Background: Treadmill training is an effective intervention method for improving the walking ability of stroke patients, and taping is effective for stabilizing joints. However, taping interventions have not been implemented during treadmill training. Objectives: To examine whether treadmill training with an elastic tape or treadmill training with a non-elastic tape could be more effective in stroke patients. Design: A single blinded, randomized, controlled, comparative study. Methods: 22 stroke patients were randomly allocated to two groups: the elastic group (treadmill gait training with ankle elastic tape on the paretic side) or the non-elastic group (treadmill gait training with non-elastic tape on the paretic side). All participants performed 60 min of comprehensive rehabilitation therapy and treadmill training with an elastic tape or non-elastic tape for 20 min. Results: 10-meter walk test and timed up-and-go test results after training differed significantly from baseline in both groups (P<.05), but significantly larger gains were observed in the elastic group (10-meter walk test, -17.1%; timed up-and-go test, -18.49%; P<.05, respectively). Conclusion: Treadmill gait training with elastic tape on the affected ankle joint might be more effective at improving the walking and balancing abilities of stroke patients.

Background: Swallowing disorder is a common disease that can cause various complications such as malnutrition, dehydration, aspiration pneumonia, and poor quality of life, and can affect people of all ages, from infants to the elderly. Swallowing disorder rehabilitation is a complex process involving various skills such as exercise, diet modification, and posture adjustment. This study implements a rehab program for swallowing disorders using the Kinesio Tapping technique. Design: Prospective pilot case study. Objectives: To improve laryngeal detachment by providing external support to the muscles involved in swallowing using kinesio taping for conventional complex swallowing disorder rehabilitation. Methods: The study included 16 participants who were diagnosed with swallowing difficulties after a stroke and admitted to a rehabilitation ward in Ulsan. The average age of the participants, consisting of 9 males and 7 females, was 69.0 years (SD=1.23) and 64.0 years (SD=1.45), respectively. The stroke types were hemorrhagic and infarction, with onset periods ranging from 6 to 12 months (SD=1.11) in all participants. Each participant received a video fluoroscopy study (VFSS) for six months using the taping method developed by the research team. Kinesio taping techniques were developed by two professional physical therapists and one occupational therapist based on anatomical movements. Results: Significant differences were observed in self-training on the bed after the rehabilitation program compared to the initial period Kinesio taping can help improve laryngeal dislocation and reduce the risk of aspiration by providing external support to the muscles involved in swallowing. However, the effectiveness and optimal application techniques of kinesio taping in the rehabilitation of swallowing disorders are not yet clear. Conclusion: The results of this study could lead to the development of a new treatment protocol that incorporates kinesio taping as a standard therapy for the rehabilitation of swallowing disorders in bedridden patients.

목적 : 본 연구는 초기 뇌졸중 환자에서 휠체어 기술 훈련 프로그램 적용이 휠체어 기술 능력, 휠체어 추진 속도, 일상생활수행력에 미치는 효과를 알아보고자 실시하였다. 연구방법 : 초기 뇌졸중 환자 18명을 실험군과 대조군으로 무작위 배정하였다. 두 군 모두 일반적인 재활치료를 실시하였으며, 추가적으로 실험군에는 휠체어 기술 훈련을, 대조군에는 기립기를 통한 서기 훈련을 각 1일 30분, 주 3회, 총 3주간 실시하였다. 중재 전·후 휠체어 기술 능력을 측정하기 위해 휠체어 기술 검사 (Wheelchair Skills Test; WST), 휠체어 추진 속도(Wheelchair Propulsion Velocity; WPV), 한국판 수정 된 바델 지수(Korean version of Modified Barthel Index; K-MBI)을 사용하였다. 결과 : 3주 중재 후, 두 그룹에서 중재 전·후 WST, WPV, K-MBI에서 유의한 차이가 나타났으며(p < .05), 중재 후 두 그룹 간 변화량의 차이는 WST와 WPV에서 유의한 차이가 나타났다(p < .05). 결론 : 본 연구 결과 휠체어 기술 훈련 프로그램이 초기 뇌줄중 환자의 휠체어 기술 능력과 휠체어 추진 속도를 향상 시킬 수 있는 중재 방법으로 나타났다. 그러므로 휠체어 기술 훈련 프로그램은 독립적인 독립적 보행이 불가한 초기 뇌졸중 환자에게 안전하고 효율적인 이동 능력을 제공할 수 있는 중재 방법으로 사용될 수 있을 것이다.

This paper compares the preceding study on the development of evaluation indicator for ATOs for mechanics and vocational ability evaluation system implemented by the Ministry of Employment and Labor to support various vocational training. This paper also examines the systems for the protection and possible options of the consumer through disclosed notification and evaluation cases such as the traffic service evaluation system in the aviation sector. By extension, in order to ensure quality management and enhanced capability of flight schools, this paper aims to present a methodology for introducing an evaluation model certified by ATOs for pilots that emerges from comparing the preceding study on various vocational training applied with the CIPP evaluation model of Stufflebeam and the procedures for the designation of ATOs for pilots and follow-up management thereon in Korea, dividing it into four stages, which are the preparation stage, screening stage, designation stage and management stage, and applying the items and performance indicators to be carried out at each stage.

Purpose: Breast cancer survivors(BCS) have memory, attention, processing speed, and/or executive function impairment affecting their quality of life(QOL) and function. Study aims were: (1) compare computer-assisted cognitive training with visual exercises to one with audio+ visual exercises, and (2) gain insight into the relationship between engagement in meaningful activities, cognitive deficits and QOL. Methods: This pilot study used an experimental design with 24 women. Pre and post measures assessed working memory, perceived cognition, QOL and engagement in meaningful activities. Results: Treatment effects were not significant for working memory or engagement in meaningful activities. Visual group participants scored significantly better on perceived cognitive function posttest test(M = 91.62, SD = 21.75) than pretest(M = 74.48, SD = 29.00), p = .010 and significantly higher on QOL posttest(M = 6.42, SD = 1.27) than pretest(M = 5.60, SD = 1.76), p = .004. Pretest perceived cognitive function was significantly associated with pretest(ρ = .617, p < .001) and posttest(ρ = .436, p < .05) QOL. Conclusion: Computer-assisted cognitive training with visual exercises appears to improve perceived cognitive function and QOL for BCS. A positive relationship exists between perceived cognitive function and QOL.

Background: Visual and somatosensory integration processing is needed to reduce pusher behavior (PB) and improve postural control in hemiplegic patients with acute stroke. Objects: This study aimed to investigate the effects of game-based postural vertical training (GPVT) on PB, postural control, and activity daily living (ADL) in acute stroke patients. Methods: Fourteen participants with acute stroke (<2 months post-stroke) who had PB according to the Burke lateropulsion scale (BLS) (score>2) were randomly divided into the GPVT group (n1=7) and conventional postural vertical training (CPVT) group (n2=7). The GPVT group performed game-based postural vertical training using a whole-body tilt apparatus. while the CPVT group performed conventional postural vertical training to reduce PB (30 minutes/session, 2 times/day, 5 days/week for 3 consecutive weeks). The BLS was evaluated to assess the severity of PB. And each subject’s postural control ability and ADL level were assessed using the postural assessment scale for stroke (PASS), balance posture ratio (BPR), and Korean-modified Barthel index (K-MBI). Outcomes were measured preand post-intervention. Results: Comparison of the pre- and post-intervention assessment results showed that both interventions led to the following significant changes: decreased severity of PB scores and increased PASS, BPR, and K-MBI scores (p<.05). In particular, statistical analysis between the two groups, the BLS score was significantly decreased in the GPVT group (p<.05). And PASS, BPR, and K-MBI scores were significantly improved in the GPVT group than in the CPVT group (p<.01, respectively). Conclusion: This study demonstrated that GPVT lessened PB severity and improved postural control ability and ADL levels in acute stroke patients.

Background: Progressive muscle weakness is aggravated not only in the skeletal muscles but also in the respiratory muscles in many patients with neuromuscular diseases (NMD). Inspiratory muscle training (IMT) has been reported as therapy for pulmonary rehabilitation to improve respiratory strength, endurance, exercise capacity, and quality of life, and to reduce dyspnea. Objects: The purpose of this study was to determine the effect of playing harmonica for 5 months on pulmonary function by assessing the force vital capacity (FVC), peak cough flow (PCF), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and maximal voluntary ventilation (MVV) in patients with NMD. Methods: Six subjects with NMD participated in this study. The subjects played harmonica once a week for 2 hours at a harmonica academy and twice a week for 1 hour at home. Thus, training was performed thrice a week for 23 weeks. The examiner assessed pulmonary function by measuring FVC in the sitting and supine positions and PCF, MIP, MEP, and MVV in the sitting position at the beginning of training and once a month for 5 months. Results: Both sitting and supine FVC significantly increased after playing harmonica (p=.042), as did MIP (p=.043) and MEP (p=.042). Conclusion: Playing harmonica can be used as an effective method to improve pulmonary function in patients with NMD.

목적 : 본 연구는 급성기 뇌졸중 환자에서 동작관찰 체간훈련이 체간조절능력, 균형, 일상생활수행능력에 미치는 효과를 알아보고자 실시하였다. 연구방법 : 2017년 7월 3일부터 2018년 4월 30일까지 전북 익산 소재의 W 대학병원에 입원한 급성기 뇌졸중 환자 14명을 실험군과 대조군으로 무작위 할당하였다. 두 군 모두 일반적인 물리·작업치료를 실시하였다. 추가적으로 실험군에는 동작관찰 체간훈련을, 대조군은 풍경관찰 체간훈련을 각 1일 1회 30 분, 주 5회, 총 3주간 실시하였다. 치료 중재 전·후 체간조절능력을 측정하기 위해 체간 손상 척도 (Trunk Impairment Scale; TIS), 균형능력을 측정하기 위해 수정된 기능적 팔 뻗기 검사(Modified Functional Reach Test; M-FRT)와 버그균형척도(Berg Balance Scale; BBS)를 사용하였고, 일상생활활동 수행능력을 평가하기 위해 한국판 수정된 바델 지수(Korean version of Modified Barthel Index; K-MBI)을 사용하였다. 결과 : 3주 중재 후, 두 그룹에서 중재 전·후 체간조절능력, 균형, 일상생활수행능력에서 유의한 차이가 나타났으며 (p<.05), 중재 후 두 그룹 간 변화량의 차이는 TIS와 M-FRT에서 유의한 차이가 나타났다(p<.05). 결론 : 본 연구 결과 동작관찰 체간훈련이 급성기 뇌줄중 환자의 체간조절능력, 균형, 일상생활수행능력을 향상시킬 수 있는 중재 방법으로 나타났다. 따라서 기립 훈련기에서 동작관찰 체간훈련은 급성기 뇌졸중 환자에게 능동적이고 동적인 체간훈련을 제공할 수 있는 새로운 중재 방법으로 사용될 수 있을 것이다.

목적 : 본 연구의 목적은 안구운동이 동반된 주의력 훈련이 인지장애가 있는 뇌손상 환자의 주의력 및 인지능력 회복에 긍정적인 영향을 미치는 효과를 알아보기 위한 예비연구이다. 연구방법 : 인지장애가 있는 뇌손상 환자 7명에게 16주 동안 총 48회 안구운동이 동반된 주의력 훈련을 집중적으로 실시하였다. 중재 도구는 안구추적 연동형 주의력 훈련시스템인 컴퓨터 기반 인지재활 프로그램(Eye-tracking & ear system based Attention training System; EYAS)을 적용하였다. 중재 전후 인지능력의 변화를 알아보기 위하여 한국형 간이 정신상태검사(Mini-Mental State Examination for Korean; MMSE-K), 전산화 신경인지기능검사(Computerized Neuro-cognitive function Test; CNT), 운동시지각검사(Motor-free Visual Perception Test; MVPT)를 실시하였다. 결과 : 안구추적 연동형 주의력 훈련시스템으로 안구운동이 동반된 주의력 훈련을 참가자에게 중재 프로그램으로 적용한 후 주의력, 정보처리속도, 기억력 및 시지각이 향상되었다. 아이어스 중재 전보다 중재 후 MVPT 평균점수가 높았다(p<.01). MMSE-K 역시 평균 점수가 향상 되었다. 시각 주의력과 정보처리 속도에서 효과를 알아본 결과 CNT의 VCPT(Visual Continuous Performance Test)(p<.05)와 VCCPT(Visual Controlled Continuous Performance Test)(p<.01)에서 중재후가 중재전보다 평균점수가 높았다. 아이어스가 기억력에 긍정적인 영향을 미친다는 것을 CNT 평가를 통해 알 수 있었는데 CNT의 VST(Visual Span Test)(p<.01)와 DST(Digit Span Test)(p<.05)에서 평균점수가 향상되었다. 중재 후 VST 역순 검사에서는 평균값 상승이 있었고, DST 역순 검사에서는 중재 전후 평균값에서 유의한 차이를 보였다(p<.05). 결론 : 안구운동이 동반된 주의력 훈련은 인지저하가 있는 뇌손상 환자의 주의력, 정보처리 속도, 시지각, 기억력 향상에 긍정적인 영향을 준다는 가능성을 알 수 있었다. 안구운동은 주의력과 관련성이 있고, 주의력의 향상은 다른 인지능력에 긍정적인 영향을 줄 수 있다. 향후 연구에서는 구조화된 실험설계로 효과검증을 실시할 필요가 있다.

목적 :본 연구는 급성기 뇌졸중 환자에서 로봇 보조 상지 훈련의 효과를 알아보고자 실시하였다.연구방법 :2015년 6월 1일부터 2015년 8월 30일까지 전북 익산 소재의 W 대학병원에 입원한 급성기 뇌졸중 환자 14명을 실험군과 대조군으로 무작위 할당하였다. 두 군 모두 전통적인 작업치료를 실시하였다. 추가적으 로 실험군에는 로봇 보조 상지 훈련을 대조군은 전통적 작업치료를 각 1일 1회 30분, 주 5회, 총 4주간 실시하였 다. 치료 중재 전·후 상지기능을 측정하기 위해 Fugl-Meyer 평가척도(Fugl-Meyer Assessment-Upper Extremity; FMA-UE), 상지 기능 검사(Manual Function Test; MFT)을 사용하였고 일상생활활동 수행능 력을 평가하기 위해 한국판 수정된 바델 지수(Korean version of Modified Barthel Index; K-MBI)을 사용하였고 장악력을 평가하기 위해 Jamar dynamometer을 사용하였다.결과 :4주 치료 후 두 그룹 모두에서 중재 전·후 상지 기능, 일상생활활동 수행능력, 장악력에서 유의한 차이가 나타났으며(p<.05) 중재 후 두 그룹 간 변화량의 차이에서는 모두 유의한 차이가 나타나지 않았 다(p>.05).결론 :본 연구 결과 로봇 보조 상지 훈련이 급성기 뇌줄중 환자의 상지 기능, 일상생활활동 수행력, 장악력 을 향상 시킬 수 있는 중재 방법으로 나타났다. 그러므로 로봇 보조 상지 훈련은 뇌졸중 환자의 상지 재 활에 초기부터 안정적이고 신뢰적인 장비로 표준화된 치료를 지원할 수 있는 중재 방법으로 사용될 수 있을 것이다.

Background: Many studies regarding task-oriented training have recently demonstrated functional improvement in patients with post-stroke hemiparesis. The task-oriented approach is very diverse, and chronic stroke patients must have access to a sustained systematic treatment program to enhance their walking ability. Objectives: This study aimed to compare the effects of the task-oriented circuit training and treadmill training on walking function and quality of life in patients with chronic stroke. Methods: Fourteen patients with chronic stroke volunteered for this study. The subjects were randomly divided into a task-oriented circuit training group and a treadmill training group with 7 patients in each. Each training regimen was performed for 30 min a day and 3 days a week for 4 weeks. Assessment tools included the Timed Up-and-Go Test (TUGT), 10-m Walk Test, 6-min Walk Test (6MWT), and the Stroke Impact Scale (SIS). Results: The change in results of the TUGT, 6MWT, and SIS measured prior to and following the training regimens appeared to be significantly different between the two groups (p<.05). In addition, after the intervention, significant differences were found for all parameters in the task-oriented circuit training group and for the TUGT, 6MWT, and SIS in the treadmill training group (p<.05). Conclusion: The findings suggest that task-related circuit training and treadmill training may be helpful to improve walking function and quality of life of patients with post-stroke hemiparesis. Additionally, a task-related circuit training program may achieve more favorable outcomes than a treadmill program.

This study was conducted to investigate the effects of the removable ankle-foot orthosis (RAFO) which was developed to improve the gait of stroke patients. The subjects of this study were five stroke patients who agreed to participate in this study by signing a written consent form. To verify gait improvement after wearing the orthosis, a Timed Up and Go test and Functional Gait Assessment were performed, and spatiotemporal gait variables such as gait speed, cadence, stride length, double limb support, and the efficient gait test of body sway angle were performed. For every variable, the differences prior to and after wearing the RAFO were compared using the Wilcoxon signed-rank test. Every gait variable improved significantly after wearing the RAFO compared to prior to wearing it. The pilot study will enhance future efforts to evaluate orthotic function objectively during gait in stroke patients.

The purpose of this study was to evaluate the effect of dual-task training with cognitive effort on the walking and balance functions of chronic stroke patients. The study included 14 chronic stroke patients, who were randomly divided into the experimental group (EG) and control group (CG), each with 7 patients. The EG performed the dual-task training with cognitive effort 3 times a week, 30 minutes for 4 weeks, where as the CG performed single-task training three times a week, for 30 minutes for 4 weeks. Outcome assessments were made with 10 m walk test, timed up and go test, 6 minutes walk test, and Berg balance scale. In within-group comparison, subjects from the EG showed significant differences in all variables (p<.05), while subjects from the CG showed only significant differences in 6 minutes walk test, and Berg balance scale (p<.05). Further, there was significant difference in the improvement rate of 10 m walk test. The findings suggest that the dual-task with cognitive effort may be beneficial for improving walking and balance functions of patients with chronic stroke.

We evaluated whether group locomotor imagery training-combined knowledge of performance (KP) lead to improvements in gait function in community dwelling individuals with chronic stroke. Ten adults who had suffered a hemiparetic stroke at least 6 months earlier participated in group locomotor imagery training-combined KP for 5 weeks, twice per week, with 2 h intensive training. Dynamic gait index scores increased significantly after the group locomotor imagery training-combined KP. However, times for the timed up-and-go test did not improve significantly after the training. Group locomotor imagery training-combined KP may be a useful option for the relearning of gait performance for community dwelling individuals with chronic hemiparetic stroke.

The aim of the current study was to assess the effectiveness of backward gait training on the treadmill in patients with spastic diplegic cerebral palsy (CP). Twelve patients with spastic diplegic CP participated in the study. An 8-week course of backward gait training was administered to the subjects for 3 days per week. Pre-intervention and post-intervention assessments of temporal-spatial gait parameters, the symmetry of the bilateral lower extremity weight bearing, and gross motor function were analyzed using motion analysis system, force plate, and Gross Motor Function Measurement (GMFM). There were significant improvements (p<.05) in the measures of both step length and right stance phase time. Joint kinematics showed increase in right hip abduction in initial contact and terminal swing, right hip external rotation and knee flexion in mid-swing, left ankle dorsiflexion in initial contact and terminal swing (p<.05). The symmetry of the bilateral lower extremity weight bearing and GMFM also significantly increased (p<.05). These findings indicate that backward gait training using a treadmill is beneficial for patients with spastic diplegic CP.

본 연구의 목적은 비행훈련 과정에 입과한 99-3차 조종학생 105명을 대상으로한 초등·중등·고등 비행훈련 과정에서, 전과정을 성공적으로 수료한 조종학생 및 재분류된 학생들의 심리적 요인 그리고 각각의 비행훈련 과정에 따른 수료자와 재분류자의 심리적인 요인이 비행훈련 수료 여부에 미치는 영향을 분석하였다. 그 결과, 비행훈련과정을 성공적으로 수료한 조종학생들과 재분류된 학생들간의 심리적 요인에서는 자신감 및 지각된 신체 자신감 항목에서 통계적으로 유의한 차이가 나타났다. 그러나 각 과정별 비행훈련에서 보면, 초등 및 고등 비행훈련과정의 수료자와 재분류자 간에서는 신체불안 항목에서 통계적으로 유의한 차이가 나타났다. 본 연구에서 도출된 결과는, 조종학생들을 선발, 양성하는 데 있어서 우수한 조종사가 될 수 있는 `잠재능력`을 나타내 주는 `참고자료`로서의 정보제공과 효과적인 비행훈련을 위한 `비행적성검사` 방법을 연구하는데 많은 도움을 줄 수 있을 것이다.