• 제목/요약/키워드: Motor task

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The Effect of Ankle Balance Dual Task Including Motor Training on Static Balance and Dynamic Balance in the Elderly

  • Park, Seoung-Uk;Cho, Yong-Ho;Hwang, Yoon-Tae
    • 대한물리의학회지
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    • 제12권3호
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    • pp.105-109
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    • 2017
  • PURPOSE: The purpose of this study was to investigate the effect of ankle dual task including motor training on the static balance, dynamic balance in the elderly. METHODS: 30 elderly people were randomly divided into 3 groups: 10 people in the single motor task group, 10 people in the double motor dual task group and 10 people in the motor-cognitive dual task group. In the double motor dual tasks group was performed ankle balance motor task additional motor task. Motor-cognitive dual task group was performed ankle balance motor task additional cognitive task. Single motor task group was performed ankle balance motor task. It was performed three times intervention a week for six weeks. Statistical analysis method was performed using one way ANOVA for comparison between groups, and the paired t-test was used for comparison pre and post intervention. RESULTS: Static and dynamic balance were significant differences between pre and post intervention by three groups (p<.05). In static balance, there was a significant difference among groups (p<.05), but there was not a significant difference between groups in dynamic balance (p>.05). CONCLUSION: The results of the research, the ankle balance dual task including motor or cognitive task was more effective than single motor task on static balance in the elderly.

이중 과제유형에 따른 순환 과제훈련이 만성뇌졸중 환자의 보행수행 능력에 미치는 영향 (The Effects of Task-Related Circuit Training by Type of Dual Task on the Gait of Chronic Stroke Patients)

  • 김현애;서교철
    • 대한물리의학회지
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    • 제8권3호
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    • pp.407-415
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    • 2013
  • PURPOSE: This study is to examine the effects of different types of tasks on gait functions of chronic stroke patients when different types of dual tasks were applied while the patients were implementing practical and continuous circuit tasks using their upper and lower extremities circulating many workbenches. METHODS: Forty-four chronic stroke patients were divided into a dual motor circuit task training group, a dual cognitive circuit task training group and a simple task training group. Before training, all the patients were identically encouraged to receive conservative physical therapy for 30 minutes by a physical therapist were thereafter made to train for 30 minutes, five times a week for a total of eight weeks with individual additional tasks. The dual motor circuit task training consisted of continuous circuit training motor tasks and additional motor tasks and the dual cognitive circuit task training consisted of tasks combining the same circuit training motor tasks and additional cognitive tasks. The simple task training consisted of natural walks on a flat terrain to the front, rear and lateral sides of the terrain. Changes in functional gait abilities made through the training were evaluated using GAITRite. SPSS Win 12.0 was used for the data analysis. RESULTS: As for the gait variables that showed significant differences in comparison between the groups over the training period, the dual motor circuit task training group showed more significant differences than the dual cognitive circuit task training group and the simple task training group at 4 weeks and 8 weeks of training(p<.05). CONCLUSION: Therefore, it could be seen that the practical and continuous dual circuit task training was more effective than simple task training on gait. In comparison between the types of dual tasks, the dual motor circuit task training group showed more effects than the dual cognitive circuit task training group.

과제유형에 따른 순환 과제훈련이 뇌졸중 환자의 우울감 및 삶의 질에 미치는 효과 (The Effects of Task-Related Circuit Training by Type of Task on the Depression and Quality of Life in Stroke Patients)

  • 김현애
    • 대한통합의학회지
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    • 제5권1호
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    • pp.1-9
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    • 2017
  • Purpose : This study is to examine the effects of different task-related circuit training by types of tasks on the depression and quality of life in stroke patients. Method : Forty-four chronic stroke patients were divided into a dual motor circuit task training group, a dual cognitive circuit task training group and a simple task training group. Over the course of eight weeks, before training, all the patients were identically encouraged to receive conservative physical therapy for 30 minutes, five times a week for a total of eight weeks with individual additional tasks. The dual motor circuit tasks training consisted of continuous circuit training motor tasks and additional motor tasks and the dual cognitive circuit task training consisted of tasks combining the same circuit training motor tasks and additional cognitive tasks. The simple task training consisted of natural walks on a flat terrain to the front, rear and lateral sides of the terrain. Result : As for the Stroke-Specific Quality of Life(SS-QOL) that showed significant diffe rences in comparison between the groups over the training period, the dual motor circuit task training group showed statistically significant differences in both different types of tasks at 8 weeks(p<.05). The score of Hospital Anxiety and Depression Scale(HADS) decreased in three groups, in the HADS showed significant changes over the training time in the three training groups(p<.05). Conclusion : It could be seen that the practical and continuous dual circuit task training was more effective than simple task training on quality of life. In comparison between the types of dual tasks, the dual motor circuit task training group showed more effects than the dual cognitive circuit task training group. This researcher hopes that the results of this study will be actively applied as rehabilitation methods for chronic stroke patients.

The Effect of Dual-task Training on a Serial Reaction Time Task for Motor Learning

  • Choi, Jin-Ho;Park, So Hyun
    • The Journal of Korean Physical Therapy
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    • 제24권6호
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    • pp.405-408
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    • 2012
  • Purpose: We examined the effect of dual-task and single-task training on serial reaction time (SRT) task performance to determine whether SRT is based more on motor or perception in a dual-task. Methods: Forty healthy adults were divided into two groups: the dual-task group (mean age, $21.8{\pm}1.6$ years) and the single-task group (mean age, $21.7{\pm}1.6$ years). SRT task was conducted total 480 trial. The four figures were presented randomly 16 times. A unit was set as 1 block that would repeat 10 times. Thus, there were a total of 160 trials for each of the three color conditions. The dual-task group performed an SRT task while detecting the color of a specific shape. The end of the task, subjects answered the specific shape number; the single-task group only performed the SRT task. The study consisted of three parts: pre-measurement, task performance, and post-measurement. Results: Differences of pre and post reaction time between two group was higher for the dual-task group as compared to the single task group and there was a significant interaction between time and group (p<0.05). Conclusion: Our results indicate that. short term period SRT is not quiet effective under dual-task conditions, individuals need additional cognitive processes to successfully navigate a task This suggests that dual-task training might not be appropriate for motor learning enhancement, at least when the training is over a short period.

아급성기 뇌졸중 환자에서 지각-운동 과제를 통한 내잠 학습의 효과 (The Effect of Implicit Motor Sequence Learning Through Perceptual-Motor Task in Patients with Subacute Stroke)

  • 이미영;박래준;남기석
    • The Journal of Korean Physical Therapy
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    • 제20권3호
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    • pp.1-7
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    • 2008
  • Purpose: Implicit motor learning is the capacity to acquire skill through physical practice without conscious awareness of what elements of performance improved. This study investigated whether subacute stroke patients can implicitly learn a perceptual-motor task. Methods: We recruited 12 patients with subacute stroke and 12 age-matched controls. All participants performed a perceptual-motor task that involved pressing a button corresponding with colored circles (blue, green, yellow, red) on a computer screen. The task consists of 7 blocks composed of 10 repetitions for a repeating 12-element sequence (total 120 responses). Results: Both groups demonstrated significant improvement in acquisition performance. Reaction times deceased in both groups at similar rate within the sequential block trials (2-5 blocks), and reaction times increased at a similar rate when the task paradigm was transferred from the sequential block trial to the random block trial (5-6-7 blocks). Conclusion: The results of this study suggest that patients with sub-actue stroke can implicitly learn a perceptual motor skill. Although explicit instructions should be used to focus the learner's attention rather than provide information about the task, the application of implicit motor learning strategies in the rehabilitation setting may be beneficial.

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운전 중 IVIS 조작 상황에서 Motor Cue와 과제의 난이도가 과제 전환과 운전 주행에 미치는 영향 (Effect of Motor Cues and Secondary Task Complexity on Driving Performance and Task Switching While Driving)

  • 유은현;한광희
    • 감성과학
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    • 제21권2호
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    • pp.29-42
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    • 2018
  • 최근 자동차와 IT기술의 융합으로 차량 내 인포테인먼트 시스템이 운전자에게 편의 및 오락 기능을 제공하며 역할이 중요해지고 있다. 하지만 운전과 인포테인먼트 시스템을 조작하는 것은 동시에 시각 리소스를 요구하는 과제로 과제를 전환하며 수행해야 한다. 따라서 본 연구는 운전 중 인포테인먼트 시스템 조작 상황에서 조작 과제의 난이도와 motor cue가 과제 전환과 운전 주행능력에 미치는 영향과 함께, motor cue의 효과가 조작 과제의 난이도 수준에 따라 차이가 있는지 보고자 하였다. motor cue와 조작 과제 난이도의 효과를 살펴보기 위해 반복되는 숫자가 청크 단위와 일치하는지에 따라 두 종류의 번호를 사용하였으며, 터치 키의 크기로 난이도 수준을 조절했다. 실험에서 참가자들은 모의 주행을 하며 스크린에 번호를 입력하도록 지시받았고, 과제 수행 중 번호 입력시간, 차선 유지능력, 숫자 키 입력 시간 간격과 핸들 움직임을 측정했다. 그 결과, 난이도 수준에 따라 운전 주행 능력과[F(1, 26) = 8.521, p < .001], 번호 입력 시간의 차이가 유의미했고[F(1, 26) = 35.372, p < .0001], 번호 종류에 따른 차이는 나타나지 않았다. 하지만 Incongruent 번호 입력 시, 청크로 구분된 두 숫자를 입력하는 시간의 간격과 핸들 움직임이 크게 증가하였다. 이는 반복된 숫자가 청크로 구분되어도 청크를 무시하고 한 번에 입력하였음을 나타낸다. 종합하면, 다중 과제 상황에서 청크 단위는 motor cue에 의해 상쇄되며 과제 전환 시점을 결정하는 데에 motor cue의 효과가 있음을 시사한다.

인지적 요소가 포함된 과제 수행 시 젊은 성인과 노인의 동작 조절 비교 (Comparison of Cognitive Task-Directed Motor Control Ability in Younger and Older Subjects)

  • 이수아;최종덕
    • 대한물리의학회지
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    • 제12권1호
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    • pp.51-59
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    • 2017
  • PURPOSE: This study compared cognitive task-directed functional motor control ability for reaching and kicking movements in younger and older adults. METHODS: Subjects were divided into two groups of younger and older adults, with 13 subjects in each group. Subjects were required to perform a dual task combining a functional movement and cognitive component. The task consisted of reaching and kicking movements. Participants performed indicated movements when a target appeared on a monitor. The target randomly appeared on the monitor every 10 seconds. The total performance time (TPT), joint angular velocity (JAV), and muscle activation time were used to evaluate motor control ability. RESULTS: There were significant differences in all evaluation factors in a comparison of younger and older adults (p<.05). TPT was significantly shorter in older adults, and JAV and muscle activation time were significantly slower than that in the younger adult group. Although the results for older adults were within the normal range for functional assessment, their motor control abilities were significantly worse for cognitive tasks compared with those of younger adults. CONCLUSION: The results of this study indicated that a motor control assessment tool using a cognitive task would be helpful in assessment of motor control ability in healthy older adults.

Dose Motor Inhibition Response Training Using Stop-signal Paradigm Influence Execution and Stop Performance?

  • Son, Sung Min
    • The Journal of Korean Physical Therapy
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    • 제32권2호
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    • pp.70-74
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    • 2020
  • Purpose: This study examined whether 1) the motor inhibition response as cognitive-behavioral component is learning though a stop signal task using stop-signal paradigm, and 2) whether there is a difference in the learning degree according to imagery training and actual practice training. Methods: Twenty young adults (males: 9, females: 11) volunteered to participate in this study, and were divided randomly into motor imagery training (IT, n=10) and practice training (PT, n=10) groups. The PT group performed an actual practice stop-signal task, while the IT group performed imagery training, which showed a stop-signal task on a monitor of a personal computer. The non-signal reaction time and stop-signal reaction time of both groups were assessed during the stop-signal task. Results: In the non-signal reaction time, there were no significant intra-group and inter-group differences between pre- and post-intervention in both groups (p>0.05). The stop-signal reaction time showed a significant difference in the PT group in the intra-group analysis (p<0.05). On the other hand, there was no significant intra-group difference in the IT group and inter-group difference between pre- and post-intervention (p>0.05). Conclusion: These results showed that the motor inhibition response could be learned through a stop-signal task. Moreover, these findings suggest that actual practice is a more effective method for learning the motor inhibition response.

이중운동과제 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 효과 (The Effects of Two Motor Dual Task Training on Balance and Gait in Patients with Chronic Stroke)

  • 조기훈;이완희
    • The Journal of Korean Physical Therapy
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    • 제22권4호
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    • pp.7-14
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    • 2010
  • Purpose: The goal of this study was to investigate the effect of balance and gait ability through two motor dual task training in chronic stroke subjects. Methods: A group of twenty-five subjects who were six months post stroke participated in this study, where they were designated into pretest-posttest control The subjects were randomly allocated into two groups: experimental (n=13) and control (n=12). Both groups received physical therapy for 5 session 30 minutes per week during 6 weeks. Experimental group practiced additional two motor dual task training programs for thirty minutes a day, three days a week during six weeks. Evaluation of results was obtained through analyzing static balance, dynamic balance and gait function. Results: There was significant improvement among the group that practiced the additional two motor dual task training in that the postural sway area with open eye and close eye on the foam surface, the dynamic balance (p<0.05), and the gait function (p<0.05). Conclusion: Two motor dual task training improved static balance on the foam, dynamic balance, gait function. These results suggest that two motor dual task training is a feasible and suitable treatment for individuals with chronic stroke.

Repetitive Transcranial Magnetic Stimulation Combined with Task Oriented Training to Improve Upper Extremity Function After Stroke

  • Kim, Myoung-Kwon
    • Journal of Magnetics
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    • 제19권2호
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    • pp.170-173
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    • 2014
  • The purpose of the present study was to investigate the effect of repetitive transcranial magnetic stimulation (rTMS) in conjunction with task oriented training, on cortical excitability and upper extremity function recovery in stroke patients. This study was conducted with 31 subjects who were diagnosed as a hemiparesis by stroke. Participants in the experimental (16 members) and control groups (15 members) received rTMS and sham rTMS, respectively, during a 10 minutes session, five days per week for four weeks, followed by task oriented training during a 30 minutes session, five days per week for four weeks. Motor cortex excitability was performed by motor evoked potential and upper limb function was evaluated by motor function test. Both groups showed a significant increment in motor function test and amplitude, latency in motor evoked potential compared to pre-intervention (p < 0.05). A significant difference in post-training gains for the motor function test, amplitude in motor evoked potential was observed between the experimental group and the control group (p < 0.05). The findings of the current study demonstrated that incorporating rTMS in task oriented training may be beneficial in improving the effects of stroke on upper extremity function recovery.