• Title/Summary/Keyword: motor function

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Motor imagery on upper extremity function for persons with stroke: a systematic review and meta-analysis

  • Lee, Dongsu;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.8 no.1
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    • pp.52-59
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    • 2019
  • Objective: The purpose of this review was to investigate whether motor imagery training has an effect on the recovery of upper extremity function in individuals with hemiparetic stroke or not. Design: A systematic review and meta-analysis. Methods: PubMed and three other databases were searched up to December 18th, 2018 and randomized controlled trials (RCTs) evaluating motor imagery training on upper extremity function in persons with a diagnosis of hemiparetic stroke were included. This review selected the following information from each study: surname of the first author, published year, nation, population, intervention, therapeutic intensity of intervention, therapeutic comparison, outcome measures, additional therapy, summary of results, and descriptive statistics of outcome measures. Results: This review selected seventeen RCTs with 487 stroke survivors and the following intervention methods: six motor imagery training with additional therapeutic technology, two motor imagery training with additional modified constraint-induced therapy, four mirror therapy, and five motor imagery training. Ten RCTs were eligible for meta-analysis after systematic review. The motor imagery group were more effective than the control group based on the Fugl-Meyer assessment (3.43; 95% confidence interval [CI], 1.65 to 5.22; heterogeneity [$chi^2=8.03$, df=8, $I^2=0%$], test of overall effect Z=3.76; test for subgroup differences [$chi^2=2.56$, df=2, $I^2=21.8%$]) and the Action Research Arm Test (1.32; 95% CI, -8.12 to 10.76; heterogeneity [$Tau^2=70.74$, $chi^2=15.22$, df=3, $I^2=80%$], test of overall effect Z=3.76). Conclusions: The results of this review suggests that motor imagery shows positive effectiveness on improving upper extremity function in persons with hemiparetic stroke.

Effects of oral-motor function on PCC and intelligibility in children with Down's syndrome and typically developing children (다운증후군아동과 일반아동의 구강운동기능이 자음정확도 및 말명료도에 미치는 영향)

  • Kang, Eunhye;Sim, Hyunsub
    • Phonetics and Speech Sciences
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    • v.9 no.2
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    • pp.125-135
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    • 2017
  • The current study examines PCC (percentage of correct consonant), speech intelligibility, and oral motor function between the group of typically developing children and the group of children with Down's syndrome. To 15 children with Down's syndrome (mean CA: 9;7) and 15 typically developing children on receptive language age, the following tests were administered: K-WPPSI (2001), Picture Vocabulary Test (Kim et al., 1995), Oral and Speech Motor Control Protocol for total oral functional score (Robbins et al., 1987), DDK and Assessment of Phonology and Articulation for Children (APAC, Kim et al., 2007) for PCC and speech intelligibility. Pearson correlation coefficients were computed for the total oral functional score, PCC and DDK of each group. The statistical analysis showed that there is no significant difference in total functional score and DDK when IQ was controlled. There was a significant correlation between total oral functional score and PCC in the Down's syndrome group and a significant correlation between total oral functional score and intelligibility in the Down's syndrome group whether IQ was controlled or not. The findings suggest that both cognitive ability and overall oral motor function need to be considered for the intervention to enhance PCC or speech intelligibility of children with Down's syndrome.

A Comparative Study on Recovery of Motor Function in Stroke Patients with Corona Radiata Infarcts and Intracerebral Hemorrhage

  • Kim, Chung-Sun;Park, Sang-Young;Kwon, Jung-Won
    • The Journal of Korean Physical Therapy
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    • v.22 no.6
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    • pp.53-58
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    • 2010
  • Purpose: Our goal was to determine the difference in motor recovery between two stroke types: the corona radiata (CR) infarct type and the intracerebral hemorrhage (ICH) type, by using assessment methods for motor functions. Methods: Forty subjects who were diagnosed as having had a stroke with an infarct (men: 11, women: 9, mean age: $62.25{\pm}7.59$) or a stroke with an ICH (men: 12, women: 8, mean age: $59.75{\pm}6.11$) were recruited. In all subjects, motor functions of the affected extremities were measured 2 times: at stroke onset (initial) and 6 months after the onset (final) by the motricity index (MI), the modified Brunnstrom classification (MBC), and functional ambulatory category (FAC). We compared the final assessment with the initial one. Results: Motor functions of all patients improved with the passing of time. All scores of motor function assessment in the ICH type were higher than in the infarct type. Comparing the initial assessment with the final one, upper MI and MBC scores of the upper extremities were significantly different between the two stroke types (p<0.05), but lower MI and FAC scores of the lower extremities were not (p>0.05). Conclusion: These findings imply that patterns of motor recovery in patients with either the infarct type or the ICH type of stroke change for the better over time. The degree of motor recovery in the ICH type was better than in the infarct type. Therefore, one can introduce clinical interventions by the aspect of progress in functional motor recovery.

Parameter Identification of Induction Motors using Variable-weighted Cost Function of Genetic Algorithms

  • Megherbi, A.C.;Megherbi, H.;Benmahamed, K.;Aissaoui, A.G.;Tahour, A.
    • Journal of Electrical Engineering and Technology
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    • v.5 no.4
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    • pp.597-605
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    • 2010
  • This paper presents a contribution to parameter identification of a non-linear system using a new strategy to improve the genetic algorithm (GA) method. Since cost function plays an important role in GA-based parameter identification, we propose to improve the simple version of GA, where weights of the cost function are not taken as constant values, but varying along the procedure of parameter identification. This modified version of GA is applied to the induction motor (IM) as an example of nonlinear system. The GA cost function is the weighted sum of stator current and rotor speed errors between the plant and the model of induction motor. Simulation results show that the identification method based on improved GA is feasible and gives high precision.

The Effect of Intervention Program for Motor Control Ability in Hemiplegic Patients (편마비 환자의 운동조절 능력 향상을 위한 중재 프로그램의 효과)

  • Shin, Hong-Cheul;Kim, Woong-Gak;Kang, Jeong-Il
    • The Journal of Korean Physical Therapy
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    • v.17 no.3
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    • pp.377-390
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    • 2005
  • The purpose of this study is to investigate the effect of neuromuscular re-education program and general intervention program. It is focused on difference between changes of experimental before and after on 20 stroke patient's motor control ability. The obtained results are as follows; In change in motor control ability, neuromuscular re-education program group about the motor control ability was a significant difference(p<.01). And traditional intervention program group, the motor control ability was a significant difference in all of items (p<.01; p<.05) but, were not a significant difference in bladder management, social interaction, problem solving and memory. And also comparison of change in motor control ability between the experimental group and control group, the between-subjects factors were a significant difference. Most of the functional items on the functional items on the functional measurement and neuromuscular function measurement are concerned with the physical autonomy of the hemiplegic patients. More in depth knowledge may be acquired about the distribution of physical and motor control patterns with respect to the degree of neurologic deficit for the enhencement of residual motor control function in hemiplegia. In conclusion, the neuromuscular re-education program was more effect then traditional intervention program in motor control ability.

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The Effects of Two Motor Dual Task Training on Balance and Gait in Patients with Chronic Stroke (이중운동과제 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 효과)

  • Cho, Ki-Hun;Lee, Wan-Hee
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.7-14
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    • 2010
  • Purpose: The goal of this study was to investigate the effect of balance and gait ability through two motor dual task training in chronic stroke subjects. Methods: A group of twenty-five subjects who were six months post stroke participated in this study, where they were designated into pretest-posttest control The subjects were randomly allocated into two groups: experimental (n=13) and control (n=12). Both groups received physical therapy for 5 session 30 minutes per week during 6 weeks. Experimental group practiced additional two motor dual task training programs for thirty minutes a day, three days a week during six weeks. Evaluation of results was obtained through analyzing static balance, dynamic balance and gait function. Results: There was significant improvement among the group that practiced the additional two motor dual task training in that the postural sway area with open eye and close eye on the foam surface, the dynamic balance (p<0.05), and the gait function (p<0.05). Conclusion: Two motor dual task training improved static balance on the foam, dynamic balance, gait function. These results suggest that two motor dual task training is a feasible and suitable treatment for individuals with chronic stroke.

Comparison of Usability and Prefrontal Cortex Activity of Cognitive-Motor Training Programs using Sensor-Based Interactive Systems

  • Jihye Jung;Seungwon Lee
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.571-578
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    • 2022
  • Objective: Cognitive-motor trainings had a positive impact on cognitive function and dual-task trainings led to improvements of global cognitive function. The brain activity of the prefrontal cortex (PFC) is another indicator that can infer cognitive function. This study aims to confirm the usability of the interactive system cognitive-motor training program and the changes in the prefrontal cortex through training. Design: Cross-sectional study Methods: In this study, two cognitive tasks were randomly applied to 20 adults as cognitive-motor training using an interactive system, and the same task was performed using the original method. During all tasks, the brain activity of the prefrontal cortex was measured by the change in oxyhemoglobin (HbO) in real-time using Functional Near-Infrastructure. After performing the tasks, the usability of the developed interactive system was evaluated by a usability questionnaire which consists of five items, and each item consists of a 7-point Likert scale that responds from 1 point to 7 points. Results: The HbO levels were increased during cognitive task performance than at the resting phase. And evaluating the usefulness of the interactive system, a questionnaire result showed that it would be useful for cognitive-motor programs. Conclusions: The cognitive-motor training using the interactive system increased the activity of the prefrontal cortex, and the developed wearable sensor-based interactive system confirmed its usefulness.

Motor Function Recovery after Adipose Tissue Derived Mesenchymal Stem Cell Therapy in Rats with Cerebral Infarction

  • Kim, Chang-Hwan;Kim, Yang-Woon;Jang, Sung-Ho;Chang, Chul-Hoon;Jung, Jae-Ho;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.40 no.4
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    • pp.267-272
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    • 2006
  • Objective : There have been recent reports that mesenchymal stromal cells that are harvested from adipose tissue are able to differentiate into neurons. In the present study, we administered adipose tissue derived stem cells in rats with cerebral infarction in order to determine whether those stem cells could enhance the recovery of motor function. Methods : Cerebral infarction was induced by intraluminal occlusion of middle cerebral artery in rats. The adipose tissue-derived mesenchymal stem cells were harvested from inguinal fat pad and proliferated for 2 weeks in DMEM media. Approximately $1{\times}10^6$ cells were injected intravenously or into subdural space of the peri-lesional area. The rotor rod test was performed at preoperative state[before MCA occlusion], and 1, 2, 3, 4, 6, 8 and 10 weeks after the cell therapy. Results : The motor functions that were assessed by rotor rod test at 1 week of the cell therapy were nearly zero among the experimental groups. However, there was apparent motor function recovery after 2 weeks and 4 weeks of cell injection in intravenously treated rats and peri-lesionaly treated rats, respectively, while there was no significant improvement till 8 weeks in vehicle treated rats. Conclusion : These results demonstrate that the adipose derived stem cell treatment improves motor function recovery in rats with cerebral infarction.

The Effect of Group Occupational Therapy based on Sensory-Motor Centered Convergence Activities on Self-regulation and Executive Function of Maladapted Children in First Grade Elementary School: A Case Study (감각-운동 중심의 융합 활동을 기초로 한 그룹 작업치료가 초등학교 1학년 부적응아동의 자기조절능력과 실행능력에 미치는 영향: 사례연구)

  • Cho, Sun Young
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.67-75
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    • 2021
  • The purpose of this study was to investigate the effect of sensory-motor centered group occupational therapy program on self-regulation and executive function in first grade elementary school maladjusted children. It is a case study through pre-post design with a total of 3 subjects. A pre-and post-test was conducted to determine the change in Self-Control Rating Scale and to find out the execution function by Bruininks-Oseretasky Test of Motor Proficiency. The sensory-motor centered group occupational therapy program performed movement activities based on vestibular sensation, proprioception, and tactile sensation, and the task was selected by investigating the child's preference for activity. As a result, subjects 1 and 2 children showed improved self-regulation and executive function. Based on the results of this study, it is considered that the group-centered sensory-motor program can be provided to children who show maladjustment in school by linking the educational field and clinical practice.

Torque Ripple Minimization Scheme Using Torque Sharing Function Based Fuzzy Logic Control for a Switched Reluctance Motor

  • Ro, Hak-Seung;Lee, Kyoung-Gu;Lee, June-Seok;Jeong, Hae-Gwang;Lee, Kyo-Beum
    • Journal of Electrical Engineering and Technology
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    • v.10 no.1
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    • pp.118-127
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    • 2015
  • This paper presents an advanced torque ripple minimization method of a switched reluctance motor (SRM) using torque sharing function (TSF). Generally, TSF is applied into the torque control. However, the conventional TSF cannot follow the expected torque well because of the nonlinear characteristics of the SRM. Moreover, the tail current that is generated at a high speed motor drive makes unexpected torque ripples. The proposed method combined TSF with fuzzy logic control (FLC). The advantage of this method is that the torque can be controlled unity at any conditions. In addition, the controller can track the torque under the condition of the wrong TSF. The effectiveness of the proposed algorithm is verified by the simulations and experiments.