• 대한물리의학회지
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• 제12권1호
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• pp.121-129
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• 2017

PURPOSE: This study was conducted to determine the effect of dual-task training (based on the International Classification of Functioning, Disability, and Health; ICF) on walking ability and self-efficacy in individuals with chronic stroke. METHODS: 22 chronic stroke patients participated in this study. Participants were randomly allocated into either the single-task group (n=11) or the dual-task group (n=11). Both groups had physical training three a week for 4 weeks, and at a three-week follow-up. Outcome measures included the 10m walking test (10MWT), figure of 8 walk test (F8WT), dynamic gait index (DGI), and Self-efficacy scale. All data were analyzed using SPSS 18.0 for Windows. Between-group and within-group comparison were analyzed by using the Mann-Whitney U test and Wilcoxon singed-rank test respectively. RESULTS: In the dual-task group, the 10MWT, time and steps of F8WT, DGI, and self-efficacy showed significant differences between pre- and post-test (p<.05). The Changes between the pre- and post-test values of 10MWT (p<.05), DGI (p<.05), and self-efficacy scale (p<.05) showed significant differences between the dual-task group and single-task group. CONCLUSION: Participants reported improved walking ability and self-efficacy, suggesting that dual-task training holds promise in the rehabilitation of walking in chronic stroke patients. This study showed that ICF-based on a dual-task protocol contiributes to motor learning after chronic stroke.

• 대한의용생체공학회:의공학회지
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• 제27권6호
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• pp.323-331
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• 2006

The purpose of this study was to investigate the effect of performing a cognitive task during treadmill walking on the stride rate variability. Ten university students(age $24.0{\pm}0.25$, height $172{\pm}3.1cm$, weight $66{\pm}5.3kg$) were participated in dual task experiments which consist of both walking alone and walking with a cognitive task. Two-back task was selected for the cognitive task since it did not have learning effect during the experimental procedure.3D motion analysis system was used to measure subject's position data by changing walking speed with 4.8, 5.6, 6.4, 6.8, and 7.2 km/hr. Stride rate was calculated by the time between heel contact and heel contact. Accuracy rate of a cognitive task during walking, coefficient of variance, allometric scaling methods and Fano factor were used to estimated the stride rate variability. As the walking speed increased, accuracy rate decreased and the logarithmic value of Fano factor increased which showed the statistical difference. Thus it can be concluded that the gait control mechanism is distracted by the secondary attention focus which is the cognitive task ie. two-back task. Further study is needed to clarify this by increasing the number of subject and experiment time.

• 한국정밀공학회지
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• 제24권7호
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• pp.133-138
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• 2007

It is important to understand the characteristics of amputee gait to develop more advanced prostheses. The aim of this study was quantitatively to analyze the stair climbing task for the above-knee amputee with a prosthesis and to predict muscle forces and joint moments at musculoskeletal joints by dynamic analysis. The three-dimensional musculoskeletal model of lower extremities was constructed by gait analysis and transformation software for one above-knee amputee and ten healthy people. The measured ground reaction forces and kinematical data of each joint by gait analysis were used as input data during inverse dynamic analysis. Lastly, dynamic analysis of above-knee amputee during stair climbing were performed using musculoskeletal models. The results showed that summed muscle farces of hip extensor of amputated leg were greater than those of sound leg but the opposite results were revealed at hip abductor and knee flexor of amputated leg. We could also find that the higher moments at hip and knee joint of sound leg were needed to overcome the flexion moment caused by body weight and amputated leg. In conclusion, dynamic analysis using musculoskeletal models may be a useful mean to predict muscle forces and joint moments for specific motion tasks related to rehacilitation therapy..

• International Journal of Precision Engineering and Manufacturing
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• 제9권1호
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• pp.30-33
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• 2008

Understanding the characteristics of amputee gait is key in developing more advanced prostheses. The aim of this study was to quantitatively analyze a stair-climbing task for transfemoral amputees with a prosthesis and to predict the muscle forces and joint moments at musculoskeletal joints using a dynamic analysis. A three-dimensional musculoskeletal model of the lower extremities was constructed from a gait analysis using transformation software for two transfemoral amputees and ten healthy people. The measured ground reaction forces and kinematical data of each joint from the gait analysis were used as input data for an inverse dynamic analysis. Dynamic analyses of an transfemoral amputee climbing stairs were performed using musculoskeletal models. The results showed that the summed muscle forces of the hip extensor of an amputated leg were greater than those of a sound leg. The opposite was true at the hip abductor and knee flexor of an amputated leg. We also found that higher moments at the hip and knee joints of the sound leg were required to overcome the flexion moment caused by the body weight and amputated leg. Dynamic analyses using musculoskeletal models may be a useful means to predict muscle forces and joint moments for specific motion tasks related to rehabilitation therapy.

• 대한산업공학회지
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• 제27권2호
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• pp.197-202
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• 2001

The biomechanical analysis of the load carrying effect on different floor surfaces has been conducted. Four different floor surfaces were prepared for ten subjects with each walking at a fixed velocity(1.33 m/sec) while carrying five different loads. The results showed that because of the significant interaction effect between floor slipperiness and the load carrying task, the load carrying effect should be analyzed according to different levels of the floor slipperiness, especially contaminant floors. On oily surfaces, slip distance(SD) and heel velocity (HV) increased whereas stride length(SL) decreased as load increased. In other words, significantly longer SD, faster HV, and no normal gait were found as load increased. As a result, a different protocol should be applied to measure floor slipperiness on oily floors as compared to dry surfaces for tribological approach.

• 대한물리의학회지
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• 제8권1호
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• pp.1-9
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• 2013

PURPOSE: This study compared the effects of dual motor task training and simple task training on the balance of subacute stroke patients. METHODS: A total of 23 subacute stroke patients participated in the study. The subjects were allocated randomly to two groups: an experimental group and a control group. Both groups received conventional treatment for 50 minutes, 5 times per week for 6 weeks. In addition, the experimental group stacked blocks, moved catch cups, and moved rings while standing and gait. To evaluate the effects of the exercises, subjects were evaluated by using the balance system and the timed get up and go test(TUG) for balance measurement. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. RESULTS: The experimental group showed a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group (p<.05) for the simple task and a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group for the dual task. In addition, the experimental group showed a significant increase in TUG time compared to the control group (p<.05). CONCLUSION: These results support the perceived benefits of dual motor task training to augment the balance of subacute stroke patients. Therefore, dual motor task training is recommended for subacute stroke patients.

• The Journal of Korean Physical Therapy
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• 제33권3호
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• pp.136-141
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• 2021

Purpose: Dementia is a disease in which cognitive function declines, leading to deterioration of body functions and activities of daily living. The purpose of this study is to explore the effects of dual-task training, including cognitive tasks, on cognitive and body function and β-amyloid levels in Alzheimer's dementia patients. Methods: 34 inpatients diagnosed with Alzheimer's dementia at a nursing hospital located in South Korea. The patients were randomly divided into a dual-task group (n=16) and a single-task group (n=18). Each group was trained for 30 minutes three times a week for eight weeks. The MMSE-K was used to measure the patients' cognitive function. To assess the patients' static balance ability, their LOS was measured using BioRescue. while dynamic balance was measured using the BBS. The 10MWT were conducted to evaluate the patients' walking ability. Blood analysis was performed to measure levels of β-amyloid. Results: Both groups exhibited statistically significant improvements in gait function after the training (p<0.05). The dual-task group exhibited statistically significant differences in cognitive function, static and dynamic balance function, and β-amyloid levels after training (p<0.05). A significant difference was observed between the two groups (p<0.05). Conclusion: Dual-task training were found to be effective in improving cognitive and bodily functioning and reducing β-amyloid levels in Alzheimer's dementia patients. Thus, this may be suggested as an effective exercise method for the treatment and early prevention of Alzheimer's dementia.

• The Journal of Korean Physical Therapy
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• 제14권3호
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• pp.418-432
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• 2002

본 연구의 목적은 다음과 같이 네 가지이다. 첫째, dual-strategy hypothesis 모델의 이론적인 배경을 서술한다. 둘째, 보행시작 시 (Gait Initiation)와 장애물 보행시작 (Stepping over obstacles)시의 motor task를 dual-strategy hypothesis 모델의 관정에서 서술한다. 셋째, 파킨슨씨 환자군과 뇌졸증 환자군을 이 모델의 관점에서 서술한다. 마지막으로, dual strategy hypothesis모델의 임상적용 가능성에 대해서 간단히 서술하는 것이다.

• 대한기계학회논문집A
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• 제24권1호
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• pp.118-123
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• 2000

Most quadruped walking robots under current research are individually controlling every joint ic make them step or walk according to an integrated strategy. Such methods are characterized by at least one pair of an actuator and a sensor installed per each 'oint so that the robots weigh execssively and move inefficiently in terms of energy expenditure. In addition, the task of controlling all the joints simultaneously is quite complex and prone to destabilize the robot motion. These respects keep the existing walking robots away from realistic applications such as transportation even if they have potentially, outstanding adaptability to swamps or uneven terrains as opposed to wheeled vehicles. So, this paper presents a new conceptual quadruped robot developed to walk and steer only with a minimal number of actuators owing to a closed-chain mechanism. To prove its actual performance including the adaptability to various types of terrains. experiments are done with the mammal-type prototype. And. it is also shown that the same concept can be easily extended to carry out different gait forms. for instance, that of spiders only with minor modifications.

• 대한물리의학회지
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• 제7권1호
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• pp.69-75
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• 2012

Purpose : The study was designed to investigate analysis of kinematics of lower extremity in healthy adults during walking with external loads on trunk. Methods : Fifteen healthy adults were recruited and The subjects provided written and informed consent prior to participation. They walked on a ten-meter walkway at a self-selected pace with loads of 0, 5, 10, and 15kg. They completed three trials in each condition and kinematic changes were measured. A three-dimensional motion analysis system was used to analyze lower extremity kinematic data. The data collected by each way of walking task and analyzed by One-way ANOVA. Results : There were significant differences in hip and knee joint on saggittal plane at initial contact and preswing, and significant differences in ankle joint on transverse plane at preswing. Conclusion : These findings revealed that increased external loads were changed joint angles and influenced postural strategies because of kinematic mechanism and future studies is recommended to find out prevention from damage of activities of daily living.