• 재활복지공학회논문지
• /
• 제7권2호
• /
• pp.55-62
• /
• 2013

본 논문은 편마비 환자나 장애인의 보행을 지원하는 외골격 로봇에 대해 연구하였다. 2축 자유도를 가진 외골격 로봇 개발 및 관절 운동에 대해 테스트 하였다. 정상적인 사람으로부터 얻어진 EMG 신호를 분석하고, 편마비 환자를 정상적인 사람처럼 보행 할 수 있도록 보조 로봇을 편리하고 자동화된 보행이 되도록 제어신호를 추출 하였다. 편마비 환자의 보행을 위한 기능적 전기 자극(FES)를 사용하는 목적이 손상된 기능을 복원하는 것이다. 그러나 이것은 사용을 잘못하면 환자에게 치명적인 전기 충격을 줄 수 있거나 지속적인 자극으로 근육피로의 원인이 될 수 있다. 최소한의 근육 피로도로 편마비 환자의 편리한 걸음은 제어 신호로 외골격 보조 로봇의 조작을 통해 가능성을 제시하였다. 보행 보조 외골격로봇은 FES 자극기를 사용하는 것보다 보다 효율적으로 동작할 수 있음을 보였다. 본 연구 실험은 앉아, 서, 걷기같이 우리의 생활에 보통의 움직임을 수행하고, 버튼스위치, 피에조 센서와 특별히 피드백 제어 시스템은 부드러운 보행 모션이 되도록 하였다. 그리고 실험결과도 건강한 다리의 근전도 신호를 편마비 환자의 손상된 다리의 보조로봇 시스템의 동작신호로 이용하여 편리하게 이동할 수 있음을 보여준다.

• 대한통합의학회지
• /
• 제8권2호
• /
• pp.211-220
• /
• 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.

• 국제물리치료학회지
• /
• 제11권1호
• /
• pp.2012-2020
• /
• 2020

Background: Multifaceted approaches will be needed, such as global synkinesis (GS) achieve functional improvements in the arms of stroke patients from involuntary movements during exercise. Objective: To identify changes in arm GS and muscle activity, functional evaluation and the correlation with variables through action observation training, combined with functional electrical stimulation (FES), thereby verifying the effect on stroke patients. Design: A quasi-experimental study. Methods: The subjects of this study were 20 stroke patients who were divided into two groups: Control group (n=10) and experimental group (n=10). Before the intervention, arm GS and muscle activity were measured using surface electromyography (EMG), and arm function was evaluated using the Fugl-Meyer Assessment (FMA) scale. At the end of the intervention, which lasted 4-wk, arm GS and muscle activity were measured again using the same scale. Results: There was a decrease statistically significant difference in GS during the bending action in experimental group (P<.01). Both groups showed a significant difference increased only in the activity of the anterior deltoid (AD) and biceps brachii (BB) (P<.05). The results of the arm functional assessment revealed a significant difference increase in both groups (P<.05). In the between-group comparison, there was a significant difference decrease in GS during the bending action (P<.05). Only the muscle activity of the AD and BB were significantly increase different (P<.05). There was a significant between-group difference increase in the arm functional assessment (P<.05). There was a positive correlation between GS and muscle activity on the FMA in the control group (r=.678, P<.05). In experimental group, GS during the bending arm action exhibited a negative correlation (r=-.749, P<.05), and the muscle activity of the AD and BB showed a positive correlation (r=.701, P<.05). Furthermore, in experimental group, the activity of the extensor carpi radialis increased, and the activity of the flexor carpi radialis decreased, which exhibited a negative correlation (r=-.708, P<.05). Conclusion: These results suggest that brain plasticity could be more efficiently stimulated by combining surface stimulation in the affected arm of stroke patients.

• 대한기계학회논문집
• /
• 제15권6호
• /
• pp.1967-1974
• /
• 1991

본 연구에서는 근육수축에 의해 발생되는 각 신체부분의 각가속도의 방향이 다음 두가지 요소의 변화에 따라 어떻게 달라지는가를 중점적으로 살펴보기로 한다` (1) 신체매개변수(body-segmental parameter): 길이, 무게 등, (2) 신체 각 부분의 위치. 이러한 상관관계를 더욱 명확히 이해함으로써, 주어진 운동(given task)을 FES 에 의해 수행하고자 할 때 전기적으로 자극되어야 할 근육을 사전에 선택할 수 있을 것이다.

• The Journal of Korean Physical Therapy
• /
• 제13권1호
• /
• pp.161-174
• /
• 2001

The purpose of this study was to reduce the spasticity of plantarflexion. the subjects of this study were 30 hemiplegic patients with stroke who received of physical therapy in JinJu o o hospital from May to July 2000. the subjects were divided into three groups(FES groups 10, FES + tilt table-wedge board standing groups 10, & tilt table-wedge board standing groups 10). The result were as follow 1. FES therapy was a effective method to reduce the spasticity of plantarflexor. there was a significant difference in modified Ashworth scale(p<.01). there was a significant difference in weight bearing ratio between nonparetic and paretic side(p<.01). 2. Tilt table-wedge board standing therapy was a effective method to reduce the spasticity of plantarflexor to a degree but there was a no significant difference in modified Ashworth scale(p<.05). there was a significant difference in weight bearing ratio between nonparetic and paretic side(p<.01). 3. Tilt table-wedge board standing therapy + FES therapy was a effective method to reduce the spasticity of plantarflexor. there was a significant difference in modified Ashworth scale(p<.01). there was a significant difference in weight bearing ratio between nonparetic and paretic side(p<.01) 4. There was a significant difference in weight bearing ratio between nonparetic and paretic side according to the grade spasticity(p<.01). 5. For normal persons vs hemiplegic patients, there was a significant different in weight bearing ratio between nonparetic and paretic side(experimental subjects 1 p<.01, experimental subjects 2 p<.01, control subjects p<.05).

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 1997년도 하계학술대회 논문집 B
• /
• pp.593-596
• /
• 1997

The main purpose of this paper is to develop sensing device of joint angle using loss of opfical fiber. The source of light to optical fiber is infrared rays diode, and receiver is a photo transistor. The bent angle of optical fiber is measured with rotary encoder, and The change of voltage due to the loss of light is measured with micro computer PIC16C74. The sensing device may be used to Functional Electrical stimulation(FES) System for Rehabilitation patient.

• The Journal of Korean Physical Therapy
• /
• 제14권3호
• /
• pp.60-73
• /
• 2002

Spasticity is the most troublesome problems in the management in cerebral palsy. The purpose of this study was to observe the effect of FES to spasticity. 8 cerebral palsy children were selected for this study. Assessment was carried out before treatment for obtain baseline measurement of spasticity and reassessment were carried out at after 10th., 20th. treatment sessions and 24hours after treatment. The results of this study were as following that MAS scores were significantly reduced after 10th and 20th after treatment compared with pre-treatment. MAS scores were significantly reduced after 20th compared with pre-treatment. These results indicated that FES appears to reduce significantly MAS scores and maintained 24hours after treatment compared with pre-treatment.

• The Journal of Korean Physical Therapy
• /
• 제14권2호
• /
• pp.51-64
• /
• 2002

Spasticity is the most troublesome problems in the management in cerebral palsy. The purpose of this study was to observe the effect of the FES and FIR to spasticity.8 cerebral palsy children were selected for this study. Assessment was carried out before treatment for obtain baseline measurement of spasticity and reassessment were carried out at after 10, 20 treatment sessions and 24hours after treatment. The results of this study were as fellowing : 1. MAS scores were significantly reduced after 10th and 20th after treatment compared with pre-treatment. 2. MAS scores were significantly reduced after 20th and maintained 24hours after treatment compared with pre-treatment These results indicated that FES and Far infrared appears to reduce significantly MAS scores and maintained 24hours after treatment compared with pre-treatment.

• JSTS:Journal of Semiconductor Technology and Science
• /
• 제14권5호
• /
• pp.658-665
• /
• 2014

The neural stimulators have been employed to the visual prostheses system based on the functional electrical stimulation (FES). Due to the size limitation of the implantable device, the smaller area of the unit current driver pixel is highly desired for higher resolution current stimulation system. This paper presents a 16-channel compact current-mode neural stimulator IC with digital to analog converter (DAC) sharing scheme for artificial retinal prostheses. The individual pixel circuits in the stimulator IC share a single 6 bit DAC using the sample-and-hold scheme. The DAC sharing scheme enables the simultaneous stimulation on multiple active pixels with a single DAC while maintaining small size and low power. The layout size of the stimulator circuit with the DAC sharing scheme is reduced to be 51.98 %, compared to the conventional scheme. The stimulator IC is designed using standard $0.18{\mu}m$ 1P6M process. The chip size except the I/O cells is $437{\mu}m{\times}501{\mu}m$.

• 대한의용생체공학회:의공학회지
• /
• 제17권4호
• /
• pp.459-468
• /
• 1996

This paper considers the problem of realising a parallel EMG identifier used in FES (functional electrical stimulation) system on a fixed dimension transputer array. This involves using an identifiestion algorithm in the wavelet transform domain. This algorithm have suggested by the authors in a previous paper(6). The transputer serial links permit higtlly varied and economic network-type connections and the structure enables rapid topological reconfiguration. Analysing the results Showed that the Speed-UPS ranged from 1.82 to 3.44 With 2-4 transputers for corresponding model order, and from 1.82 to 3.97 with increasing the model orders when two and four transputers are used respectively.