• Title/Summary/Keyword: Walk Improvement

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The Effects of Robot-Assisted Gait Training with Visual Feedback on Gait, Balance and Balance Confidence in Chronic Stroke Patients

  • Ham, Sin-Cheol;Lim, Chae-Gil
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.71-76
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    • 2016
  • Purpose: This study was conducted to assess the effects of robot-assisted gait training with visual feedback on gait, balance, and balance confidence in patients with chronic stroke. Methods: Thirty subjects with chronic stroke were randomly assigned to two groups: the experimental group (n=15) and the control group (n=15). The experimental group performed robot-assisted gait training for 30 minutes and the control group performed gait training with assisted devices training for 30 minutes after both groups performed conventional physical therapy for 30 minutes. Both groups performed the therapeutic interventions for 5 days per week, for a period of 4 weeks. For assessment of the 10 m walking test (10 MWT), Figure of 8 on the walk test (F8WT), Timed-Up and Go test (TUG), and Berg Balance Scale (BBS) were used to test the gait and balance, and the Korean version of the Activities-specific Balance Confidence Scale was used to test the balance confidence. Results: The experimental group showed significant improvement in the 10 MWT and the K-ABC (p<0.05), and the control group showed significant improvement in the BBS and the TUG (p<0.05). In four measurements, there were significant differences between the two groups (p<0.05), and the control group showed significant improvement in the F8WT at pre and post intervention (p<0.05). Conclusion: This study demonstrated that Robot-assisted gait training with visual feedback is an effective intervention for improving straight gait abilities and balance confidence, while the control group showed some improvement in curve gait and balance. Thus, we suggest both Robot-assisted gait training with visual feedback and gait training with assisted devices training exercise as a therapeutic intervention in chronic stroke rehabilitation.

The Impact of Lower Extremity Strengthening Exercise with Step Box and Elastic Band on Balance Ability and Lower Extremity Muscular Strength in Community-living Elderly Individuals (스텝박스와 탄력밴드를 이용한 하지근력강화운동이 지역사회 노인의 균형능력과 하지근력에 미치는 영향)

  • Kim, Du-suop;Choi, Im-soon;Kim, Suhn-yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.11-21
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    • 2016
  • PURPOSE: This study was examined the effects of aerobic exercise using a step box and lower extremity strengthening exercise with an elastic band on the balance ability and lower extremity muscular strength in elderly subjects. METHODS: Forty-one healthy adults were randomly divided into experimental group 1 (Exp 1, n=14), experimental group 2 (Exp 2, n=14), and a control group (n=13). The Exp 1 conducted lower limb strengthening exercise using an elastic band and the Exp 2 performed aerobic exercise with a step box 50 minutes per day, twice per week, for eight weeks. RESULTS: There was significant increase in the Exp 1 and Exp 2 in comparison of the change of lower limb muscle strength according to measurement time (p<.05). But there was no significant difference according to intervention methods. In one-leg standing test change among the three groups after the intervention, the Exp 1 and Exp 2 saw significant improvement compared to the control group (p<.05) but there was no significant difference according to intervention methods. The change of the functional reaching test results, the Exp 1 and Exp 2 saw significant improvement according to the time of measurement. In the change of the Timed Up and Go test, there was significant improvement in the Exp 1 and Exp 2 compared to the control group (p<.01), but there was no significant difference according to intervention methods. CONCLUSION: Exercise to lower extremity strengthening program accompanied with aerobic exercise is considered more effective in dynamical balance and ability to walk.

The Improvement of Circulation System in Theme Park - Focused on the EXPO Ocean Park in Yeosu - (주제공원의 동선 개선 제안 - 여수 엑스포 해양공원을 대상으로 -)

  • Park, Hyo-Chul;Han, Hye-Sun
    • Korean Institute of Interior Design Journal
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    • v.23 no.5
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    • pp.202-210
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    • 2014
  • The EXPO Ocean Park in Yeosu has taken on the apsect of a theme park and has specialized facilities. But the outdoor circulation system that has been used by Expo 2012 Yeosu Korea still remained. These conditions can occur unused circulation and a long walk between facilities. The Purpose of this study is to suggest the improvement of circulation system that uses walking and outdoor space at the Expo Ocean Park in Yeosu. The following researches are drawn based upon the purpose. First, Definition and existing academic literature of theme park is considered. Second, the type, utilization condition, and circulation of outdoor facilities of Expo Ocean Park are investigated through the field survey and analysis. The field survey is conducted on the Expo Ocean Park in Yeosu for five times from October. 2013 to March. 2014. The data is collected through the photographed outdoor park and interviewing the staff of 2012 Yeosu World Expo Foundation. Third, the case study on outdoor circulation of waterside park and park with amusement facilities that are similar to Expo Ocean Park are examined. The result of this study is expected to seek sustainable management of Expo Ocean Park for maximizing local resident and visitors' satisfaction and improving effective park image. Since the field survey was conducted before the park is reopened and The Expo Ocean Park is on the improve through the this study at present, the verification of improvement scheme based on Post-Occupancy Evaluation(POE) is needed for future study.

Case Study of the Immediate Gait Improvement in a Post-Stroke Gait Disturbance Patient Equipped with a Weighted Vest (중량조끼를 착용한 뇌졸중으로 인한 보행장애 환자의 즉각적인 보행 개선 효과 1례)

  • Kim, Cheol-hyun;Hong, Hae-jin;Lee, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.763-769
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    • 2016
  • Objective: To confirm the immediate gait improvement in a post-stroke gait disturbance patient equipped with a weighted vest. Methods: We selected a patient who was able to walk without another’s help or with tools. The selected patient had an unstable gait because she had only started an independent gait within the past week, so we thought that a weighted vest could be very helpful for her. We first collected gait parameters using a treadmill gait analysis system while the patient walked on the treadmill without the weighted vest. After a 10-minute break, gait parameters were collected again while the patient walked on the treadmill while wearing the weighted vest. The gait parameters we collected included step length (cm), stance phase (%), swing phase (%), SW/ST, and gait line length (mm). For objective evaluation of gait improvement, we calculated the ratio of gait parameters of the right and left limbs. Results: The gait of the post-stroke patient was more symmetrical when wearing the weighted vest than without the weighted vest. Without the weighted vest, her step length ratio was 0.78, stance phase ratio was 0.88, swing phase ratio was 1.50, SW/ST ratio was 1.70, and gait line length ratio was 0.91. With the weighted vest, her step length ratio was 0.88, stance phase ratio was 0.90, swing phase ratio was 1.38, SW/ST ratio was 1.54, and gait line length ratio was 0.98. No side effects were observed due to the weighted vest.

A pilot study of augmented reality-based postural control training in stroke rehabilitation

  • Park, Yu Hyung;Lee, Chi Ho;Kim, Hang Jin
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.13-19
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    • 2014
  • Objective: The purpose of this study was to determine the effects of Augmented Reality-based Postural Control (ARPC) training on balance and gait function in patients with stroke. Design: Single-blind randomized controlled trial. Methods: Twenty participants who experienced a stroke were enrolled in the study and randomly assigned to the ARPC (n=10) or control group (n=10). Subjects in both groups received conventional physical therapy for 60 min per session, 5 days per week, for 4 weeks. In addition, subjects in the ARPC group received ARPC training for 30 min per day, 3 days per week, for 4 weeks. The participants watched established normal postural control patterns on a head-mounted display and repeated the movements in ARPC training. Outcome measurements were assessed using the Berg Balance Scale (BBS) and 10-Meter Walk Test (10MWT) before and after 4 weeks of training. Results: Of the 20 randomized participants, only 18 completed the 4-week training program. The ARPC group showed significant improvement in the BBS and 10MWT after training (p<0.05). Meanwhile, the control group did not exhibit improvement in either variable. In addition, the ARPC group showed significantly greater improvement than the control group in the 10MWT (p<0.05), whereas no significant difference was observed between the groups for the BBS. Conclusions: The results of this study confirmed the benefits of ARPC training on dynamic balance and functional gait ability. Additionally, this study may provide evidence supporting the use of an ARPC training program for improving balance and gait ability in patients after a chronic stroke.

The Study of Behavior and Histological Change on Treadmill Exercise Intensity after Spinal Cord Injury in Rats (트레드밀 강도에 따른 운동이 척수손상 흰쥐의 행동학적 변화와 조직학적 변화에 관한 연구)

  • Kim, Young-Eok
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.6 no.1
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    • pp.1-15
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    • 2008
  • This study was designed to investigate the effect of treadmill exercise of low-intensity and high-intensity on the functional recovery and histological change in spinal cord injury rats. Sprague-Dawley rats were experimented(n=15) for this research. Spinal cord injury was induced by the NYU drop impacter device after laminectomy. After operation, rats were test at modified Tarlov scale at 3 days, and divided into the control group(n=5), experimental group I(n=5, low-intensity treadmill) and experimental group II(n=5, high-intensity treadmill). The rats were disciplined from 7 day through 21 day. Functional recovery was evaluated by the BBB scales and the Grid Walk test for the progressive locomotor recovery at 3, 7, 14, 21 days. Histopathological studies for the muscle in order to observation the change of damage and size of the organized surface which is visible visually it executed hematoxylin & eosin stain. According to the result of 4 weeks of treadmill exercise, group II showed improvement than group I of motor behavior after spinal cord injury.

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The immediate effect standing balance and dynamic activity on barefoot, wearing SPAFO and wearing HPAFO in hemiplegic patients (편마비환자에게 플라스틱 단하지 보조기착용 전${\cdot}$후 선자세 균형과 동적 움직임에 미치는 효과)

  • Lim Ho-Yong;Park Seung-kyu
    • The Journal of Korean Physical Therapy
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    • v.17 no.1
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    • pp.96-107
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    • 2005
  • Objective: The purpose of this study were to investigate the standing balance, dynamic activity in hemiplegic patients according to the types of ankle-foot orthosis(AFO) and to determine the most effective type of AFO for gait training. Method: A prospective study was performed for 16 patients with hemiplegia who was able to walk independently. Static balance and dynamic activity were compared in two condition : 1) barefoot and SPAFO, 2) barefoot and HPAFO. Static balance and dynamic activity characteristics were evaluated by Active Balance while they were standing with in two condition AFO and barefoot. Results: There were significant difference in standing balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in dynamic activity balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in gait speed between barefoot and wearing SPAFO and HPAFO(p<0.05). Conclusion: This study showed that wearing SPAFO and HPAFO gave fair amount of improvement to balance and gait ability of hemiplegic patients.

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The Development of the Insole for Gait Load Decreasing by Biomechanics Analysis (생체역학적 분석을 통한 보행 부하 감소용 인솔 개발)

  • Lee, Chang-Min;Oh, Yeon-Ju
    • Journal of the Ergonomics Society of Korea
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    • v.24 no.4
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    • pp.23-30
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    • 2005
  • The mailman's shoes should be designed in due consideration of occupational features they spend most of times to walk. For that reason, the shoes required functions to reduce the foot fatigue and to protect body by dispersing the body weight to the whole foot. In this research, for the functional improvement of the insole, insoles are investigated and analyzed by biomechanics experimentation. Under the base of these experimental results, we develop insoles that can reduce the body load and muscular-skeletal disorder. The pressures are concentrated on the metatarsus and heel by the result of analyzing pressure distributions of the using shoes. Accordingly, we offer the prototype functional insole that is ranked from high pressure to low pressure on the base of a shock absorb function. This prototype functional insole is examined for statistical significance by pressure distribution areas. The experimental results show that pressure areas are dispersed to whole foot, for this reason, pressures of the metatarsus and heel are reduced. Results of this research can not only improve the function of insoles which is suitable for occupational features, but also be a base on constructing data bases for biomechanics gait insoles.

Evaluating locational validity of anti-crime CCTV installation point in university campus : A KNU case study (대학 캠퍼스 방범용 CCTV 설치 지점의 적절성 평가 : 경북대학교를 사례로)

  • Choi, Jin-Ho;Kim, Jun-Hyun;Ryu, Taek-Hyoung
    • Proceedings of the Korean Association of Geographic Inforamtion Studies Conference
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    • 2010.06a
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    • pp.175-179
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    • 2010
  • This study was to evaluate of installation location and management problem for a closed circuit television according to the present situation and installation environment when the CCTV doesn't take a location, surrounding environment, mechanical function in the campus. This methodology used network analysis, mechanical characterization and Streetlight illuminance. As a result, we confirmed in Kyung-Buk National University that was problem of unrelated location of walk pattern in students, a short of illuminance location, only 25 CCTV can be used to crime prevention of student in the night but, the other one is need to some improvement under 44 CCTV.

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Effects of Coordinative Locomotor Training Program on Balance and Gait of Stroke Patients (협응적 이동 훈련 프로그램 적용이 편마비 환자의 균형과 보행능력에 미치는 효과)

  • Ko, Hyo-Eun;Jeon, Bo-Seon;Song, Hyun-Seung
    • PNF and Movement
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    • v.15 no.3
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    • pp.247-252
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    • 2017
  • Purpose: This study sought to examine the effect of coordinative locomotor training (CLT) program on the balance and gait of stroke patients and to develop effective programs and training methods to improve the functions of such patients. Methods: Subjects included 29 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n=14) that participated in CLT program and a control group (n=15) that participated in general exercise therapy. The experimental group underwent CLT program, while the control group underwent general exercise therapy, for 30 minutes, 3 days per week for a 6-week period. timed up and go test (TUG), four square step test (FSST), figure-of-8-walk test (F8WT), and 10m walking test (10MWT) were conducted to evaluate changes in balance and gait. Results: After the intervention, significant differences (p<0.05) were seen in the TUG, FSST, F8WT, and 10MWT in both groups. The experimental group showed more significant improvement than the control group(p<0.05). Conclusion: The results from this study indicate that a CLT program is extremely effective for improving the balance and gait in stroke patients.