• Title/Summary/Keyword: Spatial Therapy

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The Effects of Using Cane on Hemiplegic Gait of Strock Patients (뇌졸증으로 인한 편마비 보행의 시간적 공간적 요소 분석: 지팡이가 보행에 미치는 영향)

  • Lee hyun-ok;Kim byung-jo
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.372-383
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    • 2003
  • The purpose of this study was to assess of cane use on the hemiplegic gait of strock patients in temporal and spatial variables. Subjects were thirteen including 8 men and 5 women. They could walk independently without cane, To compare the effect of walking with and without a cane, temporal and spatial variables was measured using GAITRite. Cane walking demonstrated increased stance time on the affected side, and swing time, step length on the sound side were increased, and base of support was decreased. In conclusion, hemiplegic gait pattern of strock patients were improved with cane than those not using a cane.

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Declines in the Components of Episodic Memory by Normal Aging Focusing on Object, Spatial Location, Temporal Order Memory (정상노화 과정에 따른 일화기억 하위요소의 변화양상에 관한 연구 : 사물, 공간위치, 시간순서 기억을 중심으로)

  • Heo, Seo-Yoon;Park, Jin-Hyuck
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.2
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    • pp.13-22
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    • 2019
  • Objective : The purpose of this technical research is to determine decline of episodic memory by normal aging focucing on object, spatial location, and temporal order memory. Methods : We allocated seventy-seven of healthy adults from twenty to eighty years old, and performed computer-based cognitive tasks which were consisted of the object, spatial location, and temporal order memory. We used OpenSesame(OpenSesame Inc, OR), put ten pictures people normally see in their daily life, and evaluated those aspects through asking the objects types, object spatial locations, and picture temporal orders from 10 sheets of the picture. Results : Object and spatial location memory were not affected by normal aging whereas, temporal order memory significantly decreased with normal aging. Specifically, temporal order memory for in their age of forty was significantly decreased compared with their age of twenty and object memory at their age of eighty was relatively high compared to spatial location and temporal order memory. We found out that temporal order memory worse fastest and object memory lasted longest. Conclusion : In this study, we confirmed characteristics of declines of episodic memory consisting of object, spatial location, and temporal order memory. Notably, we could specifically identify declines of spatial location and temporal order memory with normal aging previous studies investigated on a limited basis using conventional neuropsychological assessments. These findings would be helpful to screen impairment in episodic memory by normal aging and provide an evidence that cognitive intervention for healthy older adults needs to include spatial and temporal aspect of memory.

The Study and Measurement of Three Dimensional Spatial Dose Rate from Radioiodine Therapy (고용량 옥소 치료 시 3차원적 공간선량률 측정 및 연구)

  • Chang, Boseok
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.251-257
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    • 2013
  • Spatial dose rates of high dose $^{131}I$ therapy patients were Measured Three dimensional (X, Y, Z) distributions. I have constructed geometrical an aluminum support structure for spatial dose meters placed in 5 different heights, 8 different azimuthal angles, 6 different time interval and distance 100 cm from High dose$^{131}I$ therapy patients. when the height of vertical plane Spatial dose distribution is 100 cm, the Spatial dose rates is max and the error range is low. the vertical plane Spatial dose rates was found to be 71.85 ${\mu}Sv/h$ on the average at a distance of 100 cm, height 100 cm, from the patients 24 hours after $^{131}I$ oral administration. I divided 12 patients into two groups. I have analysed group A (drinking 5 L water) and group B (drinking 3 L water) in order to measure decrease spatial dose rates. I have found the spatial distributions of patient dose rates is $44.9{\pm}7.2$ ${\mu}Sv/h$ in group A and $100.3{\pm}8.1$ ${\mu}Sv/h$ in group B by 24 after $^{131}I$ oral administration. the reduction factor was found to be approximately 54 % through drinking 5 L water during 24 hours.

The Effect of Type of Communication by Physical Therapists on Patient Satisfaction and Revisit Intention

  • Kim, Eun-Ji;Sim, Gyeong Seop;Kim, Dong-Hoon
    • The Journal of Korean Physical Therapy
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    • v.33 no.5
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    • pp.245-251
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    • 2021
  • Purpose: This study sought to identify the effect of various types of communication by physical therapists on patient satisfaction and revisit intention. Methods: A total of 212 patients who received physical therapy in Seoul and the Gyeonggi province were surveyed on patient satisfaction and revisit intentions depending on the types of communication by physical therapists. Frequency and correlation analyses were conducted to process the data using the SPSS 22.0 program, and the AMOS 18.0 statistical package was used for confirmatory factor analysis. A structural equation modeling analysis was also performed to verify the model and the hypothesis that was set up in the present paper. Results: The survey showed that patient satisfaction correlates positively and significantly with patient-centric communication, physical factors, and spatial behavior. A significant negative correlation was also found between patient satisfaction and therapist-centered communication. Patient satisfaction positively correlated with revisit intentions. Conclusion: These results showed that there was a positive correlation between the communication of the physical therapist and the satisfaction recognized by a patient. This implies that the patient satisfaction with a physical therapist increases as the communication skills of a physical therapist improve. These findings suggest that a physical therapist must adopt patient-centric communication styles, physical factors, and spatial behavior. This study was important as it generated basic data for the formation of a therapeutic relationship through efficient and promotional communication skills. It recognizes the importance of communication between a physical therapist and a patient as the indispensable factor for interaction.

Sex Differences in Episodic Memory and Spatial Cognition in Healthy Younger Adults (젊은 성인의 성별에 따른 일화기억과 공간인지의 차이)

  • Kim, Seonkyeom;Park, Jinyoung;Park, Jin-Hyuck
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.105-114
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    • 2021
  • Objective : The purpose of this study was to identify and compare the sex differences in episodic memory and spatial cognition in healthy young adults. Methods : Forty-eight undergraduates (male=24, female=24) were assessed for sex differences using the visual stimuli episodic memory task and the virtual reality-based spatial cognition task. The accuracy rates (%) for the What, Where, and When conditions of the episodic memory task and the average distance error (cm) for 10 trials of the spatial cognition task were analyzed. Results : There were no significant sex differences between the three conditions. The male participants showed a significantly higher performance on the spatial cognition task than the female participants Conclusion : The results of this study indicated that the sex differences in episodic memory could be altered by the test methods. Although episodic memory and spatial cognition mainly depend on the hippocampus, the sex-related differences between the two functions were inconsistent, suggesting that these two functions are independent.

A Study on Kinetic Gait Analysis of the Normal Adult (정상 성인의 운동역학적 보행분석)

  • Kim, Geon;Yoon, Na-Mi
    • The Journal of Korean Physical Therapy
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    • v.21 no.2
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    • pp.87-95
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    • 2009
  • Purpose: This study reports the basic reference data of the specific gait parameters for Korean normal adults. Methods: The basic gait parameters were extracted from 73 Adults (35 men and 38 women), 18 to 33 years of age, using a Vicon MX motion analysis system. The segment kinetics, such as joint moment and power, was analyzed at the hip, knee and ankle. Results: The motion patterns are typically associated with a specific phase of the gait cycle. The temporal-spatial gait parameters of Korean normal adults, such as cadence, walking speed, stride length, single support and double support, were similar to the other western reference data. The kinetic parameters of Korean normal adults, such as joint moments of force, joint mechanical power generation or absorption and ground reaction forces, were also similar to other western reference datasets. Conclusion: This study demonstrates that objective gait analysis can be used to document the gait patterns of normal healthy adults. The techniques of 3-dimensional temporal-spatial gait parameters and kinematic parameters analysis can provide a detailed biomechanical description of a normal and pathological gait.

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Relations of Cognitive Function and Visuospatial Function in Patient with Stroke (뇌졸중 환자의 인지 기능과 시공간 지각의 관계)

  • Roh, Hyo-Lyun;Na, Nun-Byeol;Kim, Jung-Yoon;Kim, Eun-Jin;Jo, Won-Jae;Kang, Shin-Wook
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.75-82
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    • 2013
  • Purpose : The aim of this study was to identify the relation of cognition and visuospatial perception in stoke patients. Methods : A total of 16 stroke patients recruited from two hospital located in Donghae, Kang-won participated in this study(Right hemiplegia : twelve, Left hemiplegia : four). All participants scored higher than 20 point on the MMSE-K. To assess the cognitive function, we performed the Korean version of Mini Mental State Examination(MMSE-K), spatial perception domain of Lowenstein Occupational Therapy Cognition Assessment(LOTCA), Figure Color Copy(FCC), Linebisection Test(LBT) and Albert's test in stoke patients. Results: The Korean version of Mini Mental State Examination and spatial perception domain of Lowenstein Occupational Therapy Cognition Assessment were the highest points in sixty ages, Figure Color Copy is difference between Right hemiplegia and Left hemiplegia. Linebisection Test(LBT) and Albert's test had much relation, visuospatial perception had not relationship. Conclusion: Aging was cognition function and visuospatial perception had an interrelationship. visuospatial perception according to affected side in brain had an interrelationship but cognition function and visuospatial perception had not any interrelationship.

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Characteristics Change of Spatial and Temporal Parameters of Gait in Spastic Hemiplegic Patients by Reciprocal Inhibition (상호억제 기법에 의한 경직성 편마비 환자 보행의 공간적, 시간적 특성 변화)

  • Kim Jong-Soon;Lee Hyun-Ok;Ahn So-Youn;Koo Bong-Oh;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.59-79
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    • 2004
  • The purpose of this study was to determined the effects of reciprocal inhibition on spatial-temporal gait parameters in spastic hemiplegic patients through GaitRite system. The subjects were consisted 45 patients who had spastic hemiplegia due to stroke. All subjects randomly assigned to 3 group : manual reciprocal inhibition program group(manual group), neuromuscular electrical stimulation group(NMES group) and control group. The manual group received voluntary isometric contraction of pre-tibia muscle. The NMES group received neuromuscular electrical stimulation on tibialis anterior. The control group was not recieved any therapeutic intervention. Before and after experiments, spatial-temporal gait parameters and functional ambulatory profile was measure in all patients. The data of 30 patients who complete experimental course were statistically analysed. The results of this study were as following : 1. The percentage of change of functional ambulatory profile were markedly increased in manual group but statistically non significant(p>.01). 2. The percentage of change of gait velocity and cadence were markedly increased in manual group but statistically non significant(p>.01). 3. Asymmetry ratio of gait elements were more improved in manual group but statistically non significant(p>.01). 4. There were no statistical difference between pre-test and post-test with functional ambulatory profile, gait velocity, cadence and asymmetry ratios in NMES group(p>.01). 5. There were no statistical difference between pre-test and post-test with unctional ambulatory profile, gait velocity, cadence and asymmetry ratios in control group(p>.01). In conclusion, the present results revealed that reciprocal inhibition which produced by voluntary isometric contraction of pre-tibia muscle can be improved spatial-temporal gait parameters including functional ambulatory profile in hemiplegic patients. Therefore, reciprocal inhibition is useful to improve functional activities in hemiplegic patient. Further study should be done to analyze the effects of intervention duration of reciprocal inhibition, appropriate muscle contraction, optimal time to apply the reciprocal inhibition in more long period.

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The Effects of Feedback Respiratory Exercise on Gait Ability in Patients with Stroke (피드백 호흡훈련이 뇌졸중 환자의 보행증진에 미치는 영향)

  • Seo, Kyo-Chul;Jo, Mi-Suk
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.4
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    • pp.559-566
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    • 2013
  • PURPOSE: The present study examines how feedback respiratory exercise affects gait performance of stroke patients. METHODS: Forty stroke patients were randomly divided into an experiment group and a control group. For the former group, patients went through a half-hour of training therapy and a half-hour of feedback respiratory device exercise. For the latter group, patients went through 30 minutes of training therapy and a half-hour of motomed exercise. All participants had five training sessions each week for four weeks. For measurement, a GAITRite system was used to examine spatial parameters, and functional ambulation performance before and after the training. RESULT: In terms of spatial parameters, double support ratio, stance phase increased significantly in the experiment group after the walking exercise(p<.05). FAP rose more significantly in the experiment group than in the control group(p<.05). In comparison of two exercise groups, double support ratio, Stance phase, gait velocity, FAP was significant difference(p<.05). CONCLUSION: The experiment results showed that feedback respiratory exercise is effective in enhancing gait performance.

The Relation between asymmetric weight-supporting and gait symmetry in patients with stroke (뇌졸중 환자의 체중지지 비대칭과 보행 대칭성의 관련성)

  • Lee, Yong-Woo;Shin, Doo-Chul;Lee, Kyoung-Jin;Lee, Seung-Won
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.2
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    • pp.205-212
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    • 2012
  • Purpose : The aim of this study was to investigate the relationship between weight-supporting asymmetry and gait symmetry in patients with stroke. Methods : Sixty two stroke patients with hemiplegia stood quietly with eye opens on a force platform to calculate weight-supporting asymmetry from vertical reaction force. The GAITRite was used to evaluate their gait parameters. The data were analyzed using Pearson correlation. Results : The results of this study was showed that the medio-lateral index (ML) was correlated with symmetry rate (SR), symmetry index (SI), and Gait asymmetry (GA) of step time and length but stronger correlation with spatial gait symmetry than temporal symmetry. In gait symmetry, step length has stronger correlation with weight-supporting asymmetry than step time. Conclusions : The results of this study shows weight-supporting asymmetry was correlated with more spatial gait symmetry than temporal symmetry.