• 재활복지
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• v.21 no.3
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• pp.187-207
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• 2017

The purpose of this study was to explore the characteristics of defining concrete and abstract nouns for the elderly. A total of 382 elderly participated in this study and they were classified into four age groups (i.e., over 55 to under 64, over 65 to under 74, over 75 to under 84, and over 85 year-old group). They performed the word definition task, composed of five concrete and five abstract nouns. The total scores and numbers and ratio of core/supplementary meanings were compared among four elderly groups. The frequency and ratio of error types were also examined. The results showed that all four groups had statistically significant differences in total scores, numbers and ratio of core and supplementary meaning of concrete noun definition task. In addition, abstract noun definition performances revealed group differences except the two groups (over 75 to under 84 and over 85-year-old group). The oldest group showed a sharp increase in error production. The highest ratio of error types were personal experience in over 55 to under 64-year-old group, and over 65 to under 74 year-old groups; and for the target word repetition in over 75 to under 84 year-old group; and no response in over 85 year-old group. In conclusion, both concrete and abstract word defining abilities had age-related deterioration. This decline results from impairment in spreading semantic knowledge within semantic network, which is vulnerable to aging. Characteristics of word definition for elderly can provide basic information to understand various neurolinguistic disorders associated with age.

• 재활복지
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• v.20 no.3
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• pp.163-178
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• 2016

This study was conducted to compare the effects of general and pathological characteristics of elderly with dementia on their cognitive ability, performance of activities of daily living (ADL), and quality of life. Data were collected between July 15 and August 30, 2016 from 136 elderly with dementia who used day care centers. The Korean version of Mini-Mental Status Examination, Korean version of Modified Barthel Index, and Korean version of the WHO Quality of Life Scale Abbreviated Version were used for data collection and values obtained were analyzed accordingly. Significant correlations were found between cognitive ability and performance of ADL, between quality of life and cognitive ability, and between cognitive ability and performance of ADL (p<.001). Moreover, quality of life of elderly with dementia was greatly affected by cognitive ability and performance of ADL (p<.01). Therefore, it is believed that more active therapeutic interventions and studies are needed from sociophysical aspect of elderly with dementia. Therefore, it is believed that more active therapeutic interventions and studies are needed from sociophysical aspect of elderly with dementia.

• 재활복지
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• v.21 no.1
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• pp.213-231
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• 2017

Communication disorders caused by Right Hemisphere Damage manifests different symptom with that of left, and studies concerning language evaluation and intervention have not been actively investigated because they are either mild or difficult to discern through the aphasic assessment targeted to left hemisphere damage patients. This study analyzes domestic and international RHD group study trends in last 10 years for the purpose of examining the trends regarding directions of RHD group communication disorders and intervention. 75 thesis were analyzed(13 domestic and 62 international) after classifying them into two categories, study type and research area. Regarding research type, both domestic and international studies primarily comprised characteristic comparison. As for the research area, both studies mainly investigated on extra-linguistic ability. While international studies frequently investigated the development and suitability of evaluation instrument as well as RHD group's activities of daily life. Domestic studies have shown limited scopes of research. Therefore, it seems that more attention should henceforth be payed to RHD patients in domestic level, and in-depth studies of diverse subjects should be conducted as well.

• 재활복지
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• v.22 no.1
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• pp.141-156
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• 2018

The purpose of this study was to examine changes in the swallowing function with chronic stroke patient. Ten chronic stroke patients with dysphagia followed up for 3 months. Eight normal age match subjects were also participated. A total of 18 participated in this study and they were classified into two groups (stroke patient group and normal control group). Participants underwent videofluoroscopic swallowing examination. The swallowing function was evaluated over time. Oral transit duration, pharyngeal transit duration, laryngeal response duration, Modified Barium Swallowing Impairment Profile ($MBSImP^{TM(c)}$), and Functional Oral Intake Scale (FOIS) were applied. Chronic stroke patient group were showed significantly longer oral transit duration, pharyngeal transit duration and laryngeal response duration than normal control group at baseline. After 3 months in stroke patient group, the mean oral components score of MBSImP (1~5) significantly decreased and the mean score on FOIS increased compared to baseline. In conclusion, oral swallowing function and oral intake function improved by the 3 month evaluation. These results describe changes in swallowing function with chronic stroke patients over time and provide basic informations to understand dysphagia.

• 재활복지
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• v.21 no.2
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• pp.233-246
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• 2017

The present study is a basic study for application of Augmented Reality (AR) to verb teaching for children with language developmental disorders and is intended to examine validity for the list of verbs at the beginning of development. To confirm the validity of the verbs list, the appropriateness of the verbs was evaluated by three professors with certification of KSLP (Korean Speech-Language Pathologist) working in the department of Speech-Language Pathology at the university. The motion validity test was conducted by showing motion implemented as AR to eight master's students in Speech-Language Pathology major, having them record verbs that came to their mind, and evaluating in the conformity. The second motion validity test was conducted by using 5-point Likert scales to 87 undergraduates in Speech-Language Pathology major and having them see the motions in AR and marked the degrees to which them see the motions conform to the relevant verbs on the scales. Using the SPSS 21.0 program, descriptive statics analyses of the results were conducted. Through this all process, thirty verbs were selected as having content validity. It could be seen that when AR based communication system are applied, things and backgrounds that complement the insufficient movements of motions and help motion recognition should be also provided. In future studies, the 3D images of the AR based communication system will be complemented and the content validity will be verified with typically developing children and the children with language developmental disorders.

• 재활복지
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• v.17 no.4
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• pp.401-420
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• 2013

This study was performed to investigate the impact of the Neurocognitive Rehabilitation Therapy on the upper limb function recovery of patients with stroke and their abilities to perform daily activities and to provide basic data for a long-term treatment. A total of 30 patients with hemiplegia that occurred due to stroke were recruited as subjects of the present study, and 15 patients were randomly assigned to a Neurocognitive Rehabilitation Therapy group and a conventional treatment group, respectively. And, tests were performed over four weeks, five times a week, and 30 minutes a session. Manual Function Test(MFT), Fugl-Meyer Assessment Scale(FMA), and Korean-Modified Bathel Index(K-MBI) were used to measure the degree of the functional recovery before and after the experiment. According to the data of this study, in the upper limb function test, the Neurocognitive Rehabilitation Therapy group showed significant increase of the measurement values of MFT and FMA(p <.05), and when the difference between the two groups were compared, the upper limb function showed a statistically significant difference. In the daily activity performance test, only the Neurocognitive Rehabilitation Therapy group showed a significant improvement of K-MBI value(p <.05). Based on the results of the present study, it was demonstrated that the Neurocognitive Rehabilitation Therapy was effective in enhancing the upper limb functions and daily activity performance of patients with stroke.

• 재활복지
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• v.21 no.4
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• pp.77-99
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• 2017

The purpose of this study is to prepare the basic information of teacher training through the special education teachers' present execution status and awareness on positive behavior intervention support for the student with disabilities. The results of the study as follows: First, the rate of teachers having high concern on students' behavioral management was 22.9%, and the rate of teachers taking median concern was 66%. And the teachers obtained the information on problem management including positive behavior support by publications or teacher training. Second, the importance of individual interventions valuated significantly which presented mostly more 4 point. But relatively the point of application possibility was lower than the point of importance evaluation. Third, the rate of application as 70% among total research participants presented to be used the most in all individual interventions on positive behavior support. And on the effectiveness, the teachers answered that 23 interventions were effective. But, on the facts of monitoring and assessment of behaviors, the special education teachers negatively evaluated the effectiveness. Results are discussed with previous research, contributions to future directions, and implications in interventions for students with disabilities.

• 재활복지
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• v.20 no.4
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• pp.247-264
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• 2016

The Children's Home Inventory for Listening Difficulties (CHILD) questionnaire has been applied for assessing listening and communication difficulties in various home situations for children with hearing loss. The purpose of the study was to translate the CHILD questionnaire for parents into Korean and verify reliability and validity of Korean version of CHILD (CHILD-K). CHILD-K was completed by 55 parents of children (from ages 3~12 years) using cochlear implants (CI). Among the 55 children, 27 were in preschool and 28 in elementary. Internal consistency reliability of CHILD-K was verified by Chronbach's alpha. The mixed factorial ANOVA was conducted to compare the effects of the age group and situation factors (Quiet, Noise, Distance, Social, and Media factors) on the score of CHILD. The results indicated that CHILD-K showed excellent internal consistency reliability (${\alpha}=.96$). The CHILD scores among age groups were significantly different as the older age group resulted in higher scores in all situations except Distance. For both groups the mean scores for the Quiet situation were significantly higher than other situations, and the mean scores for the Social situation were significantly lower than other situations. Moreover, analysis showed that children with CI had difficulties in the Social situation combined with other situation factors. The results indicate that the Korean version of CHILD questionnaire is a reliable tool for the assessment of communication abilities in home situation in Korean-speaking children using CI.

• 재활복지
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• v.21 no.3
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• pp.209-226
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• 2017

The purpose of this study was to investigate the relationships between memory belief, depression and cognitive functioning for stroke patients. A total of 88 subjects were participated in this study and the questionnaire was composed with general characteristics and K-MoCA, Beck Depression Inventory(BDI), Memory Self Efficacy Qestionnaire(MSEQ), Memory Controllability Inventory(MCI). The results showed that, for the memory self efficacy by general characteristics, there were significant differences in terms of level of education, living and economic status, the number of onset of stroke (p<.05), the memory controllability showed significant differences in economic status (p<.05), and the depression showed significant differences in onset duration of stroke (p<.05), and the cognitive functioning showed significant differences in gender, age, education, living condition, and the number of onset of stroke (p<.05). In addition, there was a significant correlation between memory self efficacy and memory controllability, depression, and cognitive functioning (p<.05). Memory controllability was correlated with depression (p<.01), depression was correlated with cognitive functioning (p<.01). Memory self efficacy, memory controllability and depression were found to be factors, affecting the cognitive functioning (p<.05). Based on this results, it is recommended to develop a multifaceted rehabilitation program in order to induce the positive mood, to reduce the negative emotions such as depression and to promote the memory belief about recovery of cognitive functioning.

• 재활복지
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• v.20 no.3
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• pp.179-193
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• 2016

Chin Tuck Against Resistance Exercise(CTARE) and Shaker exercise is used to common for strengthening of suprahyoid muscle. No previous studies was compare of two exercises for patients with dyaphagia. This study investigated the effects of CTARE and Shaker exercise on suprahyoid, sternocleidomastoid muscle activity in stroke older patients with dysphagia. Ten stroke patients with dyaphagia voluntarily participated in this study. All subjects was performed in the order in the CTARE (isometric, isokinetic), Shaker (isometric, isokinetic), and repeated each ten trials. After CTARE was performed, subjects took a 5 min wash out period to minimize muscle fatigue. Activity of suprahyoid and sternocleidomastoid muscle during two training was analyzed using surface electromyography(sEMG). Wilcoxon signed rank test was used to assess differecences for muscles activity between the effects of the CTAR and Shaker exercise within group. CTARE and Shaker exercise showed no significant difference activity in suprahyoid muscle(p > .05). CTARE showed significantly lower muscle activity in sternocleidomastoid muscle than Shaker exercise(p < .05). CTARE in stroke older patients with dysphagia may be a effective intervention to improve swallowing function than Shaker exercise.