• Title/Summary/Keyword: Stroke measurement system

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Effects of Robot Assisted Gait Training Combined Virtual Reality on Balance and Respiratory Function in Chronic Stroke Patients (가상현실을 접목한 로봇보행훈련이 만성 뇌졸중 환자의 균형과 호흡기능에 미치는 영향)

  • Wook Hwang
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.221-230
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    • 2023
  • Purpose : This study was performed to evaluate the effects of virtual reality combined robot assist gait training (VRG) on improvement of balance and respiratory function in chronic stroke patients. Methods : A single-blind, randomized controlled trial (RCT) was conducted with 35 chronic stroke patients. They were randomly allocated 2 groups; VRG group (n=18) and conservative treatment group (CG; n=17). The VRG group received 30 minutes robot assisted gait training combined virtual reality training, robot assisted gait training was conducted in parallel using a virtual reality device (2 sessions of 15 minutes in a 3D-recorded walking environment and 15 minutes in a downtown walking environment). In the conservative treatment group, neurodevelopmental therapy and exercise therapy were performed according to the function of stroke patients. Each group performed 30 minutes a day 3 times a week for 8 weeks. The primary outcome balance and respiratory function were measured by a balance measurement system (BioRescue, Marseille, France), Berg balance scale, functional reach test for balance, Spirometry (Cosmed Micro Quark, Cosmed, Italy) for respiratory function Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and maximum expiratory volume (PEF) were measured according to the protocol. The measurement were performed before and after the 8 weeks intervention period. Results : Both groups demonstrated significant improvement of outcome in balance and respiratory function during intervention period. VRG revealed significant differences in balance and respiratory function as compared to the CG groups (p<.05). Our results showed that VRG was more effective on balance and respiratory function in patients with chronic stroke. Conclusion : Our findings indicate that VRG can improve balance and respiratory function, highlight the benefits of VRG. This study will be able to be used as an intervention data for recovering balance and respiratory function in chronic stroke patients.

The Effect of Sahyangsohapwon on Heart Rate Variability of Healthy Subjects (사향소합원(麝香蘇合元)이 정상인의 심박변이도에 미치는 영향)

  • Kim, Chang-Hyun;Hwang, Jae-Woong;Min, In-Kyu;Kim, Mi-Young;Byeon, Hyung-Sik;Na, Byong-Jo;Park, Sung-Wook;Park, Jung-Mi;Ko, Chang-Nam;Bae, Hyung-Sup;Jung, Woo-Sang;Moon, Sang-Kwan;Cho, Ki-Ho;Kim, Young-Suk
    • The Journal of Korean Medicine
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    • v.30 no.1
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    • pp.120-127
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    • 2009
  • Objectives: Sahyangsohapwon (SS) is a herbal medication that has been widely used with circulatory and neural diseases. This study was conducted to assess the effect of SS on the autonomic nervous system by using heart rate variability measurement. Methods: The eligible subjects were enrolled from the healthy male group of ages 20 to 35 years. They were divided into two groups, the SS group (n=26) and the control (n=24). We monitored the ECG of subjects from the time period 14:00 to 18:00. In the SS group, subjects were administered with a dose of SS at the time 15:00, whereas the control group had none. For each hour HRV measurement was monitored every 15 minutes for 512 seconds from the time period 14:00 to 18:00. The mean value, which was calculated using the 4 values during each hour (i.e. 14:00, 14:15, 14:30, 14:45), was used as the representative value for each individual hour. For the measurement values, RR-interval and SDNN (standard deviation of the NN intervals) were used as time domain analysis, and HF (high frequency), LF (low frequency), and LF/HF ratio were used as frequency domain analysis. Results: The LF value showed an increase after one hour of SS administration and showed gradual diminution for each and every hour. The repeated measures of ANOVA for the comparison of the LF value between the SS group and the control group showed significant differences. While, RR interval, SDNN, HF, and LF/HF ratio values showed no significant differences between the two groups. Conclusions: We suggest that the SS might be useful for stabilizing autonomic nervous system by inhibiting sympathetic nerve activation in healthy people.

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The effect of gait training with an elastic ankle-foot orthosis on balance and walking ability of persons with chronic stroke: a randomized controlled trial

  • Chi, Ming Hao;Yim, Jong Eun;Yi, Dong hyun
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.222-229
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    • 2020
  • Objective: The purpose of this study was to investigate the effect of treadmill exercise on the posture and walking speed of chronic stroke survivors with an ankle-foot orthosis. Design: Randomized controlled trial. Methods: Twenty-four chronic persons with chronic stroke admitted to Bobath Memorial Hospital in Seongnam city were divided into two groups by random blind method. Treadmill exercise with an elastic ankle-foot orthosis was performed in the experimental group and treadmill exercise was performed in the control group. The experiment was carried out for 6 weeks, and the experiment was carried out three times a week for 20 minutes per session. To measure the effect, static balance was measured using the MTD system before and after training, and the Berg Balance Scale (BBS) was used to measure functional balance. Results: There was a statistically significant difference between the 2 groups in the BBS measurement results for confirming the functional balance (p<0.05). Also, there was a significant difference between the 2 groups in single limb support time, step time and step length (p<0.05). Conclusions: In this study, it was found that treadmill exercise with an elastic ankle-foot orthosis in persons with chronic stroke was effective in maintaining functional balance, walking ability, step length, and step time. Therefore, it is necessary to use a flexible ankle-foot orthosis with proper treadmill exercise as a method of improving balance and walking speed of chronic stroke survivors.

Design of Stroke Measurement System and Cylinder-type Capactive Sensor (실린더형 정전용량 센서 및 변위 측정시스템 설계)

  • Lee, Jae-gun;Lee, In-gon;Park, Sung-kyun;Hong, Ic-pyo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.910-912
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    • 2015
  • In this paper, we designed the novel capacitive sensor and system for measuring the position of the piston in hydraulic cylinder. The magnetic or LVDT sensors have been widely used to measure the position of the piston because of its high accuracy, but these types of sensor are very expensive and have difficulty in use because of its complexity. To overcome these disadvantages, we studied the optimized non-contact capacitive sensor and designed detecting system for accurate measuring the location of piston in hydraulic cylinder. The proposed capacitive sensor and detecting system have the possibility of practical use for hydraulic cylinder through experiments.

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Effect of Visual and Somatosensory Information Inputs on Postural Sway in Patients With Stroke Using Tri-Axial Accelerometer Measurement

  • Chung, Jae-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.87-93
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    • 2016
  • Background: Posture balance control is the ability to maintain the body's center of gravity in the minimal postural sway state on a supportive surface. This ability is obtained through a complicated process of sensing the movements of the human body through sensory organs and then integrating the information into the central nervous system and reacting to the musculoskeletal system and the support action of the musculoskeletal system. Motor function, including coordination, motor, and vision, vestibular sense, and sensory function, including proprioception, should act in an integrated way. However, more than half of stroke patients have motor, sensory, cognitive, and emotional disorders for a long time. Motor and sensory disorders cause the greatest difficulty in postural control among stroke patients. Objects: The purpose of this study is to determine the effect of visual and somatosensory information on postural sway in stroke patients and carrying out a kinematic analysis using a tri-axial accelerometer and a quantitative assessment. Methods: Thirty-four subjects posed four stance condition was accepted various sensory information for counterbalance. This experiment referred to the computerized dynamic posturography assessments and was redesigned four condition blocking visual and somatosensory information. To measure the postural sway of the subjects' trunk, a wireless tri-axial accelerometer was used by signal vector magnitude value. Ony-way measure analysis of variance was performed among four condition. Results: There were significant differences when somatosensory information input blocked (p<.05). Conclusion: The sensory significantly affecting the balance ability of stroke patients is somatosensory, and the amount of actual movement of the trunk could be objectively compared and analyzed through quantitative figures using a tri-axial accelerometer for balance ability.

Simulation of a two-stroke diesel engine for propulsion in waves

  • Yum, Kevin Koosup;Taskar, Bhushan;Pedersen, Eilif;Steen, Sverre
    • International Journal of Naval Architecture and Ocean Engineering
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    • v.9 no.4
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    • pp.351-372
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    • 2017
  • Propulsion in waves is a complex physical process that involves interactions between a hull, a propeller, a shaft and a prime mover which is often a diesel engine. Among the relevant components, the diesel engine plays an important role in the overall system dynamics. Therefore, using a proper model for the diesel engine is essential to achieve the reasonable accuracy of the transient simulation of the entire system. In this paper, a simulation model of a propulsion system in waves is presented with emphasis on modeling a two-stroke marine diesel engine: the framework for building such a model and its mathematical descriptions. The models are validated against available measurement data, and a sensitivity analysis for the transient performance of the diesel engine is carried out. Finally, the results of the system simulations under various wave conditions are analyzed to understand the physical processes and compare the efficiency for different cases.

A Reliability Study of Sit-to-walk for Dynamic Balance Assessment in Stroke Patient (뇌졸중환자의 동적 균형 평가를 위한 sit-to-walk의 신뢰도 연구)

  • Kim, Da-Yeon;Choi, Jong-Duk;Ki, Kyong-Il
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.303-310
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    • 2013
  • Purpose: The purposes of this study were to evaluate the correlation of clinical tools for assessment of balance and ability of gait, in order to discriminate the phases of sit-to-walk movement of patients with stroke using the motion analysis system, and to investigate the reliability of the phase of sit-to-walk movement according to functional ability of patients with stroke. Methods: Twenty -one patients participated (men 17, women 4) in this study. Sit-to-walk movement of all patients was recorded by the motion analysis system. Berg Balance Scale, Timed Up and Go test, Functional Reach Test, 10 meter Walk Timed Test, and Performance-Oriented Mobility Assessment were used as functional assessment tools. Results: The results of this study showed significant correlation between the phase I, II, IV and total phase duration of sit-to-walk movement and functional assessment tools. In addition, the intraclass correlation coefficient (ICC) showed high reliability in accordance with the functional ability of patients with stroke (Pearson's r 0.93 to 1.00). Conclusion: In conclusion, there is high reliability between measures of the phase of sit-to-walk movement of chronic stroke patients and the clinical assessment tool. Results of this study suggest that measurement of the phase of sit-to-walk movement can be used significantly as an intervention and a clinical tool for patients with stroke.

Study of Two Stroke Low Speed Diesel Engine Crankshaft Crack Phenomenon by Torsional Vibration Calculation & Measurement (비틀림 진동 계산 및 측정을 통해 고찰한 선박용 2행정 저속엔진 크랭크축 파단 현상)

  • Moon, Joung-Ha;Kim, Jeong-Ryul
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.24 no.6
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    • pp.452-461
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    • 2014
  • Two stroke low speed diesel engines that have many advantages such as high thermal efficiency and durability have been widely used for marine engine. However, it is also true that many problems have occurred due to the high explosion pressure and severe operating environment. Especially problems of shaft damage etc. intensively occurred due to the phenomenon of crankshaft exceeding the allowable stress, including the shaft vibration of the engine model in the early stage. In this study, the crankshaft fracture phenomenon of early engine model was evaluated and analyzed by using up-to-date torsional vibration calculation program and measurement instrument. And this was numerically shown.

A Study on the Scavenging Efficiency Evaluation for the RSSV Configuration of 2-Stroke Engine with Popet Valve Type Using Single-Cycle Method (Single-Cycle 기법을 이용한 포핏밸브형 2-행정기관의 RSSV 형상에 따른 소기효율 측정에 관한 연구)

  • 이진욱;강건용;정용일;이주헌;박정규
    • Transactions of the Korean Society of Automotive Engineers
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    • v.5 no.2
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    • pp.69-79
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    • 1997
  • This paper deals with the measurement and analysis on the scavenging performance of the oppet-valve type two-stroke engine with different shroud system. The scavenging flow characteristics is investigated by flow visualization under steady condition, in which a dye is introduced into single-cycle method using the difference of specific gravity between two working fluids is used to evaluate the scavenging efficiency and the trapping efficiency. The 90° shroud system was found to be the highest efficiency system through both flow visualization and single-cycle test, as well as the shroud system to generally be efficient for reducing a short-circuiting flow during scavenging process in a two-stoke engine.

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The Immediate Effect of Neuro-Dynamics Technique on Balance and Gait in Chronic Stroke Patients (뉴로 다이나믹 기법이 만성 뇌졸중 환자의 균형과 보행에 미치는 즉각적 영향)

  • Jeong, Ju-ri;Yang, Young-sik;Park, Jae-myoung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.1
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    • pp.27-34
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    • 2016
  • Background: The purpose of this study was to investigate the immediate effects of neuro-dynamics technique (NDT) to the balance and gait for chronic stroke patients. Methods: This study was composed of the cross-sectional design. Nine patients with chronic stroke applied to NDT. Balance ability function was measured using the Good Balance System device for static balance, timed up and go test (TUG) and functional reach test (FRT) for dynamic balance. The 10 meter walk test (10MWT) and GAITRite device were used for measurement of gait ability for patients. Results: There were significant improvements were observed on dynamic balance ability (p<.05) and gait ability function (p<.05). Conclusions: This research shows that the NDT is immediate effective on dynamic balance and gait ability of the chronic stroke patients. Further studies may be needed to continuously intervention of NDT for more patients.

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