• 대한중풍순환신경학회지
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• 제14권1호
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• pp.90-101
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• 2013

■ Objectives The goal of this study was to observe the gait patterns from a patient with Parkinson disease under three different walking speeds. ■ Methods The patient walked on a treadmill and we measured gait parameters using a treadmill gait analysis system for 2 minutes. The Parkinson patients walked under three different conditions, first, at the preferred walking speed, second, at slower speed than the preferred walking speed, and, third, at faster speed than the preferred walking speed. ■ Results In terms of temporal gait parameters, as speed of treadmill increased, stance phase and total double support decreased, and swing phase increased. In terms of spatial parameters, as speed of treadmill increased, step and stride length increased. In terms of kinetic parameters, max pressure increased as speed of treadmill increased. ■ Conclusion According to different walking speeds, some gait parameters of spatiotemporal and kinetic was changed.

• 대한물리의학회지
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• 제7권4호
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• pp.411-421
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• 2012

PURPOSE: The purpose of this study was to investigate the effect of balance rehabilitation training with the visual cue deprivation on gait function in stroke patients in comparison with balance training without the visual cue deprivation. METHODS: Twenty two stroke patients participated in this study. Patients were randomly assigned to one of the two balance training program with and without the visual cue deprivation. Balance training session for each group lasted 50 minutes, 3 times a week for a total of 6 weeks. Gait function was measured with the Functional Gait Assessment (FGA), the self-selective comfortable gait speed (CGS), the maximal gait speed (MGS), and the Gait Analysis System. Temporal and spatial gait parameters of each evaluation were measured before and after the balance training program respectively. RESULTS: After the program, the visual cue deprivation group improved significantly in the FGA, the CGS, the gait velocity, the step time, the step length, the stride length, and the Functional Ambulation Performance (FAP) in comparison with the balance training group with the visual cue (p<.05). CONCLUSION: The gait function of the participants with the visual cue deprivation showed more improvement after the balance training program compared to the patients group without the visual cue deprivation, Therefore, the balance training program with the visual cue deprivation may be useful for rehabilitation of patients with chronic stroke.

• The Journal of Korean Physical Therapy
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• 제11권1호
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• pp.129-136
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• 1999

The purpode of this study was to determine the EMG characteristies of 7 subjects with hemiplegic gait receiving therapeautic exercise after stroke. The akin electrode and gait analysis system were used. The normal gait of 6 health volunteers was analysised. The results were following. 1. Gluteus maximus, the extensor of hip joint had high level of activity compared to normal, and had two peak in late stance phase and early Swing phase. 2. Medial hamstring, the flexor of knee joint had low level of activity compared to normal, and had continuous low amplitude pattern. 3. Vastus lateralis, the extensor of knee joint had high level of activity compared to normal, and had not continuous high amplitude. From early stance phase and mid stance phase, activity had high level but after swing phase. similar to normal. 4. Gastrocnemius, plantar flexor of ankle joint had low level of activity compared to normal and had continuous low amplitude. 5. Tibialis anterior, dorsiflexor of ankle joint had similar muscle activity to normal and had continuous low amplitude.

• 대한통합의학회지
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• 제7권2호
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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.

• 지능정보연구
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• 제15권4호
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• pp.53-64
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• 2009

본 논문에서는 실루엣 동영상으로부터 보행 분석에 사용되는 형태 기술자의 성능을 평가하였다. 형태 기술자는 모멘트기술자(MD), 푸리에기술자(FD), 저나이크기술자(ZD)를 사용하였다. 먼저 성능 평가 지수인 비대칭 지수 AI와 주기지수 PI를 정의하였다. 이 지수는 보행은 주기적으로 주어지며, 이를 표현한 형태 기술자도 같은 보행 주기를 가져야 하는 것을 기반으로 한다. 또한 지수는 형태의 특성을 정확하게 나타내는 인식 성능보다는 형태 기술자들에 의해 얼마나 잘 표현되었는가를 평가하는 것이다, 성능평가결과, ZD가AI = 1.09, PI = 2.21로 대체로 무난한 성능으로 나타났으며, FD가 MD보다 AI = 0.93로 하나의 주기내에서의 성능이 우수하였다. 반면 MD는 FD보다 PI = 2.37로 반복적인 특징이 높게 나타났다. 또한 형태 기술자는 5~10개 정도의 파라미터 개수를 사용하는 것이 좋은 성능을 가짐을 보였다.

• 대한중풍순환신경학회지
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• 제14권1호
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• pp.71-79
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• 2013

■ Objectives The goal of this pilot study is to observe the change of stroke gait by auditory cue training. ■ Methods An intracranial hemorrhage patient was trained for 4 weeks. For the 1^st consecutive 6days(the 1^st week), the patient was trained to walk with auditory cue, what was called auditory cue gait training condition. For the 2^nd consecutive 6days(the 2^nd week), the patient was trained to walk naturally without auditory cue, what was called free gait training condition. For the 3^rd consecutive 6days(the 3^rd week), the patient was trained to walk under auditory cue gait training condition. For the 4^th consecutive 6days(the 4^th week), the patient was trained to walk under free gait training condition. We analyzed the gait using a treadmill gait analysis system 3 hours after the 6^th gait training. ■ Results Auditory cue gait training showed effects on gait parameters, which were increasing walking velocity, step length, stride length, decreasing cadence, step time and stride time. ■ Conclusion Auditory cue gait training improved gait parameters of a stroke patient.

• 한국체육학회지인문사회과학편
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• 제53권5호
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• pp.521-531
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• 2014

본 연구는 한국인 20대의 남성과 여성을 대상으로 보행 분석상의 표준화 방법 중의 하나인 dimensionless number의 효과를 검정하고 이를 통해 성별간 보행형태를 분석하는데 목적이 있다. 피험자는 기술표준원에서 제공하는 한국인 표준체형 및 연령 분류 체계에 맞춰 선정하였으며, 3차원 동작분석 시스템이 사용되었다. 데이터 분석을 위한 소프트웨어로는 Cortex, OrthoTrak, Matlab, Excel이 사용되었으며 통계검정을 위해서 SPSS를 사용하였다. 분석 결과를 살펴보면, Hof(1996)의 dimensionless number 변환을 통한 20대 성별 간 보행 형태는 시·공간 변인인 stride length, step length, stride time, step time, 보행속도(velocity), cadence 모두에서 유의한 차이가 없었으며, 표준화 전·후에 따라 통계분석의 결과가 달라짐을 확인하였다. 따라서 보행 분석에서 데이터의 표준화 방법 중의 하나인 dimensionless number의 적용은 통계학적 검정에 영향을 줄만큼 C.V. 값을 변화시키는 것으로 확인되었다. 본 연구를 통해, 상호 비교를 위한 보행연구에서 dimensionless number를 이용한 표준화 방식은 피험자의 신체적 특성이 분석에 미치는 영향을 제거하고 보다 정확한 통계 검정을 위해서 반드시 요구되는 과정이라는 것을 확인할 수 있었다.

• 재활복지공학회논문지
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• 제10권3호
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• pp.199-206
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• 2016

대부분의 한국인은 오랜 좌식생활 때문에 팔자 걸음이나 안짱 걸음을 걷는 경우가 많고, 오늘날에는 보행 중 스마트폰 사용으로 인하여 올바른 자세의 보행이 더욱 어려워지고 있다. 본 연구는 현대 한국인의 걸음 실태를 쉽게 분석하고 사용자로 하여금 이를 알 수 있도록 하는 간편한 시스템을 구현하는 데 목적이 있다. 본 연구는 보행 유형을 분류하기 위하여 3축 가속도 센서와 족압 감지 시스템을 활용한 보행 모니터링 시스템을 개발하였다. 개발된 시스템은 걸을 때 발생하는 발의 압력(foot pressure)과, 상반신의 기울어진 정도를 각각 압력 센서(pressure sensor)와 3축 가속도계(3-axis accelerometer)를 통해 걷는 자세의 데이터를 취득할 수 있다. 이를 통해 몇 가지 보행 유형과 센서 데이터 간의 상관관계를 분석하였다. 그 결과 상체 자세 판별에는 통계적 모수인 제곱평균제곱근과 표준편차가, 보행 유행 판별에는 k-최근접 이웃 알고리즘이 적합하다는 사실을 확인하였다. 고안된 시스템은 저비용의 의학, 체육 분야에 응용될 수 있다.

• 대한의용생체공학회:의공학회지
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• 제44권3호
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• pp.190-203
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• 2023

The purpose of this study is to provide basic data to ensure the safety and essential performance of a Lower Extremity robotic assisted gait training system and to provide advanced technology and technical basis to the industry handling the system. Based on IEC 60601-1:2012/AMD2:2020 (Medical Electrical Equipment - General requirements for basic safety and essential performance of medical electrical equipment), IEC 62366-1:2015/AMD1:2020 (Medical devices - Part 1: Application of usability engineering to medical devices) and EN ISO 14971:2019 (Medical devices - Application of risk management to medical devices), the requirements for ensuring the safety and essential performance of the Lower Extremity robotic assisted gait training system were derived. Through the Delphi survey method and scenario analysis, which reflects the opinions and knowledge of experts in the fields of development, testing and review of technical documents, and quality assurance of medical devices, validity and reliability were conducted and obtained results with adequate content validity ratio (CVR; 0.7≤) and excellent reliability (Cronbach's α; 0.9≤). As a result, it was confirmed that the reliability and validity of the risk management process to ensure the safety and essential performance of the Lower Extremity robotic assisted gait training system are required a model can be established to provide measures to reduce risks according to the level of risk exposure caused by usage.

• 대한인간공학회:학술대회논문집
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• 대한인간공학회 1994년도 춘계학술대회논문집
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• pp.136-144
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• 1994

In this study, the human gait trajectories during normal walking were synthesized using the inverse kinematics and optimization techniques. The synthesis based on a lower extremity model consisting of a torso and two legs. Each leg has three segments: thigh, shank, foot, and is assumed to move with six degrees-of-freedom. In order to synthesize trajectiories of this redundant system, the sum of angular displacements of articulating joints was selected as an objective function to be minimized. The proposed algorithm in this study is very useful for the analysis of human gait. For the gait analysis, the trajectories of four points in each leg should be measured. However, by using the algorithm, measuring the trajectories of two points is sufficient, and thus the experimental set-up can be simplified. The predicted joint trajectories showed a good agreement with those obtained from the experiment. The statistical analysis and graphic simula- tions are also presented.