• 제목/요약/키워드: Learning rehabilitation

검색결과 209건 처리시간 0.026초

Effects of internal focus and external focus of attention on postural balance in school-aged children

  • Shin, Hwa Kyung;Kim, Ryu-Min;Lee, Jae-Moon
    • Physical Therapy Rehabilitation Science
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    • 제8권3호
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    • pp.158-161
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    • 2019
  • Objective: Attentional focus is one of the critical factors that has consistently been demonstrated to enhance motor performance and motor skill. Focusing attention on the inside of the body while engaging in a particular exercise is called internal focus (IF) and focus on the external environment is called external focus (EF). The purpose of this study was to identify effects of IF and EF of attention on postural balance in healthy school-aged children. Design: Cross-sectional study. Methods: Twenty-four healthy school-aged children participated in this study. School-aged children was defined as children ages 8-12 years old. They performed the one-legged standing with EF (focusing on the marker at the level of participants' chest and 150 cm away), IF (focusing the supporting feet), and control (no instruction) respectively. The order of the focus condition was randomly selected. The center of pressure (COP) range, distance, and velocity was measured to compare the effects of applying different attentional focuses in the three conditions. Results: The results of our study show that differences in COP range, distance, and velocity among groups were not significant between the different attentional focuses, although all variables of EF were smaller than IF. It is postulated that the reason for this may be that school school-aged children between 8-12 years old go through a transitional phase from IF to EF in effective motor learning. Conclusions: These findings reveal that the type of attentional focus did not have any effect on postural balance in healthy school-aged children.

디지털 가이드 수술의 이해와 임상적 적용 (Need-to-knows about Digital Implant Surgery)

  • 백장현;권긍록;김형섭;배아란;노관태;홍성진;이현종
    • 대한치과의사협회지
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    • 제56권11호
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    • pp.631-640
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    • 2018
  • Nowadays computer-guided "flapless" surgery for implant placement using templates is gaining popularity among clinicians and patients. The advantages of this surgical protocol are its minimally invasive nature, accuracy of implant placement, predictability, less post-surgical discomfort and reduced time required for definitive rehabilitation. Aim of this study is to describe the digital implant protocol, thanks to which is now possible to do a mini-invasive static guided implant surgery. This is possible thanks to a procedure named surface mapping based on the matching between numerous points on the surface of patient's dental casts and the corresponding anatomical surface points in the CBCT data. With some critical points and needing an adequate learning curve, this protocol allows to select the ideal implant position in depth, inclination and mesio-distal distance between natural teeth and or other implants enabling a very safe and predictable rehabilitation compared with conventional surgery. It represents a good tool for the best compromise between anatomy, function and aesthetic, able to guarantee better results in all clinical situations.

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A Comparative Study of Predictive Factors for Passing the National Physical Therapy Examination using Logistic Regression Analysis and Decision Tree Analysis

  • Kim, So Hyun;Cho, Sung Hyoun
    • Physical Therapy Rehabilitation Science
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    • 제11권3호
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    • pp.285-295
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    • 2022
  • Objective: The purpose of this study is to use logistic regression and decision tree analysis to identify the factors that affect the success or failurein the national physical therapy examination; and to build and compare predictive models. Design: Secondary data analysis study Methods: We analyzed 76,727 subjects from the physical therapy national examination data provided by the Korea Health Personnel Licensing Examination Institute. The target variable was pass or fail, and the input variables were gender, age, graduation status, and examination area. Frequency analysis, chi-square test, binary logistic regression, and decision tree analysis were performed on the data. Results: In the logistic regression analysis, subjects in their 20s (Odds ratio, OR=1, reference), expected to graduate (OR=13.616, p<0.001) and from the examination area of Jeju-do (OR=3.135, p<0.001), had a high probability of passing. In the decision tree, the predictive factors for passing result had the greatest influence in the order of graduation status (x2=12366.843, p<0.001) and examination area (x2=312.446, p<0.001). Logistic regression analysis showed a specificity of 39.6% and sensitivity of 95.5%; while decision tree analysis showed a specificity of 45.8% and sensitivity of 94.7%. In classification accuracy, logistic regression and decision tree analysis showed 87.6% and 88.0% prediction, respectively. Conclusions: Both logistic regression and decision tree analysis were adequate to explain the predictive model. Additionally, whether actual test takers passed the national physical therapy examination could be determined, by applying the constructed prediction model and prediction rate.

A Comparative Study of Predictive Factors for Hypertension using Logistic Regression Analysis and Decision Tree Analysis

  • SoHyun Kim;SungHyoun Cho
    • Physical Therapy Rehabilitation Science
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    • 제12권2호
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    • pp.80-91
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    • 2023
  • Objective: The purpose of this study is to identify factors that affect the incidence of hypertension using logistic regression and decision tree analysis, and to build and compare predictive models. Design: Secondary data analysis study Methods: We analyzed 9,859 subjects from the Korean health panel annual 2019 data provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service. Frequency analysis, chi-square test, binary logistic regression, and decision tree analysis were performed on the data. Results: In logistic regression analysis, those who were 60 years of age or older (Odds ratio, OR=68.801, p<0.001), those who were divorced/widowhood/separated (OR=1.377, p<0.001), those who graduated from middle school or younger (OR=1, reference), those who did not walk at all (OR=1, reference), those who were obese (OR=5.109, p<0.001), and those who had poor subjective health status (OR=2.163, p<0.001) were more likely to develop hypertension. In the decision tree, those over 60 years of age, overweight or obese, and those who graduated from middle school or younger had the highest probability of developing hypertension at 83.3%. Logistic regression analysis showed a specificity of 85.3% and sensitivity of 47.9%; while decision tree analysis showed a specificity of 81.9% and sensitivity of 52.9%. In classification accuracy, logistic regression and decision tree analysis showed 73.6% and 72.6% prediction, respectively. Conclusions: Both logistic regression and decision tree analysis were adequate to explain the predictive model. It is thought that both analysis methods can be used as useful data for constructing a predictive model for hypertension.

관성센서를 이용한 버그균형검사 점수 분류 연구 (Berg Balance Scale Score Classification Study Using Inertial Sensor)

  • 홍상표;김연욱;조우형;좌경림;정한영;김규성;이상민
    • 재활복지공학회논문지
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    • 제11권1호
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    • pp.53-62
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    • 2017
  • 본 논문에서는 균형평가도구 중 임상에서 가장 많이 사용되는 BBS(Berg Balance Scale)를 머신러닝 기법을 이용하여 점수 분류 정확도를 제시한다. 데이터취득은 Noraxon 시스템을 이용하여, 신체 8군데(왼쪽 오른쪽 발목, 왼쪽 오른쪽 엉덩이 위, 왼쪽 오른쪽 손목, 등(Back), 이마)에 관성센서를 부착하였다. 관성센서의 3축 가속도데이터를 기반으로 특징벡터 STFT(Short Time Fourier Transform), SAM(Signal Area Magnitude)를 추출하였다. 그 다음, BBS의 항목을 동작특성에 따라 정적인 동작(static movement)과 동적인 동작(dynamic movement)으로 나누었고, BBS의 각 항목에 대하여 점수에 영향이 있는 센서부착위치에 따라 특징벡터를 선별하였다. BBS의 항목마다 선별된 특징벡터는 GMM(Gaussian Mixture Model)을 이용하여 분류하였다. 실험대상자 40명에 대한 정확도 산출결과, 1번순으로 차례대로 55.5%, 72.2%, 87.5%, 50%, 35.1%, 62.5%, 43.3%, 58.6%, 60.7%, 33.3%, 44.8%, 89.2%, 51.8%, 85.1%의 분류 정확도를 확인하였다.

EEG 신호 및 사물인터넷 기반 실내 환경 제어 시스템 (Indoor Environment Control System based EEG Signal and Internet of Things)

  • 정해성;이상민;권장우
    • 재활복지공학회논문지
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    • 제11권1호
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    • pp.45-52
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    • 2017
  • EEG 신호는 신체적으로 불편함을 가지고 있는 사용자에게서도 동일하게 발생되는 신호로써 차세대 인터페이스로 각광받고 있다. 본 논문에서는 사용자의 EEG 신호를 이용하여 감성적인 정보처리와 논리적인 정보처리를 보조하는 실내 환경을 제어하는 사물인터넷 시스템을 제안한다. 제안된 시스템은 EEG 측정 장치, EEG 시뮬레이션 소프트웨어, 실내 환경 제어 장치로 구성된다. 실험 데이터로는 편안한 상태에서 발생되는 감성적인 정보처리에 대한 EEG 신호 데이터와 집중 시에 발생되는 논리적인 정보처리에 대한 EEG 신호 데이터를 사용한다. 측정된 신호에서는 ICA 알고리즘이 적용하여 잡음이 제거되고 베타파만을 추출한다. 이후 SVM을 통한 학습 및 테스트 과정을 거치게 된다. 피험자는 EEG 시뮬레이션 소프트웨어를 통해 EEG 신호 정확도 향상 훈련을 거친 결과 평균 82.69%의 정확도를 보였다. EEG 측정 장치로부터 입력되는 EEG 신호는 Serial 통신을 통해 EEG 시뮬레이션 소프트웨어로 전송되며 감성적인 정보처리와 논리적인 정보처리를 분류하여 제어 명령이 생성된다. 이후 생성된 제어 명령은 Zigbee 통신을 통해 실내 환경 제어 장치로 전달되어 감성적인 정보처리일 경우 은은한 조명과 클래식 음악이 출력되고 논리적인 정보처리일 경우 밝은 조명과 함께 학습용 백색소음이 출력된다. 제안한 시스템은 BCI 기반 소프트웨어 및 디바이스 제어에 응용될 수 있어 몸이 불편한 사용자가 자신의 신체적인 한계를 극복하는 것을 가능하게 한다.

복합운동훈련이 신생 흰쥐의 알코올성 소뇌손상 후 운동기능 및 신경연접가소성에 미치는 영향 (The Effects of Complex Motor Training on Motor Function and Synaptic Plasticity After Neonatal Binge-like Alcohol Exposure in Rats)

  • 이선민;구현모;권혁철
    • 한국전문물리치료학회지
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    • 제12권3호
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    • pp.56-66
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    • 2005
  • The purposes of this study were to test that complex motor training enhance motor function significantly, to test change in cerebellum, and to test the synaptic plasticity into the immunohistochemistry response of synaptophysin. Using an animal model of fetal alcohol syndrome - which equates peak blood alcohol concentrations across developmental period - the effects of alcohol on body weight during periods were examined. The effect of complex motor training on motor function and synaptic plasticity of rat exposed alcohol on postnatal days 4 through 10 were studied. Newborn rats were assigned to one of two groups: (1) normal group (NG), via artificial rearing to milk formula and (2) alcohol groups (AG), via 4.5 g/kg/day of ethanol in a milk solution. After completion of the treatments, the pups were fostered back to lactating dams, where they were raised in standard cages (two-and three animals per cage) until they were postnatal 48 days. Rats from alcohol group of postnatal treatment then spent 10 days in one of two groups: Alcohol-experimental group was had got complex motor training (learning traverse a set of 6 elevated obstacles) for 4 weeks. The alcohol-control group was not trained. Before consider replacing with "the experiment/study", (avoid using "got" in writing) the rats were examined during four behavioral tests and their body weights were measured, then their coronal sections were processed in rabbit polyclonal antibody synaptophysin. The synaptophysin expression in the cerebellar cortex was investigated using a light microscope. The results of this study were as follows: 1. The alcohol groups contained significantly higher alcohol concentrations than the normal group. 2. The alcohol groups had significantly lower body weights than the normal group. 3. In alcohol groups performed significantly lower than the normal group on the motor behavioral test. 4. In alcohol-control group showed significantly decreased immunohistochemistric response of the synaptophysin in the cerebellar cortex compared to the nomal group. These results suggest that improved motor function induced by complex motor training after postnatal exposure is associated with dynamically altered expression of synaptophysin in cerebellar cortex and that is related with synaptic plasticity. Also, these data can potentially serve as a model for therapeutic intervention.

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뇌 과학적 관점에서 본 심리운동 기전에 대한 문헌고찰 (A Review of Literature on the Mechanism of Psychomotorik from Brain Science Perspective)

  • 김성운;김우철;김한철
    • 디지털융복합연구
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    • 제15권11호
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    • pp.591-601
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    • 2017
  • 본 연구의 목적은 심리운동과 뇌 기능간의 관계와 관련된 국내외 문헌들을 고찰하여 심리운동의 기전을 뇌 과학적 관점에서 규명하여 아동 치료 영역에서 활동하고 있는 교사, 치료사 및 아동 부모들에게 뇌 생리적 관점에서 심리운동의 기전에 대한 이해를 높일 수 있는 기초자료를 제공하는데 있다. 뇌 과학 관점에서 본 심리운동의 기전과 관련된 국내외 문헌들을 고찰하여 심리운동의 움직임을 통해 생애초기의 긍정적인 학습 환경과 다양한 신체경험은 뇌 생리적 관점에서 매우 중요하며, 아동이 움직이면 움직일수록 학습은 더욱더 증진되고, 건강한 정서조절 능력이 함양되어 뇌를 최적화 시킬 수 있는 가능성이 증가한다는 것을 알 수 있었다. 따라서 심리운동의 기전을 뇌 과학적 접근을 통해 알아본 본 연구는 심리운동의 움직임과 뇌 기능간의 관계를 이해하는데 매우 중요한 기초정보를 제공했다고 판단된다. 특히 아동이 움직이면 움직일수록 학습은 더욱더 증진되고, 건강한 정서조절 능력이 함양되어 뇌를 최적화 시킬 수 있다는 가능성을 교사, 치료사 및 부모를 이해시키는 것은 향후 우리 아이들을 잘 교육하기 위해 매우 필요한 과정이라고 판단된다. 물론 지금까지는 심리운동 기전과 뇌 기능에 관한 연구가 많이 부족했지만 본 연구를 통해 조금이나마 더 많은 사람들이 심리운동에 대한 이해의 폭을 넓히는 계기가 되기를 희망한다.

New Approaches to Quality Monitoring of Higher Education in the Process of Distance Learning

  • Oseredchuk, Olga;Drachuk, Ihor;Teslenko, Valentyn;Ushnevych, Solomiia;Dushechkina, Nataliia;Kubitskyi, Serhii;Сhychuk, Antonina
    • International Journal of Computer Science & Network Security
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    • 제22권7호
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    • pp.35-42
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    • 2022
  • The article identifies the problem of monitoring the quality of higher education in three main areas, which are comparative pedagogical systems of education. The first direction is determined by dissertation works, the second - monographs and textbooks, and the third reveals scientific periodicals. According to its internal structure, monitoring the quality of education combines important management components identified in the article (analysis, evaluation and forecasting of processes in education; a set of methods for tracking processes in education; collecting and processing information to prepare recommendations for research processes and make necessary adjustments). Depending on the objectives, three areas of monitoring are identified: informational (involves the accumulation, structuring and dissemination of information), basic (aimed at identifying new problems and threats before they are realized at the management level), problematic (clarification of patterns, processes, hazards, those problems that are known and significant from the point of view of management). According to its internal structure, monitoring the quality of education combines the following important management components: analysis, evaluation and forecasting of processes in education; a set of techniques for tracking processes in education; collection and processing of information in order to prepare recommendations for the development of the studied processes and make the necessary adjustments. One of the priorities of the higher education modernization program during the COVID-19 pandemic is distance learning, which is possible due to the existence of information and educational technologies and communication systems, especially for effective education and its monitoring in higher education. The conditions under which the effectiveness of pedagogical support of monitoring activities in the process of distance learning is achieved are highlighted. According to the results of the survey, the problems faced by higher education seekers are revealed. A survey of students was conducted, which had a certain level of subjectivity in personal assessments, but the sample was quite representative.

Role of Attentional Focus in Balance Training: Effects on Ankle Kinematics in Patients with Chronic Ankle Instability during Walking - A Double-Blinded Randomized Control Trial

  • Hyun Sik Chang;Hyung Gyu Jeon;Tae Kyu Kang;Kyeongtak Song;Sae Yong Lee
    • 한국운동역학회지
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    • 제33권2호
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    • pp.62-72
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    • 2023
  • Objective: Although balance training has been used as an effective ankle injury rehabilitation program to restore neuromuscular deficits in patients with chronic ankle instability, it is not effectively used in terms of motor learning. Attentional focusing can be an effective method for improving ankle kinematics to prevent recurrent ankle injuries. This study aimed to 1) evaluate the effects of attentional focus, including internal and external focus, and 2) determine a more effective focusing method for patients with chronic ankle instability to learn balance tasks. Method: Twenty-four patients with chronic ankle instability were randomly assigned to three groups (external focus, internal focus, and no feedback) and underwent four weeks of progressive balance training. The three-dimensional ankle kinematics of each patient were measured before and after training as the main outcomes. Ensemble curve analysis, discrete point analysis, and post hoc pairwise comparisons were performed to identify interactions between groups and time. Results: The results showed that (1) the external focus group was more dorsiflexed and everted than the internal focus group; (2) the external focus group was more dorsiflexed than the no feedback group; and (3) the no feedback group was more dorsiflexed than the internal focus group. Conclusion: Because dorsiflexion and eversion are ankle motions that oppose the mechanism of lateral ankle sprain, using the external focus method during balance training may be more effective in modifying these motions, thereby reducing the risk of ankle sprain.