• Title/Summary/Keyword: 하반신마비

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Functional Neuromuscular Stimulation for Paraplegic Standing (FNS를 사용한 하반신마비자의 일어서기)

  • Khang, Gon
    • Journal of Biomedical Engineering Research
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    • v.11 no.1
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    • pp.1-4
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    • 1990
  • An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented.

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Development of Electrical Stimulator for Restoration of Locomotion in Paraplegic Patients (하반신마비 환자에서 보행기능의 복원을 위한 전기자극법의 개발)

  • 박병림;김민선
    • Journal of Biomedical Engineering Research
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    • v.15 no.4
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    • pp.429-438
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    • 1994
  • An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate eleclromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocnemius m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher'stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical slimulator restored partially gait function in paraplegic patients.

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Vibration Control of a Knee Joint System considering Human Vibration of the New R.G.O. for a Rehabilitation Trainning of Paraplegia (II) (척수마비환자 재활훈련용 보행보조기의 인체진동을 고려한 무릎관절 시스템 진동제어(II))

  • Kim, Myung-Hoe;Jang, Dae-Jin;Baek, Yun-Soo;Park, Young-Pil;Park, Chang-Il
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11b
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    • pp.446-452
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    • 2002
  • This paper Presents a 3-D design and a Vibration control of a new walking R.G.O.(Robotic Gait Orthosis) and would like to develop a simulation by this walking system. The vibration control and evaluation of the new knee joint mechanism on the biped walking R.G.O.(Robotic Gait Orthosis) was a very unique system and was to obtain by the 3-axis accelerometer with a low frequency vibration for the paraplegia It will be expect that the spinal cord injury patients are able to recover effectively by a biped walking R.G.O.. The new knee joint system of both legs were adopted with a good kinematic characteristics. It was designed attached a DC-srevo motor and controller, with a human wear type. It was able to accomodate itself to a environments of S.C.I. Patients. It will be expect that the spinal cord injury patients are able to recover effectively by a new walking R.G.O. system.

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후면 충돌시 HEAD RESTRINT SYSTEM이 효과에 관한 연구

  • 이창민
    • Proceedings of the ESK Conference
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    • 1996.10a
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    • pp.14-20
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    • 1996
  • 95년도 한국 교통사고 통계에 의하면 사망자의 73%가 두부(Head), 경부(Neck) 에 손상을 입고 있으며 부상자의 22%는 두부에 20%는 경부에 부상을 입고 있다. 사고 형태로도 여러 사고 형태중 고속도로 혹은 시내주행시 후면 충돌에 의한 사고 가 큰 비중을 차지하고 있다. 본 연구에서는 현재 일반적으로 사용중인 Head Restraint 시스템의 효과와 그 사용방법에 따라서 인체에 미치는 영향을 충돌 모의 실험이 가능한 DYNAMAN Package를 사용하여 고찰하였다. 충돌시험 속도인 30mph 후방 충돌 Test 시 Head Restraunt(H/R)을 사용하지 않을 경우는 Head Injury Criterion(HIC)이 한계치 1000 을 상회하는 것은 경추의신전 한계(extension)를 넘어 사망 혹은 하반신 마비의 가능성이 매우 높으며, H/R을 사용하고 있다고 해도 머리높이까지 충분히 높지 않거나 머리와의 거리가 멀 경우 경추의 신전 한계를 넘어 경부의 손상 가능성을 높여 주고 있다. 그러므로 제작자는 머리 높이까지 충분히 구속이 가능한 H/R을 설계 제작하여야 하겠고, 사용자는 H/R을 적절한 위치까지(머리높이)조절하여 하용하도록 하며 머리와의 거리 또한 되도록 가깝게 위치하도록 H/R 의 각도를 조절하여 경미한 후면 충돌시에도 머리보다 H/R을 넘어 경부에 부상을 입지않도록 게몽되어 계몽되어야 한다.

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One Family with Hereditary Spastic Paraplegia due to SPG4 Gene Mutation (SPG4 유전자 변이에 의한 유전경직하반신마비를 보인 가족 1예)

  • Cho, Jeong-Seon;Kim, Doo-Eung;Kim, Jung-Mee;Han, Young-Su;Ha, Sang-Won;Park, Sang-Eun;Han, Jeong-Ho;Cho, Eun-Kyoung
    • Annals of Clinical Neurophysiology
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    • v.7 no.2
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    • pp.138-140
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    • 2005
  • Strumpell, in 1880, was the first to describe familial case of spastic paraplegia characterized by progressive weakness and spasticity of the lower limbs with little or no involvement of the upper extremities. This syndrome is heterogeneous in inheritance, age of onset, severity and associated signs. We present one family with autosomal dominant hereditary spastic paraplegia (HSP) due to SPG4 (spastin) gene mutation which is confirmed by genomic DNA isolated from peripheral blood.

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Paraplegia Caused by Vertebral Metastasis during Pain Control in Cervical Cancer Patient -A case report- (자궁경부암 환자의 통증치료중 척추전이에 의한 하반신 마비 -증례 보고-)

  • Kim, In-Jung;Chun, Bum-Soo;Kyeon, Il-Soo;Lee, Jung-Koo
    • The Korean Journal of Pain
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    • v.10 no.2
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    • pp.304-307
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    • 1997
  • Continuous epidural infusion, a combination of local anesthetic and opioid, have been widely administered for treatment of chronic cancer pain. A serious complications of epidural block is paraplegia which can also be caused by : direct spinal cord injury, epidural hematoma, epidural abscess, ischemic change, neurotoxicity, preexisting disease. Continuous epidural block for pain control of patient with cervical cancer was performed at $T_{12}/L_1$ interspace. A 4 cm catheter was inserted cephalad into the epidural space. After four months, back pain and motor weariless of lower extremities progressively developed. Spine CT showed bony destruction and soft mass-like lesion at $T_9$ & $T_{12}$ spine. We propose paraplegia was caused by spinal cord compression which resulted from vertebral metastasis of cervical cancer.

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Android-based urination monitoring system using IoT technology (IoT 기술을 이용한 안드로이드 기반 배뇨 모니터링 시스템)

  • Lee, Da-Bin;Park, Chang-Sin;Sim, Ye-Ju;Kim, Hyung-Hoon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.11a
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    • pp.1290-1293
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    • 2017
  • 유아와 더 나아가 치매 노인, 하반신 마비 장애인 등 성인도 사용할 수 있는 배뇨 모니터링 시스템이다. 기저귀 브랜드와 유아용, 성인용을 구분하지 않는 부착 범위를 가지고 있다. 아두이노를 통해 착용자의 상태를 센싱하여 블루투스로 전송 후 안드로이드를 통해 착용자의 상태를 확인 하고 케어 하는 환경을 제공한다. 잦은 소변확인으로 느낄 수 있는 착용자의 수치심, 불편함을 디바이스를 통해 개선하는 동시에 보호자의 시간을 절약해주고 보장해준다.

A Study of EMG-Controlled FES System Implementation for primitive-walking of Paraplegics (하반신 마비 환자의 보행을 위한 근전도 제어 FES 시스템 구현에 관한 연구)

  • Kim, K.S.;Kim, K.H.;Kim, J.W.;Hong, W.H.;Kim, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1991 no.05
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    • pp.34-38
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    • 1991
  • This paper describes and discusses the employment of EMG pattern analysis to provide upper-motor-neuron paraplegics with patient-responsive control of FES (functional electrical stimulation) for the purpose of walker-supported walking. The use of above - lesion EMG signals as a solution to the control problem is considered. The AR (autoregressive) parameters are identified by Kalman filter algorithm using DSP chip and classified by fuzzy theory. The control and stimuli part of the below-lesion are based on microprocessor(8031). The designed stimulator is a 4-channel version. The experiments described above have only attempted to discriminate between standing function and sit-down function. A further advantage of the this system is applied for motor rehabilitation of social readaption of paralyzed humans.

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Trachea, Esophagus, and Spinal Cord Injury Caused by Stab Wound - A case report- (기관, 식도, 척수를 관통한 자상 치험 - 1예 보고 -)

  • Kim, Jong-In;Cho, Sung-Rae;Park, Eok-Sung;Kim, Hyung-Chul
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.808-811
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    • 2010
  • Simultaneous occurrence of the trachea, esophagus, and spinal cord injuries due to stabbing is rare. The incidence is decreasing, but early diagnosis and surgical treatment is important because it can be life-threatening. We present one case of simultaneous trachea, esophagus, and spinal cord injury caused by self-stabbing complicated with paraplegia.

Development of Fuzzy Control Method Powered Gait Orthosis for Paraplegic Patients (하반신 마비환자를 위한 동력보행보조기의 퍼지제어 기법 개발)

  • Kang, Sung-Jae;Ryu, Jei-Cheong;Kim, Gyu-Suk;Kim, Young-Ho;Mun, Mu-Seong
    • Journal of Institute of Control, Robotics and Systems
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    • v.15 no.2
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    • pp.163-168
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    • 2009
  • In this study, we would be developed the fuzzy controlled PGO that controlled the flexion and the extension of each PGO's hip joint using the bio-signal and FSR sensor. The PGO driving system is to couple the right and left sides of the orthosis by specially designed hip joints and pelvic section. This driving system consists of the orthosis, sensor, control system. An air supply system of muscle is composed of an air compressor, 2-way solenoid valve (MAC, USA), accumulator, pressure sensor. Role of this system provide air muscle with the compressed air at hip joint constantly. According to output signal of EMG sensor and foot sensor, air muscles and assists the flexion of hip joint during PGO gait. As a results, the maximum hip flexion angles of RGO's gait and PGO's gait were about $16^{\circ}\;and\;57^{\circ}$ respectively. The maximum angle of flexion/extention in hip joint of the patients during RGO's gait are smaller than normal gait, because of the step length of them shoes a little bit. But maximum angle of flexion/extention in hip joint of the patients during PGO's gait are larger than normal gait.