• 제목/요약/키워드: Internal Balance

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척추기저동맥박리에 의한 소뇌경색 환자 한방치험 1례 (A Case Report of a Patient with Cerebellar Infarction with Vertebrobasilar Artery Dissection)

  • 이수영;황규상;김두리;윤종민;문병순
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.709-718
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    • 2017
  • Objective: This study is a report on a case of cerebellar infarction with vertebrobasilar artery dissection which was improved by Korean medicine. Methods: A 63-year-old man diagnosed with cerebellar infarction with vertebrobasilar artery dissection was admitted to hospital for 86 days and treated with Korean medicine (acupuncture and herbal medicine) and rehabilitation treatment. Clinical symptoms were assessed with a Modified Barthel index, functional independent measurement, Berg balance scale, manual muscle test, and a visual analogue scale. Result: After treatment, the clinical symptoms were improved, and the evaluation index scores (modified Barthel index, functional independent measurement, Berg balance scale) increased. Conclusion: Korean medicine may be a meaningful treatment for patients with cerebellar infarction with vertebrobasilar artery dissection.

뇌졸중 환자에 대한 기능적 보행평가의 신뢰도 (Reliability of the Functional Gait Assessment in Patients With Stroke)

  • 원종임;유경훈
    • 한국전문물리치료학회지
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    • 제18권1호
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    • pp.64-73
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    • 2011
  • After stroke, many people have problems with balance during movement. Balance is essential for the optimal functioning of the locomotor system and the performance of many activities of daily living. The Functional Gait Assessment (FGA) is a clinical tool for evaluating balance ability during walking. The test consists of ten tasks, seven tasks of the Dynamic Gait Index and three additional tasks. The purpose of this study was to evaluate the reliability and internal consistency of data obtained with the Korean version of the FGA when used with people after suffering a stroke. One-hundred participants, at least three months poststroke and able to walk at least six meters with or without a walking aid, participated in the study (age range=30~83 years; $mean{\pm}SD=58.8{\pm}10.9$). Two physical therapists and two physical therapy students rated the FGA. Intrarater and interrater reliability of the FGA were assessed using kappa statistic and intraclass correlation coefficients (2,1). The internal consistency of the FGA was assessed using the Cronbach alpha. The Cronbach alpha was good (${\alpha}$=.86~.93). The intrarater (intraclass correlation coefficient=.92~.95) and interrater reliability (intraclass correlation coefficient=.91, .95) of the total scores administered by the therapists and students were good, whereas the reliability for single item scores when administered by the physical therapists was moderate to good (kapa value=.42~.97). This study found that intrarater and interrater reliability for total FGA scores and internal consistency were good. Therefore, the Korean version of the FGA can be used as a reliable tool to assess the functional gait performance of patients after stroke.

조명기구를 통한 내부획득열 추정을 위한 고단열실 및 조명기구의 열적 모델링 (Thermal Modeling of Quasi-Adiabatic Room and Lighting Fixture for Estimation of Internal Heat Gain by Luminaires)

  • 박혜리;최은혁;이광식
    • 조명전기설비학회논문지
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    • 제26권5호
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    • pp.1-12
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    • 2012
  • In order to reduce energy consumption and greenhouse gas emission in building domain, thermal insulation of building is being enhanced. In a well insulated and tightened environment, internal heat gain caused by solar radiation, luminaires, electronic appliances and metabolism can be more important to thermal condition of building. This paper presents mathematical/physical models of quasi-adiabtic room and lighting fixtures using heat balance equation and thermal-electric analogy to quantify and modelize the heat gain due to luminaires. Experimental results are used to identify thermal parameters of theoretical models. And simulation results of models using Matlab/Simulink are conducted to verify the models and to investigate the thermal effect of lighting fixtures into quasi-adiabatic room.

원인 불명의 보행장애 환자에 대한 FCST 활용 1례보고 (One Case of Gait disturbance Managed by appliance of FCST)

  • 김용혁;이영준;조현경;김윤식;설인찬;유호룡
    • 혜화의학회지
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    • 제21권2호
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    • pp.121-125
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    • 2013
  • Objectives : The report intended to estimate effect taken by using FCST(functional cerebrospinal technique) on the patient with one gait disturbance case. Methods : A gait disturbance one case with 2 weeks of duration was managed by the Balance Appliance on temporomandibular joint (TMJ), combined with acupuncture and herbl medicine. Results : After being treates for 2 weeks, the patint's 10mWT were improved. Assessment was made by self assessment of subjective symptoms and clinical observation. Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.

한국어판 플러턴 어드밴스드 균형 척도의 신뢰도와 타당도 연구 (Reliability and Validity Study on the Korean Version of the Fullerton Advanced Balance Scale)

  • 김경모
    • 한국전문물리치료학회지
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    • 제23권1호
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    • pp.31-37
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    • 2016
  • Background: The assessment tool developed in other countries should be translated into Korean language using rigorous methodological approaches in order to be used in Korea. Because these procedures are insufficient for establishing the cross-cultural and linguistic equivalence, the need for statistical methods is raised. The Fullerton Advanced Balance Scale was translated into Korean and the content validity was verified through the back translation method, but the reliability and validity have not yet been proven by statistical methods. Objects: The purpose of this study was to investigate the reliability and validity of the Korean version of the Fullerton Advanced Balance Scale (KFAB) by statistical methods in elderly people. Methods: A total of 97 elderly adults (39 males and 58 females) participated in this study. Internal consistency of the KFAB was measured using Cronbach's alpha and an intraclass correlation coefficient (ICC) was used to assess test-retest reliability between the two measurement sessions. Concurrent validity was measured by comparing the KFAB responses with the Korean version of the Berg Balance Scale (KBBS) using the Spearman correlation coefficient. Construct validity of the KFAB was measured using the exploratory factor analysis to evaluate the unidimensionality of the questionnaire. The significance level was set at ${\alpha}=.05$. Results: The internal consistency of the KFAB was found be adequate with Cronbach's alpha (.96), and test-retest reliability was excellent as evidenced by the high ICC (r=.996). Concurrent validity showed high correlation between the KFAB and KBBS (r=.89, p<.001). Construct validity was evaluated using exploratory factor analysis. The result from Bartlett test of sphericity was statistically significant (p<.001), and the value of Kaiser-Meyer-Olkin measure of sampling adequacy was .93. Exploratory factor analysis revealed the existence of only one dominant factor that explained 76.43% of the variance. Conclusion: The KFAB is a reliable, valid and appropriate tool for measuring the balance functions in elderly people.

승마시뮬레이션 훈련이 다운증후군 아동의 배근육 두께와 기능적 균형에 미치는 영향 (The Effects of Horseback Riding Simulation Training on the Thickness of Abdominal Muscles and Functional Balance in Children with Down Syndrome)

  • 권해연;김병조
    • 대한통합의학회지
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    • 제6권4호
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    • pp.127-137
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    • 2018
  • Purpose : The purpose of this study has been performed to find the effect of horseback riding simulation training on the thickness of abdominal muscles and functional balance in children with down syndrome. Methods : This study included 10 children with down syndrome aged between 7 and 13 years. Both groups received regular neurodevelopmental treatment, also experimental group was performed for additional 15 minutes horseback riding simulation training for twice a week during 8 weeks. We measured the thickness of abdominal muscles by using ultrasonography and measured of functional balance by using Pediatric Berg's Balance for the subjects agreed to the before, after 4 weeks and 8 weeks the training. Results : There were no significant difference in the thickness of the internal oblique and external oblique muscles. There were significant difference in transverse abdominis thickness and functional balance that experimental group had increased average than control group after 4 weeks and 8 weeks training Conclusion : Horseback riding simulation training has a positive effect on the improvement of transverse abdominis muscle thickness and functional balance in children with down syndrome.

Development of a Ventilation Model for Mushroom House Using Adiabatic Panel

  • Kim Kee Sung;Han Jin Hee;Kim Moon Ki;Nam Sang Woon
    • 한국농공학회논문집
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    • 제46권7호
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    • pp.35-44
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    • 2004
  • In this study, a ventilation model was developed to determine a ventilation rate for the balance of heat, moisture and $CO_{2}$ in a mushroom house. Internal and external temperature, relative humidity and $CO_{2}$ concentration were measured and used to validate the ventilation model. The effects of various environmental factors on physiological responses of mushroom were also investigated. The verified model was simulated under the observed ventilation rates with a difference of$ 0.001{\~}0.065\;m^{3}{\cdot}S^{-1}$ (relative error of $0.3{\~}18.9\%$) when external temperature varied 22.5 to $24.8^{circ}C$ and average ventilation rates was $0.35m^{3}{\cdot}S^{-1}$. The optimal conditions for mushroom growth (internal temperature $22 ^{circ}C$, relative humidity $80\%$, $CO_{2}$ concentration 1,000 ppm) were used for the model application with external temperature, relative humidity and $CO_{2}$ concentration of $27.5{\~}33.5^{circ}C$, $60\%$, and 355 ppm, respectively. Thermal balance was a important factor for an optimum ventilation up to the external temperature of $32^{circ}C$, while $CO_{2}$ concentration balance was more important over $32^{circ}C$. This suggests that humidification for moisture balance is required to maintain temperature and $CO_{2}$ concentration at an optimal level by ventilation in a mushroom house.

만성 뇌졸중 환자의 자세 조절과 일상생활동작, 근긴장도, 그리고 기능증진과의 관계 (The Relationship Between Postural Control, ADL Function, Muscle Tone, and Functional Improvement in Chronic Stroke Patients)

  • 안승헌;서영종;박창식
    • 한국전문물리치료학회지
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    • 제14권1호
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    • pp.64-73
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    • 2007
  • The purpose of this study was to find any correlations among Postural Assessment Scale for Stroke (PASS), Modified Barthel Index (MBI), Tone Assessment Scale (TAS), Motor Assessment Scale-Gait (MAS-G), Fugl Meyer-Balance (FM-B), and to predict MBI from subscales of the PASS. The subjects were 41 stroke patients of the Korea National Rehabilitation Center in Seoul. The main outcome measures were postural control (PASS), gait (MAS-G), Balance (FM-B), Tone (TAS), ADL (MBI). The data was analyzed using the Pearson product correlation. PASS scale was used between other clinical and instrumental indexes, multiple stepwise regression analyses were performed to identify prognostic factors for ADL incline, and Cronbach's alpha coefficient was used to identify internal consistency on PASS scale. The results of this study areas follows: 1. The highest level was sitting without support, the lowest level was standing on paretic leg on PASS scale. The highest level was chair/bed transfer, the lowest level was bathing on MBI. 2. All items of the PASS, except postural tone were significantly correlated with Gait, Balance, MBI (p<.01), 3. The Internal Consistency (Cronbach's alpha coefficient=.85) was very high, indicating that the PASS is homogeneous and is likely to produce consistent response. Furthermore, the sums of maintaining position items and of changing-position items were strongly correlated (r=.64, p<.05) and there were significant correlations between sums of PASS, sums of maintaining position items (r=.87, p<.01), and changing-position items (r=.93, p<.01). 4. The standing without support of the PASS items was the strongest variance ($R^2$=.85) of the predicting ADL function. These findings provide strong evidence of the predictive value of the postural control on gait, Balance, ADL function in stroke patients and to can provide a reference for the successful therapeutic program and more improved functional recovery.

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탄력밴드를 이용한 팔과 다리 협응 훈련이 만성 뇌졸중 환자의 균형 및 기능에 미치는 영향 (The Effect of Upper and Lower Extremity Coordination Training with Elastic Band on Balance and Functional Ability for Chronic Stroke Patients)

  • 김희동;최재원;조용호
    • PNF and Movement
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    • 제17권1호
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    • pp.119-127
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    • 2019
  • Purpose: The purpose of this study is to show the effect of elastic band on balance and functional ability in chronic stroke patients living in community. Methods: The subjects who participated in the study were 9 patients with chronic stroke. One of them gave up during the study, finally 8 patients performed. The intervention was conducted once a week for 10 weeks. In this study functional reach test (FRT), timed up and go test (TUG), Tinetti performance oriented mobility assessment (Tinetti-POMA) were measured for balance. The coordination training of arms and legs using the elastic band was performed in three positions as supine, side lying, sitting. One arm performed flexion-adduction- external rotation with elbow flexion pattern and the opposite side(diagonal) leg was performed flexion-adduction-external rotation with knee flexion pattern, the other arm's pattern was extension-abduction-internal rotation with elbow extension and the opposite side (diagonal) leg was in extension-abduction-internal rotation with knee extension pattern. The training was performed in each position for 15 minutes in per position. The participants had a five minute break after each training. Results: The results are as follows. FRT and Tinetti-POMA showed significant increase statistically in each position. The TUG showed significant decrease statistically in each position. Conclusion: Even though the coordination training with elastic band had performed once a week, it showed positive effects on balance in chronic stroke patients. Therefore, if we can suggest the appropriate frequencies of coordination training of arms and legs using the elastic band, it can be a method to improve daily life and life quality to patients with chronic stroke.