• 대한물리의학회지
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• 제6권4호
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• pp.437-445
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• 2011

Purpose : The purpose of this study was to analysis on diaphragm thickness and lung function of stroke patients by walking ability. Methods : We recruited thirty-five adults after stroke(20 male, 15 female) for our study. The subjects were divided into two groups; independent walking group(11 male, 9 female) and non-independent walking group(9 male, 6 female). Assessment of diaphragm thickness was performed using ultrasound in B-mode with a 7.5 MHz linea probe. During the experiment, the subject was seated in the chair. All subjects performed maximal expiratory flow maneuvers using a spirometer in order to determine the forced expiratory volume in 1 second ($FEV_1$), forced vital capacity(FVC), peak expiratory flow(PEF) and $FEV_1$/FVC. Chest expansion was measured with a tape-measure placed circumferentially around the chest wall at the xiphoid process. The collected data analyzed by independent t-test. Results : The diaphragm thickness were significant differences between the independent walking and nonindependent walking group. Values of forced vital capacity, forced expiratory volume at one second, peak expiratory flow in pulmonary function tests were significant differences between the independent walking and non-independent walking group. However, chest expansion were not significant differences in both of the group. Conclusion : This study showed that walking ability of stroke patients have influenced on diaphragm thickness and pulmonary function.

• Journal of Advanced Marine Engineering and Technology
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• 제18권2호
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• pp.104-112
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• 1994

The scavenging efficiency has a great influence on the performance of a diesel engine, especially slow two-stroke diesel engines which are usually used as a marine propulsion power plant. And this is greatly affected by the conditions in the cylinder, scavenging manifold and exhaust manifold during the gas exchange process. There are many factors to affect on the scavenging efficiency and these factors interact each other very complicatedly. Therefore the simulation program of the gas exchange process is very useful to improve and predict the scavenging efficiency, due to the high costs associated with redesign and testing. In this paper, a three-zone scavenging model for two-stroke uniflow engines was developed to link a control-volume-type engine simulation program for performance prediction of long-stroke marine engines. In this model it was attempted to simulate the three different regions perceived to exist inside the cylinder during scavenging, namely the air, mixing and combystion products regions, by modeling each region as a seperate control volume. Finally the scavenging efficiency was compared with three type of scavenging modes, that is, pure displacement, partial mixing and prefect mixing.

• 한국임상수의학회지
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• 제30권4호
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• pp.264-267
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• 2013

Stroke volume (SV) is an important parameter for monitoring of a critically ill animal and is echocardiographically measured using the modified Simpson's method, automated contour tracking (ACT) method and left ventricular outflow method. The purpose of this study was to evaluate the effect of anesthesia (isoflurane) on the SV during echocardiographic examination and to evaluate the feasibility of ACT method for measuring the stroke volume without anesthesia (conscious state). Ten clinically healthy adult Beagle dogs (3 male and 7 female, weighing 6.6-10.8 kg, aged 2-3 years old) were enrolled. Our study found that the dogs anesthetized have a significantly lower SV, compared to the SV of dogs unanesthetized, regardless of methods measuring SV. In addition, in the dogs without anesthesia, the SV measured by ACT method was significantly lower than the other two methods. This result implies that the anesthesia may significantly lower the SV. Thus, the measurement of SV under anesthesia may not be adequate in veterinary field. Furthermore because the ACT method measured SV significantly lower than other two methods, this method may be inappropriate for measuring SV in even conscious dogs.

• 전기학회논문지
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• 제61권12호
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• pp.1932-1938
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• 2012

The impedance cardiogram has been proposed as a non-invasive, continuous, operator independent, and cost-effective method for cardiac output monitoring. However, it can not be completely considered as non-restrictive method because of attached spot and band type electrodes. Therefore, we developed a improved convenient hand-held typed measurement system for cardiac output by electrical impedance technique. 80 subjects from Yonsei University and the surrounding areas, participated. All subjects measured stroke volume and cardiac output through Physioflow and developed system. To verify the developed system, statistical methods such as correlation, Wilcoxon signed ranks test, and the Bland-Altman analysis were used. The proposed system showed significant correlation in both male and female stroke volume(r=0.715, r=0.704) and cardiac output(r=0.826; r=0.804). From these results, it can be concluded that stroke volume and cardiac output could be improved convenient measurement using the both hands without the help of a specialist.

• PNF and Movement
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• 제12권3호
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• pp.143-150
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• 2014

Purpose: The corticospinal tract (CST) is known to be an important pyramidal tract for walking and motor function. However, very little is known about the functional role of the CST in the recovery of motor function. In the current study, we investigated the relation between the CST and motor function in chronic hemiparetic stroke patients. Methods: Fifty-four patients and 20 normal subjects were recruited. The Functional Ambulation Category (FAC) was used in measurement of the walking ability. We classified patients into three groups according to the ability to walk independently: group A, patients who could not walk independently (FAC: 0-2); group B, patients who could walk independently (FAC: 3); and group C, patd walk functionally (stairs and uneven surfaces, FAC 4-5). The Motricity Index (MI) was used to measure the motor function of the affected upper and lower extremities (maximum score: 100). The fractional anisotropy (FA) value, apparent diffusion coefficient (ADC) value, and fiber volume of the CST were used for the diffusion tensor imaging (DTI) parameters. Results: In terms of the CST of the unaffected hemisphere, the FA value of group A was significantly lower than that of normal controls (p <0.05). The fiber volume of group C was significantly higher than that of normal controls (p <0.05). In contrast, the ADC values of all patient groups and the control group did not show any difference (p >0.05). In terms of lower MI and total MI, significant differences were observed between all patient groups (p <0.05). In addition, significant differences in terms of the upper MI scores were observed between groups A and C and between groups B and C (p <0.05); however, no significant difference was observed between groups A and B (p>0.05). Conclusion: The increased fiber volume of the CST in the unaffected hemisphere appears to be related to functional walking ability in chronic stroke patients. This result would be useful for elucidation of the neural recovery mechanism of walking and the investigation of new modalities for the recovery of walking following a stroke with CST injury.

• Physical Therapy Rehabilitation Science
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• 제10권3호
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• pp.328-336
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• 2021

Objective: The purpose of this study was to investigate the effect of cervical range of motion training on the change in respiratory function growth rate at the group and individual level in stroke patients and stroke patients with tracheostomy tube. Design: A Multilevel Growth Model Methods: 8 general stroke patients and 6 stroke patients who had a tracheostomy tube inserted were subjected to cervical range of motion training 3 times a week for 4 weeks. Force vital capacity (FVC), Forced expiratory volume in the first second (FEV1), Forced expiration ratio (FEV1/FVC) and Manual assist peak cough flow (MPCF) were measured. Data were analyzed using descriptive statistics and multilevel analysis with HLM 8.0. Results: A significant difference was found in the respiratory function analysis growth rate of the entire group (p<0.05), and two groups were added to the research model. The linear growth rate of respiratory function in patients with general stroke increased with the exception of FEV1/FVC (p<0.05). Stroke patients with tracheostomy tube showed a decreasing pattern except for FVC. In particular, MPCF showed a significantly decreased result (p<0.05). Conclusions: This study found that the maintenance of improved respiratory function in stroke patients with tracheostomy tube decreased over time. However, cervical range of motion training is still a useful method for respiratory function in general stroke patients and stroke patients with tracheostomy tube.

• 대한통합의학회지
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• 제11권2호
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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 Journal of Korean Physical Therapy
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• 제12권2호
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• pp.133-144
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• 2000

The purpose of this study was to determine whether respiratory physical therapy might increase the pulmonary function of the patients with stroke or not. Twenty patients with stroke were randomly assigned to experimental and control group. During four weeks, both groups participated in the conventional physical therapy and only the experimental group added in a program of respiratory physical therapy. Respiratory physical therapy consisted of chest mobilization, resistive ventilatory muscle training used the method of PNF technique and relaxed diaphragm breathing. Baseline and post-test measurements were made of vital capacity. inspiratory capacity, expiratory reserve volume, farced vital capacity, forced expiratory volume at one second, $FE1/FVC(\%)$ and maximal voluntary ventilation. Ater four weeks, the experimental group showed the significant improvement in VC(p<.05). FVC(p<.05), FFV1(p<.05) md MVV(p<.05). However, the controll group showed no significant differnece. As compared th the relationship of dependent variables between the experimental group and control group. experimental group showed the significant difference in VC(p<.01), FEV1(p<.05) and MVV(p<.05). These findings suggest that respiratory physical therapy can be used to improve pulmonary function in stroke patients. Also, respiratory physical therapy should be performed for at least four weeks and be followed by the continuous respiratory exercise programs.

• The Korean Journal of Physiology
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• 제24권2호
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• pp.249-260
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• 1990

Maximal cardiac output and oxygen uptake $(VO_{2max})$ were measured during treadmill exercise for seven top-class marathoners and nine non-athletes using impedance cardiograph developed by one of the authors (DW Kim). Results of this study are summarized as belows. 1) New shoes with sponge and silicon rubber attached to the soles were developed to reduce motion artifact during treadmill exercise. Ensemble everaging techneque with the developed shoes was also used to improve the measurement of stroke volume using impedance cardiography. 2) Maximal cardiac output of the athletes, 14.98 L/min, was significantly higher than that of the non-athletes, 13.46 L/min. As maximal heart rate of the marathoners is lower than that of non-athletes, stroke volume of the former is significantly larger than that of the latter. 3) $VO_{2max}$ of the marathoners, 59.38 ml/kg/min, was higher than that of the non-athletes, 40.22 ml/kg/min. At the anaerobic threshold. $VO_{2max}$ of the former was 62.3% of $VO_{2max}$ and this was significantly higher than that of the non-athletes, 57.2%, This results indicates that the marathoners have higher aerobic capacity than the non-athletes. 4) The marathoners showed larger $VO_2$ than the non-athletes at the same cardiac output, indicating that a-v $O_2$ of the former is higher than that of the latter. 5) Maximal systolic pressure of the marathoners was higher than that of the non-athletes, and so was maximal rate-pressure products. These results indicate that heart oxygen consumption rate $(hVO_2)$ of the marathoner is higher than that of the non-athletes is mainly due to higher stroke volume. And higher oxygen consumption of the marathoners is due to higher stroke volume. And higher oxygen consumption of the marathoners is due to their larger a-v $O_2$. The marathoners show both higher threshold and $VO_{2max}$. Especially, measurement of cardiac output during treadmill exercise by improved impedance cardiography is expected to contribute in study of cardiac function of athletes.

• 대한정형도수물리치료학회지
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• 제21권1호
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• pp.13-20
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• 2015

Background: To evaluate the effect of thoracic mobility exercise and deep breathing exercise applied to stroke patients on pulmonary function. Methods: The subjects were divided into two group. Twenty-five patients with stroke were randomly assigned to DB (deep breathing exercise) group (n=13) and TM (combination of deep breathing exercise and thoracic mobility exercise) group (n=12). During four weeks, DB group were carried out deep breathing exercises for 5~10 minutes twice a day and TM Group were carried out deep breathing exercises for 5~10 minutes and thoracic mobility exercise for 20~30 minutes twice a day. All tests were completed before and after experiment. The pulmonary functions were measured by PowerBreathe K5 (Hab International Ltd, England) and tape measure respectively. For each case, the experimental data were obtained in 4 items; average of inspiratory load, inspiratory flow speed, inspiratory flow volume and chest expansion. Results: The results of this study were as follows: 1. In DB group, the statistically significants were shown on average of inspiratory flow speed, inspiratory flow volume and chest expansion (p<.05). 2. In TM group, the statistically significants were shown on all items (p<.05). 3. There was a statistically significant difference on all items between DB group and TM group (p<.05). Conclusions: The above results revealed that DB and TM group can be used to improve pulmonary function in stroke patients. In comparison of DB and TM group, TM group was more improved. In conclude, thoracic mobility exercise helped improving function of vital capacity and chest expansion in stroke patients.