• Title/Summary/Keyword: Walking function

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Reliability and Validity of Gait Assessment Tools for Elderly Person (노인의 보행에 대한 평가 도구의 신뢰도와 타당도 조사 연구)

  • Kim, Jae-Hyun
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.41-48
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    • 2009
  • Purpose: The examine the Reliability and Validity of the modified Emory Functional Ambulation Profile (mEFAP), Tinetti. Gait (TG), Timed Up & Go Tes t (TUG), Comfortable Gait Speed (CGS), Berg Balance Scale (BBS) in assessing gait function and balance in elderly person. Methods: The 45 community-dwelling subjects were participated in this study. Reliability was determined by intra-class correlation coefficient (ICC$_{3,1}$), Bland and Altman method (Standard Error of Measurement (SEM), Smallest Real Difference (SRD)). Results: Validity was examined by correlation the mEFAP, TG, TUG, CGS, BBS. The intra-rater reliability were High (ICC$_{3,1}$ : mEFAP=0.95, TG=0.96, TUG=0.94, CGS=0.96, BBS=0.92) and Absolute reliability were excellent (SEM: mEFAP=1.90, TG=0.21, TUG=0.28 CGS=0.25, BBS=0.52), (SRD: mEFAP=5.26, TG=0.58, TUG=0.77, CGS=0.69, BBS=1.44). There were significant correlations between assessment tool (r=.0.58$\sim$0.78, p<0.01) indicating good validity. Our results provide strong evidence that the assessment tool has good reliability, validity for assessing elderly person undergoing rehabilitation. Conclusion: The gait assessment tool is a useful scale for measuring walking function and recovery in elderly person.

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Effect of Gender Difference on the Functional Asymmetry during Preferred Walking Speed

  • Hyun, Seunghyun;Ryew, Checheong
    • International journal of advanced smart convergence
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    • v.9 no.2
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    • pp.49-57
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    • 2020
  • We have not identified on what gender difference during gait at a pace of one's preferred velocity effects on the function of bilateral lower limb. This study was undertaken to investigate a difference of gait strategy by gender during gait at a one's preferred velocity of participants of adult male and female (n=20). Cinematographic data for motion analysis, ground reaction force (GRF) variables, and muscle volume of lower limb were analyzed. Significant difference of variables on movement of center of mass whole body, joint angle and moment of lower limb, and ground reaction force were tested by 2-way ANOVA analysis (P<0.05). Male group showed more muscle volume than female, and both showed more volume in dominant leg than non-dominant. Main effect by bilateral leg during gait showed higher difference in right than left leg in change of vertical position of center of mass (maximal, minimal). Main effect by gender in vertical change of position and velocity of center of mass showed higher difference in male than female (maximal, minimal). Hip joint showed more flexed and extended angle in male than female, and also dorsiflexion of ankle and flexion moment of knee and hip joint showed higher in male than female group. Therefore, this result was assumed that dominant showed furthermore more contribution for propulsive function than non-dominant leg. Gender difference showed in strategy controlling of biomechanical characteristics, and perhaps influenced by muscle volume.

A Systematic review of effects and methods of treadmill training applied to stroke patients (뇌졸중환자에게 적용된 트레드밀훈련의 효과 및 방법에 대한 체계적 고찰)

  • Kim, Jeong Ja;Lee, Jong Won
    • Journal of Korean Physical Therapy Science
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    • v.27 no.2
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    • pp.63-79
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    • 2020
  • Background: A physical therapy is required to restore motor function of stroke patients, especially gait function improvement is very important to them. Design: Systemic review. Methods: The purpose of this study is to provide objective evidence for the effectiveness of the treadmill training method applied to stroke patients. The literature search for a systematic review was performed on domestic data published from 2010 to 2020 at KISS, RISS, and DBpia. Results: 40 papers meeting the inclusion/exclusion criteria were finally selected. Data analysis was performed according to the research type, intervention method and process, measurement variables, and the risk of bias assessment was conducted as quality evaluation. Conclusion: Various training methods have been suggested and proved that treadmill intervention is an effective method for improving gait and balance. As the goal of rehabilitation for stroke patients is to improve walking and balance, we expect continuous clinical research to continue to establish a more systematic training program and present a new paradigm.

A Study of the Usefulness of Pediatric Balance Scale as a Prediction Indicator for Gross Motor Function Classification System in Children with Cerebral Palsy

  • Lim, Hyoung-Won
    • The Journal of Korean Physical Therapy
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    • v.28 no.1
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    • pp.22-26
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    • 2016
  • Purpose: The purpose of this study was to evaluate the relation between PBS scores and GMFCS levels and to examine whether pediatric balance scale (PBS) scores were useful for predicting gross motor functional classification system (GMFCS) levels in children with cerebral palsy. Methods: This cross-sectional study was performed conducted for to evaluatione of PBS and GMFCS using in 26 children with cerebral palsy (16 males and 10 females with GMFCS level I to III). PBS total and item scores at different levels of GMFCS were measured. Results: The hHigh PBS item average scores obtained from standing and postural change dimensions except sitting dimension were observed at the low levels of GMFCS and these results were statistically significant (p<0.05). The relation between PBS (standing and postural change dimensions) and GMFCS levels were was significantly different, except the relation between PBS sitting dimension and GMFCS levels showing a ceiling effect. Conclusion: GMFCS is designed to for classificationy of gross motor functions emphasizing on walking movement and PBS is was developed to for evaluatione of functional balance. Based on the results of this study showing high relation between GMFCS levels and PBS scores, PBS scores can be used for predicting GMFCS levels.

Correlation Between the Activities of Daily Living Assessment and Gross Motor Function Measures in Children with Spastic Cerebral Palsy

  • You, Hee-Joo;Park, Sun-Wook;Lee, Han-Suk
    • The Journal of Korean Physical Therapy
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    • v.27 no.6
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    • pp.425-429
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    • 2015
  • Purpose: This study was to identify the whether there is any correlation between Gross Motor Function Measures (GMFM) and Functional independence Measurement for children (WeeFIM) in order to identify a relevance of daily life motor with gross motor function of children with cerebral palsy. Methods: Subjects were instructed to evaluated by an occupational therapist using WeeFIM (reliability 0.83-0.99) and by a physical therapist using GMFM (reliability 0.93). 10 male children and 13 female children among 23 children being diagnosed as cerebral palsy were targeted for this study. A correlation between GMFM and WeeFIM was analyzed with Kendall correlation. Results: Participants showed significant correlation between GMFM and WeeFIM in all categories, except in the GMFM's walking running jumping category, standing category of GMFM and self care, sphincter control, communication category of WeeFIM. Lying rolling and sitting and crawling kneeling area of GMFM showed a significant correlation with self care(r=0.35, 0.39, 0.4), sphincter control (r=0.45, 0.43, 0.61), mobility transfer (r=0.44, 0.36, 0.64), locomotion (r=0.41, 0.35, 0.74), communication (r=0.4, 0.44, 0.51), and social cognition (r=0.43, 0.51, 0.64) area of WeeFIM (p<0.05). Standing of GMFM and mobility transfer (r=0.74), locomotion (r=0.47) and social cognition (r=0.4) area of WeeFIM showed a significant correlation (p<0.05). Conclusion: These findings indicated significant correlation between activity of daily living (ADL) and gross motor function of children with cerebral palsy. However, because there are a few results that are not significant, both assessment tools should be used for evaluations so that treatment can be achieved with an accurate assessment and establish a therapeutic plan.

Effects of Sokmyeung-tang(SMT) on the Protection of C6 Glial Cells and Ischemic Brain Damage (속명탕(續命湯)이 C6 glial cell 보호 및 허혈성 뇌손상에 미치는 영향)

  • An, Ga-Yong;Choi, Eun-Hee;Kim, In-Soo;Kang, Seong-Sun;Lee, Young-Soo;Hong, Seok;Jeon, Sang-Yun
    • The Journal of Internal Korean Medicine
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    • v.32 no.1
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    • pp.43-55
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    • 2011
  • Objectives : Sokmyeung-tang(SMT) has been used for treatment of CVA in traditional oriental medicine, so this study was designed to evaluate the effect of SMT's protection on brain cell damage against the oxidative stress that was affected by CVA, We also investigated the effect of motor function improvement and neurotrophic factor in ischemic cerebral damaged rats. Methods : We measured cell viability after administrating SMT, chemicals(Paraquat, SNP, rotenone, and $H_2O_2$) which cause oxidative stress, and both SMT and chemicals. We carried out neurobehavioral evaluation(Rotarod test, Beam-walking test, postural reflex test) and observed BDNF (brain-derived neurotrophic factor) expression by injecting SMT into ischemic cerebral damaged rat. Results : Through this study, we observed the following three results. First, brain cell death caused by paraquat, rotenone, and $H_2O_2$ significantly decreased with the treatment of SMT. Second, neuronal movement function in ischemic cerebral damaged rats was significantly improved by the treatment of SMT. Third, BDNF in ischemic cerebral damaged rats increased with the treatment of SMT. Conclusions : SMT protects brain cells from damage induced by oxidative stress (Paraquat, rotenone, $H_2O_2$). SMT also improves neuronal movement function and increases BDNF in ischemic cerebral damaged rats.

Effect of Basal Physical Fitness and ADL Function in the Aged According to Horse Riding Exercise (실내 승마운동이 고령자의 기초체력 및 ADL 기능에 미치는 효과)

  • Kim, E.R.;Kang, S.R.;Yu, C.H.;Moon, D.A.;Park, S.Y.;Kwon, T.K.
    • Journal of Biomedical Engineering Research
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    • v.34 no.4
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    • pp.163-169
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    • 2013
  • The purpose of this study was to verify exercise effect of horse riding exercise according to estimate basal physical fitness and activities of daily living(ADL) function in the aged. Participants were nineteen peoples who have no impediment of activity. They performed horse riding exercise using SRider(Neipplus, Co., Korea) at sixty minutes a day. Exercise has progressed three days a week for eight weeks. We measured trunk flexion, sit up, whole body reaction, leg strength and maximal oxygen uptake as basal physical fitness. Also three meter gait, single stance with eyes opened and single stance with eyes closed as ADL function were estimated once a month. The result of legs strength and whole body reaction showed the higher significantly than before the exercise. Moreover, the result of three meter walking ability only increased significantly among the ADL function. This means that horse riding exercise might be activated continuous muscular contraction with maintained tonus of muscle. We thought that continuous movement of horse riding could be lead to isometric muscle contraction in lower limbs. Our study found that horse riding exercise could improve lower strengths and muscle reaction for exercise effect. Also we suggested that horse riding exercise could be adapted to exercise methods that could provide rehabilitation and treatment enough for the aged or disabled person.

Draft Proposal of Smart Outdoor Wear upon the Outdoor Wear Functionality Demand (아웃도어 웨어 기능성 요구에 따른 스마트 아웃도어 재킷 설계시안)

  • Paek, Kyung Ja;Lee, Jeong Ran
    • Fashion & Textile Research Journal
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    • v.16 no.3
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    • pp.446-455
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    • 2014
  • This study revealed the results related to the functionality of outdoor wear required when man and women in their 30s to 50s engage in outdoor activities. Based on the results of the survey, we proposed composition draft for a smart outdoor jacket with main functions of GPS device and light-emitting device using solar cell and EL. Absorption and release of sweat, functionality regarding rain and wind, and lightweightness, etc. from material functionalities of outdoor wear were found to be important. From function required in clothing for outdoor activity, location tracking, night glow, and lighting functions were found to be most important. For results investigating the necessity of the jacket's location tracking function and lighting function using solar cell, high scores of 3.9~4.0 were given. Purchase intentions for smart outdoor jacket with location tracking and lighting functions devised by this study were fairly positive and most responses indicated that the appropriate purchase price was between 200,000 to 300,000 won while possible problems of this smart outdoor jacket were listed in the order of washing inconvenience, high price, device weight, and discomfort in movement. The draft proposal to integrate with wearable devices for smart outdoor jacket prototype is as follows: Solar cell has been attached to the upper arm but placed inside a transparent pocket which has been detachable for washing convenience while the solar cell and controller have been integrated into a single unit. Using frequent movement exhibited by the arms, EL has been attached along the center line of the raglan sleeve for easy spotting when used as an emergency signal or for night lighting function during outdoor activity. GPS has been attached on the left sleeve so that the person can bend the left arm inward and operate the GPS screen with the right hand while walking or running outdoors.

Effects of Structured Exercise Program on Hip Pain, Physical Function and Quality of Life in Patients with Total Hip Arthroplasty (구조화된 운동 프로그램이 인공고관절 전치환술 환자의 고관절 통증, 신체기능 및 삶의 질에 미치는 효과)

  • Kwon, Eunhee;Lee, Haejung;Lee, Sunghwa
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.122-134
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    • 2018
  • Purpose: The purpose of this study was to develop a 12-week structured exercise program (12-week-SEP) and evaluate its effects on pain, physical function and quality of life in patients with total hip arthroplasty (THA). Methods: A nonequivalent control group non-synchronized design was utilized to examine the effects of the 12-week-SEP on patients' outcomes after THA. A total of 46 adult patients (experimental group=25, control group=21) who had THA were recruited for the study. The 12-week-SEP consisted of education, exercise (muscle strengthening and progressive walking), and feedback. Data were analyzed by SPSS/WIN 21.0 using the $x^2$ test and repeated measures ANOVA. Results: The mean age of the participants was 60.9 years and 25 men (54.5%) and 21 women (45.7%) were included in the study. There were significant intervention effects on pain reduction and increased physical function but no effects on quality of life. Conclusion: The 12-week-SEP provided pain relief and enhanced physical function in patients underwent THA. Clinical application of the 12-week-SEP can improve postoperative nursing practices for patients with THA. Future research with larger sample is of necessity to obtain greater generalizability of the empirical evidences of the 12-week-SEP.

Loss of Function in GIGANTEA Gene is Involved in Brassinosteroid Signaling

  • Hwang, Indeok;Park, Jaeyoung;Lee, Beomgi;Cheong, Hyeonsook
    • Journal of Integrative Natural Science
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    • v.4 no.2
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    • pp.113-120
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    • 2011
  • Brassinosteroids (BRs) are plant steroid hormones that play essential roles in growth and development. Mutations in BR-signaling pathways cause defective in growth and development like dwarfism, male sterility, abnormal vascular development and photomorphogenesis. Transition from vegetative to reproductive growth is a critical phase change in the development of a flowering plant. In a screen of activation-tagged Arabidopsis, we identified a mutant named abz126 that displayed longer hypocotyls when grown in the dark on MS media containing brassinazole (Brz), an inhibitor of BRs biosynthesis. We have cloned the mutant locus using adapter ligation PCR walking and identified that a single T-DNA had been integrated into the ninth exon of the GIGANTEA (GI) gene, involved in controling flowering time. This insertion resulted in loss-of-function of the GI gene and caused the following phenotypes: long petioles, tall plant height, many rosette leaves and late flowering. RT-PCR assays on abz126 mutant showed that the T-DNA insertion in GIGANTEA led to the loss of mRNA expression of the GI gene. In the hormone dose response assay, abz126 mutant showed: 1) an insensitivity to paclobutrazole (PAC), 2) an altered response with 6-benzylaminopurine (BAP) and 3) insensitive to Brassinolide (BL). Based on these results, we propose that the late flowering and tall phenotypes displayed by the abz126 mutant are caused by a loss-of-function of the GI gene associated with brassinosteroid hormone signaling.