• 제목/요약/키워드: early rehabilitation training

검색결과 48건 처리시간 0.024초

만성 정신분열병 환자들의 인지 기능과 정서 인식 능력의 관련성 (The Relationship between Neurocognitive Functioning and Emotional Recognition in Chronic Schizophrenic Patients)

  • 황혜리;황태연;이우경;한은선
    • 생물정신의학
    • /
    • 제11권2호
    • /
    • pp.155-164
    • /
    • 2004
  • Objective:The present study examined the association between basic neurocognitive functions and emotional recognition in chronic schizophrenia. Furthermore, to Investigate cognitive variable related to emotion recognition in Schizophrenia. Methods:Forty eight patients from the Yongin Psychiatric Rehabilitation Center were evaluated for neurocognitive function, and Emotional Recognition Test which has four subscales finding emotional clue, discriminating emotions, understanding emotional context and emotional capacity. Measures of neurocognitive functioning were selected based on hypothesized relationships to perception of emotion. These measures included:1) Letter Number Sequencing Test, a measure of working memory;2) Word Fluency and Block Design, a measure of executive function;3) Hopkins Verbal Learning Test-Korean version, a measure of verbal memory;4) Digit Span, a measure of immediate memory;5) Span of Apprehension Task, a measure of early visual processing, visual scanning;6) Continuous Performance Test, a measure of sustained attention functioning. Correlation analyses between specific neurocognitive measures and emotional recognition test were made. To examine the degree to which neurocognitive performance predicting emotional recognition, hierarchical regression analyses were also made. Results:Working memory, and verbal memory were closely related with emotional discrimination. Working memory, Span of Apprehension and Digit Span were closely related with contextual recognition. Among cognitive measures, Span of Apprehension, Working memory, Digit Span were most important variables in predicting emotional capacity. Conclusion:These results are relevant considering that emotional information processing depends, in part, on the abilities to scan the context and to use immediate working memory. These results indicated that mul- tifaceted cognitive training program added with Emotional Recognition Task(Cognitive Behavioral Rehabilitation Therapy added with Emotional Management Program) are promising.

  • PDF

A Study on Military-style gymnastics and Its Adoption in Public Schools in Late Chosun dynasty

  • Kim, Dae Sung;Kim, Youn Soo;Shin, Eui Yun
    • International Journal of Advanced Culture Technology
    • /
    • 제6권4호
    • /
    • pp.152-157
    • /
    • 2018
  • In the late 19th century and early 20th century, Among those of the Northeast Asia three countries, school physical education and military-style gymnastics of Chosun can be regarded as having been the most nationalistic. The adoption of modern physical education in public schools was from the proclamation of 'the Order on Building the Country through Education by King Gojong in February 1895. This paper intends to examine the process of adopting military-style gymnastics education which played the central role in school physical education in the late Chosun period. But, unlike the common guess that military-style gymnastics in public schools in late Chosun would have been full of patriotism and nationalism, the textbooks and teaching contents of Chosun Military Officers' School were very similar to those of Japan, which is an unexpected fact. Therefore, Chosun decided to accept the Japanese-type military-style gymnastics and military training to improve physical strength of youngsters and military power. The fact that, with the advent of modern education, physical education was emphasized above all else has a very important meaning to the history of Korean physical education. Physical activity education emerged as a major education course which had been unthinkable in previous ages. The second characteristics is that the process of adopting military-style gymnastics and its contents were influenced by Japan Third, even if military-style gymnastics was imported from Japan as part of school physical education course in late Chosun period, its aim was to train military man powers for the independence movement against Japan, rather than to develop harmonious body.

재활의료기관 시범사업에서의 사회복귀 촉진을 위한 일상생활훈련 개선방안 (Improvement of Activities of Daily Living Training to Promote Social Participation at a Pilot Project of Rehabilitation Medical Institutions)

  • 송영진;우희순
    • 재활치료과학
    • /
    • 제7권3호
    • /
    • pp.35-45
    • /
    • 2018
  • 목적 : '재활의료기관 지정운영 시범사업'을 진행하고 있는 기관 내 작업치료사 및 환자들에 대한 설문을 통하여, 시범사업 안에서의 작업치료가 환자들의 가정 및 사회로의 복귀를 위한 적절한 지원체계를 확립하고 있는지 알아보고자 하였다. 방법 : 시범사업을 운영 중인 전국 13개 기관의 작업치료사 293명, 환자군의 응답을 허가한 8개 기관의 환자 296명의 응답지를 대상으로 설문분석 하였다. 치료사용 설문에는 일상생활활동 관련 평가도구 및 적용하는 중재에 관한 항목들로 구성되었으며, 환자용 설문에는 퇴원 후 직업복귀 여부 및 이를 위한 희망 중재 활동을 묻는 항목으로 구성되었다. 결과 : '재활운영 지정운영 시범사업'이 환자들의 빠른 사회복귀를 위한 목적으로 시행되고 있음에도 이를 위한 가장 중요한 수가이며 치료적 목표인 일상생활활동이 효율적이고 효과적으로 적용되지 못하고 있음을 파악할 수 있었다. 또한 기존 의료기관에서 활용하고 있는 건강보험 수가를 본 시범사업에서도 그대로 적용하고 있기 때문에, 실제적인 지역사회 복귀를 위한 수단적 일상생활활동 및 직업재활을 위한 평가 및 중재의 기반이 전혀 마련되어 있지 않다는 것을 알 수 있었다. 결론 : 시범사업에 대한 면밀한 검토를 통하여, 대상자들의 조기 사회복귀를 통한 삶의 질 향상과 불필요한 사회적 지출 감소를 위한 실제적인 개선이 이루어지도록 해야 할 것이다.

기대기 훈련프로그램이 뇌졸중 입원환자의 하지 기능, 우울 및 자기효능감에 미치는 효과 (Effects of a Tilting Training Program on Lower Extremities Function, Depression, and Self-efficacy among Stroke Inpatients)

  • 서남숙;한미숙;이정순
    • 대한간호학회지
    • /
    • 제36권3호
    • /
    • pp.514-522
    • /
    • 2006
  • Purpose: The purpose of this study was to identify effects of a tilting training program on lower extremities function, depression, and self-efficacy among stroke inpatients. Method: The subjects were 60'stroke patients hospitalized in an oriental medical hospital; 31 in the experimental group and 29 in the control group. A nonequivalent control group pretest-posttest design was used. The tilting training program consisted of 3 sessions and was implemented for 30 minutes daily during 3 weeks. Data was collected from Feb to July 2003, and analyzed by percentage, Fisher's exact probability, $\chi^2-test$, and t-test using the SPSS/Win 10.0 computerized program. Result: After treatment with the tilting training program, the experimental group was significantly increased in the mean score for function of lower extremities (t=2.72, p=.009) compared to the control group, especially for keeping standing balance (t=2.78, p=.007) and standing by oneself (t=3.32, p=.002). However, in the mean scores of depression and self-efficacy, there were no significant differences between the two groups. Conclusion: The tilting training program was effective for increasing the function of lower extremities and to improve walking ability earlier among stroke inpatients. Therefore, the tilting training program is applicable to increase the balance level in standing and walking ability at the early rehabilitation stage for stroke patients.

Barbed sutures versus conventional tenorrhaphy in flexor tendon repair: An ex vivo biomechanical analysis

  • Colak, Ozlem;Kankaya, Yuksel;Sungur, Nezih;Ozer, Kadri;Gursoy, Koray;Serbetci, Kemal;Kocer, Ugur
    • Archives of Plastic Surgery
    • /
    • 제46권3호
    • /
    • pp.228-234
    • /
    • 2019
  • Background The management of flexor tendon injuries has evolved in recent years through industrial improvements in suture materials, refinements of repair methods, and early rehabilitation protocols. However, there is no consensus on the ideal suture material and technique. This study was conducted to compare the tensile strength, repair time, and characteristics of 4-strand cruciate, modified Kessler, and 4-strand horizontal intrafiber barbed sutures for flexor tenorrhaphy with a 12-mm suture purchase length in an animal model. Methods The right third deep flexors of 60 adult Leghorn chicken feet were isolated and repaired with a 12-mm suture purchase length. The tendons were randomly assigned to three groups of equal number (n=20 each). Groups 1 and 2 received 4-strand cruciate and modified Kessler repair with conventional suture materials, respectively. A 4-strand horizontal intrafiber barbed suture technique was used in group 3. The repaired tendons were biomechanically tested for tensile strength, 2-mm gap resistance, and mode of failure. Repair times were also recorded. Results The maximum tensile strength until failure was $44.6{\pm}4.3N$ in group 1, $35.7{\pm}5.2N$ in group 2, and $56.7{\pm}17.3N$ in group 3. The barbed sutures were superior to the other sutures in terms of the load needed for 2-mm gap formation (P<0.05). Furthermore, the barbed sutures showed the shortest repair time (P<0.05). Conclusions This study found that 4-strand horizontal intrafiber barbed suture repair with a 12-mm purchase length in a chicken flexor tendon injury model showed promising biomechanical properties and took less time to perform than other options.

Electromyographic Analysis of Lower Extremity Lateral Stabilizer During Upper Extremity Elevation Movements

  • Jung, Ho-Bal
    • 국제물리치료학회지
    • /
    • 제1권2호
    • /
    • pp.185-191
    • /
    • 2010
  • Background: This study investigated effective posture for gluteus medius rehabilitation training and effects of isometric muscle activity by electrophysiology through EMG while performing dynamic isotonic behavior of weight placed differently on upper limbs. Method: 16 healthy male subjects 20 to 29 years of age volunteered for the study. Lateral stabilizer right gluteus medius activity was assessed using EMG while the right lower extremity maintains single limb support, and the left upper extremity elevation movement maintains 5 seconds without load, 1RM to 1 repetition, 5RM to 5 times, 10RM to 10 times, 5RM and 10RM maintain 5sec. Results: Comparison of the mean value of EMG data showed a statistically more significant difference in upper extremity elevation movement on opposite upper extremity added weight than one that was not added on a single limb weight bearing posture(p>.05). Weight supported side gluteus medius activity for 1RM, 5RM, 10RM weight difference and movement repetition did not differ(p>.05). Comparison in maximum value showed statistically significant differences in not adding weight on upper limb elevation exercise and 1RM, 5RM, 10RM repeated behavior. Elevation behavior and repetition appeared over 70% of MVIC. Conclusion: Unilateral weight bearing stance added weight in the opposite upper limb elevation movement was an indirect exercise to effectively stimulate gluteus medius activity. Applying various added weight will have effective exercise on the early stages of rehabilitation because activity gluteus medius did not differ through added weight.

  • PDF

Effects of Gait Training Using a Robot for Balance in Total Hip Arthroplasty Patients after Bilateral Avascular Necrosis: A Case Study

  • Kim, So-Yeong;Kim, Byeong-Geun;Cho, Woon-Su;Park, Chi-Bok
    • The Journal of Korean Physical Therapy
    • /
    • 제33권5호
    • /
    • pp.231-237
    • /
    • 2021
  • Purpose: This study sought to investigate the effects of robot-assisted gait training on balance in total hip arthroplasty (THA) patients after bilateral avascular necrosis (AVN). Methods: This case study in two patients utilized an 'A-B-A' single-subject experimental design that included five days of pre-intervention, followed by five days of intervention, and five days of post-intervention. The intervention involved the use of a standing inclined robot (R-bot) for 15 minutes. The outcome measures were evaluated using the Functional Reaching Test (FRT), Time Up to Go (TUG), and the Modified One Leg Standing Test (OLST). Results: Patient 1 showed improvement based on data gathered from baseline A to intervention period B, with results as follows: FRT improved from 27.7 cm to 41.28 cm, OLST LT from 14.03 seconds to 67.37 seconds, OLST RT from 2.94 seconds to 35.97 seconds, and TUG from 12.96 seconds to 7.82 seconds. Patient 2 also showed improvement from baseline A to intervention period B, with results as follows: FRT improved from 17.18 cm to 24.3 cm, OLST LT from 11.53 seconds to 52.01 seconds, OLST RT from 12.99 seconds to 62.19 seconds, and TUG from 27.31 seconds to 12.99 seconds. Conclusion: Based on the results of this study, robotic rehabilitation during the early stages after surgery is effective for promoting balance in patients who have undergone THA due to bilateral AVN.

2016 서울 국제 휠체어 마라톤 경기대회에 참가한 국내 선수의 구간 및 기록변화 분석 (Analysis of race time between Korean athletes participating in 2016 Seoul International Wheelchair Marathon)

  • 김성호;김상훈
    • 산업융합연구
    • /
    • 제18권3호
    • /
    • pp.91-98
    • /
    • 2020
  • 이 연구의 목적은 휠체어 마라톤의 구간별 기록의 차이를 규명하고 훈련에 필요한 정보와 훈련법 개발을 위한 기초자료를 제공하고자 하는데 있다. 이 연구의 대상은 2016년 서울 국제 휠체어 마라톤대회에 참가자 중 42.195km의 풀코스를 완주하여 우승한 외국 남자선수 1명과 국내 상위선수 4명, 총 5명의 기록을 대상으로 분석하였다. 매 5km에 해당하는 구간기록과 완주기록을 사용하였으며 제1구간부터 제9구간으로 설정하였다. 자료처리방법은 통계프로그램인 SPSS 25.0을 이용하여 기술통계(평균, 표준편차)를 사용하였다. 위와 같은 연구방법과 절차에 따라 다음과 같은 결론을 도출하였다. 우승한 W1 선수의 경우 30km에서 35km지점에서 기록은 전체 구간에서 가장 빠른 8분 43초의 기록을 나타냈으며, 국내 1위 선수의 K1 선수보다 1분 4초의 기록 차이를 보였다. 국제 대회에서 상위 입상하기 위해서는 후반 이후 지점에서 빠른 페이스에 적응하는 훈련이 필요하다. 즉, 하프 거리를 기준으로 후반 페이스가 빨라야한다는 것을 알 수 있었다. 또한 전반 하프의 각각의 구간에서 개인 구간별 평균 속도의 수준에 맞는 레이스 페이스를 전개해야 할 것이다. 따라서 초반 레이스를 유지 할 수 있는 체력 훈련 프로그램과 후반 이후의 페이스 변화에 대응할 수 있는 훈련 프로그램을 적용하여야 할 것으로 사료된다.

Effects of trunk Muscles Endurance, Hip Joint Muscular Strength, and Pelvic Alignment on Mild Low Back Pain

  • Kim, Wondeuk;Seo, Miryea;Park, Dongchun;Shin, Doochul
    • Physical Therapy Rehabilitation Science
    • /
    • 제10권2호
    • /
    • pp.156-160
    • /
    • 2021
  • Objective: Low back pain easily becomes chronic and has a high recurrence rate. Therefore, it is most important to prevent chronicity and reduce the risk of recurrence in the early stages of back pain or at the stage with mild pain. Therefore, this study was conducted to compare hip joint muscle strength, trunk muscle endurance, and pelvic alignment between subjects with mild low back pain and subjects without back pain. Design: Crossed-sectional study Methods: The study was conducted by recruiting 30 students in their twenties who are enrolled in K University in Gyeongsangnam-do, and classifying them into 15 patients with mild back pain and 15 patients with normal. The subjects who participated in the experiment were measured for hip flexor and extensor muscle strength, trunk flexion and extension muscle endurance, and pelvic alignment. To measure hip joint muscle strength, biodex was used, and muscle endurance of the trunk was recorded at the end range of the trunk flexion and extension. And pelvic alignment was measured using Formetric 4D. Results: There were no significant differences in hip joint muscle strength, pelvic alignment, and trunk extension muscle endurance. The retention time was found to be significantly shorter in the mild low back pain group than in the normal group for trunk flexion muscle endurance. Conclusions: In the early stages of back pain or in the mild pain stage, training to increase muscle endurance of the flexor muscles may be helpful.

Emerging Machine Learning in Wearable Healthcare Sensors

  • Gandha Satria Adi;Inkyu Park
    • 센서학회지
    • /
    • 제32권6호
    • /
    • pp.378-385
    • /
    • 2023
  • Human biosignals provide essential information for diagnosing diseases such as dementia and Parkinson's disease. Owing to the shortcomings of current clinical assessments, noninvasive solutions are required. Machine learning (ML) on wearable sensor data is a promising method for the real-time monitoring and early detection of abnormalities. ML facilitates disease identification, severity measurement, and remote rehabilitation by providing continuous feedback. In the context of wearable sensor technology, ML involves training on observed data for tasks such as classification and regression with applications in clinical metrics. Although supervised ML presents challenges in clinical settings, unsupervised learning, which focuses on tasks such as cluster identification and anomaly detection, has emerged as a useful alternative. This review examines and discusses a variety of ML algorithms such as Support Vector Machines (SVM), Random Forests (RF), Decision Trees (DT), Neural Networks (NN), and Deep Learning for the analysis of complex clinical data.