• Title/Summary/Keyword: Vestibular Rehabilitation

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Development of virtual reality vestibular rehabilitation contents using HMD (HMD를 활용한 가상현실 전정재활 콘텐츠 개발)

  • Lee, Sungjin;Sung, Nak-Jun;Hong, Min
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.05a
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    • pp.678-681
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    • 2019
  • 어지럼증은 모든 사람들이 일상생활에서 겪는 가장 흔한 질병 중 하나이다. 이러한 어지럼증은 주로 전정 기관의 약화 및 충격으로 인한 다양한 원인에 의해 유발되며 전정 재활을 통해 회복 될 수 있다. 전정 재활은 다양한 형태로 존재하지만 모든 사람을 위해 수행 할 수 있는 보편적 인 방법으로 훈련의 목적은 눈, 머리 및 균형 운동을 통해 전정 기관을 반복적으로 운동하는 것이다. 그러나 이러한 재활은 지루하고 흥미가 없으므로 환자가 계속 훈련을 하고 제대로 수행하고 있는지 확인하는 것이 어렵다. 이러한 문제점을 해결하기 위해 본 연구에서는 Unity3D 및 FOVE HMD를 사용하여 재미있고 평가 가능한 가상 현실 전정 재활의 내용을 구현했다.

Two Cases of Improved Dizziness and Ataxia due to Pontine Stroke in Bojungikki-tang-gamibang (보중익기탕가미방(補中益氣湯加味方) 투여를 통한 뇌교병변 현훈과 보행실조 환자 치험 2례)

  • Im, Eun-Young;Lee, Je-Won;Jang, Woo-Seok;Cheon, Woo-Hyun;Chung, In-Kwon;Baek, Kyung-Min
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.900-907
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    • 2011
  • Bojungikki-tang-gamibang is a widely used herbal prescription in traditional medicine in Korea. The aim of this study is to investigate the effectiveness of Bojungikki-tang-gamibang for patients who have pontine stroke. They have problems with type of Qi deficiency(氣虛) in the rehabilitation stage. The type of Qi deficiency caused the dizziness and ataxia for the patients. In this study there are two types of patients. The first case is a patient with dizziness and ataxia because of potine hemorrhage. The second case is a patient who has the same symptoms as the first one but caused by pontine infraction. We treated the two patients with Bojungikki-tang-gamibang. The Improvement of symptom was evaluated by Korean vestibular disorders activities of daily living scale(K-VADL). As a result the degree of dizziness decreased noticeably while other symptoms improved as well. This study suggests that Bojungikki-tang-gamibang may be an effective treatment for patients who suffer stroke with type of Qi deficiency(氣虛) in the rehabilitations stage. However, more cases and methods of diagnosis are required to prove that the oriental medicine, Bojungikki-tang-gamibang can apply to patients universally.

Improvement of Equilibrium Sensory of the Elderly Using A Virtual Bicycle Training System

  • Jeong, Sung-Hwan;Piao, Yong-Jun;Chong, Woo-Suk;Kim, Young-Yook;Kwon, Tae-Kyu;Hong, Chul-Un;Kim, Nam-Gyun
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.2464-2467
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    • 2005
  • The purpose of this study was to explore the effectives of a virtual bicycle system in improving the ability of equilibrium sense of normal healthy adults. Experiments were performed to find the factors related to the training of equilibrium sense. The subjects consisted of young and elderly people and the group of young people was compared against the group of elderly people. We investigated three different running modes of virtual bicycle system with two successive sets in total. W measured the parameters related to the running time, the velocity, the weight movement, the degree of the deviation from the road, and the location of the center of pressure (COP). The results showed that the running capability of the elderly became much better after repeated training. In addition, it was found out that the ability to control postural balance and the capability of equilibrium sensory were improved with the presentation of the visual feedback information of the distribution of weight. We also found that the running time and the running velocity reduced when there was no visual feedback information. From the results, our newly developed bicycle system seems to be effective in the diagnosis of equilibrium sense as well as in the improvement of the sense of sight, and vestibular function of the elderly in the field of rehabilitation training.

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Developmental Changes of Static Standing Balance and Sensory Organization in Children (정상아동의 정적 균형과 감각통합의 발달)

  • An, Mi-Hee;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.15 no.3
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    • pp.1-7
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    • 2008
  • Multi-sensory systems, including the visual, somatosensory, and vestibular ones, are involved in maintaining standing balance. The organization of these sensory systems is as important as the efficiency of each individual system in maintaining optimal balance. The purpose of the present experiment was to investigate the developmental changes in static standing balance and sensory organization under altered sensory conditions. This study involved 64 children (from 4 to 15 years of age) and 17 young adults. The children were divided into four age groups: 4~6, 7~9, 10~12, and 13~15 years. Static standing balance was assessed with the one-leg standing test under four different sensory conditions: the children stood on a firm surface with (1) eyes open or (2) closed, and they stood on a foam surface with eyes (3) open or (4) closed. In balancing ability, the age groups exhibited significant differences. The function of sensory organization for balance control was poorer for the children than for the young adults. The functional efficiency of the somatosensory system of the children aged 7~9 years was at the young adults' level, and the visual function of the children aged 10~12 years had also reached the young adults' level. However, the functional efficiency of the vestibular system of children was significantly lower than that of the young adults, even at the age of 15 years. This may indicate that sensory organization and standing balance are still developing after the age of 15 years.

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Comparison of Abdominal Oblique Muscle Activity During Leg Raising in Hook-lying Position According to Surface Conditions (Hook-lying 자세에서 한쪽 다리 들기시 지지면의 안정성에 따른 복사근의 근활성도 비교)

  • Kim, Su-Jeong;Weon, Jong-Hyuck;Oh, Jae-Seop;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.13 no.3
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    • pp.102-110
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    • 2006
  • To improve trunk stability, various exercise protocols were introduced into the clinical field. Trunk and lumbar stability exercises on unstable surfaces are especially recommended to improve lumbar stability. The purpose of this study was to compare abdominal oblique muscle activity during leg raising in hook-lying position among 3 different type of surface conditions (on floor (F), vestibular board (VB), and foam roll (FR)). Sixteen able-bodied volunteers, who had no medical history of lower extremity or lumbar spine disease, were recruited for this study. Surface electromyography (EMG) activity was recorded from the internal and external oblique muscles of both sides. The normalized EMG activity was compared using a one-way repeated ANOVA. The results showed that the EMG activities of the internal oblique and external oblique of the lifted leg side during straight leg raising significantly increased under the FR condition when compared to the F condition. There was no significant difference of the EMG activity in abdominal oblique muscles between the VB and the FR conditions. The EMG activity of the internal oblique of supported leg side during the straight leg raising was significantly greater under the FR condition than the VB and F conditions (p<.05). The composition ratio of EMG activity of internal oblique muscles during straight leg raising was significantly increased under the FR condition. Therefore, straight leg raising exercise on foam roll in hook lying position could be beneficial to improve trunk and lumbar stability.

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Study on the Improvement of Postural Balance of the Elderly using Virtual Bicycle System (가상 자전거 시스템을 이용한 노인의 자세균형 증진에 관한 연구)

  • Kwon, Tea-Kyu;Yoon, Young-Il;Piao, Yong-Jun;Kim, Nam-Gyun
    • Journal of Biomedical Engineering Research
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    • v.28 no.5
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    • pp.609-617
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    • 2007
  • In this paper, a new rehabilitation training system was developed to improve equilibrium sense of the elderly by combining virtual reality technology with a fixed exercise bicycle. In order to evaluate the effectiveness of the training system, the elderly participated as test subject in the investigation of the influence of different the parameters on postural balance control. We measured three different running modes of virtual bicycle system with two successive sets. The parameters measured were running time, velocity, the weight movement, the degree of the deviation from the road, and the variables about the center of pressure. The repeated training, our results showed that the running capability of the elderly improve compared. In addition, it was found out that the ability of postural control and the equilibrium sense was improved with the presentation of the visual feedback information of the distribution of weight. From the results of this experiment, we showed that our newly developed system might be useful in the diagnosis of equilibrium sense or in the improvement of the sense of sight and, somatic, and vestibular sense of the elderly in the field of rehabilitation training.

The Effect of Balance Training and environmental enrichment on motor performance after Traumatic Cerebellar Injury in the Rat (균형훈련과 환경강화가 외상성 소뇌 손상 흰쥐의 운동 수행력에 미치는 영향)

  • Song Ju-min;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.16 no.2
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    • pp.72-89
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    • 2004
  • The purposes of this study were to test the effect of balance training and environmental enrichment on motor performance after traumatic cerebellar injury in the rat. Traumatic cerebellar injury was induced by weight drop model and after operation they were housed in individual standard cages for 24 hours. Twenty two Sprague-Dawley rats were randomly assigned into control and experimental groups. The control group was housed in standard cage for 7 days. The experimental group I was housed in standard cage after balance training for 7 days. The experimental group II was housed in environmental enrichment cage after balance training for 7 days. Vestibular drop test and tilting plane test was examined at preoperation, on 1st day after operation and 7th day after operation to the rats. The results of this experiment were as follows: 1. In motor behavioral test, at preoperation and on 1 day after operation, the outcomes were not different among the groups. But on 7th day after operation, the outcomes of group I were better than that in control group, and group II were better than group I. These results suggest that behavioral motor outcome by simultaneously application of balance training and environmental enrichment in traumatic cerebellar injured rats were more improve than that by just balance training.

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Muscle Activities in the Lower Limbs for the Different Movement Patterns on an Unstable Platform

  • Piao, Yong-Jun;Choi, Youn-Jung;Kwon, Tae-Kyu;Hwang, Ji-Hye;Kim, Jung-Ja;Kim, Dong-Wook;Kim, Nam-Gyun
    • Journal of Biomedical Engineering Research
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    • v.28 no.5
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    • pp.590-600
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    • 2007
  • We performed experimental studies on the muscle activities in the lower limbs for the different movement patterns on an unstable platform. A training system for postural control using an unstable platform that we previously developed was applied for the experiments. This unstable platform provides 360 degrees of movement allowing for training of posture in various directions and provides simultaneous excitations to visual sensory, somatic sensation and vestibular organs. Compare with the stable platform, keeping body balance on the unstable platform requests more effective sensation from vision, vestibular sense and somatic sense. Especially, the somatosensory inputs from the muscle proprioceptors and muscle force are crucial. To study the muscle activities for the different movement patterns and find the best training method for improving the ability of postural control through training and improving the lower extremity muscular strength, fifteen young healthy participants went through trainings and experiments. The participants were instructed to move the center of pressure following the appointed movement pattern while standing on the unstable platform. The electromyographies of the muscles in the lower limbs were recorded and analyzed in the time and the frequency domain. Our experimental results showed the significant differences in muscle activities for the different movement patterns. Especially, the spectral energy of electromyography signals in muscle for the movement pattern in anterior-posterior direction was significantly higher than those occurred in the other patterns. The muscles in the lower leg, especially tibialis anterior and gastrocnemius were more activated compared to the others for controlling the balance of body on the unstable platform. The experimental results suggest that, through the choice of different movement pattern, the training for lower extremity strength could be performed on specific muscles in different intensity. And, the ability of postural control could be improved by the training for lower extremity strength.

The Difference of Duration of Post-rotatory Nystagmus Test Between Normal Children and Children With Pervasive Developmental Disorder (비장애 아동과 전반적 발달장애 아동에서 회전 후 안구진탕 기간의 비교)

  • Kim, Jin-Mi;Song, Ji-Won;Hong, Eung-Kyoung;Kim, Sung-Hee;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.3 no.1
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    • pp.1-11
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    • 2005
  • Objective : The purpose of this study was to get the mean of duration of post-rotatory nystagmus test in normal children and to differentiate the duration of post-rotatory nystagmus test between normal children and children with pervasive developmental disorder. Method : 84 subjects were between 3 and 5 years of age and consisted of 64 normal children and 20 children with the pervasive developmental disorder. Analysis of the data was done by using t-test and ANOVA. Results : The results were as follows: 1. Range of duration of post-rotatory nyatagmus test in normal children was $5{\sim}22$second on left and $7{\sim}21$ second on right and the mean was 12.63 second on left and 12.59 second on right. 2. Range of duration of post-rotatory nystagmus test in children with the pervasive developmental disorder was $3{\sim}11$ second on both and the mean was 5.65 second on left and 5.60 second on right. 3. There was no significant difference between males and females with normal children in duration of post-rotatory nystagmus test. However, there was a significant difference of the mean duration between 3 and 5 years old normal group. 4. Children with pervasive developmental disorder significantly have relatively lower duration than the duration of post-rotatory nystagmus test of normal children. Conclusions : The results of the study showed significant difference between normal children and children with pervasive developmental disorder in duration of post-rotatory nystagmus test and suggest that they could be applied to the baseline of clinical therapy.

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A Study for Construct Validity and Reliability of the Sensory Processing Scale for Children (SPS-C) (아동감각처리척도(Sensory Processing Scale for Children: SPS-C)의 구성타당도 및 신뢰도 연구)

  • Kim, Kyeong-Mi;Shin, Hyeon-Hui
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.2
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    • pp.11-21
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    • 2016
  • Objective : The purpose of the study is to examine the construct validity and internal consistency of the Sensory Processing Scale for Children (SPS-C). Method : 117 participants who are aged 3 to 5 years old has been evaluated by the Sensory Processing Scale for Children (SPS-C) for this study and the period is from November 2014 to June 2016. Statistics used for data analysis is factor analysis for construct validity and Cronbach's alpha for internal consistency. Results : In the factor analysis, the items in auditory, visual, and tactile showed a high factor loading, respectively. The items in vestibular and proprioceptive were overlapped. For internal consistency, Cronbach's alpha was .728 for whole scale which is high level. And Cronbach's alpha of each factor was range within .326~.636. Conclusion : The results of the psychometric test in this study evidence that the SPS-C is valid and reliable to be utilized. Further study need to examine various validities and reliabilities as well as standardization.