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- 저자 : Fazah Akhtar Hanapiah (검색결과 2 건)
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Rabiatul Adawiah Abdul Rahman,Fazah Akhtar Hanapiah,Azlina Wati Nikmat,Nor Azira Ismail,Haidzir Manaf 대한재활의학회 2021 Annals of Rehabilitation Medicine Vol.45 No.3
Objective To investigate how gait parameters in children with traumatic brain injury (TBI) versus typically developing (TD) children are influenced by secondary concurrent tasks and examine the correlations between gait parameters and attention and balance in children with TBI. Methods Sixteen children with TBI (mean age, 11.63±1.89 years) and 22 TD controls (mean age, 11.41±2.24 years) participated in this case-control study. Attention and functional balance were measured using the Children’s Color Trail Test (CCTT) and Pediatric Balance Scale (PBS). All participants first walked without concurrent tasks and then with concurrent motor and cognitive tasks. The APDM Mobility Lab was used to measure gait parameters, including gait velocity, stride length, stride duration, cadence, and double support time. Repeatedmeasures analysis of variance and Spearman correlation coefficient were used for the analysis. Results Children with TBI showed significantly more deterioration in gait performance than TD children (p<0.05). Concurrent tasks (motor and cognitive) significantly decreased gait velocity and cadence and increased stride time; the differences were more obvious during the concurrent cognitive task. A moderate correlation was found between gait parameters (gait velocity and stride length) and CCTT-2 and PBS scores in children with TBI. Conclusion Gait performance may be affected by task complexity following TBI. Attention and balance deficits caused deterioration in gait performance under the concurrent task condition in children with TBI. This study illustrates the crucial role of task demand and complexity in dual-task interference.
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Noor Ayuni Che Zakaria,Takashi Komeda,Cheng Yee Low,Fazah Akhtar Hanapiah,Kaoru Inoue 제어로봇시스템학회 2015 제어로봇시스템학회 국제학술대회 논문집 Vol.2015 No.10
The aim of this work is to formulate a spasticity symptoms-oriented model, in terms of its capability to consistently emulate unidirectional and velocity-dependent spasticity symptoms, based on a Modified Tardieu Scale (MTS). Spasticity stiffness can be simulated using two dynamic equations expressing 1) muscle tone catch during passive stretching at different velocities and 2) resistance through Range Of Motion (ROM). Muscle tone is proportionate to velocity; where muscle resistance is constant until reaching a certain angular velocity. Following different Modified Ashworth Scale (MAS) levels, muscle resistance can occur at varying degrees through the ROM. The simulated spasticity of MAS 1+, based on the developed model, shows a strong positive linear correlation coefficient with average r = 0.7414 for fast forearm extension. The derived model will be used to develop new principles of variable stiffness actuation in an upper limb part-task trainer that is able to emulate upper limb spasticity symptoms.
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