• Title/Summary/Keyword: 운동감각

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Brown-Sequard Syndrome Produced by Cervical Disc Herniation : Manual and Exercise Therapy after Operation-Case Studies (경추 추간판탈출증에 의한 브라운-시쿼드 증후군 : 수술 후 도수치료와 운동치료 효과-사례연구)

  • Kim, Myung-Joon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.79-85
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    • 2009
  • 목적 : 브라운시쿼드는 대부분 척추손상과 수질외 척추 종양에서 주로 나타난다. 드물게 경추 디스크가 브라운시쿼드의 원인이 된다. 경추디스크에 의한 브라운시쿼드 증세의 수술후 물리치료 및 도수치료 결과를 보고하기 위함이다. 방법 : 50세 남자로써 브라운시쿼드 증세로 진단을 받고 수술후 좌측 팔과 다리에 운동신경에 의한 마비증세가 있었으며(팔>다리), 우측으로 감각과 온도감각이 저하된 경우이다(팔>다리). 측정방법은 통증지수(VAS), 근력(Distal PowerTracII$^{TM}$ test), 지구력(Ergometer) 측정과 심리상태(설문)를 치료전과 후를 비교하였다. 물리치료에서는 기능적 전기자극 치료와 도수치료 및 운동치료 방법을 실시하였다. 도수치료는 통증완화와 근력강화를 위한 MET, MFR, Mobilization 등을 실시하였으며, 운동은 슬링시스템 등을 이용한 운동과 견관절의 불안정을 위해 안정화운동을 실시하였다. 결과 : 이 케이스는 수술후 이상 징후가 척수압박으로 인하여 보다 넓게 통증이 나타났으며, 운동 및 감각신경이 둔해지고 온도에 대한 감각이 반대편 결손으로 나타났으며, 좌측 어깨, 팔 견갑부의 근육 마비와 우측의 감각이 떨어진 현상이 나타났다. 물리치료 후 단기목표와 장기목표에 있어서 통증과 운동 및 감각 기능이 회복되어 각각 팔 통증에서는 VAS 8 ${\rightarrow}$ 1, 상지 하지의 운동기능은 Trace ${\rightarrow}$ Good 로 평가 회복되었으며, 근력측정에서 모두 유의한 차이를 보였다. 모든 치료과정 결과에서 심리적 상태의 설문에서도 높은 점수를 얻어 긍정적 신뢰가 높아 진 것으로 나타났다. 검사결과 다리의 근력이 증가는 걷기 운동 및 에르고메터의 지구력 및 균형이 레벨1의 10분 수행능력이 레벨 20에서 30분 수행능력으로 향상되어 일상적인 활동이 가능해졌다. 결론 : 예상하지 못했던 수술 후유증(side effects)에 대한 치료과정이 환자의 심리에 심각한 부정적인 생각이 신체의 기능과 감정의 손상에 영향을 미치기 때문에 체계적이고 장기적인 치료 과정에서 기능적 향상과 더불어 정신적인 심리의 정서 안정이 매우 필요하다고 사료된다.

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Effect of Vision Coherent Sensory Cue on Roll Tilt Perception and Sensory Weighting (족부 진동 자극 유무에 따른 인체의 운동지각 변화 및 정량화)

  • Lim, Hye-Rim;Park, Su-Kyung
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.11
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    • pp.1091-1097
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    • 2012
  • Nowadays, some movie theaters provide additional sensory information in 3D movies to enhance visually induced motion perception. However, no studies have investigated how motion perception increases. Thus, in this study, we examined the effect of visual coherent sensory information on visually induced motion perception and quantification of sensory information. A visual stimulus rotated sinusoidally and visual coherent sensory information were applied as vibrations to a subject's foot. We measured the sway of the subject's body by using a force plate and somatosensory bar rotation that represents the subject's perception of the horizon using an encoder. By using this data, we obtained the weight of the sensory information using a Kalman filter. As a result, it was found that subjects rotated the somatosensory bar more when visual coherent vibrations were applied. The weight of vision also increased when visual coherent vibrations were applied. Thus, we can conclude that visual coherent sensory information tends to enhance visually induced motion perception and weight of vision.

Quantitative Analysis for the Effect of Sensory Information on the Motor (감각정보의 차이가 운동에 미치는 영향에 대한 정량적 분석)

  • 홍철운;심해영;박찬희;김남균
    • Journal of Biomedical Engineering Research
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    • v.23 no.2
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    • pp.165-170
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    • 2002
  • The aim of this study was to analyze the effect of different sensory information on the motor function which is resulted from visual stimuli. Particularly, it was focused on the effect of complementary color stimuli on reaction time. Twenty volunteers(10 men & 10 women), between the age of 20 and 25 yearn participated in this experiment. Experiments were carried out in a light & sound-attenuated chamber, and the overall system consisted of a PC. interface card. LEDs. key board switch, and display panel. Although many measurements of sensory-motor integration has been studied the quantitative analysis of sensory-motor integration has not been developed well. Quantitative analyses were performed to investigate the effect of the different sensory information on the arm motor system in the point of view sensory-motor integration. The result showed that the reaction time for visual stimuli of complementary colors was faster than that under same color environments : and, in same color environments and the reaction speed was varied inversely with respect to the magnitude of the light wavelength.

Study on synthesis rule of kinesthetic word using fuzzy theory (퍼지 이론을 이용한 운동감 어휘의 합성 규칙에 관한 연구)

  • 신동윤;이세한;송재복;김용일
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1997.11a
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    • pp.163-167
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    • 1997
  • 인간이 움직이는 물체에 탑승하고 있거나 움직이는 물체를 잡고 있을때 어떤 종류의 감성을 느끼게 된다. 물체의 속도, 가속도, 또는 강성, 감쇠 등으로 인하여 인간은 쾌, 불쾌감을 갖게 되며, 본 논문에서는 이러한 감성을 운동감이라 정의한다. 이러한 운동감을 공학적으로 유용한 데이터로 만들기 위해 운동감 어휘를 도입하여 정량화를 시도하였으며, 복수의 운동감 어휘를 연산할 수 있는 방법과 가중치를 구할 수 있는 방법을 제시하고자 한다. 본 연구에서는 귀의 전정 기관에서 느끼는 몸 전체의 평형 감각 및 운동 감각은 고려의 대상으로 제외하며, 팔에 국한하여 피부 감각과 팔 근육의 위치 인지 등으로 인한 운동감을 해석 대상으로 한다. 해석의 편의성을 위하여 팔을 제외한 몸의 움직임은 없는 상태로 유지하며, 팔의 2차원 운동만을 고려하기고 한다. 퍼지는 사람의 언어와 같이 모호한 사건을 해석하기 위한 이론이다. 모호한 정도를 표현하는 방법으로 퍼지 정도척도(measutr of fuzziness)와 퍼지척도(fuzzy measure)가 많은 분야에서 이용되고 있다. 하지만 운동감에 대한 연구는 미비한 실정이므로 불확실성을 평가하는 퍼지 이론을 이용하여 운동감을 해석하려 한다.

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The Correlation Between Changes of Ankle Joint Position Sense and Sway Area Through Unstable Surface Training (불안정지지면 훈련을 통한 발목관절위치감각 변화와 동요면적 변화간의 상관관계)

  • Ha, Na-Ra;Kim, Myung-Chul;Han, Seul-Ki
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.9
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    • pp.1383-1389
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    • 2013
  • This research was conducted to see the correlation between changes of ankle Joint Position Sense and Sway Area through Unstable Surface training. For the study, 48 healthy males and females were randomly divided into an unstable surface group(n=24) and a stable surface group(n=24). Then, they were asked to carry out the same exercise program three times a week for six weeks. The unstable surface group and stable surface group performed the exercise program on the balance exercise pad and on the hard ground, respectively. As a result, the unstable surface group displayed significantly reduced error of ankle joint position sense and sway area(p<.05). Moreover, a significant correlation between variances of ankle joint position sense and sway area was only found in the unstable surface group. In conclusion, this study demonstrated that there was a significant correlation between changes of ankle joint position sense and sway area through proprioceptive sense training on the unstable surface.

Effects of Graded Exercise-Induced Fatigue on the Knee Joint Position Perception (운동강도에 따라 유발된 근피로가 슬관절 위치감각 인지에 미치는 영향)

  • Choi, Jong-Duk;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.10 no.4
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    • pp.61-68
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    • 2003
  • 본 연구의 목적은 운동강도(최대근수축의 10, 30, 50, 70%)에 따라 유발되는 국소적인 근피로가 슬관절의 위치감각 인지에 미치는 영향을 연구함으로써 근력강화의 운동치료적 효과와 운동학습과 관련된 효과를 동시에 만족시키는 최적의 운동강도를 제시하는 것이었다. 대상자는 건강한 성인여자 40명이었다. 청각을 통한 위치감각 정보를 제공하는 장치와 원판 각도계가 부착된 등속성 Cybex를 사용하였다. 근피로의 상태를 확인하기 위해서 근전도를 이용하여 주파수 스펙트럼 분석을 실시하였다. 청각되먹임이 주어진 각도와 대상자에 의해 재생되어진 각도의 오차값들과 근피로의 변화를 비교하기 위해 일요인 분산분석을 이용하였다. 오차값들의 평균은 50%의 군에서 가장 작았으며 근피로 또한 70%의 군에서만 크게 생성되었다. 따라서 최대 근 수축력의 50%가 운동치료 시 가장 효과적인 운동강도임을 알 수 있었다.

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The Effect of Group Occupational Therapy based on Sensory-Motor Centered Convergence Activities on Self-regulation and Executive Function of Maladapted Children in First Grade Elementary School: A Case Study (감각-운동 중심의 융합 활동을 기초로 한 그룹 작업치료가 초등학교 1학년 부적응아동의 자기조절능력과 실행능력에 미치는 영향: 사례연구)

  • Cho, Sun Young
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.67-75
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    • 2021
  • The purpose of this study was to investigate the effect of sensory-motor centered group occupational therapy program on self-regulation and executive function in first grade elementary school maladjusted children. It is a case study through pre-post design with a total of 3 subjects. A pre-and post-test was conducted to determine the change in Self-Control Rating Scale and to find out the execution function by Bruininks-Oseretasky Test of Motor Proficiency. The sensory-motor centered group occupational therapy program performed movement activities based on vestibular sensation, proprioception, and tactile sensation, and the task was selected by investigating the child's preference for activity. As a result, subjects 1 and 2 children showed improved self-regulation and executive function. Based on the results of this study, it is considered that the group-centered sensory-motor program can be provided to children who show maladjustment in school by linking the educational field and clinical practice.

Effects of Psychomotorik and Sensory Integration on the Motor Skills of Children with Development Disabilities (심리운동과 감각통합치료가 발달장애유아의 운동기술에 미치는 영향)

  • Kim, Il Myeong
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.647-654
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    • 2018
  • This study was designed to compare the effects of individual sensory integration treatments on the improvement of motor skills and group psychomotorik activities that produce a wide range of interactions with peers. The research targets two 4-year-old children, who are currently in the main building, and 40 minutes of psychomotorik and sensory integration treatment were applied to them twice a week from April 2017 to January 2018. The study method used assessment tools such as B-O test, DeGangi-Berk Test of Sensory Integration (TSI), and MOT4-6 respectively. The results of the study showed that programs in both areas had positive effects on motor skills, with significantly improved performance in balance and postural control, in particular.

Sensory Integration therapy Evaluation and Intervention in Clients With Goldenhar Syndrome : A Case Report (골덴하르 증후군(Goldenhar syndrome)아동에 대한 감각통합치료 평가와 중재: 사례연구)

  • Jung, Hee-Seung
    • The Journal of the Korea Contents Association
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    • v.11 no.11
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    • pp.286-295
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    • 2011
  • This case study was to examine the effect of the sensory integration therapy on the Goldenhar syndrome child with tactile defensiveness, developmental delay and occupational performance difficulties. The child was 7.10 year old boy. For intervention, four evaluations were used and the results are as follows. First, in Canadian Occupational Performance Measure showed occupational performance goal as reading and writing in upright position. Second, in Short sensory profile and sensory history, significant differences between sensory sensitivity and tactile processing. Third, in Developmental Profile-3 showed delay. Fourth, in Bruininks-Oseretsky Test of Motor Proficiency-2 showed below average. After intervention, the results of which showed a positive changes. Therefore, this case study is found that the sensory integration therapy is effective in the Goldenhar syndrome child with tactile defensiveness and developmental delay.

Lumbar Combined Rehabilitation Exercise for Lumbar Reposition Sense, Static Balance and Pain of the Patient's with Chronic Low Back Pain (만성요통환자의 복합재활운동이 통증과 정적균형, 재위치감각인지에 미치는 영향)

  • Kim, Deahun
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.196-201
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    • 2019
  • The purpose of this study is to identify the effects of the apply of lumbar stabilization exercises and lumbar strengthening exercises using Medx machine on back functions such as static balance, lumbar reposition sense, and back pain(VAS) in chronic low back pain. This study divided 30 chronic low back pain patients who experienced only lumbar back pain(male: 5, female: 10) into a lumbar stabilization exercise group and a complex exercise group, and then performed their respective exercise programs for three times a week over a 8-week period. The lumbar static balance, lumbar reposition sense, and lumbar back pain were measured using a pair t-test within each group, and were also compared between two groups using an independent t-test. The results of the present study were as follows: Both groups exhibited statisti cally significant increases after performing their own exercise program in the static balance, lumbar reposition sense, and lumbar back pain(p<.05). However, the comparison of two groups confirmed that the complex exercise group resulted in greater effects than the lumbar stabilization exercise group(p<.05). In conclusion, muscle strengthening and stabilization exercises in chronic low back pain patients are considered to not only relieve back pain, but also improve various back functions.