• Physical Therapy Korea
• /
• v.13 no.2
• /
• pp.1-8
• /
• 2006

The main purposes of this study were to find the correlation between walking ability assessment tools using the Modified Barthel Index (MBI), Functional Independence Measure (FIM), Spinal Cord Injury Measurement II (SCIM II), Walking Index for Spinal Cord Injury (WISCI), walking velocity, and walking endurance. The study population consisted of 56 patients with spinal cord injury referred to the department of Rehabilitative Medicine in the National Rehabilitation Hospital. All subjects were ambulatory with or without an assistive device. All participants were assessed by MBI, FIM, SCIM II, WISCI, walking velocity, and walking endurance. The data were analyzed using Pearson correlation analysis and X2. There was significant correlation between the MBI, FIM, SCIM II, WISCI, walking velocity, and walking endurance (p<.01). In particular, WISCI has a significant correlation with SCIM II(p<.001). Therefore the WISCI scale is an appropriate assessment tool to predict the gait ability of patients with spinal cord injury. Further study about MBI, FIM, SCIM II, WISCI, walking velocity, and walking endurance is needed using a longitudinal study design.

• Journal of the Korean Academy of Clinical Electrophysiology
• /
• v.2 no.1
• /
• pp.83-92
• /
• 2004

This study aims to the influenced factor analysis of spinal cord independence measure(SCIM), on walking velocity, walking endurance, time up & go(TUG), and subject characteristics. The subject of this study were 12 persons with incomplete spinal cord injury(ASIA C, D). All subject ambulatory with or without an assistive device. All participants were assessed on SCIM(score), walking velocity(m/s), walking endurance(m) and TUG(s). The data were analyzed using independent t-test and stepwise multiple regression. The results revealed that no statistical difference was noted in subject characteristics among SCIM, walking velocity, walking endurance, TUG(p>0.5). The independence score, breathing-sphincter control and ambulation were important factors in TUG(31.4%). The results suggest that SCIM may be an inappropriate assessment tool to predict gait ability of patient with incomplete spinal cord injury. Further study about gait speed, gait endurance and TUG by change of SCIM is needed using to patient of incomplete spinal cord injury.

• Journal of the Korean Society of Physical Medicine
• /
• v.7 no.1
• /
• pp.119-124
• /
• 2012

목적 : 본 연구는 척수손상환자들 중 신체활동 정도가 급격하게 차이 나는 운동 선수군과 비선수군의 일상생활동작과 골밀도를 비교 분석하는데 그 목적이 있다. 방법 : 본 연구를 위해 20명(선수 10명, 비선수 10명)의 SCI 환자가 실험에 참가하였다. 골밀도 측정을 위해 이중에너지 방사선골밀도 측정기(Lunar Prodigy, GE Healthcare. England)를 이용하여 종골부위(calcaneus)의 골밀도를 측정하였다. 척수손상환자의 일상 생활 기능을 측정하기 위해 자조관리(self care), 호흡과 괄약근 조절 (respiration and sphincter management task), 이동(transfer)의 세 영역으로 나누어진 SCIM II(Spinal Cord Injury Measurement II)을 이용하였다. 척수손상환자들 중 운동 선수군과 비운동 선수군의 일상생활 동작과 골밀도를 비교 하기 위해 SPSS 14.0 통계 프로그램의 independent t-test를 이용하여 통계분석을 실시하였고 일상생활 동작과 골밀도의 상관관계는 Pearson correlation을 실시하였다. 유의수준은 ${\alpha}$=.05로 통계처리 하였다. 결과 : 검사 결과 선수군이 비선수군보다 통계적으로 유의하게 큰 SCIM 점수와 T-score를 보여주었다. 결론 : 일상생활동작을 측정하기 위하여 SCIM II(SpinalCordIndependenceMeasureII) 척도를 사용하였는데 선수군이 비선수군에 비해 유의하게 높은 SCIM II 총점을 나타내어 운동을 통한 훈련이 척수손상환자의 기능적 활동을 향상시킬 수 있다고 사료된다. 그리고 골밀도 측정 결과 선수군이 비선수군에 비해 통계적으로 유의하게 높은 골밀도를 나타내었다. 이 역시 강도 높은 훈련이 척수손상환자에게 나타날 수 있는 신체구성을 강화시켜줄 수 있을 것으로 사료된다. 운동을 통한 재활 중에서 그 강도가 높을수록 신체의 구성적, 기능적 측면 뿐 아니라 신경의 가소성 측면에서도 증가를 기대해 볼 수 있을 것으로 판단된다.

• Journal of Acupuncture Research
• /
• v.30 no.3
• /
• pp.141-153
• /
• 2013

Objectives : The study aimed to show the clinical effects of oriental medical treatments for vascular disease of spinal cord. Methods : The patients were treated using acupuncture, electroacupuncture, pharmacoacupuncture, herbal medication. And the effects for vascular disease of spinal cord have measured in ASIA scale, SCIM III. Results : Sensory score on the ASIA scale is increased 128 to 156 in case 1, 189 to 196 in case 2. Motor score on the ASIA scale isn't changed in case 1, but is increased 90 to 99 in case 2. SCIM III is improved 25 to 30 in case 2. Conclusions : From the above results, It is considered that oriental medical treatments is effective on vascular disease of spinal cord.

• Journal of Information Processing Systems
• /
• v.6 no.2
• /
• pp.129-146
• /
• 2010

The trend of Next Generation Networks' (NGN) evolution is towards providing multiple and multimedia services to users through ubiquitous networks. The aim of IP Multimedia Subsystem (IMS) is to integrate mobile communication networks and computer networks. The IMS plays an important role in NGN services, which can be achieved by heterogeneous networks and different access technologies. IMS can be used to manage all service related issues such as Quality of Service (QoS), Charging, Access Control, User and Services Management. Nowadays, internet technology is changing with each passing day. New technologies yield new impact to IMS. In this paper, we perform a survey of IMS and discuss the different impacts of new technologies on IMS such as P2P, SCIM, Web Service and its security issues.

• Journal of Power Electronics
• /
• v.1 no.2
• /
• pp.127-132
• /
• 2001

This paper describes two different systems which can compensate harmonic currents generated in a power system. As non-linear loads increase gradually in industry fields, harmonic current generated in the electric power network system also increases. Harmonic current makes a power network current distorted and generates heat, vibration and noise in the power machinery. Many approaches have been applied to compensate harmonic currents generated in the power system. Among various approaches, in this paper, two kinds are compared and evaluated. They are flywheel compensators bases on secondary excitation of WRIM(wounded rotor induction motor) and SCIM(squirrel cage induction motor). Both systems have a common structure. They use a flywheel as an energy storage device and use PWM inverters. The main differences are the size and rating of the converter used.

• Journal of the Korean Society for Railway
• /
• v.4 no.1
• /
• pp.16-22
• /
• 2001

This paper describes two different systems which can compensate harmonic currents generated in the power system. As non-linear loads increase gradually in industry fields, harmonic current generated in the electric power network system also increases. Harmonic current makes a power network current distorted and generates heat, vibration, noise in the power machinery. Many approaches have been applied to compensate harmonic currents generated in the power network system. Among various approaches, in this paper, two kinds of approaches are compared and evaluated. They are flywheel compensator based on secondary excitation of wounded rotor induction motor(WRIM) and primary excitation of squirrel cage induction motor(SCIM). Both systems have a common structure. They use a flywheel as a energy storage device and use PWM inverters.

• Physical Therapy Rehabilitation Science
• /
• v.13 no.1
• /
• pp.86-94
• /
• 2024

Objective: To evaluate the changes in bladder capacity and storage through non-invasive neuromodulation by application of repetitive Trans magnetic stimulation (rTMS) and genital nerve stimulation (GNS) in traumatic spinal cord survivors. Design: A Single Case Study. Method: The Patient was registered in trail with the clinical trial registry of India (CTRI/2022/05/042431). The Patient was interposed with rTMS on lumbar area, from T11-L4 vertebrae with 1 Hz and the intensity was 20% below that elicited local paraspinal muscular contraction for 13 minutes. GNS was placed over dorsum of the penis with the cathode at the base and anode 2 cm distally at 20 Hz, 200 microseconds, Continuous and biphasic current was delivered and amplitude of stimulation necessary to elicit the genito-anal reflex. For assessment, Neurological examination was done for peri-anal sensation (PAS), voluntary anal contraction (VAC) and bulbocavernous reflex (BCR), deep anal pressure (DAP), and American Spinal Injury Association Impairment Scale (ASIA scale). Outcome assessment was done using Urodynamics, Spinal Cord Independence Measure Scale Version-III (SCIM-III), American Spinal Injury Association Impairment Score (ASIA Score), Beck's Depression Inventory Scale (BDI). The baseline evaluation was taken on Day 0 and on Day 30. Results: The pre-and post-data were collected through ASIA score, SCIM-III, BDI and Urodynamics test which showed significant improvement in bladder capacity and storage outcomes in the urodynamics study across the span of 4 weeks. Conclusion: rTMS along with GNS showed improvement in bladder capacity & storage, on sensory-motor score, in functional independence of individual after SCI.

• PNF and Movement
• /
• v.14 no.3
• /
• pp.245-254
• /
• 2016

Purpose: This study investigates the influence of elastic resistance exercise using proprioceptive neuromuscular facilitation (PNF) on the daily activities of a patient with incomplete spinal cord injury. The result will be proposed as background data for effective intervention in a patient with incomplete spinal cord injury. Methods: The target subject was a patient with incomplete spinal cord injury to the cervical cord (C6). Elastic resistance exercise based on PNF was performed for 30 min daily, five times a week, for eight weeks. The ASIS motor scale was applied to test the muscular strength of the upper limb, and the spinal cord independence measure II (SCIM II) was used to evaluate the capacity of daily activity. Results: By applying elastic resistance exercise based on PNF, the muscular strength of the upper limb increased and the performance of daily activity improved. Conclusion: Because elastic resistance exercise based on PNF positively influences the ASIA motor scale and SCIM II of the patient with incomplete spinal cord injury. It can be used for training programs to improve the capacity of daily activity of the patient.

• The Journal of Korean Physical Therapy
• /
• v.16 no.3
• /
• pp.142-151
• /
• 2004

The purpose of this study was to determine the validity and the reliability of the WISCI II to ascertain its value in the walking function evaluation of spinal cord injury patient. The WISCI II consists of 20 variables with a total valus ranging from 6 to 20 score. A group of 23 spinal cord injury patient were included in this study. To determine the validity, kappa statistics between the WISCI II and SCIM II were measured. The result of this study are as follows: 1) In the validity study, the kappa statistics between the WISCI II and SCIM II were 0.79 and 0.84 for an initial total score and a discharge total score respectively, indicating a reasonable agreement between the two test. 2) In the reliability study, the Cronbach's alpha coefficient was 0.83 and 0.95 for total score indicating a good internal consistency. The finding suggest that the WISCI II demonstrated an acceptable validity and reliabilit for the evaluation of walking function capacity of spinal cord injury patient in clinical practice.