• Title/Summary/Keyword: Performance Stroke

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Effects of Plastic AFO and Shoes on Static Standing Balance in Hemiplegic Patients (플라스틱 단하지 보조기와 신발 착용이 편마비 환자의 정적 선자세 균형에 미치는 영향)

  • Kim, Joong-Hwi;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.381-397
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    • 2001
  • In the patients with hemiplegia caused by stroke and TBI. postural sway is increased and open displaced laterally over the non-affected leg, reflecting asymmetry in weight bearing on lower extremities during standing balance. Recovery of symmetric weight bearing and postural stability is an important aim in physical therapy. Plastic AFO has been used for hemiplegic patients in order to help their abnormal walking patterns. Past studies have mainly focused on the AFO influences on hemiplegic walking patterns without balance function approaches. The purpose of this study was to identify the immediate effects of plastic AFO and shoes on the static balance in hemiplegic patients. The scale for static balance were weight bearing on affected leg(%), sway area(mm2), sway path(mm), maximal sway velocity(mm/s), anteroposterior sway angle($^{\circ}$ ), and lateral angle($^{\circ}$ ). Seventeen hemiplegic patients participated in this study: 13 men and 4 women, with an average age of 50.18 years. Static balance was measured using BPM(balance performance monitor; dataprint software version 5.3) under four standing condition namely bare-foot standing. standing in shoes, standing with AFO, and standing in shoes with AFO. In order to assure the statistical significance of the results, an one-way ANOVA, the independent t-test. and a pearson's correlation were applied at the .05 level of significant. The results of this study were as follows: 1) There were statistically significant differences in weight bearing(%) on the static balance between affected leg and non-affected leg(p<.01). 2) There were statistically significant differences in sway reverse frequence(Hz) in standing with AFO between affected leg and non-affected leg(p<.05). 3) Sway area(mm2) on standing in shoes with AFO was lower than bare-foot standing(p<.05), Lateral sway angle($^{\circ}$ ) on standing in shoes with AFO was lower than bare-foot standing and standing in shoes(p<.05). 4) Weight bearing in affected leg was not significantly correlated with postural sway.

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Effect of a Motor Imagery Program on Upper Extremity Strength and Activities of Daily Living of Chronic Cervical Spinal Cord Injury Patients (운동심상이 만성 경수 손상 환자의 근활성도와 일상생활에 미치는 영향)

  • Park, Young-Chan;Kim, Jung-Yeon;Park, Hee-Su
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.273-281
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    • 2013
  • Purpose: The purpose of this study is to determine the effect of motor imagery training on residual upper extremity strength and activities of daily living of chronic cervical spinal cord injury patients. Methods: Twelve ASIA A B patients, who had more than a 12-month duration of illness and C5 or 6 motor nerve injury level, were randomly divided into experimental group (n=6) and control group (n=6). Patients in the experimental group performed motor imagery training for five minutes prior to general muscle strengthening training, while those in the control group performed general muscle strengthening training only. The training was performed five times per week, 30 minutes per day, for a period of four weeks. General muscle strengthening training consisted of a progressive resistive exercise for residual upper extremity. Motor imagery training consisted of imagining this task performance. Before and after the training, EMG activity using BTS Pocket Electromyography and Spinal Cord Independent Measure III(SCIM III) were compared and analyzed. Results: The residual upper extremity muscle strengths showed improvement in both groups after training. Comparison of muscle strength improvement between the two groups showed a statistically significant improvement in the experimental group compared to the control group (p<0.05). SCIM III measurements showed significant improvement in the scores for Self-care and Transfer items in the experimental group. Conclusion: Motor imagery training was more effective than general muscle strengthening training in improving the residual upper extremity muscle strength and activities of daily living of patients with chronic cervical spinal cord injury.

The Protective and Recovery Effects of Peucedanum Japonicum Thunberg for Vascular Dementia (식방풍의 혈관성 치매에 대한 예방과 치료효과 검증)

  • Kim, Ka-Na;Choi, Min-Ji;Lee, Younghyurk;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.1
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    • pp.123-130
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    • 2013
  • Objectives : During several thousand years, Peucedanum Japonicum Thunberg has been considered as a vegetable side dish in Korea. There is folk knowledge that Peucedanum Japonicum Thunberg prevents vascular disease such as stroke. To identify the effects Peucedanum Japonicum Thunberg, we made up its extract and named it as KH020. Then, we employed common carotid artery ligation (CCAl) surgery for vascular dementia model (VDM), and two types doses of per os (per oral: p.o) treatment. Methods : To confirm prevention and recovery effects for vascular dementia, we treated two doses (100, 400 mg/kg) KH020 in male C57BL/6 mouse during 7 days. After treatment, animals were CCAl operated, and given time to recover. Then, animal were tested in a Y-maze and passive avoidance test. Results : Y-maze results demonstrated that cognition and memory performance were decreased in the VDM group, compared to the sham group. KH020 treatment abolished these effects significantly. The results from the passive avoidance test showed the same phenomenon, but it was not statically significant. Conclusions : Therefore, KH020 prevents the onset of vascular dementia. In future studies, we will evaluate KH020 in regard to alzheimer dementia.

Analysis of Unsteady Combustion Performance in Solid Rocket Motor with Pintle (핀틀을 장착한 고체추진기관의 비정상 연소 성능 분석)

  • Ki, Taeseok;Ha, Dongsung;Jin, Jungkun;Lee, Hosung;Yoon, Hyungull
    • Journal of the Korean Society of Propulsion Engineers
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    • v.19 no.1
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    • pp.68-75
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    • 2015
  • In this paper, unsteady characteristics of pressure in solid rocket motor were analyzed by using response of pintle actuation, pressure and thrust data from ground test. Pressure and thrust in solid rocket motor can be controlled in real time by varying nozzle throat area with pintle, installed in the valve. Unsteady characteristics of pressure can be observed in this system occurred by various reasons. Two critical reasons, error of pintle actuation and ablation of center tube, are found and effects of each reason can be analyzed individually by re-prediction of pressure with response of pintle actuation and analyzing thrust to pressure ratio.

A Study on the Evaluation of Cognitive Function of Adults (성인의 인지기능 평가에 관한 연구)

  • So, Hee-Young;Jung, Mi-Ha
    • Korean Journal of Adult Nursing
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    • v.16 no.2
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    • pp.245-255
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    • 2004
  • Purpose: this study was to evaluate Cognitive Function Test for the Korean population. Digit Forward (DF), Digit Backward (DB) and Trail Making Test-A(TMT-A) and the translated version of the Trail Making Test-B (TMT-B) were used. The study examined the performance of Korean normal adult population whose age ranged from 20 to over 80. It was predicted that performances of the Korean population would be different from that of the United States population due primarily to their differences in language, and education. Method: Normal Korean adults at the Daejeon Metropolitan City and Chungchung Province (N=298) participated in this study. Seven age scores were evaluated; 20~29, 30~39, 40~49, 50~59, 60~69, 70~79, & >80s. The effects of age, gender, and years of education was examined, which yielded significant age and education effects. The scores were further specified accordingly in terms of years of education (0, 1~6, 7~12, 13~16, & >17), and gender. Result: As the age increased cognitive function score decreased. As the years of education increased, cognitive function scores increased. There was no difference in cognitive function scores according to gender. Age and year of education had significant effects on cognitive function and explained 52-58% of variants of each test. Conclusion: The data of the cognitive function tests are expected to be utilized for research purposes such as basic and clinical studies, as well as practical purpose such as cognitive assessment for traumatic brain injury, stroke, and elderly and nursing education for assessment tools.

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An Evaluation of the Home Care Nursing Services Conducted jointly by Catholic Churches and Hospital (일부 가톨릭교회와 연계된 병원중심 가정간호사업의 평가)

  • Kim, Hye-Dan;Kim, Soon-Lae
    • Journal of Home Health Care Nursing
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    • v.12 no.1
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    • pp.41-69
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    • 2005
  • Purpose: This study was performed to evaluate the outcomes of the home care nursing program conducted jointly by thirty two catholic churches and C hospital in Seoul. Method: The subjects included 173 patients who registered for the program during a 4 month-period from November 1, 2004 to February 28, 2005 and received home care services for more than 4 times and 32 professional nurses participating in the program. Using the concept of medical outcome study (MOS), the structure, process, outcome elements were analyzed. Result: 1) A Catholic homecare nursing center and nurses of the C hospital played a central role in providing nursing care, and each church operated its own vehicle from its own office. Home care nurse's job satisfaction was 2.8 out of total score of 4. The major illness was cerebrovascular disease including stroke followed by skeletomuscular disease including degenerative arthritis cancer, and diabetes. Among reasons for accessing the home care nursing program, hypertension management was most prevalent. More than half of the registration was done through catholic churches. Most people who referred the patient to the program was through the church. Most patients received home care nursing 1-2 times a week for 30 to 60 minutes in average and the most frequent type of service provided was basic nursing. 3) The most frequent reason for terminating home care services was death. The change in PPS(Palliative Performance Scale) level from the time of registration and after 4 visits was the same in 45%, decreased in 30%, and improved in 25%. Patient satisfaction was very high, showing 3.4 out of total score of 4. Conclusion: These results proved that the home care nursing program was highly appreciated by subjects and nurses were providing professional care. Thus the two parties involved in the program were actively supporting the program to fulfill their mission. However, several areas needed to be improved such as relating with local community, relating with family doctor, and issue of improving the working conditions for home care nurses.

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Behaviors of Impulse Ground Impedances Associated with the Current Injection Point in a Ground Rod (봉상 접지전극에시 전류유입위치에 따른 임펄스 접지임피던스의 특성)

  • Lee, Bok-Hee;Jeong, Dong-Cheol;Lee, Su-Bong
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.19 no.1
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    • pp.94-100
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    • 2005
  • This paper presents the behaviors of transient and effective impulse impedances of a long ground rod associated with the current injection points. The laboratory test for the time domain performance of actual-sized model ground rod subjected to a lightning stroke current has been carried out The transient ground impedances of long ground rods under impulse currents were higher than the ground resistance. Both of the ground resistance and the effective impulse ground impedance decrease with increasing the length of the ground rods. Also, the effective impulse ground impedances are significantly increased in fast rise time ranges. The reduction of the ground resistance is decisive to improve the impulse impedance characteristics of grounding systems. When the test current is injected at the bottom of ground rod, the oscillating pulses with high frequency are included on the wave front of ground rod potential and the effective impulse impedances are higher than any other cases.

Comparison of characteristics between cam and electric control type of 2 stroke diesel engine for ship propulsion (캠 및 전자제어식 선박추진용 저속 2행정 디젤엔진의 성능 비교)

  • Lee, Sang Deuk;Jung, Suk Ho;Koh, Dae Kwon
    • Journal of Advanced Marine Engineering and Technology
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    • v.37 no.8
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    • pp.849-854
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    • 2013
  • Many researches on green ship with increasing on economics, efficiency and convenience have been carried out consistently. One of them is development of diesel engines with electronic control. While small duty one for automobiles had been adopted mainly already, disseminating heavy duty one for ships has trouble due to safety and reliability. In order to solve these problem in this study, performance of electronic control and cam type engine installed in parallel on training ship HANBADA of korea maritime university was analyzed and compared. It is certain that specific fuel oil consumption of the electronic control type is lower than cam type and excellent at lower engine load, especially. And the electronic control type shows more effective characteristic at sea trial on specific fuel oil consumption.

Simultaneous Analysis of Six Constituents in Oyaksungi-san using HPLC-PDA (HPLC-PDA를 이용한 오약순기산 중 6종 성분의 동시분석)

  • Seo, Chang-Seob;Kim, Jung-Hoon;Shin, Hyeun-Kyoo
    • Herbal Formula Science
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    • v.20 no.2
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    • pp.37-46
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    • 2012
  • Objectives : Oyaksungi-san(Wuyaoshunqisan) has been used for treatment of stroke and rheumatoid arthritis in Korea. In this study, a simple and accurate high-performance liquid chromatography(HPLC) method was established for simultaneous determination of six main components, liquiritin, ferulic acid, naringin, hesperidin, neohesperidin, and glycyrrhizin in Oyaksungi-san, a traditional Korean herbal prescription. Methods : The analytical column for separation of six constituents was used a Gemini $C_{18}$ column maintained at $40^{\circ}C$. The mobile phase consisted of two solvent systems, 1.0% (v/v) acetic acid in $H_2O$ (A) and 1.0% (v/v) acetic acid in acetonitrile (B) by gradient flow. The flow rate was 1.0 mL/min and the detector was a photodiode array (PDA) set at 254 nm for glycyrrhizin, 280 nm for liquiritin, naringin, hesperidin, and neohesperidin, and 320 nm for ferulic acid. Results : Calibration curves were acquired with $r^2$ values ${\geq}0.9998$. The results of recovery test were 91.58%-105.90% with a relative standard deviations (RSDs, %) value less than 2.0%. The values of RSD for intra- and inter-day precision were 0.03%-1.72% and 0.03%-1.63%, respectively. The contents of the six compounds in Oyaksungi-san were 0.33-9.30 mg/g. Conclusions : The newly established HPLC method will be helpful to improve quality control of Oyaksungi-san.

The Effect of Aspect Ratio on the Aerodynamic Characteristics of an Insect-based Flapping Wing (곤충 모방형 플래핑 날개의 공력특성에 관한 가로세로비 효과)

  • Han, Jong-Seob;Chang, Jo-Won;Jeon, Chang-Soo
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.40 no.8
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    • pp.662-669
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    • 2012
  • The effect of aspect ratio (AR) on the aerodynamic characteristics of a flapping wing was examined to analyze the design parameters of an insect-based MAV. The experimental model constructed with 4-bar linkages was operated in a water tank with the condition of a low Reynolds number. A water-proof micro-force load cell was fabricated and installed at the root of the wing which is made of a plexiglas. The wing shapes were based on the planform of a fruit fly wing. The ARs selected were 1.87, 3.74 and 7.48 and the Reynolds number was fixed at $10^4$. For AR=1.87 and 3.74, distinct lift peaks which indicate unsteady effects such as 'wake-capture' were observed at the moment of the start of the wing-stroke. However, for AR=7.48, no unsteady effects were observed. These phenomena were also observed in the delayed rotation case. The results indicate that a larger AR provides better aerodynamic performance for the insect-based flapping wing which can be applied in MAV designs.