• Title/Summary/Keyword: single-subject study

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Effect of Gait Training Using PNF on Balance and Walking Ability in Person with Chronic Stroke(Single Subject Design) (PNF를 이용한 보행 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 영향(단일사례설계))

  • Lee, Moon-Kyu;Yun, Tae-Won;Kim, Yoon-Hwan;Lim, Jae-Heon
    • PNF and Movement
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    • v.10 no.1
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    • pp.43-52
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    • 2012
  • Purpose : The purpose of this study was to observe the effect of a gait training using PNF on a gait and balance ability of a person with chronic stroke. Methods : The subject was left hemiplegia due to cerebral infarction. The subject participated in PNF gait training session as well as baseline for 30 minutes a day for 4 weeks. we used the 10-meter walking test(10MWT), figure-8-of walk test(F8WT), dynamic gait index(DGI) for measuring the gait ability and four square step test(FSST), Berg balance scale(BBS) for measuring the balance ability through the whole sessions. Results : The gait ability was enhanced compared to first baseline, as measured by 10MWT(27.3%), F8WT(36.6%), DGI(8 points increased). The balance ability was improved compared to first baseline, as measured by FSST(49.1%), BBS(10 points increased). The increase was maintained in second baseline session. Conclusion : The PNF gait training program is helpful to enhance the adaptation of the gait and balance according to the various environmental demands.

The Level of Happiness According to the Types of Work and Leisure in Single-person Households (1인가구의 일·여가 유형에 따른 행복수준)

  • Kwon, Anna
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.4
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    • pp.15-30
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    • 2021
  • This study aims to apprehend resources that affect level of happiness according to the types of work and leisure in single-person households, and suggests measures to effectively manage. Single-person households not only have different demographic characteristics such as gender and age, but also they have different resources, so there is a need to look at them simple as an individual subject, but as a complicated system from more integrated view. Thus, this study saw the single-person household as an organism existing in a complicated environment based on examining the previous researches. This work deigned the research model by applying the human ecological point of view consistently interacting with the environment. This study suggested an hypothesis under the assumption that the resources such as leisure, infrastructure, social activity and work-life balance support system will influence the level of happiness of single-person household

The Effects of Auditory Stimulus Using Music on Unilateral Neglect in Patients With Stroke: A single-subject design (음악을 통한 청각자극이 만성 뇌졸중 환자의 편측무시에 미치는 영향: 단일대상연구)

  • Park, Jin-Hyuck;Park, Ji-Hyuk;Park, Hae-Yean
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.33-42
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    • 2016
  • Objective : The purpose of this study was to verify the effects of auditory stimulus using music on unilateral neglect in patients with stroke. Methods : This study used a single subject (ABA) design. The subject who showed unilateral neglect caused by stroke received auditory stimulus using music for 60 minutes per sessions. A total of 20 sessions were conducted. The unilateral neglect was measured by the Star cancellation test and Line bisection test during each session, and Catherine Bergego Scale was used to evaluate the degree of unilateral neglect in daily life pre-and post-test. Also, Positive Affect and Negative Affect Schedule was used to test subject's emotional status. Results : During the intervention period, the results of the Star cancellation test and Line bisection test showed the trend of reduction of unilateral neglect symptom and the effects of intervention were maintained after intervention. After intervention, the results of CBS indicated decreased unilateral neglect symptom in activities of daily living and the results of PANAS indicated increased positive affect. Conclusions : The result of this study indicate that auditory stimulus has a positive effect on the unilateral neglect, and may be considered as alternative choice in clinical occupational therapy for reducing unilateral neglect.

The Effect of Theratainment Swiss Ball Exercise on the Upper Limb Function, Pain and disability, Daily Activities of a Patient with Axillary Nerve Injury: Single Subject (테라테인먼트 스위스 볼 운동이 겨드랑신경 손상 환자의 상지기능, 통증 및 장애, 일상생활활동에 미치는 영향 : 개별대상연구)

  • Son, Bo-Young;Bang, Yo-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.431-442
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    • 2020
  • This study examined the effect of the theratainment swiss ball exercise on the upper limb function, pain, and daily activities of a patient with axillary nerve injury. The research duration was from November 5th, 2019 to February 25th, 2020. The research subject was a 23-year-old female patient living in the metropolitan city of G in South Korea, and the A-B-A' type of single-subject experimental research design was used. In this study, repeated training was provided to the patient in the form of exercises employing different directions and gradually increased weights. The training increased the structural stability and mobility of the shoulder and was effective for pain relief as it strengthened shoulder function. The training helped the subject improve her posture change adaptability and reaction ability in different environments and ultimately enabled her to increase and maximize her performance of independent daily activities. This study thus demonstrated the positive effect of the Swiss ball exercise on the upper limb function, pain and disability, daily activities of a patient with axillary nerve injury and confirmed the potential of the exercise as an intervention method. Continued investigation to develop and test the effect of the Swiss ball exercise will be required for it to be used professionally as a therapeutic approach by occupational therapists in treating a variety of patients.

Pathway enrichment and protein interaction network analysis for milk yield, fat yield and age at first calving in a Thai multibreed dairy population

  • Laodim, Thawee;Elzo, Mauricio A.;Koonawootrittriron, Skorn;Suwanasopee, Thanathip;Jattawa, Danai
    • Asian-Australasian Journal of Animal Sciences
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    • v.32 no.4
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    • pp.508-518
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    • 2019
  • Objective: This research aimed to determine biological pathways and protein-protein interaction (PPI) networks for 305-d milk yield (MY), 305-d fat yield (FY), and age at first calving (AFC) in the Thai multibreed dairy population. Methods: Genotypic information contained 75,776 imputed and actual single nucleotide polymorphisms (SNP) from 2,661 animals. Single-step genomic best linear unbiased predictions were utilized to estimate SNP genetic variances for MY, FY, and AFC. Fixed effects included herd-year-season, breed regression and heterosis regression effects. Random effects were animal additive genetic and residual. Individual SNP explaining at least 0.001% of the genetic variance for each trait were used to identify nearby genes in the National Center for Biotechnology Information database. Pathway enrichment analysis was performed. The PPI of genes were identified and visualized of the PPI network. Results: Identified genes were involved in 16 enriched pathways related to MY, FY, and AFC. Most genes had two or more connections with other genes in the PPI network. Genes associated with MY, FY, and AFC based on the biological pathways and PPI were primarily involved in cellular processes. The percent of the genetic variance explained by genes in enriched pathways (303) was 2.63% for MY, 2.59% for FY, and 2.49% for AFC. Genes in the PPI network (265) explained 2.28% of the genetic variance for MY, 2.26% for FY, and 2.12% for AFC. Conclusion: These sets of SNP associated with genes in the set enriched pathways and the PPI network could be used as genomic selection targets in the Thai multibreed dairy population. This study should be continued both in this and other populations subject to a variety of environmental conditions because predicted SNP values will likely differ across populations subject to different environmental conditions and changes over time.

Effect of CLT and Sling Exercise Combined Program on Knee Pain in Patellofemoral Pain Patient: A Single-Subject Study (협응이동훈련과 슬링운동 결합 프로그램이 무릎넙다리통증 환자의 무릎통증 및 기능적 움직임에 미치는 영향: 단일사례 연구)

  • Kim, Seong-hwan;Yu, Seong-hun;Park, Se-jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.73-81
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    • 2019
  • Background: Patellofemoral pain is one of the common diseases of the musculoskeletal system. Many previous studies have recommended the application of exercise therapy to patellofemoral pain patients for treatment. The purpose of this study was to investigate effect of coordinative locomotor training (CLT) and sling exercise combined program on knee pain and functional movement in patellofemoral pain patient. Methods: In this study, single-subject design (A-B-A') was conducted for 6 weeks. A repeted-measure analysis was conducted to assess results of the anterior knee pain scale (AKPS), Clarke's test (CT), eccentric step down test (ESDT). During the intervention (B), the CLT and sling exercise combined program was conducted three times a week for 4 weeks. Results: From baseline period A to intervention period B, the AKPS, CT, ESDT were improved from 61 to 48 (27%), from 8.33 to 3 (64%), from 7.67 to 3,58 (53%). From baseline period A to baseline period A', the AKPS, CT, ESDT were improved from 70.67 to 48 (47%), from 0.67 to 3 (92%), from 1.33 to 3,58 (83%). Conclusion: Based on the results of this study, we recommend the application of CLT and sling exercise combined program to improve the pain and functional movement in patellofemoral pain patients.

Effect of Proprioceptive Neuromuscular Facilitation and Action Observation Training on Upper Extremity Motor Function in Stroke Patient: A Single-Subject Study (고유수용성신경근 촉진법 훈련과 동작관찰 훈련이 뇌졸중 환자의 상지 운동기능에 미치는 효과: 단일사례 연구)

  • Park, Hye-Ryoung;Lee, Moon-Kyu;Yun, Tae-Won
    • Physical Therapy Korea
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    • v.22 no.1
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    • pp.69-78
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    • 2015
  • This study evaluated and compared the effectiveness on upper motor extremity function between proprioceptive neuromuscular facilitation which has been frequently used in clinical practice, and action observation training in terms of improving upper motor extremity function. A study with a single-subject design (A-B-C-A') was conducted with a patient who was diagnosed with left hemiplegia. A repeated-measure analysis was conducted to assess results of the Wolf Motor Function Test (WMFT), Box and Block Test (BBT), and grip and pinch strength test performed daily in the study for 4 weeks. The results of the analysis indicated that the WMFT score, BBT score, grip strength, and pinch strength were improved from 29.60 to 39 (24.10%), from 1.67 to 4.93 each (EA) (66.22%), from 2.06 to 2.66 libras (lbs) (22.61%), and from 1.57 to 1.93 lbs (18.94%), respectively, from the baseline period to treatment period B. The values were improved from 29.60 to 42.20 (29.86%), from 1.67 to 7 EA (76.21%), from 2.06 to 3.47 lbs (40.57%), and from 1.57 to 1.67 lbs (6.12%), respectively, from the baseline period to treatment period C. From treatment period B to treatment period C, the WMFT score, BBT score, and grip strength were improved from 39 to 42.20 (7.58%), from 4.93 to 7 EA (29.56%), and from 2.66 to 3.47 lbs (23.20%), respectively, but pinch strength was decreased from 1.93 to 1.67 lbs (15.83%). In conclusion, proprioceptive neuromuscular facilitation and action observation training both have positive effects on upper extremity motor function. However, we suggest that the posttreatment effect of action observation training was better than that of proprioceptive neuromuscular facilitation.

The Effects of Somatosensory Stimulation of the Hands on the Hand Functions and Visuomotor Coordination Function of Children with Developmental Disabilities

  • Kong, Nam Ho;Lee, Jun Cheol;Lee, Han Ki
    • Journal of International Academy of Physical Therapy Research
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    • v.5 no.1
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    • pp.652-660
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    • 2014
  • In the present study, to examine the effects of somatosensory stimulation of the hands on the hand functions and visuomotor coordination of children with developmental disabilities, a total of 24 sessions of experiments were conducted with three children with developmental disabilities for 60 minutes per session, three sessions per week from January 7, 2013 to March 11, 2013. To examine the effects of somatosensory stimulation of the hands on grasping and visuomotor coordination which are sub-areas of PDMS-2, the A-B study design was used which is a single case study method out of single-subject experimental research designs. Somatosensory stimulation of the hands was shown to be effective in improving the hand functions of children with developmental disabilities. Somatosensory stimulation of the hands showed positive effects on the raw scores and standardized scores of grasping and visuomotor coordination in all the three subject children. Visuomotor coordination functions showed higher scores in post-hoc tests in all three children. In particular, ring throws showed high scores at right $90^{\circ}$, right $45^{\circ}$, center, left $45^{\circ}$, and left $90^{\circ}$ among visual directions. In the present study conducted with children with developmental disabilities, ring throws were performed to examine visuomotor coordination. In particular, the numbers of successes of ring throws on the front, left, and right were shown to be high. Therefore, somatosensory stimulation of the hands was effective on the hand functions and visuomotor coordination functions of children with developmental disabilities.

Effects of Occipital Bone Stimulation by Cervical Stabilizing Exercise on Muscle Tone, Stiffness, ROM and Cervical Lordosis in Patient with Forward Head Posture: Single System Design

  • Park, Si Eun;Lee, Jun Cheoul;Choi, Wan Suk
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.989-993
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    • 2016
  • The purpose of this study was to investigate the effects of occipital bone stimulation by cervical stabilizing exercise on the muscle tone, stiffness, ROM, and cervical lordosis in patient with forward head posture(FHP). This study was a case study of a single patient with forward head posture. This study used a ABA' design, A and A' were the baseline phases and B was the intervention phase. The intervention was occipital bone stimulation by cervical stabilization exercise. It was administered once daily for 7 days. The therapist kept hands together, and placed the two index fingers under the subject's occipital bone. The subject performed the chin-in exercise with a maximum isometric contraction for 20 sec.The exercise was implemented by performing the movements 10 times as a set and repeating the set three times. The muscle tone was not significantly changed after intervention. However, the stiffness was decreased and lasted the effect lasted without intervention. The cervical flexion angle was increased, but the cervical extension angle was not significantly changed after the intervention. The left and right lateral flexion angles were increased and the effect lasted without any intervention. However, the left and right rotation angles were significantly changed after the intervention. Cervical lordosis increased not from $37^{\circ}$ to $41^{\circ}$ after the intervention. These results suggest that occipital bone stimulation by cervical stabilizing exercise had a positive effect on cervical stiffness, flexion and lateral flexion ROM, and lordosis in a patient with forward head posture.

The Effect of Dual-task Gait Training on Balance, Gait, and Activities of Daily Living for Patients with Parkinson's Disease -A Single-subject Experimental Design- (이중과제 보행훈련이 파킨슨병 환자의 균형, 보행능력 및 일상생활동작에 미치는 효과 -단일사례연구-)

  • Park, Hyun-Ju;Lee, Eon-Ju;Na, Gyu-Min;Kang, Tae-Woo
    • PNF and Movement
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    • v.17 no.3
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    • pp.339-351
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    • 2019
  • Purpose: This study identified the effects of dual-task gait training on balance, gait function, and activity of daily living in patients with Parkinson's disease. Methods: This study used a single-subject design. Two patients with Parkinson's disease participated in this study. Dual-task gait training was performed 1 hour per day 8 times during intervention phase. The subjects were measured 8 times in the baseline phase, 8 times in the intervention phase, and 8 times in the follow-up phase. The outcome measurements included a timed up and go test (TUG), a Berg balance scale (BBS), a 10 meter walk test (10MWT), a 6 minute walk test (6MWT), a dynamic gait index (DGI) and a Korean modified Barthel index (K-MBI). Results: When compared to the average of the baseline process, the data collected during the intervention period showed that the TUG and 10MWT results improved and the tendency line was above the baseline. In addition, BBS, 6MWT, DGI, and K-MBI values for both patients increased remarkably after the training. Conclusion: The results of this study revealed that dual-task gait training may be helpful to improve balance, walking function, and activity of daily living for patients with Parkinson's disease. Further studies need to confirm our findings.