• Title/Summary/Keyword: 시-운동 협응

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Task-Oriented Intervention for Improvement of Visuomotor Coordination and Fine Motor Coordination Functions in Developmental Delayed Child : A Single-Subject Design (발달지연 아동의 시-운동 협응 및 소운동 협응 기능 향상을 위한 과제지향의 중재(task-oriented intervention) 적용: 단일대상연구)

  • Song, Jiwon;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.36-45
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    • 2021
  • Purpose : This study aims to identify changes in the visuomotor coordination and fine motor coordination functions caused by the use of a task-oriented intervention in a child with developmental delay. Methods : The participant, who was a 6-year-old girl, was not diagnosed but showed a developmental delay in overall function. The study period was February 5, 2021, to June 4, 2021, and a single-subject A-B study design was used. The baseline (A) was initially evaluated in the first three sessions to identify the child's functions. In the intervention period, 12 session (B), task-oriented intervention was applied; the child engaged in many of the activities in kindergarten, such as painting, writing, making, and cutting with scissors. Visuomotor coordination and fine motor coordination were equally measured during the baseline and intervention periods. Visuomotor coordination was measured via drawing of an oval according to the Korean Developmental Test of Visual Perception 3 (K-DTVP-3), and fine motor coordination was assessed using the finger-nose touching item of the Clinical Observation of Motor and Postural Skills (COMPS). Results : The mean of the baseline of the K-DTVP-3 oval drawing was 23, and the mean of the intervention period was 39.66. The mean of the baseline of the COMPS finger-nose touching was 0, and the mean of the intervention period was 5.08. Conclusion : Task-oriented intervention seems to have a positive effect on the visuomotor coordination and fine motor coordination abilities of children with developmental delay.

The Effects of Upper Limb Coordinated Movement Based Task Oriented Approach on Improving Handwriting Performance in Children With Developmental Coordination Disorder (상지 협응 움직임을 기반으로 한 과제중심적 접근 훈련이 발달성 협응 장애아동의 글씨쓰기 능력에 미치는 효과)

  • Kim, Miji
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.77-87
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    • 2016
  • Objective : The purpose of this study is to investigate the impact of task-oriented approach based on upper limb coordinated movement on the ability of the Korean handwriting in children with developmental coordination disorder(DCD). Methods/Design : This randomized controlled trial designed as a pre-/post- test will compare the effectiveness of task-oriented approach and process-oriented approach on handwriting performance for children with DCD aged 5 to 10. These interventions consist of 10 training sessions and 4 assessment sessions over 7weeks. Children will be measured regard to handwriting legibility, speed and pre-handwriting skills including upper limb movement skills, visual perception and visual motor coordination. Conclusion : This is the first attempt to investigate effects of a task-oriented approach in children with DCD. The significance of this study is to provide the clinical evidences to apply the task-oriented approach improves the children's handwriting performance. Furthermore it will also present a more effective intervention for handwriting by figuring out each approach's impact on the improvement of pre-handwriting skills.

The Process of the Kinematic Coordination and Control of Dollyochagi Motion in Taekwondo (태권도 돌려차기 동작의 운동학적 협응 및 제어과정)

  • Yoon, Chang-Jin;Chae, Woen-Sik
    • Korean Journal of Applied Biomechanics
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    • v.18 no.2
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    • pp.95-104
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    • 2008
  • The purpose of this study was to investigate kinematic coordination and control of lower segments in skill process. For the investigation, we examined the difference of resultant linear velocity of segments and angle vs angle graph. Novice subjects were 9 male middle school students who has never been experienced a taekwondo and expert subjects were 7 university taekwondo players. We analyzed kinematic variables of Dollyochagi motion through videographical analysis and the conclusion were as follows. 1. Examining the graph of novice subjects' maximal resultant linear velocity of the thigh, shank, and foot segment, as it gets closer to the end of the training, the maximal resultant linear velocity in each segment increased. Statistical analysis showed the following results; thigh segment caused the increase of speed, using the trunk segment's momentum in the latter term of learning, while the shank segment utilized the momentum of the adjacent proximal segment at the beginning of learning, and the foot segment in the middle of learning. 2. Until the point where the knee joint angle is minimum, as the novice group learn the skill, the flexion of knee and hip joints has changed into the form of coordination pattern in phase. On the other hand, the expert group showed continual coordination pattern in phase that the movement sequences were smooth. From the knee joint maximal flexion to impact timing, all novice and expert groups showed coordination pattern out of phase. 3. From the knee joint maximal flexion to impact timing, the ankle joint was fixed and the knee joint was extended to all the novice stages and expert subjects.

A Study on Factors Influencing Handwriting of Preschool Children (학령전기 아동의 글씨 쓰기에 영향을 미치는 요인에 관한 연구)

  • Kim, Won-Jin;Wang, Gun-Chu;Kim, Du-Ri;Choi, In-Young;Heo, Jin-A;Choi, Yu-Jeong;Chang, Moon-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.1
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    • pp.21-31
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    • 2011
  • Objective : This study investigated the relationships of handwriting legibility and perceptual-motor skills, and handwriting speed and perceptual-motor skills. And identified the predictors that most affect the handwriting of preschool children. Methods : Twenty-three typically developing preschool aged children (mean age: 68.61 months, SD=2.04) were selected through the Korean-Denver Developmental Screening Test-2(K-DDST-2). The children were tested with regard to handwriting legibility, visual perception, visual-motor integration and fine-motor coordination. Results : First, a significant relationship was not found among handwriting legibility, visual perception, visualmotor integration and fine-motor coordination. Second, a significant relationship was found among handwriting speed, visual perception and fine-motor coordination. Third, stepwise multiple regression analyses showed that general visual perception were significant predictors for handwriting speed. Conclusion : Occupational therapists should evaluate children's visual perception levels utilizing a standardized test, and focus on general visual perception in order to improve handwriting skill(speed). Also, occupational therapists are expected to play an important role in the management and treatment of children's handwriting skills.

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Analysis of Spatial Cognition using the Visual-Auditiory Stimulation (시청각 자극을 이용한 공간인지 분석)

  • 심해영;정우석;양길태;김철생;김남균
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2000.11a
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    • pp.199-201
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    • 2000
  • 본 연구에서는 시각 자극, 청각 자극, 시청각 자극을 이용하여 인간의 공간인지 능력과 감각-운동 협응 정도를 분석하였다. 피험자는 과거에 시력과 청력장애를 경험하지 않은 20대의 정상성인 남녀 각각 10명을 대상으로 하였다. 분석을 위해 EOG, EMG등의 생체신호와 3차원 좌표추적장치(FASTRAK)를 이용하여 지시운동시 손가락의 위치좌표를 검출하였다. 그 결과 시청각 자극에서 가장 작은 인식오차를 보였고 공간인지에 있어서 시각이 청각보다 주도적인 역할을 한다는 것을 알 수 있었다.

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The Effect of Convergence Vision Therapy on Symptoms and Visual Perception in Children with ADHD tendency (융복합적 비전테라피가 ADHD 경향 아동의 증상과 시지각에 미치는 영향)

  • Cho, Hyung-Chel;Ro, Hyo-Lyun
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.59-71
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    • 2020
  • The purpose of this study is to determine whether vision therapy improves symptom and visual perceptual skills in children with attention deficit hyperactivity disorder tendency who have visual problems. The subjects of this study were 10 children. Before and after vision therapy, the visual function test, developmental test of visual-motor integration, test of visual perceptual skills, and ADHD rating scale test were performed. Vision therapy was conducted twice a week for a period of 6 months to 1 year. After vision therapy, all subjects achieved normal ranges of visual function, sensory fusion, stereoacuity, vergence function, and convergence. The visual function and visual perceptual skill were improved and the score for ADHD symptoms was reduced. Therefore, it seems that vision therapy can be used to improve the symptoms and visual perception of children with ADHD.

Differential Diagnostic Characteristics of Movement Disorders in Children With Lesch-Nyhan Syndrome (LNS): A Case Report (Lesch-Nyhan 증후군 아동의 운동장애에 대한 감별진단 특성)

  • You, Sung H.;Bunker, Linda K.
    • Physical Therapy Korea
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    • v.9 no.4
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    • pp.13-35
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    • 2002
  • Lesch-Nyhan 증후근(LNS)은 hypoxanthine guanine phosphoribosyle transferase(HGPRT) 효소를 암호화 하는 X 염색체가 불완전해서 일어나는 유전적인 추제외로계(또는 기저핵)의 드문 병변이다. 출생시 LNS 유아는 정상적인 운동발달이 관찰되어진다. LNS에게서 현저하게 진단적인 특징으로 보여지는 운동심리적 행동인 self-mutilating 행위는 4살 이후에나 나타난다. LNS 아이들은 오히려 초기에 Rett's 증후근, 뇌성마비, 자폐, 다운증후근과 유사한 운동행위를 보인다. 그래서 LNS 아이들은 앞에 기술한 신경학적 장애로 오진을 받을 수가 있다. 오진으로 인해 초기에 적절한 치료를 받지 못한다면 LNS는 결과적으로 합병증(신장부전)과 self-mutilating 행위로 인하여 치명적일 수가 있다. 그러므로, 이 연구의 목적은 LNS 평가 동안 더 나은 진단을 하도록 하기 위하여 LNS와 관련된 기능부전에 대한 지식을 임상가들에게 제공하고자 함이었다. 연구 대상자는 10살인 2명의 쌍둥이 남아이었으며 실험은 뻗기 과제 수행(reaching task)시 움직임 특성을 보기 위하여 운동형상학적과 비디오 분석을 사용하였다. 기술통계로 분석 결과 움직임 시간과 단위가 증가됨을 보였고 사지의 분절적 움직임이 협응되지 않음을 보였다. ballistic과 jerky 움직임 양상은 dysmetric과 비긴장성 운동 행위에서 우세하였다. LNS은 추체로계 운동 장애 (과근긴장도나 저긴장도) 와 추체외로계의 운동 장애(dystonia와 choreoathetosis)의 혼합된 형태를 보였다. 결론으로 이 연구는 운동발달 장애를 가진 아이들을 치료하고자 할 때 임상가들한테 LNS 아이들의 움직임 장애의 다른 진단적 특징을 알아야 한다는 것을 제시하고자 한다.

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Effects of Bimanual Intensive Training on Upper Extremity Function in Stroke Patients (양측 집중 훈련이 뇌졸중 환자의 상지기능 회복에 미치는 영향)

  • Hong, Ho-Jin;Park, Hae Yean;Kim, Jung-Ran;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.119-135
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    • 2020
  • Objective : The purpose of this study was to investigate the effects of bimanual intensive training on Upper Extremity Function and activities of daily living in stroke patients. Methods : The subjects were 18 patients who were diagnosed with hemiplegic stroke. They were randomly assigned to bimanual intensive training group (n=9) and unilateral intensive group (n=9). Bimanual training group performed bimanual task and unilateral training group performed one hand task for 1 hour per session, 5 times a week, for 4 weeks. Chi-square test, Wilcoxon signed rank test, and Mann-Whitney U test were used for analysis. Results : The results showed that, upper extremity motor function and bimanual coordination were significantly improved in patients in the bimanual training group (p<.05). Additionally, the ratio of affected hand use and amount of use/quality of movement in the hemiplegic upper extremity in activities of daily living for patients in the bimanual training group were significantly improved (p<.05). Although the unilateral group improved motor upper extremity function and activities of daily living in the upper extremity (p<.05), it was not significantly different from that in the bimanual training group. In between-group comparison, bimanual coordination and ratio of the affected hand use in a day were significantly different (p<.05). Conclusion : It is reasonable to conclude that bimanual intensive training therapy is an effective intervention method to improve upper extremity motor function, and activities of daily living in stroke patients.

EMG effects of abdominal muscle on multiple forms of exercise (여러 형태의 복부 운동에 대한 복근의 EMG 효과)

  • Yoon, Wan-Young;Cho, Seok-Cheol
    • Journal of the Korea Convergence Society
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    • v.10 no.2
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    • pp.309-313
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    • 2019
  • This study examined the response of the EMG of URA, LRA, IO, EO and RFM of various types of abdominal motion (crunch, spine V-up on ball, prone V-up on slide board, prone V-up on TRX, and prone V-up power wheel). The subjects performed anisometric contact of abs during these exercises. Tests have shown that there were no statistically significant differences between EO, URA and LRA between any movements. However, during the inspection of IO, the positive-wawed V-up motion showed significantly greater muscle activity than during the slide movement. Also, EMG activity during crunch was significantly lower than any other five exercises. These results indicate that in the implementation of equilateral absolutism, the equipment-free based exercise gives an impetus similar to equipment-based exercise. Abdominal muscle tissue is considered one of the five components that make up an individual's core. The abdominal muscles also ensure proper functioning of the lumbar spine. Although all abdominal muscles contribute to lumbar stabilization, TA & IO has been shown to perform major stabilizers.

Differences in Angle of the Lower Extremities and Electromyography of Elderly Women Experienced a Fall (낙상경험 여성노인의 하지 분절 각도와 근전도 차이)

  • Jeon, Kyoung-Kyu;Park, Kwang-Dong;Park, Se-Hwan;Kang, Young-Seok;Kim, Dae-Geun
    • Korean Journal of Applied Biomechanics
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    • v.19 no.2
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    • pp.245-255
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    • 2009
  • The purpose of this study is to analyzed the coordination of lower limb of elderly women who experienced a fall to present basic information for sports science and to deal with the factors that make elderly women fall more effectively. Twenty elderly women were divided into two groups of 10. The mechanisms of balancing lower limb during walk and differences were compared and analyzed using motion analysis and electromyography. The findings of this study are as follows. The first, walking patterns of these women were unstable as their hip joints did not provide sufficient support because of aging. Second, the left and right knee joints showed different walking patterns. The third, the motions of ankle joints became abnormal with increased age. As for the activation of major lower limb muscles, rectus fermois muscle and biceps fermois muscle contracted more to prevent the bending of knees and moved forward while anterior tibial muscle and inner gastrocnemius muscle were demanded highly during walk and the rate of plantar flexion was reduced.