Korea Health Industry Development Institute187, Osongsaengmyeong 2-ro, Osong-eup, Heungdeok-gu, Cheongju-si, Chungcheongbuk-do, Republic of KoreaTel : +82-43-713-8000 www.khidi.or.kr

Smartcare

Rehabilitation

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Rehabilitation 1

Rehabilitation Research in Korea

In addition to patients with stroke or spinal cord injury, rehabilitation therapy also focuses on patients who suffer pain and experience struggle from walking and daily living ac-tivities.

The clinical practice in Korean rehabilitation medicine includes experts in various fields, such as specialists in rehabilitation medicine and re-habilitation nurses; physical, occupational, and speech therapists; and rehabilitation psychother-apists as well as rehabilitation social workers.

As of 2017, 2,113 rehabilitation medicine specialists have provided specialized rehabilitation therapy in each hospital for advancement in treatment and research.

47개(55.9%)

Seoul·Incheon·Gyeonggi

47 hospitals

Gangwon

4 hospitals

Busan·Ulsan·Gyeongnam

10 hospitals

Jeju 1 hospitals

Daejeon·Chungcheong

9 hospitals

Gwangju·Jeolla

7 hospitals

Daegu·Gyeongbuk

6 hospitals

Resident Training Hospitals 84

Regular members

2,193Associatemembers

466

Total 2,659(As of 2017)

Korean Academy of Geriatric Rehabilitation Medicine

Electrodiagnostic Medicine

Korean Academy of Foot and Ankle Medicine

Korean Society ofNeuroRehabilitation

Korean Academy of Sports Science and Exercise Medicine

Korean Society of Pediatric Rehabilitation and

Developmental Medicine

Korean Academy of Cardio- Pulmonary Rehabilitation Medicine

KANMS

Korean Association of Pain Medicine

The Korean Dysphagia Society

Korean Society of Prosthetics and Orthotics

Korean Society of Lymphedema

Korean Spinal Cord Society

Characteristics of Korean Rehabilitation Medicine

2 Rehabilitation-Specialized Medical Staff System31 Subject of Rehabilitation Therapy

Related Organizations

International Rehabilitation Medicine Symposium in Korea

Annals of Rehabilitation Medicine

Distribution of Major National Rehabilitation Medical Institutions (University Hospitals and Training Hospitals)

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Why Korea?Rehabilitation 2

1 Korea’s NeuroRehabilitation Research in the World

In 2015, the 1st Asia-Oceanian Congress for NeuroRehabilitation was held in Seoul to inform the world about Korean cranial NeuroRehabilitation through interaction with rehabilitation specialists from around the world.

As of 2018, NeuroRehabilitation specialists have been trained in 77 hospitals nationwide. In addition, many hospitals specializing in NeuroRehabilitation across the country actively provide rehabilitation therapy for patients with brain diseases and patients in need.

The 1st Asia-Oceanian Congress for NeuroRehabilitation

2 Pediatric Rehabilitation Research in Korea

The Korean Society of Pediatric Rehabilitation and Developmental Medicine (KSPRDM) provides an annual academic conference and a biannual seminar to provide practicing doctors of pediatric reha-bilitation with opportunities to learn the basics as well as state-of-the-art knowledge.

Since the year 2017, KSPRDM has conducted the certification evaluation test for the pediatric reha-bilitation specialist to train and assess skilled specialists in the field of pediatric rehabilitation.

Korean Society of Pediatric Rehabilitation and Developmental Medicine

Korean NeuroRehabilitation in International Journals Korean Pediatric Rehabilitation in International Journals

Number of world-class papers published in the field of rehabilitation

60

50

40

30

20

10

02008 2009 2010 2011 2012 2013 2014 2015 2016 2017

714

7

19

36

5043

54

37

24

Total 291

The rising trend of NeuroRehabilitation specialists in numbers

200

150

50

100

02008 2009 2010 2011 2012 2013 2014 2015 2016 2017

2249 45

70

124138

180201188

91

Total 1,108

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Rehabilitation 2

Why Korea?

5 Number of Published and Globally Recognized Research Papers on Rehabilitation

About 3,716 research papers have been published.

3 Korea’s World-Class Respiratory Rehabilitation Research

Since the year 2000, Korea has refined its academic and clinical system of respiratory rehabilitation to a world-class level. From 2010 to 2018, 24 doctors from around the world have come to Korea for training in respiratory rehabilitation.

Though the medical field of respiratory rehabilitation can prevent postoperative complications in medical and surgical patients in need of respiratory management and rehabilitation, such treatment is available only in a very few countries.

Respiratory Rehabilitation International Training Partnership

4 Robot Rehabilitation Research in Korea (KORERO)

KORERO was established on May 31, 2018 for rehabilitation specialists and robot engineers. Reha-bilitation robots can maximize the effect of rehabilitation therapy by providing a sufficient number of iterations and treatment capacities, which are otherwise unavailable through conventional man-power and systems.

KORERO organization meeting

Korean Respiratory and Robot Rehabilitation in International Journals

Korean Rehabilitation Research in International Journals

800

600

400

200

0

(Research articles published by)

6798 104

215

339

495

695728710

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

265

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1 Neurological, Spinal Cord, and Robot Rehabilitation Therapy

Rehabilitation Using a Walking Robot

In Korea, the domestically developed Walkbot by P&S Mechanics and Morning Walk by Curexo are widely used by patients suffering from spinal cord injuries in a number of medical institutions, with the effect of the treatment reported.

Wearable Walking Robot

Korean researchers are actively developing a wearable walking robot and a WalkON suit, which were jointly developed by the Sogang University robotic system control laboratory and Yonsei University College of Medicine biomechanics and robotic rehabilitation therapy laboratory. Worn by a paraplegic patient with a spinal cord injury, the suit was placed in the third in the 2016 Cybath-lon, a world robot competition for the disabled.

Upper Limb Robot-Assisted Rehabilitation Therapy

Korea has been actively participating in the development of the upper limb rehabilitation therapy robot, as well as the research done with the conventional robot of this kind. It is also involved in the development of a new rehabilitation therapy robot that resolves issues the conventional robot has, and the effects have been reported.

Cause Diagnosis

Neurolog-

ical

Stroke, brain damage, brain tumor,

Parkinson’s disease, dementia, etc.

• Neurological impairment, disability, and

handicap

•�Radiological tests : X-ray, computed

tomography (CT) scan, magnetic resonance

imaging (MRI)

•�Neurophysiological tests :

nerve conduction study (NCS),

needle electronomyography (EMG),

somatosensory evoked potential (SEP), and

maximal expiratory pressure (MEP)

•�Neurological tests :

International Standards for Neurological

Classification of Spinal Cord Injury

(ISNCSCI) evaluation

Spinal

cord

Traumas such as traffic accidents,

crashes, and sport injuries.

Nontraumatic injuries such as myelitis,

tumors, vascular malformation, spinal

stenosis, etc.

Robot

Stroke, traumatic brain damage, spinal

cord injury, Parkinson’s disease, pedi-

atric cerebral palsy (CP), etc.

Rehabilitation therapy using the wearable walking robot—WalkONⓇ

| Sources | robotics.sogang.ac.kr | Sources | biomechanics.yonsei.ac.kr

Study on upper limb robot-assisted rehabilitation therapy

| Sources | Report on effects of the upper limb robot-assisted rehabilitation therapy devel-oped abroad (Shin JH et al, Arch Phys Med Rehabil 2017)

| Sources | Report on effects of upper limb robot-assisted reha-bilitation therapy developed in Korea (Kim GW et al., J Rehabil Med 2018)

WALKBOTⓇ

Walking robot used in rehabilitation therapy

MORNING WALKⓇ

| Sources | Walkbot2015.cafe24.com | Sources | www.curexo.com

Major Rehabilitation Therapies in Korea by Department

Rehabilitation 3

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2 Pediatric rehabilitation therapy Wearable Aid Device

As for aid devices, below are images of a wrist brace, a C-shaped spoon, and keyboard typing aid which help patients with limb paralysis. They can be prescribed by various hospitals that treat patients with spinal cord injuries.

Virtual reality (VR)

In the field of rehabilitation, various programs using virtual reality systems are being developed for therapeutic purposes. Virtual reality programs can provide an augmented reality similar to the actual, or more realistic simulation of, relearning training after brain disease.The importance of the field of rehabilitation is increasing because it can promote learning exer-cise by using various feedback mechanisms. Korea has also been reporting various studies of rehabilitation using virtual reality as a strong information technology (IT) country.

C-shaped spoon Keyboard typing aid

| Sources | For happier life with spinal disorder (Koonja, 2017)

| Sources | Evaluation of Application Function of Virtual Reality Developed in Korea (Kim DY et al., Acta Neurol Scand 2010)

| Sources | Report on effects of virtual reality rehabilitation therapy developed in Korea (Kim GW wet al, Comput Biol Med 2015)

Cause Diagnosis

Cerebral palsy (various diseases,

congenital deformity, trauma)

Neurodevelopmental examination, Brain magnetic resonance

imaging, brain ultrasound, evoked potential test, EEG, and

blood test

Rehabilitation therapy using a walking robot

VR study

Gamified Digital Rehabilitation Therapy Device that Provides Audiovisual Feedback

A rehabilitation therapy system that uses sensory feedback and games to increase motivation for treatment and maximize the effect of upper limb rehabilitation therapy.

| Sources | NEOFECT, www.neofect.com

Rapael smart pegboard

Wearable Sensor—Using Upper Limb Rehabilitation Therapy

It is the advanced equipment used for the pediatric rehabilitation therapy system, which uses ad-vanced wearable sensor technology and computer games to improve motivation in children and maximize the effect of the treatment.

| Sources | NEOFECT, www.neofect.com

Smartkids Glove

Major Rehabilitation Therapies in Korea by Department

Rehabilitation 3

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3 Heart Rehabilitation Therapy 4 Respiratory Rehabilitation Therapy

Subject Effect

•�Chronic obstructive lung disease (chronic bronchitis or emphysema) •�Respiratory muscle weakness (neuromuscular disease and patients

with spinal cord injury)

→ Patients with respiratory failure

Airway secretions removed, complications prevented and patients’ daily living abilities improved

Subject Effect

Patients who have received procedures or sur-geries for coronary artery disease, heart failure, or cardiac and peripheral artery diseases

Cardiomotor ability recovery, psychological stability, cardiovascular risk factor management, heart disease relapse prevention and reduced need for an additional surgery

Cardiopulmonary Exercise Test

The cardiopulmonary exercise test (CPX) is performed to accurately assess the patients’ cardio-pulmonary function and exercise capacity. It consists of a stress electrocardiography test and a respiratory gas analysis test.

Invasive method and non-invasive respiratory assist method

If the neck muscles can function well enough to pronounce words and ingest food, the noninva-sive respiratory aid can be provided, with no incision needed. Patients prefer this method for its convenience, speech, ingestion, sleep, and comfort.

For a professional monitoring system, Electrocardiogram (ECG) is monitored, and blood pressure and exercise self-recognition index are also remotely measured.

Cough Induction Equipment

It is a device that induces coughing in place of the inspiratory and expiratory muscles. A strong aerobic force similar to cough is generated through application of positive pressure to the lungs for air injection, followed by a momentary negative pressure.

How to use the cough induction equipment

Invasive method Noninvasive breathing aid method

Electrocardiographic monitoring exercise therapy and equipment

Major Rehabilitation Therapies in Korea by Department

Rehabilitation 3

Cardiopulmonary exercise test

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Rehabilitation 4

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