• Title/Summary/Keyword: Education Motor

Search Result 341, Processing Time 0.028 seconds

Gross motor dysfunction and balance impairments in children and adolescents with Down syndrome: a systematic review

  • Jain, Preyal D.;Nayak, Akshatha;Karnad, Shreekanth D.;Doctor, Kaiorisa N.
    • Clinical and Experimental Pediatrics
    • /
    • v.65 no.3
    • /
    • pp.142-149
    • /
    • 2022
  • Background: Individuals with Down syndrome present with several impairments such as hypotonia, ligament laxity, decreased muscle strength, insufficient muscular cocontraction, inadequate postural control, and disturbed proprioception. These factors are responsible for the developmental challenges faced by children with Down syndrome. These individuals also present with balance dysfunctions. Purpose: This systematic review aims to describe the motor dysfunction and balance impairments in children and adolescents with Down syndrome. Methods: We searched the Scopus, ScienceDirect, MEDLINE, Wiley, and EBSCO databases for observational studies evaluating the motor abilities and balance performance in individuals with Down syndrome. The review was registered on PROSPERO. Results: A total of 1,096 articles were retrieved; after careful screening and scrutinizing against the inclusion and exclusion criteria, 10 articles were included in the review. Overall, the children and adolescents with Down syndrome showed delays and dysfunction in performing various activities such as sitting, pulling to stand, standing, and walking. They also presented with compensatory mechanisms to maintain their equilibrium in static and dynamic activities. Conclusion: The motor development of children with Down syndrome is significantly delayed due to structural differences in the brain. These individuals have inefficient compensatory strategies like increasing step width, increasing frequency of mediolateral center of pressure displacement, decreasing anteroposterior displacement, increasing trunk stiffness, and increasing posterior trunk displacement to maintain equilibrium. Down syndrome presents with interindividual variations; therefore, a thorough evaluation is required before a structured intervention is developed to improve motor and balance dysfunction.

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
    • /
    • v.19 no.2
    • /
    • pp.59-68
    • /
    • 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.

Reorganization of Motor Network and the Effect of Cross Education Derived From Unilateral Coordination Training (편측 협응훈련에 의한 운동신경망의 재조직 및 교차훈련의 효과 -사례연구-)

  • Park, Ji-Won;Kim, Jong-Man;Seo, Jeong-Hwan;Kim, Yun-Hee
    • Physical Therapy Korea
    • /
    • v.9 no.3
    • /
    • pp.67-76
    • /
    • 2002
  • We report the reorganization of motor network resulted from intensive unilateral coordination training and the effect of cross education on the untrained side in patient with traumatic brain injury using functional magnetic resonance imaging (fMRI). A 22 year-old male patient who had suffered from diffuse axonal injury for 58 months showed coordination deficit in the left hand at initial examination. Intensive motor training including complex finger movements and coordination activities using a metronome was introduced to the patient 4 hours per day for a week. FMRI was performed on a 3T ISOL Forte scanner. All functional images were analyzed using SPM-99 software. Hand function was improved after training not only in the trained left hand, but also in the untrained right hand. There was no activation in the right primary motor area (M1) during left hand movement before training whereas robust activation of left M1 was demonstrated by the right hand movement. Profuse activation of bilateral prefrontal lobes was seen during both hand movements before training. After training of left hand, right M1 became prominently activated during the left hand motion. The activation of bilateral prefrontal lobes disappeared after training not only for the left hand movement but also for the right, which clearly demonstrated the effect of cross education. This case report demonstrated the learning-dependent reorganization of the M1 and the effect of cross education.

  • PDF

Research on Speed Estimation Method of Induction Motor based on Improved Fuzzy Kalman Filtering

  • Chen, Dezhi;Bai, Baodong;Du, Ning;Li, Baopeng;Wang, Jiayin
    • Journal of international Conference on Electrical Machines and Systems
    • /
    • v.3 no.3
    • /
    • pp.272-275
    • /
    • 2014
  • An improved fuzzy Kalman filtering speed estimation scheme was proposed by means of measuring stator side voltage and current value based on vector control state equation of induction motor. The designed fuzzy adaptive controller conducted recursive online correction of measurement noise covariance matrix by monitoring the ratio of theory residuals and actual residuals to make it approach real noise level gradually, allowing the filter to perform optimal estimation to improve estimation accuracy of EKF. Meanwhile, co-simulation scheme based on MATLAB and Ansoft was proposed in order to improve simulation accuracy. Field-circuit coupling problems of induction motor under the action of vector control were solved and the parameter optimization accuracy was improved dramatically. The simulation and experimental results show that this algorithm has a strong ability to inhibit the random measurement noise. It is able to estimate motor speed accurately, and has superior static and dynamic characteristics.

A Study on the Design of HVAC Double Cylinder Motor for a Car Blower (자동차 송풍장치(Blower)용 HVAC Double Cylinder Motor 설계에 관한 연구)

  • Lee, Hyon-Jang;Song, Sen-Sen;Park, Chang-Soon
    • Proceedings of the KIEE Conference
    • /
    • 2009.04b
    • /
    • pp.91-93
    • /
    • 2009
  • In the recent years, electrical Motors have been developed for a car Blower. Their requirement are high efficiency, low cogging torque and long life. In this paper, the Double Cylinder Motor for a Car Blower was designed which is high efficiency, low noise and vibration because of slotless and double cylinder structure.

  • PDF

A Development of Educational Procedure for Design and Analysis with a Linear Force Motor (Linear Force Motor를 이용한 설계와 해석 교육매체 개발)

  • Park, Chang Soon
    • The Journal of Korean Institute for Practical Engineering Education
    • /
    • v.4 no.1
    • /
    • pp.57-64
    • /
    • 2012
  • For design of a electrical Machine it is used conventional design methode to determine size with considering of magnetical circuit and windings. After this process, Flux density and Torque are calculated with FEM program. But most electrical machines are complicated in their configuration, therefore it is not easy to understand the design process and analyzing methode. We need to develop a educational material. In this paper using Linear force motor, which is relatively not complicated in their configuration and easy to understand the relationship between electro magnetics and force, will be explained the design process and calculating process with Finite element methode. And with FEM program will be calculated and illustrated flux density in each part and Force of the Linear force motor easy to understand.

  • PDF

A Study on efficiency improvement of BLDC motor for radiator cooling fan (자동차 Cooling Fan용 고효율 BLDC모터의 호율개선에 대한 연구)

  • Ahn, Young-Il;Park, Chang-Soon
    • Proceedings of the KIEE Conference
    • /
    • 2003.04a
    • /
    • pp.44-46
    • /
    • 2003
  • Nowaday it is trend to be one cooling radiator and cooling fan from separate engine radiator and air condition radiator in cars. For the cooling fan is developed a electrical motor which is limited in size. The motor should be working in silence and have no electromagnetic Problem and high efficiency. In this paper will be proposed some parameters for improvement of the efficiency of a BLDC motor which is developed for the cooling system after theoretical and experimental investigation.

  • PDF

A Study of Design and Analysis of LIM for Light rail vehicle (경전철용 LIM 설계 및 해석 연구)

  • Choi, Byoung-Won;Hur, Ik-Ku;Lee, In-Woo;Park, Chang-Soon;Kwon, Tae-Keun
    • Proceedings of the KIEE Conference
    • /
    • 2000.07b
    • /
    • pp.1414-1416
    • /
    • 2000
  • In the future light rail vehicle is more attractive than subway, because of construction time and cost. For light rail vehicle are two types of traction motors. one is traditional rotating type and the other is linear motor. Linear motor is not better in consideration of efficiency and power factor than rotating type. But the motor needs no translation equipment for linear motion and with them can be constructed low floor vehicle. In this paper will be designed a linear induction motor with consideration of operational condition and analysed operating characteristics using FEM program and equivalent circuit.

  • PDF

Applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy (편마비 아동의 재활프로그램에 대한 양측성 전이 패러다임의 적용가능성)

  • Kim Mi-Hyun;Park Sang-Bum
    • The Journal of Korean Physical Therapy
    • /
    • v.12 no.1
    • /
    • pp.163-172
    • /
    • 2000
  • The purpose of this study was to provide experimental evidence and theoretical background for the applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy. Children with hemiplegia, which means unilateral motor disabilities, display abnormal motor and postural patterns of the affected side due to hemiparesis, spasticity, and sensory disorders, resulting in a decreased motor abilities of the affected side compared to unaffected side. Accordingly, they tend to rely on the unaffected limb for everyday activities, which further deteriorates the functions of the affected side by causing associated reaction, abnormal postural patterns, and hypertonus. Rehabilitation programs developed for children with hemiplegic cerebral palsy include neurodevelopmental treatment, application of cast or splint to unaffected limb, neuromuscular electrical stimulation, and task oriented model. These programs, however, have several drawbacks, such as discontinuity in treatment effect and psychological hatred to the force use of the affected side. In order to solve these problems and enhance the efficiency of the rehabilitation programs, it is required to maximize the use of the affected side without hatred. Characteristics of the control system, such as temporal coupling and spatial assimilation between limbs and neural crosstalk at different levels of central motor pathway, suggest that the bilateral transfer paradigm may enhance the efficiency of the rehabilitation programs for children with hemiplegic cerebral palsy.

  • PDF

Correlations Between Hand Dexterity and Visual-Motor Skills of the Preschooler (취학 전 아동의 손 기민성과 시각-운동 기술과의 상관성에 대한 연구)

  • Kang, Hyun-Jin;Ko, Kyoung-Hye;Park, Su-Jung;Park, Ju-Yeoun;Chang, Moon-Young
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.3 no.1
    • /
    • pp.13-21
    • /
    • 2005
  • Objective : The purpose of this study was to investigate the correlation between hand dexterity and visual-motor skills of preschoolers. We searched for the correlation between two test results, which were the 9-Hole Peg Test performance time and the visual motor integration test(VMI) performance score. Then, we also compared the 9-Hole Peg Test performance times with the VMI performance scores according to sex and age. Method : The participants were fifty normal children ranging in age from four to six years living in Busan. We used two test methods which have high reliability and validity. One was the 9-Hole Peg Test to evaluate hand dexterity, and the other was the VMI to the evaluate visual-motor skills of these young children. Results : First, over the entire range of the participating children, there was a high correlation between the performance times from the 9-Hole Peg Test and the VMI performance scores(r=-.682). Second, there was not a statistically significant difference between the performance times from the 9-Hole Peg Test and the VMI scores according to sex. Third, there were significant differences between the hand dexterity and visual-motor skills according to the children's age(p<.001). Conclusion : This study proved that there is high correlation between hand dexterity and visual-motor skills of the preschooler. Occupational therapists in preschool service should consider that visual-motor skills need to be compatible with hand dexterity in both evaluation and therapy. In addition, hand dexterity and visual-motor skills improved according to advances in age, so we must give graded tasks to proper age groups through concrete analysis of activity. By doing this, children can get the better therapeutic effects.

  • PDF