• Title/Summary/Keyword: 전정재활

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Development of virtual reality vestibular rehabilitation contents using HMD (HMD를 활용한 가상현실 전정재활 콘텐츠 개발)

  • Lee, Sungjin;Sung, Nak-Jun;Hong, Min
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.05a
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    • pp.678-681
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    • 2019
  • 어지럼증은 모든 사람들이 일상생활에서 겪는 가장 흔한 질병 중 하나이다. 이러한 어지럼증은 주로 전정 기관의 약화 및 충격으로 인한 다양한 원인에 의해 유발되며 전정 재활을 통해 회복 될 수 있다. 전정 재활은 다양한 형태로 존재하지만 모든 사람을 위해 수행 할 수 있는 보편적 인 방법으로 훈련의 목적은 눈, 머리 및 균형 운동을 통해 전정 기관을 반복적으로 운동하는 것이다. 그러나 이러한 재활은 지루하고 흥미가 없으므로 환자가 계속 훈련을 하고 제대로 수행하고 있는지 확인하는 것이 어렵다. 이러한 문제점을 해결하기 위해 본 연구에서는 Unity3D 및 FOVE HMD를 사용하여 재미있고 평가 가능한 가상 현실 전정 재활의 내용을 구현했다.

Walking training contents based on Augmented Reality for dizziness rehabilitation (어지럼증 재활을 위한 증강현실 기반 보행훈련 콘텐츠)

  • Ma, Jun;Lee, Sung Jin;Sung, Nak-Jun;Min, Sedong;Hong, Min
    • Journal of Internet Computing and Services
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    • v.20 no.4
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    • pp.47-53
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    • 2019
  • In general, dizziness is caused by various situations, but among them, symptoms due to dysfunction of the motor system belonging to the nervous system are the most severe, accompanied by nausea and vomiting. Treatment of these dizziness includes drug therapy, surgical therapy, and rehabilitation. Drug therapy and surgery are generally performed in vest rehabilitation training, which is a rehabilitation therapy because of the risk of aftereffects. The vestibular rehabilitation training includes eye training, posture stabilization training, and walking training. Among them, walking training is performed in a certain space under the supervision of a doctor or a professional therapist, so that the time and space burden is increased. In order to solve this problem, we implemented gait training contents which can be used for rehabilitation training by using the augmented reality technology. It is expected that it can be utilized as dizziness rehabilitative contents which can be used in medical environment through clinical tests for patients with dizziness.

The Development Of Union Balance Sensory Measurement And Diagnosis System Using Virtual Reality (가상현실을 이용한 통합 평형감각 측정 및 진단 시스템의 개발)

  • 김종윤;송철규;김남균
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2001.05a
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    • pp.239-243
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    • 2001
  • 최근 각종 질병과 사고로 평형감각에 이상이 있는 환자가 증가하고 있다. 이들의 빠른 사회로의 환원을 위해서는 평형감각을 회복시킬 수 있는 효율적인 재활훈련이 필요하다. 하지만 기존 장비들은 근력을 길러주거나 특정감각기관만을 훈련시켜주는 정도의 재활만이 가능하다. 따라서 본 연구에서는 가상현실기술과 자전거를 이용하여 평형감각 실조환자의 진단 및 시각, 전정감각, 체성감각 등을 효율적으로 진단하고 자극, 훈련시킬 수 있는 bike simulator system을 개발하였다. 그리고 본 시스템이 재활훈련에 유용한지 실험 검토하였다. 실험결과 본 시스템을 통한 반복실험결과 COP의 값을 통하여 평형감각의 정량적 측정, 분석이 가능하였고, 훈련시 COP를 실시간으로 visual feedback함으로서 평형감각의 조절과 balance의 유지기능이 향상함을 확인하였고 본 시스템이 통합평형감각 측정 및 훈련용 재활장비로 유용함을 알 수 있었다.

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Factors Influencing Adherence to Vestibular Rehabilitation Exercise Program in Patients with Dizziness (어지럼 환자의 전정재활 운동요법 이행과 관련요인: 건강신념변수를 중심으로)

  • Lee, Hyun Jung;Choi-Kwon, Smi
    • Korean Journal of Adult Nursing
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    • v.26 no.4
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    • pp.434-443
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    • 2014
  • Purpose: This study investigated the level of adherence to vestibular rehabilitation exercise program(VREP) and evaluated how health belief model (HBM) variables are related with adherence to VREP in patients with dizziness. Methods: The data were collected from 150 individuals, who agreed to participate in the study between December, 2012 and May, 2013. Adherence to VREP, severity of dizziness, health belief variables (health belief scale) and self-efficacy (self-efficacy scale) were measured. Results: The result of this study showed poor adherence to VREP. The mean adherence score to VREP was $2.11{\pm}1.05$ (1-5). In multivariate analysis, severity of dizziness (p<.001), taking sedative medication (p<.001), high self-efficacy (p<.001), high perceived seriousness (p=.019) & benefit (p=.036) were independent predicting factors explaining 57.7% of adherence to VREP. Conclusion: Adherence to VREP was poor among these patients. To improve the patient's adherence to VREP, strategies to increase perceived seriousness, benefit, or self-efficacy and to decrease barriers are urgently needed.

Design and Implementation of a Wearable Hand Rehabilitation Robot for spasticity patient (경직환자를 위한 착용형 손 재활로봇 설계 및 구현)

  • Kim, Dae-Hee;Yoon, Sung-jo;Park, Yong-sik;Jeon, Kwang-woo;Park, Sung-Ho;Jeon, Jung-Su;Seo, Kap-Ho
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2014.07a
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    • pp.21-24
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    • 2014
  • 본 연구는 뇌손상(뇌졸중, 외상성 뇌손상, 뇌성마비 등)으로 인하여 손의 능동적 움직임이 결여되어 발생하는 관절의 구축, 근육의 단축, 근육의 탄력성 저하 등의 문제점을 분석하여 인체 역학적 모델에 따른 과학적 설계를 기반으로 환자의 손 기능 회복을 위하여 로봇 기술과 스마트폰의 융합을 통한 재활 로봇 보조 치료기를 설계하고 구현하였다. 제안된 시스템은 일반적인 근 경직을 치료하는 방법을 응용하여 IT 기술과 로봇기술을 융합하여 치료사들의 부담을 덜어 주고, 환자들에게 오랫동안 정확한 운동을 반복적으로 할 수 있도록 하는데 목적이 있다. 하나의 구동기로 2자유도의 움직임을 조절 할 수 있는 링크 매커니즘과 링크의 길이를 조절하여 신전(extension)과 과신전(Hyperextension)의 범위 조절이 가능하도록 로봇 플랫폼을 설계하였다. 또한 환자의 재활정도 및 상태에 적합한 운동속도, 운동반복횟수 등을 손쉽게 조작할 수 있는 등의 개인 맞춤형 재활훈련이 가능한 사용자 인터페이스를 설계 및 구현하였다.

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Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction (전정기능저하 어지럼 환자를 위한 자기효능증진 전정재활운동 교육의 효과)

  • Lee, Hyun Jung;Choi-Kwon, Smi
    • Journal of Korean Academy of Nursing
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    • v.46 no.5
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    • pp.710-719
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    • 2016
  • Purpose: In this study an examination was done of the effect of self-efficacy promoting vestibular rehabilitation (S-VR) on dizziness, exercise self-efficacy, adherence to vestibular rehabilitation (VR), subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness in patients with vestibular hypofunction. Methods: This was a randomized controlled study. Data were collected 3 times at baseline, 4 and 8 weeks after beginning the intervention. Outcome measures were level of dizziness, exercise self-efficacy, and level of adherence to VR. Subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness were also obtained. Data were analyzed using Windows SPSS 21.0 program. Results: After 4 weeks of S-VR, there was no difference between the groups for dizziness, subjective and objective vestibular functions. However, exercise self-efficacy and adherence to VR were higher in the experimental group than in the control group. After 8 weeks of S-VR, dizziness (p =.018) exercise self-efficacy (p <.001), adherence to VR (p <.001), total-dizziness handicap inventory (DHI) (p =.012), vision analysis ratio (p =.046) in the experimental group differ significantly from that of the control group. The number of patients with recurring dizziness were higher in the control group than in the experimental group (p <.001). Conclusion: The results indicate that continuous 8 weeks of S-VR is effective in reducing dizziness, and improving exercise self-efficacy, subjective vestibular function and adherence to VR. Objective vestibular function and vestibular compensation were also improved in the experimental group at the end of 8 weeks of S-VR.

Awareness and Knowledge about Hepatitis B among North Korean Immigrants (새터민의 B형간염 인식과 지식에 관한 연구)

  • Park, Min Jeong;Jeon, Jeong Hee;Song, Hyo Jeong
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.1
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    • pp.64-70
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    • 2016
  • Purpose: The purpose of this study was to identify awareness and knowledge about hepatitis B virus (HBV) infection among North Korean immigrants who had resided in South Korea. Methods: This was a cross-sectional, community based study. Data were collected from a convenience sample of 198 North Korean immigrants aged 18 years old through 65 years old among those who had attended community centers, local churches, and gathering places in four cities. The questionnaire included 15 items about participants' knowledge on HBV infection and its consequences, mode of transmission, and preventive measures. Results: The mean score of HBV knowledge was $6.3{\pm}3.8$ (range 0~15). The items that over 60% of the respondents checked correct answer regarding knowledge about HBV were 'There is blood screening for hepatitis B infection', 'Hepatitis B can be transmitted through sharing needles with infected person'. Multivariate analysis showed that received education for the prevention of HBV infection and disease morbidity were significantly associated with the knowledge of HBV infection. Overall, approximately 11% of total variability in the knowledge of HBV infection could be explained by the 2 variables in this model ($R^2=.109$, p<.001). Conclusion: The results showed that North Korean immigrants need more education on HBV infection and prevention to improve their knowledge about HBV.

불안정판을 이용한 자세균형 훈련시스템에 관한 연구

  • Kim, Gyeong;Park, Yong-Gun;Kim, Seong-Hyeon;Yu, Mi;Gwon, Dae-Gyu;Hong, Cheol-Un;Kim, Nam-Gyun
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.05a
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    • pp.294-294
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    • 2004
  • 최근 평균수명의 연장에 따른 사회 노년층의 증가로 낙상사고의 빈도가 높아지고 있으며, 또한 교통사고 발생이 빈번함에 따라 전정계 이상 및 체성감각계의 기능 손상에 의한 자세균형 환자가 점점 증가하고 있는 추세이며, 이러한 균형 제어력의 소실이 환자의 재활치료에 많은 어려움을 초래하고 있다. 자세균형제어에 관한 연구는 주로 힘판을 이용하여 특정 감각시스템으로부터의 입력을 제한하거나 외력에 의해 평형 유지를 방해했을 때, 신체 전이(displacement), 압력중심의 움직임(Center Of Pressure; COP), 자세 유지 시 작용하는 근육의 활동전위 등을 측정하는 연구와 더불어 균형에 어려움을 느끼는 환자를 위한 바이오피드백(Biofeedback)을 적용한 연구가 보고되고 있다.(중략)

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Development and Usability Evaluation of A Virtual Reality-Based Vestibular Rehabilitation System for Balance Enhancement (균형감각 증진용 가상현실 기반 전정재활 시스템 개발 및 사용성 평가 )

  • Geun-Hong Park;Hyun-Min Lee
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.155-162
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    • 2023
  • PURPOSE: The primary objective of this study was to develop a virtual reality-based vestibular rehabilitation system to enhance balance perception, target rehabilitation specialists, and evaluate its usability. A key goal was establishing a system refinement strategy based on the collected data. METHODS: We conducted a study involving ten adults aged 10 to 29 in Gwangju Metropolitan City to evaluate the usability of a virtual reality-based vestibular rehabilitation system to enhance balance perception. After introducing the product and explaining its use to the participants, balance assessments and training were conducted using computerized dynamic posturography (CDP) (also called the test of balance [TOB]). Subsequently, participants were given a questionnaire to evaluate subjective stability, operability, and satisfaction. Frequency analysis was utilized to determine the frequency of the variable values of the measurement items in the survey for descriptive statistics. RESULTS: We found that the average usability score was 2.587. When broken down by category, stability received an average rating of 2.725, operability scored an average of 2.783, and satisfaction averaged 2.454. These findings suggest that most participants experienced positive sentiments and considerable satisfaction. CONCLUSION: The study successfully developed a virtual reality-based vestibular rehabilitation system, which was an improvement over the previous model and addressed its shortcomings. The results show that users with vestibular impairments are satisfied and more engaged with this system, indicating that additional studies are warranted.

A Improved Case of Post Cerebral Infarction Dizziness and Gait Discomfort after Treated with Korean Medicine Treatment and Vestibular Rehabilitation Practice (한의복합치료와 전정재활운동을 병행하여 뇌졸중 후 어지러움과 보행불안 증상이 개선된 증례 보고)

  • Chu, Hongmin;Lim, Hyeon-Seo;Kim, Kwangho;Lee, Young-Ung;Park, Kyungtae;Jang, Jongwon;Ryu, Ho-sun;Kim, Su-hak;Kim, Cheol-hyun;Lee, Sangkwan;Sung, Kang-keyng
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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    • pp.179-186
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    • 2020
  • The aim of this study was to report the effect of Korean medicine treatments and vestibular rehabilitation practice on an stroke patient with dizziness. The patient received Korean medicine treatments, such as acupuncture and herbal medication, and vestibular rehabilitation practice. The effects of treatments were assessed with the Korean dizziness handicap inventory, Korean activities-specific balance confidence scale, Korean vestibular disorders activities of daily living scale. Researchers conducted gait analysis for evaluation patient's gait disturbance's improvement during treatments. The intensity of dizziness were significantly reduced after the complete treatment. After treatment with traditional Korean medicine and vestibular rehabilitation practice, the patient showed significant improvements in symptoms and gait parameters. This case proved that combined therapy of Korean medicine treatment and vestibular rehabilitation practice can be useful for stroke patients who suffered from dizziness. however, studies of larger populations are required in the future.