• Title/Summary/Keyword: Walking function

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Effects of task-oriented training for Gross Motor Function Measure, balance and gait function in persons with cerebral palsy

  • Han, Hyun-Kyung;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.5 no.1
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    • pp.9-14
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    • 2016
  • Objective: This study was to investigate the effects of Task-oriented training for Gross Motor Function Measure (GMFM), gait and balance function in cerebral palsy. Design: Randomized controlled trials. Methods: Twenty four subjects were recruited by means of a convenience sampling from Kangseo-Gu G rehabilitation center. Subjects were 24 inpatients and were randomly divided into a task-oriented training group and a conventional group. Twelve patients were experimental group who executed the task-oriented training (5 times/wk) for 4 weeks. The task-oriented program mainly focused on the capabilities of independent walking, with the angle of inclination set at 0 degrees and walking at a self-selected comfortable speed. In addition, balance training included the one-legged standing with weight-shifting and task-oriented training. Twelve patients were control group who executed only general conventional therapy (5 times/wk) for 4 weeks. All subjects were evaluated about the motor function, gait and balance function. Subjects have conducted the measured variables, GMFM, GAITRite, PDM Multifunction Force Measuring Plate after treatment. Results: There was statistically significant increase of Gross Motor Function Measure scores of the experimental group and control group after 4 weeks (p<.05). There was statistically significant increase of gait and balance function of the experimental group after 4 weeks of task-oriented training (p<.05). The experimental group showed a significantly improvement in GMFM, gait, and balance compared to the control group (p<0.05). Conclusions: This study proved that task-oriented training after stroke can improve Gross Motor Function Measure, gait and balance. Thus this study can suggest that task-oriented training for gross motor function, gait and balance be effective on the cerebral palsy.

The Bobath Approach for Walking Improvement on Child with Mental Retardation (정신지체 아동의 보행능력 향상을 위한 보봐스 접근법 : 개별실험연구)

  • Ro, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.113-119
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    • 2008
  • Purpose : In this case report, we demonstrated the improvement of gait ability on the child who has mental retardation with incomplete gait pattern. Methods : The subject was a 4 years old boy with mental retardation. We applied the Bobath approach to the subject. Treatments included to facilitate trunk alignment and stability, and to train weight bearing and shifting, to facilitate pelvis posterior-anterior movement, and to train walk especially stance phase and assist up-down stairs locomotion in environment similar to actual daily life. It was performed 24 sessions for 12 weeks. Results : With this treatment, he could accomplish dynamic standing stability and he could independent walk at the out door after 12 weeks. In gross motor function measure(GMFM), total motor function was improved to 85.6% from 75.7%. Conclusion : The gait ability of child with mental retardation was improved by using the bobath approach.

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A Study on Design of FES Hardware System for Walking of Paraplegics (하반신마비 환자의 보행기능 제어를 위한 FES하드웨어 시스템 설계에 관한 연구)

  • 김근섭;김종원
    • Journal of Biomedical Engineering Research
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    • v.12 no.1
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    • pp.1-7
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    • 1991
  • This paper describes and discusses the employment of HMG pattern analysis to provide upper-motor-neuron paraplegics with patient-responsive control of FES ( functional electrical stimulation) for the purpose of walker-supported walking. The use of above-lesion EMG signals as a solution to the control problem is considered. The AR(autoregressive)parameters are identified by time-varying nonstationary Kalman filler algorithm using DSP chip and classified by fuzzy theory. The control and stimuli part of the below-lesion are based on micro-processor(8031). The designed stimulator is a 4-channel version. The experiments described above have only attempted to discriminate between standing function and sit-down function A further advantge of the this system Is applied for motor rehabilitation of social readaption of paralyzed humans.

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Functional Electrical Stimulation : A Review of Clinical Application (기능적 전기자극의 임상 적용에 관한 고찰)

  • Cho, Mi-Suk;Lee, In-Hak;Kim, In-Sup
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.4 no.1
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    • pp.39-47
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    • 2006
  • Functional Electrical Stimulation(FES) cause paralysed muscles to contract in some clinical circumstances. Generally, FES has been thought of as a valuable tool in activating any skeletal muscle paralysed as a result of upper motor neuron damage. But, the function of cardiac and smooth muscle is also affected by upper motor neuron damage. Today, various applications of FES are investigated, including conditioning cardiovascular exercise, caugh and breathing assistant, improving bowel and bladder control, hand grasp, standing and walking etc. This review will focus on the literature reporting application of FES to control respiratory capabilities and internal organ function as well as increase muscular strength, hand grasp, standing and walking in patients with upper motor diseases.

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A Study on the Characteristic of Staircase for Barrier-Free Architectural Environment (무장애 건축 환경을 위한 계단의 설계특성에 관한 연구)

  • Seong, Ki-Chang
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.10 no.2
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    • pp.125-133
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    • 2004
  • Safety, accessibility and distinguishment as the concept of architectural planning and design are demanded in staircases due to increase of the old aged people and disabled people's enlarged social participation. In this research is tried to provide the importance of vertical walking function at the design for the staircases. For this reason, structural elements of the staircases are studied in the ergonomic aspect for barrier-free environment and a comparative study is made on the regulations of the staircases in the inside and outside of the country in disabled & aged people's view. Based on this study, the quality of the staircases in public facilities and Apartments is analyzed. As the result, it has been proved that the vertical walking function of the staircases is the most fundamental characteristic of the staircases design before everything else.

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Trajectory Parameter Optimization using Genetic Algorism (유전알고리즘을 이용한 워킹 궤적 파라미터의 최적화)

  • Son, In-Hye;Kim, Dong-Han;Park, Chong-Kug
    • Proceedings of the KIEE Conference
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    • 2008.04a
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    • pp.75-76
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    • 2008
  • In oder for the robot to walk with stability, trajectory generation method for the biped robot is important. In this paper proposed the genetic algorithm to optimize biped robot motion parameters. Because most of trajectory generation, the walking parameters determined arbitrarily. Formulating the constraints of the motion parameters, and the trajectory is derived by cubic spline function. Finally walking patterns are described through simulation studies. When the ZMP(zero moment point) and DSM(dynamic stability margin) are satisfied, the walking pattern is chosen.

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Development of Algorithm for Passenger Flow Analysis based on DEM (DEM에 기초한 여객 유동 해석 알고리즘 개발)

  • Nam Seong-Won
    • Journal of the Korean Society for Railway
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    • v.8 no.4
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    • pp.337-341
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    • 2005
  • Algorithm for passenger flow analysis based on DEM(Discrete Element Method) is newly developed. In the new algorithm, there are many similarity between multi phase flow and passenger flow. The velocity component of 1st phase corresponds to the direction vector of cell, each particle to each passenger, volume fraction to population density and the momentum equation of particle to the walking velocity equation of passenger, etc. And, the walking velocity of passenger is also represented by the function of population density. Key algorithms are developed to determine the position of passenger, population density and numbering to each passenger, To verify the effectiveness of new algorithm, passenger flow analysis for simple railway station model is conducted. The results for passenger flow in the model station are satisfying qualitatively and quantitatively.

Analysis of Pedestrian Flow Characteristics in Subway Station (지하역사 기본 모델에 대한 여객 유동 특성 해석)

  • Nam Seong-Won
    • Journal of the Korean Society for Railway
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    • v.9 no.3 s.34
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    • pp.271-276
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    • 2006
  • Insight into behaviour of pedestrians as welt as tools to assess passenger flow condition is important in such instances as planning and geometric design of railway station under regular and safety-critical circumstances. Algorithm for passenger flow analysis based on DEM (Discrete Element Method) is newly developed. There are lots of similarity between particle-laden two phase flow and passenger flow. The velocity component of 1st phase corresponds to the unit vector of calculation cell, each particle to passenger, volume fraction to population density and the particle velocity to the walking velocity, etc. And, the walking velocity of passenger is also represented by the function of population density. Key algorithms are developed to determine the position of passenger, population density and numbering to each passenger. To verify the effectiveness of new algorithm, passenger flow analysis for the basic models of railway station is conducted.

Development of Modular DEAS (mDEAS) and its Application to Optimal Trajectory Generation of Biped Walking (최적화 기법인 mDEAS의 개발 및 휴머노이드 이족보행 시 최적 관절궤적 생성에의 적용)

  • Kim, Eun-Su;Kim, Jo-Hwan;Kim, Jong-Wook
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.58 no.2
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    • pp.382-390
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    • 2009
  • This paper newly proposes a modular type dynamic encoding algorithm for searches (DEAS) which partitions the whole parameters into several modules and carries out exhaustive DEAS for each module. uDEAS is used to measure parameter sensitivities to the cost function, and the variables whose sensitivities are similar are grouped to make a module. The proposed optimization method is applied to optimal trajectory generation for biped walking of a humanoid. and the optimization result is compared with those of the former versions of DEAS.

Three Dimensional Numerical Analysis of the Walking Beam Type of a Hot Roll Reheat Furnace (Walking Beam형 열연 재가열로의 3차원 수치해석)

  • Kim J. K.;Huh G. Y.;Kim I. T.
    • 한국전산유체공학회:학술대회논문집
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    • 1999.05a
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    • pp.199-204
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    • 1999
  • Three dimensional numerical analysis for the turbulent reactive flow and radiative heat transfer in the walking beam type of a reheat furnace in POSCO has been carried out by the industrial code FLUENT. Computations an based on the conservation equations of mass, momentum, energy and species with the $k-{\varepsilon}$ turbulence model and mixture fraction/PDF(Probability Density Function) approach for the combustion rate. Radiative heat transfer is computed by the discrete ordinates radiation model in combination with the weighted-sum-of-gray-gas model for the absorption coefficient of gas medium. The predicted temperture distribution in the reheat furnace and energy flow fractions are in reasonable agreement with the measurement data.

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