• Title/Summary/Keyword: Clinical Integration

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Trunk Stabilization Measurements Using the Nintendo Wii (닌텐도 위를 활용한 흉부 흔들림의 자세 안정성 측정)

  • Yang, Juyeong;Yoo, Jaeha;Kim, Dongyon;Park, Junmo;Kim, Soochan
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.7
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    • pp.239-247
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    • 2014
  • The CTSIB (Clinical Test of Sensory Integration on Balance) using high sensitive pressure sensors is normally used to assess the sense of balance in hospital. It takes an objective measurement of the amount of sway that occurs in the body trunk by observing the change in the center of pressure (CoP) on the foot at the upright posture. In this paper, we would like to propose method to easily measure trunk sway in home. Although the Wii balance board(WBB) is used for games, it can measures the center of pressure, which is highly correlated. The Wii remote controller(WRC) is inexpensive compared to the WBB, but it has problems with estimation of trunk sway because it can't measure pressure directly like WBB. We collected data from 10 normal subjects (5 males, 5 females) from two devices in order to compare the CoP from WBB and the center of mass (CoM) from WRC. The results of WRC and WBB was similar when the data were analyzed by the convex hull and ellipse area.

Study of Validity and Interrater Reliability of Korean Version of the Peabody Developmental Motor Scale 2 (한글판 Peabody Developmental Motor Scale 2의 타당도와 검사자간 신뢰도 연구)

  • Lee, Ji-Ho;Kim, Kyeong-Mi;Chang, Moon-Young;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.3
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    • pp.14-25
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    • 2019
  • Objective : This study aims to verify the content validity and inter-rater reliability of the Korean version of the Peabody Developmental Motor Scale 2 (PDMS-2) and to identify the concurrent validity by comparing it with the Korean version of the Bruininks-Oseretsky Test of Motor Proficiency-2 (BOT-2). Methods : PDMS-2 was translated by the researcher and an eighth-year clinical occupational therapist. The content consistency of the Korean version of the PDMS-2 was verified by three professors with experience using it. After the verification of the content consistency of the PDMS-2 by the five clinical occupational therapists and the additional revision, the Korean version of the PDMS-2 was completed. The researcher and another occupational therapist evaluated the Korean version of PDMS-2 in 50 children and measured the inter-rater reliability. Concurrent validity was measured by comparing the results of the Korean version of PDMS-2 and Korean version of BOT-2. Results : The content consistency test showed overall agreement of mean 3.45, and the content understanding test showed a high level of understanding of mean 3.69. The inter-rater reliability and concurrent validity of the Korean version of the PDMS-2 showed a statistically significant correlation. Conclusion : The Korean version of the PDMS-2 showed high content understanding, reliability, and validity. It can assist clinicians and researchers who work in fields related to child treatment or development.

Task-Oriented Intervention for Improvement of Visuomotor Coordination and Fine Motor Coordination Functions in Developmental Delayed Child : A Single-Subject Design (발달지연 아동의 시-운동 협응 및 소운동 협응 기능 향상을 위한 과제지향의 중재(task-oriented intervention) 적용: 단일대상연구)

  • Song, Jiwon;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.36-45
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    • 2021
  • Purpose : This study aims to identify changes in the visuomotor coordination and fine motor coordination functions caused by the use of a task-oriented intervention in a child with developmental delay. Methods : The participant, who was a 6-year-old girl, was not diagnosed but showed a developmental delay in overall function. The study period was February 5, 2021, to June 4, 2021, and a single-subject A-B study design was used. The baseline (A) was initially evaluated in the first three sessions to identify the child's functions. In the intervention period, 12 session (B), task-oriented intervention was applied; the child engaged in many of the activities in kindergarten, such as painting, writing, making, and cutting with scissors. Visuomotor coordination and fine motor coordination were equally measured during the baseline and intervention periods. Visuomotor coordination was measured via drawing of an oval according to the Korean Developmental Test of Visual Perception 3 (K-DTVP-3), and fine motor coordination was assessed using the finger-nose touching item of the Clinical Observation of Motor and Postural Skills (COMPS). Results : The mean of the baseline of the K-DTVP-3 oval drawing was 23, and the mean of the intervention period was 39.66. The mean of the baseline of the COMPS finger-nose touching was 0, and the mean of the intervention period was 5.08. Conclusion : Task-oriented intervention seems to have a positive effect on the visuomotor coordination and fine motor coordination abilities of children with developmental delay.

Statistical Data Extraction and Validation from Graph for Data Integration and Meta-analysis (데이터통합과 메타분석을 위한 그래프 통계량 추출과 검증)

  • Sung Ryul Shim;Yo Hwan Lim;Myunghee Hong;Gyuseon Song;Hyun Wook Han
    • The Journal of Bigdata
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    • v.6 no.2
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    • pp.61-70
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    • 2021
  • The objective of this study was to describe specific approaches for data extraction from graph when statistical information is not directly reported in some articles, enabling data intergration and meta-analysis for quantitative data synthesis. Particularly, meta-analysis is an important analysis tool that allows the right decision making for evidence-based medicine by systematically and objectively selects target literature, quantifies the results of individual studies, and provides the overall effect size. For data integration and meta-analysis, we investigated the strength points about the introduction and application of Adobe Acrobet Reader and Python-based Jupiter Lab software, a computer tool that extracts accurate statistical figures from graphs. We used as an example data that was statistically verified throught an previous studies and the original data could be obtained from ClinicalTrials.gov. As a result of meta-analysis of the original data and the extraction values of each computer software, there was no statistically significant difference between the extraction methods. In addition, the intra-rater reliability of between researchers was confirmed and the consistency was high. Therefore, In terms of maintaining the integrity of statistical information, measurement using a computational tool is recommended rather than the classically used methods.

The Latest Research Trend on Chinese Medicine Treatment for Plantar Fasciitis Using China National Knowledge Infrastructure Database - Focused on Clinical Studies after 2018 (족저근막염의 중의학 치료에 대한 최신 임상 연구 동향: China National Knowledge Infrastructure 검색을 중심으로 - 2018년 이후 발표된 연구를 중심으로)

  • Na-Young Shin;Ah-Ra Koh;Young-Jin Lee;Jin-Woo Ahn;Hye-Jeong Jo;Go-Eun Chae;Hyn-Woo Kim;Hye-Jin Nam
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.2
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    • pp.33-48
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    • 2023
  • Objectives The purpose of this study is to investigate the latest research trends regarding the traditional Chinese medicine treatment of plantar fasciitis and suggest the direction for future research. Methods We investigated recent clinical studies about traditional Chines medicine treatment for Plantar fasciitis through searching the electronic database of China National Knowledge Infrastructure. We analyzed the characteristics of selected studies according to study design, criteria for diagnosis and evaluation, periods, treatment methods. Results Twenty-six clinical studies published from 2018 to 2022 were analyzed. Acupuncture, herbal medication, herbal fumigation and washing, herbal integration, herbal external application, and manual therapy were performed for the treatment of plantar fasciitis in China. In particular, studies on acupuncture, herbal fumigation and washing, and manual therapy were actively conducted and all of these treatment methods were effective. Conclusions Various Chinese medical interventions are being studied in China for the treatment of plantar fasciitis. However, in order to reinforce evidence for effectiveness of treatment, additional high-level clinical studies are required. It is considered that additional research related to the Korean medicine treatment for plantar fasciitis is needed in the future in Korea.

The Characteristic of Research Regulation in Recent Japanese Medical World (최근 일본의 의학계 연구규율의 특색)

  • Song, Young-mi
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.173-206
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    • 2019
  • This research examines the characteristic of regulation on Japanese clinical research in recent years. First, Japan has had a severe punishment policy on research misconduct like Korea, but, in recent days, Japan has changed the direction of research ethics policy from restriction to research publicness securement by educational training, in addition, Act of Clinical Research, effected April 2018, has recruited excellent researchers, and then integrated clinical research and medicine clinical trial through raising transparency of funding and integrating ethics screening by mandating announcement on funding information of clinical research. Second, Japan has integrated and organized ethics guideline from dual system that consists of ethics guideline on dynamic research(here after, referred to as 「dynamic guideline」) and ethics guideline on clinical research(here after, referred to as 「clinical guideline」) to ethics guideline on medical research aimed at human(here after, referred to as 「integrated guideline」), thus, it complements repetition and deficit of ethics guideline needed in clinical research and dynamic research, and it has risk evaluation system for protecting human subjects, and also it clarifies the concept of 「invasiveness」, a preliminary consideration of evaluation. 「Evaluation issue of risk and profit」, common contents of international regulation related clinical research, is the method to check whether the research is designed appropriately or not, this is the method for Institutional Review Board to decide whether the risk on human subjects could be justified, and also this is the important standard for future human subjects to participate in clinical trial. Therefore, it is meaningful to define 「invasiveness」 concept, a preliminary consideration of risk evaluation for human subjects. This research examines Japanese clinical trial focusing on change of awareness on prevention of research misconduct, efficiency improvement of research through research screening and integration of human subjects, and clarification and extension of range of 「invasiveness」 concept, a preliminary of risk evaluation to protect human subjects.

The Effects of Supervisor Supports on Novice Counselor's Psychological Burnout : The Mediating Effects of the Countertransference Management Ability (수퍼바이저의 지지가 초심상담자의 심리적 소진에 미치는 영향 : 역전이 관리능력의 매개효과)

  • Hyun, Min-Hong;Hong, Hye-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.301-319
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    • 2018
  • The purpose of this research was to verify the mediating effects of countertransference management ability and each of its subscales, i.e. self-insight, self-integration, empathy ability, anxiety-management, and conceptualizing skills, in the effect of supervisor supports on psychological burnout of novice counselors. For this purpose, 202 novice counselors who have experience of supervision less than 3 years in counseling experience were studied. The results of the analysis were as follows : First, The supervisor supports were positively related to countertransference management skill and all its five subscales. Additionally, supervisor supports, countertransference management skill, and its five subscales were proved to negatively related to psychological burnout. second, The verification of mediating effects of countertransference management skill in the relationship between supervisor support and psychological burnout demonstrated the complete mediation. third, The self-integration, empathy ability, anxiety-management completely mediated the relationship between supervisor supports and psychological burnout. and The self-insight, conceptualizing skills partially mediated the relationship between supervisor supports and psychological burnout. These results confirmed that countertransference management skill is a strong influential factor between supervisor supports and psychological burnout. Implications for clinical practice and directions for future research were also discussed.

The Effects of Sensory Integrative Therapy on Vestibulo-Proprioceptive Sensory Processing of Children With Asperger Syndrome (감각통합치료가 아스퍼거 아동의 전정.고유감각 처리능력에 미치는 효과)

  • Kim, Eun-Sung;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.6 no.1
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    • pp.35-46
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    • 2008
  • Objective : This study verifies the effects of sensory integrative (SI) therapy on vestibular- and proprioceptive sensory (BPS) processing ability of a child with Asperger Syndrome (AS). Method : A boy who is 11 years and 2 months old took the Functional Independence Measure for Children (Wee-FIM), Canadian Occupational Performance Measure (COPM), Short Sensory Profile, Bruininks-Oserestky Test of Motor Proficiency-2 (BOT-2), and Test of Playfulness (ToP) for the baseline. The child participated in 3 evaluation sessions and 8 therapy sessions based on the AB research design. Duration of each session is 50 min and the therapy session is divided into 40 minutes for treatment and 10 minutes for evaluation. Since the vestibular sense and proprioception build up one's ability of postural control, several tests were employed to evaluate the child' postural control as outcome measure; distance from front leg of chair to heel of the child with sitting (C-H distance), angle between trunk and thigh (hip joint angle) with sitting, and the 'prone-extension posture' which is a subtest of Clinical Observation of Motor and Postural Skill (COMPS) to examine postural control embodied with integration of reflex and BPS processing. Result : During the therapy, average data of the C-H distance is decreased from 27.33cm to 11.69cm, average data of the hip joint angle is also decreased from $43.3^{\circ}$ to $20^{\circ}$, and average time for the prone-extension posture is increased from 13.15seconds to 24.84seconds. Conclusion : This result indicates that the ability to postural control in sitting and to maintain the prone-extension posture can be improved by sensory integrative therapy, with enhanced BPS processing.

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A Pilot Study for Standardization of the Sensory Processing Scale for Children (SPS-C) (아동감각처리척도(Sensory Processing Scale for Children; SPS-C)의 표준화를 위한 예비연구)

  • Shin, Ji-eun;Kim, Kyeong-Mi;Chang, Moon-Young;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.2
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    • pp.42-54
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    • 2020
  • Objective : The purpose of this study was to define a standard score of Sensory Processing Scale for Children (SPS-C) and its concurrent validity by correlation with the Short Sensory Profile (SSP). Methods : The subjects were children enrolled in nurseries and kindergartens in Busan and Gyeongnam. We defined the standard score of the SPS-C and identified its concurrent validity for 337 children. Both the SPS-C and SSP instruments were used to assess the children's sensory processing ability. The collected data were analyzed using SPSS 24.0. A statistical analysis was used to define the standard score for SPS-C based on the mean and SDs of -1 and -2. To identify the concurrent validity of the SPS-C, the correlation between it and SSP was measured using Pearson's correlation analysis. Results : The ranges of total standard scores on the SPS-C were classified as follows: 115~160 indicated "Typical Performance"; 105~114 indicated "Probable Difference"; and finally, 50~104 indicated "Definite Difference." Concurrent validity was ascertained using the Pearson correlation between the total scores of the SPS-C and the SSP; the Pearson correlation coefficient was .755, indicating a statistically significant correlation. Conclusion : This study suggests the standard score of the SPS-C for interpreting results in clinical settings and confirms that it is a valid tool for evaluating children's sensory processing ability.

The Effect of Interactive Metronome Training on Reading Fluency in Elementary Students: A Single Case Study (상호작용식 메트로놈(Interactive Metronome: IM) 훈련이 초등학생 저학년의 읽기 유창성에 미치는 영향: 단일사례연구)

  • Gim, Yeong-Jun;Shin, Min-ho;Jeong, Hye-won;Jeon, Byoung-Jin
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.26-35
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    • 2021
  • Objective : The purpose of this study is to investigate the effect of Interactive Metronome (IM) training on the reading fluency of an elementary school student. Methods : This study followed the ABA design, a single-case research method, and was conducted on one elementary school student. From October 2019 to December 2019, a three-session baseline phase (A), twelve-session intervention phase (B), and three-session post-baseline phase (A') were conducted. The intervention was IM training, and long-form assessment (LFA) of IM and BASA:R were performed for each session. In addition, BASA:R was conducted three times at baseline and post-baseline. Result : Compared with baseline, there was a significant improvement in reading fluency after the IM training intervention. Conclusions : IM training can be useful for increasing reading fluency. The results of this work demonstrate the efficacy of IM training as a clinical intervention to improve reading fluency in elementary school students.