• Title/Summary/Keyword: Stance Phase

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The Gait Analysis of Hemiplegic Patients After Stroke I. Spatio-Temporal Parameters, Pelvic Anterior Tilting and Ground Reaction-Vertical Force (뇌졸중으로 인한 편마비환자의 보행분석 I. 시간-거리변수, 골반경사각 및 지면반발력 -수직력 중심)

  • Kwon Young-Sil;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.127-138
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    • 1998
  • This study was carried out tn invstigate and compare biomechanical characteristics during free speed gait in hemiplegic patients after stroke who took therapeutic exercise by analyzing kinematic and kinetic data in the sagital plane and electromyographic data. Six patients($41\~69$ years old) and age-matched six volunteers in good health(51-61 years old) wire studied. The patients were sorted into two groups, depending on their self-speed of walking : fast speed group(3 patients) and slow speed group(3 patients). The results were as fellows. : 1. In spatio-temparal parameters, affected and unaffected side of fast group showed symetry but blew group showed asymetry of single limb support, opposite foot contact and stance phase (p<0.05). Compared with normal group, patient group showed slower velocity, shoter stride length and longer double limb support (p<0.05). 2. In the pelvic anterior tilt, patient group showed lower valued than normal group. It. In the ground reaction force-vertical force, fast group showed similar double peak gragh compared with normal group, butvslow group showed lower values without double peak (p<0.05).

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The Effectiveness of Backward Gait Training on the Treadmill in Children With Spastic Diplegic Cerebral Palsy: A Pilot Study (트레드밀에서 뒤로걷기 훈련이 경직성 양하지 뇌성마비 아동의 보행에 미치는 영향: 사전 연구)

  • Kim, Sung-Gyung;Ryu, Young-Uk;Kim, Won-Ho
    • Physical Therapy Korea
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    • v.19 no.3
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    • pp.81-90
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    • 2012
  • The aim of the current study was to assess the effectiveness of backward gait training on the treadmill in patients with spastic diplegic cerebral palsy (CP). Twelve patients with spastic diplegic CP participated in the study. An 8-week course of backward gait training was administered to the subjects for 3 days per week. Pre-intervention and post-intervention assessments of temporal-spatial gait parameters, the symmetry of the bilateral lower extremity weight bearing, and gross motor function were analyzed using motion analysis system, force plate, and Gross Motor Function Measurement (GMFM). There were significant improvements (p<.05) in the measures of both step length and right stance phase time. Joint kinematics showed increase in right hip abduction in initial contact and terminal swing, right hip external rotation and knee flexion in mid-swing, left ankle dorsiflexion in initial contact and terminal swing (p<.05). The symmetry of the bilateral lower extremity weight bearing and GMFM also significantly increased (p<.05). These findings indicate that backward gait training using a treadmill is beneficial for patients with spastic diplegic CP.

Immediate Effects of Low-Dye Taping on the Ankle Motion and Ground Reaction Forces in the Pronated Rear-Foot During Gait

  • Kim, Sung-shin;Chung, Jae-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.72-79
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    • 2016
  • Background: Increased foot pronation causes biomedchanical changes at the lower limbs, which may result in musculoskeletal injuries at the proximal joints. Pronation rear-foot leads to plantar fasciitis, Achilles tendonitis, and posterior tibial tendonitis pathologically. According to the recent meta-analysis, They showed that therapeutic adhesive taping is more effective than foot orthoses and motion control footwear, low-Dye (LD) taping has become the most popular method used by physiotherapists. Objects: The purpose of this study was to determine the immediate effects of LD taping results in different ankle motion and ground reaction force (GRF) as before and after applied LD taping on pronated rear-foot during gait. Methods: Twenty-four participants were recruited for this study. The gait data were recorded using an 8-camera motion capture system and two force platforms. At first, the experiments were carried out that participants walked barefoot without LD taping. And then they walked both feet was applied LD taping. Results: The ankle inversion minimum was significantly greater after LD taping than before LD taping (p=.04); however, in the GRF, there were no significant differences in the inversion maximum or total motion of the stance phase (p=.33, p=.07), or in the vertical (p=.33), posterior (p=.22), and lateral (p=.14) peak forces. Conclusion: The application of taping to pronation rear-foot assists in increased ankle inversion.

A Biomechanical Analysis of Lower Extremity Kinematics and Kinetics During Level Walking (평지를 걸어갈 때 하지운동과 작용하는 하중에 대한 생체역학적 해석)

  • Son, Kwon;Choi, Gi-Yeong;Chung, Min-Keun
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.18 no.8
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    • pp.2101-2112
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    • 1994
  • A two-dimensional biomechanical model was developed in order to calculated the lower extremity kinematics and kinetics during level walking. This model consists of three segments : the thigh, calf, and foot. Each segment was assumed to be a rigid body ; its motion to be planar in the sagittal plane. Five young males were involved in the gait experiment and their anthropometric data were measured for the calculation of segmental masses and moments of inertial. Six markers were used to obtain the kinematic data of the right lower extremity for at least three trials of walking at 1.0m/s, and simultaneously a Kistler force plate was used to obtain the foot-floor reaction data. Based on the experimental data acquired for the stance phase of the right foot, calculated vertical joint forces reached up to 0.91, 1.05, and 1.11 BW(body weight) at the hip, the knee, the ankle joints, respectively. The flexion-extension moments reached up to 69.7, 52.3, and 98.8 Nm in magnitude at the corresponding three joints. It was found that the calculated joint loadings of a subject were statistically the same for all his three trials, but not the same for all five subjects involved in the gait study.

Gender differences in the impact magnitude and its attenuation during running (달리기 시 신체 충격 크기와 흡수의 성차)

  • Ryu, Ji-Seon
    • Korean Journal of Applied Biomechanics
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    • v.15 no.1
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    • pp.91-109
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    • 2005
  • The goal of this research was to determine whether gender differences exist in impact force and impact shock variables at stance phase during a preferred running. Ten male and ten female subjects volunteered to participate in this study. Impact force was quantified by using a surface-mounted force plate. In addition, Axial accelerations of the tibias and mouth were measured using low-mass accelerometers. Comparison of parameters relating to impact force and impact shock which attained from time domain, and impact shock parameters which were analyzed in frequency domain were made between genders. The conclusions based on results were as follows; 1. There were no significantly differences in impact force, mouth and tibia acceleration peak in time domain between two genders. 2. The male group was greater in impact shock peak of PSD(power spectral density) at the tibia than female group(p<.05), but no differences in active impact of PSD at the tibia and the mouth between two genders. 3. Female subjects exhibited that a peak of impact shock attenuation analyzed in frequency domain moved toward a high frequency, but no difference in time domain between two genders.

New Fluid Flow System for Simulation of Mechanical Loading to Bone Cells During Human Gait Cycle

  • Ahn, Jae-Mok
    • Journal of Biomedical Engineering Research
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    • v.28 no.3
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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.

A Study on the Using Product Prototype as a Usability Tasting Contents through WWW (웹상에서 프로토타입의 사용성 평가 콘텐츠 활용에 대한 연구)

  • 이상화
    • The Journal of the Korea Contents Association
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    • v.1 no.1
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    • pp.100-108
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    • 2001
  • To develope more competitive products, lots of attentions are paid to the study of user participation in the process of product design. In this circumstance, the user participation at a usability testing phase is relatively active. However, the usability testing in the controlled laboratory has some drawbacks. for stance, It needs a lot of money, efforts, and time. Most of all, it is difficult to collect a vast range of data and gain a fast feedback Recently, to overcome these difficulties mentioned above, international usability testing has been applied. Especially, usability testing Contents through Internet is considered most effective one. Because it has a lot of merits such as easiness of collecting remote user, simplicity of collecting data, cost effectiveness and so on. With these merits, this study takes advantage of using a WWW to carry out usability test and to collect remote usability data. And a website was development for posting computer simulated product so that the remote users can test its usability through internet.

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Effect of Walking Speed on Angles of Lower Extremity and Ground Reaction Force in the Obese (보행속도가 비만인의 하지관절각과 지면반발력에 미치는 영향)

  • Kim, Tae-Wan
    • Korean Journal of Applied Biomechanics
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    • v.16 no.4
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    • pp.83-94
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    • 2006
  • The purpose of this study is to elucidate how walking speed influences on change of angles of lower extremity and ground reaction force in normal and obese people. One group with normal body weight who were experimented at a standard speed of 1.5m/s and the other obese group were experimented at two different walking speeds (standard speed of 1.5m/s and self-selected speed of 1.3m/s). We calculated angles of lower extremity and ground reaction force during stance phase through video recording and platform force measuring. When the obese group walked at the standard speed, dorsi-flexion angle of ankle got bigger and plantar-flexion angle of ankle got smaller, which were not statistically significant. There was no significant difference of knee joint angles between normal and obese group at the same speed walking but significant post hoc only for the first flexion of knee joint in obese group. $F_z1$ was bigger than $F_z3$ in vertical axis for ground reaction force in both groups at the standard speed walking and the same force value at self-selected speed in obese group. $F_y3$ was always bigger than $F_y1$ in anterior-posterior axis in both groups.

A Study on the Distribution of Plantar Pressure in Adult Hemiplegia during Gait with the Use of Cane

  • Cha, Yong-Jun;Kim, Kyoung
    • The Journal of Korean Physical Therapy
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    • v.22 no.3
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    • pp.49-53
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    • 2010
  • Purpose: The purpose of this study was to investigate the plantar pressure distribution between the affected and unaffected side in adult hemiplegia during gait with the use of a quad-cane. Methods: Thirty-four stroke patients from 34 to 83 years of age were enrolled in this study, and in random order, all patients were asked to walk at their most comfortable speed three times along a walkway with the use of quad-cane over a period of three days. Plantar pressure distribution was measured with regard to foot contact pattern and center of pressure (CoP) trajectories during the stance phase, progressing from heel-strike to toe-off. The F-scan system was used to compare the foot pressure of the affected and unaffected sides. Results: A significant reduction in the total contact area, the width of fore foot (FF) and hind foot (HF), and anterior/posterior (AP) CoP trajectory of the affected side was found. However, contact pressure of the hind foot on the affected side during walking increased when compared to that on the unaffected side. Conclusion: We demonstrated that plantar pressure distribution on the affected side of adult hemiplegia patients was generally poorer than that on the unaffected side when these patients walked with cane assistance. However, the use of a quad-cane was shown to increase contact pressure of the hind foot on the affected side because weight can be borne on the affected side during heel-strike with use of the cane.

A Study on Osteoarthritis of The Knee And Associated Factors (퇴행성 슬관절염에 관련요인연구)

  • Kang, Jeom-Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.34-40
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    • 2008
  • Purpose: We defined osteoarthritis of the knee as knee pain and crepitus in over 40 years old. The usual clinical manifestation include pain, stiffness, crepitus and loss of function. Methods: We studied 40 cases of the degenerative arthritis of knee clinically. The body mass index(BMI, weight(kg)/height($m^2$) was used as a measure of obesity. Pain self assessment scale by Million Index in according to age, occupation, BMI. Results: Gender by pain self assessment scale was 6.5 in male and 6.6 in female(P<0.05). The prevalence rates obese was 40%. Occupation by pain self assessment scale was 7.0 in Sitting and 5.7 in Standing(P<0.05). Prevalence was increased with age by pain self assessment scale in aged 40-69 years. Conclusion: It has been known that the obesity is one of the predispsing factors of the primary degenerative arthritis of knee. A flexion weight bearing view of the knee obtained at $30^{\circ}$ to $40^{\circ}$ of the joint flexion may be more sensitive in assessing damages to hyaline cartilage because the knee flexion is an important component of the stance phase.

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