• 제목/요약/키워드: Learning therapy

검색결과 391건 처리시간 0.024초

국소 허혈성 뇌졸중 모델 흰쥐의 인지기능에 반복경두개자기자극이 미치는 효과 (Effects of Repetitive Transcranial Magnetic Stimulation on Enhancement of Cognitive Function in Focal Ischemic Stroke Rat Model)

  • 이정인;김계엽;남기원;이동우;김기도;김경윤
    • 대한물리의학회지
    • /
    • 제7권1호
    • /
    • pp.11-20
    • /
    • 2012
  • Purpose : This study is intended to examine the repetitive transcranial magnetic stimulation on cognitive function in the focal ischemic stroke rat model. Methods : This study selected 30 Sprague-Dawley rats of 8 weeks. The groups were divided into two groups and assigned 15 rats to each group. Control group: Non-treatment after injured by focal ischemic stroke; Experimental group: application of repetitive transcranial magnetic stimulation(0.1 Tesla, 25 Hz, 20 min/time, 2 times/day, 5 days/2 week) after injured by focal ischemic stroke. To assess the effect of rTMS, the passive avoidance test, spatial learning and memory ability test were analyzed at the pre, 1 day, $7^{th}$ day, $14^{th}$ day and immunohistochemistric response of BDNF were analyzed in the hippocampal dentate gyrus at $7^{th}$ day, $14^{th}$ day. Results : In passive avoidance test, the outcome of experimental group was different significantly than the control group at the $7^{th}$ day, $14^{th}$ day. In spatial learning and memory ability test, the outcome of experimental group was different significantly than the control group at the $7^{th}$ day, $14^{th}$ day. In immunohistochemistric response of BDNF in the hippocampal dentate gyrus, experimental groups was more increased than control group. Conclusion : These result suggest that improved cognitive function by repetitive transcranial magnetic stimulation after focal ischemic stroke is associated with dynamically altered expression of BDNF in hippocampal dentate gyrus and that is related with synaptic plasticity.

오차배제훈련을 병행한 시간차 회상훈련이 경도인지장애 환자의 기억력에 미치는 효과와 수단적 일상생활(IADL) 및 우울에 미치는 영향: 단일대상연구 (The Effects of Spaced Retrieval Training with Errorless Learning on Memory, IADL, Depression in Mild Cognitive Impairment: Single-Subject Design)

  • 김연주;박혜연
    • 재활치료과학
    • /
    • 제4권2호
    • /
    • pp.73-83
    • /
    • 2015
  • 목적 : 본 연구는 오차배제훈련을 병행한 시간차회상훈련이 경도인지장애(Mild Cognitive Impairment; MCI) 환자의 기억력에 미치는 효과와 수단적 일상생활(Instrumental Activities of Daily Living; IADL) 및 우울에 미치는 영향을 알아보고자 하였다. 연구방법 : 주간보호시설에 등록된 78세 MCI 노인을 대상으로 단일 대상 실험 연구 중 ABA 설계를 사용하여 실험을 진행하였다. 연구를 진행한 총 16회기 중 기초선 A는 총 3회기, 중재기간 B는 총 10회기, 기초선 A'는 총 3회기였다. 기억력을 측정하기 위한 회기별 평가로 Rey-Kim 언어 기억 검사(K-Auditory Verbal Learning Test; K-AVLT)를 사용하였고, 인지기능, IADL 수행 능력, 우울을 측정하기 위하여 각각 한국판 몬트리올 인지평가(Korean version of Montreal Cognitive Assessment; MoCA-K), 필라델피아 노인 센터 IADL 도구(Philadelphia Geriatric Center Instrumental Activities Daily Living; PGC IADL), 한국판 노인우울척도(Geriatric Depression Scale Korean Version; GDS-K)를 사용하였다. 결과 : 대상자는 기초선 A기간에 비하여 중재를 제공한 B기간에서의 즉시회상 및 지연회상이 현저히 증가하였다. 또한, 즉시회상과 지연회상 모두 B 기간에서 증가하던 측정값의 경향이 중재를 제거한 후인 기초선 A'구간에서 감소하는 경향을 보였다. MoCA-K 점수는 향상을 보였으며, PGC IADL 점수는 중재 전과 후가 같았고 GDS-K의 점수는 감소하였다. 결론 : 본 연구의 결과를 통하여 MCI 환자를 대상으로 실시한 오차배제훈련을 병행한 시간차 회상훈련의 근거를 확고히 하였다. 나아가 MCI 환자들이 기억력과 함께 어려움을 겪는 요인을 향상시키기 위한 중재 및 기억력과 다른 기능적 요소들에 대한 상관관계에 대하여 추가적인 연구가 필요할 것이다.

간호수기 완전학습 프로그램 개발 및 평가 (Development and Testing of a Mastery Learning Program of Nursing Skills for Undergraduate Nursing Students)

  • 박소미;허혜경;김기경;송희영
    • 대한간호학회지
    • /
    • 제47권4호
    • /
    • pp.526-539
    • /
    • 2017
  • Purpose: This study was undertaken to develop and test a mastery learning program of nursing skills for undergraduate nursing students. Methods: In this methodological study, first, the preliminary draft of a mastery learning program to provide training for nursing skills was developed based on Bloom's framework for mastery learning. Second, to test the developed program, a single-blinded, nonequivalent control group nonsynchronized study was conducted on 50 senior nursing students in a University selected by convenient sampling. Thirteen students were assigned to a control group; 13, 12, and 13 of them were assigned to intravenous therapy, transfusion, and patient transfer groups, respectively. The achievement levels and performance scores of the selected nursing skills were measured before and after the completion of the program in all the groups. Lastly, the final program was confirmed based on the results of the program testing. Results: Intravenous therapy, transfusion, and patient transfer were selected as essential nursing skills for the program based on the priorities rated by clinical instructors and staff nurses. The achievement levels of selected nursing skills were determined by Angoff scores. After participating in the program, the proportion of passers and performance scores of the nursing skills in the experimental groups were significantly higher than those in the control group. The final program was confirmed which included a diagnostic test, enrichment activities for the passers and three repetitions of corrective activities and formative assessments for non-passers. Conclusion: The results suggest that a mastery learning program for undergraduate students can lead to better improvement and performance of essential nursing skills.

연속반응시간과제를 이용한 교차훈련의 효과 (The Effect of Cross Education using Serial Reaction Time)

  • 최진호;박소현
    • The Journal of Korean Physical Therapy
    • /
    • 제20권4호
    • /
    • pp.15-20
    • /
    • 2008
  • Purpose: We investigated the effects of physical practice, mental practice, and cross education using serial reaction time (SRT). We recruited 21 right-handed healthy males and females who gave consent and had no clinical history for their upper limbs. Methods: The subjects were divided into three groups; actual practice (n=7), mental practice (n=7), and controls (n=7), who performed actual training, mental training, or no intervention respectively for three weeks. Super lab 4.0 displayed four symbols on the monitor and subjects pushed on the matching button, with reaction time assessed pre- and post-intervention. Results: Reaction time was significantly lower after actual or mental practice (p<0.05). Actual practice also decreased left hand reaction time. Conclusion: Actual practice and mental practice can improve motor learning, but mental practice is not sufficient for cross education.

  • PDF

신경생리학적 운동치료접근의 재조명 (Review of the Neurophysiological Therapeutic Exercise Approach)

  • 배성수;권미지;정형국
    • The Journal of Korean Physical Therapy
    • /
    • 제12권1호
    • /
    • pp.133-139
    • /
    • 2000
  • Neurophysiological therapeutic exercise had started 1940-1960 that used for CNS patient's rehabilitation is the world. In America, PNF, Bobath, Brunnstrom technique are reviewed through the NUSTEP and II STEP on 1967. The NUSTEP provide common interest of neurophysiological therapeutic exercise. The II STEP provide new concept of neurophysiological therapeutic exercise from scholar, professor and clinician. New concept include not only using the reflex but also motor learning, motor control and motor behavior. It is including neurobiologic interaction, biomechanics and motor science. Therefore, neurophysiological therapeutic exercise have to change with the purpose of the therapeutic exercise.

  • PDF

혼합학습(Blended Learning)을 적용한 디자인 수업 실증사례 연구 -팀 프로젝트와 스마트디바이스 앱 기반 학습을 중심으로- (A Case Study on Design Classes using Blended Learning -Focused on Team Project and Smart Device App-based Learning-)

  • 김진희;김혜균
    • 한국의류학회지
    • /
    • 제45권2호
    • /
    • pp.271-284
    • /
    • 2021
  • This study presents the educational utility of blended learning by analyzing the effectiveness of learning after class by blending team project learning and smart device app-based learning methods. Qualitative analysis and survey analysis were conducted and the results were as follows. First, team project activities based on task resolution were conducted freely through detailed activities such as sharing roles, planning meetings, and coordinating opinions. Team activities were carried out with respect and consideration, team member bonding, and a sense of responsibility. Second, the smart device app is recognized as a medium for work and communication, and fast feedback has been made, making it highly impactful on classroom activities. Third, in terms of learning satisfaction, most learners showed an interest in the course and were satisfied with the project results. The smart device app was used as a learning and communication medium for personal and team activities and was analyzed as a blended method applicable to classes that conduct practical activities as an efficient tool to further activate project activities.

액션러닝기반 수업운영에 대한 만족도 요인분석 - 보건학부 융합전공 학생을 중심으로 - (Satisfaction Factor Analysis for Action Learning-based Class Operation - Focused on Students of the Department of Public Health Convergence Major -)

  • 정대근;양상훈
    • 한국엔터테인먼트산업학회논문지
    • /
    • 제15권8호
    • /
    • pp.247-254
    • /
    • 2021
  • 본 연구에서는 대학 내 융복합 교육과정을 수강하는 재학생들에게 액션러닝을 활용하여 일정 기간 팀 학습 형태로 자아성찰을 통해 과제를 해결 능력을 함양하여 전공만족도에 미치는 효과에 대하여 알아보고자 한다. 연구 대상은 전남에 소재한 스포츠건강관리학과와 물리치료학과를 융복합 한 스포츠재활학과 재학생 40명으로 액션러닝 교수학습방법을 적용한 학생과 전통적 강의식 학습방법을 적용한 학생의 자기주도적 학습능력, 문제해결 능력 및 전공만족도의 효과 차이를 확인하고자 실시하였다. 액션러닝 교수학습방법을 적용한 실험군 집단 내 변화비교는 자기주도적 학습능력, 문제해결능력 및 전공만족도에서 유의미한 차이가 나타났다(p<.001)(p<.05). 전통적 교수학습방법을 적용한 대조군 집단 내 변화비교에서도 자기주도적 학습능력, 문제해결능력 및 전공만족도에서 유의미한 차이가 나타났다(p<.05). 집단 간 변화비교는 자기주도적 학습능력, 문제해결능력 및 전공만족도에서 유의미한 차이가 나타났다(p<.05). 융복합 교육과정에서 액션러닝 교수방법을 재학생의 수준에 맞추어 적용시키면 자기주도적 학습능력, 문제해결능력 및 전공만족도를 효율적으로 향상시킬 수 있을 것이며, 추후에도 대상을 확대하고 변수들을 추가하여 질적연구를 병행하는 연구가 필요할 것이다.

스포츠 물리치료에서의 스트레칭의 개념 및 발달과정 (A Review of Conception and Developmental Process of Stretching in Sports Physical Therapy)

  • 장정훈;정동혁;박래준
    • The Journal of Korean Physical Therapy
    • /
    • 제14권4호
    • /
    • pp.423-440
    • /
    • 2002
  • The purpose of this study is to investigate the conception and developmental process of stretching in sports physical therapy. This study is to find conception of stretching, feature and effect, principles and fundamental rule, consideration of enforcement and developmental process in order to use the basic material which is very helpful in the every field and the scene of sports needing stretching. Flexibility is the ability to move muscles and joints through their full ranges of motion. Flexibility is developed by stretching. About player who insufficiency of flexibility, patient and disabled person who restrict of range of motion, older adult who reduce of flexibility, promote of flexibility for upgrading stability and efficiency of body on the based of scientific principles is completed by stretching. The method of stretching has been developed with passive stretching, CR, PNF stretching, PIC stretching, MET stretching in the order. The effects that we can get through stretching are as follows : 1. Enhance physical fitness. 2. Optimize learning, practice and performance of many types of skilled movement. 3. Increase mental and physical relaxation. 4. Promote development of body awareness. 5. Reduce risk of joint sprain or muscle strain. 6. Reduce risk of back problem. 7 Reduce muscular soreness. 8. Reduce the severity of painful menstruation for female athletes. 9. Reduce muscular tension. 10. Advance recognition of body.

  • PDF

Mutant Emotion Coded by Sijo

  • Park, Inkwa
    • International Journal of Advanced Culture Technology
    • /
    • 제7권2호
    • /
    • pp.188-194
    • /
    • 2019
  • Always, emotion is mutant. This is principle of literary treatment. In the literature, sadness is not sadness, and 'loving emotion' is not 'loving emotion.' Despite loving of our, loving is sadness. Also loving is to cry. This crying becomes love. This study is to show the mutant emotion which is to be able to code Deep Learning AI. We explored the Sijo "Streams that cried last night", because this Sijo was useful to study mutant emotion. The result was that this Sijo was coding the mutant emotion. Almost continuously, the sadness codes were spawning and concentrating. So this Sijo was making the emotion of love with the sadness. If this study is continued, It is believed that our lives will be much happier. And the method of literary therapy will be able to more upgrade.

Effects of Hold-Relax and Active Range of Motion on Thoracic Spine Mobility

  • Kondratek, Melodie;Pepin, Marie-Eve;Krauss, John;Preston, Danelle
    • 국제물리치료학회지
    • /
    • 제3권2호
    • /
    • pp.413-421
    • /
    • 2012
  • Few studies address the use of manual muscle stretching to improve spinal active range of motion(AROM). There is evidence that' Hold-Relax'(HR) is effective for increasing ROM in the extremities, which leads the researchers to anticipate similar benefits in the spine. The purpose of this study is to investigate the effects of HR(trunk flexors) and active thoracic flexion and extension on thoracic mobility, specifically flexion and extension in healthy individuals. A convenience sample of 30 physical therapy students(22-38 years) were randomly assigned to intervention sequence 'A-B' or 'B-A', with at least 7 days between interventions. Intervention' A' consisted of HR of the ventral trunk musculature while 'B' consisted of thoracic flexion-extension AROM. Thoracic flexion and extension AROM were measured before and after each intervention using the double inclinometer method. Paired t-tests were used to compare AROM pre and post-intervention for both groups, and to test for carry-over and learning effects. There was a statistically significant increase(mean=$3^{\circ}$ ; p=0.006) in thoracic extension following HR of the trunk flexors. There were no significant changes in thoracic flexion following HR, or in flexion or extension following the AROM intervention. No carryover or learning effects were identified. HR may be an effective tool for improving AROM in the thoracic spine in pain free individuals. Further investigation is warranted with symptomatic populations and to define the minimal clinical difference(MCD) for thoracic spine mobility.