• Title/Summary/Keyword: Balance recovery

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Correlation among Motor Function and Gait Velocity, and Explanatory Variable of Gait Velocity in Chronic Stroke Survivors

  • Lee, Dong Geon;Lee, Gyu Chang
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.181-188
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    • 2022
  • Objective: The purpose of this study to investigate the correlations among the motor function, balance, and gait velocity and the strength that could explain the variation of gait velocity of chronic stroke survivors. Design: This was a cross-sectional cohort study. Methods: Thirty hemiplegic stroke survivors hospitalized in an inpatient rehabilitation center were participated. The muscle tone of ankle plantarflexor and muscle strength of ankle dorsiflexor were measured respectively with modified Ashworth scale (MAS) and hand-held dynamometer. And the motor recovery and function with Fugl-Meyer assessment (FMA), balance with Berg balance scale (BBS) and timed up and go (TUG) test were measured. Gait velocity was measured with GAITRite. The correlation among motor function, muscle tone, muscle strength, balance, and gait were analyzed. In addition, the strength of the relationship between the response (gait velocity) and the explanatory variables was analyzed. Results: The gait velocity had positive correlations with FMA, muscle strength, and BBS, and negative correlation with MAS and TUG. Regression analysis showed that TUG (𝛽=-0.829) was a major explanatory variable for gait velocity. Conclusions: Our results suggest that gait velocity had correlations with muscle strength, MAS, FMA, BBS, and TUG. The tests and measurements affecting the variation of gait velocity the greatest were TUG, followed by FMA, BBS, muscle strength, and MAS. This study shows that TUG would be a possible assessment tool to determine the variation of gait velocity in stroke rehabilitation.

Effects of body weight-supported treadmill training combined with ball-kicking on balance and gait of subacute stroke patients

  • Cho, Juchul;Lee, Eunsang;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.4 no.2
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    • pp.73-78
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    • 2015
  • Objective: This study focused on subacute stroke patients who were asked to kick a ball while walking on a treadmill. The aim of the study was to determine the effect of a body weight-supported treadmill training (BWSTT) combined with ball-kicking on muscle strength, balance, and gait. Design: Single blind, randomized controlled trial. Methods: Twenty stroke patients who volunteered to participate in this study were randomly assigned to either the BWSTT combined with ball-kicking (BWSTT-BK; 10 participants) group or the BWSTT group (10 participants). Participants in the BWSTTBK group performed treadmill walking combined with simultaneous ball-kicking for 30 minutes daily for 5 weeks. Participants from the BWSTT group performed only treadmill walking. The muscular strength, balance, and gait ability were measured before and after the 5-week training. To assess for muscular strength, a digital muscle tester was used to measure hip flexor, knee extensor, and dorsiflexor strength. To assess for balance, the Berg Balance Scale (BBS) and Timed Up and Go Test (TUG) was used. To assess for gait, the 10 meter walk test (10MWT) and Functional Gait Assessment (FGA) was used. Results: The BWSTT-BK group showed significantly improved muscular strength, balance, and gait according to BBS, TUG, 10MWT, FGA, and digital muscle testing scores compared to the BWSTT group (p<0.05). In addition, within-group comparison showed significant improvement in all variables (p<0.05). Conclusions: These findings suggest that BWSTT-BK results in more favourable outcomes for stroke patients. Therefore, BWSTT-BK may be useful for the recovery of gait ability of stroke patients.

Effects of Virtual Reality Program on Recovery of Functional in individuals Stroke: A Systematic Review and Meta Analysis (뇌졸중 환자 대상의 가상현실 운동프로그램이 기능회복에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Park, Seo-A;Kim, Hye-Young
    • Journal of Digital Convergence
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    • v.17 no.5
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    • pp.235-247
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    • 2019
  • This study was carried out to evaluate the efficacy of Virtual Reality(VR) program on recovery of functional in Stroke through systematic literature review and meta-analysis. The following databases were used to search the literature: RISS, KISS, KMbase. Keywords included 'stroke', 'CVA' 'virtual reality', 'rehabilitation', 'virtual reality program' and the evaluated articles were published from 2009 to November 2018. The statistical was used R program, the effect size of upper limb, balance and ADL were calculated by random-effects model. As a result, 9 RCT studies were meta-analyzed and were evaluated for the risk of bias by the RoB of Cochrane Collaboration; the overall risk of bias was low. The effect sizes of VR program was balance(g=.77), ADL(g=.80) as indicated by a "large effect size". Therefore, VR program is large effective in reducing balance and ADL in strokes. It is necessary to develop and apply a virtual reality-based program using more efficient program development.

Economic Feasibility Study for CO2 Ocean Sequestration (CO2 해양격리시스템의 기술.경제적 가능성평가)

  • Park, Se-Hun;Oh, Wee-Yeong;Kwon, Moon-Sang
    • Ocean and Polar Research
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    • v.27 no.4
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    • pp.451-461
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    • 2005
  • The $CO_2$ storage in geologic and oceanic reservoirs is considered to be one of the carbon management strategies for responding to global climate change. Ocean carbon sequestration is purposeful storage acceleration into the ocean of large amounts of carbon that would accumulate in the atmosphere and naturally enter the ocean over a longer timespan. Some technologies for $CO_2$ ocean sequestrations have been developed as a nation project. However, $CO_2$ ocean sequestrations are attractive because they have the advantage of vast capacity sequestration far away from industrial areas, and offer easier monitoring whereas less economic advantage has been indicated as one of the key barriers compared with $CO_2$ geosphere sequestration, which is produced as a byproduct. In this paper, a conceptual design for $CO_2$ ocean sequestration is introduced, and the preliminary examination is described. As a result, the $CO_2$ price, US$ 24/t shows far away from the economics. The causes come from the expensive $CO_2$ recovery cost and the low $CO_2$ price. The expensive $CO_2$ recovery cost is because too much electricity and water are consumed. In order to look for an economic balance point for $CO_2$ ocean sequestration, NPV=0, it is increases the $CO_2$ price. Finally 60.4$ per ton is found to be the balance price.

Development of a Thermal Design Software for the Heat Recovery Steam Generator of Combined Cogeneration Systems (열병합 복합발전시스템용 폐열회수 보일러 열설계 소프트웨어 개발 연구)

  • Kim, T.K.;Oh, S.D.;Kwon, Y.H.;Seo, S.H.;Kim, B.Y.
    • Proceedings of the KSME Conference
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    • 2001.06d
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    • pp.726-731
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    • 2001
  • A thermal design software is developed for the heat recovery steam generator(HRSG) of combined cogeneration systems. The heat transfer is calculated by using the element method to account for the varying thermal properties across the heat transfer elements. The circulation balance is computed for the evaporator to accurately estimate the steam generation rate and to check the proper circulation of the boiler water through the tubes. The software developed can be used to simulate HRSG systems with various combinations of auxiliary burner, wall superheater, superheater, reheater, evaporator, and economizer. Systems with several different combinations of the system components are successfully tested. And it is concluded that the developed software can be used for the design of heat recovery steam generators with various combinations of heat transfer components.

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Anaerobic Hydrogen Fermentation and Membrane Bioreactor (MBR) for Decentralized Sanitation and Reuse-Organic Removal and Resource Recovery

  • Paudel, Sachin;Seong, Chung Yeol;Park, Da Rang;Seo, Gyu Tae
    • Environmental Engineering Research
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    • v.19 no.4
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    • pp.387-393
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    • 2014
  • The purpose of this study is to evaluate integrated anaerobic hydrogen fermentation and membrane bioreactor (MBR) for on-site domestic wastewater treatment and resource recovery. A synthetic wastewater (COD 17,000 mg/L) was used as artificial brown water which will be discharged from urine diversion toilet and fed into a continuous stirred tank reactor (CSTR) type anaerobic reactor with inclined plate. The effluent of anaerobic reactor mixed with real household grey water (COD 700 mg/L) was further treated by MBR for reuse. An optimum condition maintained in anaerobic reactor was HRT of 8 hrs, pH 5.5, SRT of 5 days and temperature of $37^{\circ}C$. COD removal of 98% was achieved from the overall system. Total gas production rate and hydrogen content was 4.6 L/day and 52.4% respectively. COD mass balance described the COD distribution in the system via reactor byproducts and effluent COD concentration. The results of this study asserts that, anaerobic hydrogen fermentation combined with MBR is a potent system in stabilizing waste strength and clean hydrogen recovery which could be implemented for onsite domestic wastewater treatment and reuse.

A Study on the Engineering Design for 20kW-Grade Waste Gas Heat Recovery (20kW급 폐열회수 시스템 공정 설계에 관한 연구)

  • Kim, Kyoung Su;Bang, Se Kyoung;Jeong, Eun Ik;Yi, Chung Seob
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.17 no.4
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    • pp.91-96
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    • 2018
  • This study is collects design data through the process design of the organic Rankine cycle, which can produce 20kW of electric power through the recovery of waste heat. In this study, the simulation was conducted by using APSEN HYSYS in order to make the model for the process design of the 20kW class waste heat recovery system. For the thermodynamic model, the test was conducted with hot water as the heat source, with the water steam used as the cooling water for the cooler and the refrigerant R245fa in the cycle. In Case 1 and Case 2, it was expected and found that the cycle efficiency was 10.6% and that 36.86kw was produced, considering the margin of 84% of 20kW. In Case 3 and Case 4, it was expected and found from the simulation that the cycle efficiency was 12% and that 30.0kw was produced, considering the margin of 84% of 20kW.

Improvement of sugar recovery from Sida acuta (Thailand Weed) by NaOH pretreatment and application to bioethanol production

  • Siripong, Premjet;Doungporn, Premjet;Yoo, Hah Young;Kim, Seung Wook
    • Korean Journal of Chemical Engineering
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    • v.35 no.12
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    • pp.2413-2420
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    • 2018
  • Sida acuta, a common type of weed in Thailand, contains relatively high cellulose (42.7%) content. We pretreated NaOH to improve glucose recovery from S. acuta. The effect of pretreatment temperature and NaOH concentration was fundamentally investigated based on hydrolysis efficiency with recovery of solid fraction. The pretreatment condition was determined to be 3% NaOH at $60^{\circ}C$ for 9 h, which showed the highest glucose recovery. The hydrolysates obtained by enzymatic hydrolysis of S. acuta were applied to the fermentation of Saccharomyces cerevisiae K35, and a theoretical yield of 97.6% was achieved at 18 h. This indicated that the hydrolysates medium without detoxification had no negative effects on the fermentation. The production of biomass into bioethanol was evaluated based on the material balance of 1,000 g basis. Following this estimation, approximately 28 g and 110 g bioethanol could be produced by untreated and pretreated S. acuta, respectively, and this production was improved about 3.9-fold by NaOH pretreatment. These results again show the importance of pretreatment in biorefinery process.

A Study on the Engineering Design for 250kW-Grade Waste Gas Heat Recovery (250kW급 폐열회수 시스템 공정설계에 관한 연구)

  • Kim, Kyoung Su;Bang, Se Kyoung;Seo, In Ho;Lee, Sang Yun;Jeong, Eun Ik;Yi, Chung Seob
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.18 no.5
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    • pp.90-95
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    • 2019
  • This study aims to gain the design data through the process design of the organic Rankine cycle, which can produce 250kW of electric power through waste heat recovery. In this study, a simulation was conducted using APSEN HYSYS to make the model for the process design of the 250kW-class waste heat recovery system. For the thermodynamic model, the test was conducted with hot water as the heat source, the water steam as the cooling water for the cooler, and the refrigerant R245FA in the cycle. In the final design, it was expected and found from the simulation that the cycle efficiency was 12.62% and that 250kW of power was produced considering the margin of 80%.

The Effects of Game-Based Weight Bearing Balance Training on Phase Sit to Stand to Sit and Functional Standing Performance Stroke Patients (게임기반 체중지지 균형훈련이 뇌졸중 환자의 단계별 일어서고 앉기 동작과 기능적 일어서기 수행력에 미치는 효과)

  • Yang, Daejung;Uhm, Yohan
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.4
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    • pp.21-30
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    • 2017
  • Purpose : This research intends to identify the effects of game-based weight bearing exercises on balance, muscular activation, sit to stand to sit motions of stroke patients. Method : 30 patients who were diagnosed as hemiplegia by stroke less in than a year were sampled and they were classified into two group, one of which was game-based weight bearing balance exercise group, and the other was functional weight bearing exercise group. 15 people were randomly selected for each group. Each exercise was coordinated by this research for 8 weeks, 5 days a week. 3D motion analyzer was used to measure the sit to stand to sit motions and a stopwatch was used to measure the time for stand-up motions for 5 times. Result : In terms of analyzing sit to stand to sit motions by phases, game-based weight bearing balance exercise group showed significant reduction compared to functional weight-bearing exercise group in phase I, II, III, IV and total time. In terms of functional stand-up performance analysis, game-based weight bearing balance exercise group showed significant reduction compared to functional weight-bearing exercise group in 5 times stand-up examination. Conclusion : It was verified that game-based weight bearing balance exercise had positive impact on function recovery of stroke patients by enhancing sit to stand to sit capabilities. It is considered that game-based exercise was an effective intermediary for functional improvement of stroke patients, while also inducing consistent and voluntary participation by causing interest and motivation.