• 제목/요약/키워드: visual therapy

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감각통합치료와 가정프로그램 중재병행이 다운증후군 아동의 시각적 주의력에 미치는 효과: 단일사례연구 (Effects of Sensory Integration Therapy and Home-Based Sensory Integration on Visual Attention in Children with Down Syndrome)

  • 손지원;이혜림
    • 대한감각통합치료학회지
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    • 제21권2호
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    • pp.12-23
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    • 2023
  • 목적 : 감각통합치료와 가정프로그램의 중재병행이 다운증후군 아동의 시각적 주의력에 미치는 효과를 알아보고자 하였다. 연구방법 : 본 연구는 다운증후군 아동 1명의 대상으로 개별실험연구를 진행하였으며, 감각통합치료 중재는 주 1회씩 16주간, 가정프로그램은 주 4회씩 16주간 시행하였다. 대상 아동에게 중재 후 시각적 주의력의 변화를 측정하였다. 결과 : 중재 후 물체 주시, 물체 수평적 추시, 물체 수직적 추시 시간은 기초선 기간에 비해 평균값이 상승하였다. 중재 기간에 관찰된 물체 주시, 물체 수평적 추시, 물체 수직적 추시가 기초선 기간의 ±2 표준편차보다 높게 나타났다. 결론 : 본 연구를 통해 감각통합치료와 가정프로그램의 중재병행이 다운증후군 아동에게 시각적 주의력과 시지각 향상된 것을 확인하였으며, 효과적인 중재 방법을 제시하였다는 점에 의의가 있다.

역동적 시각-운동 통합 훈련이 시지각 처리 속도에 미치는 영향 (The Effect of Dynamic Visual-Motor Integration Training on the Visual Perception Reaction Velocity)

  • 송민옥;이은실;박성호
    • 대한통합의학회지
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    • 제3권4호
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    • pp.37-42
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    • 2015
  • Purpose: This study was conducted to test the impact of The Dynamic Visual-Motor integration training has effect on the visual perception reaction velocity. Dynavision were used to measure data from the participating 24 students(K college). Method : The participants were the 24 students of 'K' College in Busan in there twenties. They were divided into the The Dynamic Visual-Motor integration training group and the control group. To know if the Dynamic Visual-Motor integration training has effect on the visual perception reaction velocity, the Dynamic Visual-Motor integration training was implemented triweekly for 4 weeks. In Dynamic Visual-Motor integration training the ball should be grasped with one hand and threw by an arm. Only the balls threw beyond the objective point were counted. The visual perception reaction velocity and the number of response were measured before and after experiment by Dynavision. Result : Firstly, the visual perception reaction velocity was increased in Dynamic Visual-Motor integration training group compared with control group. Secondly, the number of response was also increased in Dynamic Visual-Motor integration training group compared with control group. Conclusion : As a result of The Dynamic Visual-Motor integration training has an effect on the visual perception reaction velocity and the number of response. The Dynamic Visual-Motor integration training seems to be effective for cerebral apoplexy patient who has visual perceptional disability or cerebral palsy child in training for visual perceptional development or daily living activities development. Study participated by more detailed and practical patients in hospital is needed.

Effects of Visual Information on Joint Angular Velocity of Trunk and Lower Extremities in Sitting and Squat Motion

  • Bu, Kyoung hee;Oh, Tae young
    • The Journal of Korean Physical Therapy
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    • 제27권2호
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    • pp.89-95
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    • 2015
  • Purpose: The purpose of this study is to determine the effects of visual information on movement time and each angular velocity of trunk and lower extremity joints while healthy adults are in sitting and squat motion. Methods: Participants consisted of 20 healthy male and female adults; movement time and each angular velocity of trunk, pelvis, hip, knee and ankle of sitting and squat motion according to common vision, visual task and visual block were analyzed using a three dimensional motion analysis system. Results: Each angular velocity of the trunk, pelvis, hip, knee and ankle in phase 2 of the sitting showed significant difference according to the types of visual information (p<0.05). Movement time and each angular velocity of pelvis and hip in phase 2 of squat motion showed significant difference according to the types of visual information (p<0.05). According to the common vision, each angular velocity of knee and ankle in phase 1 was significantly fast in sitting (p<0.05). According to the common vision, each angular velocity of trunk, pelvis, hip, knee, and ankle in phase 2 was significantly fast in sitting (p<0.05). Conclusion: Visual information affects the angular velocity of the motion in a simple action such as sitting, and that in more complicated squat motion affects both the angular velocity and the movement time. In addition, according to the common vision, visual task and visual block, as angular velocities of all joints were faster in sitting than squat motion.

A Systematic Review on the Management of Cortical Visual Impairment

  • Myunghwa Oh;Hyunjoong Kim
    • Physical Therapy Rehabilitation Science
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    • 제13권2호
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    • pp.196-204
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    • 2024
  • Objective: Cortical Visual Impairment (CVI) is a leading cause of pediatric blindness and the most common form of pediatric visual disability, particularly prevalent among children with cerebral palsy (CP). This systematic review synthesizes the latest research on various interventions for managing CVI, focusing on studies published in the last decade. Design: A systematic review Methods: A comprehensive search was conducted in March 2024 across several databases including MEDLINE, CINAHL, Embase, and Web of Science. Studies were selected based on inclusion criteria set under the PICOSD framework and were limited to those involving human subjects, published in English, and conducted within the past ten years. The selected studies included randomized controlled trials, observational studies, and case reports focusing on rehabilitation, therapy, and surgical interventions for CVI. Results: Out of 221 studies screened, 5 met the inclusion criteria and were reviewed in detail. These studies covered a range of interventions including physiotherapy, sensory integration training, visual training programs, neuromotor rehabilitation, and surgical procedures aimed at improving visual function and overall quality of life for CVI patients. Conclusions: The studies demonstrate the potential benefits of structured, early intervention programs that incorporate family involvement and are tailored to the unique needs of children with CVI. However, there remains a significant need for further research to establish evidence-based practices in this field.

Visual Analogue Scale(VAS)을 이용한 동통평가표에 의한 동통관리의 효용성에 관한 연구 (A Study on Efficiency of Pain Management by Questionnaire using Visual Analogue Scale in Back - Pain Patients)

  • 이복희;윤홍일;박지환
    • 대한정형도수물리치료학회지
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    • 제1권1호
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    • pp.105-112
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    • 1995
  • This study was designed to investigate the efficiency of subjective assessment that exams the subjective symptom of patients with back pain at the department of physical therapy. To assess the subjective symptom, we used the pain questionnaire using visual analogue scale (VAS) that was developed by Wang on 1995. Questionnaires were administered to 31 adult patients(male : 11, female : 20) with herniated lumbar disk(13), low back pain(8), myofascial pain syndrom(5), lumbar strain(4), ankylosing spondylitis(1). Mean age was 36.3 ranged from 20 to 65. The results of this study were as follows : 1) In each of 15 subjects, there was a significant decrease in VAS between pre- and post-treatment(p<0.05). 2) Mean VAS of total subjects was $6.26{\pm}2.55$ in pre-treatment, $4.50{\pm}2.47$ in post-treatment (p<0.001). Result of this study was shown efficiency of pain management by subjective assessment. The continuous study is needed for many interesting illue of pain management using VAS.

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시각, 청각 피드백을 이용한 디지털 페그보드 훈련 작업치료 프로그램이 뇌졸중 환자의 손 기능 및 시·지각에 미치는 영향 (Effects of a Digital Pegboard Training Program With Visual and Auditory Feedback on Hand Function and Visual Perception in Patients With Stroke)

  • 홍장우;유찬욱;강미영;장기연
    • 재활치료과학
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    • 제11권4호
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    • pp.85-97
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    • 2022
  • 목적 : 본 연구는 시각, 청각 피드백을 이용한 디지털 페그보드 훈련 프로그램이 뇌졸중 환자의 손 기능과 시·지각에 미치는 영향을 알아보고자 하였다. 연구방법 : 연구 대상자는 뇌졸중 환자 22명으로 실험군(시각, 청각 피드백을 이용한 디지털 페그보드 훈련 작업치료 프로그램 및 전통적인 작업치료) 11명과 대조군(전통적인 작업치료) 11명으로 무작위 할당되었다. 실험군은 1회당 30분씩 주 3회 6주간 총 18회의 시각, 청각 피드백을 이용한 디지털 페그보드 훈련 프로그램을 적용하여 치료를 시행하였으며, 1회당 30분씩 주 2회는 12회의 전통적인 작업치료를 받아 총 30회의 치료를 시행 하였다. 대조군은 1회당 30분씩 주 5회, 6주간 총 30회를 작업치료사를 통하여 전통적인 작업치료를 받도록 하였다. 평가는 중재 전, 후로 손 기능을 측정하기 위하여 Nine-hole pegboard test와 뇌졸중상지기능검사(MFT)를 시행하였다. 결과 : 실험군과 대조군 모두 중재 전과 후 Nine-hole pegboard test와 MVPT-3에서 유의한 상승을 보였다 (p<.05). 두 군 간의 비교에서는 실험군이 대조군보다 Nine-hole pegboard test와 MVPT-3결과 변화량 차이에 서 유의한 향상을 보였다(p<.05). 결론 : 본 연구의 결과를 통하여 시각 및 청각 피드백을 이용한 디지털 페그보드 훈련 프로그램이 뇌졸중 환자의 손 기능과 시·지각기능의 향상을 위한 재활 프로그램에 유용하게 활용될 수 있을 것으로 사료된다.

시각탐색(visual scanning) 프로그램이 뇌졸중 환자의 시각기억에 미치는 영향: 단일 사례연구 (Effect of Visual Scanning Program on the Visual Memory of Stroke Patients: Single Subject Research Design)

  • 황선정;김정미
    • 대한지역사회작업치료학회지
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    • 제3권1호
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    • pp.67-75
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    • 2013
  • 목적 : 본 연구는 시각탐색 프로그램이 뇌졸중 환자의 시각기억에 미치는 영향에 대해 살펴보고자 실시하였다. 연구방법 : 시각 기억에 결여를 보이는 뇌졸중 환자를 대상으로 개별실험 연구방법(single subject research design) 중 ABA' 설계를 사용하였다. 기초선 A는 일반적인 작업치료를 5회기, 중재기 B에는 시각탐색 훈련프로그램을 4주 동안 7회기 매회 30분간 진행하였고, 재기초선 A'는 일반적인 작업치료를 3회기 실시하였다. 훈련 전, 후 시각기억의 변화를 알아보기 위하여 전산화 신경인지 기능 검사 프로그램 중 시각기억 검사(Visual Learning Test), 시각 단기 기억(Visual Span Test)를 실시하였다. 결과 : 시각 탐색 훈련프로그램 후에 MVPT processing time이 5.5초에서 4.5초로 더 빨라졌고, CNT 시각기억 검사(Visual Learning Test), 시각 단기 기억(Visual Span Test) 의 모든 항목들에서도 치료 전, 후 평균점수들의 향상된 결과를 보였다. 결론 : 시각탐색프로그램이 뇌졸중 환자의 시각기억에 긍정적인 영향을 주는 것을 알 수 있었다. 이러한 시도를 통해 뇌졸중 환자들의 시지각 향상을 위해 시각탐색훈련프로그램을 활용한 연구뿐만 아니라 시지각 훈련을 위한 다양한 프로그램들이 개발되어지기를 기대해 본다.

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학령 전기 아동의 글씨 쓰기에 영향을 미치는 요인에 관한 연구 (A Study on Factors Influencing Handwriting of Preschool Children)

  • 김윤경;한수상;장철
    • 대한통합의학회지
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    • 제3권1호
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    • pp.1-10
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    • 2015
  • Purpose: This study investigated the relationships of handwriting legibility and perceptual-motor skills, and handwriting speed and perceptual-motor skills. And identified the predictors that most affect the handwriting of preschool children. Methods: Twenty-three typically developing preschool aged children (mean age: 68.61 months, SD=2.04) were selected through the Korean-Denver Developmental Screening Test-2(K-DDST-2). The children were tested with regard to handwriting legibility, visual perception, visual-motor integration and fine-motor coordination. Results: First, a significant relationship was not found among handwriting legibility, visual perception, visual-motor integration and fine-motor coordination. Second, a significant relationship was found among handwriting speed, visual perception and fine-motor coordination. Third, stepwise multiple regression analyses showed that general visual perception were significant predictors for handwriting speed. Conclusion: Occupational therapists should evaluate children's visual perception levels utilizing a standardized test, and focus on general visual perception in order to improve handwriting skill(speed). Also, occupational therapists are expected to play an important role in the management and treatment of children's handwriting skills.

시각적 피드백과 리듬청각자극을 통한 트레드밀 보행훈련이 뇌졸중 환자의 보행능력에 미치는 영향 (Effects of Visual Feedback and Rhythmic Auditory Stimulation on Walking of Stroke Patients Induced by Treadmill Walking Training)

  • 박진;김범룡;김태호
    • 한국전문물리치료학회지
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    • 제25권2호
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    • pp.53-61
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    • 2018
  • Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimulation. However we did not consider the influence of visual feedback. Objects: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation and visual feedback (TRASVF) or treadmill walking training with rhythmic auditory stimulation (TRAS) alone. Methods: Twenty-one stroke patients were divided into two groups: A TRASVF group (10 subjects) and a TRAS group (11 subjects). They received 30 minutes of neuro-developmental therapy (NDT) and walking training for 30 minutes, five times a week for three weeks. Temporal and spatial gait parameters were measured before and after the training period. The Biodex gait trainer treadmill system measured gait parameters. Results: After the training periods, the TRASVF group showed a significant improvement in walking speed, the step length of the affected limb, and time on each foot of the affected limb when compared to the TRAS group (p<.05). Conclusion: The results of this study showed that the treadmill walking training with rhythmic auditory stimulation and visual feedback improved individual gait ability more than the treadmill walking training with rhythmic auditory stimulation alone. Therefore, visual feedback should be considered along with rhythmic auditory stimulation training.