• Title/Summary/Keyword: Functional reliability

검색결과 579건 처리시간 0.024초

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

  • 김성렬;이제훈;안승헌
    • 대한물리의학회지
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    • 제5권4호
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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.

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

  • 김다연;최종덕;기경일
    • The Journal of Korean Physical Therapy
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    • 제25권5호
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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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    • 제28권4호
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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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    • 제27권4호
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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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    • 제52권5호
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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.

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

  • 김영록;민원규
    • 한국전문물리치료학회지
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    • 제6권3호
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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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한국형 고속전철 추진시스템의 신뢰성 평가 (Reliability Assessment of Traction System of Korean High Speed Train)

  • 서승일;박춘수;한영재;박태근
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2003년도 추계학술대회 논문집(I)
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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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신형경수로 1400을 위한 신뢰성 평가 (Reliability Evaluation for the Advanced Pressurized water Reactor 1400)

  • 강영식
    • 한국안전학회지
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    • 제16권3호
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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
    • 한국전문물리치료학회지
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    • 제14권4호
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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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시맨틱 서비스 플랫폼상에서의 신뢰성 비교 평가 (Comparative Reliability Evaluation on Semantic Service Platforms)

  • 정한민;이미경;류범종;김도완
    • 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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    • 제16권1호
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    • pp.105-109
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    • 2010
  • 정보화 사회 핵심 인프라인 웹 상에서 수많은 정보 서비스가 제공되고 있지만, 차세대 웹이라 일컫는 시맨틱 웹 기술을 활용한 시맨틱 서비스는 그 숫자나 서비스 제공 범위에 대한 공감대에 있어서 아직 성숙되지 못한 상태이다. 본 연구는 2개의 시맨틱 서비스들의 동일한 세 가지 기능들을 비교 평가하는 방식으로 시맨틱 서비스를 개발함에 있어 반드시 고려해야 할 신뢰성을 어떻게 측정할 수 있을 것인지 그 방법을 제시하고 있다. 비교 대상 시스템의 신뢰성 측정을 위해, 피실험자의 기대-결과 신뢰성과 작업 정확도 측정이 관찰자 관점에서 수행되었으며, 다른 한편으로, 기능적 신뢰성과 정보 신뢰성 스칼라 값(0~5)을 피실험자 스스로 벡터 그래프에 나타내도록 하였다. 실험결과는 관찰자에 의한 평가 값과 피실험자에 의한 평가 값이 매우 유사함을 보여 주었으며, 서비스된 정보의 정확성과 작업 수행의 만족성이 사용자 관점에서 상호 밀접한 관계를 가진다는 사실을 확인하여 주었다. 본 연구 결과를 통하여, 우리는 시맨틱 서비스가 제공하는 기능적 신뢰성과 기능 수행의 결과로 서비스되는 정보에 대한 신뢰성이 정보 시스템의 신뢰성 평가를 위한 필수적 요소임을 알 수 있었다. 특히, 신뢰성은 시맨틱 정보 서비스에서 사용상 품질 (Quality in Use)을 의미한다고 볼 수 있으며, 결과적으로 서비스의 사용상 품질을 결정하는 중요한 요소임을 실증하였다.