• 재활복지공학회논문지
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• 제10권4호
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• pp.329-336
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• 2016

수화를 사용하는 농아인은 의사소통의 제약에 의해 사회적인 불평등과 금전적 손실을 겪고 있다. 이러한 이유로 본 연구에서는 농아인의 원활한 의사소통을 위해 8개의 근전도와 1개의 관성센서로 구성된 암밴드 센서를 이용하여 실시간으로 미국 수화를 인식하는 알고리즘을 개발하였다. 개발된 알고리즘의 성능 검증은 11명의 피험자를 통해 진행하였으며, 패턴 분류기 학습은 훈련 데이터베이스 크기를 증가시키면서 진행하였다. 실험 결과, 개발된 패턴 인식 알고리즘은 동작 별 20개의 훈련 데이터베이스에서 97%이상의 정확도를 가졌으며, 30개의 훈련 데이터베이스에서 99%이상의 정확도를 보였다. 이를 통해 본 연구에서 제안하는 암밴드 센서를 이용한 수화 인식 알고리즘의 실용성과 우수성을 확인하였다.

• 재활간호학회지
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• 제19권2호
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• pp.71-81
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• 2016

Purpose: The purpose of this study was to explore the influence of cognitive function and depressive symptoms on instrumental activities of daily living (IADL) in addition to identify the factors associated with IADL in community-dwelling older adults. Methods: This was a descriptive study with cross-sectional design. Data were collected from July 2013 to June 2014. A total of 143 participants without dementia, depression and disability were enrolled in this study. Cognitive function was measured using Seoul verbal learning test (SVLT), digital span (forward/backward) and fist-edge-palm test. The Korean-IADL and Short Geriatric Depression Scale (S-GDS) were used. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression. Results: Overall, a multiple regression model revealed that approximately 27.4% of total variability in IADL in the sample of community-dwelling older adults could be explained by the significant 12 variables in this model ($R^2=0.274$, F=5.467, p<.001). Age, having religion and cognitive function were the predictors of IADL in community-dwelling older adults. Conclusion: This study suggest that we need to monitor cognitive function in older to maintain the ability for IADL in older adults. Also, individualized program for improving older adults' IADL should be included in nursing intervention.

• 재활복지공학회논문지
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• 제8권3호
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• pp.145-150
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• 2014

본 논문에서는 입력된 신호에 의해 결정되는 각 주파수 밴드별 우도비(likelihood ratio, LR)를 deep belief networks(DBN)의 입력층으로 이용하는 새로운 음성 검출기(voice activity detection, VAD) 알고리즘을 제안한다. 기존의 통계적 모델 기반의 음성 검출기는 음성 구간을 판단하기 위해 우도비를 기하 평균을 이용한 결정식을 사용한다. 제안된 음성 검출기는 이 결정식을 대신해 DBN을 이용하여, 오검출 확률을 최소화 하도록 학습을 한다. 제안된 DBN 기반의 음성 검출 알고리즘은 통계적 모델 기반의 음성 검출기의 성능을 개선한 support vector machine(SVM) 기반의 음성 검출기와 정상 및 비정상 잡음 환경에서 다양한 조건을 부과하여 비교하였다. 제안된 알고리즘이 기존의 SVM 기반의 알고리즘보다 전체 오분류 확률 [0.7, 2.7]의 향상 폭을 보였다.

• 재활복지공학회논문지
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• 제11권3호
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• pp.247-252
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• 2017

이 연구의 목적은 SVM 기술에 근거한 시각 보조기에 주로 의존하는 청각 장애인을 위한 영어 모음 발음에 대한 시각 교습 방법을 제안하는데 있다. 귀로 듣기 어려운 소리로부터 SVM 기술을 사용하여 소리 특징을 추출함으로써, 각 모음의 입술 모양이 추출되었다. 모음에 대한 입술 모양의 세련미는 언어 학습자가 발음기의 움직임을 눈으로 쉽게 볼 수 있다는 점에서 유리하며, 청각 장애인을 위한 영어 모음을 학습하고 가르치는 데 유용할 것이다.

• 재활간호학회지
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• 제14권2호
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• pp.95-102
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• 2011

Purpose: The purpose of this study was to analyze intervention studies related to Snoezelen (multisensory environment). Methods: Studies related to Snoezelen (multisensory environment) published between 1995 and 2010 in both Korean and International journals were systematically reviewed, and analyzed following guidelines. Based on inclusion criteria, 23 studies including 5 Korean and 18 International articles were selected. Results: Most studies were conducted in various area of research such as medicine, nursing, and occupational therapy. There was no publication related to Snoezelen (multisensory environment) in Korean nursing journals. In terms of target population, more than 65 % of the study subjects were patients with dementia, mental retardation, and learning disability. Intervention was implemented mostly in less than 30 minutes, once a week for 2 to 4 weeks. The effects on behavior, physical, and psychological contexts were assessed as outcome indicators. There was more 'positive' than 'no effect' in self-stimulatory behaviors, problem behaviors, heart rate, pain, mood state, and anxiety, whereas more 'no effect' than 'positive' in blood pressure, respiration, enjoyment, and relaxation. Conclusion: Future studies are needed to develop the protocol and outcome indicators for effective use of this new intervention in Korea.

• PNF and Movement
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• 제1권1호
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• pp.27-32
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• 2003

Objectives : The purpose of this study was conducted to find change and development of the proprioceptive neuromuscular facilitation(PNF). Methods: This is a literature study with books, seminar and book for the international courses. Results: Combination of isotonic has been started by Mr and Mrs Johnson after Miss Knott passed away. It is that the terms of maximum resistance changed into optimal or appropriate resistance. It is focus on activities. Maximum resistance focus not only activities but also irradiation have to fit with normal functions. PNF has enough for the motor control concepts and international classification of functioning(ICF)of WHO. Conclusions: PNF has changed and developed with giving resistance method. It is that changed from maximal resistance to optimal resistance. But it is smaller concept than maximum resistance. Even though PNF founded 60 years ago, it is enough for new concepts that is motor control and learning.

• Physical Therapy Rehabilitation Science
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• 제11권2호
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• pp.224-234
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• 2022

Objective: The purpose of this study was to identify the practitioner and organizational characteristics that either detracted from or encouraged the use of evidence-based practice (EBP) by physical therapists. Design: A cross-sectional survey study Methods: Participants were 260 physical therapists currently practicing in South Korea. They completed a questionnaire designed to determine attitudes, beliefs, interest, self-efficacy and barriers to EBP, as well as demographic information about themselves and their practice settings. Logistic regression was used to examine relationships between socio-demographic and work environment characteristics and each practitioner factor. Results: Respondents agreed that the use of evidence in practice was necessary. Although 80% of them agreed that research findings are useful, 71% felt that a divide exists between research and practice. In terms of confidence in their skills, the ability to interpret results of statistical procedures ranked lowest. Despite internet access at work for 63% of respondents, only 14% were given protected work time to search and appraise the literature. Only 2% of respondents stated that their organization had a written requirement to use current evidence in their practice. The primary barrier to implementing EBP was a reported lack of time. Conclusions: In conclusion, most physical therapists stated they had a positive attitude toward EBP and were interested in learning or improving the skills necessary for implementation. Most recognized a need to increase the use of evidence in their daily practice, but a lack of ability to understand the results of research represents a significant barrier to implementing EBP.

• The Journal of Korean Physical Therapy
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• 제22권5호
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• pp.103-108
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• 2010

Purpose: The aim of this study is to investigate whether motor cortex excitability by transcranial direct current stimulation (tDCS) over primary motor cortex (M1) affects motor performance of serial reaction task. Methods: Cathodal, anodal and sham tDCS (1 mA) are applied over right M1 of 24 subjects for 30 minutes including 11minutes for task period time. We applied two electrodes at the same position to both an experimental group and a sham-controlled group, and we made 2 groups recognize to be applicated of stimulation. Flexion, extension of wrist and thumb flexion are carried out following colors of arrows on the monitor. Serial reaction time task was applied to confirm the difference of the reaction time between 2 groups. Results: Reaction time is decreased in both tDCS-group and Sham-controlled tDCS group, and the degree of reduction is much greater in the post-test than pre-test. Reduction of reaction time between groupsis statistically significant. Conclusion: We consider that anodal tDCS increased the cortical excitability of the underlying motor cortex and it can be helpful to modulate motor performance. It seems that tDCS is an effective modality to modulate brain function, and it will be great help to mediate strategy for the brain injury patients.

• 한국전문물리치료학회지
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• 제9권3호
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• pp.67-76
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• 2002

We report the reorganization of motor network resulted from intensive unilateral coordination training and the effect of cross education on the untrained side in patient with traumatic brain injury using functional magnetic resonance imaging (fMRI). A 22 year-old male patient who had suffered from diffuse axonal injury for 58 months showed coordination deficit in the left hand at initial examination. Intensive motor training including complex finger movements and coordination activities using a metronome was introduced to the patient 4 hours per day for a week. FMRI was performed on a 3T ISOL Forte scanner. All functional images were analyzed using SPM-99 software. Hand function was improved after training not only in the trained left hand, but also in the untrained right hand. There was no activation in the right primary motor area (M1) during left hand movement before training whereas robust activation of left M1 was demonstrated by the right hand movement. Profuse activation of bilateral prefrontal lobes was seen during both hand movements before training. After training of left hand, right M1 became prominently activated during the left hand motion. The activation of bilateral prefrontal lobes disappeared after training not only for the left hand movement but also for the right, which clearly demonstrated the effect of cross education. This case report demonstrated the learning-dependent reorganization of the M1 and the effect of cross education.

• 재활치료과학
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• 제7권1호
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• pp.51-62
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• 2018

목적 : 본 연구의 목적은 오차배제학습과 시간차회상을 이용한 작업기반 훈련이 경도 혈관성 치매환자의 과제학습과 만족도에 미치는 영향을 알아보기 위함이다. 연구방법 : 치매 진단을 받은 경도 인지 수준의 환자 3명을 대상으로 ABA' + follow-up 설계를 사용하였다. 중재기간동안 오차배제학습과 시간차회상을 이용한 작업기반훈련을 적용하였으며, 매회기마다 과제학습 정도를 측정하였고, 중재 전과 후에 만족도의 변화를 알아보았다. 결과분석은 그래프를 통한 시각적 분석과 막대그래프를 통해 제시하였다. 결과 : 오차배제학습과 시간차회상을 이용한 작업기반 훈련 후 모든 대상자의 과제수행 능력이 향상되었으며, 중재 후 만족도 또한 향상되었다. 결론 : 본 연구는 초기 혈관성 치매환자에게 오차배제학습과 시간차회상을 이용한 작업기반 훈련이 과제학습과 만족도를 향상시키는데 효과가 있다는 것을 확인하였고, 임상적 적용을 위한 근거를 제공했다는 것에 의의가 있다.