• Archives of Plastic Surgery
• /
• v.46 no.3
• /
• pp.267-271
• /
• 2019

A 70-year-old man complained imbalance while walking, inability to perform ankle flexion, and could not stand on tip-toe 3 months after injury. The ankle looked swollen with loss of Achilles contour and obvious gait disturbance. Magnetic resonance imaging shows a 5-cm Achilles tendon gap. Subsequently, surgery was performed to solve the neglected Achilles tendon rupture. Patient was put under general anesthesia with a regional block. Using a nontourniquet technique, a reconstructive procedure was performed using a half-width autologous Achilles tendon graft, which was attached to the calcaneal prominence with wire in a double strand Bunnell fashion. As for the proximal stump, double core Bunnell/modified Kessler suturing was carried out to suture the graft to Achilles stump. To increase the vascularization, an ipsilateral gastrocnemius fascial flap with a distally based-pedicle was harvested to wrap around the tendon graft. At a 6-month follow-up, the patient was able to stand on tip-toe and had also regained a normal gait.

• Korean Journal of Applied Biomechanics
• /
• v.13 no.3
• /
• pp.163-180
• /
• 2003

This paper aims at collecting the guantitative data of kenematic variables by analysing the gait patterns of the normal adult men and the handicapped. The gait motions were taped with 4 video cameras, the cinematographic analyses were performed by the DLT technique of three dimensional image treatment. The following results were obtained in the analysis of the variables: 1. The ratio of stance time and swing time did not show any significant difference in the groups of the normal men and the handicapped when both foot of the former and the right feet of the latter were compared. The stride peeriod time of these two groups were 1.12 and 1.11 second, respectively. 2. In the handicapped group, the step width was wider, the step length and stride length were shorter, and especially, the step length of the right foot was shorter, 3. The small vertical displacement of left toes of the handicapped group showed that the heal contact and the left midstance are almost simultaneous. 4. The two groups have almost the same horizontal displacement of the center of gravity and the same vertical rate of extension. In view of the velocity of the center of gravity the normal adults showed the constant speed of movement. However, the handicapped adults were reduced from the right midstance to the right toe-off. 5. The handicapped showed prominently low angle on the left toe-off in the ankle joint angle, they also had the tendency to walk in the patterns of extended knee in the knee joint angle. Both the handicapped and the normal had the hyperextension on the toe-off in the hip joint angle. In the back and front angle of body, both showed the slightly back-sided walking positions. 6. Both groups had the abduction of both feet in foot placement angle, but the handicapped did not show serious abduction of left midstance.

• Korean Journal of Applied Biomechanics
• /
• v.26 no.4
• /
• pp.377-382
• /
• 2016

Objective: The purpose of this study was to provide data on gait characteristics of K-pop professional dancers. Method: Participants were divided into four groups: male dancers (n=10, age: $28.2{\pm}3.4years$, height: $175{\pm}6cm$, weight: $68.9{\pm}5.6kg$), female dancers (n=10, age: $26.7{\pm}3.1years$, height: $162{\pm}4cm$, weight: $52.1{\pm}3.7kg$), non-dancer males (n=10, age: $25.2{\pm}2.6years$, height: $171{\pm}6cm$, weight: $66.4{\pm}5.3kg$), or non-dancer females (n=10, age: $26.2{\pm}3.0years$, height: $161{\pm}5cm$, weight: $56.4{\pm}6.7kg$). Twelve infrared cameras (Qualisys, Oqus 500, Sweden, 150 Hz.) were used to capture three-dimensional motion data. Gait motion data of professional dancers and ordinary persons were obtained. Results: K-pop dancers' dynamic stability during the female toe off event and the male heel contact event was better compared with that of ordinary persons in the front-rear direction. In addition, the results showed a significant difference in the margin of stability (MoS). However, the medial-lateral direction of both female and male dancers during heel contact and the toe off event was more stable compared with ordinary person, who exhibited an increased MoS than did the dancers. Conclusion: This study aimed to investigate the gait characteristics of K-pop professional dancers in comparison with ordinary persons using gait parameters and MoS. The stability of K-pop professional dancers' dynamic gait in the front-rear direction was better than that in the medial-lateral direction. Therefore, further studies in which the dance movements of K-pop dancers are sub-divided and analyzed will be necessary to reduce related injury.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.3
• /
• pp.1153-1160
• /
• 2012

This study was intended to implement ankle joint dorsi flexion training against ankle muscule strength weakening that erodes stroke patients' gait performance to examine the effect of the training on stroke patients' plantar pressure and gait ability. In this study, 36 stroke patients diagnosed with stroke due to cerebral infarction or cerebral hemorrhage were divided to measure 10MWS which are stroke patients' gait variables maximum plantar pressure by area of the sole by collecting data using an F-scan system during gait. Given these results of the study, compared to other training groups, the ankle muscule strength reinforcing training group showed statistically significant increases of maximum plantar pressure in the great toe, the toe and the first metatasal areas too and thus it can be said that this training increases forward thrust during stroke patients' foot end taking off and positively affects stroke patients' ability to perform gait.

• PNF and Movement
• /
• v.11 no.1
• /
• pp.63-68
• /
• 2013

Purpose : The purpose of this study was to examine changes in spatiotemporal gait parameters(STGPs) in healthy adults before and after a immediate intervention of a Mulligan taping program(MTP). Methods : A total of 12 healthy adults(mean age, 20.82 years; age range, 19-24 years) participated in the study. performance was assessed by recording changes in the STGPs using GaitRite. comparisons of changes in the STGPs at pre-intervention and at dischange were analyzed using the Wilcox signed rank test and Mann-Whithney U test. Results : There was a significant improvement in the outcome measures of STGPs(stride length, velocity) after immediate of MTP(p<0.05). However, no significant different pre-test and post-test step width, toe angle(p>0.05). Conclusion : Participants in a MTP improves STGPs, thereby increasing the ability of healthy adults to maintain gait. MTP appears to be a safe and efficacious, noninvasive treatment modality for patients with knee joint disease.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.23 no.1
• /
• pp.63-72
• /
• 2017

Background: The purpose of this case study was to investigate into the effect of complex exercise program on the postural change, gait and balance ability in elementary school students with forward head posture. Methods: Four patients with forward head posture were recruited. They were evaluated pre-treatment, and after 6weeks, using neck disability index (NDI), numeric pain rating scale (NPRS), balance ability, foot pressure (fore foot/rear foot peak pressure ratio, F/R ratio), gait ability (cadence, toe out angle, stance phase). Results: First, the angle of forward head posture (craniovertebral angle; CVA and cranialrotation angle; CRA) was decreased in all subjects. The NPRS and NDI were decreased in all subjects. Also, The cadence, toe out angle and F/R ratio were increased in all subjects. The stance phase of gait cycle was positively change in all subjects. Lastly, the static balance ability improved in all subjects. Conclusion: According to the results above, the complex exercise program for students with forward head posture can help improve the postural change, gait and balance ability. Also, the complex exercise program was able to select interventions depending on the patient's condition and the desired goal.

• Journal of Biomedical Engineering Research
• /
• v.42 no.6
• /
• pp.295-303
• /
• 2021

Idiopathic normal-pressure hydrocephalus (INPH) is considered a potentially treatable neurological disorder by shunt surgery and characterized by a triad of symptoms including gait disturbance, cognitive impairment and urinary dysfunction. Although disorders of white matter are generally viewed as the principal pathological features of INPH, analysis of cortical features are important since the destruction of neural tracts could be associated with cortical structural changing. The aim of the study was to determine whether there was any relationship between gait parameter and structural features of cerebral cortex in INPH patients. Gait parameters were measured as follows: step width, toe in/out angle, coefficient of variation (CV) value of stride length, CV value of stride time. After obtaining individual brain MRI of patients with INPH and hemispheric cortical surfaces were automatically extracted from each MR volume, which reconstructed the inner and outer cortical surface. Then, cortical thickness, surface area, and volume were calculated from the cortical surface. As a result, step width was positively correlated with bilateral postcentral gyrus and left precentral gyrus, and toe in/out was positively correlated with left posterior parietal cortex and left insula. Also, the CV value of stride length showed positive correlation in the right superior frontal sulcus, left insula, and the CV value of stride time showed positive correlation in the right superior frontal sulcus. Unique parameter of cerebral cortical changes, as measured using MRI, might underline impairments in distinct gait parameters in patients with INPH.

• Journal of the Korean Society of Safety
• /
• v.34 no.5
• /
• pp.132-138
• /
• 2019

Fall accident is the most frequent accident type of occupational accidents. As the age of workers increases, trip and fall accident increases more than other types of occupational accident in the middle-aged group. In this study, the gait characteristics of 25 middle-aged participants (mean ages 47.4, S.D. 5.8) were studied to analyze the trip and fall risks. The Minimum toe clearance(MTC) against the floor surface was measured in the variable conditions of gait speed by a motion capture system. In the 50s age group, the MTC decreased and the MTC tended to reduce the variation with increasing walking speed in the level walking. Therefore, the trip and fall risks for the 50s age group is higher than the 40s age group. Especially, the faster walking speed will increase the trip and fall risks even more.

• Proceedings of the ESK Conference
• /
• 1995.10a
• /
• pp.141-155
• /
• 1995

To understand kinetic characteristics during the process of initation of gait from standing, from the visual cue to toe off of the stance limb, vertical ground reaction forces(GRF) and center of pressure(COP) during gait initation period were evaluate with two force platforms placed side by side in thirty two adults(young 16, elderly 16, each mean age 27.79 and 51.70 years) with no history of 7 neuromusculo-skeletal abnormality. Gaint initation period of swing and stance limbs, percentage of gait initiation period and ratio of the vertical forces to body weight at each peak of the vertical forces of both limbs, and also movement of net COP were measured and described. 2 groups, one of 16 young adults and another of 16 elderly adults, were compared statistically. These data showed the increase of initiation of gait period and the decrease of movement of net COP, nd also can now be used as a part of database when initation of gait in subjects with neuromusculoskeletal abnormalities need to be evaluated.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.2
• /
• pp.415-422
• /
• 2020

This study investigates the relationship between muscular strengths and gait characteristics of the elderly. Totally, 107 subjects, aged 65 to 85 years, participated in this study. Researchers measured muscle strengths (grip force, toe grip force, gluteus medius, and gluteus maximus forces) and walking characteristics (walking speed, cadence, step length, single leg support, and double legs support). Dynamometers and inertial measurement unit-based shoe systems were used for measuring muscular strength and gait characteristics, respectively. No significant difference was observed in strengths and walking characteristics between the young elders (YE, 65-74 years) and the old elders (OE, 75-85 years). For each age, muscular strength significantly correlated with some gait parameters. Forces of gluteus medius and gluteus maximus muscles showed better significant correlations between some gait parameters for all age groups, as compared to grip force and toe grip force. Regression coefficients between walking speed and grip force did not vary with age. We conclude that muscular strengths in OE better explained the gait characteristics than in YE subjects. Even though grip strength is an easily measured variable for senior fitness test, forces of gluteus medius and gluteus maximus muscles are more meaningful for understanding the walking characteristics of elderly people.