• Title/Summary/Keyword: Rehabilitation Strategy

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Alteration of Gait Characteristics in Hemiplegic Elderly during Straight and Revolution Gaits (직선 및 회전 보행 시 편마비에 따른 고령자의 보행 특성 변화)

  • Jung, HoHyun;Lee, BumKee;Chun, Kyeong Jin;Lim, Dohyung
    • Journal of Biomedical Engineering Research
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    • v.35 no.2
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    • pp.26-34
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    • 2014
  • Little information is available about the characteristics in revolution gait of hemiplegic elderly, which is frequently represented in daily life. It is also hard to elucidate purely the characteristics due to hemiplegia because of no consideration of aging factors. The aim of study is to identify the alteration characteristics of lower extremity joint angles in both straight and revolution gaits together due to hemiplegia through comparing healthy with hemiplegic elderly. Following Institutional Review Board approval, twelve healthy and hemiplegic elderly were participated and the center of body mass (COM) and lower extremity joint angles were measured during straight and revolution gaits using a computer-aided video motion capture system. The results showed that the gait characteristics were generally altered in both straight and revolution gaits due to hemiplegia (p < 0.05). The gait characteristics were then different between the straight and revolution gaits each other. This study may be valuable by identifying for the first time the alterations of the lower extremity joint angles in both straight and revolution gaits due to pure hemiplegia through comparing healthy elderly with hemiplegic elderly.

Degradation of Lowland Forest Landscape and Management Strategy to Improve Ecological Quality in Mt. Baekja and Its Surroundings

  • Cho, Hyun-Je;Cho, Yong-Chan;Lee, Chang-Seok
    • Journal of Ecology and Environment
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    • v.29 no.5
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    • pp.445-452
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    • 2006
  • The number of species and forest area has decreased as urbanization is progressed. The landscape degradation was examined by analyzing vegetation map, satellite image and characteristics of actual vegetation. The study was conducted in Mt. Baekja and its surroundings located on Gyeongsan city, southeastern Korea. As the result of landscape analysis, agricultural field was a characteristic attribute of the study area. Lowlands of this study area were occupied by agricultural field and various plantations. For 15 years from 1987 to 2002, forest area decreased from 2,072.9 ha to 1,853.2 ha, and shape index and fractal dimension of vegetation patches increased from 1.32 to 1.65 and from 1.05 to 1.09, respectively. Pinus densiflora Siebold & Zucco. community showed the highest species diversity, whereas Larix kaempferi (Lamb.) Carriere community showed the lowest species abundance. As forest management implications, monitoring of endangered plant species (Jeffersonia dubia (Maxim.) Benth. & Hook.f. ex Baker & S.Moore), and restoration of lowland forest from plantation to natural forest were discussed. Further, establishment of greenways utilizing existing streams, roadside, and public facilities were recommended.

A Study on the Spatial Organization of Outpatient Department in General Hospital - Focused on the Latest Planned General Hospital of Scale more than 500 Beds - (종합병원 외래진료부의 공간구성과 규모계획에 관한 조사연구 - 최근 계획된 500병상 이상 규모의 종합병원을 중심으로 -)

  • Son, Jae-Won;Lee, Teuk-Koo
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.2
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    • pp.53-60
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    • 2007
  • Various changes in medical environments including growing elderly population, chronic diseases, deepening competition among hospitals since opening to foreign medical service, economic strategy for improvement of profit system have caused hospitals to be specialized. In this backgrounds, the purpose of this study is to receive basic data for architectural planning on the spatial organization of outpatient department in general hospital. The results of this study were as follows; First, major changes of outpatient department in general hospital are composed of 'co-work in medical examination and treatment', 'decentralization of diagnosis and treatment(D/T)' and 'patient-oriented medical service'. Changes by co-work system include appearance of medical offices for co-work, activation of specialized clinics, grouping of E/T section for outpatient and various types of specialized centers. Second, the grouping of E/T sections means the modification of E/T system and organization in general hospitals, and a new spatial organization will be needed. Third, the types of specialized centers are getting varied. they are classified into several types including disease-resource, social stratum-resource, human organ-resource, health-resource, rehabilitation-resource, alternative medical center and so on.

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Treatment of Rockwood Type III Acromioclavicular Joint Dislocation

  • Kim, Seong-Hun;Koh, Kyoung-Hwan
    • Clinics in Shoulder and Elbow
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    • v.21 no.1
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    • pp.48-55
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    • 2018
  • While non-operative treatment with structured rehabilitation tends to be the strategy of choice in the management of Rockwood type III acromioclavicular joint injury, some advocate surgical treatment to prevent persistent pain, disability, and prominence of the distal clavicle. There is no clear consensus regarding when the surgical treatment should be indicated, and successful clinical outcomes have been reported for non-operative treatment in more than 80% of type III acromioclavicular joint injuries. Furthermore, there is no gold standard procedure for operative treatment of type III acromioclavicular joint injury, and more than 60 different procedures have been used for this purpose in clinical practice. Among these surgical techniques, recently introduced arthroscopic-assisted procedures involving a coracoclavicular suspension device are minimally invasive and have been shown to achieve successful coracoclavicular reconstruction in 80% of patients with failed conservative treatment. Taken together, currently available data indicate that successful treatment can be expected with initial conservative treatment in more than 96% of type III acromioclavicular injuries, whereas minimally invasive surgical treatments can be considered for unstable type IIIB injuries, especially in young and active patients. Further studies are needed to clarify the optimal treatment approach in patients with higher functional needs, especially in high-level athletes.

Methodology of a Probabilistic Pavement Performance Prediction Model Based on the Markov Process (확률적 포장 공용성 예측모델 개발 방법론)

  • Yoo, Pyeong-Jun;Lee, Dong-Hyun
    • International Journal of Highway Engineering
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    • v.4 no.4 s.14
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    • pp.1-12
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    • 2002
  • Pavement Management System has a special purpose that the rehabilitation strategy applied on pavement should be executable in view of technical and economical point after new pavement open to the traffic. To achieve that purpose, a reliable pavement performance prediction model should be embeded in the system. The object of this study is to develop a probabilistic pavement performance prediction model for evaluating asphalt pavements based on the Markov chain concept. In this paper, methodology of the Markov chain modeling principle is explained, and the application of this model to asphalt pavement is described. As the results, transition matrics for predicting asphalt pavement performance are obtained, and also performance life is estimated quantitatively by this system.

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Study on Gait Analysis of Elders and Hemiplegia Patients using 3D Motion Analysis (고령자 및 편마비 환자의 3 차원 동작분석을 통한 보행 특성에 관한 연구)

  • Jang, Hye-Youn;Han, Jung-Soo;Han, Chang-Soo
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.7
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    • pp.730-736
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    • 2012
  • Latest, many researchers do research on wearable robot. The purpose of the researches is very diverse, it will improve efficiency in the industry, taken to replace the many workers in the military field and taken to assist bodily functions run out by aging. However, there is no clear Differentiated strategy depending on the purpose for design and control of the wearable robot. Although a common purpose is to drive the robot by the sensor signal (intent signals), the optimization about the mechanism and control studies must be done according to the user's physical ability and purpose. In this study, the study's first phase for the development of wearable robotic gait rehabilitation, gait characteristics were analyzed elders and hemiplegia patients using a 3D gait analysis system (VICON512). As a result, asymmetric gait characteristics of the hemiplegia patients were found compared with the normal elderly.

Morphological segmentation based on edge detection-II for automatic concrete crack measurement

  • Su, Tung-Ching;Yang, Ming-Der
    • Computers and Concrete
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    • v.21 no.6
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    • pp.727-739
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    • 2018
  • Crack is the most common typical feature of concrete deterioration, so routine monitoring and health assessment become essential for identifying failures and to set up an appropriate rehabilitation strategy in order to extend the service life of concrete structures. At present, image segmentation algorithms have been applied to crack analysis based on inspection images of concrete structures. The results of crack segmentation offering crack information, including length, width, and area is helpful to assist inspectors in surface inspection of concrete structures. This study proposed an algorithm of image segmentation enhancement, named morphological segmentation based on edge detection-II (MSED-II), to concrete crack segmentation. Several concrete pavement and building surfaces were imaged as the study materials. In addition, morphological operations followed by cross-curvature evaluation (CCE), an image segmentation technique of linear patterns, were also tested to evaluate their performance in concrete crack segmentation. The result indicates that MSED-II compared to CCE can lead to better quality of concrete crack segmentation. The least area, length, and width measurement errors of the concrete cracks are 5.68%, 0.23%, and 0.00%, respectively, that proves MSED-II effective for automatic measurement of concrete cracks.

Can Functional Assessment Tools Reflect Balance Abilities at 3 Months after Total hip Arthroplasty?

  • Kim, Min-Woo;Ryu, Young-Uk
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.4
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    • pp.51-58
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    • 2018
  • PURPOSE: This study was conducted to determine if the Harrison hip score (HHS), a tool for assessing hip joint function, and the Burg balance scale (BBS), a general balance assessment tool, actually reflect the balance ability of total hip arthroplasty (THA) patients 3 months after surgery. In addition, this study investigated the initial weight distribution strategy for bilateral lower extremity after THA surgery to understand the balance of THA patients. METHODS: Fourteen 3-month THA patients performed static dual standing and sit-to-stand (STS) tasks. Ground reaction forces on each leg were collected to calculate the weight distribution symmetricity (SWD), and the HHS, functional HHS (f-HHS), and BBS were evaluated. Correlation analyses between SWD and the HHS (also f-HHS) and BBS were then applied to the THA patients. RESULTS: The correlations between functional evaluation tools (HHS, f-HHS, BBS) and SWD were weak strength for the static balance task, but moderate for the dynamic STS task. Among the evaluation tools used in the present study, f-HHS was most useful for evaluation of dynamic balance ability. CONCLUSION: The results suggest that use of HHS, f-HHS, and BBS as functional evaluation tools does not provide meaningful information regarding balance ability, but that they are useful for evaluating dynamic balance ability of THA patients. The dynamic balance ability at 3 months after THA seems to be under development.

Numerical simulation approach for structural capacity of corroded reinforced concrete bridge

  • Zhou, Xuhong;Tu, Xi;Chen, Airong;Wang, Yuqian
    • Advances in concrete construction
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    • v.7 no.1
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    • pp.11-22
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    • 2019
  • A comprehensive assessing approach for durability of reinforced concrete structures dealing with the corrosion process of rebar subjected to the attack of aggressive agent from environment was proposed in this paper. Corrosion of rebar was suggested in the form of combination of global corrosion and pitting. Firstly, for the purposed of considering the influence of rebar's radius, a type of Plane Corrosion Model (PCM) based on uniform corrosion of rebar was introduced. By means of FE simulation approach, global corrosion process of rebar regarding PCM and LCM (Linear Corrosion Model) was regressed and compared according to the data from Laboratoire $Mat{\acute{e}}riaux$ et $Durabilit{\acute{e}}$ des Constructions (LMDC). Secondly, pitting factor model of rebar in general descend law with corrosion degree was introduced in terms of existing experimental data. Finally, with the comprehensive numerical simulation, the durability of an existing arch bridge was studied in depth in deterministic way, including diffusion process and sectional strength of typical cross section of arch, crossbeam and deck slab. Evolution of structural capacity considering life-cycle rehabilitation strategy indicated the degradation law of durability of reinforced arch bridges.

Condition assessment of bridge pier using constrained minimum variance unbiased estimator

  • Tamuly, Pranjal;Chakraborty, Arunasis;Das, Sandip
    • Structural Monitoring and Maintenance
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    • v.7 no.4
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    • pp.319-344
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    • 2020
  • Inverse analysis of non-linear reinforced concrete bridge pier using recursive Gaussian filtering for in-situ condition assessment is the main theme of this work. For this purpose, minimum variance unbiased estimation using unscented sigma points is adopted here. The uniqueness of this inverse analysis lies in its approach for strain based updating of engineering demand parameters, where appropriate bound and constrained conditions are introduced to ensure numerical stability and convergence. In this analysis, seismic input is also identified, which is an added advantage for the structures having no dedicated sensors for earthquake measurement. First, the proposed strategy is tested with a simulated example whose hysteretic properties are obtained from the slow-cyclic test of a frame to investigate its efficiency and accuracy. Finally, the experimental test data of a full-scale bridge pier is used to study its in-situ condition in terms of Park & Ang damage index. Overall the study shows the ability of the augmented minimum variance unbiased estimation based recursive time-marching algorithm for non-linear system identification with the aim to estimate the engineering damage parameters that are the fundamental information necessary for any future decision making for retrofitting/rehabilitation.