• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.4
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• pp.341-348
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• 2017

This study examined the effects of the location and direction of the scolioti curve on postural balance in patients with idiopathic scoliosis. Fifteen subjects were divided into three groups: right thoracic curve group, left lumbar curve group, and double curve group. The dynamic trunk motion (angle variation in the lumbar, thoracolumbar, lower thoracic and upper thoracic region) and plantar pressure distribution (maximum force and peak pressure) were assessed using an ultrasound-based motion analysis system and Emed-at platform system. From the results, it was confirmed that patients with idiopathic scoliosis showed postural imbalance with an increased angle and pressure asymmetry according to the location and direction of the scoliotic curve for dynamic trunk motion and plantar pressure distribution. In addition, there were differences in the postural balance pattern between the single curve and double curve groups. Further studies for developing a rehabilitation training device will be conducted to improve the postural control ability and trunk balance as well as treat scoliosis based on the results of this study.

• Journal of the Korean Geophysical Society
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• v.4 no.3
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• pp.175-182
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• 2001

We consider the problem of determining smoothing parameters of Gibbs priors for Bayesian methods used in the medical imaging application of emission tomographic reconstruction. We address a simple smoothing prior (membrane) whose global hyperparameter (the smoothing parameter) controls the bias/variance tradeoff of the solution. We base our maximum-likelihood (ML) estimates of hyperparameters on observed training data, and argue the motivation for this approach. Good results are obtained with a simple ML estimate of the smoothing parameter for the membrane prior.

• The Journal of Engineering Research
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• v.4 no.1
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• pp.47-54
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• 2002

We consider the problem of determining smoothing parameters of Gibbs priors for Bayesian methods used in the medical imaging application of emission tomographic reconstruction. We address a simple smoothing prior (membrane) whose global hyperparameter (the smoothing parameter) controls the bias/variance tradeoff of the solution. We base our maximum-likelihood(ML) estimates of hyperparameters on observed training data, and argue the motivation for this approach. Good results are obtained with a simple ML estimate of the smoothing parameter for the membrane prior.

• Proceedings of the Acoustical Society of Korea Conference
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• autumn
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• pp.121-124
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• 2001

음성 합성기의 합성음의 자연감을 높이기 위해 자연음에 내재하는 정확한 운율 법칙을 구하여 음성합성 시스템에서 이를 구현해 주어야 한다 무제한 어휘 음성합성 시스템의 문-음성 합성기에서 필요한 운율 법칙은 언어학적 정보를 이용해 구하거나, 자연음에서 추출하고 있다 그러나 추출한 운율 법칙이 자연음에 내재하는 모든 운율 법칙을 반영하지 못했거나, 잘못 구현되는 경우에는 합성음의 자연성이 떨어지게 된다. 이런 점을 고려하여 본 논문에서는 한국어 자연음을 분석하여 추출한 운율 정보를 인공 신경망이 학습하도록 하고 훈련을 마친 인공 신경망에 문장을 입력하고, 출력으로 나오는 운율 정보와 자연음의 운율 정보를 비교한 결과 제안한 인공 신경망이 자연음에 내재하고 있는 운율을 학습할 수 있음을 알 수 있었다. 운율의 3대 요소는 피치 , 지속시간, 크기의 변화이다. 제안한 인공 신경망이 한국어 문장의 음소 열을 입력으로 받아들이고, 각 음소의 지속시간에 따른 피치변화와 크기 변화를 출력으로 내보내면 자연음을 분석해 구한 각 음소의 운율 정보인 목표 패턴과 출력 패턴 의 오차를 최소화하도록 인공 신경망의 가중치를 조절할 수 있도록 설계하였다. 지속시간에 따른 각 음소의 피치와 크기 변화를 학습시키기 위해 피치 및 크기 인공 신경망을 구성하였다. 이들 인공 신경망을 훈련시키기 위해 먼저 음소 균형 문장 군을 구축하여야 하고, 이들 언어 자료를 특정 화자가 일정 환경에서 읽고 이를 녹음하여 , 분석하여 구한운율 정보를 운율 데이터베이스로 구축하였다. 문장 내의 각 음소에 대해 지속 시간과 피치 변화 그리고 크기 변화를 구하고, 곡선 적응 방법을 이용하여 각 변화 곡선에 대한 다항식 계수와 초기 값을 구해 운율 데이터베이스를 구축한다. 이 운율 데이터베이스의 일부는 인공 신경망을 훈련시키는데 이용하고, 나머지로 인공 신경망의 성능을 평가하여 인공 신경망이 운율 법칙을 학습할 수 있었다. 언어 자료의 문장 수를 늘리고 발음 횟수를 늘려 운율 데이터베이스를 확장하면 인공 신경망의 성능을 높일 수 있고, 문장 내의 음소의 수를 감안하여 인공 신경망의 입력 단자의 수는 계산량과 초분절 요인을 감안하여 결정해야 할 것이다

• Journal of the Korean Society of Physical Medicine
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• v.12 no.1
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• pp.35-42
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• 2017

PURPOSE: The purpose of this study was to examine the effects of treadmill gait training in an adjusted position from the functional training system on the gait and balance of chronic stroke patients. METHODS: Thirty chronic stroke patients were randomly assigned to either the experimental group, who received treadmill gait training in an adjusted position, or the control group, who received regular treadmill gait training. Both groups underwent a 30-minute comprehensive rehabilitation treatment before receiving an additional 20-minute treadmill gait training. This routine was repeated five times a week for four weeks. To measure the difference before and after training in walking and balance, patients were scored on the following: 10 m walking test (10 MWT), 6 minute walking distance (6 MWD), timed up and go test (TUG), and static standing balance test (stability index). RESULTS: While post-training scores of 10 MWT, 6 MWD, TUG, and stability index for both groups increased significantly compared with pre-training (p<.05), the experimental group showed greater improvement than the control group (p<.05). The scores of the experimental group increased significantly by 9% in the 10 MWT, 11% in 6 MWD, 13% in the TUG, 8% in the stability Index (eye opened), and 10% in the stability index (eye closed). CONCLUSION: Treadmill gait training in an adjusted position from the functional training system would be a useful gait training method to improve walking and balance of chronic stroke patients.

• The Journal of Korean Physical Therapy
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• v.24 no.5
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• pp.348-354
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• 2012

Purpose: This study examined the effects of computerized feedback postural training on the balance and electromyography activity of subjects with stroke. Methods: A total of 30 chronic stroke patients were enrolled in this study. Subjects were divided into an experimental group (n=15) and a control group (n=15). Computerized feedback postural training was used in the experimental group. Both groups received intervention for six weeks, 5 times per 30 minutes period. Data analysis was performed using analysis of covariance for determination of statistical significance. Results: Significant difference in static and dynamic balance was observed in the experimental group, compared with the control group (p=0.05), and a significant difference in muscle activity was observed in the gastrocnemius muscle, quadriceps muscle, and elector spinae muscle. However, the hamstring muscle showed no significant difference. Conclusion: Computerized feedback postural training is more effective in improving the ability of balance and muscle activity than neurological physical therapy.

• Journal of the Korean Academy of Clinical Electrophysiology
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• v.8 no.1
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• pp.43-50
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• 2010

Purpose : The objective of this study is to effect of an aquatic rotation control and obstacle avoidance when conducted underwater on hemiplegia patient's balance ability and vestibular function. Methods : Twelve hemiplegia patients participated and were randomly assigned to a control group(I) with standard physical therapy and an aquatic group(II) with an aquatic rotation control, obstacle avoidance and standard physical therapy as well. The aquatic group trained using a Halliwick rotation control and obstacle avoidance through 3 times per week over 6 weeks. For all subjects, vestibular function, their balance, the change of electrooculogram (EOG), the change of accelerometer axis and torsiometer according to visual sense, vestibular sense with galvanic vestibular stimulation (GVS) or not during leg close stance were measured. Results : The EOG in the vertical and horizontal (p<0.05) were both significantly lowered. The change was significantly lower in the trajectory range of motion of trunk and spine with torsiometer when leg close stand (p<0.01) and leg close stand with GVS (p<0.01). The centre of gravity accelerated, there were reduced significantly difference X and Y axis of accelerometer during the closing of the leg without vision (p<0.05). There were reduced significantly difference X and Z axis of accelerometer during the closing of the leg with GVS (p<0.05). There were reduced significantly difference X and Z axis of accelerometer during the closing of the leg and close eyes with GVS (p<0.05). Conclusion : The balance ability, vestibular system and postural control is improved.

• Journal of Korean Medicine Rehabilitation
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• v.19 no.3
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• pp.69-80
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• 2009

Objectives : The purpose of this study was to evaluate the effects of core stability training on postural control and balance of hemiplegia patients who are difficult to control posture due to stroke. Methods : Subjects of the study were consisted of 25 adult hemiplegia patients(experimental 12, control 13) who were receiving rehabilitation therapy in hospital. Its group had a core stability training program by a physical therapists for 40 minutes, five times a week for nine-week period. Measurements of postural assessment scale for stroke(PASS), berg balance scale(BBS) and manual function test(MFT) were evaluated at initial presentation(pretest) and after completion of the each therapy program(posttest). Independent t-test and paired t-test was utilized to detect the mean difference between the groups. Results : Firstly, the result of PASS showed that postural control was significantly increased after the completion of core stability training(p<.01). Secondly, the result of BBS showed that balance control was significantly increased after the completion of core stability training(p<.01) and general physical therapy(p<.01). Lastly, the result of MFT showed that upper extremity's motor function was significantly increased after the completion of core stability training(p<.001). Conclusions : This study showed that core stability training is an effective treatment strategy on postural control, balance and upper extremity's motor function.

• Journal of Korean Physical Therapy Science
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• v.13 no.2
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• pp.37-45
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• 2006

The purpose of this study was to determine the effect of treadmill training on gait, balance, and trunk control in a patient with hemiparesis. A female subject who had suffered a left hemiparesis 12 months previously was selected for this study. A single subject ABA design was used. Eight data-collection sessions were conducted during each of three phases (baseline-intervention-withdrawal). During baseline and withdrawal phases, the treatment based on Bobath approach was performed for the subject, and during the intervention phase, treadmill walking training was added. Assessment tools were made using the 10 m walk test, Rivermead Visual Gait Assessment(RVGA), Berg Balance Scale(BBS), and a seated Lateral Reach Test(LRT). During the intervention phase, the time measured in 10 m walk test and the scores of RVGA and BBS were significantly improved, and the number of steps in 10 m walk test and LRT showed a small improvement. During withdrawal phase, the time measured in 10 m walk test and the scores of RVGA and BBS were shown the carry-over effect. This findings indicate that treadmill training has significant effect to gait function and balance in a patient with chronic hemiparesis.

• Journal of the Korean Society of Physical Medicine
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• v.12 no.2
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• pp.59-66
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• 2017

PURPOSE: The purpose of this study was to determine the effects of postural control training on balance and walking ability in chronic stroke patients. METHODS: Eighteen chronic stroke patients were allocated equally and randomly to an experimental group (n=9) or a control group (n=9). All participants received 60 minutes of comprehensive rehabilitation treatment, the experimental group additionally received a postural control training for 30 minutes, while the control group additionally performed a treadmill training for 30 minutes. These 30-minute training sessions were held five times per week for three weeks. Balance was assessed using Berg balance scale (BBS) and walking ability (gait speed, cadence, step length, and double limb support) was assessed using the GAITRite system. RESULTS: Improvement on all outcome measures was identified from pre-to-post intervention for both groups (p<.05). Post-intervention, there was a significant between-group difference on measured outcomes (p<.05). The experimental group exhibited greater improvement in the gait speed (p=.01; 95% CI .08-.16), cadence (p=.04; 95% CI .34-4.79), step length (p=.02; 95% CI 1.50-5.17), double limb support period (p=.04; 95% CI -2.18 to -.14), and BBS (p=.01; 95% CI 1.04-6.74) compared to the control group. CONCLUSION: The findings of this study suggest that postural control training may be beneficial for improving balance and walking ability of patients with chronic stroke.