• Title/Summary/Keyword: Stroke measurement system

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The reliability test of a smart insole for gait analysis in stroke patients

  • Seo, Tae-Won;Lee, Jun-Young;Lee, Byoung-Hee
    • Journal of Korean Physical Therapy Science
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    • v.29 no.1
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    • pp.30-40
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    • 2022
  • Background: This study analyzed the reliability of smart guides for gait analysis in patients with stroke. Design: Cross-sectional study. Methods: The participants of the study were 30 patients with stroke who could walk more than 10 m and had an MMSE-K test score of ≥24. Prior to the experiment, the subjects or their guardians entered their demographic characteristics including gender, age, height, weight into the prepared computer. The experiment was conducted in a quiet, comfortable, and independent location, and the patient was reminded of the equipment description, precautions, and safety rules for walking. A smart insole was inserted into the shoes of the patients and the shoes were put on before the patients walked three times on the 5-m gait analysis system mat installed in the laboratory. Results: The reliability of the equipment was compared with that of the gait analysis system, and the results of this study are as follows: among the gait analysis items, velocity had an ICC=0.982, the cadence had an ICC=0.905, the swing phase on the side of the gait cycle had an ICC=0.893, the swing phase on the side of the gait had an ICC=0.839, that on the non-affected side had an ICC=0.939, single support on the affected side had an ICC=0.812, and support on the non-affected side had an ICC=0.767. Conclusion: The results of this study indicate no statistical difference between the smart insole and the gait analysis system. Therefore, it is believed that real-time gait analysis through smart insole measurement could help patients in rehabilitation.

The Effect of Dual Motor Task Training on Balance of Subacute Stroke Patients (이중 운동 과제 훈련이 아급성기 뇌졸중 환자의 균형에 미치는 효과)

  • Ji, Sang-Goo;Kim, Myoung-Kwon;Cha, Hyun-Kyu
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.1
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    • pp.1-9
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    • 2013
  • PURPOSE: This study compared the effects of dual motor task training and simple task training on the balance of subacute stroke patients. METHODS: A total of 23 subacute stroke patients participated in the study. The subjects were allocated randomly to two groups: an experimental group and a control group. Both groups received conventional treatment for 50 minutes, 5 times per week for 6 weeks. In addition, the experimental group stacked blocks, moved catch cups, and moved rings while standing and gait. To evaluate the effects of the exercises, subjects were evaluated by using the balance system and the timed get up and go test(TUG) for balance measurement. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. RESULTS: The experimental group showed a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group (p<.05) for the simple task and a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group for the dual task. In addition, the experimental group showed a significant increase in TUG time compared to the control group (p<.05). CONCLUSION: These results support the perceived benefits of dual motor task training to augment the balance of subacute stroke patients. Therefore, dual motor task training is recommended for subacute stroke patients.

Change of gait pattern of a patient with cerebral stroke by peroneal nerve stimulation therapy (뇌졸중 환자의 비골신경 자극에 따른 보행 양상의 변화)

  • Choi, Sanho;Lee, Ilsuk;Hong, Haejin;Oh, Jaegun;Sung, Kang-keyng;Lee, Sangkwan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.61-70
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    • 2013
  • ■ Objectives The goal of this pilot study is to observe the change of gait pattern in a patient after peroneal nerve electrical stimulation(PNST). ■ Methods We analyzed the gait pattern of stroke patient using treadmill gait analysis system before and after PNST for seven weeks. The PNST was carried out for 20minutes every day except Sunday. In addition, the measurement was carried out every Saturday. At the fifth week, the PNST was not carried out to confirm whether the effect of PNST was disappeared immediately when PNST was not applied. ■ Results After PNST, while heel contact time and heel max force increased and forefoot and midfoot max force decreased, the gait parameters such as cadence, velocity, swing phase, stance phase, total double support, step length, stride length, step time, stride time and forefoot contact time, were not changed. ■ Conclusion Gait of a patient with cerebral stroke was changed positively after PNST.

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Measurement and Assessment on the Shaft Power Measurement of Diesel Engine using Strain Gauge in Marine Vessel (선박에서 스트레인 게이지를 이용한 디젤엔진의 축 동력 측정과 평가)

  • Lee, Don-Chool;Song, Myong-Ho;Kim, Sang-Hwan
    • Journal of Advanced Marine Engineering and Technology
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    • v.33 no.8
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    • pp.1152-1161
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    • 2009
  • The power measurement of main propulsion system on the new vessels can be classified with the direct method acquired from the shaft's strain using strain gauge and the indirect method converted and summed from all of cylinders combustion pressure using mechanical or electrical pickup device during the sea trial. This power is fluctuated by external factors which was influenced by various sea motions with long time interval and by internal factors which was influenced by varying torques of torsional vibration and bending moment, due to mis-aligned shaft and whirling vibration with short time interval. In this paper, the statistical analysis method for the shaft power measurement and assessment using strain gauge in marine vessels are introduced. And these are identified by the low speed two stroke diesel engine model and four stroke medium speed diesel engine model including reduction gear.

Calibration of SAW Based Capacitive Sensor Using Lumped Component and High Precision Gap Measurement (집중 소자를 이용한 표면 탄성파 장치 기반의 용량 성 센서 보정 및 이를 이용한 초정밀 간극 측정)

  • Kim, Jae-Geun;Ko, Byung-Han;Park, Young-Pil;Park, No-Cheol
    • Transactions of the Society of Information Storage Systems
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    • v.8 no.1
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    • pp.16-21
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    • 2012
  • SAW device is widely used as filters, sensors, actuators in various technologies. And capacitive sensor is tremendously used to measure pressure, gap, etc. The application of SAW device as signal conditioner of capacitive sensor reduces noise level and enables high precision measurement. The response increase of SAW based capacitive sensor is produced just before the two capacitive electrode contacts by the existence of parasitic resistance of capacitive electrode. In this paper, we analyze the effects of parasitic resistance and propose the calibrating method using lumped component and execute the high precision gap measurement using calibrated system. And xx nm resolution and yy ${\mu}m$ stroke was attained.

A Study on the Behavior Characteristics of a Tensioning Device of a Catenary System According to the Longitudinal Dynamic Displacement of Railroad Bridge (철도교량의 종방향 동적 변위에 따른 전차선로 장력조정장치 거동특성에 관한 연구)

  • Na, Youn-Il;Lee, Jae-Bong;Kim, Jae-Moon;Kim, Yang-Su
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.10
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    • pp.1517-1522
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    • 2015
  • Since electric railroad vehicle pass through repeatedly on the railroad bridge, the dynamic load that causes the change of tension of contact wire affect it constantly. In this paper, we measured the dynamic displacement of the railroad bridges to analyze the effect of tension in the catenary. A result of dynamic measurement of the longitudinal displacement, it's maximum value was 39.9mm which was lower than the primary management criteria 378mm. Also on the based of a maximum temperature, it shows a feature that the longitudinal displacement value increased as temperature rise from April to October. In terms of behavior characteristics of a tensioning device, it was confirmed to be the value of 50mm stroke movement when the temperature changes ±5℃.

A Study on the Axial Vibration Characteristics of the Super Large 2 Stroke Low Speed Diesel Engine with 14 Cylinders (14 실린더를 갖는 초대형 저속 2행정 디젤엔진의 종진동 특성에 관한 연구)

  • Lee, D.C.;Kim, T.U.;Yu, J.D.
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2009.04a
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    • pp.376-381
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    • 2009
  • The increasing needs for higher cargo capacity in the container vessels' fleet has led to ship builder's demand for higher power output rating engine to meet the propulsion requirement, thus, leading to the development of super large two stroke low speed diesel engines. This large sized bore engines with more than 12 cylinders are capable of delivering power output up to more than 100,000 bhp at maximum continuous rating. The thrust variation force due to axial vibration occurring in propulsion shafting of these ships are transmitted to ship structure via thrust bearing. This force may vibrate the super structure of ship in the fore-aft direction and the fatigue strength of crank shaft can be decreased by additional bending stress increase in crank shaft pin and journal. In this paper, the axial vibration of propulsion shafting system on the 14RT-flex96C super large diesel engine with 14 cylinders is identified by theoretical analysis and vibration measurement.

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Effects of Inspiratory Muscle Exercise Using Biofeedback on Inspiratory Muscle Activity and Pulmonary Function in Patients with Stroke

  • Yang, Dae-Jung;Park, Seung-Kyu;Kang, Jeong-Il;Kim, Je-Ho;Kim, Sung-Yong
    • The Journal of Korean Physical Therapy
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    • v.27 no.5
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    • pp.287-291
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    • 2015
  • Purpose: This study was conducted to determine the influence of inspiratory muscle exercise using visual biofeedback and inspiratory muscle exercise with diaphragm breathing retraining in stroke patients in regard to inspiratory muscle activity and respiratory function and to provide fundamental information on intervention for improvement of pulmonary function in stroke patients. Methods: The current study measured and analyzed inspiratory muscle activity and pulmonary function of 15 randomly selected subjects in a Biofeedback inspiratory muscle exercise (BIE) group that uses visual feedback and 15 subjects in the Diaphragm breathing exercise (DBE) group that uses breathing retraining before and after intervention. Intervention was performed for 30 minutes, 5 times a week, for 8 weeks. Subjects were measured for muscle activity of upper trapezius muscle and lattisimus dorsi muscle using a surface electromyography system and maximum inspiratory pressure was measured using a respiratory measurement device. For homogeneity test of subjects, independent t-test was performed and ANCOVA was performed for comparison of inspiratory muscle activity and pulmonary function between groups. Results: In the study results, the BIE group showed more significant muscle activity than the DBE group in upper trapezius muscle and lattisimus dorsi muscle (p<0.001). In addition, the BIE group showed more pressure than the DBE group in maximum inspiratory pressure (p<0.001). Conclusion: Based on the current study, performing biofeedback respiration exercise simultaneously with breathing retraining in stroke patients can provide more efficient respiratory physical therapy. In addition, it is considered that consistent study on the effectiveness is necessary to further improve clinical availability.

Comparison of Spatio-temporal Gait Parameters between Paretic and Non-paretic Limb while Stepping over the Different Obstacle's Heights in Subjects with Stroke (편마비 환자의 장애물 높이에 따른 마비측과 비마비측 하지의 시공간적 보행변수 비교)

  • Han, Jin-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.1
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    • pp.69-74
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    • 2014
  • PURPOSE: The aim of this study is to compare the spatio-temporal gait parameters between paretic and non-paretic limb while stepping over the different obstacle's heights in subjects with stroke. METHODS: Nine subjects with stroke were participated in this study. Subjects were asked to step over obstacles with a different height. 8 camera motion analysis system(Motion Analysis Corporation, Santa Rosa, USA) was used to measure spatio-temporal parameters. The two way repeated measurement ANOVA was used to compare spati-temporal gait parameters between paretic and non-paretic limbs while stepping over a different obstacle's height(0cm, 10cm, 20cm). RESULTS: Step width, velocity, single supoort time, and double support time were not different among obstacle's height(p>0.05) but stride length, step length, and cadence were significantly different(p>0.05). In stride length, cadence, and double support time, the interactions between obstacle's heights and limbs were not different(p>0.05) but it was significantly different in velocity, step length, and single support time(p<0.05). Velocity, stride length, cadence, and double support times were not different between paretic limb and non-paretic limb(p>0.05) but step length and single support times were significantly different between paretic limb and non-paretic limb(p<0.05). CONCLUSION: These results show that there are differences with spatio-temporal gait parameters among obstacle's heights and between paretic and non-paretic limb during obstacle crossing in subjects with stroke.

Effects of Robot-Assisted Arm Training on Muscle Activity of Arm and Weight Bearing in Stroke Patients (로봇-보조 팔 훈련이 뇌졸중 환자의 팔에 근활성도와 체중지지에 미치는 영향)

  • Yang, Dae-jung;Lee, Yong-seon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.1
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    • pp.71-80
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    • 2022
  • Background: This study investigated the effect of robot-assisted arm training on muscle activity of arm and weight bearing in stroke patients. Methods: The study subjects were selected 20 stroke patients who met the selection criteria. 10 people in the robot-assisted arm training group and 10 people in the task-oriented arm training group were randomly assigned. The experimental group performed robot-assisted arm training, and the control group performed task-oriented arm training for 6 weeks, 5 days a week, 30 minutes a day. The measurement tools included surface electromyography and smart insole system. Data were analyzed using independent sample t-test and the paired sample t-test. Results: Comparing the muscle activity of arm within the group, the experimental group and the control group showed significant differences in muscle activity in the biceps brachii, triceps brachii, anterior deltoid, upper trapezius, middle trapezius, and lower trapezius. Comparing the muscle activity of arms between the groups, the experimental group showed significant difference in all muscle activity of arm compared to the control group. Comparing the weight bearing within the groups, the experimental group showed significant difference in the affected side and non-affected side weight bearings and there were significant differences in anterior and posterior weight bearing. The control group showed significant difference only in the non-affected side weight bearing. Comparing the weight bearings between groups, the experimental group showed significant difference in the affected side and non-affected side weight bearings compared to the control group. Conclusion: This study confirmed that robot-assisted arm training applied to stroke patients for 6 weeks significantly improved muscle activity of arm and weight bearing. Based on these results, it is considered that robot-assisted arm training can be a useful treatment in clinical practice to improve the kinematic variables in chronic stroke patients.