• Title/Summary/Keyword: Sensory Rehabilitation

Search Result 303, Processing Time 0.023 seconds

Changes in the Sensory Function after Transcranial Direct Stimulation on Dorsolateral Prefrontal Cortex Area (배외측전전두엽피질 영역에 경두개직류전류자극이 감각기능에 미치는 영향)

  • Min, Dong-Ki
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.1
    • /
    • pp.445-452
    • /
    • 2015
  • Transcranial direct current stimulation (tDCS) is a neuromodulatory technique that delivers a low-intensity direct current to the cortical areas, thereby facilitating or inhibiting spontaneous neuronal activity. This study was designed to examine the changes in various sensory functions after tDCS. A single-center, single-blinded, randomized trial was conducted to determine the effect of a single session (August 4 to August 29) of tDCS with the current perception threshold (CPT) in 50 healthy volunteers. Nerve conduction studies (NCS) were performed in relation to the median sensory and motor nerves on the dominant hand to discriminate peripheral nerve lesions. The subjects received anodal tDCS with 1mA for 15 minutes under two different conditions, with 25 subjects in each group. The conditions were as follows: tDCS on the dorsolateral prefrontal cortex (DLPFC) and sham tDCS on DLPFC. The parameters of the CPT was recorded with a Neurometer$^{(R)}$ at frequencies of 2000, 250 and 5 Hz in the dominant index finger to assess the tactile sense, fast pain and slow pain, respectively. In the test to measure the CPT values of the DLPFC in the anodal tDCS group, the values increased significantly in all of 250 and 5 Hz. All CPT values decreased for the sham tDCS. These results showed that DLPFC anodal tDCS can modulate the sensory perception and pain thresholds in healthy adult volunteers. This study suggests that tDCS may be a useful strategy for treating central neurogenic pain in rehabilitation medicine.

The Effects of Simultaneous Application of Peripheral Nerve Sensory Stimulation and Task-Oriented Training to Improve Upper Extremity Motor Function After Stroke: Single Blinded Randomized Controlled Trial (뇌졸중 환자의 상지기능 개선을 위한 말초감각신경자극과 과제 지향적 훈련의 동시 적용 효과: 단일 맹검 무작위대조군실험)

  • Kim, Sun-Ho;Won, Kyung-A;Jung, Eun-Hwa
    • Therapeutic Science for Rehabilitation
    • /
    • v.9 no.4
    • /
    • pp.7-20
    • /
    • 2020
  • Objective : This study aimed to investigate the effect of simultaneous application of peripheral nerve sensory stimulation and task-oriented training on the improvement of upper extremity motor function after stroke. Methods : This study included 29 patients with hemiplegia. The 14 subjects were in the peripheral nerve sensory stimulation and task-oriented training group for 4 weeks (30 min/d, 5 d/wk), while the 15 control group subjects underwent only task-oriented training for the same duration. The outcome measures were the percentage of voluntary baseline muscle contractions of the wrist and shoulder and Box and Block Test, grip and pinch strength, and Action Research Arm Test. Results : After 4 weeks, muscle activity of extensor carpi radialis, flexor carpi radialis and grip strength and Action Research Arm Test were significantly higher in the experimental group. Conclusion : Simultaneous application of the peripheral nerve sensory stimulation and task-oriented training was found to be superior to task-oriented training for improving upper extremity motor function of adults with stroke.

The Effects of the Sensory Integration Intervention Focused on Combined Both Individual Therapy and Group Therapy for Sensory Integration Ability and Occupational Performance Abilities in Children With Somatodyspraxia: Case Study (체성실행장애 아동을 위한 개별치료와 그룹치료를 병행한 감각통합치료가 감각통합능력 및 작업수행능력에 미치는 효과: 개별 실험 연구)

  • Cho, Hye-Jin;Bong, Young-Soon;Lee, Ji-Young
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.11 no.2
    • /
    • pp.13-26
    • /
    • 2013
  • Objective : The purpose of the study was to investigate The effects of the sensory integration intervention focused on combined both individual therapy and group therapy for sensory integration ability and occupational performance abilities in children with somatodyspraxia. Methods : Once in a total of 12 weeks, baseline period of four sessions and twenty-four session intervention period, research process had combined individual therapy and group therapy for sensory integration therapy. The Design is ABA design of single-subject research design. For a comparison of each-side of the operation performance change in therapy for children, through the assessment Baseline at four sessions and reassessment at two sessions after intervention, the Occupational performance ability change was measured. During intervention period, Process changed the Sensory Integration ability was measured through the Goal Attainment Scale (GAS). Results : The Sensory Integration Ability combined Individual therapy and Group therapy have effect about improvement of the Sensory Integration ability and the Occupational performance ability for children with Somatodyspraxia. Conclusion : Henceforth, subject will undergo systematized experimental design, and when dependent variable such as Sensory Integration ability and the Occupational performance was measured, effect-measuring study needs through using reliable tools.

  • PDF

A Study on Rehabilitation Nursing Diagnoses used for the Clients with Stroke and Spinal Cord Injury in Korea (뇌졸중과 척수손상환자에게 적용되는 간호진단에 관한 연구)

  • Suh, Moon-Ja;Lim, Nan-Young;Kang, Hyun-Sook;Kim, Keum-Soon;Yang, Kwang-Hee;Cho, Bok-Hee;Lee, Myung-Hwa;Oh, Hae-Kyung
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.2 no.1
    • /
    • pp.22-28
    • /
    • 1999
  • The development of standards and guidelines of rehabilitation nursing has been the major concerns for providing better nursing to the rehabilitation clients. As the patients with stroke and spinal cord injuries are the most prevalent physical disabilities in Korea, this study focussed on the nursing diagnoses of these two groups of patients. In order to identify the nursing diagnoses frequently used In their practice for the patients with stroke and spinal cord injuries, a survey was done with the questionnaire form developed by the research team. The surveyee were the staff nurses working at rehabilitation wards more than 2 years from 8 general hospitals in Korea, They identified and set the priorities of 13 nursing diagnoses from 79 stroke patients and 10 nursing diagnoses from 35 patients with spinal cord injuries during the periods from March 1 to June 2, 1999. The identified nursing diagnoses for the stroke patients are impaired physical immobility, sensory-perceptual alteration, activity intolerance, self-care deficit, altered defecation, altered urination, risk for injury, unilateral neglect, impaired skin integrity, altered thought processes, pain, altered health maintenance, dysreflexia. The identified nursing diagnoses for spinal cord injuries are altered urination, altered defecation, impaired skin integrity, pain, risk for injury, reflex incontinence, impaired physical immobility, self-care deficit, activity intolerance, knowledge deficit.

  • PDF

Diagnostic Usefulness of Digital Infrared Thermal Image in Carpal Tunnel Syndrome (수근관 증후군에서 적외선 체열 검사의 진단적 유용성)

  • Park, Jihyun;Lee, Jang Woo;Lee, Sang Eok;Kim, Byung Hee;Park, Dougho
    • Clinical Pain
    • /
    • v.18 no.2
    • /
    • pp.70-75
    • /
    • 2019
  • Objective: The purpose of this study is to evaluate the usefulness of infrared thermography in patients with carpal tunnel syndrome by comparing with electrodiagnostic and ultrasonographic findings. Method: From January 2014 to October 2017, electrodiagnosis, ultrasound, and digital infrared thermal image (DITI) of unilateral carpal tunnel syndrome diagnosed in a single hospital were retrospectively analyzed. The subjects with bilateral symptoms of carpal tunnel syndrome, peripheral vascular disease, diabetes, thyroid disease, fibromyalgia, rheumatic disease, systemic infection, inflammation, malignant tumor, and other musculoskeletal disorders such as finger osteoarthritis, peripheral neuropathy, cervical radiculopathy, and the previous history of surgery were excluded. Results: Of 53 patients diagnosed with carpal tunnel syndrome, 11 were male and 42 were female. The visual analogue scale was 4.9 ± 1.9, and the duration of symptom was 11.8 ± 12.5 months. There was no statistically significant difference in the body surface temperature between the unaffected and affected sides. The severity of symptoms, electrodiagnostic findings, and cross-sectional area of the median nerve significantly correlates to each other. The temperature difference between the second fingers of the affected and unaffected sides showed a weak correlation with the amplitude of sensory nerve action potential and onset latency of compound muscle action potential, when there was no significant correlation with the other parameters. Conclusion: The difference in temperature on the surface of the body, which can be confirmed by DITI, is little diagnostic value when DITI is performed in unilateral carpal tunnel syndrome patients, especially when compared with ultrasonography.

The Effect of Sensory Integrative Intervention on Postural Control and Occupational Performance (Play) of the Preschool Child With Postural Disorder: Case Study Using Goal Attainment Scale (GAS) (감각통합 중재가 취학 전 자세조절장애 아동의 자세조절과 작업수행(놀이)에 미치는 영향: 목표성취척도(Goal Attainment Scale)를 사용한 사례보고)

  • Ryu, Sung-Un;Kim, In-Sun;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.11 no.2
    • /
    • pp.1-11
    • /
    • 2013
  • Objective : The purpose of this study is to verify the effect of sensory integrative intervention on postural control and occupational performance (play) of the preschool child with postural disorder. Methods : Subject of this study was a 5 years and 8 month old boy. The subject underwent a sensory integration (SI) treatment which was part of the SI clinic course administered by the Korean Sensory Integration Society, in 2012. The treatment goal and treatment plan had established based on the evaluation results. Treatment was done with 11 sessions, the treatment activities and the adaptive responses of the subject were measured as outcome of the SI treatment. The goal of sessions were measured as Goal Attainment Scale, and re-evaluation was done on December in 2012. Results : During SI treatment, the subject was improved the stability of proximal body parts so that maintained Supine-Flexion Posture more than 20 seconds. He also showed increased attention span continuously about 1 activity on physical play. Conclusion : According to the results of this study, it was verified that sensory integrative intervention has positive effective on postural control and occupational performance (play) of the preschooler with postural disorder.

  • PDF

A Study on the Development of Sensory Integration Intervention Competency Model for Occupational Therapist (감각통합중재를 위한 작업치료사 역량모델 개발 연구)

  • Namkung, Young;Kim, Kyeong-Mi;Kim, Misun;Lee, Jiyoung
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.15 no.2
    • /
    • pp.22-34
    • /
    • 2017
  • Objective : The purpose of this study was to draw up sensory integration intervention competency model for occupational therapist and was to confirm a competency model through validation. Methods : We conducted literature review, expert opening survey, and expert focus meeting to draw up draft competency model. And then, we carried out Delphi survey twice and consulted an expert to confirm the sensory integration intervention competency model for occupational therapist. Results : The sensory integration intervention competency model for occupational therapist developed in this study was structured into 4 competency cluster, 15 competency, 60 competency indicators. 4 competency clusters had expertise, professionalism, interpersonal skills, and personal characteristics. Conclusion : The competency model revealed in this study can be used as basic critical data to foster development of competency based curriculum of Korean Academy of Sensory Integration (KASI).

Balance Performance of 4-7 Year Olds (4세에서 7세까지 아동의 균형 수행력 비고)

  • Bae Sung-Soo;Lee han-suk
    • The Journal of Korean Physical Therapy
    • /
    • v.11 no.2
    • /
    • pp.21-28
    • /
    • 1999
  • The purpose of this study were to describe the performance 67 kindergartener who aged from 4 to 7 years on the Pediatric Clinical Test of Sensory Interaction for Balance(P-CTSIB) and to determine difference with foot position and age. All Subjects were performance with different foot position that were feet-together, heel-toes. the starting position was that subject placed their hands on the hips, The results of this study were as follows 1. There were significiant difference in all instances by age whoa subjects were foot together(p<0.05). 2. There were singificiant difference in all instances by age excepts condition V awhen subjects were heel toes(p<0.05). 3. Duration of balance performance, of 4-year-olds were shortest and duration of balance performance of 7-year-olds were longest.

  • PDF

A case of motor and sensory disorder in conversion disorder (전환장애중(轉換障碍中) 운동감각장애우(運動感覺障碍) 환자(患者) 1례(例)의 임상적(臨床的) 고찰(考察))

  • Lee, Seung-Hee;Lee, Seung-Jin;Hwang, Seon-Mi;Chung, Dae-Kyoo;Kim, Bo-Young
    • Journal of Oriental Neuropsychiatry
    • /
    • v.13 no.2
    • /
    • pp.225-232
    • /
    • 2002
  • Conversion disorder has difficulties of clinic discriminationis. If it is possible at the early stage, rehabilitation time and cost will be reduced. This case is that of motor and sensory disorder. The clinic progress has well showed the characters of conversion disorder. This study will be helpful for the understanding of the conversion disorder.

  • PDF

A Case of Posterior Antebrachial Cutaneous Neuropathy After Injection Therapy (주사 치료 후 발생한 후부 전박 피부 신경병증 1예)

  • Bae, Jong Seok;Jang, Min Uk;Kim, Min Ky;Yoon, Gyong Jae;Kim, Byoung Joon
    • Annals of Clinical Neurophysiology
    • /
    • v.7 no.2
    • /
    • pp.130-132
    • /
    • 2005
  • Isolated posterior antebrachial cutaneous (PABC) neuropathy is rare. A 62 year-old man presented with hypesthesia over the skin region of PABC nerve territory after an injection at the proximal to the lateral epicondyle. Antidromic sensory nerve conduction studies of PABC nerve was not evoked on the affected side. Our case showed that sensory nerve conduction of PABC nerve can be performed without much difficulty and that this test is useful in confirming PABC neuropathy.

  • PDF