• 대한한방내과학회지
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• 제40권2호
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• pp.220-227
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• 2019

Objectives: Parkinson's disease is the neurodegenerative disease that affects both motor and non-motor function, including postural instability. Camptocormia is an abnormal condition in which the thoracolumbar spine bends forward during walking or standing. However, the treatment options are limited and often not effective. The purpose of this study was to report on the Korean medical treatment of a Parkinson's disease patient with postural instability who presented with camptocormia. Methods: We used Korean medical treatment including herbal medicine (Jemageopung-tang), acupuncture and pharmacopuncture therapy to the patient who was admitted to the hospital for 21 days. The clinical symptoms were assessed with the Unified Parkinson's Disease Rating Scale (UPDRS) and walking time without assistance. Results: After treatment, the UPDRS Parts 2 and 3 scores were decreased from 5 to 3 and 20 to 9, respectively. Also, the walking time without assistance was improved. Conclusion: This study suggested that Korean medical treatment could be an effective option for treating Parkinson's disease with postural instability.

• 대한물리의학회지
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• 제12권3호
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• pp.49-58
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• 2017

PURPOSE: To summarize the evaluation tools of balance [Berg Balance Scale (BBS), timed up and Go (TUG), forward reaching test (FRT)], gait [6 m walking Test (6MWT)], and strength [Chair Stand Test (CST)] for patients with dementia. METHODS: The following databases were searched: Pub MED, Cochrane, Sciences Direct, and Web of Sciences. The inclusion criteria were as follows: 1) repeated measurement design, 2) subjects with dementia, 3) use of testing tools such as the BBS, TUG, FRT, 6MWT, and CST, 4) report the reliability. One reviewer performed the quality assessment of diagnostic accuracy study and two evaluators performed data extraction independently. RESULTS: Six articles and one letter were included. The interrater reliability of 6MWT, TUG, and CST, were acceptable (ICC>.90). However, FRT had unacceptable reliability. In test-retest reliability, only BBS has acceptable reliability (ICC>.90). Others had various reliabilities. The risk of interrater reliability bias was low in all studies. However, the risk of bias of intrarater reliability was low in five studies and moderate in two studies. CONCLUSION: The interrater reliability of the 6MWT, TUG, and CST were acceptable. However, in test-retest reliability, only BBS has acceptable reliability. Therefore, we suggest the use of BBS to test the balance of dementia patients. In addition, the study of tool reliability according to the subtype of dementia is needed in the future.

• 한국의류산업학회지
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• 제19권5호
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• pp.602-607
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• 2017

This study was undertaken to compare the gait characteristics between the Korean elderly and young adults, we measured the plantar pressure and contact time of gait with barefoot along a walkway at their preferred walking speed. The results indicate that older people exhibited significantly less plantar pressure than young adult in all 3 regions (FF, MF and RF) and significantly less time % on the initial contact phase (ICP), forefoot push-off phase (FFPOP) and significantly more % forefoot contact phase (FFCP) and foot flat phase (FFP). The converted plantar pressure value to percentage, it showed more pressure in forefoot (FF) in the elderly person than the young adults. It could be explained that the forward shifting in plantar pressure are associated with a more flexed posture of elderly such as actual stabilizing fearrelated adaptations. Longer total foot contact time in the elderly means that the old people show the decreased gait velocity. In other words, lower velocity was found to be associated with pre-existing fear of falling. With longer contact time and slower stepping movement, the elderly become more unstable. With these findings, it could be confirmed that there were significant changes in foot characteristics which contribute to alter the plantar pressure and contact time during gait with advancing age. Further research is required to establish possible links to risk of falling and development of footwear in the elderly adults.

• Journal of Biosystems Engineering
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• 제15권2호
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• pp.88-98
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• 1990

The purpose of this study was twofold : first, to reduce as much as possible the shaking moments of the crank-type transplanting mechanism of walking-type rice transplanters, and second, to evaluate whether or not a crank-type transplanting mechanism, if its shaking moment is reduced, can be used in riding-type transplanters for high speed transplanting operations. For these purposes, kinematic and force analyses of the currently available crank-type transplanting mechanisms were made and their results were compared with those observed by experimentation. The degree of shaking moment effect was also estimated Various efforts to minimize the shaking moments led to the development of a crank-type mechanism with a balancing gear, in which an eccentric balancing gear is combined into the driven link axis. Analysis of the developed mechanism showed that about 20% of the shaking energy can be reduced and about 40% of reduction in peak shaking moment can be obtained when comparing with those obtained without the balancing gear. It was concluded that crank-type transplanting mechanisms can be used for high speed operations with a forward speed of 0.9-1.2m/s if the balancing gear is additionally mounted. However, further considerations must be made to solve the space constraints in relation to the structural frame of riding type of rice transplanters.

• 한국응용과학기술학회지
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• 제35권3호
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• pp.695-701
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• 2018

The purpose of this study was to verify prprioception perception and compare between collegiate golfers and non-golfers using tilting platform. Thirty golfers and twenty-eight non-golfers were participated. All participants were performed perception test on the tilting platform. Frequency analysis was performed using SPSS(ver. 24.0) to determine the perception response according to the grade, and performed using independent t-test. Most participants were perceived from $1^{\circ}$ to $2^{\circ}$ of slopes and perceived left-right slope than forward-backward slope. Repeated practice such as walking on the uneven ground or standing on sloped ground might help to improve proprioception perception. Future research using a tilting platform will be to develop the training program.

• 제어로봇시스템학회논문지
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• 제10권10호
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• pp.869-877
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• 2004

This paper deals with motion planning algorithm for kinematically redundant manipulators that are not fixed to the ground. Differently from usual redundant manipulators fixed to the ground, the stability issue should be taken into account to prevent the robot from falling down. The typical ZMP equation, which is employed in human walking, will be employed to evaluate the stability. This work proposes a feed forward ZMP planning algorithm. The algorithm embeds the 'ZMP equations' indirectly into the kinematics of the kinematic model of a manipulator via a ZMP stability index The kinematic self motion of the redundant manipulator drives the system in such a way to keep or plan the ZHP at the desired position of the footprint. A sequential redundancy resolution algorithm exploiting the remaining kinematic redundancy is also proposed to enhance the performances of joint limit index and manipulability. In addition, the case exerted by external forces is taken into account. Through simulation for a 5 DOF redundant robot model, feasibility of the proposed algorithms is verified. Lastly, usual applications of the proposed kinematic model are discussed.

• 한국운동역학회지
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• 제24권3호
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• pp.249-258
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• 2014

The purpose of this study was to investigate the different patterns of the lower limb between elderly and adult females to reduce the rate of falls. Ten old females(age: $73.1{\pm}2.69yrs$, height: $151.9{\pm}4.82cm$, mass: $57.36{\pm}5.36$) and ten adult females(age: $28\pm}4.76$ yrs, height: $160.6{\pm}6.83cm$, mass: $53.9{\pm}8.44$) were participated in this experiment. The gait motions were captured with Qualisys system and variables were calculated with Visual-3D. The following results were found. The elderly female group showed bigger inclination angle between COM and COP than the adult female group so that the dynamic stability was reduced in walking for the compensation with a bigger stride width. The elderly female group ensure for the necessary forward movement of COM in order to replace the decreased function of ankle and knee joint. If the distance between COM and COP is closer and the energy reduction of a specific joint is reduced, they could prevent the elderly female's falling rate by strengthening of muscles which were related the extension of ankle joint.

• Journal of Multimedia Information System
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• 제8권2호
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• pp.121-130
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• 2021

Foot bionic robot could be supported and towed through a series of discrete footholds and be adapted to rugged terrain through attitude adjustment. The vibration isolation of the robot could decouple the fuselage from foot-end trajectories, thus, the robot walked smoothly even if in a significant terrain. The gait programming and foot end trajectory algorithm were simulated. The quadruped robot of parallel five linkages with eight degrees of freedom were tested. The kinematics model of the robot was established by setting the corresponding coordinate system. The forward and inverse kinematics of both supporting and swinging legs were analyzed, and the angle function of single leg driving joint was obtained. The trajectory planning of both supporting and swinging phases was carried out, based on the control strategy of compound cycloid foot-end trajectory planning algorithm with zero impact. The single leg was simulated in Matlab with the established kinematic model. Finally, the walking mode of the robot was studied according to bionics principles. The diagonal gait was simulated and verified through the foot-end trajectory and the kinematics.

• 대한한방내과학회지
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• 제40권5호
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• pp.851-864
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• 2019

Multiple system atrophy is a neurodegenerative disease that causes diverse bodily dysfunctions (cerebellar, pyramidal, automatic, and urological, in any combination), as well as Parkinsonism. Patients with multiple system atrophy commonly display antecollis, a condition where the patient's head tilts forward more than 45 degrees. Despite its common occurrence in these patients, no current standardized therapies are effective for treating antecollis. In this study, Korean medicinal treatments, including Chuna manual therapy, pharmaco-acupuncture, bee venom acupuncture, acupuncture, herbal medicine, and moxibustion therapy, were administered to the patient over a 27-day period. After the treatment, assessments of the head position on the EPIS-PD scale (Part I) and at a standing position from the side (Part II) both revealed improvements. As the head flexion angle decreased, the patient's head posture improved, as determined by a decrease in angle from 80 degrees to 30 degrees in the upright, standing position. As a result, patients who previously were unable to walk without the support of walking frames could now roam freely and independently, with significant increases in both walking speed and distance. In essence, this study suggests that Korean medicine is an effective treatment for patients with multiple system atrophy who suffer from antecollis and gait disorders.

• 한국엔터테인먼트산업학회논문지
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• 제13권6호
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• pp.165-173
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• 2019

본 연구는 노인여성의 사망률 개선을 위한 밴드 서킷 트레이닝의 중재 효과를 구명하여 노인들의 삶의 질 향상을 위한 효과적인 운동 중재 프로그램을 제공하는 데 목적이 있다. 본 연구의 목적을 달성하기 위해서 Y시 소재 만 65세 이상 여성을 대상으로 8주간 밴드 서킷 트레이닝 중재가 노인여성의 밴드 서킷 트레이닝 중재가 노인여성의 Senior Fitness Test(SFT)와 Sitting Rising Test(SRT)에 미치는 영향을 구명하여 다음과 같은 결론을 얻었다. 밴드 서킷 트레이닝 중재에 따른 노인여성의 기능적 체력(의자에 앉았다 일어서기, 2kg 덤벨 들기, 2분 제자리 걷기, 의자에 앉아 앞으로 숙이기, 등 뒤로 손잡기, 2.44m 왕복걷기)와 Sitting Rising Test(SRT)는 측정시기와 집단 간 통계적으로 유의한 상호작용효과가 나타났으며, 실험집단에서 밴드 서킷 트레이닝 중재 후 긍정적으로 개선된 것으로 나타났다. 이상의 연구결과를 종합해 볼 때 밴드 서킷 트레이닝 중재는 노인들의 사망률과 관련이 있는 기능적 체력과 SRT에 긍정적 영향을 미치는 것으로 나타나 노인들의 사망률 개선을 통해서 삶의 질 향상을 위한 효과적인 운동 중재 프로그램으로 적용 가능하다고 생각된다.