• Title/Summary/Keyword: Rehabilitation Device

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The utility of walking assistive devices among people with mobility disabled (지체장애인의 보행 보조기 사용)

  • Song, Youngshin;Lee, Miyoung;Bok, Soo-Kyung
    • Journal of the Korea Convergence Society
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    • v.11 no.12
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    • pp.451-456
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    • 2020
  • This study compared the utility of walking aids, and activities of daily life depending on the ability of people with mobility disabilities to use walking aids. Data were extracted from the Korea Welfare Panel Study in 2014. Data of 435,947 individuals were analyzed using chi-square and t-tests. The findings from this study showed that disabled persons who cannot use walking aids independently were more likely to have a severe disability level and a lower level of daily activities than the independent group. The level of social participation and leisure activities were also significantly lower in the dependent than the independent group. Therefore, walking aids should be tailored for individuals depending on their level of independence for using walking aids.

Real-Time Decoding of Multi-Channel Peripheral Nerve Activity (다채널 말초 신경신호의 실시간 디코딩)

  • Jee, In-Hyeog;Lee, Yun-Jung;Chu, Jun-Uk
    • Journal of IKEEE
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    • v.24 no.4
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    • pp.1039-1049
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    • 2020
  • Neural decoding is important to recognize the user's intention for controlling a neuro-prosthetic hand. This paper proposes a real-time decoding method for multi-channel peripheral neural activity. Peripheral nerve signals were measured from the median and radial nerves, and motion artifacts were removed based on locally fitted polynomials. Action potentials were then classified using a k-means algorithm. The firing rate of action potentials was extracted as a feature vector and its dimensionality was reduced by a self-organizing feature map. Finally, a multi-layer perceptron was used to classify hand motions. In monkey experiments, all processes were completed within a real-time constrain, and the hand motions were recognized with a high success rate.

The effect of whether the lumbar is instable or not and pressure biofeedback application location during clam exercise on pelvic rotation and hip joint muscle activity (클램운동 시 허리불안정성 유무가 골반 돌림 및 엉덩관절 벌림근 근활성도에 미치는 영향)

  • Choi, Yong-gil;Lee, Sang-yeol
    • Journal of Korean Physical Therapy Science
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    • v.28 no.1
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    • pp.23-32
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    • 2021
  • Background: The purpose of this study was to find out how the lumbar instability during clam exercise causes changes in pelvic rotation and hip joint abductor muscle activity. Design: Case-control study. Methods: Twenty male participated in this study. The amount of pelvic rotation was measured using myomotion during the clam exercise in a normal group and a group of patients with low lumbar instability, and the muscle activity of the muscle gluteus medius and the tensor fasciae latae using an EMG device. Results: The amount of pelvic rotation that occurred during the clam exercise was statistically significantly greater in the lumbar instability group than in the normal group (p<.05), and the ratio of muscle activity of the muscle gluteus medius/the tensor fasciae latae was statistically significantly higher in the normal group than in the lumbar instability group (p<.05). Conclusion: In order to stabilize the lumbo-pelvic and strengthen the strength of the hip joints, it is believed that it is necessary to apply exercise while controlling the lumbo-pelvic movement during clam exercises, and various studies will be needed.

The Test-Retest Reliability of Subjective Visual Horizontal Testing: Comparisons between Solid and Dotted Line Images

  • Zakaria, Mohd Normani;Wahat, Nor Haniza Abdul;Zainun, Zuraida;Sakeri, Nurul Syarida Mohd;Salim, Rosdan
    • Journal of Audiology & Otology
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    • v.24 no.2
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    • pp.107-111
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    • 2020
  • The present study aimed to determine the test-retest reliability of subjective visual horizontal (SVH) testing when tested with solid and dotted line images. In this repeated measures study, 36 healthy young Malaysian adults (mean age=23.3±2.3 years, 17 males and 19 females) were enrolled. All of them were healthy and had no hearing, vestibular, balance, or vision problems. The SVH angles were recorded from each participant in an upright body position using a computerized device. They were asked to report their horizontality perception for solid and dotted line images (in the presence of a static black background). After 1 week, the SVH procedure was repeated. The test-retest reliability of SVH was found to be good for both solid line [intraclass correlation (ICC)=0.80] and dotted line (ICC=0.78). As revealed by Bland-Altman plots, for each visual image, the agreements of SVH between the two sessions were within the clinically accepted criteria (±2°). The SVH testing was found to be temporally reliable, which can be clinically beneficial. Both solid and dotted lines in the SVH testing are reliable to be used among young adults.

The Test-Retest Reliability of Subjective Visual Horizontal Testing: Comparisons between Solid and Dotted Line Images

  • Zakaria, Mohd Normani;Wahat, Nor Haniza Abdul;Zainun, Zuraida;Sakeri, Nurul Syarida Mohd;Salim, Rosdan
    • Korean Journal of Audiology
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    • v.24 no.2
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    • pp.107-111
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    • 2020
  • The present study aimed to determine the test-retest reliability of subjective visual horizontal (SVH) testing when tested with solid and dotted line images. In this repeated measures study, 36 healthy young Malaysian adults (mean age=23.3±2.3 years, 17 males and 19 females) were enrolled. All of them were healthy and had no hearing, vestibular, balance, or vision problems. The SVH angles were recorded from each participant in an upright body position using a computerized device. They were asked to report their horizontality perception for solid and dotted line images (in the presence of a static black background). After 1 week, the SVH procedure was repeated. The test-retest reliability of SVH was found to be good for both solid line [intraclass correlation (ICC)=0.80] and dotted line (ICC=0.78). As revealed by Bland-Altman plots, for each visual image, the agreements of SVH between the two sessions were within the clinically accepted criteria (±2°). The SVH testing was found to be temporally reliable, which can be clinically beneficial. Both solid and dotted lines in the SVH testing are reliable to be used among young adults.

The Effects of Thoracic-Lumbar Dissociate and Slump Motions on Thoracic-Lumbar Erector Spinae and Rectus Abdominis Activity (등-허리뼈 분리동작과 슬럼프 동작이 등-허리뼈 척추세움근과 배곧은근 활성도에 미치는 효과)

  • Jung, Ju-Hyeon
    • PNF and Movement
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    • v.20 no.1
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    • pp.51-58
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    • 2022
  • Purpose: The purpose of this study was to investigate the effect of thoracic-lumbar dissociation motion and slump motion on thoracic-lumbar erector spinae and rectus abdominis muscle activity. Methods: Seventeen healthy adult volunteers participated in this study. All participants performed two motions (thoracic-lumbar dissociation motion, slump motion). Muscle activation during the two motions was measured using a surface electromyography device. The data from this were collected from the iliocostalis thoracis, iliocostalis lumborum, and rectus abdominis. The activities of these muscles before and after each motion were then compared. Results: The iliocostalis thoracis activation was significantly greater during the thoracic-lumbar dissociation motion than during the slump motion (p <0.05). The iliocostalis lumborum activation was greater during the slump motion than during the thoracic-lumbar dissociation motion (p <0.05). The rectus abdominis activation was lesser during the slump motion than during the thoracic-lumbar dissociation motion (p <0.05). Conclusion: This study confirmed that individual contraction of the erector spinae muscles is possible during thoracic-lumbar dissociation motion, which increases the stability of the thoracic spine. In addition, this motion could improve control of the rectus abdominis. Therefore, thoracic-lumbar dissociation motion should be considered for rehabilitation programs for patients with kyphosis and back pain.

Suprahilar Control of Glissonean Pedicle in the Open Anatomic Liver Resections: A Single Centre Experience

  • Aleksandar Karamarkovic;Milos Bracanovic;Bojan Jovanovic;Sanja Tomanovic Vujadinovic
    • Journal of Digestive Cancer Research
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    • v.4 no.2
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    • pp.113-121
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    • 2016
  • Background: We evaluated technique of hepatic resections using suprahilar-extrafascial dissection of Glissonean pedicle with vascular stapling device for pedicle transection with intent to minimize operative time and blood loss. Methods: We analyzed the clinical records of 326 patients who underwent anatomic liver resection by suprahilar-extrafascial pedicle isolation with vascular stapling division technique. Results: The minor liver resections were associated with significantly shorter surgery duration (105.1±21.1 vs. 225.6±75.6) and transection time (40.1±14.5 vs. 96.3±55.2) than major hepatectomies (p<0.0001 for all). The mean blood loss was 350.8±100.5 mL in minor resection and 485.4±250.2 mL in major resection (p=0.001). The mean blood transfusion requirement was 400.8±109.5 mL for minor resections and 550.9±100.0 mL for major hepatectomy (p=0.072). There was no significant difference in morbidity and mortality between groups (p=0.980; p=0.945). Major as well as minor liver resection were oncology superior with no significant difference in the 5-year overall survival rates. Conclusion: Suprahilar-extrafascial dissection of Glissonean pedicle represents an effective and safe technique of liver resection. Presented approach allows early and easy ischemic delineation of appropriate liver territory to be removed with selective inflow vascular control. It is not time consuming and it is very useful in re-resection, as well as oncological reasonable.

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Design of Continuous Passive Motion Medical Device System with Range of Motion Measurement Function (관절가동범위 측정 기능을 갖는 연속수동운동 의료기기 시스템 설계)

  • Kang Won Lee;Min Soo Park;Do Woo Yu;Oh Yang;Chang Ho Lee
    • Journal of the Semiconductor & Display Technology
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    • v.22 no.4
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    • pp.87-92
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    • 2023
  • As the elderly population increases, the number of patients with various joint diseases, including degenerative arthritis, is steadily increasing. CPM medical devices are needed to effectively treat degenerative arthritis that is common in the elderly population. Domestic CPM medical devices have limited functions and are highly dependent on imports for expensive imported medical devices. To solve this problem, we designed a ROM measurement function using a current sensor that is not present in existing composite joint CPM medical devices. The algorithm was designed using the fact that the force caused by joint stiffness greatly increases the current flowing through the DC motor. In addition, the need for digital healthcare in the medical field is gradually expanding as the proportion of chronically ill patients increases due to the spread of the non-face-to-face economy due to COVID-19 and the aging population. Therefore, this paper aims to improve the performance of CPM medical devices by allowing real-time confirmation of rehabilitation exercise information and operation range measurement results in accordance with digital healthcare trends through a Bluetooth application developed as an Android studio.

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Machining Tolerance of Various Implant Systems and their Components (치과용 임플란트 시스템의 기계적 가공오차에 관한 연구)

  • Kim, Hyeong-Seob;Kwon, Kung-Rock;Han, Jung-Suk
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.1
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    • pp.57-65
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    • 2008
  • Purpose: Misfit of implant components was very important in terms of prosthodontics. they has been linked to prosthetic complications such as screw loosening and fracture. Although there are many results about rotational freedom or machining tolerance between fixture and abutments, the data about domestic implant systems are lacking. The aim of this in vitro study was to evaluate the rotational freedom of domestic external and internal connection implant systems between their fixtures/anlaogs and abutments comparing imported systems. Materials and Methods: Rotational freedom between abutments and fixtures/analogs was investigated by using digitalized rotational angle measuring device. (1) 1 domestic external connection system(Neobiotec) and 2 imported external connection systems(Nobel Biocare, Anthorgyr), (2) 1 domestic internal connection system(Dentium) and 4 imported external connection systems(Nobel Biocare, Anthorgyr, Straumann, Frident Dentsply), and (3) 1 domestic zirconia external connection abutment(ZirAce) were evaluated. Each group has 3 samples. Mean values for each group were analyzed. Results: The differences relative to rotational freedom between domestic and imported implant systems were observed but domestic external connection implant system showed about 2.67 degrees(in case of fixture) and internal connection system showed about 4.3 degrees(in case of fixture). Domestic zirconia abutment showed less than 3 degrees of rotational freedom in a situation where the abutment was connected to an implant fixture egardless of domestic or imported systems. Conclusion: Newly developed digitalized rotational angle measuring device has high measuring resolution. The rotational freedom of domestic implant systems were similar to imported implant systems.

MANDIBULAR ADVANCEMENT WITH DISTRACTION OSTEOGENESIS FOR ADULT CLASS II MALOCCLUSION PATIENT WITH CONDYLAR RESORPTION (악관절 흡수양상을 보이는 성인 하악 후퇴증 환자에서 양측 하악골 골신장술을 이용한 하악 전진술)

  • Paeng, Jun-Young;Lee, Sang-Woo;Lee, Jin-Yong;Myoung, Hoon;Hwang, Soon-Jung;Seo, Byoung-Moo;Choi, Jin-Young;Lee, Jong-Ho;Choung, Pill-Hoon;Kim, Myung-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.3
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    • pp.217-226
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    • 2007
  • Purpose: Distraction osteogenesis is considered to take favorable effect on the TMJ and be beneficial to prevent the relapse after the mandibular advancement of Class II malocclusion patient. This is the report with literature review on the mandibular advancement in the patients showing preoperative condylar resorption and who need larger amount of advancement. Patients and method: Distraction osteogenesis using intraoral device was performed for three mandibular hypoplasia patients (one male and two females). All patients were adult over 18 years old. The patients showed condylar bony resorption preoperatively. The distraction was performed intraorally with modified SSRO. After 7 days of latency period, activation was performed at the rate of 1.0 mm/day with twice turn. The devices were removed after 4-8 month consolidation period. Results: Total advancement of mandible was average 13 mm. One patient showed openbite immediately after removal of distraction device. It took long time to guide the openbite with elastics. The comparison between cephalometries immediately after device removal and postoperative six month revealed average 3.4 mm relapse. This means that mandibular advancement with distraction osteogenesis needs overcorrection and elastic rehabilitation even after enough consolidation periods. Conclusion: Larger amount of mandibular advancement could be achieved with distraction osteogenesis in severe mandibular hypoplasia with condylar resorption. However, some relapse was found during the follow-up period and the over correction is considered to be needed. The effect of distraction osteogenesis seems to be investigated with long-term follow-up.