• Title/Summary/Keyword: Gait patterns

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The Spatio-temporal Analysis of Gait Characteristics during Ramp Ascent and Descent at Different Inclinations (정상인의 경사로 보행 시 경사각에 따른 시공간적 보행 특성 분석)

  • Han, Jin-Tae;Cho, Jeoung-Sun;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.18 no.1
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    • pp.95-106
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    • 2006
  • Purpose: The aim of this study was to investigate the kinematics of young adults during ramp climbing at different inclinations. Methods: Twenty-three subjects ascended and descended four steps at four different inclinations(level, $8^{\circ},\;16^{\circ},\;24^{\circ}$). Temporal-spatial parameters were measured by GaitRite system(standard mat). Groups difference was analysed with on-way ANOVA and Student-Newman-Keuls test. Results: The different kinematics of ramp ascent and descent were analysed and compared to level walking patterns. In ascending ramps, step length and stride length decreased with $24^{\circ}$ inclination (p<.000). Stance duration increased with $24^{\circ}$, but swing duration decreased with $24^{\circ}$ inclination (p<.000). Step time and velocity decreased with $16^{\circ}C,\;24^{\circ}$ inclination (p<.000). Cadence decreased with all inclination($8^{\circ},\;16^{\circ},\;24^{\circ}$)(p<.000). In descending ramps, step length and stride length, velocity decreased with all inclination($8^{\circ},\;16^{\circ},\;-24^{\circ}$)(p<.000). Stance duration increased with all inclination($8^{\circ},\;-16^{\circ},\;-24^{\circ}$) and swing duration decreased with all inclination($-8^{\circ},\;-16^{\circ},\;-24^{\circ}$)(p<.000). But Step time was not differentiated with different inclinations. Cadence decreased with only. $8^{\circ}$ inclination(p<.05). Conclusion: These results suggest that there is a certain inclination angle or angular range where subjects do switch between level walking and ramp walking gait pattern. This shows their motor control strategy between level and ramp walking. Further studies are necessary to confirm and detect the ascent and descent ramp gait patterns.

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Development and Evaluation of the Auditory Feedback Gait Training System Induced Symmetrical Weight-Bearing in Hemiplegic Patients (편마비 환자의 대칭적 체중부하 유도를 위한 청각적 피드백 보행훈련 시스템 개발 및 평가)

  • Kwon, Y.C.;Lee, H.J.;Tae, K.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.2
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    • pp.23-30
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    • 2012
  • In this study, we developed a wireless rehabilitation auditory feedback gait training system for symmetrical weight-bearing in patient with CVA. The device consists of an instantaneous shoe equipped with two load-cell sensors. Auditory feedback can be applied according to the weight-bearing. For gait patterns analysis, cadence, walking velocity, stance/swing phase ratio and gait cycle were examined. The clinical test with six healthy volunteers and two hemiplegic patients was performed applying the auditory feedback system. Both normal subjects and hemiplegic patients were increased strength on weight-bearing in affected limb, walking velocity, and cadence after biofeedback device. Also, the stance time with weight-bearing was increased while the swing time was decreased in gait phase. It can be expected that by using the feedback system, the patient with lower limb disorder will be able to reach a better quality of weight-bearing during gait.

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Case Study of Gait Training Using Rhythmic Auditory Stimulation(RAS) for a Pediatric Patient with Cerebellar Astrocytomas (리듬청각자극(RAS)을 사용한 소뇌 별아교세포종(CA) 환아의 보행훈련 사례 연구)

  • Kim, Soo Ji;Cho, Sung Rae;Oh, Soo-Jin;Kwak, Eunmi Emily
    • Journal of Music and Human Behavior
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    • v.7 no.2
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    • pp.65-81
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    • 2010
  • This single case study is to examine the gait parameter changes of a 12-year old patient with Cerebellar Astrocytomas using RAS in gait training program. Kinematic and temporospatial changes were analyzed using VICON 370 Motion Analysis System. A total of nine RAS gait training sessions was provided and each training program took 30 minutes. Gait analysis revealed that the patient showed improvement in cadence, velocity, stride length, and step length and improved the range of joint movements by showing gait patterns similar to normal distribution from a pathological pattern. This study showed possibilities to apply the RAS technique to the various population including clients with cerebellum damaged; however more further research should be done in this area.

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Effects of Functional Insole on Walking in the Elderly (기능적 인솔이 노인의 보행에 미치는 영향)

  • Seo, Dong-Kwon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.280-286
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    • 2019
  • This study verified the difference in biomechanical variation and the pattern of the lower limb between using or not using functional insoles on the gait of elderly people. Ten females subjects were selected (age: 73.2 years, height: 152.1 cm, body mass: 59.4 kg) for testing their gait with using functional insoles and without using functional insoles. The gait motions were captured with the Qualisys system and the gait parameters were calculated with Visual-3D. As a result, the subjects' stride length and swing time were significantly increased (p<.05). Also, the lower limb's extension moment was significantly increased (p<.05) when using the insole. These differences suggest the functional insole used in the experiment increases the subjects' gait stability. However, to generalize the results of this study, it is necessary to accumulate more quantitative data with more subjects. Further studies to examine gait variables and changes of walking patterns need to be conducted by gathering and utilizing the results of those subjects who have used insoles for a long period of time.

Change of Gait Pattern of Patients with Ataxic Gait by Cerebellar Infarction in Comparison to Corticospinal Tract Stroke Patients (소뇌경색 환자의 운동기능 회복에 따른 보행 척도의 변화 관찰 연구 : 피질척수로 손상환자와의 비교를 중심으로)

  • Chu, Hongmin;Lee, Young-ung;Kim, Kwang-ho;Lim, Hyeon-seo;Ryu, Ho-sun;Park, Shin-hyeok;Kim, Cheol-hyun;Sung, Kang-keyng;Lee, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.41 no.2
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    • pp.194-203
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    • 2020
  • Objectives: This study aimed to compare the gait patterns of cerebellar infarction patients with those of corticospinal tract stroke patients through a follow-up of patients with ataxic gait due to cerebellar infarction and corticospinal tract stroke. Methods: We investigated two cases of patients with cerebellar infarction and two cases each of acute or chronic corticospinal tract stroke who were hospitalized at Wonkwang University Gawangju Medical Center from September 1, 2017 to February 15, 2020 based on medical records and gait analyses. The spatiotemporal gait parameters of each patient were measured three times at 2-week intervals except those of the chronic corticospinal tract stroke patients, which were measured twice at a 1-month interval. Results: Spatiotemporal gait parameters, which include velocity, cadence, step length, stride length, and single support, were consistently increased in the cerebellar infarction patients in comparison to the corticospinal tract stroke patients. The stance phase was decreased in all the patients. Conclusions: The cerebellar infarction patients' gait spatiotemporal parameters were found to consistently improve. Moreover, gait analysis can be used to effectively measure improvement of ataxic gait.

Design of a Novel Gait Rehabilitation Robot with Upper and Lower Limbs Connections (상하지 연동된 새로운 보행재활 로봇의 설계)

  • Yoon, Jung-Won;Novandy, Bondhan;Christi, Christi
    • Journal of Institute of Control, Robotics and Systems
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    • v.14 no.7
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    • pp.672-678
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    • 2008
  • This paper proposes a new rehabilitation robot with upper and lower limb connections for gait training. As humans change a walking speed, their nervous systems adapt muscle activation patterns to modify arm swing for the appropriate frequency. By analyzing this property, we can find a relation between arm swinging and lower limb motions. Thus, the lower limb motion can be controlled by the arm swing for walking speed adaptation according to a patent's intension. This paper deals with the design aspects of the suggested gait rehabilitation robot, including a trajectory planning and a control strategy. The suggested robot is mainly composed of upper limb and lower limb devices, a body support system. The lower limb device consists of a slider device and two 2-dof footpads to allow walking training at uneven and various terrains. The upper limb device consists of an arm swing handle and switches to use as a user input device for walking. The body support system will partially support a patient's weight to allow the upper limb motions. Finally, we showed simulation results for the designed trajectory and controller using a dynamic simulation tool.

A Computer Simulation on the Efficiency of Energy Consumption for Quadruped Walking Robot (4족 보행로봇의 소비에너지 효율에 관한 시뮬레이션)

  • Ahn Byong-Won;Bae Cherl-o;Eom Han-Sung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.9 no.6
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    • pp.1247-1252
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    • 2005
  • Though a legged robot has a high terrain adaptability as compared with a wheeled robot, its moving speed is considerably low in general. For attaining a high moving speed with a logged robot, a dynamically stable walking is a promising solution. However, the energy efficiency of a dynamically stable walking is generally lower than the efficiency of a stable gait such as a crawl gait. In this paper, energy consumption of two walking patterns for a trot gait is simulated through modeling a quadruped walking robot named TITAN-VIII.

The Kinetic and Kinematic Effect of a 12-week Aquatic Exercise Program on Obstacle Gait in Older Women (12주간 수중운동이 노인여성의 장애물보행에 미치는 운동학 및 운동역학적 영향)

  • Choi, Pyoung-Hwa;Yoon, Suk-Hoon
    • Korean Journal of Applied Biomechanics
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    • v.20 no.2
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    • pp.129-137
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    • 2010
  • The purpose of this study is to investigate the effect of a 12-week aquatic exercise on obstacle gait in older women. Originally, 20 healthy female elderly participated this study but 12 of them completed the program. All participants were trained in the aquatic exercise program by an authorized trainer. They had come to the authors' lab three times during training period(0, 6, 12 weeks) and performed obstacle gait with three different height(0, 30, and 50% of leg length). After performed 3-Dimensional motion analysis following results were found. (1) For the CV, MVHC, TC, HC, statistically significances were shown in obstacle height. Although significant training effects were not shown, all variables showed typical patterns and it was considered as efficient motion to overcome the height obstacles. (2) The anterior-posterior and vertical GRF of support leg during support phase were revealed in height effect but in training one. However, differences between Peak 1 and Peak 2 in vertical GRF increased as training period increased. (3) Knee and hip resultant joint moments were affected by training but ankle resultant moments remained unchanged.

Comparisons of Kinematic Factors and Stiffnesses of the Lower-limb Joints between Transfemoral Amputees and Normal Adults (대퇴절단자와 정상인 걸음걸이의 운동학적 요인과 발목관절 강성 비교)

  • Yi, Jae-Hoon;Lee, Jung-Ho;Hah, Chong-Ku
    • Korean Journal of Applied Biomechanics
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    • v.23 no.1
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    • pp.77-83
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    • 2013
  • The purpose of this study was to compare kinematic variables and stiffnesses of ankle joints between normal person and transfemoral amputee gait in order to develop or fit prosthetic leg. Twenty subjects (ten normal persons and ten transfemoral amputees) participated in this experiment, and walked three trials at a self-selected pace. The gait motions were captured with Vicon system and variables were calculated with Visual-3D. The velocity, stride length, stride width, cycle time, double limb support time and right swing time of gaits were statistically significant. Because coefficients of variability of normal persons on velocity, double limb support time and swing time were greater than transfemoral amputees, normal persons controlled these gait variables effectively. The stiffnesses of ankle joints were not statistically significant, but patterns of stiffnesses of ankle joints during three rockers were absolutely different. The negative correlations between stiffnesses of ankle joints and cycle time and swing time were presented. These differences suggest that developing and fitting prosthetic leg were demanded. Further studies should develop fitting program and simulator of prosthetic leg.

Analyses of GRF & Insole Foot-Pressure Distribution: Gait Patterns and Types of Trekking Boots (등산화의 종류와 보행동작에 따른 지면반력 및 족저압력 분석)

  • Park, Seung-Bum;Lee, Joong-Sook
    • Korean Journal of Applied Biomechanics
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    • v.17 no.4
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    • pp.191-200
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    • 2007
  • The purpose of this study was to analyze the foot-pressure distribution of trekking boots for assessing their functionality. Subjects participated in this study included 10 university male students who had no injury experience in lower limbs and a normal gait pattern. The size of all subjects was 270mm. Five models of trekking boots, most popular in Korea (A, B, C, D & E company), were selected for the test. Using the PEDAR-X system and PEDAR-X insoles, 5 different walking stages were analyzed for the foot-pressure distribution: (a) straight gait; (b) $45^{\circ}$ turn gait; (c) $25^{\circ}$ uphill gait; and (d) $25^{\circ}$ downhill gait. Results of the foot-pressure distribution and functionality on each stage were as follow; 1. Straight gait - In case of Max ground reaction force, mean plantar pressure and Max plantar pressure, there was not a distinct tendency; however, products manufactured by E and A company showed relatively lower pressure distribution. 2. $45^{\circ}$ turn gait - In Max ground reaction force, mean plantar pressure and Max plantar pressure, there wasn't a distinct tendency; however, products manufactured by E and A company showed relatively lower pressure distribution. Results also revealed that the products manufactured by E and A company were superior to those by other companies in terms of functionality. 3. $25^{\circ}$ uphill gait - In Max ground reaction force, mean plantar pressure and Max plantar pressure, there wasn't a distinct tendency; however, products manufactured by E and C company showed relatively lower pressure distribution. Results also revealed that the products manufactured by E and C company were superior to those by other companies in terms of functionality. 4. $25^{\circ}$ downhill gait - In Max ground reaction force, Mean plantar pressure and Max plantar pressure, there wasn't a distinct tendency; however, products manufactured by E company showed relatively lower pressure distribution. Results also revealed that the products manufactured by E company were superior to those by other companies in terms of functionality. Overall, five pairs of trekking shoes selected in this study showed the excellent performance in several conditions. The findings above may provide us with the important criteria for choosing trekking boots.