• 제목/요약/키워드: motor function

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뇌졸중 환자에서 상지의 경상 운동의 변화 연구 (The Study of the Changes of Mirror Movements with Upper Extremity on Stroke Patients)

  • 장종성;이미영;김중선
    • 대한물리의학회지
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    • 제3권4호
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    • pp.269-276
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    • 2008
  • Purpose : The purpose of this study was to evaluate the effects of mirror movements(MM) on upper extremity's function and measure the change of MM on stroke patients depending on the elapse of time. Methods : Sixteen stroke patients with MM and Sixteen stroke patients without MM were recruited for this study. Intended movements and MM were measured by two dynanometers of MP150 system(BIOPAC System Inc., Santa Barbara, U.S.A). The upper extremity's motor function was measured using manual function test(MFT), Fugl-Meyer assesment(FMA). Results : The change rates of upper extremity's motor function test showed significant group differences in FMA but not in MFT between the patients with MM and without MM from the first test to the second test. In each group motor function generally more increased. The magnitudes of MM decreased from the first test to the second test. Conclusion : These results indicate that stroke patients with MM have a significant motor deficit. But motor deficit could be recovered by spontaneous recovery or treatments and a clinical sign of MM was improved. In the future, we suggest that studies of assessments of MM after rehabilitation and treatment interventions of MM on stroke patients.

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집단 운동 활동 프로그램이 지역아동센터 아동의 운동기능 및 자기효능감에 미치는 영향 (The Effect of Group Motor Activity Program on Motor Function and Self-efficacy of Children in the Community Children's Center)

  • 김혜진;제영현;서정민;김은영
    • 대한감각통합치료학회지
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    • 제18권1호
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    • pp.23-33
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    • 2020
  • 목적 : 본 연구는 집단 운동 활동 프로그램이 지역아동센터 아동들의 운동기능 및 자기효능감을 향상시키는지 알아보았다. 연구방법 : 지역아동센터를 이용하는 만 6~9세 아동 9명에게 대운동과 소운동 요소를 포함한 운동 활동 프로그램을 적용하였다. 프로그램 사전, 사후 평가에서 운동적합성 검사 단축형(Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, Short Form; BOT-2 SF)을 사용하여 아동의 운동기능을, 인식효능감 및 목표설정 척도(Perceived Efficacy and Goal Setting, Second Edition; PEGS-2)를 사용하여 자기효능감을 측정하였다. 결과 : 프로그램 전과 비교하여 프로그램 후, BOT-2 SF와 PEGS-2의 점수가 유의미하게 향상되었다. 결론 : 집단 상황에서 의미 있는 활동으로 제공되는 운동 프로그램은 아동들의 운동기능뿐만 아니라 자기효능감을 향상시켰다. 본 연구는 지역사회에서 비장애 아동을 대상으로 한 활동 중재 접근이 수행에 대한 객관적 능력과 주관적 인식을 함께 증가시킬 수 있음을 보여준다.

구강운동촉진기술: 1 부-이론적 배경과 기초 요소 (Oral-Motor Facilitation Technique (OMFT): Part I-Theoretical Base and Basic Concept)

  • 민경철;서상민;우희순
    • 재활치료과학
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    • 제10권1호
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    • pp.37-52
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    • 2021
  • 서론 : 구강 운동 기능은 태아기에서 유년기 발달로 이어지는 감각 탐색, 음식 섭취, 의사소통 표현의 기초가 되는 기능이다. 구강 운동 기능에 문제가 발행하면, 구강 내 음식 처리 어려움, 삼킴 및 섭식기능 저하, 의사소통 기능 감소, 구강 위생 능력 저하 등이 나타난다. 이러한 증상 치료를 위한 구강운동 치료는 구강 내 감각 정상화, 자세 조절, 구강 움직임 증진, 구강 운동 기능 향상을 목표로 제공되는 치료법이다. 본론 : 구강운동촉진기술(OMFT)은 1) 구강 및 안면 근육계의 해부생리학적 이해; 2) 감각·적응·행동·인지의 통합적 접근; 3) 도수적 접근을 통한 감각 및 운동 자극; 4) 운동 조절과 운동 학습 이론에 기초한 구강운동의 4가지 주요 특징을 바탕으로 전반적이고 통합적인 구강 기능 증진을 목적으로 개발되었다. OMFT는 근거 중심의 새로운 치료 프로토콜로써 아동 및 성인, 신경계 및 근골격계의 구강 기능에 문제를 보이는 모든 이들에게 적용이 가능한 치료 기법이다. 결론 : 본 논문은 OMFT의 개발에 따른 이론적 배경 및 OMFT의 실제적 적용에 따른 기초 요소를 소개하는 것이 목표로, 본 논문을 통해 임상 전문가들이 정확한 이론적 배경과 치료법을 바탕으로 대상자에 맞는 전문적인 치료 제공에 도움이 되기를 바란다.

Winding Function 이론을 이용한 동기형 릴럭턴스 전동기의 토크 특성 해석 (Torque Characteristics Analysis of Synchronous Reluctance Motor by Winding Function Theory)

  • 우경일
    • 조명전기설비학회논문지
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    • 제25권7호
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    • pp.26-31
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    • 2011
  • In this paper, torque characteristics analysis of Synchronous Reluctance Motor with the cylindrical rotor type by winding function theory(WFT) is described. The stator is same as one of the induction motor. From the d-axis, q-axis flux density distribution, to calculate self and mutual inductances needed to calculate the torque of the machine by using winding function theory the new equivalent geometry of rotor was proposed. D-axis, q-axis flux densities, self inductance and torque characteristics were obtained. From the comparison with results of finite element analysis the proposed method was verified.

중용량 전동기보호를 위한 전류형 디지털 보호계전기 개발 (Development of Current-based Compact Digital Protective Relay for Induction Motor Protection)

  • 정종진;김중표;신종한;박장수
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 제36회 하계학술대회 논문집 A
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    • pp.140-142
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    • 2005
  • This paper describes the current- based compact digital motor protective relay for low and high voltage induction motors, which are widely used in industrial and commercial power systems. The existing protective relays for motor protection had only overload, short circuit, reverse phase, open circuit and grounding protective elements, and measurement, start/stop control function. But in present day, for automation system, various functions are required, especially motor management and sequence control function and more. To meet these requirements, we developed an economic current-based compact digital motor protective relay which had various function to control, manage and monitor the induction motor.

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Effects of a Group Exercise Program for the Upper Extremities on Sensory and Motor Function and Activities of Daily Living in Chronic Stroke Patients: A Case Series

  • Ko, Myung-Sook;Jeon, Yong-Jin
    • 한국전문물리치료학회지
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    • 제22권2호
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    • pp.59-69
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    • 2015
  • The purpose of this study was to identify the effects of an upper extremities group exercise program based on motor learning in chronic stroke patients and to assess improvements in upper sensory motor function and activities of daily living (ADL). Five chronic stroke patients participated for the duration of 25 weeks. On the assessment of motor and process skills, there was a statistically significant improvement in motor area functioning in 4 of the subjects. In process area functioning, there was a statistically significant change in 3 of the subjects. Therefore, further studies are needed to assess sensorimotor area and ADL changes in chronic stroke patients to reduce medical cost and assess for positive psychological changes.

토크분배함수를 이용한 SRM 윈치 시스템의 운전특성 개선 (Driving Characteristics Improvement of SRM Winch System using Torque Sharing Function)

  • 안영주
    • Journal of Advanced Marine Engineering and Technology
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    • 제31권4호
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    • pp.433-440
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    • 2007
  • In this paper a new dynamoelectric winch system is introduced which is widely applied in shipping. building, architecture and so on. Generally in the winch system the squirrel cage induction motor is used as prime mover and line voltage is directly applied to the induction motor during operation. So it is difficult to obtain the smoothing revolution. because of variation of the weight of cargo and system operating method. Based on above reasons, the switched reluctance motor (SRM) is proposed to replace the induction motor because of more reliable mechanical structure, better traction characteristic and higher efficiency compared to induction motor. And in order to solve smoothing revolution problem, instantaneous torque control method based on torque sharing function (TSF) is used. Finally the validity of the proposed method is verified through the simulation and experimental results.

보바스 접근방법이 정신지체 아동의 균형 및 운동능력에 미치는 영향: 단일사례연구 (The Effect of the Bobath Approach on Balance and Motor Ability in Mentally Retarded Child)

  • 노효련
    • 대한물리치료과학회지
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    • 제15권2호
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    • pp.79-86
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    • 2008
  • Background: The purpose of this study was to present a practical method of medical treatment to improve the balance and motor ability of the mentally retarded child with a single mentally retarded child-subject. Methods: The subject of the study was a 39-month-old mentally retarded female. This study included a 2-week basic period and a 13-week treatment period. The treatment method was based on the Bobath Approach. Gross motor function measurement (GMFM) was used to examine changes in motor ability, and the Pediatric Balance Scale (PBS) was used to measure changes in balance ability. The curative program was composed of normalization of muscle tone, strengthening of leg endurance and muscular strength, the improvement of trunk alignment, and the increase of balance. Visual rate of change was used to examine the results. Results: As a result of this study, balance ability increased on the Pediatric Balance Scale (PBS) by 24 points, and motor function increased in terms of Gross Motor Function Measurement (GMFM) by 6.9% (18 points). Standing increased by 41% (16 points), and walking, running, and jumping increased by 31.9% (23 points) compared to thebasic period. Therefore, the Bobath Approach appears to be an appropriate method to improve balance and motor ability in mentally retarded children. Conclusion: It is surmised that aggressive intervention by physical therapists and occupational therapists, and a follow-up study, are required for the growth of motor ability in mentally retarded children.

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Quantitative Evaluation of Median Nerve Motor Function in Carpal Tunnel Syndrome Using Load Cell : Correlation with Clinical, Electrodiagnostic, and Ultrasonographic Findings

  • Kim, Dong Hwan;Park, Sung Bae;Lee, Sang Hyung;Son, Young-Je;Chung, Gih Sung;Yang, Hee-Jin
    • Journal of Korean Neurosurgical Society
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    • 제54권3호
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    • pp.232-235
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    • 2013
  • Objective : Major complaints of carpal tunnel syndrome (CTS) are sensory components. However, motor deficit also impedes functional status of hand. Contrary to evaluation of sensory function, the objective, quantitative evaluation of median nerve motor function is not easy. The motor function of median was evaluated quantitatively using load cell and its correlation with findings of electrodiagnostic study (EDS) was evaluated. Methods : Objective motor function of median nerve was evaluated by load cell and personal computer-based measurement system. All of the measurement was done in patients diagnosed as having idiopathic CTS by clinical features and EDS findings. The strength of thumb abduction and index finger flexion was measured in each hand three times, and the average value was used to calculate thumb index ratio (TIR). The correlation of TIR with clinical, EDS, and ultrasonographic findings were evaluated. Results : The TIR was evaluated in 67 patients (119 hands). There were 14 males and 53 females, mean age were 57.6 years (range 28 to 81). The higher preoperative nerve conductive studies grade of the patients, the lower TIR was observed [p<0.001, analysis of variance (ANOVA)]. TIR of cases with thenar atrophy were significantly lower than those without (p<0.001, t-test). TIR were significantly lower in patients with severe median nerve swelling in ultrasonography (p=0.042, ANOVA). Conclusion : Measurements of median nerve motor function using load cell is a valuable evaluation tool in CTS. It might be helpful in detecting subclinical motor dysfunction before muscle atrophy develops.

거울치료가 뇌졸중 환자의 운동기능 회복에 미치는 영향: 메타분석 (Effects of Mirror Therapy on Motor Recovery Following a Stroke: A Meta-Analysis)

  • 이희원;전혜선
    • 한국전문물리치료학회지
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    • 제19권2호
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    • pp.48-58
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    • 2012
  • The objective of this study was to evaluate the effects of mirror therapy on motor function recovery following a stroke through a systemic review and meta-analysis. In total, nine of the 48 studies were identified from search engines between 1997 and 2011, as well as from a review of the reference lists of each identified study. The quality of each study was assessed using Jadad scale, and the effect size was calculated as a Cohen's effect size using MetaAnalyst (Beta 3.13). The overall effect size of the mirror therapy was 2.005 (95% confidence interval=1.041~2.970) in a random-effects model. This finding suggests that mirror therapy is beneficial for improving motor function following a stroke. The results from the subgroup analysis according to categorical variables were as follows: First, the effect size was larger for an onset time of less than 1 year (1.166) than for a duration of 1 year or more (.668). Second, the effect size of unpublished dissertations (1.610) was larger than published articles (1.221). Third, motor recovery of upper extremities (1.609) had a greater effect than motor recovery of lower extremities (.903). The major limitation of this study is the relatively small study population. Therefore, further individual studies of mirror therapy should be conducted in order to generalize the effects. In addition, mirror therapy supervised by a physical therapist should be recognized as a potential approach to manage motor function following a stroke and recommended to patients to improve their motor function.