• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1998년도 추계학술대회
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• pp.88-89
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• 1998

In this paper, a transfemoral prosthesis with a microprocessor controlled pneumatic knee developed at KOREC is presented. The resistance of the knee is changed automatically via a microprocessor as the amputee's gait speed changes, so that the prosthetic side of the amputee can follow the sound limb. Gait analysis has been conducted to evaluate the performance of the developed prosthesis and the improvement of the gait pattern including the gait symmetry was observed.

• 한국운동역학회지
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• 제29권1호
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• pp.23-32
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• 2019

Objective: The aim of this study was to provide kinematic data on the characteristics of spinal disease patients by comparing and analyzing kinematic variables related to foot balance and gait pattern of spinal disease. Method: The subjects of the study included 40 adult men and 60 adult women who visited the hospital in Busan. Patients who were diagnosed with spinal disease by a physician through X-ray examination were selected as subjects for the diagnosis of vertebral disc herniation, spinal stenosis, spinal disease diagnosed with spinal disease and the general public. Left and right foot pressure and contact area were checked by Gaitview pro meter. X-ray photographs were taken with a Zen-2090 mobile fluoroscopy under physicians' direct participation. One-way ANOVA was performed to compare the differences between the kinematic variables and post-hoc was performed by the Duncan method. Results: The difference in contact area between the left foot and the right foot was $115.30{\pm}14.15cm^2$ in the left side and $124.25{\pm}13.65cm^2$ in the left side in the spinal disease patients. The difference in pressure between the left and right side of the spinal disease patients was wider than that of the general people. Especially, the right side of the spinal disease patients showed a larger area of left foot contact than the general population. Conclusion: Spinal disease patients have wider contact area of the left foot than those of the general population. In the case of right spinal disease, the left foot support area is widened due to pain. In the gait, women showed slightly more posterior body center than men, and the upper body muscle imbalance and immobilization due to the spinal disease caused imbalance of the muscles moving to the lower limb, It was analyzed to inhibit movement.

• 대한물리의학회지
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• 제17권3호
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• pp.59-67
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• 2022

PURPOSE: This study examined the effectiveness of task gait exercise combined with self-observation training to provide basic clinical data by analyzing the factors that task gait exercise combined with self-observation training has on the leg muscle activity and gait improvement in stroke patients. METHODS: The subjects were assigned randomly to experimental Group I, which mediated task gait exercise combined with self-observation training, and experimental Group II, which mediated task-walking movement. They received 30-minute interventions three times a week for four weeks. The leg muscle activity and 10 m walking test (10MWT) were conducted as pre-intervention tests, and they underwent a post-test four weeks later in the same manner as the pre-test. RESULTS: A statistically significant difference was observed in all muscles and 10MWT (p < .01) in experimental group I (p < .05), while there were significant differences only in the rectus femoris, biceps femoris, and 10MWT (p < .05). In a comparison of the changes between groups, there were statistically significant differences only in the tibialis anterior, soleus muscle, and 10MWT (p < .05). CONCLUSION: Self-observation training in experimental group I was effective in increasing the leg muscle activity and improving walking speed by discovering and correcting incorrect movements and following a normal gait pattern using the ankle joint. Therefore, the task gait exercise combined with self-observation training should be introduced and actively utilized for the rapid social recovery of stroke patients.

• 재활복지공학회논문지
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• 제7권2호
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• pp.75-84
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• 2013

본 연구에서는 근전도 신호를 이용하여 보행주기에 따른 패턴 및 특징을 시간영역과 주파수영역으로 나누어 분석하였다. 보행주기를 입각기와 유각기로 나누어 평지보행과 계단보행 실험을 실시하여 그 결과를 분석하였으며, 이때 시상면에서의 하퇴부 각도와 대퇴사두근과 대퇴이두근의 근전도 신호를 대상으로 하였다. 하퇴부의 기울기는 모든 보행에서 HS일 때 가장 큰 기울기 값을 나타내었으며, TO일 때 가장 낮은 값을 나타내었다. 시간영역에서의 근전도 분석은 모든 보행에서 보행주기에 따라 IEMG가 일정한 패턴을 보였으며, 보행 종류 및 주기 판단에 가장 용이할 것으로 판단된다. 주파수영역에서의 분석은 시간에 따른 주파수 분석이 가능한 STFT법을 사용하였으며, 기울기센서를 이용하여 보행주기를 구분하고자 하였다. 또한 STFT한 결과를 스펙트럼으로 나타내어 분석하였으며, 모든 보행에서 입각기가 유각기보다 더 높은 주파수를 가지는 것을 확인하였다. 본 연구를 통하여 근전도와 시상면에서의 하퇴부 기울기를 이용하여 보행주기 판단 및 분석의 가능성을 확인하였으며, 이를 활용하면 하지 절단환자의 보행의지를 판단하여 의족제어 및 효율적 재활에 기여할 수 있을 것으로 판단된다.

• 한국산학기술학회논문지
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• 제19권10호
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• pp.515-522
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• 2018

본 연구는 속도 방식에 따른 보행훈련이 일반 성인의 호흡기능에 어떠한 영향을 미치는지 알아보고자 하였다. 연구 대상자 37명을 세 그룹으로 나누어 각각 속보, 평보, 교대 보행훈련을 실시하였다. 보행 훈련은 트레드밀 위에서 시행되었고, 60분간 시행하였으며 주당 3회, 6주간 실시하였다. 흡기 압력과, 최대 흡기량 및 가로막 움직임 크기 변화가 측정되었고, 반복 측정분산분석을 사용하여 시간별, 집단간 차이 및 상호작용을 분석하였다. 흡기 압력의 경우 시기에 따라 유의한 차이가 있었으며, 시기와 집단 간의 상호작용에서 유의한 차이가 있었다. 최대 흡기량의 경우 역시 시기에 따라 유의한 차이가 있었으며, 시기와 집단 간의 상호작용에서 유의한 차이가 있었다. 가로막 움직임 크기 변화의 경우 시기에 따라 유의한 차이가 있었고, 시기와 집단 간의 상호작용에서 또한 유의한 차이가 있었으며, 각 그룹 간에 유의한 차이가 있었다. 사후검정을 시행한 결과 교대군과 평보군 사이에 유의한 차이가 있었다. 이상과 같은 결과로 볼 때 빠른 속도와 느린 속도를 병행하는 보행 훈련이 가로막 움직임 변화에 더 긍정적인 효과를 나타내는 것을 알 수 있었다.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2003년도 ICCAS
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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.

• 로봇학회논문지
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• 제12권2호
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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.

• PNF and Movement
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• 제9권4호
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• pp.49-55
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• 2011

Purpose : The aim of this study was to identify of bilateral trunk rotation(BTR) exercise and PNF exercise on gait in the individuals with malalignment syndrome. Methods : Subjects were 32 that were divided 2 groups in 20's generation. Interventions were trunk ratation exercise and PNF exercise. We used Medex for trunk rotation exercise. BTR group received exercise for three-sets (10min/set) along with stretching exercise ten-minutes, 3 times per week. PNF group took turns the D1 pattern in upper extremity and the D1 pattern in the opposite side of lower extremity for three-sets (10min/set). The measurement were force metatarsal 1 (FM 1), impulse metatarsal 1 (IM 1), force heel lat (FHL), impulse heel lat (IHL) by using footscan (RS scan). Statistical method was repeated measurement of ANOVA and p value was 0.05. Results : BTR and PNF group were significantly different in time(FM 1, IM 1, FHL, IHL). As different of right/left, BTR and PNF exercise were significantly different in FM 1, IM 1, FHL. Conclusion : BTR exercise was good exercise for malalignment but needs expensive equipment, for example, Medex. PNF exercise doesn't need expensive equipment but good method in malalignment syndrome person for gait ability. If PNF exercise is more experiment, PNF exercise could use variety for more patients.

• 대한물리의학회지
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• 제8권1호
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• pp.49-58
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• 2013

PURPOSE: The purpose of this study was to determine if auditory cues velocity has a greater effect on the gait pattern of patients with Parkinson's disease (PD) than the cues applied individually. METHODS: The subjects were 15 elderly patients diagnosed with PD, 15 healthy elderly persons. Patients were measured of three conditions performed in random order: slow, general, fast. The auditory cue velocity consisted of a metronome beat ${\pm}20%$ than the subject's general gait speed. Using a motion analysis and a force platform measurement system, changes in spatiotemporal variables, kinetic and kinematic variables were compared to gait analysis. RESULTS: Comparison between the auditory cues velocity, there was a significant difference in the spatiotemporal variables with regard to the cadence, stride length, support time, step length, double support time (p<.05). Comparison between the auditory cues velocity, there was a significant increase general and fast velocity gait than slow velocity gait in the maximum flexion in swing phase of knee joint (p<.05). There appears to be the aspect of an increasing ground reaction force (GRF) on the first peak in the vertical axis (p<.05). CONCLUSION: Auditory cues velocity improved of spatio-temporal factors, kinematic and kinetic factors depending on the velocity of the faster. Therefore at the rehabilitation training of PD patients auditory cues velocity would be used for recovery and gait reeducation, may arise through the patients functional ability.

• 대한중풍순환신경학회지
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• 제14권1호
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• pp.40-48
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• 2013

■ Objectives This study was designed to investigate the effects of an ankle foot orthosis(AFO) on gait of two hemiparetic stroke patients with foot drop. ■ Methods Gait of two hemiparetic stroke patients were analyzed during walking on the treadmill without or with AFO application. The spatiotemporal and center of pressure(CoP) intersection parameters of gait analysis were measured using a treadmill gait analysis system. ■ Results The AFO had positive effects on hemiparetic gait parameters; increasing cadence, increasing step length, decreasing step time, stride time, and lateral symmetry. ■ Conclusion Hemiparetic gait was improved by ankle foot orthosis.