• Title/Summary/Keyword: 과제 지향적 훈련

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The Effects of Task Oriented Activity and Modified Constraint Induced Movement Therapy on Quality of Life for Patients With Stroke (과제 지향적 훈련과 수정된 강제유도 운동치료가 뇌졸중 환자의 삶의 질에 미치는 영향)

  • Lee, Jong-Min;Kim, Bo-Ra
    • Therapeutic Science for Rehabilitation
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    • v.1 no.2
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    • pp.23-34
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    • 2012
  • Objective : The purpose of this study was to investigate the effect of task oriented activity and modified constraint induced movement therapy (mCIMT) on Quality of Life (QOL) for patients with stroke. Methods : Thirty stroke patients were participated voluntarily and were assigned randomly into task oriented activity and mCIMT groups. The QOL of both groups were assessed using Stroke Specific Quality of Life (SS-QOL). Results : The QOL showed a statistically meaningful difference for both groups (p<.05), but after the intervention, the both groups showed no statistically meaningful difference in terms of the QOL (p>.05). Conclusion : We found that task oriented activity and mCIMT improve the QOL of patients with stroke through increasing their affected upper extremity function and movement. It is expected that task oriented activity and mCIMT will have a positive effect on the QOL of stroke patients by applying them to clinic with occupational therapy.

The Effects of Task-Oriented Training on IADL in Dementia : Case Study (과제지향적 훈련이 치매 환자의 수단적 일상생활활동에 미치는 영향: 사례연구)

  • Moon, Mi-Sook;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.3 no.1
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    • pp.67-77
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    • 2014
  • Objective : The purpose of this study was to examine task-oriented training affects on instrumental activity of daily living for elderly with dementia. Methods : The participant is a 75 years old female with dementia. The intervention was performed for 45 minute on 3 times per week over 1 month. Independent variable was task-oriented training and dependent variable were memory(DST), executive function(TMT-A, CDT), changing of IADL(AMPS). Results : The results showed that the participant significantly improved in executive function, performance of IADL. However, the participant did not show significant improvement in memory. Conclusion : In conclusion, the findings of this study indicate that task-oriented training is positive effect on performance of IADL in dementia.

The Effect of Task-Oriented Training on Upper Extremity Function, and Activities of Daily Living for Stroke Patients - Comparative of Group Training and Individual Training - (과제 지향적 훈련이 뇌졸중 환자의 상지 기능, 인지 기능과 일상생활 수행에 미치는 효과 - 개별 훈련과 집단 훈련의 비교 -)

  • Park, Eun-Jung;Yoo, Chan Uk;Yong, Mi Hyun
    • Therapeutic Science for Rehabilitation
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    • v.2 no.2
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    • pp.47-59
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    • 2013
  • Objective : This study is conducted to find the influence on upper extremity function, cognitive function and activities of daily living when stroke patients receive task-oriented training in group or individually. Methods : Twenty-six inpatients are assigned to two groups(task training group and individual training group) randomly, who receive rehabilitation therapy after stroke diagnosis for 5 months(june to november, 2012) in a hospital. Both groups receive a task-oriented training for 30 minutes a day for 3 weeks. FMA were used to measure upper extremity function, K-MMSE were used to measure cognition, and MBI for ADL. Results : Before training. two groups were not different significantly in upper extremity function and cognitive function. But in activities of daily living, bathing self(p<.001), feeding, personal hygiene and total score(p<.05) are higher in group training group. After training, upper extremity function is higher in individual training group(p<.001). In both training group, upper extremity function, feeding, personal hygiene, bathing self, dressing, toilet, chair/bed transfers, ambulation and stair climbing, total score are improved significantly(p<.05). In comparing of variation before and after training, upper extremity function(p<.001), feeding and total score of activities of daily living are more improved significantly in individual training group(p<.05). Conclusion : The outcome shows that task-oriented training can improve upper extremity function and activities of daily living in both training group. Especially, the more upper extremity function is improved, the more activities of daily living is improved. In the future, it will be necessary longitudinal study for a long time for more patients.

The Convergence Effect of Task-Oriented Training and Vibration Stimulation, Transcranial Direct Current Stimulation to Improve Upper Limb Function in Stroke (뇌졸중 환자의 상지기능 개선을 위한 과제 지향적 훈련과 진동 자극, 경두개 직류 전류 자극의 융합 효과)

  • Kim, Sun-Ho
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.31-37
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    • 2020
  • The purpose of this study was to investigate the Effect of transcranial direct current stimulation convergence task-oriented training combined with vibration stimulation on hand dexterity and upper limb function in stroke patients. One time 30 minutes 5 times a week for 4 weeks. experimental group of transcranial direct current stimulation convergence task-oriented training combined with vibration stimulation and control group of the task-oriented training combined with vibration stimulation were divided into 10 members. Hand dexterity and upper limb recovery were measured. The experimental group and the control group showed significant improvement in hand dexterity and grasping(p<.05), grasping, and gross movement(p<.05). The experimental group showed a significant improvement in hand dexterity and grasp and grip than the control group. Effect size showed more than small effect in all evaluation items. Based on the results of this study, it is considered that more effective and efficient rehabilitation treatment can be performed in the clinic.

Effects of Task-Oriented Training With Functional Electrical Stimulation on Cervical Spinal Cord Injury Patients' Hand Function: A Single-Subject Experimental Design (기능적 전기 자극을 병행한 과제 지향적 훈련이 경수 손상 환자의 손 기능에 미치는 영향: 개별사례 연구)

  • Ko, Seok-Beom;Park, Hae Yean;Kim, Jong-Bae;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.63-77
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    • 2018
  • Objective : The purpose of this study was to investigate the effects of task-oriented training with functional electrical stimulation on hand function in incomplete cervical cord injury. Method : The subjects of the study were 3 adults diagnosed as incomplete cervical cord injury. The design of this study was ABA single-subject research design to compare dominant hand function of before and after intervention and detect individual effects. The experiment consisted of 30sessions, in which baseline process A1 and A2 were implemented 5 sessions each for 10sessions. Intervention B was implemented 20 sessions. The dependent variable was converted to the change of hand function every session, and Canadian Occupational Performance Measure (COPM), Jebsen-Taylor Hand Function Test(JTHFT), Wolf Motor Function Test(WMFT) were selected for outcome measurements. Result analysis was suggested through visual analysis using a graph and comparison of pre, post and follow-up intervention measurements. Results : As a result, the quality and quantity of dominant hand function increased during intervention B compared to the baseline A1 for all subjects. Baseline A2 was also maintained without training. Additionally, JTHFT, WMFT and COPM scores demonstrated improvement and maintain. The follow up JTHFT and WMFT showed increased required time on all subjects and decrease or maintain task performance and satisfaction in COPM. Conclusion : The task-oriented training with function electrical stimulation in this study has been positive effects on hand function and task performance and satisfaction.

Effect of Task-Oriented Exercise on the Balance in Degenerative Arthritis Patients with Total Knee Replacement (과제 지향 훈련이 슬관절 전치환술을 시행한 퇴행성 관절염 환자의 균형 능력에 미치는 효과)

  • Ji, Sang-Goo;Kim, Myung-Kwon;Lee, Dong-Geol;Cha, Hyun-Kyu
    • The Journal of the Korea Contents Association
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    • v.12 no.3
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    • pp.222-232
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    • 2012
  • This study was conducted to compare the task-oriented exercise and weight-shifting exercise program has effectiveness on the static and dynamic balance in patients with total knee replacement. The participants were allocated randomly into 2 group : task-oriented exercise group(n=12) and weight-shifting exercise group(n=12). To evaluate the effects of exercise, subjects were evaluated by using Gaitveiw System and functional reaching test for static balance and Balance System for dynamic balance test. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. Static balance test and dynamic balance test in task-oriented exercise had statistical significance than weight-shifting exercise program(p<0.05). So this results were suggested that the task-oriented exercise was effective on static and dynamic balance in patients with total knee replacement.

The Effect of Task oriented Imagination Training on the Function of Upper limb and Daily Activities of Chronic Stroke Patients (과제 지향적 상상훈련이 만성 뇌졸중 환자의 상지 기능과 일상생활활동에 대한 다중회귀분석)

  • Son, Young-Hyo;Kim, Seung-Il;Jung, Hwa-Shik;Park, Soo-Hee;Chung, Hyun-Ae
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.10
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    • pp.1163-1174
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    • 2015
  • This study is aimed at identifying the effect the task-oriented imagination training of chronic stroke patients have on the function of upper limb and their daily activities(: ADL). The research subjects were composed of 30 chronic stroke patients with over three months of ailment history, with each group composed of 15 patients assigned to the experiment group and the control group, respectively. The experiment group was subjected to the task-oriented training and the imagination training at the same time, while the control group was subjected to the task-oriented training only. All Interventions were performed for 5 times per week over the period of 8 weeks and 30 minutes per session. In order to monitor the changes as a result of the Intervention program, the MFT and OPTIMAL were employed for the upper limb function while the MBI was employed for the ADL to measure the values before and after the Intervention, respectively, with the results shown below. As a result, MFT, OPTIMAL and MBI showed significant difference between before and after in group. And Mental practice group showed more improvement.

The Effects of Simultaneous Application of Peripheral Nerve Sensory Stimulation and Task-Oriented Training to Improve Upper Extremity Motor Function After Stroke: Single Blinded Randomized Controlled Trial (뇌졸중 환자의 상지기능 개선을 위한 말초감각신경자극과 과제 지향적 훈련의 동시 적용 효과: 단일 맹검 무작위대조군실험)

  • Kim, Sun-Ho;Won, Kyung-A;Jung, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.9 no.4
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    • pp.7-20
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    • 2020
  • Objective : This study aimed to investigate the effect of simultaneous application of peripheral nerve sensory stimulation and task-oriented training on the improvement of upper extremity motor function after stroke. Methods : This study included 29 patients with hemiplegia. The 14 subjects were in the peripheral nerve sensory stimulation and task-oriented training group for 4 weeks (30 min/d, 5 d/wk), while the 15 control group subjects underwent only task-oriented training for the same duration. The outcome measures were the percentage of voluntary baseline muscle contractions of the wrist and shoulder and Box and Block Test, grip and pinch strength, and Action Research Arm Test. Results : After 4 weeks, muscle activity of extensor carpi radialis, flexor carpi radialis and grip strength and Action Research Arm Test were significantly higher in the experimental group. Conclusion : Simultaneous application of the peripheral nerve sensory stimulation and task-oriented training was found to be superior to task-oriented training for improving upper extremity motor function of adults with stroke.

The Effects of Task-Oriented Circuit Training on The Upper Extremity Function and Quality of Life in Chronic Stroke Patients (유비쿼터스 의료환경에서 순환식 과제 지향적 훈련이 뇌졸중 환자의 상지 기능과 삶의 질에 미치는 영향)

  • Lee, Gue-Dong;Kim, Young-Hun;Moon, Jong-Hoon;Park, Kyung-Young
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.3
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    • pp.651-660
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    • 2018
  • The purpose of this study was to investigate the effects of task-oriented circuit training(: TOCT) on upper extremity function and quality of life in chronic stroke patients. 20 stroke patients were randomized and divided into 2 groups: a preservation therapy group and TOCT group. The intervention sessions were given five times a week for four weeks. The Stroke Impact Scale(: SIS), EuroQual-5Domains(: EQ-5D), Fugl-Myer Assessment(: FMA), Motor Activity Log(: MAL), Canadian Occupational Performance Measure(: COPM) were used to measure the upper extremity function and the quality of life. In results, Two groups improved in upper extremity function after the intervention(p<.05). The EQ-5D scores of TOCT group were a significantly higher than preservation group(p<.05). The Ironing, Folding towels, Hang out towels on drying rack in COPM scores in both of performance and satisfaction have improved more than preservation group(p<.05). In conclusion, the TOCT has significant helpful effect to chronic stroke patients. These findings can be used to chronic stroke patient as an intervention for upper extremity function and quality of life.

Effect of Task-oriented Training on Cognitive Function Recovery and CNS Plasticity in Scopolamine-induced Dementia Rats (치매모델 쥐의 과제지향 훈련이 인지기능 회복과 중추신경계 가소성에 미치는 영향)

  • Kim, Souk-Boum;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.2
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    • pp.23-31
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    • 2019
  • Objective : The purpose of this study is to repeatedly conduct task-oriented training in scopolamine-induced dementia rats and as a result observe changes in the content of acetylcholine, a marker of cognitive function and central nervous system plasticity, to identify the improvement effect of dementia. Methods : It consisted of two groups. One group I was that did not perform task-oriented training in scopolamine-induced dementia rats and the other group II was that performed task-oriented training. Task-oriented training involved stretching, grasping and moving arms and walking obstacles on the legs. We performed a quantified passive avoidance test in the measurement of memory for cognitive function and compared the change in the content of acetylcholine for the plasticity of the central nervous system. Results : The results of the study are as follows: First, there was a significant improvement in cognitive function since the 4th days after task-oriented training of scopolamine-induced dementia rats(.00). Second, task-oriented training applied to scopolamine-induced dementia rats showed a significant increase in acetylcholine content. Conclusion : In this study, task-oriented training, which is often performed on senile dementia patients during occupational therapy intervention, was scientifically demonstrated in scopolamine-induced dementia rats by enhancement of cognitive function through memory improvement and increase in the content of acetylcholine confirming central nervous system plasticity.