M ~) q o w~ z qo1 «Jeo y3w ~so))~~pgo + J«i.go «))~J ) odW. CC m~ W«))7Pl ~o%~ 4~ «J9. R J(Facilitator) ~ ~4+o).5r). A )8 4%o) 55~~ %% o"~) o < A o>g4 4«I)~ II ~~~ « )«d -r W ~3 t-).—O~P 4) lC;F «r at~ >I.ol +I-~~~~ ~~~/ d =aWHi )I. 1 " H. ~«I~j- +~ ~~ o } 8 o ) ~ ) - o1 — «VA = ~))= J A J 9Wa) <4 =o0o)58. o)d J ) ) <= - I 2) ~i~ll >l~(Body Function)~i ~Ill 7 ~ ( Body "gs) ~ — -oP)g x)x) r) —,, Structure) ol <34I o3+3A3 A Q Mgo g~ 3 v l + og z9 r)I «) W. «t. o — ~ " ~-) 4 = - — ~ ~ 1 8 ~ ~ (2 5 P ~ol- ~oJo) o>~c)- ~=l. ~pl«>go g)o). i.a g)go)l g49k) 1 o",oPI )l 4%{S-24%) o)+>go ~+) pj o~o ol J- o))t)«) ~ «) o) wJA)o) Mgz4 o~) 11 +os ~ «Jxp~) g y ~~ o)-«)~o p «l=j z)o}I ~olo) ~)~ J Q o g«) o- + R-~o) ~/) Qg g . ~ - J- go ~ ~ g o ) 8 qo„)y «)-qo ~)«)~ ~o ~o ) ~~1 ~oi~o 1. ICF Assessment Sheet o — ~. —.-).g)9 %1o) ¹}. Patients — ol J -~2Pl-g Perspective 4=- 8 ".~1 ~P)= ~ W-. Body function & Body structure Activity & Participation d450.11 %~>o ,6m vvalking test — 12-~ 44200.2 ~~ "gg", 4r}) 1.5 RPi~o 9 F R 0 «1 o b7100.3 ~o" .t«) >PI)- - ".«)6 uë)-«I HW~ Health b7150.2 N~l.~4 d551.» ~~); 86 ~ 4 4 « ) 9 -PJ=) HWk Professional b7302 3 <1Q ~ ~ g o$ ; ~o~ ++) ( o }-Z) 4«II ) 46 ~~ %2)«) — 15-" Perspve eti c b7351,1 ol- «) ~o o j «l q>~- ~o~ +ol~j d460.32 «~}9 4~«. o) oQ b7603.3 ~J>) %.— o}.~}oj >)>) «) o <.- ~1~4 o) X-~) a=Ã) o}~ b770.2 <=3 0@ «I~ W w ~ )-4 ~P N O~ Environmental factor Personal factor ~lm~)- ke(2010.5.12) e410+2 w>g «~go «}IoJx~ Q~ 14o) «)-g~ «J->1 o)-QE 7 e«) Q ~ H1-gpss — i-l«l. g~ 4 5«})qo 44)l V4 ~ — ~N 4 ~ % «)-~J4 4-.}-, n)e})9 O~J- ~44 44 8 , ~ )~ %-) "88 ~o< Qo«.)«)- rZ J
  6. 6. j) ~ ~ g ~ g g dA j > l 0p ) l4 7(E ~lp-I ( 3~~44~ stif es c r t e 2, fn s ontacur ]) 7[~XR ~g g )Ol.~a) gA >op]] A)7q I CF Core set~ o1@D~ l~ x q o ) ( 4) Z=-. ~~ Z = 8 xly~ ol~x ) n 1+ P ~ z ~g7)q~ qqo~lq g ~lz)o) —.-8 6 m R 4 4~1- 4Q 0.5 m/st @>qoJ gz)ej << ~~g ~eg>qo) W " ~~ ~0 = ~ lx1-1 R-< 4~1- W j.~ RPM8< ~ < 9 4~1 %W ».8- >9 — "0 — =.>J>1~1 g =~ 9 = ~ J- +%~]- ~ A.6. >~o %go-;1 W pe ~l.xl g)pago (rgb ~~~ % allxl 4(Push off pov,er)4 ~~ ) ~ ) l~M ~AA~4gfRH +Axe N 1 1 .lx l 9 8 19~3 ~-~ ~ J.~A %-1>J d4 Wx119 98- =-4 ~ » ~ o l.xl;3 - >Po o xylolo1-9 CarP1- Shepherd(2004)>$ g>]oJ- 4>g~> R~~, 1 opxl ~>globo 4W ~1=.-3 4=~J -x)l ~ ~» ~ = 15~~ olR 8=- xi@= ~~JGmpairment) ~ ~ 3 W - 4 <~1 ~H~P1-W-. pal Zl p (j) 9 -olxl< A~ ~ ~=A xlxl-.lxl o ~ ~ - ;1-- - 9<1- ICF .11+M ol+=~ -81 m~P =~ 4 xlxl — 4~1 ".0 C ore Set= 9+ W ~loxA~J 8 — N+ 4H~1 4~ = l xld x l e = >~~ H~l~ x lx1 4x% ~3= %-.W 4 J%% ~ 4W ~ 4 - 1 po) wl-g MQAo) +$p ~ A a o ng) l 7 N: 4 l -<1= =1-xl 0+> : - 1 : W x)12-4 5% ~>1> 5Q ~= 4-< W 1 Q3 ~~~~J4~ locking+lqlxl goo) oqPqqo o ll d~WJ x/1 +1 L — ~ R xA V. Rl (2) xN. J .% ~l=. W H x lxl- — ~ W; = ==- Pygmy oI g~g ~a}xg R elg o] +op Al zJ~ga5~oxgoJ~~Rgg) vl-globo) o~ d I — 3 3-ol5 0 ~ x l- C ,.l W6P V 11- M 1 %~% +J-xldo rl14>q© ~>qo) .8= " M ~ W .k " — 4" + I.A <xl ~>~sf Aj . ~jxlo1 Q < go] +xgolol zpxpylx1 o}a~ o 51o=. +=11 ~~ x11x1-o-1-W. gw] x j , W p el Nxl M-o-g —, )= —,~l~l~lp j ~%do ~A . ~% xH@= o~P1 9>1 ~~: 6 m=- 8:9 4 — + ~J81 ~>9 (3) R~o >1 ~gx)7-1< 49x14 — >o~P] 5g l l<1 2,5 RPMoO j0 OPThMAL] 4~19~3 4~1 ~(~~ ~~~o1xl — ~go] ~oJ 4 — + ddl 8O. 4% xl J4 1 ~W N-> xH=-%~ %% «
  7. 7. wg 2 oP — Q g+ — ~~~ >V]@ o]P ) ) oc =PI@ >IIR~ 2 » < l >I>15 ~ ~ + ~ — ~lolog -Pi o q~] ~~ • o =P] 6 ] ~) g A]P] 7]-J]]~ 5~ Plantar flexor — Knee extensor couple o]~2- >]%- J A = ~ ]-, d-]-8 J 8 ~]7] ~]-~1] oPl — >1N=- 30 kg ]~I ~ 1 — ~J.~o]]<) >~~J- ~P]os . ~ ~ ] 9 % ~ ~ ~=-. ]x]8 locking>] ~]~> ~P3 — ] J~]~o~ ~ o ~]+]~! ~] -r]oH 3..~]-] ~ J - M J P ~P]-] 0 zJg]y)Q ~ ]]m] ~ > - ] <.~~ 8 4 + " 8= N O ~ —;$ /~~~/ g~~q» a]+ —].g ~]Z~~«1 z]~a/ ~ - o 8]~] ~R - >]m M ~ ] . l ] g+] Sprint~]- Skate p ]e o ].n]=J ~ o P ] < — 1 ]]e ]~ 4~~H ~]- ~~ R%8A~ ~~~]7]- <]~~1-~]] ~1]~] ~~ ~11 4 4. « 3 ~] ".R~]~<A 3~] —" 4P= =%>~ S~J- J~-]-SnÃa J 3. a, b ~J.>~. z>~w] ale] ] -g~~~o- 8 ~ o]+ P z )%~~ g -r 9 3 ~] ~ : ~ 4] — "4]]~1 =~ >]>]~ 4 > ] >~ ~P)]g+) step-ups and step dove, heels raise o>~~ gg~~ ~)c] a nd louver, squat to stand exercise~ >]&P]-59. + > cJ-p] ~y g gy ] o z +] oj-~~ ~> ] - ~~~ % = ]] n]-<]= olP]-] %%~ xh~t ~~~~ & go ~)>$m re Hg~~) x-lo] g]~~ ~ ) o g 8 ~] %~: >2~]]A 46= zo=1 w 9 : > F1 I D ~ H 2~~~ a>]-+]>]7I5 > H "0 — - ].=8 -a~A. 9~] ~< > ~8 <~]i- ~W-% ~]]~] ~~ a>]]-~ 8 W ~ 0 = %~~== ~~~] ale] ~P] %~= 4~ . 0 5 > ~]~> 9P >JR ~<W~ W%% "J ] ~ ~ 8 ~=NA ~~]]= i~1 30=, 8 24, )~ ~e, + 4 " ~J-4~] b-o]-W; ~Aa8 ~] A9 9=H ~]]~ ~ — ~!=]-5~ (a ~> 5 pig] b «K o1 %)~8] 4~=-+~fl —" ~ 1- ~P] +I-o]-59, ~~@ ~ ~I.~ii ~~I ><< 2) wig-~~~I ol~o 2-1% 9+II p~a +I+la J~~ o i -7I I o + .o %~]]-- +]~]-.-]= 5 J. ~>~Do %,] A$g] go +RAN g~3>~$ n]-H] — AP]g~ — ]=A - ~ ] ]>]9 W~- 78] " i ~ ] =- %>] ~~+]~]~] ]-oH u]-< ~ = ~ ] ~]] ]]<l ]~ ~ — o-0 RZ]=].%~~ 7]r]]>] o]~~~a N =H .a~A ~ .~%="5 ~l J ~J W == ~ n yZeJ 4 ~l-Q~ ppl ~< ~ c ~ ~oW . >]-+49~3 Spinter k. Skater ~~+ ~o ~I]~Jk 4 30 J~A ~]4o]-~~
  8. 8. 3) M=4 +I > - I~I~-I~I " %~1~1=- Ao ™ »- ~l 5) gl I. >o — ~~ ~l — flog] - PA +< — ;0= =.~J~I~1~1 -1=H 0 = 9 ~1 41< — ~9~ ~1I 1- I=-,J ~ ~ =- %~% 8 Wig]o ~ mop g]g]q1~ ggo op w o o ling g1-Q H p@ q o~ z+~= T>+ o1 N~ p l . ~1~I,I1 x~1 o 81 Pt=1-8 -~ — 84- =- — ~ — 3~1=1~90 o1-N , .: ~ : ~- - ] s 1% 8 < g ~ goo1 4z~oo ~~@~~ gg ) I ~u~~1~1~1V1oI-o-I ~H- =9 ~ 3 — I ~J4 3~ ~o oI zP tzJ=o~ i( ~w ~o o g> + p f ~1 >)< >:= - %1J~1 >P~ ,P J .NI -<>lol 0~~ =1= >=-" ~ LK - ~1-. 4 J- u=P, ~ ~= ~A~d 4) M% — ~~R<l- M9 >I+~~ — >l>l~l~l %o1-0] I ~DR 41>1 %(push off power)o] ~~~~1- o~i»~]o~1.~14 Wlq]~-1 Z=)-~d >J~<k o~l-~1<1>1 ~1oH ~~" — C~~l «I >1<11 V=" ~9 1 11 ~1(p hoff)= 9 ~ " <~ = — ~ ~~I- ~~=I-d~1-. ~=)- ~1 I:= 1+1 —) ~ < o~ 1+1~1~1 I1 ~I+I~I: w1~1 9> + - r 9 % H —51 — ="11~3 0 % A-;1- 8 0 o . o 1+ 9,-1+ — <- — 0.25 RPM~ ~X/7$~0~ ~~]gP3LPZ~g 5 gism)
  9. 9. ~~IoI — ~o> 81<ol ~I>$ -~ — = 8>PI+10 j5~ - >l~o~ @~o1 -r P o~~k >VN % . ~ — ~ b ~.oI-~. J- =-<=PAL(~% 6 8 ). ~ I I=) OPtM>I = —~I% =i 4 k ~14% awA ~PJ ~lI—" H~RI~3 4=; <1%4>PI M~I-~$ 0%I 419 — I 4 ~5 ~ ~ P Y R E - = = I ~ % 8 - 1 =%9 9.=t<% ~I~I%9. ~1 ~=" ~ ~P~ -M~I%,~ <4-I <~~~~= ~ ~ HO-~ <I~I 11~ @=m 4 19 ~ ~~1SI+3= 6) xlpjIg- + o H — 2R ~xf ~ ~oI oI-p] 4 . oIIg) o~J.qo I=I ~ o ~ g l 4 g l oigq.p ~y>ll a>=-I ops~ ~go-I -— - <~$~1~=% ~I-I — ~14>I-9 ~= ~3 — 10~~J ~3~1o1-5<I-. MC~I- ~~ 5~1-%q ~1-Mal 0~P I ~H 9 = < ~ II ~ = " ~=»J-~ 1I %=".-I "~~ =- ~W-. I J- i l - ~ I ~I o ~ o dye d I,l — u J o R o goloJ~~ a 1 7 ~J-m) o I~ oi op —ol-gl >lI~ ply ~ ~ - — ~ ~ Il =, >I-<1=:, J ~ 1 4 0 kg,. "I I-»1=, t >R — 40 4; "-, «18 5 -(~I 3 ~ " =~ I I = I=I= %.— = y o~ - (~ g >0 ~> ). " C~ ~ I ~I=A W J- @ +/<I <Pll= > I oI= ~l~>=- =~,3. 4 I-, b: (3+-I ~ ~ )= <Io I I ~ o t >I-1 >1>1 o0I xp<IQ o o g ~ o 1o1+ 3 g5H ~24 wIP jI ~~ Qg ~ 2] i ) z9 = < og ~<opR ol gT~~ ~ ~ <%1 ol- + o 1 ~ 6 m2. ~J~~I % Mk~l ~~4 m.P ~PHl+l= I I ~~ >2.2~:-P3, ~4 =" 7.>-" zgLIIz[~rg ~<~pl gl- <]-~~>~~oII (s~] ~) ~~+)r s.19:= g~sI~Q.P Vo-- +o=o1= — o 49 — o3 vÃ61 3 ~ " I 9oI.N ~ Pl ~ ~1 " ~ oI o) +o4 ~I +24~1 ~l=- ~~H A ~ = 1 8 4<=b~ e~.~=- .~ ~ ~II >3 ~1~19=: 4= "& 9 < 3 !.5 RPM-1 =~ C ol ~ Hl ~ ~ JgI HN ~ I 9 o s ~j ~ =I-" — 0 - 9- a ~ - — ~ M.5 6 ~zIIel >Ial=l.gp ~ — o-> ~~1-gl- e>g ~~J 4 o I 87t~ ~li ly % ~ 1 o i z z 2 I I ~ vioIIg) 2 q ((pMol< — M==W I . ~ J-~1M 4= - & ~%= 2 3~j ~~ + op 20k=l Xg~ ~ o ~ OJ Q Q A ~7~-% ~d~~otN-. <¹ I ~ I- g R . ~ o l ~ 1-q~ o o op 5 3) PIct o < 9 <J= J-~I "~> 4~II--I Wl, = ~ 8 l= < I " ~ S ~I- ~~>-15~~ -&4 ~d -I- ~I~o=>. ~ I . A~] ] I 7H k j - +o I ~ o H ~ 2 g ggI o~i~~ %o~ ]. o ~r-0 3o771PIoI 8
  10. 10. 9 = 5-6= 9 9 ~ ~ 9 . ~ " 8 > ] W - . 1CF Core Sets fo r p a t ients w it h c h ronic conditions. J Rehabil Med. July 2004(44suppl): 9 — 11. Grill E, Ewert T, Chatterji S, et al. ICF Core Sets 1~1- ~ 4 n ] -<] %7] — ]]+1 ~C ICF developtnent for the acute hospital and earlycore set= %+a d I~ o d o l ~ « ]]: ~ >~ l ~ a @]~a post~cute rehabilitation facilities. Disabil Rehabil.+hzgo1 gg ~~]-gg g~ ~~ - ) ) a g z g o1 cl.«)2] 2005;27-361 — 366.H~~]- «]]+ ~ ~>B < g o <~ ~o«1+]~]«R 2 G uccione AA, M i elenz TJ, D evellis RF e t a l .gf~g]-~J.o] ] gt]- Qlgog1 7]«)01 r ~ / g o]- 7 ] qo Development and testing of a self-report «VA=-- 0 oo]-~ +~] - ~ k ~]]~ =- z ] ]+] 1 instrument t o mea s ure a c t i ons Ou t p a tient ~ ~ l o ] ~~+ ~ « -i«,]<1- >~Qg t] ops «>o 4 ~ o physical therapy improvement in movement assessment log (OPTIMAL), Physical Therapy. 2005; 85 (6) -515 30. — xR-~ o~ -o].x]o1 z]]%- «-1 James Go~don, From Disablernent to Enablement, A «] ~g > t«]o] ~<~ go] ~<~gol nl g]-«.]go Top — Dowrn Model for Neurologic Rehabilitation, +1>]>]«] 1~ 0 4~ ] ]5+8 ~at % ~~l R>]]= III STEP Conference, 2005, = @x]9~14 984 ~ 4 = . ~ -.]- x]-~14= =.~~~1 Janet H. Carr, Roberta B, ShepherdStroke Rehabili tation G uidelines for Exercise and Training ~~ P]]~ 89 ~ 2 ] —" ==- «J~<]<] — = ~~ to Optimize iAotor Skill, ELSEVIER, 2004.G. ~]o]-5~~ ~~ % ~< %% — 1 <~ =9W %~]] «I Richards. The measurement oh human motion . A comparison of commercially available system. Human Movement Science,1999; 8(): 1 5 589 602. Klaus Starrost, Szilvia Geyh, Anke Trautwein, Jutta Grunow, Andres Cebal los — Baumann, imari o Prosiegel, C~ld Stucki, Alarcos Cieza, Interrater Reliability of the Extended Core Set for Stroke Applied by Therapists, Physical Therapy, 88 (7), 2008. Mark Jones R. Darren Rivett, Clinical reasoning for 1 Manual therapist, Elsevier, LK, 2005. Sean D Rundell, Todd E Davenport, Tracey Wagner. ICFo] o 4- «+. ~(I 9 9 9 «3 1ICF W% Physical Therapist Management of Acute and + ~wH «,)~< @zgM«]~ 2005 Chronic Ix>w Back Pain Using the World HealthAlan M J e t te. T o w ard a C o m m o n L a nguage for Organizations International Classification of Function, Disability, and Health, Physical Therapy, Functioning, Disability and H ealth, Physical 86(5), 2006, Therapy, 89(1), 2009Cieza A, Ewert T, Ustun TB, et al. Development of Szilvia Geyh, Alarcos Cieza, ]an Schouten, Hugh
  11. 11. Dickson,4 Peter Frommelt, Zaliha Omar, Nenad WCPT Keynote. Health Classifications 2; Using theKostanjsek, Haim RingS and Gerold Stucki, ICF in Clinical. Practice, WCPT, 2007.ICF Core Sets for Stroke, J Rehabil Med. Suppl. WHO, International Classification ot Functioning,44: 135-141, 2004, Disability and Health, 2001.

×