• Physical Therapy Korea
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• v.24 no.1
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• pp.30-40
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• 2017

Background: Many studies have reported positive results of the various mirror training and virtual reality games in improving dynamic standing balance and posture adjustment in chronic stroke patients. However, no systematic study has been conducted to compare the effects of virtual reality games and the mirror balance training. Objects: The purpose of this study was to compare the effectiveness of Wii balance games and Mirror Self-Balancing Exercises in improving proprioception of knee joint and standing balance of people with chronic stroke. Methods: Twenty patients with chronic stroke volunteered for this study. The subjects were randomly divided into a Wii balance games group and a Mirror Self-Balancing Exercises group with 10 patients in each group. Each training was performed for 30 mins a day for 4 days. In addition to the balance training, 30 mins neuro-developmental-treatment based routine physical therapy was given to both groups. Proprioception was measured using two continuous passive motion devices, and static balance was measured using a Wii balance board. Dynamic balance assessment tools included the Berg Balance Scale, Dynamic Gait Index, and Timed Up-and-Go test. Results: All measured variables before and after the experimental results showed a significant improvement in both groups (p<.05). Only the improvement of the affected knee proprioception appeared to be significantly greater in the Wii balance game group (p<.05). However, other variables did not differ between the groups (p>.05). Conclusion: The findings suggest that both Wii balance games and Mirror Self-Balancing Exercises may be helpful for improving the proprioception of knee joint and the balance of patients with chronic stroke.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.3
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• pp.127-133
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• 2019

PURPOSE: The aim of this study was to obtain detailed and quantified data concerning the effects of plantarflexor fatigue induced to the non-paretic side on muscle activities of the bilateral lower extremities during walking in chronic stroke patients. METHODS: In this study, chronic stroke patients were evaluated for six months after the onset of stroke. To induce the non-paretic plantarflexor fatigue, 20 chronic stroke patients were asked to perform their given fatigue affecting assignments, which were presented in a forced contraction fatigue test method, until the range of motion of the plantarflexor was reduced to less than 50%. The muscle activities of the rectus femoris, tibialis anterior and gastrocnemius in the paretic and non-paretic lower extremities were measured using a wireless surface EMG before and after muscle fatigue induction. RESULTS: The findings showed that after plantarflexor fatigue was induced on the non-paretic side, a significant decrease in muscle activities of the rectus femoris on the paretic side was noted (p<.05). The muscle activities of the tibialis anterior and gastrocnemius were also observed to decrease, but, these results were not statistically significant (p>.05). In the non-paretic side, there was a significantly decrease in the muscle activities of the rectus femoris, tibialis anterior, and gastrocnemius (p<.05). CONCLUSION: These finding suggest that the muscle fatigue of the non-paretic plantarflexor affects not only the muscle activity of the ipsilateral lower extremity but also the muscles activity of the contralateral lower extremity. This highlights the necessity of performing exercise or training programs that do not cause muscle fatigue in clinical aspects.

• Physical Therapy Korea
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• v.28 no.1
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• pp.47-52
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• 2021

Background: Compared with normal people, stroke patients have decreased voluntary craniocervical motion, which affects their balance. Objects: This study was conducted in order to examine the effects of active craniocervical movement training using a cognitive game on stroke patient's cervical movement control ability, balance, and functional mobility. Methods: The subject of this study were 29chronic stroke patients who were randomly allocated to either an experimental, cognitive game group (n = 15), or control group (n = 14), to which only neuro-developmental treatment (NDT) was applied. The intervention was conducted 5 times per week, 30 minutes per each time, for a total of 4 weeks. Active angle reproduction test, static stability test, limits of stability test, and Time up and Go (TUG) test, respectively, were carried out in order to evaluate cervical movement control ability, static balance, dynamic balance, and functional mobility. Paired t-test was used in order to compare differences between prior to after the intervention, along with an independent-test in order to compare prior to and after-intervention differences between the two groups. Results: After the craniocervical training with a body-driven cognitive game, the experimental group showed significant differences in flexion, extension, and lateral flexion on the affected side, and rotation on the affected side in the active angle reproduction test. The experimental group indicated significant differences in sway length both with eyes-open and with eyesclosed in the static stability test and in limits of stability test and TUG test. The control group to which NDT was applied had significant differences in flexion in the active angle reproduction test and in limits of stability test and TUG test. Conclusion: The above results mean that craniocervical training using a body-driven cognitive game positively influences stroke patient's cervical movement control ability and as a result their balance and functional mobility.

• PNF and Movement
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• v.18 no.3
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• pp.305-313
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• 2020

Purpose: The aim of this study was to investigate the relationship between a functional evaluation model and the Fugl-Meyer assessment (FMA) scale in evaluating the upper extremities of stroke patients Methods: Thirty-eight stroke patients were evaluated using the FMA and performed reaching and grasping motions using a three-dimensional motion analysis (Qquas 1 series, Qualisys AB, Sweden). The participants sat on a chair with a backrest. The position of the cup was located at a distance of 80% to the front arm length. The markers were attached to the sternum, acromion, elbow lateral epicondyle, ulnar styloid process, three metacarpal heads, and the distal phalanges of the thumb and index finger. The variables of the correlation between the functional evaluation model and the FMA scale were analyzed. Multiple regression (stepwise) was used to investigate the effect of the kinematic variables. Results: A significant negative correlation was found between the movement time (p < 0.05), movement unit (p < 0.05), and trunk displacement values (p < 0.05) in the FMA total scores, while a positive correlation was found between the peak velocity (p < 0.05) and maximum grip aperture values (p < 0.05). As a result of the multiple regression analysis, the most significant factor was the movement unit, followed by the general movement assessment and trunk displacement. The explained FMA total score value was 62%. Conclusion: This study presents a new functional evaluation model for assessing the reaching and grasping ability of stroke patients. The factors of the proposed functional evaluation model showed significant correlations with the FMA scale scores and confirmed that the new functional evaluation model explained the FMA by 67%. This suggests a new functional evaluation model for reaching and grasping stroke patients.

• Transactions of the Korean Society of Mechanical Engineers
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• v.18 no.4
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• pp.912-919
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• 1994

The engine combustion is one of the most important processes affecting performance and emissions. One effective way to improve the engine combustion is to control the motion of the charge inside a cylinder by means of optimum induction system design, because the flame speed is mainly determined by the turbulence at compression(TDC) process in S.I. engine. It is believed that the tumble and swirl motion generated during intake stroke breaks down into small-scale turbulence in the compression stroke of the cycle. However, the exact nature of this relationship is not well known. This paper describes the tumble flow measurements inside the cylinder of a 4-valve S.I. engine using laser Doppler velocimetry(LDV) under motoring(non-firing) conditions. This is conducted on an optically assesed single cylinder research engine under motored conditions at an engine speed of 1000rpm. Three different cylinder head intake port configurations are studied to develop a better understanding the tumble flow generation, development, and breakdown mechanisms.

• Transactions of the Korean Society of Mechanical Engineers
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• v.18 no.4
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• pp.920-932
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• 1994

The combustion phenomena of a reciprocating engine is one of the most important processes affecting performance and emissions. One effective way to improve the engine combustion is to control the motion of the charge inside a cylinder by means of optimum induction system design, because the flame speed is mainly determined by the turbulence at compression(TDC) process in S.I. engine. It is believed that the tumble and swirl motion generated during intake breaks down into small-scale turbulence in the compression stroke of the cycle. However, the exact nature of their relationship is not well known. This paper describes cycle resolved LDV measurement of turbulent flow inside the cylinder of a 4-valve engine under motoring(non-firing) conditions, and studies the effect of intake port configurations on the turbulence characteristics using following parameters ; Eulerian temporal autocorrelation coefficient, turbulence energy spectral density function, Taylor micro time scale, integral time scale, and integral length scale.

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 2005.11a
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• pp.744-749
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• 2005

In this paper, a lens actuator for mobile devices is proposed using stack type piezoelectric materials. In general, the deformation of PZT actuators is not enough for lens motion when the allowed voltage is applied. The small stroke problem can be solved by accumulating a lot of small displacements in high frequency. In this paper, a new inch-worm type model for focusing actuator is suggested based on the interaction of inertial and frictional forces. Theoretical analysis and simulation using ANSYS are performed to verify the feasibility of the inch-worm PZT actuator model. Various types of clamps are considered to determine the effect of frictional force on the motion, and appropriate clamp-actuator models are proposed. The proposed models are experimentally verified and the experimental results show high correspondence with theoretical and simulated values. The inch-worm type focusing actuator enable a large stroke with 7.79 mm/sec with 10kHz and 10V.

• Journal of computational fluids engineering
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• v.16 no.2
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• pp.24-29
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• 2011

Immersed boundary lattice Boltzmann method has been applied to analyze the characteristics of the self-propelled fish motion swimming robot. The airfoil NACA0012 with caudal fin stroke model was considered to examine the characteristics. The foil in steady forward motion and a combination of steady-state harmonic deformation produces thrust through the formation of a flow downstream from the trailing edge. The harmonic motion of the foil causes unsteady shedding of vorticity from the trailing edge, while forming the vortices at the leading edge as well. The resultant thrust is developed by the pressure difference formed on the upper and lower surface of the airfoil. and the time averaged thrust coefficient increases as Re increase in the region of $Re{\leqq}700$. The suggested numerical method is suitable to develop the fish-motion model to control the swimming robot, however It would need to extend in 3D analysis to examine the higher Re and to determine the more detail mechanism of thrust production.

• Journal of Advanced Marine Engineering and Technology
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• v.32 no.4
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• pp.498-505
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• 2008

Many researches have been studied on in-cylinder flow as one of dominant effects for an engine combustion. The combustion phenomena of reciprocating engine is one of the most important processes affecting performance and emissions. One effective way to improve the engine combustion is to control the motion of the charge inside a cylinder by means of optimum induction system design. It is believed that the tumble and swirl motion generated during intake breaks down into small-scale turbulence in the compression stroke of the cycle. However, the exact nature of their relationship is not well known. To know this relationship definitely, this paper describes analytical results of the tumble motion, swirl motion, turbulence intensity, turbulence inside the cylinder of marine engine. 3-D computation has been performed by using STAR-CD solver and es-ice.

• Journal of the Korean Society of Fisheries and Ocean Technology
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• v.23 no.2
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• pp.86-94
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• 1987

In order to examine the flow motion in a combustion chamber of a motored diesel engine, the variation of instantaneous are velocity at a fixed point in combustion chamber was measured by the constant temperature hot wire anemometer, varing engine speed, shroud shape and shroud position. The results are summerized as follows: 1. The variation of air velocity in a combustion chamber is closely related with the valve timing and piston velocity. 2. The air velocity in the cylinder at suction stroke is being increased and maximized at 60$^{\circ}$ ABDC in compression stroke and then decreased at the e.v.o. in expansion stroke. 3. The mean velocity using shroud valve was less than no shroud valve. However the turbulent intensity using shroud valve was larger than no shroud valve. 4. The turbulent intensity with 90$^{\circ}$shroud valve was larger than that of 120$^{\circ}$shroud valve, and 90$^{\circ}$shroud valve at 180$^{\circ}$shroud position had the largest turbulent intensity.