• 제목/요약/키워드: Lower extremity joint moment

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삼각경사면 보행 시 하지 관절 생체역학적 분석 (Lower Extremity Biomechanics while Walking on a Triangle-Shaped Slope)

  • 홍윤노;정지영;김판권;신충수
    • 대한기계학회논문집B
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    • 제41권3호
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    • pp.153-160
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    • 2017
  • 보행 분석은 다양한 지형에서 수행되고 있으나 지형이 변화되는 시점에서의 보행 분석 연구는 보고된 바 없다. 본 연구의 목적은 삼각경사 보행 시 지형이 변화되는 시점에서 발목 및 무릎 관절의 운동학과 운동역학을 평지 보행과 비교 분석하는 것이다. 3차원 동작분석 시스템과 지면 반력기를 사용하여 성인 남성 18명의 하지 운동학 및 운동역학 자료를 획득하였다. 삼각경사 보행에서 최대 발목 배측굴곡각 및 모멘트와 최대 무릎 신전 모멘트가 평지보행과 비교하였을 때 증가하였다(p<0.05). 삼각경사의 상승경사 보행 시 $50^{\circ}$가 넘는 무릎 굽힘각과 그 시기에 발생하는 큰 무릎 신전 모멘트는 슬개대퇴증후군의 위험을 높일 수 있을 것으로 보인다. 또한 삼각경사의 하강경사 보행에서 증가된 발목 배측굴곡 운동범위는 비복근과 아킬레스건 부상 위험을 높일 수 있을 것으로 보인다.

석문일월무예 음양보법의 숙련성에 따른 보행 패턴의 하지 운동학 및 운동역학적 특성 (A Study of Motor Expertise about Kinematic and Kinetic Characteristics of Lower Extremity in the Seokmun Ilwol Martial Art Yin-yang Bo Gait Pattern)

  • 박복희;김기형
    • 한국운동역학회지
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    • 제24권3호
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    • pp.239-248
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    • 2014
  • The purpose of this study was to quantify kinematic and kinetic characteristics of Yin-yang Bo gait according to their motor expertise, one of the Seokmun Ilwol martial art gait patterns. Yin-yang Bo gait pattern shows initial forefoot contact instead of heel contact, and increased time of stance phase time, internal-external rotation of ankle-knee-hip joints and pelvic. It aims to produce and store the more energy through continuous homeostasis of center of gravity (COG) and performance of stretch-shortening cycle. Some of these characteristics also were similar to the gait modification strategies for reducing knee adduction moment such as toe-out progression, medial thrust, internal rotation of hip joint. To identify the characteristics, four factors of expert Yin-yang Bo gait performance group were compared to that of none expert group; 1) angles of COG displacement and rotation 2) distal joint pre-rotation in internal-external rotation of ankle-knee-hip joints and pelvic, 3) invariability pelvic potential and pelvic segment total energy 4) knee abduction moment. Six healthy(three male) subjects participated in the experiment to perform Yin-yang gait pattern. Three-dimensional and force plate data were collected. Kinematic and kinetic data were compared between two groups using t-tests. Results showed that 1) the peak point of COG internal rotation angle was reduced in expert group, 2) kneeexternal and hip joint -internal and pelvic rotation angle peak frames were more near points in expert group.

이십대 청년의 정상 및 비정상 계단보행특성에 따른 하지의 운동역학적 분석 (A Kinetic Analysis of the Lower Extremity on the Normal and Abnormal Specificity of Walking on Stair for Twenties)

  • 김영지;이영신;김창원
    • 한국CDE학회논문집
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    • 제16권6호
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    • pp.391-396
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    • 2011
  • Gait is walking attitude and indicating state. The body's gait is a good mix in the center of body mechanics and exercises to wake up gently at the same time switch is a pass which is complicated at legs various joints. The shifting action what swing phase and stance phase rhythmic movement of body. One from piece moves with different dot. Especially plain walking and stair walking as a vehicle has been used frequently. Characteristics of the stair walking while the balanced the horizontal and vertical movement. Stair walking often takes place in everyday. It requires large range more than walking at plain in the moment and joint range of gait motion. And consistently applied to joints and various types of loads at legs joint may involve joint disorders. In this study, spastic cerebral palsy existing artificial limbs for disabled people when developing calibration equinus deformity patients induce muscle pain when walking on stairs independently, to reduce the research. Comparing the characteristics of the walking up the stairs for analysis patellofemoral joint pain as a result it is to provide engineering data.

뇌졸중 환자에서 Fugl-Meyer 평가척도와 보행속도, Timed Up & Go 검사와의 상관관계 (Correlations of Fugl-Meyer Assessment Scale, Gait Speed, and Timed Up & Go Test in Patients With Stroke)

  • 이영정;이충휘;권오윤;김종만
    • 한국전문물리치료학회지
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    • 제11권1호
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    • pp.1-17
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    • 2004
  • The purposes of this study were to find correlations among Fugl-Meyer Assessment scale, gait speed, and Timed Up & Go test (TUG) and to predict gait ability from subscales of Fugl-Meyer Assessment scale. The study population consisted of 30 stroke patients referred to the Department of Rehabilitation Medicine in the Bundang Jaesang General Hospital. All subjects were ambulatory with or without an assistive device. All participants were assessed on Fugl-Meyer Assessment scale and gait speed (m/s), TUG (s). The data were analyzed using independent t-test, Pearson product moment correlation analysis and stepwise multiple regression. The results revealed that all items of Fugl-Meyer Assessment scale, except passive joint range of motion were significantly correlated with gait speed and TUG. In particular, sensation score, lower extremity motor and coordination score have a significant correlation with gait speed and TUG (p<.05). The sensation score and lower extremity motor score were important factors in comfortable gait and maximal gait speed. Their power of explanation regarding comfortable gait and maximal gait speed were 63.0% and 65.0%, respectively. The sensation score and lower extremity coordination score were important factors in TUG. Their power of explanation regarding TUG was 55.0%. These results showed that Fugl-Meyer Assessment scale is significantly correlated with gait speed and TUG. Therefore Fugl-Meyer Assessment scale is an appropriate assessment tool to predict gait ability of patients with stroke. Further study about gait speed and TUG by change of Fugl-Meyer Assessment score is needed using a longitudinal study design.

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Comparison of Lower Extremity Kinematics and Kinetics during Downhill and Valley-shape Combined Slope Walking

  • Jeong, Jiyoung;Shin, Choongsoo S.
    • 한국운동역학회지
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    • 제26권2호
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    • pp.161-166
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    • 2016
  • Objective: The purpose of this study was to determine the knee and ankle joint kinematics and kinetics by comparing downhill walking with valley-shape combined slope walking. Method: Eighteen healthy men participated in this study. A three-dimensional motion capture system equipped with eight infrared cameras and a synchronized force plate, which was embedded in the sloped walkway, was used. Obtained kinematic and kinetic parameters were compared using paired two-tailed Student's t-tests at a significance level of 0.05. Results: The knee flexion angle after the mid-stance phase, the mean peak knee flexion angle in the early swing phase, and the ankle mean peak dorsiflexion angle were greater during downhill walking compared with valley-shape combined slope walking (p < 0.001). Both the mean peak vertical ground reaction force (GRF) in the early stance phase and late stance phase during downhill walking were smaller than those values during valley-shape combined slope walking. (p = 0.007 and p < 0.001, respectively). The mean peak anterior GRF, appearing right after toe-off during downhill walking, was also smaller than that of valley-shape combined slope walking (p = 0.002). The mean peak knee extension moment and ankle plantar flexion moment in late stance phase during downhill walking were significantly smaller than those of valley-shape combined slope walking (p = 0.002 and p = 0.015, respectively). Conclusion: These results suggest that gait strategy was modified during valley-shape combined slope walking when compared with continuous downhill walking in order to gain the propulsion for lifting the body up the incline for foot clearance.

BACKLIFT와 LEGLIFT의 들기 유형에 따른 역학적 변인 비교분석 (Comparative Analysis of Biomechanic Variables between Backlift and Leglift Type)

  • 김의환;김태완;김성섭;정재욱
    • 한국운동역학회지
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    • 제17권4호
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    • pp.209-219
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    • 2007
  • The purpose of this study was to analyze biomechanical mechanism (posture, moment of back joint, EMG) when athletes (Judo, Ssirum) and lay people lifted a load according to two different lift methods; backlift and leglift. The number of subjects was 12; 8 athletes (4 for Judo, 4 for Ssirum) and 4 lay people. We recorded a lift motion in backlift and leglift using 7 real time infrared cameras (vicon) and analyzed EMG pattern of major muscles for a lift (lattisimus dorsi, erector spinae, biceps femoris). In a backlift Judo players showed a biggest range of back flexion and extension motion and lay people flexed more than other groups at phase 2 in which an interaction between groups and events was statistically significant (p=.024). In a leglift Ssirum players more flexed their back in a barbell lift and there was a statistical significance (p=.021) between groups and events. For moment of back joints, 1) in a backlift a larger loading on back joints in all three groups at phase 2 when lifting down a barbell, 2) in a leglift a larger loading on back joints when lifting down a barbell in two athlete groups but a larger loading when lifting up a barbell in lay people group, and all groups did not show any statistical significance. For EMG, right lattisimus dorsi muscle in a backlift was statistical significant (p=.006) in an interaction between groups and phase but left lattisimus dorsi muscle was insignicant, and there was not any significance in a leglift. Generally atheletes (Judo and Ssirum) used more their muscles of lower extremity in lifting up and down and lay people did more their ones of upper extremity.

Relationship between Center of Pressure and Local Stability of the Lower Joints during Walking in the Elderly Women

  • Ryu, Ji-Seon
    • 한국운동역학회지
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    • 제27권2호
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    • pp.133-140
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    • 2017
  • Objective: The purpose of this study was to determine the relationship between center of pressure (CoP) and local stability of the lower joints, which was calculated based on approximate entropy (ApEn) during walking in elderly women. Method: Eighteen elderly women were recruited (age: $66.4{\pm}1.2yrs$; mass: $55.4{\pm}8.3kg$; height: $1.56{\pm}0.04m$) for this study. Before collecting data, reflective marker triads composed of 3 non-collinear spheres were attached to the lateral surface of the thigh and shank near the mid-segment to measure motion of the thigh and shank segments. To measure foot motion, reflective markers were placed on the shoe at the heel, head of the fifth metatarsal, and lateral malleolus, and were also placed on the right anterior-superior iliac spine, left anterior-superior iliac spine, and sacrum to observe pelvic motion. During treadmill walking, kinematic data were recorded using 6 infrared cameras (Oqus 300, Qualisys, Sweden) with a 100 Hz sampling frequency and kinetic data were collected from a treadmill (Instrumented Treadmill, Bertec, USA) for 20 strides. From kinematic data, 3D angles of the lower extremity's joint were calculated using Cardan technique and then ApEn were computed for their angles to evaluate local stability. Range of CoP was determined from the kinetic data. Pearson product-moment and Spearman rank correlation coefficient were applied to find relationship between CoP and ApEn. The level of significance was determined at p<.05. Results: There was a negative linear correlation between CoP and ApEn of hip joint adduction-abduction motion (p<.05), but ApEn of other joint motion did not affect the CoP. Conclusion: It was conjectured that ApEn, local stability index, for adduction/abduction of the hip joint during walking could be useful as a fall predictor.

역동역학해석 및 근전도 신호를 이용한 앉기-서기 동작에서의 하지 관절 모멘트 및 근력 예측 (Estimation of Joint Moment and Muscle Force in Lower Extremity During Sit-to-Stand Movement by Inverse Dynamics Analysis and by Electromyography)

  • 김윤혁;프티탄프
    • 대한기계학회논문집A
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    • 제34권10호
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    • pp.1345-1350
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    • 2010
  • 앉기-서기 동작은 인간의 생체역학적 기능 정도를 결정할 수 있는 기본적인 일상생활 동작의 하나이다. 동작 중 발생하는 관절의 운동 정보와 모멘트, 그리고 근력을 예측하는 것은 앉기-서기 동작의 특성을 이해하는데 필요하다. 본 연구에서는 동작 기반 역동역학해석 프로그램과 근전도 기반 근력예측 프로그램을 개발하였다. 개발된 프로그램과 앉기-서기 동작 실험에서 측정한 동작, 지면반력, 그리고 근전도신호 정보를 이용하여 실험적 방법으로 측정하기 힘든 관절각도, 관절모멘트, 및 근력을 예측하고 기존 연구결과와 비교하여 검증하였다. 개발된 기법과 프로그램들은 일상생활 동작에서의 관절 생체역학과 근육 협응에 대한 지식을 얻는 데 사용될 수 있으리라 기대한다.

스쿼트 동작 시 수동적 발목 가동범위와 무릎 관절 운동역학적 변인 간 상관성 분석 (Analysis of correlation between passive ankle movement range and knee joint kinetic variables during squat movement)

  • 이재우;박준성;임영태;권문석
    • 한국응용과학기술학회지
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    • 제37권3호
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    • pp.509-515
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    • 2020
  • 본 연구의 목적은 딥 스쿼트 동작 시 발목 관절 유연성이 무릎 관절의 운동역학적 요인들간의 관련성을 분석하는데 있었다. 본 연구는 최근 1년간 하지 근골격계 병력이 없는 성인 남성 19명과 여성 8명이 연구대상자로 참여하였다. 딥 스쿼드 시 발목 관절 유연성과 하지 관절의 운동역학적 요인들과 상관관계를 검증하기 위해 pearson의 적률상관계수(pearson's correlation coefficient)를 이용하였고(SPSS 24.0, Armonk, NY, USA), 통계적으로 유의미한 상관성을 나타낸 변인들은 단순회기분석(simple regression analysis)을 실시하였으며, 유의 수준은 .05로 설정하였다. 본 연구를 통해 발목 관절 유연성과 무릎 관절의 압력을 결정하는 최대 관절모멘트와 관절반발력 요인들 간의 관련성을 확인할 수 있었다. 그러므로 근력 트레이닝 시 딥 스쿼트와 같은 무릎 관절에 많은 부하를 발생시킬 수 있는 운동을 적용할 때 개인에 신체적 특성 중 발목 관절의 유연성의 정도를 확인하는 것은 신체의 안정성과 무릎 관절의 상해 위험성을 감소시킬 수 있는 운동 강도를 설정하는데 도움이 될 수 있을 것으로 기대한다.

하지 근육의 피로상태 동안 높은 굽 신발에 적용한 전면접촉인솔이 젊은 여성의 보행 특성에 미치는 영향 (The Effect of High-Heeled Shoes With Total Contact Inserts in the Gait Characteristics of Young Female Adults During Lower Extremity Muscle Fatigue)

  • 고은혜;최흥식;김택훈;신헌석;권오윤;최규환
    • 한국전문물리치료학회지
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    • 제15권1호
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    • pp.38-45
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    • 2008
  • This study investigated gait characteristics, kinematics, and kinetics in the lower extremities between two different shoe conditions (high heeled shoes (7 cm), and high heeled shoes with a total contact insert (TCI)) after lower extremity muscle fatigue. Although TCI shave been applied in high heeled shoes to increase comfort and to decrease foot pressure, no study has attempted to identify the effects of TCI in fatigue conditions. The purpose of this study was to determine the effects of walking in high heeled shoes with TCI after lower extremity muscle fatigue was induced. This study was carried out in a motion analysis laboratory at Hanseo University. A volunteer sample of 14 healthy female subjects participated. All in fatigue conditions, the subjects were divided into two groups. The muscle fatigue was induced by 40 voluntary dorsi- and plantar-flexion exercises and 40 heel-rise exercises of the dominant foot. Surface electromyography was used to confirm the localized muscle fatigue using power spectral analysis of three muscles (tibialis anterior, gastrocnemius medialis and lateralis). The results were as follows: (1) In muscle fatigue conditions, the use of TCI decreased the peak flexion angle of the hip joint significantly in the early stance phase (p<.05) and increased the peak hip flexion moment in the terminal stance phase (p<.05). (2) In muscle fatigue conditions, the application of TCI also increased peak hip power generation in the early stance phase and peak hip power absorption in the terminal stance phase (p<.05). (3) In muscle fatigue conditions, the use of TCI reduced the impact force significantly and increased the secondary peak vertical GRF. These findings suggest that the TCI may provide beneficial effects when muscle fatigue occurs for a high heeled shoe gait. Future research employing the patient population and various types of TCI materials are required to clarify the effects of TCI.

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