• Title/Summary/Keyword: Rehabilitation training

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Effects of Knowledge of Result Versus Knowledge of Performance on Treadmill Training on gait ability in Stroke Patients: A Randomized Clinical Trial

  • Park, Jin
    • The Journal of Korean Physical Therapy
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    • v.32 no.2
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    • pp.107-113
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    • 2020
  • Purpose: This study compared the walking ability of chronic stroke patients following either treadmill training with knowledge of the result (KR group) or treadmill training with knowledge of the performance (KP group). Methods: Nineteen patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a KR group (10 patients) and a KP group (9 patients). They received 30 minutes of neuro-developmental therapy and treadmill training 30 minutes, five times a week for three weeks. The gait parameters were measured before and after training using the Optogait system. Results: After the training periods, the KR group showed significant improvement in gait speed, cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait assessment compared to the KP group (p<0.05). Conclusion: The results showed that treadmill training with KR was more effective in improving the gait speed and cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait ability than the treadmill training with KP. Therefore, to improve the walking ability of stroke patients, it is necessary to consider treadmill training with KR. If it can be combined with conventional neurological physiotherapy, it would be an effective rehabilitation for stroke patients.

Psychosocial Rehabilitation of Chronic Depression (우울증 환자를 위한 정신사회 재활치료)

  • Hwang, Tae-Yeon
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.30-33
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    • 1999
  • While depression is certainly a prevalent disorder, it is often severe and debilitating and does not always have the good prognosis we have been led to expect. Social approaches to affective disorders have not been subjected to the same level of scrutiny as the interventions used in the management of schizophrenia. Psychosocial Rehabilitation is now at a critical stage. Psychoeducation, social skill training, cognitive remediation, family education, vocational rehabilitation and case management programs are essential for the rehabilitation of chronic depression.

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Task Oriented Approach of Hemiparetic Patients (편마비환자의 과제지향 접근법)

  • Kim Seong-hak;Park Rae-joon
    • The Journal of Korean Physical Therapy
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    • v.16 no.2
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    • pp.54-62
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    • 2004
  • The propose of this study was to evaluate the effect of body weight support treadmill training on the patients with chronic stroke. Body weight support(BWS) treadmill training has recently been shown to be effective for gait training following stroke, and few researchers have measured the usefulness of this intervention in enhancing function, and there are reports in which BWS overground ambulation was studied. This study were 1) to report the feasibility and patient tolerance for using a BWS system for treadmill ambulation, 2) to measure the function of patients with chronic stroke prior to and following BWS treadmill and overground ambulation training, and 3) to describe a protocol used for patient treatment progression using BWS treadmill training.

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Control and VR Navigation of a Gait Rehabilitation Robot with Upper and Lower Limbs Connections (상하지가 연동된 보행재활 로봇의 제어 및 VR 네비게이션)

  • Novandy, Bondhan;Yoon, Jung-Won
    • Journal of Institute of Control, Robotics and Systems
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    • v.15 no.3
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    • pp.315-322
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    • 2009
  • This paper explains a control and navigation algorithm of a 6-DOF gait rehabilitation robot, which can allow a patient to navigate in virtual reality (VR) by upper and lower limbs interactions. In gait rehabilitation robots, one of the important concerns is not only to follow the robot motions passively, but also to allow the patient to walk by his/her intention. Thus, this robot allows automatic walking velocity update by estimating interaction torques between the human and the upper limb device, and synchronizing the upper limb device to the lower limb device. In addition, the upper limb device acts as a user-friendly input device for navigating in virtual reality. By pushing the switches located at the right and left handles of the upper limb device, a patient is able to do turning motions during navigation in virtual reality. Through experimental results of a healthy subject, we showed that rehabilitation training can be more effectively combined to virtual environments with upper and lower limb connections. The suggested navigation scheme for gait rehabilitation robot will allow various and effective rehabilitation training modes.

Effect of Rehabilitation Exercise and Neuromuscular Electrical Stimulation on a Visual Analysis Scale and on Functional Capacity Performed For 8-weeks in a Patient With Patellofemoral Pain Syndrome (무릎넙다리 동통증후군 환자의 8주간 재활운동과 신경근전기자극치료가 통증척도와 기능적 수행능력에 미치는 영향)

  • Han, Sang-Wan
    • Physical Therapy Korea
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    • v.11 no.3
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    • pp.33-42
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    • 2004
  • The purpose of this study was to assess the effect of rehabilitation exercise and neuromuscular electrical stimulation on a visual analysis scale and functional visual analysis scale regarding functional capacity. A total of 7 consecutive patients with the complaint of patellofemoral pain syndrome who received this diagnosis from a sports medicine physician were recruited to assess the effect of rehabilitation exercise and neuromuscular electrical stimulation (NMES) on Visual Analog Scale (VAS) and Functional Visual Analog Scale (FVAS), functional capacity patients with patellofemoral pain syndrome. The exercise rehabilitation consisted of a complex training program requiring five treatments a week for eight weeks. The training program consisted of four phases, and each lasted for two weeks. Statistical analyses were one-way ANOVA with repeated measures. The results were as follows: (1) There were significant differences in the VAS and FVAS during 8-weeks of rehabilitation exercise and neuromuscular electrical stimulation (p<.01). (2) There were no significant differences in the functional capacity during 8-weeks of rehabilitation exercise and neuromuscular electrical stimulation (p<.05). In conclusion, at the end of the eight weeks of this rehabilitation program and neuromuscular electrical stimulation, a significant reduction was found in VAS and FVAS, but there was no significant difference in functional capacity at the end of the treatment.

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The Effect of a Complex Rehabilitation Intervention Program on Cognitive and Hand Functions in Patients with Mild Cognitive Impairment and Dementia (복합재활중재 프로그램이 경도인지저하와 치매환자의 인지와 손기능에 미치는 연구)

  • Chong, Bokhee
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.3
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    • pp.49-59
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    • 2016
  • Purpose : The study was aimed to evaluate the improvement of cognitive and hand functions after the application of a complex rehabilitation intervention program on patients with mild cognitive impairment (MCI) and dementia who were living a regional community from. Methods : Subjects who were living in a regional sanatorium or who were outpatients of a community health center were enrolled from 2012. 2 to 2013.2 All subjects were enforced 8 cycles of a complex rehabilitation intervention program including RON dance, physical activity using therabands, reality awareness training, space retrieval training and handicraft activities. Results : There were significant improvement in LOTCA-G cognitive function and JTHFT hand function test after the application of a complex rehabilitation intervention program. Conclusion : The result shows a significant improvement in cognitive and hand functions after the application of a complex rehabilitation intervention program in patients with MCI and dementia. Therefore the authors suggest the vast studies of the cognitive function program development and hand function vitalization by the application of a complex rehabilitation intervention program.

Memory Rehabilitation in the Elderly: A Theoretical Review (노인의 기억 재활: 이론적 개관)

  • Park, Min
    • 한국노년학
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    • v.28 no.4
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    • pp.925-940
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    • 2008
  • As the proportion of old people in contemporary societies steadily increases, the influence on cognitive rehabilitation strategy of the memory deficit associated with normal and pathological aging grows greater as well. This paper reviewed the current memory rehabilitation techniques for older adults. In the first part of this article, human memory systems as a framework for understanding memory aging were considered. In the second part, research findings concerning memory performance in normal aging and Alzheimer's disease were reviewed. Finally, recent evidence for the kinds of memory rehabilitation procedures with proven efficacy were offered. The existent memory rehabilitation technique have focused on prompt of residual explicit memory, use of preserved implicit memory, utilization of memory external memory aids. A suggestion of memory training based on brain plasticity as a novel approach is offered.

Effect of Electromyographic Biofeedback Training on the Muscle Activities of Unilateral Facial Palsy (근전도 바이오피드백을 이용한 훈련이 안면신경마비 환자의 운동학습에 미치는 영향)

  • Kim, Won-Ho;Park, Eun-Young;Chang, Ki-Yeon;Lee, Young-Jung
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.101-111
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    • 2002
  • The purpose of this study was to determine EMG biofeedback training effect on the muscle activities in 3 unilateral facial palsy patients along with multiple baseline design across subjects. The auditory feedback about facial muscles (orbicularis oris, orbicularis oculi, frontalis) was provided with each patient during facial exercise training. Electromyographic (EMG) activity during maximal voluntary contraction and maximal compound muscle action potential (CMAP) amplitude elected by supramaximal electrical stimulation on facial nerve of facial muscles were measured pre- and post- EMG biofeedback training to evaluate motor learning. EMG activity during maximal voluntary contraction was increased after EMG biofeedback training and CMAP amplitude elected by supramaximal electrical stimulation was not changed in all subjects. The results indicate that EMG biofeedback training is useful method to improve motor learning of facial excercise training in unilateral facial palsy patients.

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The Effects of PNF and Trunk Stabilization Robot Training on Trunk Stability and Balance in Patients with Chronic Stroke (PNF 목 패턴을 병행한 체간안정로봇훈련이 만성 뇌졸중 환자의 체간 안정성 및 균형능력에 미치는 영향)

  • Moon, Hyun-Min;Kim, Dong-Hoon
    • PNF and Movement
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    • v.19 no.1
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    • pp.67-77
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    • 2021
  • Purpose: The purpose of the study was to identify the effects of proprioceptive neuromuscular facilitation (PNF) training and robot rehabilitation training on trunk stability and standing balance in individuals with chronic stroke. Methods: There were 30 patients with chronic stroke, divided into two groups: 15 subjects who received PNF and robot training (the experimental group) and 15 subjects who received standard conservative training (the control group), that participated. The experimental group received treatment for 60 min: 30 min of conventional physical therapy, 15 min of PNF training, and 15 min of robot training. The control group received conventional physical therapy for 60 min. Trunk stabilization (trunk impairment scale) and standing balance (center of pressure, limit of stability, modified functional reach test, and Berg balance scale) were measured before and after intervention. Results: Within each group, both the experimental and control groups significantly improved after the intervention in all tests; however, the experimental group showed greater improvement in scores on the trunk impairment scale, the center of pressure, the limit of stability, the modified functional reach test, and the Berg balance scale. Conclusion: The study verified that PNF training and robot training had a positive influence on trunk stability and standing balance indices in patients with chronic stroke.

EMG Signal Analysis of Upper Extremity Motor Function using Balance-handle Device (밸런스 핸들 장치를 이용한 상지 운동 기능의 근전도 신호 분석)

  • Lee, Choong-Keun;Song, Ki-Ho;An, Jae-Yong;Shin, Sung-Wook;Chung, Sung-Taek
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.4
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    • pp.295-303
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    • 2016
  • Rehabilitation of upper limb motor function of hemiplegic patient must maintain interest and demand a device for a quantitative evaluation of rehabilitation training. In this paper, we developed the device that is composed of arm cradle, handle, and balance ball for rehabilitation exercise. We have performed experiment for validity as to whether to use the rehabilitation device when tilting the upper extremity training device developed to measure changes in the EMG signal to the main upper limb muscles for 7 healthy volunteers. We have analyzed muscle activation signals on agonist and antagonist as a reference in the muscle contraction and relaxation in the upper limb extension and flexion when the balance-handle device is tilted to front-rear and left-right. The experimental results showed that a tendency of muscle activation of biceps, triceps, and deltoid used in upper limb motor function of hemiplegic patients from extension and flexion evaluation items of Fugl-Meyer Assessment(FMA). These results may be helpful for rehabilitation training for upper limb motor function of hemiplegic patients by utilizing a developed unit.