실행증 환자에서의 인지운동치료가 수행능력에 미치는 영향

김원령 ( Won Ryeong Kim ),정원미 ( Won Mee Jeong ) 한국인지운동치료연구회 2009 한국인지신경재활치료학회지 Vol.1 No.-

목적: 인지운동치료에 근거한 감각정보변환 훈련이 뇌졸중으로 인한 실행증 환자의 수행능력에 미치는 효과를 알아보고 실행증 치료를 위한 기초 자료를 제시하기 위함이다. 방법: 2009년 9월부터 10월까지 뇌졸중으로 인한 실행증 환자를 대상으로 3주 동안 주 5회 30분씩, 총 14회 인지운동치료이론에 근거한 감각변환훈련을 실시하였다. 실행증 환자의 치료 전후의 수행능력에 미치는 효과를 알아보기 위하여 LOTCA를 실시하였다. 결과: 감각변환훈련 전에 비하여 공간지각과 운동실행 항목에서 LOTCA 점수가 증가하였다. 인지운동치료 프로파일을 통한 관찰에서도 수행능력의 변화를 보였다. 결론: 인지운동치료이론에 근거한 감각변환훈련은 실행증 환자의 전반적인 수행능력 향상에 효과적으로 보인다. 앞으로 다양한 환자에서의 수행능력변화에 대한 연구가 계속되기를 바란다. Objective: The purpose of this study was to provide fundamental data about the effects of sensory information conversion training based on the Cognitive Therapeutic Exercise on executive capability. Methods: Single strock subject was recruited and evaluated by LOTCA. A 3 week intervention period five times a week for thirty minutes was followed during which the patient participated in sensory information conversion training. LOTCA test was used to compare the change between pre-and post-intervention effects. Results: Participant showed increase in spatial perception and motor praxis areas, and improvement in executive capability. Conclusion: The definition of Apraxia is not yet clear and treatment is also limited. Such results suggest that Cognitive Therapeutic Exercise has a positive effect on executive ability related to LOTCA subareas and will be effective on Apraxia as a new approach.

신경인지재활치료 도구 디자인 개발

김원령(Won Ryeong Kim),이향숙(Hyang Sook Lee),강현정(Hyun Jung Kang) 한국인지운동치료연구회 2010 한국신경인지재활치료학회지 Vol.2 No.1

Objective : This study aimed to develop of new design panel the effect of tactile and sp-acious cognitive task training the parts of cognitive therapeutic exercise. Methods : The panel size was 145×145×9 mm with shape size was maximum 120mm and 3 mm thickness. Development of new design theme based on geometric and korean fan shape. The panel were made six and in front of painting by red, yellow, blue color spray, inside of attached skidproof. Conclusion : Further studies are necessary to prove that the effect of new panel on neuroco-gnitive rehabilitation for various type patient.

보건의료기관 학습공동체 활동의 커뮤니케이션 특성과 조직 업무성과 간의 연관성: K기관 사례를 중심으로

김원령 ( Won Ryeong Kim ),박지연 ( Ji Yeon Park ),정규일 ( Kyu Ill Jong ),김혜경 ( Hye Kyeong Kim ),이은희 ( Eun Hee Lee ),김성대 ( Sung Dae Kim ),조한익 ( Han Ik Cho ) 대한보건협회 2013 대한보건연구 Vol.39 No.2

Objectives: The object of this study was to identify the relationship between communication characteristics of Communities of Practice(CoP) and organizational performance outcomes. Methods: A cross-sectional study was used and targeted 1,133 employees of K public health and medical institution who participated in CoP activities in 2012. Data on individual and communication characteristics of CoP activities, and individual and organizational outcomes were collected through self-administered questionnaires. The collected data were statistically analyzed by SPSS 18.0(K) Program. Results: here were significant differences among 10 communication characteristics of CoP depending on gender, duration of work and study hours(p<.001). Male workers were more likely to show individual and organizational outcomes from CoP than female workers. Both longer duration of work and time for CoP activities were positively related to individual and organizational outcomes. Linear regression analysis to understand the relationship between communication quality of CoP and individual performance, and organizational outcomes showed that ß of communication quality was 0.337(p<.001) and that of individual performances was 0.605(p<.001). Thus it was confirmed that two factors were significant factors on the organizational performance outcomes. The accountability of the regression model was 83.8%. Conclusion: The CoP participation had a positive effect on the communication quality, and individual and organizational performance outcomes. So, CoP could be the key strategy for facilitating evidence-based practice in public health and medical settings.

실행증 환자에서의 인지운동치료가 수행능력에 미치는 영향

김원령(Won-Ryeong Kim),정원미(Won-Mee Jeong) 한국인지운동치료협회 2009 한국신경인지재활치료학회지 Vol.1 No.1

목 적 인지운동치료에 근거한 감각정보변환 훈련이 뇌졸중으로 인한 실행증 환자의 수행능력에 미치는 효과를 알아보고 실행증 치료를 위한 기초 자료를 제시하기 위함이다. 방 법 2009년 9월부터 10월까지 뇌졸중으로 인한 실행증 환자를 대상으로 3주 동안 주 5회 30분씩, 총 14회 인지운동치료이론에 근거한 감각변환훈련을 실시하였다. 실행증 환자의 치료 전후의 수행능력에 미치는 효과를 알아보기 위하여 LOTCA를 실시하였다. 결 과 감각변환훈련 전에 비하여 공간지각과 운동실행 항목에서 LOTCA 점수가 증가하였다. 인지운동치료 프로파일을 통한 관찰에서도 수행능력의 변화를 보였다. 결 론 인지운동치료이론에 근거한 감각변환훈련은 실행증 환자의 전반적인 수행능력향상 에 효과적으로 보인다. 앞으로 다양한 환자에서의 수행능력변 화에 대한 연구가 계속되기를 바란다. Objective : The purpose of this study was to provide fundamental data about the effects of sensory information conversion training based on the Cognitive Therapeutic Exercise on executive capability Methods : Single strock subject was recruited and evaluated by LOTCA. A 3 week intervention period five times a week for thirty minutes was followed during which the patient participated in sensory information conversion training. LOTCA test was used to compare the change between pre-and post-intervention effects. Results : Participant showed increase in spatial perception and motor praxis areas, and improvement in executive capability. Conclusion : The definition of Apraxia is not yet clear and treatment is also limited. Such results suggest that Cognitive Therapeutic Exercise has a positive effect on executive ability related to LOTCA subareas and will be effective on Apraxia as a new approach.

좌반구 손상 실행증 환자의 시각분석과제 수행능력차이

김영실(Young Sil Kim),안시내(Si Nae Ahn),김원령(Won Ryeong Kim),김진희(Jin Hee Kim),이경록(Kyung Rok Lee) 한국인지운동치료협회 2013 한국신경인지재활치료학회지 Vol.5 No.1

본 연구는 좌반구 손상 환자에서 실행증 환자의 시각분석과제 수행능력의 차이를 비교해 보고자 한다. 방법: 본 연구 대상자는 좌반구 손상 환자로 총 9명이었으며,실행증이 없는 환자 5명,실행증을 가진 환자 4명이었다. 임의로 제작한 시각분석과제를 이용하여 정확도와 반응시간을 비교하였다. 결과: 두 그룹 간 정확도 비교 결과 도형 인식 중 삼각형과 사각형 인식의 정확도는 동일하였고, T형, 손 동작을 인식하는 정확도는 유의한 차이가 없었으나, 상지 동작의 인식 정확도는 실험군에 비해 대조군이 유의하게 높았다. 반응시간은 두 그룹 간 유의하지 않았다. 결론: 본 연구를 통해 실행증을 가진 환자가 실행증이 없는 환자에 비해 상지 동작에 대한 인식도가 떨어진다는 것을 확인할 수 있었다. 실행증을 신경인지재활치료 이론에 근거한 감각정보변환문제의 시각에서 바라보는 연구가 활발히 진행되어야 할 것이다. This research will compare the difference of visual analysis assignment performance skills of left hemisphere damaged apraxia patients. Methods: The targets of this research are a total of 9 patients with damage in the left hemisphere. 5 are patients who do not have apraxia and 4 are patients who have apraxia. With the visual analysis assignment made temporarily, the accuracy and response time were compared. Results: As a results of the accuracy comparison between the two groups, during the pattern recogni-tion, the recognition of triangle and square was the same, and there was no significant differ-ence in the accuracy of recognizing T-form and hand motions. However, the control group was significantly higher compared to the experiment group for the upper extremity motion accuracy. The response time did not show significant difference between both groups. Conclusion: Through this research, the patients with apraxia were more insufficient in recognizing the upper extremity motions compared to the patients with no apraxia. There is a need for research in the site of sensory information change based on the neurocognitive rehabilitation theory. (J Korean Society of Neurocognitive Rehabilitation 2013;5:29-34)

웹을 이용한 장애 아동의 사회화 촉진 총괄체계 구축: Homi.Info 기록체계를 통한 발달장애 아동의 행동 분석과 평가

이민호 ( Min Ho Lee ),이원령 ( Won Ryeong Lee ),이상복 ( Sang Bok Lee ),신윤희 ( Yun Hee Shin ),서경희 ( Kyung Hee Seo ),변찬석 ( Chan Suk Byun ),전헌선 ( Hun Sun Jun ),김춘희 ( Chun Hee Kim ) 한국정서.행동장애아교육학회(구.한국정서학습장애아교육학회) 2005 정서ㆍ행동장애연구 Vol.21 No.4

본 연구는 발달장애아동의 행동 분석과 평가를 위해 Homi.Info 기록체계가 어떻게 구성되어 있는지를 밝히고, 이러한 체제가 발달장애아동 행동 분석과 평가에 어떠한 시사점을 주는지 논하였다. 사회적 체계 안에서 양육과 지원을 받고 있는 발달장애 아동의 행동분석 및 평가는 다양한 환경과 함께 이해되어져야 하며, 보다 진보된 기술력을 이용하여 다각적인 지원으로써의 접근이 필요하다. 즉, Homi.Info의 기록체계는 아동의 생태체계 전반에 걸쳐 아동과 가족의 다양한 욕구를 다루고 있다. 이러한 Homi.Info의 인터페이스는 웹상에서 언제 어디서나 시간과 공간의 제약을 받지 않고, 아동 행동에 대해 기록할 수 있도록 구현되어 있다. 모든 데이터를 관리하고 웹 화면을 구현하는 서버, 그리고 부모와 교사가 사용하는 클라이언트로 구성되어 있다. 또한 Homi.Info의 행동분석 기록체계는 표출행동, 강도분석, 빈도, 지속시간, 시간대를 입력하여 아동의 행동을 분석하게 되며, 이는 하루기록과 누가기록으로 이루어진다. 이렇게 누적된 자료는 더 나은 환경을 재구성하기 위한 기초자료가 되며, 발달장애아동의 행동지원을 위한 방안을 모색하는데 활용된다. 그러나 Homi.Info 시스템을 보다 안정적으로 사용하기 위해서는 생태학적 관점에서의 검증연구와 함께 사용자의 환경개선, 인프라 구축 및 정보교육 등도 함께 지향되어야 할 것이다. The purpose of this study was to show how the recording system of Homi.Info for behavior analysis and estimation was constructed, and to discuss it. A behavior analysis and an estimation for children with developmental disabilities who were supported and brought up in a social system should be understood under various environments. It is also necessary to approach them through the improved technologies. The recording system of Homi.Info deals with various wants of children and their families related with ecological systems of children. The network interface of Homi.Info is embodied to record data about children`s behaviors at any time and place. There are a web-server for managing the data and web screen, and a client-server that parents and teachers can approach. The behavior analysis recording system of Homi.Info analyze expressive behaviors, intensity, frequency, continuous time, and time zone, etc. There are a daily record and also an accumulative record. The data were used for reconstruction of environments and for making plans of behavior supports for children with developmental disabilities. However, there is a need to verify the effects of Homi.Info system through an ecological view point, and to supply an improved user environment, infrastructure, and information education, etc.

교차소뇌해리현상을 보이는 환자는 새로운 운동학습이 가능 한가? : 단일사례연구

남희윤(Hee Yun Nam),이성아(Seong A Lee),임연주(Yeon Ju Lim),김원령(Won Ryeong Kim) 한국인지운동치료연구회 2011 한국신경인지재활치료학회지 Vol.3 No.1

Objective : This study is aimed at looking at how the new motor learning is going or not by comparing the patient showing the phenomenon of crossed cerebellar diaschisis with a normal person through darts-throwing. Methods : This study selected a 69-year-old man with the phenomenon of crossed cerebellar diaschisis and another 69-year-old man judged as neurologically normal as its study subjects. The process of this experiment consisted of Checking the distance from the bull s eye with a dot when two men playing darts. Results : As a result of the study, there appeared no significant difference between experimental conditions in the healthy man while there appeared a significant difference in experimental condition 1-2(p=.019), and 1-3(p=.019), but there appeared no significant difference in experiment 2-3. Looking at the results of the comparison between the healthy man and patient by experimental condition, there appeared a significant difference in all experimental condition. In the result of the analysis of variance between the three experimental conditions, there appeared no significant difference in the healthy man and the patient. Conclusion : Through a simple experiment, this study was able to discover that it s difficult for a patient with crossed cerebellar diaschisis to take motor learning requiring new movements.

장애인생활시설의 교육서비스 요구 분석

이상복,김춘희,유은정,이원령,구원옥 대구대학교 특수교육재활과학연구소 2004 특수교육재활과학연구 Vol.43 No.1

The purpose of this study was to provide suggestions for the future 2year educational services based on the on-going education services for the persons with disabilities in the facilities. The results of the study were as follows. First, the facilities manly provided the persons with disabilities with the educational programs for improving basic functional skills in their daily living lives. Second, the recording data showed that average 2 out of 10 short-term plans were reached to above 80% of successful performance levels, and the rest of the 8 plans were reached to between 11% and 79% of the unsatisfactory levels.

웹을 이용한 장애 아동의 사회화 촉진 총괄체계 구축 : 일상생활 기능증진 웹지원 시스템

이상복,이원령,변찬석,서경희,전헌선,이민호,김춘희,문혜숙 대구대학교 특수교육재활과학연구소 2005 특수교육재활과학연구 Vol.44 No.4

The purpose of this study was to evaluate children development in the residental facilities and to analyze data according to their subordinate types and sex. Subjects were 56 children with disabilities, that consisted of 51% boys and 49% girls. The results were as follows: First, we developed a scale on adaily life, basic leaning cognitive abilities, emotion-behavior, communication, and body development. It was the Web-supported system on the internet. Second, we tried to analyze the developmental characteristics of children in the residental facilities according to the subordinate types. There were 41% in a daily life, 18% in basic leaning cognitive abilities, 9% in emotion-behavior, 0% in communication, 43% in body development who exceeded the standard. Third, we tried to see the developmental characteristics according to sex. The boy distribution was found higher and more widespread in the various types than the girl one. However, there is some limitation on the results, because we treated only one residental facilities. 본 연구는 생활시설에 거주하고 있는 장애아동 56명을 대상으로 인터넷을 통한 발달평가를 실시하여 그 결과를 발달평가 하위영역과 성별로 나누어 분석하였다. 이에 대한 결과는 다음과 같다. 첫째, 발달특성을 평가하기 위하여 일상생활, 기초학습 인지능력, 정서행동, 의사소통, 신체발달 등 5가지 하위영역으로 구성된 척도를 개발하여, 인터넷을 통해 웹지원 시스템을 구축하였다. 둘째, 생활시설에 거주하는 아동이 어떤 발달특성을 보이는지 알아보았다. 일상생활에서는 기준을 초과한 아동의 비율이 41%, 기초학습 인지능력에서는 기준을 초과한 아동이 18%, 정서행동에서는 기준을 초과한 아동이 9%, 의사소통에서 기준을 초과한 아동은 0%, 신체발달에서는 기준을 초과한 아동이 43%로 나타났다. 셋째, 아동의 발달특성이 성별에 따라 어떤 특성을 보이는지 알아보았다. 전체적으로 남자아동의 영역별 분포는 여자아동의 분포보다 상대적으로 크고 넓게 분포되어 있음을 알 수 있었다. 그러나 본 연구는 생활시설 한 곳만을 연구대상으로 하였기 때문에 결과를 일반화하기에는 제한점을 가지고 있다.