• Title/Summary/Keyword: Visual therapy

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Development of Virtual Reality-based Visual Perception and Cognitive Rehabilitation Service

  • Song, YoHan;Kim, JinCheol;Lee, JeongA;Han, Shin;Lim, YoonGyung;Lee, HyunMin
    • The Journal of Korean Physical Therapy
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    • v.31 no.2
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    • pp.67-75
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    • 2019
  • Purpose: Patients with brain damage suffer from limitations in performing the activities of daily living (ADL) because of their motor function and visual perception impairment. The aim of this study was to help improve the motor function and visual perception ability of patients with brain damage by providing them with virtual reality-based contents. The usability results of the patients and specialists group were also evaluated. Methods: The ADL contents consisted of living room, kitchen, veranda, and convenience store, similar to a real home environment, and these were organized by a rehabilitation specialist (e.g., neurologist, physiotherapist, and occupational therapist). The contents consisted of tasks, such as turning on the living room lights, organizing the drawers, organizing the kitchen, watering the plants on the veranda, and buying products at convenience stores. To evaluate the usability of the virtual reality-based visual cognitive rehabilitation service, general elderly subjects (n=11), stroke patients (n=7), stroke patients with visual impairment (n=4), and rehabilitation specialists (n=11) were selected. The questionnaires were distributed to the subjects who were using the service, and the subjective satisfaction of individual users was obtained as data. The data were analyzed using SPSS 21.0 software. The general characteristics of the users and the evaluation scores of the experts were analyzed using descriptive statistics. Results: The usability test result of this study showed that the mean value of the questionnaire related to content understanding and difficulty was high, between 4-5 points. Conclusion: The virtual reality rehabilitation service of this study is an efficient service that can improve the function, interest, and motivation of stroke patients.

Evaluation of Static Balance in Postural Tasks and Visual Cue in Normal Subjects (정상인의 자세와 시각 교란에 따른 정적 균형능력의 변화)

  • Seo, Sam-Ki;Kim, Soo-Hyun;Kim, Tae-Youl
    • The Journal of Korean Physical Therapy
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    • v.21 no.4
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    • pp.51-56
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    • 2009
  • Purpose: This study examined the difference in the static balance ability according to the visual cues and postural tasks in normal subjects. Methods: Thirty participants (12 male, 18 female; mean age $24.63\pm1.43$ years) stood barefoot on a force platform in a one-legged stance, tandem Romberg stance and tandem Romberg with neck extension stance with a visual cue open and closes. The static balance was assessed by the center of pressure (CoP), surface electromyography root mean square (RMS) of the leg muscles according to the stance position. Results: In the CoP tests, the difference in the unit path length and circumference area was affected by the visual cue according to the stance posture (p<0.01). In the RMS tests, the difference in the tibialis anterior and medial gastrocnemius muscle was affected by visual cue in accordance with the stance posture (p<0.01). Conclusion: The visual cue and postural task affect the balance ability in normal subjects. Therefore, this study provides clinical evidence that the balance and postural control can be improved. Therapeutic intervention, such as an obstacle course, and a lower leg muscle performance program with a change in the base of support can affect the balance and postural control.

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The Effects of Lower Muscle Activity of Squat Exercise on Supporting Surface and Visual Feedback (지지면과 시각적 피드백의 차이에 따른 스쿼트 운동시 일부 하지 근 활성도에 미치는 영향)

  • Lee, Jin;Bang, Hyun-Soo
    • Journal of Korean Physical Therapy Science
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    • v.25 no.1
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    • pp.20-30
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    • 2018
  • Background: This study evaluates the effects of lower muscle activity of squat exercise on supporting surface and visual feedback. Methods: The subjects include 30 healthy subjects. To measure muscle activation of the lower limb during squat exercise(stable and unstable surface, visual and unvisual). For evaluation of muscle activation(rectus femoris, biceps femoris), was measured using the Electromyogram, EMG was used. Results: The results shows that Rectus Femoris(RF) and Biceps Femoris(BF) muscle activations were significantly (p<0.05) difference in unvisual-unstable surface(USUV), unvisual-stable surface(SUV), visual-unstable surface(USA), and visual-stable surface(SV) during squat exercise. Conclusion: Squat exercise can improve muscle activation of the lowe limb. particularly, unvisual-unstable surface during squat exercise can improve muscle activation of the lowe limb.

The Effect of Activities of Daily Living(ADL) Training on the Visual Perception Capacity Performance Function of the Stroke (일상생활활동 훈련이 뇌졸중 환자의 시지각 기능에 미치는 효과)

  • Kim, Jiwon;Kim, Miyoung;Hwang, Bosun;Jang, Chel
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.1
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    • pp.1-14
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    • 2014
  • Purpose : The aim of this study was to investigate Activities of Daily Living(ADL) function recovery of repeated measurement of stroke who received ADL training. Method : Twenty stroke patients were treated by ADL program therapy from May to June. All of in twenty stroke patients, 10 stroke patients take part in Occupational Therapy and 10 stroke patients take part in ADL training for 30 min five times a week during four weeks in M- hospital occupational Therapy treatment room, local in Changwon and Geoje. We used two assessment on is Motor Free Visual Perception Test-Third Edition(MVPT-3) for visual perception the other is Modified Barthel Index(MBI) for ADL. Result : First, Visual Short Term Memory(VSTM) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). Second, Visaul Closure(VC) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). Third, Spatial Orientation(SO) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). The fourth Motor Free Visual Perception Test-Third Edition(MVPT-3) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). The fifth Modified Barthel Index(MBI total) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). Conclusion : Therefore, ADL training can be on method the visual perception of stroke patients.

The Effect of Auditory and Visual Feedback on Symmetric Weight Bearing with Hemiplegia (성인 편마비 환자에서 시각 되먹임과 청각 되먹임이 체중 지지에 미치는 효과)

  • Park, Sung-Ill;Lee, Heong-Hun;Shin, Sang-Yong
    • Journal of Korean Physical Therapy Science
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    • v.5 no.3
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    • pp.691-696
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    • 1998
  • Objectives : Asymmetrical weight bearing during standing has been identified as a common problem in persons with hemiplegia. This study examined the effect of auditory and visual feedback on symmetric weight bearing with hemiplegia. Method: The intervention program was instituted for 10 min each day with a total of twelve treatment sessions. The machine which was used for this study is the Weight Balancer, OG GIKEN, WB-202, Japan Result: There was a significant improvement of symmetric weight distribution in auditory feedback group whereas the visual feedback group disclosed some improvement but not significantly. There was no significant change in control group. Conclusion: Results of this study suggest that an auditary feedback group can be more effective than visual feedback group or control group in helping the persons with hemiplegia achieve symmetric stance.

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Effect of Sensory Integration Therapy Combined with Eye Tracker on Sensory Processing and Visual Perception of Children with Developmental Disabilities (아이트래커를 병행한 감각통합치료가 발달장애아동의 감각처리 및 시지각에 미치는 영향)

  • Kwon, So-Hyun;Ahn, Si-Nae
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.3
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    • pp.39-53
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    • 2023
  • Objective : The purpose was the effect of sensory integration therapy combined with an eye tracker on the sensory processing and visual perception of children with developmental disabilities. Methods : It was a single-subject study with a multiple baseline design between subjects, and the intervention applied sensory integration therapy combined with an eye tracker. Visual-motor speed and saccadic eye movements were assessed at each session of baseline and intervention periods. As pre- and post-evaluation, sensory profile, Korean-Developmental Test of Visual Perception and Trail Making Test were conducted. The results of each session evaluation and pre- and post-evaluation researched the effectiveness of the intervention through visual analysis and trend line analysis. Results : As a result of the evaluation for each session, the slope of the trend line for all children in visual-motor speed and saccadic eye movement increased sharply during the intervention compared to the baseline. As a result of the pre- and post-evaluation, the sensory processing of movement, body position, and visual changed from more than that of peers to a level similar to that of peers. In visual perception, all children's ability of Visual Closure increased. As a result of Trail Making Test conducted to confirm the improvement of children's visual tracking and visual-motor abilities, all children showed a decrease in performance time after the test compared to before. Conclusion : It was confirmed that sensory integration therapy combined with an eye tracker for developmental disabilities has effect on sensory processing and visual perception. It is expected to play an important role clinically as it can stimulate children's interest and motivation in line with recent technological improvements and the spread of smart devices.

Effect of Bee Venom Acupuncture Therapy on Patients with Cervical Spondylosis (변형성(變形性) 척추증(脊椎症)의 봉약침(蜂藥) 치료(治療) 효과(效果))

  • Ahn, Byeong-Joon;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.24 no.3
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    • pp.111-117
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    • 2007
  • Objectives : This study was to evaluate the effectiveness of Bee Venom acupuncture therapy on patients with cervical spondylosis. Methods: We investigated 29 cases of patients with cervical spondylosis. We divided patients into two groups: Bee venom Acupuncture was performed at one group, and the other group we did acupuncture therapy. To evaluate the effectiveness of treatment applied for two groups, we used visual analog scale(VAS) and neck disability index(NDI). We compared the VAS and NDI score of two groups statistically. Results : As a result of evaluation by using visual analog scale(VAS) and neck disability index(NDI), treatment score at final was significantly different from that at the baseline in each groups. Treatment at final, Bee venom acupuncture therapy group showed significant difference on visual analog scale(VAS) and neck disability index(NDI) compared with acupuncture therapy group. Conclusions : Bee Venom acupuncture therapy can be used with acupuncture therapy for highly effective in the patient with cervical spondylosis.

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The Effect of Postural Correction and Visual Feedback on Muscle Activity and Head Position Change During Overhead Arm Lift Test in Subjects with Forward Head Posture

  • Xu, Liwen;Hwang, Byoungha;Kim, Teaho
    • The Journal of Korean Physical Therapy
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    • v.31 no.3
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    • pp.151-156
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    • 2019
  • Purpose: This study aimed to investigate the immediate effects of posture correction and real-time visual feedback using a video display on muscle activity and change of head position during overhead arm lift test in individuals with forward head posture. Methods: Fifteen subjects with forward head posture and fifteen normal subjects who volunteered were included in this study. During both groups performed the overhead arm lift test, the muscle activity of the upper trapezius, serratus anterior, sternocleidomastoid, and lower trapezius muscle were measured using electromyography, and head position change was measured using photographs. Then, forward head posture group was asked to perform overhead arm lift test again after posture correction and real-time visual feedback using a video display respectively. One-way analysis of variance (ANOVA) was used to analyze four conditions: pre-test, posture correction, real-time visual feedback, and the control group. Results: The upper trapezius and lower trapezius muscle activity significantly decreased posture correction, real-time visual feedback, and control group than pre-test of forward head posture group (p<0.05). The sternocleidomastoid muscle significantly decreased real-time visual feedback and control group than pre-test of forward head posture group. Head position change significantly decreased three conditions than pre-test of forward head posture group and real-time visual feedback and control group significantly decreased than posture correction. Conclusion: This study recommend for maintaining cervical stability during the overhead arm lift test, postural control using real-time visual feedback is more effective in subjects with forward head posture.

The Effect of Task-Oriented Mirror Therapy involve Visual Illusion on Upper Extremity Functions in Stroke Patients: Single Subject Study (착시현상이 반영된 과제지향적 거울치료가 뇌졸중 환자의 상지기능에 미치는 영향: 개별실험연구)

  • Choi, Seong-Youl;Kim, Su-Kyoung;Lee, Jae-Hong
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.2
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    • pp.13-23
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    • 2013
  • Objective : The purpose of this study is to evaluate the effect of task-oriented mirror therapy involve visual illusion on upper extremity functions in stroke patients. Method : We divided into two groups that task-oriented mirror therapeutic exercise program include visual illusion and not include. In order to determine the change in upper extremity function, Box & Block Test and Line-bisection Test was evaluated each time period. Result : The result of this study that we found out that all participation's upper extremity function had been improved during the intervention and sustained during baseline regression. Applying mirror therapy program include visual illusion group more improved trend line during the intervention, visual illusion group, it had been shown there are higher difference between visual illusion group and non-visual illusion group in upper extremity functions. Conclusion : It is thoughtful that task-oriented mirror therapy could help for stroke. It might be more effectiveness to apply who have exercise program include visual illusion.

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Effects of Vision and Visual Feedback on Standing Posture in Patients With Hemiplegia (시각 및 시각되먹임이 펀마비 환자의 서기자세에 미치는 영향)

  • Kim, Myoung-Jin
    • Physical Therapy Korea
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    • v.5 no.3
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    • pp.42-47
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    • 1998
  • Patients with hemiplegia usually show different body weight distribution as compared with normal subjects. Asymmetrical posture during static stance has been identified as a common problem in patients with hemiplegia. The purpose of this study was to identify the effects of vision and visual feedback on body weight distribution while standing under three conditions: eyes-closed, eyes-open and visual feedback condition. Fourteen patients with hemiplegia participated in the study. Their body weight distribution during standing for 20 seconds was measured by Limloader. The data were analysed by repeated measure of one-way ANOVA. The weight bearing on the paretic limb in the eyes-open condition was significantly higher than that of the eyes-closed condition. The weight bearing on the parietic limb in the visual feedback condition was significantly higher than that of the eyes-open condition. These results suggest that patients with hemiplegia can improve their symmetrical stance ability using visual feedback.

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