• Title/Summary/Keyword: 정신재활

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Improvement of Attention and Short-term Memory of Mild Dementia Using iPad Applications: A Single Case Study (아이패드를 이용한 경도 치매 노인의 주의집중력과 단기 기억력 증진 : 단일대상연구)

  • Hwangbo, Seung Woo;Kim, Moon-Young;Kim, Jongbae;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.7 no.3
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    • pp.47-58
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    • 2018
  • Objective : This study was conducted to investigate the effects of iPad applications on improvement of attention and short-term memory in mild dementia. Methods : A single-case experimental study using A-B-A design was conducted. A total of 20 sessions, including 5 each for baseline phase A and A' and 10 for the intervention phase, were provided to the subject. Interventions were only provided during the intervention phase and were iOS-based iPad applications named "Memorado-Moving Balls" and "Circles." "Fit Brains-Matching Pairs" and "Fit-Brains-Spot the Difference" were used for each session to evaluate attention and short-term memory. MMSE-K, K-TMT-e A and B, and DST assessment tools were used pre- and post-intervention to assess attention and memory. Result : Fit Brains scores indicated improvement in both attention and memory during the intervention phase. K-TMT-e A showed 3 increased correct points and 3 reduced error points, and B showed 7 increased correct points and 2 reduced error points in post-tests, but the DST and MMSE-K showed no meaningful change. Conclusion : This single-case study identified improvements in attention and short-term memory in a person with mild dementia using iPad applications. Further studies regarding different applications and larger samples with long-term designs are necessary.

Psychometric Charateristics of Occupational Low Back Pain Patients (일부 재해성 요부손상 환자의 심리적 특성)

  • Ha, Mi-Na;Cho, Soo-Hun;Kweon, Ho-Jang;Han, Sang-Hwan;Joo, Young-Soo;Pack, Nam-Jong
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.3 s.51
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    • pp.715-725
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    • 1995
  • This study was done for identifying the factors which affect psychologic symptoms of low back(LBP) patients. The study subjects were 43 work-related low back pain patients, 28 work-related non-low back pain patients and 47 general low back injury patients. The study materialis SCL 90-R for checking psychologic symptoms and questionnaire for obtaining general information about the subjects. The data were analyzed by model of analysis of covariance adjusted by several variables such as gender, age, education and marital status and then compared the least square means of symptom score between groups. To identify the factors that affect psychologic symptom, duration of suspension, return to work and interaction factor of these two variables were analyzed by multivariate model and we calcuated partial correlation coefficient of these variables. As a result, work-related LBP patients showed higher score of symptoms in somatization, depression and psychosis than work-related non-LBP and non-work-related LBP. Duration of suspension and return to work were significant explanatory variables for psychologic symptom score of work-related LBP. Then, we may conclude that the treatment and rehabilitation programe for work-related LBP should cover the strategy of early return to work.

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Evaluation of Horticultural Therapy on the Emotional Improvement of Depressed Patients by Using Heart Rate Variability (심박변이도를 이용한 우울증 환자의 정서개선에 미치는 원예치료 효과 분석)

  • Song, Mi-Jin;Kim, Mi-Young;Sim, Iee-Sung;Kim, Wan-Soon
    • Horticultural Science & Technology
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    • v.28 no.6
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    • pp.1066-1071
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    • 2010
  • To evaluate the effect of horticultural therapy (HT) on the emotional improvement of depressed patients, computer-based heart rate variability (HRV) was compared with self-report scale (SRS) known as existing subjective evaluation method. SRS included four test areas: mental stress scale (MSS), physical stress scale (PSS), Beck anxiety inventory (BAI), and Beck depression inventory (BDI). HRV was itemized into four parameters: standard deviation of the N-N intervals (SDNN), square root of mean squared difference of successive N-N intervals (RMSSD), total power (TP), and low-frequency/high-frequency ratio (LF/HF ratio). Thirty patients with depression at the same mental hospital participated in this study. 15 patients of the treatment group received HT once a week for three months, but the control group did not during the same period. As a result, the emotional improvement in treatment group was clearly identified through HRV as well as SRS. The significant difference was shown at three test areas (MSS, BAI, and BDI, $p$ < 0.001) in SRS and at one parameter (total power, $p$ < 0.05) in HRV. There was noticeable increase in SDNN, RMSSD, and LF/HF ratio in treatment group after HT activity, but no significant difference. Although all parameters of HRV did not show significance, the possibility of HRV as an objective evaluation method to HT was recognized in this study. These results also implied that HT was efficient in the mental and physical regeneration of the depressed patients in both subjective and objective evaluation methods.

Analysis on Life Condition and Needs for Welfare Service of Women with Disabilities in Adult in Gyeongbuk (경북 성인 여성장애인 생활실태와 서비스 욕구 분석)

  • Park, Ju-Young;Kim, Dong-Hwa
    • The Journal of the Korea Contents Association
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    • v.18 no.7
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    • pp.229-244
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    • 2018
  • The purpose of this study was analyze life condition and needs for welfare service of women with disabilities in adult in Gyeongbuk. And to suggest ways to support effective. Method was conducted a questionnaire survey of 465 subjects. The results of this study was as follows: First, The women with disabilities in young adults was two generations, one children, high school graduate, spouseless, mental disabilities. Also, The needs for welfare services about economic activities and employment was high. Second, The women with disabilities in middle-age people was two generations, two children, high school graduate, spouse, physical or cerebral palsy disabilities. Also, The needs for welfare services about daily activity support, economic activities, employment and pregnancy, childbirth, childcare was high. Third, The women with disabilities in older adults was single-person household, three children, elementary school graduate, spouseless, physical or cerebral palsy disabilities. Also, The needs for welfare services about health and medical care was high. Finally, They needs support in economic activities, employment and daily activity support and pregnancy, childbirth, childcare, and health, medical care. Based on this, Suggestions for effective support were suggested.

Analysis of Effects of Yoga and Music Therapies on the Care of Alcohol dependents (알코올 의존자에 대한 요가 및 음악 치료의 효과 분석)

  • Cho, Hyun;Heo, Eun-Seung;Lee, Ji-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.6
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    • pp.2144-2151
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    • 2010
  • Yoga meditation and music therapy are considered to be appropriate for the spiritual and mental treatment for the patients and employed in many clinics and rehabilitation centers as an alternative medicine. This study aims at the analysis of the effects of yoga and music on the treatment of alcoholism. For this, yoga and music treatments were executed for the patients hospitalized in an alcohol clinic hospital in Gimhae district. Only the patients who were judged as alcohol dependents by a psychiatrist with a diagnostic criteria of DSM-IV participated in the study. During five weeks, from November 10, 2009 to December 29, yoga program was practiced two times per week, totaling 10 times, and music therapy was practiced one time per week, totaling 5 times. Among the patients participated in the programs, 44patients were selected finally. They are 16 patients who performed all the yoga programs, and 28 patients who fulfilled all the music therapies. A survey was conducted on them to estimate the effects of yoga and music treatments for the three cases of 'angry behavior', 'anger expression', and 'psychological state at interview'. The results show that yoga and music treatments have positive effects on the patients, although the statistical significance is not so great. However, the more reliable and significant results could be obtained in further studies by prolongation of the practice period, and by introducing the clinical information such as brain mapping to compensate the emotional bias of the patients.

Trends of Life-Space Mobility in Community-dwelling Elderly (지역사회 거주 노인 대상의 생활공간 이동성(Life-space mobility) 연구 동향)

  • Jeong, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.19-35
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    • 2021
  • Objective : This study aimed to systematically examine studies on the life-space mobility in community-dwelling elderly and analyze and summarize the research trends. Methods : The Embase and PubMed databases were searched for articles on the life-space mobility of community-dwelling elderly published between January 2010 and January 2020. Based on the selection and exclusion criteria of the 335 articles, a total of 27 articles were finally selected and analyzed. Results : As a results, 11 (40.7%) cohort studies had evidence level II. This study showed that the participants in the studies were healthy elderly (81.5%), and the University of Alabama Life-Space Assessment (UAB-LSA) used the most participants (88.9%). Of the foci of the 27 finally selected studies, 8 (29.6%) were physical, 8 (29.6%) were psychosocial, 6 (22.2%) were cognitive, and 2 (7.4%) were social, and 3 (11.1%) were others. The life-space mobility of the elderly needs to be analyzed from a multidimensional point of view, and not based on a single factor such as the physical, cognitive, psychosocial, or social. Conclusion : The results of this study are expected to verify causality through the study of life-space mobility for the elderly staying in various communities and provide future directions for the study on the mobility of the elderly's and the development of community-based intervention programs.

The Changes of the Pain Care Awareness and Health Related Quality of Life of the People with the Chronic Low Back Pain through the Participation in the Kinesio-Taping Self Application Education Program (키네시오 테이핑 자가 적용 교육 프로그램의 참여를 통한 만성요통환자들의 통증관리 인식과 건강관련 삶의 질의 변화)

  • Son, Sung-Min;Kwag, Sung-Won
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.1
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    • pp.167-177
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    • 2020
  • This study purposes to analyze the changes of the pain care awareness and health related quality of life of the people with the chronic low back pain through the participation in the kinesio-taping self application education program. A total of 30 people with chronic LBP participated and they divided into experimental(n=15) and control group(n=15). An experimental group participated in the Kinesio-taping education program for 4 weeks and a control group was treated by a therapist. Through these, the pain care awareness and health related quality of life were analyzed. In the care of the health care awareness, the canadian Occupational Performance Measure was used to assess the subjects' performance and satisfaction. The short form-8 health survey was used to the health related quality of life. The results of the health care awareness and health related quality of life were increased in the experimental group and the statistically significant difference showed between group. This education program is a meaningful method to improve the health related quality of life from the pain care in the daily life by itself. Thus, the kinesio-taping self application education program should be considered for the people with the chronic low back pain.

Effects of Audio-visual Entertainment and Soft Tissue Mobilization on Pressure Pain Thresholds, Psychophysiological parameters, and Brain waves in University Students with Tension-type Headache (긴장성 두통이 있는 대학생들에게 시청각적 엔터테인먼트와 연부조직 가동술이 압력통각역치, 바이오피드백, 뇌파에 미치는 영향)

  • Jung, Dae-In;Lee, Eun-Sang;Kim, Hyun-Joong
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.539-548
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    • 2020
  • TTH(tension-type headache) is the most common primary headache among adults. Long-term headaches cause chronic headaches and have a better impact on daily life. The purpose of this study is to compare the contributions to TTH through AVE(audio-visual entertainment) and STM(soft tissue mobilization) suitable for management of pathogenic and psychogenic factors of TTH. The participants of this study were from 30 people who complained of intermittent or persistent headaches for more than 6 months, and 10 participants each in the AVE group, STM group, and AVE plus STM group. In the assigned group, a total of 12 sessions were performed three times a week for 4 weeks after the baseline, followed by post-test. Outcome measures measured PPTs(pressure pain thresholds), psychophysiological parameters, and EEG(electroencephalogram). The measured results were analyzed for interaction between time and group through a two way rmANOVA(repeated measurement variance analysis). As a result of the PPTs, interaction was found in the results of the right trapezius (p<.05), and the more improvement was observed in the AVE group. Therefore, through AVE based on psychological factors rather than direct access to the muscles of pathogenic factors, a positive impact on the PPTs was shown, but the average value of the psychophysiological parameters and brain waves that were not statistically significant. The amount of change was observed. Through this, it is suggested that audio-visual stimulation could be considered in the management of TTH.

Effects of Time-Use Intervention on Life Satisfaction and Self-Esteem in Stroke Patients (시간사용중재가 뇌졸중 환자의 생활만족도 및 자아존중감에 미치는 영향)

  • Ryu, Sung-Hyun;Park, Su-Jin;Kim, Min-Huck;Hwang, Do-Yeon
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.91-102
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    • 2020
  • Objective : This study investigated the effects of time-use intervention, conducted during 8 weeks, on the life satisfaction and self-esteem of stroke patients. Methods : Twenty-one stroke patients who were divided into an experimental group (n=10) and a control group (n=11), participated in this study from July 2019 to October 2019. Life satisfaction changes were measured using the Life satisfaction scale. Self-esteem changes were measured using the Self-esteem scale. Results : First, comparison between pre and post intervention showed a statistically significant difference in life satisfaction and self-esteem (p<.05). Second, comparison between post intervention groups showed a statistically significant difference in life satisfaction and self-esteem (p<.05). Conclusion : Based on the results from this study, we found that time-use intervention has a positive impact on life satisfaction and self-esteem. Therefore, participating in meaningful occupation performance will improve the mental health and quality of life of stroke patients.

Outcomes of a Multisensory and Motor-Based Group Activity Program (치매노인의 다감각(Multisensory)과 신체활동(Physical activity)을 병합한 그룹 활동 프로그램의 적용 효과)

  • Jung, Hae-In
    • Therapeutic Science for Rehabilitation
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    • v.4 no.1
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    • pp.53-62
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    • 2015
  • Objective : This study aimed to evaluate the effects of multisensory and Motor-Based group activity program on the problem behaviors and burden of care in persons with dementia. Methods : Five persons with moderate to severe dementia and significant problem behaviors, received 4 weeks of multisensory and Motor-based group activity program. The Neuropsychiatric Inventory was employed in the pretest and posttest. Analysis was performed using SPSS and including Wilcoxon signed rank test. Results : Participants' average problem behavior scores decreased from 70 in the pretest to 38 after program. Mean scores of burden of care decreased from 47 to 29. Conclusion : Multisensory and Motor-Based group activity program can be an effective method to decrease problem behaviors and burden of care for older people with dementia.