??? ?????? Rehabilitation Evaluation

1
??? ??????Rehabilitation Evaluation

• ????p40--116

2
????

• ???? (rehabilitation evaluation,assessment)???????
  ???????????????????????????????????????
• ???????

3
?????????

• Three levels
• organ or system- personal- social
• many aspect
• physical, mental, language, social
  function et al(????????????????????)?

4

• ?????????
• ???????????
• ???????
• ????
• ???? ??(scale)
• ??(questionary) ???

5
?????????????

• ???? ??????
• ??? ???
• ?? ??
• ????? ???????
• ?? ??? ?????

6
?????????

• ??????
• ???????????????
• ???????
• ?????????

7
?????

• ?????? p40
• Muscle
• muscle tone Ashworth
• muscle strength MMT,
• 
  isokinetic muscle test (??),
• muscle
  test by machine
• joint
• range of motion,(ROM) ???
• upper/lower extremities functional T
• Gait analysis
• Hoffer ??????,
• 12min-walking distance
• 15meter walking time
• Balance and coordination
• Cardiopulmonary stress testing
• Sensation testing

8
?????

• ??????????????? p74
• activities of daily living ,ADL??
• functional independence measure, FIM
• quality of life, QOL

9
?????

• ??????? p83
• speech
• Dysphagia
• psychological

10
?????

• ????????? p101
• Electromyography EMG
• nerve conduction velocity (NVC)
• Reflex test ??????
• Evoked potential ????
• low frequency electrodiagnosis
• ?????

11
??????????(P74)

• ADL??(activities of daily living)
• ??????????????????????????ADL????????????????????
• ?? ??
• ?????????????????

12
ADL?????

• ??
• ??
• ??
• ??????
• ??????

13
????

• mobility???????????????????
• self-care??????????????????
• communication???????????????
• homework?????????????????????????

14
ADL?????

• ??
• BADL(PADL)???????
• ???? ????
• IADL???
• ???? ?????
• ???? ?? ??

15
ADL?????

• ???? questionary/scale/instrument P75
• PADL Barthel index
• Katz index
• PULSES global
• Kenny self-care
• IADLFAQ (??????)P77
• RDRS(????????)

16
???????(FIM)

• Functional independence measure
• ????
• ????????
• ??????????????????????
• ??????????????????????

17
FIM??? (P78)

• 6??18? score
• ???? self-care 6
• ????? toileting 2
• ?? transfer 3
• ?? ambulation 2
• ?? communication 2
• ???? social cognition 3

18
FIM?????

• 7??,??126?
• 1--???? ???? dependently
• 2?--??25-50
• 3?--??50 ????? partial dep.
• 4?--??75
• 5?--???????
• 6?--????? ??????indep.
• 7--????

19
Example

• ???,45?,????,???????3-4??

20
Example

• A?? ????????????,????????
• B?????.??.??,???????
• ??.???.????????
• C?????????.????????,??????.
• D???????????,??????????????.

21

• E????????????????,???????????.
• F??????????????,????,???????
• G????????,????.
• H?????????,??????.
• I?/?/?????????????,???
• J??????????,??.??????
• K?????????,?????,????

22

• L??/??????50?,????,??
• M?????????????4???
• N????????????,??????????,?????????????.
• O????????,?????????.
• P????????,????
• Q????????????
• R?????????????,????????????????.

23
result

• 126? ????
• 108-125? ????
• 90-107? ?????
• 72-89? ????
• 54-71? ????
• 19-35? ?????
• 18? ????

24
???

• 1.???????
• 2.ADL??,??,??
• 3.FIM??????????