• Title/Summary/Keyword: movement of balance

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Age-related Bimanual Coordination Impairments in Elderly People: a Systematic Review and Meta-analysis (건강한 노인의 양손 협응성 변화 패턴: 체계적 문헌고찰 및 메타분석 연구)

  • Kim, Rye Kyeong;Kang, Nyeonju
    • Korean Journal of Applied Biomechanics
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    • v.31 no.4
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    • pp.259-269
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    • 2021
  • Objective: The purpose of this systematic review and meta-analysis was to investigate age-related bimanual coordination functions in older adults. Method: Thirteen studies that compared bimanual coordination functions in older adults with those in healthy young adults qualified for this meta-analysis. We additionally categorized 21 total comparisons from the 13 qualified studies into two types of task-related moderator variables: (1) kinematic versus kinetic movements and (2) symmetry versus asymmetry movements. Results: Random effects model meta-analysis found that older adults revealed significant bimanual coordination impairments as compared with young adults (Hedges's g = -0.771; p < .0001; I2 = 74.437%). We additionally confirmed specific bimanual coordination deficits using two moderator variables: 1) kinematic (Hedges's g = -0.884; p < .0001; I2 = 0.000%) and kinetic (Hedges's g = -0.666; p = .023; I2 = 86.170%). 2) symmetry (Hedges's g = -0.712; p = .001; I2 = 74.291%) and asymmetry (Hedges's g = -0.817; p < .0001; I2 = 76.322%). The moderator variable analysis indicated older adults indicated bimanual coordination deficits in the upper extremities than healthy young adults while performing kinematic bimanual coordination tasks and asymmetry coordination tasks. Conclusion: These findings suggest that developing motor rehabilitation programs based on asymmetric bimanual movement task for enhancing interlimb coordination functions of older adults may be crucial for increasing their independence in everyday activities. Given that elderly revealed the deficits in lower extremities coordination when older adults perform gait, posture, and balance, future studies should estimate lower limb coordination functions in elderly people.

Effect of Non-paralyzed side and Paralyzed side of Elastic Band Combined with Proprioceptive Neuromuscular Facilitation Lower Extremity Patterns on Balance in Chronic Stroke Patients (비 마비 측과 마비 측에 적용한 탄력밴드를 결합한 고유수용성 신경근 촉진법 하지패턴이 만성 뇌졸중 환자의 균형에 미치는 영향)

  • Lee, Young-Min;Ham, Min-Sik;Kim, Taek-Soo
    • PNF and Movement
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    • v.13 no.4
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    • pp.181-188
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    • 2015
  • Purpose: This study aimed to examine the effects of proprioceptive neuromuscular facilitation (PNF) lower extremity patterns combined with elastic bands applied to stroke patients diagnosed with hemiplegia through self-training using the non-paralyzed side approach and the paralyzed side approach, and to investigate the differences in the effects. Methods: Nine chronic stroke patients who were being treated not more than twice a week at H, K, R, and C hospitals located in Gangwon-do, performed self-training for 16 minutes, two times per day for four weeks between August and October 2015. The subjects' balance ability was measured using the Tetrax stability index, the weight distribution index, the Berg Balance Scale (BBS), and the Timed Up and Go (TUG) test before the experiment and four weeks later. Among the statistical methods, paired t-tests were conducted for intra-group comparison of the measurements taken before and after the experiment, and independent t-tests were conducted for inter-group comparison of the ex post facto values. The statistical significance level was set to 0.05. Results: When the lower extremity patterns were applied to the non-paralyzed side group and the paralyzed side group, significant intra-group differences were observed for the Tetrax stability index, the weight distribution index, the Berg Balance Scale (BBS), and Timed Up and Go (TUG) tests (p<0.05); however, the inter-group comparisons showed no significant differences. Conclusion: The non-paralyzed side approach was found to be easy for patients to participate in and it also affected the patients' paralyzed side. Although the paralyzed side approach produced good exercise effects in a short period of time, it could result in adverse effects, such as a decrease in motivation and self-confidence. Therefore, these approaches are considered to be more effective when they are selectively applied depending on the purpose of the intervention and the degree of a patients' participation.

Postural Control in Brain Damage Patients According to Moving Surround (뇌기능 장애 환자의 가상영상(Moving Sorround) 자극에 따른 자세 균형 제어)

  • 김연희;최종덕;이성범;김종윤;이석준;박찬희;김남균
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2002.11a
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    • pp.233-244
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    • 2002
  • The purpose of this study is to assess the ability of balance control in moving surround using head mount device and force platform and to examine the clinical usefulness of COP parameters. Fifteen patients with stroke and healthy persons were participated. COP parameters were obtained as total path distance, frequency of anterior-posterior and medial-lateral component by FFT analysis, weight-spectrum analysis in the two different conditions; (1) in comfortable standing with opened or closed eyes, (2) in virtual moving surround delivered using HMD to four different moving pattern. In virtual moving surround setting, moving pattern was composed of close-far, superior-inferior tilting(pitch), right-left tilting(roll) and horizontal rotation(yaw) movement. In all parameters, the reliebility of COP analysis system was significantly high. Also, the construct validity compared between fifteen patients with stroke and normal persons was excellent in virtual moving surround condition(p

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A Study on the Degree of Need of Human Structure and Function Knowledge in Clinical Nurses (기초간호자연과학의 인체구조와 기능 내용별 필요도에 대한 연구)

  • Choe, Myoung-Ae;Byun, Young-Soon;Seo, Young-Sook;Hwang, Ae-Ran;Kim, Hee-Seung;Hong, Hae-Sook;Park, Mi-Jung;Choi, Smi;Lee, Kyung-Sook;Seo, Wha-Sook;Shin, Gi-Soo
    • Journal of Korean Biological Nursing Science
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    • v.1 no.1
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    • pp.1-24
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    • 1999
  • The purpose of this study was to define the content of requisite human structure and function knowledge needed for clinical knowledge of nursing practice. Subjects of human structure and function were divided into 10 units, and each unit was further divided into 21 subunits, resulting in a total of 90 items. Contents of knowledge of human structure and function were constructed from syllabus of basic nursing subjects in 4 college of nursing, and textbooks published by nurse scholars prepared with basic nursing sciences. The degree of need of 90 items was measured with a 4 point scale. The subjects of this study were college graduated 136 nurses from seven university hospitals in Seoul and three university hospitals located in Chonnam Province, Kyungbook Province, and Inchon. They have been working at internal medicine ward, surgical ward, intensive care unit, obstetrics and gynecology ward, pediatrics ward, opthalmology ward, ear, nose, and throat ward, emergency room, rehabilitation ward, cancer ward, hospice ward, and their working period was mostly under 5 years. The results were as follows: 1. The highest scored items of human structure and function knowledge necessary for nursing practice were electrolyte balance, blood clotting mechanism and anticoagulation mechanism, hematopoietic function, body fluid balance, function of plasma, and anatomical terminology in the order of importance. The lowest scored items of human structure and function knowledge necessary for nursing practice was sexual factors of genetic mutation. 2. The highest order of need according to unit was membrane transport in the living unit, anatomical terminology in movement and exercise unit, mechanism of hormone function in regulation and integration unit, component and function of blood in oxygenation function unit, structure and function of digestive system in digestive and energy metabolism unit, temperature regulation in temperature regulation unit electrolyte balance in body fluid and electrolyte unit, concept of immunity in body resistance unit, and genetics terminology in genetics unit. The highest order of importance according to subunit was membrane transportation in cell subunit, classification of tissues in tissue unit, function of skin and skin in skin subunit, anatomical derivatives of the skeleton subunit, classification of joints in joint subunit, an effect of exercise on muscles in muscle subunit, function of brain in nervous system subunit, special sense in sensory subunit mechanism of hormone function in endocrine subunit, structure and function of female reproductive system in reproductive system unit, structure and function of blood in blood unit, structure of heart, electrical and mechanical function in cardiovascular system unit, structure of respiratory system in respiratory system subunit, structure and function of digestive system in digestive system subunit, hormonal regulation of metabolism in nutrition and metabolism subunit, function of kidney in urologic system subunit, electolyte balance in body fluid, electolyte and acid-base balance subunit. 3. The common content of human structure and function knowledge need for all clinical areas in nursing was structure and function of blood, hematopoietic function, function of plasm, coagulation mechanism and anticoagulation mechanism, body fluid, electrolyte balance, and acid-base balance. However, the degree of need of each human structure and function knowledge was different depending on clinical areas. 4. Significant differences in human structure and function knowledge necessary for nursing practice such as skin and derivatives of the skin, growth and development of bone, classification of joint, classification of muscle, structure of muscle, function of muscle, function of spinal cord, peripheral nerve, structure and function of pancrease, component and function of blood, function of plasma, structure and function of blood, hemodynamics, respiratory dynamics, gas transport, regulation of respiration, chemical digestion of foods, absorption of foods, characteristics of nutrients, metabolism and hormonal regulation, body energy balance were demonstrated according to the duration of work. 5. Significant differences in human structure and function knowledge necessary for nursing practice such as classification of tissue, classification of muscles, function of muscles, muscle metabolism, classification of skeletal muscles, classification of nervous system, neurotransmitters, mechanism of hormone function, pituitary and pituitary hormone, structure and function of male reproductive organ, structure and function of female reproductive organ, component and function of blood, function of plasma, coagulation mechanism and anticoagulation mechanism, gas exchange, gas transport, regulation of respiration, characteristics of nutrients, energy balance, function of kidney, concept of immunity, classification and function of immunity were shown according to the work area. Based on these findings, all the 90 items constructed by Korean Academic Society of Basic Nursing Science should be included as contents of human structure and function knowledge.

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Comparative study of CP(center of pressure) Pattern on pitching sort in Softball (소프트볼 투구 구질에 따른 압력중심 이동패턴의 차이점 분석)

  • Moon, Young-Jin;Kim, Jin-Gyong
    • Korean Journal of Applied Biomechanics
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    • v.16 no.3
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    • pp.183-188
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    • 2006
  • This research is to know differentiation of CP(center of pressure) pattern among four pitching sort(straight ball, raise ball, change up ball, drop ball). Subject are three national or junior athletes. We use the one camera, Novel Win pressure measurement system. Conclusions are as follows : 1. When we throw the straight ball, CP of left foot is effective to end movement at middle of foot in body balance on arm angular motion and enhanced speed. 2. When we throw the raise ball, to change CP from middle to post is more effective in order to raise the ball. 3.In drop ball pitching, in order to fall down the ball in front of hitter, CP of left foot move from post foot to interior part of forefoot 4. In change up ball pitching, if CP of left foot move into forefoot, it is a cause of high ball and hitter can recognize the change up ball because of late arm rotation motion.

Analysis of Stability on Single-leg Standing by Wearing a Head Mounted Display

  • Woo, Byung Hoon
    • Korean Journal of Applied Biomechanics
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    • v.27 no.2
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    • pp.149-155
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    • 2017
  • Objective: The purpose of this study was to investigate the effects of three visual conditions (eyes opened, eyes closed, and wearing of a head mounted display [HMD]) on single-leg standing through kinematics and kinetic analysis. Method: Twelve college students (age: $24.5{\pm}2.6years$, height: $175.0{\pm}6.4cm$, weight: $69.2{\pm}5.1kg$) participated in this study. The study method adopted three-dimensional analysis with six cameras and ground reaction force measurement with one force plate. The analysis variables were coefficient of variation (CV) of the center of body mass, head movement, ground reaction force, and center of pressure, which were analyzed using one-way analysis of variance with repeated measures according to visual conditions. Results: In most cases, the results of this study showed that the CV was significantly higher in the order of HMD wearing, eyes closed, and eyes opened conditions. Conclusion: Our results indicated that body sway was the largest in the HMD wearing condition, and the risk of falling was high owing to the low stability.

Simulation of Three Dimensional Motion of the Knee Joint in Total Knee Arthroplasty (인공 무릎 관절의 3차원 운동 시뮬레이션)

  • Kim, Ki-Bum;Son, Kwon;Moon, Byung-Young
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.1310-1315
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    • 2003
  • Severe osteoarthrosis of the knee joint often requires total knee arthroplasty (TKA) to yield adequate knee function. The knee joint with TKA is expected ideally to restore the characteristics, however, this is not necessarily true in the clinical cases. In this study the motions of the intact joint and the joint after TKA were investigated numerically using computer simulation. For active knee extension from 90 degrees of flexion to full extension, the intact knee joint exhibited anterior tibial translation near the full extension while it showed only rotation for other flexion angles. Physiologic external rotation of the tibia near full extension was also noted in the analytical model. The analysis of the tibial insert of three different shapes (flat, semicurved, and curved types) demonstrated characteristic rotational and sliding motions as well as different contact forces.

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Mathematical Model for Analysis on the Behaviours of Submerged Mound Constructed by the Dredged Materials (수중둔덕의 거동특성 해석을 위한 수학적 모형)

  • Choi, Han-kyu;Lee, Oh-Sung
    • Journal of Industrial Technology
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    • v.19
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    • pp.391-402
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    • 1999
  • The numerical model predicting the behaviours of submerged mound constructed by dredged material is developed in this paper. The model is based on the Bailard's sediment transport formula, Stokes' second-order wave theory and the sediment balance equation. Nonlinear partial differential equation which is the same form as convection-dispersion equation which represents change of bed section can be obtained by substituting sediment transport equation for equation of sediment conservation. By this process, the analytical solution by which the characteristic of the behaviours of submerged mound can be estimated is derived by probably combining the convention coefficient and the dispersion coefficient governing the behaviours of submerged mound and the probability density function representing the wave characteristics. The validity of the analytical solution is verified by comparing the analytical solution which is assumed to estimate the movement rate submerged mound by bed-load with the field data of the past and its characteristic is analyzed quantitatively by obtaining the mean of the dispersion coefficient representing the extent of the decrease rate of the submerged mound height.

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A Study on the Spring Design of Smooth Lifting System for Monitor (모니터용 유연 승강의 스프링 설계에 관한 연구)

  • Cheong, Seon-Hwan;Choi, Seong-Dae;Byun, Yong-Kun;Choi, Eun-Hwan
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.4 no.4
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    • pp.48-53
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    • 2005
  • This research is materialized the mechanism of a interlocking elevator device to meet with customer's requirement demanding a variety of function. On this suitably theoretical translation and by considering of material significance of the most factor's tension spring and torsion spring, it's compared and reviewed the stress's calculation according that SWC and SWPB applied differently. And also that is approved through actual experiment. Out of a variety of feasible movement. Torque Balance is materialized by combination of tension spring, torsion spring and disk spring. So that application of 3 factors for optimal design is very important factor. In future, this research thesis make sure to play a highly role for application and improvement mechanically in various industry sector out of materializing interlock.

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Study on the Dynamic Behaviors of Engine Bearing with the Inertia Effect of Crank Pin Journal (크랭크 핀의 질량관성을 고려한 엔진 베어링의 틈새 거동 연구)

  • Jang Siyoul
    • Tribology and Lubricants
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    • v.21 no.1
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    • pp.39-45
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    • 2005
  • Investigation of the mass effect on the journal traces in the clearance of engine bearing has been performed for better design of mass distribution of crank system components such as crank pin, piston, con-rod, balance weight, crank throw weight, etc. as well as for better oil reaction behaviors to the applied forces from the cylinder pressures on the bearing. In this preliminary study, crank pin traces in the engine bearing clearance are computed by varying the equivalent magnitude of crank pin mass that includes the masses of crank pin, piston, con-rod. etc.. while most previous studies regarding journal traces in the bearing clearance neglect the inertia effects of crank pin mass. Although the inertia effect of pill mass is negligibly small compared to viscous force by ${\pi}bearing$ theory, it is found that it gives a great amount of influences on the journal traces in full bearing computation $(2\pi\;bearing\;theory)$ under the dynamic loading conditions.