• 제목/요약/키워드: Improvement of visual function

검색결과 186건 처리시간 0.032초

경도의 발달장애 아동의 시지각 및 주의력 향상을 위한 시기능 훈련의 임상사례 (Clinical cases of vision therapy for visual perception and attention enhancement of children with mild developmental disabilities)

  • 이승욱;장우영
    • 한국임상보건과학회지
    • /
    • 제5권3호
    • /
    • pp.888-896
    • /
    • 2017
  • Purpose. The purpose of this study was to investigate the effect of visual field training on visual function, visual perception and attention enhancement. Methods. We examined the changes of visual function and visual perception tests for children with mild developmental disabilities through vision therapy. Results. At the time of the initial visit of the child, the ability to control not only distant and near visual function, but also accommodation, was also very limited. Also, the visual perception score was measured at 80 points. Through vision therapy, it was confirmed that the improvement of control ability as well as the visual function and visual perception function test results were also improved to 108 points. Conclusion. It was confirmed that vision therapy results in an improvement of visual function, improved visual perception ability, as well as visual perception ability, It was concluded that visual function affected visual perception, and that vision therapy used in order to prevent visual function deterioration was found to be very helpful.

시각기능 개선을 위한 시기능훈련이 시지각에 미치는 영향 (Effect of Visual Perception by Vision Therapy for Improvement of Visual Function)

  • 이승욱;이현미
    • 한국안광학회지
    • /
    • 제20권4호
    • /
    • pp.491-499
    • /
    • 2015
  • 목적: 시각이상을 가진 아동을 대상으로 시기능훈련을 통한 시각기능이상의 개선 전후 시지각점수의 변화를 살펴보고 시지각에 미치는 영향을 알아보고자 한다. 방법: 시각기능이상을 가진 13세 미만($8.75{\pm}1.66$)의 아동 23명을 대상으로 시기능훈련 전후에 시지각기능검사(TVPS_R; test of visual perceptual skills-revised)를 실시하여 시기능훈련에 따른 시각기능의 변화와 시지각 평가점수의 변화를 분석하였다. 결과: 시기능훈련을 통해서 원거리 PRC(positive relative convergence) 분리점은 평균 $3.39{\pm}2.59{\Delta}$(prism)에서 $13.87{\pm}6.04{\Delta}$로 증가되었고, 근거리 P.R.C 분리점은 평균 $5.48{\pm}3.42{\Delta}$에서 $18.44{\pm}7.58{\Delta}$로 증가하였다. NPC(near point of convergence)는 $25.87{\pm}7.33cm$에서 $7.48{\pm}2.83cm$로 개선되었고, NPA(near point of accommodation)는 $19.57{\pm}7.16cm$에서 $7.09{\pm}1.88cm$로 개선되었다. 시지각평가에서 시각기억분야를 제외하고는 대응차가 시각완성에서 $17.74{\pm}16.94$(p=0.000), 시각적순차기억에서 $15.65{\pm}17.11$(p=0.000), 배경식별에서 $13.65{\pm}16.63$(p=0.001), 형태향상성에서 $12.74{\pm}18.41$(p=0.003), 시각구별에서 $6.49{\pm}10.07$(p=0.005), 시각적공간지각에서 $4.17{\pm}9.33$(p=0.043) 순으로 개선되었고, 이를 종합한 시지각점수는 대응차가 $15.22{\pm}8.66$(p=0.000)로서 더욱 더 유의한 결과를 나타내었다. 결론: 시기능훈련을 통해서 시각기능의 개선과 시각기억분야를 제외한 시지각점수의 향상이 시각완성, 시각적순차기억, 배경식별, 형태향상성, 시각구별, 시각적공간지각 순으로 유의하게 나타났다. 따라서 시각기능향상을 위한 시기능훈련은 시각의 기능뿐만 아니라 시지각의 기능까지 영향을 미치는 것을 확인 할 수 있으며 시각훈련의 중요성을 인식 할 수 있었다.

백내장수술환자 결과 변수들의 시계열적 관찰과 진료결과 향상에 영향을 주는 요인 (Time Series Observations of Outcome Variables and the Factors Associated with the Improvement in the Patient Outcomes of Cataract Surgery)

  • 김한중;박은철;최윤정;강형곤
    • Journal of Preventive Medicine and Public Health
    • /
    • 제34권2호
    • /
    • pp.175-181
    • /
    • 2001
  • Objectives : To compare the multiple outcomes of patients with cataract surgery at perioperative time,3-4 months and 12 months after surgery and to assess patient outcomes associated with visual improvement(visual acuity of operated eye, visual function-14(VF-14), symptom score). Methods : For this assessment, a prospective study was conducted with 389 patients who had undergone cataract surgery for either one eye or both eyes. The surgery was peformed by 20 ophthalmologists who were practicing at university hospitals and general hospitals. Patients were interviewed and clinical data were obtained. Doctors were questioned with self-reported questionnaire forms. Medical records were examined in order to measure variables related to the surgical process such as surgical methods and ocular comorbidity. The survey was 'conducted at 4 stages' : preoperative time(389 cases), perioperative time(344 cases, 88.4%), postoperative 3-4 months (343 cases, 88.2%), and postoperative 12 months (281 cases, 72.2%). After excluding cases with incomplete data, 198 cases were enrolled in the study. Patient outcomes was measured for any improvement in the functional outcomes(visual acuity of operated eye, visual function, symptom score) at postoperative 3-4 months. Results : The visual acuity(operated, weighted average), symptom score, VF-14 score, satisfaction with vision, and subjective health status were shown to be improved at the perioperative time, postoperative 3-4 months and 12 mouths. An improvement in the Snellen visual acuity score was observed in 190 patients(96.0%), whereas improvements of the VF-14 score and cataract symptom sure were observed in 151 patients(76.3%) and 179 patients(90.4%), respectively. All three outcome measures demonstrated improvement in 137 patients(09.2%). The improvement of the three functional outcomes at 3-4 months after receiving surgery was associated with a lower level of visual function and a higher level of cataract symptom score at perioperative time, as well as a greater experience level of the surgeon. Conclusions : In this study, the estimates of the proportion of patients benefiting from cataract surgery varied with the outcome measure of benefit. Preoperative VF-14 score, a measure of functional impairment related to vision, and symptom score may be better measures of the benefit derived from cataract surgery than the change in visual acuity.

  • PDF

Visual Outcome after Surgical Removal of Craniopharyngiomas

  • Kim, Yeon-Seong;Jung, Shin;Cheon, Hyo-Cheol;Jung, Tae-Young;Kang, Sam-Suk;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
    • /
    • 제39권3호
    • /
    • pp.171-175
    • /
    • 2006
  • Objective : In the present study, we evaluate visual outcomes after surgical removal of craniopharyngiomas and analyze the factors that are considered to affect visual outcomes. Methods : This study includes 30 patients with craniopharyngioma, who underwent surgery in this clinic during the last 10 years. The changes of visual function [visual acuity and field] of the patients were assessed preoperatively and postoperatively, and paired data of this change were compared. Also, the factors that influence on this change were analysed. Results : Among the 21 patients complaining of decreased vision before the operation, 8 patients were improved [38.0%], and 7 patients were worse [33.3%]. However, Four out of 9 patients without any preoperative visual symptoms developed worse vision after the operation [44.4%]. The average duration of symptom was 17.2 months in the improved group and 23.6 months in the aggravated group. The tumors recurred in only 5 patients after the gross total resection : Four of them showed the aggravation of visual function after surgical removal and 1 had improvement. Conclusion : After removal of craniopharyngiomas, the overall rate of vision improvement, no change and aggravation are 26.6%, 36.7% and 36.7%, respectively. Aggravation of postoperative visual function is higher in males, children and patients with a longer duration of symptom and the tumor recurres more frequently in patients who complained of worsened vision after surgical removal.

Effects of a Bilateral upper Limb Training Program Using a Visual Feedback Method on Individuals with Chronic Stroke: A Pilot Clinical Trial

  • Kang, Dongheon;Park, Jiyoung;Choi, Chisun;Eun, Seon-Deok
    • International Journal of Contents
    • /
    • 제17권2호
    • /
    • pp.20-31
    • /
    • 2021
  • This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the FuglMeyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

다발성 경화증에 대한 한방치료 치험 1례 (A Clinical Case Report on Multiple Sclerosis Treated by Korean Medicine)

  • 전용태;박상훈;고연석
    • 척추신경추나의학회지
    • /
    • 제9권2호
    • /
    • pp.21-33
    • /
    • 2014
  • Objectives : This study was to report the improvement of the patient with multiple sclerosis treated by Korean Medical treatment. Methods : The patient diagnosed as multiple sclerosis treated by acupuncture, bee venom pharmacupuncture, chuna manual therapy, and herbal medicine. To evaluate the effects of korean medicine, we used manual muscle test(MMT), the standard for assessment of the effect of stroke treatment, functional system(FS), visual analog scale(VAS). Results : 1. The patient's pain and optic dysfunction were reduced by the above therapy. 2. There was no change in manual muscle test(MMT), but there was mild improvement in finger joints function in the standard for assessment of the effect of stroke treatment. 3. In functional system(FS) scale, there was enhancement in optic function within a range. And there was improvement in expanded disability statue scale(EDSS) from 4.0 to 3.0. 4. In visual analog scale(VAS), there was considerable improvement from 9 to 6. Conclusions : The korean medical treatment was reduced pain and optic dysfunction.

  • PDF

Effects of virtual reality cognitive rehabilitation program on cognitive function, physical function and depression in the elders with dementia

  • Moon, Hyun Ju;Choi, Yoo Rim;Lee, Sung Kook
    • 국제물리치료학회지
    • /
    • 제5권2호
    • /
    • pp.730-737
    • /
    • 2014
  • The aim of this study is to examine the effects of virtual reality cognitive rehabilitation program on cognitive function, physical function and depression of long-term care insurance nongrading elderly dementia using Daytime protection service. For achieve this purpose, 30 dementia elderly were randomly assigned in to the experimental group(n=15)and control group(n=15). All subjects performed a general therapeutic exercise and 20- 30minutes takes virtual reality cognitive rehabilitation program were conducted with experimental group 2 times a week for 8 weeks. The intervention effects were measured by using cognitive function is mini-mental states examination-Korean version(MMSE-K), visual perception is MVPT(Motor-Free Visual Perception Test), Berg's balance scales(BBS), depression test GDS-K and lower limb strength. The results of study represented that the training group showed significant improvement in MMSEK( p<.05), visual perception(p<.05), balance(p<.05), lower limb strength(p<.05) and depression (p<.05). In conclusion, the virtual reality cognitive rehabilitation training using improves visual perception included cognitive function, physical function included balance, and lower limb strength and depression. These results suggest that virtual reality training using virtual reality cognitive rehabilitation program is feasible and suitable for mild dementia.

A Study on Safety of Environmental Cleaners' Noctilucent Jackets

  • Shim, Boo-Ja
    • 패션비즈니스
    • /
    • 제10권3호
    • /
    • pp.129-142
    • /
    • 2006
  • This research chose 135 environmental cleaners in Busan Metropolitan City as subjects. First, the reality of wearing their safety jackets was investigated. Next, visual evaluation of the reflexive function of the current safety jackets was made. Then, based on the above results and the subsequent improvement proposal, the final product, the research costume, was made. 1. Based on the investigation of the wearing reality of safety jackets and the visual evaluation results of the reflexive function, an improvement proposal was made. As cleaners are usually seen sidewise on the roads and lateral luminosity is rather low, this aspect was compensated on the part of a jacket. Also, the reflexive belt used the diagram of ${\Delta}$ to improve visual effects. 2. As the lower body held the accident frequency of 45.0%, the sides of pants had the reflexive belt to increase visibility. 3. In consideration of the mutual effects between the background cloth and general reflexive width, the same width (5cm) of the reflexive belt as that of Type A was adopted.

시각차단 균형훈련이 뇌졸중 환자의 보행기능에 미치는 영향 (The Effects of Balance Training with Visual Cue Deprivation on Gait Function in Patients with Stroke)

  • 문성준;김용욱;김태호
    • 대한물리의학회지
    • /
    • 제7권4호
    • /
    • pp.411-421
    • /
    • 2012
  • PURPOSE: The purpose of this study was to investigate the effect of balance rehabilitation training with the visual cue deprivation on gait function in stroke patients in comparison with balance training without the visual cue deprivation. METHODS: Twenty two stroke patients participated in this study. Patients were randomly assigned to one of the two balance training program with and without the visual cue deprivation. Balance training session for each group lasted 50 minutes, 3 times a week for a total of 6 weeks. Gait function was measured with the Functional Gait Assessment (FGA), the self-selective comfortable gait speed (CGS), the maximal gait speed (MGS), and the Gait Analysis System. Temporal and spatial gait parameters of each evaluation were measured before and after the balance training program respectively. RESULTS: After the program, the visual cue deprivation group improved significantly in the FGA, the CGS, the gait velocity, the step time, the step length, the stride length, and the Functional Ambulation Performance (FAP) in comparison with the balance training group with the visual cue (p<.05). CONCLUSION: The gait function of the participants with the visual cue deprivation showed more improvement after the balance training program compared to the patients group without the visual cue deprivation, Therefore, the balance training program with the visual cue deprivation may be useful for rehabilitation of patients with chronic stroke.

The Effect of Driving Simulator Program on Elderly Drivers

  • Kim, Deokju
    • International Journal of Advanced Culture Technology
    • /
    • 제9권2호
    • /
    • pp.18-31
    • /
    • 2021
  • The purpose of the present study was to present evidence for driving interventions for the elderly by conducting programs that can improve visual perception and cognitive function in a driving simulator for elderly drivers and analyse their effects. Three elderly subjects who were 65 years or older, did not have physical and cognitive impairments, and were able to drive themselves participated in the present study. A total of 12 intervention sessions, of which subjects participated in 10 sessions of nine different visual perception and cognitive function programs available in a driving simulator, were conducted and pre- and post-program assessments were conducted (two assessments in total). The assessments included the evaluation of visual perception, frontal lobe function, concentration, safe driving behaviour, and self-efficacy. The results showed positive effects of the driving simulator program on the visual perception, frontal lobe function, concentration, safe driving behaviour, and self-efficacy of all subjects. Changes in the simulator results showed remarkable improvement in the response evaluation, judgment evaluation, and predictive power evaluation, but showed difficulties in interference tasks and depth perception in common. The results showed positive effects of driving simulator training on the driving ability of the elderly, and consistent provision of such training is expected to improve the quality of life of the elderly by securing the safety of driving and actively supporting social participation.