• Title/Summary/Keyword: Dynamic weight bearing

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The Effect of Shoe Lift of the Paretic Limb on Dynamic Weight Bearing in Hemiplegics (편마비 환자의 신발 높이 조절이 동적체중부하율에 미치는 영향)

  • Yoon, Jung-Gyu;Kim, Byung-Wook
    • Journal of Korean Physical Therapy Science
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    • v.8 no.2
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    • pp.1073-1080
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    • 2001
  • The purpose of this study was to determine the effect of lift to the shoe of the affected limb on gait patterns in subjects with hemiplegia. The subjects of this study were 18 post-stroke hemiplegics. For the study, insole of the paretic side was lifted 10 mm higher, and duration of dynamic weight bearing was measured. before and after the lift application. For the measurement of carry-over effect of lift, we got data of there three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Dynamic weight bearing was significantly decreased in heel contact and footflat phases only when just after application of the lift, without any change after 3 weeks application. In heel-off phase, dynamic weight bearing did not show any significant difference between before and just after application of lift whereas significantly decreased after 3 weeks application. According to this study, lift applied to the shoe of the paretic limb was not significantly effect in inducing dynamic weight bearing, but changed a dynamic weight bearing.

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The Effect of Shoe Lift of the Paretic Limb on Gait Patterns in Hemiplegics (환측 신발 높이기가 편마비 환자의 보행 특성에 미치는 영향)

  • Yoon, Jung-Gyu;Park, Jeong-Mee;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.9 no.2
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    • pp.83-96
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    • 2002
  • The purpose of this study was to determine the effect of lift to the shoe of the affected limb on gait patterns in subjects with hemiplegia. The subjects of this study were 18 post-stroke hemiplegics. For the study, insole of the paretic side was lifted 10mm higher, and duration of static weight bearing, dynamic weight bearing and stance phase were measured from one cycle of the gait, before and after the lift application. For the measurement of carry-over effect of lift, we got data of those three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Static weight bearing was significantly increased both just after and continuous application of lift for 3 weeks than before. Dynamic weight bearing was significantly decreased in heel contact and footflat phases only when just after application of the lift, without any change after 3 weeks application. In heel-off phase, dynamic weight bearing did not show any significant difference between before and just after application of lift whereas significantly decreased after 3 weeks application. Duration of stance phase was not changed among anytime of application. According to this study, lift applied to the shoe of the peretic limb was effective in inducing static weight bearing in the paretic limb, but did not significantly effect dynamic weight bearing on gait patterns. This study suggests that symmetry, induced by shoe lift applied to the paretic limb, could help correct abnormal posture that would be caused in standing and prevent development of abnormal muscle tone in subjects with hemiplegia caused by unilateral stroke.

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Effects of the Foot Position on Standing Balance in Patients With hemiplegia (편마비 환자에서 발의 위치가 기립균형에 미치는 영향)

  • Park, Je-Sang;Choi, Houng-Sik;Kim, Tack-Hoon;Roh, Jung-Suk
    • Physical Therapy Korea
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    • v.8 no.2
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    • pp.73-85
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    • 2001
  • The purpose of this study was to investigate whether the standing balance could be influenced by the different foot positions. Seventeen patients with hemiplegia were tested for the static and dynamic balance under the different foot positions. In the balance test, subject stood by bearing weight on one foot, and the other foot was positioned in three different positions (symmetric, $45^{\circ}$ anterolateral, and anterior position). This study used the Kinesthetic ability trainer (KAT2000) to measure the standing balance. The results were as follows: 1) There were significant differences in the static standing balance in different foot positions with both weight-bearing on the paretic limb and on the nonparetic limb (p<.05). 2) There were also significant differences in the dynamic standing balance in different foot positions with both weight-bearing on the paretic limb and on the nonparetic limb (p<.05). 3) There was a significant difference when the paretic weight-bearing and the nonparetic weight-bearing were compared (p<.01). 4) when the paretic weight-bearing and the nonparetic weight-bearing were compared, anterior foot position showed a significant difference in the dynamic standing balance (p<.05), but $45^{\circ}$ anterolateral foot position did not show a significant difference (p>.05). In this study, the standing balance showed a significant difference according to different foot positions in hemiparetic patients, and standing balance was better when they stood by bearing weight on the nonparetic limb. These results indicate that it is a necessary to consider both weight-bearing limb and foot position not only in the rehabilitation program but also in achieving the stability in the independent life.

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Immediate effects of single-leg stance exercise on dynamic balance, weight bearing and gait cycle in stroke patients

  • Jung, Ji-Hye;Ko, Si-Eun;Lee, Seung-Won
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.49-54
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    • 2014
  • Objective: This study aimed to identify how various applications of weight bearing on the affected side of hemiplegia patients affect the ability of balance keeping of the affected leg and the gait parameters. Design: Cross-sectional study. Methods: Eighteen patients with hemiplegia participated in this study. There were twelve males and six females. This study investigated the effects of the single-leg stance exercise on dynamic balance, weight bearing, and gait ability compared with four conditions. Dynamic balance and weight bearing were measured using the step test (ST) of the affected side in stroke patients. In addition, gait parameters were measured using the optogait system for analysis of the spatial and temporal parameters of walking in stroke patients. Results: This study investigated the effect of the single leg stance exercise on the paralysis side. The ST showed significant findings for all conditions (p<0.05). Therefore, knee extension and flexion exercise on the affected side single-leg stance (condition 4) significantly improved dynamic balance and weight bearing on the affected side (p<0.05). In the condition of moving the knee joint in a single-leg stance was discovered that the stance phase time significantly increased more than in the condition of supporting the maximal voluntary weight on the affected side (p<0.05). Conclusions: Single-leg stance on the paralysis side with knee flexion and extension increased symmetry in weight bearing during stance phase time. This study suggests that single-leg stance exercises augments improved gait function through sufficient weight bearing in the stance phase of the affected side.

Effect of Weight Bearing Exercise on Weight Bearing and Balance for Patients with Chronic Stroke (체중지지 훈련이 만성 뇌졸중 환자의 체중지지능력 및 균형에 미치는 영향)

  • Lee, Jong-Sik;Nam, Ki-Won;Kim, Kyung-Yoon;Yoon, Jang-Won;Park, Jong-Hang
    • The Journal of Korean Physical Therapy
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    • v.24 no.4
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    • pp.253-261
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    • 2012
  • Purpose: In this study, the following experiment was conducted to see how to apply the sprinter pattern in proprioceptive neuromuscular facilitation (PNF) and functional weight bearing exercise affected balance capabilities and weight bearing among chronic stroke patients. Methods: The subjects included 27 subjects who had been diagnosed with hemiplegia due to stroke. A total of 12 sessions was held, 3 sessions a week over 4 weeks, were provided to the groups. The control group received general rehabilitation program, and the experimental group performed sprinter pattern in PNF or functional weight bearing exercise. The weight bearing capability and static balance capability test was implemented by using Good-Balance System and Frailty and Injuries Cooperative Studies of Intervention Techniques, while the dynamic balance capability test was carried out by using Four Square Step Test and Timed "Up and Go". Results: The paretic/nonparetic side weight bearing by application of each exercise showed that there were no significant differences in variation among each groups on before exercise, after exercise, 2 weeks after exercise. Static balance test by application of each exercise showed that there were significant differences after exercise and 2 weeks after exercise. Dynamic balance test by application of each exercise showed that there were significant differences after exercise and 2 weeks after exercise. Conclusion: To put the results together, the application of sprinter pattern and functional weight bearing exercise was effective in improving static and dynamic balance capabilities. Therefore, these exercises are helpful to improve balance in patients with stroke.

Transient Dynamic Analysis of Scroll Compressor Crankshaft Using Finite Element-Transfer Matrix Method (유한요소-전달행렬법에 의한 스크롤 압축기 크랭크축의 과도 동적 해석)

  • 김태종
    • Journal of KSNVE
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    • v.10 no.1
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    • pp.97-106
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    • 2000
  • The dynamic behavior of crankshaft-bearing system in scroll compressor has been investigated using the combined methodologies of finite elements and transfer matrices. The finite element formulation is proposed including the field element for a shaft section and the point element at balancer weight locations, bearing locations, etc., whereas the conventional method is used with the elements. The Houbolt method is used to consider the time march for the integration of the system equations. The linear stiffness and damping coefficients are calculated for a finite cylindrical fluid-film bearing by solving the Reynolds equation, using finite difference method. The orbital response of crankshaft supported on the linear bearing model is obtained, considering balancer weights of motor rotor. And, the steady state displacement of crankshaft are compared with a variation in balancer weight. The loci of crankshaft at bearing locations are composed of the synchronous whirl component and the non-synchronous whirl component.

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Correlation between Weight Bearing Ratio and Functional Level for Development of Pressure Sensor Biofeedback in Stroke Patient

  • Moon, Young;Kim, Mi-Sun;Choi, Jong-Duk
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.3
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    • pp.315-324
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    • 2014
  • PURPOSE: This study aimed to determine the correlation of weight bearing ability at the affected side with balance and gait abilities for the development of pressure biofeedback based equipment to stroke patients. METHODS: This study included 35 patients with stroke patient. The tests were conducted to determine the weight bearing ratio while pushing a step forward the affected side, static balance ability using the total length of COP(Center of pressure), sway velocity of COP, COP velocity at the X and Y axis. Functional reaching test (FRT), berg balance scale (BBS) were used to assess the dynamic balance ability and timed up and go test (TUG), 10m walk test (10mWT) were used assess the gait ability respectively. In order to determine the correlation between measured variables, bivariate correlation analysis was conducted. RESULTS: A significant correlation of the weight bearing ratio were shown with COP total length and velocity(r=-.34), Y-axis velocity(r=-.39), FRT(r=.42), BBS(r=.54), TUG (r=-.39), and 10m walking test (r=-.42). CONCLUSION: This study result showed that as patients with stroke had more weight bearing ratio at the affected side, not only their static and dynamic balance abilities increased more but also functional gait ability improved more. These results mean that, to improve stroke patients' static, dynamic balance ability and gait ability, weight bearing training with the affected side foot placed one step forward necessary for gaits are important.

Study on the Dynamic Behaviors of Engine Bearing with the Inertia Effect of Crank Pin Journal (크랭크 핀의 질량관성을 고려한 엔진 베어링의 틈새 거동 연구)

  • Jang Siyoul
    • Tribology and Lubricants
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    • v.21 no.1
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    • pp.39-45
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    • 2005
  • Investigation of the mass effect on the journal traces in the clearance of engine bearing has been performed for better design of mass distribution of crank system components such as crank pin, piston, con-rod, balance weight, crank throw weight, etc. as well as for better oil reaction behaviors to the applied forces from the cylinder pressures on the bearing. In this preliminary study, crank pin traces in the engine bearing clearance are computed by varying the equivalent magnitude of crank pin mass that includes the masses of crank pin, piston, con-rod. etc.. while most previous studies regarding journal traces in the bearing clearance neglect the inertia effects of crank pin mass. Although the inertia effect of pill mass is negligibly small compared to viscous force by ${\pi}bearing$ theory, it is found that it gives a great amount of influences on the journal traces in full bearing computation $(2\pi\;bearing\;theory)$ under the dynamic loading conditions.

Effect of Feedback Methods and Ambulatory Assistive Aids on Accuracy of Partial Weight Bearing (되먹임과 보행보조도구의 형태가 30%체중지지의 정확성에 미치는 영향)

  • Park, Eun-Young;Kim, Won-Ho
    • The Journal of the Korea Contents Association
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    • v.11 no.4
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    • pp.207-214
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    • 2011
  • The purpose of this study was to investigate effect of feedback methods and ambulatory assistive aids on accuracy of partial weight bearing in healthy adults. Twenty subjects were recruited and trained to 30% weight bearing of body weight (BW) using 3-point gait crutches and wheeled walker pattern. Dynamic feedback group (n=11) was received dynamic postresponse feedback and static group (n=9) received static feedback. Force plate was used to measure %BW and GAITRite used to measure gait parameters in immediately and after 3 days of training. Immediately after training, there was not significantly at 30%BW target load in dynamic group with crutch gait (p>.05). There were significantly differences in %BW according to feedback methods and ambulatory aids (p<.05). There was not significant difference between immediately and after 3 days of training (p>0.05). There were significantly differences in gait velocity and stance ratio between crutches and wheeled walker gait (p<.05). Thus, it was suggested that if possible, use crutches, training for partial weight bearing via dynamic feedback is necessary.

The Effects of Lateral Wedged Insole to the Shoe of the Affected Side on Weight Bearing, Balance and Gait with Stroke (마비측에 적용한 외측 쐐기 깔창이 뇌졸증 환자의 체중부하율과 균형, 보행에 미치는 영향)

  • Kim, Hye-Lim;Shin, Won-Seob
    • PNF and Movement
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    • v.11 no.2
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    • pp.21-29
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    • 2013
  • Purpose : The study was to evaluate the weight distribution, balance and gait function of stroke patients wearing lateral wedged insole to the shoe of the affected side. Methods : 27 patients with stroke (15 men, 12 women) participated in this study. Participants performed weight distribution, dynamic balance and gait ability with or without wedged insole on affected side in a random order. The balancia was used to evaluate the weight distribution. Deviation from the center line was analyzed by Dartfish during sit to stand to evaluate dynamic balance. The functional walk ability evaluated by 10 m walking velocity. Results : The asymmetry index of weight bearing improved significantly with wedged insole of affected side(p<.05). During sit to stand, center of gravity significantly moved from non-affected side to more mid line of body(p<.05). Improvement were shown in walking speed after wearing the wedged insole(p<.05). Conclusion : Wedged insole applied on affected side have a beneficial effect on weight distribution, dynamic balance and walking speed with stroke.