• Title/Summary/Keyword: Combined training

검색결과 603건 처리시간 0.032초

기능적 전기자극을 적용한 트레드밀 보행훈련에 통합한 경피신경 전기자극이 뇌졸중환자의 경직도 균형, 보행 능력에 미치는 영향 (Effects of Integrating Transcutaneous Electrical Nerve Stimulation into Treadmill Gait Training Applying Functional Electrical Stimulation on Spasticity, Balance and Gait Ability in Stroke Patients: A Randomized Controlled Trial)

  • 이문수;이명모
    • 대한물리의학회지
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    • 제15권2호
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    • pp.39-48
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    • 2020
  • PURPOSE: This study examined the effects of integrating transcutaneous electrical nerve stimulation into treadmill gait training by applying functional electrical stimulation on the spasticity, balance, and gait ability of chronic stroke patients METHODS: Twenty participants were assigned randomly to two groups: the treadmill gait training group with applied functional electrical stimulation (FES) with integrated transcutaneous electricalstimulation (TENS) (experimental group, EG, n = 10) and the treadmill gait training group with FES (control group, CG, n = 10). Both groups received treadmill gait training with FES for 30 minutes a time, four times a week, during five weeks. The experimental group received additional TENS on their L3, L5, and S2 dermatome for 30 minutes before the interventions. The spasticity, balance, and gait ability were evaluated before and after the training to compare the intergroup and intragroup changes. RESULTS: Both groups showed significant improvements in the static, dynamic balance, and gait ability (p < .05), but did not show any significant changes in the muscle tone. The EG showed significant improvements in the static balance ability and gait cycle compared to the CG (p < .05). CONCLUSION: Treadmill gait training combined with FES with integrated TENS is an effective method for improving the static balance and gait cycle. On the other hand, the effects of treadmill gait training with FES on spasticity need to be studied further.

문제해결 기반 디지털역량교수지식(TPK) 함양을 위한 교사연수 전략 (Teacher Training Strategies for Improvement Technological Pedagogy Knowledge(TPK) connected with Problem Solving)

  • 신수범;김철;정영식
    • 정보교육학회논문지
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    • 제22권1호
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    • pp.23-32
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    • 2018
  • 이 연구는 교원이 학교현장에서 디지털도구 활용 수준을 높이기 위한 디지털역량과 교수지식을 결합한 연수구조에 대한 것이다. 기존 국내의 교원연수는 학교현장에서의 활용도가 낮은 것으로 나타났다. 이에 본 연구에서는 디지털역량 내용교수지식(TPACK)의 하위 구조인 디지털역량교수지식(TPK)에 집중하여 교원연수체제를 제안하였다. TPK의 핵심적인 내용은 해당교수학습에 적합한 디지털도구의 선정과 디지털도구의 특성에 맞는 교수학습 요소를 선택하는 것이다. 그리고 본 연구에서는 이와 같은 내용을 수업목표설정, 수업내용전개, 평가 등의 3단계로 모듈화하여 제시하였다. 또한 본 연구의 연수체제는 TPK 요소에 대하여 연수생이 직접 구성하는 문제해결방법으로 연수를 운영하는 형태로 제시하였다. 그리고 TPK 선정 전략과 연수 프레임에 대해 현장교사대상 질적 조사를 실시하였다. 인터뷰 참여교사들은 TPK전략과 연수구조에 대해 타당성이 있는 것으로 판단하였다.

앉고 일어서기 동작에서 점진적 체중 이동을 이용한 시각적 되먹임 훈련이 만성 편마비 환자의 균형 및 보행능력에 미치는 영향 (Effect of Visual Feedback Training for Gradual Weight Shift in the Sit-to-stand Training on the Balance and Walking Abilities of Chronic Hemiplegia Patients)

  • 김경환;박성훈;김형민;박노욱;김다연
    • PNF and Movement
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    • 제15권1호
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    • pp.77-84
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    • 2017
  • Purpose: This study aimed to investigate the effect of visual feedback training-for gradual weight shift in sit-to-stand training-on the balance and walking abilities of chronic hemiplegia patients. Methods: Twenty patients with chronic hemiplegia volunteered to participate in this study. The experimental group received visual feedback for gradual weight shift in the sit-to-stand training, while the contrast group followed the standard process for the sit-to-stand training. The evaluation of the balance and walking ability was conducted with the functional reach test (FRT), Berg balance scale (BBS), five time sit-to-stand (FTSTS) test, timed up and go (TUG) test, 10 m walk test (10MWT), balancia, activities-specific balance confidence (ABC) scale, and falls efficacy scale (FES). Results: In the results before and after intervention, there was a significant difference in TUG, 10MWT, ABC, and FES in the visual feedback training group (p < 0.05). In the control group, there was a significant difference in the 10MWT and ABC (p < 0.05). Also, in the evaluation of the postural fluctuations, the control group data showed a significant increase in Covar. The visual feedback group showed a significant difference in the W average. Conclusion: The visual feedback training group showed some improvement in terms balance and walking ability and on the ABC scale and FES. Therefore, if the diagonal progressive weight bearing exercise is combined with the various patterns and basic principles of PNF, it may be a more efficient intervention method.

Prediction of Etch Profile Uniformity Using Wavelet and Neural Network

  • Park, Won-Sun;Lim, Myo-Taeg;Kim, Byungwhan
    • International Journal of Control, Automation, and Systems
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    • 제2권2호
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    • pp.256-262
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    • 2004
  • Conventionally, profile non-uniformity has been characterized by relying on approximated profile with angle or anisotropy. In this study, a new non-uniformity model for etch profile is presented by applying a discrete wavelet to the image obtained from a scanning electron microscopy (SEM). Prediction models for wavelet-transformed data are then constructed using a back-propagation neural network. The proposed method was applied to the data collected from the etching of tungsten material. Additionally, 7 experiments were conducted to obtain test data. Model performance was evaluated in terms of the average prediction accuracy (APA) and the best prediction accuracy (BPA). To take into account randomness in initial weights, two hundred models were generated for a given set of training factors. Behaviors of the APA and BPA were investigated as a function of training factors, including training tolerance, hidden neuron, initial weight distribution, and two slopes for bipolar sig-moid and linear function. For all variations in training factors, the APA was not consistent with the BPA. The prediction accuracy was optimized using three approaches, the best model based approach, the average model based approach and the combined model based approach. Despite the largest APA of the first approach, its BPA was smallest compared to the other two approaches.

무인항공기 조종사 자격/교육훈련 요구사항 및 고려사항 (Requirements and Considerations for Qualification and Training of RPA Pilot)

  • 황유철;강자영
    • 한국항공운항학회지
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    • 제21권1호
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    • pp.74-79
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    • 2013
  • Early remotely-piloted aircraft system (RPAS) development focused on simple reconnaissance to obtain information by visual observation for military demands. Currently, various types of remotely-piloted aircraft (RPA) is being developed worldwide for applications in many different areas. As RPA avionics are combined with CNS/ATM technologies, RPA capabilities will be enhanced and the market is expected to grow rapidly. ICAO has been held the Air Navigation Commission on 14 October 2011 to discuss revising Procedures for air navigation services (PANS) and guidance material related to RPA and their associated systems. It progressed that Annex 2 and 7 will be revised and came into effect from 2012. However most of incorporate revisions are not clear yet. Because the revision articles recommend follow requirements of the state(s). Considering operations of RPA in controlled airspace and between adjacent states, the qualification and training of RPA pilot will be one of the main issues for RPA operation. In this paper, we will take a look at international and domestic trends of regulation framework in ICAO and RPA advanced country in chapter 2.1 and suggest about consideration of remote pilot qualification and training for establishing regulations of remote pilot license.

Shaker운동을 병행한 바이오피드백 훈련이 삼킴장애가 있는 뇌졸중환자의 설골상근 근활성도에 미치는 영향 (Effects of Biofeedback Training with Shaker Exercise on the Suprahyoid muscle Activity of Stroke with Swallowing Disorder)

  • 신윤아;권혁철;김환
    • 대한물리의학회지
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    • 제14권1호
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    • pp.111-119
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    • 2019
  • PURPOSE: The aim of this study was to determine how biofeedback training with Shaker exercise effects the activation of the cervical myocardial muscle in stroke with swallowing disorder. METHODS: From June 2018 to September 2018, 30 patients who were hospitalized at C hospital and K hospital in Daegu, and K hospital in Gumi were surveyed to meet the criteria for selection. The participants were classified into three groups, and Shaker exercise was applied three times a day, five times a week, for four weeks; visuoauditory biofeedback group (VABG), visual biofeedback group (VBG), and self-exercises group (SG). In addition, the suprahyoid muscle activity was performed three times (before intervention, after intervention, and after two weeks). RESULTS: The pre and post-test comparisons, revealed a significant difference between the three groups (p<.01); VABG had the highest suprahyoid muscle activity. The post-test and follow-up test produced similar results in, the three groups (p>.05). The mean comparison showed the smallest difference in VABG, indicating that muscle persistence was the best. CONCLUSION: Shaker exercise has an effect on suprahyoid muscle activation. Biofeedback training, which provides an input of multi-sensory information in swallowing disorder treatment is recommended because it has the greatest effect when combined with visuoauditory biofeedback.

가상훈련 콘텐츠를 사용한 온라인 교육의 사례 연구 (Case Study of Online Education Using Virtual Training Content)

  • 허준영;노혜란
    • 실천공학교육논문지
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    • 제11권1호
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    • pp.1-8
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    • 2019
  • 최근에는 가상현실 기술의 급격한 발전으로 인해 현실세계에서 직접 경험하지 못하는 상황을 실감적으로 체험하는 것에 대한 요구가 더욱 증대하고 있다. 특히 고위험, 고비용의 산업훈련을 대체하는 장비실습에 대한 체험형 가상훈련 콘텐츠 요구가 증대되고 있다. 그러나 가상훈련 교육은 일반적인 기술교육과정과는 그 목적이나 효과가 다르기 때문에 가상훈련 콘텐츠로 하나의 연수 과정을 대체하는 것이 아니라 교보재로 일부 활용하거나 이러닝 콘텐츠와 결합하여 이용하면 더욱 효과적이라는 것이 알려져 있다. 본 연구에서는 대학의 온라인평생교육원에서 이러닝 콘텐츠와 결합된 방식으로 2017년에 개발된 장비실습형 가상훈련 콘텐츠인 전기유압 서보제어 과정 및 유사한 과정에 대해 효과적 활용을 위한 개발 방법을 탐색하고 교수학습 전략을 수립하기 위하여 가상훈련 콘텐츠를 사용한 수업사례를 실제로 개발 운영해 보고 해당 수업에서 적용한 교수 학습 전략들이 학생들에게 미치는 영향과 교육적 유용성을 설문 및 사례연구를 통해 조사한다.

복합운동과 복부 끌어당김 조정 훈련의 병행이 뇌졸중 환자의 호기 시 복부근육 활성도 및 노력성 폐기능에 미치는 영향 (The Effects of Combined Complex Exercise with Abdominal Drawing-in Maneuver on Expiratory Abdominal Muscles Activation and Forced Pulmonary Function for Post Stroke Patients)

  • 윤정현;김태수;이병기
    • 대한물리의학회지
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    • 제8권4호
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    • pp.513-523
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    • 2013
  • PURPOSE: The purpose of this study was to investigate characteristics of the forced pulmonary function test effect and abdominal muscles activation by combined complex exercise with abdominal drawing-in maneuver training of chronic stroke patients. METHODS: 14 post stroke patients(10 males and 4 females) involved voluntary this study and we divided two groups into CEG(complex exercise group) and CEAG (complex exercise and abdominal drawing-in maneuver group).(n=7, per goup). Each groups implicated the 2 times, 30minute exercises for 6 weeks a day. The CEAG performed the complex exercise 15 minutes and 15 minutes of abdominal drawing-in maneuver. For data analysis, the mean and standard deviation were estimated; non-parametric independent t-test was carried out. RESULTS: According to the study, in the combined complex exercise with abdominal drawing-in maneuver group, FVC and activation of transversus abdominis/internal oblique were statistically significant difference compared to the complex exercise group. CONCLUSION: These results indicate that the combined complex with abdominal drawing-in maneuver was efficient in enhancing abdominal muscles activation and pulmonary function of chronic stroke patients.

12주간 복합운동프로그램이 혈관성 치매노인의 일상생활 수행능력과 삶의 질 지수에 미치는 효과 (The Effects 12 Weeks of Combined Exercise Programs on Activities of Daily Living and Quality of Living Index in the Vascular Dementia Elders)

  • 조성현;김승준
    • 대한물리의학회지
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    • 제5권4호
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    • pp.633-644
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    • 2010
  • Purpose : This study was to investigate vascular dementia elders's activities of daily living, quality of life index and to determine how much vascular dementia elders is influenced by the 12 weeks combined exercise program with aerobic training and resistance exercise. Methods : Thirty patients with vascular dementia over 65 in B geriatrics hospital were recruited this study. Activities of daily living were measured by I-ADL(instrumental-activities of daily living) and B-ADL(basic-Activities of daily living) and quality of life index was measured by GQOL-D(geriatric quality of life scaledementia). Statistical analysis was used repeated one-way ANOVA to test mean difference by using SPSS 12.0 for windows. Results : After comparing the activities of daily living of experimental group that of control group according to the period of exercise, there were statistically significant differences in I-ADL, B-ADL score test and GQOL-D index test of both experimental and control groups. There was also a significant difference in comparing the results of 12 weeks exercise of the groups. Conclusion : 12 weeks combined exercise program had a good influence on vascular dementia elders's activities of daily living and quality of life index.

운동·인지 이중과제 프로그램이 경도인지장애 노인의 인지기능 및 우울에 미치는 영향 (The Effects of Exercise-Cognitive Combined Dual-Task Program on Cognitive Function and Depression in Elderly with Mild Cognitive Impairment)

  • 김경아;김옥수
    • 성인간호학회지
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    • 제27권6호
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    • pp.707-717
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    • 2015
  • Purpose: This study was to develop and verify the effects of the exercise-cognitive combined dual-task training program on cognitive function and depression of the elderly with mild cognitive impairment (MCI). Methods: A non-equivalent control group pretest-posttest design was used. The participants were assigned into two groups: an experimental group receiving an exercise-cognitive combined dual-task (n=20) and a control group receiving a simple-task (n=18). After 8 weeks of intervention (2 days per week), the change in depression and cognitive functions were compared between the groups. Results: General cognitive function (t=-2.81, p=.011), frontal cognitive function (Z=-3.50, p<.001), attention/working memory function (U=-2.91, p=.004), depression (t=4.96, p<.001) of the experimental group were significantly increased than those of the control group. Conclusion: The findings of the study showed that an exercise-cognitive combined dual-task program for MCI was effective in improving general cognitive function, frontal and executive function, attention/working memory function, and reducing depression.