• 제목/요약/키워드: Posture control

검색결과 649건 처리시간 0.029초

길입성 진전의 병태생리: 다증 증례 연구 (Pathophysiology of orthostatic tremor: a multiple case study)

  • 서만욱;이광우
    • Annals of Clinical Neurophysiology
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    • 제4권1호
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    • pp.44-50
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    • 2002
  • Introduction : Orthostatic tremor develops in the legs while standing up with no weakness, pain or imbalance in the leg and the tremor is characteristically not observed when walking. However there have been some confusions about orthostatic tremor in several aspects. For the past ten years, we have observed 4 patients with orthostatic tremor. In each case tests were performed to investigate the following three important areas of inquiry about orthostatic tremor. Firstly, whether this disorder is an independent diagnostic entity or a variant of essential tremor. Secondly, whether the progress of this disorder is specifically related with standing posture. Lastly, the nature of the pathophysiologic mechanism behind the appearance of the tremor when standing after the lapse of a certain latent period and its disappearance upon the commencement of walking. Methods : Our 4 cases of orthostatic tremor were studied clinically, electrophysiologically, and pharmacologically. Electrophysiological tests included tremor spectrum test and electromyography. Results : We observed the presence of this tremor in several other tonic postures, as well as its absence, in a vertically lifted position from all our cases. Our cases registered a variable tremor frequency between 5 and 12 Hz according to the tremor spectrum test and EMG. Furthermore all our 4 cases demonstrated patterns of both synchronous EMG activity and alternating EMG activity at various times in homologous muscles of both legs. Orthostatic tremor was improved significantly with propranolol as well as clonazepam. Conclusions : From the results of our study we drew the following conclusions. It is probable that orthostatic tremor is simply a variant of essential tremor rather than being an independent diagnostic entity and that in most cases its development is specifically related with muscle contraction rather than merely with the act of standing. Furthermore we discovered a clue in the previously described neural control mechanism that the nuclear bag fibers in the muscle spindle have lag time of several seconds in their response to muscle strength and that their baseline does not reset fully in rapidly moving muscle. This neural control mechanism could offer sufficient explanation for the phenomena of tremor appearance when standing and disappearance when walking in orthostatic tremor.

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Effect of Declawing on Behavior of Farmed Emus

  • Glatz, P.C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제14권2호
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    • pp.288-296
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    • 2001
  • The behavior of declawed emus in a farm environment has not been described despite its importance in the husbandry and welfare of the emu. This study examined whether declawing of emus causes chronic pain resulting in permanent changes in the locomotor and general behavior of declawed yearling emus compared to emus not declawed. One group of 40 emus were declawed on the day of hatch by removing the distal phalangeal joint using a Lyon beak-trimming machine. Another group of 40 emus not declawed were the controls. Declawed emus one year of age were allocated to a paddock $250m{\times}125m$, while the control group was placed in an adjoining paddock of the same dimensions. One hour video records of individual emus from each treatment were made from 08:00 and 17:00 h over 2 periods; firstly when food and water was available and secondly during a period when food and water was not available after being withdrawn overnight. Inactive, ingestive, posture change, grooming, aggressive and locomotor behaviors were monitored from the videotape. There was no behavioral evidence to indicate loss of locomotor ability of declawed emus or to suggest declawed emus were suffering from severe chronic pain as indicated by declawed emus engaging in significantly more bouts (p<0.05) and time of searching (p<0.05). Declawed emus also engaged in less stereotype pacing (p<0.05) indicating they were under less stress and not as frustrated as control birds which engaged in more step pushing behavior (p<0.05). Modelling analysis showed that pecking behavior in birds was most closely related to foraging behavior. Birds subject to pecking attacks demonstrated higher levels of stereotype behavior presumably as a method to cope with stress. The behavioral evidence in this study would indicate that declawing does not compromise the locomotor ability of emus and has the benefit of improving the social structure in the groups by reducing stereotype behavior and aggression.

전력전자 기술을 응용한 의료장비 개발 사례 (Example Development of Medical equipment applying Power Electronics Technique)

  • 고종선;이태훈;김영일;김규겸;박병림;김민선
    • 전력전자학회:학술대회논문집
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    • 전력전자학회 2002년도 전력전자학술대회 논문집
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    • pp.661-664
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    • 2002
  • A control of the body posture and movement is maintained by the vestibular system, vision, and proprioceptors. Afferent signals from those receptors are transmitted to the vestibular nuclear complex, and the efferent signals from the vestibular nuclear complex control the eye movement. The postural disturbance caused by loss of the vestibular function results in nausea, vomiting, vertigo and loss of craving for life. The purpose of this study is to develop a off-vertical rotatory system for evaluating the function of semicircular canals and otolith organs, selectively, and visual stimulation system for stimulation with horizontal, vertical and 3D patterns. The Off-vertical axis rotator which stimulates semicircular canals and otolith organs selectively is composed of a comportable chair, a DC servo-motor with reducer and a tilting table controlled by PMSM. And a double feedback loop system containing a velocity feedback loop and a position feedback loop is applied to the servo controlled rotatory chair system. Horizontal, vertical, and 3D patterns of the visual stimulation for applying head mounted display are developed. And wireless portable systems for optokinetic stimulation and recording system of the eye movement is also constructed. The Gain, phase, and symmetry is obtained from analysis of the eye movement induced by vestibular and visual stimulation. Detailed data were described.

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요부통증에 대한 운동치료 (Therapeutic Exercise for Low Back Pain)

  • 정문봉
    • 대한물리치료과학회지
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    • 제2권4호
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    • pp.817-822
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    • 1995
  • Even though back pain therapy has greatly improved as spinal bio-mechanics is introduced, many patients still have difficulties due to low back pain. At the initial therapeutic stage, the aim of rehabilitation therapy for low back pain is pain control, but, at the later therapeutic stage, the prime aims are to reduce the late complication and to prevent the recurrence of low back pain. Accurate diagnosis should be a first step before any therapy is planned. Thus, accurate physical, neurologic, E.M.G. and radiologic tests are required to give prescription for therapeutic exercise to the patients. In addition to this, the roles of theraphists and therapeutic exercise should be re-evaluated after the therapeutic exercise is performed. Fist of all, the most important things are to educate the patients to understand the low back pain and to let the patients join the therapeutical planning. 1. Bed rest and muscle relaxing exercise for releasing the muscle tention are required for the treatment of acute low back pain. An active exercise is recommended rather than a passive exercise. If the therapeutic exercise depravate the low back pain, the exercise should be immediately terminated and the therapeutical exercise should be replanned. 2. For the treatment of the chronic back pain, stretching exercise and para-spinal muscle strengthening exercise should be performed steadily and actively to prevent the recurrence of low back pain and the low back injury due to minor damage. The patients should be educated to do proper exercise and to maintain good posture in everyday life. 3. As the low back pain is released and the body function is recovered, control of whole body function is necessary. Swiming, bicycling and walking for $30\sim40$ minutes a day and $3\sim4$ days a week are recommended. Other exercise could be recommended depending on the patients condition.

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UAV기반 동적영상센서의 위치불확실성을 통한 보행자 추정 (Tracking of Walking Human Based on Position Uncertainty of Dynamic Vision Sensor of Quadcopter UAV)

  • 이정현;진태석
    • 제어로봇시스템학회논문지
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    • 제22권1호
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    • pp.24-30
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    • 2016
  • The accuracy of small and low-cost CCD cameras is insufficient to provide data for precisely tracking unmanned aerial vehicles (UAVs). This study shows how a quad rotor UAV can hover on a human targeted tracking object by using data from a CCD camera rather than imprecise GPS data. To realize this, quadcopter UAVs need to recognize their position and posture in known environments as well as unknown environments. Moreover, it is necessary for their localization to occur naturally. It is desirable for UAVs to estimate their position by solving uncertainty for quadcopter UAV hovering, as this is one of the most important problems. In this paper, we describe a method for determining the altitude of a quadcopter UAV using image information of a moving object like a walking human. This method combines the observed position from GPS sensors and the estimated position from images captured by a fixed camera to localize a UAV. Using the a priori known path of a quadcopter UAV in the world coordinates and a perspective camera model, we derive the geometric constraint equations that represent the relation between image frame coordinates for a moving object and the estimated quadcopter UAV's altitude. Since the equations are based on the geometric constraint equation, measurement error may exist all the time. The proposed method utilizes the error between the observed and estimated image coordinates to localize the quadcopter UAV. The Kalman filter scheme is applied for this method. Its performance is verified by a computer simulation and experiments.

편평족에 대한 관절가동술과 자가신장이 요부의 신장성, 요통과 하지 체중부하 차이에 대한 비교 연구 (The Comparison Study of Ankle Joint Mobilization and Elongation on the Difference of Weight-bearing Load, Low Back Pain and Flexibility in Flat-foots Subjects)

  • 박성두;유달영
    • 대한정형도수물리치료학회지
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    • 제23권2호
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    • pp.9-16
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    • 2017
  • Background: The purpose of this study was to investigate the relationship between the spine and the flat-foot, the stability and the alignment of the posture of the neck to prevent the alignment of the ankle joint operation and the lower back flexibility of the lumbar region according to the type of treatment using active stretching of the triceps, back pain, and to see how they affect weight bearing differences. Methods: The subjects of this study were 24 chronic low back pain patients. They were randomly divided into experimental group and control group. In the experimental group, ankle joint mobilization and active scraping of triceps were performed three times a week for a total of 6 weeks. The control group was performed in the same way without articulation. The range of flexion and extension motion of the lumbar spine and pain degree and difference of weight-bearing were measured before and after the experiment. Results: The model of ankle joint mobilization and calf muscle elongation of flat foot significantly improved the range of flexion and extension motion of the vertebrae (p<.05) and the VAS and distribution of weight-bearing were decreased in both of two groups (p<.05). In other words, the exercise and mobilization help to recover of the balance of the whole musculoskeletal, the vertebrae. Conclusions: The active exercise of the triceps muscle of the lower leg in this study It affects the flexibility of the lumbar spine, the pain and the difference in the weight support of the lower extremities, when we performed ankle joint mobilization for exercise and cramping, pain and the difference in weight support between the two lower limbs.

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런지자세에서의 자가 신장운동과 능동운동을 동반한 가동술이 만성 뇌졸중 환자의 근활성도 및 균형에 미치는 영향 (Effects of self stretching exercise and movement with mobilization in lunge position on the muscle activity and balance in chronic stroke patients)

  • 정용식
    • 디지털융복합연구
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    • 제11권10호
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    • pp.549-556
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    • 2013
  • 본 연구는 만성 뇌졸중으로 인한 편마비 환자를 대상으로 런지자세에서 자가신장과 움직임을 동반한 가동술을 적용후에 하지근육 근활성도와 안정성한계에 미치는 영향을 알아보는데 있다. 대상자 16명을 무작위 추출하여 실험군과 대조군으로 분류하였다. 실험군은 런지자세에서 자가신장을 중재하였고, 대조군은 런지자세에서 움직임을 동반한 가동술을 중재하였다. 중재는 8주 동안 주 5회, 1회 20분의 중재를 시행하였다. 통계학적 처리는 반복 측정분산분석을 이용하여 실시하였다. 결과는 실험군과 대조군의 그룹간 하지근육 근활성도(%MVIC)와 안정성 한계(LOS)는 통계학적 유의성이 없었다(p>.05). 하지만 실험군과 대조군의 그룹 내의 근활성도와 안정성 한계는 통계학적으로 유의하였다(p<.05). 따라서 뇌졸중으로 인한 편마비 환자들에게 런지자세에서 자가신장이 근력 및 균형에 긍정적인 영향을 줄 수 있을 것으로 생각된다.

보행 로봇을 위한 센서 추정 알고리즘의 성능인자 분석 (Performance Factor Analysis of Sensing-Data Estimation Algorithm for Walking Robots)

  • 손웅희;유승남;이상호;한창수
    • 한국산학기술학회논문지
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    • 제11권11호
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    • pp.4087-4094
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    • 2010
  • 본 보행 로봇의 자세 제어는 일반적으로 센서 시스템을 통한 외부 환경 및 기타 정보의 인식을 통해 수행된다. 보다 정교한 로봇의 제어를 위해서는 필연적으로 고성능 센서를 요구하게 되지만, 이들은 대부분 고가이거나 내구성 측면에서 매우 취약한 것이 사실이다. 따라서 필드로봇과 같이 야지의 환경에서 운용되는 로봇 시스템의 제어를 위해서 이러한 센서 시스템을 다수 채용하는 것은 비현실적이며, 특히 양산시에도 큰 걸림돌로 작용할 수 있다. 이에 본 연구에서는 신경망 이론의 역전파 알고리즘에 기반을 둔 가상센서 알고리즘을 활용하여 기존의 센싱 데이터를 추정할 수 있는 기법을 소개하고자 한다. 특히 본 논문에서는 추정된 센서 데이터의 품질을 향상 시킬 수 있는 알고리즘 측면에서의 변수 조절 및 센서 시스템과 같은 하드웨어 측면에서의 변화를 통해 성능인자에 영향을 미치는 요소를 파악함과 동시에, 본 기법의 타당성에 대한 측면을 함께 논하였다.

Effectiveness of Arch Support Taping is Subjects With Excessive Foot Pronation: A Meta-analysis

  • Park, So-yeon
    • 한국전문물리치료학회지
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    • 제26권4호
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    • pp.70-76
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    • 2019
  • Background: An excessive pronated foot is defined as a flattening or complete loss of the medial longitudinal arch. Excessive foot pronation is considered to have high risk factors of overuse injuries in the lower limb. Various treatments have been investigated in attempts to control excessive pronation. Objects: This meta-analysis identifies the effects of an anti-pronation taping technique using different materials. Methods: The electronic databases used include MEDLINE, the Physiotherapy Evidence Database (PEDro), Science Direct, the Korean Studies Information Service System (KISS), the Research Information Sharing Service (RISS), the Korea National Library, and the Korean Medical Database (studies published up to July 31, 2019). The database search used the following keywords: "foot drop" OR "foot arch" OR "foot pronation" OR "flat foot (pes planus)" AND "taping" OR "support." Eight eligible studies were analyzed to determine the effectiveness of anti-pronation taping in study and control groups. Results: The overall random effect size (Hedges'g) of the anti-pronation taping technique was 0.147 (95% confidence interval [CI]: -.214 to .509). When the effect (Hedges' g) was compared by the type of tape material, rigid tape (RT; Lowdye taping) was .213 (95% CI: -.278 to .704) and kinesiotape (KT; arch support taping) was -.014 (95% CI: -.270 to .242). Based on this meta-analysis, it was not possible to identify the extent to which anti-pronation taping was effective in preventing navicular drop, improving balance, or changing foot pressure. Only three of the eight eligible studies applied KT on excessive pronated feet, and the outcome measure areas were different to those of the RT studies. The KT studies used EMG data, overall foot posture index (FPI) scores, and rear foot FPI scores. In contrast, the RT studies measured navicular heights, various foot angles, and foot pressure. Conclusion: This review could not find any conclusive evidence about the effectiveness of any taping method for patients with pronated feet. Future studies are needed to develop the anti-pronation taping technique based on the clinical scientific evidence.

깊은목굽힘근 강화운동과 등뼈 관절가동운동이 뇌졸중 환자의 전방머리자세와 목통증에 미치는 영향 (The Effect of Deep Neck Flexor Exercise and Thoracic Mobilization Exercise on Forward Head Posture and Neck Pain in Chronic Stroke)

  • 양선아;서동권;이병권
    • 융합정보논문지
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    • 제9권12호
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    • pp.208-215
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    • 2019
  • 본 연구는 깊은목굽힘근운동과 등뼈 관절가동운동이 뇌졸중 환자의 통증, 전방머리자세에 미치는 영향을 알아보고자 한다. 연구대상자는 36명은 사전측정 후 무작위로 깊은목굽힘근군(DNFE), 등뼈 관절가동운동군(TROM), 대조군으로 각각 12명씩 배정되었다. 중재 전후에 통증(VAS), 두개척추각도(CVA), 두개회전각도(CRA), 전방머리내밈자세(FHP), 등뼈관절가동범위(TROM)를 측정하였다. 그 결과. DNFE 군과 TROM 군은 중재 전후 VAS, CVA, CRA, FHP, TROM에서 유의한 차이를 보였으며(p<.05), 두 군은 대조군에 비해 VAS, CVA, CRA, FHP, TROM에서 보였다(p<.05). 결론적으로 깊은목굽힘근운동과 등뼈 가동범위운동이 뇌졸중 환자의 전방머리자세와 목통증 회복에 효과적이었다. 그러므로 임상에서 뇌졸중 환자 중재프로그램에 깊은목굽힘근운동과 등뼈 가동범위운동을 적극적으로 활용되기를 바란다.