• Title/Summary/Keyword: stroke error

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Inter-rater·absolute Reliability and Concurrent Validity of Tinetti-gait Scale (Korean version) in Stroke Patients (뇌졸중 환자들의 한국판 Tinetti-보행 척도의 측정자간·절대적 신뢰도와 동시 타당도)

  • An, Seung-Heon;Lee, Dong-Geon;Lee, Yun-Bok;Lee, Gyu-Chang
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.2
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    • pp.201-211
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    • 2014
  • PURPOSE: The purpose of this study was to investigate the inter-rater absolute reliability and the concurrent validity of the Tinetti-gait scale that was translated into Korean for chronic stroke patients. METHODS: Fifty-two patients with post-stroke participated in this study. Inter-rater reliability was analyzed by Intraclass Correlation Coefficient ($ICC_{3,1}$) and Kappa coefficient, and absolute reliability was analyzed by the Standard Error of Measurement (SEM), and the Minimal Detectable Change (MDC). Concurrent validity was analyzed by correlating between the Tinetti-gait scale and physical functions. The physical functions were measured by using the Dynamic Gait Index(DGI), 10m walking test(10WT), One Leg Standing Test of affected/non-affected side(OLST), Sit to Stand test(STS), (Fugl Meyer assessment of Lower Extremity(FM-LE). RESULTS: The inter-rater reliability of the Tinetti-gait scale was high; $ICC_{(3,1)}=.91$ (95% CI=.85~.95) (very reliable), the range of Kappa coefficient were .73~.92 (substantial~good). The inter-rater agreement of the each item in Tinetti-gait scale ranged from .74 to .92 (95 % CI=.59~.95) (reliable~very reliable). The SEM and MDC were .56 and 1.55, respectively. In the results of concurrent validity, there were moderate positive correlation between Tinetti-gait scale and DGI (r=.78), 10WT (r=.74), OLST (r=.65~.73), FM-LE (r=67). And there was moderate negative correlation between Tinetti-gait scale and STS (r=-79) (p<.01). CONCLUSION: The Tinetti-gait scale(Korean version) was a reliable and valid tool to measure gait ability in patients with chronic stroke. Thus, it could be a useful tool for examining a gait ability of post-stroke patients. Further study should be conducted to investigate the usability to predict fall risk of post-stroke patients of the Tinetti-gait scale.

Directional relationships of the golf ball with lie and loft angle of the putter (퍼터의 라이각과 로프트각이 퍼팅한 공의 방향성에 미치는 영향)

  • Yim, Hyung-Jin
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1496-1500
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    • 2008
  • Less than 1 % directional error in the range of 5 meters in the green could cause a stroke or more. Although there are several reasons offsetting the direction of the golf ball, lie angle and sidespin effect are the most crucial factors of the putting game. Simple equation is conformed to the experimental results of the deviation of the directional error in all distance. Also, the experimental results of the putting robot show that there are significant side spin effects.

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Analysis and compensation of positioning error for aerostatic stage (공기정합 스테이지의 위치결정오차 분석 및 보정)

  • 황주호;박천홍;이찬흥;김승우
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.05a
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    • pp.378-391
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    • 2002
  • A 250mm stroke aerostatic stage, which detects position with laser scale and is driven by linear motor, is made and analyzed positioning error in 20$\pm$ 0.5 $^{\circ}C$ controlled atmosphere, aiming at investigating positioning characteristic of ultra-precision stage. We prove this aerostatic stage has a 10nm micro step resolution by experiment. By means of analyzing laser interferometer system, the scale of measuring error is about 0.2-0.4$\mu\textrm{m}$ according to refractive index error from missing the temperature change. To improve laser interferometer system, compensate refractive index error using measuring data from thermocouple. And, confirm 0.10$\mu\textrm{m}$ repeatability and 0.13 $\mu\textrm{m}$ positioning accuracy using the compensating refractive index. Also, we confirm 0.07 ${\mu}{\textrm}{m}$ repeatability of the stage using capacitive displacement sensor.

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The Effect of Listening to Music for the Reduction of Unilateral Neglect in Chronic Stroke: A Single Subject Study (음악 감상이 만성기 뇌졸중 환자의 편측무시에 미치는 영향 : 단일대상 연구)

  • Lee, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.2
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    • pp.67-75
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    • 2013
  • Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

A study on the optimal control of Long Stroke Fast Tool Servo Systems (장거리 구동용 FTS 의 최적 제어에 관한 연구)

  • 이상호;이찬홍;김갑순
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.818-821
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    • 2004
  • With a rapid development in the area of micro and ultra precision technology, the micro surface machining of small size parts are explosively increased. Especially, to improve efficiency of various beams in lens and reflector, non-rotational symmetric form and several mm level heights changeable surface can be machined at a time. These geometric complex 3D surface cannot be machined by general short stroke FTS. The long stroke FTS if firmly needed to move directly several mm and have nm level positioning accuracy for the complex surface form. The long stroke FTS used linear motors to drive moving unit long and fine, aero static bearings to decrease friction and moving errors in guide way, optical linear scale with nm level resolution to measure position of FTS. Furthermore, to increase the performance of acceleration of FTS, the light material, such as AL is used for the structure and the high stiffness box type structure is selected. In this paper, the genetic algorithm approach is described to determine a set of design parameters for auto tuning. The authors have attempted to model the design problem with the objective of minimizing the error, such as variable pattern change. This method can give the better alternative than existing other method.

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The Effect of Listening to Music for the Reduction of Unilateral Neglect in Chronic Stroke: A Single Subject Study (음악 감상이 만성기 뇌졸중 환자의 편측무시에 미치는 영향: 단일대상 연구)

  • Lee, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.57-65
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    • 2013
  • Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

High Precision Hybrid Milling Machine Using Dual-Stage (듀얼스테이지를 이용한 고정밀도의 하이브리드 밀링머신)

  • Chung, Byeong-Mook;Yeo, In-Joo;Ko, Tae-Jo;Lee, Cheon
    • Journal of the Korean Society for Precision Engineering
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    • v.25 no.7
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    • pp.39-46
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    • 2008
  • High precision machining technology has become one of the important parts in the development of a precision machine. Such a machine requires high speed on a large workspace as well as high precision positioning. For machining systems having a long stroke with ultra precision, a dual-stage system including a global stage (coarse stage) and a micro stage (fine stage) is designed in this paper. Though linear motors have a long stroke and high precision feed drivers, they have some limitations for submicron positioning. Piezo-actuators with high precision also have severe disadvantage for the travel range, and the stroke is limited to a few microns. In the milling experiments, the positional accuracy has been readily achieved within 0.2 micron over the typical 20 mm stroke, and the path error over 2 micron was reduced within 0.2 micron. Therefore, this technique can be applied to develop high precision positioning and machining in the micro manufacturing and machining system.

Displacement Control of Pneumatic Actuator Equipped with PLC and Proximity Sensors (PLC와 근접센서를 이용한 공압 실린더의 변위제어)

  • Kim, Gun-Hoi;So, Jung-Duck
    • Transactions of the Korean Society of Machine Tool Engineers
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    • v.17 no.2
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    • pp.90-96
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    • 2008
  • A pneumatic system was proposed to evaluate displacement accuracy of the pneumatic actuator without external load and to analyze capability of integration of the proposed valve system. The proposed pneumatic system consisted of a combination of pneumatic valves, two proximity sensors, and a programmable logic controller(PLC). The position controller is based on the PLC controller connected with the proximity sensors. Displacement accuracy of the pneumatic cylinder stroke was tested by varying air pressures of the supply and discharge-side and strokes of the pneumatic cylinder. The displacement accuracy of the pneumatic cylinder stroke increased as the supply and discharge side of air pressure increased at the stroke length of 133mm. Also the displacement accuracy increased as the stroke length increased with a fixed supply and discharge side of air pressure of the pneumatic cylinder as 3.5 and $4.5kg/cm^2$, respectively. The most accurate displacement of the pneumatic cylinder(i.e., standard deviation of 0.01 mm) was obtained at the supply and discharge side of air pressure of 4.0 and $5.0kg/cm^2$, respectively, and strokes of 170 and 190 mm among arbitrarily selected supply and discharge side air pressures and strokes.

Development of Force Sensors for Rectangular-Type Finger-Rehabilitation Robot Instruments and Their Characteristic Test (직교형 손가락 재활로봇기구를 위한 힘센서 개발 및 특성실험)

  • Kim, Gab-Soon
    • Journal of Sensor Science and Technology
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    • v.21 no.2
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    • pp.127-134
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    • 2012
  • Stroke patients must do the rehabilitation exercise to recover their fingers' function using a rehabilitation robot. But the rehabilitation robots mostly have not the force sensors to control the applied force to each finger. Thus, in this paper, the development of a force sensor for thumb rehabilitation robot and four two-axis force sensors for four-finger rehabilitation robot were developed. The force sensor and four two-axis force sensors could be used to measure the applied force to each finger, and the forces could be used to control the applied forces to each sensor in rehabilitation exercise using in the rehabilitation robot. The developed sensors have non-linearlity error of less than 0.05 %, repeatability error of less than 0.03 %, and the interference error of two-axis force sensor is less than 0.2 %.

The Effects of Multi Joint-Joint Position Sense Training Using Functional Task on Joint Position Sense, Balance, Walking Ability in Patients With Post-Stroke Hemiplegia (기능적 과제를 통한 다관절 관절위치감각 훈련이 뇌졸중 환자의 관절위치감각, 균형, 보행능력에 미치는 효과)

  • Ko, Kyoung-hee;Choi, Jong-duk;Kim, Mi-sun
    • Physical Therapy Korea
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    • v.22 no.3
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    • pp.33-40
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    • 2015
  • The purpose of this study was to investigate the effect of multi joint-joint position sense (MJ-JPS) training on joint position sense, balance, and gait ability in stroke patients. A total of 18 stroke patients participated in the study. The subjects were allocated randomly into two groups: an experimental group and a control group. Participants in the experimental group received MJ-JPS training (10 min) and conventional treatment (20 min), but participants in the control group only received conventional treatment (30 min). Both groups received training for five times per week for six weeks. MJ-JPS is a training method used to increase proprioception in the lower extremities; as such, it is used, to position the lower extremities in a given space. MJ-JPS measurement was captured via video using a Image J program to calculate the error distance. Balance ability was measured using Timed Up and Go (TUG) and the Berg Balance Scale (BBS). Gait ability was measured with a 10 m walking test (10MWT) and by climbing four flights of stairs. The Shapiro-Wilk test was used to assess normalization. Within-group differences were analyzed using the paired t-test. Between-group differences were analyzed using the independent t-test. The experimental group showed a significant decrease in error distance (MJ-JPS) compared to the control group (p<.05). Both groups showed a significant difference in their BBS and 10MWT results (p<.05). The experimental group showed a significant decrease in their TUG and climbing results (p<.05), but the control group results for those two tasks were not found to be significant (p>.05). There was significant difference in MJ-JPS and by climbing four flights of stairs on variation of pre and post test in between groups (p<.05), but TUG and BBS and 10MWT was no significantly (p>.05). We suggest that the MJ-JPS training proposed in this study be used as an intervention to help improve the functional activity of the lower extremities in stroke patients.