• Title/Summary/Keyword: Gait type

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A Case of Korean Medical Treatment on Advanced-Stage Multiple System Atrophy with Gait Disturbance (보행장애를 호소하는 말기 다계통 위축증 환자 한의 치험 1례)

  • Hwang, Ye-Chae;Lee, Hye-Jin;Choi, Jeong-Woo;Jeon, Gyu-Ri;Park, Seong-Uk;Park, Jung-Mi;Ko, Chang-Nam;Cho, Seung-Yeon
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.22 no.1
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    • pp.31-44
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    • 2021
  • The purpose of this case report is to describe the effectiveness of Korean medicine in the treatment of gait disturbance in advanced stage multiple system atrophy-cerebellar type (MSA-C). This inpatient was treated with herbal medicine, acupuncture, pharmaco-acupuncture, moxibustion, cupping, and chuna therapy. The gait disturbance was assessed by Unified Multiple System Atrophy Rating Scale(UMSARS), Tinnetti test, and 16m walking spatial features. After treatment, UMSARS Part I score was enhanced, decreasing from 29 to 24, Part II score from 34 to 18. Tinetti test score increased from 7 to 20. Gait stride length increased and width decreased. This study suggests that Korean medical treatment could be an effective treatment for delaying the progress of gait disturbance in advanced-stage MSA-C patients.

A Gait Phase Classifier using a Recurrent Neural Network (순환 신경망을 이용한 보행단계 분류기)

  • Heo, Won ho;Kim, Euntai;Park, Hyun Sub;Jung, Jun-Young
    • Journal of Institute of Control, Robotics and Systems
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    • v.21 no.6
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    • pp.518-523
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    • 2015
  • This paper proposes a gait phase classifier using a Recurrent Neural Network (RNN). Walking is a type of dynamic system, and as such it seems that the classifier made by using a general feed forward neural network structure is not appropriate. It is known that an RNN is suitable to model a dynamic system. Because the proposed RNN is simple, we use a back propagation algorithm to train the weights of the network. The input data of the RNN is the lower body's joint angles and angular velocities which are acquired by using the lower limb exoskeleton robot, ROBIN-H1. The classifier categorizes a gait cycle as two phases, swing and stance. In the experiment for performance verification, we compared the proposed method and general feed forward neural network based method and showed that the proposed method is superior.

Design, Fabrication and Analysis of Walking Robot Based on Origami Structure (종이 접기 구조를 활용한 단일 구동기 보행 로봇의 설계, 제작 및 분석)

  • Kim, Tae-Yeon;Lee, Seok-Hun;Lee, Gi-Jung;Lee, Dae-Young;Kim, Ji-Suk;Cho, Kyu-Jin
    • Journal of the Korean Society for Precision Engineering
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    • v.32 no.1
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    • pp.97-105
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    • 2015
  • Recently, there have been many researches about applications of origami to mechanical engineering, which realizes a 30 sturcture by folding a 20 plane material. With this simple manufacturing process, origami was even adopted by some roboticists as a way to build an entirely new robot with benefits in terms of cost, weight, and structural simplicity In this paper, we propose a new type of a walking robot based on origami structure. Because all the components of the robot that generate gait motion are mechanically connected, it can actually walk fotward with only a single actuator. We also showed the similarity of gait trajectories between a kinematic analysis and the actual gait motion measured by video tracking. This result proved the possibility of designing an origami-based robot with the identical gait trajectory as we plan.

An Analysis of Research Using the Rhythmic Auditory Stimulation Technique: A Comparison of Music Therapy and Physical Therapy Approaches (국내 리듬청각자극(RAS) 기법 활용 연구 분석: 음악치료와 물리치료 비교를 중심으로)

  • Lee, Jiyeon
    • Journal of Music and Human Behavior
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    • v.17 no.1
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    • pp.71-96
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    • 2020
  • The purpose of this study was to identify research that included the rhythmic auditory stimulation (RAS) technique and to compare this body of research within the field of music therapy with that in physical therapy. Forty-five studies were identified that were published from January 1999 through November 2018, and these were analyzed in terms of intervention procedure, type of rhythmic cueing, and therapeutic basis described by the researcher. While research in both fields used rhythmic cueing as the primary therapeutic agent, differences were found in the area targeted by training and specific type of rhythmic cueing used. Research conducted in the field of music therapy focused primarily on gait function, while research in the field of physical therapy tended to address gait-related physical issues, such as balance, muscle strength, and proprioceptive sensation as well as gait. While all of the identified studies from the field of music therapy used music for cueing, a metronome was used more often for cueing in physical therapy research. In terms of description of theoretical basis, theory of entrainment was more sufficiently described in music therapy research. These results indicate that while music therapy research maximized the role of various elements of music in intervening in gait function, physical therapy research addressed gait in relation to other physical functions. Considering that both aspects are essential for gait training, this study supports the need for a multidisciplinary approach to neurological rehabilitation with RAS.

The Effect of Arm Swing on Gait in Healthy Adults (팔 흔들기가 정상인의 보행에 미치는 영향)

  • Jung, Hwa-Su;Choi, Su-Hee;Park, Sun-Ja;Oh, Hye-Jin;Cho, Hwa-Young
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.451-459
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    • 2014
  • This study was to performed to get the reference data of the kinetic parameters for normal subjects according to the arm swing type. Forty-five normal subjects($22.62{\pm}2.69years$) pariticpated in this study and preformed 4 sequence according to the arm swing type as follows; first procedure-normal arm swing, second procedure-one arm swing, thrid procedure-no arm swing, fourth procedure-fitness arm swing. There were significant differences according to the arm swing type in the kinetic parameters such as walking speed, hip power, ground reaction force of vertical in terminal stance phase(p<.05). These finding can be utilized (a) as a reference for kinetic data of gait analysis in normal subjects, and (b) as an aide in evaluating and treating patients who have problems relating to gait.

Analysis of Kinematic Parameters of Gait in Normal Subject (정상 성인의 운동 형상학적 보행 분석)

  • Jung, Hwa-Su
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.5
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    • pp.2989-2995
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    • 2014
  • This study was to performed to get the reference data of the kinematic parameters for normal subjects according to the arm movement type. Forty-five normal subjects participated in this study and preformed four sequence according to the arm movement type : normal arm movement, one arm movement, no arm movement, fitness arm movement. The study data was collected from June to August 2010. The kinematic data were measured using Vicon motion system 6MX3 cameras while each subjects walked through a 10m walkway. There were significant differences according arm movement type in the kinematic parameters such as range of motion (ROM) of the right pelvic, hip in sagittal plane, and ROM of the pelvic, hip, lumbar in coronal plane and ROM of the pelvic, thoracic, lumbar in transverse plane. This study can be utilized as the basic reference data in gait analysis for patients with pathologic gaits.

Development of Gait Monitoring System Based on 3-axis Accelerometer and Foot Pressure Sensors (3축 가속도 센서와 족압 감지 시스템을 활용한 보행 모니터링 시스템 개발)

  • Ryu, In-Hwan;Lee, Sunwoo;Jeong, Hyungi;Byun, Kihoon;Kwon, Jang-Woo
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.3
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    • pp.199-206
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    • 2016
  • Most Koreans walk having their toes in or out, because of their sedentary lifestyles. In addition, using smartphone while walking makes having a desirable walking posture even more difficult. The goal of this study is to make a simple system which easily analyze and inform any person his or her personal walking habit. To discriminate gait patterns, we developed a gait monitoring system using a 3-axis accelerometer and a foot pressure monitoring system. The developed system, with an accelerometer and a few pressure sensors, can acquire subject's foot pressure and how tilted his or her torso is. We analyzed the relationship between type of gate and sensor data using this information. As the result of analysis, we could find out that statistical parameters like standard deviation and root mean square are good for discriminating among torso postures, and k-nearest neighbor algorithm is good at clustering gait patterns. The developed system is expected to be applicable to medical or athletic fields at a low price.

The Effects of Neck Traction and Foot Type on Plantar Pressure Distribution during Walking (경추 견인기 부착 여부에 따른 발 형태별 보행 시 족저압에 미치는 영향)

  • Hong, Miran;Yi, Kyoungock
    • Korean Journal of Applied Biomechanics
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    • v.30 no.4
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    • pp.321-335
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    • 2020
  • Objective: The purpose of this study was to investigate the effect of neck traction and foot type on plantar pressure distribution during walking. Method: Total of 24 data were collected from women working with a computer for more than 6 hours every day. Three groups by foot type were divided: Pes Planus, normal foot, and Pes Cavus. Depending on the foot type and cervical traction, plantar pressure variables were measured; CA, MF, PP, and CT. Each variable was divided into 12 masks. MANOVA was performed for the difference of plantar pressure variables by foot type, and a paired t-test was performed for the cervical traction within groups. Results: The total CA decreased in the Pes Planus (p<.001) and Pes Cavus (p<.05) groups. MF increased in the big toe (p<.01) and 2nd toe (p<.05) of the normal foot, and MF-3rd metatarsal decreased (p<.01). The MF-2nd toe (p<.01) and 3rd toe (p<.05) of Pes Cavus decreased. The PP decreased in 2nd toe (p<.05), 3rd toe (p<.01), and 4th toe (p<.05) of the Pes Cavus. In normal foot, the PP-3rd metatarsal (p<.05) and PP-4th metatarsal (p<.01) reduced. In Pes Planus, PP decreased in the hindfoot (p<.05). In Pes Cavus group wearing a neck-tractor, the CT-hindfoot increased (p<.05). Conclusion: There was a significant change in the plantar pressure change by foot type after neck traction. When walking with a neck-tractor, the heel impact was alleviated in the Pes Planus, and the Pes Cavus showed the smooth and effective propulsion in the push-off. Overall, weight acceptance was effectively performed when walking with neck-traction. It was also found that the neck-tractor corrects the alignment of the neck, thereby creating a more stable gait pattern.

The immediate effect standing balance and dynamic activity on barefoot, wearing SPAFO and wearing HPAFO in hemiplegic patients (편마비환자에게 플라스틱 단하지 보조기착용 전${\cdot}$후 선자세 균형과 동적 움직임에 미치는 효과)

  • Lim Ho-Yong;Park Seung-kyu
    • The Journal of Korean Physical Therapy
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    • v.17 no.1
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    • pp.96-107
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    • 2005
  • Objective: The purpose of this study were to investigate the standing balance, dynamic activity in hemiplegic patients according to the types of ankle-foot orthosis(AFO) and to determine the most effective type of AFO for gait training. Method: A prospective study was performed for 16 patients with hemiplegia who was able to walk independently. Static balance and dynamic activity were compared in two condition : 1) barefoot and SPAFO, 2) barefoot and HPAFO. Static balance and dynamic activity characteristics were evaluated by Active Balance while they were standing with in two condition AFO and barefoot. Results: There were significant difference in standing balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in dynamic activity balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in gait speed between barefoot and wearing SPAFO and HPAFO(p<0.05). Conclusion: This study showed that wearing SPAFO and HPAFO gave fair amount of improvement to balance and gait ability of hemiplegic patients.

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Vibration Control of a Knee Joint System considering Human Vibration of the New R.G.O. for a Rehabilitation Trainning of Paraplegia (II) (척수마비환자 재활훈련용 보행보조기의 인체진동을 고려한 무릎관절 시스템 진동제어(II))

  • Kim, Myung-Hoe;Jang, Dae-Jin;Baek, Yun-Soo;Park, Young-Pil;Park, Chang-Il
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11b
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    • pp.446-452
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    • 2002
  • This paper Presents a 3-D design and a Vibration control of a new walking R.G.O.(Robotic Gait Orthosis) and would like to develop a simulation by this walking system. The vibration control and evaluation of the new knee joint mechanism on the biped walking R.G.O.(Robotic Gait Orthosis) was a very unique system and was to obtain by the 3-axis accelerometer with a low frequency vibration for the paraplegia It will be expect that the spinal cord injury patients are able to recover effectively by a biped walking R.G.O.. The new knee joint system of both legs were adopted with a good kinematic characteristics. It was designed attached a DC-srevo motor and controller, with a human wear type. It was able to accomodate itself to a environments of S.C.I. Patients. It will be expect that the spinal cord injury patients are able to recover effectively by a new walking R.G.O. system.

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