• Title/Summary/Keyword: stroke order

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Effects of Changes in Postural Alignment on Foot Pressure and Balance of Patients with Stroke (뇌졸중 환자에서 자세정렬변화가 족저압 및 균형에 미치는 영향)

  • Yang, Dae-Jung;Park, Seung-Kyu;Kang, Jeong-Il;Park, Seong-Bin
    • 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.

Effect of Bridge Exercise Combined with Functional Electrical Stimulation on Trunk Muscle Activity and Balance in Stroke Patients

  • Kang, Jeongil;Jeong, Daekeun;Heo, Sinhaeng
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.2
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    • pp.2323-2330
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    • 2021
  • Background: Stroke patients have weak trunk muscle strength due to brain injury, so a single type of exercise is advised for restoring functionality. However, even after intervention, the problem still lies and it is suggested that another intervention method should be applied with exercise in order to deal with such problem. Objectives: To Investigate the effect of bridge exercise combined with functional electrical stimulation (FES) on trunk muscle activity and balance in stroke patients. Design: Randomized controlled trial. Methods: From July to August 2020, twenty stroke patients was sampled, ten patients who mediated bridge exercises combined with functional electrical stimulation were assigned to experiment group I, and ten patients who mediated general bridge exercises were assigned to experiment groupII. For the pre-test, using surface EMG were measured paralyzed rectus abdominis, erector spinae, transverse abdominis/internal oblique muscle activity, and using trunk impairment scale were measured balance. In order to find out immediate effect after intervention, post-test was measured immediately same way pre-test. Results: Change in balance didn't show significant difference within and between groups, but muscle activity of trunk was significant difference rectus abdominis and erector spinae within groups I (P<.01), also between groups was significant difference (P<.05). Conclusion: Bridge exercise combined with FES could improve trunk function more effectively than general bridge exercise due to physiological effect of functional electrical stimulation.

Effect of Treadmill Training and Proprioceptive Neuromuscular Facilitation Lower Leg Taping on Balance and Gait Ability in Stroke Patients (고유수용성신경근촉진법 아래다리 테이핑적용과 트레드밀 훈련이 뇌졸중 환자의 보행능력과 균형능력에 미치는 영향)

  • Jeong, Wang-Mo;Kim, Beom-Ryong;Kang, Mi-Gyeong
    • PNF and Movement
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    • v.14 no.2
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    • pp.83-91
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    • 2016
  • Purpose: The purpose of this study was both to examine the effects of proprioceptive neuromuscular facilitation (PNF) lower leg taping and treadmill training on the gait and balance abilities of patients with hemiplegia resulting from a stroke and to provide a taping method based on the PNF concept. Methods: Twenty patients with hemiplegia resulting from a stroke were randomly and equally assigned to a control group (n=10), which received treadmill training, and to an experimental group (n=10), which received PNF lower leg taping and treadmill training. The intervention was conducted five times per week for six weeks. In order to measure changes in the gait ability of the subjects, a 10-meter walking test (10MWT) and a 6-minute walking test (6MWT) were conducted, and in order to measure changes in the subjects' balance ability, a timed up and go test (TUG) was performed. In order to compare differences within each group before and after the intervention, a paired-t test was carried out, and in order to compare differences between the two groups, the analysis of covariance was utilized. All statistical significance levels were set at ${\alpha}=0.05$. Results: There were significant differences before and after the intervention within both groups in changes of 10MWT, 6MWT, and TUG (p<0.01). Regarding differences between the two groups, the experimental group underwent more effective changes than the control group in 6MWT and TUG (p<0.05). Conclusion: This study applied PNF lower leg taping and treadmill training to patients with hemiplegia resulting from a stroke, and this resulted in improvement in the subjects' gait and balance abilities. Taping and treadmill training based on the PNF concept is considered to be usefully applied as one of the programs to improve hemiplegic patients' gait and balance abilities.

Analysis of Functional Independence Status and Home Care Needs among Stroke Patients (뇌졸중 환자의 기능적 독립 상태(FIM) 및 가정간호 요구도 분석)

  • Jeon, Eun-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.149-156
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    • 2005
  • Purpose: The purpose of this study was to analyze functional independence and need for home nursing care in stroke patients. Method: This was a descriptive study. The subjects comprised 117 stroke patients who were supposed to discharge in less than a week. The instruments used for this study were the functional independence measure(FIM) and the need assessment for home nursing care of stroke patients. The data were analyzed using frequency, mean, t-test, ANOVA, and Pearson correlation coefficient. Results: Pearson correlation analysis revealed that there were negative correlations between subcategories of the FIM and the need for home nursing care in stroke patients. Especially, in case of the subjects who recorded lower scores at self-care they showed higher needs for home nursing care in the domain of physical problem and rehabilitation. Conclusion: For the operation of the home nursing care, the protocol for home nursing care is needed to the stroke patients living at home. The FIM instrument is recommended as a useful scale in order to assess the disability for the stroke patients and the need for home nursing care because this one has correlation with the scale of need for home nursing care.

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Statistics on Radiation Field Waveforms Associated with Multiple Intracloud Lightning Discharges

  • Lee, Bok-Hee;Lee, Dong-Moon;Ahn, Chang-Hwan;Kim, Young-Bong
    • Journal of KIEE
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    • v.11 no.1
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    • pp.32-40
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    • 2001
  • This paper presents the detailed statistics on radiation field signatures associated with multiple-intracloud lightning discharges. A transient signal recording system was used to measure the electric and magnetic fields produced by lightning flashes. The measurements were made in th summers of 1995 through 1999, and the location of the observation station was in Inchon on the coast of the Yellow Sea in Korea(37$^{\circ}$25'N, 126$^{\circ}$ 39'E). Most of lightning flashes typically contains between two and five strokes. The individual intracloud stork radiation fields were the bipolar pulse. On the average, the ratio of the peak of the second stroke to the first stroke peak was 75.1$\pm$40.1% for the negative, and a fraction of the subsequent stroke peaks were higher than the first stroke peak. The greater the number of the subsequent stroke order, less time separations between strokes were produced. The mean of the depth of the dip was 81.2$\pm$27.9% for the positive polarity and 75.9$\pm$24.4% for the negative. The depth of the dip increased for the positive bipolar pulses and decreased for the negative as the number of the stroke order increased.

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Neuroimaging in Randomized, Multi-Center Clinical Trials of Endovascular Treatment for Acute Ischemic Stroke: A Systematic Review

  • Chong Hyun Suh;Seung Chai Jung;Byungjun Kim;Se Jin Cho;Dong-Cheol Woo;Woo Yong Oh;Jong Gu Lee;Kyung Won Kim
    • Korean Journal of Radiology
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    • v.21 no.1
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    • pp.42-57
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    • 2020
  • Appropriate use and analysis of neuroimaging techniques is an inevitable aspect of clinical trials for patients with acute ischemic stroke. Neuroimaging examinations were recently used to define the core eligibility criteria and outcomes in acute ischemic stroke research. Recent clinical trials for endovascular treatment in acute ischemic stroke have also demonstrated the efficacy or safety of endovascular treatment using various imaging modalities as well as clinical indices. Furthermore, independent imaging reviews and imaging core laboratory assessments are essential to manage and analyze imaging data in order to enhance the reliability of the outcomes. Therefore, we systematically reviewed the use of neuroimaging in recent randomized clinical trials for endovascular treatment of acute ischemic stroke in order to provide a thorough summary, which would serve as a resource guiding the use of appropriate imaging protocols and analyses in future clinical trials for acute ischemic stroke. This review will help researchers select appropriate imaging biomarkers among the various imaging protocols available and apply the selected type of imaging examination for each study in accordance with the academic purpose.

An Effect of the Secondary Stroke Prevention Education Program on Self-care of Acute Ischemic Stroke Patients (뇌졸중 이차예방 교육프로그램이 급성기 허혈성 뇌졸중환자의 자가간호수행에 미치는 효과)

  • Kang, Sun Mi;Yeun, Eun Ja
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.646-655
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    • 2005
  • Purpose: This study was conducted to examine the effects of the secondary stroke prevention education program to inhibit the recurrence of the acute ischemic stroke patients, and to maintain and promote knowledge about stroke, self-efficacy and self-care. Method: This study was designed to take a quasi-experimental pre- and post-test with the nonequivalent control group. The experimental group consists of 20 patients and control group consists of 20 patients. The experimental group was applied the secondary stroke prevention education program. In order to verify the effects of the secondary stroke prevention education program, knowledge about stroke, self-efficacy and self-care scale were measured before the intervention and 4 weeks, 12 weeks after discharge. The tools for measuring knowledge about stroke, self-efficacy and self-care are developed by the researcher. The data was analyzed by SPSS win 10.0 program using $x^2-test$, Fisher's Exact Test, t-test, Kolmogorov-Smirnov Z, and Repeated Measures ANOVA. Result: There was a statistically significant difference in knowledge about stroke (F=4.021, p=.026), self-efficacy(F=6.096, p=.018), and self-care(F=8.026, p=.007) between the experimental and the control group after intervention. Conclusion: It is considered that the program can be used as an effective nursing intervention in clinical practice.

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A Study on the Remote Detection of a Hydraulic Cylinder Stroke Using Optical Fiber Sensors (광파이버센서를 이용한 유압실린더 스트로크의 원격 검출에 관한 연구)

  • 김인환;김종화
    • Journal of Advanced Marine Engineering and Technology
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    • v.25 no.1
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    • pp.191-198
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    • 2001
  • In order to comprise a basic closed-loop control system for hydraulic systems it is necessary to detect the piston rod stroke of a hydraulic cylinder. There are many conventional type sensors which can detect the displacement of cylinders. However, they cannot reveal the original performance normally or they cannot be applied at all where the operating circumstance of cylinders is beyond specifications of sensors. Especially, for the purpose of detecting the strokes of cylinders mounted on heavy equipments, a special exclusive sensor must be used because the operating circumstances of heavy equipments are so severe that general purpose sensors cannot endure such circumstance as shock and a residual vibration induced by rough works. In this paper, an exclusive method for detecting the piston rod stroke for heavy equipments is suggested, which adopts a remote detecting technique using optical fiber sensors. Several experiments using the prototype are executed for verifying the effectiveness of the suggested method and the possibility of the accurate detection of stroke.

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Matching Algorithm for Hangul Recognition Based on PDA

  • Kim Hyeong-Gyun;Choi Gwang-Mi
    • Journal of information and communication convergence engineering
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    • v.2 no.3
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    • pp.161-166
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    • 2004
  • Electronic Ink is a stored data in the form of the handwritten text or the script without converting it into ASCII by handwritten recognition on the pen-based computers and Personal Digital Assistants(PDA) for supporting natural and convenient data input. One of the most important issue is to search the electronic ink in order to use it. We proposed and implemented a script matching algorithm for the electronic ink. Proposed matching algorithm separated the input stroke into a set of primitive stroke using the curvature of the stroke curve. After determining the type of separated strokes, it produced a stroke feature vector. And then it calculated the distance between the stroke feature vector of input strokes and one of strokes in the database using the dynamic programming technique.

Health beliefs of patients and caregivers of stroke rehabilitation in the implementation and impact the ability to perform everyday actions (뇌졸중 환자 및 보호자의 건강신념이 재활치료 이행 및 일상생활동작 수행능력에 미치는 영향)

  • Lee, Yeon-Seop;Mun, Byeong-Mu
    • Journal of Korean Physical Therapy Science
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    • v.18 no.4
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    • pp.11-18
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    • 2011
  • Purpose : This study attempts to assist stroke patients lead independent daily life movements by providing basic data for stroke patients' successful rehabilitation program and understanding the relationship between health beliefs of stroke patients and their guardians, and patients' rehabilitation performance level and daily life movement fulfillment ability. Methods : 23 stroke patients receiving treatments at rehabilitation specializing hospital after getting diagnosed with a stroke, along with 23 guardians were selected as research subjects, and health belief was measured by modifying supplementing Byun Young-Hee(2002)'s health belief measurement tool for leg movement disorder patients. Research findings revealed the following relationship between health beliefs of stroke patients and their guardians, and patients' rehabilitation performance and daily life movement fulfillment ability. Results : The patients group's initial MBI score was $33.13{\pm}3.46$, and measurement after four weeks was $38.43{\pm}3.47$. As health beliefs got stronger, MBI score increased significantly(p<.05). Correlation analyses of factors that affect rehabilitation attendance rate showed that perceived susceptibility, seriousness and usefulness were statistically significant, and perceived disability was not statistically significant(p<.05). Guardians' health belief index(susceptibility, seriousness, usefulness, disability) had no correlation with rehabilitation attendance rate. Conclusion : In order to increase daily life movement fulfillment ability of patients who are being treated with stroke, health beliefs must be raised to increase changes in daily life movement fulfillment ability. Therefore, it is believed that managing programs that can increase health beliefs of stroke patients can allow patients obtain positive health beliefs, further increase rehabilitation performance rate of stroke patients as well as independent daily life ability.

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