• Title/Summary/Keyword: Lower-limb

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Development of an Electronically Controlled Knee-Type Prosthetic Leg with a 4-Bar Linkage Structure for Lower Limb Amputee (대퇴 절단 장애인을 위한 4절 링크 구조의 전자 제어식 무릎형 의족)

  • Ji-Woon Lee;Hyun-Soo Woo;Dong-Young Ahn;Min Jo;Hak Yi;Ki-Young Kim
    • The Journal of Korea Robotics Society
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    • v.19 no.2
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    • pp.159-168
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    • 2024
  • Lower limb amputees are increasing due to various reasons. It is difficult for lower limb amputees to walk without an assistive device such as a prosthetic leg. In this paper, an electronically controlled knee-type prosthetic leg with a 4-bar linkage structure for lower limb amputees was developed. The knee-type prosthetic leg has a 4-bar linkage structure and assists walking by using an integrated drive module. The torque is 90 Nm, the rotation speed is up to 120 deg, and it weight 1.9 kg, so it is lighter than a commercial prosthetic leg, so it can be used for a long time because there is less fatigue when walking. An integrated control board was developed by applying various sensors and microprocessor. The motor drive and encoder are built into the integrated drive module. The integrated control board and integrated drive module communicate using CAN. When a lower limb amputee wears a knee-type prosthetic leg and walks, it shows a shape similar to the swing phase graph of a normal people, and it is possible to walk naturally while walking.

The Influence on Ambulation of the Difference in Muscle Strength on Lower Extremity of Hemiplegic Patients (편마비 환자의 하지의 근력 차이가 보행에 미치는 영향)

  • Yoon, Jang-Soon
    • Journal of Korean Physical Therapy Science
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    • v.12 no.3
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    • pp.47-58
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    • 2005
  • The purpose of this study is to estimate how much the motility of affected and unaffected lower limb respectively would have effects on their ambulation through comparing the difference between their affected and unaffected lower limb and studying the correlation between such difference and their ambulation. In addition, the study also intends to find out remedial measures suitable for improving their ambulation with relevant physical treatment. To do this, a quantitative electromyogram(QEMG) test was done to both quadriceps and hamstring of affected and unaffected lower limb so as to yield IP values. Based on such IP values, RMS(root mean square) values as the total sum of IP values were found with QEMG analysis system (made by Medelec Co.) and then the ambulation depending on the difference in muscular strength were analyzed by ink-foot print method as well as the corresponding statistics were processed by T-test through SPSS. The effect of differences in muscular strength of quadriceps in affected and unaffected limb of hemiplegic patients on their ambulation was also different in each element of ambulation. However, there was not any statistically significant difference (p>.05). The differences in muscular strength of hamstring in unaffected limbs of hemiplegic patients only affect stride length. It was statistically significant. The effect of difference in muscular strength of the hamstring in affected limb of hemiplegic patients on their ambulation was very different between strong and weak group in terms of walking velocity, step per minute, stride and step length, showing statistically significant difference(p<.05). Although there was a difference in the step length of the affected limb, it was not statistically significant(p>.05). For the unaffected hamstring, there were significant differences of stride length between in unaffected limb and in affected limb. For the affected hamstring, there were also significant differences in walking velocity, step per minute, stride and step length. Besides, it was found that the difference of the muscular strength between strong and weak group was at the highest. Thus, the effect of difference in muscular strength on ambulatory factors such as walking velocity, step per minute, stride and step length did not show any statistical significance but differences in affected and unaffected quadriceps. However, it was found that both the difference of stride in unaffected hamstring and the difference of all ambulatory factors except from step length with affected limb had effects on ambulation depending upon muscular strength.

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A Study on the Stress and Strain Analysis of Human Muscle Skeletal Model in Kendo Three Typical Attack Motions (세 가지 주요 검도 공격 동작에서의 근-골격계 응력과 번형률 해석에 관한 연구)

  • Lee, Jung-Hyun;Lee, Young-Shin
    • Journal of the Korean Society for Precision Engineering
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    • v.25 no.9
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    • pp.126-134
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    • 2008
  • Kendo is one of the popular sports in modem life. Head, wrist and thrust attack are the fast skill to get a score on a match. Human muscle skeletal model was developed for biomechanical study. The human model was consists with 19 bone-skeleton and 122 muscles. Muscle number of upper limb, trunk and lower limb part are 28, 60, 34 respectively. Bone was modeled with 3D beam element and muscle was modeled with spar element. For upper limb muscle modelling, rectus abdominis, trapezius, deltoideus, biceps brachii, triceps brachii muscle and other main muscles were considered. Lower limb muscle was modeled with gastrocenemius, gluteus maximus, gluteus medius and related muscles. The biomechanical stress and strain analysis of human muscle was conducted by proposed human bone-muscle finite element analysis model under head, wrist and thrust attack for kendo training.

Treatment of Large Arteriovenous Malformation in Right Lower Limb

  • Lee, Young Ok;Hong, Seong Wook
    • Journal of Chest Surgery
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    • v.47 no.1
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    • pp.66-70
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    • 2014
  • A 10-year-old boy with arteriovenous malformation (AVM) of the right lower limb was scheduled for an amputation of the affected limb. Limb amputation was necessary because of the ineffectiveness of previous sclerotherapy and the rapid progression of AVM causing pain and heart failure. Right hip disarticulation was considered the best option to improve his quality of life. To prevent congestive heart failure and uncontrollable hemorrhage during surgery, the disarticulation was done under a partial cardiopulmonary bypass. The patient underwent surgery successfully without complications.

A Lucky Case of Successful Free Fibula Osteocutaneous Flap Harvest in Peronea Arteria Magna

  • Rosli, Mohamad Aizat;Sulaiman, Wan Azman Wan;Halim, Ahmad Sukari
    • Archives of Plastic Surgery
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    • v.49 no.2
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    • pp.253-257
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    • 2022
  • The free fibula flap (FFF) is based on the peroneal artery (PA) system, and it is well known that several anatomical variations of the lower limb vascular system exist, including peronea arteria magna (PAM). PAM is a rare congenital variation in which both anterior tibial artery and posterior tibial artery are either aplastic or hypoplastic, and as a result, PA will be the dominant blood supply to the foot. This variation was described as type III-C in Kim-Lippert's Classification of the Infra-Popliteal Arterial Branching Variations. The awareness of its existence is crucial as it often precludes FFF from being harvested due to the risk of significant limb ischemia and limb loss. Despite some literature reporting donor site complications and impending limb loss following FFF harvest in PAM, preoperative vascular mapping before FFF transfer remains controversial among the microsurgeons. We present a case with an incidental intraoperative finding of PAM that had a successful FFF harvest by luck, without preoperative vascular mapping.

The Relationship between Experience of Workplace Violence and Musculoskeletal Pain among Wage Workers in South Korea (한국 임금 근로자의 직장 내 폭력 경험과 근골격계 증상과의 연관성에 관한 연구)

  • Yoon, Jaehong;Sung, Hyoju;Kim, Yugyun;Kim, Seung-Sup
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.25 no.2
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    • pp.211-219
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    • 2015
  • Objectives: We aimed to examine the association between experience of workplace violence and musculoskeletal pain among wage workers in South Korea. Methods: We analyzed a cross-sectional survey of 29,601 wage workers from the third wave Korean Working Conditions Survey in 2011. Experience of workplace violence was assessed through three questions, "Over the past 12 months, have you ever experienced: (1) physical violence, (2) bullying, or (3) sexual harassment at workplace?" Musculoskeletal pain was measured using the three questions, "Over the past 12 months, have you ever experienced: (1) low back pain, or (2) upper limb pain(i.e. shoulder, neck, and arm), or (3) lower limb pain(i.e. hip, leg, knee, and foot)?" Wage workers could answer 'Yes' or 'No' to each of the three questions. Multivariate negative binomial regression was applied to examine the association between workplace violence and musculoskeletal pain after adjusting for confounders including self-reported physical work factors. All analyses were performed using STATA/SE version 13.0. Results: Physical violence was associated with low back pain(PR: 2.16, 95% CI: 1.77, 2.65), upper(PR: 1.65, 95% CI: 1.45, 1.88) and lower limb pain(PR: 1.81, 95% CI: 1.52, 2.15) among male wage workers whereas it was related to upper(PR: 1.86, 95% CI: 1.53, 2.26) and lower limb pain(PR: 2.95, 95% CI: 2.47, 3.53) among female wage workers. Significant association was observed between sexual harassment and upper(PR: 1.25, 95% CI: 1.01, 1.56) and lower limb pain(PR: 2.41, 95% CI: 1.97, 2.93) among female wage workers whereas the association was only significant in the analysis with lower limb pain(PR: 1.87, 95% CI: 1.17, 2.97) among male wage workers. Bullying was associated only with lower limb pains among both male(PR: 1.77, 95% CI: 1.32, 2.37) and female(PR: 2.10, 95% CI: 1.69, 2.61) wage workers. Conclusions: This study found that experience of workplace violence, particularly physical violence and sexual harassment, was associated with musculoskeletal pain among Korean wage workers.

The Effect of the Insole Height on Lower Limb Joint Angle and Muscle Activity at Landing when the Maximal Ground Reaction Force of Male in Their 20s (착지 동작 시 깔창 높이가 20대 남성의 하지 관절 각도와 근활성도에 미치는 영향)

  • Yoo, Kyung-Tae
    • Journal of Convergence for Information Technology
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    • v.10 no.12
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    • pp.132-139
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    • 2020
  • The purpose of this study is to analyze the effect of the height and insole height upon landing on the lower limb joint angle and muscle activity during maximum ground repulsion in young men. For a male in their twenties, a landing motion was performed with a force plate on a 40cm-high platform by wearing one of 0, 3, 5cm polyurethane insoles per week for a total of 3 weeks. During the landing motion, the joint angle of the lower extremities and the muscle activity of the rectus femoris, biceps femoris, anterior tibialis and calf muscles were measured during the maximum ground repulsion. In order to compare the changes in the joint angle and muscle activity of the lower limbs according to the height of the insole, a one-way ANOVA with repetitive factors was performed. As a result of the analysis of the lower limb joint angle, the higher the height of the insole affected the angle of the left ankle joint. As a result of the muscle activity analysis, the higher the height of the insole affected the right anterior tibialis muscle and biceps femoris. It is thought that it is possible to protect the body when landing through sufficient muscle strength increase of the lower limb muscles. As the angle of the affected muscle and lower limb joint may be different depending on the type of insole, it is considered necessary to study it.

Gait Angle Prediction for Lower Limb Orthotics and Prostheses Using an EMG Signal and Neural Networks

  • Lee Ju-Won;Lee Gun-Ki
    • International Journal of Control, Automation, and Systems
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    • v.3 no.2
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    • pp.152-158
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    • 2005
  • Commercial lower limb prostheses or orthotics help patients achieve a normal life. However, patients who use such aids need prolonged training to achieve a normal gait, and their fatigability increases. To improve patient comfort, this study proposed a method of predicting gait angle using neural networks and EMG signals. Experimental results using our method show that the absolute average error of the estimated gait angles is $0.25^{\circ}$. This performance data used reference input from a controller for the lower limb orthotic or prosthesis controllers while the patients were walking.

Lower-limb Exoskeleton Testbed for Level Walking with Backpack Load (평지 보행을 위한 하지 근력증강 로봇 테스트베드)

  • Seo, Changhoon;Kim, Hong-chul;Wang, Ji-Hyeun
    • Journal of the Korea Institute of Military Science and Technology
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    • v.18 no.3
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    • pp.309-315
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    • 2015
  • This paper presents a lower-limb exoskeleton testbed and its control method. An exoskeleton is a wearable robotic system that can enhance wearer's muscle power or assist human's movements. Among a variety of its applications, especially for military purpose, a wearable robot can be very useful for carrying heavy loads during locomotion by augmenting soldiers' mobility and endurance. The locomotion test on a treadmill was performed up to maximum 4km/h walking speed wearing the lower-limb exoskeleton testbed with a 45kg backpack load.

Review of the Kinematic Analysis for Clinical Application of Lower Limb (하지경근(下肢經筋)의 임상적 응용을 위한 동작분석에 대한 고찰)

  • Hong, Seo-Young;Song, Yun-Kyung;Lim, Hyung-Ho;Cho, Tae-Young
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.117-133
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    • 2004
  • The purpose of this article is making a contribution to add the knowledges of meridian muscles and myofascial meridians of lower limb that relate with gait and basic movements. We have researched on the gait analysis, basic analysis of articular movement and the related muscles. In addition this article is suggested to study about the therapy with apply meridian muscles and myofascial meridians to lower limb's motor disturbance.

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