• 제목/요약/키워드: apraxia

검색결과 36건 처리시간 0.024초

외상성 뇌손상 환아의 한방적 처치에 대한 증례보고 (A Case Report of Traumatic Brain Injury)

  • 한재경;김윤희;김연진;김윤희
    • 대한한방소아과학회지
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    • 제19권1호
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    • pp.25-33
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    • 2005
  • Objectives : This study is to investigate the effects of oriental medical treatment of traumatic brain injury. Methods : We treated the patient with Herb medicine, acupuncture, moxa, fumigation, rubdown and negative and occupational therapy. And we evaluated the case with Modified Bathel Index, Activity Index, Jebsen Test. Results : There is improvement in his symptom (manual muscle power, finger apraxia, memory loss, dysarthria, urinary frequency), after oriental medical treatment. Conclusions : We report the good result of oriental medical treatment on this case. The more clinical study of oriental medical treatment for traumatic brain injury is needed.

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한국어 말실행증 환자의 V-CV 구조 발화에 관한 실험음성학적 연구 (An Experimental-Phonetic Study on V-CV Utterances by Korean Apraxia of Speech Patients)

  • 김윤지;장태엽
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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    • pp.265-269
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    • 2007
  • This paper reports an compared acoustic analysis on speech produced by two Korean groups, normal and AOS, focusing on utterances of V-CV structures. Major concerns include: 1) types of errors (distortion/substitution) according to the place of articulation, 2) duration of each syllable, 3) VOTs of stop sounds, and 4) F1 and F2 of vowels. In terms of the differences in these phonetic characteristics between the two groups, we aim to clarify some characteristics of AOS and to provide fundamental criteria for diagnosing and evaluating the disease.

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외상성 뇌경색 환아 1례에 대한 증례보고 (A Case Report of Traumatic Cerebral Infarction)

  • 이남열;한재경;김윤희
    • 대한한방소아과학회지
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    • 제22권1호
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    • pp.59-67
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    • 2008
  • Objectives This study is to investigate the effects of oriental medical treatment for traumatic cerebral infarction. Methods We treated the patients with herbal medicine, acupuncture, aroma therapy, rehabilitation, and we evaluated these cases with Activity Index. Results There are some improvements in each patients, such as manual muscle power, finger apraxia after oriental medical treatments. Conclusions We report a change for the better effect of oriental medical treatment on this case. The more clinical studies of oriental medical treatment for traumatic cerebral infarction are needed.

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치매가 동반된 특발성 기저핵 석회화 1례 (A Case of Idiopathic Basal Ganglia Calcification with Dementia)

  • 신희영;신일선
    • 생물정신의학
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    • 제13권1호
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    • pp.38-42
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    • 2006
  • The case of a 66- year-old woman with coexisting idiopathic basal ganglia calcification(IBGC) and dementia was presented. The calcification was detected in bilateral basal ganglia, dentate nucleus, and thalamus by brain imaging. Serum calcium and phosphorus levels were normal. The underlying diseases of calcification of basal ganglia such as parathyroid dysfunction and other infectious, toxic, or metabolic illness were excluded. The patient had memory impairment and frontal executive dysfunction without aphasia, agnosia, apraxia, and visuospatial impairment in neuropsychological test. It suggested that the cognitive impairment might be due to the dysfunction of frontal-subcortical circuit.

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일차 진행성 실어증에 대한 최근 10년간 연구 동향 (Research Trends Regarding Primary Progressive Aphasia During the Last 10 Years)

  • 김노을;김정완
    • 재활복지
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    • 제20권3호
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    • pp.45-65
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    • 2016
  • 일차 진행성 실어증(Primary Progressive Aphasia, PPA) 환자군을 대상으로 한 효율적이고 체계적인 진단과 중재가 이루어지기 위해 기초연구가 많이 필요함에도 불구하고, 신경언어장애 내 치매 하위분야에서도 이들에 대한 연구는 부진한 편이다. 본 연구에서는 최근 10년간 국내외 관련 학술지에서 다루어진 PPA 연구논문의 동향을 분석하여 국내 PPA 연구의 향후 방향을 제시하는데 목적을 두었다. 일차적으로 선별된 171편의 논문을 대상으로 연구대상, 연구목적, 연구영역으로 나누고 연도별 연구동향에 대한 분석을 실시하였다. 연구대상은 국내외 모두 '실문법형'이 가장 많았고, 연구목적은 PPA의 전반적 특성이나 세 아형별 비교를 다룬 '특성연구'가 가장 많이 차지하고 있었다. 연구영역은 국외 연구에서는 의미(언어) 영역을 가장 많이 다루고 있으면서 '말'과 '기타'연구도 골고루 이루어져 있었던 반면, 우리나라는 '언어' 영역을 제외한 '말'과 '기타' 영역에 대한 연구가 아직 시행되지 않은 것으로 나타났다. 국외에서는 기존의 3가지 아형으로 나누어지던 PPA 분류에 말실행증(apraxia of speech) 분류가 추가되어 4가지 증상의 구별에 대한 연구가 활발히 모색되고 있는 반면, 국내는 환자 사례 발출이 어려워 이들이 보이는 증상이 의사소통장애에 상당히 초점이 맞춰져 있음에도 불구하고 시행된 연구가 거의 없었다. 기본적으로 관련 연구의 수가 절대적으로 부족하고 연구 영역의 다양성이 부족한 것으로 나타난 만큼, 향후 이에 대한 관심과 연구 확대가 필요하다.

편측 뇌손상 환자에서 특정 과제에 한정된 동측 상지의 운동 결함 분석 (Ipsilateral Motor Deficit during Three Different Specific Task Following Unilateral Brain Damage)

  • 권용현;김중선
    • The Journal of Korean Physical Therapy
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    • 제17권2호
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    • pp.67-87
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    • 2005
  • Impaired sensorimotor function of the hand ipsilateral to a unilateral brain damage has been reported in a variety of motor task. however, it is still the controversial issue because of the difficulty of detection in clinical situation, patients' variability(time after onset, contralateral upper extremity severity, other cognitive functions including apraxia), and the performed various motor task. The purpose of this study is to determine the presence of ipsilateral motor deficit following unilateral brain damage in three different specific tasks(hand tapping, visual tracking and coin rotation) compared with healthy age-sex matched control group using the same hand and to investigate the lateralized motor control in each hemispheric function. Findings revealed that stroke patients with unilateral brain damage experienced difficulties with rapid-simple repetitive movement, visuomotor coordination, complex sequencing movement on ipsilateral side. Also, Comparison of the left-hemispheric stroke groups and the right-hemispheric stroke groups revealed that patients with a left-hemisphere damage tended to be more variable in performing all of the three tasks. These results show that stroke patient with left hemisphere damage has more ipsilateral motor deficit, and the left hemisphere contributes to the processing of motor control that necessary for the executing actions with ipsilateral hand.

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정상 성인의 조음밸브에 대한 내${\cdot}$외전 비율 (Fast ab/adduction Rate of Articulation Valves in Normal Adults)

  • 박희준;한지연
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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    • pp.149-151
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    • 2007
  • This study was designed to investigate fast ab/adduction rate of articulation valves in normal adults. The measurement of fast ab/aduction rate has traditionally been used for assessment, diagnosis and therapy in patients who suffered from dysarthria, functional articulation disorders or apraxia of speech. Fast ab/adduction rate shows the documented structural and physiological changes in the central nervous system and the peripheral components of oral and speech production mechanism. Fast ab/adduction rates were obtained from 20 normal subjects by producing the repetition of vocal function (/ihi/), tongue function (/t${\wedge}$/), velopharyngeal function (/m/), and labial function (/p${\wedge}$/). The Aerophone II was used for data recording. The results of finding as follows: average fast ab/adduction rates were vocal function(6.21cps), tongue function(7.42cps), velopharyngeal function(5.23cps), labial function (6.93cps). The results of this study are guidelines of normal diadochokinetic rates. In addition, they can indicate the severity of diseases and evaluation of treatment.

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뇌졸중환자의 보행 관찰분석 (Observation of Gait Analysis of the Stroke Patient)

  • 배성수;김식현;김상수
    • PNF and Movement
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    • 제6권1호
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    • pp.21-25
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    • 2008
  • Purpose : The purpose of this study was conducted to find out observation at gait analysis of the stroke patient with proprioceptive neuromuscular facilitation(PNF) concept. Methods : This is a literature study with books, seminar note and international PNF course book. Results : Stroke patient gait was poor initial contact by weakness of tibialis anterior or weakness of contralateral plantar flexor, poor loading response by loss of deep sensation, poor mid stance by loss of deep sensation, weakness of tibialis anterior and weakness of plantar flexors eccentric control, poor terminal stance, pre-swing, initial swing by loss of deep sensation and stiffness fo deep toe flexors. Conclusion : Stroke patient gait determine on loss of mobility, pain, fear, trunk muscle weakness, loss of coordination, loss of deep sensation, neglect and apraxia. Therefore observational gait analysis of the stroke patient focus on gait cycle and take out hypotheses from the gait cycle. These hypotheses have to define accept or not by parameters. Treatment plan made with the hypotheses.

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운전재활프로그램이 노인의 인지기능에 미치는 효과 (The Effects of Driving Rehabilitation Program on Cognitive Function in Elderly)

  • 이정숙;김보라;하재영;박지민;조예슬;하진리;홍우선;김성원
    • 대한통합의학회지
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    • 제2권4호
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    • pp.91-100
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    • 2014
  • Purpose : The purpose of this experiment is to find out the effectiveness which exert influence on cognitive skills by using the Driver Rehabilitation program for senior citizens who are over 65 years old and live in Busan. Method : From July first, 2014 to August 28th, 2014, we researched the 60 elderly people who are over 65 and go to community relief center which is in Busan. - 30 are experimental group and the other is control group. In the experimental group, we used Nintendo wii's driving simulation program and RC Car driving program in the model road. For estimation, we used MVPT-3(Motor-Free Visual Perception Test-3), Trail Making Test - 1, Trail making Test - 2 and LOTCA(Loewenstein Occupational Therapy Cognitive Assessment). Result : Nintendo wii's driving simulation program and RC Car driving program in model road results efficient visual perception ability. This programs results effectively in visual perception ability and space perception ability. This programs results effectively in motor apraxia ability. This programs results effectively in control ability for visual perception. This programs results effectively in thinking operation. Conclusion : Nintendo Wii's driving simulation program and RC Car driving program in model road positively influence improving for visual perceptual ability and cognitive function of elderly people. Also it is considered as being more efficient for improving visual perceptual ability and cognitive function to implement basic rehabilitation training with driving rehabilitation program than basic training itself.

시선추적기법을 적용한 편측무시 측정 방법 및 개선 콘텐츠 개발 (Development of Measurement Method and Contents for Unilateral Neglect using Eye-tracking Technique)

  • 최정희;신성욱;문호상;구세진;정성택
    • 한국인터넷방송통신학회논문지
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    • 제18권5호
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    • pp.187-195
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    • 2018
  • 본 연구는 실시간 시선 및 머리 추적 방식을 사용하여 기존의 지필검사의 실행증으로 인한 검사 오류를 최소화하고, 환자의 머리와 시선 방향의 틀어짐을 정량적으로 평가를 하고자 하였다. 이에 대한 결과로 시선 및 머리 움직임 정보를 정량적으로 측정할 수 있는 소프트웨어를 개발하고, 기존 지필검사로 많이 사용되고 있는 선 나누기 검사와 별 지우기 검사를 전산화하였다. 또한, 재활 훈련을 위해 Warren의 시지각 계층 모델 하위 수준의 시각적 기술에 해당하는 콘텐츠를 구현하여 반복적이고 독립적이게 수행될 수 있도록 하였다. 이를 통해 환자가 능동적으로 재활에 참여하도록 하고 개선된 정도를 정량적으로 비교할 수 있다.