• Title/Summary/Keyword: Toe-walking

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Effects of High-Intensity Interval Training on Motor Skills Recovery in Sciatic Nerve Crush-Induced Rats

  • Kim, Ki-Hyun;Shin, Hyung-Soo;Jung, Nam-Jin;Hwangbo, Gak
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.43-54
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    • 2020
  • PURPOSE: This study examined the effects of mild-intensity exercise (MIE) and high-intensity interval exercise (HIIE) on the recovery of the motor function over time in sciatic nerve crush injury rats. METHODS: The MIE group ran on a treadmill at a speed of 8.3 m/min to perform low-intensity training with maximum oxygen uptakes ranging from 40 to 50%. The HIIE group ran on the treadmill at a speed of 25 m/min to perform high-intensity training with a maximum oxygen uptake of 80%. The interval training was performed based on a 1:1 work-to-rest ratio. The effects of each form of exercise on the rats' walking abilities following their recovery from the peripheral nerve injuries were evaluated based on the results of behavior tests performed at one and 14 days. RESULTS: According to the test results, the MIE group showed significant improvements in the rats' ankle angle in the initial stance phase, and in the ankle and knee angles in the toe-off phase (p<.05). The HIIE group exhibited significant improvements in the ankle and knee angles in the initial stance phase, SFI(p<.05). CONCLUSION: The state of such patients can be improved by applying the results of this study in that MIE and HIIE on a treadmill can contribute to the recovery of the peripheral nerve and motor skill. In particular, MIE is used as a walking functional training in the toe-off stance phase, while HIIE is suitable in the initial stance stage.

Treatments of the Compartment Syndrome of the Foot after the Calcaneal Fractures (종골 골절후 발생한 족부 구획 증후군의 치료)

  • Park, Yong-Wook;Chung, Yung-Khee;Yoo, Jung-Han;Jun, Deuk-Soo;Whang, Pil-Sung
    • Journal of Korean Foot and Ankle Society
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    • v.3 no.1
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    • pp.12-18
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    • 1999
  • Eleven patients with calcaneal fracture had 2 acute compartment syndrome of the feet and 9 late complication of the compartment syndrome of the feet. An interstitial pressure of more than 30 mmHg in either the central or interosseous compartment was considered pathologic and was treated by fasciotomy performed medially. Rigid claw toe deformity was treated by excision of the head and neck of the proximal phalanx, dorsal capsular release of the metatarsophalangeal joint, and lengthening of the extensor tendon. Patients were evaluated at a mean of 35 months(range, 21 - 44 months) after operation, and the examination was directed specifically toward symptoms and signs of myoneural ischemia, and walking pain. At follow -up, 2 patients with acute compartment syndrome of the foot had no evidence of myoneural ischemla, 9 patients with claw toe deformity had no pain with walking. Based on our clinical observations, we concluded that compartment syndrome of the foot may occur after the calcaneal fracture and fasciotomy is effective treatment for the prevention of the long term sequelae of this debilitating condition.

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Convergence Comparison of the Angle Change of Ankle Joint while Walking according to the Heel height of Insole Shoes in 20s males with Flatfoot (평발을 가진 20대 남성이 인솔구두의 굽 높이에 따른 보행 시 발목관절의 각도변화에 대한 융복합적 비교)

  • Seo, Kyo-Chul;Park, Seung-Hwan;Kim, Hyen-Ae
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.117-123
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    • 2021
  • The purpose of this study is to convergence comparison the ankle joint angle change during walking of college students in their 20s with flat foot according to the heel height of insole shoes. Qualisys Track Manager Software ver. 2.8 (Qalisys Track Manager) was used for 15 college students. Functional shoes with insoles were manufactured, and the heel heights of the shoes were set to 3cm and 7cm. The subjects wore shoes with two high heels and gaited by attaching a reflex marker to the side of the ankle joint. The angle change of the ankle joint was measured in the gait stance phase. The angle of the ankle joint significantly decreased both heel strike, foot flat, midstance, and toe off to the heel height increased when the subjects with flat feet wore insole shoes. Therefore, it is thought that flat feet should wear low shoes when wearing insoles to reduce the fatigue of the soles and to walk comfortably.

Development of Gait Event Detection Algorithm using an Accelerometer (가속도계를 이용한 보행 시점 검출 알고리즘 개발)

  • Choi, Jin-Seung;Kang, Dong-Won;Mun, Kyung-Ryoul;Bang, Yun-Hwan;Tack, Gye-Rae
    • Korean Journal of Applied Biomechanics
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    • v.19 no.1
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    • pp.159-166
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    • 2009
  • The purpose of this study was to develop and automatic gait event detection algorithm using single accelerometer which is attached at the top of the shoe. The sinal vector magnitude and anterior-posterior(x-axis) directional component of accelerometer were used to detect heel strike(HS) and toe off(TO), respectively. To evaluate proposed algorithm, gait event timing was compared with that by force plate and kinematic data. In experiment, 7 subjects performed 10 trials level walking with 3 different walking conditions such as fast, preferred & slow walking. An accelerometer, force plate and 3D motion capture system were used during experiment. Gait event by force plate was used as reference timing. Results showed that gait event by accelerometer is similar to that by force plate. The distribution of differences were spread about $22.33{\pm}17.45m$ for HS and $26.82{\pm}14.78m$ for To and most error was existed consistently prior to 20ms. The difference between gait event by kinematic data and developed algorithm was small. Thus it can be concluded that developed algorithm can be used during outdoor walking experiment. Further study is necessary to extract gait spatial variables by removing gravity factor.

Correlation Between Walking Speeds and Lower Extremities Joint Moment in Obese (비만인들의 보행속도와 하지관절모멘트에 대한 상관관계 분석)

  • Shin, Sung-Hyoo;Kim, Tae-Whan;Kwon, Moon-Seok
    • Korean Journal of Applied Biomechanics
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    • v.16 no.3
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    • pp.105-115
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    • 2006
  • The purpose of this study is to elucidate the mechanical characteristics of lower extremity joint movements at different walking speeds in obese people and suggest the very suitable exercise for obese person's own body weight and basic data for clinical application leading to medical treatment of obesity. This experimental subjects are all males between the ages of 20 and 30, who are classified into two groups according to Body Mass Index(BMI): one group is 15 people with normal body weight and the other 15 obese people. Walking speed is analysed at 3 different speeds ($1.5^m/s$, $1.8^m/s$, $2.1^m/s$) which is increased by $0.3^m/s$ from the standard speed of $1.5^m/s$. We calculated joint moments of lower extremity during stance phase through video recording and platform force measurement.Two-way ANOVA(Analysis of Variance, Mix) is applied to get the difference of moments according to walking speeds between normal and obese groups. Pearson's Correlation Analysis is applied to look into correlation between walking speeds and joint moments in both groups. Significance level of each experiment is set as ${\alpha}=.05$. As walking speed increases maximum ankle plantar flexion moment in the stance phase is smaller in obese group than in normal group, which is suggestive of weak toe push-off during terminal stance in obese group, and the highest maximum ankle plantar flexion moment in obese group during the middle speed walking($1.8^m/s.$). Maximum ankle dorsal flexion moment in obese group is relatively higher than in normal group and this is regarded as a kind of compensatory mechanism to decrease the impact on ankle when heel contacts the floor. Maximum knee flexion and extension moments are both higher in normal group with an increase tendency proportional to walking speed and maximum hip flexion and extension moments higher in obese group. In summary, maximum ankle plantar flexion moment between groups(p<.025), maximum knee moment not in flexion but in extension(p<.001) within each group according to increasing walking speed, and maximum hip flexion and extension moment(p<.001 and p<.004, respectively according to increasing walking speed are statistically significant but knee and hip moments between groups are not. Pearson correlation are different: high correlation coefficients in maximum knee flexion and extension moments, in maximum hip extension moment but not hip flexion, and in maximum ankle dorsal flexion moment but not ankle plantar flexion, in each group. We suspect that equilibrium imbalance develops when the subject increases walking speed and the time is around which he takes his foot off the floor.

Biomechanical Analysis of gait after seven month pregnant (임산부 보행의 역학적 분석)

  • Geum, Myung-Suk;You, Sil;Kim, Young-Nan;Chung, Nam-Ju;Han, Yoon-Soo;Lee, Hun-Pyo;Yoon, Hee-Joong
    • Korean Journal of Applied Biomechanics
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    • v.12 no.1
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    • pp.15-30
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    • 2002
  • The purpose of this study was analyzed the effect of kinematical and kinetical factors of lower extremity of form change in the cause of growth an unborn child during in pregnancy. Three pregnant women were selected from pregnant 24 weeks as subjects. Each subjects were required to walk with usual walking speed. Cinematographic and GRF data were collected during walking, and the kinematical and kinetical variables were calculated using Kwon3d. Based on the results of the study, the following conclusions were drawn : 1. Step width and Step length The change of form during the period of pregnancy was not statistically found significant in the step width and the step length. 2. Angle of lower extremity 1) The change of form during the period of pregnancy was not statistically found significant in the hip angle at right heel contact, mid stance, but it was statistically found significant in the hip angle at toe off on p<.05. 2) The change of form during the period of pregnancy was not statistically found significant in the knee angle at right heel contact, mid stance, but it was statistically found significant in the knee angle at toe off on p<.05. 3) The change of form during the period of pregnancy was not statistically found significant in the ankle angle at right heel contact, mid stance, but it was statistically found significant in the ankle angle at toe off on p<.05. 3. Ground reaction force 1) The change of form during the period of pregnancy was statistically found significant in medial-lateral force(Fx) on p<.001. 2) The change of form during the period of pregnancy was not statistically found significant in post-anterior force(Fy). 3) The change of form during the period of pregnancy was statistically found significant in impulse force and minimum peak of vertical reaction force on p<.001, p<.01 but it was not statistically found significant in second maximum force.

A Kinematic Analysis of Gait Patterns between the Normal Men and the Lower Limb Handicapped (정상인과 하지장애자의 보행형태에 대한 운동학적 분석)

  • Kim, Moo-Young
    • Korean Journal of Applied Biomechanics
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    • v.13 no.3
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    • pp.163-180
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    • 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.

Studies on Garment Restraint (IV) -Effect of Slacks Restraint on Lower Extremity- (의복의 구속성에 관한 연구 (IV) -슬랙스 착용시의 하지부 압박을 중심으로-)

  • 심부자;최선희
    • Journal of the Korean Society of Clothing and Textiles
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    • v.18 no.3
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    • pp.387-394
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    • 1994
  • Journal of the Korean Society of Clothing and Textiles Vol. 18, No. 3 (1994) p. 387∼394 In this study, the restriction of slacks (blue jean) versus box pleats skirt was investigated, from the view point of peripheral blood flow at the toe according to motion variation and E.M.G. analysis of leg muscles after walking on the flat or going up and down stairways. Besides, the pressure of slacks on the lower extrimity was measured statically and dynamically. The main results were summerized as follows; 1. The clothing pressure applied by slacks was; each one of thigh and lower leg was 18.2 g/ cm2 and 22.1 g/cm2 in upright, 63.4 g/cm2 and 26.6 g/cm2 in sitting on the chair, on both sides of thigh and lower leg 272.0 g/cm2 over in squatting. 2. When the motion starts from upright, the dynamic clothing pressure reach their peak before the motions end. When the motion ends and the body comes to a still condition, the clothing pressure grow lower and indicate a constant value. but when the body starts moving again to return to upright, the pressures once grow higher and go to zero value after reaching the peak. The pressure on the knee show much greater than those on the hip. This can be because these pressures depend on the degree of skin stretching motion and of its curvature. 3. The surface E.M.G. in leg muscles M. rectus femoris and M. gastrocnemius were recoreded. In the case of wearing slacks, two muscles were activated much more than wearing skirt. 4. The peripheral blood flow at the toe by wearing slacks was lower than wearing skirt. Also the case when squatting, the peripheral blood flow at the toe was low.

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Effects of Smart Phone Use on the Gait Parameters When Healthy Young Subjects Negotiated an Obstacle (스마트폰 사용이 정상인의 장애물 보행에 미치는 영향)

  • Kim, Chang-Yong;Jeong, Hye-Won;Kim, Hyeong-Dong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.471-479
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    • 2015
  • This study examined the effects of smart phone use while young adults negotiated an obstacle (2 cm high). Seventy-four young adults (mean age: $23.76{\pm}3.17years$, age range: 20-27 years) participated in the study. They were allocated randomly into two groups; smart phone group and no smart phone group. The smart phone group negotiated an obstacle while simultaneously using a smart phone at a self-paced speed whereas the no smart phone group negotiated an obstacle with no special option. A motion analysis system were used to measure the gait parameters, such as toe clearance, cadence, step length, step width, stride length, and walking velocity in two groups. The toe clearance, and step-width, cadence, and step-length were significantly greater for the smart phone group than the no smart phone group (p<.05) and the walking velocity was significantly lower in the smart phone group (p<.05). On the other hand, there was no significant difference in the stride length between the two groups. This study suggests that smart phone use degrades the obstacle avoidance abilities of healthy young adults, which may increase risk of falls.

The Effect of Rear Foot Wedge Angle on Peak Plantar Pressures on the Forefoot During Walking (Rear Foot Wedge 각도가 보행시 전족저 최대압력에 미치는 영향)

  • Kwon, Oh-Yun;Jung, Do-Young;Park, Kyoung-Hee
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.11-21
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    • 2002
  • The purpose of this study was to find the effect of rear foot wedge angle on peak plantar pressures on the forefoot during walking. Twenty normal healthy subjects (10 female, 10 male) were recruited. Peak plantar pressure was measured using pressure distribution platforms (MatScan system) in medial forefoot (under the first, second metatarsal head) and lateral forefoot (under the third, fourth, fifth metatarsal head). The subjects walked at the comfortable velocity under seven conditions; bare footed, $5^{\circ}$, $10^{\circ}$ and $15^{\circ}$ wedges under the medial and lateral sides of the hindfoot. The three averaged peak plantar pressures were collected at each condition at stance and toe off phases. The results showed that a significant increase in lateral forefoot plantar peak pressure investigated in the medial wedge and a significant decrease in lateral forefoot plantar peak pressure investigated in lateral wedge at stance phase (p<.05). These results suggest that rear foot wedge may be useful to modify the peak plantar pressure on the forefoot.

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