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검색결과 19건 처리시간 0.023초

Clinical Feasibility of Mental Practice for Gait Ability Improvement of Parkinson Disease Patients: ABA Single Subject Design

  • Song, Hyun Seung;Kim, Jin Young
    • The Journal of Korean Physical Therapy
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    • 제26권6호
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    • pp.398-402
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    • 2014
  • Purpose: This study was carried out in order to verify actual applicability of mental practice in the clinical field by applying it to Parkinson disease patients. Methods: : The number of subjects was three and they were aged between 65 and 69. One year or longer period has passed since they were diagnosed with Parkinson disease. The baseline A consisted of three sessions. After the baseline period, the researcher applied mental practice to the subjects once per day, for 20 minutes per each time, for 10 sessions. The no-intervention withdrawal phase was composed of three sessions. Outcome measures 10 meter walking test(10MWT), timed up and go (TUG) test, 8-figure walk test (8FWT). Results: All results indicated that 10 MWT, TUG, F8WT was improved when compared mental practice(B) to pre base line(A). base line(A) after mental practice intervention(B) was also sustained. Conclusion: As a result of the mental practice, we can know that it helps straight gait, dynamic balance, curved gait to improve.

Two pediatric cases with hematuria, normal renal function and positive antineutrophil cytoplasmic antibodies

  • Ji Hyeon Lim;Ji Won Jung;Heoun Jeong Go;Joo Hoon Lee;Young Seo Park
    • Childhood Kidney Diseases
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    • 제26권2호
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    • pp.86-90
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    • 2022
  • Antineutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis requires prompt diagnosis and treatment, since renal function at the time of diagnosis is significantly associated with renal outcomes. Here, we report two pediatric patients with ANCA-positive glomerulonephritis initially presenting with hematuria, mild proteinuria, and normal renal function. The first patient with a high myeloperoxidase-ANCA titer (>134 IU/mL) was diagnosed with rapidly progressive glomerulonephritis based on renal biopsy and treated with immunosuppressive therapy after 10 months of follow-up. The second patient with a low myeloperoxidase-ANCA titer (11 IU/mL) maintained normal kidney function without medication. Two cases showed different clinical course according to ANCA titer.

뇌졸중 환자에서 8자 모양 경로 보행 검사의 동시 타당도 연구 (Concurrent Validity between Figure-of-8 Walking Test and Functional Tests Included Tasks for Dynamic Balance and Walking in Patient with Stroke)

  • 김중휘;박지원
    • The Journal of Korean Physical Therapy
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    • 제24권5호
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    • pp.325-333
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    • 2012
  • Purpose: The purpose of this study was to determine the concurrent validity between Figure-of-8 Walking Test (F8W), Berg Balance Scale (BBS), Four Squared Step Test (FSST), and Timed UP and GO Test (TUG) in patients with stroke. Methods: Forty two participants (26 men, 16 women, $55.0{\pm}11.72$) with at least three months post stroke who were able to walk at least 10 m without walking aid participated in this study. Assessment of concurrent validity between the F8W (time and steps) and BBS was performed using Spearman rank order correlation and between the F8W (time and steps), FSST and TUG assessed using Pearson correlation. Results: The time of the F8W showed correlation with BBS (r=-0.46, p<0.01), FSST (r=0.64, p<0.01), and TUG (r=0.81, p<0.01), and steps of the F8W showed correlation with BBS (r=-0.43, p<0.01), FSST (r=0.47, p<0.01), and TUG (r=0.51, p<0.01). Conclusion: The F8W is a valid measure of balance and walking skill among patients with stroke and may provide complementary information with regard to dynamic balance and functional walking for the real life of stroke patients.

뇌졸중 환자의 보행 대칭성과 기능적 균형 및 보행과의 상관관계 연구 (Relationship Between Gait Symmetry and Functional Balance, Walking Performance in Subjects with Stroke)

  • 김중휘
    • The Journal of Korean Physical Therapy
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    • 제26권1호
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    • pp.1-8
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    • 2014
  • Purpose: The aim of the present study was to understand the relationship between gait symmetry and functional balance, walking performance in stroke patients and to makes recommendation regarding the most suitable measure for standardization of expression of spatiotemporal gait symmetry. Methods: 45 subjects with stroke (31 men, 14 women, $57.3{\pm}10.3$ years old) participated in this study. Gait symmetry was calculated by equations of symmetry ratio (SR) and symmetry criterion (SC) for stance time, swing time, single leg support time (SLST), step length, and stride length. Spatiotemporal parameters were measured respectively by walkway system ($GAITRite^{TM}$ system). Limit of stability (LOS) by using forceplate (Balance Performance Monitor) during voluntary weight displacement and Berg Balance Scale (BBS) were measured as functional balance and Timed Up and Go test (TUG) and Functional Ambulation Category (FAC) were assessed as functional walking. Results: SR in stance time and swing time was correlation with BBS, TUG and FAC (p<0.05). SR in SLST only with BBS (p<0.01), SR in step length only with FAC (p<0.05). SC in stance time was correlation with BBS and TUG (p<0.05). SC in swing time and SLST with BBS, TUG and FAC (p<0.01), SC in step length with TUG and FAC (p<0.01), SC in stride length with BBS and FAC (p<0.01). Conclusion: Gait symmetry in spatiotemporal gait parameters provides meaningful information about functional balance and walking performance in stroke subjects. Our analysis may support the recommendations of the symmetry criterion as equation for standardization of gait symmetry.

Hull/Mooring/Riser Coupled Dynamic Analysis of a Turret-Moored FPSO Compared with OTRC Experiment

  • Kim Young-Bok;Kim Moo-Hyun
    • Journal of Ship and Ocean Technology
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    • 제8권3호
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    • pp.26-39
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    • 2004
  • A vessel/mooring/riser coupled dynamic analysis program in time domain is developed for the global motion simulation of a turret-moored, tanker based FPSO designed for 6000-ft water depth. The vessel global motions and mooring tension are simulated for the non-parallel wind-wave-current 100-year hurricane condition in the Gulf of Mexico. The wind and current forces and moments are estimated from the OCIMF empirical data base for the given loading condition. The numerical results are compared with the OTRC(Offshore Technology Research Center: Model Basin for Offshore Platforms in Texas A&M University) 1:60 model-testing results with truncated mooring system. The system's stiffness and line tension as well as natural periods and damping obtained from the OTRC measurement are checked through numerically simulated static-offset and free-decay tests. The global vessel motion simulations in the hurricane condition were conducted by varying lateral and longitudinal hull drag coefficients, different mooring and riser set up, and wind-exposed areas to better understand the sensitivity of the FPSO responses against empirical parameters. It is particularly stressed that the dynamic mooring tension can be greatly underestimated when truncated mooring system is used.

Effect of Long Term Reverse Feeding on the Reproductive and Non-reproductive Tissues in Male Mice

  • Go, Eun Hye;Lee, Sung-Ho
    • 한국발생생물학회지:발생과생식
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    • 제18권3호
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    • pp.161-166
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    • 2014
  • Previously, we demonstrated that the shift and/or restriction of feeding time during relatively short-term period (4 weeks) could alter the pituitary gonadotropin expression and the weights of seminal vesicle and prostate in rats. We also found that the reverse feeding (RF) schedule (up to 8 weeks) might induce an adaptable metabolic stress and cause impairment of androgen-dependent reproductive tissues. In the present study, we extended the RF time regimen up to 12 weeks, and measured the reproductive tissue weights. After 4 and 8 weeks of RF, the weights of epididymis were not significantly different. After 12 weeks, however, epididymis weights of RF animals were significantly different (CON 12W : RF 12W = $48.26{\pm}0.62mg$ : $44.05{\pm}1.57mg$, p<0.05). After 4 and 12 weeks of feeding, seminal vesicle weights of RF animals were significantly decreased (CON 4W : RF 4W = $79.36{\pm}8.34mg$ : $46.28{\pm}2.43mg$, p<0.001; CON 12W : RF 12W = $72.04{\pm}3.76mg$ : $46.71{\pm}2.27mg$, p<0.001, respectively). Prostate weights were not changed by RF. Kidney and spleen weights of RF animals were significantly different on weeks 4 and 12 (Kidney, CON 4W : RF 4W = $249.72{\pm}4.20mg$ : $228.41{\pm}3.03mg$, p<0.001; CON 12W : RF 12W = $309.15{\pm}7.49mg$ : $250.72{\pm}6.13mg$, p<0.001, respectively, Spleen, CON 4W : RF 4W = $111.26{\pm}3.76mg$ : $96.88{\pm}4.69mg$, p<0.05; CON 12W : RF 12W = $123.93{\pm}10.72mg$ : $94.68{\pm}5.65mg$, p<0.05, respectively). Histology analysis of seminal vesicle revealed that the thinner epithelial cell layers, reduced complexities of swollen papilla folding in the exocrine glands on weeks 4 and 12 of RF. There was no histological difference between control and RF group on week 8. The present study indicates that up to 12 weeks RF induced differential changes in tissue weights of male mice. In particular, seminal vesicle, kidney and spleen seemed to temporarily adapted to the RF-induced metabolic stress on week 8 of feeding schedule. These results confirmed the our previous study that the RF might induce an adaptable metabolic stress and cause impairment of androgen-dependent reproductive tissues such as epididymis and seminal vesicle as well as non-reproductive tissues such as kidney and spleen. Further studies will be needed to achieve a better understanding of the how does mealtime shift affect the reproductive function and exact nature of adaptation.

지역아동센터 실내공간 가변방안을 위한 기초연구 - 디자인가이드라인 사례분석을 중심으로 - (A Basic Study on the Variability of Indoor Spaces for Local Children's Centers - Focused on the Analysis of Design Guideline -)

  • 김미영;문정민
    • 한국주거학회논문집
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    • 제26권4호
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    • pp.75-82
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    • 2015
  • Although the government has revised the child welfare act, institutionalized the establishment of local children's centers, and given financial support for them, there are a number of problems with respect to their operation. Specifically, one of main problems is their limited space. Diverse problems that go with the arrangement of limited space and usability have occurred, however there are only a few strategies to use limited space flexibly. This study assumed variability as one of the methods to solve spatial problems. As a basic research for the assumption, Analyzing the variable method and characteristics of domestic and foreign child-care facility guidelines was performed trying to take advantage of as a basic data in order to seek a variable scheme of local children centers' indoor space. For this purpose, study analysed the methods and characteristics of variability centering on aspects related to variability which are environmental design elements required by local children's centers as suggested in previous studies. The results are as follows. First, the variability of space should be planned according to activity and time, and consider the methods of division, storage, and other facilities necessary. Second, methods of variability in space can be classified into creating areas and structures that are variable. Third, as a result of analysing the environmental design elements required by local children's centers, this study discovered the following characteristics: multi-purpose usability through a combination of variable devices, transition through a variable space medium and setting up areas and expansion of indoor variability assuming usability through internal and external connections.

호흡연동 래피드아크 치료 시 빔 조사 구간 설정에 따른 선량 변화 분석 (Dosimetric Analysis of Respiratory-Gated RapidArc with Varying Gating Window Times)

  • 윤미선;김용협;정재욱;남택근;안성자;정웅기;송주영
    • 한국의학물리학회지:의학물리
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    • 제26권2호
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    • pp.87-92
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    • 2015
  • 호흡연동 래피드아크 치료는 무건운 하중의 선형가속기 갠트리의 회전과 정지의 반복과정에서 갠트리 회전 재시작점의 오차와 다엽조리개의 정확한 움직임 및 갠트리 속도와 같은 래피드아크의 선량정확도를 결정하는 요소들의 오차 가능성으로 인한 선량 오류가 발생할 수 있다. 본 연구에서는 이러한 갠트리의 회전과 정지의 반복적인 동작이 호흡연동 래피드아크 치료의 정확도에 어떠한 영향을 끼치는 지 치료 시 총 회전과 정지 동작 수를 결정하는 빔조사 구간 길이의 변화를 통해 분석하였다. 총 10명의 간암 환자를 대상으로 래피드아크 치료계획을 수립하였고, RPM 호흡연동 장치와 정확한 빔조사 구간 길이를 설정하기 위해 동적 팬텀을 사용하였다. 각 래피드아크 치료계획 당 EPID를 사용한 portal dosimetry delivery quality assurance (DQA) 계획과 이차원 다이오드 검출기배열장치인 MapCHECK2를 사용한 DQA 계획을 수립하여 호흡연동 방사선 치료과정에서 누적된 선량분포의 정확도를 분석하였다. 모든 환자의 호흡주기는 4초로 설정하였고, 수립한 DQA 계획들을 호흡연동 없이 연속적으로 조사하는 것과, 1초의 빔조사 구간과 2초의 빔조사 구간, 총 3가지의 경우에 대해 실제 방사선량 측정과 감마평가를 통해 선량의 정확도를 분석하였다. Portal dosimetry DQA 경우 평균 감마평가의 합격률은 호흡연동 없이 연속적일 때 $98.72{\pm}0.82%$ 였고, 1초의 빔조사 구간의 경우 $94.91{\pm}1.64%$, 2초의 빔조사 구간의 경우 $98.23{\pm}0.97%$이었다. MapCHECK2 DQA경우 평균 감마평가의 합격률은 호흡연동 없이 연속적일 때 $97.80{\pm}0.91%$였고, 1초의 빔조사 구간의 경우 $95.38{\pm}1.31%$, 2초의 빔조사 구간의 경우 $97.50{\pm}0.96%$였다. 본 연구 결과를 통해 빔조사 구간의 길이가 증가하여 갠트리 정지 동작 수가 감소할수록 호흡연동 래피드아크의 선량 정확도가 증가함을 확인할 수 있었으며, 이러한 특성을 호흡연동 방사선치료 대상 환자의 선정 및 호흡방식에 대한 교육과정에 고려되어야 할 것으로 판단되었다.

선망어업의 생산성 향상에 관한 연구-III - 죔줄 체결시 파워불록과 트리플랙스용 선망 모형의 유속에 따른 운동특성 - (Studies on the improvement of the productivity of purse seine fishery-III - The characteristics on the motion with the flow velocity of model purse seine of the subjective power block and triplex during pursing -)

  • 김석종
    • 수산해양기술연구
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    • 제43권1호
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    • pp.12-27
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    • 2007
  • This fundamental studies on for the productivity improvement and laborsaving of purse seine fishery. Given the difficulty posed from the distortion of net shape caused by the external forces, such as tide, at the time of shooting and pursing, we set the 4 steps of 0, 2, 4 and 6cm/sec in flow velocity in the flume tank for the experiment in order to examine those characteristics. We used two model seines designed on the scale of 1 to 180 based on the power block seine, which is the mackerel purse seine generally used in the near sea of Jeju Island and triplex seine, which is the mackerel purse seine of one boat system fishing expected in the future, for the experiment, and interpreted the characteristics of several motion in water, such as the shape of seine, the change in tension and area during pursing and its the analysis results are as follows. Though the experiment could be conducted up to 6cm/sec of flow velocity that was defined, the experiment could not go on because of the severe distortion in the seine at the flow velocity in excess of 6cm/sec. As for the depth of leadline and reduction rate of side area of seine when the pursing is connected, P seine turned out to be slightly higher than T seine, and the hauling speed and reduction rate of upper area of seine were found similar to each other. The correlation between the hauling time (Ht) and depth of lead line (Dhp, Dht) of P seine and T seine can be expressed by the equation, that is, Dhp=(0.99Pt-7.63)Pt+69.01, Dht=(1.03Pt-7.73)Pt+66.74. The correlation between the hauling time and hauling velocity (Hpp, Hpt) can be expressed by the equation, that is, $Hpp=-0.06Ht^2+0.88Ht+0.78,\;Hpt=-0.05Ht^2+0.81Ht+0.98$ here, Pt is pursing time. And the correlation between the pursing time and the reduction rate of side area (sArp, sArt) can be expressed by the equation, that is, $sArp=-0.48Pt^2+14.79Pt-16.74,\;sArt=-0.45Pt^2+14.56Pt-16.48$. The reduction rate of upper area of seine (tArp, tArt) can be expressed by the equation, that is, $tArp=0.34Pt^2-0.66Pt-0.74,\;tArt=0.34Pt^2-0.27Pt-1.80$. In addition, the correlation between the pursing time and tension of purse line (Tep, Tet) can be expressed by the equation, that is, $Tep=2.79Pt^2+2.26Pt-0.60,\;Tet=2.14Pt^2+8.08Pt-27.50$.

전정감각 자극훈련이 뇌졸중 환자의 균형과 보행에 미치는 영향 (The Effects of Vestibular Sensory Stimulation Training on Balance and Gait in the Patients with Stroke)

  • 정혜연;최종덕
    • The Journal of Korean Physical Therapy
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    • 제26권5호
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    • pp.365-371
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    • 2014
  • Purpose: The aim of this study is to examine the effects of training in vestibular sensory stimulation on balance and gait of stroke patients. Methods: Twenty patients were randomly assigned to either the experimental group (n=10) or the control group (n=10). Patients in the experimental group received rotational stimulation training, vertical-horizontal stimulation training, gait training on a flat surface with vestibular sensory stimulation, and gait training on soft ground with vestibular sensory stimulation. Patients in the control group received general treadmill gait training. The intervention was applied four times per week, 25 minutes each time, for a period of four weeks. We measured Berg Balance Scale (BBS), Biodex Balance System, Timed up to Go (TUG) test and Dynamic Gait Index (DGI) to evaluate balance and gait ability. Results: BBS differed significantly in both groups between before and after the intervention (p<0.05) and changes in BBS after the intervention differed between the two groups (p<0.05). According to the Biodex Balance System test result, only the experimental group showed significant changes in balance in the conditions of static eyes open (SEC), dynamic eyes open (DEO), and dynamic eyes closed (DEC) (p<0.05). TUG test results differed significantly between prior to and after the training in both the experimental group and the control group (p<0.05) and changes in TUG after the intervention differed significantly between the two groups (p<0.05). DGI results showed significant change after the intervention in the experimental group only (P<0.05). Conclusion: Training in vestibular sensory stimulation was effective in improving static-dynamic balance and gait ability of stroke patients.