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Effects of Observed Action Gait Training on Spatio-temporal Parameter and Motivation of Rehabilitation in Stroke Patients (뇌졸중환자의 동작관찰 보행훈련이 시·공간적 지표와 재활동기에 미치는 영향)

  • Kang, Kwon-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.3
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    • pp.351-360
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the effects of observed action gait training on stroke patients. METHODS: 22 subjects were randomized into two groups. The observed action gait training performed that watched a video of normal gait before gait training and the general gait training without watching it. The experimental group(n=11) performed observed action gait training and the control group(n=11) performed general gait training. Both group received gait training for 3 times per week during 8 weeks. RESULTS: The experimental group showed significant differences in the cadence, gait velocity, stride, step, single limb support, double limb support, stride length and step length(p<.05). The control group showed significant differences only in the stride(p<.05). CONCLUSION: The observed action gait training affected coordination and weight shift, as well as symmetry of the body. Plasticity of the brain was facilitated by repetitive visual and sensory stimulation. The observed action gait training promoted the normal gait by watching the normal gait pattern. In conclusion, motor learning through the sensory stimulation promotes brain plasticity that could improve motor function, and observed action gait training indirectly identified stimulated brain activities.

Effects of Motor Imagery Training and Balance Training on Static Balance: A Quasi-Experimental Study

  • Gim, Mina;Choi, Junghyun;Ga, Heayoung
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.1
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    • pp.1999-2004
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    • 2020
  • Background: Although studies on physical motor learning through motor imagery training have been conducted in various fields, studies on its effectiveness are still considered insufficient. Objective: To investigate the effect of motor imagery training and balance training on static balance of asymptomatic adults in their 20s. Design: A quasi-experimental study. Methods: Thirty-six adults in their 20s who passed the tandem stance test were randomized to the motor imagery training group (MIG, n=12), motor imagery with balance training group (MIBG, n=12), and balance training group (BG, n=12). Each group underwent their respective interventions three times a week for four weeks, and changes in static balance were analyzed using multivariate analysis of variance. Results: Trace length was significantly lower in the MIBG than in the MIG and BG (P<.05), and a significant reduction in trace length in the MIBG was observed after the intervention as compared to the baseline (P<.05). Furthermore, a significantly lower velocity was observed in the MIBG than in the MIG and BG (P<.05), and a significant reduction of velocity in the MIBG was more observed after the intervention compared to the baseline (P<.05). Conclusion: These results suggest that motor imagery training enhance static balance in healthy college students.

Effects of Emphasized Initial Contact Auditory Feedback Gait Training on Balance and Gait in Stroke Patients (뇌졸중 환자의 초기 접지기를 강조한 청각적-피드백 보행훈련이 균형능력과 보행기능에 미치는 영향)

  • Kim, Jung-Doo;Cha, Yong-Jun;Youn, Hye-Jin
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.49-57
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    • 2015
  • PURPOSE: This study aimed to investigate the effect of emphasized initial contact gait training on balance and gait ability in hemiplegia patients. METHODS: Twenty-four hemiplegic patients were randomly allocated to an experimental group or control group. All participants received 30-min neurodevelopmental treatment. Furthermore, the experimental group received initial contact-emphasized auditory feedback gait training, whereas the control group received gait training without auditory feedback. The intervention was performed 3 times per week, 20 min per each time, for a total of 6 weeks. Balance was assessed using the center of pressure path length, center of pressure velocity, and limitation of stability path length, whereas gait ability was assessed using the 10-m walking test and functional gait assessment. RESULTS: In both groups, center of pressure path length and center of pressure velocity significantly decreased after training. Compared to the control group, the experimental group showed a 10% significant improvement (p<.05). In the limitation of stability path length of both sides, the experimental group showed a significant increase compared to that before intervention. Compared to the control group, the experimental group showed a 7% significant improvement in results of the 10-m walking test and functional gait assessment (p<.05). CONCLUSION: Emphasized Initial contact gait training is considered an effective treatment for improving gait ability and balance ability in stroke patients.

The effects of intensive gait training with body weight support treadmill training on gait and balance in stroke disability patients: a randomized controlled trial

  • Lee, Byung Joon;Lee, Hwang Jae;Lee, Wan Hee
    • Physical Therapy Rehabilitation Science
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    • v.2 no.2
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    • pp.104-110
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    • 2013
  • Objective: The purpose of this study was to investigate the effects of intensive gait training with body weight support treadmill training on gait and balance in stroke disability patients. Design: Randomized controlled trial. Methods: Twenty-six stroke patients (20 men and 6 women) participated in this study. All subjects were hospitalized patients. They were randomly divided into two groups: the experimental group (body weight supported treadmill training group, n=14) and control group (treadmill group, n=12). The mean ages were 52.07 years (experimental group) and 53.83 years (control group). Subjects in both groups received conventional training 10 times/wk. Subjects in the experimental group practiced body weight supported treadmill training for 30 minutes a day, 3 day/wk. Subjects in the control group practiced treadmill training for 30 minutes. The Berg Balance Scale (BBS) and GAITRite were used to evaluate balance and gait parameters (step length, cadence and gait speed) before and after the intervention. Results: BBS scores in the experimental group showed significantly greater improvement ($4.33{\pm}1.54$), compared with the control group (p<0.05). Significantly greater improvement in the gait speed ($24.13{\pm}4.53$ cm/s), affected side step length ($10.40{\pm}3.42$ cm), sound side step length ($11.97{\pm}3.29$ cm), and cadence ($23.88{\pm}5.52$ step/min), compared with the control group (p<0.05). Conclusions: Intensive gait training with Body Weight Support Treadmill Training may improve gait and balance in subacute stroke.

Effects of Step-up Training on Walking Ability of Stroke Patients by Different Support Surface Characteristics

  • Oh, Geun-Sik;Choi, Yu-Ran;Bang, Dae-Hyouk;Cha, Yong-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.3
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    • pp.99-104
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    • 2017
  • PURPOSE: Gait disturbances in patients with hemiplegic stroke involve asymmetry of stance time. Step box training is used to supplement the limitations of stair walking training and increasing the torque value of the paralyzed lower leg's strength. This study aimed to investigate whether step-up training on unstable support could change walking ability in patients with chronic stroke. METHODS: Thirty stroke patients were randomly assigned to the step-up training group (experimental group), that performed training on an unstable surface, and the control group, that performed training on a stable surface. Walking speed, step length, and cadence were measured before and after training. Paired t-tests were used to compare pre- and post-intervention data, while the independent samples t-test was used to determine intergroup differences. Values of p < .05 were considered statistically significant. RESULTS: There was a significant difference in walking ability before versus after the intervention in both groups, although the experimental group showed greater differences than the control group (walking velocity by 8.1%; step length of the non-paralyzed side by 6.9%, respectively; p<.05). CONCLUSION: Step-up training might be more effective on an unstable surface than on a stable surface for increasing walking speed and step length of the non-paralyzed side.

The Effects of Obstacle Walking training on Gait and Balance of Stroke Patients (장애물보행훈련이 뇌졸중 환자의 보행 및 균형에 미치는 효과)

  • Lee, Hyo-Jeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.119-129
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    • 2022
  • Purpose : The purpose of the study was to find out the effects of obstacle walking training according on gait and balance in stroke patients. Methods : Twenty-four stroke patients are randomly assigned to experimental group 1 (n=8), experimental group 2 (n=8) and control group (n=8). Experimental group 1 performed unexpected obstacle walking training, experimental group 2 performed fixed obstacle walking training and control group performed non obstacle walking training for 12 minutes per session, 5 times a week for 4 weeks. The gait analyzer G-walk were evaluated using gait cadence, gait velocity, and stride length, balance was evaluated using FES-K and BBS. Results : In within-group comparison of gait cadence, gait velocity and stride length of change, the experimental 1,2 groups showed significant improvements post intervention (p<.05) but control group showed no significant improvement. In between-groups comparison there was significant difference in the change of gait cadence, gait velocity and stride length pre and post intervention. In within-group comparison of FES-K and BBS scores, the experimental 1,2 groups showed significant improvements post intervention (p<.05) but control group showed no significant improvement. In between-groups comparison there was significant difference in the change of FES-K and BBS scores pre and post intervention (p<.05). Conclusion : Obstacle walking training can improve the gait, function and balance of stroke patients and obstacle walking training is effective for improving gait and balance compared to non-obstacle walking training.

Effects of Knowledge of Result Versus Knowledge of Performance on Treadmill Training on gait ability in Stroke Patients: A Randomized Clinical Trial

  • Park, Jin
    • The Journal of Korean Physical Therapy
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    • v.32 no.2
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    • pp.107-113
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    • 2020
  • Purpose: This study compared the walking ability of chronic stroke patients following either treadmill training with knowledge of the result (KR group) or treadmill training with knowledge of the performance (KP group). Methods: Nineteen patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a KR group (10 patients) and a KP group (9 patients). They received 30 minutes of neuro-developmental therapy and treadmill training 30 minutes, five times a week for three weeks. The gait parameters were measured before and after training using the Optogait system. Results: After the training periods, the KR group showed significant improvement in gait speed, cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait assessment compared to the KP group (p<0.05). Conclusion: The results showed that treadmill training with KR was more effective in improving the gait speed and cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait ability than the treadmill training with KP. Therefore, to improve the walking ability of stroke patients, it is necessary to consider treadmill training with KR. If it can be combined with conventional neurological physiotherapy, it would be an effective rehabilitation for stroke patients.

A Study on the Prediction of Mass and Length of Injection-molded Product Using Artificial Neural Network (인공신경망을 활용한 사출성형품의 질량과 치수 예측에 관한 연구)

  • Yang, Dong-Cheol;Lee, Jun-Han;Kim, Jong-Sun
    • Design & Manufacturing
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    • v.14 no.3
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    • pp.1-7
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    • 2020
  • This paper predicts the mass and the length of injection-molded products through the Artificial Neural Network (ANN) method. The ANN was implemented with 5 input parameters and 2 output parameters(mass, length). The input parameters, such as injection time, melt temperature, mold temperature, packing pressure and packing time were selected. 44 experiments that are based on the mixed sampling method were performed to generate training data for the ANN model. The generated training data were normalized to eliminate scale differences between factors to improve the prediction performance of the ANN model. A random search method was used to find the optimized hyper-parameter of the ANN model. After the ANN completed the training, the ANN model predicted the mass and the length of the injection-molded product. According to the result, average error of the ANN for mass was 0.3 %. In the case of length, the average deviation of ANN was 0.043 mm.

Design of an Area-Efficient Architecture for Block-wise MAP Turbo Decoder (면적 효율적인 구조의 블록 MAP 터보 복호기 설계)

  • Kang, Moon-Jun;Kim, Sik;Hwang, Sun-Young
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.27 no.8A
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    • pp.725-732
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    • 2002
  • Block-wise MAP (Maximum A posteriori) decoding algorithm for turbo-codes requires less memory than Log-MAP decoding algorithm. The ER (Bit Error Rate) performance of previous block-wise MAP decoding algorithm depend on the block length and training length. To maximize hardware utilization and perform successive decoding, the block length is set to be equal to the training length in previous MAP decoding algorithms. Simulation result on the BER performance shows that the EBR performance can be maintained with shorter blocks when training length is sufficient. This paper proposes an architecture for area efficient block-wise MAP decoder. The proposed architecture employs the decoding schema for reducing memory by using the training length, which in N times larger than block length. To efficiently handle the proposed schema, a pipelined architecture is proposed. Simulation results show that memory usage can be reduced by 30%~45% in the proposed architecture without degrading the BER performance.

Effects of forward & backward walking training with progressive body weight supported on stroke patients' ambulatory ability

  • Kim, Kyung-Hoon;Lee, Suk-Min
    • Physical Therapy Rehabilitation Science
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    • v.3 no.2
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    • pp.77-85
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    • 2014
  • Objective: In the present study, the effects of progressive body weight support treadmill forward & backward walking training (FBWT), progressive body weight support treadmill forward walking training (FWT), and progressive body weight support treadmill backward walking training (BWT), and on stroke patients' ambulatory abilities were examined. Design: Randomized controlled trial. Methods: A total of 36 chronic stroke patients were divided into three groups with 12 subjects in each group. Each of the groups performed one of the progressive body weight supported treadmill training methods for 30 minute, six times per week for three weeks, and then received general physical therapy without any other intervention until the follow-up tests. For the assessment of the step length, total double support, cadence, gait were measured using optogait and the 10-m walk test (10MWT), 6 minutes walk test (6MWT). Results: In the within group comparisons, all the three groups showed significant differences between before and after the intervention (p<0.05). In the comparison of the three groups, there were significant differences among the three groups in stride length, double limb support stance, cadence, 10MWT, and 6MWT in the third week, and only in stride length, 10MWT, and 6MWT test in the sixth week (p<0.05). Conclusions: This study verified that progressive body weight-supported treadmill gait training positively affected the gait ability of stroke patients in an actual gait environment. It also showed that FBWT group was more effective than FWT group and BWT group training.