• Title/Summary/Keyword: Gait Control

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Effect of somatosensory input on the gait ability and equilibrium sensory of elderly women (체성감각계 지원이 여성노인의 보행 및 평형감각 유지에 미치는 효과)

  • Jung, Chul;Park, Woo-Yung
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.1
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    • pp.205-213
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    • 2018
  • The purpose of this study was to investigate the effect of somatosensory input on the gait ability and equilibrium sensory of elderly women. The subjects who participated in this study were 31 elderly women with a mean age of 75 years or older who no using a walking stick and had no abnormality in otolaryngology. The control group consisted of 30 elderly women who did not exercise regularly more than twice a week. Dependent variables consisted of 2.44m timed up and go test, 10m usual gait, 10m fast gait and 6minute gait. The equilibrium sensory test was performed using EquiTest (NeuroCom, USA). The results of the study on gait ability were not statistically significant for 2.44m timed up and go test, and 10m usual gait. However, 10m fast gait (P<.001) and 6min gait (P<.05) showed significant differences. According to the results of the study on equilibrium sensory ability, there was no significant difference between Condition 1 and Condition 5 however Condition 2 (P<.01), Condition 3 (P<.01), Condition 4(P<.01) and Condition 6 (P<.05) showed statistically significant differences. In conclusion, walking stick have beneficial effects on walking and equilibrium sensation, and elderly women need to actively use walking stick when going out and walking.

The Correlation between Gait and Cognitive Function in Dual-task Walking of the Elderly with Cognitive Impairment: A Systematic Literature Review (인지기능 감퇴가 있는 노인의 이중 과제 보행과 인지기능과의 상관성에 대한 체계적 문헌 고찰)

  • Shin, Jae-Yeon;Kim, Ye-Jin;Kim, Ji-Sue;Min, Su-Bin;Park, Jae-Ni;Bae, Jae-Han;Seo, Hee-Eun;Shin, Hee-Sun;Yu, Young-Eun;Lim, Ju-Young;Jang, Ji-Soo;Cho, Young-Woo;Lee, Han-Suk
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.1
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    • pp.93-108
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    • 2022
  • PURPOSE: This review sought to confirm the correlation between dual-task gait and cognitive function in cognitively impaired and healthy older adults. METHOD: We used four databases (DBs), Pubmed, Cochrane library, Kmbase, and Koreamed. Searches were carried out according to the PICOS method, P (participants) were the elderly (above 65 years) with cognitive decline, I (intervention) was walking with dual tasks, C (control group) comprised the elderly without cognitive decline, O (outcome) was the correlation between gait and cognitive function and S (study) was the cross-sectional study. For the methodological quality assessment of each study, we used the Quality Assessment Tool for Observation Cohort and Cross-Sectional Studies provided by the National Institutes of Health (NIH). RESULTS: A total of 10 articles were included in this systematic review. For the components of gait, we used pace, rhythm, and variability and we observed that mild cognitive impairment mostly causes low gait performance while performing dual tasks. Among the 10 articles, 9 articles studied pace, of which 7 showed significant results. However, 2 were not significant. Also, 1 article that studied rhythm and 3 articles that studied variability showed significant results. The methodological quality of the 10 studies was fair. CONCLUSION: Gait pace was found to have a high correlation between memory, which is a cognitive ability, and overall cognitive function. It was observed that older adults with mild cognitive impairment have reduced gait pace in single-task walking, and further decrease in dual-task gait pace shows the correlation between memory and gait pace during walking.

The Effect of Microcurrent Application on Muscle Fatigue of Pes Planus during Gait (미세전류 적용이 편평족을 가진 사람들의 보행근육 피로도에 미치는 영향)

  • Lee, Dae-Hwan;Son, Ho-Hee;Park, Soo-Jin;Kim, Jin-Sang;Kim, Kyoung
    • Journal of Korean Physical Therapy Science
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    • v.18 no.2
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    • pp.51-62
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    • 2011
  • Purpose: The purpose of this study was to investigate the effect of microcurrent on fatigue of muscles in people who were flat-footed during gait. Methods: 10 flat-footed university students volunteered to participate in this study. 10 flat-footed subjects were divided into 2 groups, one group was experimental group of 5subjects(This group put on microcurrent induction shoes but the subjects were not able to feel the current.) and the other group was the control group of 5subjects(This group put on the general shoes which were similar in shape but microcurrent was not induced.) to perform double blind test and random sampling. Their gait muscle fatigue of 6 regions (vastus medialis, gastrocnemius, tibialis anterior, biceps femoris, erector spinae, and rectus abdominis muscle.) was measured by EMG MP150, Delsys Inc Boston, USA during walking and then they carried out the Harvard step with a platform (It was a arbitrarily made wooden platform of 100cm long, 50cm wide, 60cm high. They carried out climbing it for one second and descending it for one second by using the Metronome program, total 5minutes) for 5minutes. Right after that, the subjects walked on a treadmill at a speed of 4km/h for 10minutes and then their gait muscle fatigue of 6regions was assessed while they were walking on the ground as equally as before exercise. Results: The experimental group has resulted in lower average differences in gait muscle fatigue before and after exercise than those of the control group average 12.24Hz(P=0.009) at vastus medialis, average 8.52Hz(P=0.016) at gastrocnemius, average 9.16Hz(P=0.009) at tibialis anterior, average 8.66Hz(P=0.047) at biceps femoris, average 7.53Hz(P=0.016) at erector spinae, and average 7.80Hz(P=0.047) at rectus abdominis. All of the assessments of muscles have shown significant difference statistically. Conclusions: This result has shown that the use of micro current could decrease gait muscle fatigue of flat-footed people. It is recommended to use a microcurrent to reduce their gait muscle fatigue.

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Human Gait-Phase Classification to Control a Lower Extremity Exoskeleton Robot (하지근력증강로봇 제어를 위한 착용자의 보행단계구분)

  • Kim, Hee-Young
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39B no.7
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    • pp.479-490
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    • 2014
  • A lower extremity exoskeleton is a robot device that attaches to the lower limbs of the human body to augment or assist with the walking ability of the wearer. In order to improve the wearer's walking ability, the robot senses the wearer's walking locomotion and classifies it into a gait-phase state, after which it drives the appropriate robot motions for each state using its actuators. This paper presents a method by which the robot senses the wearer's locomotion along with a novel classification algorithm which classifies the sensed data as a gait-phase state. The robot determines its control mode using this gait-phase information. If erroneous information is delivered, the robot will fail to improve the walking ability or will bring some discomfort to the wearer. Therefore, it is necessary for the algorithm constantly to classify the correct gait-phase information. However, our device for sensing a human's locomotion has very sensitive characteristics sufficient for it to detect small movements. With only simple logic like a threshold-based classification, it is difficult to deliver the correct information continually. In order to overcome this and provide correct information in a timely manner, a probabilistic gait-phase classification algorithm is proposed. Experimental results demonstrate that the proposed algorithm offers excellent accuracy.

The Effect of a Virtual Reality-based Exercise Program Using a Video Game on the Muscle Strength, Balance and Gait Abilities in the Elderly (비디오 게임을 이용한 가상현실 운동 프로그램이 노인의 근력, 균형 및 보행에 미치는 영향)

  • Song, Chang Ho;Shin, Won Seob;Lee, Kyoung Jin;Lee, Seung Won
    • 한국노년학
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    • v.29 no.4
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    • pp.1261-1275
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    • 2009
  • Age related decrease of muscle strength, balance, and gait abilities bring about physical inactivity in the elderly. Virtual reality (VR) training has been used successfully to rehabilitate functional balance and mobility in elderly subjects. This study was aimed at determining the effect of VR-based exercise programs by using a video game on the muscle strength, balance, and gait abilities in the elderly. 48 old people were randomly divided into two groups; VR-group (men: 11, women: 14, age: 68.42yrs) and control group (men: 10, women: 13, age: 67.58yrs). VR-group performed an exercise program twice a week for 8 weeks and control group had no intervention. The VR-based exercise program was composed of warm up(10 mins), VR-program(40 mins), and cool down(10mins). It was performed by playstation eyetoy play that provided visual and auditory feedback as well as movements of the upper and lower extremities. Muscle strengths of the knee and ankle were measured using manual muscle tester. Static balance was estimated using computerized posturography. Dynamic balance was measured by Timed up and go test (TUG), Functional reach test (FRT). 10m walk test and 6-min walk test were used to assess gait abilities. After the completion of the VR-exercise program, muscle strength, balance, and gait abilities were improved significantly (p<0.05). In conclusion, the VR-based exercise program showed improvement on the muscle strength, balance, and gait ability in the elderly. This exercise program is both effective and interesting for this age group.

Effects of Ankle Invertor and Plantar Flexor Stretching on Balance and Walking Ability of Stroke Patients

  • Song, Ji Yoon;Kim, Joong Hwi
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.181-186
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    • 2022
  • Purpose: This study was to applied to stretching plantar flexor and invertor at the same time to observe the effect of balance and walking ability. Methods: Subjects were instructed patients with ankle limited of motion, 6 months after stroke. We classified 20 subjects into two groups (experimental group: stretching plantar flexor and invertor at the same time, control group: only stretching plantar flexor). each group included 10 subjects and applied ankle stretcher for 20 minutes, 5 times/week during 4 weeks (total 20 times). Results: Both experimental group and control group showed significant increases in static balance, however, the significantly increases in step length and gait speed was observed only in the experimental group. There was no significant increases in step length and gait speed in the control group. Conclusion: Simultaneous stretching of ankle invertor and plantar flexion is effective in improving balance and walking ability in chronic stroke patients.

Control Algorithm of a Wearable Walking Robot for a Patient with Hemiplegia (편마비 환자를 위한 착용형 보행 로봇 제어 알고리즘 개발)

  • Cho, Changhyun
    • The Journal of Korea Robotics Society
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    • v.15 no.4
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    • pp.323-329
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    • 2020
  • This paper presents a control algorithm for a wearable walking aid robot for subjects with paraplegia after stroke. After a stroke, a slow, asymmetrical and unstable gait pattern is observed in a number of patients. In many cases, one leg can move in a relatively normal pattern, while the other leg is dysfunctional due to paralysis. We have adopted the so-called assist-as-needed control that encourages the patient to walk as much as possible while the robot assists as necessary to create the gait motion of the paralyzed leg. A virtual wall was implemented for the assist-as-needed control. A position based admittance controller was applied in the swing phase to follow human intentions for both the normal and paralyzed legs. A position controller was applied in the stance phase for both legs. A power controller was applied to obtain stable performance in that the output power of the system was delimited during the sample interval. In order to verify the proposed control algorithm, we performed a simulation with 1-DOF leg models. The preliminary results have shown that the control algorithm can follow human intentions during the swing phase by providing as much assistance as needed. In addition, the virtual wall effectively guided the paralyzed leg with stable force display.

Study on Efficacy of Gait Training for Hemiplegia Patients Using Lower-Limb Wearable Robot (착용형 하지 로봇을 이용한 편마비 보행 재활 훈련 효과에 관한 연구)

  • Ji, Younghoon;Yun, Deokwon;Jang, Hyeyoun;Lee, Dongbock;Khan, Abdul Manan;Kim, Sol;Kim, Mijung;Han, Jungsoo;Han, Changsoo
    • Journal of the Korean Society for Precision Engineering
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    • v.32 no.10
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    • pp.879-883
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    • 2015
  • Conventional gait rehabilitation requires at least three therapists in a traditional rehabilitation training program. Several robots have been developed to reduce human burden and increase rehabilitation efficacy. In this study, we present a lower-limb wearable robot (WA-H) for gait rehabilitation of hemiplegia patients, and propose a protocol of 12 weeks gait rehabilitation training program using WA-H. To identify the efficacy of the robot and protocols, we conducted a clinical study with two actual hemiplegia patients and observed a chronological change of ambulation ability through four assessments. We discovered the progression of results by 6 minute walking test, TUGT (Timed Up and Go Test), SPPB (Short Physical Performance Battery), BBS (Berg Balance Test), and Fugl-Meyer score. The torques generated in the normal side and paralyzed side of the patient became similar, indicating rehabilitation. The result also showed the walking of the paralysis patient improved and imbalance motion had considerable improved performance.