• Title/Summary/Keyword: Motor Unit

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Anterior Talofibular Ligament and Superior Extensor Ankle Retinaculum Thicknesses: Relationship with Balance

  • Malloy, Brooke;Furrow, David;Cook, Haily;Smoot, Elizabeth;Cash, Lindsey;Aron, Adrian;Jagger, Kristen;Harper, Brent
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.173-182
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    • 2019
  • Purpose: This study determined if anterior talofibular ligament (ATFL)/superior extensor ankle retinaculum (SEAR) thicknesses are related to dynamic balance in individuals with chronic ankle instability (CAI). Materials and Methods: The subjects were 14 males and 15 females (age=24.52±3.46 years). Ankle instability was assessed using the Cumberland Ankle Instability Tool (CAIT) with a cut off score of 25 to define two groups. SonoSite MTurbo (Fugifilm Sonosite, Inc.) musculoskeletal ultrasound (MSKUS) unit was used to assess ATFL and SEAR thicknesses. Dynamic balance was measured with the Y Balance Test (YBT) and two NeuroCom balance tests. Results: There were no significant differences in the average ATFL thickness between stable and unstable ankles in those subjects with CAI (0.25±0.03 cm and 0.21±0.05 cm, respectively) or in the SEAR thickness (0.09±0.04 cm and 0.10±0.03 cm, respectively). There were also no significant differences in the right and left ATFL thicknesses (0.23±0.07 cm and 0.21±0.04 cm, respectively) or the SEAR thicknesses (0.09±0.01 cm and 0.09±0.01 cm, respectively) in those without CAI. There were no differences between limbs in composite scores on YBT in those with CAI (p=0.35) and those without CAI (p=0.33). There was a moderate correlation between the left SEAR thickness and the large forward/backward perturbations on the NeuroCom (Natus) motor control test (r=0.51, p=0.006 and r=0.54, p=0.003, respectively). Conclusion: There were no differences in the ATFL/SEAR thicknesses or balance measures between or within the groups, likely because CAI is multi-factorial and related to mechanisms other than tissue changes alone. More sensitive technology and a better definition of the measurement process may provide more definitive results.

Physiologic state and behavioral response to sponge bathing in premature infants (스폰지 목욕에 대한 미숙아의 생리적상태 및 행동반응)

  • Lee Hae Kyung;Hong Kyung Ja;Nam Eun Sook;Lee Young Hee;Jung Eun Ja
    • Child Health Nursing Research
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    • v.6 no.1
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    • pp.32-50
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    • 2000
  • A descriptive exploratory design was used in this study to evaluate the effects of sponge bathing on physiological(heart rate, heart period, vagal tone, oxygen saturation, respiration) and behavioral responses in newly born 40 preterm infants from intensive care unit of S University Hospital in Seoul. Data has been collected from October, 1997 to March, 1999. The infants were between 27-33 weeks gestational age at birth, and were free of congenital defects. The subjects entered the protocol when they were medically stable (determined by initiation of feeding and discontinuation of all respiratory support) but still receiving neonatal intensive care. The infants' physiologic parameters were recorded a 10 - minute before, during, and after bathing. Continuous heart rate data were recorded on a notebook computer from the infant's EKG monitor. The data were digitized off-line on software(developed by Lee and Chang in Wavelet program) which detected the peak of the R wave for each heart beat and quantified sequential R-R intervals in msec(i.e. heart periods). Heart period data were edited to remove movement artifact. Heart period data were quantified as : 1) mean heart period; 2) vagal tone. Vagal tone was quantitfied with a noninvasive measure developed by Porges(1985) in Mxedit software. To determine behavioral status, tools were developed by Scafidi et al(1990) were used. Collected data were analyzed with the SPSS program using paried t-test, ANOVA, and Pearson correlation. The result were as follow. 1. The results of the ANOVAs indicated that vagal tone were signifcantly lower during bathing than baseline and post-bathing. There were significant differences in heart period and heart rate levels across the bathing. But the mean oxygen saturations and respirations were no differences. Also, there were no significant differences on behavioral sign, motor activity, behavioral distress, weight changes, morbidity, and hospitalization period. 2. To evaluate the relation between vagal tone and subsequent parameters, the two groups (the high group had 19 subjects and low group had 21subjects) were divided by the mean baseline vagal tone. Vagal tone measured prior to bathing were significantly associated with respiration before bathing, vagal tone during bathing, and the magnitude of change in both vagal tone. But, other subsequent reactivities were no differences in two groups. 3. Correlations were also calculated between vagal tone and the subsequent physiological reactivities from baseline through after- bathing. Correlations were significant between baseline vagal tone and baseline heart rate, between baseline vagal tone and baseline heart period, between baseline vagal tone and oxygen saturation after bathing. In summary, the bathing in this study showed a stressful stimulus on premature infants through there was significance in the physiological parameters. In addition, our study represents the documentation that vagal tone reactivity in response to clearly defined external stimulation provides an index of infant's status.

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Health-Related Quality of Life in the Early Childhood of Premature Children (미숙아로 출생한 유아의 건강 관련 삶의 질 정도와 영향요인)

  • Lim, Eun-Hee;Ju, Hyeon-Ok
    • Child Health Nursing Research
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    • v.21 no.1
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    • pp.37-45
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    • 2015
  • Purpose: In this study, a comparison was done of the extent of health-related quality of life (HRQoL) for preterm and fullterm children during early childhood, and factors affecting HRQoL in the early childhood of premature children were analyzed. Methods: Eighty mothers of children born prematurely and 83 mothers of children born at fullterm listed on two Internet cafes were sampled for this study. The major instrument used for the study was the TNO-AZL Preschool Quality Of Life (TAPQOL) questionnaire. Results: Total score for HRQoL in the premature group was 80.5 (${\pm}9.9$) and for the full term group, 85.0 (${\pm}8.3$), on a 100-point scale. A comparison of the premature group and full term group showed that the domains which scored relatively lower with respect to HRQoL included the stomach, motor function, anxiety, liveliness and communication. Among the factors that have an impact on HRQoL were 'length of stay in neonatal intensive care unit (${\geq}7$ days)' and 'birth weight (<1,000 gm)'. The explanation power of the model was 17%, which was statistically significant. Conclusion: These findings indicate that a differentiated premature infant follow-up program for children who are hospitalized over 7 days in NICU or weighed under 1,000g at birth is urgently needed.

Studies on Photoprotection of Walnut Veneer Exposed to UV Light (자외선 노출에 의한 Walnut 베니어의 광 변색 방지 연구)

  • Park, Se-Yeong;Hong, Chang-Young;Kim, Seon-Hong;Choi, June-Ho;Lee, Hyo-Jin;Choi, In-Gyu
    • Journal of the Korean Wood Science and Technology
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    • v.46 no.3
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    • pp.221-230
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    • 2018
  • The purpose of this study was to evaluate the effect of several chemical treatments to prevent photodegradation of wood veneer by external UV (Ultraviolet) light. Of woods, walnut veneer is selected as a raw material for this study since it is known as a luxurious wood with dark color giving an esthetic effect. Alcohol-benzene, hydrogen peroxide ($H_2O_2$) and sodium hypochlorite (NaClO) solution were used for investigate the effect on color stabilization. Despite the removal of the extractive compounds, which is known as a discoloration component, a significant color change of walnut wood veneer was observed. Meanwhile, the veneers treated by 20 and 30% $H_2O_2$ solution at $75^{\circ}C$ for 1 h also showed the no positive effect of color stability exposed to UV light although they have a bleaching effect on wood veneer. Besides, it was difficult to maintain the original color of walnut veneer due to the elution of the extractive compounds. On the other hands, the veneer treated by NaClO solution indicated the good performance on color stability despite of the intensive UV light test. However, when the concentration exceeds 3%, surface roughness and fiber damage occurred simultaneously. Therefore, the walnut species should be treated with proper concentration when sodium hypochlorite is applied to the veneer.

A Study on Vibration & Noise Reduction of Fast Back Feeding Device for Manufacturing Process (제조공정용 Fast Back 이송장치 진동·소음 저감에 관한 연구)

  • Han, Doo-Hee;Lee, Seung-Hun;Son, Yung-Deug
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.642-648
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    • 2019
  • This paper presents a fast back-type transfer device for snack food processing that uses the inertia of transferred material. A conventional conveying system is a drive system that uses a belt conveyor and mechanical crank, which generate noise and vibration and cause environmental pollution. Vibration and noise are reduced in the proposed fast back feeding device by using a counterweight. The crank drive unit was replaced with a linear servomotor, and an equilibrium device was designed to balance the force due to acceleration. This makes it is possible to adjust the forward and backward speed and acceleration through PLC control. A vibration damper device offsets the vibration force of the periodic shock form. The main cause of the vibration was identified through vibration analysis, and reduction measures were established. We verified the effectiveness of the vibration by making a prototype and performing about 10 vibration tests. Because no mechanical transducer is needed, energy loss, noise, and vibration do not occur, and the operating speed is not limited.

Design of IIR Structure Active Mufflers using Stabilized Filter Algorithms (안정화 필터 알고리즘을 적용한 IIR 구조 능동 머플러의 설계)

  • Ahn, Dong-Jun;Nam, Hyun-Do
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.570-575
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    • 2019
  • Active muffler is implemented by applying active noise control technique to reduce exhaust noise of automobile muffler. Conventional Filtered_x LMS algorithm has a problem that the degree of control filter becomes very large and convergence deteriorates when acoustic feedback is present. The recursive LMS algorithm can compensate for this problem because it can be easily diverted in the adaptive filter adaptation process. In this paper, the structure of the primary path and the secondary path transfer function is designed as the IIR filter to improve the convergence performance and the computational burden, and the stabilization filter algorithm is applied to secure stability which is a disadvantage of the IIR filter structure. The stabilization filter algorithm plays a role of pulling the pole into the unit circle to prevent the pole of the transfer function corresponding to the acoustic feedback from diverging during the adaptation process. In this way, the computational burden of the active muffler system and the convergence performance can be improved. In order to show the usefulness of the proposed system, we compared the performance of the proposed Filtered_x LMS algorithm with the performance of the proposed system for the exhaust sound of a diesel engine, which is a variable environment. Compared to conventional algorithm, proposed algorithm's computational burden is less than half, and convergence performances are more than 4 times.

Research on Longitudinal Slope Estimation Using Digital Elevation Model (수치표고모델 정보를 활용한 도로 종단경사 산출 연구)

  • Han, Yohee;Jung, Yeonghun;Chun, Uibum;Kim, Youngchan;Park, Shin Hyoung
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.20 no.6
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    • pp.84-99
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    • 2021
  • As the micro-mobility market grows, the demand for route guidance, that includes uphill information as well, is increasing. Since the climbing angle depends on the electric motor uesed, it is necessary to establish an uphill road DB according to the threshold standard. Although road alignment information is a very important element in the basic information of the roads, there is no information currently on the longitudinal slope in the road digital map. The High Definition(HD) map which is being built as a preparation for the era of autonomous vehicles has the altitude value, unlike the existing standard node link system. However, the HD map is very insufficient because it has the altitude value only for some sections of the road network. This paper, hence, intends to propose a method to generate the road longitudinal slope using currently available data. We developed a method of computing the longitudinal slope by combining the digital elevation model and the standard link system. After creating an altitude at the road link point divided by 4m based on the Seoul road network, we calculated individual slope per unit distance of the road. After designating a representative slope for each road link, we have extracted the very steep road that cannot be climbed with personal mobility and the slippery roads that cannot be used during heavy snowfall. We additionally described errors in the altitude values due to surrounding terrain and the issues related to the slope calculation method. In the future, we expect that the road longitudinal slope information will be used as basic data that can be used for various convergence analyses.

The Effects of Computer-Based Cognitive Rehabilitation and Traditional Cognitive Training on the Working Memory and Executive Function in Patients with Mild Traumatic Brain Injury (전산화 인지재활과 전통적 인지훈련이 경도 외상성 뇌손상 환자의 작업기억과 실행기능에 미치는 영향)

  • Moon, Jong-Hoon;Yang, Seung-Bum;Jeon, Min-Jae
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.6
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    • pp.277-286
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    • 2019
  • The aim of this study was to investigate the effects of computer-based cognitive rehabilitation and traditional cognitive training on the working memory and executive function of patients with mild traumatic brain injury. The sample consisted of 20 patients with mild traumatic brain injury who had received rehabilitation treatment in a rehabilitation unit. The subjects were assigned to either the experimental (n = 10) or control group (n = 10). The experimental group received computer-based cognitive rehabilitation and traditional cognitive training for 60 minutes, whereas the control group received only traditional cognitive training for 60 minutes. Both the groups received their respective interventions for 60 minutes a day and 5 times per week across a period of 4 weeks. Working memory and executive function were assessed using the digit span test (forward and backward), visual memory 1 and 2 of the Motor-free Visual Perception Test-3, trail making test, and Stroop test (A and B) both before and after the intervention. The experimental group showed a significantly greater improvement in visual memory and performance on the Stroop test A than the control group. These findings suggest that computer-based cognitive rehabilitation and traditional cognitive training are more effective in promoting positive changes in the working memory and executive function of individuals with mild traumatic brain injury than traditional cognitive training.

Reliability of Muscle Evaluation with a Tactile Sensor System (촉각센서를 이용한 근육평가의 신뢰도 조사)

  • Oh, Young-Rak;Lee, Dong-Ju;Kim, Sung-Hwan;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.30 no.3
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    • pp.337-344
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    • 2005
  • A tactile sensor employs a piezoelectric element to detect contact frequency shifts and thereby measure the stiffness or softness of material such as tissue, which allows the sensor to be used in many fields of research for urology, cardiology, gynecology, sports medicine and caner detection and especially for cosmetics and skin care. In this study, reliability of the tactile sensor system was investigated with its manual application to the muscles susceptible to temporomandibular disorders. Stiffness and elasticity of anterior temporalis, masseter and trapezius muscles were calibrated bilaterally from 5 healthy men with an average of 24.5$\pm$0.94 years. The tactile sensor used in this study had a computer-controlled and motor-driven sensor unit which automatically pressed down on the skin surface over the muscles being measured and retracted, thereby providing the hysteresis curve. The slope of the tangent of the hysteresis curve (${\Delta}f/{\Delta}x$) is defined as stiffness of the muscle being measured and the distance between the two parts of the curve as its elasticity. To determine inter-examiner reliability, all the measurements were performed by the two examiners A and B, respectively and the same examination were repeated with an interval of 2 days for intra-examiner reliability. The results from this study demonstrated high reliability in measuring stiffness and elasticity of anterior temporalis, masseter and upper trapezius muscles using a tactile sensor system. It is suggested that the tactile sensor system can be a highly reproducible and effective instrument for quantitative evaluation of the muscle in head and neck region.

Diagnostic classification and clinical aspects of floppy infants in the neonatal and pediatric intensive care units (신생아 및 소아 중환자실에 입원한 늘어지는 영아(floppy infant)의 진단적 분류 및 임상적 고찰)

  • Kim, Eun Sun;Jung, Kyung Eun;Kim, Sang Duk;Kim, Eo Kyung;Chae, Jong Hee;Kim, Han Suk;Park, June Dong;Kim, Ki Joong;Kim, Beyong Il;Hwang, Yong Seung;Choi Jung-Hwan
    • Clinical and Experimental Pediatrics
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    • v.49 no.11
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    • pp.1158-1166
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    • 2006
  • Purpose : The purpose of this study is to make a diagnostic classification and discuss a diagnostic strategy of floppy infants by investigating clinical, neurological, electrophysiological, and genetic analysis of infants admitted to intensive care units with the complaint of hypotonia. Methods : A retrospective study was performed from Jan. 1993 to Dec. 2005 in neonatal and pediatric intensive care units of Seoul National University Children's Hospital. Clinical features and all tests related to hypotonia were investigated. Results : There were 21 cases of floppy infants admitted to intensive care units. Final diagnosis was classified as centra (7 cases[33.3 percent]), peripheral (11 cases [52.4 percent]), and unspecified (3 cases [14.3 percent]). Among the central group, three patients were diagnosed as hypoxic ischemic encephalopathy, two patients as Prader-Willi syndrome, one patient as chromosomal disorder, and one patient as transient hypotonia. Among the peripheral group, four patients were diagnosed as myotubular myopathy, three patients as SMA type 1, two patients as congenital myotonic dystrophy, one patient as congenital muscular dystrophy, and one as unspecified motor-neuron disease. Motor power was above grade 3 on average, and deep tendon reflex was brisk in the central group. Among investigations, electromyography showed 66 percent sensitivity in the peripheral group, and muscle biopsy was all diagnostic in the peripheral group. Brain image was diagnostic in the central group, and Prader-Willi FISH or karyotyping was helpful in diagnosis in central group. Morbidity and mortality was more severe in the peripheral group Conclusion : Classification of diagnosis by clinical characteristics in this study, and application of investigations step by step, may provide an effective diagnostic strategy.