• Therapeutic Science for Rehabilitation
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• v.7 no.3
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• pp.59-78
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• 2018

Objective : The purpose of this study was to investigate the effect of robot-assisted therapy on upper extremity function. Methods : This study used a single-subject experimental A-B-A' design. Three Parkinson's disease patients took part. Each subject received a robot-assisted therapy intervention (45 min/session, 5 sessions/week for 4 weeks). Upper extremity movement was evaluated with the Reo Assessment tool in Reogo. The Jebsen-Taylor hand motor function test, Fugle-Mayer Assessment score, Box and Block Test, and Nine-hole pegboard test were assessed pre- and post-intervention. Results : After intervention, all subjects underwent 3D motion analysis of reaching function. There was overall improvement in resistance, smoothness, direction accuracy, path efficiency, initiation time, and time to moving target with robot-assisted therapy. Robot-assisted therapy may have a positive effect on upper extremity movement in Parkinson's disease. Conclusion : Robot-assisted therapy is considered an alternative in clinical occupational therapy to improve upper extremity function in Parkinson's disease.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.1
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• pp.471-479
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• 2015

This study examined the effects of smart phone use while young adults negotiated an obstacle (2 cm high). Seventy-four young adults (mean age: $23.76{\pm}3.17years$, age range: 20-27 years) participated in the study. They were allocated randomly into two groups; smart phone group and no smart phone group. The smart phone group negotiated an obstacle while simultaneously using a smart phone at a self-paced speed whereas the no smart phone group negotiated an obstacle with no special option. A motion analysis system were used to measure the gait parameters, such as toe clearance, cadence, step length, step width, stride length, and walking velocity in two groups. The toe clearance, and step-width, cadence, and step-length were significantly greater for the smart phone group than the no smart phone group (p<.05) and the walking velocity was significantly lower in the smart phone group (p<.05). On the other hand, there was no significant difference in the stride length between the two groups. This study suggests that smart phone use degrades the obstacle avoidance abilities of healthy young adults, which may increase risk of falls.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.1
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• pp.445-452
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• 2015

Transcranial direct current stimulation (tDCS) is a neuromodulatory technique that delivers a low-intensity direct current to the cortical areas, thereby facilitating or inhibiting spontaneous neuronal activity. This study was designed to examine the changes in various sensory functions after tDCS. A single-center, single-blinded, randomized trial was conducted to determine the effect of a single session (August 4 to August 29) of tDCS with the current perception threshold (CPT) in 50 healthy volunteers. Nerve conduction studies (NCS) were performed in relation to the median sensory and motor nerves on the dominant hand to discriminate peripheral nerve lesions. The subjects received anodal tDCS with 1mA for 15 minutes under two different conditions, with 25 subjects in each group. The conditions were as follows: tDCS on the dorsolateral prefrontal cortex (DLPFC) and sham tDCS on DLPFC. The parameters of the CPT was recorded with a Neurometer$^{(R)}$ at frequencies of 2000, 250 and 5 Hz in the dominant index finger to assess the tactile sense, fast pain and slow pain, respectively. In the test to measure the CPT values of the DLPFC in the anodal tDCS group, the values increased significantly in all of 250 and 5 Hz. All CPT values decreased for the sham tDCS. These results showed that DLPFC anodal tDCS can modulate the sensory perception and pain thresholds in healthy adult volunteers. This study suggests that tDCS may be a useful strategy for treating central neurogenic pain in rehabilitation medicine.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.5 no.1
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• pp.47-52
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• 2011

The functional loot orthoses, when wearing shoes, are in the direct contact with bottom of foots to improve and recover the correctness of abnormal lower limb musculoskeletal imbalance and the primary role of foot and also, it can act to keep the balance and weight of body and support the weakened region, so that it is very helpful to keep body balance for the standing position. In this paper, it was researched that foot orthoses which is accommodable for the function of impact absorption including the gait stability affect on the balanced performances of body in according to the formation and the material of foot part. Taking into account the balanced performances by using the sway velocity, the estimation and comparison of the effects on the balanced performances by each formation and material for foot orthoses was evaluated into significant values(p<0.006) in only the eye-opening posture with Firm state, In this posture, the static process performed by each foot formation reveals in order of normal foot(p<0.010), flat foot(p<0.000) and hollow foot(p<0.003) and then, on the base of each formation of foot part, the result that analyze the effects of the materials of foot orthoses on the balance performance appeared showing that soft materials is more effective on the normal foot and, on the other hand, rigid materials is more effective in balancing on flat foot and hollow foot.

• Therapeutic Science for Rehabilitation
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• v.1 no.2
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• pp.41-53
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• 2012

Objective : The purpose of the research is to investigate Korean occupational therapists' awareness of Evidence-Based Practice(EBP), basis of clinical decision making, barrier factors of EBP execution. Methods : Form December 2009 to March 2010, 500 questionnaires were sent out to clinical occupational therapists and 160 questionnaire which are returned by the therapists were analyzed through descriptive statistics. Results : There are more female respondents than male. More than 90% of them had less than 5 years experience. Most of respondents hadn't experienced education concerning EBP(76%), and the education is not periodically conducted(55%). Moreover, treatment was being tailored based on subjective judgement. On the other hand, the degree of recognition showed that the professionalism of occupational therapists can be improved through EBP(96%), and be helpful to make clinical decision(88%). Most of the therapists answered that guaranteeing enough time to search the basis of treatment(90%) and participating in the education course(92%) is needed to make EBP applicable. This result shows that while the application rate of EBP is low, the recognition rate of EBP is high, which means it is necessary to revitalize EBP education program. Conclusions : In order to provide quality service, education course and instructor training program is needed. We should also make a great effort to offer evidence-based education to occupational therapy students. Furthermore, EBP has to be carried out to improve the professionalism of occupational therapists, and the research about education program and its effect has to be executed.

• Journal of Korean Society of Coastal and Ocean Engineers
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• v.22 no.5
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• pp.295-305
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• 2010

Although the rubble mound breakwaters in Korea have been damaged by typhoons almost every year, quantification of erosion of armor block have seldomly been made. In this paper, the damage of armor units is standardized by the relative damage. In the case where the number of damaged units is reported, it is divided by the total number of units to calculate the relative damage. In the case where the rehabilitation cost is reported, the relative damage is calculated by using its relationship with the present value of the past rehabilitation cost. The relative damage is shown to have strong correlations with the typhoon parameters such as nearest central air pressure and maximum wind speed at each site. On the other hand, the existing numerical methods for calculating the cumulative damage are compared with hydraulic model tests. The method of Melby and Kobayashi (1998) is shown to give a reasonable result, and it is used to calculate the relative damage, which is compared with the measured damage. A good agreement is shown for the East Breakwater of Yeosu Harbor, while poor agreement is shown for other breakwaters. The poor agreement may be because waves of larger height than the design height occurred due to strong typhoons associated with climate change so that the relative damage increased during the last several decades.

• Archives of design research
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• v.11
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• pp.48-58
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• 1995

In 1981. KOREA applied YEAR OF WORLD DISABLED DESIGNNATED BY UN as starting point to begin noticing disabled and gradually improve and understand the problems of the disabled.This study considering the income level and welfare level selected basic most widely used wheelchair as subject of study. Design Application of this study's main analysis are as follolVs 1. MAN-MACHINE INTERFACE STUDY ANALYSIS!Basic concept of wheelchair is for persons uncapable of move by sitting down. so main focus of study was considered on equipment which on chair. 2. WHEELCHAm MOVEMENT STUDY ANALYSISlThrough movement and test measurement which can be considered as basic study of Ergonomics, observe movement changes accordingly. 3. BACK(MAIN) WHEEL AND HANDRIM MOVEMENT ANALYSIS / Seat and wheel as the most important component of a wheelchair, study the relation of handrim and hand movement and test the most effective and comfortable handrim. Direction of the study was concerntrated on three areas, with results and information collected, would like to suggest design change of X type collapsible chair in areas of size of SEAT(air pocket type), HANDRIM(anti-slip hump), ARMHEST(transfer movement, rubber padding. accent), and HANDLE(adjustable, round type). The content started this study is only one small position of understanding the disabled. Also, the importance of one of many business of assisting disabled rehabilitation. (IJISABLED, REHABILITATION. APPROACH)

• Journal of Korean Society of Coastal and Ocean Engineers
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• v.17 no.4
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• pp.280-293
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• 2005

In this study, a model to calculate the expected total construction cost has been developed by combining a model to calculate the sliding distance of a caisson of a vertical breakwater and a model to calculate the rehabilitation cost of a caisson. The optimal cross-section of a caisson of a vertical breakwater is defined as the cross-section that requires a minimum expected total construction cost within the allowable limit of caisson sliding. Two allowable limits are considered: 0.1 m of the expected sliding distance during the lifetime of the breakwater and 0.1 of the probability that the cumulative sliding distance during the lifetime of the breakwater is greater than 0.3 m. A discount rate has also been introduced to convert the future rehabilitation cost to the present value. The introduction of the discount rate reduces the expected total construction cost for the caissons designed for shorter return periods due to frequent rehabilitations. The present design method requires a smaller cross-section than the conventional deterministic method in shallow water depths, enabling us to design a caisson more economically. On the other hand, the above-mentioned allowable limits of caisson sliding show similar results for smaller water depths, while, for larger depths, the former requires a larger cross-section than the latter.

• The Korean Journal of Rehabilitation Nursing
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• v.3 no.2
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• pp.228-242
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• 2000

Meridian massage is originated from oriental medical manipulation, and it has been mainly applied to as pain and paralysis. The purpose was to develop new method of nursing care for help hemiplegic patients to recover their functions of upper limbs and to reduce depressions. This study was carried out between 8, March, and 8, June, 2000 and the subjects of the study were .60 hemiplegic stroke patients who were participants at a hospitalized in K oriental medical center. The experimental group(30) and the control group(30) were assigned by means of participation order. The experimental group took meridian massage on affected upper limb for 10 minutes daily for 2 weeks. We evaluated muscle power and endurance with band from AVIVA corp.; range of motion with goniometer; shoulder pain with visual analogue scale; swelling with Jeweiers ring measurement of Dirette; depression with self-rating depression scale translated into Korean by Yang(1982). Data were analyzed by SPSS PC and the results are described below. The experimental group showed better muscle power and endurance than control group. Range of motiont of affected shoulder improved significantly in experimental group. Also, the experimental group showed less shoulder pain, hand edema, depression than control group. In this study, we observed that meridian massage is an effective nursing care in improving the function of upper limb and managing depression of stroke patients.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.11 no.4
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• pp.371-376
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• 2017

In this paper, we propose an algorithm that can recognize the pattern regardless of the sensor position when performing EMG pattern recognition using circular EMG system equipment. Fourteen features were extracted by using the data obtained by measuring the eight channel EMG signals of six motions for 1 second. In addition, 112 features extracted from 8 channels were analyzed to perform principal component analysis, and only the data with high influence was cut out to 8 input signals. All experiments were performed using k-NN classifier and data was verified using 5-fold cross validation. When learning data in machine learning, the results vary greatly depending on what data is learned. EMG Accuracy of 99.3% was confirmed when using the learning data used in the previous studies. However, even if the position of the sensor was changed by only 22.5 degrees, it was clearly dropped to 67.28% accuracy. The accuracy of the proposed method is 98% and the accuracy of the proposed method is about 98% even if the sensor position is changed. Using these results, it is expected that the convenience of the users using the circular EMG system can be greatly increased.