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Study on Developing the Equipment of the Time Division System for Rehabilitation in People with Homonymous Hemianopia

동측성 반맹시 환자의 재활치료용 시분할 장치 개발에 관한 연구

  • 서재명 (광양보건대학교 안경광학과) ;
  • 박근호 (광양보건대학교 안경광학과) ;
  • 허민영 (전남대학교 안과병원) ;
  • 정주현 (건양대학교 안경광학과)
  • Received : 2013.11.12
  • Accepted : 2014.09.18
  • Published : 2014.09.30

Abstract

Purpose: It is investigated whether the time division system can extend the field without diplopia for people with homonymous hemianopia. Methods: The time division system was manufactured by a modified mini fan and a black cardboard. In order to verify the effectiveness of the equipment, subjects with and without the equipment took part in the experiment to bisect the space and to recognize letters. Results: Subjects with and without the equipment showed +8.91 and +18.14 degrees in the experiment to bisect the space. In the experiment reading the letters and numbers with the equipment, there were 9 percentage point increase in $4{\times}4$ charts and 15 percentage point increase in $6{\times}6$ charts. It turned out that there was a remarkable improvement for the worst group for reading the charts. Conclusions: The time division system is effective in the mobility and orientation for people with homonymous hemianopia.

목적: 시분할 장치가 동측성 반맹시 환자의 재활치료용 프레넬 프리즘으로 인한 복시 현상을 최소화하고 안정적인 시야를 확보할 수 있는지 알아보고자 하였다. 방법: 소형 모터와 마분지를 사용하여 시분할 장치를 제작했다. 시분할 장치의 효율성을 검증하기 위해 시분할 장치 전후 걷는 방향과 문자에 대한 인식을 비교 분석했다. 결과: 공간의 이등분할 실험에서 시분할 장치 전 피검자의 방향각은 $+18.14^{\circ}$였으며 장치 후의 방향각은 $+8.91^{\circ}$로 나타났다. 시분할 장치 후 $4{\times}4$시표의 문자 인식 실험에서는 정답률이 9%P, $6{\times}6$시표에서는 15%P가 증가했다. 특히 정답률이 낮은 군에서 효과가 더 뛰어났다. 결론: 시분할 장치는 동측성 반맹시 환자의 방향성이나 운동성에도 좋은 결과를 보였다.

Keywords

References

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