• Physical Therapy Korea
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• v.19 no.4
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• pp.46-54
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• 2012

Ely's test is commonly used to assess rectus femoris muscle flexibility. however, a reliability limit of this test was demonstrated by a previous study. In this study, we present an alternative method using an application for a digital horizontal level in a smartphone (DHLS) to complement the reliability limit of Ely's test. The aim of this study was to examine the reliability of Ely's test using DHLS on the pelvis, compared to using visual observation (VO) of pelvic and hip motions. Nineteen patients with lumbar extension-rotation syndrome were recruited for this study. An examiner examined the rectus femoris flexibility (both pass/fail and goniometer scoring) through Ely's test using both DHLS and VO. A retest session was completed two hours later for within-day reliability and seven days later for between-day intra-rater test-retest reliability. Results showed higher Kappa values for pass/fail scoring and higher intraclass correlation coefficient values for goniometer scoring in Ely's test using DHLS, compared to using VO. Measurement error and Bland and Altman plots further demonstrated the degree of intra-rater variance during Ely's test using DHLS in a clinical setting, compared to using VO. These results demonstrated that Ely's test using DHLS showed acceptable reliability compared to using VO. Ely's test using DHLS could be widely used for measuring the rectus femoris muscle flexibility in patients with lumbar extension-rotation syndrome, although the inter-rater reliability needs to be established first.

• Journal of Digital Convergence
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• v.13 no.6
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• pp.205-212
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• 2015

The purpose of this study was to find out the effect that muscle activity of upper extremity and functional test in the case of the stroke patient by using the feedback mirror therapy. Sixteen subjects were recruited and randomly divided into two groups. one group was trained feedback mirror therapy and other group was action observation training. This process was carried out five times a week for eight weeks. To upper extremity test was used to MFT, FMA and in order to test UT, DM, BB, FCR, ECRL used to muscle activity. After the training, exclude FCR an upper extremity motor function of target showed significant difference between two groups and especially an experimental group showed significant muscle activity and MFT, FMA score improvement of UT, DM, BB, ECRL. Therefore, feedback mirror therapy is more upper extremity motor function and muscle activity improvement effect than action observation training.

• Journal of Digital Convergence
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• v.16 no.2
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• pp.313-325
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• 2018

The purpose of this study was to investigate the effect of group art therapy program on self-esteem and school life adaptation of high school girls. For this purpose, a group art therapy program was performed for 6 students of S girls' high school in S city in Chungcheongnamdo and the effects were analyzed by integrated method. The main results are as follows. First, group art therapy programs were found to positively affect the self-esteem of high school girls. Second, it showed a positive effect on school life adaptation of high school girls. However, there were some cases in which there was a significant change in self-esteem only by quantitative analysis and a change in school life adaptation only by qualitative analysis. Finally, based on this study, the policy measures to improve lowered self-esteem and low adaptation to school life of high school girls were discussed.

• Journal of Digital Convergence
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• v.12 no.11
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• pp.451-459
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• 2014

This study was to performed to get the reference data of the kinetic parameters for normal subjects according to the arm swing type. Forty-five normal subjects($22.62{\pm}2.69years$) pariticpated in this study and preformed 4 sequence according to the arm swing type as follows; first procedure-normal arm swing, second procedure-one arm swing, thrid procedure-no arm swing, fourth procedure-fitness arm swing. There were significant differences according to the arm swing type in the kinetic parameters such as walking speed, hip power, ground reaction force of vertical in terminal stance phase(p<.05). These finding can be utilized (a) as a reference for kinetic data of gait analysis in normal subjects, and (b) as an aide in evaluating and treating patients who have problems relating to gait.

• Journal of Digital Convergence
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• v.16 no.10
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• pp.511-522
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• 2018

The purpose of this study was to measure the effect of REBT based cinema therapy program on depression, self-esteem, emotional expression and interpersonal relationship of depressed middle-aged women. The subjects of study were 44 middle-aged women with depression who were registered in the mental health center of G city (experimental group 23, control group 21). Data were analyzed using ${\chi}^2$-test, Fisher's exact test, t-test. The results of study suggested that the REBT-based cinema therapy was effective nursing intervention to reduce depression and improve self-esteem, emotional expression and interpersonal relationship skill in middle-aged women with depression. Therefore, REBT-based cinema therapy program could be used as a community psychosocial rehabilitation nursing intervention program.

• Journal of Digital Convergence
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• v.18 no.4
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• pp.469-478
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• 2020

The purpose of this study was to investigate the effects of meditation therapy on stress relief and quality of life. The experimental group included 85 Sojucheon meditation members in Gwangju and Jeonnam, and the control group was a survey of 48 members including general office workers and beauty school students. One-way ANOVA was performed for the statistics of differences in study variables between the two groups. The results of the analysis showed a significant difference in stress, and the F test also showed a significant difference in quality of life. Therefore, most of the meditation practitioners have been found that meditation therapy has a positive effect on stress relief and quality of life. These results suggest that Sojucheon meditation therapy is effective in relieving stress and quality of life, and it can be said that it is sufficient to provide a reference of meditation therapy for psychological stability.

• Physical Therapy Korea
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• v.29 no.3
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• pp.225-234
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• 2022

Background: Trunk movements are an important factor in activities of daily living; however, these movements can be impaired by stroke. It is difficult to quantify and measure the active range of motion (AROM) of the trunk in patients with stroke. Objects: To determine the reliability and validity of measurements using a digital goniometer (DG) and smart phone (SP) applications for trunk rotation and lateral flexion in stroke patients. Methods: This is an observational study, in which twenty participants were clinically diagnosed with stroke. Trunk rotation and lateral flexion AROM were assessed using the DG and SP applications (Compass and Clinometer). Intrarater reliability was determined using intraclass correlation coefficients (ICCs) with 95% confidence intervals. Pearson correlation coefficient was used to determine the validity of the DG and SP in AROM measurement. The level of agreement between the two instruments was shown by Bland-Altman plot and 95% limit of agreement (LoA) was calculated. Results: The intrarater reliability (rotation with DG: 0.96-0.98, SP: 0.98; lateral flexion with DG: 0.97-0.98, SP: 0.96) was excellent. A strong and significant correlation was found between DG and SP (rotation hemiplegic side: r = 0.95; non-hemiplegic side: r = 0.90; lateral flexion hemiplegic side: r = 0.88; non-hemiplegic side: r = 0.78). The level of agreement between the two instruments was rotation (hemiplegic side: 23.02° [LoA 17.41°, -5.61°]; non-hemiplegic side: 31.68° [LoA 23.87°, -7.81°]) and lateral flexion (hemiplegic side: 20.94° [LoA 17.48°, -3.46°]; non-hemiplegic side: 27.12° [LoA 18.44°, -8.68°]). Conclusion: Both DG and SP applications can be used as reliable methods for measuring trunk rotation and lateral flexion in patients with stroke. Although, considering the level of clinical agreement, DG and SP could not be used interchangeably for measurements.

• Journal of Digital Convergence
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• v.16 no.8
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• pp.301-309
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• 2018

The purpose of this study was to investigate the immediate effect of lumbar support and ischial pad on neck, trunk angle and chest expansion for stroke patients using wheelchair. Fifteen stroke patients were measured repeatedly when a lumbar support using(L support), a Ischial pad using(I Pad), a Lumbar support with ischial pad using(L With I), and non using it(Non using). The measurement of the neck and trunk angle was confirmed using a mobile phone camera, and chest expansion was performed using a tapeline. L With I increased significantly in neck and trunk angle and lower chest expansion than non using. This study shows that simultaneous use of lumbar support and ischial pad for stroke patients using wheelchair can increase the neck and trunk angle, chest expansion immediately. Future studies will need to identify more long-term changes by continuing intervention with more subjects.

• The Journal of the Korea Contents Association
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• v.22 no.4
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• pp.1-12
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• 2022

Since the early 20th century, along with the interest and development of alternative psychotherapy, the field of art therapy has also been developed and expanded. In particular, the recent development of technology and the untact era brought about by the COVID-19 Pandemic is accelerating the development of new digital art therapy contents. Among them, the hot interest in virtual reality is raising expectations and questions about the effectiveness of psychotherapy given by new media beyond traditional art therapy. In this study, the characteristics of VRAT (Virtual Reality Art Therapy) content therapeutic factors were investigated through qualitative literature analysis based on the conceptual framework and therapeutic components of ETC (Expressive Therapies Continumm), an integrated art therapy theory. As a result of the study, VRAT contents showed mostly therapeutic factors in the left hemisphere that triggered the user's dynamic, perceptual, and cognitive factors, and the therapeutic factors in the right hemisphere, which focused on sensory, emotional, and symbolic factors, were relatively few. The reason seems to be due to the nature of the experimental stage, the absence of active intervention by the therapist and long-term session composition, and the fear, clumsiness, and unfamiliarity of users about VRAT in addition to the characteristics and technical limitations of the VRAT medium. The limitations of the study include the small number of documents to be analyzed and the insufficient form of current VRAT to be called art therapy. It is expected that the characteristics of the therapeutic factors of VRAT content media and environment derived as a result of this study will be usefully used for the appropriate development of VRAT content in the future.

• Therapeutic Science for Rehabilitation
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• v.12 no.2
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• pp.25-42
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• 2023

Objective : The purpose of this study was to identify the characteristics of a single-subject research study and qualitative levels in which occupational therapy interventions were performed on children with cerebral palsy. Methods : This study targeted papers, published in Research Information Sharing Service (RISS), National Digital Science Library (NDSL), Koreanstudies Information Service System (KISS), and E-article from May 20 to 29, 2022. The search terms were 'cerebral palsy' AND 'single subject research design' OR 'individual subject study'. Eleven papers, were finally selected and analyzed. Results : Most of the studies were medium in methodological quality, and the subjects were pre-school age and spastic hemiplegia. Among the single-subject designs, intervention-removal designs were the most common, and among them, ABA designs were the most common. Interventions included assistive devices, constraint-induced therapy, neurodevelopmental therapy, and sensory integration therapy were 2, and upper extremity exercise, interactive metronome, and CO-OP were 1. Dependent variables were measured with 2 to 4 measurement tools, Significant improvements were found in postural control ability, gait and balance, hand function, and upper extremity function. Conclusion : This study confirmed that it is helpful to apply cerebral palsy occupational therapy by presenting the characteristics of cerebral palsy, intervention sessions and effects, measurement tools and methodological quality levels.