• Title/Summary/Keyword: Motor Abilities

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Clinical Study of Old-aged Patients in Traffic Accidents and Admitted For Emergency Treatment (도심 지역에 위치한 일개병원의 고 연령 교통사고 환자에 대한 임상적 연구)

  • Lee, Young Hwan;Song, Hyoung Gon
    • Journal of Trauma and Injury
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    • v.19 no.1
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    • pp.74-80
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    • 2006
  • Purpose: For prevention and suitable administration, the effect of age on the severity of injuries in traffic accidents should be considered when evaluating a patient, but there have not been enough epidemiological studies that evaluate the age factor in traffic accidents. For that reason, we investigated old-aged patients who were involved in traffic accidents (65 years old or more) and who were admitted to the emergency department of a college hospital in an urban city of Korea. Methods: We collected data from traffic-accident patients who came to the emergency room of a university hospital in Seoul from Jan.1, 2004 to Dec.31, 2005. We compared their abilities to ambulate and the RTSs (Revised trauma scores) by using a LSD (least significant difference), linear regression. Results: A total of 1460 patients were included. The mean RTS of all traffic-accident patients was $7.77{\pm}0.280$. The scores for drivers and passengers, motor-cycle drivers and passengers, bicycle drivers and passengers, and pedestrians were $7.79{\pm}0.21$, $7.78{\pm}0.22$, $7.54{\pm}0.25$, $7.77{\pm}0.20$, and $7.80{\pm}0.21$ respectively (p=0.000). There was no statistically significant difference between the RTS of patients over 65 years and that of other patients. In a regression analysis, the number of patients over 45 ages who were able to ambulate was lower than that of younger people, independently of other influencing factors (B=-0.330, R-square = 0.243, p=0.000). Conclusion: We expected that RTS of old age group more than 65 years old will significantly lower than that of others, but there was no statistically significant difference.

Reliability of the Manual Ability Classification System for Children With Cerebral Palsy (뇌성마비 아동에서 손 기능분류체계의 신뢰도)

  • Park, Eun-Young;Lee, Young-Jung;Kim, Won-Ho
    • Physical Therapy Korea
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    • v.17 no.1
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    • pp.62-68
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    • 2010
  • The purposes of this study were to examine inter-rater reliability of the Manual Ability Classification System (MACS) by children's age and to identify the correlation between the MACS and the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP). Twenty-six children with CP older than two years participated. Children with CP were classified according to the MACS and the GMFCS by two physical therapists. Inter-rater reliability was analyzed using the Intraclass Correlation Coefficients (ICCs). The results showed that the reliability of the MACS for children aged 2~3 years was .88 and for children aged above 4 years was .98 (p<.05). Children with quadriplegia had a higher level of MACS than children with spastic hemiplegia and diplegia. A moderate relationship between the MACS and the GMFCS was found in all children (rater 1, r=.631; rater 2, r=.438). The MACS will be used for classification of children with CP according to the manual abilities. Thus, it offers a reliable method for communicating between therapists about the manual ability of children with CP who are older than 2 years.

A Union Model of Human and Agent for Processing the Information of the Complex System (복잡계 정보 처리를 위한 사람과 에이전트의 결합 모델)

  • 고성범;김동근
    • Journal of KIISE:Software and Applications
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    • v.30 no.7_8
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    • pp.752-763
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    • 2003
  • In the large scale B2B transaction like buying ´Express-Train´ or selling ´Daewoo Motor`, a tremendous amount of variables and factors of chaos functionate in it directly or indirectly. To get the effective information processing on the so called complex system like this, it should be possible to unite the human´s ability on the implicit information processing and the agent´s ability on the explicit information processing. In this paper, we suggested a union model for uniting these two heterogeneous abilities and showed how the suggested model can be used for processing the information of such a complex system as B2B negotiation.

A Study on Dynamic Characteristics of Rotating Transmission Using PID Control (PID 제어기를 이용한 회전전동장치의 동특성에 관한 연구)

  • Kim Jae-Kyung;Kim Jong-Tye;Kim Taek-Hyun
    • Transactions of the Korean Society of Machine Tool Engineers
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    • v.14 no.5
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    • pp.41-48
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    • 2005
  • The Rotating transmission is made up of belts, mass disks and gears. This transmission is controlled electro-mechanically by the motor and operation program. The control strategy of the system can be to change belts' stiffness and the masses of mass disk and gear. This system can be modeled as a rigid body, and also finds broad application in such diverse fields as machine tools, the cruise control system In automobiles, and control in the attitude and gimbals of spacecraft. This Transmission proves the necessity and effect of a closed loop control. The study of the Rotating Transmission excited by its base motion is able not only to predict the rotational performance, but to obtain the fundamental data for vibration isolation. In this research, we compared the response characteristics of the two controllers by means of the experiments on PD controller and PID controller added on integral action. Furthermore, we studied the response abilities such as steady state error, overshoot, and ect. and the response velocities such as rising time, settling time, and ect. in the rotating transmission.

The Effects of Modified Constraint Induced Therapy on Upper Extremity Functions of Children With Hemiparesis (수정된 건측 상지 운동 제한 치료가 편마비 아동의 손 기능 향상에 미치는 효과)

  • Ko, Myung-Sook;Jeon, Hye-Seon;Kwon, Oh-Yun;Yoo, Eun-Young
    • Physical Therapy Korea
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    • v.12 no.2
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    • pp.81-89
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    • 2005
  • The purpose of this study was to investigate the effect of Modified Constraint-Induced Therapy (MCIT) on the effected upper extremity of children with hemiparesis. Four children with hemiparetic upper extremity caused by brain injuries were trained by MCIT for ten weeks. During the same period, all of the subjects were also involved in thirty-minute regular physical therapy and occupational therapy. During the treatment period, the unaffected upper extremities of the subjects were restrained by a specially designed hand splint or a mitten for five hours a day, five days per week. For two hours out of the five-hour restraint period, the affected upper extremities were intensively trained by performing various functional tasks, which were individually structured to emphasize use of the affected arm. A single-subject design with A-B-A reversal was employed in this study. The affected limb motor ability was evaluated by Melbourne Assessment, measuring the time to grasp and release nine pegs, and measuring grasping power. As a consequence of this study, the affected limb motor test scores of all four subjects in the baseline period were improved during the treatment period. Furthermore, the treatment effect was maintained during a one-month follow-up period. The results of this study support the assumption that MCIT is an effective therapeutic method to improve the sensory and motor abilities of hemiparetic children. It also increases the frequency of functional use of the hemiparetic hands of brain-injured children. Based on the results of this study, it can also be assumed that the modified CIT method is especially beneficial to these children by reducing the negative emotional effects of forceful restraint of the unaffected upper extremity. To optimize the functional recovery of the paretic upper extremity by CIT, the restriction period per day should be decided individually, according to the characteristics of the individual.

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Effect of Sensory Integration Therapy Combined with Eye Tracker on Sensory Processing and Visual Perception of Children with Developmental Disabilities (아이트래커를 병행한 감각통합치료가 발달장애아동의 감각처리 및 시지각에 미치는 영향)

  • Kwon, So-Hyun;Ahn, Si-Nae
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.3
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    • pp.39-53
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    • 2023
  • Objective : The purpose was the effect of sensory integration therapy combined with an eye tracker on the sensory processing and visual perception of children with developmental disabilities. Methods : It was a single-subject study with a multiple baseline design between subjects, and the intervention applied sensory integration therapy combined with an eye tracker. Visual-motor speed and saccadic eye movements were assessed at each session of baseline and intervention periods. As pre- and post-evaluation, sensory profile, Korean-Developmental Test of Visual Perception and Trail Making Test were conducted. The results of each session evaluation and pre- and post-evaluation researched the effectiveness of the intervention through visual analysis and trend line analysis. Results : As a result of the evaluation for each session, the slope of the trend line for all children in visual-motor speed and saccadic eye movement increased sharply during the intervention compared to the baseline. As a result of the pre- and post-evaluation, the sensory processing of movement, body position, and visual changed from more than that of peers to a level similar to that of peers. In visual perception, all children's ability of Visual Closure increased. As a result of Trail Making Test conducted to confirm the improvement of children's visual tracking and visual-motor abilities, all children showed a decrease in performance time after the test compared to before. Conclusion : It was confirmed that sensory integration therapy combined with an eye tracker for developmental disabilities has effect on sensory processing and visual perception. It is expected to play an important role clinically as it can stimulate children's interest and motivation in line with recent technological improvements and the spread of smart devices.

Assessment of Cognitive Disorders in Alcoholics Using the 7 Minute Screening Battery (주정의존 환자에서 7분선별검사를 이용한 인지장애의 평가)

  • Cheon, Jin-Sook;Yoon, Han-Cheol;Lee, Kwang-Young;Oh, Byoung-Hoon
    • Korean Journal of Biological Psychiatry
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    • v.8 no.2
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    • pp.258-265
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    • 2001
  • Objectives : Chronic alcohol consumption has been known to result in various neurocognitive deficits. Many neuropsychological studies revealed that the major disturbances occurred in the executive function, learning and short-term memory, visuospatial performance function, perceptuo-motor skills, and abstraction and problem solving abilities. This study was done to identify which cognitive areas might be mainly affected. Methods : The cognitive disturbance was evaluated using the Korean Version of the Mini Mental State Examination(MMSEK) and the 7 Minute Screen(7MS) in male inpatients with alcohol dependence(N=3 : as well as in age and education level matched healthy male controls(N=30). Four individual tests of the 7MS were consisted of the Benton Temporal Orientation Test, the Enhanced Cued Recall, the Clock Drawing and the Category Fluency. Results : 1) The average scores of four individual test of the 7MS for the alcoholics were $2.77{\pm}4.38$ for the Benton Temporal Orientation Test, $13.90{\pm}2.02$ for the Memory Test(the Cued Recall $6.77{\pm}1.94$, the Uncued Recall $7.10{\pm}2.45$), $5.84{\pm}1.86$ for the Clock Drawing, and $12.58{\pm}3.29$ for the Category Fluency. Except the Benton Temporal Orientation Test, there were statistically significant differences between test scores of alcoholics and those of controls(p<0.01). 2) The alcoholics who had MMSE-K score <24 were 9.68%. The average(${\pm}S.D.$) score of the MMSE-K for the patient group($27.23{\pm}2.62$) was significantly(p<0.001) lower than that of the healthy controls($29.20{\pm}1.24$). There were no statistically significant differences between four individual test scores of the 7MS of alcoholics with the MMSE-K score <24(N=3) and those of alcoholics with the MMSE-K score ${\geq}24$(N=28). 3) Four individual test scores of the 7MS seemed to have statistically significant association with such variables as MMSE-K, duration of alcohol drinking, blood magnesium concentration, liver function and thyroid function. Conclusion : Mild deficits of cognitive areas such as orientation, memory, visuospatial abilities and verbal fluency could be found in alcohol dependence.

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The Effect of The Virtual Reality Rehabilitation System on Activities of daily living, cognitive function, self-esteem in Stroke (가상현실재활시스템 적용에 따른 뇌졸중 환자의 일상생활활동, 인지기능, 자아존중감의 개선효과)

  • Kim, Young-Geun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5476-5484
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    • 2015
  • The purpose of this study was to verify the clinical usefulness of the virtual reality rehabilitation system which Academic-Industrial cooperation develop through clinical experiment for recovering the functional abilities in stroke. For this purpose, 24 Stroke(hemorrhage13, infarction11)participated in a clinical experiment. They were randomly assigned to the virtual reality rehabilitation system group(n=13) and conventional rehabilitation training(Activities of daily living, cognition training, motor control) group(n=11). All participant were evaluated with three standardized assessment tools(Functional Independent Measure; FIM, Mini-Mental State Examination for Korean; MMSE-K, Self-esteem scale) before and after the planned intervention sessions. All participant were intensively carried out for 8weeks, 3times a week. The results were as follows. The experimental group showed significant improvements for Activities of daily living, basic cognitive abilities and self-esteem related with life satisfaction after the interventions(p<.05). There were no significant differences between two groups for all assessment tool after interventions. Because of this experimental results, the virtual reality rehabilitation system showed the clinical utility for recovering the function in stroke. Further studies are needed to verify the clinical usefulness on the improvement of various functions in brain injury and dementia.

Intelligent Hexapod robot for the support walking of the aged (고령자 보행 지원을 위한 지능형 6족 로봇)

  • Lee, Sang-Mu;Kim, Sang-Hoon
    • 한국HCI학회:학술대회논문집
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    • 2008.02a
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    • pp.534-539
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    • 2008
  • This paper is about intelligent hexapod robot for the support walking of the aged person. The robot using various sensors and small camera has various abilities of forward backward walking, turing left or right, control the speed of walking, avoiding the obstacles and detecting risky situation of fire or gas. To let the aged feel soft and safe walking, we used special servo motor and developed hexapod walking mechanism and effective algorithm.

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Effect of Action Observational Training on Gait in People with Stroke

  • Lee, JongSu;Kim, YoungMi;Lee, DongKyu
    • The Journal of Korean Physical Therapy
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    • v.32 no.1
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    • pp.1-6
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    • 2020
  • Purpose: This study examined the effects of action observational training to improve the gait function for patients with stroke. Methods: The participants were divided into two groups: right hemiplegia group (n=12) and left hemiplegia group (n=12). All groups received conventional therapy for five sessions for 30 minutes, each for three weeks. Left and right hemiplegia group practiced additional action observational training for five sessions for 20 minutes each for three weeks. They participated in three weeks of action observational training coupled with immediate physical practice (intervention), followed by a final assessment. The duration of each action observation video sequence was 10 minutes, followed immediately by practice of the observed motor skill (10 minutes). The gait velocity, cadence, swing time, step length, and BOS (base of support) were examined using the GAITRite system. Results: The results of this study showed significant improvement in the gait function. The outcomes of the gait abilities from gait velocity, cadence, swing time, step length of the affected side, and BOS (base of support) were improved significantly in the right hemiplegia group (p<0.05). In the left hemiplegia group, there was no significant improvement in the gait velocity, cadence, and BOS except for the swing time and step length of the affected side. The left and right group comparisons between the groups were not significant (p<0.05). Conclusion: Action observation training improves the gait function. These results suggest that action observational training is feasible and suitable for stroke patients.