• Title/Summary/Keyword: Gait type

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Effects of Treadmill Training on Gait of Stroke Patients : A Systematic Review (트레드밀운동이 뇌졸중 환자의 걷기기능향상에 관한 문헌연구)

  • Kang, Kwon-Young;Ko, Tae-Sung
    • Journal of Korean Physical Therapy Science
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    • v.15 no.3
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    • pp.73-79
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    • 2008
  • Background : Treadmill training has been proposed as a useful adjunct to conventional physical therapy to restore ability to walk after stroke. The purpose of this study to inform clinical practise by evaluating the research evidence for the effectiveness of treadmill training after stroke. Methods : We searched to the effectiveness of any form of intervention for effect of treadmill training by Dankook University electronic library databases of Medline, Embase, Cinahl, Amed and PEDro combined with a hand search of papers published in relevant peer-reviewed journals. Any type of study relevant to the topic published in English during time period from 1980 to 2007 was included. Results : The literature search identified 35 studies. The included studies enrolled a total of 374 subjects. 1. Treadmill retraining without partial body weight support might be more effective than no treatment at improving gait velocity, get up and go time, gait endurance and step length symmetry. 2. Treadmill retraining with partial body weight support might be more effective than no treatment in improving step length symmetry, gait velocity, gait endurance and balance. 3. Treadmill retraining might be more effective with partial body weight support than without it at improving gait velocity and motor improvement as measured by The Stroke Rehabilitation Assessment of Movement(STREAM). 4. Treadmill retraining without partial body weight support may be no different from physiotherapy and increase gait velocity to conventional gait therapy. 5. Treadmill retraining with partial body weight support may be no different from physiotherapy for gait velocity, motor recovery and balance. Conclusion The review suggests that although treadmill training of gait, especially with partial body weight support, might Improve gait parameters and functional mobility, unless treadmill training is directed at Improving gait speed it might be no more effective than conventional physical therapy at improving gait parameters.

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A Comparative Study of Gait Characteristics between Single Axis Foot and Energy Storing Foot for Sports in Trans-tibial Amputee (하퇴절단자용 단축식 발과 스포츠용 에너지 저장형 발 보행 특성 비교연구)

  • Chang, Yun-Hee;Bae, Tae-Soo;Kim, Shin-Ki;Mun, Mu-Seong
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.2
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    • pp.126-132
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    • 2009
  • This study examined the differences in spatio-temporal parameters, joint angle, ground reaction force (GRF), and joint power according to the changes of gait speed for trans-tibial amputees to investigate the features of the energy-storing foot for sports. The subjects walked at normal speed and at fast speed, wearing a single-axis type foot (Korec) and an energy-storing foot for sports (Renegade) respectively. The results showed that Renegade yielded faster gait speed as well as more symmetric gait pattern, compared to Korec. However, as gait speed was increased, there was no significant difference in kinematics, ground reaction force, and joint power between two artificial foots. This was similar to the results from previous studies regarding the energy-storing foot, where the walking velocity and gait symmetry have been improved. Nevertheless, the result of this study differed from the previous ones which reported that joint angle, joint power, and GRF increased as the gait speed increased except spatio-temporal parameters.

Person Recognition Using Gait and Face Features on Thermal Images (열 영상에서의 걸음걸이와 얼굴 특징을 이용한 개인 인식)

  • Kim, Sa-Mun;Lee, Dae-Jong;Lee, Ho-Hyun;Chun, Myung-Geun
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.65 no.2
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    • pp.130-135
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    • 2016
  • Gait recognition has advantage of non-contact type recognition. But It has disadvantage of low recognition rate when the pedestrian silhouette is changed due to bag or coat. In this paper, we proposed new method using combination of gait energy image feature and thermal face image feature. First, we extracted a face image which has optimal focusing value using human body rate and Tenengrad algorithm. Second step, we extracted features from gait energy image and thermal face image using linear discriminant analysis. Third, calculate euclidean distance between train data and test data, and optimize weights using genetic algorithm. Finally, we compute classification using nearest neighbor classification algorithm. So the proposed method shows a better result than the conventional method.

Dynamic Bayesian Network-Based Gait Analysis (동적 베이스망 기반의 걸음걸이 분석)

  • Kim, Chan-Young;Sin, Bong-Kee
    • Journal of KIISE:Software and Applications
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    • v.37 no.5
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    • pp.354-362
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    • 2010
  • This paper proposes a new method for a hierarchical analysis of human gait by dividing the motion into gait direction and gait posture using the tool of dynamic Bayesian network. Based on Factorial HMM (FHMM), which is a type of DBN, we design the Gait Motion Decoder (GMD) in a circular architecture of state space, which fits nicely to human walking behavior. Most previous studies focused on human identification and were limited in certain viewing angles and forwent modeling of the walking action. But this work makes an explicit and separate modeling of pedestrian pose and posture to recognize gait direction and detect orientation change. Experimental results showed 96.5% in pose identification. The work is among the first efforts to analyze gait motions into gait pose and gait posture, and it could be applied to a broad class of human activities in a number of situations.

Gait analysis on the condition of arm swing in healthy young adults

  • Koo, Hyun-Min;Lee, Su-Young
    • Physical Therapy Rehabilitation Science
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    • v.5 no.3
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    • pp.149-154
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    • 2016
  • Objective: The arm swing is associated with gait ability in healthy young adults. The purpose of this study was to examine the effects of arm swing during gait in healthy young adults. Design: Cross-sectional study. Methods: Forty-five subjects without any orthopedic or neurological injuries participated in this study. All subjects performed all three conditions according to the arm swing type as follows: first procedure (condition 1), walking as usual without arm swing constraint; second procedure (condition 2), constraint of dominant arm swing walking as usual; third procedure (condition 3), constraint of both arm swing walking as usual. Gait parameters such as gait velocity, stride length, cadence, step time, single limb support, and double limb support were measured in all arm swing conditions performed randomly, with the mean value obtained from three measurements. A rest period of 5 minutes was given to prevent repetition of each condition and learning effect. All data was analyzed using repeated measures ANOVA to notice the changes between arm swing conditions. Results: Within walking conditions, significant difference of gait velocity, stride length, cadence, and double limb support was noticed (p<0.05), except step time and single limb support. Gait velocity and stride length were significant reduced, and in cadence and double limb support were increased (p<0.05). Condition 3 had the most significant decrease of gait ability compared with condition 1 (p<0.05). Conclusions: These finding suggested that constraint arm swing conditions reduced gait ability in healthy young adults. Also, these findings can be utilized as a reference to future studies that not only pelvic, knee and ankle, but also upper limb affect to gait ability.

Effects of Taping on Balance and Gait in Patients With Stroke: A Meta-analysis

  • Eun-Ji Kim;Joo-Hee Park;Yixin Wang;Hye-Seon Jeon
    • Physical Therapy Korea
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    • v.30 no.2
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    • pp.92-101
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    • 2023
  • Background: Stroke is one of the causes affecting gait and balance. Taping is considered an effective method for improving balance and gait in stroke patients. Numerous studies have confirmed the functional effects of taping in stroke patients. However, there is still no consensus regarding the use of taping to improve gait and balance. Objects: The purpose of this review was to investigate the effects of taping on the balance and gait of patients with stroke through meta-analysis of studies. Methods: PubMed, Medline, Embase, Web of Science, Cochrane Review, RISS, DBPia, and Science on were used to collect articles on Kinesio and non-elastic taping. The key terms were "Stroke", "Hemiplegia", "Taping", "Tape", "Balance", and "Gait" with cut-off of October, 2022. Taping group was compared with control groups with sham, placebo, and no taping. The outcome measures included the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and gait speed (cm/s). Eighteen studies (524 patients) were selected for the meta-analysis. Results: Overall, taping improved balance and gait in stroke patients, and Kinesio and non-elastic taping had similar effect sizes. Taping improved the BBS and TUG, and was most effective on gait speed. Contrary to the expectation that a longer duration of taping would be more affective, taping was most effective when the total taping duration was shorter than 500 minutes. In addition, the effect size of taping was greater when it was simultaneously attached to multiple locations. Conclusion: This meta-analysis supports the use of taping to improve gait and balance in stroke patients, and provides guidelines for the location, duration, and type of tape to increase taping efficiency.

Comparison of Gait Patterns on Pregnant's Kinematic Factors and Lower-Limb Joint Moments During Pregnant Period (임신 기간에 따른 임산부 보행의 운동학적 요인과 하지 관절모멘트 패턴 비료)

  • Hah, Chong-Ku;Jang, Young-Kwan
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.32 no.3
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    • pp.78-84
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    • 2009
  • The purpose of this study was to compare gait patterns during pregnancy. Because of the changes in hormone levels and anatomical changes such as body mass, body-mass distribution, joint laxity, and musculotendinous strength that result from pregnancy, it was possible that there would be certain gait deviations associated with these changes. Three-dimensional gait analyses were performed from a self-selected pace, and six subjects(height : $163{\pm}5.3cm$, mass : $61.3{\pm}3.80kg$, $65.3{\pm}5.14kg$, $70.2{\pm}4.98kg$) participated in the three times(the early, middle and last years). 7 cameras(Proreflex MCU-240, Qualisys) and 2 force plates (Type 9286AA, Kistler) were used to acquire raw data. The parameters were calculated and analyzed with Visual-3D and Joint moments computed using inverse dynamics. In conclusion, pregnant women's gait patterns were changed during pregnancy period because pregnancy makes them physical changes. The main changes were joint moments and kinematic factors during pregnancy period. The pregnancy transformed normal gait pattern Into toe out position. Therefore, exercise programs to improve muscle activity were necessary where joint moments were small. The development of simulator should be studied for pregnant women's tailored shoes and accessories in future.

The Effects of Robot-Assisted Gait Training for the Patient With Post Stroke: A Meta-Analysis (뇌졸중 환자에게 적용한 로봇보행 재활훈련의 효과: 메타분석)

  • Park, So-Yeon
    • Physical Therapy Korea
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    • v.22 no.2
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    • pp.30-40
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    • 2015
  • Robot-assisted rehabilitation therapy has been used to increase physical function in post-stroke patients. The aim of this meta-analysis was to identify whether robot-assisted gait training can improve patients' functional abilities. A comprehensive search was performed of PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Physiotherapy Evidence Database (PEDro), Academic Search Premier (ASP), ScienceDirect, Korean Studies Information Service System (KISS), Research Information Sharing Service (RISS), Korea National Library, and the Korean Medical Database up to April, 2014. Fifteen eligible studies researched the effects of robot-assisted gait training to a control group. All outcome measures were classified by International Classification of Functioning, Disability, and Health (ICF) domains (body function and structures, activity, and participation) and were pooled for calculating the effect size. The overall effect size of the robot-assisted gait training was .356 [95% confidence interval (CI): .186~.526]. When the effect was compared by the type of electromechanical robot, Gait Trainer (GT) (.471, 95% CI: .320~.621) showed more effective than Lokomat (.169, 95% CI: .063~.275). In addition, acute stroke patients showed more improvement than others. Although robot-assisted gait training may improve function, but there is no scientific evidence about the appropriate treatment time for one session or the appropriate duration of treatment. Additional researchers are needed to include more well-designed trials in order to resolve these uncertainties.

Systematic Review of Evidence-Based Intervention for Gait in Dementia Patient (치매환자의 보행에 관한 근거기반 중재에 대한 체계적 고찰)

  • Kwon, Ae-Lyeong;Jung, Hai-Ik
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.667-675
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    • 2021
  • This study conducted a systematic review of evidence-based interventions to confirm the importance of gait in dementia patients and to inform the necessity of various interventions necessary for gait. Based on PRISMA's guidelines and evidence-based intervention, a systematic review were conducted, and papers published in domestic journals for the past 10years were collected, and the dependent variables measured along with the intervention type and gait were analyzed. For data search, research papers from January 2011 to June 2020 were collected through RISS, KISS, the National Library of Korea, and the Library of Congress. The main search terms were 'dementia patient', 'walking', and 'walking ability'. Searched 57 papers on dementia patients and gait that meet the literature selection criteria. Among them, papers overlapping with papers before 2010, papers whose dependent variable is not related to gait ability were excluded, and finally, other than dementia diseases. As for the type of gait intervention, there were many programs related to exercise such as fall prevention and physical activity, and the dependent variables measured along with gait were physically and psychologically diverse. Although domestic studies for dementia patients are conducted in a variety of directions and methods, there are few studies on the improvement of function and gait of the lower extremity part of the body. Therefore, it is necessary to study the multifaceted and various intervention methods for walking in dementia patients.

The Effect of Form and Hardness of Outsoles on the Motion of the Lower Extremity Joints and on Foot Pressure during Gait (보행 시 신발의 아웃솔 형태가 하지 관절 운동과 발의 압력에 미치는 영향)

  • Kim, Eui-Hwan;Kim, Sung-Sup;Kwon, Moon-Seok;Wi, Ung-Ryang;Lim, Jung;Chung, Chae-Wook
    • Korean Journal of Applied Biomechanics
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    • v.21 no.2
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    • pp.223-230
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    • 2011
  • The purpose of this study was to analysis the effect of form and hardness of outsoles on the motion of the lower extremity joints and on foot pressure during gait. The subjects were 15 women(mean age, $48.5{\pm}2.4$ years), who had no serious musculoskeletal, coordination, balance or joint/ligament problems within 1 year prior to the study. The pelvic tilt, joint angles at the lower extremities and the vertical ground reaction force(GRF) were compared during gait with 3 types of shoes (A, B, C) by using one-way repeated ANOVA(p<.05). During gait, the peak tilt angle and the range of motion(ROM) of the ankle and knee joints were found to be significantly different among the 3 types of shoes. The type C shoes showed a significantly lower mean second maximum vertical GRF than types A and B. The curved outsoles of type C shoes, which had a form and hardness different from those of A and B, was designed strategically for walking shoes to provide stability to the Additionally, type C induced the dispersion of eccentric pressure and made the center of pressure roll over to the center line of the foot.