• Title/Summary/Keyword: Digital Therapy

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Iliotibial Band Stretching in the Modified Thomas Test Position Changes Hip Abduction Angle and Vastus Medialis Activity in Individuals With Tight Iliotibial Band

  • Baik, Seung-min;Jeong, Hyo-jung;Lee, Ji-hyun;Park, Dong-hwan;Cynn, Heon-seock
    • Physical Therapy Korea
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    • v.26 no.1
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    • pp.75-83
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    • 2019
  • Background: A tight iliotibial band (ITB) may lead to lateral patellar maltracking, compression, and tilt, and dominant vatus lateralis (VL) muscle activation relative to vastus medialis oblique (VMO) can laterally displace the patella, which leads to anterior knee pain. Therefore, an effective management technique is needed to stabilize the patella in individuals with tight ITB. Increased stability during the modified Thomas test has the potential to decrease compensatory motion and thus to selectively stretch the ITB. Objects: The purpose of this study was to determine the effects of ITB stretching in the modified Thomas test position on ITB flexibility, patellar translation, and muscle activities of the VMO and VL during quadreceps-setting (QS) exercise in individuals with tight ITB. Methods: Twenty-one subjects with tight ITB were recruited. Digital inclinometer was used to measure the hip adduction angle during the modified Ober test. Universal goniometer was used to measure the hip abduction angle during the modified Thomas test. Ultrasonography was used to measure the patella-condylar distance. Electromyography was performed to collect data of muscle activities. Paired t-test was used to determine the statistical significance between pretest and posttest. Results: The range of hip adduction in modified Ober test increased (p=.04) and the range of hip abduction in the modified Thomas test decreased after ITB stretching (p<.01). There was no difference between lateral patellar translation (p=.18). VMO muscle activity significantly increased after ITB stretching during QS (p<.01). VL muscle activity had no difference after stretching. Conclusion: The ITB stretching in the modified Thomas test position can be suggested as a management method for improving ITB flexibility and VMO muscle activity in individuals with tight ITB.

A Study of the Psychological Symptoms Related to the Frequency of Drinking among College Students (대학생들의 음주 빈도에 따른 정신학적 증상에 관한 연구)

  • Son, Yoonji;Kang, Taehee;Sung, Jiwon;Jeon, Chanhee;Chae, Eunhye;Kim, Hwanhee
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.4
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    • pp.29-38
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    • 2018
  • Purpose: The purpose of this study was to investigate the psychological symptoms of insomnia, impulsiveness, and memory impairment according to the drinking frequency of college students. Methods: From May 4 to May 17, 2018, a questionnaire survey was conducted for men and women enrolled in J city S university in the Department of Occupational Therapy, Architecture, Social Welfare, and Digital Content. After visiting the department to explain the purpose of the study, 400 questionnaires were distributed to those who agreed to participate in the study. The SPSS 22.0 program was used to analyze the data collected. All statistical analyses were performed at the significance level of 5 %. Results: There is a correlation between alcohol consumption and psychological symptoms, such as insomnia, impulsivity, and memory impairment. As a result of analyzing all departments, insomnia, impulsivity, and memory impairment were the highest in the addiction level. In post-analysis of psychological symptoms, insomnia and impulsiveness had no significant difference, but there was a significant difference in memory impairment (p=.04). Conclusion: Our hope is that this study will help activate programs like preventative education and counseling on alcohol-related psychological symptoms for college students.

Test-retest Reliability and Concurrent Validity of a Headphone and Necklace Posture Correction System Developed for Office Workers

  • Gyu-hyun Han;Chung-hwi Yi;Seo-hyun Kim;Su-bin Kim;One-bin Lim
    • Physical Therapy Korea
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    • v.30 no.3
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    • pp.174-183
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    • 2023
  • Background: Office workers experience neck or back pain due to poor posture, such as flexed head and forward head posture, during long-term sedentary work. Posture correction is used to reduce pain caused by poor posture and ensures proper alignment of the body. Several assistive devices have been developed to assist in maintaining an ideal posture; however, there are limitations in practical use due to vast size, unproven long-term effects or inconsistency of maintaining posture alignment. We developed a headphone and necklace posture correction system (HANPCS) for posture correction using an inertial measurement unit (IMU) sensor that provides visual or auditory feedback. Objects: To demonstrate the test-retest reliability and concurrent validity of neck and upper trunk flexion measurements using a HANPCS, compared with a three-dimensional motion analysis system (3DMAS). Methods: Twenty-nine participants were included in this study. The HANPCS was applied to each participant. The angle for each action was measured simultaneously using the HANPCS and 3DMAS. The data were analyzed using the intraclass correlation coefficient (ICC) = [3,3] with 95% confidence intervals (CIs). Results: The angular measurements of the HANPCS for neck and upper trunk flexions showed high intra- (ICC = 0.954-0.971) and inter-day (ICC = 0.865-0.937) values, standard error of measurement (SEM) values (1.05°-2.04°), and minimal detectable change (MDC) values (2.92°-5.65°). Also, the angular measurements between the HANPCS and 3DMAS had excellent ICC values (> 0.90) for all sessions, which indicates high concurrent validity. Conclusion: Our study demonstrates that the HANPCS is as accurate in measuring angle as the gold standard, 3DMAS. Therefore, the HANPCS is reliable and valid because of its angular measurement reliability and validity.

Effects of a Posture Correction Feedback System on Upper Body Posture, Muscle Activity, and Fatigue During Computer Typing

  • Subin Kim;Chunghwi Yi;Seohyun Kim;Gyuhyun Han;Onebin Lim
    • Physical Therapy Korea
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    • v.30 no.3
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    • pp.221-229
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    • 2023
  • Background: In modern society, the use of computers accounts for a large proportion of our daily lives. Although substantial research is being actively conducted on musculoskeletal diseases resulting from computer use, there has been a recent surge in interest in improving the working environment for prevention. Objects: This study aimed to examine the effects of posture correction feedback (PCF) on changes in neck posture and muscle activation during computer typing. Methods: The participants performed a computer typing task in two sessions, each lasting 16 minutes. The participant's dominant side was photographed and analyzed using ImageJ software to verify neck posture. Surface electromyography (EMG) was used to confirm the participant's cervical erector spinae (CES) and upper trapezius muscle activities. The EMG signal was analyzed using the percentage of reference voluntary contraction and amplitude probability distribution function (APDF). In the second session, visual and auditory feedback for posture correction was provided if the neck was flexed by more than 15° in the initial position during computer typing. A 20-minute rest period was provided between the two sessions. Results: The neck angle (p = 0.014), CES muscle activity (p = 0.008), and APDF (p = 0.015) showed significant differences depending on the presence of the PCF. Furthermore, significant differences were observed regarding the CES muscle activity (p = 0.001) and APDF (p = 0.002) over time. Conclusion: Our study showed that the feedback system can correct poor posture and reduces unnecessary muscle activation during computer work. The improved neck posture and reduced CES muscle activity observed in this study suggest that neck pain can be prevented. Based on these results, we suggest that the PCF system can be used to prevent neck pain.

A Study on the Temperature Controlling of Driving Algorithm for the Electronic Shutter by the Laser Beam (레이저빔에 의한 전자셔터 구동 알고리즘의 온도제어에 관한 연구)

  • Lee, Young-Wook
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.4 s.36
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    • pp.87-92
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    • 2005
  • This study showed the possibility of the medical treatment by thermal feedback as the laser medical treatment had given by design of the digital I/O interfaces of the electronic shutter to control the laser beam and the temperature controlled algorithm. The electronic shutter is economical and that is designed to be automatically controlled within the range of an extent temperature by such development of its driving interfaces and the controlled algorithm of the electronic shutter. The possibility of local therapy for the patients by the treatment of the laser beam within an extent temperature controlled, is proposed by improvement of the problems on the current treatment methods such as radiotherapy, high frequency treatment or medical therapy of drug stuffs which even kill the normal cells.

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Sexual Counseling for People with Spinal Cord Injuries: The Application of Cognitive Behavior Therapy (척수장애인 성 상담을 위한 인지행동치료 적용에 관한 기초연구)

  • Shin, Sook-Kyung
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.633-638
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    • 2018
  • The number of individuals with spinal cord injuries in the most countries is rising each year. However, it is reported that most of them have sexual problem, however lack of research on deal with the issues related to sex identity and maladjustment in rehabilitation counseling setting. The purpose of this article: (a) to possess an adequate knowledge of the sexual problems facing individuals with spinal cord injuries; (b) to review past research on sexuality counseling with people who have spinal cord injuries; and (c) to present for some strategies for people with spinal cord injuries in order to sexuality adjustment, through Cognitive Behavior Therapy. Some suggestions are presented.

An effect of the group art-therapy on abused children's depression, anxiety, self image -Children's Art Therapy Department of complex convergence perspective (집단 미술치료가 피학대 아동의 우울 및 불안, 자기상에 미치는 영향 -아동학과 미술치료학의 융복합적관점)

  • Lee, Sug-Min;Song, Soon
    • Journal of Digital Convergence
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    • v.13 no.12
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    • pp.291-301
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    • 2015
  • It was conducted to investigate effects of the group art-therapy for abused children with depressed, anxiety, negative self image. The subjects were 4 children at OOcity OOgroup home. They lived at group home for 4years 5months with any treatment. Group art therapy had been conducted once a week from Sept. 2013 through Aug. 2014. There were 48sessions and each session lasted 60 minute. To verify the effects of Group art therapy(art activity, works & contents), researchers recorded the subjects' emotional reactions, attitudes, behaviors with the therapeutic purpose in each session and measured CDI, STAIC(TAIC, SAIC), Self-IQYA Korean version Inventory for validity. Pre test(Aug. 2013) & post-test(Aug. 2014) were executed. To do a sum of test reliability, the SPSS 21.0 program is used. The results were: firstly, abused children expressed their emotional state in the works, they changed behaviors and improved relations with friends. Secondly, the score of depression & anxiety in the post_test was lower than in pre_test. Thirdly, the score of self-image in the post_test was higher than in pre_test. Depression & anxiety were reduced and self image changed positively. Exactly, they reduced impulsive act and maintained friendly relationships. Fosterer understood well the children so she would reduce difficulty.

A case study of the person centered art therapy for improving sexual victimized adolescent's emotional stability, ego-resiliency, self-esteem (성폭력피해 청소년의 정서안정감, 자아탄력성, 자아존중감 향상을 위한 인간중심미술치료 사례연구)

  • Sug-Min, Lee;Soon, Song
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.385-402
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    • 2018
  • This study was to examine how Art Therapy affected improving Self-Esteem and Ego-Resiliency, Emotional Stability of Sexual Victimized Adolescent. The subject was the middle school student girl, 3th grades(15year old). She was suffered from sexual assault she was lack of self-confidence and suffered difficulty in daily life. Individual Art Therapy was performed once a week for 60 minutes and for 20 periods. Emotional Stability, Self-Resilience, Self-Esteem were performed pre-post test to verify the effectiveness of the program. The results obtained after Art Therapy were as follows. Firstly, The Self-Esteem score improved to post- 35 points from pre-16points. The Ego-Resiliency score improved to post-133points from pre- 63 points. The Emotional Stability score changed to a post-ex-post 96 score with a score of 110 as a positive effect. Secondly, the subject in the whole process of Art Therapy were formed intimacy with the researchers, able to heal painful scars while expressing inner feelings in a stable psychological state. Through the creative activities, she became confident and had positive thoughts about his future. Even though, this program focused to prevent PTSD. So the subjects needs to participate follow up program to treat depression, anxiety, nerveless be caused by sexual assault.

The effect of Jeon-buk area daytime ward occupational therapy convergent activity on hand function, cognitive function and IADL in people with dementia (전북지역 낮 병동 작업치료 융복합활동프로그램이 치매환자의 손기능, 인지기능 및 수단적 일상생활활동에 미치는 영향)

  • Kim, Hyun-Gi;Lee, Min-Young;Kim, Ko-Un;Oh, Hye-Won
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.511-519
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    • 2017
  • This study developed a occupational therapy convergent activity program to provide dementia patients admitted to the daytime ward, and investigated the program's effect on the hand and cognitive functions and instrumental activities of daily living. A total of 34 dementia patients were divided into two groups: a convergent occupational therapy program and medication were provided for 17 patients, and medication alone was provided for a control group of 17. The intervention was performed for 24 weeks, 8 times per week, 192 times in total. A handgrip strength test was performed to examine hand function before and after the intervention, and the MMSE-K and GDS were performed to evaluate cognitive function. In addition, the K-IADL was used to assess instrumental activities of daily living. With intervention, the experimental group showed significant improvements in hand and cognitive function and instrumental activities of daily living. In contrast, the control group did not show improvements in hand and cognitive function or instrumental activities of daily living. In conclusion, the study showed that a convergent/integrated activity program for occupational therapy has a positive effect on hand and cognitive function as well as instrumental activities of daily living.

Characteristics and Effects of Lifestyle Interventions for Community Dwelling Older Adults: A Systematic Review (지역사회 노인을 대상으로 적용한 라이프스타일 중재의 형태와 효과에 관한 체계적 고찰)

  • Won, Kyung-A;Shin, Yun Chan;Park, Sangmi;Han, Areum;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.8 no.2
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    • pp.7-30
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    • 2019
  • Objective : The purpose of this study was to analyze the format and effects of lifestyle intervention provided to community dwelling older adults. This systematic review was written following the PRISMA guideline. Methods : The National Digital Science Library(NDSL), RISS, PubMed, and CINAHL were used to search for articles published from January 2008 to December 2017. In total, 20 articles were selected for the analysis and the risk of bias was screened through the Physiotherapy Evidence Database Scale. Lifestyle interventions in the articles were classified according to the disease of the participants. Results : Major contents of the lifestyle interventions were increased physical activity like moderately intensive exercise and education or training to help participants have a healthy diet. Of the 20 articles, 17 included more than 2 types of contents. Examining biochemical factors was the most common measurement among the multifaceted measurements used to assess the effects of lifestyle interventions. The results of the lifestyle interventions described in each article did not indicate congruent effects. 14 of the 20 articles reported the lifestyle interventions had significant effects. Conclusions : The results of this study could help practitioners select the contents of and provide lifestyle interventions to older adults. Further study on the various applications of lifestyle interventions in a community setting is necessary.