• Title/Summary/Keyword: 실행증

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The Effect of Apraxia on Activity of Daily Living in Stroke Patients (뇌졸중 환자의 실행증이 일상생활에 미치는 영향)

  • Shin, Su-Jung
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.527-533
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    • 2016
  • This study was conducted to investigate the apraxia affects activitys of daily living. 38 patients with stroke were participated and conducted to both Birminham Cognitive Screen(BCoS) apraxia test and K-MBI for ADL. Using a cutoff score of BCoS apraxia test, all patient was determine whether with apraxia or not and were distinguished by various types of apraxia. They were compared to the level of ADL using ANOVA. Apraxia patients 18, patients without apraxia is 20. The difference of ADL between the two groups was not. However, the result of classifying patients with apraxia subtypes, it showed a significant difference in grooming, eating, toileting, step, bowel control, and bladder control(F=4.431~9.193, p<0.05). As apraxia is cause of a negative effect on ADL, expert in the area to manage stroke patients should have to share information about whether apraxia is or not and make policy and treatment program considering the potential problem in ADL.

The Understanding of The Ideomotor Apraxia: Focusing on The Neurological Causes (관념운동실행증의 이해: 신경학적 원인을 중심으로)

  • Shin, Su-Jung;Lee, Joo-Hyun;Park, Jin-Hyuck
    • Therapeutic Science for Rehabilitation
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    • v.4 no.1
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    • pp.19-28
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    • 2015
  • Introduction : The Understanding of neurological lesion relating to apraxia will help to predict symptoms according to a lesion and to establish a proper treatment and goal. So, This study will explain causes and mechanism of a movement error of ideomotor apraxia through literature review and also will suggest the evidence using in treatment. Body : Ideomotor apraxia may occur a damage of the production part in praxis system, and is common in damage of a cortex rater than damage of a subcortex. According to study with gesture, movement of upper limbs is relate of left parietal lobe but finger movement is relate of frontal lobe. The visual and tactile stimulation through using real objects could guide into proper movement aside from memory of a skilled action. Conclusion : Praxis can occur through diverse neurological processing and various external stimulations can help praxis processing. Therefore, the treatment of ideomotor apraxia need to use this stimulations.

The Effect of Mental Practice with Task Activities on Upper Limbs Movement Speed and Accuracy of Ideomotor Apraxia Patients : Single Subject Experimental Research (상상연습과 과제활동 병행 치료가 관념운동 실행증 환자의 상지 움직임 속도와 정확성에 미치는 효과: 단일사례 실험연구)

  • Lee, Jae-Hong;Jang, Jong-Sik;Lee, Jae-Shin
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.11-22
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    • 2014
  • Objective : The purpose of this study is to investigate the effect of mental practice with task activities through upper limbs movement speed and accuracy in ideomotor apraxia patient. Methods : As a single subject research design with multiple baseline across individuals, the patients were two ideomotor apraxia patients, employed in this study. The employed program included receiving mental practice and task activities, measuring change of the total performance times, time to put down the last cups and amount of water in cups for 4 weeks, including baseline and intervention periods. The subject were measured by Ideomotor apraxia test and MFT were analyzed. The analyses were performed using visually and two-standard deviation band method. Results : All subjects were a reduction in symptoms of apraxia, but noticeable change in upper limbs function was not there. Total time of performance from 376.67 to 355.24 seconds, 391.33 seconds to 434.60 seconds, reduced. Put down the cup of performance time from 15.67 to 13.30 seconds, 20.80 seconds to 10.73 seconds, reduced. The amount of water transferred from 52.38ml to 49.70ml, 50.89ml to 50.09ml, all results were closer to 50ml. Conclusion : As a result of this study, mental practice with task activities can be an effective method to ideomotor apraxia patients. This study would serve a fundamental data on ideomotor apraxia patients to the further studies.

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개의 추간판돌출증에 대한 복측추간조창술의 임상예

  • 중간실덕
    • Journal of the korean veterinary medical association
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    • v.20 no.11
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    • pp.676-680
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    • 1984
  • 흉요부의 추간판돌출이 원인으로 보이는 후구임비을 나타낸 외래환견(Dachshund 4두, Beagle 1두) 5두에 대해 Leonard의 복측추간조창술을 실행한 결과 수술후 13$\~$88일에 모든 개에게 보행가능하였고 그후 3개월내지 16개월 경과한 현재 어느 것이나 재발이 없었다. 개의 추간판돌출증에 대한 외과적치료법은 30년전부터 추궁절제술이 Redding에 의해서 소개되었으며, 그후 가미에서 몇 가지의 수술방법이 고찰되였으며, 일본에서도 보고되었다. Pettit은 추간판돌출증의 외과적 요법으로써 추간판조창술을 높게 평가하고 있다. 저자 등이 이미 보고한 3예와 그 후 실시한 2예의 조창술은 그 경과가 좋았기 때문에 여기에 보고하는 바이다.

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Development and clinical application of Korean-version nonword intervention to improve speech motor programming (말운동프로그램 향상을 위한 한국어 비단어 중재접근법의 확립 및 임상 적용)

  • Oh, Da-Hee;Ha, Ji-Wan
    • Phonetics and Speech Sciences
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    • v.13 no.2
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    • pp.77-90
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    • 2021
  • This study is to develop a Korean version of nonword intervention by modifying and supplementing a Rapid syllable transition treatment (ReST) and to determine its effect by applying it to children with CAS. Ultimately, the purpose of this study is to investigate whether nonword interventions are effective for nonword production ability and generalization of real words. Single-subject research using the ABA design was performed for a child aged five years and six months with diagnostic features of CAS. The nonwords used in the interventions were made suitable for the individual child. The intervention was provided in one-hour sessions, twice a week for six weeks. In all cases, performance of the treated three-syllable nonwords improved, and untreated three-syllable words, four-syllable words, and nonwords showed a generalization effect. However, the generalization of treatment effects to words was smaller than for nonwords. The nonword intervention was effective in improving the subject's speech motor programming skills. As a result, transition errors due to impaired speech motor programming were greatly reduced, and the ability to produce untreated nonwords was greatly increased. However, there was a limit to the full improvement of strongly habitable word errors, which would be expected if a more intensive and repetitive intervention schedule was provided.

발달장애자녀 양육경험이 중년기 어머니의 우울증에 미치는 영향: 자기자비의 매개효과와 자기이해의 조절효과

  • 이금자;변상해
    • 한국벤처창업학회:학술대회논문집
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    • 2023.11a
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    • pp.151-156
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    • 2023
  • 대부분의 발달장애를 돌보는 어머니의 양육경험 속에는 스트레스로 인한 부정적 정서 및 우울증을 포함하지만, 어떤 어머니들은 장애자녀로 인해 가족 및 사회적 친화력을 높이고 긍정적인 정서경험을 통해 자신 및 가족의 삶의 질을 향상시켜 나간다. 본 연구는 발달장애를 돌보는 중년기 어머니들의 양육경험과 우울증의 상관관계에 있어 어머니의 자기자비와 중년기의 신체 및 심리적 특성에 대한 자기이해가 어떠한 영향을 미치는가에 대해 탐색하고자 한다. 연구수행에 필요한 자료 수집을 서울, 경기를 포함한 전국에 사는 발달장애 중년기 어머니 700명을 대상으로 하며, 자료는 SPSS PC+ Ver 28을 활용하여 빈도분석과 주요 변수에 대한 기술통계를 실시하고, 변인 간 상관관계, 회귀분석을 실행한다. 본 연구의 의의는 발달장애인 자녀를 돌보는 어머니의 양육 스트레스를 줄이고 건강한 가족회복을 위해 어머니의 자존감을 향상시킬 수 있는 자기자비의 역할과 중년기에 대한 자기이해를 강화하도록 도울 수 있는 장애인 가족지원 정책 및 사회 서비스 개발에 기여하고자 한다.

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Depression and Executive Dysfunction in Stroke (뇌졸중에서 우울증과 실행기능부전에 대한 고찰)

  • Na, Kyoung-Sae;Kim, Shin-Gyeom;Lee, Soyoung Irene;Jung, Han-Yong
    • Korean Journal of Biological Psychiatry
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    • v.19 no.4
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    • pp.179-186
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    • 2012
  • Depression and executive dysfunction are common neuropsychiatric sequelae of stroke. Patients with stroke are more predisposed to depression and executive dysfunction compared to patients with similar degree of physical disability. Both depression and executive dysfunction are also associated with poor prognosis such as high mortality and delayed recovery after stroke. Complex neurobiological and anatomical mechanisms are associated with the development of depression and executive dysfunction after stroke. Activation of pro-inflammatory cytokines is thought to be associated with onset of depression, whereas injuries in frontal-subcortical circuit are thought to be a link between depression and executive dysfunction. Early detection of depressive symptoms and both pharmacological and non-pharmacological treatment would be helpful. In this review paper, the authors investigated 1) biological and neuroanatomical substrate for poststroke depression and executive dysfunction, 2) the relationship and common etiopathology for poststroke depression and executive dysfunction, and 3) pharmacological and non-pharmacological treatment for poststroke depression. The contents of the paper are as follows : the prevalence, clinical manifestation, and biological etiology for poststroke depression, neuroanatomical abnormalities as a common etiological factor for depression and executive dysfunction, pharmacotherapy and non-pharmacological approach.

Phonetic characteristics of Korean lax, fortis, and aspirated stops in apraxic patients (한국어 파열음에 나타나는 실행증 환자의 음성적 특성 연구)

  • Kim Sujung;Kim Yunjung;Hong Jongseon
    • MALSORI
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    • no.38
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    • pp.125-136
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    • 1999
  • This study examined the perception and production of Korean lax, fortis and aspirated stops in three apraxic patients. All of tile subjects made more production errors than perception errors. This indicates that apraxic patients have problems in phonetic execution rather than phonological representation. Additionally, in both production and perception, there were more errors in non-word-initial consonants than in word-initial consonants. These findings contradict those of the previous studies which report more errors in word-initial consonants. This study also found that, unlike previous studies in the types of errors made, distortion errors were high in both non-word-initial and word-initial consonants in apraxic patients. Generally, VOT of the stops showed significant differences among lax, fortis, and aspirated stops, which indicates that there is a failure not in choosing the appropriate stop but in positioning or motor planning at the articulation stage.

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Assessment and Neurophysiology of the Limb Apraxia: Review Article (사지 실행증의 평가 및 신경생리학적 고찰)

  • Choi, Jin-Ho;Park, Ji-Won;Kwon, Yong-Hyun
    • The Journal of Korean Physical Therapy
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    • v.18 no.2
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    • pp.7-16
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    • 2006
  • The purpose of this study was to review the limb apraxia. It includes the evaluation and neurophysiological aspects for limb apraxia. Limb apraxia comprised a wide spectrum of higher-order motor disorders that results from acquired brain disease affecting the performance of skilled and/or learned movements with the forelimbs and is a common sequela of left brain damage that consists of a deficit in performing gestures to verbal command or to imitation. There are two forms in limb apraxia; ideational apraxia and ideomotor apraxia. A assessment of limb apraxia typically includes pantomiming and imitation of transitive, intransitive, and meaningless gestures. Limb apraxia has been attributed to damage confined to the cerebral cortex, cortico-cortical connecting pathways, and basal ganglia.

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Some Prosodic Characteristics in Apraxia - From a visual task point of view - (실행증 환자의 운율적 특성 연구 - 시각과제 중심으로 -)

  • Kim Sujung
    • Proceedings of the KSPS conference
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    • 2003.10a
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    • pp.125-127
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    • 2003
  • The aim of the paper is to analyze prosodic characteristics in apraxia of speech and establish the fundamental sources in diagnosis of motor speech disorders. The sentences consist of two different types (declarative and interrogative) with different numbers of constituents which are one to three. The stimuli were constructed to assess apraxics speech with articulation and humming skills. The features of speech patterns were examined such as utterance duration, boundary tones, and etc. The results of the analysis are as follow: 1) In the interrogative sentences, the rising boundary tones appeared only in the humming tasks 2) the utterance duration is relatively shorter in the humming tasks than the speech with articulation.

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