• Title/Summary/Keyword: Constraint Effects

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Meta-Analysis of Constraint-Induced Movement Therapy in Hemiplegic Stroke Patient in Korea (국내 뇌졸중 편마비 환자를 대상으로 한 건측억제-환측유도 치료효과의 메타분석)

  • Park, So-Yeon;Shin, In-Soo
    • Physical Therapy Korea
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    • v.19 no.2
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    • pp.59-68
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    • 2012
  • This meta-analysis investigated the effects on arm motor impairment, arm motor function and disability, and psychological aspects of constraint-induced movement therapy (CIMT) for upper extremity hemiparesis following stroke, based on Korean studies. A comprehensive search of the complete Korean studies information service system (KISS), Research Information Sharing Service (RISS), Korea National Library, and the Korean Medical Database to September 2011 was conducted. Eleven eligible controlled clinical trials compared CIMT to a control group or an alternative treatment. All outcome measures of arm motor impairment, arm motor function and disability, and psychological aspects were pooled for calculating effect size. The overall effect size of CIMT was .700 (95% confidence interval=.482~.918). The CIMT programs showed large effect on the aspect of arm motor function and disability (the effect size is .920) and the psychological aspect (the effect size is .946). The effect of CIMT on arm motor impairment was moderate (the effect size is .588). These results show that CIMT may improve upper extremity motor impairment, function and disability, and psychological aspects following stroke. However, these results were based on a small number of studies, and not all of them were randomized control trials. Additional research is needed to include larger well-designed trials to resolve these uncertainties.

Effects of Product and Situation on Internet Browsing Behavior for Fashion Products (의류 제품특성, 상황특성이 소비자의 인티넷 탐색 행동에 미치는 영향)

  • Shim, Soo-In;Jang, Se-Jung;Lee, Yu-Ri
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.7
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    • pp.1046-1055
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    • 2008
  • The purpose of this study is to investigate the effects of product variables(i.e., fashionability, brand fame) and situational variables(i.e., time constraint, usage occasion) on the internet browsing behavior (i.e., prepurchase search; ongoing search for products, stores, fashion trends, promotions, and post-purchasing information) for fashion products. This study developed hypothetical scenarios based on the factorial design of the two independent variables for the survey with a questionnaire. All items in the questionnaire were measured on a six-point scale. By convenience sampling and on-line survey, a total of 209 usable responses were used for further analyses. The results show as follows; firstly, respondents more intensively browse for information search on products, stores and fashion trends when the style of browsing products is trendy. Secondly, whether the fashion products have a famous brand name or not has a significant influence on browsing behavior for stores and fashion trends information search. Thirdly, time constraint is found to influence significantly on respondents' browsing for promotions information search. Lastly, occasion for product worn shows a significant influence on browsing behavior for stores and fashion trends information search. The managerial implications are provided based on findings.

Impact of Dual-Hemisphere Transcranial Direct Current Stimulation Combined with Modified Constraint-Induced Movement Therapy on Upper Limb Function in Chronic Stroke: A Single Blinded Randomized Controlled Trial (수정된 강제 유도 운동치료와 결합된 이중 반구 경두개 직류 자극이 만성 뇌졸중의 팔 기능에 미치는 영향 : 단일 맹검 무작위 통제 시험)

  • Kim, Sunho
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.11-20
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    • 2020
  • Purpose : The purpose of this study was to research the effects of dual-hemisphere transcranial direct current stimulation (dual tDCS) and modified constraint-induced movement therapy (mCIMT) to improve upper extremity motor function after stroke. Methods : The study period was from August 2019 to November 2019, and included 24 patients who met the selection criteria. Participants were divided into 2 groups: dual tDCS and mCIMT, and sham dual tDCS and mCIMT group. Dual tDCS and mCIMT group performed mCIMT immediately after applying dual tDCS for 20 minutes, and sham dual tDCS and mCIMT group performed mCIMT immediately after applying sham tDCS for 20 minutes without turning on the power source. Total interventions were conducted 5 times per week for 4 weeks, and mCIMT was conducted for 30 minutes per session for both experimental and control groups. Fugl-Meyer assessment (FMA) and Motor Activity Log scale (MAL) were analyzed before and after 4 weeks of intervention. Results : Both experimental and control groups showed significant changes in FMA, Amount of Use (AOU), and Quality of Movement (QOM) of MAL. When the differences between groups was compared using ANCOVA, the experimental group showed a greater improvement in FMA and AOU of MAL than the control group. Conclusion : In order to enhance the effect of improving upper limb function of stroke patients, dual tDCS could be applied to provide more effective treatment in the clinical setting. Further studies will be needed in larger groups of stroke patients, including long-term follow-up, and multi-group comparisons through the establishment of anodal tDCS and mCIMT, cathodal tDCS, and mCIMT groups to clarify the effects of dual tDCS. In addition, research is needed to establish a protocol for tDCS, and this evidence-based intervention protocol is expected to be used in the clinical setting as an interventional method for various purposes.

Vibration control of elastic systems (탄성계의 진동제어)

  • 박영필;이상조
    • 제어로봇시스템학회:학술대회논문집
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    • 1986.10a
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    • pp.113-118
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    • 1986
  • The feedback controllers for the active vibration control of elastic systems are developed using optimal regulator, optimal tracking, time optimal and noise observer algorithms. Using the modal analysis of the elastic systems, the effects of the actuator positions, the input weighting factor and the magnitude of the constraint of the actuator force are investigated.

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Evaluation of Fracture Toughness and Constraint Effect of Cruciform Specimen under Biaxial Loading (이축하중을 받는 십자형 시편의 파괴인성 및 구속효과 평가)

  • Kim, Jong Min;Kim, Min Chul;Lee, Bong Sang
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.12 no.1
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    • pp.62-69
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    • 2016
  • Current guidance considers that uniaxially loaded specimen with a deep crack is used for the determination of the ductile-to-brittle transition temperature. However, reactor pressure vessel is under biaxial loading in real and the existence of deep crack is not probable through periodic in-service-inspection. The elastic stress intensity factor and the elastic-plastic J-integral which were used for crack-tip stress field and fracture mechanics assessment parameters. The difference of the loading condition and crack geometry can significantly influence on these parameters. Thus, a constraint effect caused by differences between standard specimens and a real structure can over/underestimate the fracture toughness, and it affects the results of the structural integrity assessment, consequentially. The present paper investigates the constraint effects by evaluating the master curve $T_0$ reference temperature of PCVN (Pre-cracked Charpy V-Notch) and small scale cruciform specimens which was designed to simulate biaxial loading condition with shallow crack through the fracture toughness tests and 3-dimensional elastic-plastic finite element analyses. Based on the finite element analysis results, the fracture toughness values of a small scale cruciform specimen were estimated, and the geometry-dependent factors of the cruciform specimen considered in the present study were determined. Finally, the transferability of the test results of these specimens was discussed.

Effect of Mechanical Constraints on the Angular Distortion of Welding Joints (용접 각변형에 미치는 구속도의 영향)

  • Park, Jeong Ung;Lee, Jae Won;Lee, Hae Woo
    • Journal of Korean Society of Steel Construction
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    • v.13 no.5
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    • pp.547-556
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    • 2001
  • This study presents new method in which to derive the constraint coefficient from the quantity of angular deformation by welding measured by varying the shape of welded joints and the magnitude of constraints by varying the shape of welded joints and the magnitude of constraints by experiment and from the result analyzed by elastic FEM method and then to decide equivalent load with it The numerical analysis results by this new method verified the validity by agreeing with the experimental result on specimen. In addition These results are applicable to the prediction of the quantity of welding deformation for large structures regardless of the size and the shape While in the effects of the constraints based on the shape of welded joints in the case of Butt welding when the constraint coefficients are not considered the deformed quantity is produced larger than one by the experiment and consequently is largely affected by the constraints But in the case of Fillet welding the deformed quantity is seldom affected regardless of considering the constraint coefficients or not.

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Evaluation of the Crack Tip Stress Distribution Considering Constraint Effects in the Reactor Pressure Vessel (구속효과를 고려한 원자로 압력용기 균열선단에서의 응력분포 예측)

  • Kim, Jin-Su;Choe, Jae-Bung;Kim, Yeong-Jin
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.25 no.4
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    • pp.756-763
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    • 2001
  • In the process of integrity evaluation for nuclear power plant components, a series of fracture mechanics evaluation on surface cracks in reactor pressure vessel(RPV) must be conducted. These fracture mechanics evaluation are based on stress intensity factor, K. However, under pressurized thermal shock(PTS) conditions, the combination of thermal and mechanical stress by steep temperature gradient and internal pressure causes considerably high tensile stress at the inside of RPV wall. Besides, the internal pressure during the normal operation produces high tensile stress at the RPV wall. As a result, cracks on inner surface of RPVs may experience elastic-plastic behavior which can be explained with J-integral. In such a case, however, J-integral may possibly lose its validity due to constraint effect. In this paper, in order to verify the suitability of J-integral, tow dimensional finite element analyses were applied for various surface cracks. A total of 18 crack geometries were analyzed, and $\Omega$ stresses were obtained by comparing resulting HRR stress distribution with corresponding actual stress distributions. In conclusion, HRR stress fields were found to overestimate the actual crack-tip stress field due to constraint effect.

Gait analysis on the condition of arm swing in healthy young adults

  • Koo, Hyun-Min;Lee, Su-Young
    • Physical Therapy Rehabilitation Science
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    • v.5 no.3
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    • pp.149-154
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    • 2016
  • Objective: The arm swing is associated with gait ability in healthy young adults. The purpose of this study was to examine the effects of arm swing during gait in healthy young adults. Design: Cross-sectional study. Methods: Forty-five subjects without any orthopedic or neurological injuries participated in this study. All subjects performed all three conditions according to the arm swing type as follows: first procedure (condition 1), walking as usual without arm swing constraint; second procedure (condition 2), constraint of dominant arm swing walking as usual; third procedure (condition 3), constraint of both arm swing walking as usual. Gait parameters such as gait velocity, stride length, cadence, step time, single limb support, and double limb support were measured in all arm swing conditions performed randomly, with the mean value obtained from three measurements. A rest period of 5 minutes was given to prevent repetition of each condition and learning effect. All data was analyzed using repeated measures ANOVA to notice the changes between arm swing conditions. Results: Within walking conditions, significant difference of gait velocity, stride length, cadence, and double limb support was noticed (p<0.05), except step time and single limb support. Gait velocity and stride length were significant reduced, and in cadence and double limb support were increased (p<0.05). Condition 3 had the most significant decrease of gait ability compared with condition 1 (p<0.05). Conclusions: These finding suggested that constraint arm swing conditions reduced gait ability in healthy young adults. Also, these findings can be utilized as a reference to future studies that not only pelvic, knee and ankle, but also upper limb affect to gait ability.

The Effects of the modified Constraint-Induced Movement Therapy on Upper Function and Activities of Daily Living in Subacute Stroke Patients (수정된 건측억제-환측유도치료(mCIMT)가 아급성기 뇌졸중환자의 상지기능과 일상생활수행능력에 미치는 영향)

  • Bang, Dae-Hyouk;Choi, Sung-Jin;Shin, Won-Seob
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.2
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    • pp.245-252
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    • 2013
  • PURPOSE: The aim of this study is to verify the effectiveness of modified constraint-induced movement therapy(mCIMT) on upper function and activities of daily living in people with subacute stroke patients. METHODS: Eighteen participants, with subacute stroke that were randomly assigned to either the experimental group(n=9) or the control group(n=9). For subjects from the experimental group modified Constraint-Induced Movement Therapy was performed. exercise program, the patient trained in affected side upper extremity with restricted non-affected side for 1 hour and using in activity daily living for 4 hours for five times per week, during 4 weeks. For subjects from the control group, conventional upper extremity training was performed. Outcomes such as the box and block test(BBT), Fugl-Meyer motor function assessment(FMA), and modified Barthel index(MBI) were measured before and after training. Between-group and within-group comparisons were analyzed by using Independent t-test and Paired t-test respectively. RESULTS: These finding suggest that experimental group was significant increase in BBT, FMA, MBI(p<.05). In comparison of two group, experimental group was high upper function and activity daily living than control group. CONCLUSION: This study showed experimental group can be used to improve upper function and activity daily living than control group. Thus it indicates that mCIMT will be more improved through the continued upper extremity exercise program.