• Title/Summary/Keyword: Gait Pattern Change

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Change of gait pattern of a patient with ataxic gait by cerebellar infarction (소뇌 경색 환자의 임상양상에 따른 보행의 변화)

  • Hong, Haejin;Choi, Sanho;Lee, Ilsuk;Oh, Jaegun;Sung, Kang-keyng;Lee, Sangkwan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.31-39
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    • 2013
  • ■ Objectives The goal of this pilot study is to observe the change of gait pattern according to the clinical status in a patient with ataxic gait by cerebellar infarction. ■ Methods We measured the spatiotemporal gait parameters of a patient with ataxic gait four times, in which, first, the patient was not able to walk independently, second, able to walk independently, third, unable to walk independently by general tremor, and, last, able to walk independently after disappearing of general tremor. ■ Results When a patient with cerebellar ataxic gait was able to walk independently and the cerebellar tremor was disappeared, the change of gait pattern was that step and stride length decreased and total double support and stance phase increased. ■ Conclusion When different clinical characteristics were improved, the change of gait showed same pattern.

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A Case Report on Gait Pattern Change of Unilateral Knee Pain Patient Treated by Korean Medicine: Focused on Gait Analysis Results. (편측 슬관절 통증을 호소하는 환자의 증상 개선에 따른 보행 척도의 변화 보고: 보행 분석을 중심으로)

  • Chu, Hong-Min;Kim, Kwang-Ho;Lee, Young-Ung;Park, Kyung-Tae;Jang, Jong-Won;Kim, Sun-Kyung;Lim, Hyeon-Seo;Kim, Cheol-Hyun;Lee, Sang-Kwan;Sung, Kang-Keyng
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.1
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    • pp.147-155
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    • 2020
  • Objectives : The aim of this study was to analyze changes in the gait pattern of a unilateral knee pain patient after treatment with Korean Medicine therapy. Methods : We conducted gait analysis 4 times over 11 days to analyze changes in gait parameters using gait analysis systems. Results : Velocity, cadence, step length, and stride length were all increased. On the collateral side, both stance phase and double support (%) decreased. These results are similar to those of hemiplegic patients with improvement patterns. Conclusions : Gait analysis could be used as a good evaluation tool for tracking improvements in knee pain.

A Study on the Gait Test Human Dynamic Simulation Using Gait Motion Capture and Foot Pressure Measurement : Analysis of Gait Pattern with Wearing Military Equipment of Korean Male Adult (Gait Motion Capture 및 족압 측정을 이용한 보행특성시험 및 동력학적 인체 시뮬레이션 연구 : 한국인 성인 남자의 군장착용 보행 특성 해석)

  • Lee S.H.;Lee Y.S.;Choi Y.J.;Lee J.W.;Chae J.W.;Choi E.J.;Kim I.W.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.877-880
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    • 2005
  • This paper suggests gait analysis and gait simulation method using Gait Motion Capture equipment and plantar pressure measurement system. The gait of normal person and how it will be effected by added weight with wearing military equipments are studied by suggested method. It is measured that a change of gait pattern when wears military equipments with Korean male adult(height 180 cm, weight 70 kg) and simulated its results.

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Change of gait pattern of a patient with cerebral stroke by peroneal nerve stimulation therapy (뇌졸중 환자의 비골신경 자극에 따른 보행 양상의 변화)

  • Choi, Sanho;Lee, Ilsuk;Hong, Haejin;Oh, Jaegun;Sung, Kang-keyng;Lee, Sangkwan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.61-70
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    • 2013
  • ■ Objectives The goal of this pilot study is to observe the change of gait pattern in a patient after peroneal nerve electrical stimulation(PNST). ■ Methods We analyzed the gait pattern of stroke patient using treadmill gait analysis system before and after PNST for seven weeks. The PNST was carried out for 20minutes every day except Sunday. In addition, the measurement was carried out every Saturday. At the fifth week, the PNST was not carried out to confirm whether the effect of PNST was disappeared immediately when PNST was not applied. ■ Results After PNST, while heel contact time and heel max force increased and forefoot and midfoot max force decreased, the gait parameters such as cadence, velocity, swing phase, stance phase, total double support, step length, stride length, step time, stride time and forefoot contact time, were not changed. ■ Conclusion Gait of a patient with cerebral stroke was changed positively after PNST.

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Comparative gait characteristics of infant and adults (유아와 성인의 보행 특성 비교)

  • Chang, Y.H.;Yang, G.T.;Im, S.H.;Mun, M.S.;Lee, K.O.;Kim, M.Y.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.86-87
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    • 1998
  • To understand the developmental process of the gait pattern from infancy to the adult, a gait analysis for a 14 months female infant has been performed for ten weeks. The gait parameters has been measured every other week since the week when she was able to walk without aid. The infant gait data at the tenth week of the test shows a similar pattern to the adult gait in many aspects including initial knee flexion, initial ankle dorsiflexion, the push-off pattern, etc. There is not a significant change in the hip flexion angle from week to week from the two weeks after the test started. To check the individuality in the collected data, more infant subjects are being tested presently.

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The effect of taping therapy on hemiplegic gait (테이핑 요법이 편마비 환자의 보행에 미치는 영향)

  • Lee, Ilsuk;Lim, Hyungmoon;Choi, Sanho;Oh, Jaegun;Lee, Sangkwan;Sung, Kang-keyng
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.49-60
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    • 2013
  • ■ Objectives The aim of this study is to analyze the change of gait pattern by the taping therapy in a hemiplegic patient. ■ Methods We conducted the taping therapy for 7 days to affected ankle joint of hemiplegic patient and analyzed the change of gait pattern using Treadmill Gait analysis equipment(Zebris Co.Ltd FDM-T) ■ Results In terms of affected side, cadence, total double support, step length and stance phase decreased, while swing phase and step time increased by taping therapy. In terms of unaffected side, step length increased by taping therapy. Center of pressure intersection point moved to posterior and affected side in cyclogram pattern. ■ Conclusion Taping therapy to affected ankle joint of hemiplegic patient would be advantages to gait improvement in hemiplegic patients.

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Biomechanical Analysis of the Elderly Gait with a Walking Assistive Device (노인의 보행보조기구 사용 보행시 보행패턴의 변화연구)

  • Yoon, Suk-Hoon
    • Korean Journal of Applied Biomechanics
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    • v.17 no.2
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    • pp.1-9
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    • 2007
  • Walking is not only an essential component of the human mobility, but also is a good exercise. Inability to walk freely can reduce an individual's quality of life and independence substantially. Being a relatively low impact activity, walking is particularly good for the elderly and research has shown that regular walking in the elderly reduces the chance of fall-related injuries and mental diseases as well. In spite of the documented benefits of regular walking, it is still difficult to walk without the aid of assistive devices for the frail elderly who have lower extremity problems. Assistive walking devices(AWD), such as crutches, canes, hiking-poles, T-Poles and walkers, are often prescribed to the elderly to make their walking be safe and efficient. Many researchers have demonstrated the effects of AWDs such as reducing lower extremity loading, improved dynamic/gait stability, yet, no study has been done for gait pattern when the elderly gait with AWDs. Therefore, the purpose of this study was to examine whether T-Poles, one of the AWDs, change the elderly gait pattern. Eight community-dwelling female elderly participated in this study. Laboratory kinematics during walking with T-Poles(PW) and with out T-Poles(NPW) was assessed. PW showed significant increase in step width, stride length, gait velocity and decrease in swing time. No significances were found in lower body joint angles but meaningful trend and pattern were found. Maybe the reason was due to the participants. Our participants were healthy enough so that the effect of T-Poles was minimum. PW also showed typical gait phases which are no single support phase during a gait cycle. It indicates that walking with T-Poles may guarantee safe and confident walking to the frail elderly.

The effect of arm sling during hemiplegic gait (팔걸이가 편마비 환자의 보행에 미치는 영향)

  • Lee, Ilsuk;Lim, Hyungmoon;Choi, Sanho;Oh, Jaegun;Sung, Kang-keyng;Lee, Sangkwan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.80-89
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    • 2013
  • ■ Objectives The aim of study is to analyze the change of gait pattern by arm sling in a hemiplegic patient. ■ Methods We analyzed the change of gait pattern under three conditions using Treadmill Gait analysis equipment(Zebris Co.Ltd FDM-T) First, the patient didn't have arm sling on her upper limb, second, the patient have arm sling on her affected upper limb, third, patient have arm sling on her unaffected upper limb. ■ Results In terms of spatiotemporal gait values, swing phase, step time, step length of unaffected lower limb increased. Furthermore, stride time and stride length also increased when the patient had arm sling on her unaffected upper limb. In terms of displacement of Center of pressure(CoP), anterior/posterior position and lateral symmetry of CoP increased. Furthermore, lateral symmetry of decreased when the patient had arm sling on her affected upper limb. ■ Conclusion Arm sling applied on affected side would be advantage to gait improvement in hemiplegic patients.

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Plantar Hypoesthesia Alters Gait Kinematics Pattern in Individuals with and without Chronic Ankle Instability (만성 발목 불안정성 환자군과 정상인 군의 발바닥 감각기능 저하에 따른 운동학적 보행 패턴의 변화)

  • Kang, Tae Kyu;Lee, Sae Yong;Lee, Inje;Kim, Byong Hun;Jeong, Hee Seong;Kim, Chang Young
    • Korean Journal of Applied Biomechanics
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    • v.31 no.2
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    • pp.79-86
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    • 2021
  • Objective: The purpose of this study was to identify the effect of reduced plantar cutaneous sensation on gait kinematics during walking with and without CAI. Method: A total of 20 subjects involved in this study and ten healthy subjects and 10 CAI subjects participated underwent ice-immersion of the plantar aspect of the feet before walking test in this study. The gait kinematics were measured before and after ice-immersion. Results: We observed a before ice-immersion on plantar cutaneous sensation, CAI subject were found to reduced ankle dorsiflexion, knee external rotation, hip adduction, and internal rotation compared to control subject. After ice-immersion, CAI subjects were found to reduce knee external rotation, hip adduction. However, no significant ankle joint kinematics. Conclusion: While walking, gait pattern differences were perceived between groups with and without plantar cutaneous sensation. The results of the study may explain the abductions in the hip angle movements in CAI patients at initial contact compared to healthy subjects in the control group when plantar cutaneous sensation was reduced. A change in proximal joint kinematics may be a conservative strategy to promote normal gait patterns in CAI patients.

The change of gait pattern according to different walking speeds in a patient with Parkinson disease (파킨슨환자의 보행 속도에 따른 보행 양상 변화)

  • Oh, Jaegun;Park, Kee-eon;Jung, Byongjun;Lee, Ilsuk;Choi, Sanho;Lee, Sangkwan;Sung, Kang-keyng
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.90-101
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    • 2013
  • ■ Objectives The goal of this study was to observe the gait patterns from a patient with Parkinson disease under three different walking speeds. ■ Methods The patient walked on a treadmill and we measured gait parameters using a treadmill gait analysis system for 2 minutes. The Parkinson patients walked under three different conditions, first, at the preferred walking speed, second, at slower speed than the preferred walking speed, and, third, at faster speed than the preferred walking speed. ■ Results In terms of temporal gait parameters, as speed of treadmill increased, stance phase and total double support decreased, and swing phase increased. In terms of spatial parameters, as speed of treadmill increased, step and stride length increased. In terms of kinetic parameters, max pressure increased as speed of treadmill increased. ■ Conclusion According to different walking speeds, some gait parameters of spatiotemporal and kinetic was changed.

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