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The Immediate Effect of Thoracic Self-Mobilization on Balance and Gait of Acute Stroke Patients (자가 흉추관절가동술이 급성기 뇌졸중 환자의 균형과 보행에 미치는 즉각적 영향)

  • Park, Si-hyun;Jeong, Eui-young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.11-20
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    • 2019
  • Background: The purpose of this study was to investigate the immediate effect of thoracic self mobilization on balance and gait of acute stroke patients. Methods: Patients (n=10) with acute stroke applied to thoracic self mobilization. There are two thoracic self mobilization of both extension and rotation. Each thoracic self mobilization was performed ten times per direction in a total of three sets and the total time required for two thoracic self mobilization was twenty minutes. The break time between sets was one minute. Balance ability was measured using the timed up and go test and the five times sit to stand test for patients. The 10 meter walk test and the functional gait assessment were used for measurement of gait ability for patients. Results: Significant improvements were observed on balance ability (p<.05) and gait ability (p<.05). Conclusion: These results show that thoracic self mobilization is immediate effective on balance and gait ability. Thus, thoracic self mobilization will help recovery of balance and gait ability in acute stroke patients.

The Effects of Gait Performance and Respiratory of Backward Walking in Body Weight Supported Treadmill on Incomplete Spinal Cord Injury: A Case Study (체중지지 트레드밀 후방 보행 훈련이 불완전 척수 손상 환자의 보행과 호흡에 미치는 효과: 단일사례연구)

  • Kim, Sung-Hoon;Choi, Jong-Duk
    • PNF and Movement
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    • v.11 no.2
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    • pp.103-110
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    • 2013
  • Purpose : The aim of study was to assess the effect of backward walking combined with body weight supported treadmill training for patients with spinal cord injury. Methods : Forced vital capacity(FVC), forced expiratory volume at one second(FEV1), peak expiratory flow(PEF) and FEV1/FVC ratio(FER) were measured with a spirometer for on subject of T12 spinal cord injury. 10 meter walking test(10MWT), timed up & go test(TUG) and 6-Minute walking test(6MWT) were the measured. Intervention consisted of backward walking combined with body weight supported treadmill training five times a week for 12 weeks. Results : The date of 10MWT, TUG, 6MWT were improved. Furthermore, the date of PEF, FEV1, FVC, FER showed a improvement. Conclusion : Backward walking combined with body weight supported treadmill training may be a better and more effective method for gait performance and respiratory on incomplete spinal cord injury.

New approach to calculate Weibull parameters and comparison of wind potential of five cities of Pakistan

  • Ahmed Ali Rajput;Muhammad Daniyal;Muhammad Mustaqeem Zahid;Hasan Nafees;Misha Shafi;Zaheer Uddin
    • Advances in Energy Research
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    • v.8 no.2
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    • pp.95-110
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    • 2022
  • Wind energy can be utilized for the generation of electricity, due to significant wind potential at different parts of the world, some countries have already been generating of electricity through wind. Pakistan is still well behind and has not yet made any appreciable effort for the same. The objective of this work was to add some new strategies to calculate Weibull parameters and assess wind energy potential. A new approach calculates Weibull parameters; we also developed an alternate formula to calculate shape parameters instead of the gamma function. We obtained k (shape parameter) and c (scale parameter) for two-parameter Weibull distribution using five statistical methods for five different cities in Pakistan. Maximum likelihood method, Modified Maximum likelihood Method, Method of Moment, Energy Pattern Method, Empirical Method, and have been to calculate and differentiate the values of (shape parameter) k and (scale parameter) c. The performance of these five methods is estimated using the Goodness-of-Fit Test, including root mean square error, mean absolute bias error, mean absolute percentage error, and chi-square error. The daily 10-minute average values of wind speed data (obtained from energydata.info) of different cities of Pakistan for the year 2016 are used to estimate the Weibull parameters. The study finds that Hyderabad city has the largest wind potential than Karachi, Quetta, Lahore, and Peshawar. Hyderabad and Karachi are two possible sites where wind turbines can produce reasonable electricity.

The Effect of Pre-Operative Patient Controlled Analgesia Education on Elderly Patients with Total Knee Arthroplasty (슬관절 전치술 노인 환자의 수술 전 자가통증조절기 사용 교육이 수술 후 환자에게 미치는 효과)

  • Shim, Joohee;Choi-Kwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.16 no.4
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    • pp.318-325
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    • 2014
  • Purpose: The purpose of this study was to investigate the effects of preoperative patient controlled analgesia (PCA) education on total knee replacement arthroplasty (TKRA) patients' PCA usage, level of pain, the frequency of pro re nata (prn) administrations, number of ambulations/day and continuous passive motion (CPM) angle after TKRA. Methods: This research used the non-equivalent control group pre-test and post-test design. Forty-five TKRA patients at a hospital in Seoul, Korea were included for in the study. For the experimental group, a 20-minute education session was provided a day before surgery. Data were analyzed using Windows SPSS Statistics 21.0 program. Results: Knowledge was higher in the experimental group than in the control group (p<.001). Incidence of nausea was lower in the experimental group (p=.01). No significant differences were found in post-operative pain scores, the frequency of prn analgesics administrations, dizziness, number of ambulations/day and CPM angle. Conclusion: This study showed that pre-operative PCA education could be an effective nursing intervention for increasing patient knowledge on PCA and nausea reduction after TKRA.

Effects of Ankle Joint Position during Closed Kinetic Chain Exercise on Strength and Balance in Chronic Stroke

  • Kim, Ye-Eun;Bang, Dae-Hyouk;Shin, Won-Seob
    • The Journal of Korean Physical Therapy
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    • v.27 no.5
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    • pp.345-350
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    • 2015
  • Purpose: This study was conducted to determine the effects of ankle joint position during closed kinetic chain (CKC) exercise on knee extensor strength and balance in patients with chronic stroke. Methods: Sixteen patients with chronic stroke participated in the study. Participants were randomly assigned to two groups: $15^{\circ}$ ankle joint plantar flexion group (n=8) and ankle joint neutral group (n=8) during CKC exercise. All participants underwent conventional physical therapy for 30 minutes. In addition, the experimental group ($15^{\circ}$ ankle joint plantar flexion group) and control group (ankle joint neutral group) participated in a 20-minute CKC exercise program. In both groups exercise was performed three times a week for four weeks. Outcomes including knee extensor strength and balance ability (Five times sit-to-stand test, Timed up and go test, and Balancia) were measured before and after exercise. Results: Significant differences in knee extensor strength and balance ability were observed between pre- and post-exercise in all groups (p<0.05). The improvement of knee extensor strength and dynamic balance was significantly higher in the experimental group than in the control group (p<0.05). Conclusion: These findings demonstrated that $15^{\circ}$ ankle joint plantar flexion during closed kinetic chain exercise is effective in improvement of knee extensor strength and dynamic balance in patients with chronic stroke.

Functional Electrical Stimulation with Augmented Feedback Training Improves Gait and Functional Performance in Individuals with Chronic Stroke: A Randomized Controlled Trial

  • Yu, Kyung-Hoon;Kang, Kwon-Young
    • The Journal of Korean Physical Therapy
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    • v.29 no.2
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    • pp.74-79
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    • 2017
  • Purpose: The purpose of this study was to compare the effects of the FES-gait with augmented feedback training to the FES alone on the gait and functional performance in individuals with chronic stroke. Methods: This study used a pretest and posttest randomized control design. The subjects who signed the agreement were randomly divided into 12 experimental groups and 12 control groups. The experimental groups performed two types of augmented feedback training (knowledge of performance and knowledge of results) together with FES, and the control group performed FES on the TA and GM without augmented feedback and then walked for 30 minutes for 40 meters. Both the experimental groups and the control groups received training five times a week for four weeks. Results: The groups that received the FES with augmented feedback training significantly showed a greater improvement in single limb support (SLS) and gait velocity than the groups that received FES alone. In addition, timed up and go (TUG) test and six minute walk test (6MWT) showed a significant improvement in the groups that received FES with augmented feedback compared to the groups that received FES alone. Conclusion: Compared with the existing FES gait training, augmented feedback showed improvements in gait parameters, walking ability, and dynamic balance. The augmented feedback will be an important method that can provide motivation for motor learning to stroke patients.

Analysis of Wind Resource on Maldo Island of Kokunsangun-do, Saemangeum (새만금 고군산군도 말도 유역에 대한 바람에너지 분석)

  • Kang, Sangkyun;You, Sungho;Lee, Jang-ho;Pak, Sungsine;Kim, Hyeong-Joo
    • Journal of Wind Energy
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    • v.9 no.4
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    • pp.65-71
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    • 2018
  • To establish an offshore wind turbine test site, a wind resource assessment of the candidate site is required as a preliminary procedure. The wind resource assessment must be performed with at least one year of wind data. If the assessment is performed with short-term wind data, the results cannot validate the wind conditions of the candidate site. This study performs wind resource assessment of Kokunsangun-do to investigate the wind conditions of the candidate site. The wind data is measured by the Automatic Weather System (AWS) of the Korea Meteorological Administration, located at Maldo. The data is for five years, measured from 2013 to 2017. Measured wind data is statistically processed with a 10-minute average scheme to find out the dominant wind direction and wind power density, with yearly wind speed distribution (Weibull-based). This study contributes to build a database of wind energy resources around Maldo. Also, the results of this study could be used for the establishment of an offshore wind turbine test site.

Combined Dexamethasone/Insulin-induced Hypoglycemic Test in Manic and Schizophrenic Patients (조증 및 정신분열병 환자에서 덱사메사손/인슐린-유도성 저혈당 병합검사)

  • Sung, Si Yong;Park, Chul Soo;Sohn, Jin Wook
    • Korean Journal of Biological Psychiatry
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    • v.4 no.2
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    • pp.272-278
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    • 1997
  • Many investigators are trying to elucidate the pathogenesis of psychiatric disorders on the basis of neuroendocrine responses to stimulation or perturbation. Dexamethasone(DEX) suppression has been the most widely utilized as the prototypical challenge test. Dexamethasone suppression test(DST) has proven to be valuable in diagnosing the depressive spectrum disorder. Reported specificity of diagnosis of depression is relatively high, but sensitivity is limited. Some researchers used the combination of dexamethasone and corticotropin releasing hormone(CRH) in order to improve the sensitivity. They reported that combined DEX/CRH test is more sensitive than DST alone. In this study the authors modified the DEX/CRH test, i.e., we administered the insulin instead of CRH. Total subjects were 28(7 normal controls, 10 manic patients, 11 schizophrenic patients). Subjects were taken DEX(1.5mg p.o.) at 11 p.m., insulin 16 hours later(0.1 unit/kg i.v.). Five blood samples for the determination of cortisol and ACTH were serially drawn at 15 minute interval. The results are as followings : 1) The cortisol and ACTH levels of manic subjects increased following insulin administration. Manic subjects showed higher levels of cortisol and ACTH than schizophrenic and normal control subjects. The cortisol and ACTH levels of schizophrenic and normal control subjects did not show gross changes. 2) The sensitivity of the test was lower than that of reported DEX/CRH test.

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Types of Sit-to-Stand Tests and Research on the Correlation with Body Muscle Mass (앉았다 일어서기 검사 종류와 신체 근육량의 상관관계 연구)

  • Tae Sung Park;So Jung Lee;Myung-Jun Shin;Jong Ho Kang
    • PNF and Movement
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    • v.21 no.2
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    • pp.223-229
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    • 2023
  • Purpose: Assessing physical strength and muscle mass is crucial, but many methods rely on specialized equipment, which can be challenging. In situations where a quick and straightforward test is needed, the sit-to-stand test (STST) proves useful. Although several studies have investigated STST and muscle mass separately, the actual correlation between these two factors has not been extensively researched. Hence, the objective was to comprehensively investigate the correlations between the different tests. Methods: The study participants consisted of 20 healthy young men in their 20s. In this study, measurements were taken for muscle mass, the five-times sit-to-stand test, the 30-second sit-to-stand test, and the 1-minute sit-to-stand test. The results of each test were analyzed using Pearson's correlation analysis. Results: Although no significant correlation was found between muscle mass and STST, interestingly, significant correlations were observed among the different types of STST. Conclusion: The STST is a rapid and straightforward test used to assess lower limb strength and balance ability in individuals. However, there is a dearth of research on STST conducted in domestic settings. Based on the findings of this study, further research is necessary to establish age- and gender-specific reference values for STST. This will allow its broader application, encompassing not only older adults and patients but also healthy individuals.

A Study on the Subsurface Drainage of Artesian Groundwater in Wetted Paddy for the Mechanized Farming to be Prepared Against Uruguay Round (UR대비에 도움을 줄 논의 기계화재배를 위한 논의 용수처리에 관한 연구)

  • Hwang, Eun;Hur, Nam-Jo
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.34 no.4
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    • pp.59-68
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    • 1992
  • A Study was made to improve soil and water temperature and mechanized farming for a wetted paddy under the influence of artesian groundwater located at Samcheon-Dong, Chuncheon City, Kangweon Province. Half perforated PVC drainage pipes were installed in the test paddy to observe temperature change of water and soil. The temperature of the water in the paddy and soil itself raised significantly after the installation of the half perforated PVC pipes. A subsequent improvement of growth and yield of rice on the paddy was achieved. Harvesting operation was also improved with firm ground condition so that cutting and threshing could be done simultaneously within the paddy plot. Following results were obtained from the study. 1.Temperature of the water in a paddy under the influence of artesian groundwater was not changed notably although air temperature was fluctuated during the crop period. Soil temperature was mostly affected by the artesian groundwater. However, the half perforated PVC pipe drainage system made it possible to raise temperature of water and soil remarkably up to the level of optimum farming. 2.Total precipitation was 534.Omm during the crop period of the paddy for 118 days from May 26 to September 20 in 1992. Due to heavy rainfalls of 105.6mm and 109.8mm occurred on August 7 and August 27.1992, respectively, the rate of the artesian groundwater increased to 35 litter per minute with two to three days of time lag. 3.Average rate of the artesian groundwater was 28 litter per minute from the one year of observation. The rate varied by 0.7 to 1.3 times of average during the observation period. Peak rate of the artesian groundwater decreased to 14.5 litter per minute when daily precipitation maintained at the amount of 20 to 30mm for a long time period. Contrarily, it showed a tendency to increase to 35 to 40 litter per minute when heavier precipitation of 50 to l00mm occurred in a short period of three to five days. 4.Growth and yield of Yemyung variety of rice planted on the paddy that was facilitated with a drainage system with half perforated PVC pipes were confirmed at a normal level, while paddy without this perporated drainage system showed abnormal growth with low yield.

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