• Title/Summary/Keyword: Pusher behavior

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Does the Addition of Visual Feedback Improve Postural Vertical Training in the Patients with Pusher Syndrome After Stroke?

  • Lee, Jang-Tae;Chon, Seung-Chul
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.3
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    • pp.33-42
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    • 2017
  • PURPOSE: To compare postural vertical training with and without visual feedback for improving functional recovery in post-stroke hemiparesis patients with pusher syndrome. METHODS: This study used a single-subject research with alternating design with multiple baselines. Three patients with hemiparetic post-stroke diagnosed with pusher syndrome were selected from the inpatients at the department of physical therapy of a local rehabilitation hospital. For subjective postural vertical (SPV) training with and without visual feedback, an alternating treatment was used. The subjects were randomly selected using the sequence of the two training methods upon starting the intervention, and then the training was alternated. SPV training was performed twice a day, once in the morning and again in the afternoon. Scale for contraversive pushing (SCP), postural assessment scale for stroke, and Barthel index score were used to determine the intervention-related changes. RESULTS: Compared to the average score at baseline, the average SCP score for the SPV training without visual feedback decreased from 5.3 to 2.8, from 4.6 to 3, and from 3.5 to 2.7 for subjects 1, 2, and 3, respectively. However, the average score for the SPV training with visual feedback decreased from 5.3 to 3.1, from 4.6 to 3.5, and from 3.5 to 3.3 for subjects 1, 2, and 3, respectively. CONCLUSION: Postural vertical training without visual feedback may be more beneficial than postural vertical training with visual feedback for improving pushing behavior and functional activity in stroke patients with pusher syndrome.

Investigation on Forced Vibration Behavior of Composite Main Wing Structure Excited by Engine and Propeller (엔진 및 프로펠러 가진에 의한 위그선 복합재 날개 진동 해석)

  • Kong, Chang-Duk;Yoon, Jae-Huy;Park, Hyun-Bum
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2007.04a
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    • pp.217-221
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    • 2007
  • In this study, forced vibrations analysis was performed for main wing of small scale WIG vehicle which is equipped two-stroke pusher type propeller engine, in terms of structural. for the frequency response analysis, excitations were assumed by H-mode(Horizontal mode), X-mode(Twisted mode) which is main vibration mode of engine, and for the transient response analysis, excitations were assumed by L-mode(Longitudinal mode) with propeller thrust which is occurred when it revolution.

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Effects of Game-based Postural Vertical Training on Pusher Behavior, Postural Control, and Activity of Daily Living in Patients With Acute Stroke: A Pilot Study (게임 기반의 자세수직 훈련이 급성 뇌졸중 환자의 밀기행동, 자세조절, 그리고 일상생활동작에 미치는 영향: 사전연구)

  • An, Chang-man;Roh, Jung-suk;Kim, Tack-hoon;Choi, Houng-sik;Choi, Kyu-hwan;Kim, Gyoung-mo
    • Physical Therapy Korea
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    • v.26 no.3
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    • pp.57-66
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    • 2019
  • Background: Visual and somatosensory integration processing is needed to reduce pusher behavior (PB) and improve postural control in hemiplegic patients with acute stroke. Objects: This study aimed to investigate the effects of game-based postural vertical training (GPVT) on PB, postural control, and activity daily living (ADL) in acute stroke patients. Methods: Fourteen participants with acute stroke (<2 months post-stroke) who had PB according to the Burke lateropulsion scale (BLS) (score>2) were randomly divided into the GPVT group ($n_1=7$) and conventional postural vertical training (CPVT) group ($n_2=7$). The GPVT group performed game-based postural vertical training using a whole-body tilt apparatus. while the CPVT group performed conventional postural vertical training to reduce PB (30 minutes/session, 2 times/day, 5 days/week for 3 consecutive weeks). The BLS was evaluated to assess the severity of PB. And each subject's postural control ability and ADL level were assessed using the postural assessment scale for stroke (PASS), balance posture ratio (BPR), and Korean-modified Barthel index (K-MBI). Outcomes were measured pre- and post-intervention. Results: Comparison of the pre- and post-intervention assessment results showed that both interventions led to the following significant changes: decreased severity of PB scores and increased PASS, BPR, and K-MBI scores (p<.05). In particular, statistical analysis between the two groups, the BLS score was significantly decreased in the GPVT group (p<.05). And PASS, BPR, and K-MBI scores were significantly improved in the GPVT group than in the CPVT group (p<.01, respectively). Conclusion: This study demonstrated that GPVT lessened PB severity and improved postural control ability and ADL levels in acute stroke patients.

Investigation on Forced Vibration Behavior of Composite Main Wing Structure of A Small Scale WIG Craft Excited by Engine and Propeller (엔진 및 프로펠러에 의해 가진되는 소형 위그선 복합재 주날개의 진동 거동 해석)

  • Kong, Chang-Duck;Yoon, Jae-Huy;Park, Hyun-Bum
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.35 no.11
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    • pp.1028-1035
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    • 2007
  • this study, forced vibration analysis was performed on the composite main wing structure of a small scale WIG craft which is equipped two-stroke pusher type reciprocating engine. The structural vibration analysis based on the finite element method was performed using a commercial FEM code, MSC/NASTRAN. Excitations for the frequency response analysis were assumed as the H-mode(horizontal mode), the V-mode(vertical mode) and the X-mode(twisted mode) which are typical main vibration modes of engine. And excitations for the transient response analysis were assumed as the L-mode(longitudinal mode) with the oscillating propeller thrust which occurs.

Study on Forced Vibration Behavior of WIG Vehicle Main Wing Structure Excited by Propulsion System (프로펠러 엔진에 의해 가진되는 소형 위그선 주날개의 진동 거동 해석에 관한 연구)

  • Kong, Chang-Duk;Yoon, Jae-Huy;Park, Hyun-Bum
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2007.11a
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    • pp.7-12
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    • 2007
  • Previously study on structural design of the main wing of the twenty-seat class WIG (Wing in Ground Effect) craft. In the final design, three spars construction was selected for safety in the critical flight load, and the Carbon-Epoxy material was selected for lightness and structural stability. In this study, the forced vibration analysis was performed on the composite main wing structure of the twenty-seat class WIG craft with two-stroke pusher type reciprocating engine. The vibration analysis based on the finite element method was performed using a commercial FEM code, MSC/NASTRAN. Excitations for the frequency response analysis were assumed as the Y-mode (lateral mode), the Z-mode (vertical mode) and the $M_{xyz}$-mode (twisted mode) which are typical main vibration modes of engine. And excitations for the transient response analysis were assumed as the X-mode (longitudinal mode) with the oscillating propeller thrust which occurs in operation.

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Investigation on Forced Vibration Behavior of WIG Craft Main Wing Structure Excited by Propulsion System

  • Kong, Chang-Duk;Yoon, Jae-Huy;Park, Hyun-Bum
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2008.03a
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    • pp.810-812
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    • 2008
  • Previously study on structural design of the main wing of the twenty-seat class WIG(Wing in Ground Effect) craft. In the final design, three spars construction was selected for safety in the critical flight load, and the Carbon-Epoxy material was selected for lightness and structural stability. In this study, the forced vibration analysis was performed on the composite main wing structure of the twenty-seat class WIG craft with two-stroke pusher type reciprocating engine. The vibration analysis based on the finite element method was performed using a commercial FEM code, MSC/NASTRAN. Excitations for the frequency response analysis were assumed as the H-mode(horizontal mode), the V-mode(vertical mode) and the X-mode(twisted mode) which are typical main vibration modes of engine. And excitations for the transient response analysis were assumed as the L-mode(longitudinal mode) with the oscillating propeller thrust which occurs in operation. According to the result of forced vibration analysis, structural design was modified to reduce the vibrations.

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