• Title/Summary/Keyword: manual intervention

Search Result 374, Processing Time 0.025 seconds

The Long-Term Effects of High-Frequency Transcutaneous Electrical Nerve Stimulation(TENS) on the Lower Limb Spasticity and the Balance in the Chronic Stroke Patients (장기간 고빈도 경피신경전기자극이 뇌졸중 환자의 하지 경직 및 균형에 미치는 영향)

  • In, Tae-Sung;Cho, Hwi-Young;Lee, Sun-Hyun;Lee, Dong-Yeop;Lee, Jae-Kuck;Song, Chang-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.12 no.4
    • /
    • pp.1740-1748
    • /
    • 2011
  • The purpose of this study was to investigate effects of the long-term high-frequency transcutaneous electrical nerve stimulation(TENS) on the spasticity and the balance in chronic stroke patients. Twenty-six subjects with spasticity over lower limbs were allocated randomly into two groups under standard rehabilitation: (1) TENS group, (2) placebo-TENS group. TENS stimulation was applied on the both the gastrocnemius for 30 minutes, 5 days a week for 4 weeks(100 Hz, 0.25 ms, 2 times sensory threshold). The Modified Ashworth Scale(MAS) and Hand-held manual muscle tester were used to assess the ankle plantarflexor spasticity. Balance function under three conditions was measured by using force-plate and the amount of postural sway was assessed; in (1) the condition of standing with eyes opened, (2) with eyes closed and (3) the condition of standing on unstable surface with eyes opened. Both groups showed significant improvement in spasticity and balance function after treatment for 4 weeks(p<.05). Especially, TENS group showed a significant reduction of spasticity compared to placebo-TENS group(p<.05). These results suggested that additional stimulation of a long-term high-frequency TENS to standard rehabilitation induced an improved balance function and a spasticity reduction. The long-term application of high-frequency TENS will be an effective intervention for reducing spasticity and increasing balance ability in the chronic stroke patients.

Automatic Extraction of Roof Components from LiDAR Data Based on Octree Segmentation (LiDAR 데이터를 이용한 옥트리 분할 기반의 지붕요소 자동추출)

  • Song, Nak-Hyeon;Cho, Hong-Beom;Cho, Woo-Sug;Shin, Sung-Woong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
    • /
    • v.25 no.4
    • /
    • pp.327-336
    • /
    • 2007
  • The 3D building modeling is one of crucial components in building 3D geospatial information. The existing methods for 3D building modeling depend mainly on manual photogrammetric processes by stereoplotter compiler, which indeed take great amount of time and efforts. In addition, some automatic methods that were proposed in research papers and experimental trials have limitations of describing the details of buildings with lack of geometric accuracy. It is essential in automatic fashion that the boundary and shape of buildings should be drawn effortlessly by a sophisticated algorithm. In recent years, airborne LiDAR data representing earth surface in 3D has been utilized in many different fields. However, it is still in technical difficulties for clean and correct boundary extraction without human intervention. The usage of airborne LiDAR data will be much feasible to reconstruct the roof tops of buildings whose boundary lines could be taken out from existing digital maps. The paper proposed a method to reconstruct the roof tops of buildings using airborne LiDAR data with building boundary lines from digital map. The primary process is to perform octree-based segmentation to airborne LiDAR data recursively in 3D space till there are no more airborne LiDAR points to be segmented. Once the octree-based segmentation has been completed, each segmented patch is thereafter merged based on geometric spatial characteristics. The experimental results showed that the proposed method were capable of extracting various building roof components such as plane, gable, polyhedric and curved surface.

Quantitative image processing analysis for handwriting legibility evaluation (글씨쓰기 명료도 평가의 정량적 영상처리 분석)

  • Kim, Eun-Bin;Lee, Cho-Hee;Kim, Eun-Young;Lee, OnSeok
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.7
    • /
    • pp.158-165
    • /
    • 2019
  • Although evaluation of writing disabilities identification and timely intervention are required, clinicians adopt a manual scoring method and there is a possibility of error due to subjective evaluation. In this study, the size ratio and position of letters are digitized and quantified through image processing of offline handwritten characters. We tried to evaluate objectively and accurately the performance of writing through comparison with existing methods. From November 12th to 16th, 2018, 20 adults without neurological injury were selected. They used a pencil to follow the 10 words, 2 sentence stimuli after keeping the usual habit, and we collected the writing test data. The results showed that the height of the word was 1.2 times larger than the width and it tilted to the lower left. The spacing interval was 9mm on average. In the Paired T test, a high correlation was showed between our system and existing methods in the word and sentence 2. This demonstrated the possibility as a testing tool. This study evaluated objectively and precisely writing performance of offline handwritten characters through image processing and provided preliminary data for performance standards. In the future, it can be suggested as a basic data on writing diagnosis of various ages.

A Development of Road Crack Detection System Using Deep Learning-based Segmentation and Object Detection (딥러닝 기반의 분할과 객체탐지를 활용한 도로균열 탐지시스템 개발)

  • Ha, Jongwoo;Park, Kyongwon;Kim, Minsoo
    • The Journal of Society for e-Business Studies
    • /
    • v.26 no.1
    • /
    • pp.93-106
    • /
    • 2021
  • Many recent studies on deep learning-based road crack detection have shown significantly more improved performances than previous works using algorithm-based conventional approaches. However, many deep learning-based studies are still focused on classifying the types of cracks. The classification of crack types is highly anticipated in that it can improve the crack detection process, which is currently relying on manual intervention. However, it is essential to calculate the severity of the cracks as well as identifying the type of cracks in actual pavement maintenance planning, but studies related to road crack detection have not progressed enough to automated calculation of the severity of cracks. In order to calculate the severity of the crack, the type of crack and the area of the crack in the image must be identified together. This study deals with a method of using Mobilenet-SSD that is deep learning-based object detection techniques to effectively automate the simultaneous detection of crack types and crack areas. To improve the accuracy of object-detection for road cracks, several experiments were conducted to combine the U-Net for automatic segmentation of input image and object-detection model, and the results were summarized. As a result, image masking with U-Net is able to maximize object-detection performance with 0.9315 mAP value. While referring the results of this study, it is expected that the automation of the crack detection functionality on pave management system can be further enhanced.

Effects of Self Care Training Program on Motor Function of Upper Limb and Self-Efficacy in Chronic Stroke Patients (자조활동 훈련 프로그램이 만성 뇌졸중 환자의 상지 운동기능 및 자기효능감에 미치는 영향)

  • Kim, Gi-Di;Heo, Myoung
    • Journal of Korea Entertainment Industry Association
    • /
    • v.13 no.7
    • /
    • pp.497-503
    • /
    • 2019
  • The purpose of this study was to investigate the effect of self care training program on motor function of upper limb and self-efficacy in chronic stroke patients. This study selected 20 chronic stroke patients in local community men. The subjects carried out self care training program be composed of task oriented training for 40 minutes, 4 times per week for 6 weeks. Manual function test(MFT), digital grip dynamometer, self-efficacy scale were used to evaluate motor function of upper limb and self-efficacy during pre and post intervention. In MFT and hand grip force test, the post outcome were significantly increase than the pre outcome(p<.05). In self-efficacy evaluation, the post outcome of was significantly improve than the pre outcome(p<.05). The result of this study show that the self care training program be composed of task oriented training may be appropriate for improving the motor function of upper limb and self-efficacy in chronic stroke patients. This will enable the application of self care training program in rehabilitation therapy of chronic stroke patients and it will help guide the selection of the therapist as one therapeutic basis

The Effect of a Virtual Reality-based Exercise Program Using a Video Game on the Muscle Strength, Balance and Gait Abilities in the Elderly (비디오 게임을 이용한 가상현실 운동 프로그램이 노인의 근력, 균형 및 보행에 미치는 영향)

  • Song, Chang Ho;Shin, Won Seob;Lee, Kyoung Jin;Lee, Seung Won
    • 한국노년학
    • /
    • v.29 no.4
    • /
    • pp.1261-1275
    • /
    • 2009
  • Age related decrease of muscle strength, balance, and gait abilities bring about physical inactivity in the elderly. Virtual reality (VR) training has been used successfully to rehabilitate functional balance and mobility in elderly subjects. This study was aimed at determining the effect of VR-based exercise programs by using a video game on the muscle strength, balance, and gait abilities in the elderly. 48 old people were randomly divided into two groups; VR-group (men: 11, women: 14, age: 68.42yrs) and control group (men: 10, women: 13, age: 67.58yrs). VR-group performed an exercise program twice a week for 8 weeks and control group had no intervention. The VR-based exercise program was composed of warm up(10 mins), VR-program(40 mins), and cool down(10mins). It was performed by playstation eyetoy play that provided visual and auditory feedback as well as movements of the upper and lower extremities. Muscle strengths of the knee and ankle were measured using manual muscle tester. Static balance was estimated using computerized posturography. Dynamic balance was measured by Timed up and go test (TUG), Functional reach test (FRT). 10m walk test and 6-min walk test were used to assess gait abilities. After the completion of the VR-exercise program, muscle strength, balance, and gait abilities were improved significantly (p<0.05). In conclusion, the VR-based exercise program showed improvement on the muscle strength, balance, and gait ability in the elderly. This exercise program is both effective and interesting for this age group.

Effect of Acupotomy Treatment for Lateral Epicondylitis: A Systematic Review and Meta-Analysis (외측상과염의 도침 치료에 대한 체계적 문헌고찰 및 메타분석)

  • Jong Chan Choi;Min Jun Ji;Kyung Jun Ser;Do Young Kwon;Jae Eun Yang;Ji Hyang Gu;Eun Jung Lee;Min Seok Oh
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.34 no.2
    • /
    • pp.101-134
    • /
    • 2024
  • Objectives The purpose of this study is to observe the effectiveness of acupotomy treatment for lateral epicondylitis by comparing it with various control groups. Methods We searched 11 domestic and international databases for systematic reviews and meta-analysis. The subjects were studies published from January 1, 2017 to September 1, 2023, and only randomised controlled trials were included. Results 208 studies were searched, of which 21 studies were finally selected. Among the studies published after 2017, the largest number of studies was published in 2019. The average number of participants per study was 72.28±20.26 and the average age was in the 40s. The most frequent intervention in the study was acupotomy alone, and the treatment most often mentioned as a control group was local nerve block. The most used evaluation tool is efficiency. Acupotomy+manipulation had statistically better effect than that of local nerve block in terms of pain (standard mean difference -1.87, 95% confidence interval, -2.18 to -1.57, p<0.00001) and elbow joint function (standard mean difference 2.25, 95% confidence interval, 1.65 to 2.86, p<0.00001). Conclusions As a result of the meta-analysis, the effect of acupotomy added manual therapy treatment was statistically significant compared to the local nerve block frequently used for lateral epicondylitis. Based on these results, it appears that more research on combination treatments other than acupotomy treatment will be needed. Also, it appears that more large-scale randomized controlled studies that strictly adhere to the standards for reporting interventions in controlled trials of acupuncture, risk of bias 2 criteria will be needed.

Upper Body Surface Change Analysis using 3-D Body Scanner (3차원 인체 측정기를 이용한 체표변화 분석)

  • Lee Jeongran;Ashdoon Susan P.
    • Journal of the Korean Society of Clothing and Textiles
    • /
    • v.29 no.12 s.148
    • /
    • pp.1595-1607
    • /
    • 2005
  • Three-dimensional(3-D) body scanners used to capture anthropometric measurements are now becoming a common research tool far apparel. This study had two goals, to test the accuracy and reliability of 3-D measurements of dynamic postures, and !o analyze the change in upper body surface measurements between the standard anthropometric position and various dynamic positions. A comparison of body surface measurements using two different measuring methods, 3-D scan measurements using virtual tools on the computer screen and traditional manual measurements for a standard anthropometric posture and for a posture with shoulder flexion were $-2\~20mm$. Girth items showed some disagreement of values between the two methods. None of the measurements were significantly different except f3r the neckbase girth for any of the measuring methods or postures. Scan measurements of the upper body items showed significant linear surface change in the dynamic postures. Shoulder length, interscye front and back, and biacromion length were the items most affected in the dynamic postures. Changes of linear body surface were very similar for the two measuring methods within the same posture. The repeatability of data taken from the 3-D scans using virtual tools showed satisfactory results. Three times repeated scan measurements f3r the scapula protraction and scapula elevation posture were proven to be statistically the same for all measurement items. Measurements from automatic measuring software that measured the 3-D scan with no manual intervention were compared with the measurements using virtual tools. Many measurements from the automatic program were larger and showed quite different values.

Increase of Spoken Number of Syllables Using MIT(Melody Intonation Therapy) : Case Studies on older adult with stroke and aphasia (MIT(Melodic Intonation Therapy) 중심의 음악활동을 이용한 실어증을 가진 뇌졸중 노인의 음절 수 증가에 대한 사례 연구)

  • Hong, Do Kyoung
    • Journal of Music and Human Behavior
    • /
    • v.2 no.2
    • /
    • pp.57-67
    • /
    • 2005
  • Most of stroke patients have not only physical difficulty but speech and neurological disorder because of hemiplegia and such unexpected changes cause psychologic disadaptability and absent-mindedness. Particularly, lowering of physical ability can lead to serious emotional problem from failure or frustration in daily life. Generally, treatment of patient with stroke put emphasis on physical rehabilitation but actually this patient had considerable speech disorder such as aphasia or articulation disorder. Moreover, failing of recognition function, mental disorder as hypochondria, and even visual and auditory disorder are represented. So it is effective to integrate verbal remediation and other treatments in medical care environment. In particular, patients with language disorder very often wither psychologically therefore it is efficient to use of music therapy that gives opulent emotion to aphasia patients. And primarily to investigate the effects of 10 sessions treatments; change in spoken total number of syllables, to confirm their own value by success of given task and reassure about themselves ability. All of 10 sessions stages were scored by MIT manual and its improvement were measured, that is, accomplishment was analyzed within each level in order to prove detail change of spoken total number of syllables. The result of this program organized from 2 syllables to 4 syllables is summarized as follows. Subject A completed in preliminary stage Level I, in 2 syllables case advanced to Level III in fifth session and to Level IV in seventh session, in 3 syllables case advanced to Level III in seventh session and to Level IV in ninth session, and in 4 syllables case showed 8% low success rate in first session but after repeated practice increased considerably in sixth session and in advanced to Level III in eighth session to Level IV in tenth session. Subject B also completed in preliminary stage Level I, in 2 syllables case advanced to Level III in forth session and to Level IV in sixth session, in 3 syllables case advanced to Level III in fifth session and to Level IV in seventh session, and in 4 syllables case showed 10% low success rate in first session and increased considerably in fifth session and in advanced to Level III in seventh session but could not reach to Level IV until tenth session. As a result, it was shown that music therapy using MIT was not statistically meaningful but improved spoken total number of syllables and success rate of task had improved as a whole. Therefore, music intervention using MIT it has positive affect on verbal ability of patients with Broca's Aphasia and their language rehabilitation.

  • PDF

Incidence and Associated Factors of Delirium after Orthopedic Surgery (정형외과 수술 후 발생한 섬망의 발생 빈도와 관련 인자)

  • Lee, Si-Wook;Cho, Chul-Hyun;Bae, Ki-Cheor;Lee, Kyung-Jae;Son, Eun-Seok;Um, Sang-Hyun
    • Journal of the Korean Orthopaedic Association
    • /
    • v.54 no.2
    • /
    • pp.157-163
    • /
    • 2019
  • Purpose: To investigate the incidence and associated factors of delirium after orthopedic surgery. Materials and Methods: A total of 2,122 cases, who were older than 20 years and underwent orthopedic surgery at a single medical center during a one year period were included. Among them, 132 patients who were diagnosed with delirium after surgery under the Diagnostic and Statistical Manual of Mental Disorders-V criteria and medicated under the consultation of a psychiatrist were included in the study The differences in the incidence of delirium and several affecting factors were analyzed. Results: The overall incidence of delirium after surgery was 6.2% (132 in 2,122 cases). The mean age of the delirium group was 77.4 years (range, 54-92 years), which was higher than that of the non-delirium group (58.1 years). The percentage of women in the delirium group was 63.6% (84 in 132 cases), which was higher than that of the women in the non-delirium group (49.0%). The incidence of delirium after surgery was 9.3% (85 in 916 cases) due to trauma and 3.9% (47 in 1206 cases) due to disease. The incidence of postoperative delirium according to the surgical region was 29.2% (7 in 24 cases) in two or more regions, 13.7% (72 in 526 cases) in the hip, and 9.6% (14 in 146 cases) in the spine, 3.5% (20 in 577 cases) in the knee-lower leg, 2.5% (5 in 199 cases) in the foot-ankle, 2.4% (11 in 457 cases) in the shoulder-elbow, and 1.6% (3 in 189 cases) in the forearm-wrist-hand. Delirium occurred more rapidly in women and surgery due to disease, and the duration of delirium was longer in patients with dementia and major depressive disorders. Conclusion: The incidence of postoperative delirium was high in cases of surgery due to trauma and in cases of surgery in two or more sites. The incidence of postoperative delirium according to a single surgical region was higher in the order of the hip, spine, and knee. Active intervention is needed regarding the correctable risk factor.