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Yoo L, Jung D. Teaching Presence, Self-Regulated Learning and Learning Satisfaction on Distance Learning for Students in a Nursing Education Program. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074160. [PMID: 35409841 PMCID: PMC8998200 DOI: 10.3390/ijerph19074160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 03/24/2022] [Accepted: 03/30/2022] [Indexed: 02/01/2023]
Abstract
The novel coronavirus pandemic has dramatically affected how nursing students are educated. Distance learning has become the norm, and an evaluation of learning achievement is needed. This is a mixed-method study of teaching presence, self-regulated learning, and learning satisfaction in distance learning to evaluate the learning achievement of students in a nursing education program. Ninety-four students for quantitative and seven students for qualitative research were sampled. All the sampled students attend the nursing education program in Seoul and Gyeonggi Province and were enrolled during the first semester of 2020. Quantitative data were analyzed using SPSS/WIN 21.0, and qualitative data were analyzed via content analysis in NVivo 12. Teaching presence and self-regulated learning were identified as the factors affecting learning satisfaction. In a focus group interview, teaching presence increased when the students received feedback and saw the faces of their professors. Self-regulated learning occurred when they had opportunities to practice self-study and leadership and when they formed relationships between professors and colleagues. These methods have also been recognized to increase learning satisfaction. Considering the results of this study, it is necessary to develop teaching methods that enhance the learning satisfaction of students in distance learning nursing education programs.
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Roggio F, Ravalli S, Maugeri G, Bianco A, Palma A, Di Rosa M, Musumeci G. Technological advancements in the analysis of human motion and posture management through digital devices. World J Orthop 2021; 12:467-484. [PMID: 34354935 PMCID: PMC8316840 DOI: 10.5312/wjo.v12.i7.467] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/15/2021] [Accepted: 07/12/2021] [Indexed: 02/06/2023] Open
Abstract
Technological development of motion and posture analyses is rapidly progressing, especially in rehabilitation settings and sport biomechanics. Consequently, clear discrimination among different measurement systems is required to diversify their use as needed. This review aims to resume the currently used motion and posture analysis systems, clarify and suggest the appropriate approaches suitable for specific cases or contexts. The currently gold standard systems of motion analysis, widely used in clinical settings, present several limitations related to marker placement or long procedure time. Fully automated and markerless systems are overcoming these drawbacks for conducting biomechanical studies, especially outside laboratories. Similarly, new posture analysis techniques are emerging, often driven by the need for fast and non-invasive methods to obtain high-precision results. These new technologies have also become effective for children or adolescents with non-specific back pain and postural insufficiencies. The evolutions of these methods aim to standardize measurements and provide manageable tools in clinical practice for the early diagnosis of musculoskeletal pathologies and to monitor daily improvements of each patient. Herein, these devices and their uses are described, providing researchers, clinicians, orthopedics, physical therapists, and sports coaches an effective guide to use new technologies in their practice as instruments of diagnosis, therapy, and prevention.
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Affiliation(s)
- Federico Roggio
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo 90144, Italy
| | - Silvia Ravalli
- Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, Catania 95123, Italy
| | - Grazia Maugeri
- Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, Catania 95123, Italy
| | - Antonino Bianco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo 90144, Italy
| | - Antonio Palma
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo 90144, Italy
| | - Michelino Di Rosa
- Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, Catania 95123, Italy
| | - Giuseppe Musumeci
- Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, Catania 95123, Italy
- Research Center on Motor Activities, University of Catania, Catania 95123, Italy
- Department of Biology, College of Science and Technology, Temple University, Philadelphia, PA 19122, United States
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Towards Wearable-Inertial-Sensor-Based Gait Posture Evaluation for Subjects with Unbalanced Gaits. SENSORS 2020; 20:s20041193. [PMID: 32098239 PMCID: PMC7070249 DOI: 10.3390/s20041193] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Revised: 02/14/2020] [Accepted: 02/18/2020] [Indexed: 11/17/2022]
Abstract
Human gait reflects health condition and is widely adopted as a diagnostic basisin clinical practice. This research adopts compact inertial sensor nodes to monitor the functionof human lower limbs, which implies the most fundamental locomotion ability. The proposedwearable gait analysis system captures limb motion and reconstructs 3D models with high accuracy.It can output the kinematic parameters of joint flexion and extension, as well as the displacementdata of human limbs. The experimental results provide strong support for quick access to accuratehuman gait data. This paper aims to provide a clue for how to learn more about gait postureand how wearable gait analysis can enhance clinical outcomes. With an ever-expanding gait database,it is possible to help physiotherapists to quickly discover the causes of abnormal gaits, sports injuryrisks, and chronic pain, and provides guidance for arranging personalized rehabilitation programsfor patients. The proposed framework may eventually become a useful tool for continually monitoringspatio-temporal gait parameters and decision-making in an ambulatory environment.
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Kin-FOG: Automatic Simulated Freezing of Gait (FOG) Assessment System for Parkinson's Disease. SENSORS 2019; 19:s19102416. [PMID: 31137825 PMCID: PMC6567147 DOI: 10.3390/s19102416] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Revised: 05/15/2019] [Accepted: 05/21/2019] [Indexed: 01/23/2023]
Abstract
Parkinson’s disease (PD) is one of the leading neurological disorders in the world with an increasing incidence rate for the elderly. Freezing of Gait (FOG) is one of the most incapacitating symptoms for PD especially in the later stages of the disease. FOG is a short absence or reduction of ability to walk for PD patients which can cause fall, reduction in patients’ quality of life, and even death. Existing FOG assessments by doctors are based on a patient’s diaries and experts’ manual video analysis which give subjective, inaccurate, and unreliable results. In the present research, an automatic FOG assessment system is designed for PD patients to provide objective information to neurologists about the FOG condition and the symptom’s characteristics. The proposed FOG assessment system uses an RGB-D sensor based on Microsoft Kinect V2 for capturing data for 5 healthy subjects who are trained to imitate the FOG phenomenon. The proposed FOG assessment system is called “Kin-FOG”. The analysis of foot joint trajectory of the motion captured by Kinect is used to find the FOG episodes. The evaluation of Kin-FOG is performed by two types of experiments, including: (1) simple walking (SW); and (2) walking with turning (WWT). Since the standing mode has features similar to a FOG episode, our Kin-FOG system proposes a method to distinguish between the FOG and standing episodes. Therefore, two general groups of experiments are conducted with standing state (WST) and without standing state (WOST). The gradient displacement of the angle between the foot and the ground is used as the feature for discriminating between FOG and standing modes. These experiments are conducted with different numbers of FOGs for getting reliable and general results. The Kin-FOG system reports the number of FOGs, their lengths, and the time slots when they occur. Experimental results demonstrate Kin-FOG has around 90% accuracy rate for FOG prediction in both experiments for different tasks (SW, WWT). The proposed Kin-FOG system can be used as a remote application at a patient’s home or a rehabilitation clinic for sending a neurologist the required FOG information. The reliability and generality of the proposed system will be evaluated for bigger data sets of actual PD subjects.
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Validation of a Wearable IMU System for Gait Analysis: Protocol and Application to a New System. APPLIED SCIENCES-BASEL 2018. [DOI: 10.3390/app8071167] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Miniaturized wearable Inertial Measurement Units (IMU) offer new opportunities for the functional assessment of motor functions for medicine, sport, and ergonomics. Sparse reliability validation studies have been conducted without a common specific approach and protocol. A set of guidelines to design validation protocol for these systems is proposed hereafter. They are based on the comparison between video analysis and the gold standard optoelectronic motion capture system for Gait Analysis (GA). A setup of the protocol has been applied to a wearable device implementing an inertial measurement unit and a dedicated harmonic oscillator kinematic model of the center of mass. In total, 10 healthy volunteers took part in the study, and four trials of walking at a self-selected speed and step length have been simultaneously recorded by the two systems, analyzed, and compared blindly (40 datasets). The model detects the steps and the foot which supports body weight. The stride time and the cadence have a mean absolute percentage error of 5.7% and 4.9%, respectively. The mean absolute percentage error in the measurement of step’s length and step’s speed is 5.6% and 13.5%, respectively. Results confirm that the proposed methodology is complete and effective. It is demonstrated that the developed wearable system allows for a reliable assessment of human gait spatio-temporal parameters. Therefore, the goal of this paper is threefold. The first goal is to present and define structured Protocol Design Guidelines, where the related setup is implemented for the validation of wearable IMU systems particularly dedicated to GA and gait monitoring. The second goal is to apply these Protocol Design Guidelines to a case study in order to verify their feasibility, user-friendliness, and efficacy. The third goal is the validation of our biomechanical kinematic model with the gold standard reference.
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