• Therapeutic Science for Rehabilitation
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• v.7 no.1
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• pp.27-35
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• 2018

Objective : The aim of this study was to identify correlation between KF-NAP and Pencil-Paper test(Line bisection test, Letter cancellation, Albert's test) and to determine the high sensitive assessment tool for spatial neglect. Method : Thirty-two stroke patients who admitted to an inpatient rehabilitation unit at the medical center in Seoul from September, 2014 to September, 2015 were included in our research. They all have spatial neglect (male=19, female=13, the average age 61.8). KF-NAP and Pencil-Paper test were performed within 7 days. The detection of spatial neglect was analyzed by total scores of each assessments. Results : The highest sensitivity assessments of spatial neglect was KF-NAP. The detection of spatial neglect through KF-NAP was 93.8% (Line bisection test 53.1, Letter cancellation 53.1%, Albert's test 37.5%). Line bisection test (r=.430), Letter cancellation(r=.641), Albert's test(r=.398) and KF-NAP scores had significant correlation(p<0.05). Conclusion : KF-NAP is higher sensitive in comparison with Pencil-Paper test for detection of spatial neglect as the assessment tool of spatial neglect during activities daily livings of patients and neglect severity could be assessed with KF-NAP. Therefore, KF-NAP is recommended for assessment of spatial neglect.

• Therapeutic Science for Rehabilitation
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• v.6 no.2
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• pp.37-45
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• 2017

Background: The presence of visuospatial impairment can make patients slow functional recovery and impede the rehabilitation process in TBI patients. Objective: The aim of this study is to investigate effects of prism adaptation treatment for functional outcomes in patients following traumatic brain injury. Methods: The subject received prism adaptation treatment for 2 weeks additionally during traditional rehabilitation for 4 weeks. The Patient has prism adaptation treatment while wearing wedge prisms that shift the external environment about $12^{\circ}$ leftward. The patient received 10 sessions, 15-20min each session. Outcome measures were visuospatial deficit(line bisection, latter cancellation), Visual and spatial perception(LOTCA-visual perception and spatial perception), motor function of upper extremity(FMA U/E; Fugl-Meyer motor assessment upper extremity, ARAT; Action research arm test), balance(BBS; Berg Balance Scale), mobility(FAC; Functional ambulation classification) and functional level(FIM; Functional independent measure). All Assessments took place on study entry and post-treatment assessments were performed at discharge from the hospital. Results: After prism adaptation, the visuospatial impairment scores improved as indicated in the line bisection(-15.2 to -6.02), latter cancellation(2 to 0) and LOTCA- spatial perception scores(7 to 9). The upper motor function improved as indicated in the scores of affected FMA U/E(21 to 40) and ARAT(4 to 22). Ambulation and balance improved as indicated in the BBS scores(25 to 38) and FAC scores(0 to 4). ADL function improved as indicated in the FIM total scores 54 to 70(motor 34 to 61, cognition 20 to 29). Conclusion: Prism adaptation did improve functional level such as motor functions and ADL abilities in TBI patient. Further research is recommended.

• Physical Therapy Korea
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• v.25 no.2
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• pp.30-43
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• 2018

Background: Hemispatial neglect is defined as the failure to attend, report, respond, or orient toward meaningful stimuli provided in the contralateral side of a brain lesion. Objects: This study was conducted to find out the effect of dynamic trunk equilibirum exercise for stroke patients with hemi-spatial neglect. Methods: This study included 21 stroke subjects, randomly assigned to either the experimental group or the control group. The exercise program consisted of 5 sessions of 20 minutes per week during 4 weeks. The line-bisection test, the Albert test, the balance function score, the Berg balance scale, the postural assessment scale for stroke and the modified Barthel index were measured before and after training. All data were analyzed using SPSS 12.0 for Windows. Between-group and within-group comparison was analyzed by using Independent t-test and Paired t-test respectively. Results: The results of study were as follows: There were significant differences between before and after intervention in both group (p<.05). There were significant differences in the line-bisection test, Albert test, balance function score, Berg balance scale, postural assessment scale for stroke and modified Barthel index between the experimental group and the control group (p<.05). Conclusion: Dynamic trunk equilibrium exercise had a positive effect on patients' neglect, balance ability and activities of daily living. Further studies are required to generalize the results of this study.

• Therapeutic Science for Rehabilitation
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• v.3 no.2
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• pp.83-89
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• 2014

Objective : This study aims to investigate the effect of half- eyes patching for the reduction of unilateral neglect of left-side hemiplegia. Methods : This study used the ABA design. He was required to wear the half- eyes patching during all the period of ADL because unilateral neglect causes many problems in the majority of ADL. The assessments for the unilateral neglect had been performed by the Line bisection and the Albert test once a session (day). Results : Regarding the Means of the errors to the Line bisection and the Albert test, the Means of the errors was not decreased during the period of the intervention (B) and was not decreased after the withdrawal (A'). Conclusions : Half-eyes patching was non-effective to r e lease the unilateral neglect. Further study is necessary to increase the sample size and the duration of experiments.

• Therapeutic Science for Rehabilitation
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• v.2 no.1
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• pp.48-56
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• 2013

Purpose : To identify the correlation between CBS and pencil and paper test, and to test the sensitivity of above tests about unilateral neglect. Mostly used tool of pencil and paper test is line bisection and albert test. CBS is behavioral neglect test. Methods : The subjects of study were 44 stroke patients with left hemiplegia. Data were analyzed for Pearson correlation, paired t-test and ANOVA using SPSS program. The significance level was ${\alpha}<.01$. Results : The results of the study was as follow: 1. CBS had a significant correlation of line bisection and Albert test. 2. CBS was more sensitive than the pencil and paper in unilateral neglect. 3. CBS had high correlations with ADL than the pencil and paper test. Conclusion : The result showed that CBS was more useful than a pencil and paper test to distinguish unilateral neglect and available to diagnose anosognosia. Therefore, it should be considered applying CBS to inspect and cure unilateral neglect.

• Annals of Rehabilitation Medicine
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• v.42 no.6
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• pp.788-797
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• 2018

Objective To investigate the effect of upper limb rehabilitation combining robot with low-frequency repetitive transcranial magnetic stimulation (rTMS) on unilateral spatial neglect in stroke patients. Methods Patients who had hemispatial neglect after right hemisphere stroke were randomly divided into rTMS only group, robot only group, and combined group. All groups received conventional neglect therapy and additional treatment for each group. rTMS group received rTMS therapy. Robot group received robot therapy, while combined group received both therapies. The effect of therapy was assessed with Motor-Free Visual Perception Test-3 (MVPT-3), line bisection test, star cancellation test, Catherine Bergego Scale (CBS), Mini-Mental State Examination (MMSE), and the Korean version of Modified Barthel Index (K-MBI). These measurements were evaluated before and after treatment. Results For each group, 10 patients were recruited. There were no significant differences in baseline characteristics or initial values among the three groups. Two weeks after the therapy, all groups showed significant improvement in MVPT-3, line bisection test, star cancellation test, CBS, MMSE, and K-MBI. However, changes in measurements showed no significant differences among groups. Conclusion Treatment effect of the combined therapy of robotic therapy and low-frequency rTMS therapy for hemispatial neglect was not statistically different from that of each single treatment. Results of this study did not prove the superiority of any of the three treatments. Further study with large number of patients is needed to evaluate the superiority of these treatments.

• The Journal of Internal Korean Medicine
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• v.44 no.2
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• pp.87-96
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• 2023

Objective: This study reports the effectiveness of the Korean medicine treatment of patients with intracerebral and intraventricular hemorrhages suffering unilateral neglect symptoms. Case presentation: The patient was treated using Korean medicine, including acupuncture, herbal medicine, moxibustion, and a limb activation exercise. We measured Unilateral Neglect Symptom progress with a numeric rating scale, Albert's test, Line bisection test, Clock drawing test, and Catherine Bergego Scale. After eight days of combined Korean medicine and rehabilitation exercise, the Unilateral Neglect Symptom intensity reduced from NRS 8 to 6. In addition, Albert's test score decreased from 2.5% to 0%. The Line bisection test score decreased from 19 mm to 12 mm, and the Clock drawing test score improved from 8 to 10. Last, the Catherine Bergego Scale decreased from 12 to 9. No adverse events were observed during treatment. Conclusion: This study suggested that a complex treatment including Jaeumkunbi-tang, acupuncture, moxibustion, and limb activation exercise can be effective for an intracerebral hemorrhage with intraventricular hemorrhage patient suffering from Unilateral Neglect Symptoms. Consequently, more research is needed in the future.

• Journal of the Korean Society of Costume
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• v.54 no.2
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• pp.149-165
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• 2004

In this study, the photographic and anthropometric measurements of men in the 20's were made. and pattern making professionals visually evaluated their side photos to classify lateral views. These data were analyzed by being compared with existing research results to select objective standards, and body types were classified according to the selected standard. In addition, body features were defined according to lateral views based on measurement items and indices, and standard lines and determining factors for visual evaluation which determines lateral views were revealed. Back length - front length size smaller than 1.5cm was named as the lean-back type, 1.5∼3.9cm was named as the straight type. and that larger than 3.9cm was named as the bend-forward type. In the straight type, the bisection point of waist depth was located at a similar place to tragion level vertical line. In the lean-back type, the point was at the front of tragion level vertical line. In the bend-forward type, the point was at the back of tragion level vertical line.

• Proceedings of the Korea Information Processing Society Conference
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• 2014.04a
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• pp.226-229
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• 2014

편측무시는 뇌졸중 환자에게서 나타나는 지각 손상중의 하나로 말초 운동 및 감각 신경의 손상과 상관없이 손상된 대뇌반구의 반대편의 공간과 신체의 지각이 감소된 상태로 양방향에서 동시에 주어지는 자극에 대해서 한쪽 자극만을 지각하며 뇌손상 반대편의 신체 움직임의 인식 부족과, 무시된 공간쪽으로의 적은 눈 움직임을 보인다. 이와 같은 편측무시를 측정하는 기존 방법으로는 Albert Test, Line bisection Test, Star Cancellation Test 등이 있다. 하지만, 기존 편측무시 평가 방식에는 여러 가지 단점들이 발생한다. 항상 새로운 평가용지가 필요, 검사시간이 오래 소모되고, 모든 작업을 수작업으로 진행, 종이로 데이터를 관리, 수작업이므로 인력낭비 발생한다. 따라서 본 논문에서는 이러한 아날로그 방식에서 나오는 문제점들을 누구나 사용하고 있는 스마트 디바이스를 이용해 디지털방식으로 전환하여 기존의 비효율적이던 방식을 개선시키고자 평가시스템을 개발하고자 한다.

• Journal of Institute of Control, Robotics and Systems
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• v.20 no.6
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• pp.647-650
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• 2014

Assessment and rehabilitation of patients with unilateral visual neglect has been one of the fields that require assistive technology. Paper-and-pencil tests, including the LBT (Line Bisection Test), have been one of the most commonly used visual neglect assessment methods used in a clinical setting. The key motivation of this study was to establish a computer-based real-time assessment system for the hemi-neglect patients without altering the conventional paper-and-pencil based user tools. A digital penbased assessment and rehabilitation system, the ePen System, could eliminate the manual assessment time while maintaining measurement accuracy. As a result, the proposed system may assist rehabilitation specialists to assess and diagnose patients with unilateral visual neglect. This system can be applied to a range assessment and rehabilitation modalities based on a pen and paper. It can also be applied to various patients such as those with Parkinson's disease, stroke sufferers, or those who have experienced different forms of brain lesions.