• Title/Summary/Keyword: 운동 능력 평가

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Walking test for assessing lung function and exercise performance in patients with cardiopulmonary disease (심폐질환 환자에서 걷기검사를 이용한 폐기능 및 운동기능의 평가)

  • Jung, Hye Kyung;Chang, Jung Hyun;Cheon, Seon Hee
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.6
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    • pp.976-986
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    • 1996
  • BACKGROUND : Dyspnea is common among patients with cardiopulmonary disease, and "daily disability" is defined as a functional impairment resulting from exercise intolerance. The maximal oxygen uptake(VO2max) during exhausting work is not only the best single physical indicator of the capacity of a man for sustaining hard muscular work, but also the most objective method by which one can determine the physical fitness of an individual as reflected by his cardiovascular system. However, the expense, time and personnel requirements make this procedure prohibitive for testing large group. The walking test is well-known type of exercise and it cost nothing to perform and have good reproducibility. Thus we performed the walking test and investigated correlations with spirometry, ABG and exercise test. METHOD: We observed the walking test and exercise test by cycle ergometer in 37 patients who visited our hospital because of dyspnea. Arterial blood gas analysis and spiromety, dyspnea index were performed, too. RESULT : (1) The VO2max was significantly lower in patients with COPD and cardiovascular disease than asthma and dyspnea on exertion group(p<0.05). The walking test distance was also lower in former. (2) The 12 minute walking test was significantly correlated with VO2max, PaCO2, FVC(%), FEV1(%) in all patients(p<0.05), and the walking test was only conelated with VO2max in patients with COPD(p<0.05). (3) In COPD patients, the VO2max was best correlated with FEV1(%) and FVC(%) and significantly correlated with walking test. But there was no correlation between walking test and FEV1(%) & FVC(%). (4) The 6 minute walking test was well correlated with 12 minute walking test(r=0.92. p<0.01). CONCLUSION : The walking test is the simple method for assessing exercise performance in patient with cardiopulmonary disease and a reliable indicator for VO2max. And the walking test is practical method for assessing on everyday disability rather than maximal exercise capacity. The 6 minute walking test is highly correlated with 12 minute walking test and a less exhausting for the patients and a time-saving for the investigator.

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The Effect of Education on Motor Skill Assessment Tool for Occupational Therapists (작업치료사를 위한 운동성 평가도구의 교육효과)

  • Choi, Jeong-sil;Kim, Min-Joo
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.2
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    • pp.63-72
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    • 2020
  • Objective : The purpose of this study is to investigate the effect of intensive one-day training on Movement Assessment Battery for Children-2 screening developmental coordination disorder. Methods : We provided intensive one-day training which combined lecture and practice on MABC-2 assessment tools for 33 trainees. Interrater reliability was calculated by using Intraclass correlation coefficient (ICC) with the raw score of results scored simultaneously by experts and trainees of MABC-2. Results : The 33 female trainees with an average of five years and three months of experience and less experience using motor skill assessment tools scored raw score while watching the performance scenes of normal children. The results of the ICC between experts and training participants in MABC-2 obtained a high confidence 0.95 and above (p<.001). Conclusion : Clinicians who participated in one-day training seems to use MABC-2 effectively. Through this, one-day training seems to be effective in acquiring new motor skill assessment tools.

A Preliminary Study on Motor Ability of Preschool Aged Children by Using Bruininks-Oseretsky Test of Motor Proficiency-2 (BOT-2) Short Form (Bruininks-Oseretsky Test of Motor Proficiency-2(BOT-2) 단축형을 사용한 학령전기 아동의 운동능력에 대한 연구)

  • Hong, Ki-hoon;Kim, Do-yeon;Kang, Hye-bin;Park, Tae-yeong;Yun, Eun-jeong;Lee, Ji-yeong;Jung, Hye-rim
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.1
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    • pp.31-40
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    • 2016
  • Objective : This study aimed to provide the preliminary data as a pilot study on standardizing BOT-2 by using an assessment criteria linked to Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) short form for the children with preschool years(4-6 year old) in South Korea. Methods : A total of 81 children aged 4-6 in Busan and Gimhae were participated in this study. They were evaluated by using BOT-2 SF. It provides the average values and standard deviations about the abilities of praxis along with descriptive statistical analyses, and has the verification of gender differences by using independent t-test and using ANOVA for discrepancies in the abilities of praxis. Results : There were significance difference in the total raw score between four and five (p=.000), the items on fine motor accuracy between five and six year olds (p=.014). Girls showed higher scores than boys in fine motor accuracy, fine motor integration and balance (p=.022, p=.006, p=.031). Also, mean raw scores of 4 and 5 year olds (p=.007, =.000), and the all age group's standard scores were higher than the age in American children who were the participants of BOT-2. Conclusion : This study suggested the average of each item with regard to the ability of motor praxis about the children of preschool ages and showed the dissimilarity in the ability of motor praxis between age and gender, also between the participants in this study and American children who were participants of BOT-2. The research could provide basic data for future studies to standardize BOT-2 SF for korean preschoolers.

Discussion of Neurologic Factor Influencing on Chewing Ability of Implant (임플란트 저작능에 영향을 주는 신경학적 원인에 대한 고찰)

  • Kim, Tae-Seon;Yoon, Jun-Ho;Kim, Sung-Hoi;Kim, Jee-Hwan;Shim, June-Sung;Lee, Jae-Hoon;Moon, Hong-Suk;Park, Young-Bum
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.269-276
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    • 2012
  • Many researches have been published about the numerous factors related to the chewing ability of implant prosthesis. Most respective studies have concluded that the chewing ability of implant prosthesis is mostly fine compared to other type of prosthesis. However, some patients are not satisfied with their chewing ability of implant prosthesis. Therefore the neurologic factor, one of the factors related to dissatisfaction of chewing ability was reviewed in this study to understand the mechanism of action of mastication. Data was searched using the keywords; 'implant chewing ability, masticatory ability' in Pubmed database and reviewed. Definitions of chewing ability, factors of chewing ability are reviewed and the neurologic factor, one of the factors influencing on chewing ability, is reviewed. Mechanoreceptor of Periodontal ligament(PDL) is providing the mastication information to brainstem. Due to the absence of mechanoreceptions of PDL in implant, masticatory ability is decreased especially when chewing hard food. Masticatory muscles and mechanoreceptor in TMD may compensate the lack of mechanoreceptor of PDL in implants. Furthermore sensitivity of nerve fiber around peri-implant tissues may support the mechanoreception and sensory reaction in the implant mastication. However, further studies should be conducted to prove the relationships between neurologic factors and mastication.

The Effect of Balance and Function in Children with Spastic Cerebral Palsy using Motor Learning training with Treadmill (트레드밀 운동학습 훈련이 경직성 뇌성마비 아동의 기능과 균형에 미치는 영향)

  • Choi, Hyun-Jin;Lee, Dong-Yeop;Kim, Yoon-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.2
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    • pp.804-810
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    • 2013
  • The purpose of this study was to apply treadmill training through motor learning to cerebral palsy children and examine its effects on their motor Functions and balance. The subjects of this study were 16 spastic diplegia children who had difficulty in independent gait, and GMFCS level III, IV. The participant's were allocated randomy to 2 groups: a motor learning group(n=8) and the control group(n=8), Both groups received muscle strengthening exercise for 3 session, 30 minutes per week over 7 weeks period. Data collected from the 16 spastic diplegia children the results were as follows. The motor learning group showed significant increase in motor function(p<.05). The motor learning group showed significant increase in balance(p<.05). Between motor learning group and control group, motor functions and balance was a statistically significant difference(p<.05).

Brown-Sequard Syndrome Produced by Cervical Disc Herniation : Manual and Exercise Therapy after Operation-Case Studies (경추 추간판탈출증에 의한 브라운-시쿼드 증후군 : 수술 후 도수치료와 운동치료 효과-사례연구)

  • Kim, Myung-Joon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.79-85
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    • 2009
  • 목적 : 브라운시쿼드는 대부분 척추손상과 수질외 척추 종양에서 주로 나타난다. 드물게 경추 디스크가 브라운시쿼드의 원인이 된다. 경추디스크에 의한 브라운시쿼드 증세의 수술후 물리치료 및 도수치료 결과를 보고하기 위함이다. 방법 : 50세 남자로써 브라운시쿼드 증세로 진단을 받고 수술후 좌측 팔과 다리에 운동신경에 의한 마비증세가 있었으며(팔>다리), 우측으로 감각과 온도감각이 저하된 경우이다(팔>다리). 측정방법은 통증지수(VAS), 근력(Distal PowerTracII$^{TM}$ test), 지구력(Ergometer) 측정과 심리상태(설문)를 치료전과 후를 비교하였다. 물리치료에서는 기능적 전기자극 치료와 도수치료 및 운동치료 방법을 실시하였다. 도수치료는 통증완화와 근력강화를 위한 MET, MFR, Mobilization 등을 실시하였으며, 운동은 슬링시스템 등을 이용한 운동과 견관절의 불안정을 위해 안정화운동을 실시하였다. 결과 : 이 케이스는 수술후 이상 징후가 척수압박으로 인하여 보다 넓게 통증이 나타났으며, 운동 및 감각신경이 둔해지고 온도에 대한 감각이 반대편 결손으로 나타났으며, 좌측 어깨, 팔 견갑부의 근육 마비와 우측의 감각이 떨어진 현상이 나타났다. 물리치료 후 단기목표와 장기목표에 있어서 통증과 운동 및 감각 기능이 회복되어 각각 팔 통증에서는 VAS 8 ${\rightarrow}$ 1, 상지 하지의 운동기능은 Trace ${\rightarrow}$ Good 로 평가 회복되었으며, 근력측정에서 모두 유의한 차이를 보였다. 모든 치료과정 결과에서 심리적 상태의 설문에서도 높은 점수를 얻어 긍정적 신뢰가 높아 진 것으로 나타났다. 검사결과 다리의 근력이 증가는 걷기 운동 및 에르고메터의 지구력 및 균형이 레벨1의 10분 수행능력이 레벨 20에서 30분 수행능력으로 향상되어 일상적인 활동이 가능해졌다. 결론 : 예상하지 못했던 수술 후유증(side effects)에 대한 치료과정이 환자의 심리에 심각한 부정적인 생각이 신체의 기능과 감정의 손상에 영향을 미치기 때문에 체계적이고 장기적인 치료 과정에서 기능적 향상과 더불어 정신적인 심리의 정서 안정이 매우 필요하다고 사료된다.

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The Effects of Functional Task Training on Activities of Daily Living in the Fall Experienced Elderly (기능적 과제훈련이 낙상경험노인의 일상생활수행능력에 미치는 영향: 단일대상연구)

  • Woo, Ji Hee;Park, Hae Yean;Kim, Jong Bae
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.43-54
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    • 2016
  • Objective : The purpose of this study was to investigate the effects of occupational therapeutic intervention including functional task training on activities daily living of falls experienced elderly. Methods : This study used a single subject experimental design with alternating treatment and reversal design. One participant who have had falls experience among the community-dwelling elderly completed. This study a total of 18 sessions were conducted. Fall Efficiency Scale(FES), Berg Balance Scale(BBS) and task modification scale were used to assess the activities of daily living during each session, and Canadian Occupational Performance Measure(COPM) and Assessment of Home-based Activities(AHA) were used to evaluate the activities of daily living at pre-and post-test. Results : The participant showed significant improvements in the FES, BBS scores. However, the improvement was greater when progressive resistance exercise was practised along with functional task training. COPM and AHA scores improved at post-test. Conclusions : These findings provide evidence for occupational therapeutic intervention for falls-experienced elderly.

A Realtime Wearable System for Upper Body Rehabilitation of Disabled (장애인 상지 재활운동 지원을 위한 실시간 웨어러블 시스템)

  • Su-Bin Oh;Min-Jeong Kang;Min-Goo Lee;Sang-Min Lee
    • Annual Conference of KIPS
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    • 2023.05a
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    • pp.420-422
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    • 2023
  • 본 연구는 웨어러블 디바이스를 활용하여 장애인 재활운동 보조를 위한 AI 기반의 맞춤형 서비스 개발을 소개한다. 해당 서비스는 웨어러블 디바이스를 장착한 상태로 운동 중인 사용자의 심박수, 소모 칼로리, 운동 시간 등의 센서 데이터를 수집 및 관리한다. 사용자 생체 데이터는 클라이언트 서버 간 실시간 통신으로 관리되며, django rest framework 로 구축된 서버에 저장된다. 제안 시스템을 통해 수집된 데이터는 시계열 군집화 분석을 위해 k-means clustering 과 k-shape clustering 을 활용하여 체력 평가의 핵심 지표인 심박수를 분석하였다. 특히, 상대적으로 운동이 어려운 장애인 사용자를 위한 맞춤형 운동능력 분석 및 해석에 대한 정보 제공이 가능하다.

Assessment of Single-leg Stance Balance Using COP 95% Confidence Ellipse Area (COP 95% Confidence Ellipse Area를 이용한 외발서기 균형 평가)

  • Youm, Chang-Hong;Park, Young-Hoon;Seo, Kuk-Woong
    • Korean Journal of Applied Biomechanics
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    • v.18 no.2
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    • pp.19-27
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    • 2008
  • The purpose of this study was to investigate of assessment of the ability of balance control using COP 95% confidence ellipse area while executing single-leg stance with eyes open and eyes closed through GRF system. The subjects participated in this study were 7 female yoga group and 7 female control group. The yoga training affected to improve the ability of balance control because the yoga group's COP AP and ML standard deviation and COP 95% confidence ellipse area were smaller than control group in both a single-leg stance with eyes open and eyes closed. Visual affected to the ability of balance control in a single-leg stance. I consider COP 95% confidence ellipse area as a high variable for determining the ability of balance control, and therefore suggest that additional studies for various groups and subjects will be required in the future.

Evaluation of Visual-Motor Integration in Elderly Patient with Diabetes Mellitus (노인 당뇨환자의 시각-운동 통합능력 평가)

  • Yun, Hyo Soon;Kim, Mi Ae;Kim, Mi Han;Suh, Soon-Rim;Kim, Hong
    • 한국노년학
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    • v.31 no.3
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    • pp.641-652
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    • 2011
  • The purpose of this study was to investigate the ability of visual-motor integration (VMI) in elderly patient with diabetes mellitus(DM). Male elderly (from 65 to 70 years old) with DM and non-DM disease were participated in this study. Participants were divided into three group (n=30 in each group): the control group, non-DM group, and DM group. Data were collected through VMI-3R questionnaires and interviews. Statistical differences among groups were determined by one-way ANOVA followed by Duncan Post-hoc test and results were expressed the mean ± S.D. or percentage (%). The present results showed that the score of both VMI 24 and VMI 50 in DM group were statistically lower than both the control and Non-DM groups. Also, the lower rate of correct and higher rate of error in VMI-3R was observed in DM group compared to both the control and Non-DM groups. The item analysis of VMI-3R revealed that the most higher rate of error was observed in item 24 in all groups. Based on these results, this study suggests that DM might aggravate the function of visual-motor integration in male elderly.