Browse > Article
http://dx.doi.org/10.7736/KSPE.2013.30.4.450

Development of Weight Shifting Training System using Biofeedback for Post-stroke Hemiplegic Patients with Step Length Asymmetry  

Kim, Seeun (School of Mechanical Engineering, Yonsei Univ.)
Kim, Deog Young (Department and Research Institute of Rehabilitation Medicine, Yonsei Univ. College of Medicine)
Kim, Jung Hoon (School of Civil and Environmental Engineering, Yonsei Univ.)
Choi, Jong Hyun (School of Mechanical Engineering, Yonsei Univ.)
Joo, So Young (Department and Research Institute of Rehabilitation Medicine, Yonsei Univ. College of Medicine)
Kang, Na Kyung (Department and Research Institute of Rehabilitation Medicine, Yonsei Univ. College of Medicine)
Baek, Yoon Su (School of Mechanical Engineering, Yonsei Univ.)
Publication Information
Journal of the Korean Society for Precision Engineering / v.30, no.4, 2013 , pp. 450-458 More about this Journal
Abstract
The aim of this study was to develop and verify gait training system for post-stroke hemiplegia patients with step length asymmetry. Most post-stroke hemiplegic patients show gait asymmetry and weight shifting training has been suggested as a useful method for improving the walking ability. However, verbal cue by physical therapist may be not effective. Therefore, our weight shift training system was designed to give a feedback to patients through precise plantar pressure and center of pressure (COP) measurement. This weight shifting biofeedback training system is composed of F-Scan plantar pressure measurement system and software development kit (SDK) for Windows operating system. Two post-stroke patients with step length asymmetry were enrolled in this study. After training for six weeks, the weight shift score and step length ratio of two all patients were improved and approached to them of non-disabled. This system developed in this study may improve the step length asymmetry, and therefore this system is also expected to improve a walking ability in hemiplegic patients.
Keywords
Stroke Rehabilitation; Hemiplegia; Center of Pressure; Step Length Asymmetry; Weight Shift;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Feasel, J., Whitton, M. C., Kassler, L., Brooks, F. P., and Lewek, M. D., "The integrated virtual environment rehabilitation treadmill system," IEEE Transactions on Neural Systems and Rehabilitation Engineering, Vol. 19, No. 3, pp. 290-297, 2011.   DOI   ScienceOn
2 Worms, G., Matjacic, Z., Gollee, H., Cikajlo, I., Goljar, N., and Hunt, K. J., "Dynamic balance training with sensory electrical stimulation in chronic stroke patients," International Conference of the IEEE Engineering in Medicine and Biology Society, Vol. 1, pp. 2150-2153, 2006.
3 Stoller, O., Waser, M., Stammler, L., and Schuster, C., "Evaluation of robot-assisted gait training using integrated biofeedback in neurologic disorders," Gait and Posture, Vol. 35, No. 4, pp. 595-600, 2012.   DOI   ScienceOn
4 Young, C. R., "The F-SCAN system of foot pressure analysis," Clinics in Podiatric Medicine and Surgery, Vol. 10, No. 3, pp. 455-461, 1993.
5 Han, T. R., Paik, N. J., and Im, M. S., "Quantification of the path of center of pressure (COP) using an Fscan in-shoe transducer," Gait and Posture, Vol. 10, No. 3, pp. 248-254, 1999.   DOI   ScienceOn
6 Jang, H. Y., Han, J. S., and Han, C. S., "Study on Gait Analysis of Elders and Hemiplegia Patients using 3D Motion Analysis," J. Korean Soc. Precis. Eng., Vol. 29, No. 7, pp. 730-736, 2012.   과학기술학회마을   DOI   ScienceOn
7 Sungkarat, S., Fisher, B. E., and Kovindha, A., "Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial," Clinical Rehabilitation, Vol. 25, No. 4, pp. 360-369, 2011.   DOI   ScienceOn
8 Dobkin, B. H., "Rehabilitation after stroke," New England Journal of Medicine, Vol. 352, No. 16, pp. 1677-1684, 2005.   DOI   ScienceOn
9 Sackley, C. M. and Baguley, B. I., "Visual feedback after stroke with the balance performance monitor: Two single-case studies," Clinical Rehabilitation, Vol. 7, No. 3, pp. 189-195, 1993.   DOI   ScienceOn
10 Clark, R. A., McGough, R., and Paterson, K., "Reliability of an inexpensive and portable dynamic weight bearing asymmetry assessment system incorporating dual Nintendo Wii Balance Boards," Gait and Posture, Vol. 34, No. 2, pp. 288-291, 2011.   DOI   ScienceOn
11 Dickstein, R., Yoeli, Y., Holtzman, S., Faust, A., and Markoviz, E., "Weight bearing on the affected lower limb in residents of a geriatric rehabilitation hospital," American Journal of Physical Medicine and Rehabilitation, Vol. 89, No. 4, pp. 287-292, 2010.   DOI   ScienceOn
12 Tsaklis, P. V., Grooten, W. J. A., and Franzen, E., "Effects of weight-shift training on balance control and weight distribution in chronic stroke: A pilot study," Topics in Stroke Rehabilitation, Vol. 19, No. 1, pp. 23-31, 2012.   DOI   ScienceOn
13 Lange, B., Flynn, S., Proffitt, R., Chang, C. Y., and Rizzo, A., "Development of an interactive gamebased rehabilitation tool for dynamic balance training," Topics in Stroke Rehabilitation, Vol. 17, No. 5, pp. 345-352, 2010.   DOI   ScienceOn
14 Kollen, B., van de Port, I., Lindeman, E., Twisk, J., and Kwakkel, G., "Predicting improvement in gait after stroke a longitudinal prospective study," Stroke, Vol. 36, No. 12, pp. 2676-2680, 2005.   DOI   ScienceOn
15 Roerdink, M., Roeles, S., van der Pas, S. C. H., Bosboom, O., and Beek, P. J., "Evaluating asymmetry in prosthetic gait with step-length asymmetry alone is flawed," Gait and Posture, Vol. 35, No. 3, pp. 446-451, 2012.   DOI   ScienceOn
16 Hershko, E., Tauber, C., and Carmeli, E., "Biofeedback versus physiotherapy in patients with partial weightbearing," American Journal of Orthopedics (Belle Mead, N.J.), Vol. 37, No. 5, pp. E92-E96, 2008.
17 Isakov, E., "Gait rehabilitation: A new biofeedback device for monitoring and enhancing weight-bearing over the affected lower limb," Europa Medicophysica, Vol. 43, No. 1, pp. 21-26, 2007.