• 대한물리의학회지
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• 제12권3호
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• pp.119-130
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• 2017

PURPOSE: The purpose of this study is to determine, by conducting a 10 week hippotherapy, the effects on the physical, cognitive and psychological factors of children with intellectual disabilities. METHODS: As an intervention method, intervention was based on a program from the American Hippotherapy Association and was modified and enhanced. 16 children with intellectual disabilities was conducted horse riding intervention program and Intervention was conducted once a week for a total of 10 weeks with each session lasting 30 minutes. A doctor of rehabilitation medical treatment of D rehabilitation center, physical therapist and occupational therapist evaluated the upper limbs test, balance, gait function, Korea-mini mental state examination (MMSE) before and after hippotherapy intervention. Self-esteem scale and aggression scale was evaluated by Psychology Counseling of C psychological clinic before and after hippotherapy intervention. RESULTS: The results of this study reveal that first, there was a positive effect. Second, statistically significant differences were found in BBS, TUG, K-MMSE, 10m walking test, 6 min walking test, self-esteem scale and aggression scale (p<.05). However no statistically significant differences were found in upper limbs function and good balance analysis before and after intervention. CONCLUSION: The hippotherapy is effective way to improve the physical, cognitive and psychological factors of children with intellectual disability.

• 대한지역사회작업치료학회지
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• 제6권1호
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• pp.49-60
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• 2016

목적 : 본 연구는 국내에서 로봇치료가 중재도구로 사용된 연구 사례들을 PICO (Patient, Intervention, Comparison, Outcome) 형식에 따라 체계적으로 정리하여 국내 로봇치료의 연구 현황을 알아보고자 하였다. 연구방법 : 한국학술연구정보서비스(RISS)와 국가전자정보도서관(NDSL) 데이터베이스에서 최근 9년간의 연구를 주요 검색용어 '로봇치료'로 하여 국내 학술지와 학위논문 총 710개의 연구를 검색하였다. 로봇을 치료적 중재도구로 사용한 국내연구 중 원문을 구할 수 있는 연구를 기준으로 최종 15개를 선정하였다. 선정된 연구는 PICO 형식을 통해 체계적으로 정리하여 제시하였다. 결과 : 연구도구의 질적 수준은 근거기반 연구수준 5단계 분류 방법을 사용하였다. 그 중 질적 수준이 3단계 이상인 연구는 13개(86.6%)였다. 로봇치료를 사용한 연구를 중재 분야별로 나눈 결과 언어, 보행, 인지, 발달 그리고 상지의 다섯 가지 영역에 대한 연구가 진행되었음을 알 수 있었다. 결론 : 국내에서 로봇치료는 상지와 하지의 중재를 포함한 언어, 인지, 발달 등의 다양한 영역의 재활을 위해 사용되고 있었다. 본 연구가 국내 로봇치료와 관련된 다양한 영역의 적용에 필요한 기초자료로 활용되기를 바란다.

• International Journal of Advanced Culture Technology
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• 제10권1호
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• pp.248-252
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• 2022

The environment refers to what is surrounded by something during human life. This environment is related to the way humans live, and presents various problems on how to perceive the surrounding environment and how the behaviors that constitute the environment support the elements necessary for human life. Humans have an interest in the supportability of the environment as the interrelationship increases as humans perceive and understand the environment and accept the factors supported by the environment. In space, human movement starts from one space to the next and exchanges stimuli and reactions with the environment until reaching a target point. These human movements start with subjective judgment and during gait movement, the spatial environment surrounding humans becomes a collection of information necessary for humans and gives stimulation. will do. In this process, in particular, humans move along the movement path through movement in space and go through displacement perception and psychological changes, and recognize a series of spatial continuity. An image of thinking is formed[1]. In this process, spatial experience is perceived through the process of filtering by the senses in the real space, and the result of cognition is added through the process of subjective change accompanied by memory and knowledge, resulting in human movement. As such, the spatial search behavior begins with a series of perceptual and cognitive behaviors that arise in the process of human beings trying to read meaning from objects in the environment. Here, cognition includes the psychological process of sorting out and judging what the information is in the process of reading the meaning of the external environment, conditions, and material composition, and perception is the process of accepting information as the first step. It can be said to be the cognitive ability to read the meaning of the environment given to humans. Therefore, if we can grasp the perception of space while moving and human behavior as a response to perception, it will be possible to predict how to grasp it from a human point of view in a space that does not exist. Modern people have the theme of reminiscing dog-friendly hotels for the healing of petloss syndrome, and this thesis attempts to approach the life of companions.

• 한국전문물리치료학회지
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• 제13권2호
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• pp.26-34
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• 2006

The aim of this study was to assess the effectiveness of group therapeutic exercise programs on the cognitive function, Activities of Daily Living (ADL), and balance-performing ability in older adults. Fifteen community-dwelling subjects (mean age 73.7 yrs, standard deviation 2.4) participated in this study. An 8-week group therapeutic exercise program, including strengthening and balance training, breathing and gait exercise, and recreation, consisted of activities related to daily living. The Mini-Mental State Examination-Korean (MMSE-K), Modified Barthel Index (MBI), Berg Balance Scale (BBS), Functional Reaching Test (FRT), and Timed Up & Go (TUG) test were measured during pre-exercise and post-exercise points. The results of this study were as follows: 1. After eight weeks, the MMSE-K and MBI total score was more significantly increased for post-exercise tests than pre-exercise tests (respectively, p<.05, p<.01). 2. Of the MBI contents, personal hygiene, dressing, ambulation, and chair/bed transfers scores were significant increased for post-exercise tests. 3. Post exercise BBS, FRT, and TUG scores were higher than the pre-exercise scores. The difference was statistically significant (respectively, p<.05, p<.05, p<.01). These findings suggest that group therapeutic exercise can be used to improve the cognitive function, ADL, and balance-performing ability in elderly persons.

• 대한물리의학회지
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• 제14권4호
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• pp.9-17
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• 2019

PURPOSE: This research was designed to study the correlations between physical activities such as foot sensory impairment, balance and ambulatory abilities, as well as fall risk factors and mental activities such as cognitive performance and depression in order to provide fundamental data for the prevention of falling in the elderly. METHODS: A total of 36 elderly people over the age of 65 years who voluntarily joined the research were selected as subjects. Sensory perception in both feet was measured by using a monofilament in 10 parts with each part given one point. The points for each foot were integrated to analyze the correlations between physical and mental activities indices, and the results were analyzed by using Pearson's correlation coefficient. RESULTS: The results of this research show that the extent to which senses in feet were impaired was correlated to TUG, a functional activity index involved in tranfers, gait, and turning movements, which was correlated to BBS (balance index) as well as MMSE-K and K-GDS (mental activities index). BBS was interrelated to FES-K (physical activities index) and MMSE-K. The muscular strength of the right ankle dorsiflexor had mutual relations with FES-K. CONCLUSION: The results of this research indicate that TUG is widely correlated to foot sensory impairment as well as general physical and mental activities in elderly people. BBS was also shown to be correlated with TUG, FES-K, and MMSE-K. Thus, it might be necessary that TUG and BBS be included as two items in physical and mental check-ups for the elderly, and further studies on correlations using evaluation items for physical and mental activities should lead to the simplification of the evaluation criteria.

• 대한간호학회지
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• 제49권5호
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• pp.515-525
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• 2019

Purpose: This study aimed to evaluate the effectiveness of a customized health promotion program (CHPP) on depression, cognitive functioning, and physical health of elderly women living alone in the community. Methods: A randomized comparison of pre-and post-test design was used with 62 participants assigned to either an intervention (n=32 in seven clusters) or a control group (n=30 in seven clusters) in 14 areas of a town. The final sample included 30 intervention participants who completed the CHPP for 10 weeks, and 26 control participants. The intervention group participated in the CHPP weekly; they were provided with instructions about coping with their chronic illnesses, lifestyle modification, risk management, providing emotional support to each other, and floor-seated exercise, which they were encouraged to do three times a week in their homes. Results: Significant group differences were found in depression (U=48.50, p<.001), cognitive functioning (U=2.50, p<.001), left arm flexibility (U=251.50, p=.023), right arm flexibility (U=225.00, p=.007), static balance (U=237.00, p=.012), and gait ability (U=190.50, p=.004). However, there were no significant differences in bothgrip strength and muscle mass between the two groups. Conclusion: The findings indicate that CHPP was overall effective at improving depression, cognitive functioning, and physical functioning of elderly women living alone, and could therefore be considered a positive program for community-dwelling elderly women living alone.

• Physical Therapy Rehabilitation Science
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• 제3권2호
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• pp.134-141
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• 2014

Objective: The purpose of this study was to compare with different distance across three conditions in stroke survivors with the grading of cognitive state. Design: Cross-sectional study. Methods: Twelve stroke patients who agreed to active participation were included. Participants were allotted to normal cognitive (CN) group (n=7) and cognitive impairment (CI) group (n=5) and then walked on a self-paced walkway at three conditions on the Time Up and Go (TUG) test and the 6 minute walk test (6MWT): 1) walking with your comfortable speed, 2) walking while carrying a tray with glasses, 3) walking with a verbal cognitive task. The TUG test was repeated three successful times on each condition. For the 6MWT, participants were tested one time. Results: The CI group walked slower than the CN group at the three conditions on the TUG test. However, there was no significant difference between two groups to each condition. A significant effect of dual tasking was found only in error of verbal cognitive task condition for the TUG test (p<0.05). On the 6MWT, the participants in the CI group walked short distance rather than the CN group (p<0.05). There were significant differences between two groups not only at all conditions but also at error of verbal cognitive task condition as well (p<0.05). Conclusions: To consider the results of different distances such as the TUG test and the 6MWT, we think that exercises in long distance would be more effective to patients with CI. Those would be improved patient's endurance in cognitive problem.

• The Journal of Korean Physical Therapy
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• 제33권3호
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• pp.136-141
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• 2021

Purpose: Dementia is a disease in which cognitive function declines, leading to deterioration of body functions and activities of daily living. The purpose of this study is to explore the effects of dual-task training, including cognitive tasks, on cognitive and body function and β-amyloid levels in Alzheimer's dementia patients. Methods: 34 inpatients diagnosed with Alzheimer's dementia at a nursing hospital located in South Korea. The patients were randomly divided into a dual-task group (n=16) and a single-task group (n=18). Each group was trained for 30 minutes three times a week for eight weeks. The MMSE-K was used to measure the patients' cognitive function. To assess the patients' static balance ability, their LOS was measured using BioRescue. while dynamic balance was measured using the BBS. The 10MWT were conducted to evaluate the patients' walking ability. Blood analysis was performed to measure levels of β-amyloid. Results: Both groups exhibited statistically significant improvements in gait function after the training (p<0.05). The dual-task group exhibited statistically significant differences in cognitive function, static and dynamic balance function, and β-amyloid levels after training (p<0.05). A significant difference was observed between the two groups (p<0.05). Conclusion: Dual-task training were found to be effective in improving cognitive and bodily functioning and reducing β-amyloid levels in Alzheimer's dementia patients. Thus, this may be suggested as an effective exercise method for the treatment and early prevention of Alzheimer's dementia.

• 대한물리의학회지
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• 제18권2호
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• pp.41-48
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• 2023

PURPOSE: Falls are caused by a decline in physical and cognitive function. A quantitative evaluation tool that can comprehensively evaluate motor and cognitive functions for elderly people with an impaired physical function. This study assessed the clinical application potential by confirming the correlation between the physical function tests, cognitive and the stepping trail-making test (S-TMT). METHODS: Fourteen community-dwelling older patients (65-75 years) were recruited. The study conducted cognitive function tests with the trail-making test (TMT-A, B), and physical function tests (6-minute walking test (6MWT), short physical performance battery (SPPB), and timed up and go (TUG)). The results of were analyzed using SPSS version 21.0. Descriptive statistics were used for the general characteristics of the study subjects, and the correlations between S-TMT, other functional tests were examined through Pearson's correlation analysis. The statistical significance was set to .05. RESULTS: S-TMT had a significant positive correlation with the TUG (r = .588^*) and trail-making test-B (TMT-B) (r = .689^*, p < .05). Furthermore, S-TMT showed a negative correlation between SPPB (r = -.397) and 6MWT (r = -.422), but it was not statistically significant. CONCLUSION: S-TMT is a cognitive-gait dual-task performance evaluation tool that can be performed safely. A significant correlation was confirmed between the TUG test and the TMT-B. S-TMT is a dual-task screening tool that can evaluate both physical and cognitive functions simultaneously.

• 생물정신의학
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• 제14권3호
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• pp.184-193
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• 2007

목 적: 소뇌가 운동조절 뿐아니라 인지기능과 정신과적 증상에도 중요한 역할을 하고있다는 증거들은 많다. 정신분열병에서 소뇌기능은 많은 연구들에서 대뇌고위기능의 조정곤란(Cognitive dysmetria)이라는 개념을 통해 주목 받아왔다. 다시말하면, 전전두엽-소뇌-시상핵-전전두엽 회로의 이상은 정신분열병에서 인지기능의 손상과 임상증상으로 나타날 수 있는 것이다. 본 연구의 주 목적은 남자 정신분열병 환자에서 소뇌기능이상을 ICARS를 통해 반정량적으로 평가하고, 이것이 임상 및 인지기능과 어떤 연관성이 있는지 알아보는 것이다. 방 법: 저자들은 DSM-IV-TR 진단기준에 따라 정신분열병으로 진단된 47명의 남자 정신분열병 환자와 이와 성별과 나이를 맞춘 건강한 대조군 30명을 소뇌의 신경학적 징후를 ICARS로 점수화하여 비교하였다. 반정량적으로 100점의 총점을 가진 ICARS는 자세와 보행, 사지운동기능, 언어장애, 안구운동장애의 4개의 구획으로 나뉜 19개 항목으로 구성되어 있다. 모든 실험군은 한국형 간이정신상태검사(K-Mini Mental status examination, MMSE), 언어유창성 검사(Verbal fluency test), 시계그림검사(Clock drawing test)를 통해 인지기능검사를 받았다. 환자군에서 임상증상의 심각도는 한국형 양성 및 음성 증상 척도Positive and Negative Symptom Scale(PANSS)로 평가하였다. 환자군에서 ICARS의 높은 점수가 추체외로증상이나 지발성운동장애와 같이 약물사용으로 인한 부작용과 관련이 있는지 여부를 확인하기위하여 Abnormal Involuntary Movement Scale(AIMS)를 시행하였다. 실험군과 변수들에서 통계적 유의성을 보기위해 독립표본 t 검증과 편상관분석을 사용하였다. 결 과: 정신분열병 환자들은 대조군에 비해 ICARS-자세와 보행장애, 운동기능, 안구운동장애-에서 유의하게 높은 점수를 보였다. 환자들은 인지기능검사에서도 보다 심각한 손상을 보였다. ICARS 점수와 PANSS로 평가한 환자들의 음성증상 총점과는 유의한 상관관계가 있었으며, 인지기능검사에서는 시계그림검사, 언어유창성 검사가 음성증상과 유의하게 연관이 있었다. 또, 시계그림검사는 ICARS 점수와 연관이 있었다. 정신분열병 환자에서 발병연령, 유병기간 및 AIMS 점수가 줄수있는 혼란변수는 회귀분석을 사용하여 평가하였으며, AIMS 점수는 ICARS의 점수와 연관성을 보이지 않았다. 결 론: 정신분열병은 발달학적 혹은 신경발달학적 질환으로 개념 내려지고 있다. 대부분의 연구자들은 정신분열병을 가진 환자들이 대뇌고위기능의 조정곤란(Cognitive dysmetria)이라고 불리는 전전두엽-시상핵-소뇌회로의 이상으로 인해 고통받고 있다고 하였다. 본 연구에서 저자들은 정신분열병 환자들이 인지기능과 소뇌기능에서 심각한 손상을 가지고 있고, 특히 이것은 환자들의 음성증상의 정도와 상관관계가 있다는 것을 확인하였다. 이 결과는 정신분열병에서 소뇌의 역할에 대해 지지하고 있다. 또, 정신분열병 환자들의 연성신경학적 징후를 평가하는데 있어 ICARS라는, 구조화되어 다른 검사자들에게도 통용될 수 있는 도구를 사용했다는 것에서 의미가 있다고 볼 수 있겠다. 향후 유사한 연구에서는 질병의 경과에 따라 신경학적 징후의 변화에 대해 설명할 수 있기를 기대한다.