• Title/Summary/Keyword: Functional Reliability

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The Clinical Application of modified Emory Functional Ambulation Profile for Chronic Stroke Patients (만성 편마비 환자의 modified Emory Functional Ambulation Profile의 임상 적용)

  • Kim, Seong-Yeol;Lee, Je-Hoon;An, Seung-Heon
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.4
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    • pp.655-666
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    • 2010
  • Purpose : The examine the reliability and validity of the modified Emory Functional Ambulation Profile(mEFAP) for assessing gait function in chronic stroke patients. Methods : A total of 45 stroke patients, who had a stroke more than 6 months, participated in the study. Reliability was determined by Intra-class Correlation Coefficient($ICC_{3,1}$), including Bland and Altman method (Standard Error of Measurement: SEM, Small Real Differences: SRD). Validity was examined by correlating results to the gait ability(mEFAP, Modified Motor Assessment Scale-Gait(MMAS-G), Scandinavian Stroke Scale-Gait(SSS-G), Functional Ambulation Category(FAC), 10m Waking Test(10m WT)), and Fugl Meyer-Lower/Extremity(FM-L/E), Berg Balance Scale(BBS). Results : Inter-rater reliability for the total mEFAP was High($ICC_{2,1}$=.998), and absolute reliability were excellent (SEM: 1.75, SRD: 4.85). Subjects without assistance factor performed better on all tests than did subjects who had stroke. There were significant correlations between the mEFAP and MMAS-G, SSS-G, FAC(r=-.66~-.79), 10 m WT(r=-.86), and FM-L/E, BBS(r=-.72~-.78), indicating good validity. Increased times on the mEFAP correlated with poor performance on the gait ability, motor function of lower extremity, BBS and slow gait speeds on the 10 m WT in stroke patients. Conclusion : The mEFAP can be administered easily and comprehensively. It is a reliable gait assessment tool for patients with stroke and correlated with known of function, the mEFAP may be a clinically useful measure of ambulation.

A Reliability Study of Sit-to-walk for Dynamic Balance Assessment in Stroke Patient (뇌졸중환자의 동적 균형 평가를 위한 sit-to-walk의 신뢰도 연구)

  • Kim, Da-Yeon;Choi, Jong-Duk;Ki, Kyong-Il
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.303-310
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    • 2013
  • Purpose: The purposes of this study were to evaluate the correlation of clinical tools for assessment of balance and ability of gait, in order to discriminate the phases of sit-to-walk movement of patients with stroke using the motion analysis system, and to investigate the reliability of the phase of sit-to-walk movement according to functional ability of patients with stroke. Methods: Twenty -one patients participated (men 17, women 4) in this study. Sit-to-walk movement of all patients was recorded by the motion analysis system. Berg Balance Scale, Timed Up and Go test, Functional Reach Test, 10 meter Walk Timed Test, and Performance-Oriented Mobility Assessment were used as functional assessment tools. Results: The results of this study showed significant correlation between the phase I, II, IV and total phase duration of sit-to-walk movement and functional assessment tools. In addition, the intraclass correlation coefficient (ICC) showed high reliability in accordance with the functional ability of patients with stroke (Pearson's r 0.93 to 1.00). Conclusion: In conclusion, there is high reliability between measures of the phase of sit-to-walk movement of chronic stroke patients and the clinical assessment tool. Results of this study suggest that measurement of the phase of sit-to-walk movement can be used significantly as an intervention and a clinical tool for patients with stroke.

The Reliability and Validity of Korean Pediatric Functional Muscle Testing in Children with Motor Disorder

  • Seo, Hye-Jung;Kim, Joong-Hwi
    • The Journal of Korean Physical Therapy
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    • v.28 no.4
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    • pp.232-242
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    • 2016
  • Purpose: This study was conducted to develop a Korean version of the pediatric functional muscle test (K-PFMT) for children with motor developmental disorders, and to verify its reliability and validity. Methods: The subjects were 40 children, aged below 5 years. Each was scored on the K-PFMT by 14 physical therapists to determine inter-rater reliability and internal consistency. Additionally, 3 of the 14 therapists tested 20 children again one or two weeks later to determine test-retest reliability. The internal consistency was calculated by Cronbach's alpha. The inter-rater and test-retest reliability were calculated using the intraclass correlation coefficient (ICC). One-way ANOVA and the paired t-test were used to compare differences among the three evaluator groups and between the test and retest group. Concurrent validity was evaluated by Pearson's correlation with a total score of GMFM. Results: Chronbach's alpha was over 0.98 for each test item and 0.99 for the total items. There was no significant differences in the score of K-PFMT among the three evaluator groups except for a few items. The test-retest ICC was from 0.89 to 1.00 and from 0.82 to 1.00, respectively. There was no significant difference between the test and retest group, except for a few items. There were high significant correlations between K-PFMT and GMFM. Conclusion: This study showed that a K-PFMT with relatively high reliability and validity was successfully developed. The K-PFMT will be a useful tool for measurement of muscle strength of children with motor developmental disorder.

The Reliability of the Pediatric Functional Muscle Testing in Children with Developmental Delay

  • Seo, Hye-Jung;Kim, Joong-Hwi
    • The Journal of Korean Physical Therapy
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    • v.27 no.4
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    • pp.183-189
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    • 2015
  • Purpose: The aim of this study was to examine the test-retest and inter-rater reliability of the pediatric functional muscle testing (PFMT) when applied to children with developmental delay. Methods: Sixteen children with developmental delay (seven females, nine males) participated in this study. For the inter-rater reliability, each was scored on the PMFT by two pediatric physical therapists with more than 8 years of clinical experience on the same day. For assessment of the test-retest reliability, one therapist tested the children again within 10 days. The second measurement was performed by taking a first measurement in video. Intraclass correlation coefficient (ICC) was calculated to determine the test-retest and inter-rater reliability of the PFMT, and Chronbach's alpha was used to measure internal consistency. Results: The results of this study were as follows: 1) The test-retest ICC of the score of the infant action month and the right side of the PFMT was from 0.53 to 1.00 and from 0.63 to 0.99, respectively. 2) The inter-rater ICC of the score of the infant action month and the right side of the PFMT was from 0.66 to 1.00 and from 0.64 to 1.00, respectively. 3) Chronbach's alpha was 0.93. The internal consistency indicated excellent. Conclusion: In conclusion, this study showed that the test-retest and inter-rater reliability of the PFMT was relatively high, except for a few items. Therefore, it can be suggested that the PFMT will be a useful tool for measurement of muscle strength for children with developmental delay if it be some modifications.

Structural safety reliability of concrete buildings of HTR-PM in accidental double-ended break of hot gas ducts

  • Guo, Quanquan;Wang, Shaoxu;Chen, Shenggang;Sun, Yunlong
    • Nuclear Engineering and Technology
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    • v.52 no.5
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    • pp.1051-1065
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    • 2020
  • Safety analysis of nuclear power plant (NPP) especially in accident conditions is a basic and necessary issue for applications and commercialization of reactors. Many previous researches and development works have been conducted. However, most achievements focused on the safety reliability of primary pressure system vessels. Few literatures studied the structural safety of huge concrete structures surrounding primary pressure system, especially for the fourth generation NPP which allows existing of through cracks. In this paper, structural safety reliability of concrete structures of HTR-PM in accidental double-ended break of hot gas ducts was studied by Exceedance Probability Method. It was calculated by Monte Carlo approaches applying numerical simulations by Abaqus. Damage parameters were proposed and used to define the property of concrete, which can perfectly describe the crack state of concrete structures. Calculation results indicated that functional failure determined by deterministic safety analysis was decided by the crack resistance capability of containment buildings, whereas the bearing capacity of concrete structures possess a high safety margin. The failure probability of concrete structures during an accident of double-ended break of hot gas ducts will be 31.18%. Adding the consideration the contingency occurrence probability of the accident, probability of functional failure is sufficiently low.

The Inter- and Intra-rater Reliability of the Functional Reach Test in Subjects With Spinal Cord Injury (척수손상환자의 Functional Reach Test의 신뢰도)

  • Kim, Young-Rok;Min, Won-Kyu
    • Physical Therapy Korea
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    • v.6 no.3
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    • pp.51-58
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    • 1999
  • In general, sitting balance is decreased in subjects with spinal cord injury. The purpose of this study was to evaluate the inter- and intra-rater reliability of the Functional Reach Test (FRT) which is used to measure sitting balance. The subjects of this study were 26 persons with spinal cord injury, and they were divided into three groups according to their injury level. Group I, II and III consisted of the following $C_5{\sim}C_8$ quadriplegics, $T_1{\sim}T_4$, and $T_9{\sim}T_12$ paraplegics, respectively. Subjects sat on a mat table that was set at an 80 degree inclination. During three sessions, the length subjects could reach in the FRT test was measured by three physical therapists, and compared to each other. The results showed that intraclass correlation coefficients (2,1) were above 0.97 and inter-rater difference was not statistically significant. The one-way ANOVA demonstrated that reach differed between groups with lower thoracic lesion and the other test groups. In conclusion, we think modified FRT is useful and reliable method to measure the sitting balance in subjects with spinal cord injury.

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Reliability Assessment of Traction System of Korean High Speed Train (한국형 고속전철 추진시스템의 신뢰성 평가)

  • 서승일;박춘수;한영재;박태근
    • Proceedings of the KSR Conference
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    • 2003.10a
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    • pp.151-155
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    • 2003
  • In this paper, as the first step to assess and enhance the reliability of Korea High Speed Train, electric traction system is selected and reliability analysis is carried out. The electric traction system is classified into subsystems and functional block diagrams and reliability block diagrams are drawn. Expressions to calculate the reliability are deducted and Mean Kilometer Between Service Failure is calculated using the trial test results on the track. Calculated results show reliability growth of the electric traction system.

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Reliability Evaluation for the Advanced Pressurized water Reactor 1400 (신형경수로 1400을 위한 신뢰성 평가)

  • 강영식
    • Journal of the Korean Society of Safety
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    • v.16 no.3
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    • pp.125-134
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    • 2001
  • The Advanced Pressurized rater Reactor 1400(APR1400) system is advanced of the successful Korean Nuclear Power Plants(KSNP) design which meets functional needs for safety enhancement reliability improvement, and control in the human-computer monitoring system. Therefore this paper describes the scoring model in order to justify the reliability and safety in APR 1400 under uncertainty. The structure of this paper consists of the human engineering, risk safety, quality function, safety organization management factors of the qualitative factors in chapter 2, and the expectation results of the normalized scoring model in chapter 3. Finally, the proposed reliability model have provided the technical flexibility not only for functional control fields but also for accidents protection systems in APR 1400 under uncertainty.

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Correlation of Berg Balance Scale and Functional Reach Test

  • Park, Eun-Young;Kim, Won-Ho
    • Physical Therapy Korea
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    • v.14 no.4
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    • pp.28-34
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    • 2007
  • The purposes of this study were to provide the basic data and investigate the reliability of functional reach test and identify correlation of Berg balance scale (BBS) and functional reach test (FRT). The subjects were twenty healthy young adults and forty-five over 65 years old in order to compare balance ability. These data were analyzed by independent t-test and Pearson's correlation test using SPSS WIN 10.0. The results were as follows. Intrarater reliability coefficients of FRT was .976 and interrater was .942. FRT was significantly correlated with age, height, and BBS (p<.05). There were no significant differences in FRT and BBS by sex. There was significant difference in reach distance between below 74 elderly and above in FRT. FRT is very reliable test for balance and significantly correlated with BBS. Therefore, it is suggested that FRT is a clinically useful tool to substitute for BBS measuring balance ability in the elderly.

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Comparative Reliability Evaluation on Semantic Service Platforms (시맨틱 서비스 플랫폼상에서의 신뢰성 비교 평가)

  • Jung, Han-Min;Lee, Mi-Kyoung;You, Beom-Jong;Kim, Do-Wan
    • Journal of KIISE:Computing Practices and Letters
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    • v.16 no.1
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    • pp.105-109
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    • 2010
  • While numerous information services are provided on the Web as a core infrastructure of information society, semantic services using the Semantic Web technologies still stay deployed number and application range. This situation would be mainly originated from the failure of securing reliability to the user. Thus, this paper introduces an evaluation method for measuring reliabilities of the semantic services comparatively. To measure the reliability of the compared systems, the observer assesses 'precision in task performance' as a quantitative analysis and 'reliability of expectation-result' as a qualitative analysis described by the test persons. On the other hand, the test person should rate the functional reliability and reliability of the served information on the vector graph by himself with a scale from 0 to 5. Experimental results show that assessment by the observer is very similar to rating value by test persons, and that the accuracy of the served information has a close effect on the functional reliability. Through this paper, we can verify the essential factors for evaluating the reliability of semantic service systems. These are functional reliability and reliability of served information resulting from function execution. In particular, it has been proven that the reliability of the semantic information services largely influences the "Quality in Use" and therefore determines the major factors of the semantic service reliability.