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Electronic Pen-based Unilateral Visual Neglect Assessment and Rehabilitation System (전자펜 기반 편측시각무시(UVN) 환자 검사 및 재활치료 시스템)

  • Kim, Joonkyo;Jee, Haemi;Park, Jaehyun
    • Journal of Institute of Control, Robotics and Systems
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    • v.20 no.6
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    • pp.647-650
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    • 2014
  • Assessment and rehabilitation of patients with unilateral visual neglect has been one of the fields that require assistive technology. Paper-and-pencil tests, including the LBT (Line Bisection Test), have been one of the most commonly used visual neglect assessment methods used in a clinical setting. The key motivation of this study was to establish a computer-based real-time assessment system for the hemi-neglect patients without altering the conventional paper-and-pencil based user tools. A digital penbased assessment and rehabilitation system, the ePen System, could eliminate the manual assessment time while maintaining measurement accuracy. As a result, the proposed system may assist rehabilitation specialists to assess and diagnose patients with unilateral visual neglect. This system can be applied to a range assessment and rehabilitation modalities based on a pen and paper. It can also be applied to various patients such as those with Parkinson's disease, stroke sufferers, or those who have experienced different forms of brain lesions.

Ipsilesional Movement Deficit of Proximal & Distal Upper Extremity in Patients With Unilateral Brain Damage (편측 뇌손상 환자에서 동측 상지의 근위부 및 원위부의 운동 결함에 관한 분석)

  • Kwon, Yong-Hyun;Choi, Jin-Ho;Shin, Hwa-Kyung;Bai, Dai-Seg
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.71-79
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    • 2005
  • The purpose of this study was to analyze the presence of ipsilesional movement deficit, with segmental performance in each proximal or distal upper extremity. The visuoperceptual complex task of the ipsilesional upper extremity was investigated in patients with unilateral brain damage and a control group of healthy sex-age-matched controls. Tracking movements were tested in the proximal and distal upper extremities. Movements were measured by the accuracy index, which was normalized to each subject's own range of motion and took into account any differences between subjects in the excursion of the tracking target. The findings revealed that stroke patients experienced difficulties with tracking movement of both proximal and distal segments in the upper extremities on the so-called "non-affected side", irrespectively of the extent of patient's age, time since onset, or severity of contralateral upper extremity. Therefore, the unilateral brain damage affected ipsilateral motor function of the proximal and distal upper limbs in the performance of complex motor tasks, requiring central processing and the higher order cognitive function in the integrity of both hemispheres.

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Status of Occupational Therapists on Unilateral Neglect Test Tools Usage and Symptom Classification

  • Jang, Woo-Hyuk
    • The Journal of Korean Physical Therapy
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    • v.29 no.5
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    • pp.271-275
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    • 2017
  • Purpose: The aim of this study was to investigate the current status of the use of neglect test tools and the awareness for egocentric neglect (EN) and allocentric neglect (AN). Methods: A survey questionnaire was distributed to occupational therapists attending continuing education at the Daegu-Gyeongbuk branch on April 16. A total 143 responses were collected, and with the exception of 5 incomplete responses, 138 of them were analyzed. Results: The most commonly used unilateral neglect test tools were the line bisection test (86 responses, 62.3%), cancellation test (35 responses, 25.4%), copy and drawing test (7 responses, 5.1%). In a follow-up survey of 86 respondents who used line bisection tests as the most commonly used test, the majority (82 responses, 95.3%2) were found to use the 20-line test paper. In question about the familiarity and education experience for test manual, only 20 responses (23.2%) and 3 responses (3.5%) answered 'Yes'. In a question about the experience of a manual and the article for the manual, 25 responses (29.1%) answered 'Yes'. In the question regarding the separation of EN and AN on the unilateral neglect test, 44 responses (31.9%) were 'distinction' and 94 responses (68.1%) were 'no distinction'. Conclusion: Information on the guidance and interpretation of the line bisection test is lacking and the concept of EN and AN was insufficient.

Unilateral Hydrocephalus in Congenital Atresia of the Foramen of Monro (선천성 몬로공 폐쇄증에 의한 일측성 수두증)

  • Kim, Jong Hyun;Chung, Yong Gu;Lee, Nam Joon;Kim, Se Hoon;Lee, Hoon Kap;Lee, Ki Chan;Suh, Jung Keun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.434-437
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    • 2000
  • Unilateral hydrocephalus is an uncommon disease which may result from obstruction of the foramen of Monro. Congenital or acquired lesions obstructing this foramen have been reported. We present a case of prenatally diagnosed fetal unilateral hydrocephalus. Ventriculoperitoneal shunt operation was performed and following the procedure, ventricular size was decreased and patients neurological status was improved.

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Effect of Dynamic Balance Exercise in Elderly Patients with Unilateral Knee Osteoarthritis (편측성 슬관절 골관절염이 있는 노인환자에서 동적균형운동의 효과)

  • Lee, Bong-Yeon;Shin, Woo-Yong;An, Min-Ji;Yoon, Seo-Ra;Choe, Yuri
    • Clinical Pain
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    • v.18 no.1
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    • pp.16-23
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    • 2019
  • Objective: To evaluate the effectiveness of dynamic balance exercise after intra-articular injection of hyaluronic acid (HA) therapy in elderly patients with unilateral knee osteoarthritis. Method: 30 patients with unilateral knee osteoarthritis were enrolled in this study. The patients were randomly divided into two groups: dynamic balance exercise after HA injection group (group A) and only HA injection group (group B). Both groups administered intra-articular HA injection and group A patients continued 20-session exercises for 4 weeks. The assessments were measured before injection and 4 weeks after treatment using the visual analog scale (VAS) for pain, the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for physical function, Berg balance scale (BBS), and computerized dynamic posturography using SMART Balance Master system for balance function. Results: In both groups, significant improvements in VAS, WOMAC and balance function were observed. Compared between groups, group A showed significant improvements compared to group B in WOMAC and balance function. Conclusion: It is suggested that dynamic balance exercise may result in improved balance function and physical function in elderly patients with unilateral knee osteoarthritis.

Evaluation of unilateral buckling of steel plates in composite concrete-steel shear walls

  • Shamsedin Hashemi;Samaneh Ramezani
    • Structural Engineering and Mechanics
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    • v.88 no.2
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    • pp.129-140
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    • 2023
  • To increase the stiffness and strength of a reinforced concrete shear wall, steel plates are bolted to the sides of the wall. The general behavior of a composite concrete-steel shear wall is dependent on the buckling of the steel plates that should be prevented. In this paper, the unilateral buckling of steel plates of a composite shear wall is studied using the Rayleigh-Ritz method. To model the unilateral buckling of steel plate, the restraining concrete wall is described as an elastic foundation with high stiffness in compression and zero stiffness in tension. To consider the effect of bolt connections on the plate's buckling, a constrained optimization problem is solved by using Lagrange multipliers method. This process is used to obtain the critical elastic local buckling coefficients of unilaterally-restrained steel plates with various numbers of bolts, subjected to pure compression, bending and shear loading, and the interaction between them. Using these results, the spacing between shear bolts in composite steel plate shear walls is estimated and compared with the results of the AISC seismic provisions (2016). The results show that the AISC seismic provisions(2016) are overly conservative in obtaining the spacing between shear bolts.

Immediate Effects of Asymmetric Chewing on Temporomandibular Joint Kinematics

  • Tae-Joon Um;Han-Seung Choi;Dong Yeop Lee;Jae Ho Yu;Jin Seop Kim;Seung Gil Kim;Jiheon Hong
    • The Journal of Korean Physical Therapy
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    • v.35 no.6
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    • pp.185-189
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    • 2023
  • Purpose: This study investigated the immediate biomechanical effects of unilateral mastication for 10 minutes on the temporomandibular joint (TMJ) with 21 healthy adult participants. Methods: The gum group chewed gum on the right side for 10 minutes, and the control group rested for 10 minutes. Biomechanical data were obtained using a three-dimensional infrared camera before and after intervention. An independent t-test assessed the variation of kinematic data to identify differences between before and after intervention. Results: Among biomechanical variables, the gum group's length of the left forehead middle region and the temporomandibular joint angle decreased compared to the control group (p<0.05). Conclusion: Caution with unilateral masticatory activity is recommended, as unilateral mastication causes biomechanical changes due to excessive load on the soft tissues of the contralateral TMJ.

Effects of immediate unilateral whole body vibration on muscle performance and balance in young adults

  • Park, Junhyuck;Choi, Wonjae;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.2 no.2
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    • pp.115-118
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    • 2013
  • Objective: Whole body vibration training is a relatively new approach for enhancement of muscle strength, physical performance, and balance. The aim of this study was to assess the effect of unilateral whole body vibration training. Design: One group pretest-posttest design. Methods: Sixteen healthy, physically active volunteers participated in this study. Whole body vibration was applied with a frequency of 20 Hz and an amplitude of 3 mm for 3 minutes. Muscle performance and static balance were assessed before and after unilateral whole body vibration training. One leg standing broad jump test was measured to determine muscle performance which is closely linked to lower extremity muscle function. The good balance system was used in evaluation static balance. All test were measured 3 times and the average value was analyzed. Results: Jumping length was significantly improved by 0.11m in all participants after intervention (p<0.05). Among static parameters, significant results were observed where in the eyes opened condition, X-speed (medial-lateral sway) changed from 4.20 mm/s to 4.95 mm/s, Y-speed (anterior-posterior sway) changed from 5.77 mm/s to 6.54 mm/s and velocity moment changed from $12.77mm^2/s$ to $13.57mm^2/s$ (p<0.05). In the eyes closed condition, X-speed changed from 4.34 mm/s to 4.85 mm/s, Y-speed changed from 7.84 mm/s to 8.16 mm/s and velocity moment changed from $16.03mm^2/s$ to $16.11mm^2/s$ (p<0.05). Conclusions: Immediate unilateral whole body vibration improved muscle performance but impaired static balance in young adults.

The Effect of Voice Therapy in Unilateral Vocal Fold Paralysis (일측성 성대마비 환자의 음성치료 효과)

  • Lee, Chang-Yoon;An, Soo-Youn;Chang, Hyun;Son, Hee Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.27 no.1
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    • pp.45-50
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    • 2016
  • Background and Objectives : This study aims to conduct post-voice therapy to patients with unilateral vocal fold paralysis for vocal improvement, motility recovery and analyze the results. Materials and Methods : Voice therapy was conducted to 13 patients who had shown response to voice therapy amongst 98 patients diagnosed with unilateral vocal fold paralysis. In order to be able compare before and after perceptual, acoustic and aerodynamic evaluations were conducted after voice therapy. Also, by using dysphagia checklist, we have verified whether if the patient had dysphagia prior to voice therapy. The therapy was conducted by improving the larynx movement and glottal contact, whilst removing hypertension of the supraglottic. Results : All 13 patients who underwent voice therapy had shown improvements that are statistically significant from 4 scales excluding the S scale from auditory perception evaluation (p<0.05), with enhanced glottal contact. In acoustic evaluation, Jitter, Shimmer and NHR had shown significant improvement after voice therapy. MPT was also notably improved among aerodynamical evaluation (p<0.001). All 11 patients had with dysphagia prior to voice therapy reported to have improved swallowing functions. Conclusion : Application of adequate voice therapy to patients with unilateral vocal fold paralysis, is an effective method that might be employed in the initial phase. Especially, the voice therapy proposed in this study is expected to be useful for patients in hypertension status due to secondary compensation after initial paralysis, since it focuses on improving vocal symptoms in a calm state with the supraglottis sufficiently relaxed. Also, the therapy is expected to be effective for improving swallowing functions.

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The Effects of half-eyes patching on Hemispatial in Patients With Stroke (좌측편측무시 환자에게 양쪽 눈을 반쪽씩 가린 안경착용 중재 시 효과 - 단일사례연구)

  • Yoo, Jae-yeon
    • Therapeutic Science for Rehabilitation
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    • v.3 no.2
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    • pp.83-89
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    • 2014
  • Objective : This study aims to investigate the effect of half- eyes patching for the reduction of unilateral neglect of left-side hemiplegia. Methods : This study used the ABA design. He was required to wear the half- eyes patching during all the period of ADL because unilateral neglect causes many problems in the majority of ADL. The assessments for the unilateral neglect had been performed by the Line bisection and the Albert test once a session (day). Results : Regarding the Means of the errors to the Line bisection and the Albert test, the Means of the errors was not decreased during the period of the intervention (B) and was not decreased after the withdrawal (A'). Conclusions : Half-eyes patching was non-effective to r e lease the unilateral neglect. Further study is necessary to increase the sample size and the duration of experiments.