• 대한물리치료과학회지
• /
• 제16권2호
• /
• pp.1-9
• /
• 2009

Background: The ability for backward walking is considered to be necessary for the neuromuscular control and maintenance of balance in daily ambulatory activity. This study aimed to determine the effect of backward walking training on the walking speed and balance control in patients with hemiplegia. Methods: Fourteen patients with hemiplegia were randomly allocated to an experimental and control groups of seven patients each. For the experimental group, we performed both conventional training and backward walking training, and conventional training only for the control group. The conventional training programs for the 2 groups were conducted for 30 min, twice a day, 5 times a week for 4 weeks, and backward walking training for the experimental group was conducted for 30 min, 3 times a week. The outcomes were assessed using the functional reach test (FRT), timed up-and-go (TUG) Test, and the 10 meter walk time test (10mWT). Result: A comparison of the FRT, TUG test, and 10mWT scores obtained before and after the 4-week treatment revealed statistically significant differences (p<.05) for the experimental group; however, there was no such difference in the case of the control group (p>.05). On assessment after the 4-week treatment, statistically significant differences were noted in the TUG test and 10mWT scores of the experimental group (p<.05). Conclusion: Our findings suggest that backward walking training is an effective clinical strategy for improving the walking speed and functional mobility of patients with hemiplegia.

• 대한물리치료과학회지
• /
• 제16권1호
• /
• pp.31-39
• /
• 2009

Background: Community ambulation has been recently recognized as one of the most essential factors of activities of daily living in patients with post-stroke hemiparesis. This study aimed to compare walking velocity and step number in 5 community situations in patients with post-stroke hemiparesis. Methods: Ten chronic stroke patients volunteered for this study. The main variables analyzed were walking speed and step number, and these were measured in 5 different community situations: a physical therapy room, a parking lot, a bank, a crosswalk, and a hospital lobby. The measurements obtained for walking in the physical therapy room were measured using a 10m walk test and were used as baseline data for comparison with each option. The ambulation distance was set at 300m for the parking lot and the bank and 150m for the crosswalk and hospital lobby. For data analysis, walking speed and step number were standardized with the distance options of each ambulation. Results: Compared to the walking speed in the physical therapy room, those in the other situations, except for the parking lot, were significantly different (p<.05). Moreover, there were significant differences in the speeds between the bank and the parking lot and between the parking lot and the crosswalk (p<.05). Compared to the step number in the physical therapy room, those in all situations except for the crosswalk were significantly different (p<.05). Further, there was a significant difference in the step number between the bank and the crosswalk (p<.05). Conclusion: The walking ability of patients with hemiparesis in real environments within a community could be different from that in a physical therapy room. Therefore, the evaluation of walking should be performed in a variety of community situations.

• 한국CDE학회지
• /
• 제22권2호
• /
• pp.6-10
• /
• 2016

This paper presents the kinematics of a walking robot leg based on Jansen mechanism. By using simple mathematics, all trajectories of walking robot leg links can be calculated. A foot point trajectory is used to evaluate the performance of a walking robot leg. Trial and Error method is used to find a best combination of link lengths under certain restrictions. All simulations are performed by Matlab. Ground score, drag score, step size, foot lift, instant speed, and average speed of foot point trajectories are used for selecting the best one.

• PNF and Movement
• /
• 제22권1호
• /
• pp.91-99
• /
• 2024

Purpose: Backward walking has shown positive effects on gait recovery in rehabilitation patients. It is increasingly used as an aerobic training method in rehabilitation populations, inducing more sensory and motor stimulation than forward walking. Therefore, the purpose of this study is to investigate the effects of visual stimulation during backward walking. Methods: Twenty-seven healthy adults with a visual acuity of 0.8 or higher participated in the study. To compare the effects of visual stimulation during various walking conditions among healthy individuals, the participants randomly selected cards numbered one to six and walked a distance of 10 meters. Walking ability was measured using Optogait. Results: Statistically significant differences were observed in speed, stride, and percentages of single support and contact phase during backward walking. Within eyes-closed conditions during backward walking, significant differences were found in percentages of single support, terminal stance, and contact phase. Moreover, the percentage of terminal swing significantly differed during backward walking with head turn conditions. Conclusion: Gait parameters such as speed, stride, and percentages of single support and contact phase were higher during backward walking than forward walking. These results indicate that backward walking involves multiple sensory systems and varying conditions.

• PNF and Movement
• /
• 제10권4호
• /
• pp.71-76
• /
• 2012

Purpose : The purpose of this study was to examine the effects of PNF of irradiation using an indirect treatment of the stroke patient's static weight support and walking speed. Methods : Was carried out a total of nine different the PNF method of treatment for patients with left hemiplegia stroke. PNF of treatment is not in the non-paralyzed side of the trunk and upper and lower extremities by applying resistance and increased strength of the affected side. Assessment of treatment weight support both feet measured and modified using the timed up and go test were compared before and after treatment. Results : Treatment of the paralyzed side of the quadriceps and hamstring, gluteus medius muscle strength increased, and both sides of the foot body weight support improved walking speed was increased. Conclusion : Irradiation using PNF indirect treatment improves the function of the gait of stroke patients.

• 융합신호처리학회논문지
• /
• 제13권2호
• /
• pp.113-118
• /
• 2012

기존의 4족 보행 로봇에서의 다리 부착 위치는 말, 사자 등의 동물에서 볼 수 있는 것과 같은 형태로서 사람들에게 익숙한 형태이기 때문에 외관상 자연스러우나 보행의 안정성, 보행의 속도 등 보행의 관점에서는 비효율적인 측면이 있다. 본 논문에서는 자연계에는 존재하지 않는 형태로서 보행이 효율적으로 이루어지도록 네 다리를 몸체에 부착한 형태의 4족 보행 로봇에 대하여 기술한다. 제안된 4족 보행 로봇은 로봇의 진행 방향에 대하여 좌우 다리와 전후다리를 갖는다. 일반적인 구조의 4족 보행 로봇은 정적인 보행을 하기 위하여 항상 세 다리가 지면에 닿아야하고 로봇의 무게 중심을 로봇 진행 방향에 대하여 좌우로 이동시켜주어야 한다. 또한 보행 속도를 높이기 위해서는 두 다리만 동시에 지면에 닿는 동적인 보행을 수행하여야 하는데 이는 제어하기가 쉽지 않고 사용된 모터의 특성에 따라서는 동적인 제어가 불가능할 수도 있다. 반면 제안된 로봇은 정적인 보행에서도 두 다리를 동시에 이동할 수 있어 보행의 안정성과 효율성을 크게 향상시켰다.

• Structural Engineering and Mechanics
• /
• 제71권3호
• /
• pp.245-255
• /
• 2019

In this paper, an inverted-pendulum model consisting of a point supported by spring limbs with roller feet is adopted to simulate human walking load. To establish the kinematic motion of first and second single and double support phases, the Lagrangian variation method was used. Given a set of model parameters, desired walking speed and initial states, the Newmark-${\beta}$ method was used to solve the above kinematic motion for studying the effects of roller radius, stiffness, impact angle, walking speed, and step length on the ground reaction force, energy transfer, and height of center of mass transfer. The numerical simulation results show that the inverted-pendulum model for walking is conservative as there is no change in total energy and the duration time of double support phase is 50-70% of total time. Based on the numerical analysis, a dynamic load factor ${\alpha}_{wi}$ is proposed for the traditional walking load model.

• 한국ITS학회 논문지
• /
• 제19권4호
• /
• pp.45-54
• /
• 2020

본 연구는 고령자에 대한 보행속도 및 인지-반응을 포함한 보행특성에 관한 기초자료를 조사하였으며, 이를 토대로 보행 신호시간을 산정하였다. 현장조사는 스탑워치를 이용하여 보행자의 실제 횡단시간을 조사하였고, 구두조사로 연령을 조사하여 일반인과 고령자그룹으로 구분하였다. 자료를 분석한 결과 일반인의 평균보행속도는 1.29m/s, 노인은 1.13m/s로 일반지역의 기준인 1.0m/s 보다 높게 나타났다. 또한 하위 15th percentile속도를 살펴보면 일반인은 1.01m/s, 노인은 0.85m/s로 분석되어 노인의 경우 일반지역 기준보다 낮은 보행속도를 가지며 보호구역 기준인 0.8m/s 보다는 높은 속도가 나타났다. 하지만 지팡이나 휠체어를 사용하는 노인의 경우 하위 15th percentile속도가 0.73m/s로 나타나 현재 보호구역 기준보다 낮은 보행속도를 가진 것으로 분석되었다. 본 연구결과는 향후 노인의 보행환경을 개선하는데 적용할 수 있고, 장기적으로는 교통약자의 이동성 증진에 기여할 것으로 판단된다.

• 성인간호학회지
• /
• 제20권4호
• /
• pp.561-572
• /
• 2008

Purpose: To examine the effects of power walking exercise on fatigue and overweight in college students with Taeumin constitution. Methods: According to results of the constitution diagnosis (QSCC II), 58 students who were identified as Taeumin, whose BMI was over 23 were assigned to one of three groups. The power walking group walked fast at a speed of 7,000 steps per hour using a pedometer, and the walking group walked at a speed of 5,000 steps per hour. There was no treatment with control group. Each group's fatigue level, blood lipids and body composition before and after the experiment were compared and analyzed. Results: Total fatigue and total cholesterol decreased significantly in the power walking group compared to the walking group and the control group. Weight decreased significantly in the power walking group compared to the control group, and percentage of body fat decreased significantly in both the power walking group and the walking group compared to the control group. Conclusion: When power walking exercise was used with overweight Taeumin students, fatigue, blood lipid, weight and percentage of body fat decreased significantly.

• 한국전문물리치료학회지
• /
• 제15권3호
• /
• pp.35-43
• /
• 2008

The purpose of this study was to compare spatio-temporal parameters during walking between patients with idiopathic Parkinson's disease and a control group matched for age, height, and weight. Thirty-three subjects were included in this study. Fifteen normal subjects (age, $63.3{\pm}5.8$ yrs; height, $164.1{\pm}8.7$ cm; weight, $60.7{\pm}17.5$ kg) and eighteen patients (age, $64.0{\pm}7.7$ yrs; height, $164.7{\pm}7.3$ cm; weight, $63.6{\pm}7.7$ kg) participated in the study. The Vicon 512 Motion analysis system was used for gait analysis in each group during walking, with and without an obstacle. The measured spatio-temporal parameters were cadence, walking speed, stride time, step time, single limb support time, double limb support time, stride length, and step length. Results in stride length and step length, when walking without an obstacle, showed a significantly greater decrease in the patient group compared to the control group. During walking with an obstacle, the patient group showed a significantly greater decrease in the step length as compared to the control group. For the control group, there were significant decreases in parameters of cadence and walking speed and increases in parameters of stride time, step time, and single limb support time when walking with an obstacle. The patient group had lower cadence and walking speed and higher stride time, step time, and single limb support time during walking with an obstacle than in walking without an obstacle. These results suggest that patients with Parkinson's disease who walk over an obstacle can decrease cadence, stride length, and step length. Further study is needed, performed with more obstacles and combined with other external cues, such as visual or acoustic guides.