• Proceedings of the Acoustical Society of Korea Conference
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• 1998.06e
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• pp.43-46
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• 1998

본 논문에서는 헤드폰과 스테레오 스피커를 통하여 가상의 음상을 임의의 위치에 정위시키는 음상정위 시스템을 구현하고, 주관 평가를 통하여 음상정위 성능을 고찰하였다. 음상정위 시스템은 크게 방향감을 제어하는 컨벌루션 처리부와 공간감과 거리감을 처리하는 잔향 처리부, 그리고 스테레오 스피커를 통해 소리를 재생할 때 발생하는 크로스 토크(corsstalk)를 제거하기 위한 트랜스오럴(transaural) 필터부로 나누어진다. 구현된 시스템의 음상정위 성능은 리스링 룸에서 녹음된 음성과 메트로놈 소리를 이용하여 수평각/고도각, 정지음/이동음, 거리감 등을 헤드폰과 스피커를 통하여 각각 실험한 결과 수평각 지각은 스피커 재생보다 헤드폰 재생이 우수했으며, 정지음보다 이동음의 지각 결과가, 고도각 지각은 전.후(0$^{\circ}$~360$^{\circ}$) 방향보다 좌.우(90$^{\circ}$~270$^{\circ}$) 방향의 결과가 우수하게 나왔다.

• The Journal of Korean Academy of Sensory Integration
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• v.15 no.2
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• pp.35-45
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• 2017

Objective : The purpose of this study is to investigate the effect of modified Interactive Metronome (IM) program which is applicable to clinical practice based on the IM protocol on the behavioral symptoms, timing and motor function of children with Attention Deficit Hyperactivity Disorder (ADHD). Method : This study used one-group pretest-posttest research design. 13 ADHD children aged 7-12 years in Busan were participated in this study. The participants were underwent 24 sessions of 30 minutes intervention, 3 times a week. Evaluations were performed before- and after the intervention. Measurements used in this study were Korean-ADHD Rating Scale for behavior symptom, Long Form Assessment (LFA) for the timing, and second version of Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) for the motor function. Results : There was a significant improvement in hyperactivity / impulsivity among the behavioral symptoms, and there was a statistically significant improvement in timing, hand coordination, and body coordination. Conclusion : Modified IM program for clinical application has significant effect on improving behavioral symptoms, timing and motor function of children with ADHD.

• The Journal of Korean Academy of Sensory Integration
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• v.17 no.1
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• pp.43-53
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• 2019

Objective : This study was designed to find the latest intervention trends in treatment of children with attention deficit hyperactivity disorder (ADHD) in South Korea. Methods : Studies on ADHD published in Korean journals from January 2004 to December 2018 were reviewed. The databases used were DBpia, Google Scholar, RISS, and KISS. The search terms were "attention deficit hyperactivity," "child," and "intervention." A total of 14 studies were selected. The results of this study were as follows: Patient, Intervention, Comparison, Outcome. Results : The level of evidence was the highest in the single subject study of level IV, and the methodological quality was the most common study. The interventional metronome (IM) intervention was the most frequently used, and the evaluation tools used in the measurement were the Long Form Assessment of the Interactive Metronome and the Korean Behavior Child Checklist. The Korean ADHD interventions showed statistically significant improvement in concentration, hyperactivity, task performance, excessive language use, and timing. Conclusions : Various types of interventions were provided for children with ADHD in South Korea. The interventions showed positive effects, and provided basic data for evidence-based implementation in clinical practice. In the future, a model study should be conducted, to establish an effective service delivery system, as well as ongoing research on children with ADHD.

• The Journal of Korean Academy of Sensory Integration
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• v.20 no.1
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• pp.14-25
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• 2022

Objective : The purpose of this study was to investigate the effect of brain-timing training using an Interactive Metronome (IM) on the reading abilities of children with low brain-timing abilities. Methods : A single-group pretest and posttest (retrospective study) were conducted in 8 children whose timing abilities were lower than that for their age average and who were trained from 2019 to 2021. Brain-timing training was conducted 2 or 3 times per week, with 70 sessions in total and 40-50 minutes per session, depending on the developmental characteristics of the child. Changes in brain-timing ability before and after the training were measured using the IM Long-Form Assessment (LFA), and reading ability was measured using the Basic Academic Skills Assessment:Reading (BASA:R). Results : On the basis of the results of the brain-timing ability evaluation using the LFA, the reaction times of all the children during motor tasks were decreased, resulting in statistically significant improvements in their brain-timing abilities (p < .05). Moreover, the raw scores in the BASA:R reading and fill-in-the-blank tests were significantly improved (p < .05). Conclusion : This study is meaningful in that it presents a clinical basis for brain-timing training to improve the reading abilities of children.

• Therapeutic Science for Rehabilitation
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• v.12 no.1
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• pp.7-22
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• 2023

Objective : This study aimed to confirm the research characteristics and quality of single-subject literature among domestic studies that applied interactive metronome (IM) intervention. Methods : Regarding literature search, 11 single-subject studies using IM were selected from an online database from January 2011 to June 2022. Moreover, the general characteristics and quality of the research method were analyzed. Results : The qualitative level of the analyzed literature was above the moderate level. However, intervention blindness and reliability showed low compliance. The ABA design accounted for the largest proportion of methods. Most of the study participants had attention deficit hyperactivity disorder. Attention, balance, bilateral coordination, and timing were checked as dependent variables. The IM-SFT was used most frequently as an evaluation method. The mediation session applied more than 8-10 interventions for 3-11 weeks. The intervention results in all studies indicated functional improvement after intervention. Conclusion : It might be necessary to expand the application of IM interventions to diverse diseases. In addition, there is a need to study the effect on the participants' quality of life and changes in daily life along with dependent variables such as attention and balance

• Physical Therapy Korea
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• v.5 no.4
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• pp.20-29
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• 1998

연구의 배경 앉은 자세에서 일어서기는 일상생활동작중 흔한 동작중의 하나이다. 노인들을 포함한 많은 환자들은 앉은 자세에서 일어서기에 어려움이 있고 속도가 감소한다. 이 연구의 목적은 다른 두 속도로 앉은 자세에서 일어서는 동작을 실행할 때 최대 지면반발력의 세개의 요소를 비교하는 것이다. 대상자 22명의 건강한 성인 (20-36세)을 대상으로 하였다. 실험방법 앉은 자세에서 일어서기동작 수행중 최대 지면반발력을 측정하기 위하여 힘판을 사용하였다. 대상자들은 메트로놈을 이용하여 각각 느린 속도 (3초: 총 앉은 자세에서 일어서기동작 수행시간)와 빠른 속도(1.5초)에서 앉은 자세에서 일어서기를 수행하였다. 느린 속도와 빠른 속도중 최대 지면반발력을 비교하기 위해 짝비교 t-검정을 사용하였다. 결과 빠른 속도시 최대 지면반발력의 수직(p<0.05), 전-후(p<0.05), 내-외(p<0.05) 요소에서 느린 속도시와 차이가 있었다. 최대 지면반발력의 모든 요소가 움직임의 속도의 증가에 비례하여 증가하였다. 토의 및 결론 빠른 속도의 앉은 자세에서 일어서기를 수행하기 위해서는 최대 지면반발력의 수직, 전-후요소의 추진력이 요구된다. 최대 지면반발력의 내-외요소는 상전방으로 작용하는 모멘트의 증가에 대한 제동력으로 생각된다. 또한, 빠른 속도로 앉은 자세에서 일어서기 동작을 수행하기 위하여 추진력은 일어서는 순간의 모멘트에 대한 지면반발력의 내-외요소에 영향을 미친다. 이라한 결과들은 앉은 자세에서 일어서기 동작에 어려움을 갖는 노인이나 환자들의 노력을 덜기위해 느린 속도의 움직임이 필요함을 제안한다.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.1
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• pp.105-112
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• 2020

PURPOSE: This study examined the effects of Interactive Metronome training on the plantar pressure and fall efficacy in chronic stroke patients. METHODS: Twenty-two hemiplegic patients were allocated randomly to an experimental group and control group. The experimental group received conventional physical therapy and emphasized weight-bearing interactive metronome training, whereas the control group received conventional physical therapy. The training was performed three times per week, 40 minutes per each session, for a total of seven weeks. The plantar pressure was assessed using the contact area and contact pressure, whereas the fall efficacy was assessed using the FES (Fall Efficacy Scale), ABC (Activities-specific Balance Confidence scale) and FOFQ (Fear of Falling Questionnaire). RESULTS: After training, a significant increase was observed in the paretic side of the contact area and the paretic and non-paretic side of contact pressure in both groups (p<.05). The between-group differences in the changes before and after training were statistically significant in the paretic side of the contact pressure (p<.05). After training, both the FES of the between-group and ABC of the experimental group were increased significantly (p<.05), but the between-group differences in the changes before and after training were not statistically significant in the FES, ABC, and FOFQ (p>.05). CONCLUSION: Interactive Metronome training is considered an effective treatment for improving the contact pressure of the paretic side in chronic stroke patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.4
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• pp.1498-1503
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• 2010

PC Skillreporting feedback during cardiopulmonary resuscitaion would improve the performance of chest compression and ventilation during cardiac arrest. BLS skills were measured using Laerdal Skillreporter manikin(Laerdal, Norway) connected to a Laerdal PC Skillreporting system. Ventilation volume, chest compression accuracy, velocity of compression, depth of compression, hand position and chest recoil were measured between the two groups. Ventilation volume was significantly higher in the experimental group than that of control group(p<0.002). Chest compression depth was significantly higher in experimental group than that of control group(p=0.000). The quality of CPR can be improved by the use of PC Skillreporting system.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.2
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• pp.101-108
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• 2020

PURPOSE: The purpose of this study was to investigate the effect of treadmill walking training using the metronome on the gait pattern. METHODS: A total of 33 healthy persons were studied consisting of 17 female and 16 male in the 20-30 age group. A gait analysis program was installed on a treadmill with a built - in gait analysis sensor and laptop. After 9 minutes of treadmill walking, gait analysis was performed for 1 minute. The mean values of the differences in the step length, angle of COP, separation line standard deviation and step force of the lower legs affecting walking symmetry were calculated for treadmill walking and treadmill walking using the metronome. The Shapiro-Wilk test was used to test the normality of the collected data and a paired t-test was performed to analyze the difference in walking before and after using the metronome. RESULTS: As a result of the analysis, the mean of difference between the measured values of the bilateral lower extremity for step length, angle of COP, separation line standard deviation and step force were statistically significant before and after treadmill walking using the metronome. CONCLUSION: Therefore, the treadmill walking training using the metronome is effective in decreasing the difference in the foot width, gait angle, gait distribution, and foot pressure. Because of this, the treadmill walking training using the metronome has a significant effect on walking symmetry among the elements for correct walking, which is a means for enabling efficient and continuous walking.

• Journal of Biomedical Engineering Research
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• v.44 no.4
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• pp.284-292
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• 2023

This study attempted to observe muscle activity and muscle fatigue among isotonic exercise of Biceps Brachii and Deltoidus Medius, which correspond to upper limb muscles, using metronome. For the experiment, 13 adult men participated to evaluate biosignals (ECG, EMG). For quantitative evaluation, 1RM and MVIC test were carried out and a constant pace isotonic excise session was conducted. Five sets of exercise were performed, and each set proceeded to the failure point while the speed condition (30bpm) was assigned. As a result of the experiment, muscle activity in both muscles was significantly reduced in fifth set compared to first set. Muscle fatigue has been confirmed to occur at a significant level within the set, but there was only a significant difference in both muscles in the first and second sets between sets. This is similar to the results of previous studies that gives the same rest time(2min), but further research is needed to see if the conditions for the number of repetitions are affected. Based on the recent increase of interest in muscle strength exercise, this study was conducted to observe the results by varying the conditions of common exercise.