• Title/Summary/Keyword: Arm training

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Development of pre-procedure virtual simulation for challenging interventional procedures: an experimental study with clinical application

  • Seong, Hyunyoung;Yun, Daehun;Yoon, Kyung Seob;Kwak, Ji Soo;Koh, Jae Chul
    • The Korean Journal of Pain
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    • v.35 no.4
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    • pp.403-412
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    • 2022
  • Background: Most pain management techniques for challenging procedures are still performed under the guidance of the C-arm fluoroscope although it is sometimes difficult for even experienced clinicians to understand the modified three-dimensional anatomy as a two-dimensional X-ray image. To overcome these difficulties, the development of a virtual simulator may be helpful. Therefore, in this study, the authors developed a virtual simulator and presented its clinical application cases. Methods: We developed a computer program to simulate the actual environment of the procedure. Computed tomography (CT) Digital Imaging and Communications in Medicine (DICOM) data were used for the simulations. Virtual needle placement was simulated at the most appropriate position for a successful block. Using a virtual C-arm, the authors searched for the position of the C-arm at which the needle was visualized as a point. The positional relationships between the anatomy of the patient and the needle were identified. Results: For the simulations, the CT DICOM data of patients who visited the outpatient clinic was used. When the patients revisited the clinic, images similar to the simulated images were obtained by manipulating the C-arm. Transforaminal epidural injection, which was difficult to perform due to severe spinal deformity, and the challenging procedures of the superior hypogastric plexus block and Gasserian ganglion block, were successfully performed with the help of the simulation. Conclusions: We created a pre-procedural virtual simulation and demonstrated its successful application in patients who are expected to undergo challenging procedures.

Development of Indentation Training System for Pulse Diagnosis (맥진 가압 트레이닝 시스템 개발)

  • Lee, Jeon;Lee, Yu-Jung;Jeon, Young-Ju;Woo, Young-Jae;Kim, Jong-Yeol
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.45 no.6
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    • pp.117-122
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    • 2008
  • Although the pulse diagnosis is the one of the most important diagnostic process to traditional medical doctors, there is no proper communication tool between experts and trainees. In this paper, we have developed a indentation training system which consists of a hardware measuring indent pressure on artificial arm quantitatively and a software providing a indentation training program. The hardware for measurement of indent pressure profile includes 3 load cells embedded in the artificial arm, signal amplification part and digitization part, NI-USB 6009 with 200Hz sampling rate. For setting up a relationship table between weights and output voltages, 8 standard weights were used. To evaluate this hardware, 3 oriental medical specialists were involved and their indent pressure profile were recorded three times respectively. From these, it was found that pulse diagnosis process could be divided into 3 periods and the maximum load were $500g{\cdot}f$ approximately while doctors perform a pulse diagnosis. The indentation training program was implemented with LabView and designed to monitor the differences between the pressure profile of a expert and that of a trainee so to offer some visual feedback to the trainee. Also, this program could provide the trends of training performances. With this developed system, the education of pulse diagnosis is expected to be more quantitative and effective.

Short-term Effect of Robot-assisted Therapy on Arm Reaching in Subacute Stroke Patients (상지로봇치료가 아급성기 뇌졸중 환자의 팔뻗기 움직임에 미치는 단기 효과)

  • Hong, Won-Jin;Kim, Yong-Wook;Kim, Jongbae;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.7 no.4
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    • pp.79-91
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    • 2018
  • Objective : The purpose of this study was to investigate the short-term effect of robot-assisted therapy to improve upper extremity function in subacute stroke. Method : This study was a retrospective study using the medical record. The subjects were 20 patients who were diagnosis with stroke within 6 months. All patients received general rehabilitation intervention during the experimental period and robot-assisted therapy and task-oriented training. Robot assisted therapy was composed of 1 sessions, 1hour per person and task-oriented training was same. For result analysis, descriptive statistics, paired t-test were used. Results : After intervention, all participants got 3D motion analysis about reaching. For the result, there was statistically significant improvement in smoothness in robot assisted therapy(p<.05). there was no statistically significant difference between robot assisted therapy and task-oriented training in speed, time. In this result, we knew the robot assisted therapy can short term effect in elbow joint during arm reaching. Conclusion : Robot assisted therapy is considered as alternative choice in clinical occupational therapy for improving upper extremity function in subacute stage stroke patients.

The Effects of Task oriented Training on Motor and Cognitive Function in Alzheimer's Dementia Rat (과제지향훈련이 알츠하이머성 치매 흰쥐의 운동 및 인지기능에 미치는 영향)

  • Lim, Gun-Hong;Lee, Hong gyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.119-126
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    • 2019
  • This study was conducted to investigate the effects of task oriented training on motor and cognitive function recovery in rats with induced Alzheimer's dementia. Thirty Sprague-Dawley rats were randomly assigned to a control group (n=15) and an experimental group (n=15). Training was given three times a week, for 20 minutes a session for 4 weeks. The cognitive and motor functions of the rats were evaluated by an eight arm radial maze test and ladder rung walk test. The eight arm radial maze test showed significant differences between groups according to the time of day 14 and 28 (p<.001). The difference in measured values according to the timing of the two groups was significant (p<.001). Additionally, there was a significant difference between the time and the group interaction (p<.001). The ladder rung walk test showed significant differences between groups according to the time of day 14 and 28 (p<.001). The difference in the measured values according to the timing of the two groups was significant (p<.001), and there was a significant difference between the time and the group interaction (p<.001). As a result, task oriented training for Alzheimer's dementia rats was found to have a positive effect on recovery of motor and cognitive function.

The Effect of an Exercise-based Swallowing Training Program for Nursing Home Residents with Stroke (노인요양시설 뇌졸중 노인을 위한 운동중심 연하훈련 프로그램의 효과)

  • Bang, Hwal Lan;Park, Yeon-Hwan
    • Journal of muscle and joint health
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    • v.21 no.2
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    • pp.85-96
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    • 2014
  • Purpose: The purpose of this study was to develop a training program for swallowing and to test its effect on swallowing capacity and nutritional status among nursing home residents with stroke. Methods: A swallowing training program was developed by literature review, expert validation and a pilot test. A pretest and posttest quasi-experimental study design with nonequivalent control group was used to evaluate the effectiveness of the program. Swallowing training was conducted for thirty minutes, three times a week for 8 weeks. Swallowing capacity including dysphagia screening score, swallowing symptom questionnaire and tongue pressure, and nutritional status including body mass index and mid arm muscle circumference were measured at the baseline and at 8 weeks. Results: The exercised-based swallowing training program consisted of oromotor exercise, expiratory muscle strength exercise and effortful swallow. The participants were 77.2 years old on average. At the completion of 8-week program, the experimental group showed better scores in dysphagia screening (p=.039) and swallowing symptom questionnaire (p=.004) and a significant increase in tongue pressure (p=.003). Conclusion: The exercised-based swallowing training program was safely applied to nursing home residents with stroke and showed a significant improvement of swallowing capacity. Further studies are needed to identify its effect on the nutritional status.

Variability of Practice Effects in Transfer of Photoelectric Rotary Pursuit Task

  • Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.12 no.4
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    • pp.7-11
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    • 2005
  • The purposes of this study were to investigate the effects of variability of training on the acquisition of motor skill of closed loop type tracking task using Rotary Pursuit, and to determine if there was a bilateral transfer effect to the non-dominant hand following practice with the dominant hand. Twelve healthy volunteer students (5 males and 7 females, aged 25 to 37) were randomly divided into a constant practice group and a variable practice group. A photoelectric rotary pursuit apparatus with stop clock and repeat cycle timer by Lafayette Instrumentation Co. was used for this study. Rotary pursuit is a closed loop task in which a subject attempts to keep a photoelectric stylus on a lighted target in motion. Subjects performed the clockwise circular pursuit task while standing. Experimental procedure was divided into three sessions, namely, pre-test, training, and post-test. The constant group practiced all 60 trials at 30 rpm. Variable practice group did a varied practice session with 15 trials at speeds of 20 rpm, 26 rpm, 34 rpm, and 46 rpm. No one in either group practiced with their non-dominant arm. A Mann-Whitney test and a Wilcoxon Signed Ranks test were used for statistical analyses. The results of this study showed no different training effect between groups on the post-test with the dominant hand. However, bilateral transfer effect of rotary pursuit task between hands was demonstrated. Possible mechanisms are discussed.

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Study on the Wearing Conditions of Weight Training Compression Wear for Men in their 20s (웨이트 트레이닝 활동을 위한 20대 남성 컴프레션웨어 착의 실태)

  • Kim, Mira;Kim, Dong-Eun;Choi, Hei Sun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.40 no.5
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    • pp.775-787
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    • 2016
  • This study examined the wearing conditions of compression wear for weight training. Compression wear has recently received significant attention from the public and athletes as high-level functional sportswear. The survey was conducted on 373 men in their 20s for general information on purchase behavior, preferred brand, function, and preferred design. The majority of participants (n=181) were aware of the function of compression wear. The most selected reason for wearing compression wear was for its convenience during sports activities. Respondents had the greatest preference for designs with a round neckline, regular leggings type, upper arm-length sleeve, and thigh-length bottom. Respondents also wanted a stronger compression in the core muscle part (abdomen, back, and waist).

ETRI small-sized dialog style TTS system (ETRI 소용량 대화체 음성합성시스템)

  • Kim, Jong-Jin;Kim, Jeong-Se;Kim, Sang-Hun;Park, Jun;Lee, Yun-Keun;Hahn, Min-Soo
    • Proceedings of the KSPS conference
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    • 2007.05a
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    • pp.217-220
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    • 2007
  • This study outlines a small-sized dialog style ETRI Korean TTS system which applies a HMM based speech synthesis techniques. In order to build the VoiceFont, dialog-style 500 sentences were used in training HMM. And the context information about phonemes, syllables, words, phrases and sentence were extracted fully automatically to build context-dependent HMM. In training the acoustic model, acoustic features such as Mel-cepstrums, logF0 and its delta, delta-delta were used. The size of the VoiceFont which was built through the training is 0.93Mb. The developed HMM-based TTS system were installed on the ARM720T processor which operates 60MHz clocks/second. To reduce computation time, the MLSA inverse filtering module is implemented with Assembly language. The speed of the fully implemented system is the 1.73 times faster than real time.

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Innovation in the planning of V-Y rotation advancement flaps: A template for flap design

  • Dolen, Utku Can;Kocer, Ugur
    • Archives of Plastic Surgery
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    • v.45 no.1
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    • pp.85-88
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    • 2018
  • Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. We designed 2 templates to plan a V-Y rotation advancement flap. The template for a unilateral V-Y rotation advancement flap was used on the face (n=5), anterior tibia (n=1), posterior axilla (n=1), ischium (n=1), and trochanter (n=2). The template for a bilateral flap was used on the sacrum (n=8), arm (n=1), and anterior tibia (n=1). The causes of the defects were meningocele (n=3), a decubitus ulcer (n=5), pilonidal sinus (n=3), and skin tumor excision (n=10). The meningocele patients were younger than 8 days. The mean age of the adult patients was 50.4 years (range, 19-80 years). All the donor areas of the flaps were closed primarily. None of the patients experienced wound dehiscence or partial/total flap necrosis. The templates guided surgeons regarding the length and the placement of the incision for a V-Y rotation advancement flap according to the size of the wound. In addition, they could be used for the training of residents.