• Title/Summary/Keyword: limb development

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The Effect of Shoe Lift of the Paretic Limb on Gait Patterns in Hemiplegics (환측 신발 높이기가 편마비 환자의 보행 특성에 미치는 영향)

  • Yoon, Jung-Gyu;Park, Jeong-Mee;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.9 no.2
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    • pp.83-96
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    • 2002
  • The purpose of this study was to determine the effect of lift to the shoe of the affected limb on gait patterns in subjects with hemiplegia. The subjects of this study were 18 post-stroke hemiplegics. For the study, insole of the paretic side was lifted 10mm higher, and duration of static weight bearing, dynamic weight bearing and stance phase were measured from one cycle of the gait, before and after the lift application. For the measurement of carry-over effect of lift, we got data of those three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Static weight bearing was significantly increased both just after and continuous application of lift for 3 weeks than before. Dynamic weight bearing was significantly decreased in heel contact and footflat phases only when just after application of the lift, without any change after 3 weeks application. In heel-off phase, dynamic weight bearing did not show any significant difference between before and just after application of lift whereas significantly decreased after 3 weeks application. Duration of stance phase was not changed among anytime of application. According to this study, lift applied to the shoe of the peretic limb was effective in inducing static weight bearing in the paretic limb, but did not significantly effect dynamic weight bearing on gait patterns. This study suggests that symmetry, induced by shoe lift applied to the paretic limb, could help correct abnormal posture that would be caused in standing and prevent development of abnormal muscle tone in subjects with hemiplegia caused by unilateral stroke.

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The Effects of Upper and Lower Limb Coordinated Exercise of PNF for Balance in Chronic Stroke Patients (고유수용성신경근촉진법의 상하지 협응 운동이 만성 뇌졸중 환자의 균형 능력에 미치는 효과)

  • Cho, Hyuk-Shin;No, Hyun-Jeong
    • PNF and Movement
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    • v.13 no.1
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    • pp.9-16
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    • 2015
  • Purpose: This study aimed to examined the effects of upper and lower limb coordinated exercise of proprioceptive neuromuscular facilitation (PNF) on static and dynamic balance ability. Methods: The subjects of this study were 18 patients who had been diagnosed with a stroke and hospitalized and who had received rehabilitation treatment at D rehabilitation hospital located in J city. They were randomly and equally assigned to a PNF upper and lower limb coordinated exercise group and an ordinary central nervous system development and treatment group, and they conducted exercises for eight weeks. They carried out exercise three times per week, for 30 minutes per each time. After each four minutes of exercise, each participant was given a and rest for one minute after exercise for four minutes was given. In order to test the subjects' static and dynamic balance ability and their dynamic balance ability, frailty and injuries,: a cooperative studyies of intervention techniques (FICSIT-4) test, a four- step square test (FSST), a timed up and go test (TUG), and a TWT3M tests wasere conducted before and after the exercise. Descriptive statistics were taken for the general characteristics of the subjects, and an independent t-test was conducted both before and after the exercise in order to examine differences between the two groups before and after the exercise were conducted. The A statistical significance level was set at p= 0.05. Results: In all the tests (of FICSIT-4, FSST, TUG, and TWT3M), both the experimental group and the control group saw more improved results, but the experimental group's results were significantly higher than those of the control group, and the size of the effects was larger in the experimental group than in the control group, with statistically significant results. Conclusion: PNF upper and lower limb coordinated exercise applied to chronic stroke patients produced brought significant results in static and dynamic balance ability. PNF and is considered as an important intervention program to improve stroke patients' balance ability.

Development of an Electronically Controlled Knee-Type Prosthetic Leg with a 4-Bar Linkage Structure for Lower Limb Amputee (대퇴 절단 장애인을 위한 4절 링크 구조의 전자 제어식 무릎형 의족)

  • Ji-Woon Lee;Hyun-Soo Woo;Dong-Young Ahn;Min Jo;Hak Yi;Ki-Young Kim
    • The Journal of Korea Robotics Society
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    • v.19 no.2
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    • pp.159-168
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    • 2024
  • Lower limb amputees are increasing due to various reasons. It is difficult for lower limb amputees to walk without an assistive device such as a prosthetic leg. In this paper, an electronically controlled knee-type prosthetic leg with a 4-bar linkage structure for lower limb amputees was developed. The knee-type prosthetic leg has a 4-bar linkage structure and assists walking by using an integrated drive module. The torque is 90 Nm, the rotation speed is up to 120 deg, and it weight 1.9 kg, so it is lighter than a commercial prosthetic leg, so it can be used for a long time because there is less fatigue when walking. An integrated control board was developed by applying various sensors and microprocessor. The motor drive and encoder are built into the integrated drive module. The integrated control board and integrated drive module communicate using CAN. When a lower limb amputee wears a knee-type prosthetic leg and walks, it shows a shape similar to the swing phase graph of a normal people, and it is possible to walk naturally while walking.

Analysis of the Contemporary Fashion Research Cases for Handicapped People Since 2000 (2000년대 이후 장애인 의복 연구 사례에 관한 분석)

  • Kim, Kyung-A
    • Journal of the Korean Society of Clothing and Textiles
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    • v.42 no.2
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    • pp.298-310
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    • 2018
  • This study examines how to improve clothes according to types of disability and classify related studies. The study method used a literature review along with studies conducted after 2000. According to the results, the types of disability causing difficulty in terms of clothing habits are limb disorders and sensory defects among the types of physical disability. The results of the quantitative measurement on studies indicated that the number of studies increased almost twice as much before 2000. Particularly with the development of new technology and fashion trends, the number of studies on design increased. The topics of studies are found in design development, construction for disabled, and understanding clothing life. The design development topic is about suggesting functional designs that can protect the human body or aid in the use of rehabilitation devices. The construction topic for the disabled is to improve the inconvenience of wearing clothes, particularly for those with limb disorders. Lastly, the topic of examining clothing life is about using new technology to provide individuals with sensory defects with information about clothing life or the current status of the clothing market for the disabled.

Development of Insole Sensor System and Gait Phase Detection Algorithm for Lower Extremity Exoskeleton (하지 외골격 로봇을 위한 인솔 센서시스템 및 보행 판단 알고리즘 개발)

  • Lim, Dong Hwan;Kim, Wan Soo;Ali, Mian Ashfaq;Han, Chang Soo
    • Journal of the Korean Society for Precision Engineering
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    • v.32 no.12
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    • pp.1065-1072
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    • 2015
  • This paper is about the development of an insole sensor system that can determine the model of an exoskeleton robot for lower limb that is a multi-degree of freedom system. First, the study analyzed the kinematic model of an exoskeleton robot for the lower limb that changes according to the gait phase detection of a human. Based on the ground reaction force (GRF), which is generated when walking, to proceed with insole sensor development, the sensing type, location, and the number of sensors were selected. The center of pressure (COP) of the human foot was understood first, prior to the development of algorithm. Using the COP, an algorithm was developed that is capable of detecting the gait phase with small number of sensors. An experiment at 3 km/h speed was conducted on the developed sensor system to evaluate the developed insole sensor system and the gait phase detection algorithm.

Development of advanced walking assist system employing stiffness sensor

  • Kim, Seok-Hwan;Shunji, Moromugi;Ishimatsu, Takakazu
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.1638-1641
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    • 2004
  • Many walking stands, and assisting tools have been developed for the people with low-limb disability to prevent diseases from bedridden state and to help them walk again. But many of those equipments require user to have some physical strength or balancing ability. In our last research, we developed walking assist system for the people with lower-limb disability. With the system, user can be assisted by actuators, and do not have to worry about falling down. The system adapted the unique closed links structure with four servomotors, three PICs as controller, and four limit switches as HMI (human man interface). We confirmed the adaptability of the system by the experiment. In this research, Muscle Stiffness Sensor was tested as the advanced HMI for walking assist system, and confirmed the adaptability by the experiment. As Muscle Stiffness Sensor can attain the muscle activity, user can interface with any device he want to control. Experimental result with Muscle Stiffness sonsor showed that user could easily control the walking assist system as his will, just by changing his muscle strength.

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Selectivity of Gillnet for Neon Flying Squid, Ommastrephes bartrami (LeSueur) in the North Pacific

  • LEE Jang-Uk;AN Doo-Hae;BAIK Chul-In
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.30 no.6
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    • pp.916-922
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    • 1997
  • This paper attempted to estimate mesh selectivity of gill nets for neon flying squid in the north Pacific Ocean. The 11 linear regressions, (P<0.05) were obtained using the data on catch ratios derived from mesh size combinations between two slightly different mesh sizes of 12 kinds of research gillnet (namely 33, 37, 42, 48, 55, 63, 72. 76, 86, 96, 105 and 115 mm in stretched mesh size). There was an increase in the optimum length with the increase in mesh size but standard deviation showed somewhat increase with the increase in the mesh size. The selectivity curves were well fitted to the length frequency distributions obtained from samples for the mesh sizes from 48 mm through 86 mm. For the mesh sizes of 33, 37 and 42 mm the DML (Dorsal Mantle Length) compositions were distributed towards the right hand-limb of the curves. The DML distributions from the 96 mm and larger meshes showed a trend towards the left hand-limb of the curves. The selectivity curves for different mesh sizes indicate that large mesh sizes catch a greater size range of squid, and the gill net fishery in the north Pacific Ocean captures effectively neon flying squid within the range of $9\~43cm$ DML.

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Effect of Kettle Bell Swing Exercise on the Body Composition and Lower Limb Muscular Activity

  • Jeong, Ho-Jin;Kim, Yong-Seong;Cho, Woon-Soo;Kim, Won-Gi;Kim, Yong-Beom;Kim, Yong-Nam
    • The Journal of Korean Physical Therapy
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    • v.29 no.4
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    • pp.194-200
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    • 2017
  • Purpose: This study examined the effect of Kettle bell swing exercise on the body composition and lower limb muscular activity. Methods: As subjects, 26 normal adults in their twenties were divided randomly into the experiment group (n=13), in which Kettle bell exercise was applied, and the control group (n=13), in which bar exercise was applied. Both groups participated in the interventions for eight weeks with three sessions per week. Each group was assessed before training and four and eight weeks into the training to determine the effects of training intervention within and between the groups. The body composition was measured with a body composition analyzer. The changes in muscle activity were measured with a surface electromyography. An independent t-test was conducted to test the significance between the groups according to the measurement points and Repeated measured ANOVA was performed to compare the groups according to the periods with the statistical significance level set to ${\alpha}=0.05$. Results: No significant changes to the main effects of time and the interactions of time according to the measurement points were observed in the Kettle bell and control groups in the body composition (p>0.05). The muscular activity of both muscles were significantly different between the Kettle bell and control groups according to the measurement points with the exception of the right lateral gastrocnemius muscle (p<0.05). Conclusion: These findings suggest that Kettle bell swing exercise can have positive effects on the development of lower limb muscles.

Development and Clinical Evaluation of the Upper Extremity Rehabilitation Game Program for Patients with Upper Extremity Hemiplegia After Stroke Using Smartphone: Preliminary Study (스마트폰을 이용한 뇌졸중 후 상지 편마비 환자의 상지 게임재활훈련 프로그램 개발 및 임상적 유용성 평가에 대한 예비연구)

  • Lim, Hyunmi;Choi, Yoon-Hee;Paik, Nam-Jong;Ku, Jeonghun
    • Journal of Biomedical Engineering Research
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    • v.36 no.5
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    • pp.155-161
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    • 2015
  • In the paper, we developed the mobile based rehabilitation system for patients with upper extremity hemiplegia after stroke and evaluated clinical usefulness and effectiveness of the system. The sensors built in the smartphone were used to track patients' upper limb motion and the movements was transferred to the tablet PC through bluetooth connection so that the game contents could be interact with the movements. The rehabilitation game contents was based on Brunnstrom stage(B-stage), and was designed to lead accurate movement of upper limb. For the clinical evaluation of the effectiveness, 11 patients were recruited and make them perform an exercise of their wrist, shoulder, and forearm using the system for two weeks. The change of upper limb motor function was measured using fugl-meyer assessment(FMA), Brunnstrom stage(B-stage). And the change of quality of life was measured using EuroQoL-5 Dimension(EQ-5D), Beck Depression Inventory(BDI). The results showed significant improvement in upper limb function but not in quality of life. We verified mobile based rehabilitation program could be useful and effective for the clinical use.