• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.1
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• pp.299-305
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• 2014

The purpose of this study was to determine the effect of a task-related circuit training in improving the function of lower extremity and quality of life in patient with hemiplegia. A total 25 paients with hemiplegia selected, the volunteers were randomly divided into a task-related circuit training group of 13 people and a treadmill training group of 12 people. The two groups received treadmill training for 30 minutes a day, 5 days a week for 8 weeks. The experimental group was additionally received the task related circuit training for 30 minutes. The assessment comprised of testing the patient's strength, walking, balance ability(strength of knee, balance ability, 10m walking test) and making use of the stroke impact scale. Post treatment, compared to the treadmill training group, task-related circuit training group showed significantly increased strength of knee extensor, flexor and balance ability, stoke impact scale(p<.05). The findings of this study suggest that a task-related circuit training can improve function of lower extremity and quality of life in patient of hemiplegia. Further studies with a greater sample size and a various intervention are needed to generalize the findings of the present study.

• Journal of the Korean Society for Precision Engineering
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• v.29 no.3
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• pp.346-353
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• 2012

The purpose of this study is to verify the energy efficiency of the integrated system combining human and a lower extremity exoskeleton robot when it is applied to the proposed gait pattern. Energy efficient gait pattern of the lower limb was proposed through leg function distribution during stance phase and the dynamic-manipulability ellipsoid (DME). To verify the feasibility and effect of the redefined gait trajectory, simulations and experiments were conducted under the conditions of walking on level ground and ascending and descending from a staircase. Experiments to calculate the metabolic cost of the human body with or without the assistance of the exoskeleton were conducted. The energy consumption of the lower extremity exoskeleton was assessed, with the aim of improving the efficiency of the integrated system.

• Journal of the Korean Society of Physical Medicine
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• v.11 no.3
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• pp.73-80
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• 2016

PURPOSE: The purpose of this study was to investigate the quality of life related to fall experiences in chronic stroke patients. METHODS: This cross-sectional study included 117 patients with stroke from 3 hospitals in D metropolitan city. General characteristics, including fall experiences and quality of life, were assessed through a face-to-face interviews conducted in a quiet place using a questionnaire. Measurement of quality of life in stroke patients was conducted using the Korean Stroke Specific Quality of Life Scale (SS-QOL). To identify the SS-QOL items related to fall experiences, the items of the SS-QOL were considered as independent variables, and the variables that were significantly different according to fall experiences were identified using a univariate analysis. A binary logistic regression was then performed using fall experiences as the independent variable. RESULTS: According to the univariate analysis, self help activities, social role, and upper extremity function were significantly lower in the fall group than that in the non-fall group (p<.05). The findings of the binary logistic regression confirmed that social roles and upper extremity function were the SS-QOL items that were related to fall experience in chronic stroke patients. CONCLUSION: These findings suggest that social roles and upper extremity function may be risk factors for fall experience in patients with chronic stroke.

• International Journal of Contents
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• v.9 no.3
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• pp.62-66
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• 2013

Insulin resistance is a risk factor for stroke or recurrent stroke. Sedentary behavior increases insulin resistance. This study aimed to identify the relationship between physical impairments and functions and insulin resistance, examining which physical impairments specifically influence insulin resistance the most. The subjects of this study were 63 stroke patients. The subject's insulin resistance and physical impairments and functions were measured using the Chedoke-McMaster Stroke Assessment (CMSA) and Stroke Impairment Assessment Set (SIAS). The study results exhibited that insulin resistance is statistically significantly related to the variable of foot according to the CMSA(r=.95, p<.05) and to the variable of lower extremity sensory function (touch) in relation to the SIAS(r=.91, p<.05). This study also revealed close correlations between insulin resistance and the variables of ankle control(${\beta}=-1.05$, p<.05) and low extremity tactile sensations(${\beta}=-1.82$, p<.05).

• PNF and Movement
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• v.10 no.4
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• pp.9-23
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• 2012

Purpose : The purpose of this study was to investigate the effects of Proprioceptive Neuromuscular Facilitation(PNF) exercise on body functions(gait, balance, lower extremity power) of elderly women. Methods : This study applied PNF exercise in a fall prevention program in addition to fall prevention seminars to an experimental group of 15 subjects and applied only fall prevention seminars to a control group of 15 subjects. The PNF exercise consisted of three sessions per week for 8 weeks and fall prevention seminars were composed of three times educations(0th, 4th, and 8th week). As a result of statistical analyses, following conclusions were obtained. Results : A 8-week PNF exercise significantly improved gait function and balance functions, lower extremity functions of elderly women. Conclusion : The PNF exercise in a fall prevention program was found to be effective to improve body functions(gait, balance, lower extremity power) of elderly women. In other words, the PNF exercise needs to be considered as an effective intervention for elderly women in order to strengthen their body functions and in fall prevention program.

• Journal of Sasang Constitutional Medicine
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• v.33 no.3
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• pp.171-180
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• 2021

Objectives This case report is about a Taeyangin patient with Acute Motor Axonal Neuropathy identified as Hae-Yeok pattern using Ogapijangchuk-tang. In this study, we report the significant improvement of lower extremity weakness and pain of this patient after Sasang Constitutional medicine treatment. Methods The patient was identified as Taeyangin Hae-Yeok pattern and treated with Ogapijangchuk-tang. Guillain-Barre Syndrome disability scale was used to assess the overall function of the patient. The Numeral Rating Scale was used to assess the change of lower extremity pain. Also the change of lower extremity weakness was measured by patient's expression and graded by Manual Muscle Test. Result and Conclusion After treatment with Ogapijangchuk-tang, patient's symptoms were improved. And there was not any side effect. In conclusion, this study shows that Sasang Constitutional medicine can be effective treatment for Taeyangin patient with Acute Motor Axonal Neuropathy.

• PNF and Movement
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• v.6 no.3
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• pp.29-35
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• 2008

Purpose : To describes the important aspects of the foot and ankle movement and function used when git and balance strategy. Method : The foot and ankle was a very important roles in the lower limb movement and gait. This study summarizes the physiologic movement of knee to the PNF lower extremity patterns. Result : The ankle joint composed of the talocural joint, the subtalarl joint, transverse tarsal joint, talocalcaneonavicular joint. The onset of dorsiflexion muscle activity starts in pre swing gait patterns. First contract muscle is the extensor hallucis. Activity of tibialis anterior and extensor digitorum longus quickly follows in mid swing gait phase. During stance phase, the soleus and gastrocnemius muscle provided plantar flexor torque, which muscle reacts quickly to restrain ankle dorsiflexion, and contributes modulated control of the ankle motion in gait patterns. Conclusions : The understanding of ankle kinematics, could provide a good therapeutic approach for improving gait patterns in patients with various pathological condition.

• Journal of Korean Medicine Rehabilitation
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• v.19 no.2
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• pp.187-202
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• 2009

Objectives : The purpose of this study is to investigate the efficacy of adjusting leg length inequality(LLI) by chuna manual treatment for post-stroke hemiplegia. Methods : 39 patients with stroke-originated hemiplegia who had leg length inequality were included in this study. Chuna manual treatment at pelvic girdle was applied to 20 patients and they had been treated by general oriental rehabilitation therapy(test group). The other 19 patients had been treated by general oriental rehabilitation therapy only(control group). Outcomes were assessed by Modified Barthel Index(MBI), Berg Balance Scale(BBS), lower extremity Fugl-Meyer Assessment(FMA) at the point of beginning and end of the study. Results : 1. In terms of activity of daily living(ADL), test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group(onset had been past under 6 months), test group didn't showed statistically meaningful differences compared to control group. In chronic group(onset had been past over 6 months), test group didn't showed statistically meaningful differences compared to control group. 2. In terms of lower extremity function and balance, test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group, test group didn't showed statistically meaningful differences compared to control group. In chronic group, test group showed statistically meaningful differences compared to control group(p<0.01). 3. In terms of lower extremity function of hemiplegic side, test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group, test group didn't showed statistically meaningful differences compared to control group. In chronic group, test group showed statistically meaningful differences compared to control group(p<0.05). Coclusions : Adjusting LLI by chuna manual treatment is efficacious for rehabilitation of stroke-originated hemiplegia, in terms of ADL, balance and lower extremity function, and is especially efficacious for chronic patients.

• Journal of Korean Physical Therapy Science
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• v.31 no.1
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• pp.98-109
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• 2024

Background: The purpose of this study is to investigate changes in physical and cognitive function according to the level of independence in performing activities of daily living in stroke patients. Design: Retrospective study. Method: This study is a retrospective study analyzing medical records. This study utilized data collected from 123 stroke patients at admission in a local rehabilitation hospital between 2019 and 2022. Stroke patients were classified into 5 groups based on the scores of the Korean Modified Barthel index (K-MBI) evaluated at the time of hospitalization at a rehabilitation hospital, and investigated the change in physical (spasticity (modified Ashworth scale), muscle strength (manual muscle test), gait ability (functional ambulation category), upper extremity function (manual function test), and balance function (berg balance scale)) and cognitive function (Korean mini mental status examination) according to the level of independence in performing activities of daily living. Result:: As a results, significant differences were observed in the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive functions of stroke patients according to the level of independence in performing activities of daily living (p<0.05). However, there was no significant difference in upper and lower extremities spasticity. Conclusions: Through the results of this study, we found that the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive function were influenced by the level of independence in performing activities of daily living in stroke patients.

• Journal of Korean Physical Therapy Science
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• v.16 no.4
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• pp.67-74
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• 2009

Background: This study had been carried out with 20 elderly subjects as its object for about one month from November 3, 2008 to December 14, 2008 in order to observe the effect of Underwater Treadmill on the elderly's walking and balance ability. Methods: Subjects were assigned either experimental group (n=10) or the control group (n=10), experimental group received Underwater Treadmill program (30 min per course, 3days a week for 6weeks). Subjects were assessed for muscle power (Nicolas Manual Muscle Test), balance (Functional Reach Test), gait ability (Time Up and Go, 10M walking test) before experiments and after experiments. Results: The results of this study were as follows; 1. After underwater treadmill exercise, the change of isometric contraction indicated a beneficial increase on lower extremity muscle power of experimental group and functional test of balance function; FRT, TUG indicated beneficial difference between groups. 2. beneficial difference between groups in walking speed of hourly index change of walking function. 3. between muscle power and balance, gait ability, we could find out there's high correlation ship between lower extremity muscle power increasing and balance and gait ability of the elderly. Conclusion: Aerobic exercise using underwater treadmill effects on muscle power strengthening of the elderly, and because of this, increase of lower extremity muscle power is very helpful not only to improvement of balance ability, but also to improvement of gait ability, so it will be used as a physical therapy program on clinic and used as an exercise program for protecting the elderly from falling down very well.