• Title/Summary/Keyword: Movement Control Test

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Effects of a Bilateral upper Limb Training Program Using a Visual Feedback Method on Individuals with Chronic Stroke: A Pilot Clinical Trial

  • Kang, Dongheon;Park, Jiyoung;Choi, Chisun;Eun, Seon-Deok
    • International Journal of Contents
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    • v.17 no.2
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    • pp.20-31
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    • 2021
  • This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the FuglMeyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

Influence of Talocrural Joint Mobilization on Balance and Proprioception of Adults with Limited Ankle Joint Dorsiflexion

  • An, Ho Jung;Kim, Ji Sung;Choi, Jung Hyun
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.4
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    • pp.1651-1656
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    • 2018
  • The purpose of this study was to assess the changes in balance and proprioception of adults with limited ankle joint dorsiflexion, after the application of talocrural joint mobilization. The subjects of this study included 23 college students in their twenties with limited ankle joint dorsiflexion. The students were randomly assigned to the ankle joint mobilization group (AJMG, n=12) and the control group (CG, n=11). After 2 weeks of intervention using grade III talocrural joint mobilization in the anterior-posterior movement, the balance and proprioception of the subjects were assessed. Static/dynamic balance capabilities and ankle proprioception were analyzed using paired t-test and independent t-test. The dynamic balance and proprioception of AJMG were significantly improved after intervention (p<.05), In the comparison between the groups after the intervention, the dynamic balance and proprioceptive sense of AJMG were significantly improved compared to the control group (p<.05). This study suggests that AJMG can help improve the dynamic balance and proprioception.

Effects of Aquatic Exercise on Upper Extremity Function and Postural Control During Reaching in Children With Cerebral Palsy

  • Yongjin Jeon;Hye-Seon Jeon;Chunghwi Yi;Ohyun Kwon;Heonseock Cynn;Duckwon Oh
    • Physical Therapy Korea
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    • v.30 no.2
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    • pp.128-135
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    • 2023
  • Background: Despite the fact that aquatic exercise is one of the most popular alternative treatment methods for children with cerebral palsy (CP), there are few research regarding its effectiveness. Objects: The purpose of this study was to examine the effects of aquatic exercise on upper extremity function and postural control during reaching in children with CP. Methods: Ten participants (eight males and two females; 4-10 years; Gross Motor Function Classification System levels II-IV) with spastic diplegia were recruited to this study. The aquatic exercise program consisted of four modified movements that were selected from the Halliwick 10-point program to enhance upper extremity and trunk movements. The participants attended treatment two times a week for 6 weeks, averaging 35 minutes each session. The Box and Block Test (BBT), transferring pennies in the Bruininks-Oseretsky Test (BOT), and pediatric reaching test (PRT) scores were used as clinical measures. Three-dimensional motion analysis system was used to collect and analyze kinematic data. Differences in BBT and BOT values among pre-treatment, post-treatment, and retention (after 3 weeks) were analyzed using a Friedman test. In addition, the PRT scores and variables (movement time, hand velocity, straightness ratio, and number of movement units) from the three-dimensional motion analysis were tested using a Wilcoxon signed-rank test. The significance level was established at p < 0.05. When the results appeared to be statistically significant, a post-hoc test for multiple comparisons was performed with the Wilcoxon signed-rank test. Results: All clinical measures, which included BBT, transferring pennies of BOT, and PRT, were significantly increased between pre-intervention and post-intervention scores and between pre-intervention and retention scores after treatment (p = 0.001). Three-dimensional motion analysis mostly were significantly improved after treatment (p = 0.001). Conclusion: Aquatic exercise may help to improve body function, activity, and participation in children with varying types of physical disabilities.

The effect of a balance on deep abdominal muscles in an acute hemiplegic patient through stabilizing reversal, chopping and lifting (안정적 반전, 내려치기 그리고 들어올리기를 통한 하부체간 심층근육 강화운동이 초기 편마비 환자의 균형에 미치는 영향 - 증례 보고 -)

  • Jeon, Yoon-Seon;Lee, seung-hoon;Goo, Bong-Oh
    • PNF and Movement
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    • v.7 no.4
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    • pp.37-43
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    • 2009
  • Purpose : The purpose of this study was to evaluate the effect of core stability training at deep abdominal muscle for balance control of hemiplegic patient. Method : The subject of this study was a 47-year-old man with right hemiplegia. He was treated five times a week for three weeks with core stability training at deep abdominal muscles. Evaluation tool was used Functional reach test(FRT), timed up and go test(TUG) and one leg standing for stroke patients. Result : The FRT distance increase, TUG time decrease, one leg standing time increase core stability training at deep abdominal muscles for right hemiplegia improved was the ability for maintain balance. Posture and control of trunk stability are changing posture, and so which showed significant improve of total balance control. Conclusion : The result of this study showed that core stability training at deep abdominal muscles is an effective treatment for balance control. Therefore, it could be considered as a treatment method in the rehabilitation of stroke patient with poor postural control and imbalance, although further studies are needed.

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The Effect of Multisensory Exercise on Foot Pressure Sensitivity, Balance for the Elderly (다감각 운동이 여성노인의 발 바닥 압력감각, 균형에 미치는 영향)

  • Kang, Ji-Eun;Yi, Kyung-Ock;Lee, Tae-Yong
    • Korean Journal of Applied Biomechanics
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    • v.25 no.1
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    • pp.95-101
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    • 2015
  • Objective : The purpose of this study was to analyze the effects of multisensory exercise on foot pressure sensitivity and balance for the elderly. Method : The subjects were 17 elderly women (11 for the experimental group and 6 for the control group) with a mean age of 83. The subjects all lived in senior residence centers in Seoul. Multisensory exercise was done twice a week for 40 minutes during a 12 week period. Exercise programs were changed every 3 weeks according to the principal of gradual progress of the exercise. In order to train the vision system subjects were asked to open and close their eyes during exercise. When it came to training the vestibular system, subjects stood and walked on high elastic mats with their bare feet. For the somatasensory system subjects always stood and walked with their bare feet. The sub-Metatarsal Pad Elasticity Acquisition Instrument (MPEAI) was used to measure foot pressure sensitivity. MFT Balance test (V1.7) was used to measure anterior / posterior and medial / lateral directional balance. For the statistical analysis the IBM SPSS 21.0 was used to perform Repeatde measured ANOVA and Wilcoxon ranked test. Results : For the multisensory exercise group Hallux (after 6 weeks, 12 weeks), heel (after 6 weeks) and 2nd Metartarsal $40^{\circ}$ (after 6 weeks) pressure sensitivity increased statistically, but the control group didn't change. Also, balance didn't change for the experimental and control group statistically. Conclusion : Exercise with bare feet on a high elastic mat had a partially positive effect on foot sensitivity.

Effects of Spinal Mobilization with Leg Movement and Neural Mobilization on Pain, Mobility, and Psychosocial Functioning of Patients with Lumbar Disc Herniation: A Randomized Controlled Study

  • Seung Jin Kim;Ho Young Jang;Suk-Min Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.92-104
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    • 2023
  • Objective: The purpose of this study was to investigate the effect of spinal mobilization with leg movement (SMWLM) and neural mobilization (NM) in patients with lumbar disc herniation (LDH) accompanied by radiating pain. Design: Three-group pre-test-post-test control group design. Methods: We enrolled 48 participants, whom we randomly assigned to three groups. The SMWLM group (n=16) underwent 20 min of conventional physical therapy (CT) and 20 min of SMWLM. The NM group (n=16) underwent 20 min of CT and 20 min of NM. The control group (n=16) underwent 20 min of CT. These interventions in all the groups were performed three times a week for 4 weeks. Numeric pain rating score (NPRS), body grid chart score (BGCS), passive straight leg raise (PSLR), active lumbar flexion range of motion (ALFROM), korean version oswestry disability index (KODI), and korean version fear avoidance beliefs questionnaire (KFABQ) were measured pre- and post-intervention. Results: In all three groups, the NPRS, PSLR, KODI, and KFABQ scores were significantly different pre- and post-intervention (p<0.05). Significant differences were observed in BGCS and ALFROM in the SMWLM and NM groups pre- and post-intervention (p<0.05). The SMWLM group showed more improvement in the NPRS of leg pain, ALFROM, and KFABQ score than that exhibited by the NM and control groups (p<0.05). Conclusions: Both SMWLM and NM were effective for improving back and leg pain, centralization of symptoms, mechanical sensitivity, lumbar mobility, lumbar functional disability, and psychosocial functioning in patients with LDH with radiating pain.

Precision Control X-Y Table Using Dual Modulus Technique

  • Choi, Gi-Sang;Unhavanich, SumaLee
    • 제어로봇시스템학회:학술대회논문집
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    • 2001.10a
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    • pp.82.6-82
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    • 2001
  • This paper presents the control X-Y table being the precise movement by point-to-point in the x-y plane. The dual modulus technique is used for our system to control the frequency of pulse supplied to the motors. Such technique is used to stop motor of both axes accurately as the desired target point in the same period. Both motors are stepping motor. To Improve steps per revolution, we employ ministep form to drive motors. In system, personal computer, using parallel port, is used for computing algorithm in open-loop form to control motors. In experiment, our system applies on the X-Y table for drawing to test system performance.

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The effects of a task-oriented circuit training program of lower limb on walking ability after stroke (순환식 하지 훈련이 뇌졸중 환자의 보행능력에 미치는 영향)

  • Kong, Sun-Woong;Kim, Ji-Sun;Moon, Seong-Jang;Jin, Won-Hwa;Yun, Tae-Won;Han, Mi-Ran;Cho, Young-Hwan
    • PNF and Movement
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    • v.8 no.2
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    • pp.47-55
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    • 2010
  • Purpose : The purpose of present study was to determine effects of a task-oriented circuit training(TOCT) for lower limb on walking ability after stroke. Methods : Twenty one chronic stroke patients participated. Participants were randomly divided into either TOCT group or control group(11 experimental, 10 control). All of participants were in-patients at local rehabilitation centre and had been receiving a traditional rehabilitation program, five days a week. TOCT group have additionally undergone for four weeks, three days a week, the TOCT program but control group was not received any additional program except the traditional rehabilitation program. The 10 m walking test (10MWT), the 2 min walking test (2MWT), the step test (ST) and the figure-8 walking test (F8WT) to measure a walking ability were carried out twice before and after training. Results : After participation in the program, subjects of TOCT demonstrated a significant improvement in the scores of the 10MWT, 2MWT, the ST, the F8WT. The control group had no change on the any tests. After the training, the results to improve significantly in TOCT group compared to post-test of control group were the time of 10MWT and the time and the step of curved walking of F8WT. Conclusion : The present study suggests that the TOCT program may become a useful strategy for enhancing walking ability in the rehabilitation of stroke patients.

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The Effect of Differential Medial and Lateral Midsole Hardness on Rearfoot Movement (운동화 후족의 내외측 경도차에 따른 후족 제어의 효과)

  • Bu, Jin-Hu;Lee, Dong-Chun
    • Journal of the Ergonomics Society of Korea
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    • v.20 no.1
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    • pp.63-72
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    • 2001
  • Rearfoot control can be defined as the relative ability of a shoe to limit the amount of subtalar joint pronation immediately following footstrike. A normal amount of pronation provides a means of decreasing peak forces experienced by the leg, but excessive pronation of the foot can be arised its injures. The purpose of this study is to compare amount of pronation according to a difference between medial and later hardness of shoe midsole for better design of running shops. The experiment is examined for 7 running shoes. 8 males. to measure the Achilles tendon angle and rearfoot angle using high speed camera. The results is conducted that the changes of Achilles tendon angle significantly differ at each test shoe with increased running speed. And, a difference between medial and lateral hardness of midsole affects rearfoot motion of runner. The displacements of maximal Achilles tendon angle described a amount of pronation motion is decreased when medial hardness of midsole is large more than lateral.

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Movement Compatibility of ON/OFF Controls (ON/OFF 조정장치의 운동 양립성에 관한 연구)

  • Jeong, Byung-Yong;Lee, Jung-Uk
    • IE interfaces
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    • v.14 no.3
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    • pp.302-309
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    • 2001
  • Direction-of-motion stereotypes between ON/OFF controls were tested using a paper-and-pencil test and interview method. One hundred and forty eight subjects of both genders and from a wide range of ages were asked to indicate the control movement they would make to turn on the light. Stereotypes were obtained for nine types of ON/OFF controls in two different planes. The results show that stereotype for left-right power switches is right for on, and stereotype for up-down switches is up. And, a strong stereotype was found in the case of left-right switches than up-down switches. Some stereotypes are significantly different between genders and age groups. These findings identified in this study can be used to design the ON/OFF switches of the facilities and equipments.

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