• PNF and Movement
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• 제12권2호
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• pp.89-96
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• 2014

Purpose: The purpose of this study was to examine the influence of foot angles on plantar pressure and the center of pressure (COP) trajectory length during level walking. Methods: The study subjects were 30 female university students without orthopedic diseases in the foot. The foot angle was divided into three forms (out-toeing, normal, in-toeing). The subjects practiced each type of gait, and then performed each of level walking, three times, and their averages were calculated. A plantar pressure measurement instrument was used, and the maximum force was obtained by dividing the foot into nine regions covering the anterior medial-lateral, middle medial-lateral, and posterior medial-lateral. The COP trajectory length was statistically processed by obtaining medial-lateral, anterior-posterior, and entire travel distance. Results: During normal walking, the maximum force was significantly higher in the anterior lateral than in the other areas, and the COP trajectory length was significantly shorter in the front-back and entire travel distances (p<0.05). During stair climbing. Conclusion: Walking at abnormal foot angles does not cause appreciable problems in the short term as pressure is concentrated on a specific plantar part. However, it becomes the cause of deformed foot structures and can result in musculoskeletal disabilities in the long term. Therefore, a kinesiatrics-based intervention is required to maintain normal foot angles.

• 대한물리치료과학회지
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• 제26권1호
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• pp.35-44
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• 2019

Purpose: The purpose of this study is to investigate the effect of visual and auditory stimulation randomly applied to healthy adults on walking. Design: Randomized Controlled Trial. Methods: Twenty-six healthy students in S college were randomly divided into visual feedback group (n=13) and auditory feedback group (n=13). The visual feedback group walked using four conditions. 1) In the red screen was shown, clap twice to the right, 2) In yellow screen, clap twice to the left, 3) In green screen, clap twice over head. 4) Do not clap in purple screen. The auditory feedback group walked using four conditions. 1)in red, clap twice to the right, 2) In yellow, clap twice left, 3) In green, clap twice over your head. 4) Do not clap in purple. All subjects measured gait variables before and after the test using G-walker. Result: The visual feedback group showed a significant decrease (p<.05) in the number of steps per minute, walking speed, and step length compared with that of normal walking. The auditory feedback group showed a significant decrease (p<.05) in the number of steps per minute, walking speed, and step length than that of normal walking. Conclusion: The results of this study suggest that visual and auditory stimulation applied to healthy adults may have significant effects on walking.

• The Journal of Korean Physical Therapy
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• 제34권4호
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• pp.161-167
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• 2022

Purpose: The purpose of this study was to investigate the effects of regular training on the uneven surface that stroke patients encounter in their daily life on their ankle joint muscle activity and balance ability. They were divided into two groups: the gait training group on uneven surfaces and the gait training group on normal surfaces. Methods: In this study, 30 patients diagnosed with stroke and undergoing rehabilitation were selected. 15 people in the uneven surface gait training group and 15 people in the flat gait training group were selected. The muscle activation of the ankle muscles was measured when walking again on a even surface after walking on an uneven surface and on a flat ground. After each gait training, the limit of stability and Romberg test were performed to evaluate the balance ability. Results: As a result of the experimental results before and after walking by group, the tibialis anterior muscle activity of the paralyzed side was significantly decreased in the uneven surface walking group. As a result of measuring balance ability after training, the limit of stability in all directions was significantly increased in the uneven surface gait training group, and the area and length moved significantly decreased in the uneven surface gait training group in the Romberg test as well (p<0.05). Conclusion: After walking on uneven surface, it was confirmed that the muscle activity of the ankle joint decreased in normal flat walking, and thus the efficiency of muscle activity was increased. In addition, it was possible to confirm the improvement of the balance ability of the gait training on the uneven surface, and in conclusion, it could be confirmed that it had an effect on the improvement of the walking ability.

• 대한물리치료과학회지
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• 제11권4호
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• pp.29-37
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• 2004

Measurements of plantar pressure provide an indication of foot and ankle function during gait and other functional activities because the foot and ankle provide necessary support and flexibility for weight bearing and weight shifting while people are performing these activities. Plantar pressure is being increasingly used in both research and clinical practice to measure the effects of various footwear and physical therapy intervention. The influence of walking speed and ground inclination on plantar pressure parameters However has not been evaluated in detail. So, in this study to determine the effect of changes in walking speed and ground inclination on plantar pressure treadmills with different walking speeds and inclination were used. Plantar pressure parameters were measured with the Parotec system using the walking and running in 20 healthy participants(10 male, 10 female) aged $20{\sim}28$(mean 22.22, S.D.2.26 years) when slow walking and running. The result of this study with increased die walking speed, the peak pressure of 1st, 5th metatarsal head and total contact time and impulse total at the forefoot was affected by walking speed; however, die peak pressure, contact time and impulse total at the forefoot was not affected by ground inclination.

• The Journal of Korean Physical Therapy
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• 제23권3호
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• pp.49-56
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• 2011

Purpose: To evaluate changes in lower extremity muscle activity caused by high heeled shoe wearing during normal, brisk, and upslope walking. Methods: Twenty healthy young women (age, $23.9{\pm}2.47$) participated in this study. Muscle activities of the tibialis anterior, peroneus longus, gastrocnemius lateralis, gastrocnemius medialis, soleus, hamstring, vastus lateralis, and vastus medialis while walking normally, walking briskly, and walking up a slope. Results: When walking normally, the peroneus longus, gastrocnemius lateralis, soleus, and vastus lateralis evidenced higher activity when high-heeled shoes were worn (p<0.05). During brisk walking, the peroneus longus and gastrocnemius lateralis exhibited higher activity (p<0.05). Although the peroneus longus and vastus lateralis exhibited higher activity when walking up an incline with high-heeled shoes, the activity levels of the tibialis anterior and gastrocnemius medialis were lower (p<0.05). Conclusion: The results of this study demonstrate that increased heel height substantially reduces muscle effort when walking up a slope. From a therapeutic perspective, it is possible that using high heeled shoes over a short period might enhance muscle activity of ankle evertor, although it can cause mediolateral muscle imbalances in the lower extremities.

• 한국운동역학회지
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• 제17권3호
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• pp.173-180
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• 2007

The purpose of study was to compare plantar pressure during walking wearing the curved rear balance and normal shoes. Twelve university students(height: $177.2{\pm}4.6cm$, weight: $68.4{\pm}5.8kg$, age: $26.2{\pm}1.6yrs.$) who have no known musculoskeletal disorders were recruited as the subjects. Plantar foot pressures were evaluated using the Tekscan's pressure measurement systems while subjects walked upright position wearing the curved rear balance and normal shoes in random order at a speed of 1.3 m/s. The contacting dimension, the mean plantar pressure, and the peak plantar pressure were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions (p<.05). As a result, the curved rear balanced shoes showed as large as 38 up to 50 % of area at the rear side of feet than the normal shoes when measuring the contact area with upright position. In the distribution of average pressure, the curved rear balanced shoes displayed fairly low pressure compared to other normal shoes in general except for one area, which is M2, and especially, the measured pressures at the both rear (M1) and middle (M5) side of feet were low and statically significant. The contact area of the curved rear balanced shoes when walking was significantly larger at the rear (M1) and fore (M6, M7) side of feet. When considering pressure distribution at walking, low pressure was detected at the rear side of feet with the curved rear balanced shoes and at the fore side of feet for other normal shoes. The results showed that the contacting dimension of the curved rear balance shoes that acts between shoes and feet was higher than the corresponding value for the normal shoes in general; therefore it would reduce the pressure to the feet by allowing the each sole of the foot on the ground evenly.

• 한국환경과학회지
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• 제33권4호
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• pp.249-256
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• 2024

This study aimed to verify the healing effect through brain and pulse wave analyses before and after a forest walk to the university students. Bio-signals of brain and pulse waves were measured using Omnifit Mindcare. After analyzing four brain wave items such as concentration and four pulse wave items such as heart health, it is identified that the stress level of university students was higher than that of the general public, and the brain stress level was approached to the normal range for 19 people with clear improvement. For pulse waves, a statistically significant decrease in sympathetic nerve activity (%) was confirmed. Although the slight fluctuations within the normal range were caused by short term and individual differences, it showed that the forest walking is partially effect on the relieving stress.

• 한국정보통신학회논문지
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• 제14권8호
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• pp.1901-1906
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• 2010

걸음걸이 패턴 분류는 많은 응용분야가 있을 뿐만 아니라 매우 중요한 연구 분야이다. 따라서 본 연구에서는 허리에 부착된 가속도 모듈로부터 획득된 신호를 이용하여 천천히 걷기(slow walking, S.W), 일반 걷기(normal walking, N.W), 빠르게 걷기(fast walking, F.W) 등의 보행 패턴을 분류하고자한다. 11명의 성인으로부터 블루트스 모듈을 이용하여 100Hz로 샘플링된 3축 가속도 신호를 획득하였다. 획득된 데이터는 웨이브렛 변환을 이용하여 분석하였다. 걸음걸이 패턴은 두가지의 파라미터들을 이용하여 분석되어지는데, 하나는 운동에 해당하는 웨이브렛 계수의 에너지(power)와 전 후방향의 전체 에너지사이의 비율(RPA)이고, 다른 파라미터는 전 후 방향과 상 하 수직 방향 사이에서 웨이브렛 계수의 제곱근 평균 비율(RAV)이다. 천천히 걷기는 다른 걷기와 비교했을 때 작은 RPA값을 가지게 되어 분류가 용이하며, 천천히 걷기는 RAV를 이용하여 일반 걷기와 구별되어 질 수 있었다. 따라서 본연구는 건강한 성인에게서 3축 가속도 신호를 획득한 후 웨이브렛 파라미터를 이용하여 걷기 패턴을 잘 구별할 수 있는 연구임을 확인 하였다.

• 한국조경학회지
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• 제23권2호
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• pp.157-166
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• 1995

To investigate walkability of ramps, walking patterns of 18 healthy adults,12 aged 20 to 26 and 6 aged 68 to 76,were studied at free,rhythm constrained walking up or down ramp using goniometer and footswitch Ramp inclinations were set 4,8,12,16,20 degrees. The results were as follows. 1)The step length of subjects were decreased significantly in12$^{\circ}C$′or 16′free downramp walking. With regard to step length, some subject groups walked abnormally in 16" or 20" ramp walking 2) The step width of subjects were increased significantly in 12" or 16" ramp walking. 3) The cadence duration of some subject groups were increased in 12" upramp walking. 4) The double stance duration and double stance ratio of some subject groups were increased significantly in 8",12", or 16"upramp walking. 5) The maximum knee flexion angle of stance phase were increased in 12" ramp walking. 6)Most temporal parameters and spatial parameters of gait were increased or decreassd greatly between 4" ramp and 8" ramp or between 8′ramp and 12′ramp. But statistics significancy were not recognized 7) The results suggest that ramp inclination less than 8′(14%) -12′(21%) is desirable for the normal gait the ramp inclination must not exceed 16" -20" in unavoidable circumstances.

• 대한인간공학회지
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• 제27권3호
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• pp.93-101
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• 2008

Wedged soles and rocker soles are widespread shoe designs used to prevent the disorders and reduce the pain of the lower extremity caused by arthritis or diabetic feet. In this study, the effect of a shoe with a laterally wedged sole and a rocker sole simultaneously was analyzed on the kinematics and kinetics of the ankle joint during normal walking. Eight male participants without a history of lower extremity disorders were recruited. Each participant performed twenty walking cycles for each of three walking conditions: bare foot, wearing normal shoes and wearing shoes with laterally wedged rocker soles. The differences between the three walking conditions were statistically investigated including spatio-temporal variables, angular displacements, joint moments and ground reaction forces. The results showed that the laterally wedged rocker sole decreased the sagittal variation of angular displacements as well as the frontal/sagittal average moment on the ankle joints compared to the flat sole. In addition, the rate of angular displacements and loading decreased during the heel contact phase.