• 제목/요약/키워드: stroke error

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Comparison Between Stroke Patients and Normal Persons for Trunk Position Sense and It's Relation to Balance and Gait (정상인과 뇌졸중 환자의 체간 위치감각 비교 및 보행과 균형에 미치는 영향)

  • Yang, Hea-Duck;Kim, Chang-beom;Choi, Jong-Duk;Moon, Young
    • Physical Therapy Korea
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    • v.27 no.3
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    • pp.178-184
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    • 2020
  • Background: Stroke patients have reduced trunk control compared to normal people. The ability to control the trunk of a stroke patient is important for gait and balance. However, there is still a lack of research methods for the characteristics of stroke control in stroke patients. Objects: The aim of this research was to determine whether trunk position sense has any relation with balance and gait. Methods: This study assessed trunk performance by measuring position sense. Trunk position sense was assessed using the David back concept to determine trunk repositioning error in 20 stroke patients and 20 healthy subjects. Four trunk movements (flexion, extension, lateral flexion, rotation) were tested for repositioning error and the measurement was carried out 6 times per move; these parameters were used to compare the mean values obtained. Subjects with stroke were also evaluated with clinical measures of balance and gait. Results: There were significant differences in trunk repositioning error between the stroke group and the control group in flexion, lateral flexion to the affected side, lateral flexion to the unaffected side, rotation to the affected side, and rotation to the unaffected side. Mean flexion error: post-stroke: 7.95 ± 6.76 degrees, control: 3.32 ± 2.27; mean lateral flexion error to the affected side: 6.13 ± 3.79, to the unaffected side: 5.32 ± 3.15, control: 3.57 ± 1.92; mean rotation error to the affected side: 8.25 ± 3.09, to the unaffected side: 9.24 ± 3.94, control: 5.41 ± 1.82. There was an only significant negative correlation between the repositioning error of lateral flexion and the Berg balance scale score to the affected side (-0.483) and to the unaffected side (-0.497). A strong correlation between balance and gait was found. Conclusion: The results of this study indicate that stroke patients exhibit greater trunk repositioning error than age-matched controls on all planes of movement except for extension. And lateral flexion has correlation with balance and gait.

Stroke Verification Test and Operational Characteristics Analysis of KSLV-I Kick Motor TVC Nozzle (나로호 킥모터 TVC 노즐 행정확인시험 및 특성 분석)

  • Sun, Byung-Chan;Park, Yong-Kyu;Oh, Choong-Suk;Roh, Woong-Rae
    • Aerospace Engineering and Technology
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    • v.11 no.1
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    • pp.158-168
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    • 2012
  • This paper deals with TVC nozzle stroke verification test and corresponding analysis techniques related to kick motor TVC system of KSLV-I second stage. It is shown that the relationship between TVC stroke and potentiometer voltage is revealed via the open-loop stroke verification test, and other major operational parameters including nozzle alignment error, actuation error, neutral position, radius of nozzle rotation, location of nozzle rotation center, angle conversion coefficients, etc. are analyzed via the closed-loop stroke verification test. The TVC stroke verification test results for the first and second flight model of KSLV-I show that all TVC operational parameters of KSLV-I second stage were normally setup for the first and second flight tests.

Design of a Three-Axis Force Sensor for Wrist Bending-Exercise Rehabilitation Robot (손목굽힘운동 재활로봇을 위한 3축 힘센서 설계)

  • Kim, Gab-Soon
    • Journal of Sensor Science and Technology
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    • v.22 no.2
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    • pp.118-123
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    • 2013
  • Most serious stroke patients have the paralysis of their wrists, and can't use of their hands freely. But their wrists can be recovered by rehabilitation exercise. Recently, professional rehabilitation therapeutists exercise the wrists of stroke patients in hospital. But the wrists of stroke patients have not rehabilitated, because the therapeutists are much less than stroke patients in number. Therefore, the wrist bending-exercise rehabilitation robot that can measure the bending force of the patients' wrists is developed. In this paper, the three-axis force sensor was designed for the wrist bending-exercise rehabilitation robot. As a test results, the interference error of the three-axis force sensor was less than 0.85%. It is thought that the sensor can be used to measure the wrist bending force of the patient.

Effects of Trunk Position Sense through Visual Cue Deprivation Balance Training in Subacute Stroke (앉은 자세에서의 시각을 차단한 균형훈련이 아급성기 뇌졸중 환자의 체간 위치감각에 미치는 영향)

  • Han, Kyu-Bum;Shin, Won-Seob
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.3
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    • pp.327-335
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    • 2013
  • PURPOSE: The purpose of this study is to investigate effects of trunk position sense through visual cue deprivation balance training in subacute stroke patients. METHODS: The subjects were randomly allocated to two groups: experimental(n=10) and control(n=10). Both groups performed balance training on sitting for 30minute after measurements. Trunk position sense test was assessed using the David back concept to determine trunk repositioning error for four movement(flexion, extension, affected side lateral flexion, non-affected side lateral flexion). Measurements on each test were assessed prior to the balance training and then immediately following the balance training. RESULTS: In comparison of the difference of the trunk position sense between groups, the experimental group decreased significantly in trunk repositioning error of flexion, extension and affected side lateral flexion than control group(p<.05). CONCLUSION: The trunk position sense of the experimental group showed more improvement after the balance training program compared to the control group, Therefore, these results suggest that visual cue deprivation training is considered an effective exercise method for individuals with subacute stroke.

Implementation of Position Sensorless Stroke Controller of Linear Compressors with Motor Parameter Identification (매개변수 추정기를 갖는 리니어 컴프레서의 위치센서리스 스트로크 제어기 구현)

  • Kim, Kwang-Ho;Nam, Jae-Woo;Kim, Gyu-Sik
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.10
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    • pp.173-179
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    • 2014
  • In this paper, a motor parameter identification system has been implemented to improve the performance of the position sensorless stroke controller for linear compressors. In order to control the cooling capability of a refrigerator or an air conditioner in which linear compressors are applied, the piston speed should be controlled. The piston speed control can be obtained by adjusting the frequency or the stroke of linear motors. The dynamic performance of linear compressors depends on how accurately the stroke or the piston amplitude is estimated. The merits and demerits of Constant method and PIM (Parameter Identification Method) concerning the needed memory space and the stroke error are discussed and verified via some experimental studies.

Development of Torque Sensor for Measurement of Knee Joint Torque of Walking Assist Robot in Stroke Patients (뇌졸중환자 보행보조로봇의 무릎관절 토크측정을 위한 토크센서 개발)

  • Park, Jeong-Hyeon;Kim, Gab-Soon
    • Journal of Sensor Science and Technology
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    • v.27 no.2
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    • pp.105-111
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    • 2018
  • In this paper, a torque sensor is designed and fabricated to measure the knee joint torque of a walking assist robot for stroke patients. The torque sensor sensing part was modeled on the link of the part connected to the knee joint motor. The torque capacity of the knee joint was calculated by simulation and the size of the torque sensor sensing part was designed using the finite element method. The torque sensor was fabricated by attaching a strain gauge to the sensing part. Characteristic experiments were conducted to characterize the torque sensor, and the torque sensor was calibrated to utilize it for the control of the walking assist robot. As a result of the characteristics test, the reproducibility error and the nonlinearity error of the torque sensor were 0.03% and 0.04%, respectively. Therefore, it is considered that the developed torque sensor can be used to measure the torque applied to the knee joint when walking on a walking assist robot.

The Relative·Absolute Reliability and Validity of Step Test in Patients with Chronic Stroke (만성 뇌졸중 환자들의 Step Test의 상대적·절대적 신뢰도와 타당도)

  • Lee, Byoungkwon;Choi, Hyunsoo;An, Seungheon
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.1
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    • pp.43-53
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    • 2017
  • Purpose : To examine the relative absolute reliability and validity of step test (ST) scores in subjects with chronic stroke. Method : A total of 27 stroke patients, participated in the study. A relative reliability index (intraclass correlation coefficient, ICC) was used to examine the level of agreement of inter-rater test-retest reliability for ST score. Absolute reliability indices, including the standard error of measurement(SEM) and the minimal detectable change (MDC), and limits of agreement by Bland and Altman analysis. The validity was demonstrated by spearman correlation of ST score with 10 m Walk Test (10mWT), Fugl-Meyer Assessment-Lower/Extremity (FMA-L/E)-total score, Berg Balance Scale (BBS)-total score. Result : An excellent inter-rater reliability in ST scores was found (paretic, ICC=0.993~0.996; nonparetic, ICC=0.982~0.991). In addition, excellent test-retest reliability was found (paretic, ICC=0.992; nonparetic, ICC=0.967). It all showed acceptable SEM of the ST score as paretic and nonparetic were 0.22 and 0.46 respectively (average score <10 %), and the MDC of the paretic and nonparetic were 0.61 and 1.27 respectively (possible highest score <20 %). indicating that measures had a small and acceptable measurement error. The ST score of paretic and nonparetic were also found to be significantly associated with 10MWT (r=0.77~0.79), FMA-LE scores (r=0.73~0.81) and BBS scores (r=0.72~0.76). Conclusion : The ST showed highly sufficient Inter-rater test-retest agreement and validity and acceptable measurement errors caused by due to chance variation in measurement. It also can be used by clinicians and researchers to assess the balance and mobility performance and monitor functional change in chronic stroke patients.

The Effects of Exercise-induced Fatigue on Knee Joint Position Sense in the Young, Elderly Adults and Stroke Patients (젊은 성인, 노인, 뇌졸중 환자들의 근 피로 유발이 무릎관절 위치 감각에 미치는 영향)

  • Kwon, Oh-Sung;Lee, Seung-Won;Seo, Dong-Kwon;Kim, Ji-Seon
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.4
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    • pp.619-625
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    • 2013
  • PURPOSE: The purpose of this study was to determine the effects of muscle fatigue on knee joint position sense in the young, elderly adults, and stroke patients. METHODS: The subjects were recruited into three groups; young group(YG)(N=15), elderly group(EG)(N=15), and stroke group(SG)(N=15). Exercise-induced fatigue was achieved by repeated active exercise 60 times on an angle at 10 to 100 degrees of the knee joint with an angle speed of $120^{\circ}/s$, with three sets for 15 minutes. Evaluation was performed for determination of repositioning error using passive angle repositioning (PAR) and active angle repositioning (AAR). RESULT: Regarding the error score for the knee joint position sense in both the baseline and muscle fatigue, significant increases were observed between the YG and EG (p<.05), and between the EG and SG (p<.01), and between YG and SG (p<.05) in the PAR, YG and SG (p<.05) in the AAR. CONCLUSION: In particular, the results of this study indicate that management and intervention for elderly adults and stroke patients can result in improvement of proprioception.

The Study of Asymmetrical of the Serratus Anterior and Lower Trapezius Muscles in Chronic Stroke Patients (만성 뇌졸중 환자의 앞 톱니근과 하부 등세모근의 비대칭성 연구)

  • Jeong, Ju-Ri;Lee, Wan-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.81-90
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    • 2015
  • PURPOSE: The purpose of this study was to compare the muscle architecture of serratus anterior and lower trapezius using rehabilitative ultrasound imaging (RUSI) in affected and unaffected side of chronic stroke patients. METHODS: The participants were thirty five patients with stroke hemiplegia in this study. RUSI was used to measure the muscle thickness of the serratus anterior and lower trapezius muscles. We compared the muscle thickness according to affected side and sex, determined the reliability of the measurement image. Independent t-test, intra-class correlation coefficient (ICC) and standard error of measurement (SEM) were used for statistical analysis. RESULTS: Significant difference in muscle thickness of serratus anterior was observed between affected and unaffected side (p<.001). Muscle thickness according to gender showed a significant difference in unaffected side of serratus anterior (p<.05). Compare asymmetry ratio of serratus anterior and lower trapezius muscle thickness showed a significant difference (p<.001). ICC for intra-reliability was .944~.962 in serratus anterior and .873~.925 in lower trapezius muscle thickness, respectively. SEM was .001~.004 in serratus anterior and .002~.008 in lower trapezius muscle. CONCLUSION: This study, using RUSI, showed significant difference in muscle thickness of serratus anterior in affected and unaffected side of stroke patients. RUSI is a practical tool for measuring soft-tissue thickness in the scapular region muscle of stroke.

Design and Operating Characteristics of Cylindrical Linear Motor for Long Stroke Precision Stage (롱 스트로크 정밀 스테이지용 원통형 리니어모터의 설계 및 운전 특성)

  • An, Geuk-Sub;Kim, Houng-Joong;Ahn, Jin-Woo;Koseki, Takafumi
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.1
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    • pp.63-70
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    • 2011
  • This paper presents the design and operating characteristics of the novel cylindrical linear motor which is designed for the long stroke XY stage. In the long stroke structure, the air gap is changed by the distortion and bending effects, and it makes additional position error in the XY stage. In order to consider the distortion and bending effects of the long stroke, the field part of the cylindrical linear motor is designed as an open structure, and the stroke is supported by the bridge guide which is positioned in the open field part. The mechanical bridge guide can reduce the bending effects of the stroke and can keep a constant air gap. The detailed design process of the proposed cylindrical linear motor is presented in this paper. The proposed motor is analyzed by the 3D FEM technology. The practical XY stage which uses the proposed motor is tested to verify the propose novel cylindrical linear motor. The FEM and experimental results show the effectiveness of the proposed motor.