• 제목/요약/키워드: Cognitive Rehabilitation

검색결과 461건 처리시간 0.03초

Effects of Cognitive-Motor Interference on Cognitive Tasks Requiring Different Types of Concentration During Preferred and Fast Walking in Stroke Patients

  • Choo, Yeon-Seung;Kim, Mi-Sun;Choi, Jong-Duk
    • 한국전문물리치료학회지
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    • 제21권4호
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    • pp.34-39
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    • 2014
  • The purpose of this study was to examine the effect of three cognitive tasks on gait at a preferred walking speed, and at a fast speed, using dual-task methodology. A total of 29 stroke patients participated in the study. All 29 subjects performed 2 motor tasks (10-meter walk task and timed up and go task each at a preferred and a fast speed) and three cognitive tasks [Stroop, word list generation (WLG), serial subtraction (SS)] under dual-task conditions [cognitive-motor interference (CMI)] in a randomized order. Gait speeds were measured in six different conditions. A repeated-measure analysis of variance was employed to compare the results of the Stroop training, WLG, and SS tasks during preferred and fast walking. A Bonferroni adjustment use for post hoc analysis. The level of statistical significance was set at ${\alpha}=.05$. A CMI effect occurred for performance of a 10-meter walking task at two different speed and a cognitive task (p<.05). Stroop had a significantly greater effect than SS and WLG (p<.05). The timed up and go task was affected when performed with fast walking speed during Stroop cognitive task (p<.05), but was not affected if performed with preferred walking speed during a cognitive task (p>.05). This study showed that CMI of Stroop can be used as a rehabilitation program for stroke patients.

K-MEANS 알고리즘을 이용한 인지 재활 훈련 방법의 개선 (Improvement of Cognitive Rehabilitation Method using K-means Algorithm)

  • 조하연;이혁민;문호상;신성욱;정성택
    • 한국인터넷방송통신학회논문지
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    • 제18권6호
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    • pp.259-268
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    • 2018
  • 본 연구의 목적은 인지기능 훈련 콘텐츠들을 사용하는 동안 사용자들의 흥미와 몰입도를 높이기 위하여 인지 능력 수준에 맞춘 훈련 방법을 제시하는 것이다. 사용자의 인지 능력 수준은 K-means 알고리즘을 적용한 협업 필터링을 사용하여 사용자들의 정보와 한국형 아동 간이 정신 상태 검사 점수를 기반으로 군집화한 결과를 바탕으로 이루어졌다. 이 결과를 구현된 인지기능 훈련 통합 시스템에 적용하여 사용자의 인지 능력 수준에 알맞은 인지기능 훈련 영역 별 콘텐츠 순서와 난이도를 추천하였다. 특히 콘텐츠 난이도 조절은 사용자들이 긴장감과 편안함을 반복적으로 느낄 수 있도록 제안한 '몰입이론' 방법을 적용하여 높은 몰입감을 주고자 하였다. 결론적으로 본 논문에서 제안한 사용자 맞춤형 인지기능 훈련 방법은 기존의 치료사가 콘텐츠 순서와 난이도를 주관적으로 설정하는 것보다 더욱 효과적이고 재활 결과를 기대할 수 있을 것이다.

경도 인지장애 선별에 적용된 이중과제 평가에 대한 체계적 고찰 (A Systematic Review of the Application Dual Task Assessment for Screening Mild Cognitive Impairment)

  • 김선호;곽호성
    • 대한통합의학회지
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    • 제8권4호
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    • pp.107-115
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    • 2020
  • Purpose: This study aims to systematically review the dual-task evaluation applied to the screening of mild cognitive impairment. It also aims to present various evaluation items and results analysis methods for dual tasks applied to patients with mild cognitive impairment. Methods: We conducted a systematic search of published studies in PubMed databases and KISS from January 2000 to August 2020 using the main keywords such as "Dual task," "Mild Cognitive impairment," "Elderly," and "Screening." We selected a total of 10 studies for the analysis from 1314 searched articles. Results: We analyzed the qualitative level of 10 studies that were nonrandomized two-group studies with evidence level II (100.0%). These results suggest that the evidence level of the studies was high. We analyzed 10 studies and identified 12 motor tasks and 19 cognitive tasks. Walking was the most commonly used evaluation motor task and counting backward by ones and naming animals were the most commonly used evaluation cognitive tasks. Moreover, the velocity speed was the most used result analysis method. The results indicate that there were significant differences in dual-task performance between patients with normal and mild cognitive impairment. Conclusion: The results of this study can be used as a basis for the selection of dual-task evaluation items and methods of analyzing the results for screening mild cognitive impairment. Furthermore, they are expected to be used for research on the development of dual-task evaluation tools. It is necessary to compare and analyze the usage trends of dual-task evaluation by cultural differences in future studies.

신경인지 검사를 위한 모션 센싱 시스템 (Motion Sensing System for Automation of Neuropsycological Test)

  • 조원서;천경민;류근호
    • 센서학회지
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    • 제26권2호
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    • pp.128-134
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    • 2017
  • Until now, neuropsychological tests can diagnose the brain dysfunction, however, cannot distinguish the objective data of experiment enough to distinguish the relationships between brain dysfunction and cerebropathia. In this paper, an automatic cognitive test equipment system with 6-axis motion sensors was proposed for the automation of neuropsychological tests. Fist-Edge-Palm(FEP) test and Go-no go test were used to evaluate motor programming of frontal lobe. The motion data from the specially designed motion glove are transmitted wirelessly to a computer to detect the gestures automatically. The healthy 20 and 11 persons are investigated for the FEP and Go-No go test, respectively. The recognition rates of gestures of FEP and Go-No go test are min. 91.38% and 89.09%. In conclusion, the automations of cognitive tests are successful to diagnose the brain diagnostics quantitatively.

Designing Cultural Syllabus and Lesson Plan Based on Developmental Stages of Acculturation of Intercultural Communicative Competence

  • Jang, Eun-Suk
    • 영어어문교육
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    • 제17권1호
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    • pp.37-52
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    • 2011
  • The purposes of this study were to review developmental stages of acculturation, to establish dimensions and components of intercultural communicative competence, and to suggest teaching methods in the elementary school based on the dimensions and the components of the stages. In order to achieve these purposes, theoretical research on the nature of intercultural communicative competence and teaching methods of intercultural dimensions and components was carried out in terms of developmental stages of acculturation. The stages of acculturation have relation to cognitive domain, affective domain, and cultural awareness. In the domain of cognitive development, the models such as Cummins (1981), Wong-Fillmore (1983), and Ausubel (1968) were presented. In the affective domain of second language research, the models of Gardener and Lambert (1972), Maslow (1954), and Bloom (1974) were argued. Modifying the models of Ausubel, Cummins, Wong-Fillmore, the dimensions and components of intercultural communicative competence were established. In addition, it was suggested that cultural syllabus and lesson plan based on tourist and survivor stage should be considered.

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A Survey of Multimodal Systems and Techniques for Motor Learning

  • Tadayon, Ramin;McDaniel, Troy;Panchanathan, Sethuraman
    • Journal of Information Processing Systems
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    • 제13권1호
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    • pp.8-25
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    • 2017
  • This survey paper explores the application of multimodal feedback in automated systems for motor learning. In this paper, we review the findings shown in recent studies in this field using rehabilitation and various motor training scenarios as context. We discuss popular feedback delivery and sensing mechanisms for motion capture and processing in terms of requirements, benefits, and limitations. The selection of modalities is presented via our having reviewed the best-practice approaches for each modality relative to motor task complexity with example implementations in recent work. We summarize the advantages and disadvantages of several approaches for integrating modalities in terms of fusion and frequency of feedback during motor tasks. Finally, we review the limitations of perceptual bandwidth and provide an evaluation of the information transfer for each modality.

주변성 난독증의 특성과 대뇌활성화 양상 - 단일사례연구 - (Cognitive neuropsychological assesment in pure alexic patient with letter-by-letter reading using fMRl - Single case study -)

  • 손효정;편성범;김충명;남기춘
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2005년도 추계 학술대회 발표논문집
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    • pp.137-140
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    • 2005
  • In this study we investigated the cognitive neuropsychological characteristics and the underlying mechanism in a letter-by-letter reading dyslexic patient after cerebral infarct of left posterior cerebral artery using fMRl, The results of cognitive neuropsychological assesment are visual perception was appropriate, and semantic categorization, picture naming and picture-word matching tasks were above83% correct, respectively. However, she was very poor in lexical decision task. The selective reading impairment is thought to result from the disruption of the left occipitotemporal region included fusiform gyrus. In fMRl results, the activation level increase din the right occipitotemporal region included fusiform gyrus compared with normal group in compensation for left impairment and more increased in pseudo word reading task than word reading on account of familiarity.

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치매노인을 위한 운동프로그램 적용후 MBI와 MMSE 사이의 상관관계분석 (Correlation Analysis between MBI and MMSE after Exercise Program for Dementia Elderly)

  • 박래준;이현옥;김성학
    • The Journal of Korean Physical Therapy
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    • 제12권2호
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    • pp.83-93
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    • 2000
  • 29 dementia patients over 60 years of no in the nursing home were assigned to execute rehabilitation program a month for 3 months. 1 evaluated MBI scores and MMSE scores and analyzed correlation between both scores. Analyses of results were as follows : 1. In the experimental group with rehabilitation program. ADL and cognitive function were improved significantly(p<0.05). 2. In the control group with no rehabilitation program. ADL was decreased significantly(p<0.05), cognition was not changed (pgt;0.05). 3. There were significant rises in MBI scores and MMSE scores in the experimental group(p<0.05). 4. There was a significant fall in MBI scores in the control group(p<0.05). a no change in MMSE scores in the control group(p>0.05). 5. There was strong correlation between ADL and cognition in the experimental group and the control group. 6. Inverse correlation revealed between the experimental group and the control group in ADL. 7. Inverse correlation revealed between the experimental group and the control group in cognition.

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CAMSHIFT를 활용한 실시간 인지 및 행동 장애 재활 시스템 (Cognitive and Conduct Disorder Rehabilitation Systems using CAMSHIFT Algorithm)

  • 천성민;황인택;김돈규;최광남
    • 한국HCI학회:학술대회논문집
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    • 한국HCI학회 2006년도 학술대회 1부
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    • pp.103-109
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    • 2006
  • 본 논문은 인지 및 행동 장애 재활 시스템을 구현하기 위하여 동영상인식 기반의CAMSHIFT 알고리즘을 적용시켰다. 주의력과 반응 시간을 측정하는 인지 장애 재활 시스템이 개발되었고 환자의 주의 집중력과 손 움직임의 조절력을 측정하고 시 지각 운동 능력을 측정하는 행동 장애 재활 시스템이 개발되었다. 실험은 중앙대학교 의료원 재활 의학과에서 실시하여 측정되었다. 본 논문에서 개발한 시스템은 훈련 과정을 객관적인 측정량과 오랫동안 연습할 수 있는 동기를 제공해 줌으로써 전통적인 치료법에 비해 흥미롭고 유용한 도구가 될 수 있음을 환자를 치료하는 치료사를 대상으로 PSS CogRehab 시스템과 비교하는 설문 조사를 통하여 증명한다.

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경도인지장애 환자의 수단적 일상생활활동에 대한 고찰 (Review of the instrumental ADL for the Patients With Mild Cognitive Impairment)

  • 안시내
    • 재활치료과학
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    • 제2권2호
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    • pp.37-45
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    • 2013
  • 본 연구는 최근 많은 관심이 되고 있는 경도인지장애 환자의 특징과 수단적 일상생활활동에 대해 알아봄으로써 임상가들에게 작업치료에서 경도인지장애환자를 평가 및 치료하는데 도움이 되고자 하였다. 현재 치매환자를 위한 작업치료는 매우 활발하게 이루어지고 있으나 치매로 전환될 위험이 높은 경도인지장애 환자에 대하여 작업치료적 접근은 아직 이루어지지 않고 있다. 본 고찰에서는 정상노인과 감별하기 어려운 경도인지장애 환자의 작업영역 중 수단적 일상생활활동에 대해 초점을 맞추어야 한다는 근거들을 다루었으며, 경도인지장애 환자가 치매로 발전하는 것을 예방하기 위해서는 수단적 일상생활활동에 대한 고려가 필수적으로 이루어져야 함을 고찰하였다. 결론적으로, 치매로 발전 될 가능성이 높은 위험 집단인 경도인지장애 환자군의 작업영역을 고려한 수단적 일상생활활동에 대한 주기적인 평가와 그에 따른 작업치료적 개입이 필요할 것으로 보인다.