• 제목/요약/키워드: Learning therapy

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The effect of augmented feedback type on motor learning for hemiplegic adults (보강적 피드백의 형태가 편마비 성인의 운동학습에 미치는 영향)

  • Cho, Hyuk-Shin;Jeong, Wang-Mo
    • PNF and Movement
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    • v.9 no.1
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    • pp.11-19
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    • 2011
  • The purpose of this study was to investigate whether it makes difference to use of the Augmented Feedback Type(Verbal Feedback, VTR Feedback and Verbal & VTR Feedback) to hemiplegic adults on learning of motor skill. For the purpose 15 hemiplegic adults who are received rehabilitation program at H hospital in Hong-Sung, Choong-Nam Province. Subjects were classified into three groups by random assignment; the Verbal Feedback group, the VTR Feedback group and Verbal & VTR Feedback group. Each groups received 5 subjects from hemiplegic adults. Subjects were tested by Timed Up and Go test for 9 weeks. And to find out the improvement measured by Pre-Test, Acquisition Test and Retention Test. To find out the improvement of each group's measures took average and standard deviation. To probate the significance of difference between the improvement conducted the one-way ANOVA and to probate the significance of difference of Acquisition Test and Retention test conducted paired t-test. The results of this study were as follows; First, All of Augmented Feedback Types had a positive effect on hemiplegic adults to learning of motor skill. Second, The Verbal Feedback group and the VTR Feedback group had no significantly difference at Acquisition Test, But They had the most improvement at Retention Test. Third, In hemiplegic adults, the Verbal & VTR Feedback group had the highest Retention Effect.

Evaluation of Deep Learning Model for Scoliosis Pre-Screening Using Preprocessed Chest X-ray Images

  • Min Gu Jang;Jin Woong Yi;Hyun Ju Lee;Ki Sik Tae
    • Journal of Biomedical Engineering Research
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    • v.44 no.4
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    • pp.293-301
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    • 2023
  • Scoliosis is a three-dimensional deformation of the spine that is a deformity induced by physical or disease-related causes as the spine is rotated abnormally. Early detection has a significant influence on the possibility of nonsurgical treatment. To train a deep learning model with preprocessed images and to evaluate the results with and without data augmentation to enable the diagnosis of scoliosis based only on a chest X-ray image. The preprocessed images in which only the spine, rib contours, and some hard tissues were left from the original chest image, were used for learning along with the original images, and three CNN(Convolutional Neural Networks) models (VGG16, ResNet152, and EfficientNet) were selected to proceed with training. The results obtained by training with the preprocessed images showed a superior accuracy to those obtained by training with the original image. When the scoliosis image was added through data augmentation, the accuracy was further improved, ultimately achieving a classification accuracy of 93.56% with the ResNet152 model using test data. Through supplementation with future research, the method proposed herein is expected to allow the early diagnosis of scoliosis as well as cost reduction by reducing the burden of additional radiographic imaging for disease detection.

The Effect of Cognitive Movement Therapy on Emotional Rehabilitation for Children with Affective and Behavioral Disorder Using Emotional Expression and Facial Image Analysis (감정표현 표정의 영상분석에 의한 인지동작치료가 정서·행동장애아 감성재활에 미치는 영향)

  • Byun, In-Kyung;Lee, Jae-Ho
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.327-345
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    • 2016
  • The purpose of this study was to carry out cognitive movement therapy program for children with affective and behavioral disorder based on neuro science, psychology, motor learning, muscle physiology, biomechanics, human motion analysis, movement control and to quantify characteristic of expression and gestures according to change of facial expression by emotional change. We could observe problematic expression of children with affective disorder, and could estimate the efficiency of application of movement therapy program by the face expression change of children with affective disorder. And it could be expected to accumulate data for early detection and therapy process of development disorder applying converged measurement and analytic method for human development by quantification of emotion and behavior therapy analysis, kinematic analysis. Therefore, the result of this study could be extendedly applied to the disabled, the elderly and the sick as well as children.

Can ChatGPT Pass the National Korean Occupational Therapy Licensure Examination? (ChatGPT는 한국작업치료사면허시험에 합격할 수 있을까?)

  • Hong, Junhwa;Kim, Nayeon;Min, Hyemin;Yang, Hamin;Lee, Sihyun;Choi, Seojin;Park, Jin-Hyuck
    • Therapeutic Science for Rehabilitation
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    • v.13 no.1
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    • pp.65-74
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    • 2024
  • Objective : This study assessed ChatGPT, an artificial intelligence system based on a large language model, for its ability to pass the National Korean Occupational Therapy Licensure Examination (NKOTLE). Methods : Using NKOTLE questions from 2018 to 2022, provided by the Korea Health and Medical Personnel Examination Institute, this study employed English prompts to determine the accuracy of ChatGPT in providing correct answers. Two researchers independently conducted the entire process, and the average accuracy of both researchers was used to determine whether ChatGPT passed over the 5-year period. The degree of agreement between ChatGPT answers of the two researchers was assessed. Results : ChatGPT passed the 2020 examination but failed to pass the other 4 years' examination. Specifically, its accuracy in questions related to medical regulations ranged from 25% to 57%, whereas its accuracy in other questions exceeded 60%. ChatGPT exhibited a strong agreement between researchers, except for medical regulation questions, and this agreement was significantly correlated with accuracy. Conclusion : There are still limitations to the application of ChatGPT to answer questions influenced by language or culture. Future studies should explore its potential as an educational tool for students majoring in occupational therapy through optimized prompts and continuous learning from the data.

Study on the Characteristics and Quality Level of Single Subject Researches in the Sensory Integration Therapy Field of Korean Occupational Therapy (감각통합치료효과에 대한 단일대상연구의 특성과 질적 수준에 대한 고찰)

  • Kwag, Sung-Won;Sim, Je-Muang;Roh, Hyo-Lyun
    • The Journal of Korean Academy of Sensory Integration
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    • v.12 no.2
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    • pp.25-36
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    • 2014
  • Objective : The purpose of this study is learning the characteristics of literature applying single subject researches in the field of sensory integration therapy of Korean occupational therapy and evaluating the quality level of them. Methods : Analyzed the characteristics of 17 single subject research papers (independent variable, study design, study subject, total number of session, study period, intervention time, intervention place, dependent variable, measuring tool and result) published between 2002 and 2013 using the document delivery service of Korean Society of Occupational Therapy, National Discovery for Science Leaders (NDSL), Nuri Media (DBpia), Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS) and National Assembly Library and evaluated the literatures using quality evaluation scale. Results : According to the analysis result on the literature characteristics, reversal design was the most used study method. Total number of session was 10 sessions to 34 sessions. Study period was 4 weeks to 16 weeks. Intervention time was 8 minutes to 70 minutes and most interventions were done in occupational therapy room or sensory integration therapy room. According to the result of quality level evaluation, 4 papers out of 17 papers were on high level and remaining papers were on intermediate level. However, there was no study which included intervention blind. Conclusion : Suggested standards that need to be supplemented and discussions on qualitative improvement including repetitive research on the mediation effect during the application of the single subject research methodology, the securement of adequate data sections, and processing of a mediation blind. It is expected to be used as basic data for conducting a better qualitative research in the future.

Variability of Practice Effects in Transfer of Photoelectric Rotary Pursuit Task

  • Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.12 no.4
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    • pp.7-11
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    • 2005
  • The purposes of this study were to investigate the effects of variability of training on the acquisition of motor skill of closed loop type tracking task using Rotary Pursuit, and to determine if there was a bilateral transfer effect to the non-dominant hand following practice with the dominant hand. Twelve healthy volunteer students (5 males and 7 females, aged 25 to 37) were randomly divided into a constant practice group and a variable practice group. A photoelectric rotary pursuit apparatus with stop clock and repeat cycle timer by Lafayette Instrumentation Co. was used for this study. Rotary pursuit is a closed loop task in which a subject attempts to keep a photoelectric stylus on a lighted target in motion. Subjects performed the clockwise circular pursuit task while standing. Experimental procedure was divided into three sessions, namely, pre-test, training, and post-test. The constant group practiced all 60 trials at 30 rpm. Variable practice group did a varied practice session with 15 trials at speeds of 20 rpm, 26 rpm, 34 rpm, and 46 rpm. No one in either group practiced with their non-dominant arm. A Mann-Whitney test and a Wilcoxon Signed Ranks test were used for statistical analyses. The results of this study showed no different training effect between groups on the post-test with the dominant hand. However, bilateral transfer effect of rotary pursuit task between hands was demonstrated. Possible mechanisms are discussed.

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Effect of Slowly Forced Expiration on Abdominal Muscle Activity During Cross Knee Curl-Up Exercise

  • Yoon, Tae-Lim;Kim, Ki-Song
    • Physical Therapy Korea
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    • v.21 no.1
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    • pp.63-69
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    • 2014
  • Cross knee curl-up is an ideal variation of abdominal curl up exercise to strengthen abdominal musculature without excessive lumbar flexion which can increase the loads on the disc and ligaments. In addition, slowly forced expiration can facilitate the activation of the abdominal musculature. The purpose of this study was to determine the effects of slowly forced expiration on activity of abdominal muscles, such as rectus abdominis (RA), external oblique (EO), and transverse abdominis/internal oblique (TrA/IO), while cross knee curl-up. Eleven young and healthy subjects (6 males and 5 females) participated. All subjects performed the cross knee curl-up slowly forced expiration and natural breathing. Paired t-test was performed in normalized electromyogram (EMG) muscle activity of the bilateral RA, EO, and TrA/IO to compare the differences between the cross curl-up with slowly forced expiration and natural breathing. Statistical significance was set at .05. There were no significant differences in normalized EMG muscle activity of the bilateral RA, EO, and TrA/IO between the cross curl-up with slowly forced expiration and natural breathing. The finding of this study designates that slowly forced expiration does not induce increasing activity of abdominal muscle in cross knee curl-up; hence, learning step of breathing control might not be necessary to strengthen abdominal muscle in cross knee curl-up.

Differential Diagnostic Characteristics of Movement Disorders in Children With Lesch-Nyhan Syndrome (LNS): A Case Report (Lesch-Nyhan 증후군 아동의 운동장애에 대한 감별진단 특성)

  • You, Sung H.;Bunker, Linda K.
    • Physical Therapy Korea
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    • v.9 no.4
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    • pp.13-35
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    • 2002
  • Lesch-Nyhan 증후근(LNS)은 hypoxanthine guanine phosphoribosyle transferase(HGPRT) 효소를 암호화 하는 X 염색체가 불완전해서 일어나는 유전적인 추제외로계(또는 기저핵)의 드문 병변이다. 출생시 LNS 유아는 정상적인 운동발달이 관찰되어진다. LNS에게서 현저하게 진단적인 특징으로 보여지는 운동심리적 행동인 self-mutilating 행위는 4살 이후에나 나타난다. LNS 아이들은 오히려 초기에 Rett's 증후근, 뇌성마비, 자폐, 다운증후근과 유사한 운동행위를 보인다. 그래서 LNS 아이들은 앞에 기술한 신경학적 장애로 오진을 받을 수가 있다. 오진으로 인해 초기에 적절한 치료를 받지 못한다면 LNS는 결과적으로 합병증(신장부전)과 self-mutilating 행위로 인하여 치명적일 수가 있다. 그러므로, 이 연구의 목적은 LNS 평가 동안 더 나은 진단을 하도록 하기 위하여 LNS와 관련된 기능부전에 대한 지식을 임상가들에게 제공하고자 함이었다. 연구 대상자는 10살인 2명의 쌍둥이 남아이었으며 실험은 뻗기 과제 수행(reaching task)시 움직임 특성을 보기 위하여 운동형상학적과 비디오 분석을 사용하였다. 기술통계로 분석 결과 움직임 시간과 단위가 증가됨을 보였고 사지의 분절적 움직임이 협응되지 않음을 보였다. ballistic과 jerky 움직임 양상은 dysmetric과 비긴장성 운동 행위에서 우세하였다. LNS은 추체로계 운동 장애 (과근긴장도나 저긴장도) 와 추체외로계의 운동 장애(dystonia와 choreoathetosis)의 혼합된 형태를 보였다. 결론으로 이 연구는 운동발달 장애를 가진 아이들을 치료하고자 할 때 임상가들한테 LNS 아이들의 움직임 장애의 다른 진단적 특징을 알아야 한다는 것을 제시하고자 한다.

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A Clinical Study on 3 Cases of ADHD Children Treated with Neurofeedback (뉴로피드백을 이용한 주의력결핍 과잉행동장애의 치료 3례)

  • Hwang, Young-Jun;Kim, Ki-Bong;Min, Sang-Yeon;Kim, Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.3
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    • pp.85-95
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    • 2007
  • Objectives Attention Deficit Hyperactivity Disorder(ADHD) is a type of psychiatric disorder characterized with the primary symptoms of inattention and/or impulsivity and hyperactivity. The purpose of this study is to examine ADHD children who were treated with neurofeedback therapy. Methods We analyzed clinical report of 3 ADHD children who treated with neurofeedback therapy from January 2006 to June 2006. Results 1. All 3 children were diagnosed with predominantly inattention type of ADHD. 2. After treatment, cognitive strength, response, concentration, workload, left / right brain activity score were all different from each children. 3. After treatment, left and right brain activities were balanced. 4. After treatment, learning ability level was increased. 5. After treatment, the childrenwere in a better state referred to conner's scale and H.S.Q. score. Conclusions Further studies will be needed to get more clinical cases about the benefits of neurofeedback therapy with herbal medicine and acupuncture treatment.

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Development of Big Data-based Cardiovascular Disease Prediction Analysis Algorithm

  • Kyung-A KIM;Dong-Hun HAN;Myung-Ae CHUNG
    • Korean Journal of Artificial Intelligence
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    • v.11 no.3
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    • pp.29-34
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    • 2023
  • Recently, the rapid development of artificial intelligence technology, many studies are being conducted to predict the risk of heart disease in order to lower the mortality rate of cardiovascular diseases worldwide. This study presents exercise or dietary improvement contents in the form of a software app or web to patients with cardiovascular disease, and cardiovascular disease through digital devices such as mobile phones and PCs. LR, LDA, SVM, XGBoost for the purpose of developing "Life style Improvement Contents (Digital Therapy)" for cardiovascular disease care to help with management or treatment We compared and analyzed cardiovascular disease prediction models using machine learning algorithms. Research Results XGBoost. The algorithm model showed the best predictive model performance with overall accuracy of 80% before and after. Overall, accuracy was 80.0%, F1 Score was 0.77~0.79, and ROC-AUC was 80%~84%, resulting in predictive model performance. Therefore, it was found that the algorithm used in this study can be used as a reference model necessary to verify the validity and accuracy of cardiovascular disease prediction. A cardiovascular disease prediction analysis algorithm that can enter accurate biometric data collected in future clinical trials, add lifestyle management (exercise, eating habits, etc.) elements, and verify the effect and efficacy on cardiovascular-related bio-signals and disease risk. development, ultimately suggesting that it is possible to develop lifestyle improvement contents (Digital Therapy).