• 제목/요약/키워드: sensory assessment

검색결과 284건 처리시간 0.032초

Effect of Visual and Somatosensory Information Inputs on Postural Sway in Patients With Stroke Using Tri-Axial Accelerometer Measurement

  • Chung, Jae-yeop
    • 한국전문물리치료학회지
    • /
    • 제23권1호
    • /
    • pp.87-93
    • /
    • 2016
  • Background: Posture balance control is the ability to maintain the body's center of gravity in the minimal postural sway state on a supportive surface. This ability is obtained through a complicated process of sensing the movements of the human body through sensory organs and then integrating the information into the central nervous system and reacting to the musculoskeletal system and the support action of the musculoskeletal system. Motor function, including coordination, motor, and vision, vestibular sense, and sensory function, including proprioception, should act in an integrated way. However, more than half of stroke patients have motor, sensory, cognitive, and emotional disorders for a long time. Motor and sensory disorders cause the greatest difficulty in postural control among stroke patients. Objects: The purpose of this study is to determine the effect of visual and somatosensory information on postural sway in stroke patients and carrying out a kinematic analysis using a tri-axial accelerometer and a quantitative assessment. Methods: Thirty-four subjects posed four stance condition was accepted various sensory information for counterbalance. This experiment referred to the computerized dynamic posturography assessments and was redesigned four condition blocking visual and somatosensory information. To measure the postural sway of the subjects' trunk, a wireless tri-axial accelerometer was used by signal vector magnitude value. Ony-way measure analysis of variance was performed among four condition. Results: There were significant differences when somatosensory information input blocked (p<.05). Conclusion: The sensory significantly affecting the balance ability of stroke patients is somatosensory, and the amount of actual movement of the trunk could be objectively compared and analyzed through quantitative figures using a tri-axial accelerometer for balance ability.

하치조신경 손상시 턱끝신경 체성감각유발전위검사의 진단적 유용성에 관한 연구 (DIAGNOSTIC EFFICACY OF MENTAL NERVE SEP(SOMATOSENSORY EVOKED POTENTIALS) FOR THE INJURED INFERIOR ALVEOLAR NERVE)

  • 정현주;김명래
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제27권3호
    • /
    • pp.250-257
    • /
    • 2001
  • Sensory dysfunction following the injury of the inferior alveolar nerve requires objective examination to get a reproducible data and to provide necessary treatment. This study was designed to evaluate if the SEP(somatosensory evoked potentials) of the mental nerve can be used as an objective method for the diagnosis of nerve injury and sensory disturbances. The subjects were nineteen patients ($37.4{\pm}11.3$ years old) who had been suffered from sensory disturbance of the unilateral lower lip and mental region for over 6 months after the inferior alveolar nerve injuries confirmed by the microsurgical explorations. The clinical neurosensory tests as SLTD(static light touch discrimination), MDD(moving direction discrimination), 2PD(two point discrimination), PPN(pin prick nociception) and accompanied pain were preceded to electro-physiologic examinations as SEP. The score of sensory dysfunction (sum score of all sensory tests) ranged from 0 to 8 were compared to the latency differences of the mental nerve SEPs. The correlation between clinical sensory scores and SEPs were tested by Spearman nonparametric rank correlation analysis, the differences in SEP latency by Kruskal-Wallis test and the latency differences according to PPN and accompanied pain by Mann-Whitney U test. This study resulted that the difference of the latencies between normal side and affected side was $2.22{\pm}2.46$ msec and correlated significantly with the neurosensory dysfunction scores (p=0.0001). Conclusively, the somatosensory evoked potentials of the mental nerve can be a useful diagnostic method to evaluate the inferior alveolar nerve injuries and the change of sensory dysfunction to be reproduced as an objective assessment.

  • PDF

만성 뇌졸중 환자를 대상으로 한 일차 체성 감각 피질을 자극한 경두개 직류 전류 자극이 라이프 케어 증진을 위한 체성감각과 상지기능에 미치는 영향 (The Effect of Transcranial Direct Current Stimulation over the Primary Somatosensory Cortex in Patients with Chronic Stroke on Somatosensory and Upper Limb Function for Improving Life Care)

  • 김선호
    • 한국엔터테인먼트산업학회논문지
    • /
    • 제14권6호
    • /
    • pp.269-277
    • /
    • 2020
  • 본 연구의 목적은 감각 결손이 있는 만성 뇌졸중 환자를 대상으로 경 두개 직류 전류 자극을 체성감각피질에 적용했을 때, 감각의 회복과 상지 기능의 회복을 알아보고자 하는 것이다. 만성 뇌졸중 환자 20명을 실험군 10명, 대조군 10명으로 나누어 실시하였다. 실험군은 환측 체성감각피질에 경 두개 직류 전류 자극을 적용하였으며, 대조군은 위상 자극을 실시하였다. 중재는 총 2주간, 10회, 회기 당 20분씩 진행되었다. 체성감각 평가는 The Erasmus MC modifications to the (revised) Nottingham Sensory Assessment(EmNSA), Semmes-Weinstein monofilament examination(SWME), 상지기능 평가는 퍼글마이어평가(FMA), 운동 활동 척도(MAL), 가속도계를 사용하였다. 연구 결과, 실험군은 대조군보다 전체적인 촉각 감각과 고유수용성 감각, 피질 감각, 지각의 민감도에서 유의한 개선을 보였으며, 환측 상지의 사용량에서 통계학적 유의한 차이를 나타냈다. 본 연구 결과를 기반으로 체성감각 회복과 상지기능의 회복을 위한 tDCS의 효과적인 임상 적용의 가능성을 높일 수 있을 것으로 생각된다.

자동차용 오디오의 실내음질 평가인자에 관한 연구 (A Study on the Assessment Factors for Car Audio Sound Quaility)

  • 오양기;한명호
    • 소음진동
    • /
    • 제9권5호
    • /
    • pp.991-997
    • /
    • 1999
  • It is getting higher the demand on a good sound in a car. Like some other sensory qualities, achieving a good sound is still treated as a black-box followed by the individual taste of tuning engineers. This study aims to define the attributes of a good car audio sound and the assessment factors affecting the sound quality. With a variety of surveys on professional listening groups and car audio installers, 26 most frequently used vocabularies are selected as typical presentations of car audio sound quality. After repetitions of listening tests with deliberately selected test CD, pre-recorded 15 different digital car-recordings, headphones replay system, and three different listening groups, it is proved that there are at least 5 different assessment factors which significantly affect the car audio sound quality. They are high fidelity, spectral balance, tonal accuracy, sound stage and acoustic fault.

  • PDF

멸치볶음 저작·연하 용이 노인식 개발 (Development of Easily Chewable and Swallowable Stir-fried Anchovy for Elderly)

  • 김수정;주나미
    • 한국식품영양학회지
    • /
    • 제28권2호
    • /
    • pp.189-195
    • /
    • 2015
  • Failure of the functions involved in ingestion leads to, not only loss of enjoyment of eating, but also protein-energy malnutrition. Dysmasesis and difficulty of swallowing occurs in various diseases, but aging is a major cause. In the aging society, the proportion of elderly people with dysmasesis and difficulty of swallowing is expected to increase rapidly. Developing foods for the elderly that are easy to chew and swallow is thus required. This study was conducted to develop easily chewable and swallowable foods for the elderly who can crush foods and ingest with their own tongues, but occasionally have difficulty in drinking fluids such as water and tea. Various foods for the elderly with chewing and swallowing difficulties were used for sensory assessment. The sensory panel consisted of 10 dietitians (10 women) in nursing care facilities. The sensory optimal composite recipes were determined by central composite design (CCD). The sensory measurements were significantly different in saltiness (p<0.05), sweetness (p<0.05), and overall quality (p<0.05). The optimum formulation of stir fried anchovy calculated by numerical and graphical methods was 3.74 g of soy sauces and 30.17 g of oligo-saccharides. Stir fried anchovy had a moisture content, hardness and adhesiveness of 76.52%, 2.10, and -1.57, respectively.

체성실행장애 아동을 위한 개별치료와 그룹치료를 병행한 감각통합치료가 감각통합능력 및 작업수행능력에 미치는 효과: 개별 실험 연구 (The Effects of the Sensory Integration Intervention Focused on Combined Both Individual Therapy and Group Therapy for Sensory Integration Ability and Occupational Performance Abilities in Children With Somatodyspraxia: Case Study)

  • 조혜진;봉영순;이지영
    • 대한감각통합치료학회지
    • /
    • 제11권2호
    • /
    • pp.13-26
    • /
    • 2013
  • 목적 : 본 연구는 실행장애 아동에게 맞게 고안된 개별치료와 또래와 함께 실시한 그룹치료를 병행한 감각통합치료가 작업수행능력에 미치는 효과에 대해 알아보고자 하였다. 연구방법 : 연구 대상은 2012년 만 5세 11개월의 남아로 작업수행을 의존하여 감각통합치료에 의뢰되었다. 연구설계는 개별실험연구(single-subject research design) 중 ABA설계를 사용하였다. 연구 과정은 기초선 기간 4회기, 중재 기간 24회기로 총 12주간 각 주1회씩 개별치료와 그룹치료를 병행하여 감각통합치료를 실시하였다. 실험기간동안 목표성취척도(Goal Attainment Scale: GAS)를 통하여 체성감각변별능력과 자세조절능력에 따른 감각통합능력의 변화되는 과정을 측정하였고 기초선평가와 재평가를 통해 작업수행능력을 측정하였다. 결과 : 개별치료와 그룹치료를 병행한 감각통합치료는 체성실행장애 아동의 체성감각변별능력과 자세조절능력의 향상과 함께 작업수행기술의 성취에 효과가 있었다. 결론 : 본 연구를 통하여 개별치료와 그룹치료를 병행한 감각통합치료는 체성실행장애 아동의 적응반응에 긍정적인 영향을 미치는 것을 알 수 있었다.

  • PDF

Orofacial Thermal Quantitative Sensory Testing (QST): A Study of Healthy Korean Women and Sex Difference

  • Ahn, Sung-Woo;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
    • /
    • 제40권3호
    • /
    • pp.96-101
    • /
    • 2015
  • Purpose: Thermal sensory test as an essential part of quantitative sensory testing (QST) has been recognized as a useful tool in the evaluation of the trigeminal nerve function. Normative data in the orofacial region have been reported but the data on differences in the test site, sex and ethnicity are still insufficient. Thus, this study aimed to investigate the normal range of orofacial thermal QST data in the healthy Korean women, and assess sex difference of thermal perception in the orofacial regions. Methods: Thermal QST was conducted on 20 healthy women participants (mean age, 26.4 years; range, 21 to 34 years). The thermal thresholds (cold detection threshold, CDT; warm detection threshold, WDT; cold pain threshold, CPT; and heat pain threshold, HPT) were measured bilaterally at the 5 trigeminal sites (the forehead, cheek, mentum, lower lip and tongue tip). The normative thermal thresholds of women in the orofacial region were evaluated using one-way ANOVA and compared with the previously reported data from age- and site-matched 30 healthy men (mean age, 26.1 years; range, 23 to 32 years) using two-way ANOVA. One experienced operator performed the tests of both sexes and all tests were done in the same condition except the time variability. Results: Women showed significant site differences for the CDT (p<0.001), WDT (p<0.001), and HPT (p=0.047) in the orofacial region. The CDT (p<0.001) and the CPT (p=0.007) presented significant sex difference unlike the WDT and the HPT. Conclusions: The thermal sensory evaluation in the orofacial region should be considered in the context of site and sex and the normative data in this study could be useful for assessment of the sensory abnormalities in the clinical setting.

유치원 급식에 적용하기 위한 한국의 전통적인 전분류 음식의 Steam Convection Oven 및 Cook/Chill System용 레시피 개발 및 미생물적, 관능적 품질 평가에 대한 연구 (A study on the Development of Standardized Recipe and the Microbiological Assessment and Sensory Evaluation of Korean Traditional Starch Foods for Steam Convection Oven and Cook/Chill System for Kindergarten Foodservice Operations)

  • 강현주;김경자;김은희
    • 한국식품조리과학회지
    • /
    • 제14권4호
    • /
    • pp.348-357
    • /
    • 1998
  • To meet the demand for high quality of foods with the expanded implementation of foodservice into kindergarten, and to make the efficient use of resources, the necessity of introducing central production unit with cook/chill system into kindergarten foodservice is getting increased. The purpose of this study were to develop standardized recipe applicable to cook/chill system for kindergarten foodservice and to evaluate the microbial and sensory quality. For quantitty production of cook/chill system in kindergarten foodservice, Korean traditional starch foods were selected as menu items. The followings are summary of the results: 1. Standard recipes to produce Various Boiled Rice (Boriebap and Yackbap) and Rice Cake (Chapsal-pat-sirutuk) for cook/chill system have been developed. 2. The microbial quality of Boribap, Yackbap and Chapsal-pat-sirutuk during 10 days chilled storage was very excellent. And in this experiment, the stability of storage of standard recipes of Boribap, Yackbap and Chapsal-pat-sirutuk at cook/chill system was proved for 10 days. 3. In the result of sensory evaluation, apperance of Boribap was decreased significantly on the third day of storage (p<0.005). The rest of the item of sensory evaluation of Boribap has no significance between the first day and the third day of storage. The tenderness (p<0.05) and gelatinousness (p<0.005) of Yackbap had been rated high significantly in the third day of storage than the first day of storage. The rest of the item of sensory evaluation of Boribap has no significance between the first day and the third day of storage. The color and chewiness of Chapsal-pat-sirutuk was decreased significantly on the third day of storage (p<0.05). The rest of the item of sensory evaluation of Chapsal-pat-sirutuk has no significance between the first day and the third day of storage.

  • PDF

심리운동과 감각통합치료가 발달장애유아의 운동기술에 미치는 영향 (Effects of Psychomotorik and Sensory Integration on the Motor Skills of Children with Development Disabilities)

  • 김일명
    • 디지털융복합연구
    • /
    • 제16권12호
    • /
    • pp.647-654
    • /
    • 2018
  • 본 연구는 또래와의 상호적으로 다양한 움직임을 이끌어 내는 그룹 심리운동과 기능적인 움직임을 이끌어내기 위한 개별 감각통합치료가 유아의 운동기술(motor skills) 향상에 미치는 영향을 비교하여 살펴보고자 하였다. 연구 대상은 본원에 재원 중인 만 4세 아동 2명을 대상으로 2017년 4월부터 2018년 1월까지 주 2회 40분 씩 각각 심리운동과 감각통합치료를 적용하였다. 연구 방법은 B-O test, DeGangi-Berk Test of sensory Integration(TSI), MOT4-6 등의 평가도구를 사용하였으며 그 중 대 동작을 필요로 하는 항목을 선별하여 사전 평가 결과와 프로그램 진행 후 사후평가 결과를 토대로 항목별 향상 정도를 그래프로 비교 분석하였다. 연구 결과는 심리운동과 감각통합치료 모두에서 운동기술 향상을 가져왔으며 특히 균형성 및 자세조절 등에서 두드러지게 향상 된 점수를 획득되어 두 영역의 프로그램이 운동기술에 긍정적인 효과가 있음을 알 수 있었다.

전동식 보행 훈련기를 이용한 뇌졸중 환자 보행훈련의 사전연구 (Preliminary Study of Ambulation Training on Electromechanical Gait Trainer in Stroke Patients)

  • 김재현;안승헌;배성수
    • 대한물리의학회지
    • /
    • 제1권1호
    • /
    • pp.1-12
    • /
    • 2006
  • Purpose : The purpose of this study was to investigate the effect of electromechanical gait trainer therapy in stroke patients. The gait trainer was designed to provide nonambulatory subjects the repetitive practice of a gait-like movement without overstraining therapist. To simulate normal gait, discrete stance and swing phase, lasting 60% and 40% of the gait cycle respectively, and the control of the movement of the centre of mass were required. Methods : This preliminary study investigated during 8 weeks therapy on the gait trainer could improve gait ability in 5 subacute and chronic hemiparetic stroke patients. Gait ability(time up & go [TUG], comfortable and maximal gait speed and functional ambulation category[FAC]), functional movement of lower extremity(Fugl-Meyer Assessment [FMA] and composite spasticity score [CSS]) and sensory of lower extremity(Fugl-Meyer Assessment sensory [FMA-s])were the measured. Results : TUG, comfortable and maximal gait speed and FMA were improved significantly. Although FAC, FMA-s and CSS were improved, there were not statistically significant. Conclusion : Therefore, the gait trainer enabled affected patients the repetitive practice of a gait-like movement, which is important for the restoration of walking ability.

  • PDF