• PNF and Movement
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• 제20권3호
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• pp.359-370
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• 2022

Purpose: Physical therapists are required to properly choose the most appropriate treatment for each patient within the framework of the International Classification of Functioning, Disability, and Health (ICF model). The aims of this study were to determine whether neurological physical therapists in clinical settings in South Korea know about the ICF model and to investigate the current trends of outcome measures (OMs) used by them. Methods: Two hundred and one physical therapists who worked with patients with neurological disorders participated in this study. The survey was conducted via e-mail and asked about commonly used OMs and the considerations for selecting OMs. Results: All physical therapists involved in this study responded completely, and 45.8% of participants learned about the ICF model, while 37.3% understood the detailed information related to the ICF model. The rest of the participants did not know or just heard about the ICF model. The most frequently used tools at the body function/structure level were the Range of Motion (98%), Manual Muscle Test (97%), Berg Balance Scale (83.1%), and Modified Ashworth Scale (70.6%) when allowing repetition. At the activity level, the 10-meter walk test (71.1%), 6-minute walk test (54.2%), and Functional Ambulatory Category (43.3%) were used, while the Activity-Specific Balance Confidence Scale (23.9%) was used at the participation level. There was a positive relationship between the number of tools used and years of work, as well as the level of understanding of the ICF model. Conclusion: The results of this study suggest that it is necessary to learn the ICF model in a clinical setting. In addition, the medical system needs to be modified to encourage physical therapists in South Korea to use proper OMs within the ICF model.

• 한국전문물리치료학회지
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• 제11권4호
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• pp.51-60
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• 2004

Falls are common, costly, and a leading cause of death among older adults. The major predisposing factors of a fall may include age-related deterioration in the dynamic system composed of auditory, somatosensory, vestibular, visual, musculoskeletal, and neuromuscular subsystems. Older adults with a history of frequent falls demonstrated significant reductions in gait velocity, muscle force production, and balance performance. These altered neuromechanical characteristics may be further exaggerated when faced with conflicting multisensory conditions. Despite the important contribution of multisensory function on the sensorimotor system during postural and locomotor tasks, it remains unclear whether multisensory intervention will produce dynamic balance improvement during locomotion in older adults with a history of frequent falls. Therefore, the purpose of this paper is to address important factors associated with falls in elderly adults and provide theoretical rationale for a multisensory intervention program model.

• Journal of Mechanical Science and Technology
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• 제18권4호
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• pp.649-663
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• 2004

While a great number of studies on human motor control have provided a wide variety of viewpoints concerning the strategy of the central nervous system (CNS) in controlling limb movement, none were able to reveal the exact methods how the movement command from CNS is mapped onto the neuromuscular activity. As a preliminary study of human-machine interface design, the characteristics of human leg motion and its underlying motor control scheme are studied through experiments and simulations in this paper. The findings in this study suggest a simple open-loop motor control scheme in leg motion. As a possible candidate, an equilibrium point control model appears consistent in recreating the experimental data in numerical simulations. Based on the general leg motion analysis, the braking motion by the driver's leg is modeled.

• International Journal of Precision Engineering and Manufacturing
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• 제7권3호
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• pp.66-71
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• 2006

Some wheelchair users with neuromuscular disorders experience involuntary extensor thrusts, which may cause injuries via impact with the wheelchair, cause the user to slide out of the wheelchair seat, and damage the wheelchair. Knowledge of the human-generated forces during an extensor thrust is of great importance in devising safer, more comfortable wheelchairs. This paper presents an efficient method for identifying human-generated forces during an extensor thrust. We used an inverse dynamic approach with a three-link human body model and a system for measuring human body motion. We developed an experimental system that determines the angular motion of each human body segment and the force at the footrest, which was used to overcome the mathematical indeterminacy of the problem. The proposed method was validated experimentally, illustrating the force-identification process during an extensor thrust.

• PNF and Movement
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• 제8권1호
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• pp.41-50
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• 2010

Pain originating from the sacroiliac joint(SIJ) has been associated with poor performance, yet specific diagnosis of sacroiliac dysfunction(SID) has been difficult to achieve. Clinical presentation of SID appears that pain and poor performance is responsive to local analgesia of periarticular structures with poorly defined pathology, and poor performance with bony pathological changes present as a result of chronic instability. Previous research indicates that physical examination cannot diagnose SIJ pathology. Earlier studies have not reported sensitivities and specificities of composites of provocation tests known to have acceptable inter-examiner reliability. Tests based on mechanics as manual provocation for SIJ pain have formed the basis of tests used to diagnose SIJ dysfunction. In this review summary, the purpose of this study was to describe the sacroiliac tests with a model of examination, diagnosis, and management of SID. Further research is warranted to determine whether SIJ tests is reliable means of evaluating innominate impairments.

• PNF and Movement
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• 제22권2호
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• pp.159-170
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• 2024

Purpose: This study suggests observational gait analysis (OGA) strategies for therapists with limited experience in clinics in evaluating patients with stroke during walking. Methods: The proposed model was the mnemonic STEP APP, whose initials refer to the process of OGA for clinical reasoning and decision-making by identifying problems during walking in patients with stroke. Results: STEP APP stands for step (S), tibia (T), events (E), phases (P), ankle (A), problems (P), and priority (P). It serves as a procedural guide for OGA in patients with stroke walking on the ground. Conclusion: This review suggests a simple evaluation of gait using OGA that can be used by therapists who have less experience and difficulty in evaluating patients with stroke during walking. However, it is important to consider the front and back views of motion as well as motion in the transverse plane in order to analyze problems accurately. Furthermore, small joint problems, such as those in the foot, should be considered when evaluating patients with stroke during walking.

• PNF and Movement
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• 제18권3호
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• pp.305-313
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• 2020

Purpose: The aim of this study was to investigate the relationship between a functional evaluation model and the Fugl-Meyer assessment (FMA) scale in evaluating the upper extremities of stroke patients Methods: Thirty-eight stroke patients were evaluated using the FMA and performed reaching and grasping motions using a three-dimensional motion analysis (Qquas 1 series, Qualisys AB, Sweden). The participants sat on a chair with a backrest. The position of the cup was located at a distance of 80% to the front arm length. The markers were attached to the sternum, acromion, elbow lateral epicondyle, ulnar styloid process, three metacarpal heads, and the distal phalanges of the thumb and index finger. The variables of the correlation between the functional evaluation model and the FMA scale were analyzed. Multiple regression (stepwise) was used to investigate the effect of the kinematic variables. Results: A significant negative correlation was found between the movement time (p < 0.05), movement unit (p < 0.05), and trunk displacement values (p < 0.05) in the FMA total scores, while a positive correlation was found between the peak velocity (p < 0.05) and maximum grip aperture values (p < 0.05). As a result of the multiple regression analysis, the most significant factor was the movement unit, followed by the general movement assessment and trunk displacement. The explained FMA total score value was 62%. Conclusion: This study presents a new functional evaluation model for assessing the reaching and grasping ability of stroke patients. The factors of the proposed functional evaluation model showed significant correlations with the FMA scale scores and confirmed that the new functional evaluation model explained the FMA by 67%. This suggests a new functional evaluation model for reaching and grasping stroke patients.

• PNF and Movement
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• 제22권1호
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• pp.43-54
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• 2024

Purpose: Falls among persons older than 65 years are a significant concern due to their frequency and severity. This study aimed to develop a vest-type embedded artificial intelligence (AI) system capable of detecting and predicting falls in various scenarios. Methods: In this study, we established and developed a vest-type embedded AI system to judge and predict falls in various directions and situations. To train the AI, we collected data using acceleration and gyroscope values from a six-axis sensor attached to the seventh cervical and the second sacral vertebrae of the user, considering accurate motion analysis of the human body. The model was constructed using a neural network-based AI prediction algorithm to anticipate the direction of falls using the collected pedestrian data. Results: We focused on developing a lightweight and efficient fall prediction model for integration into an embedded AI algorithm system, ensuring real-time network optimization. Our results showed that the accuracy of fall occurrence and direction prediction using the trained fall prediction model was 89.0% and 78.8%, respectively. Furthermore, the fall occurrence and direction prediction accuracy of the model quantized for embedded porting was 87.0 % and 75.5 %, respectively. Conclusion: The developed fall detection and prediction system, designed as a vest-type with an embedded AI algorithm, offers the potential to provide real-time feedback to pedestrians in clinical settings and proactively prepare for accidents.

• 재활간호학회지
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• 제2권1호
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• pp.45-60
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• 1999

This study was conducted to investigate the nursing diagnosis applying to rehabilitation unit. The subject of this study was consisted of 101 nurses who have been working over 1 year in rehabilitation unit. The clssification of nursing diagnosis used NANDA's system and analysis of the validity was based on Fehring's model. In summury of this study. some dirrerences were found in related factors in nursing diagnosis between rehabilitation and general unit. Major related factors of nursing diagnosis were physical factors associated with neuromuscular disorder. Valid related factors in altered nutrition more than body requirements was not found for rehabilitation unit. It is helpful for the nurses who work at rehabilitation unit to apply the nursing diagnosis validated in this study. This finding can be used as the database for accomplished nursing diagnosis appropriate for improving the rehabilitation nursing practice.

• The Journal of Korean Physical Therapy
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• 제12권1호
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• pp.163-172
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• 2000

The purpose of this study was to provide experimental evidence and theoretical background for the applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy. Children with hemiplegia, which means unilateral motor disabilities, display abnormal motor and postural patterns of the affected side due to hemiparesis, spasticity, and sensory disorders, resulting in a decreased motor abilities of the affected side compared to unaffected side. Accordingly, they tend to rely on the unaffected limb for everyday activities, which further deteriorates the functions of the affected side by causing associated reaction, abnormal postural patterns, and hypertonus. Rehabilitation programs developed for children with hemiplegic cerebral palsy include neurodevelopmental treatment, application of cast or splint to unaffected limb, neuromuscular electrical stimulation, and task oriented model. These programs, however, have several drawbacks, such as discontinuity in treatment effect and psychological hatred to the force use of the affected side. In order to solve these problems and enhance the efficiency of the rehabilitation programs, it is required to maximize the use of the affected side without hatred. Characteristics of the control system, such as temporal coupling and spatial assimilation between limbs and neural crosstalk at different levels of central motor pathway, suggest that the bilateral transfer paradigm may enhance the efficiency of the rehabilitation programs for children with hemiplegic cerebral palsy.