• Title/Summary/Keyword: Gait training

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Influence of Bridge Exercise Combined with Whole Body Vibration on Muscle Activity and Balance of Stroke Patient (전신 진동을 결합한 교각운동이 뇌졸중 환자의 근활성도와 균형에 미치는 영향)

  • Yang, Daejung;Park, Seungkyu;Kang, Jungil;Kim, Jeho;Jung, Daekeun;Oh, Suwhan;Uhm, Yohan
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.291-300
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    • 2019
  • Purpose : This study focuses on the influence of bridge exercise combined with whole body vibration on muscle activity and balance. Methods : 30 stroke patients were recruited for subjects. The subjects were divided to bridge exercise combined stable surface (Group I), bridge exercise combined unstable surface (Group II), and bridge exercise combined bridge exercise (Group III), of which 10 subjects were randomly allocated. The subjects were given 30 minutes of neurologic physical therapy which included gait training and muscular strength training, and additionally given 30 minutes of bridge exercise combined stable surface, bridge exercise combined unstable surface, and bridge exercise combined whole body vibration for each group, five times a week, for 8 weeks. Their muscle activity and balance were analyzed before the intervention. After 8 weeks of the intervention, the mentioned parameters were measured once more for between-group analysis. Results : Comparative analysis of the muscle activity and balance between the groups showed statistically significant difference, and post-hoc analysis showed the Group III had greater changes in muscle activity and balance than Group Iand Group II. Conclusion : Such results revealed that bridge exercise combined with whole body vibration is effective in muscle activity and balance. Based on the current study, more effective program is to be proposed for elite athletes as well as stroke patients. Based on the current study, studies that incorporates various frequencies of vibration is required for development of effective whole body vibration exercise program.

The Effect of Lower Extremity Muscle Strengthening Exercise using Biofeedback System on Lower Extremity Function and Gait in Community-based Elderly (바이오피드백 시스템을 활용한 하지근력 강화운동이 지역사회기반 노인의 하지기능과 보행에 미치는 효과)

  • Park, Tae-Sung;Lee, In-Sook;Jang, Myung-Hun;Shin, Myung-Jun
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.195-202
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    • 2020
  • This study is to investigate the effect of lower extremity strength exercise using biofeedback system on community-based elderly. Ten community-based elderly were exercised using the biofeedback system (with functional electrical stimulation) three times a week for six weeks. Data analysis was performed using Wilcoxon signed rank test. Physical function improved significantly, but there was no significant difference in muscle strength and muscle mass. Although elderly people were able to confirm that community-based ICT home biofeedback training could be possible and could lead to improvements in the lower extremity function, further research is needed to demonstrate a clearer effect by expanding the target population, distinguishing the sexes, and providing a personalized training method.

The Effect of a Community-Based Group Exercise in Chronic Stroke

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.12 no.4
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    • pp.1-6
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    • 2005
  • Community-based group exercise programs for people with chronic stroke are relatively uncommon in Korea. In addition, it is currently not known whether a community-based group exercise program is effective or not. The purpose of this study was to evaluate an 8 week community-based functional exercise program for its effects on balance performance and occupational performance in persons with chronic stroke. Twenty-five community-dwelling individuals with stroke participated in this program. Outcome of the program was assessed by the Berg Balance Scale and the Canadian Occupational Performance Measure (COPM). The functional exercise program lasted for eight weeks, with a 1-hour program twice per week and it consisted of mobility, stability, balance, functional strength, and gait training. The subjects were trained by one physical therapist but were under one-to-one supervision from students. The data of sixteen individuals who scored more than 24 on the Mini-Mental State Examination (MMSE) were analyzed. There was a significant effect both in terms of the COPM Performance Score & the Satisfaction Score (p=.002) and with the Berg Balance Score (p=.001). It was found that a short-term community-based exercise program could improve both performance of activities and balance. Further, all subjects reported that they were satisfied with this program.

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The effect of lower limb muscle synergy analysis-based FES system on improvement of the foot drop of stroke patient during walking: a case study (하지 근육 시너지 분석 기반의 FES 시스템이 보행 시 뇌졸중 환자의 족하수 개선에 미치는 영향: 사례 연구)

  • Lim, Taehyun
    • Journal of the Korean Society of Industry Convergence
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    • v.23 no.3
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    • pp.523-529
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    • 2020
  • Foot drop is a common symptom in stroke patients due to central nervous system (CNS) damage, which causes walking disturbances. Functional electrical stimulation (FES) is an effective rehabilitation method for stroke patients with CNS damage. Aim of this study was to determine the effectiveness of 6 weeks FES walking training based lower limb muscle synergy of stroke patients. Lower limb muscle synergies were extracted from electromyography (EMG) using a non-negative matrix factorization algorithm (NMF) method. Cosine similarity and cross correlation were calculated for similarity comparison with healthy subjects. In both stroke patients, the similarity of leg muscle synergy during walking changed to similar to that of healthy subjects due to a decrease in foot drop during. FES walking intervention influenced the similarity of muscle synergies during walking of stroke patients. This intervention has an effective method on foot drop and improving the gait performance of stroke patients.

A Comparative Study of ADL Performance of Cognitive Function in Elderly (노인의 인지기능에 따른 일상생활동작 수행능력 비교 연구)

  • Lee, Kwang-Jae;Kim, Soon-Ja
    • Journal of Korean Physical Therapy Science
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    • v.19 no.2
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    • pp.55-61
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    • 2012
  • Background : The purpose of this study is to provide the basic data according to cognitive function, that will help activities of daily living of the elderly through the comparative study of activities daily living and functional training. Methods : The subjects of this study 122 patients 65 years old or more ADL and cognitive function assessment was evaluated. They were registered in the Elderly in nursing homes and welfare centers, located in Gyeonggi. All study participants had a sufficient explanation for the purposes of research and evaluation methods and procedures for the elderly. The survey period 17 October to 11 November 2011 was conducted through face-to-face survey was conducted. Results : Cognitive function according to the K-MMSE score of 24 points or more, 23 to 18 points, 17 points or less were classified. Ability to perform activities of daily living (personal hygiene, bathing, toilet use, stair climbing, dressing, stool control, urinary control, gait, chair/bed, etc.) according to the degree of cognitive function by evaluating the ability to perform daily living compared results in all variables were statistically significant (p<.5). Conclusion : As a result, the higher cognitive functions can be seen that the higher the ability to perform activities of daily living.

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Ensemble-By-Session Method on Keystroke Dynamics based User Authentication

  • Ho, Jiacang;Kang, Dae-Ki
    • International Journal of Internet, Broadcasting and Communication
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    • v.8 no.4
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    • pp.19-25
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    • 2016
  • There are many free applications that need users to sign up before they can use the applications nowadays. It is difficult to choose a suitable password for your account. If the password is too complicated, then it is hard to remember it. However, it is easy to be intruded by other users if we use a very simple password. Therefore, biometric-based approach is one of the solutions to solve the issue. The biometric-based approach includes keystroke dynamics on keyboard, mice, or mobile devices, gait analysis and many more. The approach can integrate with any appropriate machine learning algorithm to learn a user typing behavior for authentication system. Preprocessing phase is one the important role to increase the performance of the algorithm. In this paper, we have proposed ensemble-by-session (EBS) method which to operate the preprocessing phase before the training phase. EBS distributes the dataset into multiple sub-datasets based on the session. In other words, we split the dataset into session by session instead of assemble them all into one dataset. If a session is considered as one day, then the sub-dataset has all the information on the particular day. Each sub-dataset will have different information for different day. The sub-datasets are then trained by a machine learning algorithm. From the experimental result, we have shown the improvement of the performance for each base algorithm after the preprocessing phase.

Effect of Neck and Trunk Stabilization on Onset Time of Trunk Muscle Contraction in the Elderly (목과 몸통 안정화 운동이 노인의 몸통근 수축 개시 시간에 미치는 영향)

  • Park, Eun-Cho;Song, Gui-Bin
    • PNF and Movement
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    • v.15 no.3
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    • pp.291-302
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    • 2017
  • Purpose: The purpose of this study was to describe the effects of neck and trunk stabilization exercise on the onset time of trunk muscle contraction in the elderly. Methods: Elderly subjects were divided into 2 groups: a neck and trunk stabilization exercise group (NTSG) and a control group (CG). The NTSG performed both neck and trunk stabilization exercises and the CG performed gait training on a treadmill, at 30 min per session, 3 times per week, over 8 weeks. Surface electromyography was employed to measure the onset times of trunk muscle contractions in the right anterior deltoid, rectus abdominis, external oblique abdominis, internal oblique abdominis, and erector spinae muscles. Results: The NTSG subjects showed earlier and statistically significant onset of contraction in trunk muscles as compared to the CG. Conclusion: The combination of neck and trunk stabilization exercises may more effectively improve the onset of muscle contractions in the elderly than other types of exercise. The present study's findings may be used as basic data for the development of exercise programs suitable to the elderly, specifically for the design of home exercise programs.

Therapeutic Approach for Stroke Patients based on Central Pattern Generator (중추유형발생기에 근거한 뇌졸중 환자의 치료적 접근)

  • Kim Joong-Hwi;Kim Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.131-146
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    • 2002
  • In the last years, it has become possible to regain some locomotor activity in patients with incomplete spinal cord injury (SCI) through intense training on a treadmill. The ideas behind this approach owe much to insights derived from animal studies. Many studies showed that cats with complete spinal cord transection(spinalized animals) can recover locomotor function. These observations were at the basis of the concept of the central pattern generator located at spinal level. The neural system responsible for the locomotor restoration in both cats and humans is thought to be located at spinal level and is referred to as the central pattern generator(CPG). The evidence for such a spinal CPG in human is emphasis on some recent developments which support the view that there is a human spinal CPG for locomotion. An important element in afferent inputs for both spinal injured cats and humans is the provision of adequate sensory input related locomotor, which can possibly activate and/or regulate the spinal locomotor circuitry This review article deals with the afferent control of the central pattern generator. Furthermore, the application of adequate afferent inputs related locomotor for stroke patients will be able to facilitate locomotion ability, which is automatic, cyclic, rhythmic. These insights can possibly contribute to a better therapeutic approach for the rehabilitation of gait in patients with stroke.

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The Effect of the Dementia Elderly Persons on the Cognitive Function, ADL and Balance-Performing Ability the Group Therapeutic Exercise Program (집단운동치료 프로그램이 치매노인의 인지기능과 일상생활동작 및 균형 수행능력에 미치는 영향)

  • Kim, Chan-Mun;Kim, Jin-Hee
    • Journal of Korean Physical Therapy Science
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    • v.19 no.4
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    • pp.27-34
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    • 2012
  • The aim of study was to assess the effectiveness of dementia elderly persons on the cognitive function, Activities of Daily Living(ADL) and balance-performing ability the group therapeutic exercise programs. Fifteen community-dwelling subjects participated in this study. An 4-week group therapeutic exercise program, including strengthening and balance training, breathing and gait exercise, and recreation, consisted of activities related to daily living. The Mini-Mental State Examination-korean(MMSE-K), Modified Barthel Index(MBI), Berg Balance Scale(BBS), and Timed Up & Go (TUG) test were measured during before and after exercise points The results of this study were as follows : 1) After eight weeks, the MMSE-K and MBI total scores were significantly increased to more after than before(p<.05, p<.01). 2) in the MBI contents, personal hygiene, dressing, ambulation and chair, bed transfers scores were significant increased to after. 3) after BBS, TUG scores were statistically significant higher than the before scores(p<.05, p<.05, p<.01). These findings suggest that group therapeutic exercise program can be used to improve the cognitive function, ADL and balance-performing ability in dementia elderly persons.

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Physiological Approach on the Physical Fitness and Postural Balance Effects of a Whole-Body Vertical Vibration Intervention in Young Women

  • Ho, Chao-Chung;Sung, Hyun-Ho;Chen, Ming-Shu
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.1
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    • pp.36-44
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    • 2020
  • With the advent of westernized diet and a lack of exercise, young female college students are paying more attention to their bodyweight and health. Whole-body vibration has been demonstrated to be a suitable training method for improving knee extension maximal strength in young female athletes, as well as the gait performance in elderly women. This study aimed to evaluate the effects of a vertical vibration intervention on the physical fitness and postural balance in young females. Fifty-four young women were recruited; all subjects were randomly assigned to the intervention group and control group. The intervention group underwent vertical vibration with a platform for 12 weeks. The results showed that body mass index and body fat percentage had decreased (P<0.05). In addition, their muscle endurance as indicated by a sit-up test and their flexibility as indicated by a sit-and-reach test were both increased. With regard to postural balance, their 30-second sit-to-stand and timed up and go test results were improved. At the same time, their mean single-leg stance with eyes closed time increased (P<0.05). However, there were no significant differences, meanwhile, for the control group. Overall, the results showed that the whole body vibration (WBV) intervention had some beneficial effects on physical fitness and postural balance in young women.