• Title/Summary/Keyword: Fes

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The Effect of Functional Electrical Stimulation on Sitting Balance in Cerebral Palsy (기능적 전기 자극이 뇌성마비아의 앉은 자세 균형에 미치는 효과)

  • Park Rae-Joon;Oh Jung-lim
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.204-213
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    • 2002
  • The purpose of this study was to investigate the effect of functional electrical stimulation(FES) on sitting balance in child with cerebral palsy. Four cerebral palsy children were selected for this study. Functional electrical stimulation(FES) was applied to subject's abdominal muscle and electrospine muscle. Assessment was carried out before treatment for obtain baseline measurement of sitting balance and reassessment were carried out after treatment. The obtain results are as follows. 1. The result of this study were following that maximum perturbation area was significantly reduced after treatment compared with pre-treatment. 2.The result of this study were following that maximum perturbation velocity was significantly reduced after treatment compared with pre-treatment.

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Current method of Functional Electric Stimulation and Direction of Henceforth Expansion (기능적 전기자극 치료의 최근 기법과 향후 발전 방향)

  • Chung, Jin-Woo;Kim, Soon-Ja;Lim, Jong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.167-175
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    • 2002
  • Functional Electrical Stimulation is the clinical application of a small electric current to the intact nerves of the body, in order to trigger a muscle contraction. This contraction is then incorporated into a functional activity, for example walling. A clear distinction needs to be made between therapeutic stimulation and functional stimulation. The former being of an exercise orientation, where one would relax while the stimulation works on its own. Functional electrical stimulation on the other hand, incorporates this elicited muscle movement into an everyday activity, like standing, walking, reaching out etc. But recently, New method used to FES which updated electrode insult in muscle and small nerve branch. A lot of new research build up many countries such as England, USA, Japan, Spain, Canada. So I had been write this paper for introduce new FES method, and I hope to more enhanced motivation of therapist for the functional electric stimulation.

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Effects of Interactive Metronome Training on the Plantar Pressure and Fall Efficacy in Chronic Stroke Patients (상호교환식 메트로놈 훈련이 만성 뇌졸중 환자의 족저압과 낙상효능감에 미치는 영향)

  • Hwang, Won Kyung;Lee, Han Suk;Park, Sun Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.105-112
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    • 2020
  • PURPOSE: This study examined the effects of Interactive Metronome training on the plantar pressure and fall efficacy in chronic stroke patients. METHODS: Twenty-two hemiplegic patients were allocated randomly to an experimental group and control group. The experimental group received conventional physical therapy and emphasized weight-bearing interactive metronome training, whereas the control group received conventional physical therapy. The training was performed three times per week, 40 minutes per each session, for a total of seven weeks. The plantar pressure was assessed using the contact area and contact pressure, whereas the fall efficacy was assessed using the FES (Fall Efficacy Scale), ABC (Activities-specific Balance Confidence scale) and FOFQ (Fear of Falling Questionnaire). RESULTS: After training, a significant increase was observed in the paretic side of the contact area and the paretic and non-paretic side of contact pressure in both groups (p<.05). The between-group differences in the changes before and after training were statistically significant in the paretic side of the contact pressure (p<.05). After training, both the FES of the between-group and ABC of the experimental group were increased significantly (p<.05), but the between-group differences in the changes before and after training were not statistically significant in the FES, ABC, and FOFQ (p>.05). CONCLUSION: Interactive Metronome training is considered an effective treatment for improving the contact pressure of the paretic side in chronic stroke patients.

Correlations between Foot Sensory Impairment, Timed Up and Go Test and Berg Balance Scale, and Mental Activities for Prevention of Falling in Elderly People

  • Lee, Young-Ho;Jang, Seon-Jung;Kang, Gi-Beom;Choi, Ye-Seul;Hwang, Young-In
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.9-17
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    • 2019
  • PURPOSE: This research was designed to study the correlations between physical activities such as foot sensory impairment, balance and ambulatory abilities, as well as fall risk factors and mental activities such as cognitive performance and depression in order to provide fundamental data for the prevention of falling in the elderly. METHODS: A total of 36 elderly people over the age of 65 years who voluntarily joined the research were selected as subjects. Sensory perception in both feet was measured by using a monofilament in 10 parts with each part given one point. The points for each foot were integrated to analyze the correlations between physical and mental activities indices, and the results were analyzed by using Pearson's correlation coefficient. RESULTS: The results of this research show that the extent to which senses in feet were impaired was correlated to TUG, a functional activity index involved in tranfers, gait, and turning movements, which was correlated to BBS (balance index) as well as MMSE-K and K-GDS (mental activities index). BBS was interrelated to FES-K (physical activities index) and MMSE-K. The muscular strength of the right ankle dorsiflexor had mutual relations with FES-K. CONCLUSION: The results of this research indicate that TUG is widely correlated to foot sensory impairment as well as general physical and mental activities in elderly people. BBS was also shown to be correlated with TUG, FES-K, and MMSE-K. Thus, it might be necessary that TUG and BBS be included as two items in physical and mental check-ups for the elderly, and further studies on correlations using evaluation items for physical and mental activities should lead to the simplification of the evaluation criteria.

Effect of Treadmill Training with FES on Walking Velocity, Gait Endurance, and Energy Expenditure Index of Hemiplegia Patients (기능적 전기자극을 적용한 트레드밀 보행 훈련이 편마비 환자의 보행 속도와 보행 지구력, 에너지 소모지수에 미치는 영향)

  • Lee, Hyoung-Soo;Shin, Young-Il;Kim, Myung-Hoon
    • Journal of Korean Physical Therapy Science
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    • v.10 no.2
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    • pp.7-16
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    • 2003
  • The purpose of this study was to investigate the effect of Treadmill Training with FES(TTF) on walking velocity, gait endurance, and energy expenditure index(EEI) of hemiplegia patients with foot drop. Two subjects with hemiplegia participated in this study. They took walking excercise 5 times per week for 8 weeks. One time excercise spent 30minutes. The theraputic effect was evaluated by how many seconds they needed to walk 10 meters, how far they could walk for 12 minutes, and how much they spent energy in walking for 12 minutes. Two cases were examined before, after 4 week, and after 8 week, walking training. The results of this study are as follows; 1) Walking velocity : Case 1 increased from 0.52m/sec before walking training to 0.83m/sec after 8 weeks. Case 2 increased from 0.58m/sec to 0.92m/sec. 2) Gait endurance : Case 1 increased from 383.23m to 625.53m. Case 2 increased from 410.19m to 693.47m. 3) EEI : For comfortable walking condition, Case 1 decreased from 0.98beats/min to 0.71beats/min, and Case 2 decreased from 0.93beats/min to 0.68beats/min. For maximum walking condition, Case 1 decreased from 0.93beats/min to 0.67beats/min, and Case 2 decreased from 0.91beats/min to 0.61beats/min. The findings suggest that hemiplegia patients can improve their walking velocity, gait endurance and energy expenditure index through TTF.

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A Motor/Generator for Flywheel Energy Storage System Levitated by Bulk Superconductor (초전도 부상 플라이휠 에너지 저장시스템의 구동을 위한 전동/발전기)

  • Go, Chang-Seop;Yeon, Je-Uk;Choe, Jae-Ho;Jeong, Hwan-Myeong;Hong, Gye-Won;Lee, Ho-Jin
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.49 no.6
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    • pp.411-420
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    • 2000
  • The energy storage systems are being widely researched for the high quality of the electric power. The FES(flywheel energy system) is especially, on the center of the research because it does not make any pollution and its life is long. The FES converts the electrical energy into the mechanical kinetic energy of the flywheel and reconverts the mechanical energy into the electrical energy. In order to store as much energy as possible, the flywheel is supposed to be rotated with very high speed. The motor/generator of the FES should be high efficient at high speed, and generate constant torque with respect to the rotation. In this paper, a motor/generator employing a Halbach array of permanent magnets is designed and constructed to meet the requirements, and its characteristics are examined. The magnetic field is analysed by using the magnetic surface charge method. The armature winding is designed for the harmonic components to be minimized by using the FFT. The sinusoidal current for the motor driving are generated by the hysteresis current controller. A sample superconducting flywheel energy storage system is constructed with a duralumin flywheel which has a maximum rotating speed of 40,000[rpm] and a stored energy of 240[Wh] and its validity is examined through the experiment.

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The Effects of Muscle Contraction by Electrical Stimulation to V Wave and Median Frequency (전기자극에 의한 근 수축이 V wave와 중앙주파수에 미치는 영향)

  • Mun, Dal-Ju;Jeong, Dae-In;Lee, Jung-Woo;Jeong, Jin-Gyu;Kim, Tae-Youl;Oh, Myung-Hwa
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.4 no.1
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    • pp.27-38
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    • 2006
  • This study analyzed changes in action potential of supraspinal neuron and motor unit depending on maximum tolerance isometric contraction(MTIC) by electrical stimulation and examined influence of functional electrical stimulation (FES) on spinal neuron adaptation. It selected 40 university students in their twenties and divided into experimental groups of 25% MTIC(I), 50% MTIC I (II), 75% MTIC(III) and 100% MTIC(IV) depending on MTIC by electrical stimulation, and performed isometric contraction of plantar flexor muscle to each experimental group with given contraction for 20 times. It measured V/Mmax and MDF pre and post exercise, compared volume of contraction. 1. V/Mmax ratio showed no significant difference in comparison among experimental groups. 2. There was significant difference in median frequency of gastrocnemius and soleus in action potential motor unit according to comparison among experimental groups(p<.001). When contraction by electrical stimulation was maximum, change was greatest. This results suggest that muscle contraction by electrical stimulation was influence to action potential of spinal motor neuron system which appear optimal level though aspect and difference degree were not in accordance. Consequently, optimal stimulation level of MTIC(50%) by FES would be lead to central nerve adaptation. muscle contraction by electrical stimulation was influence highly to MDF which should be consider to fatigue of motor unit for muscle contraction by electrical stimulation.

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A Convergence Study on the Effects of functional electrical stimulation with mirror therapy on balance and gait ability in chronic stroke patients. (기능적 전기자극을 병행한 거울치료가 만성 뇌졸중 환자의 균형 및 보행능력에 미치는 영향에 관한 융합적 연구)

  • Kim, Dong Hoon;Kim, Kyung Hun
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.109-120
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    • 2018
  • The purpose of this study was to investigate the effects of functional electrical stimulation (FES) with mirror therapy on balance and gait ability in chronic stroke patients. Thirty-five subjects who met the inclusion criteria were randomly allocated into three groups: the functional electrical stimulation with mirror therapy group(FMT group, n=11), mirror therapy group(MT group, n=12), and control group (n=12). The exercises were conducted for 30 min per day, five, per week for four weeks. Balance and gait ability were examined at baseline and after 4 weeks of intervention. After training, the FMT group showed significant improvement in berg balance scale (BBS), center of pressure (COP) length, affected step length (ASL), Cadence and average gait speed (AGS) compared MT group and control group(p<0.05). This findings show that FES and MT convergence can be an effective intervention for stroke patients balance and gait ability. Continued development of convergence interventions for stroke patients with balance and gait ability in practice, are suggested.

The Effects of Virtual Reality Training with Upper Limb Functional Electrical Stimulation to Improve on Muscle Strength, AROM, and Function of Upper Limb Joints in Patient with Chronic Stroke (가상현실훈련과 위팔 기능적 전기자극이 만성 뇌졸중 환자의 위팔 근력, 능동관절운동과 기능에 미치는 효과)

  • Kim, Donghoon;Kim, Kyunghun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.211-220
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    • 2020
  • Purpose : The purpose of the present study is to examine the effects of VR training with FES on improving the muscle strength, AROM, and function of the upper limb joints in patients with chronic stroke. Methods : The present study makes use of a pre-post control group design. Thirty patients with chronic stroke were randomly assigned to two groups according to treatment method - the VRFES group and the control group. The VRFES group received 15 minutes of VR training and 15 minutes of FES treatment. The control group received 15 minutes of conservative physical therapy and 15 minutes of VR training. All subjects received 30 minutes of treatment, three times a week, for eight weeks, which amounted to 24 sessions of training. The muscle strength, AROM, and function of the upper extremities were measured before the training and eight weeks after. Upper limb muscle strength was tested using the Digital Manual Muscle Tester while AROM was measured using the Digital Dual Inclinometer. The clinical assessment tools for upper extremity function included the use of the Manual Function Test and the Jebsen-Taylor Hand Function Test. Results : Both groups exhibited great improvements in muscle strength and upper extremity function during the intervention period. The VRFES group exhibited a significant difference in muscle strength, AROM, and function of the upper extremities in comparison with the control group(p<.05). Our results reveal that VRFES is more effective for the muscle strength, AROM, and function of the upper extremities in patients with chronic stroke. Conclusion : VRFES treatment will be used as an important intervention for improving the muscle strength, AROM, and function of the upper extremities in patients with chronic stroke and achieving the functional recovery of the upper extremities.