• Title/Summary/Keyword: Abnormal Gait

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A study of the effect of walking speed upon gait parameters and foot-ground reaction forces (보행속도가 보행특성모수 및 지면반발력에 미치는 영향에 관한 연구)

  • 황규성;정민근;이동춘
    • Journal of the Ergonomics Society of Korea
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    • v.11 no.1
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    • pp.93-101
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    • 1992
  • Gait parameters for the Korean normal adults were compared with sex and age. Time-distance measurements and ground reaction force parameters were studied in relation to walking speed. Regression analysis was performed to establish functional relations between walking speed and various gait parameters. It is found that cardence and stride length varied linearly with walking velocity whereas time of double support was inversely proportional to walking velocity. The amplitude of ground reaction force was increased with increasing velocities of gait due to the greater heel-strike force and toe-off forces associated with these higher velocities. The results of this study can be usefull utilized as basic data to design and evaluate prosthetic devices, and to detect abnormal gait performances.

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The Effects of Backward Walking Training With Inclined Treadmill on the Gait in Chronic Stroke Patients (경사트레드밀에서 후방보행 훈련이 뇌졸중 환자의 보행에 미치는 영향)

  • Oh, Yong-seop;Woo, Young-keun
    • Physical Therapy Korea
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    • v.23 no.3
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    • pp.1-10
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    • 2016
  • Background: Gait problems appear in most stroke patients. Commonly, stroke patients show the typical abnormal gait patterns, such as circumduction, genu recurvatum, and spastic paretic stiff-legged gait. An inclined treadmill gait exercise is good for gait problems of stroke patients. In addition, the backward walking training has been recommended in order to improve the component of the movement for the forward walking. Objects: The purpose of this study to investigated the effects of backward walking with inclined treadmill training on the gait in chronic stroke patients. Methods: A total of 30 volunteers were randomly allocated to two groups that walked on an inclined treadmill: the experimental group ($n_1=15$), which walked backward, and the control group ($n_2=15$), which walked forward. To measure the improvement of the patients' gait, a Figure of Eight Walking Test (F8W), Four Square Step Test (FSST), and Functional Gait Assessment (FGA) were performed. We also measured spatio-temporal gait variables, including gait speed, cadence, stride length, and single limb support using a three-axial wireless accelerometer. The measurements were taken before and after the experiment. The Wilcoxon signed-rank test was used to compare both groups before and after the interventions. The Mann-Whitney U test was used for the comparisons after the interventions. The statistical significance was set at ${\alpha}=.05$. Results: Before and after experiment, all dependent variables were significantly different between the two groups (p<.05). As compared to the control group, the experimental group showed more significant improvements in F8W, FSST, speed, cadence, stride length, and single limb support (p<.05); however, FGA in this group was not significantly different from the control (p>.05). Conclusion: Our results suggest that backward walking on an inclined treadmill is more effective for improving the gait of stroke patients than forward walking.

Gait Characteristic in a Stroke Patient with an Intact Corticospinal Tract and Corticoreticular Pathway: A Case Study

  • Yeo, Sang Seok;Cho, In Hee
    • The Journal of Korean Physical Therapy
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    • v.30 no.2
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    • pp.73-77
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    • 2018
  • Purpose: The prefrontal lobe, supplementary motor area, cerebellum, and basal ganglia are activated during gait. In addition, gait is controlled by nerves, such as the corticospinal tract (CST) and corticoreticular pathway (CRP). In this study, the presence of an injury to the CST and CRP was identified by diffusion tensor imaging and the characteristics of the gait pattern were investigated according to inferior cerebral artery infarction. Methods: One patient and six control subjects of a similar age participated. A 69-year-old female patient had an injury to the left basal ganglia, insular gyrus, corona radiata, dorsolateral prefrontal cortex, and postcentral gyrus due to an inferior cerebral artery infarction. Diffusion tensor imaging (DTI) data was acquired 4 weeks after the stroke. The kinematic and spatio-temporal parameters of gait were collected using a three-dimensional gait analysis system. Results: On 4 weeks DTI, the CST and CRP in the affected hemisphere did not show injury to the affected and unaffected hemisphere. Gait analysis showed that the cadence of spatio-temporal parameter was decreased significantly in the patient. The angle of the knee joint was decreased significantly in the affected and unaffected sides compared to the control group. Conclusion: The results of diffusion tensor imaging showed that although the patient was evaluated to be capable of an independent gait, the quality and quantity of gait might be reduced. This study could help better understand the gait ability analysis of stroke patients and the abnormal gait pattern of patients with a brain injury.

Application of the Chaos Theory to Gait Analysis (카오스 이론을 적용한 보행분석 연구)

  • Park, Ki-Bong;Ko, Jae-Hun;Moon, Byung-Young;Suh, Jeung-Tak;Son, Kwon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.30 no.2 s.245
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    • pp.194-201
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    • 2006
  • Gait analysis is essential to identify accurate cause and knee condition from patients who display abnormal walking. Traditional linear tools can, however, mask the true structure of motor variability, since biomechanical data from a few strides during the gait have limitation to understanding the system. Therefore, it is necessary to propose a more precise dynamic method. The chaos analysis, a nonlinear technique, focuses on understand how variations in the gait pattern change over time. Eight healthy eight subjects walked on a treadmill for 100 seconds at 60 Hz. Three dimensional walking kinematic data were obtained using two cameras and KWON3D motion analyzer. The largest Lyapunov exponent from the measured knee angular displacement time series was calculated to quantify local stability. This study quantified the variability present in time series generated from gait parameter via chaos analysis. Knee flexion-extension patterns were found to be chaotic. The proposed Lyapunov exponent can be used in rehabilitation and diagnosis of recoverable patients.

Study on the Gait Characteristics in Knee Osteoarthritis Patients with GAITRite System Analysis (GAITRite 시스템 분석을 통한 퇴행성 슬관절염 환자의 보행특성 연구)

  • Hwang-Bo Gak;Kim Byung-jo;Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.1
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    • pp.183-207
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    • 2004
  • The purpose of this study was to describe and compare the temporo-spatial gait characteristics of healthy elderly people with those osteoarthritis patients. 100 patients reported knee osteoarthritis, diagnosed at the hospital or clinic located in Daegu and Kyungbuk province and 100 normal elderly subjects were participated in this study. Temporal and spatial parameters of gait were analysed for using the computerized GAITRite system. The system integrates specific components of locomotions to provide a single, numerical representation of gait, the Functional Ambulation Performance score. Differences in gait characteristics between the two groups were examined using a correlated t-test and Pearson Correlation(p<.05). Significant differences were observed between the groups for temporal parameters(step time, double support time, stance phase, mean velocity) and spatial parameters(step length, step/extremity ratio)(p<.05). Also there was difference in the functional ambulation performance score between normal elderly subjects and knee osteoarthritis patients(p<.05). Consequently, it may help detect the abnormal gait pattern indicated the main problem in degenerative knee osteoarthritis patients as well as provide data analysing the pathokinesiologic components by comparing normal elderly.

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A Way of Unusual Gait Cognition for Life Safety (생활안전 보장을 위한 보행자의 비정상 걸음 인지 방안)

  • Kim, Su-Hee
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.2
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    • pp.215-222
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    • 2016
  • Research on gait recognition and its use is actively underway. This study suggests a method to recognize abnormal gaits of pedestrians. The purposes of the existing research to recognize normal steps are to measure physical activities and to validate people by their walks, but the purpose to recognize abnormal steps in this study is to insure the safe life of pedestrians. There are situations in which pedestrians are unaware of themselves vulnerable and can not ask for help. The purpose of this research is that even if pedestrians are unaware of themselves and there are no spontaneous requests for helps, it is intended for them to escape from dangers and difficulties by adopting the recent IOT technology. Hence, this study analyzes normal pace of pedestrians using the triaxial acceleration sensors, and takes ranges of their normal walking. And then, the steps of pedestrians are measured using the triaxial acceleration sensors, contrasted with their normal walking ranges, and determine whether their steps are normal or not. When it is out of the state for normal paces, a method to determine as abnormal paces is suggested.

The Effect of Shoe Lift of the Paretic Limb on Gait Patterns in Hemiplegics (환측 신발 높이기가 편마비 환자의 보행 특성에 미치는 영향)

  • Yoon, Jung-Gyu;Park, Jeong-Mee;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.9 no.2
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    • pp.83-96
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    • 2002
  • The purpose of this study was to determine the effect of lift to the shoe of the affected limb on gait patterns in subjects with hemiplegia. The subjects of this study were 18 post-stroke hemiplegics. For the study, insole of the paretic side was lifted 10mm higher, and duration of static weight bearing, dynamic weight bearing and stance phase were measured from one cycle of the gait, before and after the lift application. For the measurement of carry-over effect of lift, we got data of those three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Static weight bearing was significantly increased both just after and continuous application of lift for 3 weeks than before. Dynamic weight bearing was significantly decreased in heel contact and footflat phases only when just after application of the lift, without any change after 3 weeks application. In heel-off phase, dynamic weight bearing did not show any significant difference between before and just after application of lift whereas significantly decreased after 3 weeks application. Duration of stance phase was not changed among anytime of application. According to this study, lift applied to the shoe of the peretic limb was effective in inducing static weight bearing in the paretic limb, but did not significantly effect dynamic weight bearing on gait patterns. This study suggests that symmetry, induced by shoe lift applied to the paretic limb, could help correct abnormal posture that would be caused in standing and prevent development of abnormal muscle tone in subjects with hemiplegia caused by unilateral stroke.

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Analysis of Obstacle Gait Using Spatio-Temporal and Foot Pressure Variables in Children with Autism (자폐성 장애 아동의 시공간 및 압력분포 변인을 통한 장애물보행 분석)

  • Kim, Mi-Young;Choi, Bum-Kwon;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.21 no.4
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    • pp.459-466
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    • 2011
  • The purpose of this study was to analyze of obstacle gait using spatio-temporal and foot pressure variables in children with autism. Fifteen children with autism and fifteen age-matched controls participated in the study. Spatio-temporal and foot pressure variables was investigated using GAITRite pressure sensor system. Each footprint was divided into 12 equal trapezoids and after that the hindfoot, midfoot and forefoot analysis was developed. Independent t-test was applied to compare the gait variables between the groups. The results showed that the autism group were significantly decreased in velocity, cadence, cycle and swing time compared to the control group. The autism group were significantly increased in step width and toe out angle compared to the control group. The autism group were significantly increased at midfoot and forefoot of lateral part of footprint and forefoot of medial part of footprint in the peak time compared to the control group. The autism group were significantly increased at midfoot and hindfoot in $P^*t$, at midfoot in active area, and at hindfoot in peak pressure compared to the control group. In conclusion, the children with autism showed abnormal obstacle gait characteristics due to muscle hypotonia, muscle rigidity, akinesia, bradykinesia and postural control impairments.

Characteristics of Pelvic Ranges According to Artificial Leg Length Discrepancy During Gait: Three-Dimensional Analysis in Healthy Individuals (보행 중 인위적 다리길이 차이에 따른 3차원적 골반 가동범위의 특성)

  • Kim, Yongwook
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.2
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    • pp.59-67
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    • 2019
  • Purpose : The purpose of this study was to analyze the dynamic range of motion (ROM) of pelvic and translation of center of mass (COM) when wearing different shoe insole lifts according to leg length discrepancy (LLD) during free speed gait. Methods : Thirty-five healthy adults were participated in this study. Kinematic data were collected using a Vicon motion capture system. Reflective and cluster 40 markers attached to participants lower extremities and were asked to walk in a 6 m gait way under three different shoe lift conditions (without any insole, 1 cm insole, and 2 cm insole). The pelvic ROM and COM translation in three planes were sorted using a Nexus software, and a Visual3D motion analysis software was used to coordinate all kinematic data. Results : There were significantly increased maximal pelvic elevation and total pelvic range in coronal plane when wearing a standard shoe with 2 cm insole lift during gait (p<.05). When wearing a standard shoe with 2 cm insole lift, the total range of the pelvic segment were significantly different in all three motion planes (p<.05). Conclusion : Although LLD of less than 2 cm develops abnormal movement pattern of the pelvis and may cause of musculoskeletal diseases such as low back pain, hip and knee joint osteoarthritis, therefore intensive various physical therapy interventions for LLD are needed.

Heel Trajectory Analysis Method of Walking using a Wearable Sensor (착용형 센서를 이용한 보행 뒤꿈치 궤적 분석 방법)

  • Hee-Chan Kim;Hyun-Jin Choi
    • The Journal of the Korea institute of electronic communication sciences
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    • v.18 no.4
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    • pp.731-736
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    • 2023
  • Walking is a periodic motion that contains specific phases and is a basic movement method for humans. Through gait analysis, various musculoskeletal health conditions can be identified. In this study, we propose a calf wearable sensor system that can perform gait analysis without space limitations. Using a ToF(: Time-of-Flight) sensor that measures distance and an IMU(: Inertial Measurement Unit) sensor that measures inclination the heel trajectory of walking was derived by proposed method. In case of abnormal gait with risk of fall, gait is evaluated by analyzing the change pattern of the heel trajectory.