• 한국정밀공학회지
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• 제27권2호
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• pp.145-152
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• 2010

Gait phase detection is important for evaluating the recovery of gait ability in patients with paralysis, and for determining the stimulation timing in FES walking. In this study, three different motion sensors(tilt sensor, gyrosensor and accelerometer) were used to detect gait events(heel strike, HS; toe off, TO) and they were compared one another to determine the most applicable sensor for gait phase detection. Motion sensors were attached on the shank and heel of subjects. Gait phases determined by the characteristics of each sensor's signal were compared with those from FVA. Gait phase detections using three different motion sensors were valid, since they all have reliabilities more than 95%, when compared with FVA. HS and TO were determined by both FVA and motion sensor signals, and the accuracy of detecting HS and TO with motion sensors were assessed by the time differences between FVA and motion sensors. Results show of that the tilt sensor and the gyrosensor could detect gait phase more accurately in normal subjects. Vertical acceleration from the accelerometer could detect HS most accurately in hemiplegic patient group A. The gyrosensor could detect HS and TO most accurately in hemiplegic patient group A and B. Valid error ranges of HS and TO were determined by 3.9 % and 13.6 % in normal subjects, respectively. The detection of TO from all sensor signals was valid in both patient group A and B. However, the vertical acceleration detected HS validly in patient group A and the gyrosensor detected HS validly in patient group B. We could determine the most applicable motion sensors to detect gait phases in hemiplegic patients. However, since hemiplegic patients have much different gait patterns one another, further experimental studies using various simple motion sensors would be required to determine gait events in pathologic gaits.

• 한국운동역학회지
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• 제30권2호
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• pp.145-154
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• 2020

Objective: The purpose of this study was to determine the relationship between impact and shear peak force, and tibia-accelerometer variables during running. Method: Twenty-five male heel strike runners (mean age: 23.5±3.6 yrs, mean height: 176.3±3.3 m/s, mean mass: 71.8±9.7 kg) were recruited in this study. The peak impact and anteroposterior shear forces during treadmill running (Bertec, USA) were collected, and impact shock variables were computed by using a triaxial accelerometer (Noraxon, USA). One-way ANOVA was used to test the influence of the running speed on the parameters. Pearson's partial correlation was used to investigate the relationship between the peak impact and shear force, and accelerometer variables. Results: The running speed affected the peak impact and posterior shear force, time, slope, and peak vertical and resultant tibial acceleration, slope at heel contact. Significant correlations were noticed between the peak impact force and peak vertical and resultant tibia acceleration, and between peak impact average slope and peak vertical and resultant tibia acceleration average slope, and between posterior peak (FyP) and peak vertical tibia acceleration, and between posterior peak instantaneous slop and peak vertical tibial acceleration during running at 3 m/s. However, it was observed that correlations between peak impact average slope and peak vertical tibia acceleration average slope, between posterior peak time and peak vertical and resultant tibia acceleration time, between posterior peak instantaneous slope and peak vertical tibial acceleration instantaneous slope during running at 4 m/s. Conclusion: Careful analysis is required when investigating the linear relationship between the impact and shear force, and tibia accelerometer components during relatively fast running speed.

• 대한물리치료과학회지
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• 제6권3호
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• pp.25-40
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• 1999

The hub of weight bearing in the human body for both static and dynamic activities is the lumbopelvic region. It is a key region of extraordinary stability, since the trunk and ground forces converage in this region. The two sacroiliac joints form an integral part of this lumbopelvic unit. Considerable effort has been expended to study and quantify the normal range of movement of the sacroiliac joints Mitchell suggests that the ilium rotates in a posterior direction at heel strike and progresses in an anterior direction as the individual passes through the stance phase. The overall key appears to lie in determining the weight-bearing pattern of the sacroiliac (lumbopelvic) region from above and below that results in the familiar pain of sacroiliac dysfunction, assessing the status of the injured tissues, and intervening with the proper treatment protocols that maximize the body's healing processes. The purpose of this chapter is to provide a comprehensive overview of the sacroiliac joint's tissues and biomechanics, as well as concepts of evaluation and treatment. This overview is aimed at assisting the clinician in identifying the forces that are potentially destructive to the lumbopelvic tissues.

• 한국운동역학회지
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• 제12권1호
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• pp.47-61
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• 2002

The purpose of this study was to determined the force and moment of the ankle and the knee joint at different step length relative to the length of the lower extremity during a steady running. Six digital cameras(Qualisis) and a forceplatform(A.M.T.I) were used to obtain the kinematic data of the segments and kinetic data on the running at speed of 5.18m/s. The force and moment measured from six subjects participated in this study were limited to the support phase and their values were averaged at the moment of heel strike, mid stance, and toe off of a running for making a comparison between the condition 1(relative step length 1.1) and the condition 2(relative step length 1.4). It was concluded that internal forces except mediolateral force of the condition 2 were greater in the ankle and the knee joint than those of the condition 1, but all moments of condition 2 were greater from the descriptive statistic point of view. For the future study, it was needed to consider a number of subjects, a various running speed, and a individual step preference for applying generally results to the running strategy.

• 대한의용생체공학회:의공학회지
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• 제28권3호
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• pp.377-386
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• 2007

Mechanical loading to bone cells using simple sine wave or constant wave fluid flow has been widely used for in vitro experiments. Human gait is characterized by a complex loading to bones of lower extremities which results from a series of events consisting of heel strike, foot flat and push-off during the stance phase of the gait cycle. Telemetric force analyses have shown that human femora are subject to multiphasic loading. Therefore, it would be ideal if the physiologic loading conditions during human walking can be used for in vitro mechanotransduction studies. Here, for a mechanotransduction study, we develop it fluid flow system (FFS) in order to simulate human physiologic mechanicalloading on bone cells. The development methods of the FFS including the COR (Center for Orthopedic Research), monitor program are presented. The FFS could generate various multiphasic loading conditions of human gaits with output flow. Wall shear distribution was very uniform, with 81 % of the effective loading area of the culture on a glass slide. Our results demonstrated that the FFS, provide a new translational approach for unveiling molecular mechanotransduction pathways in bone cells.

• 대한물리치료과학회지
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• 제15권3호
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• pp.55-63
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• 2008

Background : The Purposes of this study were to understand difference between free walking and obstacle over walking through the naked eye and motion analysis device, and to review merits of obstacle walking training as item of functional assessment in clinical situations. Methods : All participants were male and performed 3 types of walking methods: free walking, obstacle over walking with low block(height=10cm, width=8cm), and obstacle over walking with high block(height=20cm, width=8cm). All walking were performed 3 trials respectively. Results : In the naked eye, initial contact with toes occurred more than heel strike in obstacle over walking, and the flexion angle of hip and knee were increased in obstacle over walking. On interpretations though motion analysis device, cadence, gait speed and weight accept were significant statistically(p<.05). Cadence and gait speed were decreased, and weight accept duration was increased in obstacle over walking. Rotation among three pelvic motions was significant statistically(p<.05), flexion among three hip motions was significant statistically(p<.05) and flexion among three ankle motions was significant statistically(p<.05). Rotation and flexion among three ankle motions was significant statistically(p<.05). Conclusion : Both the naked eye and interpretations of the device presented many difference between free walking and obstacle over walking. In overcrossing obstacles, many participants appeared walking strategy by perform initial contact with toes. Knee flexion was most significant statistically(p<.05) in obstacle over walking with 20cm block.

• PNF and Movement
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• 제4권1호
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• pp.45-50
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• 2006

발뒤꿈치 닿기 시 족관절은 약간 족저굴곡 위치에 있다가 발바닥 닿기까지 족저굴곡이 진행된다. 몸체가 지지하는 중간입각기동안 빨리 배굴로 변하고 입각기 말기에 발뒤꿈치 떼기 후에는 다시 저굴이 일어난다. 유각기의 시작인 발가락 떼기에서는 저굴이 되다가 유각기 중기에는 배굴로 바뀌고 발뒤꿈치 닿기에서는 약간 저굴로 변한다. 후족부의 운동은 발뒤꿈치 닿기 시에 편안히 서있을 때보다 더 회내되어 있고 발뒤꿈치 닿기 직후는 회내되고 중간입각기동안 다시 회내되는 양상을 보인다. 발끝떼기 시에 최대로 회내가 이루어진다. 발에서 일어나는 중요한 요소는 체중과 지면 반발력과의 충격을 흡수하는 역할이라 할 수 있다. 족관절 저굴은 뒤꿈치에 의한 초기 바닥 닿기의 즉각적인 반응으로 대부분의 최후 $10^{\circ}$는 짧은 발의 떨어짐으로 일어난다. 경골 전면 근육들의 활동은 동작을 유의하게 제한하고 즉각적으로 나타난다기보다는 오히려 보행주기에 8% 지점까지 전족에 의한 바닥접촉을 지연시킨다. 떨어지는 체중은 점차감소되고 두 번째로 충격을 흡수하는 기전은 슬관절에서 흡수한다. 위와 같이 보행 시에 발과 족관절의 운동성은 다양하다. 그러나 아직 임상에서는 발과 족관절에 대한 연구가 미흡하다. 따라서 발의 역학적인 범위의 다양성과 발의 내적인, 외적인 부하 사이의 관련성을 위한 더 많은 연구가 필요할 것으로 생각된다.

• 한국전문물리치료학회지
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• 제14권4호
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• pp.44-49
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• 2007

The purpose of this study was to investigate the effects of auditory cues in the form of a metronome on gait initiation (GI) in Parkinson's disease (PD). 2 patients (mean age: 54 yrs) with idiopathic PD participated in the study. All patients (Hoehn and Yahr disability score of 2.0) were tested in the "on" state approximately 1.5 hours following the administration and fully responding to their PD medications. Subjects first initiated walking at self-initiated speeds to determine their cadences. Then, subjects were asked to initiate gait along the walkway while keeping pace with a metronome. The metronome rate (in beats/min) was set at a cadence 85% (slow condition), 100% (normal condition) and 115% (fast condition) of gait for each subject. Subjects were able to increase the speed of GI with faster cadence, but the speed of GI for the slow condition was similar to that of the normal condition. Swing toe-off was 578.3 ms for the fast condition, 709.4 ms for the normal condition and 736.2 ms for the slow condition. Respective times for swing heel-strike were 894.3 ms, 1110.2 ms and 1119.1 ms, and stance toe-off were 1105.4 ms, 1338.5 ms, and 1343.1 ms. Except for stance unloading ground reaction forces were greatest for the fast condition and smallest for the slow condition. It appears that PD patients were able to modulate GRFs and temporal events in response to auditory cues to achieve the peak acceleration force of the swing and stance limb. The findings from this study provided preliminary data, which could be used to investigate how PD patients modulate GRFs and temporal events during GI in response to tasks.

• 한국전문물리치료학회지
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• 제27권4호
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• pp.227-232
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• 2020

Background: Hallux valgus (HV) is a foot deformity developed by mediolateral deviation of the first metatarsophalangeal joint. Although various foot-toe orthoses were used to correct the HV angle, verification of the effects of kinetics variables such as ground reaction force (GRF) through three-dimensional (3D) gait analysis according to the various type of orthoses for HV is insufficient. Objects: This study aimed to investigate the effect of soft and hard types of foot and toe orthoses to correct HV deformity on the GRF in individuals with HV using 3D motion analysis system during walking. Methods: Twenty-six subjects participated in the experiment. Participants had HV angle of more than 15° in both feet. Two force platforms were used to obtain 3D GRF data for both feet and a 3D motion capture system with six infrared cameras was used to measure exact stance phase point such as heel strike or toe off period. Total walk trials of each participant were 8 to 10, the walkway length was 6 m. Two-way repeated measures ANOVA was used to determine the effects of each orthosis condition on the various GRF values. Results: The late anteroposterior maximal force and a first vertical peak force of the GRF showed that the hard type orthosis condition significantly increased GRF compared to the other orthosis conditions (p < 0.05). Conclusion: There were significant effects in GRF values when wearing the hard type foot orthosis. However, the hard type foot orthosis was uncomfortable to wear during walking. Therefore, it is necessary to develop a new foot-toe orthosis that can compensate for these disadvantages.

• 한국전문물리치료학회지
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• 제11권2호
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• pp.27-34
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• 2004

The purpose of this study was to identify the influence of wedged insole and foot progression angle (FPG) on lateral thrust of knee in healthy subjects. Fifteen healthy male subjects were recruited from Suncheon First College, in Suncheon. The subjects randomly walked at the comfortable velocity under five conditions: bare footed, medio-lateral $10^{\circ}$ wedged insoles, toe-in and toe-out gait. The lateral thrust was measured by a accelerometer with telemeter during walking. Data was collected while each subject walked for about 10 gait cycle on a flat, level walkway at their normal speed. The middle three gait cycle were used for averaged peak value of lateral acceleration. The three averaged peak value of lateral acceleration were collected under each condition at heel strike. The results showed that averaged peak value of lateral acceleration increased significantly in medial wedged insole and toe-in gait and decreased significantly in lateral wedged insole and toe-out gait as compared with bare footed (p<.05). These results suggest that wedged insole as well as walking strategy, such as foot progression angle, may prevent progression of degenerative knee osteoarthritis.