Search

Restricted and repetitive behaviors (RRBs) and executive dysfunction are widely acknowledged as core features and hallmarks in patients with autism spectrum disorder (ASD). This study aimed to investigate the effects of augmented reality (AR) using motivational games with cognitive–motor exercises on RRBs, executive function (EF), attention, and reaction time in patients with ASD. Twenty-four patients (range from 6 to 18 years) diagnosed with ASD were recruited from local social welfare centers and randomly allocated to the AR game-based cognitive–motor training group (study group) or the conventional cognitive training group (control group). Both groups completed 30 min training sessions, twice a week for four weeks. Outcome measures were conducted before and after the intervention. As a result, improvements were observed in all the subscales of the RRBs in the study group except for self-injurious and ritualistic behavior. Significant improvements were observed in EF and reaction time in the study group, which was significantly higher compared to the control group. With the present findings, we can suggest that cognitive–motor training using AR game-based content generates positive effects on improving executive function reaction time and accuracy of responses and has a limited effect on RRBs in patients with ASD. This can be proposed as a complementary intervention associated with individualized daily management.

People diagnosed with developmental disabilities are less likely to participate in physical activities even if they are provided opportunities. This study aimed to examine the effects of dual-task exercise-based augmented reality (AR) on muscle strength, muscle endurance, balance ability, and flexibility among people with developmental disabilities. Twenty-seven patients with developmental disabilities were included in the study. The intervention was based on an AR-based rehabilitation program and lasted for 8 weeks. The results showed a statistically significant improvement in muscle strength, muscle endurance, balance ability, and flexibility after the intervention (p < 0.05). The AR-based dual-task program increased interest and motivation in the high-cognitive-stage groups, while less interest and motivation were observed in the low-cognitive-stage groups. Our results suggest that an AR-based dual-task program can be an effective method to improve physical ability in patients with high cognitive levels.

BACKGROUND: Tibial rotation accompanying sagittal movement contains the phenomenon of screw-home movement (SHM) of the knee, which plays an important role in knee stability during extension. OBJECTIVE: This study aimed to investigate the change of SHM in patients with knee osteoarthritis (OA). METHODS: Thirty-one sex-matched patients with knee OA and 31 normal subjects were recruited. The total tibial rotation was obtained during knee sagittal movement (extension and flexion) using an inertial measurement unit. The acquired angle of tibial rotation was divided into eight periods. The total tibial rotation and the variation of each period were compared between the OA and control groups. The difference in tibial rotation according to Kellgren-Lawrence (KL) grade was compared. RESULTS: The total tibial rotation of the OA group decreased compared with the control group during knee extension and flexion (P< 0.001). Variations of tibial rotation were significantly different between groups in all periods (P< 0.001) except for knee extension at 70∘ to 45∘ (P= 0.081). There was no significant difference in tibial rotations among the KA grades of OA patients. CONCLUSION: We found a reduction in the total tibial rotation and loss of the SHM in the unloaded OA knee. It could be predicted that reduced SHM appeared early in knee OA.

PURPOSE: This study aimed to investigate the internal consistency, inter-rater, and test-retest reliability of the balance subtest of the Bruininks-Oseretsky test of motor proficiency-second edition (BOT-2) and to estimate the minimum detectable change (MDC) and minimum clinically important difference (MCID) of the balance subtest of the BOT-2 in children with cerebral palsy (CP). METHODS: In total, 20 children with CP participated in the present study. Internal consistency, test-retest, and inter-rater reliability were computed to establish reliability of the balance subtest of the BOT-2. The MDC95 was estimated from the standard error of measurement (SEM) to determine a real change for an individual child with CP. The anchor- and distribution-based MCID were calculated to determine the smallest change that might be important to clinicians. For concurrent validity, the correlation between the balance subtest of the BOT-2 and the pediatric balance scale (PBS) were calculated using Spearman’s correlation. RESULTS: Internal consistency was good (Cronbach’s alpha coefficient = 0.89). The BOT-2 had excellent test-retest (ICC = 0.99, p

The proprioceptive sense is a very important function for the body, and joint position error test (JPET) is commonly used to measure it. This study was to analyze the difference of proprioception in standing and sitting postures through the JPET. A total of 60 students (M/F, 12/48) in D University in Gyeongsangbuk-do, South Korea participated in this study. A JPET was performed with the subject’s eyes closed to assess the neck proprioception. The movement of the neck was measured in flexion, extension, and lateral flexion, and separately measured when sitting and standing. The difference in repositioning errors between sitting and standing postures was analyzed using paired [Formula: see text]-test. There was a significant difference in repositioning errors between sitting and standing posture in neck extension. There was no significant difference in repositioning errors between sitting and standing posture in neck flexion and lateral flexion. In conclusion, in a sitting posture, posterior neck muscles are used more than in the standing posture, which may negatively affect the proprioceptive accuracy of the neck and may also increase the neck repositioning errors.

The purpose of this study is to explore the effects of dual-task training, including cognitive tasks, on cognitive and bodily functioning and β-amyloid levels in Alzheimer's dementia patients. The subjects were 34 inpatients diagnosed with Alzheimer's dementia at a nursing hospital located in Gyeongsansi, South Korea. The patients were randomly divided into a dual-task group (n = 16) and a single-task group (n = 18). The dual-task group performed cognitive tasks at the same time as exercising tasks, while the single-task group performed only exercise tasks. Each group was trained for 30 minutes three times a week for eight weeks. The Mini-Mental State Examination was used to measure the patients’ cognitive function. Static and dynamic balance were measured to evaluate bodily functioning. Static balance was measured using Biorescue, while dynamic balance was measured using the Berg Balance Scale. Blood analysis was performed to measure levels of β-amyloid, which is known to cause Alzheimer's dementia. Both groups exhibited statistically significant improvements in gait function after the training (p < .05). The dual-task group exhibited statistically significant differences in cognitive function, static and dynamic balance function, and β-amyloid levels after training (p < .05). A significant difference was observed between the two groups (p < .05). Dual-task activities were found to be effective in improving cognitive and bodily functioning and reducing β-amyloid levels in Alzheimer's dementia patients. Therefore, dual-task training is thought to be an effective method of treating and preventing Alzheimer's dementia.

Coastal vegetated habitats such as mangroves, salt marshes, and seagrasses, referred to as blue carbon ecosystems, play an important role in climate change mitigation by an effective CO

BACKGROUND The purpose of this study was to investigate the effect of ankle ROM and lower-extremity muscle strength on static balance control ability in young adults. MATERIAL AND METHODS This study was conducted with 65 young adults, but 10 young adults dropped out during the measurement, so 55 young adults (male: 19, female: 36) completed the study. Postural sway (length and velocity) was measured with eyes open and closed, and ankle ROM (AROM and PROM of dorsiflexion and plantarflexion) and lower-extremity muscle strength (flexor and extensor of hip, knee, and ankle joint) were measured. Pearson correlation coefficient was used to examine the correlation between variables and static balance ability. Simple linear regression analysis and multiple linear regression analysis were used to examine the effect of variables on static balance ability. RESULTS In correlation analysis, plantarflexion ROM (AROM and PROM) and lower-extremity muscle strength (except hip extensor) were significantly correlated with postural sway (p

Objectives The purpose of this study was to evaluate hypertension with simple anthropometry data related to obesity in Korean adults and identify whether age specific waist circumference (WC) may be a useful screening tool for determining hypertension. Methods Subjects (n = 571) were classified into 3 groups by age; young (18-39 years), middle aged (40-64 years), and old aged (≥ 65 years). Correlations between demographic and anthropometric parameters and hypertension were performed using Spearman correlation analysis. Logistic regression analysis and ROC (receiver operating characteristics) curves were also analyzed for correlations with hypertension. Results Spearman correlation analyses, age, gender, WC, and body mass index were positively correlated with hypertension. When logistic regression analysis was performed, increased age and increased WC was associated with a higher incidence of hypertension, although gender and body mass index were not significantly related to hypertension. In ROC analysis of WC for hypertension demonstrated that patients in the old age group showed higher WC cutoff value than patients in the young and middle aged groups. Conclusion The findings of this study demonstrate that WC may be a useful predictor of hypertension incidence among demographic and anthropometric factors in Korean adults. In addition, WC in the young population was more sensitive to the incidence of hypertension than in the elderly population.

Blue carbon science requires the estimates of organic carbon stock and sequestration rate; however, holistic data analysis remains limited in South Korea. The present study reports current organic carbon stocks and sequestration rates in the coastal areas of West Sea, South Sea, and East Sea of South Korea, encompassing entire intertidal areas using long-term field survey combined with remote sensing technology. Twenty-one intertidal flats were targeted across seven provinces (Gyeonggi, Chungnam, Jeonbuk, Jeonnam, Gyeongnam, Gyeongbuk, Gangwon). Out of the evaluated environmental parameters, mud content represented a significant factor controlling sedimentary organic carbon stocks across target areas, and was significantly positively correlated to the total organic carbon (p < 0.05). Organic carbon stocks measured in salt marshes (i.e., upper intertidal zone) reflected the high carbon fixation capacity of halophytes through primary production. Sediment textural type was classified using analysis of remotely sensed imagery, and was closely correlated to field-based classification data (p < 0.05). Using field and remote sensing results, we estimated total organic carbon stocks (13,142,149 Mg C) and sequestration rates (71,383 Mg C yr-1) in the tidal flats of South Korea. This study presents the first report on blue carbon potential in the Korean tidal flats, providing baseline information on the carbon dynamics of intertidal sediments in this region and, potentially, elsewhere.

Objectives The aim of this study was to analyze the correlation between scapular asymmetry in young female adults and differences in left and right side activity of muscles adjacent to the scapula. Methods This study included 60 female students from U university in Korea. In order to examine scapular asymmetry, the lateral scapular slide test (LSST) was used. The LSST was performed in 3 different postures (LSST-1, LSST-2, and LSST-3; i.e., 0°, 45°, and 90° of upper limb abduction, respectively). Muscle activity was measured during external and internal rotation of the shoulder joints. Muscle activity was measured at the upper, middle, and lower trapezius, and the serratus anterior. Results In external shoulder rotation, there was a significant correlation (R = 0.450) between LSST-2 and the middle trapezius. In internal shoulder rotation, there was a significant correlation (R = 0.472) between LSST-2 and the upper trapezius, and between LSST-3 and the lower trapezius (R = 0.657); these results demonstrated a moderate positive linear correlation. Conclusion There was a positive correlation between left and right scapular asymmetry and the difference in left and right muscle activity of the trapezius in female adults. Problems in the trapezius may lead to scapular asymmetry.

This study investigated the correlation between the neck disability index (NDI) and visual analogue scale (VAS), which are indicators of neck pain, shoulder joint range of motion (ROM), and muscle strength in women with a slight forward head posture. This study was carried out on 42 female college students attending Uiduk University in Gyeongju, Korea. The neck pain and disability index for each subject was measured using VAS and NDI, respectively. Two physiotherapists measured the shoulder joint ROM and muscle strengths of the subjects using a goniometer and a dynamometer, respectively. External rotation, internal rotation, and abduction of the shoulder joint were measured for each subject. A significant negative correlation between neck pain and shoulder joint ROM in external rotation and the muscle strength of the shoulder joint in abduction was found in the subjects. In addition, a significant positive correlation was observed between ROM in external rotation and muscle strength in abduction. This study showed a significant negative correlation between neck pain and ROM in external rotation as well as between neck pain and the muscle strength in abduction.

Concentrations of heavy metals (As, Cd, Cr, Cu, Hg, Pb, and Zn) were determined in edible parts (muscle) of 34 marine wild fish caught from the southern sea of Korea in 2007 and 2008 in order to understand the accumulation pattern of heavy metals in wild fish and to assess the potential health risk posed by fish consumption. The highest concentrations in the muscle of 17 pelagic and 17 demersal fishes were Zn and As, respectively, while the lowest concentration in both fishes was Cd. The mean concentrations of all metals except As in wild fish were much lower than the regulatory limits for fish and fishery products applied in a number of countries. Unlike other metals, As concentration in wild fish of this study region was relatively higher than that found in other country. Estimated daily intake (EDI) of the metals was in the range of 0.05% to 22.5% of the provisional maximum tolerable daily intakes (PMTDI). Similarly, the target hazard quotient (THQ) was below 1.0 for each metal. These results imply that the consumption of the investigated wild fish do not cause significant adverse health effects.

[Purpose] The aim of the present study was to investigate effects of skilled reach training with affected forelimb and treadmill exercise on the expression of neurotrophic factor following ischemia-induced brain injury in rats. [Subjects and Methods] Thirty male Sprague-Dawley rats were divided into 3 groups randomly: namely, the control sacrified 2 weeks after surgery, skilled reach training with forepaw contralateral to brain injury for 2 weeks, and treadmill exercise for 2 weeks. Transient focal cerebral ischemia was induced by intraluminal occlusion of the left middle cerebral artery. After that, skilled reach training and treadmill exercise were conducted. Western blot analysis was performed to investigate expressions of neurotrophic factors. [Results] There were significant differences in brain-derived neurotrophic factor and nerve growth factor expression between the control group and the experimental group. There were no significant differences in brain-derived neurotrophic factor and nerve growth factor expression between the skilled reach training group and the treadmill exercise group. [Conclusion] Skilled reach training and treadmill exercise can affect the expression of neurotrophic factors.

Eutrophication-induced coastal hypoxia conditions have been developed frequently and spread widely in Masan Bay over recent decades, but little information is currently available. Thus, the spatiotemporal variations in dissolved oxygen (DO) and its major environmental controlling factors were investigated in Masan Bay. We measured the DO of seawater with depth in the bay. In mid-July 2014, oxygen-deficient water ( 3 mg L−1) occurred in the inner bay and spread to the outer bay by late July. Oxygen-deficient conditions at the bottom persisted into mid-September but formed mainly below 5 m in depth. Continuous monitoring data showed that oxygen-deficient conditions began to appear intermittently in evenings from March onward and persisted until the end of October. The concentration of DO in seawater was lowest between July and August when stratification was most intense. The major factors controlling the bottom DO variations in Masan Bay included biogeochemical factors (including inorganic nutrient concentrations, Secchi depth, and chlorophyll-a concentration) and the physical factor of seasonal water stratification in this study. Based on these controlling factors, a regional DO algorithm was developed for Masan Bay, and the algorithm-derived DO concentrations were in good agreement with field data, but they still require further improvement. To better conserve and manage marine coastal ecosystems, it is necessary to understand the development of oxygen deficient water (ODW) and continuously monitor DO concentrations in Masan Bay and in other southern coastal regions of South Korea.

[Purpose] The purpose of this study was to investigate the effects of a newly designed multi joint ankle-foot orthosis on the gait and dynamic balance of stroke patients having foot drop. [Participants and Methods] This study was investigated 10 participants who were diagnosed with stroke. Patients were evaluated based on a 10-meter walk test, timed up and go test and Berg balance scale after each participant wore a plastic ankle-foot orthosis and a multi joint ankle-foot orthosis (AFO) that consisted of orthosis joints (having poster-stop joint and Klenzak joint functions). [Results] The 10-meter walk test, timed up and go test and Berg balance scale showed significant differences in the orthosis with the Klenzak joint function. [Conclusion] The appropriate use of Klenzak AFO of the newly designed multi joint AFO is expected to have a positive effect on improving the gait and balancing ability of stroke patients having foot drop.

We measured the concentrations of acid volatile sulfide (AVS), chemical oxygen demand (COD), and metals (As, Cd, Cu, Hg, Pb, and Zn) in surface sediments of 74 intertidal sectors along the western and southern coasts of Korea to determine their spatial distribution and pollution status. The concentrations of AVS, COD, and metals were relatively higher in northwestern and southeastern coasts due to human and industrial activities around metropolitan, industrial complexes, and large-scale farms. The results of the sediment quality guidelines and geoaccumulation index for organic matter and metal revealed that almost all intertidal sediments were unpolluted with regard to AVS, COD, Cd, Cu, Hg, Pb, and Zn and some intertidal sediments in northwestern and southeastern coasts were moderately polluted with regard to As. However, the results of pollution load index and ecological risk index for metal showed that intertidal sediments in the southeastern coast are significantly polluted and could have an adverse effect on benthic organisms. Thus, the appropriate management policy and restoration plan for intertidal sectors with high metal pollution level in Korea is necessary to improve the quality of intertidal sediment.