• 제목/요약/키워드: Learning therapy

검색결과 389건 처리시간 0.032초

운동학습에 따른 대뇌 보조운동영역의 활성화 변화: fMRI 사례연구 (Change of activation of the supplementary motor area in motor learning: an fMRI case study)

  • 박민철;배성수;이미영
    • The Journal of Korean Physical Therapy
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    • 제23권2호
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    • pp.85-90
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    • 2011
  • Purpose: The contribution of the supplementary motor area (SMA) to the control of voluntary movement has been revealed. We investigated the changesin the SMA for motor learning of the reaching movement in stroke patient using functional MRI. Methods: The subject was a right-handed 55 year-old woman with left hemiparesis due to an intracerebral hemorrhage. She performed reaching movement during fMRI scanning before and after reaching training in four weeks. The motor assessment scale and surface EMG were used to evaluate the paretic upper limb function and muscle activation. Results: In the fMRI result, contralateral primary sensorimotor cortex (SM1) was activated before and after training. SMA was only activated after training. In addition, muscle activation of the paretic upper limb was similar to that of the unaffected upper limb after training. Conclusion: These findings suggest SMA is related to the execution of a novel movement pattern resulting in motor learning in stroke patients.

운동학습에 의한 왼쪽 하전두영역의 분할비등방성의 변화 (Change of Fractional Anisotropy in the Left Inferior Frontal Area after Motor Learning)

  • 박지원;남기석
    • The Journal of Korean Physical Therapy
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    • 제22권5호
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    • pp.109-115
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    • 2010
  • Purpose: This study was to delineate the structural change of neural pathway after sequential motor learning using diffusion tensor imaging (DTI). Methods: The participants were 16 healthy subjects, which were divided by training (n=8) and control (n=8) group. The task for the training was the Serial Reaction Time Task (SRTT) which was designed by Superlab program. When the 'asterisk' shows up in the 4 partition spaces on the monitor, the subject presses the correct response button as soon as possible. The training group participated in the training program of motor learning with SRTT composed of 24 digits pattern in one hour per daily through 10 days during 2 weeks. Results: In the behavioral results the training group showed significant changes in the increase of response number and the reduction of response time than those of the control group. There was significant difference in the left inferior frontal area in the fractional anisotropy (FA) map of the training group in DTI analysis. Conclusion: Motor sequential learning as like SRTT may be needed to the learning of language and visuospatial processing and may be induced for the experience-dependent structural plasticity during short period.

집단미술치료가 학습장애 청소년에게 미치는 효과 -자아존중감과 사회성 향상을 중심으로- (An Effect of Group Art Therapy on Adolescents' with Learning Disabilities - Focusing on Improvement of Self-esteem and Sociability -)

  • 임현희
    • 한국임상보건과학회지
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    • 제2권4호
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    • pp.231-238
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    • 2014
  • Purpose. This study examines the effects of improving students self-esteem and sociability by conducting a Group Art Therapy Program for students with learning disabilities. This study focused on three students with learning disabilities, attending B middle school special education class located in K county. The study was conducted for two hours once a week (Friday) at B middle school during special education class from May 2, 2014 to July 18, 2014. Methods. For the tools of studying, Self-esteem and social strip forms/rubrics were filled, by students', before and after and data processing was inspected, paired t-Test using the SPSS / WIN (Ver.18.0) for quantitative analysis. Also, on the basis of content, analyzed data of the individuals' self-esteem social changes are shown in graph format. In addition, this qualitative study shows before and after of dynamic house, tree, person (K-H, T, P), dynamic family (KFD), dynamic school life of search phase (4-6 sessions) significant improvement of self-esteem and sociability in adolescents' with learning disabilities influenced by conducting a Group Art Therapy Program. Results. The result of this study can be summarized as follows. First, Group Art Therapy Program shows a statistically significant difference (p<.05) showing that self esteem average is 2.04 before Group Art Therapy Intervention but self esteem average is 2.92 after Group Art Therapy Intervention. Second, as a result of social strip pre-post, there wasn't statistically significant difference compared to self esteem pre-post result, although, post examination's average level was enhanced after Group Art Therapy Program in difference examination.(p>.05). Third, as a result of analysis the indicated pre-post change of Students' pre-post dynamic house, tree, person (HTP), dynamic family (KFD), a dynamic school daily life (KSD), students' family and interpersonal relationships, self-concept shows statistical significant changes. Conclusion. As the result of this study, Group Art Therapy Program shows effective improvement in students' self-esteem and social skills learning disabilities. However, a future study on larger and more diverse group of students' with learning disabilities are advised to be conducted in order to better understand the significance of the Group Art Therapy Program.

전기 자극을 이용한 피드백의 형태가 무릎성형 수술 환자의 넙다리 네갈래근 등척성 운동 학습에 미치는 영향 (Effects of Electrical Stimulation Biofeedback on Motor Learning of Quadriceps Isometric Exercise of Total Knee Replacement)

  • 박은영;곽창화;정경수
    • 한국전문물리치료학회지
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    • 제7권3호
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    • pp.81-89
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    • 2000
  • The purpose of this study was to determine the effect of electrical stimulation biofeedback on motor learning of quadriceps muscle isometric exercise in 3 patients who have undergone total knee replacement surgery. A multiple baseline design across subjects was used. The electrical stimulation biofeedback was provided with each patient during quadriceps isometric exercise, which last 10 to 14 sessions with 10 repetitions each sessions. After training patients received 4 retention tests. Maximum muscle activity was measured pre- and post- electrical stimulation biofeedback training and retention test to evaluate the effect of biofeedback training. Maximum isometric muscle activity of quadriceps was increased after electrical stimulation biofeedback training in all subjects. The results indicate that a electrical stimulation biofeedback training is a useful method to improve motor learning of quadriceps isometric exercise in total knee replacement.

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학교기업병원을 기반으로 한 보건통합교육이 보건-의료계열 대학생의 학습전이 요인 및 수준에 미치는 영향 (University Hospital, Which is Based on an Integrated Health Education and Health-care and Family Factors on the Level of Learning Transfer System Inventory)

  • 이재홍;김기철;전권일;이진환;민동기;김인규
    • PNF and Movement
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    • 제11권2호
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    • pp.77-85
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    • 2013
  • Purpose : The purpose of this study is to investigate the effects school business hospital-based integrated health education on learning transfer factor and level. Methods : This study conducted a questionnaire survey of 60 students at D college using metastatic diagnostic tool who took the integrated health education curriculum, statistical analysis utilized the SPSS 17.0 for window version. Results : On comparison of the details 5 clauses, 29 questions using LTSI, this study found that the integrated health education based on the school business hospital is effective for learning transfer. Conclusion : What the integrated health education based on clinic practice system at D college to overcome the limitations of health and medical line is effective for learning transfer and it will be useful to cultivate professional.

대학생의 플립드 러닝 기반 감각통합치료 수업 경험에 관한 현상학적 연구 (A Phenomenological Study on Students' Experiences of Flipped Learning-Based Class of Sensory Integration Therapy)

  • 이나핼;정혜림
    • 대한감각통합치료학회지
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    • 제15권2호
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    • pp.80-92
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    • 2017
  • 목적 : 플립드 러닝기반 감각통합치료 수업을 받은 작업치료 대학생의 경험의 의미를 파악하고 수업 후 학습자의 요구와 성찰을 알아보는 것이다. 연구방법 : 대학생의 플립드 러닝 기반 감각통합치료 수업 경험에 관한 질적 연구 중 현상학적 연구방법을 사용하였다. 본 연구의 대상자는 2017년 1학기 K대학교 작업치료학과 전공필수과목인 '감각통합치료 및 실습'을 수강한 3학년 학생 중 10명이다. 자료 수집을 위해 일대일 면담방법을 이용하였고, 녹음한 면담내용을 전사하여 분석하였다. 결과 : 의미단위 20개, 중심의미 8개, 주제 3개가 도출되었다. 연구결과는 온라인 수업에서의 학습경험, 오프라인 수업에서의 학습경험, 플립드 러닝에 대한 학습자의 요구와 성찰의 주제로 분석하였다. 온라인 수업은 원하는 시간과 공간에서 학습할 수 있다는 편리함과 반복학습의 만족감을 가져왔다. 하지만 교수와의 면대면 수업의 부재로 소통과 집중력의 문제를 호소하였다. 오프라인 수업에서는 다양한 감각통합 실습수업에 흥미를 보였고, 적극적인 실습태도의 변화가 있었다. 결론 : 실습이 요구되는 감각통합 수업에 플립드 러닝 기반 수업은 시간의 확보와 실습 몰입 면에서 효과가 있었다. 다른 작업치료교과목도 플립드 러닝으로 수업하고 싶다는 요구가 있었으며, 플립드 러닝 수업을 통해 능동적인 학습 자세가 필요하다는 성찰이 있었다. 본 연구의 결과는 작업치료 교육 분야에서 플립드 러닝 수업을 시도하는데 기초자료로 제공하고자 한다.

운동학습이론에 기초한 발성운동조절법이 근오용성 발성장애의 음성에 미치는 효과 (Effects of Motor Learning Guided Laryngeal Motor Control Therapy for Muscle Misuse Dysphonia)

  • 서인효;이옥분;이상준;정필상
    • 말소리와 음성과학
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    • 제3권3호
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    • pp.133-140
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    • 2011
  • Muscle misuse dysphonia (MMD) is defined as a behavioral voice disorder resulting from inappropriate contractions of intrinsic and/or extrinsic laryngeal muscles. The purpose of this study was to investigate the effect of motor learning guided laryngeal motor control therapy (MLG-LMCT) which is designed to improve an existing LMT and further the effective voice treatment on people with muscle misuse dysphonia. Forty-six people with MMD (M:F=16:30) participated in this study. The voice samples of the participants were recorded to investigate the effect of MLG-LMCT before and after the voice therapy. Voice samples were analyzed via electro-glotto-graph (EGG). Contact quotient (CQ), speed quotient (SQ), and waveform were reported. In addition, perceptual and acoustical evaluation were conducted to determine the change of voice improvement after treatment. The experimenter massaged the tensioned muscles around the neck. In order to find more proper phonation the experimenter showed the subjects their EGG wave forms as to whether or not they are moving the vocal folds to the appropriate position. Therefore, the EGG wave forms were used as a type of visual feedback. With the wave form, the experimenter helped subjects move the vocal folds and laryngeal muscles to find more proper voice production. The sensory stimuli from the experimenter gradually faded out. A paired dependent t- test revealed that there was significant differences in CQ between pre- and post-therapy. Perceptually, overall, rough, breathy, strain, and transition were significantly reduced. Acoustically, there were significant differences in Fo, jitter, shimmer, and NHR. After using MLG-LMCT, most of the subjects showed improvements in voice quality. The results from this study led us to the following conclusions: Motor learning guided laryngeal motor control therapy (MLG-LMCT) has reduces muscle misuse dysphonia. These results may occur because a visual feedback from EGG wave form can maintain the effect of the muscle tension reduction from laryngeal manual therapy. In case of people with MMD who reduced muscle tension from the therapy (LMT) but, not appropriately manipulating the location of larynx or adducting the vocal folds, MLG-LMCT might be an alternative therapy approach.

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소셜네트워크를 활용한 프로젝트기반학습(PBL) 적용이 작업치료과 대학생의 문제해결능력에 미치는 영향 (The Effect of Project Based Learning(PBL) Application Using Social Networks on Problem Solving Ability of Occupational Therapy Students)

  • 이나윤;박주영
    • 한국엔터테인먼트산업학회논문지
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    • 제14권4호
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    • pp.57-65
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    • 2020
  • 본 연구는 소셜네트워크를 활용한 PBL 수업 적용이 작업치료과 학생들의 문제해결능력을 분석하는데 목적이 있다. 이를 위해 2019년 3월부터 6월까지 K대학교 작업치료과 3학년 재학생 총 35명의 학생을 대상으로 자료를 수집하였다. 본 연구의 결과는 다음과 같다. 첫째, 소셜네트워크를 활용한 PBL을 적용하였을 때 문제해결능력의 세부항목에서 문제인식, 분석능력, 의사결정, 기획력, 평가, 피드백 영역에서 향상을 나타냈다. 둘째, 학생들의 일반적인 특성에 따라 학습할 때 모바일 기기 이용 선호도와 전공만족도에 따라 문제하결능력에 유의미한 차이를 보였다. 이러한 연구결과에 따라 작업치료과 재학생들의 문제해결능력을 향상시키기 위한 학습도구로 소셜네트워크를 활용한 PBL을 활성화시켜 학습에 대한 만족도를 높일 수 있는 방안을 제시하였다.

Deep Learning Frameworks for Cervical Mobilization Based on Website Images

  • Choi, Wansuk;Heo, Seoyoon
    • 국제물리치료학회지
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    • 제12권1호
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    • pp.2261-2266
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    • 2021
  • Background: Deep learning related research works on website medical images have been actively conducted in the field of health care, however, articles related to the musculoskeletal system have been introduced insufficiently, deep learning-based studies on classifying orthopedic manual therapy images would also just be entered. Objectives: To create a deep learning model that categorizes cervical mobilization images and establish a web application to find out its clinical utility. Design: Research and development. Methods: Three types of cervical mobilization images (central posteroanterior (CPA) mobilization, unilateral posteroanterior (UPA) mobilization, and anteroposterior (AP) mobilization) were obtained using functions of 'Download All Images' and a web crawler. Unnecessary images were filtered from 'Auslogics Duplicate File Finder' to obtain the final 144 data (CPA=62, UPA=46, AP=36). Training classified into 3 classes was conducted in Teachable Machine. The next procedures, the trained model source was uploaded to the web application cloud integrated development environment (https://ide.goorm.io/) and the frame was built. The trained model was tested in three environments: Teachable Machine File Upload (TMFU), Teachable Machine Webcam (TMW), and Web Service webcam (WSW). Results: In three environments (TMFU, TMW, WSW), the accuracy of CPA mobilization images was 81-96%. The accuracy of the UPA mobilization image was 43~94%, and the accuracy deviation was greater than that of CPA. The accuracy of the AP mobilization image was 65-75%, and the deviation was not large compared to the other groups. In the three environments, the average accuracy of CPA was 92%, and the accuracy of UPA and AP was similar up to 70%. Conclusion: This study suggests that training of images of orthopedic manual therapy using machine learning open software is possible, and that web applications made using this training model can be used clinically.

학습동기가 시험 스트레스와 스트레스 대처 양식에 미치는 영향 (Effects of Learning Motivation on the Stress Coping Style and Stress of Test)

  • 장철;이은혜;천지수
    • 대한통합의학회지
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    • 제2권2호
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    • pp.89-96
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    • 2014
  • Purpose : In this study, we selected three research subjects to attempt to clear learning motivation of college students is what impact the stress coping style and stress test. First, age, gender, the future career after graduation, the presence or absence of part-time job is, its impact on learning motivation. Second, learning motivation is what effect the stress of the test. Third, based on the motivation of learning, how deal pursuing efforts form the social support, the center of the problem-solving approach, seeking to avoid the reaction to stress how different form. Methods : K University occupational therapy and one, two, three grade 100 students (male 22 people, female 78) to target age, sex, and after graduation, part-time status, motivation, stress, stress coping style questionnaire for distribution and was written. Results : First of all, women's social support form graduation course, more robust than pursue blank after the synchronization uncertainty and stress, and graduated from the trading center and avoid the use of career, more form. Second, motivation and stress test, a difference between the notice could not see. Third, the higher the motivation of learning, problem-solving, Action form to the center to use as many as you, but avoid using too much in the center form is addressed. Conclusion : As a result of the study that came out of the course after graduating from ensure that learning motivation is high, the more the uncertainty, the more to cope with stress in the center of the form to avoid form address was used. Because of this, the student careers after graduation, to make sure that can help you to compare efforts over is believed to be necessary.