• 한국전문물리치료학회지
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• 제3권1호
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• pp.24-31
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• 1996

The purpose of this study was to determine which of several crutch-fitting techniques best predicts ideal crutch length. Ideal crutch length is defined as the length of the crutch, including accessories, obtained during stance when the crutch tip is 6 inches (15.2 cm) lateral and 6 inches(15.2 cm) anterior to the fifth toe and the axillary pad is 2.5 inches(6.4 cm) below the axillary fold. Forty four volunteers were measured for crutches using each of the following methods:(1) 77% of actual height, (2) actual height minus 40.6 cm, (3) actual height minus 45.7 cm, (4) olecranon to opposite third finger tip, (5) olecranon to opposite fifth finger tip, (6) 77% of arm span, (7) arm span minus 40.6 cm, (8) anterior axillary fold to heel plus 5.1 cm, (9) anterior axillary fold to heel plus 10.2 cm, (10) ideal crutch length. Of the techniques studied, the two involving anterior axillary fold to heel were found to be good predictors: anterior axillary fold to heel plus 5.1 cm and anterior axillary fold to heel plus 10.2 cm. Finally, two additional length estimates were derived using linear regression analyses. These estimates provided the best overall predictors based on anterior axillary fold to heel and actual height.

• 대한물리치료과학회지
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• 제3권4호
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• pp.113-120
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• 1996

The purpose of this study was to comparison clinical applied versus theoretical fitness on axillary crutch in human stance phase. Ideal crutch length is defined as the length of the crutch, including accessories, obtained during stance when the crutch tip is 15 cm(about 6inch) lateral and 15 cm(about 6 inch) anterior to the fifth toe and the axillary pad is 5 cm(about 2 inch) below the axillay fold. The participations(volunteers) were 71 inpatients(53 men and 18 women) who have orthopedic and neurological impairment on unilateral and/or bilateral lower extrimities, and mean age was 31.4 year old. Prior to participation, each subject informed the procedures of experiment from researcher and assistant researcher. This measured for axillary crutch using each of the following aspects : (1) length of actual using crutch, (2) length of axillary fold after modified(77% of actual height), (3) angle of elbow flexion after modified(77% of actual height). In order to determine the statistical significance of result, t-test were applied at the 0.05 level of significance. The result were as follows ; 1. There was significant difference between actual crutch and ideal crutch length(77% of actual height)(p<0.05). 2. There was significant difference of length of axillary fold between actual and ideal crutch (77% of actual height)(p<0.05). 3. There was significant difference of angle of elbow flexion between actual and ideal crutch(77% of actual height)(p<0.05).

• 한국전문물리치료학회지
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• 제20권1호
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• pp.55-63
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• 2013

This study investigated the effects of axillary crutch length on trunk muscle activity and lumbo-pelvic-hip complex movements during crutch gait. Eleven healthy men participated in this study. The participants performed a three-point gait with optimal, shorter, and longer crutch lengths. Weight-bearing (WB) side was determined as the dominant leg side. The electromyography (EMG) activity of the bilateral rectus abdominis (RA) and erector spinae (ES) muscles and lumbo-pelvic-hip complex movements were monitored using a three-dimensional motion system with wireless surface EMG. Differences in the EMG activity of RA and ES muscles and range of motion (ROM) of lumbar spine, pelvis, and hip among conditions were analyzed using one-way repeated-measures analysis of variance, and a Bonferroni correction was conducted. There was less RA muscle activity on the WB side under the optimal crutch length condition compared with shorter and longer crutch length conditions (p<.05). The EMG activity of the RA muscle on the non-WB side and ES muscle on the WB side were significantly decreased under the optimal crutch length condition compared with shorter crutch length condition (p<.05). No significant differences in the EMG activity of the ES muscle on the non-WB side and ROM of lumbo-pelvic-hip complex were found among conditions (p>.05). These findings indicate that the optimal crutch length improves the trunk muscle efficiency during crutch gait.

• 대한물리의학회지
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• 제15권1호
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• pp.77-84
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• 2020

PURPOSE: This study compared the activities of the trunk muscles during crutch walking to determine which of the crutch length measurements is most beneficial. METHODS: Twenty young women volunteered to participate in this study. After adjusting crutch length, the participants performed a three-point walking with nondominant leg limited in weight bearing. This study used six crutch length measurements: (1) Height-40.6cm, (2) Height'.77, (3) Olecranon-to-finger length, (4) Axillary-toheel length, (5) Arm-span length-40.6cm, and (6) Arm-span length'.77. The EMG activities of the internal oblique (IO), rectus abdominis (RA), multifidus (MF), and erector spinae (ES), muscles on the weight bearing side were monitored using wireless surface EMG. RESULTS: The EMG activities of the RA and ES appeared to be significantly different among the crutch length measurements (p<.05). The post-hoc test showed that the 'Arm-span length-40.6cm' was significantly greater in the RA activity when compared to the 'Height'.77' and 'Axillary-to-heel length' measurements, and in the ES activity when compared to 'Height'.77' measurements. Furthermore, IO/RA and MF/ES ratios showed significant differences among the crutch length measurements (p<.05). In the post-hoc test, significant difference was observed between 'Olecranon-to-finger length' and 'Arm-span length-40.6cm' for the IO/RA ratio, and between 'Height'.77' and 'Olecranon-to-finger length' and between 'Height'.77' and 'Arm-span length-40.6cm' measurement for the MF/ES ratio. CONCLUSION: These findings suggest that the 'Height'.77' measurement is relatively advantageous to optimize the activities of trunk muscles during the crutch walking, and allow simple measurements of the crutch length.

• 디자인융복합연구
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• 제17권3호
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• pp.55-70
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• 2018

이 연구는 하지장애인의 보행보조를 위한 목발 디자인의 가이드라인을 개발하고 그것을 적용한 사례에 관한 장기 프로젝트의 후반부에 해당한다. 다학제적 융합연구를 통하여 목발보행에 관한 객관적인 결과를 도출하고 이를 토대로 현실적인 대안을 제시하고자 한 이 연구의 구체적인 목표는 목발을 이용한 보행 특성에 부합하고 산업 측면에서 활용성이 높은 양산형 목발의 디자인 개발과 프로토타입 제작에 있다. 연구의 결과로 개발된 혁신적인 목발인 토고(TOGO)는 (1)목발 팁과 겨드랑이 받침대의 형태 및 구조 개선을 통해 목발이 지면과의 접촉으로 발생하는 충격의 전달 최소화, (2) 보행 중 사용자의 신체에 합리적으로 대응하는 인체공학적 구조, (3)알루미늄 압출 성형에 의한 프레임 제작과 구조 개선으로 목발을 사용하지 않을 경우 휴대성·이동성을 위한 쉽고 빠른 목발의 길이 조절, (4)보행 중 안전상 위험요소 최소화 및 (5)사용자가 자존감을 지킬 수 있게 충분히 매력적인 형태 등이 특징이다. 연구 성과로 도출된 새로운 목발은 특허 출원이 완료되었으며, 현재 대량생산 환경에서 발생할 수 있는 잠재적인 문제 검토에 이어 양산을 위한 기업 탐색과 실용화 방안을 모색하고 있다.