• Title/Summary/Keyword: Gait Rehabilitation

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Analysis of Gait Parameters According to the Clinical Features of Parkinson's Disease Using 3-D Motion Analysis System with Electrogoniometer (3차원 전기측각 보행분석기를 이용한 파킨슨씨병 환자의 임상 양상에 따른 보행 분석)

  • Baek, Hye-Jin;Yoon, Joon-Shik;Kim, Sei-Joo;Lee, Gyu-Ho;Koh, Seong-Beom
    • Annals of Clinical Neurophysiology
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    • v.11 no.1
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    • pp.9-15
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    • 2009
  • Background: To investigate the differences of locomotor dynamics between Parkinson's disease (PD) patients with tremor dominant symptom and patients with postural instability dominant symptom. Methods: 66 subjects with PD were classified into two subgroups, tremor-dominant group and postural instability and gait disorder group by Unified Parkinson's disease rating scale (UPDRS). The spatial, temporal and electrodynamic gait parameters were recorded automatically using computerized 3-D motion analysis system with electrogoniometer. Results: There was no significant difference in cadence, pelvic tilt range, hip flexion range, knee flexion range and ankle dorsiflexion range. Postural instability and gait disorder group showed decreased gait velocity, short stride length, decreased range of motion in pelvic obliquity, pelvic rotation and ankle plantar flexion. Conclusions: There was meaningful difference in locomotor dynamics between Parkinson's disease(PD) patients with tremor dominant symptom and patients with postural instability dominant symptom.

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Comparison of the Functional Ambulation Performance Scores of Senior Adults With or Without a History of Falls (낙상 경험 유무에 따른 노인의 기능적 보행성취도 점수(FAP score) 비교)

  • Kwon, Hyuk-Cheol;Kong, Jin-Yong
    • Physical Therapy Korea
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    • v.10 no.1
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    • pp.1-13
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    • 2003
  • The purpose of the study was to determine if there was a difference in the Functional Ambulation Performance score of senior adults with or without a history of falls during walking at a preferred velocity. Twelve subjects with a history of falling (mean age=73.8) and eight subjects with no history of falling (mean age=70.4) participated in the study. Temporal and spatial parameters of gait were analyzed using the computerized GAITRite system. The GAITRite system integrates specific components of locomotion to provide a single, numerical representation of gait, the Functional Ambulation Performance score. The Functional Ambulation Performance score is a Quantitative means of assessing gait based on specific temporal and spatial parameters. Statistical analysis of the two groups demonstrated a significant decrease in Functional Ambulation Performance score for those with a history of falls. They had lower values for step/extremity ratios, mean normalized velocity, and greater values for step times, percent in double support. These results indicate that the GAITRite system can be useful in detecting footfall patterns and selected time and distance measurements of persons with a history of falls and the Functional Ambulation Performance score can be used as indicators of gait performance for senior adults with a history of falls.

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Hemiplegic gait : comparison of kinematic variables related to Bait speed (편마비 보행 :속도에 따른 관절 운동학적 변수 비교)

  • Kwon Young-Shil;Choi Jin-Ho;Jung Byong-Ok;Chae Yun-Won;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.11 no.1
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    • pp.95-102
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    • 1999
  • In hemiplegic gait, walking speed is an important factor to evaluate treatment effect. The purpose of this study was to describe and compare kinematic variables during differant speed hemiplegic gaits. Six hemiplegic patients(47-69 years old) after stroke and age - matched six volunteers in good health(51-61 years old) were studied. The patients were sorted into two groups, depending on their self - speed of walking : fast speed group(3 patients, $0.74\pm0.14m/s$) and slow speed group(3 patients, $0.29\pm0.09m/s)$. The results were following. 1. In the hip joint, the fast group had lower mean value than normal but had similar pattern to normal. The slow group had continuous flexed pattern. 2. In the knee joint, the fast group had similar mean value and pattern to normal. The slow group had continuous flexed pattern. 3. In the ankle joint, the two group had dorsiflexed pattern. The fast group had similar pattern to normal. Thus, the fast group was similar gait pattern to normal.

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The Effects of Proprioceptive Neuromuscular Facilitation on Gait Ability in Hemiplegic Patients (고유수용성신경근촉진법이 편마비 환자의 보행능력에 미치는 영향)

  • Hwang, In-Kul;Han, Mi-Ran;Son, Kyung-Hyun;Lim, Jae-Heon;Lee, Moon-Kyu
    • PNF and Movement
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    • v.7 no.1
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    • pp.1-8
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    • 2009
  • Purpose : The aim of this study was to determine the effect of Proprioceptive Neuromuscular Facilitation (PNF) on gait ability in hemiplegic patients. Method : The subjects of this study were 11 hemiplegic patients. Each subject was taken PNF exercise with 3 times per week for 4 weeks. Pre- and post-intervention change in gait ability were measured using an 6m walking test, stride length, and step length. The data were analyzed using the paired t-test. Results : The results of this study showed significantly improvement in 6m walking test, stride length, and step length after intervention. Conclusion : These results suggest that the PNF coordination exercise is an effective way of improving gait ability for hemiplegic patients.

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Effect of Action Observation by Subject Type on the Balance and the Gait of Stroke Patients

  • Lee, Jong-Su;Kim, Kyoung;Kim, Young-Mi
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.7-14
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    • 2019
  • PURPOSE: This study examined the effects of observing a self-video or a video of another person performing balance and gait training, followed by actual performance of the observed movements on the balance and walking ability of chronic stroke patients. METHODS: Thirty patients, who had experienced a stroke and were admitted to S rehabilitation hospital for treatment, were selected randomly and divided into three groups with 10 patients each: self-action observation (SAO) group, other-action observation (OAO) group, and treadmill walking training (TWT) group. The training program was conducted five times per week for four weeks. The GAITRite system, 10 m walking test, and timed up and go test were performed to measure the subjects' gait and balance ability. RESULTS: The velocity, cadence, double support, and stride length were increased significantly in the SAO and OAO groups (p<.05) but the T group showed no significant changes; no significant difference was observed among the groups (p >.05). The 10MWT decreased significantly in the OAO group (p<.05), but there were no significant changes in the SAO and T groups, and no significant difference was observed among the groups (p>.05). The TUG decreased significantly in the SAO and OAO groups (p<.05), but there were no significant changes in the T group, and no significant difference was observed among the groups (p>.05). CONCLUSION: The self or other action observation training helps improve the balance and gait ability.

Immediate Effects of Ankle Eversion Taping on Balance and Gait Function in Patients with Chronic Stroke: A Randomized Controlled Trial

  • Hye-In Bae;Myeong-Ho Lee;Myoung-Kwon Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.1-11
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    • 2023
  • PURPOSE: This study examined the immediate effects of applying ankle eversion taping using kinesiology tape in chronic stroke patients-design: a randomized cross-over trial. METHODS: Seventeen stroke patients underwent three interventions in random order. The subjects were initially assigned randomly to an ankle eversion taping, placebo taping, or no taping for each intervention. Ankle eversion taping was used for mechanical correction and was involved in ankle dorsiflexion and eversion. The tape was stretched by 30-40%. Placebo tapping was applied in the same form as eversion tapping but was not stretched. The balance ability was assessed using the Y-balance test. The gait ability was assessed by maximum foot pressure and time of stance phase, and gait speed was assessed using a 10 m walk test (10MWT). All measurements were performed immediately after the intervention. RESULTS: The results showed that the dynamic balance and stance phase time in chronic stroke patients was improved after ankle eversion taping. The ankle eversion taping conditions increased significantly (p < .05) compared to the placebo and no taping conditions. CONCLUSION: The application of ankle eversion taping that uses kinesiology tape instantly increased the gait ability of chronic stroke patients. On the other hand, more research will be needed to identify the long-term effects of ankle eversion taping.

Correlations Among GMFM, GMPM, and the Spatiotemporal Gait Parameters (대동작 기능 평가도구, 대동작 수행능력 측정도구, 그리고 시공간적 보행변수와의 상관관계)

  • Park, So-Yeon;Ko, Myung-Suk;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.11 no.2
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    • pp.63-70
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    • 2004
  • These were two main purposes of this study. The first was to research the relevance between gross motor function measurement (GMFM) and the spatiotemporal parameters of gait in children with cerebral palsy. The second was to research the relevance between gross motor performance measure (GMPM) and the spatiotemporal gait parameters. Twelve children ($6.0{\pm}1.8$ years) with cerebral palsy participated in this study. GMFM and GMPM were performed and the spatiotemporal parameters of gait were measured by using WalkWay MG-1000. There were no significant correlations between the GMFM score and the stride length, step length, step width, cadence, and velocity (p>.05). The GMPM score also had no significant correlation with the spatiotemporal gait parameter (p>.05).

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Comparison Gait Analysis of Normal and Amputee: Filtering Graph Data Based on Joint Angle

  • Junhyung Kim;Seunghyun Lee;Soonchul Kwon
    • International journal of advanced smart convergence
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    • v.12 no.3
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    • pp.61-67
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    • 2023
  • Gait analysis plays a key role in the research field of exploring and understanding human movement. By quantitatively analyzing the complexity of human movement and the various factors that influence it, it is possible to identify individual gait characteristics and abnormalities. This is especially true for people with walking difficulties or special circumstances, such as amputee, for example. This is because it can help us understand their gait characteristics and provide individualized rehabilitation plans. In this paper, we compare and analyze the differences in ankle joint motion and angles between normal and amputee. In particular, a filtering process was applied to the ankle joint angle data to obtain high accuracy results. The results of this study can contribute to a more accurate understanding and improvement of the gait patterns of normal and amputee.

Study on Effects of Auditory Feedback and Application of Functional Electrical Stimulation During Gait on Balance, Gait and Lower Extremity Function in Patients with Subacute Stroke (아급성기 뇌졸중 환자의 보행동안 청각적 피드백과 기능적 전기 자극 적용이 균형, 보행 및 하지 기능에 미치는 영향)

  • Min-Ju Nam;Yong-Bum Jung ;Chang-Geol Kim ;Myoung-Kwon Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.3
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    • pp.55-64
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    • 2023
  • PURPOSE: Examine the effects of auditory feedback and functional electrical stimulation on balance, walking ability, and lower extremity function of subacute stroke patients. METHODS: Twenty-seven subjects diagnosed with subacute stroke within six months were randomly divided into three groups: test group 1, which performed walking exercises with auditory feedback and functional electrical stimulation; test group 2, which performed walking exercises only with functional electrical stimulation; control group applied only functional electrical stimulation, with nine subjects each. RESULTS: There were significant pre- to post-intervention differences in BBS in the gait training group with auditory feedback and functional electrical stimulation treatment, and significant pre- to post-intervention differences in BBS, sit-to-stand time, and average step speed in the gait training group with functional electrical stimulation, but no statistically significant differences in between-group comparisons. CONCLUSION: Gait training with auditory feedback and functional electrical stimulation can improve the balance and gait performance in stroke patients. Therefore, in the future, gait training with auditory feedback and functional electrical stimulation therapy may be suggested as a gait rehabilitation training tool for stroke patients.

The effects of treadmill training on dynamic balance and gait function in stroke patients: a pilot randomized controlled trial

  • Chung, Eun Jung;Lee, Byounghee
    • Physical Therapy Rehabilitation Science
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    • v.2 no.1
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    • pp.39-43
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    • 2013
  • Objective: The objective of this study is to investigate the effect of treadmill gait trainig on dynamic balance and gait functions in stroke patients. Design: Randomized, double-blind, controlled pilot study. Methods: Four subjects following first stroke participated in this study. They were divided randomly into the treadmill gait trainig group (TM group) (n=2) and the control group (n=2). Subjects in both groups received general training five times per week. Subjects in the TM group practiced an additional treadmill gait trainig program that consisted of 60 minutes, three times per week, during a period of four weeks. Timed up and go test (dynamic balance) and the GAITRite test (gait function) were evaluated before and after the intervention. Results: In dynamic balance (timed up and go test), the TM group (-14.235 sec) showed a greater decrease than the control group (-13.585 sec). In gait functions, the TM group showed a greater increase in gait speed (12.8 cm/s vs. 10.15 cm/s), step-length (5.825 cm vs. 3.735 cm), and stride-length (5.005 cm vs. 1.55 cm) than the control group. Conclusions: The treadmill gait trainig improved dynamic balance and gait functions. Further research is needed in order to confirm the generalization of these findings and to identify which stroke patients might benefit from treadmill gait trainig.

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