• 제목/요약/키워드: Multimodal intervention

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Future Challenges and Perspectives of Digital Dance Interventions for Depression in Older Adults

  • Zhiting Zhang;Qingfeng Zhang
    • International Journal of Advanced Culture Technology
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    • 제12권2호
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    • pp.72-89
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    • 2024
  • Depression is a common disorder among the elderly, significantly affecting their quality of life. Traditional dance interventions, although beneficial, have limitations in convenience, personalization, and retention. With the advent of digital technology, digital dance interventions have emerged as a potential solution to these limitations. This paper involves an extensive review of literature on digital dance interventions. Research databases were searched for studies that focus on the use of digital dance in treating depression among older adults. The review also includes analyses of the advancements in digital dance technology, its application in therapeutic settings, and the evaluation of its efficacy. The paper identifies three main challenges in the current digital dance intervention research: real-time dynamic assessment, multimodal dance generation, and improving compliance. Despite these challenges, digital dance interventions show promise in addressing the limitations of traditional dance therapy. The research suggests that the integration of human-computer interaction and personalized approaches in digital dance interventions could significantly improve outcomes in elderly patients with depression. Digital dance interventions represent a novel and promising approach to treating depression in older adults. Future research should focus on overcoming the identified challenges and enhancing the effectiveness of these interventions.

직무스트레스관리중재 효과에 대한 메타분석 (A Meta-Analysis of Effects of Job Stress Management Interventions (SMIs))

  • 김정희
    • 대한간호학회지
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    • 제37권4호
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    • pp.529-539
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    • 2007
  • Purpose: This quantitative meta analysis sought to determine the effectiveness of SMIs. Method: Forty-six experimental studies with a randomized or nonequivalent control group pre-post test design were included in the analysis. The selected studies were classified according to the sample characteristics, the types and methods of the interventions, and the types of outcome variables. Six intervention types were distinguished: cognitive-behavioral intervention(CBT), relaxation techniques(RT), exercise(EX), multimodal programs 1 and 2(MT1, 2), and organization-focused interventions(OTs). Effect sizes were calculated for the 4 outcome categories across intervention types: psycho-social outcome, behavioral-personal resources, physiologic, and organizational outcome. Results : Individual worker-focused interventions(ITs) were more effective than OTs. A small but significant overall effect was found A moderate effect was found for RT, and small effects were found for other ITs, The effect size for OTs was the smallest. The interventions involving CBT and RT appeared to be the preferred means of reducing worker's psycho-social and organizational outcomes. With regard to physiologic outcomes, RT appeared to be most effective. CBT appeared to be most effective in reducing psycho-social outcomes. The effects of OT were non-significant, except for the psycho-social outcomes. Conclusions: SMIs are effective. Interventions involving RT and CBT are more effective than other types.

감각 되먹임 종류가 건강한 성인 남성의 올바른 앉은 자세 학습에 미치는 영향 (Effect of Sensory Feedback Type on Correct Sitting Posture Learning on Healthy Adults)

  • 신호진;김성현;조휘영
    • 대한물리의학회지
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    • 제16권4호
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    • pp.125-137
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    • 2021
  • PURPOSE: The growing number of people exposed to a static sitting posture has resulted in an increase in people with a poor posture out of the optimally aligned posture because of the low awareness of a correct sitting posture. Learning the correct sitting posture by applying sensory feedback is essential because a poor posture has negative consequences for the spine. Therefore, this study examined the effects of the sensory feedback types on learning correct sitting posture. METHODS: Thirty-six healthy adult males were assigned to a visual feedback group, a tactile feedback group, and a visuotactile feedback group to learn the correct sitting posture by applying sensory feedback. The spine angle, muscle activity, and muscle thickness were measured in the sitting position using retro-reflexive markers, electromyography, and ultrasound immediately after, five minutes, and 10 minutes after intervention. RESULTS: The intervention time was significantly shorter in the visuotactile feedback group than the visual feedback group (p < .05). Compared to the pre-intervention, the repositioning error angles of the thoracic and lumbar vertebrae of all groups were reduced significantly immediately after intervention and after five minutes. After 10 minutes, there was a significant difference in the thoracic and lumbar repositioning error angles of the tactile feedback group and the visuotactile feedback group (p < .05). No significant difference was noted at any time compared to the pre-intervention in all groups (p > .05). CONCLUSION: The use of tactile and visuotactile feedback in intervention to correct the sitting posture is proposed.

Relationship between Postural Balance Training and Fall Risks for Elderly: a Systematic Review of Randomized Controlled Trials

  • Kim, Heesuk;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • 제10권2호
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    • pp.185-196
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    • 2021
  • Objective: Falling is one of main accident to facilitate the physical injuries in order adults. The purpose of the systematic review was to determine the effects of postural balance training whether the recovery of falls in elderly with normal physical function or not throughout summing the selected studies quantitatively. Design: A systematic review Methods: MEDLINE and other four databases were searched up to April 20, 2021 and randomized controlled trials (RCTs) evaluating postural balance approaches on fall risks in elderly. The researched studies excluded the double studies, titles and abstract, and finally full-reported study. The selected RCTs studies were extracted characteristics of the studies and summary of results based on PICOS-SD (population, intervention, comparison, outcomes, and setting- study design) model to synthesize the papers qualitatively. Results: The review involved 22 RCT reports with 4,847 community older adults aged 65 years or over. Nineteen of the selected RCT studies reported dual or multimodal exercises show the beneficial effect for older adults compared to one-type treatment or no intervention. All of selected showed low risk in the selection, attrition, and reporting bias. However, detection bias showed low risk at 75% records of the involved RCTs and performance bias was low risk at only three records. Conclusions: The results of the systematic review propose that a standardized therapeutic approach and the intensity are needed for improving risk of falls in older adults.

스트레스 완화 목적의 아로마 요법에 관한 문헌고찰 (A Literature Review of Aromatherapy Used in Stress Relief)

  • 김현진;정수현;정혜인;김경한
    • 대한예방한의학회지
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    • 제25권2호
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    • pp.45-60
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    • 2021
  • Objective : This study was aimed to review randomized controlled trials (RCTs) about whether aromatherapy relieves stress. Method : We searched document about criteria to use words like 'Aroma', 'Oil' and 'Stress'. The study included 24 RCTs which were selected by total 167 studies searched in Korean Journal by searching OASIS, ScienceON, KISS, RISS. Cases that cannot be performed alone are excluded. Results : We got 24 domestic standard documents. Of the 24 studies, 14 were for students, and 6 were for patients receiving hospital treatment. Among the 7 treatments, dry-inhalation was used 13 times, and necklace-inhalation was used 9 times. Of the 24 Studies, lavender oil was used 19 times and sweet orange was used 4 times. Among the 28 types of measuring instruments used, 10 related to the autonomic nervous system and 8 STAIs and VASs were used respectively. Conclusion : It was possible to conclude that aromatherapy was effective in relieving stress. Through further research, it is necessary to study effective oil mixing methods, methods for measuring subjective stress, multimodal intervention, and effective intervention periods.

미숙아에 대한 감각자극 효과에 관한 메타분석 (Meta-analysis on the Effects of Sensory Stimulation of Preterm Infants)

  • 김은주
    • Child Health Nursing Research
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    • 제9권2호
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    • pp.131-139
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    • 2003
  • Purpose: This study was meta-analysis study that it was to analyze the effect of sensory stimulation on preterm infants. Method: The sample of this study is 18 researches of selected by criteria. The conclusion of study was that sensory stimulation of preterm infants is effective. Result: Most large effect size was Katz(1991)'s study(d=1.96), small effect size was Caine(1991), s(d=0.37). Especially multimodal sensory stimulation(d=1.2) was more effective than unimodal sensory stimulation(0.53). Also behavioral variable of preterm infans was most sensitivity indicator. Conclusion: According to the result, the study on sensory stimulation should be research according to the gestational age and birth weight of preterm infants. In addition, the feasible sensory intervention should be develop.

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가상현실에서 연속적 느린 운동이 노인의 낙상 요인에 미치는 영향 (The Effects of Virtual Reality-based Continuous Slow Exercise on Factors for Falls in the Elderly)

  • 김정진;구슬;이진주;김유신;윤범철
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.90-97
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    • 2012
  • Purpose: The purpose of this study was to assess the effects of virtual reality-based continuous slow exercise on muscle strength and dynamic balance capacity, in older adults over 65 years of age. Methods: Twenty-six volunteers were randomly divided into two groups; a Virtual Reality (VR) exercise-group ($67.8{\pm}4.1$ yrs) and a Control group ($65.5{\pm}5.2$ yrs). The VR group participated in eight weeks of virtual reality exercise, utilizing modified Tai-Chi provided by a motion capture system, and the Control group had no intervention. The hip muscle strength and dynamic balance of the members of both the VR group and the Control group were measured at pre- and post-intervention, using a multimodal dynamometer, and backward stepping test, respectively. Results: 1. After the 8-week VR-based exercise, the VR group showed significant improvement of hip strength, compared to the control group: hip extension (p=0.00), flexion (p=0.00), abduction (p=0.00), and adduction (p=0.00). 2. After the 8-week VR-based exercise, the VR group showed significant improvement of dynamic balance capacity as ground reaction force, compared to the control group. Eyes opened backward stepping test: Fx (+) (p=0.00), Fy (-) (p=0.02), Ver (+) (p=0.02) direction. Eyes closed backward stepping test: Fx (+) (p=0.04), Fy (-) (p=0.04), Ver (+) (p=0.03) direction. Conclusion: The VR group showed improvement of their hip muscle strength, and dynamic balance capacity. Therefore VR-based continuous slow exercise would contribute to reducing the risk of falls in the elderly.

발목 감각-운동과 엉덩 관절 근력 강화 통합 훈련 프로그램이 기능적 발목 불안정성 대상자의 정적균형과 동적 균형 및 근력에 미치는 영향 (Effects of Ankle Sensorimotor Training Program Combined with Hip Strengthening Exercise on Muscle Strength, Static Balance, and Dynamic Balance in Individual with Functional Ankle Instability)

  • 황종석;박순지;유경태
    • 대한물리의학회지
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    • 제17권2호
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    • pp.83-93
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    • 2022
  • PURPOSE: This study examined the comparative effects of an ankle sensorimotor training program combined with hip strengthening exercise (ASTPCHSE) and ankle sensorimotor training program (ASTP) alone on muscle strength, static balance, and dynamic balance in individuals with functional ankle instability. METHODS: Sixteen research participants with functional ankle instability were enrolled in this study. The participants were divided randomly into the ankle sensory motor training program group and the ankle sensory motor training program combined with the hip strengthening exercise group. Each group performed a series of exercise programs two times per week for four weeks. The Cumberland ankle instability tool (CAIT) was used to measure the participants' functional ankle instability. A Balance trainer 4 was applied to assess the static and dynamic balance, and a Primus RS multimodal dynamometer was used to evaluate the muscle strength. RESULTS: No significant differences in static balance, dynamic balance, and muscle strength were found between the ASTP and ASTPCHSE groups (p > .05). On the other hand, the dynamic balance and muscle strength improved in the ASTP and ASTPCHSE groups after the intervention (p < .05). The static balance was not enhanced in both groups after the intervention (p > .05). CONCLUSION: Ankle exercise and an ankle sensorimotor training program combined with hip strengthening exercise are effective in improving muscle strength and dynamic balance in individuals with ankle instability. On the other hand, there are no meaningful differences between ankle exercise and ankle and hip combined exercise.

웰리스 프로그램이 여성 조현병 입원환자의 비만지식과 체중감소에 미치는 효과 (The Effect of a Wellness Program on Knowledge of Obesity and Weight Loss in Women Schizophrenia Inpatients)

  • 정명실
    • 한국간호교육학회지
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    • 제19권1호
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    • pp.60-68
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    • 2013
  • Purpose: This research was conducted to compare the effect of a wellness program on knowledge of obesity and weight loss in women schizophrenia inpatients. Methods: A nonequivalent control group pretest-posttest design was used for this study. A total of 44 patients with schizophrenia were randomly divided into an experimental group (22) and a control group (22) in a 12-week multimodal weight control program. For 6 weeks, the experimental group received approximately an hour of teaching on obesity interventions and for another 6 weeks one hour of teaching on exercise and weight control interventions while the control group received the usual care. The outcome variables were measured before and after the program. Data was analyzed with the ${\chi}^2$-test and t-test using PASW Statistics 18. Results: For those who completed the weight control program, there was a mean weight loss of 1.37kg by the end of the intervention. The experimental group showed significant improvement in knowledge of obesity and weight loss. Conclusion: The wellness program was effective in reducing the weight of women schizophrenia patients as well as being effective in increasing knowledge of obesity. Therefore, nurses must consistently educate women schizophrenia inpatients about health care and knowledge of obesity.

$SCANORA^{(R)}$를 이용한 Mesiodens의 진단 (DIAGNOSIS OF MESIODENS BY $SCANORA^{(R)}$)

  • 전형준;김종수;권순원
    • 대한소아치과학회지
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    • 제27권4호
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    • pp.490-493
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    • 2000
  • 정중과잉치는 과잉치중 가장 흔한 양상이며, 여러 가지 합병증이 생길 수가 있다. 이러한 합병증이 있음에도 불구하고 항상 발견 즉시 외과적 발거를 하는 것이 최선의 방법은 아니다. 여러 가지 상황을 고려하여 외과적 발거를 연기해야할 경우가 있으며 이때 정확한 진단이 필수적이다. 진단은 주로 방사선학적 검사에 의존하게 되며 정중과잉치의 수, 위치, 방향의 판단에 중요하다. 그간 정중과잉치의 진단에 이용되었던 방사선 사진은 각각의 장단점이 있다. $SCANORA^{(R)}$(Soredex, Finland)는 narrow beam radiology와 spiral tomograph의 원리를 이용한 다기능 두부촬영장치이다. 정중과잉치의 정확한 위치를 결정하기 위해 tube shift technique을 이용한 방법이 주로 사용되고 있으나 $SCANORA^{(R)}$를 이용해 비교적 간단하고 정확히 진단할 수 있었기에 보고하는 바이다.

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