일반 성인의 작업과 활동의 중재 형태에 대한 행위 관찰 시 거울신경세포 시스템의 EEG 활성도 차이

고효은,윤태원,정현애,Ko, Hyo-Eun,Yun, Tae-Won,Chung, Hyun-Ae 대한고유수용성신경근촉진법학회 2015 PNF and Movement Vol.13 No.1

Purpose: This study aims to identify changes in the mirror neuron system in normal people through mu rhythm during action observation of occupation-based intervention, purposeful activity and prepare a method of intervention form of occupation using occupation and activity. Methods: TThis study aims to identify changes in the mirror neuron system in normal people through mu rhythm during action observation of occupation-based intervention, purposeful activity and prepare a method of intervention form of occupation using occupation and activity. The activation of the mirror neuron system was compaired among 3 condition by oneway ANOVA. Results: The result of analysis showed mu suppression in all conditions. Although all conditions showed mu suppression, there was no significant difference among the conditions. Conclusion: The results suggest that the mirror neuron system is activated during action observation to be able to occupational therapy but the mirror neuron system is not separately activated among the conditions.

유비쿼터스 환경에서의 거울신경세포시스템에 근간한 동작관찰-신체훈련 (뇌졸중 환자의 상지기능과 일상생활활동에 미치는 영향)

고효은,박진주,이경주,이은희,오명화,Ko, Hyo-Eun,Park, Jin-Ju,Lee, Kyung-Ju,Lee, Eun-Hee,Oh, Myung-Hwa 한국전자통신학회 2014 한국전자통신학회 논문지 Vol.9 No.1

본 연구는 유비쿼터스 환경에서 동작관찰-신체훈련이 뇌졸중 환자의 상지기능과 일상생활활동에 어떠한 영향을 미치는 지 알아보고자 실시하였다. 연구 대상자는 19명이며 실험군 10명, 대조군 9명으로 나누었다. 실험군은 일반 작업치료와 동작관찰-신체훈련을 병행하였고, 대조군은 일반 작업치료와 동작관찰만을 시행하였다. 훈련 과정은 4주였으며, 주 3회, 회당 30분씩 훈련에 참여하였다. 대상자 선별 후 WMFT와 MBI 평가를 시행하였으며 전-후 평가를 실시하여 증진 정도를 보고자 하였다. 그 결과 대상자들의 상지기능과 일상생활활동은 두 그룹 모두중재 후 유의한 증진을 보였다(p<.05). 하지만 각 측정 시점간의 두 군의 차이는 유의한 차이를 보이지 않았다. The aim of this study was to determine the effect of action observational physical training on upper extremity function and activities of daily living in stroke patient. 19 hemiparetic patients participated in this study and were randomly selected into an experimental group and a control group. An experimental group observed performance actions of purposeful activity task through a video and imitated actions with the traditional occupational therapy, and a control group only observed actions with the traditional occupational therapy. Traing was performed 3 times a week and 30 min for each round for 4 weeks. WMFT were performed for an upper extremity function and MBI were performed for activities of daily living. As a result, WMFT and MBI showed significant difference between before and after in two groups but didn't show significant difference between two groups.

거울신경세포시스템에 근간한 동작관찰-신체훈련이만성 뇌졸중 환자의 상지기능과 일상생활활동에 미치는 영향

고효은 대한고유수용성신경근촉진법학회 2015 PNF and Movement Vol.13 No.4

Purpose: This study aimed to examine the effects of mirror-neuron-system-based action observation physical training on improvements in upper extremity functions and daily living activities in chronic stroke patients. Methods: Ten chronic stroke patients were randomly selected. As a therapeutic intervention, along with conventional occupational therapy, the patients engaged in action observation physical training through repeated imitation practices after they viewed a video. The therapeutic intervention was implemented for 20 minutes, three times each week for eight weeks. A Manual Function Test (MFT) was conducted to compare upper extremity functions before and after the therapeutic intervention, and the Modified Barthel Index (MBI) was used to compare the ability to perform daily living activities. Results: Significant improvements in upper extremity motor functions and the ability to perform daily living activities were shown after the intervention. The subjects’ left upper extremity motor functions and ability to perform daily living activities showed significant improvement after the intervention. Conclusion: The study’s results indicate that action observation physical training based on the mirror neuron system improves chronic stroke patients’ upper extremity motor functions and their ability to perform daily living activities. Therefore, action observation training has positive effects on the functional recovery of chronic stroke patients. .

지역사회 노인들의 활동 및 참여수준과 신체기능과의 관계: ICF를 기반으로

고효은,오명화,백지영,이재신 대한작업치료학회 2012 대한작업치료학회지 Vol.20 No.4

목적 : 본 연구는 ICF를 기반으로 하여 지역사회 노인들의 신체기능과 활동 및 참여수준을 알아보고, 노인들의신체기능과 활동 및 참여수준과의 관계 및 활동 및 참여수준에 영향을 미치는 요인을 살펴보고자 하였다. 연구방법 : 대상자는 노인복지관을 이용하는 만 65세 이상의 노인 147명을 대상으로 하였다. 연구도구는 대상자들의 신체기능인 우울정도, 인지기능, 운동기능을 알아보기 위해 한국형 노인 우울 검사(Korean Form of Geriatric Depression Scale; KGDS), 한국판 간이 정신 상태 검사(Mini-Mental State Examination-K;MMSE-K), Outpatient Physical Therapy Improvement in Movement Assessment Log(OPTIMAL)를 사용하여 측정하였고, 활동 및 참여는 ICF core set을 이용하여 평가하였다. 결과 : 신체기능 중 우울정도는 147명 중 우울증상이 있는 노인이 60명(40.7%), 인지기능 저하를 보이는 노인이53명(36.1%)이었다. 운동기능은 21개의 항목에 대한 평균 점수가 105점 중 52.17±21.32점으로 어려움을 보였다. 대상자의 활동 및 참여수준은 30항목에 대한 평균 점수가 120점 중 17.95±12.40점으로 경도의 어려움을 보였다. 신체기능 즉 우울정도, 인지기능, 운동기능은 모두 활동 및 참여와 통계적으로 유의한 상관관계를 보였으며, 이 가운데 운동기능과 활동 및 참여와 상관성이 가장 높았다. 신체기능이 활동 및 참여에 미치는 영향은 운동기능이 가장 많은 영향을 미쳤으며, 다음 순으로 인지기능과 우울정도였다. 결론 : 노인들의 다양한 활동과 참여를 향상시키기 위해서는 운동기능의 최대화와 인지장애나 우울의 최소화를 모두 고려하는 작업치료가 필요하다.

편마비 환자의 비마비측 무릎 통증 부위에 기능적 테이핑과 협응적 이동 훈련 프로그램 적용이 낙상효능감과 균형에 미치는 효과

고효은,송현승,전보선,Ko, Hyo-Eun,Song, Hyun-Seung,Jeon, Bo-Seon 대한고유수용성신경근촉진법학회 2016 PNF and Movement Vol.14 No.3

Purpose: This study seeks to examine the effect of a program with functional taping and CLT on the program on fall efficacy and balance of stroke patients with knee pain on the non-affected side, as well as to develop effective programs and training methods to improve the functions of such patients. Methods: The subjects included 31 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n = 15), which participated in a program for functional taping and CLT, and a control group (n = 16), which participated in general exercise therapy. The control group underwent general exercise therapy for 30 minutes, three days per week for a six-week period. VAS, FES and TUG were conducted to evaluate changes in pain degree, fall efficacy, and balance. Results: After the intervention, significant differences (p < 0.05) were seen in the VAS, FES and TUG in both groups. The experimental group showed more significant improvement than the control group (p < 0.05). Conclusion: The results from this study indicate that the CLT program is extremely effective for improving fall efficacy and balance.

고유수용성신경근촉진법이 여성노인의 낙상예방에 미치는 효과

고효은,김석환,Go, Hyo-Eun,Kim, Seok-Hwan 대한고유수용성신경근촉진법학회 2012 PNF and Movement Vol.10 No.4

Purpose : The purpose of this study was to investigate the effects of Proprioceptive Neuromuscular Facilitation(PNF) exercise on body functions(gait, balance, lower extremity power) of elderly women. Methods : This study applied PNF exercise in a fall prevention program in addition to fall prevention seminars to an experimental group of 15 subjects and applied only fall prevention seminars to a control group of 15 subjects. The PNF exercise consisted of three sessions per week for 8 weeks and fall prevention seminars were composed of three times educations(0th, 4th, and 8th week). As a result of statistical analyses, following conclusions were obtained. Results : A 8-week PNF exercise significantly improved gait function and balance functions, lower extremity functions of elderly women. Conclusion : The PNF exercise in a fall prevention program was found to be effective to improve body functions(gait, balance, lower extremity power) of elderly women. In other words, the PNF exercise needs to be considered as an effective intervention for elderly women in order to strengthen their body functions and in fall prevention program.

협응적 이동 훈련 프로그램 적용이 편마비 환자의 균형과 보행능력에 미치는 효과

고효은,전보선,송현승 대한고유수용성신경근촉진법학회 2017 PNF and Movement Vol.15 No.3

Purpose: This study sought to examine the effect of coordinative locomotor training (CLT) program on the balance and gait of stroke patients and to develop effective programs and training methods to improve the functions of such patients. Methods: Subjects included 29 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n=14) that participated in CLT program and a control group (n=15) that participated in general exercise therapy. The experimental group underwent CLT program, while the control group underwent general exercise therapy, for 30 minutes, 3 days per week for a 6-week period. timed up and go test (TUG), four square step test (FSST), figure-of-8-walk test (F8WT), and 10m walking test (10MWT) were conducted to evaluate changes in balance and gait. Results: After the intervention, significant differences (p<0.05) were seen in the TUG, FSST, F8WT, and 10MWT in both groups. The experimental group showed more significant improvement than the control group(p<0.05). Conclusion: The results from this study indicate that a CLT program is extremely effective for improving the balance and gait in stroke patients.

작업-기반 중재, 목적있는 활동, 준비 수단에 대한 행위 관찰 시 거울신경세포 시스템의 EEG 활성도 차이

고효은(Hyo-Eun Ko),허명(Myoung-Heo) 한국엔터테인먼트산업학회 2014 한국엔터테인먼트산업학회 학술대회 논문집 Vol.2014 No.11

본 연구의 목적은 작업과 활동을 치료적으로 사용하는 작업 중재 형태로서 작업-기반 중재, 목적있는 활동, 그리고 준비 수단에 대한 각각의 행위 관찰 시 일반인들의 거울신경세포 시스템의 변화를 뮤리듬을 통해 알아보는 것이다. 대상자는 일반인 30명을 대상으로 네 조건의 영상(기초선 조건, 작업-기반 중재 조건, 목적있는 활동 조건, 준비 수단 조건)을 관찰하는 동안 두피에 부착한 전극을 통해 EEG 자료를 수집하였다. 분석결과, 조건들에서 모두 뮤억제가 나타났으나, 조건들 사이에는 유의한 차이가 없었다. 이는 동영상을 관찰하는 동안에는 거울신경세포 시스템이 활성화되었음을 의미하나 조건들에 따라 분별적인 거울신경세포 시스템 활성화는 없었다는 것을 의미한다. This study aims is to identify the change of mirror neuron system in normal people through mu rhythm during action observation about the occupation based intervention, purposeful activity and prepare method as intervention form of occupation using occupation and activity. The subject was participated 30 normal person and the EEG data was collected through the electrode of attaching on subject`s scalp during watching 4 video clips(baseline, occupation based intervention, purposeful activity and prepare method condition). In result although all conditions showed mu suppression, it didn`t show significantly difference among the conditions. It suggests that the mirror neuron system is activated during action observation to be able to occupational therapy but the mirror neuron system is not separately activated among the conditions.

65세 이상 노인들의 감각처리능력이 건강상태 미치는 영향

고효은(Hyo-Eun Ko),백지영(Ji-Young Baek),김희동(Hee-Dong Kim),장연식(Yeon-Sik Jang),허명(Myoung-Heo) 한국엔터테인먼트산업학회 2014 한국엔터테인먼트산업학회 학술대회 논문집 Vol.2014 No.11

본 연구는 65세 이상 노인들의 감각처리능력과 건강상태를 알아보고 그것들 간에 상관관계와 그것들에 영향을 미치는 요인들을 알아보고자 하였다. 이 연구의 대상자들은 G 광역시의 동구 노인복지관을 이용하는 65세 이상의 노인 50명이었다. 연구결과는 다음과 같다. 첫째, 감각등록 저하는 27.50±8.64, 감각 민감성은 31.34±8.02, 감각 회피는 28.46±8.69점으로 대부분의 사람들과 유사한 반응양상을 보였고, 감각추구는 30.66±8.21점으로 대부분의 사람들보다 많이 덜 한 양상을 나타냈다. 활동 및 참여를 중심으로 한 건강상태는 총점 160점에 58.48±23.93점으로 약간의 어려움을 겪고 있는 것으로 나타났다. 둘째, 대상자들의 감각처리능력과 건강상태 간에 상관관계를 알아본 결과, 감각 민감이 양의 상관관계(.319*), 감각저하가 양의 상관관계(.461**)를 보였다. 셋째, 감각등록저하, 감각 추구, 감각 민감, 그리고 감각 회피는 그들의 건강상태(45.8%)에 영향을 미쳤다. 결론적으로, 지역사회 노인들의 건강상태을 증진시키기 위해서는 감각처리능력에 대한 관리가 요구되고, 특히 감각 추구에 대한 기회와 훈련들이 필요하다고 사료된다. The purpose of this study was to examine elderly people’s sensory processing, health status and look at correlation among them and factors affecting them. The subject of this study were 50 elderly people aged 65 older who had membership at a senior welfare center located in eastern area of G Metropolitan City. Findings of the study can be summarized as follows. First, Average score of Low Registration was 27.50±8.64, Sensory Sensitivity was 31.34±8.02, Sensation Avoiding was 28.46±8.69 and they showed ‘Similar to Most People’. Sensation Seeking was 30.66±8.21 and it showed ‘Much Less Than Most People’. Regarding their health status, their average score was at 58.48±23.93 out of the total score of 160 and they had mild difficulty with activities and participation in their local community. Second, examination of correlation among their sensory processing, health status showed that health status had statistically significant correlation with their sensory sensitivity(.319*), and low registration(.461**). Third, their low registration, sensory seeking, sensory sensitivity, and sensory avoiding influenced their health status(45.8%). Consequently, to increase health status of elderly people of community-dwelling is required care of sensory processing, especially sensory seeking.

지역사회 노인들의 한국판 간이 정신상태 판별검사(MMSE-K), 노인용 로웬스타인 작업치료 인지평가(LOTCA-G)에 대한 한국판 몬트리올 인지기능 검사(MoCA-K)의 타당도 연구

고효은(Ko, Hyo-Eun),김정운(Kim, Jeong-Woon),김희동(Kim, Hee-Dong),장연식(Jang, Yeon-Sik),정현애(Chung, Hyun-Ae) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.1

본 연구는 지역사회 노인을 대상으로 국내에서 사용되는 인지기능 검사인 LOTCA-G 및 MMSE-K와 MoCA-K와의 상관관계를 통해 경도인지장애를 탐지하는 데 사용되는 MoCA-K의 유용성을 알아보고자 하였다. 50명 을 대상으로 한 각 평가도구들의 인지기능 점수는 MoCA-K가 30점 만점 중 22.72±5.85, LOTCA-G는 104점 만점 중 에 96.28±6.82, MMSE-K는 30점 만점 중 25.08±3.78점이었다. 대상자들의 일반적 특성에 따른 각 평가도구들의 점수 를 알아본 결과, 세 개의 평가도구 모두 남녀 간에는 유의한 차이가 없었으며, 연령과 교육수준에 따라서는 유의한 차이를 보였다. 노인들의 치매 선별검사로 널리 사용되고 있는 신뢰성과 타당성이 확보된 MMSE-K 및 LOTCA-G의 수행점수와 MoCA-K 수행점수 간에 높은 상관관계가 나타났으므로 MoCA-K는 노인들의 인지기능을 평가하는 데 있 어 타당한 인지검사도구라는 것을 확인할 수 있다. This study was to examine usefulness of MoCA-K by comparing the correlation between LOTCA-G, MMSE-K and MoCA-K, regarding detecting elderly people’s mild cognitive function in local community. The experiments in which the three different evaluation methods were employed, of this study were conducted on 50 elderly people. While the score of MoCA-K and MMSE-K was 22.72±5.85 out of 30 and 25.08±3.78 out of 30 respectively, the result of LOTCA-G was 96.28±6.82 out of 104. Observing each result of the three cognitive function assessment tools towards general characteristics showed no significant differences in gender. However, they were at considerable variance with age and education level of the example group. As all the three results of the assessment methods showed high correlation, it is reasonable to believe that MoCA-K is an appropriate evaluation tool to assess the cognitive function of old people.