• Title/Summary/Keyword: Time walk

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The Influence of Scapular-Pelvic Patterns of Proprioceptive Neuromuscular Facilitation on Hemiplegic Gait -A Case Report- (PNF 어깨뼈-골반 패턴이 편마비 환자의 보행에 미치는 영향 -증례보고-)

  • Choi, Jae-Won;Hwang, Sin-Pil
    • PNF and Movement
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    • v.16 no.1
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    • pp.27-32
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    • 2018
  • Purpose: This study examined changes in gait speed and stride length after an intervention involving simultaneous scapular and pelvic patterns of proprioceptive neuromuscular facilitation in a hemiplegic patient. Methods: A 58-year-old woman with left hemiplegia who had complained of slowness of gait speed and weakness of leg strength took part in an intervention involving scapular postdepression patterns on the affected side and pelvic postdepression patterns on the nonaffected side. The intervention was performed with the patient lying on her left side, in a half kneeling position, and in a standing posture. Rhythmic initiation was used for teaching the movements to the patient and improvement of kinesthesia, and a combination of isotonic was employed for increasing strength and irradiation of the scapula and pelvic movement. The intervention took place for 30 min. It was implemented twice a day, 5 days a week, for 3 weeks. After three repetitions, the average time taken to complete the 10-m walk test (10 MWT), in addition to stride length, was measured to determine gait speed. Results: After the 3-week program, the patient's performance in the 10 MWT improved from 21.7sec to 17.1sec, and her stride length improved from 31.4cm to 38.7cm. Conclusion: The results showed that trunk movement exercise, especially coordinative movements of the scapula and pelvis can improve gait speed and stride length by increasing trunk stability and mobility. A combination of pelvic and scapular patterns can facilitate trunk rotation, thereby improving gait speed and stride length.

A Study on the Integrated Monitoring of a Leakage Current of the Grounding Wire of Neutral Point of the Low Voltage Side of Transformer (변압기 저압측 중성점 접지선의 누설전류 통합 감시에 관한 연구)

  • Hong, Soon-Seuk;Park, Joon-Yeol;Lee, Jung-Eun;Choi, Kyung-Han
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.24 no.5
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    • pp.106-113
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    • 2010
  • If leakage current is neglected, it can become a cause for disasters such as electric shock and fire, therefore a continuous monitoring is necessary. However in most cases, because management of substations is performed by unmanned systems, or walk-around inspections, continuous monitor is difficult. So when an accident occurs and the cause is not immediately resolved causing the emergency generator's OCGR getting activated by the leakage current that in turn cut off the ACB, the emergency generator may stop working. To prevent such a problem, a real-time integrated monitoring system for monitoring the leakage current returning to the grounding wire of neutral point of the low voltage side of transformer is proposed. Therefore in this paper, the effects of flow of leakage current, which is caused by insulation degradation phenomena or insulation destroy phenomena, were identified by simulation. And through cases studies; the excellence of integrated monitoring system was verified.

An Analysis of the Environmental Color in Urban Street by Pedestrian Visual Fields Area (보행자의 시계영역에 따른 가로의 환경색채 분석)

  • Kim, Sun-Young
    • Korean Institute of Interior Design Journal
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    • v.26 no.6
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    • pp.53-61
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    • 2017
  • Cityschumers experience the urban with the visual perception while walking an average speed of 4km per hour. At this time, recognition of the color field accounts for more than 70%. Therefore, in this paper the environmental color of urban street is examined by dividing the pedestrian visual field area. In the urban street, the area of the visual field area of the pedestrian is divided into Ground Plane, Roadside, Canopy and Building Wall. In addition, we observe and color survey the environmental color of Exhibition Road, which is the northern side space of South Kensington in London, which adopted the world's first shared space. The color of the visual filed area was dominated as YR, GY, Y, PB. The Ground Pland was dominated by the YR. The reason for this is that the color of the floor has changed due to the shadows of surrounding architecture and facilities. Roadside was dominated in various ways such as GY, BG, PB, B and P. Canopy was mainly composed of PB, GY, etc. It was found that the material color of the lower part of the architecture was reflected. The architecture wall was affected by the reflectance and absorption rate of the transparent material. The first image that comes to mind when thinking about the urban is the street where pedestrians walk, feel and enjoy themselves. Therefore, it is suggested that various policy frameworks for managing and managing urban planning professionals may be different from the perceptions of pedestrians active in mega cities.

Development of a WLAN Based Monitoring System for Group Activity Measurement in Real-Time

  • Tsunoda, Hiroshi;Nakayama, Hidehisa;Ohta, Kohei;Suzuki, Akihiro;Nishiyama, Hiroki;Nagatomi, Ryoichi;Hashimoto, Kazuo;Waizumi, Yuji;Keeni, Glenn Mansfield;Nemoto, Yoshiaki
    • Journal of Communications and Networks
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    • v.13 no.2
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    • pp.86-94
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    • 2011
  • In recent years, there has been a rise in epidemiological evidence suggesting the health benefits of a physically active lifestyle. However, it is not always easy for individuals to personally recognize the optimal conditions for exercise and physical activity. Wearable acceleration-based pedometers have become widely used in estimating the amount of physical activity, and to a limited extent, providing information regarding exercise intensity, but they have never been used to assess adaptation to exercise. In order to realize simultaneous activity monitoring for multiple users exercising outdoors, we developed a prototype wireless local area network (WLAN) based system. In our system, a WLAN is deployed outside, and a user wearing a smart phone and monitoring device exercises freely within the coverage area of the wireless network. By doing so, the developed system is able to monitor the activity of each user andmeasures various parameters including those related to exercise adaptation. In a demonstration experiment, the developed system was evaluated and used to monitor users enjoying a Nordic walk, after which users were immediately able to receive their exercise report. In this paper, we discuss the requirements and issues in developing an activity monitoring system and report the findings we obtained through the demonstration experiment.

Peripheral Neuropathy after Inhalation of Mercury (수은 증기 흡입에 의한 말초신경염 1례)

  • Chae Hong Jae;Lee Hyoung Jai;Oh Sei Won;Lee Sung Kwan;Moon Jai-Dong
    • Journal of The Korean Society of Clinical Toxicology
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    • v.2 no.1
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    • pp.20-22
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    • 2004
  • Acute mercury inhalation poisoning is a rare cause of acute peripheral neuropathy. A 44-year-old female inhaled the fume from heating mercury to treat her palmar dermatitis. For 4 days, this procedure was done for 2-3 minutes after each meal. She subsequently complained flu like symptoms, such as headache, toothache, myalgia and arthralgia. She was admitted for 9 days and then symptoms disappeared. About 3 weeks after exposure, both knee pain developed and then she could not walk. To treat mercury intoxication, she was referred to our hospital. At that time, initial laboratory data were within normal limits, but blood and urinary mercury level were 5.6 11$\mu$g/dl, 132.8 $\mu$g/L. After treatment with D-penicillamine for 7 days, blood and urinary mercury level were 3.9 1$\mu$g/dl, 177.3 $\mu$g/L. During the following 1 month, both leg symptoms remained. Nerve conduction studies were performed, both leg sensory nerve amplitude decreased. These findings were suggestive of peripheral polyneuropathy.

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The Effect of Hand Reflexology on Pain, Skin Temperature and Nursing Practice (입원 환자에서 손 반사요법의 통증, 피부체온 및 간호실무 효과)

  • Ha, Hyae-Chung;Lee, Young-Soon;Kim, Dong-Soo;Lee, Myung-Sook;Oh, Sei-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.2
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    • pp.178-186
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    • 2006
  • Purpose: This study is aimed to examine the effectiveness on pain, feeling and nursing practice of hand reflexology applied to in-patient in the clinical setting. Method: The pre/post test methods using VAS for pain and feeling, physiologic measuring, and questionnaire of nursing care were conducted. Subjects were selected 45 in-patients from a surgical ward in hospitals during Nov.-Dec. 2005. 5 minute hand reflexology therapy was applied to both hands of participant by two research assistants at the same time. Data were analyzed based on SAS program using frequency, $x^2$-test, paired t-test, ANOVA and Pearson's correlation coefficients. Result: 1. After receiving hand reflexology therapy, the subjects showed significant pain relief(t=-4.94, p=.0001), improvement in feeling(t=19.44, p=0001) and an increase in skin temperature(t=3.54, p=.001). 2. The applied skills that the participants preferred were press-rotate(80.0%), press-walk(35.56%) and press-rolling(31.11%). The effectiveness of nursing practice scored $3.99{\pm}1.97$ out of 5. Nurse-Patient Relationship and effective response of nursing intervention ranked the highest 4.31. Conclusion: Hand reflexology was considered as an effective nursing intervention in the clinical settings, but in order to evaluate re-verifies and reliances for this effects, it is necessary that comparative studies should be conducted.

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Indoor Navigation System for Visually Impaired Persons Using Camera and Range Sensors (카메라와 거리센서를 이용한 시각장애인 실내 보행안내 시스템)

  • Lee, Jin-Hee;Shin, Byeong-Seok
    • Journal of Korea Multimedia Society
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    • v.14 no.4
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    • pp.517-528
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    • 2011
  • In this paper, we propose an indoor navigation system that can do walk safely to the destination for visually impaired persons. The proposed system analyzes images taken with the camera finds the ID of the marker to identify the absolute position of the pedestrian. Using the distance and angle obtained from IMU(Inertial Measurement Unit) accelerometer sensor and a gyro sensor, the system decides the relative position of a pedestrian for the previous position to determine the next direction. At the same time, we simplify a complex spatial structure in front of user by means of ultrasonic sensors and determine an avoidance direction by estimating the patterns. Then, it uses a few IR(Infrared Rays) sensors to detect stair. Our system offers position of visually impaired persons incorporating multiple sensors and helps users to arrive to destination safely.

Minimally Invasive Posterior Lumbar Interbody Fusion with Threaded Fusion Cage(TFC) (Threaded Fusion Cage(TFC)를 이용한 최소 침습적 요추체 후방융합술)

  • Kim, Hyeok Joon;Cho, Ki Hong;Shin, Yong Sam;Yoon, Soo Han;Cho, Kyung Gi
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.247-253
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    • 2001
  • Objective : In general, to perform posterior lumbar interbody fusion(PLIF), it has been used more invasive procedure than simple discectomy. However we try to perform PLIF with TFC with smaller invasion almost same as in simple discectomy. This study is about its procedure and clinical results. Materials and Methods : The authors retrospectively analyzed 43 cases of minimally invasive PLIF with TFC from July 1998 to May 2000. Operative procedure, operative complication, change of disc height, blood loss, ambulation time, hospitalization period, clinical success rate, and bony fusion rate were analyzed. Results : 40 patients were capable to walk on the 2nd day of the post-operation. The average hospitalization period is 5.6 days. The average blood loss was 0.19L/level with no transfusion or wound drainage. The height of disc changed from 8.84mm to 13.54mm. Clinical success rate is 95% when evaluated by the Prolo's scale. The complication was delayed wound infection(2) and transient paresthesis(1). The bony fusion was shown in 17 patients (94.4%) out of 18 patients who passed one year. Conclusion : As a result of minimally invasive PLIF, pain was decreased and early ambulation and short hospitalization was possible. Complication was similar or lower than other studies, and the bony fusion rate and clinical success rate were also similar during follow-up.

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Effects of Injection Laryngoplasty with Hyaluronic Acid in Patients with Vocal Fold Paralysis

  • Kim, Geun-Hyo;Lee, Jae-Seok;Lee, Chang-Yoon;Lee, Yeon-Woo;Bae, In-Ho;Park, Hee-June;Lee, Byung-Joo;Kwon, Soon-Bok
    • Osong Public Health and Research Perspectives
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    • v.9 no.6
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    • pp.354-361
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    • 2018
  • Objectives: The purpose of this study was to explore the effects of injection laryngoplasty (IL) with hyaluronic acid in patients with vocal fold paralysis (VFP). Methods: A total of 50 patients with VFP participated in this study. Pre- and post-IL assessments were performed, which included analyzing the sustained vowel /a/ phonation, and the patient reading 1 Korean sentence from the "Walk" passage that comprised 25 syllables in 10 words. To investigate the effect of IL on vocal fold function, acoustic analysis (acoustic voice quality index, cepstral peak prominence, maximum phonation time, speaking fundamental frequency) was conducted and auditory-perceptual (grade and overall severity), visual judgment (gap), and self-questionnaire (voice handicap index-10) assessments were performed. Results: The patients with VFP showed statistically significant differences between pre-and post-IL assessments for acoustic and auditory-perception, visual judgment, and self-questionnaire assessments. Conclusion: The patients with VFP showed positive change in vocal fold function between pre- and post-IL measurements. The findings showed that IL with hyaluronic acid is an effective method to improve vocal fold function in patients with VFP.

Effect of Visual Feedback Training for Gradual Weight Shift in the Sit-to-stand Training on the Balance and Walking Abilities of Chronic Hemiplegia Patients (앉고 일어서기 동작에서 점진적 체중 이동을 이용한 시각적 되먹임 훈련이 만성 편마비 환자의 균형 및 보행능력에 미치는 영향)

  • Kim, Kyung-hwan;Park, Sung-hoon;Kim, Hyung-min;Pak, Noh-wook;Kim, Da-yeon
    • PNF and Movement
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    • v.15 no.1
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    • pp.77-84
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    • 2017
  • Purpose: This study aimed to investigate the effect of visual feedback training-for gradual weight shift in sit-to-stand training-on the balance and walking abilities of chronic hemiplegia patients. Methods: Twenty patients with chronic hemiplegia volunteered to participate in this study. The experimental group received visual feedback for gradual weight shift in the sit-to-stand training, while the contrast group followed the standard process for the sit-to-stand training. The evaluation of the balance and walking ability was conducted with the functional reach test (FRT), Berg balance scale (BBS), five time sit-to-stand (FTSTS) test, timed up and go (TUG) test, 10 m walk test (10MWT), balancia, activities-specific balance confidence (ABC) scale, and falls efficacy scale (FES). Results: In the results before and after intervention, there was a significant difference in TUG, 10MWT, ABC, and FES in the visual feedback training group (p < 0.05). In the control group, there was a significant difference in the 10MWT and ABC (p < 0.05). Also, in the evaluation of the postural fluctuations, the control group data showed a significant increase in Covar. The visual feedback group showed a significant difference in the W average. Conclusion: The visual feedback training group showed some improvement in terms balance and walking ability and on the ABC scale and FES. Therefore, if the diagonal progressive weight bearing exercise is combined with the various patterns and basic principles of PNF, it may be a more efficient intervention method.