• 한국전자통신학회논문지
• /
• 제11권9호
• /
• pp.909-916
• /
• 2016

본 연구는 높은 점도의 음식을 삼키는 훈련이 뇌졸중 후 삼킴장애 환자의 삼킴기능에 미치는 영향을 알고자 하였다. 본 연구는 경기도에 위치한 종합병원에 입원 중인 삼킴장애가 있는 뇌졸중 환자 18명을 대상으로 하였다. 대상자들은 실험군과 대조군으로 9명씩 무작위 배치되었다. 실험군은 높은 점도의 음식을 반복해서 삼키는 훈련을 받았고, 대조군은 전통적 삼킴치료를 받았다. 평가는 기능적 삼킴장애 척도, 침습흡인척도, 미국 언어 청각협회 삼킴척도를 측정하였다. 두 그룹 모두 중재 전과 후로 유의한 향상을 보였다(p<.05). 두 그룹 간의 변화량에서 실험군은 대조군보다 기능적 삼킴장애 척도에서 유의하게 더 큰 향상을 보였다(p<.05). 높은 점도의 음식을 삼키는 훈련은 뇌졸중 후 삼킴장애 환자의 삼킴기능에 긍정적인 영향을 줄 수 있을 것으로 사료된다.

• 대한한방내과학회지
• /
• 제39권2호
• /
• pp.139-146
• /
• 2018

Objective: The purpose of this clinical study is to report the effect of Banhahoobak-tang in the case of a 57-year-old woman with multiple cerebral infarction causing dysphagia and dysarthria diagnosed as pseudobulbar palsy. Methods: A patient was treated with Korean medicine, including herbal medication, acupuncture, and language therapy. We focused on the effect of Banhahoobak-tang by evaluating improvements in symptoms by examining times of aspiration and changes in Speech Mechanism Screening Test scores. Results: After three months of Korean medicine treatment and language therapy, there was improvement in the patient's symptoms, including dysphagia and dysarthria. Conclusions: This study suggests that Korean medicine treatment could be effective for improving the symptoms of pseudobulbar palsy in patients. Specifically, herbal medicine (Banhahoobak-tang) could be an effective choice for treating dysphagia.

• Tuberculosis and Respiratory Diseases
• /
• 제50권3호
• /
• pp.353-358
• /
• 2001

저자들은 이개염이 동반되지 않고 안장코와 다발성 관절염, 청력 감소, 기관지 침범 등이 동반된 재발성 다발성 연골염 환자에서 성문하 연부조직의 심한 부종으로 상기도 폐쇄가 동반되어 급성 호흡부전이 발생된 환자 1예를 경험하고 문헌고찰과 함께 보고하는 바이다.

• 동의신경정신과학회지
• /
• 제24권2호
• /
• pp.145-154
• /
• 2013

Objectives : The purpose of this study is to examine the effects of treatment with scalp acupunctures for children with learning disorders. Methods : For this study, we evaluated Korea standard progressive matrices test (K-SPM) on 24 children with learning disorders who visited Korean medical center neuropsychiatry outpatient clinic from July 2012 to January 2013. Scalp acupuncture, cognitive enhancement therapy and speech-language therapy were applied. All children were treated 2 times a week for 4 months and we compared K-SPM test scores before treatment and 30 times after the treatment. Results : 1) After the treatment, K-SPM test scores have increased significantly (p<0.05) and the number of children in grade 5 (<5%) have decreased from 14 to 6. 2) Comparing K-SPM test scores between two groups: one with medical history and the other without medical history, the scores in both groups have increased significantly (p<0.05). 3) We also divided the children into two groups according to age: under the age of 13 and over the age of 13, and compared K-SPM test scores. Although the scores in both groups have increased respectively, it is the scores of the former group (under the age of 13) that have increased significantly (p<0.05). Conclusions : The treatments with scalp acupunctures were shown to be an effective intervention when improving K-SPM test scores of children with learning disorders.

• International Journal of Computer Science & Network Security
• /
• 제22권2호
• /
• pp.91-100
• /
• 2022

To support early intervention, it is necessary to develop programming system tools that enable accurate, valid, and reliable assessments and can help achieve reasonable, generalizable, and measurable goals. This study examined the Assessment, Evaluation, and Programming System (AEPS) used by associations of children with disabilities in Saudi Arabia to assess its suitability for children with intellectual disabilities. A group of 16 specialists with different professional backgrounds (including special education, physiotherapy, occupational therapy, speech therapy and psychology) from 11 associations of children with disabilities took part in semi-structured personal interviews. The study concluded that AEPS is generally suited for use with children with intellectual disabilities. However, its suitability depends on the type and severity of the child's disability. The more severe the disability, the less effective the AEPS is likely to be. On the basis of this finding the researchers formed interdisciplinary teams to organise and integrate the children's learning and assess the benefits of AEPS, including its accuracy and ability to achieve adaptive, cognitive, and social targets, enhance family engagement and learning and develop basic development skills. This study also identified obstacles associated with the use of AEPS. These include the lack of comprehensiveness and accuracy of the goal, lack of precision and non-applicability to large movements and the fact that it cannot be used with all children with intellectual disabilities. In addition, the research showed that non-cooperation within the family is a major obstacle to the implementation of the AEPS. The results of this study have several implications.

• 한국융합학회논문지
• /
• 제13권1호
• /
• pp.1-12
• /
• 2022

본 연구에서는 웹기반 인지재구조화 교육과 결합된 VR 노출 프로그램이 사회 불안 감소에 미치는 영향을 확인하였다. 실험 집단(n=12)은 웹기반 인지 재구조화 교육과 가상현실노출 프로그램(VRET)에 4회기 참석하였고, 비교집단(n=15)은 동일한 가상현실노출 프로그램(VRET) 이외에 연설기법에 대한 교육을 받았다. 두 집단 모두 프로그램 참여 전,후에 자기보고식 증상심각도 척도와 암묵적 해석 편향을 측정하였으며, 4주 후에 추후평가를 실시하였다. 프로그램 직후 실험집단과 비교집단 모두 사회적 불안 수준이 감소하였으나, 4주가 지난 후 실험집단에서만 긍정적인 해석 편향이 증가하였고, 부정적인 해석 편향이 감소하였으며, 감소된 사회불안 수준이 유지되었다. 이러한 결과는 VRET 치료효과를 증진시키기 위해서 자신의 생각에 대한 객관적 점검을 시도해 볼 수 있는 인지적 개입이 결합될 필요가 있음을 시사한다.

• 대한지역사회작업치료학회지
• /
• 제9권2호
• /
• pp.33-42
• /
• 2019

목적 : 이 연구는 국내 소아재활 분야에 종사하는 재활의학과의사 및 치료사를 대상으로 강제유도운동치료(constraint-induced movement therapy, CIMT)에 대한 지식과 임상적용 현황에 대해 조사하고자 하였다. 연구방법 : 대한소아재활발달의학회에 등록된 510명 (재활의학과의사 204명, 치료사 306명)을 대상으로 전자우편을 이용한 설문조사를 시행하였다. 결과 : 총 510명 중 179명이 설문에 응답하여 응답률은 35.1%였다. 응답한 179명 중 재활의학과 의사 39명, 물리치료사 89명, 작업치료사 48명, 언어치료사 3명이었다. 응답자 중 45.9%(82명)는 소아재활분야의 경험이 6년 이상인 전문가로 구성되어 있었고, 58.1%(104명)가 강제유도운동치료에 대한 경험이 있었다. 임상 진료에서 강제유도운동치료를 적용하는 경우는 환자의 순응도가 좋을 때 73.1%(76명), 보호자의 순응도가 좋을 때 48.1%(50명), 양손훈련(bimanual training)의 효과가 제한적이라고 판단될 때 39.4%(41명) 순으로 조사되었다. 임상적용에서 제한점으로 작용하는 요인은 치료인력 부족이나 가정내 환경 부적합 등과 같은 환경제한 35.1%(61명), 인식부족 19.5%(34명), 건측 제한으로 인한 건측 기능발달 저해에 대한 우려 13.8%(24명)으로 조사되었다. 강제유도운동치료를 중단한 이유로는 환자의 비협조 77.6%(76명), 인지/행동요인 42.9%(42명), 보호자의 비협조 25.5%(25명), 효과가 없다고 판단될 때(non-effectiveness) 11.2%(11명) 순으로 조사되었다. 결론 : 강제유도운동치료의 의학적 근거가 높게 보고되고 있지만 이 연구에서는 많은 수의 재활의학과 의사와 치료가사 실제 임상치료에서 적용하지 못하고 있음을 확인하였다. 국내 현황에서 제한점을 개선하여 향후 임상적용 확대를 위한 노력이 필요하겠다.

• 전자공학회논문지
• /
• 제53권6호
• /
• pp.146-151
• /
• 2016

본 논문에서는 등속 직선 기동하는 수중표적의 CPA 상황에서의 방위각 정보를 이용하여 표적의 CPA 거리와 속도의 비를 추정하는 기법을 제시한다. 선행 연구를 통해 근접센서를 이용한 포락선 CPA 기법으로 이 값을 추정하는 방안이 제시되었으나, 이는 표적과 수신 센서의 거리가 가깝거나 다중경로로 인한 간섭효과가 커질 경우 성능이 떨어지는 문제를 가진다. 이에 이를 극복하는 방안으로 표적 방위각 정보를 이용하는 방위각 CPA 기법을 제시한다.

• International Journal of Contents
• /
• 제10권4호
• /
• pp.30-37
• /
• 2014

The current study was conducted to examine the temporal and spatial activation sequences related to morphosyntactic, semantic and orthographic-lexical sentences, focusing on the morphological-orthographic and lexical-semantic deviation processes in Korean language processing. The Event-related Potentials (ERPs) of 15 healthy students were adopted to explore the processing of head-final critical words in a sentential plausibility task. Specifically, it was examined whether the ERP-pattern to orthographic-lexical violation might show linear precedence over other processes, or the presence of additivity across combined processing components. For the morphosyntactic violation, fronto-central LAN followed by P600 was found, while semantic violation elicited N400, as expected. Activation of P600 was distributed in the left frontal and central sites, while N400 appeared even in frontal sites other than the centro-parietal areas. Most importantly, the orthographic-lexical violation process revealed by earlier N2 with fronto-central activity was shown to be complexes of morphological and semantic functions from the same critical word. The present study suggests that there is a linear precedence over the morphological deviation and its lexical semantic processing based on the immediate possibility of lexical information, followed by sentential semantics. Finally, late syntactic integration processes were completed, showing different topographic activation in order of importance of ongoing sentential information.

• 대한한방소아과학회지
• /
• 제26권4호
• /
• pp.32-37
• /
• 2012

Objectives: The purpose of this study was to obtain some understanding about Korean medicine treatment on language disorder in cerebral palsy for future practice and the research, from the clinical studies. Methods: The literature was searched using the database-China Academic Journals (CAJ). Clinical studies of Korean medicine treatment for language disorder in cerebral palsy, including Randomized controlled trial (RCT), case control study, case series, case report were analyzed. Results: Fifteen Clinical studies met our inclusion criteria; One case study and six case series, one non-randomized controlled trial and seven RCTs. Acupuncture treatment, especially Head acupuncture, was the major treatment for language disorder of cerebral palsy in clinical studies, as it was used in fourteen studies. Acupoint massage, tuina, and acupoint injection were employed as treatment methods in the studies. Acupuncture treatment was used for language disorder of cerebral palsy combined with language therapy and other rehabilitation treatment in many studies. The effectiveness in the treatment groups, regardless of treatment methods, was higher than that of control group in all RCT studies. Conclusions: The results of this study could be used in the practice and the future study about language disorder of cerebral palsy.