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Effect of Visual Biofeedback Simulation Training for Balance in Patients with Incomplete Spinal Cord Injury (시각적 바이오피드백 시뮬레이션훈련이 불완전 척수손상환자의 균형에 미치는 효과)

  • Park, Chang-Sik;Kang, Kwon-Young
    • The Journal of the Korea Contents Association
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    • v.11 no.11
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    • pp.194-203
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    • 2011
  • This study investigated the effectiveness of visual biofeedback simulation training for patients with incomplete spinal cord injuries. Fifteen people with an ASIA impairment scale of C and D, according to the intervention method, were studied. They were randomly divided into two groups, seven people in the experimental group and eight people in the control group. They were studied three times a week for six weeks using a Tetrax Interactive Balance System, for a total of eighteen times, and each test took fifteen minutes. Paired t-tests were used to evaluate the changes before and after intervention. The difference between the groups was compared using an independent t-test. The experimental group showed significantly increased general stability, fall risk index, weight distribution (A, C, D, LEFT, HEEL) and weight distribution index, except for synchronization AC, BD. However, the control group only showed significantly increased weight distribution (A, C, LEFT). In a variation, experimental and control groups showed significantly increased weight distribution (A, B, C, HEEL), general stability, fall risk index and synchronization AD. Consequently, it was found that visual biofeedback simulation training was effective for the balance ability of incomplete spinal cord injury patients, and further studies are required.

The Effect of Dual-Task on Standing Postural Control in Persons With Chronic Stroke (만성 뇌졸중 환자의 기립 자세조절에 이중 과제가 미치는 영향)

  • Jeon, Hye-Won;Chung, Yi-Jung
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.20-30
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    • 2010
  • This study examined whether any changes by mental task types on postural control in chronic stroke persons. Sixteen chronic stroke persons (mean age=53.75 yr) and sixteen age-and gender-matched healthy controls (mean age=54.44 yr) took part in this study. Participants randomly performed three different tasks on the stable and unstable surfaces. The no mental task was to stand while holding a 100 g weight in each hand, the arithmetic task (mental task) was to perform a silent 1-backwards counting while standing and holding a 100 g weight in each hand, and the simple task (mental task) was to stand and hold with both hands a tray (200 g) on which a glass filled with water has been placed. Sway path and sway velocity of the center of pressure (COP) were measured to assess standing postural control by task performance using the force platform. According to the results, in stroke group, total sway path and total sway velocity of COP was significantly decreased during arithmetic and simple task compared to no mental task on the stable surface (p<.05), and sway path (anteroposterior AP, mediolateral ML) of COP, total and sway velocity (AP, ML, total) of COP was significantly decreased during arithmetic and simple task compared to no mental task on the unstable surface (p<.05). Especially, sway path (AP, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased under the simple task when compared to the arithmetic task on the unstable surface (p<.05). In healthy control group, sway path (AP, ML, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased during arithmetic and simple task compared to no mental task on the stable and unstable surface (p<.05), and sway path (AP, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased under the simple task when compared to the arithmetic task on the unstable surface (p<.05). In conclusion, the findings of this study showed that arithmetic and simple task improved standing postural control for chronic stroke patients and the type of arithmetic and simple tasks were critical factor that reduced standing postural sway in dual-task conditions. Future research should determine whether dual-task conditions, including simple task, would be effective as a training program for standing postural control of stroke patients.

Implementation of Gait Analysis System Based on Inertial Sensors (관성센서 기반 보행 분석 시스템 구현)

  • Cho, J.S.;Kang, S.I.;Lee, K.H.;Jang, S.H.;Kim, I.Y.;Lee, J.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.137-144
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    • 2015
  • In this paper, we present an inertial sensor-based gait analysis system to measure and analyze lower-limb movements. We developed an integral AHRS(Attitude Heading Reference System) using a combination of rate gyroscope, accelerometer and magnetometer sensor signals. Several AHRS modules mounted on segments of the patient's body provide the quaternions representing the patient segments's orientation in space. And a method is also proposed for calculating three-dimensional inter-segment joint angle which is an important bio-mechanical measure for a variety of applications related to rehabilitation. To evaluate the performance of our AHRS module, the Vicon motion capture system, which offers millimeter resolution of 3D spatial displacements and orientations, is used as a reference. The evaluation resulted in a RMSE(Root Mean Square Error) of 1.08 and 1.72 degree in yaw and pitch angle. In order to evaluate the performance of our the gait analysis system, we compared the joint angle for the hip, knee and ankle with those provided by Vicon system. The result shows that our system will provide an in-depth insight into the effectiveness, appropriate level of care, and feedback of the rehabilitation process by performing real-time limb or gait analysis during the post-stroke recovery.

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Quantitative Evaluation of Image Quality using Automatic Exposure Control (AEC 사용 유무에 따른 영상의 화질평가)

  • Kim, Gwang-ho;Yoo, Gwan-ju;Kang, Ji-won;Ko, Bong-joo;Kim, Kyoun-lan;Kim, Min-hee;Yoon, Young-woo;Ye, Soo-young;Choi, Seok-yoon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.86-89
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    • 2015
  • Quantitative Evaluation of Image Quality using Automatic Exposure Control This it leads, the relationship of control and image between of photographing condition, DR proper use method proposing. Chest phantom acquires Chest PA images which it follows in conditional change, Image evaluation factor (SNR (Signal to Noise Ratio), CNR (Contrast to Noise Ratio), PSNR (Peak Signal to Ratio), RMS (Root Mean Square)). It excepted RMS price, SNR, CNR, PSNR the case which uses AEC it came out being high The fact that the quality of image is better there was a case which does not use AEC. but Price it was slight. Image qualitative it was deficient in AEC use presence. Through this, the overall situation and most efficient use of radiation workers is better suited. But Passive AEC use would be appropriate for use rather than proactive AEC.

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Effects of 12-week balance training with visual feedback on balance and walking functions in patients with chronic stroke (12주 동안의 시각 되먹임 균형 훈련이 만성뇌졸중 환자의 균형 및 보행에 미치는 영향)

  • Jeong, Myeong-Kyun;Oh, Duck-Won
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.537-544
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    • 2013
  • This study was to determine the effect of 12-week balance training with visual feedback on balance and walking functions in patients with post-stroke hemiparesis. Twenty individuals with chronic stroke volunteered to participate in this study. They were randomly allocated to either experimental group (EG) or control group (CG), with 10 subjects in each group. Subjects from the group 1 underwent 15-min balance training with visual feedback and 15-min routine-scheduled physical therapy, and subjects from the group 2 performed 30-min routine-scheduled physical therapy only, which comprised mat exercise, strengthening, postural correction, and functional practice. Assessment tools were made with the Functional Reach Test (FRT), Timed Up and Go Test (TUGT), and 6 Min Walk Test (6MWT). In within-group comparison, the EG showed significant differences in all parameters (p<0.05), while significant differences were not found for the CG (p>0.05). In between-group comparison, the change values of the FRT and 6MWT appeared to be significantly greater for the EG than those of the CG (p<0.05). These findings suggest that balance training with visual feedback may be favorably used to improve balance and walking functions in patients with chronic post-stroke hemiparesis. Further studies with larger sample and long-term follow-up period need to generalize the results of this study.

Trunk Stabilization Measurements Using the Nintendo Wii (닌텐도 위를 활용한 흉부 흔들림의 자세 안정성 측정)

  • Yang, Juyeong;Yoo, Jaeha;Kim, Dongyon;Park, Junmo;Kim, Soochan
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.7
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    • pp.239-247
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    • 2014
  • The CTSIB (Clinical Test of Sensory Integration on Balance) using high sensitive pressure sensors is normally used to assess the sense of balance in hospital. It takes an objective measurement of the amount of sway that occurs in the body trunk by observing the change in the center of pressure (CoP) on the foot at the upright posture. In this paper, we would like to propose method to easily measure trunk sway in home. Although the Wii balance board(WBB) is used for games, it can measures the center of pressure, which is highly correlated. The Wii remote controller(WRC) is inexpensive compared to the WBB, but it has problems with estimation of trunk sway because it can't measure pressure directly like WBB. We collected data from 10 normal subjects (5 males, 5 females) from two devices in order to compare the CoP from WBB and the center of mass (CoM) from WRC. The results of WRC and WBB was similar when the data were analyzed by the convex hull and ellipse area.

A Study on the Use of Balance Scale for Life Care of the Elderly People (노인의 라이프케어를 위한 균형 평가척도 활용에 관한 연구)

  • Yang, Seung-Hoon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.411-417
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    • 2019
  • The purpose of this study is to identify the effect not of therapeutic behavior but of the balance evaluation process itself on the balance ability of the elderly. For this, 36 elderly people over 65 age belonging to two elderly welfare centers in Jeonju city were divided into 3 groups of 12 each. All participants were divided into three groups, one was the daily evaluation, another was weekly, and the other group was twice at the beginning and the end of the study. And this study conducted for 4 weeks totally. The balance scale that we used one was Berg Balance Scale and for comparison within groups and between groups, Paired t-test and one-way ANOVA methods were used. The post-hoc test was used 'Scheffe test', and the significance level was α = .05. The results showed that the balance ability was significantly improved after 4 weeks in all three groups. Among all groups, the highest improvement was observed in the daily evaluation group and the lowest improvement was observed in the general evaluation group. In the comparison between the groups, it was confirmed between the daily evaluation group and the weekly evaluation group, between the daily evaluation group and the general evaluation group. These results show that the evaluation process using the balance function scale, rather than the therapeutic behavior, can affect the balance ability of the elderly. I would like to be able to utilize this basic research data that just evaluation of balance function using balance scale in the social facilities and institutions for the elderly can positively influence the improvement of the balance function and strengthen the postural controling ability necessary for the independent daily life practice.

A Systematic Review of the Effects of Visual Perception Interventions for Children With Cerebral Palsy (뇌성마비 아동에게 시지각 중재가 미치는 효과에 대한 체계적 고찰)

  • Ha, Yae-Na;Chae, Song-Eun;Jeong, Mi-Yeon;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.55-68
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    • 2023
  • Objective : This study aims to analyze the effects of visual perception intervention by systematically reviewing the studies that applied visual perception intervention to children with cerebral palsy. Methods : The databases used were PubMed, EMbase, Science Direct, ProQuest, Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), and the National Assembly Library. The keywords used were cerebral palsy, CP, and visual perception. According to the PRISMA flowchart, 10 studies were selected from among studies published from January 1, 2012 to March 30, 2022. The quality level of the selected studies, the demographic characteristics of study participants, the effectiveness of interventions, area and strategies of intervention, assessment tools to measure the effectiveness of interventions, and risk of bias were analyzed. Results : All selected studies confirmed that visual perception intervention was effective in improving visual perception function. In addition, positive results were shown in upper extremity function, activities of daily living, posture control, goal achievement, and psychosocial areas as well as visual perception function. The eye-hand coordination area was intervened in all studies. Conclusion : In visual perception intervention, It is necessary to evaluate the visual perception function by area, and apply systematically graded customized interventions for each individual.

Dosimetric Comparision for Rectal Cancer using 3D-CRT, IMRT, Tomotherapy (직장암의 방사선 치료 시 3D-CRT, IMRT, Tomotheray를 이용한 치료계획 및 주변 정상장기 선량 비교)

  • Lee, Seung-chul;Kim, Young-Jae;Jang, Seong-Joo
    • Journal of the Korean Society of Radiology
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    • v.11 no.5
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    • pp.393-399
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    • 2017
  • In this paper, we compared the Radiation treatment plan of rectal cancer on 3D-conformal Radiation Therapy, Tomotherapy and Linac Based IMRT using treatment planning system and to find the optimal treatment technique. The results of the comparison of treatments are as follows. In tumor tissue absorption dose more than 95% of the dose prescription dose and normal tissues(bladder, small bowel, fumer bone head) was NOT Normal tissue complication rate(V40, V30, V20, V10) but, The most effective treatment(dose distribution) for the three treatments was tomotherapy based IMRT. The worst was 3D-CRT. If this study is applied to patients under their health status and physical environment, patient's prognosis and quality of life will improve.

Effects of Postural Control Exercise on the Delayed Heart Rate Increase in Heart Transplant Patients -A Case Study- (자세 조절 운동이 심장이식환자의 심박수 상승지연에 미치는 영향 -단일사례연구-)

  • Choi, Su-Hong;Lee, Sang-Yeol
    • PNF and Movement
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    • v.16 no.2
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    • pp.161-168
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    • 2018
  • Purpose: This study aimed to investigate the effects of postural control exercise on the delayed heart rate increase in heart transplant patients. Methods: The subject was a female heart transplant recipient who had a delayed increase in heart rate during exercise. The intensity of exercise was performed at MBorg level 4. The A-B-A' and A-B-A'-B' designs were used to identify the changes in heart rate during active-assisted exercise, lower limb postural control exercise, and upper limb postural control exercise. Experiments were performed for four weeks. The heart rates at pre- and post-exercise were compared, and the time to reach MBorg 4 was measured. Results: In the active-assisted exercise, the average heart rates at pre- and post-exercise and after 10 min of exercise were 88, 89, and 87.7 bpm, respectively. In the repetitive comparison of pre- and post-exercise in the lower limb postural control exercise, the difference in the mean heart rate was 3.5 and 3 bpm in stable support and 14 and 14.5 bpm in unstable support, respectively. In the repetitive comparison of pre- and post-exercise in the upper limb postural control exercise, the difference in the mean heart rate was 6 and 4 bpm in stable support and 4 and 4.5 bpm in unstable support. The time required to reach MBorg 4 was short when both the upper and lower postural control exercises were performed in an unstable state. Conclusion: We suggest that combining proper postural control exercise with strength exercise and aerobic exercise, among others, may be effective in rehabilitating patients in the recovery stage after a heart transplant.