Journal of the Korean Society for Precision Engineering (한국정밀공학회지)

Korean Society for Precision Engineering (한국정밀공학회)
권호 표지

Characteristic Analysis of Lower Limbs Muscles in Young Normal Adults on a Tilting Bed Using an Unstable Platform

불안정판을 부착한 경사침대에서 하지운동 시 정상성인의 근력 특성 분석

  • Yu, Mi (Chonbuk National University Automobile-parts & mold Technology Innovation Center) ;
  • Lee, Sun-Yeon (Medical Device Clinical Trial Center, Chonbuk National Univ.) ;
  • Piao, Yong-Jun (Chonbuk National University Automobile-parts & mold Technology Innovation Center) ;
  • Kim, Kyong (National Rehabilitation Center) ;
  • Jeog, Gu-Young (Center for Healthcare Technology Development, Chonbuk National Univ.) ;
  • Kim, Jung-Ja (Division of Biomedical Engineering, Chonbuk National Univ.) ;
  • Kwon, Tae-Kyu (Division of Biomedical Engineering, Chonbuk National Univ.)
  • 유미 (전북대학교 자동차부품.금형기술혁신센터) ;
  • 이선연 (전북대학교 의료기기임상시험센터) ;
  • 박용군 (전북대학교 자동차부품.금형기술혁신센터) ;
  • 김경 (국립재활원) ;
  • 정구영 (전북대학교 헬스케어기술개발사업단) ;
  • 김정자 (전북대학교 바이오메디컬공학부) ;
  • 권대규 (전북대학교 바이오메디컬공학부)
  • Received : 2010.12.06
  • Accepted : 2011.08.29
  • Published : 2011.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

We investigated an early rehabilitation training system that increase the intensity of patient rehabilitation training to shorten the time it takes for patients to progress to a secondary rehabilitation training stage by allowing patients incapable of self-ambulation. It consisted of tilting bed, unstable platform using strong springs and training program for lower limb rehabilitation. We performed experimental study on the muscular activities of tibialis anterior(TA), soleus(SO), gastrocnemius(GA) in the lower extremities during training of straight line, circle, quardrangle pattern during tilting angle of $30^{\circ}$, $60^{\circ}$. The muscle activities were higher during tilting angle of $30^{\circ}$ than $60^{\circ}$. In straight line pattern, the muscle activities were higher by SO, GA and TA during medio-lateral direction, however, by TA, SO and GA during anterio-posterior direction. In circle and quardrangle pattern, the muscle activities were higher by TA, SO and GA during clockwise and counterclockwise direction. The results indicate that the early rehabilitation training system could be applied to improve the lower extremity muscular strength for elderly and patients, especially, stroke.

Keywords

References

  1. Anderson, T. P., "Rehabilitation of patient with complete stroke, Krusen's Handbook of Physical Medicine and Rehabilitation, 4th ed.," WB Saunders Co., pp. 656-678, 1990.
  2. Cavell, G. E. and von Swearringer, J. M., "Neuro muscular analysis," Physical Therapy, pp. 656-678, 1990.
  3. Shin, J. B., Moon, J. H., Oh, H. T. and Sohn, M. K., "A Clinical Study of Early Rehabilitation in Stroke," J. of Korean Acad. Rehabil. Med., Vol. 12, No. 1, pp. 78-84, 1988.
  4. Brandstater, M. E. and Shutter, L. A., "Rehabilitation interventions during acute care of stroke patients," Top Stroke Rehabil., Vol. 9, No. 2, pp. 48-56, 2002. https://doi.org/10.1310/YGAX-X5VK-NHVD-HGPA
  5. Burgar, C. O., Lum, P. S., Shor, P. C. and Machiel Van der Loos, H. F., "Development of robots for rehabilitation therapy: the Palo Alto VA/Stanford experience," J. Rehabil. Res., Vol. 37, No. 6, pp. 663-673 2000.
  6. David, C. and Good, M. D., "Treatment strategies for enhancing motor recovery in stroke rehabilitation," Neurorehabil Neural Repair, Vol. 8, No. 4, pp. 177-186, 1994. https://doi.org/10.1177/136140969400800402
  7. Ernst, E., "A review of stroke rehabilitation and physiotherapy," Stroke, Vol. 21, No. 7, pp. 1081-1085 1990. https://doi.org/10.1161/01.STR.21.7.1081
  8. Yu, C. H., Kim, K., Kim, Y. Y., Kwon, T. K., Ryu, M. H. and Kim, N. G., "A New Training System Using a Tilting Bed for an Early Rehabilitation," International Joint Conference on SICE-ICASE, pp. 5858-5861, 2006.
  9. Seo, N. S., Han, M. S. and Lee, J. S., "Effect of a Tilting Training Program on Lower Extremities Function, Depression, and Self-efficacy among Stroke Inpatients," J. Korean Acad. Nurs., Vol. 36, No. 3, pp. 514-522, 2006. https://doi.org/10.4040/jkan.2006.36.3.514
  10. Kim, B. J., Lee, S. K. and Kim, M. K., "The Effects of Ankle Strength Exercise and Functional Electrical Stimulation on the Ability of Balance Control and Gait in Stroke Patients," Journal of Sport and Leisure Studies, Vol. 31, pp. 921-931, 2007.
  11. Bohannon, R. W. and Larkin, P. A., "Lower extremity weight bearing under various standing conditions in independently ambulatory patients with hemiparesis," Phys. Ther., Vol. 65, No. 9, pp. 1323-1325, 1985. https://doi.org/10.1093/ptj/65.9.1323
  12. Lee, Y. J., Kim, C. H., Choi, J. S. and Jo, G. Y., "Soleus Myopathy Induced by Passive Stretch in a Stroke Patient-A case report," J. of Korean Acad. Rehabil. Med., Vol. 23, No. 3, pp. 664-669, 1999.
  13. Yarkony, G. M., Roth, E. J., Heinemann, A. W., Wu, Y. C., Kats, R. T. and Lovell, L., "Benefits of rehabilitation for traumatic spinal cord injury Multivariate analysis in 711 patients," Arch. Neurol., Vol. 44, No. 1, pp. 93-96,1987. https://doi.org/10.1001/archneur.1987.00520130071020
  14. Shumway-Cook, A. and Woollacott, M. H., "Motor Control 3/e: Translating Research into Clinic Practice," Lippincott Williams&Wilkins, pp. 203-210, 2006.
  15. Daubney, M. E. and Culham, E. G., "Lower extremity muscle force and balance performance in adults aged 65years and older," Phys. Ther., Vol. 79, No. 12, pp. 1177-1185, 1999.
  16. Smith, M. E., Garraway, W. M., Smith, D. L. and Akhtar, A. J., "Therapy impact on functional outcome in a controlled trial of stroke rehabilitation," Arch. Phys. Med. Rehabil., Vol. 63, No. 1, pp. 21-24, 1982.
  17. Anderson, E., Anderson, T. P. and Kottke, F. J., "Stroke rehabilitation: Maintenance of achieved gains," Arch. Phys. Med. Rehabil., Vol. 58, No. 8, pp. 345-352, 1977.
  18. Hesse, S., Bertelt, C., Jahnke, M. T., Schaffin, A., Baake, P., Malezic, M. and K. Mauritz, H., "Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients," Stroke, Vol. 26, No. 6, pp. 976-981, 1995. https://doi.org/10.1161/01.STR.26.6.976
  19. Miller, G. J. T. and Light, K. E., "Strength training in spastic hemiparesis: Should it be avoided?" NeuroRehabilitation, Vol. 9, NO. 1, pp. 17-28, 1997. https://doi.org/10.1016/S1053-8135(97)00011-5
  20. Sharp, S. A. and Brouwer, B. J., "Isokinetic strength training of the hemiparetic knee: Effects on function and spasticity," Arch. Phys. Med. Rehabil., Vol. 78, No. 11, pp. 1231-1236, 1997. https://doi.org/10.1016/S0003-9993(97)90337-3
  21. Ada, L. and O'Dwyer, N., "Do associated reactions in the upper limb after stroke contribute to contracture formation?" Clin. Rehabil., Vol. 15, No. 2, pp. 186-194, 2001. https://doi.org/10.1191/026921501676635731
  22. Piao, Y. J., Kim, K., Yu, M., Kwon, T. K., Kim, D. W. and Kim, N. G., "Analysis on Training Effects of Postural Control for Elderly Adults," International Journal of Precision Engineering and Manufacturing, Vol. 10, No. 3, pp. 133-139, 2009. https://doi.org/10.1007/s12541-009-0058-4
  23. Piao, Y. J., Yu, M., Kim, Y. Y., Kwon, T. K. and Kim, N. G., "Development of Training System for Equilibrium Sense Using Unstable Platform and Force Plate," Journal of Korean Society for Precision Engineering, Vol. 24, No. 6, pp. 121-129, 2007.
  24. Lori, A., Bolala, L. and Timothy, U., "Reliability of electromyographic normalization methods for evaluating the hip musculature," Journal of Electromyography and Kinesiology, Vol. 17, No. 1, pp. 102-111, 2007. https://doi.org/10.1016/j.jelekin.2005.11.007
  25. Valmassy, R. L., "Clinical Biomechanics of the Lower Extremities, Chap. 4, Spine, an integral part of the lower extremity," Mosby-Year Book Inc., St. Louis, pp. 103-108, 1996.
  26. Gage, W. H., Winter, D. A., Frank, J. S. and Adkin, A. L., "Kinematic and kinetic validity of the inverted pendulum model in quiet standing," Gait and Posture, Vol. 19, No. 2, pp. 124-132, 2004. https://doi.org/10.1016/S0966-6362(03)00037-7
  27. Soderberg, G. L., Cook, T. M. and Rider, S. C., "Electromygraphic activity of selected leg musculature in subjects with normal and chronically sprained ankles with normal and chronically sprained ankles performing on a BAPS board," Phys. Ther., Vol. 71, No.7, pp. 514-522, 1991. https://doi.org/10.1093/ptj/71.7.514
  28. Muller, O. and Krauss, M., "Physical characterization of the therapeutic device posturomed as a measuring device presentation of a procedure to characterized balancing ability," Biomed. Tech., Vol. 49, No. 3, pp. 56-60, 2004. https://doi.org/10.1515/BMT.2004.011
  29. Han, S. W., Kwon, M. J., Cae, Y. W., Baek, Y. Y., Jeong, H. B., Kim, K. T. and Yoon, J. R., "Electromyographic analysis of ankle muscles according to unstable platforms," Journal of Coaching Science, Vol. 8, No. 2, pp. 231-239, 2006.