• Title/Summary/Keyword: Walk exercise

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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.

Use of Cross Pins and Temporal External Skeletal Fixator for Stabilization of a Tibial Physeal Fracture in a Korean Native Calf (한우 송아지의 정강뼈 성장판 골절에서의 교차핀과 임시 외부 골격 고정장치의 이용)

  • Heo, Su-Young;Kim, Eun-Ju;Kim, Min-Su;Lee, Ki-Chang;Kim, Nam-Soo;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.29 no.2
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    • pp.198-201
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    • 2012
  • A one-month-old, male Hanwoo calf was presented to Chonbuk Animal Medical Center with non-weight bearing lameness on its right hindlimb. The radiograph and CT scan showed a Salter-Harris III fracture at the distal tibia. Following open reduction, the fracture was stabilized by cross-pins. A temporal external skeletal fixator was used as an additional support for 5 weeks. 5 weeks after surgery, bone fracture had successfully healed with no complication. At 2 years after surgery, the calf could walk almost normally although intermittent weight-bearing lameness after active exercise. This is a rare case that the combined use of temporal external fixation and cross-pins fixation was sufficiently effective for treating a distal tibial physeal fracture in a calf.

Development and Testing of Day Care Program for Demented Elders (주간보호센터 중심의 재가 치매노인을 위한 프로그램의 개발 및 효과 검증 연구)

  • Lim, Young-Mi;Jeong, Bok-Hee
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.371-381
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    • 2005
  • Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.

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Distraction Arthroplasty as Treatment for Ankle Osteoarthritis (신연 관절 성형술을 이용한 족근 관절 골관절염의 치료증)

  • Park, Yong-Wook;Kim, Do-Young;Lee, Sang-Soo;Lim, Chang-Kyun;Park, Hyun-Chul
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.161-166
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    • 2002
  • Purpose: To evaluate the effectiveness of distraction arthroplasty as treatment for moderate or severe ankle osteoarthritis Materials and Methods: Thirteen patients who underwent distraction arthroplasty using the Ilizarov external fixator were available. We removed osteophytes around the ankle before applying the external fixator. We encourage the patients to do active range of motion exercise and to walk with cruch. Follow-up averaged 15 months (range, 10-31 months). Both the patients' postoperative satisfaction and the radiographic joint space were retrospectively evaluated. Results: The duration from applying the external fixator to remove was 12 weeks. Breakage of the wire applied to the forefoot occurred in 2 cases. All patients satisfied with the postoperative clinical results. The ankle joint space averaged $1.6{\pm}0.2mm$ in pre-operative, $4.2{\pm}0.9mm$ in post-Ilizarov external fixator's removal, and $2.3{\pm}0.3mm$ in last follow-up ankle lateral view. Conclusion: We think that distraction arthroplasty with external fixator is useful operative method for the moderate or severe ankle osteoarthritis.

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Development of Kinect-Based Game model for Strengthening Muscle of The Gerontologic Lower Body (노인 하체 근력 강화를 위한 키넥트 센서 기반 게임 모델 개발)

  • Kang, Bo-yun;Kim, Yoon-Jung;Kim, Hyun-Kyung;Lee, Won-Hee;Park, Jung-Kyu;Park, Su e
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.10a
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    • pp.185-188
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    • 2017
  • Health promotion is essential for overcoming the low health longevity of senior citizens preparing for aging population. Therefore, the lower body strengthening exercise to prevent falls is crucial to prevent a fall in the number of deaths of senior citizens. In this game model, the elderly are aiming at home training contents that can be found to feel that the elderly are going out of walk and exercising in the natural environment. To achieve this, Kinect extracts a specific bone model provided by the Kinect Sensor to generate the feature vectors and recognizes the movements and motion of the user.

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Permanent Transvenous Cardiac Pacing in a Beagle Dog With a Third Degree Atrioventricular Block (경피적 접근을 이용한 영구 박동조절기(pacemaker) 장착을 통한 3도 방실 차단이 있는 비글종 개의 치료)

  • Lee, Seung-Gon;Moon, Hyeong-Sun;Lee, Moo-Hyun;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.414-418
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    • 2007
  • A 2.8-year-old intact female Beagle dog (weighing 11kg) was referred with the primary complaint of exercise intolerance with occasional syncope. Physical examination revealed irregularly irregular heart rhythm with persistent pulse deficits. The 12-lead surface ECG showed a third degree heart block. Permanent transvenous cardiac pacing with a bipolar implantable pacemaker was performed in the right ventricle. After pacemaker implantation, the dog did not show syncopal episode and is currently able to take a walk with an owner. No side effects associated with permanent pacemaker implantation has been observed to date.

Knee Rehabilitation System through EMG Signal analysis and BLDC Motor Control (근전도 신호 분석 및 BLDC모터 제어를 통한 무릎재활시스템)

  • Kwon, Hyeong-Gi;Ko, Hyeong-Gyu;Song, Yoon-Oh;Son, Eui-Seong;Lee, Boong-Joo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.14 no.5
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    • pp.1009-1018
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    • 2019
  • This paper describes the design and implementation of a rehabilitation medical device based on a EMG measurement. Rehabilitation systems are controlled using BLDC motors and motor drives. The BLDC motor drive controls the operation and the speed controls the drive through the external servo motor. In addition, potentiometer coupled to the outside of the motor transmits information about the position of the load being rotated by the motor. The rehabilitation algorithm is controlled by limiting the maximum angle of 0 to 120 by utilizing the motor according to the user setting stage during the rehabilitation exercise. The walking algorithm compensates motor control for the low leg of the signal using the difference value of the signal obtained with the surface denser attached to both inner muscles. The motor and surface denser are utilized for the walk motion to control the maximum angle of 0 to 80.

Hyperlipidemia as a predictor of physical functioning for stroke

  • Sim, Jae-hong;Hwang, Sujin;Song, Chiang-soon
    • Physical Therapy Rehabilitation Science
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    • v.7 no.2
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    • pp.88-93
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    • 2018
  • Objective: Elevated cholesterol levels contribute to changes of the arterial endothelial permeability. Hyperlipidemia promotes atherosclerosis and is associated with an increased risk of stroke incidence. The purpose of this study was to investigate the effects of having a history of hyperlipidemia prior to a stroke incidence on postural balance, anticipatory dynamic postural control, gait endurance and gait performance in individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: Fifty-two adults who were diagnosed with stroke 6 months ago or more were enrolled in this study. They were divided into two different groups according to hyperlipidemia history before stroke. All participants were assessed with the Activities-specific into Balance Confidence (ABC) scale, Berg Balance scale (BBS), Dynamic Gait Index (DGI), Timed Up and Go test (TUG), and the 6-minute walk test (6MWT). An independent t-test was used to analyze the difference between the hyperlipidemia group and non-hyperlipidemia group. Results: After analysis, the BBS, TUG, and 6MWT scores were significantly different between the hyperlipidemia and non-hyperlipidemia group, but not the ABC and DGI scores. Conclusions: The results of this study show that having a history of hyperlipidemia before stroke affects static and dynamic postural balance performance, anticipatory dynamic postural balance, and gait endurance in individuals with chronic hemiparetic stroke. Based on the results of this study, we also suggest treatment for hyperlipidemia should be implemented throughout the therapeutic interventions, such as pharmacological or exercise programs, in order to restore the physical function of stroke survivors.

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.

A Study of Effects of Sallimyok(Forest Therapy)-based Mental Health Program on the Depression the Psychological Stability (산림욕을 활용한 정신건강 프로그램이 우울증해소와 심리적 안녕감에 미치는 효과)

  • You, Young Seon;Kim, Hyun Chang;Lee, Chang Jae;Jang, Nam Chul;Son, Byung Kook
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.55-65
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    • 2014
  • Objectives: This study aims to develop a decent sallimyok program and provide basic data which are helpful in improving psychological wellbeing for adults who are exposed to stress and fatigue. Methods: Middle-aged women living in Cheongju, Chungbuk were divided into experimental and control groups (10 people each) through convenience sampling, and a questionnaire survey on psychological wellbeing was distributed to them and collected. For data analysis, IBM/SPSS 20.0 was used. In terms of statistical analysis, a reliability test (Cronbach's ${\alpha}$) was conducted. To test research questions 1 and 2, independent t-test and paired sample t-test were carried out. Results: First, a sallimyok program features meditation (floor-sitting, slow walk), forest therapy, stretching exercise, wrapping-up and sharing feelings. Second, it was confirmed that a sallimyok program has a positive effect on the improvement of psychological wellbeing and the depression for women. Conclusions: The sallimyok program improved participants' psychological wellbeing, which means that it could reduce their anxiety and stress.

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