• 대한통합의학회지
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• 제1권3호
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• pp.19-28
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• 2013

Purpose : The purpose of this study was to find out the impact of action-observation training and task-oriented training on activities of daily living performance of stroke patients. Method : 30 stroke patients hospitalized in D hospital located in Busan and treated were randomly allocated to Action-Observation Training Group and Task-Oriented Training Group in fifteens. To compare activities of daily living performance before and after therapy intervention, Korea-modified Barthel index (K-MBI) was carried out. Result : In both groups, activities of daily living performance of stroke patients before and after therapy intervention showed statistically significant differences (p<.05) and activities of daily living performance between two groups after therapy intervention showed statistically significant differences. Conclusion : It was found that action-observation training and task-oriented training improved activities of daily living performance of stroke patients. It is considered that the application of action-observation training and task-oriented training to clinical occupational therapy will show a positive effect on the improvement of activities of daily living performance.

• 대한통합의학회지
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• 제8권4호
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• pp.213-221
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• 2020

Purpose : This study aimed to evaluate the changes in visual perception and daily life activities after simultaneously applying the visual perception training program and transcranial DC stimulation. Particularly, this study tried to understand what changes in abilities among daily life activities influenced cognition. Methods : This study selected 50 dementia patients to achieve the objective. This study applied transcranial DC stimulation and a visual perception training program to a treatment group (n=25) and a visual perception training program to a control group (n=25). The intervention was applied five times per week and 30 minutes per session (total of 30 intervention sessions). This study measured visual perception functions and daily life activities using MVPT and FIM before and after applying the intervention. Results : The visual perception, mobility of daily life activities, cognition, and total score of the treatment group (n=25), which received the visual perception training program and transcranial DC at the same time, were significantly (p<.05) different between before and after the intervention. Moreover, when the visual perception and daily life activities of the treatment group and those of the control group after implementing the intervention were compared, they were significantly (p<.05) different between the two groups. Conclusion : The results of this study showed that the simultaneous application of the visual perception training program and transcranial DC stimulation was an effective means to enhance the visual perception and daily life activities of dementia patients. The results implied that transcranial DC stimulation, as well as the application of visual perception training program, as well as a visual perception training program, was effective for improving the visual perception functions and daily life activities dementia patients and simultaneous application of the two interventions would increase the effect even further.

• 재활치료과학
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• 제2권2호
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• pp.47-59
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• 2013

목적 : 뇌졸중 환자를 대상으로 과제 지향적 훈련을 집단과 개별로 실시하게 하여 상지 기능, 인지 기능과 일상생활 수행력에 미치는 영향을 알아보고자 실시하였다. 연구방법 : 2012년 6월부터 11월까지 약 5개월간 A병원에 입원하여 뇌졸중 진단을 받은 사람 중에 재활치료를 받은 환자를 대상으로 하였다. 과제 훈련군과 개별 훈련군은 각각 13명씩 무작위 배정 하였다. 두 군 모두 동일한 내용의 과제 지향 훈련을 1일 30분씩 3주간 시행하도록 하였다. 결과 : 훈련 전 두 군의 상지 기능과 인지 기능은 유의한 차이를 보이지 않았다. 훈련 전 일상생활 영역에서 목욕하기(p<.001), 식사하기, 개인위생과 총점(p<.05)이 집단 훈련군에서 더 높은 것으로 나타났고 훈련 후 상지 기능은 개별 훈련군에서 유의하게 높았다(p<.001). 두 그룹 모두 훈련 전후 상지 기능 식사하기, 개인위생,목욕하기, 옷 입기, 용변처리, 이동, 보행, 계단, 총점(p<.05)에 유의한 향상이 있었다. 두 그룹의 훈련 전후 변화량 비교에서 개별 훈련군이 상지 기능(p<.001)과 일상생활 영역에서 식사하기와 총점에서 더 유의한 향상을 나타냈다(p<.05). 결론 : 과제 지향적 훈련을 시행 시 집단 훈련군과 개별 훈련군 모두 상지기능, 일상생활 수행력에 향상을 가져오며, 특히 상지 기능의 향상이 클 경우에 더 높은 일상생활 수행력의 변화를 가져 올 수 있다. 앞으로 보다 많은 환자를 대상으로 장기간에 걸친 종단적인 사례 연구가 필요하다.

• PNF and Movement
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• 제13권4호
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• pp.175-180
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• 2015

Purpose: This study aimed to examine the effects of mirror-neuron-system-based action observation physical training on improvements in upper extremity functions and daily living activities in chronic stroke patients. Methods: Ten chronic stroke patients were randomly selected. As a therapeutic intervention, along with conventional occupational therapy, the patients engaged in action observation physical training through repeated imitation practices after they viewed a video. The therapeutic intervention was implemented for 20 minutes, three times each week for eight weeks. A Manual Function Test (MFT) was conducted to compare upper extremity functions before and after the therapeutic intervention, and the Modified Barthel Index (MBI) was used to compare the ability to perform daily living activities. Results: Significant improvements in upper extremity motor functions and the ability to perform daily living activities were shown after the intervention. The subjects' left upper extremity motor functions and ability to perform daily living activities showed significant improvement after the intervention. Conclusion: The study's results indicate that action observation physical training based on the mirror neuron system improves chronic stroke patients' upper extremity motor functions and their ability to perform daily living activities. Therefore, action observation training has positive effects on the functional recovery of chronic stroke patients.

• 대한통합의학회지
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• 제4권4호
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• pp.91-100
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• 2016

Purpose : The purpose of this study has been performed to find the changes in the balance and activities of daily living on children with ataxic cerebral palsy from dual task training. Methods : This study selects 3 subjects for 7.6 years old who were diagnosed with children with ataxic cerebral palsy. The dual task training applied three times a week for six weeks to ataxic cerebral palsy. To assess changes in balance, we performed the length and surface area ellipse of central of pressure, Pediatric Balance Scale, We also assessed activities of daily living using Pediatric Evaluation of Disability Inventory. Result : There were statistically significant differences in the changes during training period for the static(length and surface area ellipse of central of pressure) and functional balance(PBS). There were statistically significant differences in the changes during training period for the Pediatric Evaluation of Disability Inventory including self-care and mobility domains, except for social function domain. Conclusion : The results from this case study suggest that dual task training may have a beneficial changes on balance and activities of daily living for children with ataxic cerebral palsy.

• PNF and Movement
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• 제11권2호
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• pp.41-48
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• 2013

Purpose : The aim of this study was to compare the effect of task-oriented training using the PNF(proprioceptive neuromuscular facilitation) and task-oriented training with chronic stroke patients. Methods : Sixteen chronic stroke patients participated. Participants were randomly assigned to the control and experimental group( 8 experimental, 8 control). All of participants were in-patients at local hospital and had been received training appropriate to the purpose of each group program. Experimental period was carried out 30 minutes/day, five days/week, during four weeks. The experimental group trained the task-oriented training using the PNF and control group trained the task-oriented training. Fugl-meyer assessment scale and Modified Barthel Index was measured to compare the upper arm function and activities of daily living. We were measured before and after the training. Results : The results of the study were as follow: Fugl-meyer assessment scale was significantly increased both groups(p<.05), and significant between groups(p<.05). Modified Barthel index was significantly increased both groups(p<.05) and between groups(p<.05). Conclusion : PNF can be effective in improving upper arm function and ability to perform daily life of chronic stroke patients.

• 국제물리치료학회지
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• 제9권2호
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• pp.1475-1485
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• 2018

This study was conducted to examine the effects of the application of family-centered training over the 12-week period by the pediatric physiotherapist on functional balance and activities of daily living in children with cerebral palsy. Among the 26 children with cerebral palsy as the subjects were allocated to the experimental and control group. Both groups were subjected to neurodevelopmental treatment by the pediatric physiotherapist. The experimental group, participated in family-centered training program 3 times a week over a period of 12 weeks for the total of 36 sessions, functional balance and activities of daily living were verified through intergroup comparison. There was no significant difference between the outcomes prior to training and after 6 weeks of training, (p>.05) Pediatric Berg's Balance Scale(PBS) and Functional Independence Measure for children(Wee-FIM) increased significantly from those measures after 6 weeks to those after 12 weeks of training (p<.05). Therefore, these results suggest that on family-centered training on children with cerebral palsy has beneficial effects on functional movements and physical activities.

• 한국임상보건과학회지
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• 제5권3호
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• pp.973-980
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• 2017

Purpose. To understand the effectiveness of training programs to improve the daily living activities and social adaption abilities of stroke patients. Methods. The participant included 1 stroke patient in Jeonbuk, from March to August 2016. The test tools used was the Canadian occupational performance measurement, International classification of function, disability and health co-resets. After applying the training program, I compared the daily life satisfaction and social adaption abilities. Results. According to this study, both daily life satisfaction and social adaption abilities improved. Conclusion. In conclusion, after an exercise program, self- help program, and underwater exercise programs, daily life satisfaction and social adaptation levels were improved. Therefore, the programs that apply to stroke patients could be found to be effective.

• 대한지역사회작업치료학회지
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• 제4권2호
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• pp.53-61
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• 2014

목적 : 본 연구는 뇌졸중 환자를 대상으로 동영상 관찰훈련이 편측무시와 일상생활활동 수행능력에 미치는 영향을 알아보고자 한다. 연구방법 : 뇌졸중 진단을 받은 환자 30명을 대상으로 실험군 15명은 작업치료와 물리치료 외에 추가로 동영상 관찰훈련을 실시하였고, 대조군은 작업치료와 물리치료 외에 추가로 위상치료를 실시하였다. 치료 중재 전 후의 편측무시를 비교하기 위해 선 나누기 검사를 시행하였고, 일상생활활동 수행능력을 비교하기 위해 FIM을 시행하였다. 결과 : 동영상 관찰훈련을 시행한 집단이 위상치료를 시행한 집단에 비해 편측무시가 감소되었고, 일상생활활동 수행능력이 더 많이 향상되었다. 선 나누기 검사로 평가된 편측무시는 일상생활활동 수행능력과 통계학적으로 유의한 상관관계를 보였다. 결론 : 동영상 관찰훈련이 뇌졸중 환자의 편측무시 감소와 일상생활활동 수행능력 향상을 위한 치료방법으로써 임상에서 유용하게 적용될 수 있을 것이라 사료된다.

• 대한지역사회영양학회지
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• 제4권2호
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• pp.231-238
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• 1999

This study was done to investigate the 12 college volleyball player's food behavior, nutrient intakes, and their serum lipid levels during the periods of training and detraining and to provide basic data for an effective program for the volleyball players during the period of detraining after the game season. The results were summarized as follows : The total daily energy intake of the players was $3,363{\pm}339kcal and 3,692{\pm}499kcal$ during the periods of the training and detraining, respectively. During the training period, daily intakes of protein, calcium and vitamin A, and $B_2$ were lower than the recommended dietary allowance for the players. During the detraining period, the players' daily intakes of calcium, iron, and vitamin A were even lower. However, the consumption of alcohol was dramatically increased during the period of detraining. The levels of serum triglyceride and very low density lipoprotein were significantly increased during the detraining period. Basal metabolic rates were significantly increased after the training period and diastolic pressure was decreased during the detraining period. In conclusion, out results suggest that the detraining of volleyball players for 10 days after intensive training, negatively affects their food behavior and serum lipid concentrations. Therefore, for the improvement of performance for the next game season, a planned program for the players' detraining period should be developed.