• The Journal of Korean Physical Therapy
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• v.28 no.1
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• pp.1-7
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• 2016

Purpose: The aim of this study was to evaluate the effect of Bridge exercise with abdominal drawing-in on static and dynamic balance in patients with stroke. Methods: Forty patients with stroke participated in this study. Participation was randomly assigned to the Bridge exercise group (n=20) and the Bridge exercise with abdominal drawing-in group (n=20). A bio-feedback device was used when patients performed the Bridge exercise with abdominal drawing-in. This training was performed without any motion on the patient's spine and upper belly part, and the pressure was held with the biofeedback device as 40-70 mmHg. Both groups received training 30 minutes per day, three times per week, for four weeks. Weight bearing, anterior limit of stability, and posterior limit of stability for static balance ability were measured, and Berg balance scale (BBS), Timed up and go test (TUG) for dynamic balance ability were also measured. Results: Participants showed significant differences between pre- and post-mediation in terms of weight bearing, anterior limit of stability, posterior limit of stability, Berg balance scale, and Timed up and go test (p<0.05). The Bridge exercise with abdominal drawing-in group showed a more significant increase (p<0.05). Conclusion: According to the results of this study, both exercises were effective for improving the static and dynamic balance ability. However we suggest that the Bridge exercise with abdominal drawing-in is more efficient for increasing balance ability in patients with stroke.

• Steel and Composite Structures
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• v.51 no.1
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• pp.25-41
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• 2024

The measurement of pile bearing capacity is crucial for the design of pile foundations, where in-situ tests could be costly and time needed. The primary objective of this research was to investigate the potential use of fuzzy-based techniques to anticipate the maximum weight that concrete driven piles might bear. Despite the existence of several suggested designs, there is a scarcity of specialized studies on the exploration of adaptive neuro-fuzzy inference systems (ANFIS) for the estimation of pile bearing capacity. This paper presents the introduction and validation of a novel technique that integrates the fire hawk optimizer (FHO) and equilibrium optimizer (EO) with the ANFIS, referred to as ANFIS_FHO and ANFIS_EO, respectively. A comprehensive compilation of 472 static load test results for driven piles was located within the database. The recommended framework was built, validated, and tested using the training set (70%), validation set (15%), and testing set (15%) of the dataset, accordingly. Moreover, the sensitivity analysis is performed in order to determine the impact of each input on the output. The results show that ANFIS_FHO and ANFIS_EO both have amazing potential for precisely calculating pile bearing capacity. The R² values obtained for ANFIS_FHO were 0.9817, 0.9753, and 0.9823 for the training, validating, and testing phases. The findings of the examination of uncertainty showed that the ANFIS_FHO system had less uncertainty than the ANFIS_EO model. The research found that the ANFIS_FHO model provides a more satisfactory estimation of the bearing capacity of concrete driven piles when considering various performance evaluations and comparing it with existing literature.

• Korean Journal of Applied Biomechanics
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• v.23 no.2
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• pp.141-148
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• 2013

The purpose of this study was to investigate the scapulothoracic joint movement between different weight bearing contributing to effective bench press exercise. Ten male subjects participated in this study. All subjects were tested on the flat bench press machine which modified weight (50% and 70% of 1RM) and subjects were performed two different conditions(none protraction condition and protraction condition). Weight bar height and vertical velocity, EMG activation was measured using 3D motion capture system and wireless EMG analysis system. As the results, none protraction condition showed that it is more concentrate better pectoralis major muscle activation than protraction condition and middle pectoralis major, anterior deltoid and triceps brachii was significant higher integrated EMG in 70% of 1RM condition. In conclusion, limited scapulothoracic joint movement was more effective activated pectoralis major muscle all the weight through, while we could not find that it was not affected integrated EMG on eight muslces related to shoulder complex between scapulothracic joint movement conditions.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.28 no.3
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• pp.61-68
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• 2022

Background: This study aimed to investigate the effects of noninvasive electrical stimulation combined with trunk stabilization exercise on balance and fall risk in patients with stroke. Methods: Twenty-two patients with stroke were enrolled in the study and randomly divided into experimental and control groups, each with 11 patients. noninvasive electrical stimulation combined with trunk stabilization training was applied to the experimental group, and sham noninvasive electrical stimulation combined with trunk stabilization training, to the control group. Both groups were treated for 6 weeks, five times a week for 30 min each time; the balance and fall risk of patients with stroke were measured before and after treatment, and the changes in the two groups were compared and analyzed. Results: The experimental group's left and right weight-bearing indices (affect and non-affect sides) and the front and rear weight-bearing indices, were significantly improved (p<.05, p<.001). when the changes in balance ability between groups were compared before and after treatment. The total fall efficacy score in the experimental group was substantially lower than that in the control group when the changes in fall efficacy score were compared between groups following treatment (p<.001). Conclusion: The improvement in balance and fall risk in patients with stroke can be attributed to using noninvasive electrical stimulation in combination with trunk stabilization training. This clinically helpful treatment method for patients with stroke warrants further promotion and implementation in the clinic.

• Journal of the Korean Academy of Clinical Electrophysiology
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• v.5 no.1
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• pp.33-43
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• 2007

This study divided 35 hemiplegia patients into control group having standard physical therapy and gait training and functional electrical stimulation(FES) group using FES during gait training in order to examine the effects of applying FES to ankle joint dorsiflexor on motor unit action potential. Stimulation conditions of FES were pulse rate 35 pps, pulse width $250{\mu}s$, and on-time 0.3 second, treatment hour was 30 min. and treatment period was once a day for five days a week through six weeks. For functional evaluations before and after treatment, root mean square(RMS) were measured and the following conclusions were obtained. : In RMS analysis of motor unit action potential, gastrocnemius was significantly reduced in both weight bearing(p<.001) and bearing condition (p<.05). In conclusion, application of FES to hemiplegia patients in recovery stage during gait training decreased RMS and it was interpreted that it was caused by mitigation of muscular spasticity by reduction of motor unit.

• The Journal of Korean Physical Therapy
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• v.26 no.4
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• pp.226-233
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• 2014

Purpose: This study was conducted in order to investigate the exercise limit that may occur depending on changes in postural alignment by examining the significance of postural alignment changes, foot pressure, and balance of patients with stroke. Methods: In this study, 50 patients diagnosed with a stroke were selected as subjects. Imbalance of postural alignment of the trunk, pelvic tilt of trunk rotation of the body, angle of kyphotic curving of the thoracic, and angle of lordotic curving of the lumbar vertebra were measured. Foot pressure was examined by measuring average pressure and weight bearing. Balance was examined by measuring the center of pressure and limit of stability. Results: The significance of postural alignment, foot pressure, and weight bearing of the non-paretic side was examined. In addition, the significance between postural alignment and balance was examined. Conclusion: It is thought that limits of foot pressure and balance in the standing position can be caused by postural alignment. Thus, both a therapeutic intervention program and postural alignment training should be provided together in order to improve the function of patients with stroke.

• International Journal of Contents
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• v.17 no.2
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• pp.20-31
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• 2021

This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the FuglMeyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

• Journal of Sport and Applied Science
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• v.6 no.4
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• pp.11-23
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• 2022

New insights into the aetiology of anaemia in athletes have been discovered in recent years. From hemodilution and redistribution, which are thought to commit to so-called "sports anaemia," to iron deficiency triggered by higher requirements, dietary requirements, decreased uptake, enhanced losses, hemolysis, and sequester, to genetic factors of different types of anaemia (some related to sport), anaemia in athletes necessitates a careful and multisystem methodology. Dietary factors that hinder iron absorption and enhance iron bioavailability (e.g., phytate, polyphenols) should be considered. Celiac disease, which is more common in female athletes, may be the consequence of an iron deficiency anaemia that is unidentified. Sweating, hematuria, gastrointestinal bleeding, inflammation, and intravascular and extravascular hemolysis are all ways iron is lost during strength training. In training, evaluating the iron status, particularly in athletes at risk of iron deficiency, may work on improving iron balance and possibly effectiveness. Iron status is influenced by a healthy gut microbiome. To eliminate hemolysis, athletes at risk of iron deficiency should engage in non-weight-bearing, low-intensity sporting activities.

• Journal of the Korean Society of Physical Medicine
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• v.18 no.4
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• pp.29-35
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• 2023

PURPOSE: High-intensity physical therapy may help improve some gross motor developmental delays through an increased treatment frequency. This study describes an increase in physical therapy frequency and intensity over an eight-week time frame for a child with a rare genetic neurodevelopmental disorder. METHODS: A single-subject research was performed. The subject was a nine-year-old boy with MECP2 Duplication Syndrome. The outcome measure consisted of one time before and after the intervention. An intensive physical therapy program was applied to this subject. The treatments included reciprocal crawling, high kneeling, tailor sitting, weight-bearing and shifting training to facilitate ankle balance strategies and training to walk without assistance. RESULTS: After the eight-week follow-up, the child achieved a gradual improvement in the gross motor function measures, and the mother reported that the child frequently engaged in tailor sitting and independently walking. CONCLUSION: This case study highlights that intensive physical therapy improved the overall motor function of a child with MECP2 duplication syndrome.

• Computers and Concrete
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• v.34 no.2
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• pp.151-168
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• 2024

This research aimed to appraise the effectiveness of four optimization approaches - cuckoo optimization algorithm (COA), multi-verse optimization (MVO), particle swarm optimization (PSO), and teaching-learning-based optimization (TLBO) - that were enhanced with an artificial neural network (ANN) in predicting the bearing capacity of shallow foundations located on cohesionless soils. The study utilized a database of 97 laboratory experiments, with 68 experiments for training data sets and 29 for testing data sets. The ANN algorithms were optimized by adjusting various variables, such as population size and number of neurons in each hidden layer, through trial-and-error techniques. Input parameters used for analysis included width, depth, geometry, unit weight, and angle of shearing resistance. After performing sensitivity analysis, it was determined that the optimized architecture for the ANN structure was 5×5×1. The study found that all four models demonstrated exceptional prediction performance: COA-MLP, MVO-MLP, PSO-MLP, and TLBO-MLP. It is worth noting that the MVO-MLP model exhibited superior accuracy in generating network outputs for predicting measured values compared to the other models. The training data sets showed R² and RMSE values of (0.07184 and 0.9819), (0.04536 and 0.9928), (0.09194 and 0.9702), and (0.04714 and 0.9923) for COA-MLP, MVO-MLP, PSO-MLP, and TLBO-MLP methods respectively. Similarly, the testing data sets produced R² and RMSE values of (0.08126 and 0.07218), (0.07218 and 0.9814), (0.10827 and 0.95764), and (0.09886 and 0.96481) for COA-MLP, MVO-MLP, PSO-MLP, and TLBO-MLP methods respectively.