• Korean Journal of Adult Nursing
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• v.28 no.6
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• pp.691-700
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• 2016

Purpose: The aim of this study was to evaluate the effects of a computerized cognitive training on older adults affected by mild cognitive impairment (MCI) in terms of cognitive function, depression, self-esteem, and activities of daily living (ADL). Methods: This study used a non-equivalent control group non-synchronized design. A total of 53 older adults who reside in long-term care facilities were recruited, 26 subjects for an experimental group and 27 subjects for a control group. A computerized cognitive training was performed for 20~40 minutes/day, three days/week for ten weeks. Data were analyzed using SPSS/WIN 21.0 with $x^2$ test, Fisher's exact test, and t-test. Results: Scores of MMSE (t=3.30, p=.002), depression (t=-2.15, p=.036), and self-esteem (t=2.76, p=.008) were significantly better in the experimental group than the control group. However, the difference in ADL (t=-1.01, p=.316) was not significant between the two groups. Conclusion: These findings suggest that the computerized cognitive training can be used as an effective nursing intervention to improve cognitive function and self-esteem and lower depression among older adults with MCI.

• Journal of Korean Academy of Nursing
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• v.19 no.2
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• pp.191-202
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• 1989

This study was peformed to examine the effect of muscle relaxation training on patients with insomnia complaint. The subjects were selected those who have taken poor sleep below 240-300 minutes. per day, between 16-15ages, without organic brain syndroms. Using the Budzinski's muscle relaxation training tapes the patients have been gotten the muscle relaxation training daily during four weeks and examined the state anxiety with Spielberger's Trait-State Anxiety Scale, and investigated Sleep amounts, Blood pressure, Pulse rates, Respiratory rates before and after the muscle relaxation training. The results were as follow : 1. The mean of the State anxiety after the muscle relaxation training(41.8$\pm$6.4) was significantly lower than that of before training (54.2$\pm$7.0) (p＜0.001). 2. The mean of systolic blood pressure after the training (114.$\pm$7.8mmHg) was significantly lower than that of before training (139.0$\pm$9.8) (P＜0.001). 3. The mean of Pulse rate after the traing (89.2$\pm$3.0) was significantly lower than that of before training (103.9$\pm$7.4) (P＜0.001). 4. The mean of Respiratory rate after the training(18.6$\pm$1.0) was significantly lower than that of before training(22.8$\pm$1.3) (P＜0.001). 5. The mean of Sleep amount after the muscle relaxation training (459.8$\pm$52.4 minutes) was significantly increased than that of before training (287.3$\pm$30.3) (P＜0.001).

• Journal of the Korean Society of Physical Medicine
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• v.8 no.2
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• pp.245-252
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• 2013

PURPOSE: The aim of this study is to verify the effectiveness of modified constraint-induced movement therapy(mCIMT) on upper function and activities of daily living in people with subacute stroke patients. METHODS: Eighteen participants, with subacute stroke that were randomly assigned to either the experimental group(n=9) or the control group(n=9). For subjects from the experimental group modified Constraint-Induced Movement Therapy was performed. exercise program, the patient trained in affected side upper extremity with restricted non-affected side for 1 hour and using in activity daily living for 4 hours for five times per week, during 4 weeks. For subjects from the control group, conventional upper extremity training was performed. Outcomes such as the box and block test(BBT), Fugl-Meyer motor function assessment(FMA), and modified Barthel index(MBI) were measured before and after training. Between-group and within-group comparisons were analyzed by using Independent t-test and Paired t-test respectively. RESULTS: These finding suggest that experimental group was significant increase in BBT, FMA, MBI(p<.05). In comparison of two group, experimental group was high upper function and activity daily living than control group. CONCLUSION: This study showed experimental group can be used to improve upper function and activity daily living than control group. Thus it indicates that mCIMT will be more improved through the continued upper extremity exercise program.

• Physical Therapy Korea
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• v.18 no.2
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• pp.27-34
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• 2011

The aim of this study was to determine the effect of action-observation training on arm function in people with stroke. Fourteen chronic stroke patients participated in action-observation training. Initially, they were asked to watch video that illustrated arm actions used in daily activities; this was followed by repetitive practice of the observed actions for 3 times a week for 3 weeks. Each training session lasted 30 min. All subject participated 12 training session on 9 consecutive training days. For the evaluation of the clinical status of standard functional scales, Wolf motor function test was carried out at before and after the training and at 2 weeks after the training. Friedman test and Wilcoxon signed rank test was used to analyze the results of the clinical test. There was a significant improvement in the upper arm functions after the 3-week action-observation training, as compared to that before training. The improvement was sustained even at two weeks after the training. This result suggest that action observation training has a positive additional impact on recovery of stroke-induced motor dysfunctions through the action observation-action execution matching system, which includes in the mirror neuron system.

• 제어로봇시스템학회:학술대회논문집
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• 2005.06a
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• pp.1169-1172
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• 2005

For elderly people, an advanced training machine that uses actuator and can adjust load according to muscle activity is proposed. The proposed machine allows users to have a safe and effective training through exercise close to ordinal motion appears in daily life such as stretching or stooping motion. A muscle activity sensor real-timely monitors the activation level of user's muscle during the exercise and the training load is adjusted based on the measured data. The training load is exerted and continuously controlled by electric/pneumatic actuator.

• Therapeutic Science for Rehabilitation
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• v.5 no.1
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• pp.43-54
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• 2016

Objective : The purpose of this study was to investigate the effects of occupational therapeutic intervention including functional task training on activities daily living of falls experienced elderly. Methods : This study used a single subject experimental design with alternating treatment and reversal design. One participant who have had falls experience among the community-dwelling elderly completed. This study a total of 18 sessions were conducted. Fall Efficiency Scale(FES), Berg Balance Scale(BBS) and task modification scale were used to assess the activities of daily living during each session, and Canadian Occupational Performance Measure(COPM) and Assessment of Home-based Activities(AHA) were used to evaluate the activities of daily living at pre-and post-test. Results : The participant showed significant improvements in the FES, BBS scores. However, the improvement was greater when progressive resistance exercise was practised along with functional task training. COPM and AHA scores improved at post-test. Conclusions : These findings provide evidence for occupational therapeutic intervention for falls-experienced elderly.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.12 no.1
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• pp.10-19
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• 2018

The present study was to investigated the effects of motion-based virtual reality training on cognitive function and activities of daily living in patients with stroke. This study was participated in forty one patients with acute stroke. All subjects were randomly assigned into either the experimental group(n=20) or the control group(n=21). The both groups received the conventional occupational therapy during 30 min a day, 5 a week, 4 a weeks. Additionally, experimental group performed motion-based virtual reality training on each session during 30 min/day, and control group conducted conventional occupational therapy on each session during 30 min/day. The outcome measures were the LOTCA(Loewenstein Occupational Therapy Cognitive Assessment), TMT(Trail Making Test), VM(Visual Memory), K-MBI(Korean Modified Barthel Index). In comparison of change score of cognitive function, the experimental group showed a significantly greater improvements in attention and visual working memory than the control group(p<.05). As a result for change score of activities of daily living, the experimental group showed a significant greater improvement in self care than the control group(p<.05). Our findings suggest that motion-based virtual reality training may have a effects of the improvements of cognitive function and activities of daily living than conventional therapy in patients with acute stroke.

• Fire Science and Engineering
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• v.32 no.4
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• pp.110-121
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• 2018

The present article is concerned with a study on the daily training protocol for field crews wearing chemical protection clothing for firefighting and the analysis of activity. To improve coping ability of & secure safety for firefighting crews initially incorporated in the fields of chemical accident & chemical terror, 10 steps in total of daily training protocol have been designed. The designed protocol is largely composed of the extensive activity protocol for daily adaptation of firefighting chemical protection clothing (steps 1, 2, 6, 7 & 9), the precision operation protocol utilizing hands (steps 3, 4 & 5), and the protocol requiring strong physical burdens (steps 8 & 10). According to the measurement results for activity as a result of the protocol, the average maximum heart rate upon wearing the firefighting chemical protection clothing was shown to increase by step 1 20.32%, step 2 18.69%, step 3 25.23%, step 4 34.77%, step 5 27.44%, step 6 30.24%, step 7 25.33%, step 8 22.25%, step 9 22.80% and step 10 20.85% compared with the time of not wearing them. The average maximum breathing rate was shown to increase by step 3 1.92%, step 4 4.11%, step 5 1.24%, step 6 3.95%, step 7 0.93%, step 8 10.23%, step 9 3.36% and step 10 15.10%, except for steps 1 & 2.

• Journal of Korean Physical Therapy Science
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• v.13 no.2
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• pp.85-98
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• 2006

This study was performed to examine the influences of the mental practice to the hemiplegic upper limb motor function improvement. 20 minute neurologic treatment based on the neurophysiological theory, 10 minute activities of daily living training, and 10 minute mental practice 5 times a week were given in turn to the experimental group(N=11). On the other hand 20 minute neurologic treatment, and 10 minute activities of daily living training 5 times a week were given in turn to the control group(N=11). Both Fugl-Meyer Assessment Scale and Manual Function Test were used to evaluate upper limb motor recovery, upper limb motor function and movement ability. And the Motor Activity Log; Amount of Use and Motor Activity Log; Quality of Movement before training, 2 weeks after training, and 4 weeks after training were measured to assess the upper limb motor quantitatively and qualitatively each. The results are as follows. 1) Considering the interactions of the rate of change on the upper limb motor recovery, motor function, movement ability improvement, and qualitative motor improvement in ADL of experimental group and control group, the change rates of experimental group were found to be greater than those of the control group. 2) In experimental group, the higher the achievements were, the better upper motor recovery was.

• Korean Journal of Exercise Nutrition
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• v.23 no.3
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• pp.22-28
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• 2019

[Purpose] The purpose of this study was to investigate the effect of diet plus exercise training and detraining for 12 weeks on body composition, aerobic performance, and stress-related variables in obese women. [Methods] Twenty-five women in their 20s-40s with 30% body fat and body mass indices above 25 kg/m² were divided into HR_LT (heart rate at lactate threshold) and HR_LT + 5% groups. Dietary intervention of 70% recommended dietary allowance (RDA) and exercise treatment composed of aerobic exercises on a bicycle (30 min) and treadmill (30 min) were then performed. These interventions were performed three times a week for 12 weeks. [Results] Dietary intake was significantly decreased, while daily activity significantly increased within the 12-week intervention period, and this effect was sustained after 12 weeks of detraining. Exercise training based on dietary intake and daily activity presented a significantly decreased weight and % body fat, improvement of aerobic performance, and a significant increase in heart rate variability (HRV) (e.g., average of all RR intervals and the square root mean squared differences of successive RR intervals) as stress-related variables. It was also confirmed that the improvement of body composition and stress-related variables were maintained even after detraining. [Conclusion] Our results suggest that 70% RDA of dietary intervention and exercise training corresponding to HR_LT and HR_LT + 5% for 12 weeks were effective in improving body composition and aerobic performance, and relieving stress. In particular, enhanced HRV persisted for up to 12 weeks after the end of exercise training in obese women.