• 한국전문물리치료학회지
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• 제20권1호
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• pp.18-27
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• 2013

The purpose of this study was to compare the ring lock type knee-ankle-foot orthosis (KAFO) with newly developed 4-bar linkage KAFO on the gait characteristics of persons with poliomyelitis clinically. This 4-bar linkage is the stance control type KAFO which provide the stability during stance phase and knee flexion during swing phase. Two subjects participated in this study voluntarily. We provided the customized 4-bar linkage KAFO then asked the subjects to walk in level surface and stairs under the two different KAFO conditions. The characteristics of gait in the persons with poliomyelitis were evaluated using a 3D motion analysis system and force plate. Additionally 6 minute walk test for physiological cost index were conducted using pulse oximeter to measure the energy consumption. In the results of this study, the differences of 4-bar linkage KAFO compared with ring lock type KAFO are as follows: (1) Walking speed, stride length, and step length on level increased in subjects, (2) The gait symmetry was improved by generated knee flexion and decreased pelvic external rotation on level and stairs walking, (3) Decreased vertical excursion of center of mass and pelvic elevation during swing phase was decreased on level, (4) Knee extension moment, hip flexion moment, hip and knee internal rotation moment of non-braced limb were decreased on level walking, (5) Walking speed in 6-minute walk test was increased and physiological cost index was decreased. These findings indicate that 4-bar linkage KAFO compared with ring lock type KAFO is effective in enhancing pattern, endurance, and energy consumption in level surface and stairs walking.

• 한국산학기술학회논문지
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• 제21권2호
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• pp.415-422
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• 2020

본 연구는 노인을 대상으로 상·하지 근력과 보행을 측정한 후 연령에 따른 차이와 상관관계를 살펴보았다. 2019년 6월~7월 사이 65세에서 85세 사이의 남녀 노인 107명이 측정을 끝까지 마쳤으며 기록된 근력(악력, 발가락력, 중둔근력, 대둔근력)과 보행 특성(보속, 보빈도, 보폭, 외발지지기, 양발지지기)으로 통계 분석을 실시하였다. 상·하지 근력은 악력기, 도수근력측정기, 발가락지력기로 측정하였고 관성센서 기반 보행 측정 신발 시스템으로 보행 자료를 획득하였다. 전기 노인(65~74세)과 후기 노인(75~85세) 사이에 근력과 보행 특성은 차이가 없었다. 전·후기 노인에서 악력, 발가락력, 중둔근력, 대둔근력이 일부 보행 특성과 유의한 상관관계를 보였다(p<.05). 중둔근력과 대둔근력이 두 연령대에서 보행 특성과 유의한 상관관계를 악력이나 발가락력보다 많이 보였다. 보속과 악력의 회귀계수는 전·후기 노인 간에 차이가 없었다. 결론적으로 전기 노인보다 후기 노인에서 근력 요인들이 보행 특성을 더 잘 설명하였다. 또한, 악력은 노인 체력를 손쉽게 측정할 수 있는 변인이지만 보속을 포함한 보행 특성을 설명하는데 중둔근력과 대둔근력이 더 유용할 것이다.

• 대한물리의학회지
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• 제5권2호
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• pp.193-201
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• 2010

Purpose : This study achieved to search the effect of the circuit exercise and conventional exercise on walking ability(walking speed, endurance, dynamic balance, speed, endurance and pedestrian crossing) in chronic stroke. Methods : Since is diagnosed by stroke, to 30 chronic stroke patients who more than 1 year past the 15 circuit exercise group, the 15 conventional exercise group random the circuit exercise group applied circuit exercise 3th 8 weeks each week after neurological treatment because assigning and the conventional exercise group executed round trip walk exercise in parallel bar 3th 8 weeks each week after neurological treatment. The data of 25 patients who complete experimental course were statistically analysed. Results : The results of this dissertation were as following : 1) There were significantly increased after experimental of 10 meter walk test, 6 minutes walk test and Timed "Up and Go" test in circuit exercise group (p<.001). 2) There were significantly increased after experimental of 2, 4 and 6 lane road crossing mobility in Walking circuit exercise group(p<.01). 3) There were significantly differences after experimental of 10 meter walk test, 6 minutes walk test and Timed "Up and Go" test change quantity between circuit exercise group and conventional exercise group(p<.05). 4) There were correlations were found between the TUG test and 2, 4 and 6 lane road (2 lane road; r=.463, p<.01., 4 lane road; r=515, p<.01., 6lane road; r=.710, p<.01), and there were correlations were found between the 10 meter walk test and 6 minutes walk test(r=.595, p<.01), TUG test(r=.662, p<.01) and 6 lane road(r=.527, p<.01). Conclusion : Even if improvement of walk function through training consists in room, transfer of actuality pedestrian crossing is no change outside the room. Because it is much variable of the weather, seasonal factor, temperature, pedestrian number, state of underneath etc. outside the room. Then, in room after direction promotion of walk function to be promotion of walk function in actuality life and need development of connectable training method consider.

• 대한물리치료과학회지
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• 제25권2호
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• pp.55-61
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• 2018

Purpose: This study is to compare muscle activation of leg muscles with forward and backward gait and treadmill speed. Method: The experimenter is a healthy ten male and female. They practice walking on the treadmill for 2 minutes and then walk 2km/h and 4km/h in front and back for 3 minutes. Muscle activities were recorded from the lower limb muscles (rectus femoris [RF], biceps femoris [BF], gastrucnemius [GCM]). Results: According to the study, lower extremity muscles have higher backward gait than forward gait. Conclusion: Muscle activity at the speed indicated that the muscular activity of the lower limbs was 4.0km/h, which is higher than 2.0km/h.

• 한국운동역학회지
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• 제19권2호
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• pp.227-235
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• 2009

본 연구는 등산 폴 사용 여부와 걷는 지속시간 경과가 오르막 걷기에 미치는 영향을 규명하는 것이었다. 이러한 연구목적을 달성하기 위해 7명의 피험자가 동원되었고, 각 피험자들은 45분 동안 오르막 25%로 세팅된 트레드밀 위에서 3.5km/h의 속도로 폴 사용 여부에 따른 2회의 실험을 각각 수행하였다. 대퇴직근, 전경골근, 비복근, 대퇴이두근 등을 포함한 하지의 대표적인 4개 근육들에 대한 활동량이 EMG를 통해 획득되었고, 피험자의 심박수와 주관적 운동자각도가 15분 간격으로 기록되었다. 등산 폴 사용 여부와 걷는 지속시간이 경과됨에 따른 이러한 변인들의 통계적 유의성을 검증하기 위해 이원 급내 분산분석이 사용되었고, 이 때 통계적 유의수준은 P<.05로 설정하였다. 본 연구의 결과를 요약하면 다음과 같다 : 첫째, 4개의 개별 근육에 대한 적분근전도는 조건에 따라 통계적 차이가 나타나지 않았지만, 4개 근육을 합한 적분근전도는 폴을 사용한 경우가 사용하지 않은 경우보다 더 작게 나타났고, 시간 경과에 따른 차이점은 나타나지 않았다. 둘째, 심박수는 폴 사용 여부에 의한 차이는 없었지만, 걷는 지속시간이 경과됨에 따라 더 크게 나타났다. 셋째, 운동자각도의 경우, 폴을 사용했을 때가 그렇지 않았을 때보다 더 적게 나타났고, 걷는 지속시간이 경과됨에 따라 증가하는 것으로 나타났다.

• 대한의용생체공학회:의공학회지
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• 제26권2호
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• pp.111-116
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• 2005

This study was designed to apply the stimulation system developed in our laboratory to investigate how the stimulation conditions affect the muscle contractile characteristics in the isometric condition as well as during the FES standing/walking. Four paraplegic and ten healthy subjects participated in this study, and their knee extensors were voluntary contracted or electrically stimulated to measure the muscle force and the fatigue index for different waveforms of the pulse train. We also investigated different combinations of the electrode positions during standing/walking. It was confirmed that continuous and high-frequency stimulation causes faster fatigue than intermittent and low-frequency stimulation. Fatigue resistance was higher around the optimal muscle length than at a stretched position in healthy subjects, whereas the opposite was observed in paralyzed subjects. The paired t-test results with the level of significance at 0.01 indicated that the sinusoidal waveform generated the largest torque among the four typical waveforms. Although statistically not very significant, the sinusoidal waveform also generated, in general, the highest fatigue resistance at an intensity level below the supramaximal stimulation. One of the paraplegic subject who participated in the standing/walking program can now stand up for 1 minute and 50 seconds with the knee extensors, and walk for about 5 minutes at the speed of 12m/sec.

• 한국전문물리치료학회지
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• 제9권1호
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• pp.63-68
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• 2002

Foot ulceration results in substantial morbidity in patients with peripheral neuropathy. The purpose of this study was to find the relationship of plantar foot pressures during walking to plantar ulceration in patients with Hansen's disease. The subjects were recuruited from two Welfare Clinic for Hansen's disease in Wonju and Uiwang city. Ten subjects (5 females, 5 males) with plantar ulceration and a mean age of 63 years were evaluated in this study. The mean duration of Hansen's disease in these subjects was 30 years. Plantar pressures were measured during self-selected comfortable walking speed by using MatScan system. Three subjects had plantar ulceration under the first metatarsal head. Five subjects had plantar ulceration under the second and third metatarsal head. Two subjects had plantar ulcers under the fifth metatarsal head. Eight of 10 subjects had plantar ulceration at highest pressure point that measured during walking. This result suggests that the abnormal high plantar pressure could be related factor to plantar ulceration in patients with Hansen's disease. Also the foot pressure measurement may be useful to evaluate the risk of plantar ulceration in patients with Hansen's disease.

• 대한정형도수물리치료학회지
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• 제24권1호
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• pp.39-46
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• 2018

Background: In most human lives, 80 percent have problems with the ankle and can be solved with a treatment that is objective in proper assessment. Discrepacts in the ankle are also associated with walking patterns and affect hip and knee joints. An evaluation of hip flexion and extensor muscles was performed to check the strength of hip joints after ankle sprain patients application of arthesis. Methods: In the hospital in Bucheon, 20 outpatients who visited the hospital for treatment with ankle sprain were tested with 10 male and 10 female patients. The criteria for selection of the study subjects were randomly divided into those with joint movement techniques applied to the ankle joints and those with conservative physical therapy. Results: In applying arthrography and preservation physical therapy to patients with ankle sprain, a difference in muscle strength between hip flexion and extensor was noted in post-evaluation comparisons. There were significant differences in the assessment of walking speed and walking time between the two counties in the gait analysis assessment (p<.05). Conclusion: Studies have shown that applying arthrography to people with ankle sprain has a greater therapeutic effect than using conservative physical therapy.

• 제어로봇시스템학회논문지
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• 제17권5호
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• pp.505-511
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• 2011

In this paper, we have developed an automatic velocity control system of a small-sized commercial treadmill (belt length of 1.2 m and width of 0.5 m) which is widely used at home and health centers. The control objective is to automatically adjust the treadmill velocity so that the subject's position is maintained within the track when the subject walks at a variable velocity. The subject's position with respect to a reference point is measured by a low-cost sonar sensor located on the back of the subject. Based on an encoder sensor measurement at the treadmill motor, a state feedback control algorithm with Kalman filter was implemented to determine the velocity of the treadmill. In order to reduce the unnatural inertia force felt by the subject, a predefined acceleration limit was applied, which generated smooth velocity trajectories. The experimental results demonstrate the effectiveness of the proposed method in providing successful velocity changes in response to variable velocity walking without causing significant inertia force to the subject. In the pilot study with three subjects, users could change their walking velocity easily and naturally with small deviations during slow, medium, and fast walking. The proposed automatic velocity control algorithm can potentially be applied to any locomotion interface in an economical way without having to use sophisticated and expensive sensors and larger treadmills.

• 대한물리치료과학회지
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• 제26권2호
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• pp.46-50
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• 2019

Background: The purpose of present study is to effect of arm swing on uphill road gait in healthy adults. Design: Cross-sectional study. Methods: This study was Participated in 15 healthy subjects. The subjects were allowed to walk uphill, about 10m from the line drawn on the floor. The subject stood at the starting line and started by pressing the start button with the signal "start", and I pressed Stop at the last incoming point. Walking with and without arm swing was measured twice in random draws. Results: Walking path with arm swing showed good results in walking path duration, cadence, speed, stride length, and Gait cycle duration rather than uphill walk without arm swing. Conclusion: As a results of this study, The arm swing is important in getting uphill.