• Title/Summary/Keyword: Imbalance of Motor

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Effectiveness of home-based therapy on gross motor function in children with cerebral palsy: A systematic review (뇌성마비 아동의 대동작 기능에 대한 가정중심치료 효과 : 체계적 고찰)

  • Jung-Hyun, Kim
    • Journal of Korean Physical Therapy Science
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    • v.29 no.4
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    • pp.27-42
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    • 2022
  • Background: Although children with cerebral palsy (CP) are able to walk independently, gait imbalance occurs due to abnormal muscle tone, musculoskeletal deformity, loss of balance, and selective motor control impairment. Gait restriction in the community and school is a major problem of rehabilitation in CP. Home-based therapy (HBT) provides a variety of interventions in which the therapist and the parent work together to resolve the activities and problems caused by the child's body structure. Therefore, we investigate the effectiveness of home-centered therapy on gross motor function in CP and try to present the possibility of clinical application. Design: A Systematic Review Methods: Research papers were published from Jan, 2012 to Jan, 2022 and were searched using Medline and PubMed. The search terms are 'family-centered' OR 'home-based' AND 'cerebral palsy'. A total of nine papers were analyzed in this study. The paper presented the quality level based on Physiotherapy Evidence Database (PEDro) scores to assess the quality of randomized clinical trials studies. Results: The results showed that HBT for strengthening exercise in lower extremity has a positive effect on the isokinetic torque and gross motor function. home-based treadmill therapy in CP is effective to perform at least 12 sessions of treadmill HBP in which the therapist determines the treadmill speed every week and the child's own gait pattern is modified. Conclusion: These results suggest that it will be important data for founding evidence on the effectiveness of home-centered therapy on gross motor function in children with cerebral palsy to advance clinical protocols.

Clinical presentation and specific stabilizing exercise management in Lumbar segmental instability (요추분절의 불안정성에 대한 임상적 소개와 안정성 운동관리)

  • Jung Yeon-Woo;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.1
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    • pp.155-170
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    • 2003
  • Lumbar segmental instability is considered to represent a significant sub-group within the chronic low back pain population. This condition has a unique clinical presentation that displays its symptoms and movement dysfunction within the neutral zone of the motion segment. The loosening of the motion segment secondary to injury and associated dysfunction of the local muscle system renders it biomechanically vulnerable in the neutral zone. There in evidence of muscle dysfunction related to the control of the movement system. There is a clear link between reduced proprioceptive input, altered slow motor unit recruitment and the development of chronic pain states. Dysfunction in the global and local muscle systems in presented to support the development of a system of classification of muscle function and development of dysfunction related to musculoskeletal pain. The global muscles control range of movement and alignment, and evidence of dysfunction is presented in terms of imbalance in recruitment and length between the global stability muscles and the global mobility muscles. The local stability muscles demonstrate evidence of failure of aeequate segmental control in terms of allowing excessive uncontrolled translation or specific loss of cross-sectional area at the site of pathology Motor recruitment deficits present as altered timing and patterns of recruitment. The evidence of local and global dysfunction allows the development of an integrated model of movement dysfunction. The clinical diagnosis of this chronic low back pain condition is based on the report of pain and the observation of movement dysfunction within the neutral zone and the associated finding of excessive intervertebral motion at the symptomatic level. Four different clinical patterns are described based on the directional nature of the injury and the manifestation of the patient's symptoms and motor dysfunction. A specific stabilizing exercise intervention based on a motor learning model in proposed and evidence for the efficacy of the approach provided.

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Failure prediction of a motor-driven gearbox in a pulverizer under external noise and disturbance

  • Park, Jungho;Jeon, Byungjoo;Park, Jongmin;Cui, Jinshi;Kim, Myungyon;Youn, Byeng D.
    • Smart Structures and Systems
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    • v.22 no.2
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    • pp.185-192
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    • 2018
  • Participants in the Asia Pacific Conference of the Prognostics and Health Management Society 2017 (PHMAP 2017) Data Challenge were given measured vibration signals from motor-driven gearboxes used in pulverizers. Using this information, participants were requested to predict failure dates and the faulty components. The measured signals were affected by significant noise and disturbance, as the pulverizers in the provided data worked under actual operating conditions. This paper thus presents a fault prediction method for a motor-driven gearbox in a pulverizer system that can perform under external noise and disturbance conditions. First, two fault features, an RMS value in the higher frequency zones (HRMS) and an amplitude of a period for high-speed shaft in the quefrency domain ($QA_{HSS}$), were extracted based on frequency analysis using the higher and lower sampling rate data. The two features were then applied to each pulverizer based on results of frequency responses to impact loadings. Then, a regression analysis was used to predict the failure date using the two extracted features. A weighted regression analysis was used to compensate for the imbalance of the features in the given period. In addition, the faulty components in the motor-driven gearboxes were predicted based on the modulated frequency components. The score predicted by the proposed approach was ranked first in the PHMAP 2017 Data Challenge.

Characteristics of Functional Recovery in Hemiplegia with and without Pusher Syndrome (편마비 환자의 밀기증후군 유무에 따른 기능 회복의 특성)

  • Kim Seung-Won;Chang Woo-Nam;Hwang Byong-Yong
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.34-45
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    • 2003
  • A 'pusher syndrome' encompassing postural imbalance and hemi-neglect is believed to aggravate the prognosis of stroke patients. The patients with pusher syndrome show a particular posture that pushing away from the unaffected side of the body. The objective of this study was to investigate associated proprioception, associated neuro-psychological symptoms and characteristics of functional outcome with and without pusher syndrome. The subjects of this study were 58 acute stroke patients who been rehabilitated at two university hospitals in Seoul and Buchun. Data were collected using proprioception test and line bisection test. The ability of ADL was assessed by the Modified Barthel Index, transfer by the Functional Independence Measure, and balance by the Modified Motor Assessment Scale. The results were that significant difference was found in the presence of proprioception, in the incidence of hemineglect and anosognosia, and in the score of ADL, transfer and balance between patients with and without pusher syndrome. Patients without pusher syndrome gained more motor score than patients with pusher syndrome. From improvement of view, patients with pusher syndrome gained the lowest score in ability of transfer. The finding suggest that the patients with pusher syndrome is a poorer functional outcome, be related to proprioception, hemineglect and anosognosia.

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A study on the computer simulation model of the closed moving system using the nutation force (폐쇄된 계의 장동 힘에 의한 이동장치의 컴퓨터 씨뮬레이션 모델에 관한 연구)

  • Chung, Byung-Tae
    • Journal of the Korea Computer Industry Society
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    • v.6 no.2
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    • pp.331-336
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    • 2005
  • The closed movement produced vertically on the position of a motor is a notation movement produced by a notation force , while the horizontal movement can be shown by the coriolis force and the transverse force of realizing that the closed movement of the closed system is to be rotation motion. The notation movement is a vertical closed movement and by searching the equation which becomes an equation model, after comparing the simulation data from the equation model with data of a real device to use it into the computer simulation model, the additional variable elements were decided. As the result, the energy imbalance element is added as a variable about load which is relevant to friction coefficient and pole of a motor in the gravitational field. The simulation can be applied as a real physical law of the graphic game and haptic program.

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A Study on the Flexural and Torsional Vibration of Two Stage Gear System (2단 치차장치의 굽힘과 비틀림 진동에 관한 연구)

  • 정태형;최정락;이정상
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 1999.05a
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    • pp.99-104
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    • 1999
  • In this paper, dynamic behavior of a two stage gear train system is analyzed. This system consists of three shafts supported by ball bearing at the ends of them and two pairs of spur gear sets. For exact analysis, the meshing tooth pair of gears is modeled as spring having time-dependent meshing stiffness and damping. The result of this analysis is compared to that of analysis using other model of spring having mean mesh stiffness. The effect of the excitation force by the imbalance of a rotor of a motor on the vibration of a gear train system is also analyzed. Finally, the change of a natural frequency of the whole system due to the change of an angle between three shafts is compared in each case, and from this analysis, the avoiding angle for design is advised.

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A Study on the Sittring Posture Identification Using Pressure Sensors (압력센서를 이용한 자세 판별에 대한 연구)

  • Kim, Gyeong-Hyeon;Nam, Hyeon-Do;Kim, Kyeong-Ho
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.67 no.7
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    • pp.940-945
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    • 2018
  • In this study, we make a study on a system to determine a person's sitting posture by measuring the distribution of pressure in the floor of a chair or in a cushion using pressure sensors. If the wrong sitting posture is detected, a warning message is given through the vibration motor in real time to correct the imbalance of the wrong habits and posture, and prevent Bulging disc or Herniated disc.

The Comparison of Vibration and Power according to Operation Method of 100W IPM Type Motor

  • Lee, Gyeong-Deuk;Jo, Eul-Gyu;Kim, Gyu-Tak
    • Journal of international Conference on Electrical Machines and Systems
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    • v.3 no.4
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    • pp.383-388
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    • 2014
  • In This paper, the output characteristics and vibrations were compared and analyzed according to operation method in 100W class. The voltage source is applied only two phase in BLDC drive system therefore commutation torque ripple and imbalance of RMF occurred. Due to this efficiency was significantly degraded because mechanical loss is increased, besides the vibration and noise were greatly generated. The vibration and output characteristics were compared and analyzed according to three phase and BLDC drive system.

Dietary modulation of gut microbiota for the relief of irritable bowel syndrome

  • Kim, Mi-Young;Choi, Sang-Woon
    • Nutrition Research and Practice
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    • v.15 no.4
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    • pp.411-430
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    • 2021
  • Irritable bowel syndrome (IBS) is a frequently diagnosed gastrointestinal (GI) disorder characterized by recurrent abdominal pain, bloating, and changes in the stool form or frequency without any structural changes and overt inflammation. It is not a life-threatening condition but causes a considerable level of discomfort and distress. Among the many pathophysiologic factors, such as altered GI motility, visceral hypersensitivity, and low-grade mucosal inflammation, as well as other immunologic, psychologic, and genetic factors, gut microbiota imbalance (dysbiosis), which is frequently found in IBS, has been highlighted as an etiology of IBS. Dysbiosis may affect gut mucosal homeostasis, immune function, metabolic regulation, and even visceral motor function. As diet is shown to play a fundamental role in the gut microbiota profile, this review discusses the influence of diet on IBS occurring through the modulation of gut microbiota. Based on previous studies, it appears that dietary modulation of the gut microbiota may be effective for the alleviation of IBS symptoms and, also an effective IBS management strategy based on the underlying mechanism; especially because, IBS currently has no specific treatment owing to its uncertain etiology.

Resonance Suppression using Sensorless Control of Dual SPMSMs Fed by Single Inverter

  • Eom, Jae-Boo;Choi, Jong-Woo
    • Journal of Electrical Engineering and Technology
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    • v.13 no.6
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    • pp.2376-2384
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    • 2018
  • To reduce the size and cost of motor driving systems, several methods for driving multiple parallel-connected motors with a single inverter have been proposed. However, dual PMSMs driven by a single inverter, unlike induction motors, have a problem with instability due to system resonance caused by disturbances such as load imbalance and tolerances between two motors. To drive dual SPMSMs fed by a single inverter, this paper proposes an active damping algorithm to effectively suppress resonance by using one-sided sensorless speed control and position difference estimation. By deriving rotor position difference from d-q current differences between two motors, the proposed method is affected less by position difference estimation errors and is simpler than dual sensorless position estimation.