• Journal of Korean Physical Therapy Science
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• v.18 no.1
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• pp.33-49
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• 2011

The process of physical therapy uses a problem-solving approach to enhance a patients's functioning status. The International Classification of Functioning, Disability and Health(ICF) is the common concept for the functioning in the world. Physical therapists require the ability to identify problems, formulate hypothesis, and plan intervention strategies through clinical reasoning. In the clinical process, physical therapists need to use standard and common languages in speech and in documentation. The purpose of this study was to suggest the process of making strategy for efficient intervention, examining and evaluating the functional problem of the person with stroke using ICF tools. For the first step in this process model, therapists could list the information relating to functional problems used by the ICF Core set and then could identify the interaction among the problems using the ICF assessment sheet. For the next step, therapist is needed to make the hypothesis and hypothesis testing, and then set a primary functional goals and therapeutic goals in detail after prioritizing the problems to be managed based on the problem list. Finally, after setting the identified problems as the purpose of intervention through the hypothesis testing, therapist could do some intervention after making a plan to solve these problems, and find out the outcomes using the ICF evaluation display. This report illustrates how to apply the process based on ICF concept into physical therapy practice. Making a decision for the most efficient intervention requires that therapists use the clinical reasoning process based on ICF concept.

• Journal of Oriental Neuropsychiatry
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• v.31 no.4
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• pp.279-288
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• 2020

Objectives: Many fields have changed since covid-19, psychotherapy being no exception. With the pandemic associated increase in untact treatment, interest in virtual reality exposure therapy has also increased. The aim of study was to analyze recent literature using virtual reality therapy for the treatment of anxiety disorders. Methods: We searched five databases from dates between October 1 to November 1, 2020. We selected articles related to the treatment of anxiety disorders using virtual reality therapy and analyzed the trend of that, not thesis but domestic articles. Results: There were 6 RCT studies and 3 were case reports where, based on the DSM-4, the participants presented with anxiety disorders including 2 with presentation anxiety, 1 heterosexual anxiety, 1 test anxiety, 1 social anxiety, 1 dental anxiety, 2 Acrophobia, and 1 social phobia. Treatment sessions varied from 1 session to 18 sessions, but 5 studies conducted 4 sessions, and all studies attempted virtual reality exposure for 30-minute time periods. 8 studies used HMD as the VR device and 1 study did not report a device. Conclusions: Anxiety disorders treated using virtual reality included speech anxiety and acrophobia. Median treatment session number was 4 and sessions were less than 30 minutes. The most common VR device used was an HMD. VR psychotherapy showed limitations relating to patient experience including cyber sickness and a lack of immersion. In addition, most of the studies were conducted with patients who visited hospitals utilizing Western medical practices. Currently, virtual reality therapy (VRT) intervention in oriental medicine is lacking. The lack of research in this area suggests analyzing data from VR psychotherapy in oriental medicine could provide novel and useful information.

• The Journal of Korean Academy of Sensory Integration
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• v.1 no.1
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• pp.61-72
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• 2003

The suck/swallow/breathe(SSB) synchrony, serving as the earlist primary motor mechanism, is the rhythmical, coordinated pattern of sucking, swallowing and breathing. The development of an intact SSB is an important precursor for further sensorimotor and cognitive development including speech and language development, state regulation, postural control, feeding, eye/hand coordination and social/emotional development. Arousal means a neurological mechanism for preparing one's body to orienting stimulus. Its levels are regulated with an interaction of the reticular formation, the limbic system, the hypothalamus and the autonomic nervous system. General strategies such as blowing, sucking, chewing, munching and licking to effectively modulate arousal state are related to SSB. The SSB synchrony is an important treatment principle for children with sensory integration disorder and problems with the modulation of arousal. The purpose of this article is to review concepts of SSB synchrony and the underlying relation between the modulation of arousal and SSB synchrony.

• The Journal of the Korea Contents Association
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• v.8 no.1
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• pp.16-26
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• 2008

Despite intensive therapy, a large proportion of stroke survivors are left with significant disabilities. To improve the disable condition, a major component of stroke management is aimed at facilitating functional independence and community reintegration. There are many evidences that community-based rehabilitation after stroke is most effective when provided by a well-organized multidisciplinary team. Key to the implementation of community-based rehabilitation(CBR) is that the disabled person, their family and their community decide on what the priorities of the service should be. The stroke patients in the community need a wide range of services, including the traditional rehabilitation services of physiotherapy, occupational therapy, speech therapy, social workers, orthotists, nurses and so on. The purpose of this research was to investigate necessity and methods of community-based rehabilitation system in Korea.

• Journal of Korean Academy of Nursing
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• v.34 no.1
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• pp.111-122
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• 2004

Purpose: This study was conducted to identify health problems and support received from the health and welfare service using MDS-HC(Minimun Data Set for Home Care) in the aged living at home. Method: Eighty-one elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003. Result: Eleven health problems per elderly person on average were identified, and the frequent care needs were in order: preventive health measure, health promotion, visual function, depression & anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition and falls. The number of health problems by the level of ADL was ‘ADL 1(Independence)’ 9.87, ‘ADL 2(Partial independence)’ 12.78, ‘ADL 3(Dependence)’ 13.73. Utilization of formal health & welfare services among the elderly was ‘meals on wheels’ 40.7%, ‘home helper’ 38.2%, ‘visiting of social welfare worker’ 21.0%, ‘physical therapy’ 19.6%, ‘day care center’ 12.3%, ‘volunteer's service’ 9.9%, ‘home visiting care’ 3.7%, ‘occupational therapy’ 3.7%, and ‘speech therapy’ 2.5%. Conclusion: The results suggest that using the MDS-HC 2.0 is applicable to help decide criteria for both health and welfare service supplied to the elderly.

• The Journal of Korean Society for Neurotherapy
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• v.22 no.3
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• pp.37-42
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• 2018

Purpose. The purpose of this study was to determine the relationship between sleep quality and cognitive function, depression, and institutionalized elderly activity. The goal is to improve the quality of life through early intervention in the sleeping problems of the elderly hospitalized in the nursing home. Method Twentythree patients who were diagnosed with CDR (clinical dementia grade) 0.5 ~ 2 stages by a psychiatrist from September 3 to 30, 2017 were measured for sleep status, depression, cognitive function and activities of daily living at the same time once a day. The collected data were analyzed using SPSS (v.21, IBM, USA) program. Results The correlation between sleep status and cognitive function, depression, and activities of daily living was not statistically significant, and there was a moderate correlation between cognitive function and depression. Conclusion The results of this study suggest that the development and application of a program that activates the cognitive function that is institutionalized with a positive correlation between cognitive function and depression will be effective in decreasing depression in the elderly patients hospitalized in the nursing home.

• The Journal of the Society of Stroke on Korean Medicine
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• v.16 no.1
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• pp.57-66
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• 2015

This report is about two cases of aphasia without hemiparesis after stroke. Most of aphasia after stroke accompanies hemiparesis. However, aphasia without hemiparesis after stroke occurs rarely and only a few cases have been reported. We used Korean herbal medication, acupuncture, language therapy. To evaluate speech ability we used K-WAB(Korean version of Western Aphasia Battery) and word span test. After treatment, patients' word span abilities and language abilities including reading, writing, speaking were improved. This report suggests that Korean medicine and language therapy could have a therapeutic effect for aphasia without hemiparesis after stroke.

• The Journal of Internal Korean Medicine
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• v.42 no.3
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• pp.323-339
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• 2021

Objectives: This study investigates the effect of electro-acupuncture on aphasia after stroke. Methods: A search of OASIS, NDSL, PubMed, Cochrane, and CNKI was executed between 4 January 2021 and 4 February 2021, with no limitation on publication year. Extraction and selection from the studies were made by 3 authors. The quality of the studies was evaluated using Cochrane's risk of bias (RoB) tool. Results: 10 studies met the selection criteria. As the treatment site for electro-acupuncture, GV20 (Baihui) was used the most. In all studies, the region located on the head was used for treatment without distinguishing between acupoints and areas of scalp acupuncture, and the stimulation was organized into 3 conditions: speed, intensity, and time. The outcome indicators used before and after treatment focused on the evaluation of language function and the degree of aphasia. The results showed that using electro-acupuncture with speech rehabilitation therapy for aphasia after stroke was more effective than using speech rehabilitation therapy alone. Conclusions: In this review, electro-acupuncture for aphasia after stroke was found to have a significant effect compared to the previous treatment alone. However, because of limitations, information was not reliable enough. Additional research is needed to produce more objective evidence.

• Journal of the Korea Convergence Society
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• v.11 no.12
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• pp.383-390
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• 2020

The present study was conducted to examine the differences and correlations between verbal fluency and story comprehension according to the working memory(WM) capacity, and to find out what WM factors influence the linguistic competence in Alzheimer's disease(AD) and vascular dementia(VaD) groups each consisting of 15 patients. The results of their performance produced firstly significant differences in phonemic fluency, story comprehension, delayed recall and recognition task between the two groups. Further analysis shows that VaD group had significant correlations between the scores of story comprehension and the recognition test scores additionally. These findings suggest that it is possible to differentiate the two groups even by story comprehension tasks and WM. In conclusion, the clinical application of the results is likely to contribute to appropriate treatment plans and effective interventions for elderly with AD and VaD as well as to improve the classification criteria for both types of dementia.

• Journal of Music and Human Behavior
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• v.14 no.2
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• pp.1-18
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• 2017

The relationships between the ability to understand changes in meaning depending on the prosody of spoken words and the ability to perceive pitch and melodic contour in cochlear implants (CI) recipients were examined. Fifteen postlingual CI recipients were measured in terms of speech prosody perception, speech perception, pitch discrimination (PD), and melody contour identification (MCI). The speech prosody perception test consists of words with positive (PW) and neutral meaning (NW). Participants were asked to identify the meaning of words depending on the conditions of positive and negative prosody. The MCI consists of subtests 1 and 2 with different chance levels to choose. Then, the relationships between speech prosody perception, speech perception, PD, and MCI performance were analyzed. There was a significant difference in identifying the meaning of words expressed in a different prosody between the PW and NW conditions. Speech prosody perception showed a significant correlation with MCI 1 while there was no significant relationship with speech perception. Although speech perception may be possible after CI, limited spoken word comprehension due to decreased sensitivity for prosodic changes may persist in CI recipients. In addition, there was a limitation in perception of melodic contour change compared to pitch discrimination, which is related to speech prosody perception.