• Title/Summary/Keyword: Gait Control

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Leg Length Discrepancy to Influence on Kinematic Changes of the Pelvis and the Hip during Gait

  • Yong, MinSik;Park, SoHyun
    • The Journal of Korean Physical Therapy
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    • v.31 no.6
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    • pp.368-371
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    • 2019
  • Purpose: The purpose of this study was to investigate the effects of leg length discrepancy on kinematic changes of the pelvis and hip during gait. Methods: A total of ten healthy women with no history of neurological, musculoskeletal surgery or injuries, or pain in the lower limbs were recruited. They were assigned to two groups; the experimental group (LLD) consisting of five subjects leg length discrepancy of 10mm to 18mm and the control group (CON) consisting of five subjects leg length discrepancy of<10 mm. All participants were instructed to perform three walking trials for further analysis by using the Cortex 3.0 software program. Independent T-test and Mann-Whitney test were used to examine the effects of mild LLD on kinematic changes of the pelvis and hip during gait. Results: Angles of hip flexion, hip abduction, pelvic obliquity, and pelvic tilt in the experimental group were not significantly different compared to those of the control group. Conclusion: Mild leg length discrepancy induces kinematic changes in the lower limbs, including decreased hip flexion, increased hip abduction, and increased pelvic obliquity in the shorter limb, and increased hip adduction and increased pelvic obliquity in the longer limb. However, those changes were not significant.

The Effects of Pressure Biofeedback Units in Lower-Limb PNF Pattern Training on the Strength and Walking Ability of Stroke Patients (압력 바이오피드백 제공에 따른 고유수용성신경근촉진법 하지패턴 적용이 뇌졸중 환자의 근력과 보행능력에 미치는 영향)

  • Park, Jin;Song, Myung-Soo
    • PNF and Movement
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    • v.18 no.1
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    • pp.55-64
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    • 2020
  • Purpose: The purpose of this study was to compare the strength and walking ability of chronic stroke patients following either proprioceptive neuromuscular facilitation (PNF) pattern training with pressure biofeedback units (feedback group) or PNF pattern training without pressure biofeedback units (control group). Methods: Eighteen participants with chronic stroke were recruited from a rehabilitation hospital. They were divided into two groups: a feedback group (n = 8) and a control group (n = 10). They all received 30 minutes of neurodevelopmental therapy and PNF training for 15 minutes five times a week for three weeks. Muscle strength and spatiotemporal gait parameters were measured. Muscle strength was measured by hand-held dynamometer; gait parameters were measured by the Biodex Gait trainer treadmill system. Results: After the training periods, the feedback group showed a significant improvement in hip abductor muscle strength, hip extensor muscle strength, step length of the unaffected limb, and step time of the affected limb (p<0.05). Conclusion: The results of this study showed that proprioceptive neuromuscular facilitation pattern training with pressure biofeedback units was more effective in improving hip muscle strength and walking ability than the proprioceptive neuromuscular facilitation pattern training without pressure biofeedback units. Therefore, to strengthen hip muscles and improve the walking ability of stroke patients, using pressure biofeedback units to improve trunk stability should be considered.

Postural Control Strategies on Smart Phone use during Gait in Over 50-year-old Adults (50세 이상 성인의 보행 시 스마트폰 사용에 따른 자세 조절 전략)

  • Yu, Yeon Joo;Lee, Ki Kwang;Lee, Jung Ho;Kim, Suk Bum
    • Korean Journal of Applied Biomechanics
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    • v.29 no.2
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    • pp.71-77
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    • 2019
  • Objective: The aim of this study was to investigate postural control strategies on smart phone use during gait in over 50-year-old adults. Method: 8 elderly subjects (age: $55.5{\pm}3.29yrs$, height: $159.75{\pm}4.20cm$, weight: $62.87{\pm}8.44kg$) and 10 young subjects (age: $23.8{\pm}3.19yrs$, height: $158.8{\pm}5.97cm$, weight: $53.6{\pm}5.6kg$) participated in the study. They walked at a comfortable pace in a gaitway of ~8 m while: 1) reading text on a smart phone, 2) typing text on a smart phone, or 3) walking without the use of a phone. Gait parameters and kinematic data were evaluated using a three-dimensional movement analysis system. Results: The participants read or wrote text messages they walked with: slower speed; lesser stride length and step width; greater flexion range of motion of the head; more flexion of the thorax in comparison with normal walking. Conclusion: Texting or reading message on a smart phone while walking may pose an additional risk to pedestrians' safety.

Effects of Fall Prevention Program on Gait, Balance and Falls Efficacy in Stroke Patients (낙상예방 프로그램이 뇌졸중 환자의 보행, 균형 및 낙상효능감에 미치는 효과)

  • Hwang, Ji Hye;Jung, Hyang Mi;Lee, Mi Hwa;Lee, Sang Ju
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.27-37
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    • 2010
  • Purpose: This study was conducted to determine the effects of a fall prevention program on gait, balance and falls efficacy in stroke patients Methods: The study utilized a non-equivalent control group pretest and post test design. Subjects were contacted at the oriental medicine ward of D hospital in B city for strokes. The subjects were 25 in the experimental group and 25 in the control group. The fall prevention program consists of fall related exercises and fall related education. Collected data were analyzed using a t-test, Chi-Square test, Fisher's exact test by SPSS 14.0 Win program. Results: The fall prevention program with exercises and education used in this study was found to be very effective in increasing gait, balance and falls efficacy in patients with stroke. Conclusion: The fall prevention program used in this study seems appropriate for stroke patients. Thus, further research to refine the efficacy and application of this program is warranted.

The Effects of Range of Motion of Lower Limb on Gait time of Height of High Heeled Shoes in Gait (보행 시 하이힐 굽 높이에 따라 보행시간이 하지관절 가동범위에 미치는 영향)

  • Sul, Jeong-Dug;Woo, Byung-Hoon
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.2
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    • pp.206-213
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    • 2020
  • The purpose of the study was to compare the differences among phases accoring to the gait time on the heel height during gait, investigate the effect on ROM of the lower limb on gait time. Ten female college students in their 20s participated in the study, and variables were calculated through 3D gait analysis on height of heel. As a statistical method, one-way ANOVA was performed for the differences between the three heel heights, and multiple regression analysis was performed to determine the effect of gait time on the ROM. As a result of the study, phase 2, the higher the heel, the longer the gait time, but phase 3, the higher the heel, the shorter the gait time. As a result of analyzing the effect of gait time on the ROM of the lower limb, in phase 2, the greater the ROM for the ankle and knee joint in 1 cm, and for the ankle joint in 5 cm, the longer the gait time. In phase 3, the greater the ROM for the hip joint in 1 cm, the longer the gait time, and the smaller the ROM for the ankle joint in 10 cm, the longer the gait time. Therefore, in the case of high-heeled shoes, it is suggested that the control of the ankle joint is important.

Effects of Incorporating Non-elastic Taping into PNF Techniques on Muscle Activities, Balance, and Gait in Patients with Chronic Stroke (뇌졸중 환자의 무릎관절과 발목관절에 비탄력테이핑 적용이 근활성도와 균형 및 보행에 미치는 영향)

  • Kim, Hyun-woo;Park, Young-Han
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.113-121
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    • 2020
  • PURPOSE: The study examined the effects of non-elastic taping on the knee and ankle joints of stroke patients to increase muscle activity, balance and gait ability. METHODS: In this study, 10 stroke patients were assigned to experimental group (knee and ankle joint non-elastic taping and PNF technique) and control group (PNF technique). The experimental group applied the PNF technique for 30 minutes after attaching the inelastic tape, and the control group performed the PNF technique for 30 minutes. five times a week for a total of four weeks (20 times). RESULTS: The muscle activity of Vastus Medialis and Tiblialis Anterior showed significant differences between the experimental and control groups. BBS and 10MWT also showed significant differences between the experimental and control groups. CONCLUSION: In this study, the muscle activity, balance and walking on the paraplegic side of stroke patients using inelastic taping, and applied inelastic taping on two joints in a different way from the previous study, Therefore, it will have the advantage of increasing paralysis side muscle activity and improving balance and walking ability.

Vibration Control of a Knee Joint System considering Human Vibration of the New R.G.O. for a Rehabilitation Trainning of Paraplegia (II) (척수마비환자 재활훈련용 보행보조기의 인체진동을 고려한 무릎관절 시스템 진동제어(II))

  • Kim, Myung-Hoe;Jang, Dae-Jin;Baek, Yun-Soo;Park, Young-Pil;Park, Chang-Il
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11b
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    • pp.446-452
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    • 2002
  • This paper Presents a 3-D design and a Vibration control of a new walking R.G.O.(Robotic Gait Orthosis) and would like to develop a simulation by this walking system. The vibration control and evaluation of the new knee joint mechanism on the biped walking R.G.O.(Robotic Gait Orthosis) was a very unique system and was to obtain by the 3-axis accelerometer with a low frequency vibration for the paraplegia It will be expect that the spinal cord injury patients are able to recover effectively by a biped walking R.G.O.. The new knee joint system of both legs were adopted with a good kinematic characteristics. It was designed attached a DC-srevo motor and controller, with a human wear type. It was able to accomodate itself to a environments of S.C.I. Patients. It will be expect that the spinal cord injury patients are able to recover effectively by a new walking R.G.O. system.

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Implementation of an Intelligent Controller for Biped Walking Robot using Genetic Algorithm and Learning Control (유전자 알고리즘과 학습제어를 이용한 이족보행 로봇의 지능 제어기 구현)

  • Kho, Jaw-Won;Lim, Dong-Cheol
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.55 no.2
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    • pp.83-88
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    • 2006
  • This paper proposes a method that minimizes the consumed energy by searching the optimal locations of the mass centers of the biped robot's links using Genetic Algorithm. This paper presents a learning controller for repetitive gait control of the biped robot. The learning control scheme consists of a feedforward learning nile and linear feedback control input for stabilization of learning system. The feasibility of learning control to the biped robotic motion is shown via computer simulation and experimental results with 24 DOF biped walking robot.

Biped Gait Generation based on Linear Inverted Pendulum Mode On Flexible Terrain

  • Ueno, Satoshi;Igata, Kazuma;Kumon, Makoto;Mizumoto, Ikuro;Iwai, Zenta
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.203-208
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    • 2003
  • In this paper, gait generation algorithm based on Linear Inverted Pendulum Mode is extended considering that the terrain is uncertain and flexible. Deformation of the soft terrain by the weight of the biped robot is taken into account to design the desired motion of the swing leg. Landing time disagreement caused by dynamics of the robot is also considered and a method to adjust gait is proposed. Results of numerical simulation show the effectiveness of the proposed method.

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Gait Pattern Classification using EMG Signal (근전도 신호를 이용한 보행 패턴 분류)

  • 지연주;송신우;홍석교
    • 제어로봇시스템학회:학술대회논문집
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    • 2000.10a
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    • pp.115-115
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    • 2000
  • A gait pattern classification method using electromyography(EMG) signal is presented. The gait pattern with four stages such as stance, heel-off, swing and heel-strike is analyzed and classified using feature parameters such as zero-crossing, integral absolute value and variance of the EMG signal. The EMG signal from Tibialis Anterior and Gastrocnemius muscles was obtained using the surface electrodes, and low-pass filtered at 10kHz. The filtered analog signal was sampled at every 0.5msec and converted to digital signal with 12-bit resolution. The obtained data is analyzed and classified in terms of feature parameters. Analysis results are given to show that the gait patterns classified by the proposed method are feasible.

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