• Title/Summary/Keyword: Stroke Rehabilitation

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Implementation of Gait Analysis System Based on Inertial Sensors (관성센서 기반 보행 분석 시스템 구현)

  • Cho, J.S.;Kang, S.I.;Lee, K.H.;Jang, S.H.;Kim, I.Y.;Lee, J.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.137-144
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    • 2015
  • In this paper, we present an inertial sensor-based gait analysis system to measure and analyze lower-limb movements. We developed an integral AHRS(Attitude Heading Reference System) using a combination of rate gyroscope, accelerometer and magnetometer sensor signals. Several AHRS modules mounted on segments of the patient's body provide the quaternions representing the patient segments's orientation in space. And a method is also proposed for calculating three-dimensional inter-segment joint angle which is an important bio-mechanical measure for a variety of applications related to rehabilitation. To evaluate the performance of our AHRS module, the Vicon motion capture system, which offers millimeter resolution of 3D spatial displacements and orientations, is used as a reference. The evaluation resulted in a RMSE(Root Mean Square Error) of 1.08 and 1.72 degree in yaw and pitch angle. In order to evaluate the performance of our the gait analysis system, we compared the joint angle for the hip, knee and ankle with those provided by Vicon system. The result shows that our system will provide an in-depth insight into the effectiveness, appropriate level of care, and feedback of the rehabilitation process by performing real-time limb or gait analysis during the post-stroke recovery.

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Effects of Rehabilitation Education Program for Stroke Patients and Their Family Caregivers (뇌졸중 환자와 가족 보호자를 위한 재활 교육 프로그램의 효과)

  • Jung, bum-chul;Kim, huyn-joo
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.289-290
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    • 2015
  • 본 연구는 뇌졸중 환자와 가족 보호자를 위한 재활 교육 프로그램을 개발하여 뇌졸중 환자의 우울감, 재활동기와 기능회복, 가족 보호자의 스트레스와 돌봄능숙도에 미치는 효과와 임상적 적용에 대한 과학적 근거를 제공하는 목적으로 실시하였으며 실험전보다 실험후에서, 대조군보다 실험군에서 향상된 결과를 나타내어 재활 교육 프로그램의 적용은 보다 효율적인 재활치료에 도움을 줄 수 있는 방법이고, 뇌졸중 환자와 가족 보호자의 심리적인 측면뿐만 아니라, 뇌졸중 환자의 기능회복적인 측면까지 긍정적인 영향을 미칠 수 있을 것으로 사료된다.

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Introduction to EEG-Based Brain-Computer Interface (BCI) Technology (뇌파 기반 뇌-컴퓨터 인터페이스 기술의 소개)

  • Im, Chang-Hwan
    • Journal of Biomedical Engineering Research
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    • v.31 no.1
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    • pp.1-13
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    • 2010
  • There are a great numbers of disabled individuals who cannot freely move or control specific parts of their body because of serious neurological diseases such as spinal cord injury, amyotrophic lateral sclerosis, brainstem stroke, and so on. Brain-computer interfaces (BCIs) can help them to drive and control external devices using only their brain activity, without the need for physical body movements. Over the past 30 years, several Bel research programs have arisen and tried to develop new communication and control technology for those who are completely paralyzed. Thanks to the rapid development of computer science and neuroimaging technology, new understandings of brain functions, and most importantly many researchers' efforts, Bel is now becoming 'practical' to some extent. The present review article summarizes the current state of electroencephalogram (EEG)-based Bel, which have been being studied most widely, with specific emphasis on its basic concepts, system developments, and prospects for the future.

Subarachnoid Hemorrhage and Intracerebral Hematoma due to Sildenafil Ingestion in a Young Adult

  • Byoun, Hyoung-Soo;Lee, Young-Joon;Yi, Hyeong-Joong
    • Journal of Korean Neurosurgical Society
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    • v.47 no.3
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    • pp.210-212
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    • 2010
  • Sildenafil citrate ($Viagra^{(R)}$ Pfeizer US Pharmaceutical Group, New York, NY, USA) is a potent vasodilating agent to treat male erectile dysfunction. Among its adverse effects, hemorrhagic stroke has not been widely reported yet. We present a case of a 33-year-old healthy man who ingested 50 mg sildenafil a half hour before onset of headache, nervousness and speech disturbance. Head computed tomogram of this stuporous man showed huge intracerebral hemorrhage and thick subarachnoid hemorrhage, but angiography failed to disclose any vascular anomalies. Subsequent surgical procedure was followed, and rehabilitation was provided thereafter. Sildenafil seems to act by redistributing arterial blood flow, and concurrent sympathetic hyperactivity, which lead to such hemorrhagic presentation. Extreme caution should be paid on even in a young adult male patient wven without known risk factors.

Correlations Among Objective Measurements of Spasticity in Patients With Brain Lesions

  • Kim, Yong-Wook
    • Physical Therapy Korea
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    • v.14 no.4
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    • pp.7-13
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    • 2007
  • The purpose of this study was to investigate correlations among objective measurements of spasticity in patients with brain lesions. Thirty-two stroke and traumatic brain injury subjects participated in the study. Spasticity was quantified using the knee first flexion angle, relaxation index obtained from a pendulum drop test, and the amplitude of a knee tendon reflex test. Pearson's product correlation coefficient was used to examine relationships among these measurements of spasticity. There was a significant positive correlation between the relaxation index and knee first flexion angle in patients with brain lesions (r=.895, p<.01). There was also significant negative correlation between the amplitude of knee tendon reflex and relaxation index (r=-.612, p<.01), and between amplitude and knee first flexion angle (r=-.537, p<.01). Thus, it is possible to use the knee first flexion angle as an objective measure of spasticity, rather than relaxation index, which is more complicated to obtain. Further studies are needed to explore the effects of functional improvement and long-lasting carryover effects of spasticity using a simple objective measure such as the knee first flexion angle from a pendulum test.

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Effects of Eccentric Exercise of Hip Abductors on Gait Balance (고관절 외전근의 원심성 운동이 보행시 균형에 미치는 효과)

  • Choi, Won-Ho;Kim, Myung-Jong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.9 no.2
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    • pp.59-67
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    • 2003
  • The purpose of this study was to identify the effects of eccentric exercise of affected hip abductor muscles on Gait balance in patient with hemiplegia. 30 patients with hemiplegia were recruited among in and out patients of Gil Hospital(age x=50.5, SD=10.1, range 37-80. post stroke days x=383.2, SD=309.3, range 57-1165). These patients were divided into eccentric and control groups by random sampling. TUG were used for this study. Paired t- test was used to identify the effects of eccentric exercise of hip. The results were stastically significantly differences in the effect of exercise between experimental and control groups by TUG(p<0.05). The results indicate that the eccentric exercise of affected hip abductor muscles is effects on gait balance in patient with hemiplegia.

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Developing an Artificial Neural Network Based Rehabilitation System for Stroke Victims. (신경망을 이용한 뇌졸중 환자의 재활치료 시스템 개발에 관한 연구)

  • Kim, Chung-Ho;Kim, Byung-Joo
    • Annual Conference of KIPS
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    • 2013.05a
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    • pp.229-231
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    • 2013
  • 본 논문은 신경망 알고리즘을 사용하여 사람의 필기체 문자를 인식하였고, 이를 바탕으로 뇌졸중 환자의 재활치료를 돕는 시스템을 구현하였다. 뇌졸중 환자의 재활치료에서는 단기간에 환자에게 반복적인 행동 및 학습하는 것이 효율적이라고 알려져 있다. 본 연구에서는 뇌졸중 환자에게 문자 템플릿을 보여주었고, 환자는 문자 템플릿을 인지하고 문자 템플릿과 같은 형태의 문자를 쓰게 하는 방식을 사용하였다. 뇌졸중 환자가 쓴 필기체 문자를 신경망 알고리즘을 사용하여 인식하고, 자주 틀리는 문자에 대해 추천시스템 방식을 사용하여 틀린 문자와 모양이 비슷하거나 같은 문자를 추천해줌으로써 문자 쓰기학습의 반복을 유도하였다. 실험을 통해 제안한 시스템은 뇌졸중 환자의 인지장애와 손 기능장애에 대한 재활치료의 효과를 상승시켰다.

A Study on XR Program to Support Double Rehabilitation in Stroke Patients: Focusing on Fragrance Ejection Function and Data Visualization (뇌졸중 환자의 이중재활 지원을 위한 XR 프로그램 연구: 향기 분출 기능과 데이터 시각화를 중심으로)

  • Seung-Hyeon Lee;So-Hyun Lee;Ye-Eun Min;So-Yeon Shin;Yang-Kyu Lim
    • Annual Conference of KIPS
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    • 2023.11a
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    • pp.1065-1066
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    • 2023
  • 본 연구에서 개발된 XR 게임은 이중 재활을 지원하는 핵심 도구로서 설계되었으며, 향기 분출 기능 또한 포함하고 있어 향기 치료까지 가능하도록 확장되었다. 이 프로그램은 사용자의 데이터를 세심하게 분석하여, 각 개개인의 진전을 지속적으로 추적할 수 있다. 더불어, 사용자는 과거와 현재의 데이터를 비교하고 분석하여, 지속적인 자기 개선을 위한 방향을 찾을 수 있다.

A Study on Evaluation of the Appropriateness of Hospitalization for Patients with Stroke (뇌졸중 환자의 재원 적절성 평가에 관한 연구)

  • Choi, Eun-Mi;Yoo, In-Sook
    • Journal of Digital Convergence
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    • v.10 no.3
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    • pp.233-240
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    • 2012
  • This study aimed to clarify any factors that may have effect on the appropriateness of hospital admission and hospitalization with the intention of facilitating more efficient occupancy of hospital beds and better medical services in the aspect of their quality, minimizing unnecessary occupancy of beds, and ultimately helping patients requiring acute treatments to use immediately hospitals. This paper selected 154 Stroke patients who left neurology department of one general hospital from March, 1, 2006 to September, 31, 2010 as targets to meet the rate according to medical care security and to see the trend of recent 4 years. As study method, this paper analized medical treatment record with AEP to evaluate the appropriateness of hospital admission and stay and the collected data was computerized through SPSS 12.0. Based upon the results above, the conclusion was drawn that the higher appropriateness of hospital admission and the shorter length of hospital stay will lead to the higher appropriateness of hospitalization. In other words, it is required to provide hospitalized patients with all kinds of behaviors including medical treatments and nursing care service, management of pharmaceuticals, tests, rehabilitation and symptoms, as well as instructions and information for patients. Meanwhile, as it was found that the length of hospital stay may affect the appropriateness of hospitalization, the longer length of hospital stay may result in reduced bed turnover rate. In this light, it is necessary to organize a task force team responsible for evaluation and control of the appropriateness of hospitalization and hospital stay length to improve the quality of medical service in a medical center, so that patients can leave the center timely. Ultimately, governmental supports such as expansion of long-term care facilities will reduce the necessary length of hospital stay so that patients with stroke can receive rehabilitative treatments and long-term care service shortly after completion of acute treatments.

The Effect of Task-Oriented Training After Botulinum Toxin Injection on Upper Extremity Function and Activities of Daily Living For Patients with Stroke: Case Study (보툴리눔 독소 주사 후 과제 지향적 훈련이 뇌졸중 환자의 상지기능 및 일상생활활동에 미치는 효과: 사례연구)

  • Lee, Min-Jae
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.67-75
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    • 2016
  • Objective : This study was examined the effects of task-oriented training therapy after botulinum toxin injection, upper extremity function and activities of daily living for stroke patient. Methods : The subject was a 44 year old male who suffered from hemiplegic patient received a task-oriented training therapy after botulinum toxin injection on involved upper extremity for 30-min sessions 5 times every week during 8 weeks. The scores were obtained before the injection, at 4 weeks, and 8 weeks after the injection. The upper extremity function was assessed using a Manual Function Test and Box and Block Test, and also Modified Barthel Index was applied for evaluation of Activities of Daily Living performance ability. Results : The results of this study show that the subject's In-hand manipulation and dexterity function increase significantly. Also, In activities of daily living, personal hygiene area, feeding area, toilet area, dressing area scores are improved significantly. Conclusion : Through this study, task-oriented training after botulinum toxin injection can improve upper extremity function and Activities of Daily Living performance ability of patient with stroke.