Gwang-Moon Eom

Sex differences in the postural sway characteristics of young and elderly subjects during quiet natural standing

Aim:  It has been reported that the fall incidence in women is much higher than men and that fallers have worse postural balance performance than non‐fallers. However, it is controversial whether any sex difference in postural balance performance exists. The purpose of this study was to investigate the effects of sex and age and their interactions in balance performance during quiet standing with natural stance width.

The effect of 30% oxygen on visuospatial performance and brain activation: An fMRI study

This study aimed to investigate the hypothesis that administration of the air with 30% oxygen compared with normal air (21% oxygen) enhances cognitive functioning through increased activation in the brain. A visuospatial task was presented while brain images were scanned by a 3 T fMRI system. The results showed that there was an improvement in performance and also increased activation in several brain areas in the higher oxygen condition. These results suggest that a higher concentration of breathed oxygen increases saturation of blood oxygen in the brain and facilitates performance.

Analysis of Viscoelastic Properties of Wrist Joint for Quantification of Parkinsonian Rigidity

This study aims to analyze viscoelastic properties of the wrist in patients with Parkinsons disease (PD) in comparison with the clinical score of severity. Forty-five patients with PD and 12 healthy volunteers participated in this study. Severity of rigidity at the wrist was rated by a neurologist just before the experiment. Wrist joint torque resistive to the imposed movement was measured. Three different models, (identical in structure, only different in the number of parameters for extension and flexion phases) were used in identification of viscoelastic properties: 1) one damping constant and one spring constant throughout all phases, 2) two damping constants for each phase and one spring constant throughout all phases, and 3) two damping constants and two spring constants for each phase. Normalized work and impulse suggested in the literature were also calculated. Spring constants of different models and phases showed comparable correlation with rigidity score ( r=0.68-0.73). In terms of the correlation of damping constant with clinical rigidity score, model 1 ( r = 0.90) was better than models 2 and 3 ( r=0.59 - 0.71). These results suggest that the clinical rigidity score is better represented by the mean viscosity during both flexion and extension. In models with two dampers (model 2 and 3), the damping constant was greater during extension than flexion in patients ( p <; 0.001), in contrast that there was no phase difference in normal subjects. This suggests that in contrast with normal subjects, phase-dependent viscosity may be an inherent feature of PD. Although work and impulse were correlated with clinical rigidity score ( r = 0.11 - 0.84), they could not represent the phase-dependent rigidity inherent in PD. In conclusion, the viscosity of model 1 would be appropriate for quantification of clinical ratings of rigidity and that of model 2 for distinction of PD and also for investigation of phase-dependent characteristics in parkinsonian rigidity.

Stimulation Pattern-Free Control of FES Cycling: Simulation Study

The aim of this paper is to investigate control strategies for functional electrical simulation (FES) cycling, with particular focus on the generation of stimulation intensities for multiple muscles, without any predetermined stimulation pattern. The control system is developed by imitating the biological neuronal control system. Specifically, the control signal on the level of joint torque (quasi-joint torque) is generated from the feedback information of lower extremities. The quasi-joint torque is then distributed to each muscle and the muscle delay is compensated, and finally, the stimulation intensity is determined. Parameters of the control system are optimized by the genetic algorithm with cost function of energy consumption and cadence error. The proposed control system is evaluated by computer simulation. The controller generates efficient stimulation even during the muscle fatigue process and successfully continues cycling without any predetermined stimulation pattern. Moreover, the controller is robust to the parameter error in the muscle delay compensator and also to the disturbances. It is expected that the proposed method would improve the FES cycling performance and relieve patients by eliminating the experimental determination of the stimulation patterns.

Age–sex differences in the hip abductor muscle properties

Aim:  Elderly women are reported to have worse postural balance in the mediolateral direction than elderly men, which may be related to hip lateral muscle properties. The purpose of this study was to investigate the effects of sex, age and their interactions on hip abductor muscle properties.

Gradual potentiation of isometric muscle force during constant electrical stimulation

An investigation was carried out into how stimulation frequency and stimulation history affect the potentiation of muscle force during 20s of constant stimulation of the two knee extensors in isometric conditions. Stimulation frequency significantly affected the potentiation pattern: low-frequency (2.5–10 Hz) stimulation showed a reduction and subsequent enhancement of force, and high-frequency (14.3–25 Hz) stimulation showed only enhancement of force. The degree of enhancement in force and time-to-peak decreased with the stimulation frequency. Whereas conditioning stimulation (both 40 Hz and 14.3 Hz) significantly enhanced the muscle force above 85%, following main stimulation (14.3 Hz) after short rest (10 s and 50 s, respectively) induced little force enhancement (below 8%). In particular, when the frequency of the conditioning stimulation was 14.3 Hz, the initial force at the main stimulation showed a very similar value to the final force value of the conditioning stimulation (above 90% similarity). The potentiated twitch force slowly decayed during rest, with an average time constant of 2.4 min. These observations indicate that muscle potentiation depends on the stimulation frequency and stimulation history, and therefore a computer model of potentiation can play an important role in predicting muscle force and body movement induced by electrical stimulation.

Development of an optical fiber sensor for angular displacement measurements.

For diagnostic and therapeutic purposes, the joint angle measurement of a patient after an accident or a surgical operation is significant for monitoring and evaluating the recovering process. This paper proposed an optical fiber sensor for the measurement of angular displacement. The effect of beveled fiber angle on the detected light signal was investigated to find an appropriate mathematical model. Beveled fiber tips redirected the light over a range of angles away from the fiber axis. Inverse polynomial models were applied to directly obtain and display the joint angle change in real time with the Lab-VIEW program. The actual joint angle correlated well with the calculated LabVIEW output angle over the test range. The proposed optical sensor is simple, cost effective, small in size, and can evaluate the joint angle in real time. This method is expected to be useful in the field of rehabilitation and sport science.

Feet distance and static postural balance: Implication on the role of natural stance

The purpose of this study was to investigate 1) the effect of feet distance on static postural balance and 2) the location of natural feet distance and its possible role in the relationship of feet distance and postural balance. Static balance tests were performed on a force platform for 100 s with six different feet distances (0, 5, 10, 15, 20, 25 cm). Measures of postural balance included mean amplitude of horizontal ground reaction force (GRF) as well as the mean distance and velocity of the center of pressure (COP). All measures were discomposed into anterioposterior and mediolateral directions. ANOVA and post-hoc comparison were performed for all measures with feet distance as an independent factor. Also measured was the feet distance at the natural stance preferred by each subject. All measures significantly varied with feet distance (p<0.001). Mean distance of COP showed monotonic decrease with feet distance. Mean amplitude of horizontal GRF as well as mean velocity of COP showed U-shaped pattern (decrease followed by increase) with the minimum at the feet distance of 15 cm or 20 cm, near which the natural feet distance of 16.5 (SD 3.8) cm was located. COP is regarded to be an approximation of the center of mass (hence the resultant performance of postural control) in an inverted pendulum model with the horizontal GRF ignored. On the other hand, horizontal GRF is the direct cause of horizontal acceleration of a center of mass. The present result on horizontal GRF shows that the effort of postural control is minimized around the feet distance of natural standing and implies why the natural stance is preferred.

Comparison of Reaction Times of Ankle Joint Muscles in the Elderly Men and Women

Abstract: Elderly women are reported to have greater risk of falls. The purpose of this paper was to investigate thepossible gender differences in the reaction performance of ankle joint muscles, which have dominant role in the controlof sagittal plane balance. Twenty-six elderly men and women with comparable mean age participated in this study.Reaction times to the audible beeps were measured in the tibialis anterior muscle and gastrocnemius muscle. Reactiontime variables included premotor time, electromechanical delay and total reaction time. Gender difference in each reac-tion time was investigated by independent t-test. In both muscles, premotor time was longer in men but the elec-tromechanical delay was longer in women (p < 0.05). Resulting total reaction time was longer in men in tibialis anteriormuscle (p < 0.01) and it tended to be longer in men also in gastrocnemius muscle (p = 0.25). The results demonstratesthat the overall reaction performances of elderly women is better than or comparable to those of elderly men in anklejoint muscles. This suggests that the reaction performance of ankle muscles is hardly the cause of the greater riskof falls in elderly women. Key words: Reaction time, Ankle joint, Gender difference, Risk of falls

New optical design and image assessment of ultrahigh-resolution magnifying endoscope

The image resolution of a conventional ultrahigh-resolution endoscope is limited to 20–30 lp/mm. In this study, magnified and 64 lp/mm high-resolution images are obtained using a new optical design with a 0.23 pitch gradient index lens and a high-resolution fiber-optic image guide. The resolution and magnification of the obtained images are measured and analyzed. Also, the MTFs of images from a new magnifying endoscope are measured. A new type of high-resolution magnifying endoscope which can be developed based on this research, can take an image of less than 10 µm resolution in the human body.