• Title/Summary/Keyword: 과제지향 훈련

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Comparison of the Effects of Task-Oriented Circuit Training and Treadmill Training on Walking Function and Quality of Life in Patients With Post-Stroke Hemiparesis: Randomized Controlled Pilot Trial (뇌졸중 환자의 보행기능과 삶의 질에 대한 과제지향적 순환식 보행훈련과 트레드밀 보행 훈련의 효과 비교: 무작위 대조군 예비연구)

  • Youn, Hye-jin;Oh, Duck-won
    • Physical Therapy Korea
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    • v.23 no.2
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    • pp.1-10
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    • 2016
  • Background: Many studies regarding task-oriented training have recently demonstrated functional improvement in patients with post-stroke hemiparesis. The task-oriented approach is very diverse, and chronic stroke patients must have access to a sustained systematic treatment program to enhance their walking ability. Objectives: This study aimed to compare the effects of the task-oriented circuit training and treadmill training on walking function and quality of life in patients with chronic stroke. Methods: Fourteen patients with chronic stroke volunteered for this study. The subjects were randomly divided into a task-oriented circuit training group and a treadmill training group with 7 patients in each. Each training regimen was performed for 30 min a day and 3 days a week for 4 weeks. Assessment tools included the Timed Up-and-Go Test (TUGT), 10-m Walk Test, 6-min Walk Test (6MWT), and the Stroke Impact Scale (SIS). Results: The change in results of the TUGT, 6MWT, and SIS measured prior to and following the training regimens appeared to be significantly different between the two groups (p<.05). In addition, after the intervention, significant differences were found for all parameters in the task-oriented circuit training group and for the TUGT, 6MWT, and SIS in the treadmill training group (p<.05). Conclusion: The findings suggest that task-related circuit training and treadmill training may be helpful to improve walking function and quality of life of patients with post-stroke hemiparesis. Additionally, a task-related circuit training program may achieve more favorable outcomes than a treadmill program.

Comparison of the Effects of Task-oriented training and Virtual reality training on upper extremity function, balance ability, and depression in stroke patients (과제지향적 상지 운동과 가상현실 훈련이 뇌졸중 환자의 상지 기능과 균형, 우울감에 미치는 영향 비교)

  • Song, Gui-bin;Park, Eun-cho
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.115-125
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    • 2016
  • PURPOSE: The purpose of this study was to compare the effects of task-oriented training and virtual reality training on upper extremity function, balance ability, depression in stroke patients. METHODS: Forty stroke patients were randomly allocated into a task oriented training group (TTG, n = 20), a virtual reality training group (VRG, n = 20). Both groups received the usual physical therapy. In addition, TTG patients underwent task training such as sweeping the table, cup stacking, carrying wood block. VRG patients underwent virtual reality training using X-box kinect. Both groups received 30 minutes of training per day, five times per week, for twelve weeks. RESULTS: After intervention, both groups showed significant improvement on upper extremity function, balance ability, and depression. VRG showed more improvement on upper extremity function, balance ability, and depression than TTG. CONCLUSION: According to the results of this study, task-oriented training and virtual reality training are feasible and suitable for stroke patients. And virtual reality training is more effective method than task oriented training.

The Effects of Task-Oriented Functional Training on Standing Balance in Stroke Patients (과제 지향적 기능 훈련이 뇌졸중 환자의 균형에 미치는 영향)

  • Kim Jae-wook;Kim Soo-min;Park Rae-joon
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.65-81
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    • 2003
  • The purpose of this study was to investigate the balance of stroke patient appling Task-Oriented Functional training program. Sixteen subjects were recruited from KeiMyung university Dongsan Medical Center inpatient satisfying requirement for this study. They were divided into Task-Oriented Functional training group and Conventional therapy group. They were measured by Sensory organization test and Motor control test items using EquiTest Version 8.0 machine before and after the test. The result of this study were to follow: 1. In Sensory organization test, there were no significant differences in static eguibrium score in both groups(p<.05). 2. In Sensory organization test, there were significant differences in dynamic eguibrium score in both groups(p<.05). 3. In Motor control test, there were significant differences in both groups(p<.05). 4. In exercise group, there were no significant differences in static Sensory organization test(p<.05). 5. In exercise group, there were significant differences in dynamic Sensory organization test(p<.05). 6. In exercise group, there were significant differences in Motor control test(p<.05). 7. In control group, there were no significant differences in static Sensory organization test(p<.05). 8. In control group, there were no significant differences in dynamic Sensory organization test(p<.05). 9. In control group, there were no significant differences in Motor control test(p<.05).

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The Effects of Task Oriented ADL Exercise in Different Environments on ADL in The Persons with Chronic Stroke (환경에 따른 과제 지향적 일상생활동작 훈련이 만성 뇌졸중 환자의 일상생활에 미치는 영향)

  • Kang, Seung-Soo;Goo, Bong-Oh
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.2
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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.

The Effects of Action-Observational Task Oriented Training on Balance and Gait Ability in Patients with Chronic Stroke (동작관찰 과제지향훈련이 만성 뇌졸중환자의 균형 및 보행능력에 미치는 효과)

  • Kim, Haeri;Lee, Hyojeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.2
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    • pp.45-57
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    • 2018
  • Purpose : This study was conducted to evaluate the effects of an task oriented training program combined with action-observation on balance and gait ability of patients with chronic stroke. Method : The subjects of this study were 30 patients with hemiplegia who agreed to participate and were picked up. Participants were randomly divided into equal groups; namely, an experimental group that underwent task oriented training combined with action-observation for at least 30 minutes/day for 6 weeks and a control group that underwent general task-oriented training. Patients' balance was assessed using the Sway Length, Sway Area and Limit of Stability test. In addition, gait ability was assessed using the 10 Meter Walking Test to measure the taken to walk 10 meters. Gait time and speed taken to walk 10 meters were used to examine gait ability. Results : There were significant improvements in the subscales of the balance and gait ability test of those who participated in the action-observational training program, while the control group showed only significant changes in the evaluation items of the sway length in eyes opened condition and gait time. Conclusion : Therefore, Action-observational training program effectively improved the balance and gait ability in patients with stroke.

The Effects of Task-oriented Training Using the PNF in Upper Arm Function and Activities of Daily Living with Chronic Stroke Patients (PNF를 이용한 과제지향훈련이 만성뇌졸중환자의 상지기능과 일상생활수행능력에 미치는 영향)

  • Bang, Dae-hyouk;Jeong, Wang-Mo;Bong, Soon-Nyung
    • PNF and Movement
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    • v.11 no.2
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    • pp.41-48
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    • 2013
  • Purpose : The aim of this study was to compare the effect of task-oriented training using the PNF(proprioceptive neuromuscular facilitation) and task-oriented training with chronic stroke patients. Methods : Sixteen chronic stroke patients participated. Participants were randomly assigned to the control and experimental group( 8 experimental, 8 control). All of participants were in-patients at local hospital and had been received training appropriate to the purpose of each group program. Experimental period was carried out 30 minutes/day, five days/week, during four weeks. The experimental group trained the task-oriented training using the PNF and control group trained the task-oriented training. Fugl-meyer assessment scale and Modified Barthel Index was measured to compare the upper arm function and activities of daily living. We were measured before and after the training. Results : The results of the study were as follow: Fugl-meyer assessment scale was significantly increased both groups(p<.05), and significant between groups(p<.05). Modified Barthel index was significantly increased both groups(p<.05) and between groups(p<.05). Conclusion : PNF can be effective in improving upper arm function and ability to perform daily life of chronic stroke patients.

Influence of Goal Orientation and Self-management of Fencing Epee Players on Psychological Skills (펜싱 에페선수의 성취목표성향과 자기관리가 심리기술에 미치는 영향)

  • Lee, sang ki
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.349-358
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    • 2017
  • In this study, 109 athletes participating in the national fencing Epee competitions in 2017 were sampled. The purpose of this study was to investigate the effect of achievement goal orientation and self - management on psychological skills of fencing Epee athletes. The research tools used to achieve these research objectives are psychological techniques developed by Kim, Byung - joon (2001), a sports achievement goal orientation test paper, and an athlete self - management questionnaire developed by Huh Jung - hoon (2001) I used the questionnaires. The results obtained were analyzed by SPSS 22.0 program, test validity and reliability test, frequency analysis, Pearson 's correlation analysis and multiple regression analysis. First, task orientation and interpersonal management, mental management, self - orientation and training management, interpersonal management, mental management, team harmony, body management and anxiety control, mental management and team harmony have significant correlations. The relationship between goal orientation, self - management, and psychological skills was found to be correlated. Second, to analyze the effect of achievement goal orientation and self-management on psychological skills, multiple regression analysis showed that there was no statistically significant effect but the subordinate had a partial effect.

Changes in Body Function, Activity and Participation Following Task-oriented Training in Children with Cerebral Palsy (과제지향 훈련 후 뇌성마비아동의 신체기능, 활동 및 참여의 변화)

  • Yang, Hye-Yun;Kang, Soon-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.71-80
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    • 2019
  • PURPOSE: This study examined whether a task-oriented training program is an effective intervention to improve the body function, activity, and participation of children with cerebral palsy (CP). METHODS: Ten children with CP (7-13 years old) performed a task-oriented training program for eight weeks (three sessions per week, 30 minutes each). The taskoriented training program consisted of eight activities. The subjects' body function was assessed using a handheld dynamometer, goniometer, Modified Ashworth Scale (MAS), Balance Performance Monitor (BPM), and the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP). The subjects' activity and participation were assessed using the Gross Motor Function Measure (GMFM) and Timed Up and Go (TUG) test. RESULTS: Task-oriented training provided significant improvements in the subjects' body function. The subjects improved the bilateral isometric muscle strength of the hip flexors, extensors and abductors, knee flexors and extensors, and ankle dorsi- and plantar flexors (p<.05). Bilateral passive hip flexion, abduction, and external rotation, knee flexion, and ankle dorsi- and plantar flexion were also increased (p<.05). In addition, the MAS score of the hip adductors decreased (p<.05) and the BOTMP score increased after training (p<.05). The subjects' activity and participation also improved significantly after training, increasing the GMFM score (p<.05) and decreasing the TUG score (p<.05). On the other hand, the BPM score did not change after training. CONCLUSION: This study suggests that a task-oriented training program can be an effective intervention to improve the body function, activity, and participation for children with CP.

The Effects of Task-Oriented Circuit Training Using Unstable Surface on Balance, Walking and Balance Confidence in Subacute Stroke Patients (불안정한 지지면에서의 과제지향 순환훈련이 아급성기 뇌졸중 환자의 균형, 보행 및 균형자신감에 미치는 영향)

  • Kim, Sun-Min;Kang, Soon-Hee
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.211-223
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    • 2021
  • Purpose : The purpose of this study was to examine the effect of task-oriented circuit training using unstable support surface on balance, gait ability, and balance confidence in subacute stroke patients. Methods : Forty-five patients with subacute stroke were randomly divided into the three following groups of 15: 1) TOCT-US group; task-oriented circuit training using unstable surface (experimental group 1), 2) TOCT-SS group; task-oriented circuit training using stable surface (experimental group 2), and 3) CON group; conventional physical therapy (control group). All patients participated in one of the three training programs for 6 weeks, 30 minutes per session, 3 times per week. Patients' balance ability was assessed using the BT-4, BBS (berg balance scale), TUG (time up and go test), and LOS (limit of stability). Gait speed was measured to examine gait ability. K-ABC (activities-specific balance confidence scale) was also used to assess the level of patients' confidence in daily activities. Results : After the intervention, the sway area in experimental groups 1 and 2 decreased, but that in the control group increased. Experimental group 1 showed significant improvement compared with experimental group 2 and the control group. BBS, TUG, and LOS scores of experimental group 1 were significantly improved compared with those of experimental group 2 and the control group. Also, gait speed significantly improved in experimental group 1 compared with experimental group 2 and the control group. Experimental groups 1 and 2 showed significant improvement in K-ABC scores after training. Conclusion : Patients with subacute stroke had significantly improved balance, gait, and level of confidence in performing activities of daily living following task-oriented circuit training using the unstable surface. This indicates that task-oriented circuit training using unstable surfaces can be an effective treatment method for the recovery of balance and gait in subacute stroke patients.

The Effect of Task Oriented Exercise and Abdominal Muscle Contraction using FES on Abdominal Muscle Thickness and Balance of Stroke Patients (FES와 과제지향 훈련이 뇌졸중 환자의 복부근 두께와 균형에 미치는 영향)

  • Hong, Jongyun;Lee, Hyojeong
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.117-126
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    • 2018
  • Purpose: The purpose of this study was to evaluate the effect of task-oriented exercise and abdominal muscle contraction using functional electrical stimulation (FES) on abdominal muscle thickness and balance of stroke patients. Methods: Ten stroke patients who met the selection criteria were assigned randomly into two groups of five. One group received FES therapy before task-oriented training (experimental group), while the other group received a FES placebo before task-oriented training (control group). The Mann-Whitney U test was used to compare the groups, and the Wilcoxon Signed-ranks test was used to compare differences between the groups before and after intervention. The Mann-Whitney U test was used to compare the rate changes of each item before and after intervention, between the two groups. Results: In the rectus abdominalis and external oblique muscle thickness tests that used ultrasound, there was a statistically significant difference in the experimental group (p<.05),but no significant difference in the control group (p>.05). There was also a significant difference between the groups (p<.05). In the Balance test that used the Berg Balance Scale (BBS) and timed up and go test (TUG), there was a statistically significant difference in the experimental and control groups (p<.05), but there was no significant difference between the groups (p>.05). Conclusions: FES therapy before task-oriented training increases the thickness of abdominal muscles and improves balance abilities.