• 대한물리의학회지
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• 제8권2호
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• pp.175-182
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• 2013

PURPOSE: The purpose of this study was to investigate the effects of task oriented ADL exercise in different environments in patients with chronic stroke. METHODS: A total of 28 patients with hemiplegia resulting from stroke were included in this study. The patients were randomized into two groups. The control group(n=14) was received neurodevelopment therapy + task oriented ADL exercise and experimental group(n=14) was received neurodevelopment therapy + home based task oriented ADL exercise for 30 minutes twice per week during 6weeks. A task oriented ADL exercise pretest and postest design was used examine the change of FIM(Functional Independent Measure) and K-MBI(Korea-Modified Bathel Index) at the completion of 6 weeks task oriented ADL exercise. RESULTS: After 6 weeks, the experimental group compared with control group showed a significant improvement (p<.05) in FIM and K-MBI scores. CONCLUSION: The results indicate that the home based task oriented ADL exercise improves functions in the persons with chronic stroke.

• 한국콘텐츠학회논문지
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• 제12권3호
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• pp.222-232
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• 2012

본 연구는 슬관절 전치환술을 시행하고 난 후 3주 이내의 환자 24명에게 과제 지향 훈련과 체중 이동 훈련이 정적 균형과 동적 균형에 어떠한 영향을 미치는지 알아보기 위해서 실시하였다. 대상자는 과제 지향 훈련군(실험군) 12명과 체중 이동 훈련군(대조군) 12명을 2그룹으로 무작위 배정하였다. 각 군의 운동 효과를 알아보기 위하여 Gaitview 시스템과 기능적 팔 뻗기 검사를 통해 정적 균형을 측정하였고, Balance 시스템을 이용하여 동적 균형을 측정하였다. 통계 분석은 실험 전과 후의 차이를 알아보기 위하여 대응표본 t검정을 실시하였고, 그룹 간 차이를 알아보기 위하여 독립표본 t검정을 실시하였다. 그 결과 과제 지향 훈련군이 체중 이동 훈련군에 비해 정적, 동적 균형 능력에 유의한 차이를 보였다(p<0.05). 따라서 이번 연구 결과를 통해 슬관절 전치환술을 시행한 조기 환자들에게 과제 지향 훈련이 균형 능력에 효과적이라는 것을 알 수 있었다.

• 신경치료
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• 제22권3호
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• pp.25-29
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• 2018

Purpose In this study, 45 students were divided into task - oriented group, task - oriented intermittent group, and continuous group, and the effect of each variable on learning was changed to angle of the arms' we checked. Methods This study was conducted for 45 days from March 13 to 18, 2017 for five days in the 20 generals living in Changwon city. Dart and goniometer were used for the measurement. In the exercise program, darts were placed on a smooth, hard surface of 1.5M height and the distance to the subject was set 1.5m away. In the dart throw practice, all three groups were marked with an elbow flexion $30^{\circ}$ on the wall, and the subjects were instructed to throw the dart at that point. Results Comparisons between groups showed significant differences between the continuous task-oriented training group and the intermittent task-oriented training group and the control group at the end of training (*** P <0.001). Conclusion This study showed that the intermittent task-oriented training method showed the highest effect (*** P <0.001), which proved that the intermittent method is the most effective exercise method among the three groups.

• 대한물리의학회지
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• 제9권1호
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• pp.83-91
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• 2014

PURPOSE: The purpose of this study was to investigate the effects of task oriented circuit exercise(TOCE) on the balance and cognition in mild dementia patients. METHODS: The subjects of the study were 30 patients with mild dementia and assigned to the TOCE(task oriented circuit exercise) group(n=15) and aerobic exercise(AE) group(n=15). TOCE group performed six task three times weekly for 12 weeks. AE group underwent the cycle ergometer and treadmill exercise three times a week during the experimental period respectively. Timed up and go test(TUG), Berg balance scale(BBS) and AP1153 Biorescue were used to assess the parameters for the balance. Korean-mini mental state examination and Global deterioration scale(GDS) were used to assess the parameters for the cognition. For the statistical analysis, paired t-test and independent t-test were used to compare the differences among two groups. RESULTS: Each group showed improvement in balance and possibility for improving cognitive function. TOCE group especially, there were significant improvements in limit of stability. CONCLUSION: The results of the study suggest that TOCE is a more diverse exercise programs introduced in the study. Furthermore, TOCE can be a helpful to improve the balance and cognition in mild dementia patients.

• The Journal of Korean Physical Therapy
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• 제30권4호
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• pp.112-116
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• 2018

Purpose: This study aimed to identify the effects of a task-oriented exercise program on balance in patients with acute stroke. Methods: Twenty participants with hemiparesis resulting from acute stroke volunteered to participate in this study. They were randomly assigned to either the experimental or control group, with 10 patients per group. Both groups underwent a task-oriented exercise program averaging 30 minutes daily for 4 weeks. Balance was assessed before and after the 4-week training period. Before and after the intervention, we conducted a paired t-test to compare the within-group changes and an independent t-test to compare the between-group differences. The statistical significance level was set at p=0.05 for all the variables. Results: Both groups showed significant within-group and between-group changes in balance (p<0.05) after the intervention. Conclusion: This study provides valuable information for future studies in this field. Further research using a larger sample and longer experiment spans can corroborate the results of our study.

• 재활복지
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• 제22권2호
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• pp.161-174
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• 2018

본 연구는 순환식 과제지향 운동이 만성 뇌졸중 환자의 상지기능과 자기효능감에 미치는 영향을 알아보기 위하여 실시하였다. 선정 기준에 부합하는 28명을 순환식 과제지향 운동을 시행한 실험군 14명과 일반적 과제지향 운동을 시행한 대조군 14명으로 무작위 배정하였다. 중재는 주 5회 30분씩 4주간 실시하였으며 중재 전 후 상지기능과 자기효능감을 비교 분석하기 위해 뇌졸중 기능 회복 평가와 자기효능감 척도를 평가하였다. 순환식 과제지향 운동군은 중재 후 상지기능의 어깨/팔꿈치/아래팔, 손, 협응력과 속도 항목에서 유의하게 향상되었으며, 자기효능감 척도에서 유의하게 향상되었다. 그러나 일반적 과제지향 운동군은 중재 후 상지기능의 어깨/팔꿈치/아래팔 항목에서만 유의하게 향상되었다. 순환식 과제지향 운동군과 일반적 과제지향 운동군을 비교한 결과 상지기능의 어깨/팔꿈치/아래팔, 손 항목에서 그룹 간의 유의한 차이가 있었다. 그러나 자기효능감 척도에서는 그룹 간의 유의한 차이가 없었다. 본 연구의 결과를 통해 순환식 과제지향 운동이 일반적 과제지향 운동보다 상지기능을 증진시킨 것을 알 수 있다.

• The Journal of Korean Physical Therapy
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• 제29권2호
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• pp.55-61
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• 2017

Purpose: The purpose of this study was to investigate the effects of a task-oriented upper arm exercise performed in a sitting position on either an unstable support surface or a stable support surface for children with cerebral palsy. Methods: We prospectively evaluated 18 children with cerebral palsy. Eight subjects were randomly assigned to each of the stable and unstable support surface groups. We performed the upper arm exercise three times a week for 6 weeks. To confirm the effects of the intervention, the berg balance scale test, modified functional reaching test (MFRT), timed up and go test (TUG), and Jebsen-Taylor hand function test were conducted before and after the study. Results: Significant differences were observed in MFRT and TUG between the experimental and control groups (p<0.05). In the Jebsen-Taylor hand function test, there were significant differences between the groups for the items picking up small objects, stacking checkers, lifting large light objects, and lifting large heavy objects (p<0.05), but not for writing and stimulation of feeding. Significant differences were observed between the groups in items of card turning, lifting large light objects, and lifting heavy objects. Conclusion: The purpose of this study was to evaluate the effectiveness of a task-oriented upper extremity exercise program for dynamic balance and hand function performed in a sitting position with either stable or unstable support by cerebral palsy patients. There were improvements in the two groups, but performing the exercise while sitting on an unstable support surface had a greater effect on dynamic balance and hand function than exercise while sitting on a stable supporting surface. The results of this study can be used to improve the daily lives of cerebral palsy patients.

• The Journal of Korean Physical Therapy
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• 제27권5호
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• pp.325-331
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• 2015

Purpose: This study attempts to understand the effect of stabilization exercise of biofeedback scapular on muscle activity and functional evaluation of the upper extremity in stroke patients. Methods: Patients were divided into two groups; a biofeedback scapular stabilization exercise group comprised of 8 patients and a task-oriented training group including another 8 patients, and 30-minute exercise was performed 5 times a week for 8 weeks. Electromyogram was used to measure muscular activity of lower trapezius, deltoid middle, and serratus anterior. Fugl-Meyer Assessment and Manual Function Test were used to evaluate functions of the muscles mentioned. Results: Significant difference was observed in the comparison group before and after exercise in muscular activity of lower trapezius, deltoid middle, and serratus anterior, Fugl-Meyer Assessment, and Manual Function Test. Conclusion: Therefore, we could see that biofeedback scapular stabilization exercise is more effective than task-oriented training in facilitating muscle activation and functional capacity of upper limb.

• 대한물리의학회지
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• 제17권4호
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• pp.45-52
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• 2022

PURPOSE: This study examined the center of pressure (COP) and ground reaction force (GRF) characteristics during each task-oriented sit-to-stand in stroke patients. METHODS: Twenty stroke subjects were included in this study. The task consisted of sit-to-stand (SS), sit-to-stand for reaching (SR), and sit-to-stand for walking (SW). The response time, COP, and GRF were measured during each task. The COP and GRF data were obtained using a two-force plate. The force plates were placed on a chair (below the buttock) and floor (below the feet). RESULTS: Significant differences were observed between SS (1.48 ± .48 s) and SR (2.09 ± 0.82 s) and between SS and SW (2.27 ± .72 s) in the preparatory phase time during each sit-to-stand exercise (p = .002) and showed significant differences between SS (13.90 ± 6.44 cm) and SW (34.62 ± 39.38 cm) and between SR (16.14 ± 8.04 cm) and SW in the mediolateral COP range during each sit-to-stand exercise (p = .013). CONCLUSION: These findings suggest that more complex task-oriented sit-to-stand exercise requires a high-level motor programming process than a simple sit-to-stand task. Therefore, a variety of tasks-oriented sit-to-stand exercises will be useful training to achieve better ADL ability for stroke patients.

• PNF and Movement
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• 제8권1호
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• pp.11-19
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• 2010

Purpose : The purpose of this study was to the effect of task-oriented arm movements and muscle enhancement program using elastic bands on limb muscle strength and activities of daily living of mitochondrial myopathy patient. Method : Single-subject experimental research design was applied to. AB Design was adopted. The study period was approximately four weeks. A baseline period of the three sessions of the experiment, the treatment period B, 3 sessions were conducted. Baseline period to observe the patient's daily life bardel index was measured as an independent feature, MMT as a limb muscle strength was assessed by measuring early. During the period of treatment with serabaendeu limb strength training 30 minutes after the break five minutes after the treatment using MMT limb muscle strength were evaluated. Task-oriented exercise program, and who exercise a week as a treatment was carried out in 30 minutes. Result : All of the scores for each sessional period of treatment when compared to base line and upper limb muscle strengthening exercises on the subjects that did not change significantly. Conclusion : If the muscles and nervous system involvement in patients with symptoms such as muscle weakness and paralysis of upper extremity functional use is difficult.