• 제목/요약/키워드: Learning rehabilitation

검색결과 209건 처리시간 0.025초

보강적 피드백의 형태가 편마비 성인의 운동학습에 미치는 영향 (The effect of augmented feedback type on motor learning for hemiplegic adults)

  • 조혁신;정왕모
    • PNF and Movement
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    • 제9권1호
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    • pp.11-19
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    • 2011
  • The purpose of this study was to investigate whether it makes difference to use of the Augmented Feedback Type(Verbal Feedback, VTR Feedback and Verbal & VTR Feedback) to hemiplegic adults on learning of motor skill. For the purpose 15 hemiplegic adults who are received rehabilitation program at H hospital in Hong-Sung, Choong-Nam Province. Subjects were classified into three groups by random assignment; the Verbal Feedback group, the VTR Feedback group and Verbal & VTR Feedback group. Each groups received 5 subjects from hemiplegic adults. Subjects were tested by Timed Up and Go test for 9 weeks. And to find out the improvement measured by Pre-Test, Acquisition Test and Retention Test. To find out the improvement of each group's measures took average and standard deviation. To probate the significance of difference between the improvement conducted the one-way ANOVA and to probate the significance of difference of Acquisition Test and Retention test conducted paired t-test. The results of this study were as follows; First, All of Augmented Feedback Types had a positive effect on hemiplegic adults to learning of motor skill. Second, The Verbal Feedback group and the VTR Feedback group had no significantly difference at Acquisition Test, But They had the most improvement at Retention Test. Third, In hemiplegic adults, the Verbal & VTR Feedback group had the highest Retention Effect.

머신러닝을 활용한 뇌졸중 환자의 기능적 결과 예측: 체계적 고찰 (Predicting Functional Outcomes of Patients With Stroke Using Machine Learning: A Systematic Review)

  • 배수영;;남상훈;홍익표
    • 재활치료과학
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    • 제11권4호
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    • pp.23-39
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    • 2022
  • 목적 : 본 연구는 뇌졸중 환자의 기능적 결과를 예측하기 위한 인구통계학적 및 임상학적 특징과 머신러닝의 사용을 체계적으로 분석하고 요약하기 위해 수행되었다. 연구방법 : PubMed, CINAHL과 Web of Science를 사용하여 2010년부터 2021년 사이에 게재된 연구를 검색하였다. 주요 검색어는 "machine learning OR data mining AND stroke AND function OR prediction OR/AND rehabilitation"을 사용하였다. 뇌 이미지 처리 기법만을 분석한 연구, 딥러닝만 적용한 연구와 전체 본문을 열람할 수 없는 연구는 제외되었다. 결과 : 검색한 결과, 총 9편의 국내외 논문을 선정했다. 선정된 논문에서 가장 많이 사용된 머신러닝 알고리즘은 서포트 벡터 머신(support vector machine, 19.05%)과 랜덤포레스트(random forest, 19.05%)였다. 9개 중 7개의 연구에서 뇌졸중 환자의 기능을 예측하기 위해 중요하다고 추출된 변수를 결과로 제시했다. 그 결과, 5개(55.56%)의 연구에서 뇌졸중 환자의 기능을 예측하기 위해 환자의 임상적 특성이 아닌 modified ranking scale (mRS) 및 functional independence measure (FIM)과 같은 초기 또는 퇴원 평가 점수가 중요하다고 도출되었다. 결론 : 이 연구는 mRS 및 FIM과 같은 뇌졸중 환자의 초기 또는 퇴원 평가 점수가 임상적 특성보다 기능적 결과에 더 많은 영향을 미칠 수 있음을 나타냈다. 따라서, 뇌졸중 환자의 기능적 결과를 향상시키기 위한 최적의 중재를 개발하고 적용하기 위해서는 뇌졸중 환자의 초기 및 퇴원 시 기능적 결과를 평가하고 검토하는 것이 필요하다.

결과에 대한 지식의 상대적 빈도와 지연간격 유형이 운동학습에 미치는 영향 비교 (A Study Comparing the Effects of Types of Relative Frequency and Delay Internal of Knowledge of Results on Motor Learning)

  • 김대균;차승규;김범규;안수경;김종만
    • 한국전문물리치료학회지
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    • 제4권1호
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    • pp.48-62
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    • 1997
  • Several studies have evaluated the effects of types of relative frequency and delay interval of knowledge of results(KR) on motor skill learning independently. The purpose of this study was to determine more effective types of KR relative frequency and KR delay interval for motor learning. Forty-six healthy subjects (15 female, 31 male) with no previous experience with this experiment participated. The subjects ranged in age from 20 to 29 years (mean=23.9, SD=0.474). All subjects were assigned to one of four groups: a high-instant group, a high-delay group, a low-instant group, and a low-delay group. During the acquisition phase, subjects practiced movements to a target (400 mm) with either a high (83%) or low (33%) KR relative frequency, and with either an instantaneous or delayed (after 8s) KR. Four groups were evaluated on retention (after 3min and 24hr) and transfer (450 mm) tests. The major findings were as follows: (1) there were no between-group differences in acquisition and short-term retention (p>0.05, (2) a low (33%) KR relative frequency during practice was as effective for learning as measured by both long-tenn retention and transfer tests, compared with high (83%) KR practice conditions (p<0.05), (3) delayed (8s) KR enhanced learning as measured by both long-term retention and transfer tests, compared with instantaneous KR practice conditions (p<0.05), and (4) there were no interactions between KR relative frequency and KR delay interval during acquisition, retention, and transfer phases. The results suggest that relatively less frequent and delayed KR are more effective types for motor learning than more frequent and instantaneous KR.

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Latest Information Technologies in the UK Adults Education System

  • Tverezovska, Nina;Bilyk, Ruslana;Rozman, Iryna;Semerenko, Zhanna;Orlova, Nataliya;Vytrykhovska, Oksana;Oros, Ildiko
    • International Journal of Computer Science & Network Security
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    • 제22권8호
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    • pp.25-34
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    • 2022
  • Today, further education of adults in the UK is one of the developing areas of continuing education. The Open University with distance learning, in the process of which innovative forms and methods based on computer and telecommunication technologies are used, is particularly successful in the organization of additional education of the adult population. The advantages of distance learning, multimedia - the latest information technologies, which provide the combination of graphic images, video, sound with the help of modern computer tools, are noted. The basic principles and forms underlying the technologies and forms of work with the elderly are defined. The international experience of implementing "Universities of the Third Age" is summarized. The most widespread approach in adult education in Great Britain is informational. The use of computer technologies motivates a new paradigm in educational methods and strategies, which requires new approaches, forms of learning, and innovative ways of delivering educational materials to adult learners. Information technologies have gained great popularity in such activities as distance learning, online learning, assistance in the education management system, development of programs and virtual textbooks in various subjects, online search for information for the educational process, computer testing of students' knowledge, creation of electronic libraries, formation of a single scientific electronic environment, publication of virtual magazines and newspapers on pedagogical topics, teleconferences, expansion of international cooperation in the field of Internet education. The information technology of synchronous distance learning "online" has gained considerable popularity in the educational process today. A promising direction is the use of multimedia technologies in educational activities to create a design of a virtual computer environment by decoding audiovisual information.

Prediction Model for unfavorable Outcome in Spontaneous Intracerebral Hemorrhage Based on Machine Learning

  • Shengli Li;Jianan Zhang;Xiaoqun Hou;Yongyi Wang;Tong Li;Zhiming Xu;Feng Chen;Yong Zhou;Weimin Wang;Mingxing Liu
    • Journal of Korean Neurosurgical Society
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    • 제67권1호
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    • pp.94-102
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    • 2024
  • Objective : The spontaneous intracerebral hemorrhage (ICH) remains a significant cause of mortality and morbidity throughout the world. The purpose of this retrospective study is to develop multiple models for predicting ICH outcomes using machine learning (ML). Methods : Between January 2014 and October 2021, we included ICH patients identified by computed tomography or magnetic resonance imaging and treated with surgery. At the 6-month check-up, outcomes were assessed using the modified Rankin Scale. In this study, four ML models, including Support Vector Machine (SVM), Decision Tree C5.0, Artificial Neural Network, Logistic Regression were used to build ICH prediction models. In order to evaluate the reliability and the ML models, we calculated the area under the receiver operating characteristic curve (AUC), specificity, sensitivity, accuracy, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR). Results : We identified 71 patients who had favorable outcomes and 156 who had unfavorable outcomes. The results showed that the SVM model achieved the best comprehensive prediction efficiency. For the SVM model, the AUC, accuracy, specificity, sensitivity, PLR, NLR, and DOR were 0.91, 0.92, 0.92, 0.93, 11.63, 0.076, and 153.03, respectively. For the SVM model, we found the importance value of time to operating room (TOR) was higher significantly than other variables. Conclusion : The analysis of clinical reliability showed that the SVM model achieved the best comprehensive prediction efficiency and the importance value of TOR was higher significantly than other variables.

Effects of Prenatal Cnidium officinale Makino Treatment on Spatial Memory and Neurogenesis in the Hippocampus of Rat Pups Born from Maternal Rats Exposed to Noise Stress during Pregnancy

  • Song, Yun-Kyung;Lim, Hyung-Ho;Hong, Seo-Young
    • 대한한의학회지
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    • 제27권4호
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    • pp.125-134
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    • 2006
  • During the prenatal period, the development of the individual is influenced by a host of environmental factors. Exposure to noise stress during pregnancy was determined to result in the retardation of growth, a reduction in neurogenesis, and an impairment of spatial learning ability in the rat pups. In the present study, we have attempted to characterize the effects of prenatal treatment with Cnidium officinale Makino on spatial memory and neurogenesis in the hippocampus of rat pups born from maternal rats exposed to noise stress during pregnancy. Prenatal treatment with Cnidium officinale Makino was shown to increase neurogenesis and enhanced spatial learning ability in rat pups born from maternal rats exposed to noise stress. In this study, we have determined that prenatal treatment with Cnidium officinale Makino can stimulate spatial development and neurogenesis in the brain of the fetuses exposed to prenatal stresses.

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뇌졸중 재활에 있어서 운동심상의 치료적 접근 (Therapeutic Approach of Motor Imagery in Stroke Rehabilitation)

  • 김식현
    • PNF and Movement
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    • 제13권2호
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    • pp.55-72
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    • 2015
  • Purpose: The purpose of this study was to propose a new therapy algorithm that combines motor imagery and physiotherapy as a physiotherapeutic clinical intervention technique that can stimulate the recovery of damaged physical function for patients with stroke. Methods: A variety of scientific research results related to motor imagery were reviewed and analyzed to investigate their applicability to physiotherapy in clinics. Results: As a new therapy algorithm for the therapeutic approach of motor imagery in stroke rehabilitation, a therapy algorithm that combines motor imagery with physiotherapy is proposed, which consists of three stages or steps: STEP 1 motor imagery familiarization, STEP 2 explicit learning stage, and STEP 3 implicit learning. Conclusion: The new therapy algorithm proposed in this study is expected to be a very useful clinical therapeutic approach for stimulating the recovery of damaged physical function in patients with stroke. It is believed that it will be necessary to confirm and standardize the effects of the therapeutic algorithm proposed in this study in the future by conducting diverse clinical studies.

정신 연습의 기전과 적용 방법 (Mechanism and Application Methodology of Mental Practice)

  • 김종순;이근희;배성수
    • The Journal of Korean Physical Therapy
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    • 제15권2호
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    • pp.75-84
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    • 2003
  • The purpose of this study was to review of mechanism and application methodology about mental practice. The mental practice is symbolic rehearsal of physical activity in the absence of any gross muscular movements. Human have the ability to generate mental correlates of perceptual and motor events without any triggering external stimulus, a function known as imagery, Practice produces both internal and external sensory consequences which are thought to be essential for learning to occur, It is for this reason that mental practice, rehearsal of skill in imagination rather than by overt physical activity, has intrigued theorists, especially those interested in cognitive process. Several studies in sport psychology have shown that mental practice can be effective in optimizing the execution of movements in athletes and help novice learner in the incremental acquisition of new skilled behaviors. There are many theories of mental practice for explaining the positive effect In skill learning and performance. Most tenable theories are symbolic learning theory, psyconeuromuscular theory, Paivio's theory, regional cerebral blood flow theory, motivation theory, modeling theory, mental and muscle movement nodes theory, insight theory, selective attention theory, and attention-arousal set theory etc.. The factors for influencing to effects of mental practice are application form, application period, time for length of the mental practice, number of repetition, existence of physical practice.

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Comparison of Random and Blocked Practice during Performance of the Stop Signal Task

  • Kwon, Jung-Won;Nam, Seok-Hyun;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • 제23권3호
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    • pp.65-70
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    • 2011
  • Purpose: We investigated the changes in the stop-signal reaction time (SSRT) and the no-signal reaction time (NSRT) following motor sequential learning in the stop-signal task (SST). This study also determined which of the reduction0s of spatial processing time was better between blocked- and random-SST. Methods: Thirty right-handed healthy subjects without a history of neurological dysfunction were recruited. In all subjects, both the SSRT and the NSRT were measured for the SST. Tasks were classified into two categories based on the stop-signal patterns, the blocked-SST practice group and random-SST practice group. All subjects gave written informed consent. Results: In the blocked-SST group, both the SSRT and the NSRT was significantly decreased (p<0.05) but not significantly changed in the random-SST group. In the SSRT and the NSRT, the blocked-SST group was faster than the random-SST group (p<0.05). In the post-test SST after practice of each group, the SSRT was significantly decreased in the random-SST group (p<0.05), but the NSRT showed no significant changes in either group. Conclusion: These findings demonstrate that random-SST practice resulted in a decrease in internal processing times needed for a rapid stop to visual signals, indicating motor skill learning is acquired through improved response selection and inhibition.

A VR-based pseudo weight algorithm using machine learning

  • Park, Sung-Jun
    • 한국컴퓨터정보학회논문지
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    • 제26권10호
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    • pp.53-59
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    • 2021
  • 본 논문에서는 어떠한 장치를 착용하지 않고 덤벨의 무게감을 인지하여 덤벨 운동을 할 수 있는 시스템을 제안한다. 가상현실 기술이 발전하면서 가상세계에서 현실 세계의 물리적 피드백을 시뮬레이션 하는 연구가 많이 진행하고 있다. 노인들에게 있어 재활 운동은 정확한 모션 인식이 중요하다. 또한, 노인들은 무거운 덤벨을 들 수가 없다. 본 논문에서는 재활 운동을 위해 실시간으로 입력되는 동작 데이터를 머신러닝을 활용하여 정확성을 판별하였다. 실험으로서 한손 덤벨 운동, 양손 덤벨 운동, 어깨 덤벨 운동 3가지를 실험하였으며, 재활 운동이 정확히 이루어지는가에 대해 실험하였다. 가장 안정적인 운동은 양손을 활용한 덤벨 운동이었으며 가장 적은 오차율을 나타내었다. 마지막으로, 가상에서 실제 적용하기 위해 가상 체육관 콘텐츠를 개발하였다.