• 한국전문물리치료학회지
• /
• 제22권2호
• /
• pp.30-40
• /
• 2015

Robot-assisted rehabilitation therapy has been used to increase physical function in post-stroke patients. The aim of this meta-analysis was to identify whether robot-assisted gait training can improve patients' functional abilities. A comprehensive search was performed of PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Physiotherapy Evidence Database (PEDro), Academic Search Premier (ASP), ScienceDirect, Korean Studies Information Service System (KISS), Research Information Sharing Service (RISS), Korea National Library, and the Korean Medical Database up to April, 2014. Fifteen eligible studies researched the effects of robot-assisted gait training to a control group. All outcome measures were classified by International Classification of Functioning, Disability, and Health (ICF) domains (body function and structures, activity, and participation) and were pooled for calculating the effect size. The overall effect size of the robot-assisted gait training was .356 [95% confidence interval (CI): .186~.526]. When the effect was compared by the type of electromechanical robot, Gait Trainer (GT) (.471, 95% CI: .320~.621) showed more effective than Lokomat (.169, 95% CI: .063~.275). In addition, acute stroke patients showed more improvement than others. Although robot-assisted gait training may improve function, but there is no scientific evidence about the appropriate treatment time for one session or the appropriate duration of treatment. Additional researchers are needed to include more well-designed trials in order to resolve these uncertainties.

• 센서학회지
• /
• 제25권2호
• /
• pp.148-154
• /
• 2016

This paper describes the design and fabrication of a two-axis force/torque sensor and an one-axis force sensor with parallel plate beams(PPSs) for measuring forces and torque in an ankle rehabilitation exercise using by a lower rehabilitation robot. The two-axis force/torque sensor is composed of a Fy force sensor and Tz torque sensor and the force sensor detects x direction force. The two-axis force/torque sensor and one-axis force sensor were designed using by FEM(Finite Element Method), and manufactured using strain-gages. The characteristics experiment of the two-axis force/torque sensor and one-axis force sensor were carried out respectively. As a test results, the interference error of the two-axis force/torque sensor was less than 1.56%, the repeatability error and the non-linearity of the two-axis force/torque sensor were less than 0.03% respectively, and the repeatability error and the non-linearity of the one-axis force sensor were less than 0.03% and 0.02% respectively.

• 센서학회지
• /
• 제24권2호
• /
• pp.137-143
• /
• 2015

This paper describes the design of a two-axis force sensor with two step plate beams for measuring forces in an upper-limb rehabilitation robot. The two-axis force sensor is composed of a Fz force sensor and a Ty torque sensor. The Fz force sensor measures the force applied to a patient's arm pushed by a rehabilitation robot and the force of patient's arm. The Ty torque sensor measures the torque generated by a patient's arm motion in an emergency. The structure of sensor is composed of a force transmitting block, two step plate beams and two fixture blocks. The two-axis force sensor was designed using FEM (Finite Element Method), and manufactured using strain-gages. The characteristics test of the two-axis force sensor was carried out. as a test results, the interference error of the two-axis force sensor was less than 1.24%, the repeatability error of each sensor was less than 0.03%, and the non-linearity was less than 0.02%.

• 대한물리의학회지
• /
• 제16권3호
• /
• pp.123-130
• /
• 2021

PURPOSE: Robotic gait training is being used increasingly to improve the gross motor performance and gait speed. The present study examined the effectiveness of a novel end-effector type of robotic gait training (RGT) system on standing, walking, running, and jumping functions, as well as the gait speed in children with spastic cerebral palsy. METHODS: Eleven children with spastic cerebral palsy Gross Motor Function Classification System (GMFCS) levels I-III (6 males; age range, 15.09 ± 1.44 years) were examined. They underwent 24 sessions (30 minutes/sessions, one time/day, three days/week for eight consecutive weeks) of RGT. The Gross Motor Function Measure-88 D domain (GMFM D), and GMFM E were assessed with a pretest and posttest of RGT. The setting was a one-group pretest-posttest design. RESULTS: A comparison of the pre-test and post-test show that the outcomes in post-test of GMFM D (p < .01), GMFM E (p < .05), and 10MWT were improved significantly after RGT intervention. CONCLUSION: The present study provided the first evidence on the effects of an eight-weeks RGT intervention in participants with spastic CP. The outcomes of this clinical study showed that standing performance, locomotion function, and gait speed increased in after 24 sessions of the end-effector RGT system in children with spastic cerebral palsy.

• 공업화학전망
• /
• 제23권2호
• /
• pp.40-50
• /
• 2020

소프트 로봇의 수요와 관심이 증가함에 따라 생체 모방형 액추에이터 연구가 큰 관심을 받고 있다. 액추에이터란 외부 에너지를 기계적인 동작으로 변환하는 장치이며, 재료 자체가 유연하여 부드러운 움직임을 재현할 수 있는 소프트 액추에이터의 연구가 활발히 진행되고 있다. 고분자 연성 재료 중에 하나인 하이드로겔은 90% 이상이 물로 구성되어 있기 때문에 생체 친화적이면서 동시에 환경 친화적인 재료이며 이를 기반으로 한 액추에이터 연구가 새로이 각광받고 있다. 최근에는 하이드로겔 액추에이터의 성능 향상을 위해 나노재료를 하이드로겔에 첨가하는 연구가 진행되고 있으며, 나노재료가 갖는 고유의 특성을 활용함으로써 하이드로겔 액추에이터의 자극 감응성 향상, 변형 방향의 제어, 높은 변형 효율 그리고 기계적 물성 증가가 보고되고 있다. 이는 헬스케어를 위한 웨어러블 장치, 재활을 목적으로 한 인공 근육 등에 적용이 가능하다. 본 기고문에서는 자극 감응성 고분자와 나노재료를 이용한 하이드로겔 액추에이터 연구에 대해 자극(전기장, 빛, 열, 자기장)의 종류에 따라 분류하여 소개하고, 합성 전략 및 구동 원리에 대해 간략하게 설명하고자 한다.

• 대한의용생체공학회:의공학회지
• /
• 제45권2호
• /
• pp.66-74
• /
• 2024

This study analyzed the occurrence of abnormal muscle coactivations based on the assistance of upper limb weight during reaching task in stroke patients. Nine chronic stroke survivors with hemiplegia performed reaching tasks using a programmable haptic robot. Electromyography (EMG) coactivation levels in the upper limb muscles were analyzed using a linear model describing the activation levels of two muscles when the patient's upper limb weight was assisted at 0%, 25%, and 50%. As the upper limb weight assistance of the haptic robot decreased, the magnitude of the EMG signal in both the deltoid and biceps muscles increased simultaneously on both the paretic and non-paretic sides. However, no difference was found between the paretic and non-paretic sides when comparing the slope of the linear model describing the activation relationship between the deltoid and biceps. The aforementioned results suggest that in some stroke survivors, the deltoids, triceps, and biceps on the paretic side may not be abnormally coupled when supporting the upper limbs against gravity. Furthermore, these results suggest that the combination of haptic robots and EMG analysis might be utilized for evaluating abnormal coactivations in stroke patients.

• 재활복지
• /
• 제20권4호
• /
• pp.157-175
• /
• 2016

본 연구의 목적은 텍스트 빅데이터 분석의 일종인 의미연결망을 활용하여 신문기사에서 나타나는 장애인스포츠에 대한 인식을 알아보는 것이 목적이다. 이 목적을 위하여 '장애인스포츠'를 검색어로 네이버 포탈을 이용하여 21개 언론사 745건의 기사를 수집하였으며 Krkwic 소프트웨어 프로그램을 사용하여 자료정제와 공출현 빈도를 산출하였다. 장애인스포츠에 대한 인식은 Netminer 4.0을 활용하여 연결중앙성, 매개중앙성, 위세중앙성을 지표로 분석하였다. 의미연결망 분석을 통하여 얻은 결과는 다음과 같다. 첫째, 신문기사에서 나타난 장애인스포츠를 규정하는 핵심단어는 감동, 도전, 축제, 꿈, 희망이다. 그리고 장애인스포츠의 인식을 나타내는 핵심단어는 장애유형에 따라 차이가 있다. 둘째, 장애인스포츠에 대한 인식을 장애유형별로 구분하여 분석한 결과 크게 경기력관련 인식과 감성관련 인식으로 구분할 수 있다. 구체적으로 지체장애 스포츠 대상의 경기력관련 인식은 패럴림픽, 로봇, 감동 등이며 감성관련 인식은 행복, 희망 등이다. 지적장애 스포츠 대상의 경기력관련 인식은 패럴림픽, 스페셜올림픽, 축제 등이고 감성관련 인식은 사랑, 감동 등이다. 시각장애 스포츠 대상의 경기력관련 인식은 메달, 달리기 등이며 감성관련 인식은 희망, 나눔 등이다. 결론적으로 신문기사에서 나타나는 장애인스포츠에 대한 인식은 패럴림픽, 스페셜올림픽 등의 장애인스포츠 경기대회는 장애인들의 도전과 꿈을 이룰 수 있는 축제의 장이며 경기를 통해 일반대중들에게 감동을 선사한다고 의미화 할 수 있다.

• 대한물리의학회지
• /
• 제15권4호
• /
• pp.163-174
• /
• 2020

PURPOSE: This study examined the effects of Robot Tilt-table Training (RTT) on the lower extremity strength, balance, gait, and satisfaction with rehabilitation, in patients with subacute stroke (less than six months after stroke onset), and requiring intensive rehabilitation. METHODS: A total of 29 subacute stroke patients were divided into an RTT group (n = 14) and a Body Weight Support Treadmill Training (BWSTT) group (n = 15). The mean age of patients was 62 years. RTT and BWSTT were performed for four weeks, three times a week, for 30 minutes. Isometric strength of the lower extremities before and after intervention was compared by measuring the maximal voluntary isometric contraction of the lower extremity muscles. To compare the balance function, the center of pressure (COP) path-length and COP velocity were measured. Timed Up & Go test (TUG) and 10 Meter Walking Test (10 MWT) were evaluated to compare the gait function. A satisfaction with rehabilitation survey was conducted for subjective evaluation of the subject's satisfaction with the rehabilitation training imparted. RESULTS: In the intra-group comparison, both groups showed significant improvement in lower extremity strength, balance, gait, and satisfaction with rehabilitation, by comparing the parameters before and after the intervention (p < .05). Comparison of the amount of change between groups revealed significant improvement for all parameters in the RTT group, except for the 10 MWT (p < .05). CONCLUSION: Both groups are effective for all variables, but the RTT group showed enhanced efficacy for variables such as lower extremity strength, balance, gait, and satisfaction with rehabilitation, as compared to the BWSTT group.

• 대한의용생체공학회:의공학회지
• /
• 제44권3호
• /
• pp.190-203
• /
• 2023

The purpose of this study is to provide basic data to ensure the safety and essential performance of a Lower Extremity robotic assisted gait training system and to provide advanced technology and technical basis to the industry handling the system. Based on IEC 60601-1:2012/AMD2:2020 (Medical Electrical Equipment - General requirements for basic safety and essential performance of medical electrical equipment), IEC 62366-1:2015/AMD1:2020 (Medical devices - Part 1: Application of usability engineering to medical devices) and EN ISO 14971:2019 (Medical devices - Application of risk management to medical devices), the requirements for ensuring the safety and essential performance of the Lower Extremity robotic assisted gait training system were derived. Through the Delphi survey method and scenario analysis, which reflects the opinions and knowledge of experts in the fields of development, testing and review of technical documents, and quality assurance of medical devices, validity and reliability were conducted and obtained results with adequate content validity ratio (CVR; 0.7≤) and excellent reliability (Cronbach's α; 0.9≤). As a result, it was confirmed that the reliability and validity of the risk management process to ensure the safety and essential performance of the Lower Extremity robotic assisted gait training system are required a model can be established to provide measures to reduce risks according to the level of risk exposure caused by usage.

• 한국의류산업학회지
• /
• 제24권6호
• /
• pp.667-685
• /
• 2022

본 원고는 소프트 로봇용 4D 프린팅 소재와 어그제틱 구조체에 대한 연구 동향을 정리한 것이다. 먼저 4D 프린팅 소재의 형상 변화 거동을 형상 변화와 형상기억 소재, 이중, 삼중, 다중 형상기억 효과, 접힘과 굽힘, 표면지형별로 구분하여 알아보았다. 형상 변화와 형상기억 소재 등 열이나 수분의 자극에 가역적/비가역적 혹은 규칙적/불규칙적 형상 변형이 가능할 수 있다. 다음으로, 차원별 형상이동 유형에 따른 특성과 물성에 대해 알아본 바, 1차원에서 다차원으로의 형상이동을 1D-1D 팽창/수축, 1D-2D 접힘/굽힘, 1D-3D 접힘 (1D-to-3D folding)으로 구분할 수 있다. 2차원에서 형상이동은 2D-2D 굽힙, 2D3D 굽힘/접힘/꼬임/표면말림/표면지형변화/굽힘과 꼬임, 3차원에서 다차원으로의 형상이동은 3D-3D 굽힙과 3D-3D 선형/비선형 거동으로 구분할 수 있다. 마지막으로 4D 프린팅 메타구조체 중 힌지 구조체를 적용한 KinetiX는 단일단위 터셀레이션과 다중단위 터셀레이션으로 모델링할 수 있고, 평면 및 공간 변환이 용이하고, 컨포머블 헬멧에 적용할 수 있다. 키리가미 구조체를 기본으로 한 공압형 어그제틱 구조체는 역설계 기반 구조체로써 굽힘각도를 제어하는 알고리즘으로 설계할 수 있다. 설계 후 3D 프린팅하여 TPU 멤브레인으로 프로토 타입을 제조하였고, 압력을 낮추면서 원하는 3차원 형상으로 완성될 수 있음을 확인하였다. 온도나 습도 등의 외부자극요소에 따라 형상이나 물성을 변화할 수 있는 재료를 사용하여 변형가능한 3차원 구조체로 성형한 4D 프린팅 소재를 이용하여 상지, 하지, 손, 발 등 소프트 로봇의 외골격(exoskeleton) 소재에 적용할 수 있을 것이다. 즉 자세제어, 상황인식, 동작신호 생성 등 다양한 환경에 대응하여 착용자의 움직임에 고하중, 고기동성, 운동지속성을 지원하는 기능을 갖는 소프트 로봇용 4D 프린팅 소재는 헬스케어 웨어러블 의류 제품화 개발로의 용도 전개가 가능할 것이다. 특히 4D 프린팅 소프트 소재 및 공정개발 분야는 일상 생할 보조용이나 재활치료용 의류를 개발하기 위한 3D 프린팅 소재 및 공정의 원천 기술에 해당하므로 이와 관련한 연구의 기초 자료로서 활용되기를 기대한다.