• 한국운동역학회지
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• 제27권3호
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• pp.189-195
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• 2017

Objective: The aim of this study was to examine the effect of foot landing type (forefoot vs. rearfoot landing) on kinematics, kinetics, and energy absorption of hip, knee, and ankle joints. Method: Twenty-five healthy men performed single-leg landings with two different foot landing types: forefoot and rearfoot landing. A motion-capture system equipped with eight infrared cameras and a synchronized force plate embedded in the floor was used. Three-dimensional kinematic and kinetic parameters were compared using paired two-tailed Student's t-tests at a significance level of .05. Results: On initial contact, a greater knee flexion angle was shown during rearfoot landing (p < .001), but the lower knee flexion angle was found at peak vertical ground reaction force (GRF) (p < .001). On initial contact, ankles showed plantarflexion, inversion, and external rotation during forefoot landing, while dorsiflexion, eversion, and internal rotation were shown during rearfoot landing (p < .001, all). At peak vertical GRF, the knee extension moment and ankle plantarflexion moment were lower in rearfoot landing than in forefoot landing (p = .003 and p < .001, respectively). From initial contact to peak vertical GRF, the negative work of the hip, knee, and ankle joint was significantly reduced during rearfoot landing (p < .001, all). The contribution to the total work of the ankle joint was the greatest during forefoot landing, whereas the contribution to the total work of the hip joint was the greatest during rearfoot landing. Conclusion: These results suggest that the energy absorption strategy was changed during rearfoot landing compared with forefoot landing according to lower-extremity joint kinematics and kinetics.

• 한국산업융합학회 논문집
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• 제23권3호
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• pp.523-529
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• 2020

Foot drop is a common symptom in stroke patients due to central nervous system (CNS) damage, which causes walking disturbances. Functional electrical stimulation (FES) is an effective rehabilitation method for stroke patients with CNS damage. Aim of this study was to determine the effectiveness of 6 weeks FES walking training based lower limb muscle synergy of stroke patients. Lower limb muscle synergies were extracted from electromyography (EMG) using a non-negative matrix factorization algorithm (NMF) method. Cosine similarity and cross correlation were calculated for similarity comparison with healthy subjects. In both stroke patients, the similarity of leg muscle synergy during walking changed to similar to that of healthy subjects due to a decrease in foot drop during. FES walking intervention influenced the similarity of muscle synergies during walking of stroke patients. This intervention has an effective method on foot drop and improving the gait performance of stroke patients.

• 대한임상전기생리학회지
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• 제8권2호
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• pp.33-37
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• 2010

Purpose : We investigated the effects of the insole types on lower leg muscle activation during treadmill walking. The three insole types investigated for this study were normal insole, medial wedge insole, and viscoheel. Methods : Participants were assigned into three groups. People with foot transformation were excluded from this study. Each participant walked for ten minutes. The first day we applied a normal insole. On the second day, a medial wedge insole was applied. Finally, on the last day a viscoheel was applied. After walking on a treadmill for ten minutes, we measured muscle activation in lower leg muscles (gastrocnemius and tibialis anterior). Surface electromyography (EMG) was used to measure muscle activity. The data were analyzed using one-way analysis of variance (ANOVA) with repeated measures to determine the statistical significance. Results : The results of this study were summarized as follows. While walking on the treadmill, root mean square (RMS) values of the gastrocnemius when the viscoheel was applied were significantly lower than the other insole types. There was no significant difference for the RMS values for the tibialis anterior using viscoheel. The normal insole and viscoheel insole were significantly different in a post hoc analysis. However, there was no significant difference for normal insole and medial wedge insole. Conclusion : Using a viscoheel insole decreases muscle activity of the lower leg. Therefore, in conclusion, the viscoheel insole type reduces the load on the lower leg during walking.

• 대한정형도수물리치료학회지
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• 제26권2호
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• pp.11-18
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• 2020

Background: The purpose of this study is to examine the correlation between high heels and body imbalance among female college students in their twenties who mainly wear high heels and prevent associated problems. Methods: The subjects included 89 female college students in their twenties. They were measured in plantar pressure with a gait analyzer. Their legs were measured in length with a tape measure. Their pain intensity and pain frequency were measured in visual analog scale and in pain rating score. Results: There were statistically positive correlations between right leg length and low back pain frequency (p<.05) and negative correlations between the left hindfoot and low back pain frequency (p<.05). There were statistically positive correlations between right leg length and knee pain frequency (p<.05) and positive correlations between the ankle pain intensity and right leg length (p<.05). Conclusion: The stronger the pain was in the ankle, the stronger and more frequent their lumber pain was. When the pressure of the left heel was lower, the frequency of lumbar pain increased.

• 대한기계학회논문집A
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• 제32권4호
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• pp.310-318
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• 2008

This paper presents a parallel typed walking robot to improve walking space and stability region. The robot is designed by inserting an intermediate mechanism between upper leg mechanism and lower leg mechanism. The leg mechanism is composed of three legs and base, which form a parallel mechanism with ground. Seven different types of walking robot are invented by combining the leg mechanisms and an intermediate mechanism. Topology is applied to design the leg mechanism. A motor vector is adopted to determine Jacobian and a wrench vector is used to analyze dynamics of the robot. We explore the stability region of the robot from the reaction force of legs and compute ZMP including the holding force to contact the foot to a wall. This investigates a walking stability when the robot walks on the ground as well as on the wall. We examine the walking space generated by support legs and by swing legs. The robot has both a large positional walking space and a large orientational walking space so that it can climb from a floor up to a wall.

• 한국운동역학회지
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• 제16권2호
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• pp.145-151
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• 2006

A large interindividual variability and some abnormally kinematic patterns at the lower extremity were the main features of the gait in children with Down syndrome. The purposes of this study were to investigate the gait asymmetry and biomechanical difference between dominant leg and non dominant leg in children with Down syndrome. Seven boys with Down Syndrome(age: $120{\pm}0.9yrs$, weight $34.4{\pm}8.4kg$, leg length: $68.7{\pm}5.0cm$) participated in this study. A 10.0 m ${\times}$ 1.3 m walkway with a firm dark surface was built and used for data collection. Three-dimensional motion analyses were performed to obtain the joint angles and range of motions. The vertical ground reaction forces(%BW) and impulses($%BW{\cdot}s$) were measured by two force plates embedded in the walkway. Asymmetry indices between the legs were computed for all variables. After decision the dominant leg and the non dominant leg with max hip abduction angle, paired samples t-test was employed for selected kinematic and ground reaction force variables to analyze the differences between the dominant leg and the non dominant leg. The max hip abduction angle during the swing phase showed most asymmetry, while the knee flexion angle at initial contact showed most symmetry in walking and running. The dominant leg showed more excessive abduction of hip in the swing phase and more flat-footed contact than the non dominant leg. Vertical peak force in running showed more larger than those of in walking, however, vertical impulse showed more small than walking due to decrease of support time. In conclusion, the foot of dominant leg contact more carefully than those of non dominant leg. And also, there are no significant difference between the dominant leg and the non dominant leg in kinematic variables and ground reaction force due to large interindividual variability.

• 한국전문물리치료학회지
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• 제14권2호
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• pp.85-90
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• 2007

In many manufacturing occupations, industrial workers reported foot or lower leg problems such as discomfort, pain or orthopedic deformities. This study investigated the effects of two different working conditions upon assembly worker's perception of discomfort and foot pain associated with various body parts. Twenty-three male volunteers performed work in the factory. Ergonomic intervention has been to modify the flooring in an attempt to alleviate the problems associated with constrained standing and walking work. The worker's standing conditions consisted of standing on a hard floor while wearing shoe insoles. Questions were asked regarding body discomfort and foot pain. Significant differences in body discomfort and foot pain were found when comparing the overall effects of wearing shoe insoles on a hard floor (p<.05). This investigation indicated that shoe insoles reduced body discomfort and foot pain (p<.05).

• 대한족부족관절학회지
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• 제11권1호
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• pp.104-106
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• 2007

Pseudoaneurysm of the anterior tibial artery is a rare cause of pain and swelling of the lower leg and the foot following minor sports injuries. When there is no definite musculoskeletal cause of pain, it is important to consider pseudoaneurysm. Early diagnosis and management are essential for the successful outcome. MRI and angiogram are useful for early diagnosis. We report a case of pseudoaneurysm of the anterior tibial artery following minor sports injury. The patient experienced complete relief of the symptoms after resection of the pseudoaneurysm.

• 한국운동역학회지
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• 제15권4호
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• pp.131-142
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• 2005

This study was investigated the stability of the AK amputee gait through analysing the variability on kinematic variables between the sound leg and the prosthetic limb. The one male, AK amputee who could walk for himself with his prosthetic limb was participated in this study. Six cameras of the MCU 240 and the QTM(Qualisys Track Manager) software were used for data collecting in this study. The relative angle of both segments was the difference between the absolute angle of the distal segment and the absolute angle of the proximal segment. The coupling angles between the prosthetic limb and the sound leg were caculated on the thigh Flexion/Extension in relative to the shank Flexion/Extension and the shank Flexion/Extension n relative to the foot Flexion/Extension. In order to evaluate the variability of segment and joint angle, C.V. was used, and to evaluate the variability for coupling angles, the Relative motion calculated by vector coding method of the continuous methods was used. As stated, the gait pattern of the prosthetic limb was almost similar gait pattern of the sound leg, but the prosthetic limb showed that the gait pattern of the sound leg and the prosthetic limb were not stable against the sound leg.

• 센서학회지
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• 제26권5호
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• pp.353-359
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• 2017

This paper describes the design and manufacture of a ankle two-axis force sensor of a walking assist robot for hemiplegic leg patient. The walking assist robot for the hemiplegic leg patient can safely control the robot by detecting whether the foot wearing the walking assist robot is in contact with the obstacle or not. To do so, a two-axis force sensor should be attached to the robot's ankle. The sensor is used to measure the force of a patient's ankle lower part. The two-axis force sensor is composed of a Fx force sensor, a Fy force sensor and a pulley, and they detect the x and y direction forces, respectively. The two-axis force sensor was designed using by FEM(Finite Element Method), and manufactured using by strain-gages. The characteristics experiment of the two-axis force sensor was carried out respectively. The test results indicated that the interference error of the two-axis force sensor was less than 1.2%, the repeatability error and the non-linearity of the two-axis force sensor was less than 0.04% respectively. Therefore, the fabricated two-axis force sensor can be used to measure the force of ankle lower part in the walking assist robot.