• Title/Summary/Keyword: Gait Control

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Effects of a 8-week Tai Chi Exercise Program on the Risk Factors for Falls in the Elderly with Osteoarthritis (8주간의 타이치 운동 프로그램이 골관절염 노인환자의 낙상 위험요인에 미치는 효과)

  • Lee, Eun-Nam;Yoo, Young-Won
    • Journal of muscle and joint health
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    • v.11 no.1
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    • pp.61-73
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    • 2004
  • Purpose: The purpose of this study was to determine the effects of a 8- week Tai Chi exercise program on improving the risk factors for falls in the older adults with chronic arthritis pain. Method: Fifteen subjects were assigned for experimental group and thirteen were assigned for control group. The subjects of the experimental group participated in a 8 -week program of Tai Chi exercise. In order to evaluate the effects of Tai Chi program, pain intensity, postural stability, balance, gait, and flexibility of knees and ankles were measured before the first and after the 8th session Result: After a 8-week Tai Chi program, there were significant improvement in single-leg stance time with eyes open(left: p=.000, right: p=.003), total scores of balance(p=.004), total scores of gait(p=.005), and the angle of ankle dorsiflexion(p=.008) in the experimental group when compared to the control group. However, there was no significant difference in pain intensity between Tai Chi group and control group(p=.054). Conclusion: These results suggest that a 8-week Tai Chi exercise program can be utilized as a safe and effective nursing program to improve on improving the risk factors for falls in the older adults with osteoarthritis.

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The Effect of Obstacle Height on Balance Control While Stepping Over an Obstacle From a Position of Quiet Stance in Older Adults (노인의 정적인 자세로부터 장애물 보행 시 장애물 높이의 변화가 평형감각에 미치는 효과)

  • Kim, Hyeong-Dong
    • The Journal of Korean Physical Therapy
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    • v.21 no.3
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    • pp.75-80
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    • 2009
  • Purpose: The purpose of this study was to examine the effect of an obstacle height on the balance control of older adults while stepping over an obstacle from a position of quiet stance. Methods: Fifteen community-dwelling healthy older adults (mean age, $74.4\pm4.27$ yrs; age range, 67-82 yrs) volunteered to participate in this study. The subjects performed gait initiation (GI) and they stepped over obstacles of two different heights (10 cm and 18 cm) at a self-paced speed from a position of quiet stance. Their performance was assessed by recording the changes in the displacement of the COP in the anteroposterior (A-P) and mediolateral (M-L) directions using a force platform. Results: The M-L displacement of the COP significantly increased for an 18 cm obstacle height condition as compared to the GI and a 10 cm obstacle height condition (p<0.01). Furthermore, the M-L displacement of the COP for a 10 cm high obstacle was significantly greater for that for the GI (p<0.01). However, the mean of the A-P displacement of the COP was similar between the stepping conditions for the A-P displacement of the COP (p>0.05). Conclusion: This study suggests that the M-L COP displacement could be a better parameter to identify the dynamic balance control in older adults when negotiating obstacles.

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Effects of 6 Week Thoracic Flexibility Exercise on Balance, Gait Parameters and Fall Risk in Patients with Chronic Stroke; A randomized controlled study (6 주간의 체간 유연성 운동이 만성 뇌졸중 환자의 균형과 보행, 낙상 위험도에 미치는 영향)

  • Park, Donghwan;Lee, Kang-Seong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.498-507
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    • 2020
  • The purpose of this study was to examine the effects of thoracic flexibility exercise on sitting balance, static standing balance, gait parameters, and the fall risk of patients with chronic stroke. The participants were randomized into the control (n=12) and thoracic flexibility exercise groups (n=12). Both groups received standard rehabilitation therapy for 30 minutes per session. The subjects in the experimental group performed additional thoracic flexibility exercises 3 times a week for 6 weeks. The trunk impairment scale, static standing balance, gait speed, cadence, and fall risk were assessed for all the participants before and after the intervention. The thoracic flexibility exercise group showed greater improvement than did the control group on the trunk impairment scale (t=-3.57, p=.002), static standing balance (t=5.37, p<.001), gait speed (t=-3.29, p=.003), cadence (t=-2.77, p=.011), and fall risk (t=6.33, p<.001). Furthermore, the thoracic flexibility exercise group significantly improved all the outcomes compared to the baseline values (P<.05). This study showed that the thoracic flexibility exercise improved the functional ability of patients with chronic stroke.

Effects of Side Walking Training on Balance and Gait in Stroke Patients (측방보행 훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향)

  • Jeon, Seon-Bok;Choi, Hyun-Suk
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.541-548
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    • 2015
  • The purpose of this study was to examine the effect of Side walking training on the balance (Functional Gait Assessment; FGA, Timed Up & Go Test; TUG) and gait (10 meter Walking Test; 10 mWT) of stroke patients. 28 stroke patients were randomly allocated to an experimental group(side walking Training) and control group(forward walking training) of 14 patients each. both groups received rehabilitative physical therapy for during 4 weeks. The experimental group was asked to participate in Side walking training for 20 minutes per day 3 times per week during 4 weeks. The control group was asked to participate in forward walking training for 20 minutes per day 3 times per week during 4 weeks. There were significantly increase by side walking training in outcome of the balance from the FGA was increase from 16.86 score to 18.64 score(p<.05), TUG was decrease from 26.03 sec to 22.43 sec(p<.05) and 10 mWT was decrease from 21.90 sec to 19.10 sec(p<.05), Therefore side walking training is to promote balance and gait in stroke patients will be able to offer useful training.

The Effects of Rehabilitation Exercise Using a Home Video Game (PS2) on Gait Ability of Chronic Stroke Patients (가정용 게임기를 이용한 재활운동이 뇌졸중 환자의 보행 능력에 미치는 효과)

  • Shin, Won-Seob;Lee, Dong-Yeop;Lee, Seung-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.1
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    • pp.368-374
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    • 2010
  • The purpose of this study was investigate the effect of rehabilitation exercise using a home video game(PS2, Sony) on gait ability in the chronic stroke patients. The subjects of this study were 32 patients who underwent stroke for more than 6 months and were assigned to a game-based exercise group (n=16) or a control group (n=16). The Game-based exercise group executed a rehabilitation exercise three times a week during 6 weeks, at the rehabilitation unit. The exercise was performed by PS2 for one hour. Control group maintained their usual life without application of exercise. Outcome measures included gait ability. After the completion of the game-based exercise, 10m walking velocity was improved significantly (p<0.05). Six minute walking distance was increased significantly (p<0.05). These results showed that the rehabilitation exercise using a home video game is effective in the improvement of gait ability in chronic stroke patients. This study suggest that interesting, motivating game-based rehabilitation exercise and effective in recovery of function exercise for chronic stroke patients should be necessary to develop and apply.

Navigation algorithm of Mobile Robot for helping brain disease patient's gait rehabilitation

  • Cho, Young-Chul;Park, Tong-Jin;Park, Bum-Suk;Han, Chang-Soo
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.1781-1785
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    • 2004
  • In existing factory, robot has less necessity that consider person. However, person should be considered at design and use of service robot. To service robot can be used in everyday life along with this, more functions are required. Specially, medical service robot needs function that is intelligence function. Especially, to help patient brain disease patient (cerebral hemorrhage, cerebral infarction, imbecility), gait assistance Mobile robot consider ergonomic element necessarily. In order to develop the medical support service robot, the ergonomic design should be considered. This robot ergonomic design parameters are treated in ("evelopment of Medical Support Service Robot Using Ergonomic Design" 2003, ICASS) Fig2 show this Robot. In this study, navigation algorithm of walk assistance robot is analyzed in ergonomic view. Navigation algorithm of Mobile robot can divide by two patterns. Traditional derivative method has shortcoming in dynamic environment. Reactive method is result that react excellently in dynamic environment. However, number of behavior function is limited. So hybrid navigation algorithm was proposed by the alternative way. We consider enough user specificity at navigation algorithm application of gait assistance robot.

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Development of the Medical Support Service Robot Using Ergonomic Design

  • Cho, Young-Chul;Jang, Jae-Ho;Park, Tong-Jin;Han, Chang-Soo
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.2660-2664
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    • 2003
  • In this study, the concept of autonomous mobility is applied to a medical service robot. The aim of the development of the service robot is for the elderly assisting walking rehabilitation. This study aims that the service robot design parameter is proposed in ergonomic view. The walking assistant path pattern is derived from analyzing the elderly gait analysis. A lever is installed in the AMR in order to measure the pulling force and the leading force of the elderly. A lever mechanism is applied for walking assistant service of the AMR. This lever is designed for measuring the leading force of the elderly. The elderly adjusts the velocity of the robot by applying force to the lever. The action scope and the service mechanism of the robot are developed for considering and analyzing the elderly action patterns. The ergonomic design parameters, that is, dimensions, action scope and working space are determined based on the elderly moving scope. The gait information is acquired by measuring the guide lever force by load cells and working pattern by the electromyography signal.

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Immediate Effects of Low-Dye Taping on the Ankle Motion and Ground Reaction Forces in the Pronated Rear-Foot During Gait

  • Kim, Sung-shin;Chung, Jae-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.72-79
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    • 2016
  • Background: Increased foot pronation causes biomedchanical changes at the lower limbs, which may result in musculoskeletal injuries at the proximal joints. Pronation rear-foot leads to plantar fasciitis, Achilles tendonitis, and posterior tibial tendonitis pathologically. According to the recent meta-analysis, They showed that therapeutic adhesive taping is more effective than foot orthoses and motion control footwear, low-Dye (LD) taping has become the most popular method used by physiotherapists. Objects: The purpose of this study was to determine the immediate effects of LD taping results in different ankle motion and ground reaction force (GRF) as before and after applied LD taping on pronated rear-foot during gait. Methods: Twenty-four participants were recruited for this study. The gait data were recorded using an 8-camera motion capture system and two force platforms. At first, the experiments were carried out that participants walked barefoot without LD taping. And then they walked both feet was applied LD taping. Results: The ankle inversion minimum was significantly greater after LD taping than before LD taping (p=.04); however, in the GRF, there were no significant differences in the inversion maximum or total motion of the stance phase (p=.33, p=.07), or in the vertical (p=.33), posterior (p=.22), and lateral (p=.14) peak forces. Conclusion: The application of taping to pronation rear-foot assists in increased ankle inversion.

WalkON Suit: A Wearable Robot for Complete paraplegics (WalkON Suit: 하지 완전마비 장애인을 위한 웨어러블 로봇)

  • Choi, Jungsu;Na, Byeonghun;Jung, Pyeong-Gook;Rha, Dong-wook;Kong, Kyoungchul
    • The Journal of Korea Robotics Society
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    • v.12 no.2
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    • pp.116-123
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    • 2017
  • Wearable robots are receiving great attention from the public, as well as researchers, because its motivation is to improve the quality of lives of people. Above all, complete paraplegic patients due to spinal cord injury (SCI) might be the most adequate target users of the wearable robots, because they definitely need physical assistance due to the complete loss of muscular strength and sensory functions. Furthermore, the medical care of complete paraplegics by using the wearable robots have significantly reduced the mortality rate and improved the life expectancy. The requirements of the wearable robot for complete paraplegics are actuation torque, locomotion speed, wearing sensation, robust gait stability, safety, and practicality (i.e., size, volume, weight, and energy efficiency). A WalkON Suit is the wearable robot that has satisfied the requirements of the wearable robot for complete paraplegics and participated in the powered exoskeleton race of Cybathlon 2016. In this paper, configuration of the WalkON Suit, human-machine interface, gait pattern, control algorithm, and evaluation results are introduced.

Gait Planning of Quadruped Walking and Climbing Robot in Convex Corner Environment

  • Loc, Vo Gia;Kang, Tae-Hun;Song, Hyun-Sup;Choi, Hyouk-Ryeol
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.314-319
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    • 2005
  • When a robot navigates in the real environment, it frequently meets various environments that can be expressed by simple geometrical shapes such as fiat floor, uneven floor, floor with obstacles, slopes, concave or convex corners, etc. Among them, the convex corner composed of two plain surfaces is the most difficult one for the robot to negotiate. In this paper, we propose a gait planning algorithm to help the robot overcome the convex environment. The trajectory of the body is derived from the maximum distance between the edge boundary of the corner and the bottom of the robot when it travels in the convex environment. Additionally, we find the relation between kinematical structure of the robot and its ability of avoiding collision. The relation is realized by considering the workspace and the best posture of the robot in the convex structure. To provide necessary information for the algorithm, we use an IR sensor attached in the leg of the robot to perceive the convex environment. The validity of the gait planning algorithm is verified through simulations and the performance is demonstrated using a quadruped walking robot, called "MRWALLSPECT III"( Multifunctional Robot for WALL inSPECTion version 3).

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