• The Journal of Korean Physical Therapy
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• 제14권2호
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• pp.74-85
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• 2002

The purpose of this study was to investigate the effect of static balance performance on gait in elderly. Subjects were twenty four members living in Gwangju(12males, 12females), between 65 and 81 years of age. The Force platform was used to measured static balance performance and gait analyzed the 3-D Motion Analysis The results of this study were as follow ; 1. The postural sway showed, The mean value of toe-heel was $1.41\pm0.51cm$ and left-right was $063\pm0.20cm$. In gait analysis, the mean value of each variable were swing phase $40.5\pm9.65\%$, stance phase $59.5\pm9.65\%$, stride length 0.79m, cadence $0.83\pm0.44step/sec$, velocity $0.57\pm0.32m/sec$, Knee up $34.7\pm31.0^{\circ}$, Knee down $-53.6\pm40.14^{\circ}$. Ankle up $12.14\pm13.94^{\circ}$, Ankle down $-16.8\pm25.0^{\circ}$ showed. 2. The correlation matrix between L-R sway and Toe-heel sway and gait variables was not showed. 3. In multiple regression test, there were no related variable.

• 대한안전경영과학회지
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• 제17권3호
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• pp.163-171
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• 2015

The aim of this study was to investigate kinematic mechanism of gait different road conditions(dry vs. oil) in order women. For this study, twenty older women and ten young women participated in this research. twelve infrared cameras were used to collect data. It appeared that the gait strategies of older women were slower velocity and higher CoM than young women. Depending on road conditions, gait velocities of dominant muscle older women on dry surface were faster than dominant sense older women, but those of them were inverse on oil surface. The slip displacement of dominant muscle older women was less than young women, but the slip displacement of dominant sense older women was greater than young women. In case of blind during stance phase on oil surface, the rotational motion of the ankle and knee joints were increased. In conclusion, older women were subjected to self-organization theory and phase shift in dynamic theory.

• 웰빙융합연구
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• 제5권1호
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• pp.1-7
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• 2022

Purpose: This study aimed to investigate spatial and temporal features of motor control in an individual with hemiparesis during the curvilinear gait (CG) and proposed an exercise guideline. Research design, data and methodology: An individual aged 63 with hemiparesis by stroke disease was participated in the study. Autoencoder (AE) was used to extract four motor modules from eight muscle activities of the paretic leg during CG. After extraction, each module of four modules was operationally defined by numbering from M1 to M4 according to spatial and temporal features and compared with results reported in a previous study. Results: As a result, an individual with hemiparesis had motor module problems related to difficulty of weight acceptance (module 1), compensation for the weakness of ankle plantar flexor (module 2), a spastic synergistic pattern (module 3) and difficulty with transition from the swing to stance phase (module 4) in terms of spatial features. Also, a delayed activation timing of temporal motor module (module 2) related to the forward propulsion during CG was observed. Conclusions: Gait rehabilitation for the stroke will need to consider clinical significances in respect of the deterioration of motor module and provide the tailored approaches for each gait phase.

• 대한물리의학회지
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• 제18권2호
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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.

• The Journal of Korean Physical Therapy
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• 제26권3호
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• pp.136-139
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• 2014

Purpose: The purpose of this study will demonstrate that relationship between scoliosis and gait factor and foot weight bearing in ambulation. Methods: Subjects were 40 elementary students. A normal control group consisted of a total of 20 children without any known musculoskeletal disorders and an AIS group of 20 children with mild AIS (defined by a Cobb angle between 10 and $25^{\circ}$) were recruited. Measurements were scoliometer screening test, Cobb angle, gait parameter (rate of swing/stance phase, gait velosity), foot weight bearing (entire, fore, hind). Results: Scoliometer screening test (P = 0.000) and X-ray Cobb angle (P = 0.000) significant difference of group which was significantly higher in the AIS group. Gait parameter not showed significant difference. Forefoot weight bearing was significantly higher in the AIS group than more normal group. Conclusion: It seems that the results of weight bearing analysis in ambulation may be used in modifying rehabilitation programs for individual needs of patients with idiopathic scoliosis.

• 대한치매학회지
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• 제22권4호
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• pp.139-147
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• 2023

Background and Purpose: Dual walking task such as crossing over an obstacle may serve as an excellent tool for predicting early cognitive decline. Thus, this study aimed to investigate correlation between walking while crossing over an obstacle and executive functions under different gait phases to validate the use of walking with an obstacle for predicting early cognitive decline. Methods: A cross-sectional study was conducted on 48 elderly individuals from 2 day-care centers and 3 welfare-centers in Seoul and Gyeonggi, Korea. Executive function tests (Trail Making Test, Stroop test) and dual walking tests (gait speed, cadence, stance time, gait cycle time) were performed and compared using partial correlation analysis. Results: There were significant correlations between executive function and most of the gait variables (stance time, cadence, and gait cycle time) (p<0.05) when crossing over an obstacle while walking. Especially, stance time exhibited significant correlations with most executive functions (p<0.05). Conclusions: When evaluating executive function during walking with an obstacle, post-obstacle-crossing phase and stance time need to be observed.

• PNF and Movement
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• 제21권1호
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• pp.11-18
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• 2023

Purpose: This study aims to compare the effects of obstacle walking training combined with cognitive tasks on balance, gait, and activities of daily living in patients with stroke. Methods: A single-subject design was used, where one stroke patient participated. Obstacle walking training combined with cognitive tasks was performed for 1 hour per day for a total of 10 times during the intervention phase. The subjects were measured five times in the baseline phase, 10 times in the intervention phase, and five times in the follow-up phase. The outcome measurements included the Berg balance scale (BBS), the 10-meter walk test (10 MWT), and the Korean modified Barthel index (K-MBI). Results: In this study, the results showed that the 10 MWT scores during the intervention period improved and that this improvement remained, even during the post-period. In addition, BBS and K-MBI values for stroke patients increased significantly after training. Conclusion: The results of this study revealed that obstacle walking training combined with cognitive task training may be helpful to improve balance, gait, and activities of daily living in stroke patients. Therefore, obstacle walking training combined with cognitive tasks is recommended for stroke patients.

• 재활복지공학회논문지
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• 제6권2호
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• pp.23-30
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• 2012

본 연구에서는 로드셀 센서를 활용하여 편바미 환자의 환측에 부하되는 체중부하에 따른 청각적 피드백을 적용한 대칭 보행유도와 보행패턴 분석이 가능한 무선 보행훈련 시스템을 개발하였다. 또한 개발된 시스템의 유효성을 검증하기 위해 정상인군 및 편마비군 대상자에게 수행한 임상실험을 진행하였으며, 각 대상군마다 피드백 적용 후 보행 속도와 체중 부하량, 그리고 보행 시 입각기비율과 분속수가 증가하였음을 확인하였다. 연구 결과를 토대로 편마비 환자 뿐만 아니라 대칭적 체중부하가 요구되는 다양한 하지 질환자들에 대한 임상실험을 확대하고 장기간 훈련의 효과를 관찰한다면, 본 연구에서 개발된 청각적 대칭 체중부하 피드백 보행 시스템은 다양한 패턴 분석과 함께 보행 향상을 위한 기기 적용이 가능할 것으로 기대된다.

• 국제물리치료학회지
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• 제1권2호
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• pp.120-125
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• 2010

The purpose of this study was to compare the effects of treadmill walking in underwater and overground which affects gait and physical function of people who have had a stroke. Twenty people after a stroke who have become hemiplegic over 6 months were participated. Participants were divided into two groups: underwater treadmill group(UTG) and overground treadmill group(OTG). The intervention was done 4 times per weeks for 6 weeks and 1 session lasted for 30 minutes. Gait and physical function elements were measured at baseline, at the middle(3 weeks) and at the end of the intervention(6 weeks). For the elements of gait, walking velocity, affected stance phase, affected weight bearing were assessed. For the elements of physical function, Short Form 8(SF-8) health survey was used. The result of this study showed that both groups improved similarly in walking velocity. However participants in UTG improved more than those in OTG in affected stance phase(p<.05), affected weight bearing(p<.05) and emotional aspect(p<.001). Based on the results of this study, it can be suggested that treadmill walking both in underwater and on the ground can be effective in improving hemiplegic gait and physical function of people who have had a stroke. The result also suggest that the underwater treadmill exercise can be more effective than overground treadmill in restoration of gait in people after stroke.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.280-286
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• 2019

본 연구는 발의 피로와 통증을 줄이고 발의 정상적인 기능을 유지해주는 기능적 인솔 적용 유무가 노인 보행 시 하지의 생체 역학적 변인 및 패턴에 미치는 영향을 규명하고자 하였다. 본 연구의 대상자는 10명(연령, 73.2 세: 신장, 152.1 cm: 체중, 59.4 kg)이며, 기능적 인솔 착용과 비 착용 시의 보행을 분석하였다. 보행분석은 퀄리시스 시스템 (Qualisys system)으로 촬영 후 비쥬얼 3D (Visual-3D)로 분석하였다. 그 결과, 기능적 인솔을 착용했을 경우, 보장과 유각기 속도가 유의미하게 증가하였다 (p<.05). 또한 하지의 신전 모멘트가 입각기에서 유의미하게 증가하였다 (p<.05). 본 연구 결과 기능적 인솔은 노인의 보행 안정성을 향상시는 효과가 있었다. 그러나 이 연구의 결과를 일반화하기 위해서는 더 많은 대상자들을 통해 보다 많은 정량적 자료를 축적할 필요가 있으며, 대상자들에게 오랜 시간동안 인솔을 사용하게 한 후 보행변인 및 패턴의 변화를 검토하는 연구가 추후 이뤄져야 할 것으로 판단된다.