단기 가정방문물리치료 시행이 일상생활동작의 개선에 미치는효과

Effects on Improvement of Activities of Daily Living Through Short-Term Home Visiting Physical Therapy

The objective of this study was to discover the effects of the short-term home visiting physical therapy program involving patients with some chronic brain disorders at Gimhae City, Kyongnam Recovery of ac-tivities of daily living (ADL) is a very important factor of rehabilitative procedures, and Functional Independence Measure (FIM) is a useful standard of evaluation for it. The FIM is widely used in brain dis-order research because it measures real functional activities of daily living. We applied the physical therapy exercise program twice per week (10~ 15 times repeatedly); a warm-up and cool down exercise performed everγ ten minutes by active & active-assistive ROM and stretching exercises. Main exercises were com-posed of getting up & laying down in bed, standing training, walking exercise in the room, and window or wall sliding exercise using affected upper limbs for a total duration of 30 minutes. We collected the data from 20 patients with chronic brain disorders at his/her home and analyzed by means of SPSS/PC+ pro-gram (Ver. 10.0). After the six week long physical therapy exercise program, the average was 56.10±22.59 point compared with initial 50.55±19.12 point by FIM, improved functional ADL ability about 5.55 point, and these changed scores were statistically significant (p=.000). We also studied another factor regarding pa-tient’s satisfaction. The majority of subjects (10 people) rated the program with the maximum score of ten points (50.0%), and three people rated it a seven point program (15.0%), the other two subjects gave a rat-ing of nine and eight points (10.0%). Because the program was effective at improving the physical ADL ability and satisfaction of each subject, we suggest continual development and implementation of a home visiting physical therapy program Further study should involve a longer period of observation with a larger population that is involved in an individually designed home physical therapy program.