• 대한장애인치과학회지
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• 제10권1호
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• pp.43-46
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• 2014

뇌성마비로 인하여 협조를 얻기가 어려운 일부 혼합치열기 환자의 심미적, 기능적 개선을 위한 구내 고정성 장치의 사용은 대체로 효과적인 것으로 나타났다. 하지만 이와 같은 문제를 보이는 환자의 근본적인 원인인 근육 조절의 불균형을 바로잡는 재활훈련과 함께 이동된 위치에서 치열의 안정적인 적응을 위하여 구강주위 근육훈련이 병행되어야 한다.

• 한국인터넷방송통신학회논문지
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• 제20권1호
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• pp.141-148
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• 2020

뇌혈관 손상으로 인해 발생하는 신경학적 질환인 뇌졸중과 관련이 있는 편측무시(Unilateral neglect)는 대뇌반구의 반대측 자극에 대하여 인지 또는 반응하지 못하는 증상으로, 주로 우측 대뇌반구 손상에서 나타난다. 본 논문에서는 편측무시에 대한 행동적 평가 척도로 사용되고 있는 한국형 캐서린 버지고 척도(Korean Catherine Bergego Scale)의 10가지 문항과 내용을 기반으로 가상현실(Virtual Reality)을 이용한 콘텐츠를 구현하였다. 구현된 콘텐츠는 편측무시 환자의 증상으로 나타나는 신체 무시, 운동성 무시, 시각 및 공간 무시, 청각 주의 등을 평가할 수 있으며, 시각적으로 인지하고 반응하는 동안의 시간과 머리 회전각을 측정함으로써 질환의 진행 정도를 정량적으로 확인하였다. 이 방법을 이용하여 편리한 편측무시 진단과 이를 응용한 콘텐츠를 활용하여 재활 훈련에 유용하게 사용될 수 있을 것으로 기대된다.

• 한국전문물리치료학회지
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• 제25권2호
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• pp.30-43
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• 2018

Background: Hemispatial neglect is defined as the failure to attend, report, respond, or orient toward meaningful stimuli provided in the contralateral side of a brain lesion. Objects: This study was conducted to find out the effect of dynamic trunk equilibirum exercise for stroke patients with hemi-spatial neglect. Methods: This study included 21 stroke subjects, randomly assigned to either the experimental group or the control group. The exercise program consisted of 5 sessions of 20 minutes per week during 4 weeks. The line-bisection test, the Albert test, the balance function score, the Berg balance scale, the postural assessment scale for stroke and the modified Barthel index were measured before and after training. All data were analyzed using SPSS 12.0 for Windows. Between-group and within-group comparison was analyzed by using Independent t-test and Paired t-test respectively. Results: The results of study were as follows: There were significant differences between before and after intervention in both group (p<.05). There were significant differences in the line-bisection test, Albert test, balance function score, Berg balance scale, postural assessment scale for stroke and modified Barthel index between the experimental group and the control group (p<.05). Conclusion: Dynamic trunk equilibrium exercise had a positive effect on patients' neglect, balance ability and activities of daily living. Further studies are required to generalize the results of this study.

• 한국산학기술학회논문지
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• 제16권7호
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• pp.4798-4804
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• 2015

본 연구는 지역사회에 거주하는 치매환자에게 인지작업치료 프로그램을 적용한 후 인지기능과 우울, 수부기능에 대한 효과를 알아보고자 하였다. 연구방법은 2012년 9월에서 12월까지 일개광역지역 소재 요양원에 입소한 환자를 중심으로 실험군 12명, 대조군 9명의 전체 21명을 대상으로 10주 동안 신체활동을 포함한 현실인식 훈련, 점진적 단어소실기법, 수공예를 이용한 작업치료 중심의 인지프로그램을 실시하였다. 실험군에서 인지기능, 우울정도, 수부근력과 수부조화운동에서 치료 전에 비해 치료 후에 유의한 호전을 보였다(p<.05). 그 결과 본 인지작업치료프로그램은 치매환자에서 우울감소와 수부근력 및 수부조화운동, 인지기능 회복을 위한 유용한 중재적 방법으로 생각된다. 치매는 주로 증상을 호전시키는 것이 목적이기 때문에 조기발견과 조기중재를 통해서 환자의 잔존기능 유지와 사회복귀를 위한 다양한 인지 훈련 프로그램의 개발이 필요하다.

• PNF and Movement
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• 제16권2호
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• pp.161-168
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• 2018

Purpose: This study aimed to investigate the effects of postural control exercise on the delayed heart rate increase in heart transplant patients. Methods: The subject was a female heart transplant recipient who had a delayed increase in heart rate during exercise. The intensity of exercise was performed at MBorg level 4. The A-B-A' and A-B-A'-B' designs were used to identify the changes in heart rate during active-assisted exercise, lower limb postural control exercise, and upper limb postural control exercise. Experiments were performed for four weeks. The heart rates at pre- and post-exercise were compared, and the time to reach MBorg 4 was measured. Results: In the active-assisted exercise, the average heart rates at pre- and post-exercise and after 10 min of exercise were 88, 89, and 87.7 bpm, respectively. In the repetitive comparison of pre- and post-exercise in the lower limb postural control exercise, the difference in the mean heart rate was 3.5 and 3 bpm in stable support and 14 and 14.5 bpm in unstable support, respectively. In the repetitive comparison of pre- and post-exercise in the upper limb postural control exercise, the difference in the mean heart rate was 6 and 4 bpm in stable support and 4 and 4.5 bpm in unstable support. The time required to reach MBorg 4 was short when both the upper and lower postural control exercises were performed in an unstable state. Conclusion: We suggest that combining proper postural control exercise with strength exercise and aerobic exercise, among others, may be effective in rehabilitating patients in the recovery stage after a heart transplant.

• 대한두개안면성형외과학회지
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• 제11권2호
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• pp.73-76
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• 2010

Purpose: There are several surgical methods for correcting a velopharyngeal insufficiency (VPI) but in some cases, it is not possible to achieve complete recovery of the velopharyngeal function. This paper introduces a new therapy for treating hypernasality without further surgery using continuous positive airway pressure (CPAP). Methods: CPAP therapy was applied to seven VPI patients for eight weeks from April of 2007 to September of 2009. All patients underwent palatoplasty for the cleft palate and six patients underwent palatal lengthening for VPI before CPAP therapy. A speech pathologist performed an auditory perceptual evaluation to evaluate the improvement in hypernasality after 8-week CPAP therapy. Results: Six patients showed an improvement in hypernasality after CPAP therapy according to the auditory perceptual evaluation. One patient with severe hypernasality responded to the early part of therapy but the hypernasality did not improve after therapy. Conclusion: CPAP therapy might be effective in reducing the hypernasality in patients with VPI by providing resistance training to strengthen the velopharyngeal closure muscles. In particular, CPAP therapy could be more effective for patients who show mild to moderate hypernasality after surgery.

• 한국전문물리치료학회지
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• 제13권2호
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• pp.26-34
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• 2006

The aim of this study was to assess the effectiveness of group therapeutic exercise programs on the cognitive function, Activities of Daily Living (ADL), and balance-performing ability in older adults. Fifteen community-dwelling subjects (mean age 73.7 yrs, standard deviation 2.4) participated in this study. An 8-week group therapeutic exercise program, including strengthening and balance training, breathing and gait exercise, and recreation, consisted of activities related to daily living. The Mini-Mental State Examination-Korean (MMSE-K), Modified Barthel Index (MBI), Berg Balance Scale (BBS), Functional Reaching Test (FRT), and Timed Up & Go (TUG) test were measured during pre-exercise and post-exercise points. The results of this study were as follows: 1. After eight weeks, the MMSE-K and MBI total score was more significantly increased for post-exercise tests than pre-exercise tests (respectively, p<.05, p<.01). 2. Of the MBI contents, personal hygiene, dressing, ambulation, and chair/bed transfers scores were significant increased for post-exercise tests. 3. Post exercise BBS, FRT, and TUG scores were higher than the pre-exercise scores. The difference was statistically significant (respectively, p<.05, p<.05, p<.01). These findings suggest that group therapeutic exercise can be used to improve the cognitive function, ADL, and balance-performing ability in elderly persons.

• 한국전문물리치료학회지
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• 제11권3호
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• pp.25-32
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• 2004

The use of a gym ball is becoming more popular for dynamic balance exercises. However, little is known about the effects of the dynamic ball exercises in the elderly. The purpose of this study was to compare balance and functional mobility after dynamic balance exercises using a gym ball to reduce the risk factorfor falls. All of the 15 subjects were women between the ages of 68 and 91 (mean age=79.9 yrs, SD=5.87) at anursing home in Wonju. Seven of fifteen subjects were placed in the experimental group and the others in the control group. Three clinical tests were used to determine the degree of balance and functional mobility before beginning the exercise program, after 4 weeks of gym ball exercise, and after 8 weeks of gym ball exercise. These three tests included Timed Up & Go (TUG), Berg Balance Scale (BBS) and the Functional Independence Measure (FIM). Dynamic ball exercises training for 8 weeks (5 days per week) included side stretching, prone walking, bridging, marching and opposite arm and leg lifting. There were significant differences found before the gym ball exercise program began and after 4 weeks and then 8 weeks in the experimental group (p<.05). Significant differences between the groups were shown for TUG and BBS (p<.05). No significant difference was noted between the groups for FIM. Therefore, gym ball exercises can improve dynamic balance and may be recommended to include in a therapeutic program to help the elderly reduce their risk of a fall.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2002년도 춘계학술대회 논문집
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• pp.132-135
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• 2002

In the present study, an electro-mechanical KAFO (knee-ankle-foot orthosis) which satisfies both the stability in stance and the knee flexion in swing was developed and evacuated in eight polio patients. A knee joint control algorithm suitable for polio patients who are lack of the stability in pre-swing was also developed and various control systems and circuits were also designed. In addition, knee flexion angles and knee moments were measured and analyzed for polio patients who used the developed KAFO with the three-dimensional motion analysis system. Energy consumption was also evaluated for the developed KAFO by measuring the movement of the COG (center of gravity) during gait. From the present study, the designed foot switch system successfully determined the gait cycle of polio patients and controlled knee joint of the KAFO, resulting in the passive knee flexion or foot clearance during swing phase. From the three-dimensional gait analysis for polio patients, it was found that the controlled-knee gait with the developed electro-mechanical KAFO showed the knee flexion of 40$^{\circ}$∼45$^{\circ}$ at an appropriate time during swing. Vertical movements of COG in controlled-knee gait (gait with the developed electro-mechanical KAFO) were significantly smaller than those in looked knee gait(gait with the locked knee Joint). and correspondingly controlled-knee gait reduced approximately 40% less energy consumption during horizontal walking gait. More efficient gait patterns could be obtained when various rehabilitation training and therapeutic programs as well as the developed electro-mechanical KAFO were applied for polio patients.

• 한국운동역학회지
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• 제22권2호
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• pp.201-208
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• 2012

The purpose of this study was to investigate the effect of leg extension exercises performed on outdoor resistance exercise machines on knee extension muscle strength and quadriceps muscle group cross sectional area (CSA) in elderly women. Two groups were recruited for this study, including an exercise group (EG: n=13, $71.38{\pm}2.79$ yrs) and a control group (CG: n=5, $73.4{\pm}5.94$), In all subjects, maximum isometric and isokinetic muscle strength of knee flexion and extension were measured using an isokinetic dynamometer (Cybex(R) Humac Norm Testing & Rehabilitation System, USA). Quadriceps muscle group CSA were measured using MRI (Philps, Intera 1.5 T, NE Netherlands). The results of this study showed that post-intervention isometric knee extension peak torque value were higher than pre-intervention measures in the EG. However, the EG did not show improvement in quadriceps muscle group CSA, Also, no differences in the shift of optimal knee joint angle were observed between pre and post-intervention exercise. Outdoor leg extension exercise showed small increases in muscle strength in comparison to other resistance training exercises. The results of this study suggest that because outdoor leg extension exercise machines lack a progressive loading mechanism, significant increases in muscle strength may not be obtained.