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Kyu Hoon Lee - One of the best experts on this subject based on the ideXlab platform.

  • predictors of the effect of an Arm Sling on gait efficiency in stroke patients with shoulder subluxation a pre post design clinical trial
    Physiotherapy Theory and Practice, 2020
    Co-Authors: Yeongyu Jeong, Yeonjae Jeong, Hyunsook Kim, Kyu Hoon Lee
    Abstract:

    BACKGROUND The predictors affecting the gait efficiency were not known for the Arm Sling, including general and stroke-related characteristics. PURPOSE This study investigated the predictors of gait efficiency when walking with and without an Arm Sling in individuals with hemiplegia with shoulder subluxation. METHODS A total of 57 individuals with shoulder subluxation were recruited. Individuals assigned odd numbers walked with the Arm Sling first and those with even numbers walked without the Arm Sling first in a pre-post design. Outcome measures were the energy cost, energy consumption, and heart rate during a 6-min walk test and a 10-m walk test. Gait efficiency is defined as energy consumption divided by the distance walked, with lower energy costs reflecting higher gait efficiency. Age, MMSE scores adjusted for education, and significant variables (p < .01) in the univariate analyses were entered into multiple regression analyses, to identify the predictors of changes of gait efficiency. RESULTS Energy cost and energy consumption were lower and walking endurance was higher when walking with an Arm Sling than when without an Arm Sling. Spasticity (p = .02), shoulder pain (p = .03), consistency of handedness and Sling position worn (p = .02), function of upper extremity (p = .03) and walking aids (p = .01) were predictors of gait efficiency. CONCLUSION An Arm Sling may improve gait efficiency in individuals with hemiplegia and shoulder subluxation able to walk with a single cane, who have consistency in handedness and Sling position, and with good upper extremity function, including no shoulder pain and reduced spasticity.

  • the effect of an Arm Sling on energy consumption while walking in hemiplegic patients a randomized comparison
    Clinical Rehabilitation, 2011
    Co-Authors: Seung Hoon Han, Seoung Ic Yoon, Mijung Kim, Taikon Kim, Seong Ho Jang, Si-bog Park, Bong Kun Choi, Michael Y Lee, Kyu Hoon Lee
    Abstract:

    Objective: To evaluate the effect of an Arm Sling on gait speed and energy efficiency of patients with hemiplegia.Design: A randomized crossover design.Setting: A rehabilitation department of a university hospital.Subjects: Thirty-seven outpatients with hemiplegia were included in this study.Interventions: All patients walked on a 20-m walkway twice on the same day, randomly with and without an Arm Sling, at a self selected speed.Main measures: The heart rate, gait speed, oxygen cost and oxygen rate were measured on all patients. We analysed all values with and without an Arm Sling and also compared them after all patients being stratified according to demographic and clinical characteristics.Results: When we compared the heart rate between walking with (90.7 ± 17.2 beats/min) and without (91.2 ± 18.6 beats/min) the Arm Sling, it was significantly decreased while walking with the Arm Sling. When we compared the gait speed between walking with (32.8 m/min) and without (30.1 m/min), it was significantly inc...

  • effect of Arm Sling on standing balance of hemiplegic patients
    Annals of Rehabilitation Medicine, 2004
    Co-Authors: Do Kyung Lee, Seungjin Han, Seoung Ic Yoon, Mijung Kim, Kyu Hoon Lee
    Abstract:

    Method: 23 hemiplegic stroke patients were evaluated. Subjects rested about for twenty minutes in sitting position before examination. Balance was examined by Mediance(Human-Tech inc, Korea) for 30 seconds in three conditions(no-Sling, with cuff-type Arm Sling and with Kang's Multisupport). The order of examination was randomly selected. These tests were repeated for three times. Balance was represented as weight asymmetry and postural sway Results: There was no significant difference in weight asymmetry between no Sling group and cuff-type Arm Sling group, but with Kang's Multi-support group, weight asymmetry was significantly decreased compared to no-Slinggroup and cuff-type Arm Sling group. Postural sway was identical with no-Sling group, cuff-type Arm Sling group and Kang's Multi-support group Conclusion: Kang's Multi-support was helpful to reduce weight asymmetry compared with no-Sling or cuff-type Sling, and to improve standing balance of hemiplegic patients.

Mehmet Demirhan - One of the best experts on this subject based on the ideXlab platform.

  • comparison of simple Arm Sling and figure of eight clavicular bandage for midshaft clavicular fractures a randomised controlled study
    Journal of Bone and Joint Surgery-british Volume, 2015
    Co-Authors: Ali Ersen, Ata Can Atalar, Fevzi Birisik, Yavuz Saglam, Mehmet Demirhan
    Abstract:

    Only a few randomised, controlled studies have compared different non-operative methods of treatment of mid-shaft fractures of the clavicle. In this prospective, randomised controlled study of 60 participants (mean age 31.6 years; 15 to 75) we compared the broad Arm Sling with the figure of eight bandage for the treatment of mid-shaft clavicle fractures. Our outcome measures were pain, Constant and American Shoulder and Elbow Surgeons scores and radiological union. The mean visual analogue scale (VAS) pain score on the first day after treatment was significantly higher (VAS 1 6.8; 4 to 9) in the figure of eight bandage group than the broad Arm Sling group (VAS 1 5.6; 3 to 8, p = 0.034). A mean shortening of 9 mm (3 to 17) was measured in the figure of eight bandage group, versus 7.5 mm (0 to 24) in the broad Arm Sling group (p = 0.30). The application of the figure of eight bandage is more difficult than of the broad Arm Sling, and patients experience more pain during the first day when treated with this option. We suggest the broad Arm Sling is preferable because of the reduction of early pain and ease of application.

Yeongyu Jeong - One of the best experts on this subject based on the ideXlab platform.

  • predictors of the effect of an Arm Sling on gait efficiency in stroke patients with shoulder subluxation a pre post design clinical trial
    Physiotherapy Theory and Practice, 2020
    Co-Authors: Yeongyu Jeong, Yeonjae Jeong, Hyunsook Kim, Kyu Hoon Lee
    Abstract:

    BACKGROUND The predictors affecting the gait efficiency were not known for the Arm Sling, including general and stroke-related characteristics. PURPOSE This study investigated the predictors of gait efficiency when walking with and without an Arm Sling in individuals with hemiplegia with shoulder subluxation. METHODS A total of 57 individuals with shoulder subluxation were recruited. Individuals assigned odd numbers walked with the Arm Sling first and those with even numbers walked without the Arm Sling first in a pre-post design. Outcome measures were the energy cost, energy consumption, and heart rate during a 6-min walk test and a 10-m walk test. Gait efficiency is defined as energy consumption divided by the distance walked, with lower energy costs reflecting higher gait efficiency. Age, MMSE scores adjusted for education, and significant variables (p < .01) in the univariate analyses were entered into multiple regression analyses, to identify the predictors of changes of gait efficiency. RESULTS Energy cost and energy consumption were lower and walking endurance was higher when walking with an Arm Sling than when without an Arm Sling. Spasticity (p = .02), shoulder pain (p = .03), consistency of handedness and Sling position worn (p = .02), function of upper extremity (p = .03) and walking aids (p = .01) were predictors of gait efficiency. CONCLUSION An Arm Sling may improve gait efficiency in individuals with hemiplegia and shoulder subluxation able to walk with a single cane, who have consistency in handedness and Sling position, and with good upper extremity function, including no shoulder pain and reduced spasticity.

  • the effect of an Arm Sling used for shoulder support on gait efficiency in hemiplegic patients with stroke using walking aids
    European Journal of Physical and Rehabilitation Medicine, 2017
    Co-Authors: Yeongyu Jeong, Yeonjae Jeong, Jungwan Koo
    Abstract:

    BACKGROUND The effects of an Arm Sling on the physiological costs of walking are not known. Even though a previous study reported that an Arm Sling can improve gait efficiency, its entrance criteria was only hemiparetic patients able to walk without walking aids independently. AIM The aim of this study was to investigate the effect of shoulder support by an Arm Sling on gait efficiency in hemiplegic stroke patients using walking aids. DESIGN Randomized crossover design. SETTING Rehabilitation department of a university hospital. POPULATION A total of 57 hemiplegic patients with shoulder subluxation dependent on canes were grouped into single cane (N.=30) and quad cane groups (N.=27) as walking aids. METHODS All patients performed a walk with their own walking aid with and without an Arm Sling in randomized order, on the same day. We measured the energy cost and energy expenditure using a portable gas analyzer and heart rate during a 6-minutes Walk Test and a 10-m Walk Test. We analyzed all outcomes measures with and without an Arm Sling between the patients who were grouped according to their walking aids using 2-way repeated ANOVA. RESULTS The energy cost (0.068±0.023 mL/kg/m) and oxygen expenditure (8.609±2.155 mL/kg/minutes) were lower with the Arm Sling (P<0.05) than without the Arm Sling (0.074±0.029 mL/kg/m, and 9.109±2.406 mL/kg/minutes, respectively), and the walking endurance (138.942±47.043 m) were longer (P<0.05) with the Arm Sling among the hemiplegic patients with single cane. CONCLUSIONS Among the hemiplegic patients with a single cane, the walking endurance achieved with an Arm Sling significantly improved than those achieved without an Arm Sling, and the energy expenditure and energy cost was significantly lower. CLINICAL REHABILITATION IMPACT The hemiplegic Arm support with an Arm Sling may be beneficial for gait efficiency in hemiplegic patients using a single cane, which lead to decreased oxygen use at a given speed.

Seoung Ic Yoon - One of the best experts on this subject based on the ideXlab platform.

  • The effect of an Arm Sling on energy consumption while walking in hemiplegic patients: a randomized comparison
    2011
    Co-Authors: Han, Seung Hoon, Seoung Ic Yoon, Seong Ho Jang, Kim Taikon, Kim, Mi Jung, Park, Si Bog, Choi, Bong Kun, Lee, Michael Y., Lee, Kyu Hoon
    Abstract:

    Objective: To evaluate the effect of an Arm Sling on gait speed and energy efficiency of patients with hemiplegia

  • the effect of an Arm Sling on energy consumption while walking in hemiplegic patients a randomized comparison
    Clinical Rehabilitation, 2011
    Co-Authors: Seung Hoon Han, Seoung Ic Yoon, Mijung Kim, Taikon Kim, Seong Ho Jang, Si-bog Park, Bong Kun Choi, Michael Y Lee, Kyu Hoon Lee
    Abstract:

    Objective: To evaluate the effect of an Arm Sling on gait speed and energy efficiency of patients with hemiplegia.Design: A randomized crossover design.Setting: A rehabilitation department of a university hospital.Subjects: Thirty-seven outpatients with hemiplegia were included in this study.Interventions: All patients walked on a 20-m walkway twice on the same day, randomly with and without an Arm Sling, at a self selected speed.Main measures: The heart rate, gait speed, oxygen cost and oxygen rate were measured on all patients. We analysed all values with and without an Arm Sling and also compared them after all patients being stratified according to demographic and clinical characteristics.Results: When we compared the heart rate between walking with (90.7 ± 17.2 beats/min) and without (91.2 ± 18.6 beats/min) the Arm Sling, it was significantly decreased while walking with the Arm Sling. When we compared the gait speed between walking with (32.8 m/min) and without (30.1 m/min), it was significantly inc...

  • effect of Arm Sling on standing balance of hemiplegic patients
    Annals of Rehabilitation Medicine, 2004
    Co-Authors: Do Kyung Lee, Seungjin Han, Seoung Ic Yoon, Mijung Kim, Kyu Hoon Lee
    Abstract:

    Method: 23 hemiplegic stroke patients were evaluated. Subjects rested about for twenty minutes in sitting position before examination. Balance was examined by Mediance(Human-Tech inc, Korea) for 30 seconds in three conditions(no-Sling, with cuff-type Arm Sling and with Kang's Multisupport). The order of examination was randomly selected. These tests were repeated for three times. Balance was represented as weight asymmetry and postural sway Results: There was no significant difference in weight asymmetry between no Sling group and cuff-type Arm Sling group, but with Kang's Multi-support group, weight asymmetry was significantly decreased compared to no-Slinggroup and cuff-type Arm Sling group. Postural sway was identical with no-Sling group, cuff-type Arm Sling group and Kang's Multi-support group Conclusion: Kang's Multi-support was helpful to reduce weight asymmetry compared with no-Sling or cuff-type Sling, and to improve standing balance of hemiplegic patients.

Mijung Kim - One of the best experts on this subject based on the ideXlab platform.

  • the effect of an Arm Sling on energy consumption while walking in hemiplegic patients a randomized comparison
    Clinical Rehabilitation, 2011
    Co-Authors: Seung Hoon Han, Seoung Ic Yoon, Mijung Kim, Taikon Kim, Seong Ho Jang, Si-bog Park, Bong Kun Choi, Michael Y Lee, Kyu Hoon Lee
    Abstract:

    Objective: To evaluate the effect of an Arm Sling on gait speed and energy efficiency of patients with hemiplegia.Design: A randomized crossover design.Setting: A rehabilitation department of a university hospital.Subjects: Thirty-seven outpatients with hemiplegia were included in this study.Interventions: All patients walked on a 20-m walkway twice on the same day, randomly with and without an Arm Sling, at a self selected speed.Main measures: The heart rate, gait speed, oxygen cost and oxygen rate were measured on all patients. We analysed all values with and without an Arm Sling and also compared them after all patients being stratified according to demographic and clinical characteristics.Results: When we compared the heart rate between walking with (90.7 ± 17.2 beats/min) and without (91.2 ± 18.6 beats/min) the Arm Sling, it was significantly decreased while walking with the Arm Sling. When we compared the gait speed between walking with (32.8 m/min) and without (30.1 m/min), it was significantly inc...

  • The effect of an Arm Sling on energy consumption while walking in hemiplegic patients: a randomized comparison
    2009
    Co-Authors: Seung Hoon Han, Mijung Kim, Taikon Kim, Seong Ho Jang, Si-bog Park, Yoon Department
    Abstract:

    Objective: To evaluate the effect of an Arm Sling on gait speed and energy efficiency of patients with hemiplegia. Design: A randomized crossover design. Setting: A rehabilitation department of a university hospital. Subjects: Thirty-seven outpatients with hemiplegia were included in this study. Interventions: All patients walked on a 20-m walkway twice on the same day, randomly with and without an Arm Sling, at a self selected speed. Main measures: The heart rate, gait speed, oxygen cost and oxygen rate were measured on all patients. We analysed all values with and without an Arm Sling and also compared them after all patients being stratified according to demographic and clinical characteristics. Results: When we compared the heart rate between walking with (90.7 17.2 beats/min) and without (91.2 18.6 beats/min) the Arm Sling, it was significantly decreased while walking with the Arm Sling. When we compared the gait speed between walking with (32.8 m/min) and without (30.1 m/min), it was significantly increased with the Arm Sling walking. The O2 rate in hemiplegic patients walking with the Arm Sling was significantly decreased by 7%, compared to walking without Arm Sling (5.8 mL/kg min and 6.2 mL/kg min, respectively). The O2 cost in hemiplegic patients walking without Arm Sling was significantly 1.4 times greater than walking with it (0.2 mL/kg m and 0.3 mL/kg m, respectively). Conclusion: An Arm Sling can be used to improve the gait efficiency

  • effect of Arm Sling on standing balance of hemiplegic patients
    Annals of Rehabilitation Medicine, 2004
    Co-Authors: Do Kyung Lee, Seungjin Han, Seoung Ic Yoon, Mijung Kim, Kyu Hoon Lee
    Abstract:

    Method: 23 hemiplegic stroke patients were evaluated. Subjects rested about for twenty minutes in sitting position before examination. Balance was examined by Mediance(Human-Tech inc, Korea) for 30 seconds in three conditions(no-Sling, with cuff-type Arm Sling and with Kang's Multisupport). The order of examination was randomly selected. These tests were repeated for three times. Balance was represented as weight asymmetry and postural sway Results: There was no significant difference in weight asymmetry between no Sling group and cuff-type Arm Sling group, but with Kang's Multi-support group, weight asymmetry was significantly decreased compared to no-Slinggroup and cuff-type Arm Sling group. Postural sway was identical with no-Sling group, cuff-type Arm Sling group and Kang's Multi-support group Conclusion: Kang's Multi-support was helpful to reduce weight asymmetry compared with no-Sling or cuff-type Sling, and to improve standing balance of hemiplegic patients.