• Journal of Industrial Convergence
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• v.22 no.3
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• pp.51-65
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• 2024

This study aims to understand positive changes in balance and gait function and difficulties in the instructor's guidance process through repetitive basic motor skill-based physical activities targeting people with cerebellar ataxia. For this purpose, five adults with cerebellar ataxia were selected as research subjects, and their three instructors participated as research participants. To collect quantitative data, the average and standard deviation were examined through pre-and post-evaluation of the research participants' physical activity classes for 16 weeks. The mean and standard deviation of the collected data were calculated using the Shapiro-Wilk test in the SAS 9.1 statistical program (p<.05). As a qualitative data collection method, the cultural description method of developmental research(DSR) proposed by Spradley(1980) was adopted, and the collected data were analyzed inductively according to the analysis method of Mertens(1990). Through this, 31 concepts, 10 subcategories, and 4 categories were discovered. As a result, the difficulties experienced by the research participants included insufficient guidance environment, dissatisfaction of consumers, difficulty in guidance, and non-cooperation of colleagues. Based on these research results, it was found that institutional, legal, and policy support should be provided not only to public institutions but also to private physical activity institutions that can use vouchers in order to maintain the balance of adults with cerebellar ataxia as well as to guide their physical activities.

• Physical Therapy Korea
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• v.3 no.1
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• pp.1-11
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• 1996

The purpose of this study was to analyse the subtalar joint movement characteristics in human stance phase. The data of subtalar joint movement patterns are collected by CTA(calcaneus to tibia angle) measurements. CTA is defined as a angle formed between the bisect of the posterior shank and bisect of the posterior heel, as determined by placement of the retroreflective markers. The angle measured in degrees. The participants are 74 healthy individuals (37 men and 37 women) who have no orthopedic and neurological impairment, aged from 19 to 29 years(mean 22.95). Prior to participation, each subjecct informed the procedures of experiment from researcher and assistant researcher. The equipments of this study are walking grid, marking tapes, goniometer, video camera, monitor and ink for foot print are used in the study. In order to determine the statistical significance of result, the paired t-test and Pearson correlation were applied at the 0.05 level of significance. The results were as follows : 1. The reliability of measured CTA value are showed a high correlation, ranged from .86 - .94. 2. The mean value of step width are 7.67cm in men and 6cm in women. So, significant difference between men and women in 0.05 level of significance. 3. There was significant difference between man and women's TOA(toe out angle)(p<0.05). 4. The CTA of female's is more higher than male's one, however not statistical difference between man and women(p>0.05). 5. The CTA is reduced according to increasing TOA(p<0.05).

• Journal of rehabilitation welfare engineering & assistive technology
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• v.6 no.2
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• pp.15-22
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• 2012

The mechanical system of wearable walking assist robot needs to be optimized for adapting with human body structure and the planned control algorithm should have a secure procedure when a incongruity situation which can cause musculoskeletal injury occurs because a wearable robot is attached to a body. The understanding of walking or musculoskeletal motions characteristics must be preceeded and analyzed for developing novel wearable walking assist robot. In this study we tried to find out the capacities of powers and torques of joint actuators to design optimized performances of system and to obtain the analysis data to figure out the characteristics of joint movements during some types of walk. The major types of walk and motion are stair climbing and descending, sit-to-stand motion, and slope walking. In this study all these motions were analyzed experimentally except slope walking.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.7 no.2
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• pp.47-54
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• 2013

In this paper, we present an inertial sensor-based motion capturing system to measure and analyze whole body movements. This system implements a wireless AHRS(attitude heading reference system) we developed using a combination of rate gyroscope, accelerometer and magnetometer sensor signals. Several AHRS modules mounted on segments of the patient's body provide the quaternions representing the patient segments's orientation in space. We performed 3D motion capture using the quaternion data calculated. And a method is also proposed for calculating three-dimensional inter-segment joint angle which is an important bio-mechanical measure for a variety of applications related to rehabilitation. To evaluate the performance of our AHRS module, the Vicon motion capture system, which offers millimeter resolution of 3D spatial displacements and orientations, is used as a reference. The evaluation resulted in a RMSE of 2.56 degree. The results suggest that our system will provide an in-depth insight into the effectiveness, appropriate level of care, and feedback of the rehabilitation process by performing real-time limbs or gait analysis during the post-stroke recovery process.

• Journal of the Korean Society of Physical Medicine
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• v.12 no.3
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• pp.99-104
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• 2017

PURPOSE: Gait disturbances in patients with hemiplegic stroke involve asymmetry of stance time. Step box training is used to supplement the limitations of stair walking training and increasing the torque value of the paralyzed lower leg's strength. This study aimed to investigate whether step-up training on unstable support could change walking ability in patients with chronic stroke. METHODS: Thirty stroke patients were randomly assigned to the step-up training group (experimental group), that performed training on an unstable surface, and the control group, that performed training on a stable surface. Walking speed, step length, and cadence were measured before and after training. Paired t-tests were used to compare pre- and post-intervention data, while the independent samples t-test was used to determine intergroup differences. Values of p < .05 were considered statistically significant. RESULTS: There was a significant difference in walking ability before versus after the intervention in both groups, although the experimental group showed greater differences than the control group (walking velocity by 8.1%; step length of the non-paralyzed side by 6.9%, respectively; p<.05). CONCLUSION: Step-up training might be more effective on an unstable surface than on a stable surface for increasing walking speed and step length of the non-paralyzed side.

• Journal of Korean Clinical Nursing Research
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• v.23 no.3
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• pp.350-360
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• 2017

Purpose: The purpose of this study was to investigate the present status of falls among inpatients in general hospitals and to identify the fall risk factors that reflect the characteristics of domestic hospitals. Methods: Data were collected between December 15, 2016 and January 15, 2017 from 32 Korean hospitals having 500 or more beds. First, 42 risk factors were extracted based on literature review and expert opinions. Then the importance of each factor was evaluated by 223 nurses from medical and surgical adult ward and intensive care units in 40 hospitals. Results: The incidence rate of falls in 18 hospitals was 3.87 per 1,000 total discharged patients and 0.55 per 1,000 patient-days, and the rate of injury-related falls was 40.5%. Major risk factors for falling were identified as the following: being over 65 years of age, history of falls during admission, physical mobility disorders requiring assistance, physical factors (dizziness or vertigo, unstable gait, general weakness, walking aids, visual problems), cognitive factors (delirium, lack of understanding on limitations), neurological disease, CNS medications Conclusion: The findings provide information that can be in the development of a fall risk assessment tool for inpatients in general hospitals in Korea.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.34 no.6C
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• pp.593-603
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• 2009

In this paper, we propose a new integrated computer vision system designed to track multiple human beings and extract their silhouette with an active stereo camera. The proposed system consists of three modules: detection, tracking and silhouette extraction. Detection was performed by camera ego-motion compensation and disparity segmentation. For tracking, we present an efficient mean shift based tracking method in which the tracking objects are characterized as disparity weighted color histograms. The silhouette was obtained by two-step segmentation. A trimap is estimated in advance and then this was effectively incorporated into the graph cut framework for fine segmentation. The proposed system was evaluated with respect to ground truth data and it was shown to detect and track multiple people very well and also produce high quality silhouettes. The proposed system can assist in gesture and gait recognition in field of Human-Robot Interaction (HRI).

• Korean Journal of Applied Biomechanics
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• v.20 no.1
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• pp.91-99
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• 2010

The purpose of this study was to the kinetic variables effects from the use of arch support inserts on low-arched people. We selected 10 people for the research and separated them into 2 groups, 5 people for the normal arched group and 5 people for the low arched group. Each group wear shoes which have a 3 step convertible arch support (level 0, level 2, level 5) and we measured their foot pressure and 3D motion analysis data. As a result, we found that the mean pressure at the heel of the low arched group was decreased when using the arch supports. The arch support induced the correct grounding area for the foot and dispersion of foot pressure. 3D motion analysis found that as the height of the arch support was increased, the movement of the Y-axis(inversion-eversion) was increased to relieve the shock to the heel. The arch support insert limited the range of motion(ROM) of the Z-axis(abduction-adduction) of the low arched person's ankle joint and prevented ankle injury caused by the excessive eversion when walking. Low arched people are seen to be easily tired due to the ineffective shock absorption of the knees and abnormal walking motion. In order to improve the problems, a 3 step convertible arch support(level 5) insert would improve the low-arched people's walking ability. In other words, the low arched people should be expected to walk as well as normal arched people when they wear shoes with the arch support insert.

• The Journal of the Korea Contents Association
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• v.13 no.10
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• pp.444-451
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• 2013

The purpose of this study was to investigate the changes in temporospatial variables in healthy elderly and healthy adults during usual walking, narrow base walking and centerline-guided walking. Twenty healthy elderly and nineteen healthy adults were participated in this study. In each conditions, the subjects were walked on a 6m walkway at comfortable self-selected speeds under three conditions : (1) usual walking, (2) walking within a 50% of the distance between the subject's ASIS (3) walking along a centerline. GAITRite system was used for kinematic analysis to assess the temporospatial variables. There were no significant changes in healthy adults(p>.05), but walking speed, cadence, H-H base support, functional ambulation performance were significantly decreased progressively as pathway narrowed in elderly adults(p<.05). The results show that elderly people had more difficulty with walking on narrow pathway for fear of falling. This study provides data for use in basic research into safe walking and preventing falling for elderly.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.38 no.6
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• pp.585-592
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• 2014

In this study, a multibody simulator was developed to analyze the bio-mimetic motion of a lizard robot design. A RecurDyn multibody dynamics model of a lizard was created using a micro-computerized tomography scan and motion capture data. The bio-mimetic motion simulator consisted of a trajectory generator, an inverse kinematics module, and an inverse dynamics module, which were used for various walking motion analyses of the developed lizard model. The trajectory generation module produces spinal movements and gait trajectories based on the lizard's speed. Using the joint angle history from an inverse kinematic analysis, an inverse dynamic analysis can be carried out, and the required joint torques can be obtained for the lizard robot design. In order to investigate the effectiveness of the developed simulator, the required joint torques of the model were calculated using the simulator.