• The Journal of Korean Physical Therapy
• /
• 제25권2호
• /
• pp.71-75
• /
• 2013

Purpose: Although use of a tilt table is recommended in clinical practice, there are no published guidelines regarding pressure and inclination for tilt table use. The aim of the current study was to assess the changes of pressure on sacrum and buttock according to different inclination of the tilt table in healthy subjects. Methods: Thirty two healthy subjects participated in this study. Subjects were positioned supine on the tilt table and safety straps were secured across the chest, pelvic, and knee with sufficient tension to prevent the subjects from falling. Pressure and peak pressure of sacrum and buttock were measured using pressure mapping system with the tilt table standing at $0^{\circ}$, $15^{\circ}$, $30^{\circ}$, $45^{\circ}$, $60^{\circ}$, $75^{\circ}$, and $85^{\circ}$ inclination. Results: A significant decrease in the pressure of sacrum and buttock was achieved by increasing tilt table inclination (p<0.05): $0^{\circ}{\sim}15^{\circ}$ (8.16%), $15^{\circ}{\sim}30^{\circ}$ (8.02%), $30^{\circ}{\sim}45^{\circ}$ (11.61%), $45^{\circ}{\sim}60^{\circ}$ (16.18%), $60^{\circ}{\sim}75^{\circ}$ (16%), and $75^{\circ}{\sim}85^{\circ}$ (11.48%). A significant decrease in the peak pressure was achieved by increasing tilt table inclination (p<0.05): $30^{\circ}{\sim}45^{\circ}$ (9.91%), $45^{\circ}{\sim}60^{\circ}$ (19.24%), $60^{\circ}{\sim}75^{\circ}$ (19.93%), and $75^{\circ}{\sim}85^{\circ}$ (11.48%). No significant peak pressure change was observed in $0^{\circ}{\sim}15^{\circ}$, $15^{\circ}{\sim}30^{\circ}$ tilt table inclination (p>0.05). Conclusion: The results of this study showed that the pressure of sacrum and buttock were decreased according to increasing tilt table inclination in healthy subjects. Guidelines are needed in order to optimize patient safety and overall outcome for tilt table standing.

• 대한물리의학회지
• /
• 제9권1호
• /
• pp.63-68
• /
• 2014

PURPOSE: The purpose of this study was to examine the position changes with tilt table on autonomic nervous system using heart rate variability analysis. METHODS: Fourty healthy adult males volunteered in this study. The low frequency, high frequency and low frequency/high frequency ratio and mean heart rate, standard deviation of all normal R-R intervals, root mean square of successive differences, heart rate variability index were measured at the tilt table angle of $0^{\circ}$, $45^{\circ}$ and $90^{\circ}$ with pulsoximeter. Data were analyzed one-way ANOVA and LSD post hoc test. RESULTS: The mean heart rate, low frequency and low frequency/high frequency ratio increased significantly at higher angle of tilt table(p<.05). The root mean square of successive differences, heart rate variability index decreased significantly at lower angle of tilt table(p<.05). The standard deviation of all normal R-R intervals, high frequency decreased at higher angle of tilt table did not show significant difference. CONCLUSION: The symphathetic activity increased significantly at higher angle of tilt table. The parasymphathetic activity decreased at higher angle of tilt table, but the difference were not significant. The autonomic adaptation, balance and heart rate variability decreased significantly at higher angle of tilt table. Based on these results, in the treatment of patients with a change in posture precedence should be carefully treated. Further studies are necessary to determine the most safety and effective methods.

• Earthquakes and Structures
• /
• 제17권6호
• /
• pp.635-647
• /
• 2019

Tests and theoretical studies for seismic responses of a transmission tower-line system under coupled horizontal and tilt (CHT) ground motion were conducted. The method of obtaining the tilt component from seismic motion was based on comparisons from the Fourier spectrum of uncorrected seismic waves. The collected data were then applied in testing and theoretical analysis. Taking an actual transmission tower-line system as the prototype, shaking table tests of the scale model of a single transmission tower and towers-line systems under horizontal, tilt, and CHT ground motions were carried out. Dynamic equations under CHT ground motion were also derived. The additional P-∆ effect caused by tilt motion was considered as an equivalent horizontal lateral force, and it was added into the equations as the excitation. Test results were compared with the theoretical analysis and indicated some useful conclusions. First, the shaking table test results are consistent with the theoretical analysis from improved dynamic equations and proved its correctness. Second, the tilt component of ground motion has great influence on the seismic response of the transmission tower-line system, and the additional P-∆effect caused by the foundation tilt, not only increases the seismic response of the transmission tower-line system, but also leads to a remarkable asymmetric displacement effect. Third, for the tower-line system, transmission lines under ground motion weaken the horizontal displacement and acceleration responses of transmission towers. This weakening effect of transmission lines to the main structure, however, will be decreased with consideration of tilt component.

• 대한전자공학회:학술대회논문집
• /
• 대한전자공학회 1998년도 하계종합학술대회논문집
• /
• pp.561-564
• /
• 1998

This paper evaluated autonomic nervous system function in 23 patients with syncope and a positive tilt test result, 21 with a negative test result, and 19 healthy controls. Indexes of heart rate variability were measured during supine resting, immediately afte rtilt-up, standing rsting, immediately before syncope and immediately after tiltdown. There were no significant differences among the groups in any of the indexes of heart rate varability over the 24-hour holter recordings. In patients with a positive tilt result, tilting gaused a decrease in low-frequency (LF) immediately before syncope and incsrease in high-frequency (HF) bands immediately before. In patients with a negative tilt result, tilting caused a decrease in low-frequency (LF) immediately before syncope and decrease in high-frequency (HF) bands immediately before, different from positive tilt results. Our findings showed that patients with vasovagal syncope have no chronic differences from normal subjects in autonomic nervous system activity, but that these patients respond differently to the orthostatic stimulus.

• 한국지반공학회:학술대회논문집
• /
• 한국지반공학회 2009년도 춘계 학술발표회
• /
• pp.813-818
• /
• 2009

Shear properties of plastic bottle film/plastic bottle film and plastic bottle film/granitic soil which were evaluated from static friction tests. The monotonic shear experiments were performed by using an tilt table apparatus and large direct shear device. The test results showed that the friction angle of each interface and the interface depended on the amount of normal stress, the type of the interface used. Therefore, the testing method should be determined carefully by considering the type of loads and normal stress expected in the field with using the materials installed in the site.

• 터널과지하공간
• /
• 제16권1호
• /
• pp.58-72
• /
• 2006

암반구조물의 규모가 점차 대형화됨에 따라 암반이 자유면에 노출되는 확률이 높아지고 있으며, 최근 들어 지진이나 발파, 고속철도의 운행에 의한 진동 등으로 야기되는 동적 하중의 발생빈도가 증가하는 추세이므로 동적 하중조건 하에서 암반 불연속면의 거동 특성 파악을 위한 연구의 필요성이 증대되고 있다. 본 연구에서는 자유면에 노출된 블록의 동적 거동을 모사할 수 있도록 경사면 진동대 시험장비를 제작하였고, 다양한 동적 하중 조건하에서 편평한 화강암 절리면의 마찰 거동 특성을 분석하였다. 경사시험을 통해서 구한 한계 경사각과 진동하중 하에서의 임계가속도로부터 역산한 정적 마찰각을 비교한 결과 동하중 하에서 정적마찰각이 $4.5\~8.2^{\circ}$ 정도 낮게 산정되는 경향을 보였다. 이론적인 암석 블록의 마찰 거동을 표현하는 블록 거동 프로그램을 작성하고, 진동하중에 의해 미끄러지는 암석 블록의 가속도 및 변위 계측결과를 개발된 프로그램에 의한 결과와 비교하여 암석 절리면의 동적 마찰각을 산정하였는데 동적 마찰각 역시 한계 경사각에 비해 $2.0\~7.5^{\circ}$ 정도 감소하는 결과를 얻었다. 동하중 하에서 측정된 정적 마찰각과 동적 마찰각은 가해진 가속도의 크기나 진폭 등의 하중 특성과 기하조건에 따라 달라지는 경향을 보였다. 개별요소 프로그램을 이용하여 진동대 시험을 모사하였는데, 계측결과 및 개발된 프로그램에 의한 결과와 비교적 잘 일치하였다. 진동대 시험에 의한 동적, 정적 마찰각은 직접전단시험에 의한 기본 마찰각보다 현저히 작게 산정되었다.

• 대한신경과학회지
• /
• 제36권4호
• /
• pp.302-309
• /
• 2018

Background: Although orthostatic hypotension (OH) and cognitive impairment (CI) are common non- motor symptoms of Parkinson's disease (PD), the relationship between OH and CI remains to be clarified. This study was aimed to investigate the relationship between OH and CI in PD. Methods: We recruited 192 patients who were diagnosed as PD based on the UK Brain Bank diagnostic criteria. The Hoehn & Yahr stages were ranged I to III and patients underwent extensive clinical evaluation, including brain magnetic resonance imaging (MRI) for cerebral white matter hyperintensity (WMH), tilt table test, the Korean version of Montreal Cognitive Assessments and the Korean version of Mini-Mental Status Examination in one month from the first clinic visit. The participants were divided into two groups according to the presence of OH (OH+ vs. OH-) and cognitive function (cognitive normal, CN vs. CI), respectively. Results: Significant relationship between OH and cognitive function (p=0.04) was found in our patients. The patients with OH+ had higher risk of CI by 2.6 times than that of OH- patients. Maximum heart rate change during tilt table test was correlated with cognitive function and white matter changes, whereas blood pressure change during tilt table test showed no correlation with those parameters. Conclusions: There was significant relationship between OH and CI in PD. Therefore, PD patients with either symptom may need periodic evaluation and proper management for OH and cognitive functions.

• Clinical and Experimental Pediatrics
• /
• 제56권1호
• /
• pp.32-36
• /
• 2013

Purpose: Chronic day-to-day symptoms of orthostatic intolerance are the most notable features of postural orthostatic tachycardia syndrome (POTS). However, we have encountered patients with such symptoms and excessive tachycardia but with no symptoms during the tilt-table test (TTT). We aimed to investigate whether POTS patients with chronic orthostatic intolerance always present orthostatic symptoms during the TTT and analyze the factors underlying symptom manifestation during this test. Methods: We retrospectively examined patients who presented with POTS at the Gyeongsang National University Hospital between 2008 and 2011. Diagnosis of POTS was based on chronic day-to-day orthostatic intolerance symptoms as well as excessive tachycardia during the TTT. The patients were divided two groups depending on the presentation of orthostatic symptoms during the TTT. Clinical data and the results of the TTT were compared between these groups. Results: In 22 patients, 7 patients (31.8%) did not present orthostatic symptoms during the test. Diastolic blood pressure (BP) was significantly lower in the symptom-positive group. The head-up tilt resulted in a significant increase in diastolic BP in the symptom-negative group (P=0.04), while systolic BP had a tendency to decrease in the symptom-positive group (P=0.06). Conclusion: Significant patients with POTS did not present orthostatic symptoms during the TTT despite having chronic daily symptoms. This finding may be important for establishing definitive diagnostic criteria for pediatric POTS. Development of symptoms during TTT might be related to low diastolic BP and abnormal compensatory responses to orthostasis.

• 터널과지하공간
• /
• 제16권2호
• /
• pp.166-178
• /
• 2006

암반구조물의 대형, 대단면화에 따라 자유면에 노출된 암반블록의 거동특성 평가가 더욱 중요해지고 있으며, 최근 들어 지진이나 발파, 고속철도의 운행에 의한 진동 등으로 야기되는 동적하중의 발생빈도가 증가하는 추세이므로 동적 하중조건 하에서 암반 절리의 거동특성 파악을 위한 연구의 필요성이 증대되고 있다. 본 연구에서는 거친 절리면의 동적 마찰거동 특성 파악을 위해 인공 인장절리시료를 제작하고 3차원 표면거칠기 측정을 통해 인장절리면의 거칠기 특성을 분석하였으며, 다양한 조건에서 진동대 시험을 수행하였다. 절리면이 맞물린 조건에서 경사시험을 통해 구한 한계 경사각과 진동하중 하에서의 임계가속도로부터 역산한 정적 마찰각을 비교한 결과 동하중 하에서 정적 마찰각이 평균 $2.7^{\circ}$ 정도 낮게 산정되는 경향을 보였다. 엇물린 상태에서 진동하중에 의해 미끄러지는 암석블록의 가속도 및 변위 계측결과를 블록거동 프로그램에 의한 결과와 비교하여 동적 마찰각을 산정하였는데 동적 마찰각 역시 한계 경사각에 비해 평균 $1.8^{\circ}$ 감소하는 결과를 얻었다. 미끄러짐 변위패턴을 4가지로 분류하였으며 이는 절리면의 1차 거칠기와 관련있는 것으로 나타났다. 절리면이 맞물린 상태에서 측정된 한계 경사각과 정적 마찰각은 2차 거칠기를 표현하는 파라미터인 평균 거 각과 상관성을 가지는 것으로 보이나, 엇물린 상태에서 측정된 한계 경사각과 동적 마찰각은 거칠기 파라미터와 특별한 상관성을 파악할 수 없었다. 진동대 시험에 의한 동적, 정적 마찰각은 직접전단시험에 의한 마찰각 결과보다 작게 산정되었다.

• 한국정밀공학회지
• /
• 제27권11호
• /
• pp.98-105
• /
• 2010

In this paper, double ball-bar is used to estimate the geometric errors of a rotary table, which includes one-axial motion, two-radial motions and two-tilt motions, except the angular positioning error. To simplify the measurement procedures, three measurement steps have been designed and developed. At each measurement step, one end of the double ball-bar is fixed at the nose of spindle and the other end is located on the rotary table. And specific circular test path is planned to keep the distance between two balls as constant at ideal case. The relationship including the geometric errors of a rotary table and the measured distance between two balls which is distorted by the geometric errors is defined by using ball-bar equation. Each geometric error is modeled as $4^{th}$ order polynomial considering $C^1$-continuity. Finally the coefficients of polynomial are calculated by least-square method. Simulation is done to check the validation of the suggested method considering set-up errors and measurement noise. Suggested method is applied to estimate geometric errors of a rotary table of a 5-axis machine tool.