• 한국운동역학회지
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• 제23권1호
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• pp.77-83
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• 2013

The purpose of this study was to compare kinematic variables and stiffnesses of ankle joints between normal person and transfemoral amputee gait in order to develop or fit prosthetic leg. Twenty subjects (ten normal persons and ten transfemoral amputees) participated in this experiment, and walked three trials at a self-selected pace. The gait motions were captured with Vicon system and variables were calculated with Visual-3D. The velocity, stride length, stride width, cycle time, double limb support time and right swing time of gaits were statistically significant. Because coefficients of variability of normal persons on velocity, double limb support time and swing time were greater than transfemoral amputees, normal persons controlled these gait variables effectively. The stiffnesses of ankle joints were not statistically significant, but patterns of stiffnesses of ankle joints during three rockers were absolutely different. The negative correlations between stiffnesses of ankle joints and cycle time and swing time were presented. These differences suggest that developing and fitting prosthetic leg were demanded. Further studies should develop fitting program and simulator of prosthetic leg.

• 대한통합의학회지
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• 제10권1호
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• pp.91-99
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• 2022

Purpose : The goal of this study is to examine the effect of robot assisted gait training (RAGT) on the kinematic factors (temporospatial gait parameters, gait cycle ratio, and gait line length) of gait in stroke patients. Methods : The subjects of this study were 24 stroke patients selected by inclusion criteria. Participants were randomly allocated to two groups: robot assisted gait training (n=11) and general neurological physical therapy group (n=11). In the robot-assisted gait training group, robot-assisted gait training was mediated for 30 minutes a day in addition to general neurological physical therapy. The general neurological physical therapy group was mediated by general neurological physical therapy for 30 minutes a day in addition to general neurological physical therapy. The number of interventions was 5 times a week for 5 weeks. In order to compare the kinematic factors of walking between the two groups, gait analysis was performed before and after 5 weeks of training using the Zebris gait analysis system. Results : As a result of the gait analysis of the two groups, there were significant differences in temporospatial gait variables (step length, stride length, step width, step time, stride time), gait cycle ratio (swing phase, stance phase) and gait line length. However, there was no significant difference in the cadence (temporospatial gait parameters) in the robot assisted gait training group compared to general neurological physical therapy group. Conclusion : It is considered to be a useful treatment for stroke patients to promote the recovery of gait function in stroke patients. Based on the results of this study, continuous robot assisted gait training treatment is considered to have a positive effect on gait ability, the goal of stroke rehabilitation. In the future, additional studies should be conducted on many subjects of stroke patients, the kinematic factors of the legs according to the severity of stroke and treatment period, and the effect of gait training.

• ETRI Journal
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• 제40권4호
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• pp.522-530
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• 2018

In this study, we developed a robotic walker that actively controls its speed and direction of movement according to the user's gait intention. Sensor fusion between a low-cost light detection and ranging (LiDAR) sensor and inertia measurement units (IMUs) helps determine the user's gait intention. The LiDAR determines the walking direction by detecting both knees, and the IMUs attached on each foot obtain the angular rate of the gait. The user's gait intention is given as the directional angle and the speed of movement. The two motors in the robotic walker are controlled with these two variables, which represent the user's gait intention. The estimated direction angle is verified by comparison with a Kinect sensor that detects the centroid trajectory of both the user's feet. We validated the robotic walker with an experiment by controlling it using the estimated gait intention.

• PNF and Movement
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• 제20권1호
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• pp.125-134
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• 2022

Purpose: The aim of this study was to establish an association between grip strength and gait variability in the elderly. Methods: The participants in this experiment (n = 20) were aged 65 or older. Power grip and lateral pinch forces were obtained in grip strength tests, and spatiotemporal gait parameters were collected from IMU sensors during 6 min actual walking to test the gait of participants. The collected gait parameters were converted to coefficient of variation (CV) values. To confirm the association between grip strength and gait variability, a partial correlation analysis was conducted in which height, weight, and gait speed were input as controlling variables. Results: Grip power showed a significant negative correlation with the stride length CV (r = -0.52), and the lateral pinch force showed a significant negative correlation with the stance CV (r = -0.65) and swing CV (r = -0.63). Conclusion: This study reveals that gait variability decreases as grip strength increases, although height, weight, and gait speed were controlled. Thus, grip strength testing, a simple aging evaluation method, can help identify unstable gait in older adults at risk of falling, and grip strength can be utilized as a non-invasive measurement method for frailty management and prevention.

• The Journal of Korean Physical Therapy
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• 제11권1호
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• pp.95-102
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• 1999

In hemiplegic gait, walking speed is an important factor to evaluate treatment effect. The purpose of this study was to describe and compare kinematic variables during differant speed hemiplegic gaits. Six hemiplegic patients(47-69 years old) after stroke and age - matched six volunteers in good health(51-61 years old) were studied. The patients were sorted into two groups, depending on their self - speed of walking : fast speed group(3 patients, $0.74\pm0.14m/s$) and slow speed group(3 patients, $0.29\pm0.09m/s)$. The results were following. 1. In the hip joint, the fast group had lower mean value than normal but had similar pattern to normal. The slow group had continuous flexed pattern. 2. In the knee joint, the fast group had similar mean value and pattern to normal. The slow group had continuous flexed pattern. 3. In the ankle joint, the two group had dorsiflexed pattern. The fast group had similar pattern to normal. Thus, the fast group was similar gait pattern to normal.

• International journal of advanced smart convergence
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• 제9권2호
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• pp.49-57
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• 2020

We have not identified on what gender difference during gait at a pace of one's preferred velocity effects on the function of bilateral lower limb. This study was undertaken to investigate a difference of gait strategy by gender during gait at a one's preferred velocity of participants of adult male and female (n=20). Cinematographic data for motion analysis, ground reaction force (GRF) variables, and muscle volume of lower limb were analyzed. Significant difference of variables on movement of center of mass whole body, joint angle and moment of lower limb, and ground reaction force were tested by 2-way ANOVA analysis (P<0.05). Male group showed more muscle volume than female, and both showed more volume in dominant leg than non-dominant. Main effect by bilateral leg during gait showed higher difference in right than left leg in change of vertical position of center of mass (maximal, minimal). Main effect by gender in vertical change of position and velocity of center of mass showed higher difference in male than female (maximal, minimal). Hip joint showed more flexed and extended angle in male than female, and also dorsiflexion of ankle and flexion moment of knee and hip joint showed higher in male than female group. Therefore, this result was assumed that dominant showed furthermore more contribution for propulsive function than non-dominant leg. Gender difference showed in strategy controlling of biomechanical characteristics, and perhaps influenced by muscle volume.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.208-215
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• 2020

본 연구는 65세에서 85세 사이의 남녀 노인 200명을 대상으로 노인 체력 측정과 보행 검사를 실시하여 노인의 체력 변인과 보행 특성 간의 관계를 조사하고자 하였다. 연구 대상자는 65세에서 85세 사이의 노인 200명으로 노인 체력 검사(Senior Fitness Test) 항목 6개와 추가 체력검사 3개(수직점프, 외발서기, 악력) 및 보행 측정을 수행하였다. 보행은 신발에 장착된 가속도계 기반 보행 측정 장비를 사용하였다. 이원분산분석, 주요인분석, 상관관계 분석을 실시하여 연령에 따른 영향과 변인들 간의 관계성을 파악하였다. 실험 결과 나이에 따라 보행 능력(보장, 6분 걷기), 제지방량, 체력(아령 들기)의 유의한 감소가 있었다(p<.05). 33개의 체력 및 보행 변인을 대상으로 주성분 분석을 실시한 결과 5개의 주성분(보행 특성, 신체 특성, 보행 가변성, 체지방 요인, 체력 요인)이 나타났으며 전체 가변성의 64.7% 설명력을 나타냈다. 보행 시 편한 보속은 보폭, 외발지지 시간과는 정적 상관, 양발지지 시간, 보행 가변성 변인들과는 부적 상관을 나타냈다(p<.05). 노인들의 삶의 질을 유지하려면 보행 능력이 매우 중요하며 이것은 근력운동을 통해 유지 또는 개선되어야 한다.

• 대한물리치료과학회지
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• 제31권1호
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• pp.70-87
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• 2024

Background: This study aimed to investigate the effect of Y-balance exercise on spatio-temporal gait parameters in subjects with chronic ankle instability. Design: Randomized Controlled Trial. Method: A study was conducted on 43 people with chronic ankle instability. Subjects performed modified Y-balance exercise 3 times a week for 50 minutes, 4 weeks. Gait parameters were measured using a gait analysis treadmill before exercise, 2 weeks after exercise, and 4 weeks after exercise. A gait analysis treadmill (FDM-T AP1171, Zebris, Germany) was used to measure gait parameters. Mean values were compared using Repeated measured two-way ANOVA. Result:: When comparing the results of three measurements taken before exercise, 2 weeks after exercise, and 4 weeks after exercise, there were significant differences in the qualitative and quantitative aspects of gait in gait variables such as step distance, step time, step ratio, and sway ratio. Conclusions: These results suggest that the Y-balance exercise and various exercises combining balance and proprioception are effective for subjects with chronic ankle instability.

• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.106-112
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• 2016

Objective: This study was conducted to investigate the effects of resistant exercise on the gait performance of a patient with systemic lupus erythematosus (SLE) patient. Design: A case study. Methods: A 30-year-old male adult who had been diagnosed with systemic lupus erythmatosus (SLE) in April 2013, right middle cerebral artery infarction, and with left hemiplegia agreed to participate in this case study. Patient was unable to walk due to being affected with adynamia. Due to developing necrotizing vasculitis on the left lower extremity, patient underwent a myotomy on the left thigh. The patient was trained with a progressive resistant exercise program for 8 weeks. An intensity of 15 RM was used for the resistant exercises and the resistance level was increased progressively in order to improve the muscle power of the patient. Methods used to increase resistance included changing positions, providing mechanical resistance instead of manual resistance, transitioning from open kinetic chain to closed kinetic chain exercises, and changing the colors of the theraband to those with increase level of resistance. Outcome measures included the 5-repetition sit-to- stand test (5RSST), Timed Up & Go (TUG), and 10-meter walk test (10MWT). In addition, the GAITRite was used to assess the spatio-temporal gait variables, including gait speed, cadence, stride length of the left side, and double limb support pre and post-intervention. Results: The patient was able to perform sit-to- stand after two weeks of performing the resistant exercises. The patient was able to walk after 4 weeks, and the patient's overall gait performance had improved after 8 weeks. All of the variables had improved after each week. Conclusions: The results of this case study may be used to enhance future efforts to objectively evaluate resistant exercises during gait performance in persons affected by SLE.

• 한국전문물리치료학회지
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• 제22권3호
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• pp.81-90
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• 2015

This study aimed to determine the effects of Rhythmic Auditory Stimulation (RAS) using music and a metronome on the gait of stroke patients. 13 female and 15 male volunteers were randomly allocated to two groups: namely a group to receive RAS using music and a metronome group (the experimental group; $n_1=14$) and a group to receive RAS using a metronome only (the control group; $n_2=14$). The affected side was the left side in 15 subjects and the right side in 13 subjects. The mean age of the subjects was 56.6 years, and the mean onset duration of stroke was 8.6 months. Intervention was applied for 30 minutes per session, once a day, 5 times a week for 4 weeks. To measure the patients' gait improvement, we measured gait velocity, cadence, stride length, double limb support using GAITRite, body center sway angle using an accelerometer, and Timed Up-and-Go test. Functional Gait Assessment were conducted before and after the experiment. The paired t-test was used for comparisons before and after the interventions in each group. Analysis of covariance was used for comparisons between the groups after the interventions. Statistical significance was set at ${\alpha}=.05$. Within each of the two groups, significant differences in all of the dependent variables before and after the experiment (p<.05) were observed. However, in the comparison between the two groups, the experimental group showed more significant improvements in all dependent variables than the control group (p<.05). Our results also suggest that in applying RAS in stroke patients, the combination of music and a metronome is more effective than using a metronome alone in improving patients' gait.