• Title/Summary/Keyword: Walker

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Posterior Walker for Cerebral Palsy Children's (뇌성마비 아동을 위한 후방 보행기)

  • Kim, Chan-Mun
    • Journal of Korean Physical Therapy Science
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    • v.3 no.4
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    • pp.147-152
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    • 1996
  • Therapeuticre rehabilitation of young children has often included the use of walker as mobility aids. Traditional walkers have four vertical legs, a horizontal bar in front of child, and horizontal bars on either side which also serve as hand grip. Child pushes it. It is called 'anterior walker'. 'Posterior walker' have been introduced which the child pull along behind himself during ambulation. The purpose of this investigation was to compare specific gait characteristics of children with developmental disability, while they ambulated with anterior and posterior walker. Using the posterior walker, specific gait characteristics improve than using anterior walker.

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Comparison of Walking in Elderly People and Adults Using a Walker Aid with a Pocket Attachment

  • Kwag, Sung-won;Shin, Eun-ji;Park, Jeong-uk;Roh, Hyo-lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.3
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    • pp.73-79
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    • 2015
  • PURPOSE: This study aims to examine the impact of the location of a walker-aid pocket that is attached to the walker while walking. METHODS: The research subjects included 10 male adults and 10 elderly people. The subjects used a two-wheeled walker for the walking analysis, and a firm velcro-type pocket that can be attached to the walker aid was used for weight loading. The size of the external loads was set at 2kg, which corresponds to approximately 2.5% of the mean body weight of the subjects. The pocket was attached to the left, center, and right sides of the walker aid. Stride length, stride, step width, and time were investigated according to the location change. RESULTS: No statistical differences were observed in all the walking factors among the adults and elderly people regardless of the changes in the location of the walker pocket. In cases of no weight and the 2kg walker pocket, stride length and strides were longer for the adults, while the step width was greater and walking time was longer for the elderly people. CONCLUSION: The weight of the walker pocket turn out to retard walking speed, although the location of the walker pocket is not affect walking with the walker-aid.

Strategies of Collision Avoidance with Moving and Stationary Human Obstacles during Walking (보행 시 인간 장애물의 동적·정적 상태에 따른 충돌회피전략)

  • Lee, Yeon-Jong;Kim, Joo-Nyeon
    • Korean Journal of Applied Biomechanics
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    • v.29 no.2
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    • pp.97-104
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    • 2019
  • Objective: The aim of this study was to investigate the strategies for avoiding moving and stationary walker using body segments during walking. Method: Ten healthy young adults (10 males, age: $24.40{\pm}0.49yrs$, height: $175.80{\pm}5.22cm$, body mass: $70.30{\pm}5.22kg$) participated in this study. Each participant was asked to perform a task to avoid collisions with another walker who was moving or stationary during walking on the 10 m walkway. Both walkers were performed at natural self-selected walking speed. Results: Medio-lateral avoidance displacement of the trunk and the pelvis were significantly increased when avoiding a stationary walker (p<.05). There were no significant differences in medio-lateral center of mass trajectory. Rotation angle of trunk, pelvis and foot on the vertical axis were significantly increased when avoiding a stationary walker (p<.05). Conclusion: Based on our results, when another walker moves continuously, the walker recognizes another walker as the object of social interaction and performs the avoidance strategies while expecting the cooperative distance. On the other hand, when another walker is stopped, it is determined that the walker has an obligation to avoid, and the walker performs a relatively safer avoidance strategy.

The Effects of Walker Height on Muscle Activity in the Elbow Extensor and Energy Expenditure Index During Ambulation With Walkers (보행기 사용 시 보행기의 높이가 주관절 신전근 활성도와 에너지소모지수에 미치는 영향)

  • Lee, Young-Rok;Kim, Tack-Hoon;Roh, Jung-Suk;Cynn, Heon-Seock
    • Physical Therapy Korea
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    • v.13 no.2
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    • pp.35-42
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    • 2006
  • The walker provides stability for walking for people whose lower extremities are disabled. It is important to measure and determine the appropriate height of a walker to conserve energy and to improve function. The purposes of this study were to examine effects of walker height and gait velocity on triceps, latissimus dorsi muscle activation, and energy expenditure index (EEI) during ambulation with a walker. Fifteen healthy subjects participated in this study. Each subject was assigned a walker with one of three heights (high, standard, lower height) and of two gait velocities (comfortable gait velocity or fast gait velocity). Electromyographic data were collected from triceps and latissimus dorsi, and EEI was determined from each condition. Two-way repeated analysis of variance (ANOVA) was used to determine the statistical significance. Post hoc comparison was performed with the Bonferroni test. The results of this study were summarized as follows: 1. There was a significant difference in the %MVIC of triceps among different walker height factors. Post hoc comparison revealed that %MVIC of dominant triceps brachii was more significantly increased in patients who used the higher walker than those who used the lower walker (p<.05). 2. There were significant differences in the %MVIC of the latissimus dorsi among different walker height factors and gait velocity factors. Post hoc comparison revealed that the %MVIC of dominant latissimus dorsi was also more significantly increased in patients who used the higher walker than those who used the lower walker (p<.05) and in those who used the faster gait velocity than those who used the slower gait velocity (p<.05). 3. There were significant differences in the EEI among different walker height factors and gait velocity factors. Post hoc comparison revealed that the EEI was significantly increased among those who used higher and lower walkers compared with the standard walker. The EEI was also more significantly increased among those who used the fast gait velocity than those who used the slower gait velocity (p<.05). It has been concluded that increased muscle activation in triceps and latissimus dorsi was required when the walker height increased and that more energy was exp ended when the gait velocity increased. Therefore, from the findings of this study, it is recommended that walker height be adjusted according to the purposes of gait training and that healthy subjects conserve energy when ambulating with standard walkers in a comfortable gait velocity.

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The Study of 3D Motion Analysis on Lower Limb during Walking with Walker on Older People (노인의 워커 사용에 따른 보행 시 하지 관절 3차원 동작 분석에 관한 연구)

  • Kim, Seonchil;Lee, Sangyeol
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.1
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    • pp.19-24
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    • 2017
  • Purpose : The purpose of this study was to find out the difference motion of hip, knee and ankle joint during walking according to using walker on older people. Method : Korean older people of 34 subjects was participated in this study. Participants was measured joint motion on hip, knee and ankle joint during both conditions (walking with walker and without walker). The measured data were analyzed using independent t-test to investigate the difference of joint motion on the both condition. The statistical analyses were performed using Predictive Analytics Soft Ware (PASW) for windows(Ver. 19) and p-value less than .05 were considered significant for all cases. Result : The study showed that more joint motion on hip flexion and ankle pronation is increased by using walker. And hip extension, knee external rotation and ankle plantar flexion is decreased by using walker. Conclusion : This study suggest that using walker on older people was change the motion of the lower limb joint during walking. Therefore, It is necessary to develop a new walker that can reduce dependency and ensure stability on older people during walking.

Efficacy of a Knee Walker for Foot and Ankle Patients: Comparative Study with an Axillary Crutch (족부 족관절 환자에서 Knee Walker의 유용성: 액와 목발(Axillary Crutch)과의 비교 연구)

  • Song, Jae Hwang;Kang, Chan;Kim, Sang Bum;Heo, Youn Moo;Won, You Gun;Jung, Sang Jin;Chung, Hyung Jin
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.100-104
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    • 2018
  • Purpose: An axillary crutch is the most commonly used assistive device in foot and ankle patients who require nonweightbearing. On the other hand, its use frequently induces axillary or wrist pain and critical neurovascular injuries have been reported in several studies. This study compared the clinical outcomes of patients using the knee walker and axillary crutch. Materials and Methods: A retrospective analysis was performed comparing the utility of a knee walker and axillary crutch as a nonweightbearing ambulatory aid for 62 foot and ankle patients treated between November 2016 and March 2018. A comparative study of the two orthosis could be performed because all the patients temporarily used an axillary crutch before or after the use of a knee walker. A demographic study and comparative analysis based on the visual analogue scale (VAS) satisfaction score (0~100), complications, and fall down history were evaluated. Furthermore, under the assumption of having retreatment, their preference of orthosis between the knee walker and axillary crutch was investigated. Results: The mean age of the patients was 36.5 and the mean duration of ambulation with a knee walker and axillary crutch were 5.2 and 2.4 weeks. The VAS satisfaction score of the knee walker and crutch was 88.8 and 27.5, respectively (p<0.05). The most frequent complications of the knee walker and crutch were ipsilateral knee pain (6 cases) and axillary or wrist pain (56 cases), respectively. No case of falling down occurred during knee walker ambulation, but there were two cases of crutch ambulation. Fifty-eight patients (93.5%) preferred the knee walker and four patients (6.5%) preferred a crutch. Conclusion: Compared to the axillary crutch, the knee walker afforded lower complication and higher satisfaction. Most patients preferred the knee walker to a crutch. Therefore, the knee walker is an efficient and safe orthosis for foot and ankle patients who require nonweightbearing.

The Effects of Anterior Walker and Posterior Walker on Gait Parameters and Body Alignment of Children With Cerebral Palsy (전방 보행기와 후방 보행기가 뇌성마비아동의 보행 특성과 신체 정렬상태에 미치는 영향)

  • Lee, Jae-Ho;Won, Jong-Im
    • Physical Therapy Korea
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    • v.7 no.2
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    • pp.55-65
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    • 2000
  • The purpose of this study was to compare the effects of anterior walker and posterior walker on gait parameters and body alignment of children with cerebral palsy. The intraclass correlation coefficient was .99 for intertester reliability. Intratester reliability was between .96 and .99. The use of posterior walker increased gait velocity and facilitated more upright posture. The measurement of joint angle program was found to be reliable to measure range of motion. This study has a limitation of generalizing the results to all children with cerebral palsy. Research is required to investigate the effect of posterior walker on energy efficiency.

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A NOTE ON INEXTENSIBLE FLOWS OF CURVES WITH FERMI-WALKER DERIVATIVE IN GALILEAN SPACE G3

  • Bozok, Hulya Gun;Sertkol, Ipek Nizamettin
    • Honam Mathematical Journal
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    • v.42 no.4
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    • pp.769-780
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    • 2020
  • In this paper, Fermi-Walker derivative for inextensible flows of curves are researched in 3-dimensional Galilean space G3. Firstly using Frenet and Darboux frame with the help of Fermi-Walker derivative a new approach for these flows are expressed, then some results are obtained for these flows to be Fermi-Walker transported in G3.

Discovery of the Ten Species of Subtropical-moths in Is. Daecheong, Korea (서해(西海) 대청도(大靑島)에서 발견된 아열대성(亞熱帶性) 나방류 10종)

  • Park, Kyu-Tek;Kang, Tae-Min;Kim, Min-Young;Chae, Min-Young;Ji, Eun-Mi;Bae, Yang-Seop
    • Korean journal of applied entomology
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    • v.45 no.3 s.144
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    • pp.261-268
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    • 2006
  • Ten species of subtropical macro-moths including Squamura sp. of Metarbelidae, were discovered at Is. Daecheong in the West Sea. The other nine species are Zeuzera sp., Setora baibarana (Matsumura), Toccolosida rubriceps Walker, Hyposidra talaca (Walker), Celerena signata Warren, Creatonotos transiens (Walker), Vitessa suradeva Moore, Callambulyx rubricosa (Walker), and Dodusa nobilis Walker, and they are mostly distributed in the subtropical area from the southern part of China to Borneo or Java.

Application of Index form on the Robertson -Walker spacetime (Robertson-walker 시공간의 지표정리 응용)

  • Kim Mi-Suk;Yon Yong-Ho;Kim Mi-Hye
    • Proceedings of the Korea Contents Association Conference
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    • 2003.05a
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    • pp.470-473
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    • 2003
  • We have the index form of the multiply warped products manifold. From this result we will investigate the physical properties on the Robertson-Walker spacetime. The singularly thorem are usually interpreted as an indication that black hole exist and that there has been a big bang. This paper include necessary condition for the Robertson-Walker spacetime with singularly.

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