• Physical Therapy Rehabilitation Science
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• v.9 no.1
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• pp.10-17
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• 2020

Objective: Hallux valgus (HV) is a common musculoskeletal deformity that is accompanied with pain and continues to decrease one's quality of life and ability to perform daily life activities by affecting gait and static stability. Therefore, this study aimed to investigate the effect of the angle of HV (HVA) and to compare the one-legged stance and gait parameters in young adults with less HV and severe HV. Design: Cross-sectional study. Methods: Forty young adults were divided into two groups, where HVA ≥15° (n=20) was defined as HV, and HVA <15° (n=20) was defined as normal. For balance ability, the center of pressure (COP) path, velocity, length of axis of the COP path, deviation of the x-axis and y-axis, and percentage of foot pressure were measured, and gait, the foot rotation angle, step length, percentage of each phase of the gait cycle, time change from the heel to forefoot, and maximum pressure of the forefoot and midfoot were measured. Results: Significant differences were found in sway length and time change from heel to forefoot during walking between the normal and HV groups (p<0.05). Most parameters were not associated with the HVA, but parameters such as length of axis and time to change from heel to forefoot were significantly associated with the HVA (p<0.05). Conclusions: These results suggest that most one-legged stance and gait parameters were not significantly affected by the HVA in young adults; therefore, future studies are needed in order to address other dynamic parameters and other methods of gait analysis for detecting clinically meaningful conditions.

• Physical Therapy Rehabilitation Science
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• v.5 no.4
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• pp.205-209
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• 2016

Objective: Children with spastic diplegic cerebral palsy show weakness especially in the lower-extremity rather than upper-extremity muscles and display characteristics such as asymmetric alignment, deficits in postural control or balance ability, and slow walking speed. Various therapeutic interventions are applied to children with cerebral palsy, of which taping is widely used in the field of rehabilitation, however, there are few studies of the effects of kinesio taping on gait patterns of children with cerebral palsy. The present study investigated the effects of kinesio taping on gait parameters of children with cerebral palsy. Design: Cross-sectional study. Methods: Four children with spastic diplegia participated in this study. The participants' gait parameters while walking 10 m with and without kinesio taping (tibialis anterior, quadriceps femoris, and gluteus maximus) were recorded. Gait parameters including gait velocity, cadence, step length, stride length, single support time, and double support time were evaluated using the GAITRite. Mean values were obtained after having the subjects walk three times in each condition with a 5-minute rest period between each condition. The order of each condition was assigned randomly. Results: There were significant improvements in gait velocity, step length, stride length, and single support time of the right leg with kinesio taping condition compared to the without kinesio taping condition taping (p<0.05). However, there were no significant differences in cadence, single support time of the left leg, or double support time. Conclusions: The results show that kinesio taping may have a positive effect for improving gait parameters of children with spastic diplegia. However, its usefulness in the rehabilitation of children with cerebral palsy needs to be further investigated.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.3
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• pp.99-108
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• 2020

PURPOSE: This study examined the effects of the confusion level in performing dual tasks using smartphones while walking in subjects with chronic ankle instability (CAI). METHODS: Twenty subjects with CAI and 20 healthy subjects participated in the study. The spatial, temporal, spatial-temporal, and variability gait parameters were measured using GAITRite under four different conditions: general gait, web surfing during gait, texting during gait, and gaming during gait. Two-way repeated-measures analysis of variance was used to analyze the interaction according to the group (2) and confusion level in dual-tasks (4). One-way repeated-measures analysis of variance was used to compare the changes within the group according to the confusion level in dual-tasks. The changes between groups were compared using an independent t-test. The statistical significance level was set to p = .05. RESULTS: Significant interactions in the temporal and spatial-temporal gait parameters were found between the dual-task conditions and the other groups (p < .05). Significant within-group differences in the spatial, temporal, and spatial-temporal gait parameters were found according to the confusion level in dual tasks (p < .05). Significant between-group differences were observed in the temporal and spatial-temporal gait parameters according to the confusion level in dual tasks (p < .05). CONCLUSION: The effect of the confusion level in dual tasks was greater in subjects with CAI than in healthy individuals. This study suggests that to prevent reinjury to the ankle, subjects with CAI should avoid dual tasks such as using smartphones while walking.

• The Journal of Korean Physical Therapy
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• v.16 no.1
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• pp.32-48
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• 2004

The purpose of this study was to evaluate the change of functional ambulation profile(FAP) and temporal-spatial gait parameters in hemiplegic patient by forceful respiratory exercise. 28 Hemiplegic patients due to stroke was randomized in 3 groups, forceful expiratory training(FET), forceful inspiratory training(FIT) and control group. In the experimental groups, ordinary physical therapy with forceful expiratory training and forceful inspiratory training for 20 minutes duration 3 times per week for 6 weeks were respectively performed. In the control group, only ordinary physical therapy was done. FAP and temporal-spatial gait parameters was measured at before and after experiments. The results of this experimental study were as follows : 1. In comparison of FAP before and after experiment, the FAP was significantly increased in the FET and FIT group (p<.01). In comparison of difference of FAP among 3 groups, there was the significant difference between the FIT group and the control group (p<.05). 2. The results of temporal-spatial gait parameters are as follows : 1) In comparison of gait velocity before and after experiment, the gait velocity was significantly increased in the FET and FIT group (p<.05). In comparison of difference of the gait velocity among 3 groups, there was the significantly difference between the FIT group and the control group (p<.05). 2) In comparison of gait cadence before and after experiment, the gait cadence was significantly increased in FIT group (p<.05). In comparison of the difference of the gait cadence among 3 groups, there was no significant difference between the FIT group and the control group (p>.05). Based on these results, it is concluded that the forced respiratory exercise program for 6 weeks can be improve the FAP and temporal-spatial gait parameters in hemiplegic patients. Therefore, the forced respiratory exercise is useful to improve the walking ability in hemiplegic patients.

• Science of Emotion and Sensibility
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• v.22 no.3
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• pp.55-64
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• 2019

Stroke is a health problem experienced by many elderly people around the world. Stroke has a devastating effect on quality of life, causing death or disability. Hemiplegia is clearly an early sign of a stroke and can be detected through patterns of body balance and gait. The goal of this study was to determine various feature vectors of foot pressure and gait parameters of patients with stroke through the use of a wearable sensor and to compare the gait parameters with those of healthy elderly people. To monitor the participants at all times, we used a simple measuring device rather than a medical device. We measured gait data of 220 healthy people older than 65 years of age and of 63 elderly patients who had experienced stroke less than 6 months earlier. The center of pressure and the acceleration during standing and gait-related tasks were recorded by a wearable insole sensor worn by the participants. Both the average acceleration and the maximum acceleration were significantly higher in the healthy participants (p < .01) than in the patients with stroke. Thus gait parameters are helpful for determining whether they are patients with stroke or normal elderly people.

• Physical Therapy Rehabilitation Science
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• v.10 no.3
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• pp.270-277
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• 2021

Objective: The purpose of this study is to compare the effect of static balance, lower extremity function, and gait ability between a lower extremity restrain robot gait training and a general robot gait training in subacute stroke subjects. Design: Two-group pretest-posttest design. Methods: A total of 12 subacute stroke patients were randomly divided into an Experimental group (n=6) and a control group (n=6). Both groups were performed for four weeks, three times a week, for 20 minutes. To compare the Static balance function, the center of pressure (COP) path-length and COP velocity were measured. The Fugl-Meyer assessment lower extremity (FMA-LE) were evaluated to compare the Lower Extremity function. 2D Dartfish Program and 10 Meter Walking Test (10 MWT) on Gait ability were evaluated to compare the gait function. Results: In the intra-group comparison, Experimental groups showed significant improvement in COP path-length, velocity, Lower Extremity Function, 10 MWT, Cadence, by comparing the parameters before and after the intervention (p<0.05). Comparison of the amount of change between groups revealed significant improvement for parameters in the COP path-length, velocity, Lower extremity function, 10 MWT by comparing the parameters before and after the intervention (p<0.01). Conclusions: The Experimental group showed enhanced efficacy for variables such as COP path-length, velocity, Lower extremity function, 10 MWT as compared to the control group.

• The Journal of the Society of Stroke on Korean Medicine
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• v.14 no.1
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• pp.8-14
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• 2013

■ Objectives The goal of this study is to find the correlation between the motor function and gait pattern of stroke patients. ■ Methods We measured Manual muscle test(MMT), Motricity index(MI) and Spatiotemporal gait parameters of admitted hemiplegic patients with stroke. The gait parameters were measured using a Treadmill gait system. ■ Results There is a significant correlation between motor function and spatiotemporal parameters such as step length, stride length, step time, stride time, total double support or cadence, in stroke patients. ■ Conclusion The better motor function of stroke was, the more gait improved.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2004.10a
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• pp.1166-1171
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• 2004

In this study, the concept of autonomous mobility is applied to a gait support mobile robot. The aim of the development of the service robot is to assist the elderly with gait rehabilitation. This study proposes an ergonomic service robot design parameter. The gait assistant path pattern is derived from analysis of the elderly gait. A lever is installed in the AMR in order to measure both the pulling force and the leading force of the elderly. The path generation of the mobile robot is developed through consideration and analysis of elderly gait patterns. The ergonomic design parameters (dimensions, action scope and working space) are determined based on moving scope of the elderly. The gait assistant mobile robot was offered the elderly guide service and internet service based on the ergonomic design parameters.

• The Journal of Korean Physical Therapy
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• v.13 no.2
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• pp.453-458
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• 2001

The aim of this study is to present the basic reference data of age and specific gait parameters for Parkinson's Disease Patients. The basic gait parameters were extracted from 5 patients, 5 men and 65 years of age using VICON 512 Motion Analyzer. The temporal gait parameters and kinematic parameters is data of Parkinson's Disease Patients. The results were as follows; 1. The cadence, velocity, stride length decreased and single limb support period, double limb support period increased than normal adult in the temporal parameters. 2. The mean angles of joint pelvic tilt and hip, knee, ankle joint decreased than normal adult at kinematic characteristics on sagittal plane. 3. The mean angles of joint pelvic tilt and hip, knee joint has no difference than normal adult at kinematic characteristics on coronal plane. 4. The mean angles of joint pelvic tilt, hip joint no difference and internal, external rotation in ankle joint significantly decreased than normal adult at kinematic characteristics on transverse plane.

• 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.