• The Journal of Korean Physical Therapy
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• v.15 no.4
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• pp.372-383
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• 2003

The purpose of this study was to assess of cane use on the hemiplegic gait of strock patients in temporal and spatial variables. Subjects were thirteen including 8 men and 5 women. They could walk independently without cane, To compare the effect of walking with and without a cane, temporal and spatial variables was measured using GAITRite. Cane walking demonstrated increased stance time on the affected side, and swing time, step length on the sound side were increased, and base of support was decreased. In conclusion, hemiplegic gait pattern of strock patients were improved with cane than those not using a cane.

• Asian-Australasian Journal of Animal Sciences
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• v.26 no.2
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• pp.218-226
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• 2013

This experiment was conducted to evaluate the intake, nutrient apparent digestibility and the effect of total collection days (two and four days) on apparent digestibility estimates for lambs fed diets containing sugar cane treated with calcium oxide (CaO). Eight Santa In$\hat{e}$s castrated male lambs with a $16.6{\pm}1.8$ kg body weight were used. The lambs were distributed in two $4{\times}4$ Latin squares, with four experimental periods of 14 d each. The animals were kept in 1.2 $m^2$ individual pens, and the intake and digestibility evaluations were performed during the last four days of each period. The diets were formulated to be isonitrogenous, containing 14% crude protein (CP), and presenting 70% sugar cane treated with 0, 0.75, 1.5 or 2.25% of CaO (as-fed basis), corrected with 1% urea, and 30% concentrate. The sugar cane with added CaO was chopped, treated, and offered to the animals after 24 h of storage. The sugar cane with CaO increased the DM, OM, CP, NDF, NDFap, TC, NFCap and TDN intake (kg/d), when compared to natural sugar cane, and produced the same intake expressed as a percentage of body weight (% BW). The NFCap digestibility of the CaO-treated sugar cane was inferior to the NFCap digestibility in natural sugar cane. There was a linear increase in the DM intake with the CaO-added sugar cane, but the DM and NDF digestibility and the TDN content decreased linearly. The chemical treatment of sugar cane with CaO increases the intake but does not improve the nutrient digestibility. Two days of total fecal collection were found to be sufficient to estimate the total apparent digestibility in lambs.

• The Journal of Korean Physical Therapy
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• v.25 no.1
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• pp.36-41
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• 2013

Purpose: To investigate whether the long-term use of a cane induces pain in the unaffected lower limb of stroke patients. Methods: A total of 107 stroke patients with chronic hemiparesis were recruited in this study and classified into two groups; a cane-use group (n=49) and non-cane-use group (n=58). The existence of pain in the unaffected lower limb was assessed on a visual analog scale in the hip, knee, and ankle joint, and the University of Alabama pain behaviors scale (UAB pain behavior scale) used to measure the intensity of pain. In addition, the Motricity Index (MI) was tested in the upper and lower extremities. Results: The proportion of pain in each joint of the lower limb was significantly higher in the cane-use group, compared to the non-cane-use group (p<0.05). In addition, significant differences were observed on the UAB pain behavior scale between the two groups. The lower MI score was significantly lower in the cane-use group, compared with the control group. However, no difference was observed in MI scores of the upper limb between the two groups. Conclusion: These findings reveal that long-term cane usage can induce pain in the unaffected lower limb of stroke patients. We suggest careful consideration when prescribing a cane, depending on functional ability in hemiparetic patients, and recommend continuous evaluation for pain in the affected lower limb.

• International Journal of Precision Engineering and Manufacturing
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• v.5 no.1
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• pp.5-12
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• 2004

A human-friendly interactive system that is based on the harmonious symbiotic coexistence of human and robots is explored. Based on this interactive technology paradigm, a robotic cane is proposed for blind or visually impaired travelers to navigate safely and quickly through obstacles and other hazards faced by blind pedestrians. The proposed robotic cane, "RoJi,” consists of a long handle with a button-operated interface and a sensor head unit that is attached at the distal end of the handle. A series of sensors, mounted on the sensor head unit, detect obstacles and steer the device around them. The user feels the steering command as a very noticeable physical force through the handle and is able to follow the path of the robotic cane easily and without any conscious effort. The issues discussed include methodologies for human-robot interactions, design issues of an interactive robotic cane, and hardware requirements for efficient human-robot interactions.ions.

• Journal of the Korean Society of Physical Medicine
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• v.7 no.2
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• pp.223-230
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• 2012

Purpose : The purpose of this study was to analyze weight bearing of cane and affected foot at different speeds during walking. Methods : Thirteen subjects (6 males, 7 females) with stroke enrolled in the study. A foot sensor and an instrumented cane were integrated to analyze the vertical peak force on the affected foot and the cane. Results : The applied vertical peak force on the cane were $12.02{\pm}4.80%$ (slow speed), $7.97{\pm}3.95%$ (comfortable speed), and $6.86{\pm}3.30%$ (fast speed) body weight, respectively. The results indicated significantly lower vertical peak force on the affected foot in the low speed walking condition when compared to the fast walking (p<.05) and the comfortable walking (p<.05) conditions. The correlations between TUG and vertical peak force on the cane and affected foot were .71, and -.70 (p<.01). There was a higher correlation between the vertical peak force on the cane and affected foot were -.87(p<.01). Conclusion : In conclusion, slower walking speed applied greater vertical peak force on the cane. On the contray, slower walking speed applied less vertical peak force on the affected foot. Further studies, duration of force should be measured at different speeds during walking in lower and higher functioning hemiparetic subjects, as its use may mask underlying gait impairment.

• The Journal of Korean Physical Therapy
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• v.23 no.3
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• pp.7-12
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• 2011

Purpose: The cane is one of the most popular assistive devices for stroke patients. Clinical complaints of sensorimotor functions on the ipsilateral upper limb were appealed in stroke patients who had used a cane for a long period. Therefore, we investigated whether cane usage for a long-term period affected sensoriomotor dysfunctions on the non-affected upper limb, in terms of pain presence, shoulder joint sense, a nine-hole pegboard test, and a tracking task. Methods: We recruited 12 stroke patients, who were divided into the cane-using (CU) group or the non-cane using (NCU) group, according to cane usage experience. We evaluated joint position sense for the integrity of proprioceptive reposition sense in the shoulder joint, used a nine-hole pegboard test for upper limb dexterity evaluation, and a tracking task for visuomotor coordination. Results: Four patients in the CU group had complained of shoulder pain none did in the NCU group. In addition, the CU group showed more reposition errors on the shoulder joint than the NCU group did. In addition, the CU group had more difficulty in proprioceptive sense perception and in performance of the nine-hole pegboard teat and tracking task, compared with the NCU group. Conclusion: Our findings suggest that cane usage for a long period in stroke patients could give rise to trigger joint pain and decrease proprioceptive sense. In addition, complex motor performance in the ipsilateral upper limb could deteriorate. In stroke patients who had used acane for long period, careful observation and proper intervention will be necessary.

• Proceedings of the KSME Conference
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• 2004.11a
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• pp.725-730
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• 2004

This paper has regarded mechanism design of cane-like passive type walking aid for the elderly using 3-RPS parallel manipulator. First, gait patterns of the elderly have been experimented. By means of motion capturing and image processing, we decided loaded forces and places of the cane when the elderly walked with a cane. Using these results we have developed a passive type walking aid. Second, the walking pattern has been simulated using dynamic analysis program, ADAMS and we find out the similarity between the real walking and the simulated walking. Finally after assuring the similarity, with adjusting the new mechanism design to the simulated walking we will decide whether the walking aid is safe and stable when the elderly walks with this cane-like walking aid. This paper will be basis for the development of the mechanism design applying 3-RPS parallel manipulator.

• Asian-Australasian Journal of Animal Sciences
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• v.18 no.3
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• pp.345-349
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• 2005

A study was conducted to determine the effect of feeding chopped whole sugar cane compared to corn silage on performances of dairy cows during the dry season. Twenty four Holstein Friesian crossbred (>87.5% Holstein Friesian) lactating dairy cows in mid lactation; averaging 16.5${\pm}$2.0 kg of milk, 121${\pm}$22 days in milk, 54.5${\pm}$4.5 months old and 440${\pm}$31 kg live weight, were stratified for milk yield, days in milk, age, stage of lactation and body weight, and then randomly allocated to two treatment groups (12 cows in each group). The first group was fed corn silage together with commercial concentrate while the second group was fed chopped whole sugar cane together with commercial concentrate. All cows consumed similar DM, however, cows on corn silage consumed more CP while cows on chopped whole sugar cane consumed more $NE_{LP}$. No significant differences in performances between the two groups were observed except for final live weight and body weight change. Cows on chopped whole sugar cane showed higher final live weight and gained more weight than cows on corn silage. The present study clearly indicates that chopped whole sugar cane can be fed to lactating dairy cows, while giving similar milk yield to corn silage.

• The Journal of Korean Physical Therapy
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• v.22 no.3
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• pp.49-53
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• 2010

Purpose: The purpose of this study was to investigate the plantar pressure distribution between the affected and unaffected side in adult hemiplegia during gait with the use of a quad-cane. Methods: Thirty-four stroke patients from 34 to 83 years of age were enrolled in this study, and in random order, all patients were asked to walk at their most comfortable speed three times along a walkway with the use of quad-cane over a period of three days. Plantar pressure distribution was measured with regard to foot contact pattern and center of pressure (CoP) trajectories during the stance phase, progressing from heel-strike to toe-off. The F-scan system was used to compare the foot pressure of the affected and unaffected sides. Results: A significant reduction in the total contact area, the width of fore foot (FF) and hind foot (HF), and anterior/posterior (AP) CoP trajectory of the affected side was found. However, contact pressure of the hind foot on the affected side during walking increased when compared to that on the unaffected side. Conclusion: We demonstrated that plantar pressure distribution on the affected side of adult hemiplegia patients was generally poorer than that on the unaffected side when these patients walked with cane assistance. However, the use of a quad-cane was shown to increase contact pressure of the hind foot on the affected side because weight can be borne on the affected side during heel-strike with use of the cane.

• Journal of Korea Entertainment Industry Association
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• v.13 no.1
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• pp.207-215
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• 2019

This study examines the effect of the height of cane that hemiplegic patients due to stroke use on their plantar pressure in standing position, gait speed. The study suggests a new standard for appropriate cane height that considers the change of average height of population. Research subjects included 12 patients hospitalized in S Medical Care Hospital located in Gwangju Metropolitan City in South Korea who were diagnosed with stroke. Group A uses a cane of the height of the greater trochanter of femur, group B uses a cane of 5cm above the height of the greater trochanter of femur, and group C is a cane of 10cm above the height of the greater trochanter of femur. In the study result, non-affected side plantar pressure and affected side plantar pressure showed a significant difference among the cases where the cane height was the same as the A group, B group, C group. In the post-hoc analysis result, a significant difference was observed between the case of A group and C group. Gait speed showed no significant difference among the case of the A group, B group, C group. The asymmetry of the stroke affects not only the posture but also the walking that is related to daily life. Changes in the height of the cane did not affect walking speed. The change in the height of the cane showed a change in the weight support ratio, which is thought to have a positive effect on the asymmetry. In future clinical setting, this study result will be able to provide fundamental data regarding the cane height in the standing or walking therapy for hemiplegic patients due to stroke with cane application.