• PNF and Movement
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• v.14 no.2
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• pp.121-130
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• 2016

Purpose: The purpose of this study was to investigate the effects of visual and auditory stimulation on the ability to perform exercise. Methods: One hundred twenty subjects were randomly divided into four groups (Green light and Fast tempo music, GF; Green light and Slow tempo music, GS; Red light and Fast tempo music, RF; and Red light and Slow tempo music, RS). One of either two visual stimuli or one of two auditory stimuli were applied to each group. The experiment was conducted randomly twice in two environments: one had visual and auditory stimuli and one had no stimulation. Muscle strength, grip, endurance, quickness, agility, concentration, and balance were measured to determine the ability to perform exercise. Results: Significant differences were found in the muscle strength of the participants who were exposed to the auditory factor and the interaction of visual and auditory factors. In endurance, significant differences were found in all of the factors: visual, auditory, and the interaction of visual and auditory. In quickness, agility, and balance ability there were significant differences in the visual factor. In concentration, there was a significant difference in the auditory factor. Conclusion: Visual stimuli, auditory stimuli, and their interaction influenced the ability to perform exercise. These facts imply that providing the proper environmental stimulation is important to increase the ability to perform during exercise.

• Physical Therapy Korea
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• v.25 no.2
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• pp.53-61
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• 2018

Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimulation. However we did not consider the influence of visual feedback. Objects: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation and visual feedback (TRASVF) or treadmill walking training with rhythmic auditory stimulation (TRAS) alone. Methods: Twenty-one stroke patients were divided into two groups: A TRASVF group (10 subjects) and a TRAS group (11 subjects). They received 30 minutes of neuro-developmental therapy (NDT) and walking training for 30 minutes, five times a week for three weeks. Temporal and spatial gait parameters were measured before and after the training period. The Biodex gait trainer treadmill system measured gait parameters. Results: After the training periods, the TRASVF group showed a significant improvement in walking speed, the step length of the affected limb, and time on each foot of the affected limb when compared to the TRAS group (p<.05). Conclusion: The results of this study showed that the treadmill walking training with rhythmic auditory stimulation and visual feedback improved individual gait ability more than the treadmill walking training with rhythmic auditory stimulation alone. Therefore, visual feedback should be considered along with rhythmic auditory stimulation training.

• Phonetics and Speech Sciences
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• v.10 no.1
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• pp.75-81
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• 2018

Diplophonia is generally defined as the perception of more than one fundamental frequency component in a voice. Its perceptual aspect has traditionally been used to evaluate diplophonia because the perceptions can be easily evaluated, but there are limitations in the validity of the reliability of the intra- and inter-raters, examination situation, and variation of voice sample. Therefore, the purpose of this study is to confirm the reliability and accuracy of auditory perceptual evaluation by comparing non-invasive indirect assessment methods (sound waveform and EGG analysis), and to identify their usefulness with diplophonia. A total of 28 diplophonic voices and 39 non-periodic voices were assessed. Three raters assessed the diplophonia by performing an auditory perception evaluation and identifying the quasi-periodic perturbations of the acoustic waveform and EGG. Among the three discrimination methods, intra- and inter-rater reliability, sensitivity, specificity, accuracy, positive likelihood ratio, and negative likelihood ratio were examined, and the McNemar test was performed to compare the discriminant agreement. The accuracy of the auditory perceptual evaluation (86.57%) was not significantly different from that of sound waveform acoustic (88.06%), but it was significantly different from that of EGG (83.33%). The reading time (6.02 s) for the auditory perceptual evaluation was significantly different from that for sound waveform analysis (30.15 s) and EGG analysis (16.41 s). In the discrimination of diplophonia, auditory perceptual evaluation has sufficient reliability and accuracy as compared to sound waveform and EGG. Since immediate feedback is possible, auditory perceptual evaluation is more convenient. Therefore, it can continue to be used as a tool to discriminate diplophonia in clinical practice.

• Journal of the Korean Society of Physical Medicine
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• v.9 no.4
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• pp.363-373
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• 2014

PURPOSE: The purpose of this study was of scale using auditory biofeedback training and kinging training on walking speed and weight bearing ratio in patients hemiplegia with stroke to determine of the effects of such training would be maintained even after stopping the intervention. METHODS: The 30 subject were classified into three groups : 12 times, 3 times a week receiving the control, the experimental group scale using auditory and kicking training for 4 weeks. In addition, all subjects in the control group and experimental groups received the same general exercise treatment 12 times, 3 times a week for 4 weeks, and underwent follow-up tests. The significance of differences between the control group and the experimental groups was analysis by repeated-ANOVA, Interaction time and groups was analysis by repeated-ANOVA. In case where there were differences, post-hot tests were conducted using repeated measure ANOVA. RESULTS: There were significant differences in 10 m walking speed and weight bearing ratio between the control group and experimental group after the performance of the scale using auditory training and kicking training. Scale using auditory biofeedback training 4 weeks was more effective than kicking training. After 8 weeks weight bearing ratio maintained on scale using auditory training. CONCLUSION: These finding suggest that the scale using auditory biofeedback training and kicking training has positive effects on hemiplegia with stroke.

• Journal of Biomedical Engineering Research
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• v.32 no.1
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• pp.55-60
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• 2011

Although sound intensity is considered as one of important factors in auditory processing, its neural mechanism in auditory neurons with limited dynamic range of firing rates is still unclear. In this study, we examined the effect of sound intensity adaptation on the change of glucose metabolism in a rat brain using [F-18] micro positron emission tomography (PET) neuroimaging technique. In the experiment, broadband white noise sound was given for 30 minutes after the [F-18]FDG injection in order to explore the functional adaptation of rat brain into the sound intensity levels. Nine rats were scanned with four different sound intensity levels: 40 dB, 60 dB, 80 dB, 100 dB sound pressure level (SPL) for four weeks. When glucose uptake during the adaptation of a high intensity sound level (100 dB SPL) was compared with that during adaptation to a low intensity level (40 dB SPL) in the experiment, the former induced a greater uptake at bilateral cochlear nucleus, superior olivary complexes and inferior colliculi in the auditory pathway. Expectedly, the metabolic activity in those areas linearly increased as the sound intensity level increased. In contrast, significant decrease interestingly occurred in the bilateral auditory cortices: The activities of auditory cortex proportionally decreased with higher sound intensities. It may reflect that the auditory cortex actively down-regulates neural activities when the sound gets louder.

• Journal of Biomedical Engineering Research
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• v.29 no.4
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• pp.307-315
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• 2008

In this paper, we developed a visual-auditory cue software for reading training of motor speech disorder patients. Motor speech disorder patients can use the visual and/or auditory cues for reading training and improving their symptom. The software provides some sentences with visual-auditory cues. Our sentences used for reading training are adequately comprised on modulation training according to a professional advice in speech therapy field. To ameliorate reading skills we developed two algorithms, first one is automatically searching the starting time of speech spoken by patients and the other one is removing auditory-cue from the recorded speech that recorded at the same time. The searching of speech starting time was experimented by 10 sentences per 6 subjects in four kinds of noisy environments thus the results is that $7.042{\pm}8.99[ms]$ error was detected. The experiment of the cancellation algorithm of auditory-cue was executed from 6 subjects with 1 syllable speech. The result takes improved the speech recognition rate $25{\pm}9.547[%]$ between before and after cancellation of auditory-cue in speech. User satisfaction index of the developed program was estimated as good.

• Korean Journal of Acupuncture
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• v.23 no.4
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• pp.135-145
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• 2006

Objectives and Methods : Using the 2-channel DROS SQUID (Korea Research Institute of Standards of Science, 1999), the present study was carried out to record changes elicited in the auditory cortex by acupuncture stimulus on right TE5 (Waiguan) and GB43 (Xiaxi). Needle-retention stimulation of TE5 and GB43 were done for acquiring the brain activities changed by acupuncture. Acupoint TE5 and GB43 is known to be effective for the treatment of ear-related disease, such as deafness and tinnitus, and to be suspected to be related to the auditory cortex. Auditory evoked magnetic fields were recorded hem the left hemisphere of five subjects, in response to contralateral ear stimulation by irregularly spaced 170 msec long 1kHz tone busts (Korea Research Institute of Standards of Science) Results and Conclusions : The result as follows. The latency and amplitude of SQUID MEG responses at the human auditory cortex changed by needle-retention condition on TE5 were 4msec and 9.2 fT, respectively, which were slower and smaller than those of no-acupuncture condition. The latency and amplitude of SQUID MEG responses at the human auditory cortex changed by needle-retention condition on GB43 were 7.2 msec and 1.6 fT, respectively, which were slower and larger than those of no-acupuncture condition. The latency of SQUID MEG responses at the human auditory cortex changed by needle-retention condition on GB43 condition was slower than that of TE5 acupuncture condition.

• Journal of the Korean Society of Physical Medicine
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• v.8 no.1
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• pp.49-58
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• 2013

PURPOSE: The purpose of this study was to determine if auditory cues velocity has a greater effect on the gait pattern of patients with Parkinson's disease (PD) than the cues applied individually. METHODS: The subjects were 15 elderly patients diagnosed with PD, 15 healthy elderly persons. Patients were measured of three conditions performed in random order: slow, general, fast. The auditory cue velocity consisted of a metronome beat ${\pm}20%$ than the subject's general gait speed. Using a motion analysis and a force platform measurement system, changes in spatiotemporal variables, kinetic and kinematic variables were compared to gait analysis. RESULTS: Comparison between the auditory cues velocity, there was a significant difference in the spatiotemporal variables with regard to the cadence, stride length, support time, step length, double support time (p<.05). Comparison between the auditory cues velocity, there was a significant increase general and fast velocity gait than slow velocity gait in the maximum flexion in swing phase of knee joint (p<.05). There appears to be the aspect of an increasing ground reaction force (GRF) on the first peak in the vertical axis (p<.05). CONCLUSION: Auditory cues velocity improved of spatio-temporal factors, kinematic and kinetic factors depending on the velocity of the faster. Therefore at the rehabilitation training of PD patients auditory cues velocity would be used for recovery and gait reeducation, may arise through the patients functional ability.

• Phonetics and Speech Sciences
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• v.8 no.1
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• pp.71-80
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• 2016

The phonemic awareness tasks (phonemic synthesis, phonemic elision, phonemic segmentation) by auditory presentation and visual presentation were conducted to 40 children who are 5 and 6 years old. The scores and error types in the sub-tasks by two presentations were compared to each other. Also, the correlation between the performances of phonemic awareness sub-tasks in two presentation conditions were examined. As a result, 6-year-old group showed significantly higher phonemic awareness scores than 5-year-old group. Both group showed significantly higher scores in visual presentation than auditory presentation. While the performance under the visual presentation was significantly lower especially in the segmentation than the other two tasks, there was no significant difference among sub-tasks under the auditory presentation. 5-year-old group showed significantly more 'no response' errors than 6-year-old group and 6-year-old group showed significantly more 'phoneme substitution' and 'phoneme omission' errors than 5-year-old group. Significantly more 'phoneme omission' errors were observed in the segmentation than the elision task, and significantly more 'phoneme addition' errors were observed in elision than the synthesis task. Lastly, there are positive correlations in auditory and visual synthesis tasks, auditory and visual elision tasks, and auditory and visual segmentation tasks. Summarizing the results, children tend to depend on orthographic knowledge when acquiring the initial phonemic awareness. Therefore, the result of this research would support the position that the orthographic knowledge affects the improvement of phonemic awareness.

• 재활복지
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• v.17 no.4
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• pp.371-382
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• 2013

Recently, the number of those who were transplanted cochlear implants increased as health insurance increases has expanded. Last six years between 2005 to 2009, patients who received a cochlear implant surgery were about 3,300 and number of cochlear implants in adults of them have shown growing aspects. In the case of young children, they actively participated auditory training program after cochlear implant surgery and the studies related to auditory training in child are many, but the studies related to auditory training in adults is insufficient. In this study, we perform the auditory training for the female adult (age 54) received cochlear implant after language acquisition used Ling 6 sounds test, standardized consonants, vowels and sentences listening test and word recognition and confirmation test. As a result after auditory training for 10 weeks, she identified all phonemes in Ling 6 sound test and performed close to 100% in standardized consonants, vowels and sentences listening tests. Also, she improved the ability of real-world environmental sound and real-world words identifications by 57-95%. The results of this study showed the need of auditory training program with systematic and effective planning and considering the characteristics of the individual for adults.