• Title/Summary/Keyword: Gait performance

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The immediate effects of patellar taping on balance and gait ability in individuals with chronic stroke

  • Shin, Jin;Mun, Mee-Hyang;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.3 no.2
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    • pp.125-133
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    • 2014
  • Objective: The aim of this study is to investigate the effect of patellar taping on balance and gait abilities in chronic stroke patients. Design: Randomized placebo-controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recruited from R hospital. These study subjects were randomized to the experimental group (n=15) or placebo group (n=15). In the experimental group, patellar taping was applied while for the placebo group, placebo taping was applied. The Balance System SD was used for measuring dynamic standing balance in these two groups. In addition, the GAITRite (CIR System Inc.) system was utilized for calculating gait performance in these patients. Results: After application of taping, the patellar taping group showed a significant decrease in dynamic standing balance in their sway area (p<0.05). However, in the placebo group, there was no significant difference in dynamic standing balance ability and gait ability before and after application of taping. Comparison of the patellar taping group and placebo group showed significant differences in dynamic standing balance ability and gait performance (p<0.05). Conclusions: From the results of this study, it appears that application of patellar taping in chronic stroke patients significantly improved dynamic standing balance ability and gait ability in these patients. Based on these results, patellar taping is thought to be useful in real clinical settings where there are many chronic patients who are in need of improvement in their balance and gait ability.

The Effects of Sciatic Nerve Mobilization on Hamstring Flexibility, Lower Limb Strength and Gait Performance in Patients With Chronic Stroke

  • Shin, Yun-hyeok;Chon, Seung-chul
    • Physical Therapy Korea
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    • v.22 no.4
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    • pp.8-16
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    • 2015
  • The purpose of this study was to evaluate the effects of mobilization of the sciatic nerve on hamstring flexibility, lower limb strength, and gait performance in patients with chronic stroke. This study was a randomized clinical trial with a crossover design. Sixteen subjects were recruited for this study. The subjects were randomly divided into two intervention groups and underwent either of the following two interventions: sciatic nerve mobilization or static stretching of the hamstring. We assessed hamstring flexibility, lower limb strength, and gait performance using a digital inclinometer, a hand-held dynamometer, and the 10-meter walk test, respectively. Subjects had a 24-hour rest period between each session in order to minimize carryover effects. Measurements for each test were assessed prior to and immediately after the intervention sessions. Using a two-way analysis of variance test with repeated measures, data from the two trials were analyzed by comparing the differences between both techniques. The level of statistical significance was set at .05. Sciatic nerve mobilization resulted in significantly better knee extensor strength (p=.023, from $15.32{\pm}5.98$ to $18.16{\pm}6.95kg$) and knee flexor strength (p=.011, from $7.80{\pm}4.80$ to $8.15{\pm}4.24kg$) in the experimental group than in the control group. However, no significant effects of static stretching of the hamstring were observed on hamstring flexibility from the ankle plantar flexion (p=.966) and ankle neutral positions (p=.210) and on gait performance (p=.396). This study indicated that the sciatic nerve mobilization technique may be more effective in muscle activation of the knee extensor muscle and knee flexor muscle than hamstring static stretching technique in patients with chronic stroke.

Detection of spatia-temporal gait parameter for hemiplegic patients based on an accelerometer and footswitches (Preliminary study) (체중심 가속도와 풋스위치를 이용한 편마비 환자의 시공간 보행인자 검출)

  • Lee, Hyo-Ki;Lee, Kyoung-Joung;Kim, Young-Ho;Park, Si-Woon
    • Proceedings of the KIEE Conference
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    • 2005.10b
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    • pp.542-544
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    • 2005
  • This paper describes the detection of spatio-temporal parameter using an accelerometer and footswitches to evaluate a symmetry and balance of hemiplegic patients. We detected gait data using a 3-axis accelerometer that mounted between L3 and IA intervertebral area and footswitches made by FSR-Sensor attached insole. To minimize the error of the gait parameters to be detected incorrectly in case of using only accelerometer, we enhancement the performance of detection by measuring an accelerometer and foots witches data at the same time. So, it was possible to detect more accurate gait parameters. As a result, we can confirm the symmetry and balance of hemiplegic patients. In the future. these results could be used to evaluate the walking ability in hemiplegic patients in clinical pratice.

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Effect of a Mulligan Taping Programon Gait Parameters in Healthy Adults (Mulligan 테이핑 프로그램이 건강한 성인의 보행에 미치는 효과)

  • Ma, Sang-Yeol;Lee, Su-Yeon
    • PNF and Movement
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    • v.11 no.1
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    • pp.63-68
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    • 2013
  • Purpose : The purpose of this study was to examine changes in spatiotemporal gait parameters(STGPs) in healthy adults before and after a immediate intervention of a Mulligan taping program(MTP). Methods : A total of 12 healthy adults(mean age, 20.82 years; age range, 19-24 years) participated in the study. performance was assessed by recording changes in the STGPs using GaitRite. comparisons of changes in the STGPs at pre-intervention and at dischange were analyzed using the Wilcox signed rank test and Mann-Whithney U test. Results : There was a significant improvement in the outcome measures of STGPs(stride length, velocity) after immediate of MTP(p<0.05). However, no significant different pre-test and post-test step width, toe angle(p>0.05). Conclusion : Participants in a MTP improves STGPs, thereby increasing the ability of healthy adults to maintain gait. MTP appears to be a safe and efficacious, noninvasive treatment modality for patients with knee joint disease.

Fusion algorithm for Integrated Face and Gait Identification (얼굴과 발걸음을 결합한 인식)

  • Nizami, Imran Fareed;Hong, Sug-Jun;Lee, Hee-Sung;Ann, Toh-Kar;Kim, Eun-Tai;Park, Mig-Non
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2007.11a
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    • pp.15-18
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    • 2007
  • Identification of humans from multiple view points is an important task for surveillance and security purposes. For optimal performance the system should use the maximum information available from sensors. Multimodal biometric systems are capable of utilizing more than one physiological or behavioral characteristic for enrollment, verification, or identification. Since gait alone is not yet established as a very distinctive feature, this paper presents an approach to fuse face and gait for identification. In this paper we will use the single camera case i.e. both the face and gait recognition is done using the same set of images captured by a single camera. The aim of this paper is to improve the performance of the system by utilizing the maximum amount of information available in the images. Fusion is considered at decision level. The proposed algorithm is tested on the NLPR database.

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Modeling and Posture Control of Lower Limb Prosthesis Using Neural Networks

  • Lee, Ju-Won;Lee, Gun-Ki
    • Journal of information and communication convergence engineering
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    • v.2 no.2
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    • pp.110-115
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    • 2004
  • The prosthesis of current commercialized apparatus has considerable problems, requiring improvement. Especially, LLP(Lower Limb Prosthesis)-related problems have improved, but it cannot provide normal walking because, mainly, the gait control of the LLP does not fit with patient's gait manner. To solve this problem, HCI((Human Computer Interaction) that adapts and controls LLP postures according to patient's gait manner more effectively is studied in this research. The proposed control technique has 2 steps: 1) the multilayer neural network forecasts angles of gait of LLP by using the angle of normal side of lower limbs; and 2) the adaptive neural controller manages the postures of the LLP based on the predicted joint angles. According to the experiment data, the prediction error of hip angles was 0.32[deg.], and the predicted error of knee angles was 0.12[deg.] for the estimated posture angles for the LLP. The performance data was obtained by applying the reference inputs of the LLP controller while walking. Accordingly, the control performance of the hip prosthesis improved by 80% due to the control postures of the LLP using the reference input when comparing with LQR controller.

The Effect of Action Observation on Gait in Hemiparesis Patients (활동관찰 훈련이 편마비 환자의 보행지수에 미치는 영향)

  • Kim, Jin-Seop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.8
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    • pp.3610-3617
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    • 2012
  • This study was to evaluate the effects of an action observation to improve on gait in stroke patients. Participants were randomly allocated to two groups: experimental (n=10) and control (n=10). Both groups were trained for 60 minutes, 6 times a week during 6 weeks by neuro-development treatment. Experimental group practiced additional action observation for 3 session 10 minutes per week 6 weeks. Both groups were evaluated by gait velocity, affected step length, non affected step length, affected stride length, non affected stride length, double support time, cadence, and timed up and go to test. There were significantly increased by action observation in outcomes of the gait performance from the gait velocity, affected side step length, affected side stride length, cadence, timed up and go test. In conclusion, the action observation improves gait performance in stroke patients. The results suggest that action observation training is feasible and suitable for individuals with hemiparesis patients.

Gait-Based Gender Classification Using a Correlation-Based Feature Selection Technique

  • Beom Kwon
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.3
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    • pp.55-66
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    • 2024
  • Gender classification techniques have received a lot of attention from researchers because they can be used in various fields such as forensics, surveillance systems, and demographic studies. As previous studies have shown that there are distinctive features between male and female gait, various techniques have been proposed to classify gender from three dimensional(3-D) gait data. However, some of the gait features extracted from 3-D gait data using existing techniques are similar or redundant to each other or do not help in gender classification. In this study, we propose a method to select features that are useful for gender classification using a correlation-based feature selection technique. To demonstrate the effectiveness of the proposed feature selection technique, we compare the performance of gender classification models before and after applying the proposed feature selection technique using a 3-D gait dataset available on the Internet. Eight machine learning algorithms applicable to binary classification problems were utilized in the experiments. The experimental results show that the proposed feature selection technique can reduce the number of features by 22, from 82 to 60, while maintaining the gender classification performance.

The Effects of Balance Training with Visual Cue Deprivation on Gait Function in Patients with Stroke (시각차단 균형훈련이 뇌졸중 환자의 보행기능에 미치는 영향)

  • Moon, Sung-Jun;Kim, Yong-Wook;Kim, Tae-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.4
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    • pp.411-421
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    • 2012
  • PURPOSE: The purpose of this study was to investigate the effect of balance rehabilitation training with the visual cue deprivation on gait function in stroke patients in comparison with balance training without the visual cue deprivation. METHODS: Twenty two stroke patients participated in this study. Patients were randomly assigned to one of the two balance training program with and without the visual cue deprivation. Balance training session for each group lasted 50 minutes, 3 times a week for a total of 6 weeks. Gait function was measured with the Functional Gait Assessment (FGA), the self-selective comfortable gait speed (CGS), the maximal gait speed (MGS), and the Gait Analysis System. Temporal and spatial gait parameters of each evaluation were measured before and after the balance training program respectively. RESULTS: After the program, the visual cue deprivation group improved significantly in the FGA, the CGS, the gait velocity, the step time, the step length, the stride length, and the Functional Ambulation Performance (FAP) in comparison with the balance training group with the visual cue (p<.05). CONCLUSION: The gait function of the participants with the visual cue deprivation showed more improvement after the balance training program compared to the patients group without the visual cue deprivation, Therefore, the balance training program with the visual cue deprivation may be useful for rehabilitation of patients with chronic stroke.

Comparison of Lower Extremity Electromyography and Ground Reaction Force during Gait Termination according to the Performance of the Stop Signal Task (정지신호과제의 수행에 따른 보행정지 시 다리 근전도 및 지면반발력 비교)

  • Koo, Dong-Kyun;Kwon, Jung-Won
    • PNF and Movement
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    • v.20 no.1
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    • pp.135-145
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    • 2022
  • Purpose: The purpose of this study was to investigate the association between cognitive and motor inhibition by comparing muscle activity and ground reaction force during unplanned gait termination according to reaction time measured through the stop-signal task. Methods: Sixteen young adults performed a stop-signal task and an unplanned gait termination separately. The subjects were divided into fast and slow groups based on their stop-signal reaction time (SSRT), as measured by the stop-signal task. Electromyography (EMG) and ground reaction force (GRF) were compared between the groups during unplanned gait termination. The data for gait termination were divided into three phases (Phase 1 to 3). The Mann-Whitney U test was used to compare spatiotemporal gait parameters and EMG and GRF data between groups. Results: The slow group had significantly higher activity of the tibialis anterior in Phase 2 and Phase 3 than the fast group (p <0.05). In Phase 1, the fast group had significantly shorter time to peak amplitude (TPA) of the soleus than the slow group (p <0.05). In Phase 2, the TPA of the tibialis anterior was significantly lower in the fast group than the slow group (p <0.05). In Phase 3, there was no significant difference in the GRF between the two groups (p >0.05). There were no significant difference between the two groups in the spatiotemporal gait parameters (p >0.05). Conclusion: Compared to the slow group, the fast group with cognitive inhibition suppressed muscle activity for unplanned gait termination. The association between SSRT and unplanned gait termination shows that a participant's ability to suppress an incipient finger response is relevant to their ability to construct a corrective gait pattern in a choice-demanding environment.