대근운동기능검사(TGMD-Ⅱ) 운동프로그램이 지적장애인의 뇌기능지수와 운동수행능력에 미치는 영향

유연호 ( Yeon Ho You ),정연택 ( Yeon Taek Jeong ) 한국특수체육학회 2015 한국특수체육학회지 Vol.23 No.1

본 연구는 지적장애인의 특성을 고려하여 운동 기술에 기본적으로 사용되어지는 대근운동기능검사의 측정 항목을 운동프로그램으로 변형하여 학습함으로서 운동 참여에 대한 운동학습과 운동수행능력에 따른 변화를 규명하여 기본기술습득의 중요성을 밝히는 데 그 목적이 있다. 연구의 대상자는 D시의 고등학교 특수학급에 재학 중인 경도 지적장애인 8명을 대상으로 선정·분류하였고, 뇌파를 이용하여 뇌기능지수의 변화를 측정하였고 운동수행능력의 변화는 대근숙련도 검사에 사용되는 오세레츠키 검사방법을 이용하였다. 수집된 자료는 뇌기능 지수와 운동수행능력의 사전검사와 사후검사의 평균(M) 및 표준편차(SD)를 산출하여 비교하였고 집단 간의 동질성을 검증하기 위해 사전검사에 대해 독립 표본 t-검증(Independent samples t-test)을 실시하였다. 뇌파를 이용한 뇌기능검사에서는 실험에 참여한 두 집단 간에서는 우뇌 항스트레스지수와 브레인지수에서 집단 간의 유의한 차이가 있는 것으로 나타났고 집단 내에서는 실험집단에서 우뇌 주의지수, 우뇌 활성지수, 브레인지수에서 비교집단에서는 우뇌 기초율동지수, 좌뇌 활성지수에서 유의한 차이가 있는 것으로 나타났다. 운동숙련도검사에서는 실험에 참여한 두 집단간에서는 정적 협응, 손동작 협응, 일반 동작 협응 능력, 운동 속도, 동시적 자발 동작, 단일 동작, 총 운동 능력의 모든 영역에서 유의한 차이가 있는 것으로 나타났고 집단 내에서도 실험집단의 경우 총 운동능력을 제외한 모든 영역에서 유의한 차이가 나타난 반면 비교집단에서는 모든 영역에서 유의한 차이가 없는 것으로 나타났다. 따라서 대근기본기술 프로그램을 통한 움직임에 대한 기초학습은 신체활동 전략에 대한 인지적 기능과 운동수행의 중요한 요소로 작용되며 지적장애인의 교육에 있어 중요한 교수전략의 한 방법으로 이용되어 질 수 있을 것으로 사료된다. The purpose of this study was to change measurement items of gross motor function test used during exercise into an exercise program with consideration on the characteristics of persons with intellectual disabilities, to examine changes in exercise learning for participation and exercise performance ability, and to find the importance of acquiring basic skills. 8 persons with mild intellectual disabilities attending special high school classes in city D were selected by simple random sampling. To examine the effect of the gross motor function test program, brain wave was used to measure changes in brain function quotient. Change in exercise performance ability was measured by Oseresky Test used for motor skill proficiency. Mean (M) and standard deviation (SD) of pre and post tests on brain function quotient and exercise performance ability were computed and compared. To test homogeneity among groups, independent samples t-test was performed on the pre test. In order to test the effect of brain wave training program with exclusion of brain function quotient and exercise performance ability before experimental treatment, pre test was set as co-variate to perform ANCOVA and compute the adjusted mean value for each group. Also to find the mean change within the groups participating in the experiment, paired sample t-test was carried out to test the change within the groups caused by the experiment. In the brain function test using brain wave, significant difference was found between groups in terms of anti-stress quotient of the right brain and brain quotient. Significant difference was shown in attention quotient of the right brain and activation quotient of the right brain in the experimental group and basic rhythm quotient of the right brain and activation quotient of the left brain in the comparison group. In addition, the two groups that participated in the exercise skill test using Oseresky Test showed significant difference in all domains of static coordination, hand motion coordination, general motion coordination, exercise speed, simultaneous spontaneous motion, single motion, and total exercise ability. While significant difference was found in all domains except for total exercise ability within the experimental group, there was no significant difference in all domains within the comparison group. Summarizing the results above, basic learning of movements through the gross motor program is an important factor of cognitive functions and exercise performance about strategies on physical activities, and it can be utilized as an important teaching method for persons with intellectual disabilities.

블록놀이가 뇌성마비 아동의 시공간적 기억능력과 소근육 기능 향상에 미치는 영향

유연호(You, Yeon-Ho) 한국웰니스학회 2017 한국웰니스학회지 Vol.12 No.3

본 연구는 본 연구는 블록놀이가 뇌성마비 아동의 시공간적 기억능력과 소근육 기능 향상에 미치는 영향을 알아보기 위한 목적으로 수행되었다. 연구대상은 K시에 거주하고 있는 뇌성마비 아동 8명으로 실험집단 4명, 통제집단 4명으로 편의표집 하였으며, 연구방법은 12주간, 주 3회, 매회 50분으로 진행되었다. 자료의 분석은 통계프로그램 SPSS 21.0을 이용하였으며, 수집된 자료를 비모수 검정방식으로 처리한 결과 다음과 같은 결론을 얻었다. 첫째, 블록놀이 프로그램은 뇌성마비 아동의 시공간적 기억능력의 하위요인 중 IBS의 실험집단에서 유의한 차이를 보였으며, 실험집단이 비교집단에 비해 평균점수가 향상되었다. 둘째, 블록놀이 프로그램은 뇌성마비 아동의 소근육 기능 중 시각 · 운동기능에서 유의한 차이가 나타나며, 실험집단이 비교집단에 비해 평균이 높아진 것으로 보아 유의미함을 알 수 있었다. 따라서 블록놀이 참여는 뇌성마비 아동의 공간인식에 대한 즉각적인 작업기억과 소근육의 시각, 운동기능의 향상에 긍정적 영향을 미치는 것으로 여겨진다. The purpose of this study was to investigate the effect of block play on spatio - temporal capacity for memory and fine-motor functions in children with cerebral palsy. The subjects of this study were 8 children with cerebral palsy residing in K city and the subjects were divided into an experimental group and a controlled group 4 each in a convenience sample method, and as for the research method, it was conducted for 12 weeks, 3 times a week, 50 minutes for each session. As for data analysis, SPSS 21.0 statistical program was used, and the collected data were processed by nonparametric method and the following conclusions were obtained. First, the block play program showed significant difference in the experimental group of IBS among the sub-factors of spatio-temporal capacity for memory for the children with cerebral palsy, and the experimental group improved the average score compared with the comparison group. Second, the block play program showed a significant difference in visual and motor function among the fine-motor functions of the children with cerebral palsy, and we can see that it is significant from the fact that the experimental group has higher average than the comparison group. Therefore, participation in block plays is considered to have a positive effect on the perception of instant working memory of children with cerebral palsy, as well as improving visual and motor skills.

연산교육 프로그램이 지적장애인의 과제처리속도와 주의집중력에 미치는 영향

유연호 ( Yeon-ho You ) 한국특수체육학회 2017 한국특수체육학회지 Vol.25 No.2

본 연구는 연산교육 프로그램이 지적장애인의 과제처리속도와 주의집중력에 미치는 영향을 알아보기 위한 목적으로 수행되었다. 연구대상은 K도에 거주하고 있으며, K-WISC-Ⅲ 지능검사 결과 지능지수75~50 사이의 지적장애인으로 선발하였다. 대상자 수는 총 20명으로 실험집단 10명, 통제집단 10명으로 편의표집하여 적용하였다. 연구방법은 12주간, 주 2회, 매회 60분으로 진행되었으며, Vienna Test System(Version. 6.31.024, 2003)의 Cognitrone 검사 중 Test form S8 프로그램을 통해 인지기능검사를 실시하였다. 자료분석은 PASW 21.0 통계프로그램을 이용하였으며 집단 간 공분산분석을 실시한 결과 다음과 같은 결론을 얻었다. 첫째, 연산교육 프로그램이 지적장애인의 덧셈과 뺄셈 연산 반응에 대한 과제처리 속도를 향상시켰으며, 통계적으로 유의한 차이를 보였다. 둘째, 연산교육 프로그램 적용 집단의 정답반응수와 정답반응평균시간 모두 통계적으로 유의한 차이를 보였다. The research was conducted to figure out the effect of operation motion program on task processing speed and concentraion of the intellectually handicapped. All the selected subjects of the research lived in K-province and had IQ between 50 and 75 tested by K-WISC-III. The number of them was twenty who were divided into two groups, ten for each, by convenient sampling : the experiment group and the control group. Each session of the research had been performed for sixty minutes, two times a week for twelve weeks and cognitive function test used during the sessions was Test form S8 program in Cognitrone Test of Vienna Test System (version 6.31.024, 2003). The conclusions have formed by covarience analysis for 2 subjests groups using PASW 21.0 statistics program as below : Firstly, the operation motion program speeds up subjests` task proccessing for calculation response of addition and subtraction with statistical distinction. Secondly, both of the number and the response time of correct answers improve statistically since the research.

체감형 스포츠 프로그램 참여가 노인의 뇌기능 및 우울감에 미치는 영향

정연택 ( Yeon-taek Jeong ),유연호 ( Yeon-ho You ) 한국특수체육학회 2017 한국특수체육학회지 Vol.25 No.3

본 연구는 노인을 대상으로 체감형 스포츠 프로그램을 적용하여 노인의 뇌기능과 우울감에 미치는 영향을 파악하고자 하였다. 이를 위해 K도에 소재한 경로당을 유층집락하여 분류한 후 실험집단 8명, 비교집단 8명으로 구성하였으며, X-BOX 360 Kinect를 12주간 주 2회, 회당 50분간 적용하였다. 이후 뇌기능을 측정하기 위해 뉴로피드백 시스템(Braintech Corp, Korea)을 이용하였으며, 우울감을 측정하기 위해 한국형 노인우울검사 (KGDS : Korean Form of Geriatric Depression Scale)를 사용하였다. 자료분석은 PASW 21.0 통계프로그램을 이용하였으며 집단 간 공분산분석을 실시한 결과 다음과 같은 결론을 얻었다. 첫째, 체감형 스포츠 프로그램은 노인의 뇌기능 하위 영역 중 항스트레스 지수에서 유의미한 차이를 보였다. 둘째, 체감형 스포츠 프로그램은 우울감 전체 하위 영역 중 근심걱정, 불행감, 인지적 저하에서는 유의한 차이가 나타나지 않았으나 무력감에서는 유의미한 차이가 있는 것으로 나타났다. The purpose of this study was to investigate the effect by applying interactive sports programs on the brain function and depression in the elderly. For this purpose, an experimental group of 8 people and a comparative group of 8 people were formed by randomly sampling a senior citizen center located in K province, and X-BOX 360 Kinect was applied twice per week for 12 weeks for 50 minutes per each time. We used the neuro-feedback system (Brain tech Corp, Korea) to measure the brain function afterwards and used the Korean Form of Geriatric Depression Scale (KGDS) to measure depression. PASW 21.0 statistical program was used for data analysis and the following results were obtained after conducting an analysis of covariance among groups. First, the interactive sports program showed statistically significant differences in the anti-stress index among the sub-factors of brain function for the elderly. Second, in the interactive sports program, there were no statistically significant differences in anxiety, unhappiness, and cognitive decline among the sub-factors of depression, but there was a statistically significant difference in powerlessness.

휠체어테니스 참가자의 참가수준이 운동중독과 여가만족에 미치는 영향

박기용 ( Ki Yong Park ),유연호 ( Yeon Ho You ) 한국특수체육학회 2010 한국특수체육학회지 Vol.18 No.4

이 연구는 휠체어테니스 참가자의 참가 수준에 따른 운동중독과 여가만족의 관계를 규명하기 위해 실시하였으며 전국에서 휠체어테니스에 참여하고 있는 지체장애인을 대상으로 실시하였다. 검사에 사용된 설문지는 여가만족 검사지와 운동중독 검사지를 이용하였으며 총 100부를 배부하여 위약된 검사지 7부를 제외한 93부를 채택하였다. 채택된 질문지는 휠체어테니스 동호인들의 참가 빈도와 참가 기간 그리고 운동시간에 따른 운동 중독과 여가 만족의 영향을 알아보기 위해 다변량분산분석(MANOVA)을 실시하였으며, 다변량분산분석의 유의한 결과에 대해서는 Scheffe의 사후검증 방법을 실시하여 집단 간의 구체적 차이를 비교 하였다. 그리고 운동중독이 여가 만족에 미치는 상대적 공헌도를 파악하기 위하여 동시입력방식 다중회귀분석(multiple regression analysis)을 실시하였다. 모든 통계적 유의 수준은 .05로 설정하여 다음과 같은 결과를 도출하였다. 첫째, 휠체어 테니스 참가자의 참가 기간에 따른 여가만족과 운동중독에 대한 분석을 보면 운동 중독과 여가 만족에 대한 모든 하위 요인에서 영향을 미치지 않는다는 결과를 나타냈다. 둘째, 휠체어 테니스 참가자의 참가 빈도에 따른 여가만족과 운동중독에 대한 분석을 보면 여가만족에서는 심리적 요인에서 유의한 차이가 나타났고 운동중독에서는 차이가 나타나지 않았다. 셋째, 휠체어 테니스 참가자의 운동 시간에 따른 여가만족과 운동중독에 대한 분석을 보면 여가만족에서는 심리적, 교육적, 환경적 요인에서 유의한 차이가 나타났고 운동중독에서는 금단증상에서 유의한 차이가 나타났다. 넷째, 참가 수준에 따른 운동 중독은 여가 만족에 긍정적인 영향을 미치고 있었다. 운동 중독 수준이 높을수록 여가 만족도 역시 증가하는 것으로 나타났다. The purpose of this study was to examine the relationship of the participation level of wheelchair tennis participants to their leisure satisfaction and exercise addiction. The subjects in this study were 100 people with physical disabilities who played wheelchair tennis across the nation. The instruments used in this study were leisure satisfaction questionnaire and exercise addiction questionnaire. After a survey was conducted, the answer sheets from 93 respondents were analyzed except for seven improper ones. MANOVA was utilized to grasp the influence of their participation frequency, participation term and workout time on exercise addiction and leisure satisfaction, and when there appeared any significant results, Scheffe test was employed to make a post-hoc analysis to look for the intergroup gaps in more detail. And an enter multiple regression analysis was carried out to find out the relative contribution of exercise addiction to leisure satisfaction. The level of statistical significance was all set at .05. The findings of the study were as follows: First, as a result of investigating the relationship of the participation term of the wheelchair tennis participants to their leisure satisfaction and exercise addiction, their participation term didn`t affect any subfactor of exercise addiction and leisure satisfaction. Second, as a result of analyzing the relationship of their participation frequency to leisure satisfaction and exercise addiction, the participation frequency made a significant difference to the psychological factor of leisure satisfaction, but not to exercise addiction. Third, as a result of analyzing the relationship of their workout time to leisure satisfaction and exercise addiction, there were significant gaps in the psychological, educational and environmental factors of leisure satisfaction according to that, and that made a significant difference to withdrawal symptoms, one of exercise addiction factors. Fourth, exercise addiction related to the participation level had a positive impact on leisure satisfaction. A stronger exercise addiction led to greater leisure satisfaction.

급성 유기인계 농약 중독

이미진,박준석,홍태용,박성수,유연호,Lee, Mi-Jin,Park, Joon-Seok,Hong, Tai-Yong,Park, Sung-Soo,You, Yeon-Ho 대한임상독성학회 2008 대한임상독성학회지 Vol.6 No.2

Organophosphate (OP) pesticides are the most common source of human toxicity globally, causing high mortality and morbidity despite the availability of atropine as a specific antidote and oximes to reactivate acetylcholinesterase. The primary toxicity mechanism is inhibition of acetylcholinesterase (AchE), resulting in accumulation of the neurotransmitter, acetylcholine, and abnormal stimulation of acetylcholine receptors. Thus, the symptoms (muscarinic, nicotinic, and central nervous system) result from cholinergic overactivity because of AchE inhibition. OP can also cause rhabdomyolysis, pancreatitis, parotitis, and hepatitis. OP therapy includes decontamination, supportive therapy, and the use of specific antidotes such as atropine and oximes. However, there has been a paucity of controlled trials in humans. Here we evaluated the literature for advances in therapeutic strategies for acute OP poisoning over the last 10 years.

Pedlatrlcs : Could One-Hand Compression for a Small Child Cause Intra-abdominal Injuries?

( Dong A Kim ),유연호 ( Yeon Ho You ),( Yong Chul Cho ),( Seung Ryu ),( Jin Woong Lee ),( Seung Whan Kim ),( In Sool Yoo ),( Won Joon Jeong ),( Jungsang Min ),( Ji Sook Lee ),( Jin Hong Min ),( Seong Soo 대한응급의학회 2014 대한응급의학회지 Vol.25 No.4

Purpose: We examined the question of whether one-hand chest compression for a small child could compress intraabdominal organs. Methods: We retrospectively examined medical charts and multidirectional computed tomography (MDCT) images obtained from children aged 1 to 18 years who presented to the hospital from March 2002 to March 2012. We measured the length of the sternum (Stotal) and the length of the lower half of the sternum (Stotal/2~X). We also measured the distance from the diaphragm to the midpoint of the sternum (Stotal/2~D) and half the width of an adult hand (Wtotal/2). Finally, we counted the number of instances at each age in which Stotal/2~X and Stotal/2~D were less than Wtotal/2. Results: This study included records and MDCT images for 301 children with a mean age of 12.05±5.59 years. We also enrolled 47 adult rescuers (25 men, 53.2%) with a mean age of 23.20±2.13 years. The mean Wtotal/2 was 4.62 ±0.46 cm. All 1-year-old children had Stotal/2~X and Stotal/2~D less than Wtotal/2. Among children aged 2 years, six (60.0%) had Stotal/2~X and Stotal/2~D less than Wtotal/2. Among children aged 3 years, four (26.7%) had Stotal/2~X and Stotal/2~D less than Wtotal/2, and among those aged 4 years, two (13.3%) had Stotal/2~X and Stotal/2~D less than Wtotal/2. However, Stotal/2~X and Stotal/2~D were greater than Wtotal/2 in children aged 5 years or more. Conclusion: Our measurements indicate that one-hand chest compression for a small child could cause intraabdominal organ injury.

감각자극 심리운동이 지적장애 아동 뇌파의 변화에 미치는 영향에 대한 연구

김윤정 ( Yun-jung Kim ),유연호 ( Yeon-ho You ) 한국특수체육학회 2019 한국특수체육학회지 Vol.27 No.2

본 연구는 감각자극 심리운동을 지적장애 아동에게 적용하여 나타나는 뇌파를 측정 및 분석하여 지적장애아동의 뇌파에 대한 기준이 되는 기본정보를 제공하고, 감각운동성을 향상 시킬 수 있는 감각자극 심리운동 프로그램을 구성하여 현장에서 지적장애아동들에게 적합한 감각운동을 제공하기 위한 목적으로 수행되었다. 연구의 대상 총 20명으로 서울시 초등학교에 재학 중인 8-13세의 초등학생 지적장애 3급 학생을 대상으로 연구 참여 동의를 한 인원 중 무선배치 방식으로 실험군 9명, 대조군 9명을 선정하였다. 감각자극 심리운동은 12주간, 주 2회, 매 50분으로 진행하였으며, 뇌파 측정은 전두엽, 중심부, 두정엽에서 5분간 감각자극 심리운동 적용 전·후에 실시하였다. 측정된 뇌파는 고속 푸리에 변환(fast fourier transform : FFT)을 실시하고 spss 18.0을 통하여 독립표본 T-test(Independent sample t-test)와 실험군의 대응표본 T-test (Paired sample t-tests)를 시행하였다. 모든 통계적 유의수준은 .05로 설정하였다. 그 결과 첫째, 뇌파 파장별 결과는 베타파에서 통계적으로 유의한 차이가 나타났다. 두 번째, 실험군의 변화는 통계적으로 유의한 차이는 나타나지 않았지만 평균적으로 알파파는 우뇌에서 평균적으로 상승하였으며, 베타파는 좌뇌에서 평균적으로 감소하는 결과가 나타났으며, 감마파는 전두엽과 두정엽에서 평균적으로 감소하는 결과가 나타났다. 또한 SMR파는 전두엽과 중심부에서 평균적으로 상승하는 결과가 나타났다. 이상의 결과를 종합하여 볼 때, 감각자극 심리운동 적용이 지적장애 아동의 뇌파에 긍정적인 영향을 미치는 것으로 사료된다. The purpose of this study was to provide basic information as a criterion on electroencephalogram(EEG) of children with intellectual disabilities by measuring and analyzing EEG generated by applying sensory stimulation psychomotor to children with intellectual disabilities, and to provide suitable sensorimotor for children with intellectual disabilities in the field by forming a sensory stimulation psychomotor program that can improve sensorimotor abilities. The participants of this study were aged 8 to 13 elementary school students with the 3rd degree intellectual disabilities in Seoul. The total number of 20 participants were selected and then randomly assigned to the experimental group of 9 and the comparison group of 9 among those who agreed to participate in this study. Sensory stimulation psychomotor was completed for 12 weeks, twice a week, and 50minutes each session. EEG measurements were taken before and after the application of sensory stimulation psychomotor for 5 minutes in the frontal, central and parietal lobes. The measured EEG were converted to Fast Fourier Transform(FFT) and then conducted to independent sample T-test and paired sample T-test of the experimental group through spss18.0. All statistically significant levels were set as .05. Results are as follows: First, each EEG wavelength produced a statistically significant difference in beta waves. Second, although the changes in the experimental group did not show any statistically significant differences, alpha waves rose in the right brain on average, beta waves decreased in the left brain on average, and gamma waves decreased in the frontal and parietal lobes on average. Also, SMR waves rose in the frontal and central lobes on average. To sum up the above results, sensory stimulation psychomotor is considered to have a positive effect on the EEG of children with intellectual disabilities.

태권도 수련 프로그램이 아동들의 체격 및 체력형성에 미치는 영향 : 사례연구

김귀백 ( Kim Kwi-baek ),유연호 ( You Yeon-ho ),최화열 ( Choi Hwa-yeol ) 대한체육학회(구 한국유산소운동과학회) 2020 대한스포츠융합학회지 (jcses) Vol.18 No.2

The purpose of this study is to compare and analyze the impact of Taekwondo training programs in the upper grades of elementary school on physique and physical fitness, and to identify the impact of Taekwondo training on growing children. First, the change in physique under the Taekwondo training program was higher in height and weight than before training, and more than the average height of ordinary elementary school students reported in the National Statistical Office (2018). Second, the level of physical fitness according to the Taekwondo training program has been statistically significantly improved levels of sit-ups, sports tunnels, round-trip running, push-ups, long-distance jumps, and jump rope. This means that the long-term taekwondo training program has had a positive impact on the physical fitness of elementary school boys.

2개 대학병원 응급센터에 내원한 급성 불화수소산 노출 환자에 대한 임상적 경험

한규홍,양중일,조성욱,조용철,유승,이진웅,김승환,유인술,유연호,박정수,Han, Kyu-Hong,Yang, Jung-Il,Jo, Seung-Yook,Cho, Yong-Chul,Ryu, Seung,Lee, Jin-Woong,Kim, Seung-Whan,Yoo, In-Sool,You, Yeon-Ho,Park, Jung-Soo 대한임상독성학회 2009 대한임상독성학회지 Vol.7 No.2

Purpose: We investigated the clinical characteristics and demographics of patients who suffered from hydrofluoric acid chemical injury and the mechanism of damage. Methods: We retrospectively reviewed the medical records of patients who were exposed to hydrofluoric acid from March 2004 to March 2009 and who were seen at the emergency centers in two university teaching hospitals. Results: Forty four patients out of 47 patients suffered from chemical burn, while the injuries of the remaining 3 could not be identified by the medical records. A total of 17 hydrofluoric acid chemical injury patients were enrolled during the study period, and their mean age was $29.6{\pm}7.0$. All the patients were accidentally injured by contact with the material and none of them inhaled or ingested the material. Only 6 patients wore appropriate protective equipments and 5 underwent the water irrigation for more than 10 minutes. The most common exposure area was the hand and forearm (70.5%). Less than 1% of all of the patients had their total body surface (TBS) exposed to hydrofluoric acid (mean=0.35%). The mean time interval from calcium gluconate administration to pain relief was $33.6{\pm}8.8$ hours. Conclusion: When exposed to hydrofluoric acid, it is important to wear protective equipment and undergo water irrigation for more than 10 minutes. Pain and skin damage were observed in all the patients. After treatment, we concluded that administration of calcium gluconate and pain killers was successful in relieving pain, and the prognosis was also positive for the admitted and followed up patients when less than 1% of the TBS was exposed.