대한기계학회논문집A (Transactions of the Korean Society of Mechanical Engineers A)

  • 제30권4호
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  • Pages.435-441
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  • 2006
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  • 1226-4873(pISSN)
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  • 2288-5226(eISSN)
대한기계학회 (The Korean Society of Mechanical Engineers)
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전방십자인대 재건수술 환자와 정상인의 보행 연구

Gait Study on the Normal and ACL Deficient Patients After Ligament Reconstruction Surgery Using Chaos Analysis Method

  • 고재훈 (부산대학교 대학원 기계설계공학과) ;
  • 문병영 (부산대학교 동남권부품소재 산학협력혁신사업단) ;
  • 서정탁 (부산대학교 의과대학 정형외과) ;
  • 손권 (부산대학교 기계공학부)
  • 발행 : 2006.04.01
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초록

The anterior cruciate ligament(ACL) is an important stabilizer of knee joint. The ACL injury of knee is common and a serious ACL injury leads to ligament reconstruction surgery. Gait analysis is essential to identify knee condition of patients who display abnormal gait. The purpose of this study is to evaluate and classify knee condition of ACL deficient patients using a nonlinear dynamic method. The nonlinear method focuses on understanding how variations in the gait pattern change over time. The experiments were carried out for 17 subjects(l2 healthy subjects and five subjects with unilateral deficiency) walking on a motorized treadmill for 100 seconds. Three dimensional kinematics of the lower extremity were collected by using four cameras and KWON 3D motion analysis system. The largest Lyapunov exponent calculated from knee joint flexion-extension time series was used to quantify knee stability. The results revealed the difference between healthy subjects and patients. The deficient knee was significantly unstable compared with the contralateral knee. This study suggests an evaluation scheme of the severity of injury and the level of recovery. The proposed Lyapunov exponent can be used in rehabilitation and diagnosis of recoverable patients.

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참고문헌

  1. Moon, B. Y., Son, K., Park, J. H. and Suh, J. T., 2003, 'A Method to Describe and Analyze Human Knee Joint Motion,' Journal of KSPE, Vol. 20, No. 10, pp. 233-239
  2. Kaplan, M. J., 1995, 'Anterior Cruciate Ligament Reconstruction Using Quadriceps Patellar Tendon Graft,' American Journal of Sports and Medicine Vol. 19, pp. 458-462 https://doi.org/10.1177/036354659101900506
  3. Chung, C. Y., Lee, M. C., Moon, Y. W., Kim, T. G., Lim, S. T. and Seong, S. C., 1997, 'Gait Analysis after Total Knee Arthroplasty,' Journal of Korean Orthopedic Association, Vol. 32, No. 5, pp. 1290-1301
  4. Hausdorff, J. M., Edelberg, H. K., Mitchell, S. L. and Goldberger, A. L., 1997, 'Incresed Gait Unsteadiness in Community-Dwelling Elderly Fallers,' Archives of Physical Medicine and Rehabilitation, Vol. 78, No. 3, pp. 278-283 https://doi.org/10.1016/S0003-9993(97)90034-4
  5. Stergiou, N., Moraiti, C., Giakas, G., Ristanis, S. and Georgoulis, A. D., 2004, 'The Effect of the Walking Speed on the Stability of the Anterior Cruciate Ligament Deficient Knee,' Clinical Biomechanics, Vol. 19, No. 9, pp. 957-963 https://doi.org/10.1016/j.clinbiomech.2004.06.008
  6. Dingwell, J. B., Cusumano, J. P., Sremad, D. and Cavanagh, P. R., 2000, 'Slower Speeds in Patients with Diabetic Neuropathy Lead to Improved Local Dynamic Stability of Continuous Overground Walking,' Journal of Biomechanics, Vol. 33, No. 10, pp. 1269-1277 https://doi.org/10.1016/S0021-9290(00)00092-0
  7. Dingwell, J. B. and Cusumano, J. P., 2000, 'Nonlinear Time Series Analysis of Normal and Pathological Human Walking,' Chaos, Vol. 10, No. 4, pp. 848-863 https://doi.org/10.1063/1.1324008
  8. Buzzi, U. H., Stergiou, N., Kurz, M. J., Hageman, P. A. and Heidel, J., 2004, 'Nonlinear Dynamics Indicates Aging Affects Variability During Gait,' Clinical Biomechanics, Vol. 18, No. 5, pp. 435-443 https://doi.org/10.1016/S0268-0033(03)00029-9
  9. Chung, C. Y., Lee, M. C., Moon, Y. W., Kim, T. G., Lim, S. T. and Seong, S. C., 1997, 'Gait Analysis after Total Knee Arthroplasty,' Journal of Korean Orthopedic Association, Vol. 32, No. 5, pp. 1290-1301
  10. Perry, J., 1992, Gait Analysis: Normal and Pathological Function, SLACK Inc, pp. 15-21
  11. Sutherland, D. H., Olshen, R. A., Biden, E. N. and Wyatt, M. P., 1988, The Development of Mature Walking, London, Mac Keith Press, pp. 20-35
  12. Ko, J. H., Son, K., Park, J. H. and Suh, J. T., 2006, 'Gait Study on the Normal and ACL Deficient Patients after Ligament Reconstruction Surgery Using Chaos Analysis,' Journal of KSPE, Vol. 23, No. 2, pp. 164-171
  13. Park, K. B., Ko, J. H., Son, K., Moon, B. Y. and Suh, J. T., 2006, 'Application of Chaos Theory to Gait Analysis,' Transection of KSME (A), Vol. 30, No. 2, pp. 194-201 https://doi.org/10.3795/KSME-A.2006.30.2.194
  14. Wolf, A., Swift, J. B., Swinney, H. L. and Vastano, J. A., 1985, 'Determining Lyapunov Exponents from a Time Series,' Physica D: Nonlinear Phenomena, Vol. 16, No. 3, pp. 285-317 https://doi.org/10.1016/0167-2789(85)90011-9
  15. Rapp, P. E., 1994, 'A Guide to Dynamical Analysis,' Integr. Physiol. Behav. Sci, Vol. 29, No. 3, pp. 311-327 https://doi.org/10.1007/BF02691335
  16. Abraham, N. B., Albano, A. M., Das, B., Guzman, G. D. and Yong R., S., 1986, 'Calculating the Dimension of Attractors from Small Data Sets,' Phys. Lett. A. Vol. 114, No. 5, pp. 217-221 https://doi.org/10.1016/0375-9601(86)90210-0
  17. Baker, G. L. and Gollub, J. P., 1996, Chaotic Dynamics, Cambridge University Press, New York, pp. 30-65
  18. Jeong, J., Gore, J. C. and Peterson, B. S., 2001, 'Mutual Information Analysis of the EEG in Patients with Alzheimer's Disease,' Clinical Neurophysiology, Vol. 114, No. 5, pp. 827-835 https://doi.org/10.1016/S1388-2457(01)00513-2
  19. Rhodes, C. and Morari, M., 1997, 'The False Nearest Neighbors algorithm: An Overview,' Computers & Chemical Engineering, Vol. 21, No. 1, pp. 1149-1154 https://doi.org/10.1016/S0098-1354(97)00204-4
  20. Moon, H. T., 2001, Chaos and Nonlinear Dynamics, Seoul National University Press, Seoul, pp. 4-18

피인용 문헌

  1. Quantitative analysis of nonlinear joint motions for young males during walking vol.22, pp.3, 2008, https://doi.org/10.1007/s12206-007-1105-7