• 대한산업공학회지
• /
• 제33권4호
• /
• pp.480-486
• /
• 2007

A gait diagnosis supporting system is necessary to evaluate the characteristics of abnormal gait of a patient in a systematic and efficient manner. The present study developed a gait diagnosis supporting system which compares abnormal gait of a patient with a reference gait data and presents abnormal gait characteristics in an organized form. Three types of diagnosis modules were developed for the spatio-temporal, kinematic and kinetic gait parameters, and a gait data for Korean normal adults was used for the reference data of the system. The system was applied to evaluate the gait pattern of three arthritis patients and the abnormal gait characteristics of them could be easily identified with a systematic and graphical presentation.

• 한국전문물리치료학회지
• /
• 제4권1호
• /
• pp.20-29
• /
• 1997

The purpose of this study was to determine the effects of pelvic and lower extremity exercise on the gait in 25 patients(11 men, 14 women) with hemiplegia. Their mean age was 65.2 years and the mean post-onset duration was 8.7 months. Each participant received a total of 15 sessions of PNF(five times per week), and each session lasted 40 minutes and consisted of 2 procedures(20 minutes each). The first procedure was pelvic anterior elevation and posterior depression pattern. And the second procedure was lower extremity flexion-adduction with knee flexion pattern. Results showed significant progressive improvement in gait speed and cadence after each 5 session period(5th, 10th, 15th session) compared with pre-treatment data(P<0.05). Furthermore improvements were noted in stride length.

• 한국정밀공학회:학술대회논문집
• /
• 한국정밀공학회 2004년도 추계학술대회 논문집
• /
• pp.1166-1171
• /
• 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.

• 한국전문물리치료학회지
• /
• 제11권1호
• /
• pp.53-67
• /
• 2004

This simulation study investigated the characteristics of normal gait, $30^{\circ}$ crouch gait, $30^{\circ}$ crouch/equinus gait, $45^{\circ}$ crouch gait, $45^{\circ}$ crouch/equinus gait. The knee flexion angles were restricted using a specially designed orthosis. This study was carried out in a motion analysis laboratory of the National Rehabilitation Center. Fifteen healthy male subjects were recruited for the study. The purposes of this study were (1) to compare spatiotemporal parameters, kinematics, and kinetic variables in the sagittal plane among the different gait, (2) to investigate the secondary compensatory strategy, and (3) to suggest biomechanical physical therapy treatment methods. The pattern and magnitude observed in each condition were similar to those of normal gait, except the peak knee extension moment of the unrestricted ankle motion-crouch gait. However, the speed of the $45^{\circ}$ crouch gait was half that of a normal gait. The ankle joint moment in the crouch/equinus gait showed the double-bump pattern commonly observed in children with spastic cerebral palsy, and there was no significant difference in gait speed as compared with normal gait. The peak ankle plantar-flexor moment and ankle power generated during the terminal stance in the crouch/equinus conditions were reduced as compared with normal and $45^{\circ}$ crouch gaits (p<.05). The crouch/equinus gait at the ankle joint was an effective compensatory mechanism. Since ankle plantarflexion contracture can be exacerbated secondary to the ankle compensatory strategy in the crouch/equinus gait, it is necessary to increase the range of ankle dorsiflexion and the strength of plantarflexion simultaneously to decrease the abnormal biomechanical advantages of the ankle joint.

• 한국정밀공학회지
• /
• 제29권3호
• /
• pp.346-353
• /
• 2012

The purpose of this study is to verify the energy efficiency of the integrated system combining human and a lower extremity exoskeleton robot when it is applied to the proposed gait pattern. Energy efficient gait pattern of the lower limb was proposed through leg function distribution during stance phase and the dynamic-manipulability ellipsoid (DME). To verify the feasibility and effect of the redefined gait trajectory, simulations and experiments were conducted under the conditions of walking on level ground and ascending and descending from a staircase. Experiments to calculate the metabolic cost of the human body with or without the assistance of the exoskeleton were conducted. The energy consumption of the lower extremity exoskeleton was assessed, with the aim of improving the efficiency of the integrated system.

• 대한정형도수물리치료학회지
• /
• 제27권1호
• /
• pp.63-73
• /
• 2021

Background: This study was conducted to investigate the effects of pressure belt during proprioceptive neuromuscular facilitation sprinter pattern training using a Thera-band on leg muscle strength and gait in stroke patients with stroke. Methods: Nine patients with stroke underwent training five times a week for four weeks, and changes in the muscle strength and walking ability of the paralyzed leg before and after training were measured. Muscle strength was measured using a Digital muscle tester, and walking ability was measured using a G-WAKER and the timed up and go (TUG) test. Results: Results showed that the quadriceps, hamstring, tibialis anterior, gastrocnemius, cadence, stride length, and stance phase significantly increased (p<.05). The swing phase, gait cycle duration, and TUG test results significantly decreased (p<.05). Conclusion: This study demonstrated that a pressure belt is a very useful tool for improving muscle strength and walking ability in patients with stroke.

• 대한중풍순환신경학회지
• /
• 제14권1호
• /
• pp.49-60
• /
• 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.

• 대한물리치료과학회지
• /
• 제5권1호
• /
• pp.573-581
• /
• 1998

Gait is a highly complex activity in which many variables can be observed and measured. Walking is a repetitious sequence of limb to move the body and to maintain stability. Normal gait is rhythmic and characterized by alternating propulsive and retropulsive motions of the lower extremities. Pathological gait patterns have four functional categories (deformity, muscle weakness, impaired control, pain). The purpose of this study was to assess the quantitive gait variables(the width of the base, length of a step, stride length, cadence, velocity) in patients with low back pain. Patients walked more slowly, took shorter steps and did not show the symmetrical gait patterns.

• 한국전문물리치료학회지
• /
• 제7권3호
• /
• pp.72-80
• /
• 2000

This study was to investigate the effects of a functional electrical stimulation (FES) on temporal parameters (stride length, step width and cadence) of gait patterns in a patient with right hemiparesis. A single-subject reversal (ABAB) design was used. The subject was a 25-year-old male who had foot drop and circumduction gait pattern. An ink foot-print method was used to assess the temporal parameters of gait between the baseline phase and the intervention phase. FES was applied at 8 m walkway, three times a week for 5 weeks. The results showed that stride length was increased by 4.04 cm and that step width was decreased by 3.93 cm in the intervention phase. There was no difference in cadence between the baseline phase and intervention phase.

• PNF and Movement
• /
• 제15권1호
• /
• pp.97-104
• /
• 2017

Purpose: This study seeks to determine the effect of a lower extremity strengthening exercise that uses proprioceptive neuromuscular facilitation (PNF) on the gait and balance ability of a stroke patient. Methods: In this case study, a lower extremity strengthening exercise that used PNF was performed by the subject for 30 minutes 4 times per week for a 4-week period alongside typical rehabilitation therapy. The lower extremity pattern used flexion-abduction-internal rotation with knee flexion, extension-abduction-internal rotation, bilateral leg extension pattern. The 10 m walk test and 6 minute walk test were used to assess gait ability. The Berg balance scale was used to assess balance ability. Results: After the intervention, the time for the 10 m walk test decreased by 5.72 sec, the distance for the 6 minute walk test decreased by 20 meters, and the score on the Berg balance scale improved by 7 points, which indicates the effectiveness of this therapy for stroke patients. Conclusion: The results of this study indicate that a lower extremity strengthening exercise using PNF can improve the gait ability and balance ability of stroke patients.