• Title/Summary/Keyword: Walking balance

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Evaluation of the Elderly Gait Stability Using the Center of Mass and Center of Pressure Inclination Angles (전, 후방 기울기각을 이용한 노인의 보행안정성 평가)

  • Yoon, Suk-Hoon;Kim, Tae-Sam;Lee, Jae-Hun;Ryu, Ji-Seon;Kwon, Young-Hoo
    • Korean Journal of Applied Biomechanics
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    • v.17 no.4
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    • pp.99-106
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    • 2007
  • The gait instability in the elderly has been associated with age-related deterioration in physical strength and reducing the potential for elderly falls requires regular exercise. In 2005, National Center for Injury Prevention and Control(NCIPC) reported that most elderly falls occur during activities in daily living(ADL). To better reveal biomechanic mechanisms underlying age-related degeneration in gait stability, and to enhance the assessment of falls risk, an accurate quantification of a person's balance maintenance during locomotion is needed. Instantaneous orientation of the line connecting COP and COM can characterize whole body position with respect to the supporting foot during gait and the angle between this line and the vertical line passing through the COP known as a good assessment to detect the elderly gait instability. Therefore the purpose of this study was to investigate a 6-month walking exercise effects in reducing elderly fall risk factors by using COP-COM inclination angles. Twenty-two community-dwelling elderly participated this study. The participants performed a walking exercise(3 times/week, 1 hour/visit) for 6 months. Laboratory kinematics during walking was assessed at months 0, 3 and 6. Significant increased in gait velocity was found among periods(p=.011, $1.25{\pm}.03$, $1.32{\pm}.03$, and $1.39{\pm}.04\;m/s$ in 0-, 3-, and 6-month, respectively). Also, significant differences in anterior and posteriror inclination angles were found among the periods(p<.05; posterior inclination angles: $12.8{\pm}2.2$, $11.0{\pm}2.9$, & $10.9{\pm}1.9$; anterior inclination angles: $13.7{\pm}1.7$, $14.6{\pm}3.2$, & $1.46{\pm}.21$ in 0month, 3month, & 6month, respectively). These findings provide evidence of significant reduced fall risk factors of community-living older adults associated with a systematic walking program.

A Systematic Review of Elastic Taping Effect of Patients with Stroke

  • Kim, Beom-Ryong;Kang, Tae-Woo
    • The Journal of Korean Physical Therapy
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    • v.30 no.4
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    • pp.101-107
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    • 2018
  • This study was conducted to evaluate the effectiveness of taping intervention in patients with stroke through a review analysis of taping interventions used to enhance physical function and activity in patients with stroke. We searched randomized controlled trials using electronic databases. We also manually reviewed sources to identify additional relevant studies. Taping intervention is an approach to treat individuals with impaired physical function and activity. Taping interventions affect body functions by providing increased muscle strength, proprioceptive sensation, and range of motion, as well as decreased rigidity and pain. Taping interventions also improve walking, balance and arm functions, such as physical activity. Taping intervention for patients with stroke has been shown to be highly effective and is therefore strongly recommended; however, it is suggested that it be further developed to improve its efficacy as an intervention method and to create additional taping methods.

Comparison of Lower Limb Muscle Activity According to Different Gait Pattern and Speed on the Treadmill (트레드밀 전·후방 보행과 속도에 따른 다리근육의 근활성도 비교)

  • Choi, Seok-Hwa;Chun, Hye-Lim;Lee, Cu-Rie
    • Journal of Korean Physical Therapy Science
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    • v.25 no.2
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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.

The Acute Effects of 15 Minutes Plantarflexor Static Stretch in Quite Stance (15분간의 저측굴곡근 정적 스트레칭이 기립 균형에 미치는 단기 효과)

  • Yuk, Goon-Chang
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.2
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    • pp.191-197
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    • 2012
  • Purpose : The purpose of this study was to examine immediate effects of 15 minutes plantarflexor static stretching in quite stance. Methods : Twenty-nine subjects were measured static balance during 1 minute in quite stance with eye closed condition before and after 15 minutes plantarflexor static stretching. Static stretching range was limited from $15^{\circ}$ to $20^{\circ}$ dorsiflexion within comfortable range. Results : The result of this study showed that postural sway significantly increased during 1 minute quiet stance after 15 minutes static stretching(p<.05). Before stretching, postural sway significantly decreased during 41-60 seconds compared to 0-20, 21-40 seconds(p<.05). After stretching, postural sway was decreased significantly over time 0-20, 21-40, and 41-60 seconds(p<.05). Conclusion : The prolong plantarflexor static stretching may require biomechanical, neurological adaptations prior to walking or sport activities for safety.

Optimal design of an automatic walking robot based on Jansen's Mechanism (얀센 메커니즘을 이용한 자동주행 보행 로봇의 최적 설계)

  • Kim, Dong-Chan;Kim, Mu-Hwan;Lee, Min-Su;Park, Je-Yeol;Jo, Seong-Uk
    • Proceeding of EDISON Challenge
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    • 2017.03a
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    • pp.540-546
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    • 2017
  • Bipedal robots tend to have greater mobility than conventional treaded or wheeled robots yet they are commonly complicated by instabilities in balance. This paper presents a bipedal robot based upon Jansen's locomotive mechanism which addresses these challenges in stability and efficiency. In order to achieve a functioning robot, we considered a multitude of variables in its motion including, the Ground Score, Drag Score, step size, foot lift, stride, and instantaneous speed of the Jansen mechanism. Matlab and Jansen Opt solver were used to optimize the legs of the robot. A trial and error experimental method was used to determine the best combination of link lengths, and m.Sketch was used to model our results. Finally, we drew the entirety of the robot's figure by using the Edison design.

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Exercise and Health in Women (여성의 건강과 운동)

  • Yu, Seon-Mi
    • Journal of Korea Association of Health Promotion
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    • v.3 no.2
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    • pp.147-164
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    • 2005
  • The purpose of this study was to examine the effects of physical activity on women's health. I conducted literature reviews for meta-analyses and randomized controlled trials with the target diseases including cardiovascular diseases, diabetes, cancers osteoporosis, and pregnancy outcomes. Women who were active had less total mortality and smaller incidence of hypertension, coronary heart diseases, and stroke. Exercise was better than drug therapies in preventing diabetes and effective in preventing colon and breast cancers. Exercise can reduce the risks of falling injury in elderly women. Walking during pregnancy was not harmful to the mothers and their infants, and desirable to prevent the complications of pregnancy or weight gain after pregnancy. Physical activity at work and leisure-time showed similar effects on women's health. Based on these results, moderate-intensity physical activity should be recommended to all women, Resistive, muscle strength, and balance-training exercise also can be recommended. Doctors' advices are effective to make women exercise, especially using handouts or motivational interviewing techniques. It is desirable to recommend to peform other health promotion measures together such as smoking cessation, weight control and diet control.

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Clinical Feasibility of Mental Practice for Gait Ability Improvement of Parkinson Disease Patients: ABA Single Subject Design

  • Song, Hyun Seung;Kim, Jin Young
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.398-402
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    • 2014
  • Purpose: This study was carried out in order to verify actual applicability of mental practice in the clinical field by applying it to Parkinson disease patients. Methods: : The number of subjects was three and they were aged between 65 and 69. One year or longer period has passed since they were diagnosed with Parkinson disease. The baseline A consisted of three sessions. After the baseline period, the researcher applied mental practice to the subjects once per day, for 20 minutes per each time, for 10 sessions. The no-intervention withdrawal phase was composed of three sessions. Outcome measures 10 meter walking test(10MWT), timed up and go (TUG) test, 8-figure walk test (8FWT). Results: All results indicated that 10 MWT, TUG, F8WT was improved when compared mental practice(B) to pre base line(A). base line(A) after mental practice intervention(B) was also sustained. Conclusion: As a result of the mental practice, we can know that it helps straight gait, dynamic balance, curved gait to improve.

Impacts of Local Land Use on Individual Modal Choice

  • Yang, Hee Jin
    • Journal of Urban Science
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    • v.9 no.2
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    • pp.63-68
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    • 2020
  • In recent years, the planning of livable communities has emerged as a new paradigm. The concept of livable communities is related to both the spatial balance of working, playing, and living and the promotion of green modes of transportation, such as walking and biking. This study uses a disaggregate travel survey conducted by the Seoul Metropolitan Area in 2006. I applied a multi-level random intercept logit model to estimate the effects of land-use characteristics on the choice of green modes, holding a traveler's socio-demographic characteristics constant. The empirical results show that higher density and more mixed land-use development encourages people to walk and bike even when individuals have the same socio-economic characteristics. This paper demonstrates that land-use planning by itself can play a role in the creation of livable cities and the decline of greenhouse gas production.

Effects of Individualized Intensive Physical Therapy for a Child with MECP2 Duplication Syndrome: A Case Study

  • Chang-Ho Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.29-35
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    • 2023
  • PURPOSE: High-intensity physical therapy may help improve some gross motor developmental delays through an increased treatment frequency. This study describes an increase in physical therapy frequency and intensity over an eight-week time frame for a child with a rare genetic neurodevelopmental disorder. METHODS: A single-subject research was performed. The subject was a nine-year-old boy with MECP2 Duplication Syndrome. The outcome measure consisted of one time before and after the intervention. An intensive physical therapy program was applied to this subject. The treatments included reciprocal crawling, high kneeling, tailor sitting, weight-bearing and shifting training to facilitate ankle balance strategies and training to walk without assistance. RESULTS: After the eight-week follow-up, the child achieved a gradual improvement in the gross motor function measures, and the mother reported that the child frequently engaged in tailor sitting and independently walking. CONCLUSION: This case study highlights that intensive physical therapy improved the overall motor function of a child with MECP2 duplication syndrome.

The Effect of Dance Therapy on Physical and Psychological Characteristics in The Elderly (무용요법이 노인의 신체적.심리적 특성에 미치는 효과)

  • 이영란
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.429-444
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    • 1999
  • This study was performed to explore the effects of a dance therapy on physical and psychological characteristics in the elderly. The design of this study was a non-equivalent pre-post test experiment. The subjects consisted of elderly persons living in a facility located in Suweon and Bucheon. Fifty eight subjects, aged between 65 and 93 years who had normal cognition, sensory function, balance, and resting blood pressure. They underwent tests of balance, flexibility, muscle strength, depression, and anxiety as baseline data before dance therapy, and at 6th week and at the end of the 12nd week after following dance therapy. Twenty seven elderly persons were assigned to the experimental group and participated with the dance therapy between April and July, 1998. The dance therapy was developed by the author with the help of a dance therapist and a physiatrist. This therapy was based on the Marian Chace's dance therapy and Korean traditional dance with music. The dance therapy consists of 50 minutes session, 3 times a week for 12 weeks. One session was consisted of warming-up, expression, catharsis, sharing, and closing stage. The intensity of the dance therapy was at the 40 % of age-adjusted maximum heart rates. Data were analysed with mead standard deviation, Chi-square test, unpaired t-test, repeated measures ANOVA, and Bonferroni multiple regression using SAS program. 1. The results related to the physical characteristics were as follows : 1) The balance (standing on one leg, walking on the balancing bar), flexibility and muscle strength (knee extensor, knee flexor, ankle plantarflexor and dorsiflexor) of the experimental subjects significantly increased over time mere than that of the control subjects. 2) The experimental group had significantly higher score for balance, flexibility, muscle strength of knee extensor, and knee flexor than the control group at the 12nd week after dance therapy. 3) The experimental group had significantly higher score for muscle strength of ankle dorsiflexor and plantarflexor than the control group at the 6th week and the 12nd week after dance therapy. 2. The results related to psychological characteristics were as follows : 1) Scores of Geriatric Depression Scale, Hamilton Depression Rating Scale, and Zung's Self-rating Anxiety Scale of the experimental group were significantly decreased over time more than that of the control group. 2) The experimental group had significantly lower score for depression than the control group at the 12nd week after dance therapy. 3) The experimental group had significantly lower score for anxiety than the control group at the 6th week and the 12nd week after dance therapy. The findings showed that the dance therapy could be effective in improving the balances, flexibility, and muscle strength of lower limb, and effective in decreasing the depression and anxiety of the elderly. Additional merits of the dance therapy would be inexpensiveness, easy accessibility, and increasing interpersonal relationship. It can be suggested that the dance therapy is effective in the health promotion of the elderly.

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