• Title/Summary/Keyword: Passive movement

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Effect of Intraoperative Deep Brain Stimulation on Viscoelastic Properties of Parkinsonian Rigidity during Surgery (파킨슨성 경직의 점탄성에 대한 수술중의 뇌심부 자극의 효과)

  • Kwon, Yu-Ri;Eom, Gwang-Moon;Park, Sang-Hun;Kim, Ji-Won;Koh, Seong-Beom;Park, Byung-Kyu
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.9
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    • pp.1035-1040
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    • 2012
  • Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has been found to be effective treatment of Parkinson's disease (PD). This study aims to evaluate the effect of DBS for rigidity during DBS surgery. Six Parkinsonian patients who received STN-DBS surgery participated in this study. The examiner imposed flexion and extension of a patient's wrist randomly. Resistance to passive movement was quantified by viscoelastic properties (two damping constants for each of flexion and extension phase and one spring constant throughout both phases). All Viscoelastic constants decreased by DBS (p<0.01). Specifically, reduction in damping constant during flexion ($B_f$) was greater than those of damping constant during extension ($B_e$) and of spring constant (p<0.05). $B_f$ would be appropriate for evaluation of effect of DBS for rigidity during DBS surgery.

A Comparative Study between the Effects of Proprioceptive Neuromuscular Facilitation Stretching and Passive Stretching on Weight Distribution and Flexibility for Trunk Flexion (고유수용성 신경근 촉진법 신장기법과 정적 신장기법이 몸통 굽힘의 유연성과 체중분포에 미치는 효과 비교연구)

  • Kim, Jwa-Jun;Park, Se-Yeon
    • PNF and Movement
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    • v.16 no.3
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    • pp.345-353
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    • 2018
  • Purpose: The purpose of the present study was to compare the effects of proprioceptive neuromuscular facilitation (PNF) and static stretching on weight distribution and flexibility for trunk flexion. Method: Sixty participants who had no musculoskeletal disorders were recruited from a local university within six months of this study. The participants were randomly assigned to a PNF stretching group (N=30) and a static stretching group (N=32). For the pre-and post-measurement design, the left-right weight distribution, anterior-posterior weight distribution, and finger-to-floor distance (FFD) were measured before and after the stretching interventions. Result: The FFD results were significantly improved after the interventions, regardless of the group differentiation (p<0.05). The PNF stretching intervention significantly increased the differences between anterior and posterior weight distribution compared to the static stretching group (p<0.05). Conclusions: Both the PNF and static stretching interventions could improve flexibility for trunk flexion mobility. Although the PNF intervention improved the weight distribution in the anterior-posterior direction, further research is required to investigate the various PNF interventions on left-and-right and anterior-posterior weight distribution.

Experimental Study of Surge Motion of a Floater using Flapping Foils in Waves (파도에서 플래핑 포일을 적용한 부유체의 서지 운동에 관한 실험적 연구)

  • Sim, Woo-lim;Rupesh, Kumar;Yu, Youngjae;Shin, Hyunkyoung
    • Journal of the Society of Naval Architects of Korea
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    • v.56 no.3
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    • pp.211-216
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    • 2019
  • In order to utilize the marine environment in various fields such as renewable energy and offshore plant, it is necessary to utilize the far and deep ocean. However, there is still a limit to overcome and utilize the extreme deep-sea environment. Currently, the mooring system, which is the representative position control method of floating structure, has a structural and economic limit to expand the installation range to extreme deep-sea environment. Research has been conducted to utilize wave energy by developing floater using flapping foil as an alternative for station keeping in the deep sea by University of Ulsan. Based on the research, a model test was conducted for application to actual structures. In this study, we investigate how the floating body with passive flapping foils move in regular waves with different periods and study the condition of the model that can maintain its position within a certain range by overcoming the movement.

Design of Device for Rotator Cuff Training and Its Experimental Validation with sEMG (회전근개 훈련용 기기 설계와 sEMG를 활용한 실험적 검증)

  • Byun, Sangkyu;Kim, Jaehoon;Chung, Jiyong;Kim, Heeyoung;Shin, Sungwook;Lee, Eunghyuk
    • Journal of Korea Multimedia Society
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    • v.24 no.8
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    • pp.1035-1043
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    • 2021
  • The shoulder is less stable than other joints, making it easier to onset of various shoulder disorders. In addition, limited range of motion and pain in the shoulder due to shoulder disorders restricts daily life and social activities. The problem with exercise therapy can be reduced in exercise effect by causing boredom through simple repetition of motion, thus reducing the patient's willingness to participate. Therefore, this paper aims to provide a treatment method that can induce active participation of patients by developing devices capable of passive, active, and resistance exercise and serious game contents using them. Furthermore, sEMG was used to verify whether the rotational exercise in the horizontal and vertical using serious game contents helps the shoulder movement actually. The measured sEMG signal was classified as 5 phases according to the angle of rotation and calculated the mean integrated EMG. The mean integrated EMG for the experimental results was higher in all phases when rotational was performed compared to those when both horizontal and vertical rotational exercise remained initial posture, indicating an increase in muscle activity.

Comparison of Hip Joint Strength between Young Woman Patient with Chronic Low Back Pain with Lumbar Instability and Normal Subjects

  • Cha, Hyun Gyu
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.370-375
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    • 2022
  • Objective: The purpose of this study was to compare the hip joint muscle strength of patients with chronic back pain with lumbar instability and normal subjects. Design: A case control study. Methods: Five types of lumbar instability test were conducted on forty young women with chronic low back pain for more than six months, and those who had 3 or more positive tests were selected as subjects. To select chronic back pain patients with lumbar instability group, aberrant movement patterns during lumbar flexion test (FMT), prone instability test (PIT), posterior-anterior mobility test (PAT), passive lumbar extension test (PLE), and pressure bio-feedback (PBF) were applied. In addition, a digital muscle strength meter was used to measure the hip flexor, extensor, adductor, and abductor muscles of chronic low back pain patients with lumbar instability group (n=20) and normal subject group (n=20). Results: As a result of comparing the hip joint muscle strength between the chronic back pain patient group with lumbar instability and the normal group, there were significant differences in the hip extensor, abductor, and adductor muscles (p<0.05). Conclusions: Patients of chronic back pain with lumbar instability were found to have weak hip joint muscle strength. Therefore, this study suggest that include hip joint strength exercise for functional recovery of chronic back pain patients.

The Effects of Sit-to-Stand Training with Visual Feedback on the Strength and Balance Ability Patients with Total Knee Replacement (시각적 되먹임의 제공에 따른 일어서기 훈련이 무릎관절 전치환술 환자의 다리 근력과 균형 능력에 미치는 영향)

  • Park, Jin;Park, Han-Kyu
    • PNF and Movement
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    • v.19 no.1
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    • pp.9-17
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    • 2021
  • Purpose: This study aims to verify the effectiveness of sit-to-stand training with visual feedback to improve balance ability and knee extensor strength of total knee replacement patients. Methods: In this study, 15 patients with total knee replacement participated in this study. Subjects were assigned to two groups: a feedback group (experimental group)(n = 8) and a control group (n = 7). They all received 30 min of continuous passive motion (CPM) and sit-to-stand training for 15 min five times per week for two weeks. Knee extensor and balance ability were measured. Knee extensor was measured by Biodex system 3; balance ability was measured by Balancia software. Results: After the intervention, there was a significant difference in the strengthening of the knee extensor muscles in the feedback group, area 95%, weight distribution of the affected side, and the sit-to-stand test repeated five times (p < 0.05). Conclusion: The results of this study showed that sit-to-stand training with visual feedback was more effective in increasing knee extensor muscle strength and balance ability than the sit-to-stand training without visual feedback. Therefore, in order to improve the knee extensor muscle and the balance of total knee replacement patients, it is necessary to consider providing visual feedback during sit-to-stand training.

Assessment of Lumbar Spine Kinematics by Posterior-to-Anterior Mobilization

  • Oh, Kang O;Lee, Sang-Yeol
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.450-456
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    • 2021
  • Objective: Studies confirming the lumber spine kinematics of direct or indirect segmental mobility under the application of joint mobilization, which induces passive force on the spine, are insufficient.Therefore, this study aims to obtain the underlying clinical data by identifying direct or indirect segmental mobility produced by Maitland's PA mobilization technique. Design: Randomized controlled trial design. Methods: Thirty subjects with no back pain participated in this study. X-ray testing equipment (SIG-40-525, Ecoray Inc., Korea) was used to verify the segmented movement of their lumbar. Joint mobilization was performed by physiotherapists with more than 10 years of experience in prescription therapy, and radiography was performed once without PA joint mobilization and once without the mobilization for comparing the lumbar vertebrae before and after the mobilization. The radiographs taken were analyzed using the picture archiving and communication system (PACS) program to measure the spinal displacement, intervertebral height, intervertebral angle, and lumbar lordosis angle. Results: Significant differences were observed in the lumbar displacement, intervertebral angle, and lumbar lordosis angle in all lumbar vertebrae before and after the mobilization. The intervertebral height indicated significant differences in all ventral vertebrae and only in L3-L4 and L4-L5 in dorsal vertebrae. Conclusions: This study suggests that the segmental mobility produced through indirect approaches plays an important role in inducing therapeutic effects in patients with back pain.

Effects of Three-Week Contract-Relax Interventions with and without Reinforcement Using Temporal Summation for Flexibility and Balance Ability in Young People with Hamstring Shortening (공간적 가중을 이용한 강화 유무에 따른 3주간 수축-이완 중재가 넙다리뒤근 단축 대상자의 유연성과 균형능력에 미치는 효과)

  • Kim, Yong-Hun;Park, Du-Jin
    • PNF and Movement
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    • v.20 no.3
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    • pp.383-390
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    • 2022
  • Purpose: The purpose of this study was to examine the effect of three-week contract-and-relax (CR) interventions with and without reinforcement using temporal summation for flexibility and dynamic balance ability in young people with hamstring shortening. Methods: This study was conducted on 20 female college students with hamstring shortening. The participants were divided equally into two groups using stratified randomization: the CR group (CRG) and the CR with reinforcement group (CRRG). All interventions were applied three times a week for three weeks. The passive straight leg raise (PSLR) test and functional reaching test (FRT) were conducted on each participant before and after the three-week intervention. Results: In both groups, PSLR and FRT improved significantly after the three-week intervention compared to before intervention (p < 0.01). The amount of change in PSLR after the three-week intervention was significantly higher in CRRG than in CRG (p < 0.05). Conclusion: Three-week CR interventions with and without reinforcement were effective in improving PSLR and FRT. To improve hamstring shortening, CR intervention with reinforcement may be more useful than CR intervention without reinforcement.

Design and application of a novel eddy current damper for a high-rise sightseeing tower

  • Kaifang Liu;Yanhui Liu;Chia-Ming Chang;Ping Tan
    • Structural Engineering and Mechanics
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    • v.86 no.4
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    • pp.573-587
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    • 2023
  • A conventional tuned mass damper (TMD) provides a passive control option to suppress the structures' wind- or earthquake-induced vibrations. However, excessive displacements of the TMD raise concerns in the practical implementation. Therefore, this study proposes a novel TMD designed for and deployed on a high-rise sightseeing tower. The device consists of an integrated two-way slide rail mount and an eddy current damper (ECD) with a stroke control mechanism. This stroke control mechanism allows the damping coefficient to automatically increase when the stroke reaches a predetermined value, preventing excessive damper displacements during large earthquakes. The corresponding two-stage damping parameters are designed with a variable-thickness copper plate to enable the TMD stroke within a specified range. Thus, this study discusses the detailed design schemes of the device components in TMD. The designed two-stage damping parameters are also numerically verified, and the structural responses with/without the TMD are compared. As seen in the results, the proposed TMD yields effective control authority to limit the acceleration response within a comfort level. In addition, this TMD resolves the spatial availability for the damper movement in high-rise buildings by the controllable damping mechanism.

The Study of Effect and Safety related to Dong-gi Acupuncture(DGA) and Complex therapy on Lumbago due to blood stasis and sprain (좌섬(挫閃)·어혈(瘀血) 요통(腰痛)에 동기침법(動氣鍼法) 및 복합치료(複合治療)의 유효성(有效性) 및 안정성(安定性) 연구(硏究))

  • Kim, Kee-Hyun;Lim, Hyung-Ho;Hwang, Hyeon-Seo;Song, Ho-Sueb;Song, Young-Sang;Kwon, Soon-Jung;Kim, Kyung-Nam;Ahn, Koang-Hyun;Lee, Seong-No;Kang, Mi-Suk;Gyun, Im-Jung
    • Journal of Acupuncture Research
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    • v.19 no.3
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    • pp.107-114
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    • 2002
  • Objective : This study was designed to find the most effective and safest way to overcome Lumbago due to blood stasis and sprain involved in a few Meridian Tendino-musculatures by evaluating the effect of two kinds of Dong-gi(Dong-qi) Acupuncture(DGA) and by reporting their side effects. Material : 97 patients of out and admission patients were selected, who were diagnosed with lumbar sprain caused by repetitive bending, heavy weight lifting, unsuitable posture, concussion and falling down and whose Lumbago due to blood stasis and sprain in the concept of oriental medicine. Methods : 97 patients were divided into three groups. One is exclusive DGA group to which DGA and the method retaining needles on the acupoints for about 20 minutes were applied, the other is DGA combined active exercise group in which patients stretched their Meridian Tendino-muscuIatures with their hips moving up and downward repeatedly during DGA, the third is DGA combined passive exercise group in which patients were made to flex or extend their bodies on the auto flexion-distraction table in a prone position, from 10 to 20 degree, during DGA. In each group, bed rest, physical therapy and herbal medicine were used according to symptoms, in addition to DGA. In DGA method, "Su(Shu)" points of the meridian related to the involved Meridian Tendino-musculature were mainly chosen, that is, Sokkol(Shugu, B65), Hugye(Houxi, SI3), ChungJo(Zhongzhu, TE3) were used, for most LBP belonged to Bladder and Gallbladder Meridian Tendino-musculature disorders. Pyong-Bo-Pyong-Sa(Ping-Bu-Ping-Xie) such as Dong-Gi and Yeom-Jeon(Nian-Zhuan) was applied as Bo-Sa method. For evaluation of effectiveness, new score system was devised by severity of pain and range of movement. the score was given twice at patients' first and last visit and the difference between first and last score was regarded as a evaluation scale, the effectiveness was classified into four grade by evaluation scale.(scale : 12-15; excellent, 8-11; good, 4-7; fair, 0-3; bad) Results : 1. Exclusive DGA, DGA combined active exercise and DGA combined passive exercise group showed 97, 87 and 89% in effectiveness. 2. Exclusive DGA, DGA combined active exercise and DGA combined passive exercise group showed no aggravation of pain, range of movement. 3. In blood test of 34 patients, only one patient showed abnormal rise of sGOT, sGPT and $\gamma$-GTP at his first visit and the others didn't show any detrimental change. DGA had no bad influence upon BUN and creatinine of patients. Conclusion : For complex theraphy combining DGA, exercise, physical therapy and Herbal medicine proved to be highly effective on treating lumbago due to blood stasis and sprain, this is expected to be available for clinical use.

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