• 한국콘텐츠학회논문지
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• 제11권4호
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• pp.225-234
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• 2011

본 연구는 교육기반 작업치료 서비스 전문가가 사용하는 중재모델, 중재장소와 중재시간, 중재모델 선택시 고려사항, 중재모델과 중재 영역 간에 상관관계를 알아보기 위해 특수교육지원센터에 근무하고 있는 작업치료사와 작업치료를 전공한 치료교사를 대상으로 설문지를 발송하고, 회수한 총 46부를 분석에 사용하였다. 연구결과 첫째, 학생의 수행 기술을 향상시키는데 초점을 둔 개별치료 모델을 자주 사용하였다. 둘째, 아동수행을 향상시키는 중재모델과 다른 팀 전문가에게 작업치료의 중요성을 인식시킬 수 있는 모델로 개별 치료를 선택하였다. 셋째, 중재모델을 선택하는 요인으로 수행구성요소의 결함과 팀 책임자의 마인드를 들었다. 넷째, 중재모델의 효과성에 대한 학교작업치료사의 의견과 적용시간, 중재 영역과 중재모델 적용시간 간에 유의한 상관관계는 나타나지 않았다. 연구결과를 종합해 보면 학교기반 작업치료사는 여전히 의료모델에 가까운 중재모델을 사용하는 것으로 나타나 학교기반에 효과적인 중재모델을 개발하고 적용하는 연구가 필요할 것이라 생각된다.

• 대한물리의학회지
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• 제11권1호
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• pp.1-9
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• 2016

PURPOSE: This study compared the effectiveness of trunk control exercise performed on an unstable surface with that of general balance exercise on dynamic balance in the patients with chronic stroke. METHODS: The persons of this study were thirty-seven chronic stroke patients were recruited and randomly divided into 2 groups; (1) those who performed trunk control exercise on a foam roll and (2) those who performed general balance exercise. The exercises were performed 5 times a week for 4 weeks. To determine the effectiveness of the 2 types of exercises, we measured dynamic balance at the beginning of the exercises and again after 4 weeks at the completion of exercises program. RESULTS: After 4 weeks of exercise, both the groups showed increased Berg's balance scale and timed-up-and-go test (p<.001) scores. However, Trunk control exercise group was more effective than general balance exercise group was in increasing the Berg's balance scale (p<.01) and timed-up-and-go test (p<.05) scores. CONCLUSION: We suggest that trunk control exercise may be effective in increasing the balance ability of patients with chronic stroke than general balance exercise. Thus, trunk control exercise is important for such patients. Further studies are needed for better understanding of the effectiveness of trunk control exercise in chronic stroke patients.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제35권1호
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• pp.29-38
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• 2024

We conducted a comprehensive review of behavioral and educational interventions for individuals with autism spectrum disorder (ASD). The most prominent type of intervention, Comprehensive Early Intervention, often referred to as Early Intensive Behavioral Intervention (EIBI), has been found to be particularly effective in improving intelligence and adaptive behaviors. The naturalistic developmental behavioral intervention, designed to enhance social and communication abilities, showed effectiveness in improving language, cognitive function, and social initiation. However, more studies are needed to examine its effectiveness. Intensive individualized intervention, which provides a tailored intervention for a specific target behavior, was effective in improving social skills and communication, as well as reducing sleep, eating, and toileting problems. Cognitive behavioral therapy (CBT) is the most effective method for dealing with emotional difficulties, but it has not been widely used because of the shortage of trained experts. Parent-mediated intervention (PMI) involves parents acquiring knowledge and specific skills to improve their child's functioning or reduce challenging behaviors. Speech and language therapy, sensory integration, Treatment and Education of Autistic and related Communications Handicapped Children, developmental approaches, and social stories are frequently used interventions. However, evidence of their effectiveness has yet to be well established. Based on these findings, intervention recommendations for autism include EIBI, Early Start Denver Model, intensive individualized intervention, CBT, and PMI. The choice of intervention should be tailored to the individual's needs and delivered by qualified professionals with expertise in the specific intervention.

• The Journal of Korean Physical Therapy
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• 제30권5호
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• pp.193-198
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• 2018

Purpose: The purpose of this study was to analysis of effectiveness between cognitive function assessment scores and gaming cognitive rehabilitation system in children with intellectual impairment. Methods: Five children (male=5, $age=10.00{\pm}0.80$) with intellectual impairment participated in this study and were randomly assigned to the experiment that played (received) gaming cognitive rehabilitation system (Neuroworld). The children were applied 2 times a week for 30 minutes during 3 months. The children were assessed K-WSIC-VI (Korean-Wechsler intelligence scale for children-fourth edition) and recorded that gained score in gaming cognitive rehabilitation system before and after intervention. K-WSIC-VI contained five primary index scores: verbal comprehension index, visual spatial index, fluid reasoning index, working memory index, and processing speed index. Gaming cognitive rehabilitation system scoring was composed visual recall, target recall, sequence recall, selective attention, continuous attention, and exploration. Results: In the intelligence quotient (IQ) of K-WSIC-VI, there were significant increased in all children. The visual recall item was highest effective in all children. However, sequential recall showed the lowest improvement in all children. The performance speed of selective attention item was decreased, this means that children's skills have improved. Also, their ability to explore has improved significantly. Conclusion: In conclusion, gaming cognitive rehabilitation system was significant effectiveness in cognitive function in some categories for children with intellectual impairment. However, the visual recall and performance speed don't represent of all cognitive function. Therefore, further studies will need to verify by applying more subject and longer duration.

• 디지털융복합연구
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• 제10권11호
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• pp.433-439
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• 2012

본 연구는 심각해지고 있는 대학생들의 불안과 우울 문제 해소와 예방을 위하여 현실요법을 활용한 대학생 마음치유 프로그램 개발에 관한 연구다. 그리고 연구에서 적용한 현실요법은 Woo(1994)[14]가 개발한 현실요법프로그램을 대학생들에 맞게 내용을 수정, 보완한 것으로 프로그램소개 및 자기소개, 다섯 가지 마음 욕구 이해하기, 대화걸림돌 확인하기, 효율적 의사 소통기법 배우기, 타인에 대한 비합리적 기대 조절하기, 마음차이 인정하기, 선택과 책임의 문제, 마음 성장하기 등으로 이루어져 있으며 주 1회씩 총 10주간에 걸쳐 진행하였다. 또한 프로그램에 관한 효과를 확인하기 위해 대학생을 대상으로 참가자의 참가동기와 프로그램에 대한 만족도, 그리고 정신건강을 연구 변인으로 설정한 모형으로 검증을 하였다. 적용결과 참가동기와 정신건강 간의 관계는 직접효과보다 프로그램 만족을 매개로 했을 때의 간접효과가 더 크다는 것을 확인하였다. 이러한 결과가 시사하는 바는 단순히 참가를 유도하는 동기부여로 만족감을 줄 수 없고, 만족스러운 프로그램을 제공하여야 정신건강에 느끼는 효과가 더 크다는 것이다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.41.1-41.11
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• 2020

Background: Orthognathic surgery such as bilateral sagittal split ramus osteotomy (BSSRO) for the treatment of mandibular deformities is one of the most common procedures in maxillofacial operations that may lead to neurosensory disturbance. In this study, we aimed to evaluate the effectiveness of low-level laser therapy (LLLT) on augmenting recovery of neurosensory disturbance of inferior alveolar nerve (IAN) in patients who underwent BSSRO surgery. Methods: A comprehensive literature search was conducted by two independent authors in PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, Embase, and Google Scholar electronic databases. Besides, a manual search of all textbooks and relevant articles were conducted. Searches took place in August 2020 and were limited to published and peer-reviewed articles from 2000 to 2020. All analysis was performed using the comprehensive meta-analysis (CMA) and the STATA MP (version:16) software. The weighted mean difference (WMD) using the inverse variance method and the standard mean difference (SMD) was considered for continuous variables. Results: Seventy-four papers were retrieved after removing duplicate studies and finally, eight studies were assessed for qualitative synthesis and five for meta-analysis. Totally, 94 patients were included in the meta-analysis. Based on the meta-analysis, it was shown that LLLT was not effective in a short interval (0 to 48 h) after surgery, but in a period of more than 1 month after surgery, the positive results of treatment can be observed strikingly. Also, LLLT side/group showed no significant difference in some aspects of neurosensory recovery such as thermal sensation compared to the placebo side/group. Conclusions: The meta-analysis of randomized controlled trials revealed that LLLT generally improves IAN sensory disturbance caused by BSSRO. Further high-quality clinical trials with longer follow-up periods and larger sample sizes are recommended.

• 재활치료과학
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• 제11권1호
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• pp.7-20
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• 2022

목적 : 본 연구는 계량서지 분석을 통해 노인 대상 원격보건의 효과성 연구의 국제 학계 동향을 파악하고 국내 연구의 활성화를 위한 기초자료 제공 및 후속 연구를 위한 기반을 확보하고자 한다. 연구방법 : 본 연구는 2010년 1월부터 2020년 12월까지 국제 학계에서 발표된 노인 대상 원격보건의 효과성 논문에 대한 서지정보를 수집하고 VOS viewer(version 1.6.16, CWTS, Netherlands, 2020) 소프트웨어를 사용해 논문 서지정보 간 관계를 분석하고 시각화하였다. 결과 : 본 연구의 주요 결과로는 첫째, 연구 동향 분석 결과 2010년 9건에서 2020년 70건으로 지난 10년간 출판된 논문의 수 678%의 증가율을 보였다. 연구 분야는 Health Care Science Services에서 145건(45.89%)으로 가장 많이 시행되었고, 학술지에서는 Telemedicine and e-Health가 39건(9.11%)으로 가장 많은 논문을 게재하였다. 둘째, 네트워크 분석 결과 국가 중에서는 미국, 기관 중에서는 영국의 옥스퍼드 대학의 총 연결강도가 각각 168로 산출되어 국제학회에서 가장 강한 영향력을 나타내었다. 셋째, 키워드 분석 결과 '노인(64회)', '돌봄(62회)', '건강(50회)', '기술(40회)', '결과(41회)'의 키워드가 논문에 사용되었다. 결론 : 본 연구에서는 노인 대상 원격보건의 효과성에 대한 국제 학계의 동향과 화제 분석을 통해 추후 국내의 노인 대상 원격보건의 연구 활성화 및 제도적 기반에 대한 시사점을 얻을 수 있을 것이라고 생각된다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권3호
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• pp.158-164
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• 2009

Trichotillomania is a neuropsychiatric disorder characterized by repetitive pulling out of one's hair. We present a trichotillomania case study illustrating the effectiveness of habit reversal training, which has recently been found, in western countries, to be a very effective cognitive behavioral treatment. The refractory patient in our study had previously received 1 year of drug treatment and psychiatric consultation for the disorder. We administered 10 habit reversal training sessions, which was followed by an obvious improvement in the patient's trichotillomania symptoms. Our observations indicate that habit reversal training might be effective in the treatment of trichotillomania.

• 대한통합의학회지
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• 제9권1호
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• pp.203-217
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• 2021

Purpose: The purpose of this meta-analysis was to examine the high-level evidence of the effects of manual therapy on musculoskeletal diseases. Methods: Domestic databases were searched for studies that conducted clinical trials associated with manual therapy on chronic musculoskeletal diseases. A total of 591 studies published between 2005 and 2018 were identified, with 18 studies satisfying the inclusion data. The studies were classified according to patient, intervention, comparison, and outcome (PICO). The search outcomes were items associated with pain and physical function. The 18 studies included in the study were evaluated by using the R meta-analysis (version 4.0). The quality of 18 randomized control trials was evaluated by using the Cochrane risk of bias (ROB). The effect sizes were computed as the corrected standardized mean difference (SMD). Subgroup and meta-regression analyses were also used. Egger's regression test was carried out in order to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were also conducted in order to analyze the data error. Results: The following factors showed the large effect size of manual therapy on chronic musculoskeletal diseases: pain (Hedges's g = 2.66; 95% CI = 1.47 ~ 3.85), and physical function (Hedges's g = 2.15; 95% CI: 1.22 ~ 3.08). The subgroup analysis only showed a statistical difference in the type of manual therapy (pain) and outcome (physical function). No statistically significant difference was found in the meta-regression analysis. Publication bias was found in the data, but the results of the trim-and-fill method showed that such bias did not largely affect the obtained data. Furthermore, there were no data errors in the cumulative meta-analysis and sensitivity analysis. Conclusion: This study provides evidence for the effectiveness of manual therapy on chronic musculoskeletal diseases in pain and physical function. Subgroup analysis suggests that only the type of manual therapy for pain and the type of outcome for physical function differed in effect size.

• 한방재활의학과학회지
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• 제21권4호
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• pp.257-267
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• 2011

Objectives: The purpose of this study is to evaluate the effect of the burning acupuncture therapy and exercise therapy on the internal derangement of knee with patella tendon and posterior cruciate ligament injury. Methods: Burning acupuncture therapy was administered three times and exercise therapy was administered during 4 weeks. The improvement of clinical symptom was evaluated by VAS(visual analogue scale) and KOOS(knee injury and osteoarthritis outcome score). Results: After treatment, the patient's VAS score was reduced to 0 pant. The KOOS score of pain, symptom, ADL, sport/rec, QOL(quality of life) improved from 28 to 75, from 36 to 71, from 22 to 65, from 0 to 15, from 25 to 38 respectively. Conclusions: Burning acupuncture therapy and exercise therapy fer internal derangement of knee with patella tendon and posterior cruciate ligament injury was effective. Although this case presented valuable result, further research is encouraged to confirm the effectiveness of this treatment with large number of patient.