• 디지털융복합연구
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• 제15권4호
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• pp.511-519
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• 2017

본 연구는 낮 병동 입원 치매 환자를 대상으로 작업치료 융복합활동프로그램을 실시하여, 치매환자의 손 기능, 인지기능, 수단적일상생활활동에 미치는 영향에 대해 알아보았다. 치매환자 34명을 대상으로 작업치료 융복합활동프로그램과 약물을 동시에 실시한 실험군 17명과 약물치료만 한 17명을 대조군으로 하여 24주간 주 8회 192회기로 실시하였다. 중재 전과 후의 손기능을 알아보기 위해 손의 장악력 검사를 실시하였고, 인지기능을 알아보기 위해 MMSE-K와 GDS를 실시하였다. 또한 수단적일상생활활동을 알아보기 위해 K-IADL를 이용하였다. 중재 결과 실험군에서는 손기능, 인지기능 및 수단적 일상생활활동이 유의하게 증진했지만, 약물치료만 한 대조군에서는 손기능, 인지기능, 수단적 일상생활활동의 증진이 보이지 않았다. 따라서 본 연구 결과 작업치료 융복합활동프로그램은 손기능, 인지기능, 수단적일상생활활동에 긍정적인 영향을 미친다는 것을 알 수 있다.

• 노인정신의학
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• 제16권1호
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• pp.24-30
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• 2012

Objectives : The purpose of this study was to compare the efficacy of galantamine treatment, especially attention ability between patients with pure Alzheimer's disease (AD) and Mixed dementia (MD) during a 24-week trial. Methods : A total of 40 patients were recruited for this 24-week study. The effect of galantamine on attention was measured using Seoul Computerized NeuroCognitive Function Test (SCNT) and frontal functions test of Seoul Neuropsychological Screening Battery (SNSB). Patients'activities of daily living using the Seoul-Activities of Daily Living (S-ADL) and the Seoul-Instrumental Activities of Daily Living (S-IADL) ; behavioral symptoms using the Korean version Neuropsychiatric Inventory (K-NPI) were measured at baseline and 24-week. Results : 17 pure AD patients and 23 MD patients were analyzed in this study. Attention as measured by SCNT was not significantly different from baseline after 24 weeks of treatment in both groups. There was no significant difference between two groups in mean change from baseline in the SCNT, S-ADL, S-IADL and K-NPI scores at 24-week. Conclusion : Galantamine showed a therapeutic effect on cognition, activities of daily living, neuropsychiatric symptoms in pure AD and MD. Furthermore, Galantamine may specifically help to maintain attention and it may have positive effects on other cognitive and functional abilities.

• Safety and Health at Work
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• 제6권1호
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• pp.9-17
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• 2015

The human hand is a complex structure that performs various functions for activities of daily living and occupations. This paper presents a literature review on the methodologies used to evaluate hand functions from a biomechanics standpoint, including anthropometry, kinematics, kinetics, and electromyography (EMG). Anthropometry describes the dimensions and measurements of the hand. Kinematics includes hand movements and the range of motion of finger joints. Kinetics includes hand models for tendon and joint force analysis. EMG is used on hand muscles associated with hand functions and with signal-processing technology.

• 대한통합의학회지
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• 제6권3호
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• pp.123-130
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• 2018

Purpose : The purpose of this study was to investigate the effects of mirror therapy with functional electrical stimulation to improve upper extremity motor function and activities of daily living (ADL) in stroke patients. Method : Thirty patients were randomly assigned to the experimental and control groups 15 patients in each. All subjects received the general occupational therapy consisting of five 30 min sessions per week for 8 weeks, in addition to 30 min of mirror therapy with functional electrical stimulation for the experimental group and 30 min of functional electrical stimulation for the control group for each session. To measure the functions of the upper limb and performance capacities in ADL, the Fugl-Meyer Assessment (FMA), and Manual Function Test (MFT), Modified Barthel Index (MBI) were used before and after the interventions. Results : Both the experimental and control groups showed a statistically significant increase in post-treatment FMA, MFT and MBI scores compared to their pre-treatment scores (p<.05). In addition, intergroup comparisons revealed a statistically significant increase in the scores of all assessments for the experimental group compared to those for the control group (p<.05). Conclusion : Based on these results, it is reasonable to conclude that mirror therapy with functional electrical stimulation is an effective intervention for improving upper limb motor function and ADL performance in stroke patients.

• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.49-57
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• 2022

Objective: This study aims to conduct a comprehensive review of monitoring systems to monitor and manage physical function of community-dwelling elderly living alone and suggest future directions of unobtrusive monitoring. Design: Literature review Methods: The importance of health-related monitoring has been emphasized due to the aging population and novel corona virus (COVID-19) outbreak.As the population gets old and because of changes in culture, the number of single-person households among the elderly is expected to continue to increase. Elders are staying home longer and their physical function may decline rapidly,which can be a disturbing factorto successful aging.Therefore, systematic elderly management must be considered. Results: Frequently used technologies to monitor elders at home included red, green, blue (RGB) camera, accelerometer, passive infrared (PIR) sensor, wearable devices, and depth camera. Of them all, considering privacy concerns and easy-to-use features for elders, depth camera possibly can be a technology to be adapted at homes to unobtrusively monitor physical function of elderly living alone.The depth camera has been used to evaluate physical functions during rehabilitation and proven its efficiency. Conclusions: Therefore, physical monitoring system that is unobtrusive should be studied and developed in the future to monitor physical function of community-dwelling elderly living alone for the aging population.

• 정신신체의학
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• 제29권1호
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• pp.67-76
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• 2021

연구목적 본 연구는 알츠하이머병 및 경도인지장애 환자에서 뇌의 퇴행성 변화 (내측두엽 위축, 대뇌백질병변) 및 신경인지기능과 일상생활 수행능력과의 연관성을 살펴보고자 하였다. 방 법 본 연구는 단면 연구로서, 알츠하이머병 및 경도인지장애로 진단받은 111명을 대상으로 하였다. 내측두엽 위축은 표준화된 시각 기반 척도(Scheltens scale)에 의해 평가하였으며, 대상군을 두 그룹으로 분류하였다. 일상생활 수행능력은 한국어판 블레스트 치매 척도-일상생활 수행능력(Korean version of Blessed Dementia Scale-Activity of daily living, BDS-ADL)으로 평가하였으며 신경인지기능은 The Korean version of the consortium to establish a registry for Alzheimer's disease (CERAD-K)로 평가하였다. 내측두엽 위축의 정도에 따른 일상생활 수행능력의 차이를 보기 위해 독립표본 t-test를 시행하였으며, 일상생활 수행능력과 신경인지기능과의 상관관계를 분석하기 위해 피어슨 상관분석 및 계층적 다중회귀분석을 시행하였다. 결 과 내측두엽 위축이 심할수록, 그리고 단어목록재인 검사 점수가 낮을수록 BDS-ADL 점수가 높았다(p<0.05). 계층적 다중회귀분석 결과 MMSE-K, 단어목록 재인검사 점수가 BDS-ADL의 유의한 예측인자로 나타났다(Adjusted R²=0.442, F=44.611, p<0.001). 결 론 알츠하이머병과 경도인지장애 환자에서 일상생활 수행능력은 내측두엽 위축 및 단어목록재인 검사 점수와 유의한 상관관계를 보였다. 일상생활 수행능력과 관련된 인자를 분석한 본 연구는 임상 실제에서 유용한 정보를 제공할 것으로 생각된다. 일상생활 수행능력과 뇌의 구조 및 기능과의 연관성에 대해서 추가적인 연구가 필요할 것으로 보인다.

• 융합정보논문지
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• 제10권8호
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• pp.203-212
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• 2020

본 연구는 가상현실(Virtual Reality, VR) 콘텐츠를 활용한 인지재활 프로그램이 노인의 인지기능, 우울감, 상지기능 및 일상생활활동능력에 미치는 영향을 알아보고자 하였다. 연구 집단은 가상현실 인지재활 적용군인 실험군과 보편적 인지자극프로그램 적용군인 대조군으로 나누어 효과성을 분석하였다. 연구결과 MMSE-K 점수가 실험군 13.0%, 대조군 2.3% 향상되었다. 실험군의 영역별 향상도는 MBI 3.1%, MFT(Rt.) 7.1%, MFT(Lt.) 3.5%, K-GDS -25.4%를 나타냈다. 각 집단 간 사전-사후 점수 변화를 비교해 본 결과 일상생활활동능력(p<.001)과 MFT(Rt.)(p<.01)에서 집단 간 유의미한 차이가 있었다. 또한 뇌파를 통해 우울감의 정도를 확인하기 위해 절대 알파파의 변화량을 비교해 본 결과 통계적으로 유의한 차이는 없었지만, 실험군에서 평균값이 양의 값으로 증가하는 결과를 확인할 수 있었다. 이번 연구는 가상현실 콘텐츠를 활용한 인지재활프로그램의 효과성을 검증한 실험으로 노인의 일상생활활동능력, 인지기능, 우울감 및 상지기능을 유지 및 개선하기 위한 새로운 중재방법을 제시한 것에 그 의미가 있겠다.

• 대한통합의학회지
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• 제5권4호
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• pp.83-89
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• 2017

Purpose : This study aimed to investigate a study on the intervention of computerized cognitive rehabilitation applied to patients with dementia in Korea. Thus, a systematic discussion was conducted. Methods : Studies from January 2000 to December 2016 were searched in the Korea Education and Research Information Service. The main key words used were: "dementia," "computerized cognitive rehabilitation," "computerized cognitive training," "computer assisted cognitive therapy," and "computerized cognitive therapy." Result : A total of five studies were selected. The effects of the computerized cognitive rehabilitation therapy applied to patients with dementia resulted in improved cognitive functions, as well as daily living and activities instrumental to daily living. There was also an increase in brain activity. The qualitative aspects of this study showed a low level of internal and external validities due to the small number of subjects, short period of intervention, and limited study environment. Conclusion : In the future, it is necessary to continue a study in which the level of evidence is high to determine whether various cognitive rehabilitation programs are effectively applied to patients with dementia.

• 대한물리치료과학회지
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• 제5권4호
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• pp.729-750
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• 1998

The purpose of this Review is to help activities of daily living by normalizing bodily functions through the use of negative pressure. Cupping therapy has been holding the important role as a form of treatment in ancient medicine of Oriental and Occidental country, and still being used widely due to it's effectiveness. Principle of Cupping therapy is to neutralize somatic dysfunctions by elimination of nonphysiological somatic fluid of hematoma through application of negative pressure on region of dermatomal meridian. The effectiveness of Cupping therapy as follows; 1) Effects on acid base balance of bodily fluid. 2) Through the reabsorption of subcutaneous hematoma, it affects on formation of immune system and produce the blood serum cleaning reaction. 3) By application of negative pressure on subcutaneous, induce renal system to produce steroid hormone. 4) By stimulating hemopoietic system, it maxmize the blood production level. Recently, Alternative medicine has been a focus due to it's nature of effectiveness and safety without adverse complication. Therefore, every family possess and use the cupping modality for preventive measure and/or treatment purpose in order to eliminate accumulated byproducts of body and clean the blood system.

• PNF and Movement
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• 제13권3호
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• pp.155-162
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• 2015

Purpose: The current study (case report) seeks to examine the effects of a proprioceptive neuromuscular facilitation (PNF) exercise program on the upper extremity function and activities of daily living (ADLs) in a stroke patient. Methods: The subject was a 42 year-old woman diagnosed with right-sided hemiplegia due to stroke. Exercise therapy was provided for 50 minutes per day (5-minute warm-up, 40-minute exercise, 5-minute wrap-up) three times per week for a four-week period. The manual function test (MFT) was used to evaluate upper extremity functions. The modified Barthel index (MBI) was utilized to measure ADL. Results: After intervention using various PNF program, the MFT score increased from 23 to 26 and the MBI score increased from 62 to 66. Conclusion: After the application of the PNF program, the MFT and MBI scores increased. As compensative movement of the upper extremities declined, the movement of the upper extremities became faster and softer.