• Title/Summary/Keyword: 운동 중재

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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.

The Effect of Ayres Sensory Integration Intervention on Sensory Processing Ability and Motor Development in Children With Developmental Delay (Ayres 감각통합 중재가 발달지연 아동의 감각처리능력과 운동발달에 미치는 효과)

  • Park, Ha-na;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.2
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    • pp.18-30
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    • 2019
  • Objective : The purpose of this study was to investigate the effect of Ayres's sensory integration (ASI) intervention on the sensory processing ability and motor development in children with Developmental Delay. Methods : 9 children in the experimental group and 8 children in the control group participated in this study for Developmental Delay children aged 3-5 years. For research tool, the Short Sensory Profile (SSP), Peabody Developmental Motor Scale-2 (PDMS-2) are used. In the experimental group, individual sensory integration therapy according to principle of ASI was performed for twice a week, 40 minutes, and 16 times for 8 weeks. Methods for the data analysis included Mann Whitney U test, Chi-square test, Wilcoxon's signed rank test, Cohen's d test of SPSS 24.0. Results : In the ASI Intervention group, the sensory processing ability showed statistically significant difference in total score, movement sensitivity, auditory filtering and low energy/weak compared to the control group without ASI intervention (p<.05). In the ASI Intervention group, the motor development showed statistically significant difference in Gross Motor Quotient, Fine Motor Quotient and Total Motor Quotient compared to the control group without ASI intervention (p<.05). Conclusions : In this study, ASI intervention had a positive effect on the sensory processing and motor development in children with Developmental Delay.

The effects of mat and field exercise on the balance and gait in older adults (메트와 필드운동이 노인의 균형과 보행에 미치는 영향)

  • Lee, Su-Yeon;Ma, Sang-Yeol;Cho, Gyo-Young
    • Journal of the Korean Data and Information Science Society
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    • v.20 no.4
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    • pp.661-672
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    • 2009
  • This study was conducted to investigate whether mat exercise and field exercise have effectiveness on the balance and gait in older adults. Thirty subjects were participated in this study. And they were all randomly divided into mat exercise and field exercise group. To evaluate the effects of mat and field exercise, subjects were evaluated by using One Leg Stand test which was static balance test, and Berg Balance test which was dynamic balance test. Finally Gait pattern was assessed by using 3-dimensional gait analysis system. The assessment parameters were evaluated before, after 3 weeks, and after 6 weeks treatments. And we received a consent form from all subjects. The results of repeated measures analysis of variance showed that One Leg Stand, Berg Balance, Stride length, Cadence, Velocity were significantly increased after than before exercise in both groups. So we conclude that therapeutic exercise that is mat and field exercise has effectiveness on the balance and gait in older adults.

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Meta-analysis of the Effects of Obese Management Program for Obese Young Adults (성인 초기 비만인을 대상으로 적용된 중재프로그램의 효과에 대한 메타분석)

  • Lee, Kowoon
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.345-356
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    • 2021
  • The aims of this study is to analysis the effects of obese management program for obese young adults. Nineteen studies were included for meta-analysis and SIGN was used for quality assessment. Effect size was analyzed by CMA 3.0 and Revman 5.4. Overall effect size on obese program was big (d=-0.91) and high heterogeneity (I2=81%). BMI (d=-0.83) and body fat (d=-0.93) shown the big effect size and TG (d=-0.76) and LDL (d=-0.59) were medium effect size among the studies that used dependent variables. Intervention with aerobic and combination exercise, middle and high exercise intensity, over 1 hour exercise were effective. Based on current findings, obesity management programs have significant effects for young adults.

The Effectiveness of Sensory Integrative Intervention: A Systematic Review (감각통합중재 효과에 관한 체계적 고찰)

  • Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.7 no.2
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    • pp.77-90
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    • 2009
  • Objective : The purpose of this study was to provide evidence for the effectiveness of Sensory Integrative Intervention (SII) through a systematic review. Method : The systematic review was executed using MEDLINE/PubMed, PsycINFO, CINAHL, Cochrane Library, OTSeeker. The key words for search was "effects of sensory integration", "sensory integration therapy", and "sensory integration intervention". 11 studies were used for data analysis, and the level of evidence were level I, leve lII and level IV. The substances of review were subject (population), method (intervention type), effect of the intervention, outcome parameter, and outcome measurement. Results : 1. The subjects of SII were autism spectrum disorders (30.7%), pervasive developmental disorder (15.4%) and preterm infants (15.4%). 2. Most frequently used method was the traditional intervention of J. Ayres (36.5%). The outcome parameters of SII were behavioral outcome (40.63%), motor performance outcome (28.13%), sensory-based outcome (25.0%), and academic outcome (6.35%). 3. The effects of SII were improvement of motor performance (66.7%), sensory-based (62.5%), and behavior problems (61.5%). In most studies, however, academic skill such as writing skill was not a positive outcome parameter in terms of effectiveness of SII. Conclusions : The results implied that the sensory integrative intervention is effective on motor performance, sensory-based and behavioral change, but not on the academic skill. It is suggested that the future research need to be done to examine whether and how the effect of sensory integration intervention can be long-lasting and contribute any academic skill and activities of daily living performance.

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A Study on Exercise Intervention for Improving Physical Activity for the Disabled: From the Perspective of Convergence Device (장애인 신체활동 증가를 위한 운동중재에 관한 연구: 융합형 디바이스 활용 관점에서)

  • Kang, Sunyoung
    • Convergence Security Journal
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    • v.19 no.5
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    • pp.85-90
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    • 2019
  • The purpose of this study is to analyze the trend of exercise intervention applying various devices to increase the physical activity of the disabled, and to suggest the exercise intervention using converged devices that meet the needs of the times due to the increase of elderly people with disabilities. Exercise intervention using converged devices applicable to the disabled is divided into two types: first, exercise intervention using virtual reality-based gamification, and second, exercise intervention based on wearable devices of wearable or body-attached such as bands and watches. For exercise intervention using converged devices that can be enjoyed by the elderly with disability, minimize of environmental limitations, and easy to personalize, there is a need for configuration requirements such as easy operation and simple rules of operation, easy device installation and wearing, a trainer who can complement immature device utilization. In order to maintain and improve the daily living performance of the elderly with disabilities who experience a significant decrease in their cognitive and physical functions, it is necessary to use a physical activity game that can be experienced and can be interested in everyday life or a variety of devices to increase the amount of physical activity.

Impact of Transcranial Direct Current Stimulation Combined With Constraint-Induced Movement Therapy on Upper Limb Function in Chronic Stroke: A Systematic Review (뇌졸중 환자의 상지기능 향상을 위한 경두개 직류 자극과 강제 유도 운동 치료의 결합 중재 효과에 대한 체계적 고찰)

  • Kim, Sun-Ho
    • Therapeutic Science for Rehabilitation
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    • v.8 no.4
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    • pp.7-18
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    • 2019
  • Objective : This systematic review aimed to investigate the impact of transcranial direct current stimulation combined with constraint-induced movement therapy (CIMT) in patients with stroke Methods : PubMed and NDSL databases were employed to review literature published between January 2009 and December 2018. The main search terms were "Transcranial direct current stimulation" or "tDCS," "Constraint-induced movement therapy" or "CIMT," "Upper extremity function," "Upper limb," and "Stroke." Based on the inclusion and exclusion criteria, 6 articles were selected. Furthermore, intervention effects on upper extremity function, activities of daily living, and cortical activity were assessed. Results : The current intensity, application time, and protocol of the CIMT varied the between studies. However, the intervention procedures to perform CIMT immediately after transcranial direct current stimulation was the same. Transcranial direct current stimulation combined with CIMT was effective in improving upper limb function and activities of daily living in patients with stoke and had a significant effect on cerebral cortex activation. Conclusions : This study provides information on transcranial direct current stimulation combined with CIMT for use by clinical therapists. Further studies are needed to standardize the stimulation time, current intensity, and electrode attachment position. Furthermore, randomized controlled trials, including long-term follow up, are needed for larger populations using the most appropriate CIMT protocol.

The Effect of Vestibular-Proprioceptive Based Sensory Integration Intervention on Spatial Relations and Visual-Motor Coordination in Children with Developmental Disabilities (전정감각, 고유감각 중심의 감각통합중재가 발달장애 아동의 공간 지각력과 시-운동 협응력에 미치는 영향)

  • Kang, Set-Byul;Kim, Su-Kyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.2
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    • pp.24-34
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    • 2023
  • Objective : This study sought to investigate the effects of a sensory integration intervention focusing on vestibular and proprioceptive on the spatial relations and visual-motor coordination of children with developmental disorders. Methods : Three children with developmental disabilities aged 5 to 6 years were the subjects of this study, and the ABA' design, which is one of the single subject research designs. A total of 18 sessions were conducted over a six-week period-that is, three 30-minute sessions per week. During the three baseline sessions, the children's spatial relations and visual-motor coordination were evaluated prior to the intervention. During the 12 sessions conducted in the intervention period, a vestibular and proprioception sensory integration intervention was performed, while in the final three sessions, the children's spatial relations and visual-motor coordination were again evaluated (without any further intervention Children were measured and evaluated every session after intervention using a computer cognitive rehabilitation program (CoTras-C). Moreover, the Kaufman Assessment Battery for Children and the Korean-Development Test of Visual Perception-2 were used as evaluation tools to verify the effectiveness of the intervention. Results : There were significant differences in the spatial relations and visual-motor coordination scores of the children with developmental disorders before and after the vestibular and proprioceptive sensory integration intervention. More specifically, after the intervention, all three children showed statistically significant improvements. Conclusion : The applied vestibular and proprioceptive sensory integration therapy had a significant impact on the spatial relations and visual-motor coordination of the three children with developmental disorders.

Effectiveness of Sensory-Feedback Ankle Training on Motor Functions in Hemiparetic Patients (시지각을 이용한 발의 감각되먹임 적용이 편마비 환자의 운동기능에 미치는 영향)

  • Seo, Dong-Kwon;Lee, Dong-Yeop
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.595-598
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    • 2010
  • 본 연구의 목적은 뇌졸중으로 인한 만성 편마비 환자를 대상으로 발에 시지각 자극을 적용하여 균형과 보행에 관한 운동기능에 미치는 효과를 알아보고자 하였다. 6개월 이상 된 편마비 환자 16명이 연구에 참여하였고, 무작위로 실험군(EG) 10명과 대조군(CG) 10명으로 구분하였다. 두 군 모두 기본적인 물리치료를 적용하였고 실험군은 정적균형도구인 Tetrax Multiple System을 이용하여 발목에 감각되먹임 시지각 자극을 매회 30분, 4주간 주 3회 실시하였다. 운동 중재 전과 후의 운동기능에 해당하는 균형(TUG), 보행(DGI)을 측적하여 본 연구의 효과를 비교하였다. 실험군에서 정적 균형, TUG, 그리고 동적 균형지수(DGI) 지수는 중재 전후 통계적으로 유의한 차이를 나타냈고(p<.05), 실험, 대조군간 전후의 변화율에서도 유의한 차이가 나타났다(p<.05). 대조군에서는 DGI 만 중재 전후 통계적으로 유의한 차이가 나타났다. 순수하게 유산소 운동만을 실시하였다. 통계처리 방법으로 전 후 차이를 검증하기 위하여 대응표본 t 검정을 실시하였고 대조군과의 차이 검증을 위하여 독립표본 t 검정을 실시하였다. 모든 통계적 유의수준은 0.05로 하였다. 본 연구에서는 편마비 환자에게 흥미를 촉진하고 운동 기능 회복의 효과를 강화할 수 있는 감각 되먹임이 동반된 시지각 자극을 적용하여 균형 및 보행기능의 향상을 얻을 수 있었고, 차후 연구는 장기간의 추적 관찰 연구가 지속되어야 하고 발목 뿐만 아니라 다른 관절에서의 비교연구가 필요할 것이다.

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Review of Non-invasive Interventions for Drooling Problems in Children With Cerebral Palsy: Trends and Analysis of Interventions for Drooling (신경발달장애 아동의 침흘림치료를 위한 비침습적 중재방법에 관한 고찰: 경향 및 중재방법 분석)

  • Jeon, Joo young;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.10 no.2
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    • pp.37-51
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    • 2021
  • Objective : The purpose of this study was to analyze non-invasive treatments and drooling assessment methods in children with cerebral palsy and developmental disabilities, who drool. Methods : This study searched two hundred papers published in 2005-2019. Forty-four papers were selected based on their abstract and title, and ten papers were finally selected following a secondary search. Results : The PEDro Scale of the selected papers was high with an average of seven points. As a result of analyzing the overall trends, the study participants were primarily patients with cerebral palsy, and recently, the therapeutic intervention of oral sensory exercise was more actively studied than behavioral modification. Studies of behavioral modification and oral sensory exercise intervention methods were found to have differences in participant age and, cognitive level, number of participants, research design, treatment time, and duration. Studies to confirming the frequency and severity of the drooling measurement method were found to be the main factor. Conclusion : This study analyzed typical behavioral modification and oral sensory exercise interventions as examples of non-invasive therapeutic interventions for children with cerebral palsy and developmental disabilities and provided information to help select appropriate therapeutic intervention methods when planning non-invasive therapy using behavioral modification and oral sensory exercise therapy.