Hyon-Min Tae;Su-Yeong Eom;Byoung-Kwon Lee;Dae-Sung Park
Physical Therapy Rehabilitation Science
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제13권1호
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pp.8-17
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2024
Objective: This study aims to explore the relationship between isokinetic strength training and the enhancement of physical function in older adults. It also evaluates the effectiveness of isokinetic strength training equipment. Method: This study randomly divided twenty healthy adults into two groups.The experimental group engaged in isokinetic strength training for 30 minutes, three times a week, over a four-week period. In contrast, the control group did not participate in any exercise regimen. We assessed several outcome measures including physical functions (sit-to-stand test, flexibility, Timed Up and Go test), grip strength, balance, thigh circumference, the Korean version of the Patient Health Questionnaire-9 (PHQ-9), and the Korean version of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Additionally, the experimental group's self-perceived improvement in lower limb condition was evaluated using the Global Rating of Change (GROC) scale. Results: The experimental group showed significant improvements compared to the control group in various aspects: reduced sit-to-stand test duration (7.00±2.05 seconds), increased flexibility (4.69±3.90 cm), improved grip strength (1.54±1.74 kg), increased thigh circumference (left: 1.29±1.19 cm, right: 1.19±1.27 cm), enhanced Timed Up and Go test performance (-1.47±0.86 seconds), better balance (eyes open stance: -8.08±4.03 cm, eyes closed stance: -0.27±0.13 cm/s), and a decrease in depression severity (-0.15±1.51 points). Furthermore, significant increases were observed in the experimental group's maximal isokinetic strength at 90°/s for both flexion (19.62±7.03 Nm) and extension (19.60±14.65 Nm) over the study period. Conclusion: The findings suggest that isokinetic strength training equipment can significantly enhance physical functions in seniors when incorporated into an exercise regimen.
Recently among several tennis techniques forehand stroke has been greatly changed in the aspect of spin, grip and stance. The most fundamental factor among the three factors is the stance which consists of open, square and closed stance. The purpose of this study was to investigate the relations between the segments of the body, the three dimensional anatomical angle according to open, close, and square stance patterns during forehand stroke in tennis. For the movement analysis three dimensional cinematographical method(APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVIEW 6.1 graphical programming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and racket head angle were defined. In conclusion, the first hypothesis, "In three dimensional maximum linear velocity of racket head would be significant difference among the stance patterns during forehand stroke in tennis" was rejected. The second hypothesis, "In three dimensional anatomical angular displacement of trunk would be significant difference among the stance patterns during forehand stroke in tennis" was rejected and the result showed that the internal-external rotation showed most important role among the three dimensional anatomical angular displacement of trunk The third hypothesis, "In three dimensional anatomical angular displacement of upperlimb would be significant difference among the stance patterns during forehand stroke in tennis" was rejected and the result showed that The three dimensional anatomical angular displacement of shoulder joint showed most important role in forehand stroke. Flexion-extension and internal-external rotation the open stance showed the largest angular displacement and is follwed by square stance and closed stance. The fourth hypothesis, "In three dimensional anatomical angular velocity of upperlimb would be significant difference among the stance patterns during forehand stroke in tennis" was rejected and the result showed that X-axis angular velocity and Z-axis angular velocity the square stance showed the largest angular velocity of the trunk and X-axis angular velocity and Y-axis angular velocity the closed stance showed the largest angular velocity of the shoulder joint.
Purpose: To determine the effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home. Method: The subjects of this consisted of 38 elderly women between the ages of 70 to 89 years living at a nursing home located in Seoul. Each of the experimental group and control group was composed of 19 subjects. The subjects in experimental group have participated in FPP for the 8 weeks which consisted of exercise, education and foot care. They started to exercise for 40 minutes per session, 3 sessions a week during the 1st week at 40% of age adjusted maximum heart rate. From the 2nd week to the 4th week, they increased the duration of exercise to 50 minutes per session and the intensity to 60% of age-adjusted maximum heart rate. They participated in 50 minutes at 60% of age-adjusted maximum heart rate from the 5th week to the 8th week. Each exercise session consisted of 10 minutes of warming-up exercise, 30 minutes of conditioning exercise and 10 minutes of cooling-down exercise. They participated in education for 20 minutes per week from the 1st week to the 4th week. Then they participated in a 30-minute foot care program per week from the 5th week to the 8th week. Gait, balance and muscle strength for each subject were measured before and after FPP. Gait was evaluated by step length, step width, gait speed and walking distance. Balance was measured by the duration of standing on one leg with their eyes closed and open each, and a get-up and go test. Grip strength was measured by hand dynamometer. Hip extensor and flexor strength, knee extensor and flexor strength and ankle plantarflexor and dorsiflexor strength were measured by manual muscle tester. Data was analyzed using SPSS form Windows. t-test and Chi square test were utilized as a homogeneity test. Repeated measure ANOVA was used to test the effect of FPP. Result: 1) Step width significantly decreased, and step length, gait speed and walking distance significantly increased in the experimental group compared with the control group after FPP(p<0.005). 2) There was no significant change in standing time on one leg with their eyes closed after FPP. The standing time on leg with their eyes open and the time of "get-up and go" significantly decreased in the experimental group compared with the control group after FPP(p<0.005). 3) Muscle strength-grip strength, hip extensor and flexor strength-significantly increased in the experimental group compared with the control group after FPP(p<0.005). 4) There was no significant difference of frequency of fall between the experimental group and control group during the period of FPP. Conclusion: These results suggest that FPP can increase gait, balance and muscle strength of elderly women at a nursing home.
Recently among several tennis techniques forehand stroke has been greatly changed in the aspect of spin, grip and stance. The most fundamental factor among the three factors is the stance which consists of open, square and closed stance. The purpose of this study was to investigate the relations between the segments of the body, the three dimensional anatomical angle according to open stance patterns during forehand stroke in tennis. For the movement analysis three dimensional cinematographical method(APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVlEW 6.1 graphical programming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and racket head angle were defined 1. In three dimensional maximum linear velocity of racket head the X axis showed $11.41{\pm}5.27m/s$ at impact, not the Y axis(horizontal direction) and the z axis(vertical direction) maximum linear velocity of racket head did not show at impact but after impact this will resulted influence upon hitting ball It could be suggest that Y axis velocity of racket head influence on ball direction and z axis velocity influence on ball spin after impact. the stance distance between right foot and left foot was mean $74.2{\pm}11.2m$. 2. The three dimensional anatomical angular displacement of shoulder joint showed most important role in forehand stroke. and is followed by wrist joints, in addition the movement of elbow joints showed least to the stroke. The three dimensional anatomical angular displacement of racket increased flexion/abduction angle until the impact. after impact, The angular displacement of racket changed motion direction as extension/adduction. 3. The three dimensional anatomical angular displacement of trunk in flexion-extension showed extension all around the forehand stroke. The angular displacement of trunk in adduction-abduction showed abduction at the backswing top and adduction around impact. while there is no significant internal-external rotation 4. The three dimensional anatomical angular displacement of hip joint and knee joint increased extension angle after minimum of knee joint angle in the forehand stroke, The three dimensional anatomical angular displacement of ankle joint showed plantar flexion, internal rotation and eversion in forehand stroke. it could be suggest that the plantar pressure of open stance during forehand stroke would be distributed more largely to the fore foot. and lateral side.
The purpose of this study was to find out problems which occured between clothes and motor ability traits of the hemiplegic aged. The samples were 32 hemiplegic aged men and were compared with 43 healthy aged men. Motor ability of the samples were measured by ROM test, muscle power test and finger function test(grip strength, hand's coordination, lateral pinch, 3pt. pinch). Design of the clothes consisted of 25 variables and the analysis of dressing and undressing motion consist of 10 motions of dressing and undressing dress shirts and 8 motions of trousers. The results were as follows: 1. There were significant relationship between ROM and muscle power and finger function of the hemiplegic aged(P<.001). 2. There were significant differences between the nomal side's finger function of the hemiplegic aged and that of the healthy group(P<.001). 3. The designs of clothes such as tutle neck line, long sleeve, button cuffs, fastening lace, open zipper and belt of trousers gave much difficulty to the hemiplegic when dressing and undressing. 4. The most difficult motion of dressing and undressing was fastening when dressing both dress shirts and trousers. 5. There were partly significant relationship between design of clothes and ROM, muscle power, finger function of hemiplegic aged man. 6. There were partly significant relationship between the degree of difficulty in dressing and undressing motions and ROM, muscle power, finger function of hemiplegic aged man.
A new type of gripper for micrometer-size objects is developed using piezoelectric multi-layer benders. It is composed of three chopsticks, two of which are designed to grip micro-objects. The third one is reserved for helping the two when objects are released from the chopsticks. It is well known that a micro object is much easier to grasp than to release it after holding it. The electrostatic force between the chopsticks and an object is believed to be the main cause of adhesion in a dry environment. The surface tension becomes very important when liquids are present or in a liquid. The third auxiliary chopsticks is introduced to solve there surface effects. All the three chopsticks are made of tungsten wires with sharpened ends by etching. When grasping microparts, the two chopsticks are utilized, and, when releasing them anywhere the parts are located, the third one reduces the electrostatic force between the objects and the chopstick may be to help the other two chopsticks to hold an objects in a desired orientation. We constructed the three chopstick gripoer for micro objects and test their function by holding and releasing an object of a diameter of 100 micrometers. We make use of open loop voltage control. The bender displacement resolution is sub-micrometer. The gripping forces, about tens of mN are obtained. The experiment shows that the third auxiliary chopstick functions effectively.
In this paper, the FREECAD 0.14 was used for modeling conventional Selfie-stick and the newly proposed Selfie-stick design. The purpose of this paper is to demonstrate the utility of FREECAD 0.14, which is open-source and still in development for further use. After modeling the conventional Selfie-stick, CatiyaV5 was used to assemble FREECAD 0.14 drawn elements. Main advance in newly designed Selfie-stick is the portability. To improve portability of the Selfie-stick, folding mechanism was adopted from folding LED stands. Several mechanisms were adopted to improve user convenience as well. Ansys 14.0 was used for structural analyses of conventional Selfie-stick model and the newly designed model as well. Several simplifications for the models were needed to process the analyses. When analyzing the newly designed model various materials were used one by one to find compatible composition. Using Aluminum alloys for the stick and the hand grip was found to be compatible. FREECAD was useful for suggestion of the newly designed model but not so much useful to design an actual product. Various efforts would make FREECAD the best choice for industrial use for free as it is named.
In this paper, the FREECAD 0.14 was used for modeling conventional Selfie-stick and the newly proposed Selfie-stick design. The purpose of this paper is to demonstrate the utility of FREECAD 0.14, which is open-source and still in development for further use. After modeling the conventional Selfie-stick, CatiyaV5 was used to assemble FREECAD 0.14 drawn elements. Main issue in newly designed Selfie-stick is the portability. To improve portability of the Selfie-stick, folding mechanism was adopted from folding LED stands. Several mechanisms were adopted to improve user convenience as well. Ansys 14.0 was used for structural analyses of conventional Selfie-stick model and the newly designed model as well. Several simplifications for the models were needed to process the analyses. When analyzing the newly designed model various materials were used one by one to find compatible composition. Using Magnesium Alloy for the stick and the hand grip was found to be compatible. FREECAD was useful for suggestion of the newly designed model but not so much useful to design an actual product. Various efforts would make FreeCAD the best choice for industrial use for free as it is named.
Introduction : The purposes of this study was to examine physical function and psychological status in the elderly caused by a fall. Method : The study was designed as a descriptive survey. Its subjects consisted of the 299 elderly over 65 years. Collected data were analyzed by the SPSS 10.0 program package. Results : The result of this study are as follows : 1) The score for ADL was significantly lower in the fall group. 2) Grip strength was significantly lower in the fall group. 3) Lapse of the motion sitting and standing was significantly longer in the fall group. 4) One-leg-standing time with the eyes open and closed was significantly shorter in the fall group. 5) Return time of 3m walk was significantly longer in the fall group. 6) The score for dizziness was significantly higher in the fall group. 7) The score for fear for a fall and depression were significantly higher in the fall group. 8) The score for falls efficacy was significantly lower in the fall group. Conclusion: ADL, muscle strength, balance, dizziness, fear for a fall, falls efficacy and depression turned out to be closely related to the fall of the elderly. Therefore, it would be required to develop and applicate the fall prevention program regarding these above risk factors.
Rheumatoid arthritis (RA) is a common systemic inflammatory disease which DMARDS have been widely used as a treatment modality both as monotherapy and combination therapy Bucillamine, one of newer DMARDS, has recently proven its efficacy as monotherapy in the treatment of RA. The objective of this study was to compare the efficacy and the safety of bucillamine monotherapy and bucillamine plus methotrexate combination therapy in the treatment of rheumatoid arthritis. Forty-nine mild RA patients were enrolled in this prospective, open-trial and were assigned to receive bucillamine 200 mg/day (n=18) or bucillamine 200 mg/day and methotrexate 7.5-15 mg/week (n=31) orally for 16 weeks. Concomitant use of NSAID and prednisolone <5 mg/day or equivalent dose of steroid were allowed. Both monotherapy group and combination therapy group have shown significant improvement in disease activities (Ritchie index, painful joints, swollen joints, morning stiffness, grip strength, ESR, RF, CRP, patient's self assessment of pain, physician's global assessment of disease activity) from the baseline. However, there was no statistically significant difference between two groups. The adverse effects were more frequently shown in combination therapy group than monotherapy group. In conclusion, in patients with mild RA monotherapy has shown to be equally efficacious as combination therapy with less side effects.
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