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Effects of Diagonal Pattern Self-Exercise on Trunk Control, Balance, and Gait Ability in Chronic Stroke Patients

  • Yang, Jaeho;Park, Shinjun;Kim, Soonhee
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.2
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    • pp.2028-2035
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    • 2020
  • Background: Weakness of the trunk muscles decreases the trunk control ability of stroke patients, which is significantly related to balance and gait. Objectives: To compare the impact of diagonal pattern self-exercise on an unstable surface and a stable surface for trunk rehabilitation on trunk control, balance, and gait ability in stroke patients. Design: Nonequivalent control group design. Methods: Twenty four participants were randomized into the experimental group (diagonal pattern self-exercise while sitting on an unstable surface, n=12) and the control group (diagonal pattern self-exercise while sitting on a stable surface, n=12). All interventions were conducted for 30 minutes, three times a week for four weeks, and the trunk impairment scale (TIS), berg balance scale (BBS), functional gait assessment (FGA), and G-walk were measured. Results: All groups indicated significant increases in all variables (TIS, BBS, FGA, cadence, speed, stride length) after four weeks. The TIS, BBS, FGA, cadence, gait speed, and stride length group-by-time were significantly different between the two groups. Conclusion: We found that, in stroke patients, diagonal pattern self-exercise on an unstable surface is a more effective method for improving trunk control, balance, and gait ability than diagonal pattern self-exercise on a stable surface.

The Effects of Repetitive Transcranial Magnetic Stimulation on the Gait of Acute Stroke Patients

  • Ji, Sang-Goo;Kim, Myoung-Kwon
    • Journal of Magnetics
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    • v.20 no.2
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    • pp.129-132
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    • 2015
  • The aim of the present study was to examine whether repetitive transcranial magnetic stimulation (rTMS) can improve gait ability of acute stage stroke patients. This study was conducted with 39 subjects who were diagnosed as having a hemiparesis due to stroke. The experimental group included 20 subjects who underwent repetitive transcranial magnetic stimulation and the control group included 19 subjects who underwent sham therapy. The stroke patients in the experimental group underwent conventional rehabilitation therapy and rTMS was applied daily to the hotspot of the lesional hemisphere. The stroke patients in the control group underwent sham rTMS and conventional rehabilitation therapy. Participants in both groups received therapy five days per week for four weeks. Temporospatial gait characteristics, such as stance phase, swing phase, step length in affected side, velocity, and cadence, were assessed before and after the four week therapy period. A significant difference was observed in post-treatment gains for the step length in the affected side, velocity, and cadence between the experimental group and control group ( p < 0.05). However, no significant differences were observed between the two groups on stance phase and swing phase ( p > 0.05). We conclude that rTMS may be beneficial in improving the effects of acute stage stroke on gait ability.

The Effects of Repetitive Transcranial Magnetic Stimulation Integrated Mirror Therapy on the Gait of Chronic Stroke Patients

  • Cha, Hyun-Gyu;Kim, Myoung-Kwon
    • Journal of Magnetics
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    • v.20 no.2
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    • pp.133-137
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    • 2015
  • This study was conducted to determine the effects of repetitive transcranial magnetic stimulation (rTMS) integrated mirror therapy on the gait of post-stroke patients. Thirty patients who were six months post-stroke were assigned to either the experimental group (n = 15) or the control group (n = 15). Stroke patients in the experimental group underwent rTMS and mirror therapy for the lower limbs, while those in the control group underwent rTMS and sham therapy. Participants in both groups received therapy five days per week for four weeks. A significant difference in post-training gains for the single support phase, step length, stride length and velocity was observed between the experimental group and the control group (p < 0.05). The experimental group showed a significant increment in the single support phase, step length, stride length, swing phase, velocity, cadence, double support phase and step width as compared to pre-intervention (p < 0.05). The control group showed a significant increment in step length, velocity, cadence and step width compared to preintervention (p < 0.05). Further investigation of the availability and feasibility of rTMS integrated mirror therapy for post-stroke patients as a therapeutic approach for gait rehabilitation is warranted.

Mixed-Mode Simulations of Touch Screen Panel Driver with Capacitive Sensor using Modified Charge Pump Circuit (Charge pump 기반 정전 센싱 회로를 이용한 터치스크린 패널 드라이버의 혼성모드 회로 분석)

  • Yeo, Hyeop-Goo;Jung, Seung-Min
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2011.10a
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    • pp.875-877
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    • 2011
  • This paper introduces a touch screen panel driver using modified charge pump circuit. The touch screen panel driver is composed of an analog circuit part which senses a touch and a digital circuit which analyse the sensed signal. To verify the functions the touch screen panel driver, a mixed-mode circuit was built and simulated using Cadence Spectre. The digital circuits were modeled with Verilog-A in order to interface with the analog circuits and verify the functionalities of the driver with less simulation time. From the simulation results, we can verify the reliable operations of the simple structured touch screen panel driver which does not include an ADC.

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The Effect of PNF Method in Functional Restoration of Adult Hemiplegic Patients (PNF 치료가 성인 편마비 환자의 기능회복에 미치는 영향)

  • Bae, Sung-soo;Lee, Keun-heui;Hwang-bo, Gak
    • PNF and Movement
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    • v.3 no.1
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    • pp.17-26
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    • 2005
  • Objectives : The purpose of this study is to identify influence that PNF method have an effect in function restoration of the impaired patients of central nervous system. Methods : The data were collected by 15 adult stroke patients. The treatment was based on proprioceptive neuromuscular facilitation techniques. Temporal and spatial parameters of gait were analysed for using the computerized GAITRite system. Results : In the comparison of functional ambulation profile(FAP) before and after experiment, the FAP was significantly increased in the PNF method. The gait velocity, cadence and single support time asymmetry ratio was significantly increased in the PNF method. The Motor Assessment Scale was significantly increased in the PNF method. Conclusions : Based on these results, it is concluded that the forced PNF method for 6 weeks can be improve the temporal-spatial gait parameters including FAP in hemiplegic patients. Therefore, the forced PNF method is useful to improve the function restoration in hemiplegic patients. Further study should be done to analyze the effects of intervention duration of treatment, optimal time to apply the treatment in more long peried.

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Effects of Treadmill Training with Kinesio Taping of Tibialis Anterior on Muscle Function, Tibialis Anterior Muscle Strength, and Gait Ability in Poststroke Patients

  • Kim, Kyunghun;In, Taesung;Kim, Donghoon
    • Physical Therapy Rehabilitation Science
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    • v.10 no.3
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    • pp.297-303
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    • 2021
  • Objective: Stroke patients generally have problems with motor function, muscle weakness, and gait.This study was purposed toevaluate the effect of the treadmill training with kinesio taping of tibialis anterior (TKT) on muscle function, tibialis anterior, muscle strength, and gait ability in poststroke patients. Design: A randomized controlled design Methods: The participants were randomly divided in the TKT group (experimental group) and treadmill training with sham kinesio taping (control group), with 21 patients assigned to each group. Both groups receive treadmill training with kinesio taping and sham kinesio taping for 30 minutes per day, five days per week, for four weeks. The motor function was measured using the Fugl-Meyer assessment. A disital manual muscle test and G-walk were used to evaluate ankle dorsiflexor and gait ability.Evaluation was performed baseline and 4 weeks after the experiment. Results: Both groups showed significantly more improvement in muscle function, tibialis anterior muscle strength, cadence, gait velocity, and stridelength in pre-post intervention change(p<0.05).The experimental group showed significantly more improvement in motor function, muscle strength, cadence, gait velocity, and stridelength ability comparedto the control group(p<0.05). Conclusions: These finding show the benefits of treadmill training with kinesio taping for functional recovery in poststroke patients

LDO Regulator with Improved Load Regulation Characteristics and Current Detection Structure (Current Detection 구조 및 향상된 Load Regulation 특성을 가진 LDO 레귤레이터)

  • Kwon, Sang-Wook;Kong, June Ho;Koo, Yong Seo
    • Journal of IKEEE
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    • v.25 no.3
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    • pp.506-510
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    • 2021
  • In this paper, we propose an LDO that improves the load regulation change due to the current detection structure. The proposed LDO regulator adds the proposed current detection circuit to the output stage. Thereby to improve the load regulation of the delta value coming in on the output has a voltage value of an improved load Regulation characteristics than conventional LDO regulator. Using the proposed current detection structure, it was possible to improve the output change according to the change of the load current by about 60%. The proposed circuit has been simulated and verified characteristics by using a Spectre, Virtuoso simulation of Cadence.

Capless Low Drop Out Regulator With Fast Transient Response Using Current Sensing Circuit (전류 감지 회로를 이용한 빠른 과도응답특성을 갖는 capless LDO 레귤레이터)

  • Jung, Jun-Mo
    • Journal of IKEEE
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    • v.23 no.2
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    • pp.552-556
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    • 2019
  • This paper present a capless low drop out regulator (LDO) that improves the load transient response characteristics by using a current regulator. A voltage regulator circuit is placed between the error amplifier and the pass transistor inside the LDO regulator to improve the current characteristics of the voltage line, The proposed fast transient LDO structure was designed by a 0.18 um process with cadence's virtuoso simulation. according to test results, the proposed circuit has a improved transient characteristics compare with conventional LDO. the simulation results show that the transient of rising increases from 1.954 us to 1.378 us and the transient of falling decreases from 19.48 us to 13.33 us compared with conventional capless LDO. this Result has improved response rate of about 29%, 28%.

Implementation of Low Complexity FFT, ADC and DAC Blocks of an OFDM Transmitter Receiver Using Verilog

  • Joshi, Alok;Gupta, Dewansh Aditya;Jaipuriyar, Pravriti
    • Journal of Information Processing Systems
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    • v.15 no.3
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    • pp.670-681
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    • 2019
  • Orthogonal frequency division multiplexing (OFDM) is a system which is used to encode data using multiple carriers instead of the traditional single carrier system. This method improves the spectral efficiency (optimum use of bandwidth). It also lessens the effect of fading and intersymbol interference (ISI). In 1995, digital audio broadcast (DAB) adopted OFDM as the first standard using OFDM. Later in 1997, it was adopted for digital video broadcast (DVB). Currently, it has been adopted for WiMAX and LTE standards. In this project, a Verilog design is employed to implement an OFDM transmitter (DAC block) and receiver (FFT and ADC block). Generally, OFDM uses FFT and IFFT for modulation and demodulation. In this paper, 16-point FFT decimation-in-frequency (DIF) with the radix-2 algorithm and direct summation method have been analyzed. ADC and DAC in OFDM are used for conversion of the signal from analog to digital or vice-versa has also been analyzed. All the designs are simulated using Verilog on ModelSim simulator. The result generated from the FFT block after Verilog simulation has also been verified with MATLAB.

The Effects of Fatigue in the Non-Paretic Plantarflexor Muscle on Spatial and Temporal Gait Parameters during Walking in Patients with Chronic Stroke (만성 편마비 환자의 비마비측 발바닥굽힘근 근피로가 시·공간적 보행변수에 미치는 영향)

  • Lee, Jae-Woong;Koo, Hyun-Mo
    • PNF and Movement
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    • v.16 no.3
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    • pp.355-363
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    • 2018
  • Purpose: The purpose of this study was to obtain detailed and quantified data concerning the effects of plantarflexor muscle fatigue induced in the non-paretic side on the spatial and temporal gait parameters of the bilateral lower extremities during walking in stroke patients. Methods: This study was conducted on 20 patients with chronic stroke. The load contraction fatigue test was applied to induce muscle fatigue in the non-paretic plantarflexor muscle. Step length, stride length, double support, gait velocity and cadence, and functional ambulatory profile (FAP) score in the bilateral lower extremities were measured using a gait analysis system in order to investigate changes in temporal and spatial gait parameters caused by muscle fatigue on the non-paretic side. The statistical significance of the results was evaluated using a paired t-test. Results: A review of the results for gait parameters revealed a significant increase in double support (p<0.05) and a significant decrease in step length, stride length, gait velocity and cadence, and FAP score (p<0.05). Conclusion: These results indicate that the muscle fatigue in the non-paretic side of the stroke patients also affected the paretic side, which led to a decrease in gait functions. This implies a necessity to perform exercise or training programs in a range of clinical aspects not causing muscle fatigue.