• Title/Summary/Keyword: Stroke motion

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The Effects of Complex Exercise Program for Upper Extremity Function and Balance Proficiency in Person With Stroke: A Case-Study (복합운동프로그램이 뇌졸중 환자의 상지 기능 및 균형 능력에 미치는 영향 : 사례연구)

  • Choi, Yoo-Im;Lee, Sang-Heon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4374-4381
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    • 2010
  • The purpose of this research was to investigate the effects of complex exercise program for upper extremity function and balance proficiency in person with stroke. The subject in this study was a 68 year old woman with left hemiplegia after stroke, and the study period was from April 16th, 2005 to August 30, 2007. Complex exercise program was compromised of range of motion exercises, strengthening exercises, and repetitive task-oriented activities and so on, and the subject performed exercises three times a week, one hour a day. The upper extremity function of the subject was evaluated by the Brunnstrom Hand Recovery Stage, the Brunnstrom Upper Extremity Recovery Stage, the Fugl-Meyer Assessment of Motor Function, and the Manual Function Test, and the balance proficiency was measured by the Tinetti Gait & Balance Scale, and the One Leg Standing Test. The results indicated that the upper extremity test scores were all improved, the balance proficiency test marks were maintained and improved, therefore complex exercise program was effective method to forward upper extremity and balance proficiency in person with stroke.

The effects of virtual reality training on gait, balance, and upper extremity function in patients with stroke: A meta-analysis

  • Lee, Hyun soo;Kim, You Lim;Lee, Hae ji;Lee, Byounghee
    • Journal of Korean Physical Therapy Science
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    • v.28 no.3
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    • pp.11-29
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    • 2021
  • Background: The purpose of this study is to investigate the effects of virtual reality on gait, balance, and upper extremity functions compared to other independent variables or no variables. Additionally, the possibility of virtual reality for stroke patients was discussed. Design: Meta-analysis. Methods: The search for this study was a search term that combined stroke, virtual reality, and training, and the electronic search was conducted through EMBASE, MEDLINE, and Cochrane Library. As a result of the search, 21 studies satisfying the selection criteria of the target study were confirmed as the final analysis target. This study consisted of 21 randomized experimental studies and 21 randomized controlled trials, and the total number of participants was 642. [Experimental group (n=314), control group (n=328); total 642]. As a result of the study, upper extremity function was assessed using a box and block test, a modified Ashworth scale, and a scale including range of motion. The balance was evaluated by the berg balance scale. Gait was a Timed Up and Go test (TUG), stride length, and gait function. Scales including a walking rate scale were evaluated. The effect size for the intervention of the analytical study was meta-analyzed with the RevMan 5.3.3 program of the Cochrane library. Results: The results of the study showed that the function of walking was statistically significant. Balance showed statistically significant results. The upper extremity function showed no statistically significant results. Conclusion: Through this rehabilitation treatment by applying virtual reality environment to the rehabilitation of stroke patients in the future can be proposed as an effective intervention method for the balance and gait function of stroke patients.

Effects of a Stretching Exercise Combined with Observation Training on Neck Alignment and Balance in Stroke Patients (관찰훈련을 병행한 신장운동이 뇌졸중 환자의 목 정렬과 균형에 미치는 영향)

  • Jeong-Il Kang;Seung-Yun Baek
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.1
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    • pp.61-68
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    • 2024
  • PURPOSE: This study aimed to provide basic clinical data by analyzing the impact of motion observation training and stretching exercises for improving postures on the neck alignment and balance of stroke patients to enable them to accurately recognize the correct exercise method. METHODS: After sampling 20 stroke patients who met the selection criteria, this study randomly assigned 10 people who were administered the stretching exercise with observation training to the experimental group and 10 who received only the stretching exercise intervention to the control group by drawing lots. Next, neck alignment and balance were pre-tested. All interventions were conducted for 30 minutes, 3 times a week for 4 weeks, and when all the interventions were completed after 4 weeks, neck alignment and balance were re-measured in the same way as the pre-test. RESULTS: The comparison of changes in neck alignment and balance within the experimental and control groups showed statistically significant differences in the craniovertebral angle, cranial rotation angle, and balance (p < .05) (p < .01). Between the groups, statistically significant differences were found in the craniovertebral angle, cranial rotation angle, and balance (p < .05) (p < .01). CONCLUSION: A statistically significant difference in neck alignment and balance was observed in the group that underwent stretching exercises combined with observational training and a statistically significant difference was found between the groups. Therefore, it is believed that observation training should be used in clinical practice to improve forward head posture and restore balance in stroke patients.

Adaptive Force Ripple Compensation and Precision Tracking Control of High Precision Linear Motor System (초정밀 선형 모터 시스템의 적응형 힘리플 보상과 정밀 트랙킹 제어)

  • Choi Young-Man;Gweon Dae-Gab;Lee Moon G.
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.12 s.177
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    • pp.51-60
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    • 2005
  • This paper describes a robust control scheme for high-speed and long stroke scanning motion of high precision linear motor system consisting of linear motor, air bearing guide and position measurement system using heterodyne interferometer. Nowadays, semiconductor process and inspection of wafer or LCD need high speed and long travel length for their high throughput and extremely small velocity fluctuations or tracking errors. In order to satisfy these conditions, linear motor system are widely used because they have large thrust force and do not need motion conversion mechanisms such as ball screw, rack & pinion or capstan with which the system are burdened. However linear motors have a problem called force ripple. Force ripple deteriorates the tracking performances and makes periodic position errors. So, force ripple must be compensated. To maximize the tracking performance of linear motor system, we propose the control scheme which is composed of a robust control method, Time Delay Controller (TDC) and a feedforward control method, Zero Phase Error Tracking Control (ZPETC) for accurate tracking a given trajectory and an adaptive force ripple compensation (AFC) algorithm fur estimating and compensating force ripple. The adaptive ripple compensation is continuously refined on the basis of tracking error. Computer simulation results based on modeled parameters verify the effectiveness of the proposed control scheme for high-speed, long stroke and high precision scanning motion and show that the proposed control scheme can achieve a sup error tracking performance in comparison to conventional TDC control.

The Kinematical Analysis of female 500m Sprint Start in 2005 World Short Track speed Skating Championship (2005 세계 쇼트트랙 스피드 여자 500m 스피드 스케이팅 출발구간에 대한 운동학적 분석)

  • Lee, Chong-Hoon;Back, Jin-Ho
    • Korean Journal of Applied Biomechanics
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    • v.15 no.4
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    • pp.169-179
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    • 2005
  • In the 500m short track speed skating, the matter of who reaches the first corner first can important factor since each competitor races with all speed from the start to the first line. A filed study was attempted to kinematical estimation six female foreign skaters, who participated in the 500m female final round competition, and two Korea skates during the World Short track Skating Championship. The three dimensional motion analysis with DLT method was executed using four video cameras for analyzing the actual competition situation. In point of analyzing the actual competition situation, it is expected that skaters and coaches the effective informations, and the following conclusions are drawn; The elapsed time by phase in start motion of the foreign skaters appeared shorter those of Korea skaters, so the start training of Korea skaters should be strengthed. Also the displacement of C.G in the foreign skaters appeared shorter displacement than those of Korea skaters. Especially in the starting position, the foreign skaters are superior to Korea skaters in displacement of first(left) and next following stroke(right). The velocity of C.G and maximum velocity of skate blade of foreign skaters art faster than those of Korea skaters. And the foreign skaters show the superior early velocity change. Both of leaning body angle, and left and knee angle of the foreign skaters lead to positive point of having the propulsive force in the early starting position. Observing in the most prominent feature of foreign and Korea skaters in start phase, foreign skaters skate quickly the third stroke. These features of Korea skaters would appear disadvantage of location selection in entering the coner course.

The Effects of Pulsating Flow on Volumetric Efficiency in the Intake and Exhaust System in a Turbocharged Diesel Engine (흡.배기 시스템의 맥동류가 과급디젤기관의 체적효율에 미치는 영향)

  • Kim, K.H.;Kang, H.Y.;Koh, D.K.
    • Journal of Power System Engineering
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    • v.13 no.4
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    • pp.11-17
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    • 2009
  • This paper deals with the effects of pulsating flow on volumetric efficiency, which may be generated during the gas exchange procedure, due to piston motion, valve event on intake and exhaust stroke and unsteady flow of turbocharger of a three-cylinder four stroke turbo-charged diesel engine. Consequently, volumetric efficiency affects significantly the engine performance; torque characteristics, fuel economy and further to emission and noise level. As the expansion ratio became larger the engine speed varies and torque increases, the pressure pulsation in an exhaust gas pipe acts as an increasing factor of intake air charging capacity totally. The phase and amplitude of pressure pulsation in the intake system only affects volumetric efficiency favorably, if it is well matched and tuned effectively to the engine. Thus, to verify the exact phase and amplitude of the pressure variation is the ultimate solution for the air-flow ratio assessment in the intake stroke. Some experimental results of pressure diagrams in the intake pipe and gas-flow of turbine in-outlet are presented, under various kinds of operating condition.

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Control Algorithm of a Wearable Walking Robot for a Patient with Hemiplegia (편마비 환자를 위한 착용형 보행 로봇 제어 알고리즘 개발)

  • Cho, Changhyun
    • The Journal of Korea Robotics Society
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    • v.15 no.4
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    • pp.323-329
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    • 2020
  • This paper presents a control algorithm for a wearable walking aid robot for subjects with paraplegia after stroke. After a stroke, a slow, asymmetrical and unstable gait pattern is observed in a number of patients. In many cases, one leg can move in a relatively normal pattern, while the other leg is dysfunctional due to paralysis. We have adopted the so-called assist-as-needed control that encourages the patient to walk as much as possible while the robot assists as necessary to create the gait motion of the paralyzed leg. A virtual wall was implemented for the assist-as-needed control. A position based admittance controller was applied in the swing phase to follow human intentions for both the normal and paralyzed legs. A position controller was applied in the stance phase for both legs. A power controller was applied to obtain stable performance in that the output power of the system was delimited during the sample interval. In order to verify the proposed control algorithm, we performed a simulation with 1-DOF leg models. The preliminary results have shown that the control algorithm can follow human intentions during the swing phase by providing as much assistance as needed. In addition, the virtual wall effectively guided the paralyzed leg with stable force display.

Design of Upper-limb Rehabilitation Device with Power-assist Function for Stroke Survivals (뇌졸중 환자용 동력보조형 상지재활훈련기의 설계)

  • Bae, J.H.;Moon, I.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.5 no.1
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    • pp.79-85
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    • 2011
  • In this paper, we proposed a design of upper-limb rehabilitation device with power-assist function for stroke survivals. The designed upper-limb rehabilitation device has three degrees of freedom; it is possible to perform flexion and extension motions of wrist, index finger and the other fingers except the thumb independently. The power-assist for wrist motion is performed by a pneumatic double-acting cylinder, but the fingers are actuated by electrical linear actuators to assist motions. A prototype upper-limb rehabilitation device and its controller were implemented. The position controller showed 0.8 mm errors in the steady-state. Experimental results showed that the proposed upper-limb rehabilitation device with power-assist function is feasible.

Characterization of Dynamic Behavior of C. elegans in Different Physical Environments (PIV 및 TFM 측정 기법을 이용한 예쁜꼬마선충의 동적 패턴 가시화 연구)

  • Park, Jin-Sung;Yun, Byoung Hwan;Shin, Jennifer H.
    • Journal of the Korean Society of Visualization
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    • v.12 no.2
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    • pp.18-22
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    • 2014
  • Caenorhabditis elegans (C. elegans) is an undulatory nematode which exhibits two distinct locomotion types of swimming and crawling. Although in its natural habitat C. elegans lives in a non-Newtonian fluidic environment, our current understanding has been limited to the behavior of C. elegans in a simple Newtonian fluid. Here, we present some experimental results on the penetrating behavior of C. elegans at the interface from liquid to solid environment. Once C. elegans, which otherwise swims freely in a liquid, makes a contact to the solid gel boundary, it begins to penetrate vertically to the surface by changing its stroke motion characterized by a stiffer body shape and a slow stroke frequency. The particle image velocimetry (PIV) analysis reveals the flow streamlines produced by the stroke of worm. For the worm that crawls on a solid surface, we utilize a technique of traction force microscopy (TFM) to find that the crawling nematode forms localized force islands along the body where makes direct contacts to the gel surface.

Electroacupuncture Treatment for Post-Stroke Foot Drop: A Systemic Review of Randomized Controlled Trials

  • Hye Jeong Jo;Go Eun Chae;Hyun Woo Kim;Young Jin Lee;Ahra Koh;Ji Eun Choi;So Jung Kim;Woo Young Kim
    • Journal of Acupuncture Research
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    • v.41 no.2
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    • pp.75-86
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    • 2024
  • A review of randomized controlled trials (RCTs) using electroacupuncture (EA) to treat patients with foot drop was performed to analyze the effectiveness of EA for this condition. Relevant studies (n = 183) from 7 databases (Cochrane Library, Excerpta Medica Database, PubMed, China National Knowledge Infrastructure, Korean Studies Information Service System, Research Information Sharing Service, and Oriental Medicine Advanced Searching Integrated System) were selected based on the inclusion and exclusion criteria, and 12 RCTs met the selection criteria. In all 12 studies, EA showed significantly positive changes. In most indicators, positive changes were observed in the EA group compared with that in the control group. Significant increases were confirmed in muscle strength-related indicators such as the Fugl-Meyer motor scale, surface electromyography, active range of motion, and gait-related indicators such as the Tinetti score, maximum walking speed, and Berg balance scale. No notable adverse events were reported. EA is suggested as an effective treatment for post-stroke foot drop; however, more RCTs are required.