• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.16 no.1
• /
• pp.33-46
• /
• 2005

First, the author reviewed the relationship between human brain development and cognitive functions such as attention, perception, memory, and language. And then Luria's neurodevelopmental theory and its application on the Neuropsychological test battery for children were reviewed. Finally, various assessment tools to evaluate attention, intellectual function, visual-perception, visual-motor coordination, and executive function were examined.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.23 no.4
• /
• pp.175-180
• /
• 2012

Early detection and intervention is critical in improving prognosis of developmental disorders. Developmental delay can have many different causes and the clinical features of developmental delay are diverse according to its etiologic causes and severity. The vast and rapid growth of the child's neurobehavioral repertoire from birth through adolescence requires the physician's abundant experience, knowledge, and understanding of development. Here, we summarize instruments for use in neurodevelopmental assessment of infants and toddlers, focusing on motor development, which is the most frequent complaint listed in the developmental clinic.

• Neonatal Medicine
• /
• v.18 no.2
• /
• pp.310-319
• /
• 2011

Purpose: The aim of this study was to investigate the effect of perinatal risk factors on brain maturation and the relationship of brain maturation and neurodevelopmental outcomes with brain maturation scoring system in brain MRI. Methods: ELBWI infants born at the Seoul National University Children's Hospital from January 2006 to December 2010 were included. A retrospective analysis was performed with their medical record and brain MR images acquired at near full term. We read brain MRI and measured maturity with total maturation score (TMS). TMS is a previously developed anatomic scoring system to assess brain maturity. The total maturation score was used to evaluate the four parameters of maturity: (1) myelination, (2) cortical infolding, (3) involution of glial cell migration bands, and (4) presence of germinal matrix tissue. Results: Images from 124 infants were evaluated. Their mean gestational age at birth was 27.1${\pm}$2.1 weeks, and mean birth weight was 781.5${\pm}$143.9 g. The mean TMS was 10.8${\pm}$2.0. TMS was significantly related to the postmenstrual age (PMA) of the infant, increasing with advancing postmenstrual age (P<0.001). TMS showed no significance with neurodevelopmental delay, and with brain injury, respectively. Conclusion: TMS was developed for evaluating brain maturation in conventional brain MRI. The results of this study suggest that TMS was not useful for predicting neurodevelopmental delay, but further studies are needed to make standard score for each PMA and to re-evaluate the relationship between brain maturation and neurodevelopmental delay.

• Journal of Korean Physical Therapy Science
• /
• v.7 no.2
• /
• pp.427-437
• /
• 2000

편마비 환자의 물리치료는 장애 결과를 완화시키는 것에 초점을 두고 있다. 본 연구는 신경생리학적 개념을 기초로 한 중재 접근 방법 중 편마비 환자에게 신경 발달 치료와 신경근 균형 접근 기법의 중재 효과를 비교 하였다. 연구 대상은 서울특별시와 전라북도에 소재한 종합병원 및 정형외과 의원에 입원 및 통원하고 있는 47-71세의 연령 범위에 있는 편마비 환자 30명 이다. 중재 집단의 기능적 능력 향상을 평가하기 위해 편마비 환자를 위한 운동 평가 척도와 수정된 바델 척도를 평가도구로 사용하였다. 편마비 환자의 기능적 능력 향성을 평가도구에 의해 측정된 결과를 분석한 바 운동평가 척도 항목중 바로누운 자세에서 옆으로 눕기와 앉아서 균형 취하기 영역에서, 수정된 바델 척도 항목 중 식사하기 영역에서 통계적으로 유의한 차이를 보였다(P<.05). 편마비 환자의 손상 부위, 손상 형태, 마비 부위 등의 손상의 본질에 따른 대상의 선정과 운동 조절 형태에 관한 지식 그리고 신경학적 결함 정도를 심도있게 다루어 기능적 능력 향상의 임상적 효과를 검증하는 것이 중요하다.

• Korean Journal of Occupational Therapy
• /
• v.26 no.4
• /
• pp.27-41
• /
• 2018

Objective : This study implemented occupation-based practice as a group program for children with neurodevelopmental disabilities, and investigated the quality of occupational performance, performance and satisfaction, and efficacy levels of the program. Methods : ADOC-S(Aid for Decision making in Occupation Choice-School) and COPM(Canadian Occupational Performance Measure) were used to establish common meaningful occupational goals for 10 children with neurodevelopmental disabilities. After occupational analysis of the 'subway use', the Performance Quality Rating Scale(PQRS) were used to evaluate the quality of occupational performance. Occupation-based interventions were implemented by participants individually performing meaningful occupations in the most natural and real-life environments as possible. The trial consisted of 1 session of pre-intervention assessments, 8 sessions of intervention, where a single session of 100 minutes is provided once a week. Post-intervention evaluation was conducted over one session. Results : The quality of occupational performance by PQRS was 38.10 higher than before intervention. The occupation-based intervention as a group program used the maintain and modify(compensation, adaptation) approaches and acquisition model. In the early stages of intervention (1 to 4 sessions), the occupational performance was greatly improved. The performance level of COPM increased by 5.80 and the satisfaction level was increased by 7.00. In addition, high scores were found in program satisfaction through parental interview. Conclusion : The results of implementing occupation-based interventions to children with neurodevelopmental disabilities showed increase in quality of occupational performance, performance, and satisfaction along with positive effects of satisfaction levels for the program.

• The Journal of Korean Academy of Sensory Integration
• /
• v.20 no.1
• /
• pp.14-25
• /
• 2022

Objective : The purpose of this study was to investigate the effect of brain-timing training using an Interactive Metronome (IM) on the reading abilities of children with low brain-timing abilities. Methods : A single-group pretest and posttest (retrospective study) were conducted in 8 children whose timing abilities were lower than that for their age average and who were trained from 2019 to 2021. Brain-timing training was conducted 2 or 3 times per week, with 70 sessions in total and 40-50 minutes per session, depending on the developmental characteristics of the child. Changes in brain-timing ability before and after the training were measured using the IM Long-Form Assessment (LFA), and reading ability was measured using the Basic Academic Skills Assessment:Reading (BASA:R). Results : On the basis of the results of the brain-timing ability evaluation using the LFA, the reaction times of all the children during motor tasks were decreased, resulting in statistically significant improvements in their brain-timing abilities (p < .05). Moreover, the raw scores in the BASA:R reading and fill-in-the-blank tests were significantly improved (p < .05). Conclusion : This study is meaningful in that it presents a clinical basis for brain-timing training to improve the reading abilities of children.

• Korean Journal of Biological Psychiatry
• /
• v.2 no.2
• /
• pp.169-176
• /
• 1995

두부 외상은 많은 발생율과 사망율을 차지하고 있으며, 건강한 생활을 위해 큰 관심을 갖게 되었다. 신경방사선영상은 외상성 뇌손상 환자들의 진단과 치료에 필수적인 방법이다. 뇌손상의 기본 기전, 병리, 그리고 영상 소견을 이해 하는 것은 매우 중요하다. 1970년대에 Glasgow coma scale의 형상과 전산화단층촬영(CT)의 발달은 임상의사들이 두부외상에 대한 평가와 환자들의 경과를 예상하는데 극적인 변화를 주었다. 최근 자기공명영상(MRI)의 발달로 외상성 뇌손상의 형태를 더욱 이해 하게 되었고, 두부 외상의 발견율이 높아지게 되었다.

• Proceedings of the Korea Inteligent Information System Society Conference
• /
• 2003.05a
• /
• pp.264-273
• /
• 2003

인터넷의 발달로 전자 상거래는 오늘날 일상생활의 한 부분이 되었다. 그러나, 수많은 쇼핑몰들과 그 쇼핑몰들이 제공하는 다양한 제품들 속에서 소비자가 원하는 물건을 찾아내는 것은 점점 많은 시간과 노력이 필요하게 되었다. 본 논문에서는 멀티에이전트 시스템을 이용해 공급망(Supply Chain)에서 구매자의 요구에 부합하는 제품을 제공할 수 있는 생산자를 보다 쉽게 연결시켜주는 방법을 제안한다. 기존의 멀티 에이전트 기반 공급망에서 주로 사용되는 협동 전략인 Joint Intention Theory와 SharedPlan Theory, 이 논문에서 제안하는 신경망을 이용한 방법을 비교해, 신경망을 이용한 방법이 갖는 효율성을 알아보고, 신경망을 이용한 멀티에이전트 기반의 협등 모델을 제시하였다. 이 모델은 구매자가 제품을 선택할 때 사용하는 소비평가 기준의 가중치를 소비자로부터 받아들여 그 기준에 가장 부합하는 판매자를 신경망을 이용한 분류(classification)방법을 통해 찾아내고, 이렇게 선택된 생산자를 소비자에게 연결시켜준다.

• Annual Conference of KIPS
• /
• 2003.05a
• /
• pp.373-376
• /
• 2003

의상 애니메이션은 영화나 게임, 의류 전자상거래 동 다양한 분야에서 활용될 수 있는 컴퓨터 그래픽스 분야에서 연구되어왔던 기술이다. 하드웨어의 발달과 빠르고 효율적인 물리학적 모델과 수치적 적분법 등의 등장으로 옷감의 움직임을 모델링 하는 데에 그치지 않고, 더 나아가 실제 옷감처럼 자연스러운 움직임을 얻고자하는 방향으로 연구의 초점이 맞추어졌다. 본 연구에서는 사실적인 의상 애니메이션을 위해 역전파 신경망을 이용하여 실제 옷감소재를 자동으로 평가하는 옷감소재 자동 평가 알고리즘을 제시하고 실험하였다. 실험을 통해 실제 옷감과 유사한 가상 옷감을 생성할 수 있었다.

• The Journal of Korean Academy of Sensory Integration
• /
• v.14 no.1
• /
• pp.41-49
• /
• 2016

Objective : The purpose of this study was to investigate how undressing skill training based on Neuro-developmental treatment (NDT) approach effected on the midline orientation and protective reaction of children with cerebral palsy (CP). Methods : Two participants of this study were 3 years 5 months old boy and 4 years 5 months old girl, living in B city. They were medically diagnosed as cerebral palsy. Research design used in this study is AB design for a single subject research. There was no intervention on the baseline A phases, and functional activity based NDT was used undressing skill training during the B phases. Midline orientation was tested by Stepping subtest in MAP. Protective reaction was measured by Protective reaction subtest in QUEST. Results : In comparison with the baseline (A), midline orientation was improved above 2 standard deviations at intervention phase (B). and protective reaction was improved above averages in both hands. Conclusion : The study showed undressing skill training based on NDT approach that were effective for midline orientation of children with CP. Undressing skill training was one of the major functional activities. Thus, large studies are required to ensure the training effects.