• Title/Summary/Keyword: 보행재활

Search Result 245, Processing Time 0.025 seconds

Effects on Exercise Training in person with Incomplete Hemisection cord injury after Discharge (불완전 척수손상자의 퇴원 후 운동훈련의 효과 사례보고)

  • Park, Mi-Hee
    • Journal of Korean Physical Therapy Science
    • /
    • v.12 no.4
    • /
    • pp.25-31
    • /
    • 2005
  • 이 사례연구는 2002년 10월 15일 칼에 의한 좌상으로 경추 3-4번의 불완전 척수손상을 입은 25세의 남자 환자가 최초 병원에서 2002년 12월 한달 간의 치료를 마친 후, 2003년 1월 3일부터 4월 28일까지 태릉에 위치한 N 재활센터에서 주 5회 2시간의 자세조절 훈련, 심폐지구력 훈련, 웨이트 훈련, 스포츠(축구, 소프트 볼), 여가활동(등산)의 프로그램을 적용하여 척추손상 환자의 사회적응을 돕기위한 재활 프로그램의 다양화를 꾀하기 위한 기초 선행 작업으로 시작되었다. 신체능력을 평가하기 위한 측정도구는 관절가동범위(Range of Motion), 수동근력검사(Muscle Manual Test), 경직(Spasticity), 신체체력(Physical Fitness), 발란스(Balance: one leg stand), 상대적인 등속성 하지근력(Isokinetic Muscle Strength) 그리고 신체조성(Body Composition)로 하였다. 재활기간을 통해 처음 시작 일자에서 45일 간격으로 3차례의 측정을(1월 3일부터 4월 28일까지 실시하였다) 실시하였다. 최초 환자의 상태는 부분적으로 일상생활의 도움을 받아야 하는 상태로 동작을 시작하려 할 때 경직이 발생되어 옷을 입고 벗기, 신발 신고 벗기, 운전, 식사, 보행과 계단보행, 경사보행에서 보조자의 도움이 필요했으며, 작은 물건 잡기와 글씨쓰기, 타이핑 작업은 불가능 한 상태였다. 또한 스포츠 활동과 여가활동 역시 불가능 한 상태였다. 3달 15일간의 기간 동안 환자는 복학을 준비하기 위해 적극적으로 치료에 임했으며, 결과는 다음과 같았다. 신체조성은 재활 훈련을 통해 체중, 체지방율(%), 복부지방율(WHR)의 많은 감소를 가져왔다. 경직을 측정하는 Ashworth Scale은 정상에 가깝게 감소하였다. 관절가동범위는 고관절, 무릎, 발목에서 모두 증가하였다. 수동근력검사(0-9)는 많은 향상을 가져왔다. 신체체력능력 항목에서 근지구력의 윗몸일으키기와 팔굽히기, 악근력, 유연성으로 앉아 체간 숙이기, 민첩성으로 사이드 스텝, 순발력의 서전트는 모두 크게 향상되었다. 환자의 일상능력에서도 옷을 입고 벗기, 신발 신고 벗기, 운전, 식사, 보행과 계단보행, 경사보행에서 보조자의 도움이 필요없었으며, 타이핑 작업은 5손가락을 모두 사용하지는 않았지만, 1분에 80타로 큰 향상을 가져왔다. 또한 축구와 소프트볼, 등산을 달에 1회 정도 실시하여 약간의 도움만으로 가능하게 되었다.

  • PDF

Development of Gait Recognition System (보행인식 시스템 개발)

  • Han, Y.H.
    • Journal of rehabilitation welfare engineering & assistive technology
    • /
    • v.8 no.2
    • /
    • pp.133-138
    • /
    • 2014
  • In this paper, a simple but efficient gait recognition method using spatial-temporal silhouette analysis is proposed. For each image sequence, a background subtraction algorithm and a PBAS(pixel based adaptive segmenter) procedure are first used to segment the moving silhouettes of a walking figure. Then, to identify people, the step count and stride length of walking figure is obtained in silhouette images. Experimental results on a CASIA dataset including 124 subjects demonstrate the validity of the proposed method. Also, the proposed system are believed to have a sufficient feasibility for the application to gait recognition.

  • PDF

A Study of Gait Imbalance Determination System based on Encoder, Accelerometer and EMG sensors (인코더, 가속도, 근전도 센서 기반의 보행불균형 판단 시스템 연구)

  • Park, Yong-Deok;Kim, Sang-Kyun;Kwon, Jang-Woo;Lee, Sang-Min
    • Journal of rehabilitation welfare engineering & assistive technology
    • /
    • v.10 no.2
    • /
    • pp.155-162
    • /
    • 2016
  • The purpose of this study was to determine the walking imbalance using the EMG(electromyogram). To confirm the effectiveness of the proposed encoder and acceleration, EMG sensor based gait imbalance determination system. This experiment was carried out to evaluation with a healthy adult male to 10 people. The Encoder device is attached to the hip and knee joint in order to measure the gait signal. The Accelerometer sensors are attached on the ankle. The EMG sensors are attached on the vastus lateralis and anterior tibialis. SI(Symmetry Index) was used as an index for determining the gait imbalance. To confirm if the judgment has been made correctly, the heel, regarded as the cause of unbalanced ambulation, was adjusted from 0 cm to 6 cm with intervals of 1.5 cm. In the cases of the encoder and the EMG, the difference of 0 cm and 1.5 cm is determined into normal walk but the other difference is distinguished into gait imbalance. In the case of the accelerometer, the difference of 0 cm, 1.5 cm and 3 cm is determined into normal walk but the other difference is distinguished into gait imbalance.

Development of Walking Assistant Controller for Patients with Weakness in Cardiopulmonary System (심폐기능 허약자를 위한 보행보조장치 제어기 개발)

  • Kang, S.J.;Kim, G.S.;P, S.H.;Mun, M.S.;Sei, S.W.;Kim, J.K.;Ryu, J.C.
    • Journal of rehabilitation welfare engineering & assistive technology
    • /
    • v.4 no.1
    • /
    • pp.23-28
    • /
    • 2010
  • Case of patients with weakness in cardiopulmonary system, other ambulatory function is normal, but oxygen supply function is problem. So they need reduce energy consumption for gait by assistance system. In this study, we designed and developed walking assistant device which helps flexion and extension of hip joint for cardiopulmonary patients. There are two motors, each at the left and right side of pelvis, providing torque to the hip joint. The target angle of the flexion and extension in the hip joint is set according to the normal gait. As a result, reduction of energy consumption was 14.8% by gait assistive device.

A Method of Muscle Fatigue Analysis for Effective Gait Rehabilitation (효과적인 보행재활훈련을 위한 근피로도 분석방법)

  • Kim, Y.H.;Kim, S.J.;Shim, H.M.;Lee, S.M.
    • Journal of rehabilitation welfare engineering & assistive technology
    • /
    • v.7 no.1
    • /
    • pp.39-43
    • /
    • 2013
  • In this paper, we present a effective method of gait rehabilitation training using critical point of median frequency in muscle fatigue analysis using EMG. To target the five healthy volunteers, EMG signal were measured in the quadriceps femoris muscle and the tibialis anterior muscle in order to determine muscle fatigue. We performed a test targeting three adult male for 30 minutes on a treadmill at a speed of 6km/h same. EMG signal analysis in frequency and median frequency is calculated to quantification of muscle fatigue, and calculated the critical point which is saturated by muscle fatigue during 30 minutes. We set saturated point the threshold which muscle can withstand. The results of this paper, we are able to quantify the threshold of the muscle.

  • PDF

Estimate of walking state of the knee disarticulation prosthesis using position control algorithm of absolute encoder (절대위치 엔코더의 위치제어 알고리즘을 이용한 의지 장치의 보행 상태 추론)

  • Song, H.J.;Park, J.Y.;Shim, J.H.
    • Journal of rehabilitation welfare engineering & assistive technology
    • /
    • v.7 no.2
    • /
    • pp.1-5
    • /
    • 2013
  • In this paper, we proposed how to estimate the walking state in the knee disarticulation prosthesis's knee angle control. In control of the knee disarticulation prosthesis, we can estimate walking state that measurement of knee angle using absolute encoder and measurement of load on the soles using strain gage. We suggested a method of estimating the current walking states which can be divided into four cases and showed the effectiveness of the method via a series of experiments.

  • PDF

Development of an Intelligent Legged Walking Rehabilitation Robot (지능적 족형 보행 재활 보조 로봇의 개발)

  • Kim, Hyun;Kim, Jung-Yup
    • Transactions of the Korean Society of Mechanical Engineers A
    • /
    • v.41 no.9
    • /
    • pp.825-837
    • /
    • 2017
  • This paper describes a novel type of a walking rehabilitation robot that applies robot technologies to crutches used by patients with walking difficulties in the lower body. The primary features of the developed robot are divided into three parts. First, the developed robot is worn on the patient's chest, as opposed to the conventional elbow crutch that is attached to the forearm; hence, it can effectively disperse the patient's weight throughout the width of the chest, and eliminate the concentrated load at the elbow. Furthermore, it allows free arm motion during walking. Second, the developed robot can recognize the walking intention of the patient from the magnitude and direction of the ground reactive forces. This is done using three-axis force sensors attached to the feet of the robot. Third, the robot can perform a stair walking function, which can change vertical movement trajectories in order to step up and down a single stair according to the floor height. Consequently, we experimentally showed that the developed robot can effectively perform walking rehabilitation assistance by perceiving the walking intention of the patient. Moreover we quantitatively verified muscle power assistance by measuring the electromyography (EMG) signals of the muscles of the lower limb.

통합감각을 이용한 조기 재활 훈련 시스템 개발

  • 권대규;이석준;양길태;정성환;정우석;홍철운;김남균
    • Proceedings of the Korean Society of Precision Engineering Conference
    • /
    • 2004.05a
    • /
    • pp.293-293
    • /
    • 2004
  • 최근 교통사고의 증가와 평균수명의 연장으로 인한 노인 인구의 급증으로 중추신경계의 기능에 손상을 초래하는 각종 질환들 즉 뇌졸중, 외상성 뇌손상, 뇌성마비 및 퇴행성 뇌질환 등이 더욱 많아지고 있다. 이러한 질환들은 뇌기능 장애로 인한 운동, 감각 및 인지능력 저하를 일으켜 보행과 일상생활 동작수행에 큰 장해를 초래하게 된다. 특히 보행능력의 장해는 일상생활 및 사회생활에 필요한 기동력을 제한하므로 결국 타인에 의존적이 되고 사회로부터 고립되는 심각한 기능장애를 일으키게 된다.(중략)

  • PDF

A Gait Analysis Using Smart Phone Images of the Knee Joint Angle and Stride Length (스마트폰 영상을 이용한 슬관절 각도 및 활보장에 대한 보행분석)

  • Jang, J.H.;Lim, C.J.;Song, K.H.;Chung, S.T.
    • Journal of rehabilitation welfare engineering & assistive technology
    • /
    • v.7 no.2
    • /
    • pp.139-144
    • /
    • 2013
  • Various types of disease in the nervous and musculoskeletal system can change gait, and the gait analysis is very important in determining the progression of the disease. Most methods of analyzing gait are subject to high-priced equipment and spatial restrictions. This study used smart phone images and the walking track analysis program to make a comparative analysis with the existing gait analysis on the basis of the stride length measurements and the changes in the knee joint angle for walking. The test necessary to analyze gait was conducted in seven healthy men, and data about the angle of right and left knee joints and stride length were used to analyze gait. The gait analysis in this study obtained the similar results to the existing ones. The use of the methods suggested in this study will enable gait analysis to be made without high-priced equipment and spatial restrictions.

  • PDF