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The effects of virtual reality training on gait, balance, and upper extremity function in patients with stroke: A meta-analysis

  • Lee, Hyun soo;Kim, You Lim;Lee, Hae ji;Lee, Byounghee
    • Journal of Korean Physical Therapy Science
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    • v.28 no.3
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    • pp.11-29
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    • 2021
  • Background: The purpose of this study is to investigate the effects of virtual reality on gait, balance, and upper extremity functions compared to other independent variables or no variables. Additionally, the possibility of virtual reality for stroke patients was discussed. Design: Meta-analysis. Methods: The search for this study was a search term that combined stroke, virtual reality, and training, and the electronic search was conducted through EMBASE, MEDLINE, and Cochrane Library. As a result of the search, 21 studies satisfying the selection criteria of the target study were confirmed as the final analysis target. This study consisted of 21 randomized experimental studies and 21 randomized controlled trials, and the total number of participants was 642. [Experimental group (n=314), control group (n=328); total 642]. As a result of the study, upper extremity function was assessed using a box and block test, a modified Ashworth scale, and a scale including range of motion. The balance was evaluated by the berg balance scale. Gait was a Timed Up and Go test (TUG), stride length, and gait function. Scales including a walking rate scale were evaluated. The effect size for the intervention of the analytical study was meta-analyzed with the RevMan 5.3.3 program of the Cochrane library. Results: The results of the study showed that the function of walking was statistically significant. Balance showed statistically significant results. The upper extremity function showed no statistically significant results. Conclusion: Through this rehabilitation treatment by applying virtual reality environment to the rehabilitation of stroke patients in the future can be proposed as an effective intervention method for the balance and gait function of stroke patients.

The Effect of Virtual Reality Program Combining Transcranial Direct Current Stimulation on Depression, Hand Function, Cognition, and Daily Life Activities of Patients with Mild Cognitive Disorders (경두개직류전류자극을 결합한 가상현실프로그램이 경도인지장애환자의 우울, 손기능, 인지와 일상생활활동에 미치는 영향)

  • Ko-Un Kim;Bo-Ra Kim;Tae-Gyu An
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.53-62
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    • 2023
  • Purpose : This study evaluated the effects of transcranial direct current stimulation and a virtual reality program on the depression, hand functions, cognitive function, and activities of daily living of patients with mild cognitive impairment by dividing 20 patients with mild cognitive impairment and depression. The 20 patients were divided into a treatment group (transcranial direct current stimulation + a virtual reality program) and a control group (placebo transcranial direct current stimulation + a placebo virtual reality program). Methods : This study allocated ten subjects to the treatment group and ten subjects to the control group. The treatment was given five times per week for six weeks (30 sessions), and each session was 30 minutes. This study screened depression by using SGDS-K, a short geriatric depression scale, to examine depression before and after treatment intervention. This study also used the box and block test, NCSE, and FIM to evaluate hand functions, cognitive function, and activities of daily living, respectively. Results : The results showed that depression significantly decreased, hand functions significantly increased, cognitive function significantly improved, and activities of daily living significantly increased after intervention in the treatment and control groups. The magnitude of changes in depression, hand functions, cognitive function, and activities of daily living was significantly different between the two groups after intervention (p>.05). Conclusion : The results showed that the application of transcranial direct current stimulation and a virtual reality program could improve cognitive function, hand functions, and activities of daily living by decreasing depression. Therefore, it can be concluded that the simultaneous application of transcranial direct current stimulation and a virtual reality program is an intervention method, which can be applied for decreasing depression, enhancing hand functions, improving cognitive function, and increasing activities of daily living in patients with mild cognitive impairment.

A STUDY ON LIGHTING SIMULATION SYSTEM (통합형 무대 디자인 시스템 연구 -조명 시각화 및 통제 시스템에 관하여-)

  • Lee, Dong-Hun;Jang, Tae-Soo;Shin, Ho
    • 한국HCI학회:학술대회논문집
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    • 2009.02a
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    • pp.851-854
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    • 2009
  • This Research suggest that key features of lighting simulation and intuitive theaterical design method can unify single system. It can produce the virtual scene of stage which is able to predict the number of lighting box and design budget. the final goal of this research is unifying lighting and stage design into on single system.

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Process Scheduling for High-Performance Network I/O Virtualization over Multicore Systems (멀티코어 시스템에서 고성능 네트워크 I/O 가상화를 위한 프로세스 스케줄링)

  • Kim, Jong-Seo;Jin, Hyun-Wook
    • Proceedings of the Korean Information Science Society Conference
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    • 2011.06a
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    • pp.520-523
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    • 2011
  • 가상화는 하나의 컴퓨팅 노드에 여러 개의 가상 머신을 구성하여 서버의 자원 활용률을 높여주는 매우 유용한 기술이다. 하지만 아직까지 멀티코어 기반의 전가상화(Full Virtualization) 환경에서 네트워크 I/O 성능 향상을 위한 연구는 미비하다. 또한 기존의 프로세스 스케줄링 기법은 통신을 수행하는 게스트 도메인의 프로세스들을 효과적으로 지원해주지 않는다. 이러한 문제를 해결하기 위하여 네트워크 I/O 가상화를 위한 통신 프로세스의 동적 스케줄링 방식을 제안한다. 기존의 프로세스 친화도 결정 기법을 기반으로 네트워크 I/O 가상화에 특화된 제안 기법은 전가상화 VMM(Virtual Machine Monitor)인 VirtualBox를 대상으로 구현되었으며, 성능 측정을 통하여 네 개의 가상 머신을 적용하였을 경우 기존 리눅스 스케줄러 대비 총 네트워크 사용량을 약 97% 상승 시킴을 보인다.

Implementation of Real-Time Thermal Environment for Virtual Reality Using Gain Scheduling and Cascade Control (게인 스케쥴링과 캐스케이드 제어에 의한 가상현실용 열환경의 실시간 구현)

  • Sin, Yeong-Gi;Jang, Yeong-Su;Kim, Yeong-Il
    • Journal of Institute of Control, Robotics and Systems
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    • v.7 no.7
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    • pp.567-573
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    • 2001
  • A real-time HVAC system is proposed which implements real-time control of thermal environment for virtual reality. It consists of a pair of hot and cold loops that serve as thermal reservoirs, and a mixing box to mix hot and cold air streams flowing if from loops. Their flow rates are controlled in real-time to meet a set temperature and flow rate. A cascade control algorithm along with gain scheduling is applied to the system and test results shows that the closed-loop response approached set values within 3 to 4 seconds.

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The Effects of Virtual Upper Extremity Training Using the RAPAEL Smart Glove on Physical and Cognitive Function in Stroke Survivors -A Single Group Study-

  • Song, Chiang-Soon;Lim, Jae-Heon;Jeon, Byeong-Hyeon;Lee, Hye-Sun
    • PNF and Movement
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    • v.17 no.2
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    • pp.199-206
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    • 2019
  • Purpose: The purpose of this study was to evaluate the effects of a virtual upper extremity training program using the RAPAEL Smart Glove on upper extremity function in stroke survivors with chronic hemiparesis and to focus the training program development using the Smart Glove as a feasibility study. Methods: This study was conducted using a single group and pre-post test research design in the outpatient departments of local rehabilitation units. Ten chronic hemiparetic stroke survivors with a diagnosis of first stroke received therapeutic rehabilitation at the rehabilitation units. All the participants used a virtual reality program with the RAPAEL Smart Glove for 30 minutes per session 3 days a week over 8 weeks. They also received conventional occupational therapy with functional electrical stimulation for 40 minutes per session 3 days a week for 8 weeks as an additional therapy. To analyze the effects of this therapeutic intervention, four clinical measures, including the box-block test (BBT), the Wolf motor function test (WMFT), the trail-making score, the Jebsen Taylor hand function test (JTHFT), and grip strength, were used. Results: Upon completion of the intervention in week 8, all the participants demonstrated significant WMFT, JTT, BBT, grip strength, and trail-making score gains compared to the respective baselines at week 0. Conclusion: This study suggests that virtual upper extremity training using the RAPAEL Smart Glove has a reasonable and beneficial effects on upper extremity function in chronic hemiparetic stroke survivors.

Implementation of MPEG-DASH based Low-Latency Live 360 VR Tiled Video Streaming Server (MPEG-DASH 기반 저지연 라이브 360 VR 분할영상 스트리밍 서버 구현)

  • Kim, Hyun Wook;Choi, U Sung;Yang, Sung Hyun
    • Journal of Broadcast Engineering
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    • v.23 no.4
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    • pp.549-558
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    • 2018
  • We designed and implemented streaming server based on MEPG DASH, which is able to provide high quality video with low-latency live streaming service like 360 VR video on the existing cable network via low-spec media service devices such as IPTV and OTT(Over the Top) SettopBox. We also designed and applied management process which is cable of supporting services by cashing streaming video file(MPD, Segment Files) to reduce the server response delay time. Further more, we confimred that it is also able to provide high quality of tiled video streaming with over 50,000kbps bitrate and 8K@60P through the experiment.

Developing a Web-Based Knowledge Product Outsourcing System at a University

  • Onte, Mark B.;Marcial, Dave E.
    • Journal of Information Processing Systems
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    • v.9 no.4
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    • pp.548-566
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    • 2013
  • The availability of technology and the abundance of experts in universities create an ample opportunity to provide a venue that allows a knowledge seeker to easily connect with and request advice from university experts. On the other hand, outsourcing provides opportunities and remains one of the emerging trends in organizations, and can very clearly observed in the Philippines. This paper describes the development of a reliable web-based approach to Knowledge Product Outsourcing (KPO) services in the Silliman Online University Learning system. The system is called an "e-Knowledge Box."It integrates Web 2.0 technologies and mechanisms, such as instant messaging, private messaging, document forwarding, video conferencing, online payments, net meetings, and social collaboration together into one system. Among the tools used are WAMP Server 2.0, PHP, BlabIM, Wordpress 3.0, Video Whisper, Red5, Adobe Dreamweaver CS4, and Virtual Box. The proposed system is integrated with the search engine in URLs, Web feeds, email links, social bookmarking, search engine sitemaps, and Web Analytics Direct Visitor Reports. The site demonstrates great web usability and has an excellent rating in functionality, language and content, online help and user guides, system and user feedback, consistency, and architectural and visual clarity. Likewise, the site was was rated as being very good for the following items: navigation navigation, user control, and error prevention and correction.

A Method of Hand Recognition for Virtual Hand Control of Virtual Reality Game Environment (가상 현실 게임 환경에서의 가상 손 제어를 위한 사용자 손 인식 방법)

  • Kim, Boo-Nyon;Kim, Jong-Ho;Kim, Tae-Young
    • Journal of Korea Game Society
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    • v.10 no.2
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    • pp.49-56
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    • 2010
  • In this paper, we propose a control method of virtual hand by the recognition of a user's hand in the virtual reality game environment. We display virtual hand on the game screen after getting the information of the user's hand movement and the direction thru input images by camera. We can utilize the movement of a user's hand as an input interface for virtual hand to select and move the object. As a hand recognition method based on the vision technology, the proposed method transforms input image from RGB color space to HSV color space, then segments the hand area using double threshold of H, S value and connected component analysis. Next, The center of gravity of the hand area can be calculated by 0 and 1 moment implementation of the segmented area. Since the center of gravity is positioned onto the center of the hand, the further apart pixels from the center of the gravity among the pixels in the segmented image can be recognized as fingertips. Finally, the axis of the hand is obtained as the vector of the center of gravity and the fingertips. In order to increase recognition stability and performance the method using a history buffer and a bounding box is also shown. The experiments on various input images show that our hand recognition method provides high level of accuracy and relatively fast stable results.

Acceleration of Terrain Rendering Using Bounding Box Subdivision (바운딩 박스 세분화를 통한 지형 렌더링의 가속화)

  • Lee, Eun-Seok;Lee, Jin-Hee;Jo, In-Woo;Shin, Byeong-Seok
    • Journal of Korea Game Society
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    • v.11 no.6
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    • pp.71-80
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    • 2011
  • Recent terrain rendering applications such as 3D games and virtual reality, use GPU-based ray-casting method for rendering high-quality scenes in realtime. As the size of terrain dataset grows bigger, the rendering speed will be decreased by the increase of the number of texture samplings. To accelerate the conventional ray-casting, we propose an efficient ray casting method with subdivided bounding boxes which are based-on GPU quadtree traversal. The subdivision of the terrain's bounding box can reduce the empty spaces effectively. By performing the ray-casting with this compact bounding box, we can efficiently reduce computation with empty space skipping. Unlike the recent quadtree-based empty space skipping techniques which perform the tree traversal at each ray, our method traverses the tree only once per frame. Therefore, we can save much computational time.