• Title/Summary/Keyword: Rehabilitation Exercise Equipment

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Usability test of pulling cable exercise machine in the spinal cord injury disabled: Focusing on deriving improvement (척수 손상 장애인 대상 장애인용 풀링 케이블 운동기구의 사용성 평가: 개선점 도출을 중심으로)

  • Sung Shin Kim;Myo Jung Choi;Hyosun Kweon;Kwang Ok An;Young-Hyeon Bae
    • Journal of Korean Physical Therapy Science
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    • v.31 no.1
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    • pp.16-32
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    • 2024
  • Background: Exercise equipments and assistive devices for the disabled are being developed, but improvements for usability are still needed. The purpose of this study was to improve and utilize the developed exercise equipment and assistance devices by conducting usability test for people with spinal cord injury. Design: Cross-sectional Study. Methods: Scenarios and usability indicators were derived by conducting a preliminary usability test, 5 non-disabled men and women aged 19 or older. In the scenario, a total of 9 tasks were sequentially performed, including 2 tasks of entry and exit, 5 tasks of assistance devices and weight stack adjustment, and 2 tasks of pre exercise and exercise. The usability indicators were task success (success or fail), execution time (sec), safety, and convenience. For safety, 7 questions (Likert scale, 1~5 point) related to safety, stability and hazard were derived, and for convenience, the system usability scale (SUS score) was used (range: 0~100, 50 percentile rank is 68 point). Results: As a result of the usability test of people with spinal cord injury, there was a large variation among subjects in the task of adjusting the position of the pulley and support in the execution time (11.64~25.44 seconds), and one person failed to adjust the pulley. The safety level showed a lower score (score = 3 points) than other items in the item of entrapment or skin pressure, and in the case of SUS, the average score was 64.5 points, which was close to the acceptable level. Conclusion: Through the usability test, it was confirmed that exercise equipment for the disabled needs improvement in operability, pinching, and pressure, and that it is necessary to develop an assistive device that provides unrestrained posture information (biofeedback) to maintain correct posture during exercise.

Design of Multifunctional Compound Joint Medical Equipment for Continuous Passive Motion (다기능 복합관절 연속수동운동 의료기기 설계)

  • Lee, Kang Won;Yang, Oh;Lee, Chang Ho
    • Journal of the Semiconductor & Display Technology
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    • v.21 no.4
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    • pp.126-131
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    • 2022
  • The number of joint disease patients is increasing every year. Currently, the most CPM(Continuous Passive Motion) equipment uses expensive imported equipment, and one CPM equipment is designed to be used only in one joint, medical personnel or hospitals who are the main users of the medical equipment need to have several types of CPMs for joint rehabilitation. To solve this problem, this paper designed a multifunctional joint medical equipment that enables rehabilitation of knee, shoulder, and elbow joints in one CPM equipment and includes general, intensive, and adaptive exercise functions for effective treatment according to the patient's condition. The patient's condition was diagnosed using a load cell and a current sensor. In this paper, effective rehabilitation methods were presented and high reliability and precision of medical equipment was confirmed through experiments using potentiometer, encoder, and PI controller.

Validation of Exercise Effect in Rehabilitation during Knee Extension of the Lower Limbs using Pneumatic Exercise System (공압운동기기의 하지 슬관절 운동 시 재활운동 효과의 유효성에 관한 연구)

  • Lee, H.J.;Kang, S.R.;Kim, K.;Jeong, G.Y.;Yu, M.;Kim, J.J.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.5 no.1
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    • pp.1-10
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    • 2011
  • Our study is to verify validation of exercise effect that developing exercise and rehabilitation instrument using pneumatic actuators available rehabilitation and healthcare, while at the same time safer and more convenient for the user to select the desired exercise. Shares subject to the usual exercise is conducted in less than a week in the knee extension and flexion at the undergraduate level there is no more than 10 of the 20 patients were female. Subject performed knee exercise 3 set a day with 12times a set using fluid type exercise instrument and pneumatic exercise instrument that build in this study. Experiment has progressed in 4-weeks with 3-days a week. Our exercise load consist of two type. One is active exercise load with developed instrument in our study and the other one is passive exercise load with fluid instrument. Exercise program based on real-time muscle activation patterns and muscle activity before and after exercise by comparing the effects of exercise for rehabilitation has been verified. The results showed that muscular activity is higher in active exercise load than passive load, and improvement of muscle strength more increased too. Equipment more user-centered exercise more effectively exercise may enhance muscle strength was found. This study can adapt rehabilitation program and exercise for patient and weaker. Also our system can provide easily and convenient prescription of rehabilitation for expert related rehabilitation.

Effects of Resistance Exercise with Pressure Biofeedback Unit on the Gait Ability and Knee Joint Function in Subject with Total Knee Replacement Patients

  • Jin Park
    • The Journal of Korean Physical Therapy
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    • v.36 no.1
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    • pp.27-32
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    • 2024
  • Purpose: This study was conducted to verify the effect of applying a pressure biofeedback unit on walking ability and knee joint function while performing knee joint extensor strengthening exercises using resistance exercise equipment in total knee replacement (TKR) patients. Methods: This study was conducted on twelve patients receiving rehabilitation treatment after being admitted to a rehabilitation hospital post-TKR. Of these, six were allocated to a feedback group with a pressure biofeedback unit, and the other 6 were allocated to a control group without a pressure biofeedback unit. The subjects performed an exercise program for 45 minutes per session, five times a week, for two weeks. Walking ability and knee joint function were evaluated and analyzed before and after exercise. Results: The feedback group showed significantly better improvements in walking speed, gait cycle, step length on the non-operation side, time on the foot on the operation side, K-WOMAC stiffness, and K-WOMAC function than the control group (p<0.05). Conclusion: When strengthening the knee joint extensor muscles using resistance exercise equipment in TKR patients, the provision of a pressure biofeedback unit was found to improve walking ability and knee joint function by inducing concentric-eccentric contraction of the knee joint extensor muscles. Therefore, the study shows that exercise based on the provision of a pressure biofeedback unit should be considered when strengthening knee joint extensor muscles to improve the walking ability and knee joint function of TKR patients in clinical practice.

Comparison between Isokinetic Peak Torque and Isotonic 1RM on the Knee Joint

  • Jaehyun Yoo
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.201-205
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    • 2023
  • Objective: Resistance exercise is a necessary element to improve quality of life, and measurement and evaluation of muscle strength provide important information for prescription and management of rehabilitation and exercise programs. This study analyzed the correlation between direct and indirect 1RM for isokinetic maximum torque of the knee joint in order to provide useful information in the field of exercise programs. In addition, the flexion-extension ratio and the difference in left-right deviation were verified. Design: A cross-sectional study Methods: The subjects of this study were 33 healthy adult men and women without medical problems who participated in the health exercise class program at S University in Seoul. The correlation between isokinetic maximum torque and direct and indirect 1RM was analyzed, and a dependent t-test was performed to analyze the flexion-extension ratio and left-right deviation. Results: There was a high correlation between the isokinetic maximum torque and direct and indirect 1RM, and no statistically significant difference was shown between the test methods in the analysis of the flexion-extension ratio and left-right deviation. Conclusions: Isokinetic muscle function measuring equipment is expensive, so it is difficult to use it in local exercise rehabilitation and training sites. Through this study, it was found that direct and indirect 1RM isokinetic maximum torque showed a high correlation, and there was no difference in evaluating muscle function such as flexion-extension ratio and left-right deviation. Therefore, it is considered that the muscle function evaluation using 1RM in general field can be usefully utilized.

Effect on the Balance Ability after Four Week Training Using the System for 3-D Dynamic Exercise Equipment (3차원 동적 운동기기를 이용한 4주간의 운동 시 균형 능력에 미치는 효과)

  • Shin, S.H.;Yu, M.;Jeong, G.Y.;Yu, C.H.;Kim, K.;Jeong, H.C.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.2
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    • pp.1-8
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    • 2012
  • In previous studies, the dynamic exercise equipment just focused on the trunk stabilization exercise. However, our study is targeted at evaluation for the impact on the postural balance of those researches. Twelve male and twelve female subjects were volunteered for the balance training using this system. They had no medical history of backpain for the past six months. Trunk Stability and postural balance training was performed for 15 minutes a day, three times a week duing four weeks. To evaluate characterization of the postural balance using Balance System SD, Evaluation consist of the postural stability test and the postural limit test. As a result, this training with 3D dynamic exercise equipment help subjects improve the postural balance. These results are expected for using basic materials to the elderly with a high risk of falling and trained athletes needed to be a postural control.

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Development of the Gait Rehabilitation Equipment for Hemiplegic Patients after Stroke (편마비 환자를 위한 보행 재활기구 개발)

  • Nam, T.W.;Cho, J.M.;Kim, S.H.;Lim, J.H.
    • Journal of Biomedical Engineering Research
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    • v.27 no.5
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    • pp.245-249
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    • 2006
  • The aim of this study is to design and develop the gait rehabilitation equipment that judge patient's movement of his/her center of gravity using pressure sensors, and to aid hemiplegic patients to balance themselves using an automatic stepper that changes the patient's center of gravity. It is hard to bear the weight on the affected side for hemiplegic patients. The gait rehabilitation equipment detects the footing phase of hemiplegic patient during training and moves the unaffected footing side of the stepper up and moves the affected footing side down simultaneously so that the patient's center of gravity can shift from unaffected side to affected side. The gait rehabilitation system was developed and applied for hemiplegic patients during exercise. Eight hemiplegic patients and one normal adult were studied. The developed gait rehabilitation system could judge not only the normal adult's intention but also the patient's intention to move his/her center of gravity. Even though the most of hemiplegic patients exercised in automatic mode and a few hemiplegic patients exercised in manual mode, the developed gait rehabilitation system can aid the hemiplegic patients to train more easily.

Kinematic and dynamic analysis of a spherical three degree of freedom joint rehabilitation exercise equipment (3자유도 구형관절 재활운동기기의 기구학 및 동역학 해석)

  • Kim, Seon-Pil
    • Journal of Korea Society of Industrial Information Systems
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    • v.14 no.4
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    • pp.16-29
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    • 2009
  • This paper investigates the kinematic and dynamic analysis of a spherical three degree of freedom parallel joint module, which is used in the exercise equipment for balance and leg-strength improvement of aged people. The joint module has three dyads which consist of two links and three revolute joints, and their all joints intersect at the global point located at the module's center. The paper shows the explicit mathematical procedure for deriving the closed form solutions in the inverse and forward position analysis of this parallel joint module. In velocity and acceleration analysis, we derived relations for joint velocities and accelerations of dyads and rotational velocity and acceleration of the top plate. For applying this module to rehabilitation exercise, we determined the dynamic model of the Korean males in their 50s and examined the model's results by dynamic model simulation.

A Study on the Rehabilitation Equipment for Knee Joint (무릎관절 재활기구에 관한 연구)

  • Lee, Gui-Hyung;Kim, Yong-Jin;Park, Seok-Hyun;Lee, Hyo-Sung;Cho, Hyun-A
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.22 no.3_1spc
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    • pp.509-517
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    • 2013
  • This paper presents upgraded equipment to assist a patient in rehabilitating of their knee-joint by themselves. A new automatic mechanism is suggested and developed in order to add functions for enforcing the leg muscles, which were absent in previous rehabilitation machines. Using the Pro-engineer software, we analyze the displacements and speeds of several moving points of the equipment during various planned exercises. In addition, an appropriate control panel for operation is developed. Three motors andthree motor drivers are used in a tilting part for the ankle joint, sliding guide part for the knee joint, and up-down moving part for the whole leg. Finally, various newly upgraded motions can be generated by controlling the three motors simultaneously. we show that by using this equipment, we can adjust the proper length of the equipment according to the user's height and the intensity of the rehabilitation exercise.

A Study of Isokinetic Exercise (등속성 운동에 관한 고찰)

  • Bae Sung-Soo;Kim Sang-Soo;Choi Jae-Won
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.103-109
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    • 1999
  • The isokinetic exercise equipment generally allows a relatively safe application of maximal loading to a specific muscle group as well as an accurate and objective evaluation of muscle strength and endurance, it is more widely wing an the one of the important methods in rehabilitation and sports medicine. The aim of this paper was to compare the concept of the isometric and isotonic exercise and investigate the change of aerobic, anaerobic and fibers. In addition, the present study was designed to investigate the factors in measurement.

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