• The Journal of Korean Physical Therapy
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• 제23권5호
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• pp.49-56
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• 2011

Purpose: The purpose of this study was to investigate the kinematic characteristics and muscle activities during the following two conditions: transition from half-kneel to standing on the affected leg and non-affected leg. Methods: Twenty-one hemiplegic patients participated in the study. A motion analysis system was used to record the range of motion and angle velocity of the hip, knee and ankle from the half-kneel to the standing position. Electromyography was used to record the activity of 4 muscles. Results: The statistical analysis showed that the minimum ROM of the hip joint was less on the affected leg during transition from half-kneel to standing. However, the minimum ROM of the knee and ankle joints was less on the non-affected leg during transition from half-kneel to standing. The angle velocity of the knee and ankle joints was less during transition from half kneeling to standing on the non-affected leg. Muscle activity of the rectus femoris and tibialis anterior was less while moving from half-kneel to the standing position on the affected leg. Conclusion: These results show that greater active ROM of the knee and ankle was required on the affected leg for transition from half-kneel to the standing position than for normal gait. Muscle activity of the rectus femoris and tibialis anterior is normally required for movement from the half-kneel to the standing position during normal gait. Further studies are needed to investigate the antigravity movement in healthy subjects and hemiplegic patients in order to completely understand the normal and abnormal movement from the half-kneel to the standing position.

• 한국컴퓨터정보학회논문지
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• 제19권8호
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• pp.119-127
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• 2014

본 논문에서는 편마비 환자는 정상인과 다른 보행 특성을 가지므로 본 논문에서는 이들의 특성을 반영하여 보행자세를 측정하고 실시간 3차원 그래픽으로 보여주는 시스템을 개발하였다. 환자는 허벅지, 종아리 및 발에 각각 센서 모듈을 착용하며, 측정 정밀도를 높이기 위하여 각 모듈에는 3축 가속도 센서와 3축 자이로 센서를 조합하여 적용하였다. 보행자세 디스플레이를 위하여 센서 모듈들로부터 수신한 데이터를 활용하여 허벅지, 종아리 및 발을 3차원 모형으로 모델링하여 실시간으로 화면에 보여주도록 하였으며, 편마비 환자의 특이한 보행 자세를 분석하기에 편리하도록 사용자의 보는 각도를 임의로 변화시킬 수 있도록 하였다. 또한 측정된 자세 정보를 활용하여 RLA(Rancho Los Amigos) 보행 주기의 단계별 진행되는 과정을 실시간으로 판단하여 화면에 표시할 수 있도록 함으로써 진행 단계 및 단계별 소요시간을 통하여 보행의 특성을 평가할 수 있도록 하였다.

• 한국인터넷방송통신학회논문지
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• 제19권3호
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• pp.115-120
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• 2019

뇌졸중 후 편마비(Hemiplegic) 환자들의 상지기능 저하는 손을 많이 쓰는 일상생활 수행에 있어서 신체적 동작뿐만 아니라 심리적인 불편함이 매우 크다. 본 논문에서는 편마비 환자들의 상지기능 개선을 위하여 자체 제작한 상지 재활 보조장치를 이용하였다. 이 장치는 팔이 움직일 수 있는 관절가동범위(Range Of Motion)와 손의 악력 크기를 사용하여 훈련 콘텐츠를 수행할 수 있다. 이 장치를 이용한 훈련 콘텐츠는 환자의 흥미와 능동적인 참여를 유도하기 위해 VR(Virtual Reality)로 구현되었으며, 환자 혼자서 훈련하는 심리적 부담을 덜어주기 위해 멀티플레이 환경으로 구성하여 환자의 재활훈련에 간병인이 함께 참여할 수 있도록 하였다. 본 연구에서 제작된 장치와 훈련 콘텐츠를 사용하여 손의 악력 크기와 팔의 관절가동범위의 변화를 정량적으로 측정하고 시각적으로 보여줌으로써 환자나 간병인이 쉽게 상지기능 개선정도를 확인할 수 있는 장점이 있다.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2003년도 춘계학술대회논문집
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• pp.899-902
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• 2003

This study was tested for the bending stress analysis of hand spl int for Hemiplegic Patients. Hemiplegia was represented the stroke and the cerebral palsy. Hand splints of four materials was an Orthoplast hand splint, a Polypropylene hand splint, a Yogips hand splint and an Aluminum hand splint. The Stress Analysis system was made by the electronic oscilloscope, strain gage sensors, amplifier, A/D converter, PC with C program. It will be able to using the important data in spl int design. The results of analysis were obtained various different graphes and maximum data in an Orthoplast hand splint, a Polypropylene hand splint, a Yogips hand splint and an Aluminum hand spl int.

• PNF and Movement
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• 제16권1호
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• pp.27-32
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• 2018

Purpose: This study examined changes in gait speed and stride length after an intervention involving simultaneous scapular and pelvic patterns of proprioceptive neuromuscular facilitation in a hemiplegic patient. Methods: A 58-year-old woman with left hemiplegia who had complained of slowness of gait speed and weakness of leg strength took part in an intervention involving scapular postdepression patterns on the affected side and pelvic postdepression patterns on the nonaffected side. The intervention was performed with the patient lying on her left side, in a half kneeling position, and in a standing posture. Rhythmic initiation was used for teaching the movements to the patient and improvement of kinesthesia, and a combination of isotonic was employed for increasing strength and irradiation of the scapula and pelvic movement. The intervention took place for 30 min. It was implemented twice a day, 5 days a week, for 3 weeks. After three repetitions, the average time taken to complete the 10-m walk test (10 MWT), in addition to stride length, was measured to determine gait speed. Results: After the 3-week program, the patient's performance in the 10 MWT improved from 21.7sec to 17.1sec, and her stride length improved from 31.4cm to 38.7cm. Conclusion: The results showed that trunk movement exercise, especially coordinative movements of the scapula and pelvis can improve gait speed and stride length by increasing trunk stability and mobility. A combination of pelvic and scapular patterns can facilitate trunk rotation, thereby improving gait speed and stride length.

• 대한의용생체공학회:의공학회지
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• 제43권5호
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• pp.361-368
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• 2022

The purpose of this study was to develop a hand rehabilitation training system for hemiplegic patients. We also tried to find out five hand postures (WF: Wrist Flexion, WE: Wrist Extension, BG: Ball Grip, HG: Hook Grip, RE: Rest) in real-time using multi-channel EMG-based deep learning. We performed a pre-processing method that converts to Spider Chart image data for the classification of hand movement from five test subjects (total 1,500 data sets) using Convolution Neural Networks (CNN) deep learning with an 8-channel armband. As a result of this study, the recognition accuracy was 92% for WF, 94% for WE, 76% for BG, 82% for HG, and 88% for RE. Also, ten physical therapists participated for the usability evaluation. The questionnaire consisted of 7 items of acceptance, interest, and satisfaction, and the mean and standard deviation were calculated by dividing each into a 5-point scale. As a result, high scores were obtained in immersion and interest in game (4.6±0.43), convenience of the device (4.9±0.30), and satisfaction after treatment (4.1±0.48). On the other hand, Conformity of intention for treatment (3.90±0.49) was relatively low. This is thought to be because the game play may be difficult depending on the degree of spasticity of the hemiplegic patient, and compensation may occur in patient with weakened target muscles. Therefore, it is necessary to develop a rehabilitation program suitable for the degree of disability of the patient.

• 대한물리치료과학회지
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• 제8권2호
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• pp.1099-1104
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• 2001

The purpose of this single subject case study was to evaluate the effectiveness of a swedish knee cage worn to prevent genu recurvatum in right spastic hemiplegic with cerebral palsy. The subject was a 6-year-old female who had right side hemiparesis with genu recurvatum on affected side for the 18 month from January 1998 to June 1999. As a result, genu recurvatum of the patient was reduced the 7 degree after the putting on the swedish knee cage.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.674-682
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• 2009

본 연구는 편마비 환자에게 수중 걷기 훈련이 미치는 영향에 대해 알아보고자 10주간 수중 걷기 훈련과 지상 걷기 훈련 후 족저압, 거골하관절의 움직임, 보향각, 보행 속도를 측정하였다. 대상자는 20명으로 수중걷기 훈련 그룹(n=10)이 엄지발가락 영역, 뒤꿈치영역, 발허리부분의 족저압이 유의하게 증가하였고, 거골하관절의 움직임과 보향각이 안정화되었으며, 보행 속도 또한 증가함을 보였다. 보행 속도의 증가와 거골하 관절의 움직임 안정화와 보향각의 감소는 수중 걷기가 편마비 환자의 보행 속도 뿐만아니라 보행의 안정화에도 영향을 미친다고 생각되어진다. 또한 엄지발가락 영역과 뒤꿈치 영역의 족저압 증가는 보행시 뒤꿈치 닿기와 발가락 밀기 동작의 회복으로 해석되어진다. 이와 같은 결과로 볼때, 현재 사용되고 있는 치료사에 의한 전문적인 물리치료를 받지 못하는 환자들의 경우 스스로 수중 걷기 훈련만으로도 지상 걷기에 비하여 많은 효과를 볼 수 있을 것으로 기대된다.

• 한국멀티미디어학회논문지
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• 제20권12호
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• pp.1980-1991
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• 2017

Many stroke patients undergoing rehabilitation therapy require a quantitative indicator for the evaluation of body function in paretic and non-paretic regions. In this study, the impedance parameters were acquired to assess the physical status in the upper extremity of thirty six stroke patients with hemiplegia caused by cerebral hemorrhage (10 patients) and cerebral infarction (26 patients), using bioelectrical impedance. Prediction marker (PM), phase angle (PA), PM/PA, and resistance (R) versus reactance ($X_c$) were utilized to evaluate the functional status of the paretic and non-paretic regions. In addition, the hand grip strength (HGS) and the pinch strength (lateral, palmer, tip) were measured on the upper extremity of hemiplegic stroke patients. PM was distributed in inversely proportional to HGS, but PA was distributed in proportional to HGS. However, there were a number of patients with HGS of 0, regardless of the impedance parameters (PM, PA, R vs. $X_c$). Paretic and non-paretic status in upper extremity of these patients could not be analyzed using impedance parameters. At the rehabilitation therapist's instructions, they were unable to move the hand and fingers of the paretic upper extremity by cranial nerve damage, motor nerve damage, and severe cognitive decline.

• 대한물리의학회지
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• 제2권2호
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• pp.125-134
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• 2007

Purpose : This study is to determine effects of cane-shape which influenced on the change of muscle activation, gait component in hemiplegic patients caused by cerebrovascular accident. Methods : Twenty one stroke patients using T-shape cane(TCG) and twenty one stroke patients using I-shape cane(ICG) participated in this study. Surface electromyography(SEMG) of erector spinae, transvers abdominis, tibialis anterior, soleus of both side were measured during walking without cane and walking with cane. Results : The activation of tibialis anterior was significantly increased in affected side of ICG. The activation of tibialis anterior was significantly decreased in affected side of TCG. The activation of soleus was significantly increased in affected side of ICG. The activation of soleus was significantly decreased in affected side of TCG. The activation of erector spinae was significantly increased in nonaffected side of ICG and TCG. The activation of transvers abdominis was significantly increased in nonaffected side of ICG and TCG. Conclusion : From the finding of this study, it was suggested that I-shape cane increase weight bearing of affected side in hemiplegic patient. Therefore, I-shape cane can be applied to improve gait asymmetry of hemiplegic patients.