• Physical Therapy Rehabilitation Science
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• 제7권3호
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• pp.95-101
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• 2018

Objective: To determine if the provision of visual biofeedback using real-time rehabilitative ultrasound imaging (RUSI) enhances the acquisition and retention of diaphragm muscle recruitment during exercise. Design: Two group pretest posttest design. Methods: Thirty healthy subjects were randomly assigned to the verbal feedback group (VG, n=15) or the visual and verbal feedback group (VVG, n=15). The VG performed breathing exercises 10 times with verbal feedback, and the VVG also performed breathing exercises 10 times with verbal feedback and visual feedback with the use of RUSI to measure changes in diaphragm thickness (DT). For DT, the mid-axillary lines between ribs 8 and 9 on both sides were measured in standing, and then the chest wall was perpendicularly illuminated using a linear transducer with the patients in supine to observe the region between rib 8 and 9 and to obtain 2-dimensional images. DT was measured as the distance between the two parallel lines that appeared bright in the middle of the pleura and the peritoneum. After one week, three repetitions (follow-up session) were performed to confirm retention effects. Intra- and between- group percent changes in diaphragm muscle thickness were assessed. Results: In the VVG, the intervention value had a medium effect size compared to the baseline value, but the follow-up value decreased to a small effect size. In the between-group comparisons, during the intervention session, the VVG showed no significant effect on percent change of DT but had a medium effect size compared to the VG (p=0.050, Cohen's d=0.764). During the follow-up session, retention effect did not persist (p=0.311, Cohen's d=0.381). Conclusions: RUSI can be used to provide visual biofeedback and improve performance and retention in the ability to activate the diaphragm muscle in healthy subjects. Future research needs to establish a protocol for respiratory intervention to maintain the effect of diaphragmatic breathing training using RUSI with visual feedback.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 1987년도 한국자동제어학술회의논문집(한일합동학술편); 한국과학기술대학, 충남; 16-17 Oct. 1987
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• pp.797-800
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• 1987

We developed a biofeedback gait training system; a 12 m measuring walkway with a training walker which moves at prescribed velocity. The walkway measures a.11 temporal and distance factors of gait. This system provides visual feedback for distance factors and auditory one for temporal at the prescribed walking velocity. Experiments were performed on normal and degenerative knee joint subjects, and this system was verified to be very useful.

• 대한물리의학회지
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• 제12권4호
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• pp.105-112
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• 2017

PURPOSE: The purpose of this research was to know the effect of visual feedback self exercise (VFSE) on postural control in stroke patients. METHODS: 26 CVA patients were participated. The experimental group (EG) 12 (46.2%) and the control group (CG) 14 (53.8%), 17 males and 9 females. The subjects preformed VFSE on training instrument 10 minutes for 20 times in 2-3 weeks. The test was done 3 times. RESULTS: There were no statistically significant differences of the general characteristics of subjects between EG and CG by sex, affected site, muscle tone, sensory deficit, unilateral neglects, and vestibular dysfunction. The postural control effects of VFSE, in the EG showed that there were statistically significant differences among the tests during VFSE. However in the CG there were no statistically significant differences among the tests during VFSE. Also there was statistically significant difference between EG and CG after VFSE (p<.05). On the right hemiplegic EG showed that there was statistically significant difference between premid test and pre-post test after VFSE. But, the left hemiplegic EG showed that there was no statistically significant difference between before and after VFSE with all of tests. CONCLUSION: CVA patients had significant different of body weight ratio between hemiplegic side and the other side. This research suggested that CVA patients need self exercise with visual feedback for the improvement postural control ability. Therefore Physical therapist should not only prescribe hand-on exercise but also need to teach them self sensory feedback exercise to help them improve their postural control.

• 대한의용생체공학회:의공학회지
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• 제43권2호
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• pp.81-93
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• 2022

Proprioception training has been considered a secondary method to facilitate postural control ability. This study investigated the effects of two different proprioception training methods - the proprioceptive neuromuscular facilitation (PNF) and visual feedback-based joint position and force reproduction (VF) - on postural control advancements. Sixteen healthy people volunteered for this study, and they randomly grouped two. Each group participated in the PNF and VF training for three weeks. We evaluated each subject's proprioception levels and balance ability before and after the training. We used a clinometer and electromyogram (EMG) for VF training. The joint position reproduction test was also used to evaluate the position and force aspects of the proprioception level. We analyzed the trajectory of the center of pressure (COP) while subjects were standing on the firm floor and balance board with one leg using a pressure mat. The improvement of the position aspect of the proprioception level of the VF group (4.93±4.74°) was larger than that of the PNF group (-0.43±2.08°) significantly (p=0.012). The improvement of the anterior-posterior COP velocity of the PNF group (0.01±0.01 cm/s) was larger than that of VF group(0.002±0.01 cm/s) significantly (p=0.046). Changes of position error in the PNF group (rho=0.762, p=0.028) and tibialis anterior force reproduction error in the VF group showed a significantly strong relationship with balance ability variables. These results showed that different PNF and VF have different effects on improving two aspects of proprioception and their relationship with the balance ability. Therefore, these results might be useful for selecting proprioception or balance rehabilitation considering the clinical and patients' situation.

• Physical Therapy Rehabilitation Science
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• 제5권1호
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• pp.47-52
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• 2016

Objective: This study surveyed the perceptions of physical therapists on muscle re-education through visual feedback obtained from rehabilitative ultrasound imaging (RUSI). Design: Survey. Methods: For this study, 500 physical therapists who participated in a refresher training held by the Seoul City Association in March 2015 were selected for a questionnaire-based survey. Subjects were randomly selected targets physiotherapists who participated in a refresher training.The questionnaire had 21 items in total. Questions 1 to 15 could be answered by everyone. However, questions 16 to 21 could be answered only by people who used RUSI. Results: The majority of respondents were aged 20 to 30 years. Respondents in their twenties, thirties, forties, and fifties accounted for 32.4%, 40.2%, 21.9%, and 5.6%respectively. Therapists with careers spanning one to 5 years accounted for 27.8%, while those with careers spanning 5 to 10 years and 10 to 15 years accounted for 34.6% and 17.0%, respectively. Those with careers over 20 years accounted for 9.2%. The types of work have not been various including work related to the nervous system (49.0%), the musculoskeletal system (41.5%), sports (0.7%), juvenile physical therapy (4.2%), and others (4.6%). Conclusions: In this study, we examined the perceptions of physical therapists on rehabilitation ultrasound imaging used in muscle re-education. We also examined how to use this technique. Many therapists who participated in the refresher training were found to be unaware of RUSI. In the future, further investigations on RUSI for muscle re-education are required through refresher training or training lectures at the national level.

• 인터넷정보학회논문지
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• 제2권1호
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• pp.97-106
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• 2001

본 논문에서는 발성장애아의 음성적 특징을 중심으로 컴퓨터 기반 발성훈련시스템을 설계 및 구현하였다. 본 발성훈련시스템은 선행훈련, 발성인지훈련, 발성강화훈련 단계로 구성되어 있으며, 발성장애 아동의 발성의 상황과 레벨을 분석하고 반복학습 및 개별학습이 가능하도록 하였다. 컴퓨터를 기반으로 발성장애아의 음성을 디지털 신호처리하기 위해 음성적 파라미터 즉, 음성의 강도, 음성의 고저, 유 무성음을 추출하였다. 추출된 음성적 파라미터는 이동체의 움직임 벡터 값으로 변환하여 이미지, 애니메이션, 게임적 요소와 같이 시각적으로 피드백 할 수 있도록 하였다.

• 한국HCI학회:학술대회논문집
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• 한국HCI학회 2009년도 학술대회
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• pp.203-213
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• 2009

의료 분야는 가상현실 (VR, Virtual Reality)의 주요한 응용 분야 중의 하나이다. 가상현실을 의료 분야에 응용하는 연구는 학제간 연구의 대표적인 사례로 간주되며, 컴퓨터 과학자나 공학자, 내과 및 외과의사, 의학 교육자나 학생, 군사 의료 전문가들이나 의생명과학 전문가들이 참여하고 있다. 사용자들이 인지하는 물입감의 경험을 기준으로 하여 사람과 컴퓨터의 상호 작용(HCI, Human Computer Interaction)을 향상시키기 위해서는, 햅틱(Haptic), 음성, 냄새 등 비전통적 상호 작용 방법이 탐구되어야 한다. 특히, 햅틱 피드백은 전통적 상호작용 방식인 시각 정보와 서로 긴밀하게 관계가 맺어진다. 시각 정보와 햅틱 피드백을 결합하게 되면, 사용자들은 몰입감을 좀더 강하게 느끼게 된다. 전세계적으로 햅틱 피드백은 오랫동안 연구되어 왔고, 햅틱 기반의 시스템도 많이 개발이 되었다. 본 논문에서는 해틱 피드백이 의료 분야에 적용된 사례들에 집중하였다. 즉, 햅틱 피드백과 이들이 의료 분야에 응용된 사례들을 정리하여 발표하였다.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2001년도 ICCAS
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• pp.153.1-153
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• 2001

This paper describes a development of rehabilitation training system for the postural balance control. A new rehabilitation training system, designated as a virtual cycling system, was developed to improve postural balance control by combining virtual reality technology with an unfixed bicycle. In this experiment, 20 normal adults were tested to investigate the influencing parameters of postural balance control. In order to evaluate the usefulness and the training effects of the system, several parameters Including path deviation, cycling velocity, cycling time, center of pressure, and head movement were evaluated and analyzed quantitatively. Also, to improve the effect of balance training, the visual feedback information related to the subject´s weight shift was ...

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2001년도 ICCAS
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• pp.181.6-181
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• 2001

This paper describes a development of rehabilitation training system for the postural balance control. A new rehabilitation training system, designated as a virtual cycling system, was developed to improve postural balance control by combining virtual reality technology with an unfixed bicycle. In this experiment, 20 normal adults were tested to investigate the influencing parameters of postural balance control. In order to evaluate the usefulness and the training effects of the system, several parameters including path deviation, cycling velocity, cycling time, center of pressure, and head movement were evaluated and analyzed quantitatively. Also, to improve the effect of balance training, the visual feedback information related to the subject's weight shift was assessed to identify whether it was useful. It could be also known ...

• 한국HCI학회논문지
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• 제11권3호
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• pp.23-30
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• 2016

현재 피트니스 트래커(fitness tracker)시장은 유산소 운동에만 초점을 맞춰 근력 운동 분야는 상대적으로 소외되어 있다. 최근 근력 운동 피트니스 트래커가 소수 출시되고 있으나, 운동 상황에 대한 고려가 부족하여 사람-기기 간 인터랙션에 불편함을 초래한다. 특히, 운동 중에는 신체의 움직임이 활발하므로, 손으로 기기를 휴대하거나 기기를 조작하는 상황은 사용자에게 부정적 경험을 유발한다. 웨어러블 디바이스는 항시적인 착용이 가능하므로, 손과 발의 사용이 자유로워 운동 중 피드백 제공에 효과적이다. 따라서, 이 연구에서는 웨어러블 디바이스를 통해 피드백을 감각하게 함으로써, 운동 수행자가 효과적인 운동을 할 수 있도록 하는 것을 목적으로 한다. 이 연구에서는 다음 세 가지 연구 문제를 검증하였다. 1) 운동 상황에서 필요한 정보는 무엇인가? 2) 근력 운동 중, 어떤 감각 피드백이 선호되는가? 3) 근력 운동 중, 감각 피드백의 가치는 무엇인가? 그 결과, 첫째, 운동 수행자는 운동 단계 중, '운동 중'에 해당하는 정보가 가장 필요하다고 하였으며 '페이스 조절(횟수 카운팅, 동기 부여)'과 '자세 지도(문제점 진단, 자세 교정)'에 해당하는 정보를 가장 필요로 하였다. 둘째, 운동 중 선호되는 감각 피드백에 대해서는 청각 피드백, 촉각 피드백, 시각 피드백 순으로 만족도가 높았으며, 운동 강도가 높을수록 감각 피드백에 대한 만족도가 더 높았다. 셋째, 감각 피드백과 기기 피드백의 가치에 대해 비교한 결과, 기기 피드백과 사람이 제공하는 피드백에 대한 만족도, 유용성, 효용성이 비슷하게 나타났다. 결론적으로, 이 연구에서는 근력 운동 중, 웨어러블 디바이스를 활용한 감각 피드백의 디자인 가이드라인을 도출하였으며, 웨어러블 디바이스의 감각 피드백이 사람이 제공하는 피드백을 대체할 수 있다는 가능성을 확인하였다.