• 제목/요약/키워드: Motor assessment

검색결과 462건 처리시간 0.029초

경직성 뇌성마비가 있는 학령기 아동의 학교기반 신체 활동수행력에 영향을 주는 요인 (Predictors Related to Activity Performance of School Function Assessment in School-aged Children with Spastic Cerebral Palsy)

  • 김원호
    • 대한물리의학회지
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    • 제14권2호
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    • pp.97-105
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    • 2019
  • PURPOSE: This study examined the factors related to school-based activity performance in school-aged children with spastic cerebral palsy (CP). METHODS: The Gross Motor Function Systems (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS) as functional classifications, and the physical activity performance of the School Function Assessment (SFA) were measured in 79 children with spastic CP to assess the student's performance of specific school-related functional activities. RESULTS: All the function classification systems were correlated significantly with the physical activity performance of the SFA ($r_s=-.47$ to -.80) (p<.05). The MACS (${\beta}=-.59$), GMFCS (${\beta}=-.23$), CFCS (${\beta}=-.21$), and age (${\beta}=-.15$) in order were predictors of the physical activity performance of the SFA (84.8%)(p<.05). CONCLUSION: These functional classification systems can be used to predict the school-based activity performance in school-aged children with CP. In addition, they can contribute to the selection of areas for intensive interventions to improve the school-based activity performance.

중성어혈(中性瘀血) 약침(藥鍼)과 당귀수산가미탕(當歸鬚散加味湯)이 외상성 뇌손상 흰쥐의 신경보호에 미치는 영향 (Neuroprotective Effects of Neutral Pharmacopuncture for Blood Stasis and Tangguisusangami-tang(dangguixusanjiawei-tang ) in the Experimental Traumatic Brain Injury Rats)

  • 정일문;최진봉
    • 한방재활의학과학회지
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    • 제20권1호
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    • pp.13-26
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    • 2010
  • Objectives : This study was designed to evaluate neuroprotective effects of Neutral Pharmacopuncture for Blood Stasis(NPBS) into SP10 and Tangguisusangami-tang (dangguixusanjiawei-tang)(TGT) in the experimental Traumatic Brain Injury(TBI)rats. Methods : Male rats were divided into 4 groups. Group I was no treatment after TBI. Group II was treatment with NPBS into SP10 after TBI. Group III was treatment with TGT after TBI. Group IV was NPBS into SP10 and TGT after TBI. The author carried out neurological motor behavioral, histological assessment test. Results : 1. In neurological motor behavior tests, motor and cognitive function recovery was significantly increased in the Group II, III, IV. Also Group IV was increased as compared with Group II, III. 2. In BAX expression, according to priority Group IV, III, II, I were decresed in 7 and 14 days later. Especially Group IV was significantly decreased in 14 days later. 3. In BCL-2 expression, Group IV was increased slightly in 7 days later. Most incresed expression was experimented in the Group IV in 14 days later. 4. In TUNEL expression, IV was decreased as compared with each Group I, II, III in 7 days later. Group IV, III were decreased as compared with each Group I, II, III in 14 days later. Conclusions : According to the results, NPBS and TGT can inhibit apoptosis of cells after TBI in rats by contol of BAX and BCL-2, TUNEL expression. And also can help neurological motor behavioral function.

진동 신호 이용 모델 기반 모터 결함 검출 시스템 개발 (Development of a Model-Based Motor Fault Detection System Using Vibration Signal)

  • 임호순;;정길도
    • 제어로봇시스템학회논문지
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    • 제9권11호
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    • pp.874-882
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    • 2003
  • The condition assessment of engineering systems has increased in importance because the manpower needed to operate and supervise various plants has been reduced. Especially, induction motors are at the core of most engineering processes, and there is an indispensable need to monitor their health and performance. So detection and diagnosis of motor faults is a base to improve efficiency of the industrial plant. In this paper, a model-based fault detection system is developed for induction motors, using steady state vibration signals. Early various fault detection systems using vibration signals are a trivial method and those methods are prone to have missed fault or false alarms. The suggested motor fault detection system was developed using a model-based reference value. The stationary signal had been extracted from the non-stationary signal using a data segmentation method. The signal processing method applied in this research is FFT. A reference model with spectra signal is developed and then the residuals of the vibration signal are generated. The ratio of RMS values of vibration residuals is proposed as a fault indicator for detecting faults. The developed fault detection system is tested on 800 hp motor and it is shown to be effective for detecting faults in the air-gap eccentricities and broken rotor bars. The suggested system is shown to be effective for reducing missed faults and false alarms. Moreover, the suggested system has advantages in the automation of fault detection algorithms in a random signal system, and the reference model is not complicated.

뇌졸중 환자에 대한 기능적 전기 자극치료를 병행한 거울치료가 상지 기능수행과 일상생활활동에 미치는 효과 (The Effects of Mirror Therapy with Functional Electrical Stimulation Therapy on Upper Extremity Motor Function and Activities of Daily Living for the Stroke Patients)

  • 이민재;구현모
    • 대한통합의학회지
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    • 제6권3호
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    • pp.123-130
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    • 2018
  • Purpose : The purpose of this study was to investigate the effects of mirror therapy with functional electrical stimulation to improve upper extremity motor function and activities of daily living (ADL) in stroke patients. Method : Thirty patients were randomly assigned to the experimental and control groups 15 patients in each. All subjects received the general occupational therapy consisting of five 30 min sessions per week for 8 weeks, in addition to 30 min of mirror therapy with functional electrical stimulation for the experimental group and 30 min of functional electrical stimulation for the control group for each session. To measure the functions of the upper limb and performance capacities in ADL, the Fugl-Meyer Assessment (FMA), and Manual Function Test (MFT), Modified Barthel Index (MBI) were used before and after the interventions. Results : Both the experimental and control groups showed a statistically significant increase in post-treatment FMA, MFT and MBI scores compared to their pre-treatment scores (p<.05). In addition, intergroup comparisons revealed a statistically significant increase in the scores of all assessments for the experimental group compared to those for the control group (p<.05). Conclusion : Based on these results, it is reasonable to conclude that mirror therapy with functional electrical stimulation is an effective intervention for improving upper limb motor function and ADL performance in stroke patients.

Effect of Visual and Somatosensory Information Inputs on Postural Sway in Patients With Stroke Using Tri-Axial Accelerometer Measurement

  • Chung, Jae-yeop
    • 한국전문물리치료학회지
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    • 제23권1호
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    • pp.87-93
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    • 2016
  • Background: Posture balance control is the ability to maintain the body's center of gravity in the minimal postural sway state on a supportive surface. This ability is obtained through a complicated process of sensing the movements of the human body through sensory organs and then integrating the information into the central nervous system and reacting to the musculoskeletal system and the support action of the musculoskeletal system. Motor function, including coordination, motor, and vision, vestibular sense, and sensory function, including proprioception, should act in an integrated way. However, more than half of stroke patients have motor, sensory, cognitive, and emotional disorders for a long time. Motor and sensory disorders cause the greatest difficulty in postural control among stroke patients. Objects: The purpose of this study is to determine the effect of visual and somatosensory information on postural sway in stroke patients and carrying out a kinematic analysis using a tri-axial accelerometer and a quantitative assessment. Methods: Thirty-four subjects posed four stance condition was accepted various sensory information for counterbalance. This experiment referred to the computerized dynamic posturography assessments and was redesigned four condition blocking visual and somatosensory information. To measure the postural sway of the subjects' trunk, a wireless tri-axial accelerometer was used by signal vector magnitude value. Ony-way measure analysis of variance was performed among four condition. Results: There were significant differences when somatosensory information input blocked (p<.05). Conclusion: The sensory significantly affecting the balance ability of stroke patients is somatosensory, and the amount of actual movement of the trunk could be objectively compared and analyzed through quantitative figures using a tri-axial accelerometer for balance ability.

CORE 안정성 훈련이 뇌졸중 환자의 자세조절, 균형 및 상지기능에 미치는 효과 (The Effects of Core Stability on Postural Control, Balance and Upper Motor Function in Patients with Stroke)

  • 이병희;김성렬;이종수
    • 한방재활의학과학회지
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    • 제19권3호
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    • pp.69-80
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    • 2009
  • Objectives : The purpose of this study was to evaluate the effects of core stability training on postural control and balance of hemiplegia patients who are difficult to control posture due to stroke. Methods : Subjects of the study were consisted of 25 adult hemiplegia patients(experimental 12, control 13) who were receiving rehabilitation therapy in hospital. Its group had a core stability training program by a physical therapists for 40 minutes, five times a week for nine-week period. Measurements of postural assessment scale for stroke(PASS), berg balance scale(BBS) and manual function test(MFT) were evaluated at initial presentation(pretest) and after completion of the each therapy program(posttest). Independent t-test and paired t-test was utilized to detect the mean difference between the groups. Results : Firstly, the result of PASS showed that postural control was significantly increased after the completion of core stability training(p<.01). Secondly, the result of BBS showed that balance control was significantly increased after the completion of core stability training(p<.01) and general physical therapy(p<.01). Lastly, the result of MFT showed that upper extremity's motor function was significantly increased after the completion of core stability training(p<.001). Conclusions : This study showed that core stability training is an effective treatment strategy on postural control, balance and upper extremity's motor function.

고속 HMC 이송계의 운동 특성 평가 (Performance Assessment of Linear Motor for High Speed Machining Center)

  • 홍원표;강은구;이석우;최헌종
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2003년도 춘계학술대회 논문집
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    • pp.158-161
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    • 2003
  • Recently, the evolution in production techniques (e.g. high-speed milling), the complex shapes involved in modem production design, and the ever increasing pressure for higher productivity demand a drastic improvement of the dynamic behavior of the machine tool axes used in production machinery. And also machine tools of multi functional and minimized parts are increasingly required as demand of higher accurate in some fields such as electronic and optical components etc. The accuracy and the productivity of machined parts are natural to depend on the linear system of machine tools. The complex workpiece surfaces encountered in present-day products and generated by CAD systems are to be transformed into tool paths for machine tools. The more complex these tool paths and the higher the speed requirements, the higher the acceleration requirements are needed to the machine tool axes and the motion control system, and the more difficult it is to meet the requirements. The traditional indirect drive design for high speed machine tools, which consists of a rotary motor with a ball-screw transmission to the slide, is limited in speed, acceleration, and accuracy. The direct drive design of machine tool axes. which is based on linear motors and which recently appeared on the market. is a viable candidate to meet the ever increasing demands, because of these advantages such as no backlash, less friction, no mechanical limitations on acceleration and velocity and mechanical simplicity. Therefore performance tests were carried out to machine tool axes based on linear motor. Especially, dynamic characteristics were investigated through circular test.

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광혈전 유도 뇌손상 백서에서 소풍탕(疏風湯)과 tDCS의 적용이 운동기능회복과 GDNF 발현에 미치는 영향 (Effect of Sopung-tang and tDCS on Motor function Recovery and GDNF Expression in Photothrombotic Brain Infarction Induced Rat Model)

  • 심기철;김기도;김경윤;정현우;김계엽
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.894-901
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    • 2012
  • The effect of Sopung-tang(SPT) and trans-cranial direct current stimulation(tDCS) was investigated in photothrombotic brain infarction(PTI) rats. Sprague-Dawley 80 rats, were divided into four groups. group I was experiental control group(n=20), group II was PTI induced and oral administration of SPT(n=20), group III was PTI induced and tDCS administration(n=20) and group IV was PTI induced and SPT and tDCS administration for 28 days on stroke rats(n=20). Analysis the neurological function test, 25 point behavior functional score test, and immunohistochemistric finding of GDNF expression, and electron microscopy assessment In motor behavior test, the outcome of group IV was significantly difference than the other group, and In immunohistochemistric finding, group II, III, IV were increase GDNF expression on 28 days, In electron microscopy finding, the all groups were degenerated of cell organelles, and synaptic plasticity were improvement of group II, III, IV(especially group IV) These results suggest that, 28days application of SPT and tDCS was the motor function and histopathologic, micro-morphological improvement of motor function recovery and positive influence on synaptic plasticity.

소양인 파킨슨병 환자의 한양방 병행치료 장기 경과관찰 보고 3례 (Long-term Clinical Efficacy on Three Soyang Patients with Parkinson's Disease Improved by Combined Treatment of Korean-Western Medicine)

  • 박유경;이미숙;김소형;배나영
    • 사상체질의학회지
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    • 제28권4호
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    • pp.361-371
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    • 2016
  • Objective This case study was about a long-term clinical effects after using Korean medicine treatment and western treatment in three Soyangin patients with Parkinson's disease. In this study, we reported significant improvement of non-motor and motor symptoms of these patients after Sasang constitutional medicine treatments for more than a year. Method The patients were identified as Soyangin and treated with Yangguksanhwa-tang, Hyeongbangdojeok-san and acupuncture. The Hoehn & Yahr scale, Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (UPDRS) were used to assess the overall function of the patients. And the Global Assessment Scale (GAS) was used to assess the change of chief complaints after the treatments. Result and Conclusion The non-motor and motor symptoms of Parkinson's disease improved after Sasang constitutional medicine and western medicine treatments for more than a year. Furthermore these patients' chief complaints improved without increasing of amount of western medicine (levodopa). In conclusion, this study showed that Sasang constitutional medicine with western medicine can be effective treatment for long-term clinical care of Parkinson's disease.

A Study on Evaluation of the Key Functional Factors of Safe Driving in Elderly

  • Park, So-Yeon
    • 한국컴퓨터정보학회논문지
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    • 제26권11호
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    • pp.191-199
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    • 2021
  • 본 연구는 노인운전자의 운전 면허를 갱신 할 때 필요한 추가 검사를 제안할 목적으로 실시되었다. 우리나라에서는 고령 인구가 빠르게 증가하면서 고령 운전자의 비율이 높아지고 있다. 전반적으로 교통사고율이 감소하고 있지만, 고령 운전자에서는 교통사고율과 교통사고로 인한 사망률이 증가하고 있다. 본 연구에서는 우리나라에서 실시하고 있는 고령 운전자의 운전면허 갱신 시 실시하고 있는 검사와 교육을 알아보고 외국의 현황과 비교하여 필요한 검사를 알아보기 위해 시행했다. 운전능력과 관련된 신체기능은 크게 시각, 인지, 운동 및 체성감각의 세 영역에 대해 평가하는 것이 적절하지만, 현재 우리나라에서는 시각 중 시력만을 평가하고 있고, 인지 영역에서는 경증 인지 손상은 알아볼 수 없는 MMSE-K와 시계 그리기 검사만을 진행하고 있다. 운전을 수행하는 운동능력에 대해서는 전혀 평가하고 있지 않다. 따라서 고령 운전자의 안전운전을 위해서는 운전면허 갱신 시 실시하는 검사에 시각에서는 시야와 대조대비력 검사, 인지 기능에서는 경증 인지장애를 구별할 수 있는 검사, 운동기능을 평가하기 위한 검사를 보완해야 할 것이다.