• The Journal of Korean Physical Therapy
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• 제21권2호
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• pp.87-95
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• 2009

Purpose: This study reports the basic reference data of the specific gait parameters for Korean normal adults. Methods: The basic gait parameters were extracted from 73 Adults (35 men and 38 women), 18 to 33 years of age, using a Vicon MX motion analysis system. The segment kinetics, such as joint moment and power, was analyzed at the hip, knee and ankle. Results: The motion patterns are typically associated with a specific phase of the gait cycle. The temporal-spatial gait parameters of Korean normal adults, such as cadence, walking speed, stride length, single support and double support, were similar to the other western reference data. The kinetic parameters of Korean normal adults, such as joint moments of force, joint mechanical power generation or absorption and ground reaction forces, were also similar to other western reference datasets. Conclusion: This study demonstrates that objective gait analysis can be used to document the gait patterns of normal healthy adults. The techniques of 3-dimensional temporal-spatial gait parameters and kinematic parameters analysis can provide a detailed biomechanical description of a normal and pathological gait.

• 한국의류학회지
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• 제41권3호
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• pp.420-432
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• 2017

This study examined user needs for compression pant development for women with pes planus in their 50s and 60s. A total of 355 women aged 50 to 69 participated in the survey and interview. Questions were asked if they had pes planus, the using condition of foot orthotic, inconveniences during gait, and wearing condition of compression pants. The results showed that 42 (11.8%) women had pes planus. Orthotic insole and arch support were used most frequently. The most uncomfortable aspect of foot orthotic (n=146) was that it was difficult to use unless they were going outside. Participants with pes planus responded that they felt discomfort on the inner area of propodium, metatarsus, ankle, and knee during gait. The purchase and wearing rate of compression pants were not high; however, compression pants were purchased with specific needs and purposes. Respondents mainly wore the compression pants for sports activities. M size was the most frequently worn size. They preferred high waist type leggings and there was a need to increase the compression strength of the waist, thigh, knee and ankle. Additionally, the ease of donning and doffing were discussed.

• 운동영양학회지
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• 제23권3호
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• pp.50-55
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• 2019

[Purpose] The purpose of this study was to identify the relationships between muscle mass, muscle strength, and physical and cognitive functions and to examine the effects of resistive Theraband® exercise on sarcopenia-associated variables in the older population. [Methods] A total of 28 elderly women (age: 69.90 ± 0.8 years) participated in this study, 15 of whom underwent elastic band exercise for 1 hour per day, twice per week for 8 weeks. The correlation analysis was conducted to identify the associations between body composition, skeletal muscle mass indices, grip strength, and physical and cognitive functions. All variables were assessed at baseline and post-exercise. [Results] Skeletal muscle mass was significantly associated with grip strength and physical function. Gait speed was positively correlated with grip strength and physical function, but not with cognitive function. Theraband® exercise significantly improved gait speed and physical function. [Conclusion] The present data suggest that skeletal muscle mass is highly correlated with grip strength and physical function. Eight weeks of resistive Theraband® exercise favorably affects sarcopenia by improving gait speed and mobility of elderly women.

• The Journal of Korean Physical Therapy
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• 제26권2호
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• pp.74-81
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• 2014

Purpose: The purpose of this study is to compare kinematics and kinetics on the knee joint between stair gait with unstable shoes and barefoot in healthy adult women. Methods: Seventeen healthy adult women were recruited for this study. The subjects performed stair ascent and descent with unstable shoes and barefoot. The experiment was repeated three times for each stair gait with unstable shoes and barefoot. Measurement and analysis of the movements of the knee joint were performed using a three-dimensional analysis system. Results: Statistically significant differences in the knee muscle force of semimembranosus, biceps femoris-long head, biceps femoris-short head and sartorius, patellar ligament, medial gastrocnemius, and lateral gastrocnemius were observed between unstable shoes and barefoot gait during stair ascent. Statistically significant differences in the knee muscle force of sartorius, rectus femoris, medial gastrocnemius, and lateral gastrocnemius were observed between unstable shoes and barefoot gait during stair descent. Statistically significant differences in the knee flexor moment of semitendinosus, biceps femoris-long head, biceps femoris-short head, sartorius, rectus femoris, vastus intermedialis, medial gastrocnemius, and lateral gastrocnemius were observed between unstable shoes and barefoot gait during stair ascent. Conclusion: Therefore, wearing unstable shoes during stair gait in daily life is considered to influence knee joint kinematics and kinetics due to the unstable shoes, and thus suggest the possibility that reducing the risks of pain, and knee osteoarthritis, stabilizing the knee joint caused by changes in the loading of the knee joint.

• 한국운동역학회지
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• 제29권2호
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• pp.113-119
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• 2019

Objective: The purpose of this study was to investigate the effect of the falls on the center of pressure (CoP) complexity during gait using non-linear approximate entropy (ApEn). Method: 20 elderly women with experience of falling ($age=72.55{\pm}5.42yrs$; $height=154.40{\pm}4.26cm$; $body\;weight=57.40{\pm}6.21kg$; $preferred\;gait\;speed=0.52{\pm}0.17m/s$) and 20 elderly women with no experience of falling ($age=71.90{\pm}2.90yrs$; $height=155.28{\pm}4.73cm$; $body\;weight=56.70{\pm}5.241kg$; $preferred\;gait\;speed=0.56{\pm}0.13m/s$) were recruited for the study. While they were walking at their preferred gait speed on a treadmill (instrumented dual belt treadmills, Bertec, USA) with a force plate CoP data were collected for the 20 strides. The complexity of the CoP was analyzed using the ApEn technique. Results: The ApEn of the medial-lateral CoP in the fallers showed smaller about 16% compared to the non-fallers (p<.05). The ApEn of the antero-posterior CoP of the fallers showed smaller about 12% compared to the non-fallers, but the difference was not statistically significant. Conclusion: Based on the results of this study, the reduction of the medio-lateral CoP complexity in the elderly gait would be an index to determine the potential fall.

• 대한간호학회지
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• 제30권5호
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• pp.1318-1332
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• 2000

The purpose of this study was to determine the effect of walk training on leg strength, flexibility, postural stability, balance and gait in home bound elderly women. Eighteen elderly women of the experimental group aged between 70 and 90 years image who have normal vision, hearing and Romberg test. They participated in the 12 week walk training. The subjects of the experimental group practiced walk training 3 times a week for during 12 weeks. During the 40 minute workout, the subjects practiced 5 minutes of warming-up exercises, 30 minutes of conditioning exercises and 10 minutes of a cool-down exercise. The intensity for the conditioning phase was determined by subject' heart rates, which ranged from 60% to 70% of age-adjusted maximum heart rates. The body composition, leg strength, flexibility, postural stability, balance and gait were measured prior to and after the experimental treatment. The body fat, lean body mass, leg strength (ankle dorsiflexor, plantarflexor, inversor and eversir, knee flexor, extensior), flexibility (range of motion of ankle dorsiflexion, plantarflexion, inversion and eversion), and postural stability of the experimental group were significantly greater than those of the control group. Duration of standing on the right foot and that of standing on the left foot of the experimental group was greater than that of the control group. Total balance scores of the experimental group were significantly higher than those of the control group. Among 13 items for balance, the scores of experimental group in balance with eyes closes, turning balance, sternal nudge, neck turning, one leg standing balance and back extension were higher than those of the control group. Total scores of gait of the experimental group were significantly higher than those of the control group following the walking training. Scores of experimental group in step height, step length and walk stance while walking among 9 items for gait were significantly higher than those of the control group. The results suggest that walk training can improve physical fitness for prevention in home bound elderly women.

• 근관절건강학회지
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• 제21권2호
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• pp.97-105
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• 2014

Purpose: The purpose of this study was to identify the effects of an aquatic exercise program on physical fitness, body composition, and gait characteristics using trunk and pelvic angle in women living in urban fringe area. Methods: An aquatic exercise program consists of exercise in a swimming pool and self-help group activity with 16 women living in urban fringe (mean age: 63 years) for 8 weeks (twice a week for 2 hours). Physical fitness, body composition, trunk and pelvic angle using 2D video motion analyzer, and a questionnaire including socio-demographic variables were measured from July to August, 2013. Data were analyzed using a paired t-test with the SPSS/WIN 18.0 program. Results: At the end of 8 weeks intervention, there were significant decreases on body weight (p=.025), body fat (p=.030) and BMI (p=.011). There were significant increases on muscle strength (p=.001) and flexibility (p=.015). Trunk angle was significantly improved, which means participants less moved their body from side to side when they walked (p=.001). Conclusion: From this results, the aquatic exercise program could be an effective nursing intervention to improve physical fitness, body composition, and gait ability for women living in urban fringe area.

• 인터넷정보학회논문지
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• 제21권6호
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• pp.41-50
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• 2020

The consequences of wearing high heels can be different according to the heel height, gait speed, shoe design, heel base area, and shoe size. This study aimed to focus on the knee extension and flexion range of motion (ROM) during gait, which were challenged by wearing five different shoe heel types and two different self-selected gait speeds (comfortable and fast) as experimental conditions. Measurement standards of knee extension and flexion ROM were individually calibrated at the time of heel strike, mid-stance, toe-off, and stance phase based on the 2-minute video recordings of each gait condition. Seven healthy young women (20.7 ± 0.8 years) participated and they were asked to walk on a treadmill wearing the five given shoes at a self-selected comfortable speed (average of 2.4 ± 0.3 km/h) and a fast speed (average of 5.1 ± 0.2 km/h) in a random order. All of the shoes were in size 23.5 cm. Three of the given shoes were 9.0 cm in height, the other two were flat shoes and sneakers. A motion capture software (Kinovea 0.8.27) was used to measure the kinematic data; changes in the knee angles during each gait. During fast speed gait, the knee extension angles at heel strike and mid-stance were significantly decreased in all of the 3 high heels (p<0.05). The results revealed that fast gait speed causes knee flexion angle to significantly increase at toe-off in all five types of shoes. However, there was a significant difference in both the knee flexion and extension angles when the gait in stiletto heels and flat shoes were compared in fast gait condition (p<0.05). This showed that walking fast in high heels leads to abnormal knee ROM and thus can cause damages to the knee joints. The findings in this preliminary study can be a basis for future studies on the kinematic changes in the lower extremity during gait and for the analysis of causes and preventive methods for musculoskeletal injuries related to wearing high heels.

• 한국운동역학회지
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• 제26권3호
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• pp.309-314
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• 2016

Objective: There are no guidelines for choosing appropriate gait assistive devices. The aim of this study was to evaluate gait assistive devices in patients with Parkinson's disease. Method: We evaluated 15 individuals with Parkinson's disease who did or did not use one of two different devices including canes and two-wheeled walkers. Data were collected using the GAITRite system. Results: Participants in the group using canes and two-wheeled walkers had significantly increased double support time and decreased gait velocity, normalized gait velocity, and stride length compared with those who did not. Participants who used a two-wheeled walker had significantly decreased gait velocity, normalized gait velocity, and stride length compared with those who used a cane. Furthermore, participants who used a two-wheeled walker had significantly decreased coefficients of variation for step time, stride length, and swing time compared with those who used a cane. Conclusion: Our results indicated that the two-wheeled walker offered the most consistent advantages for decreasing the risk of falling.

• 한국운동역학회지
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• 제20권2호
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• pp.129-137
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• 2010

The purpose of this study is to investigate the effect of a 12-week aquatic exercise on obstacle gait in older women. Originally, 20 healthy female elderly participated this study but 12 of them completed the program. All participants were trained in the aquatic exercise program by an authorized trainer. They had come to the authors' lab three times during training period(0, 6, 12 weeks) and performed obstacle gait with three different height(0, 30, and 50% of leg length). After performed 3-Dimensional motion analysis following results were found. (1) For the CV, MVHC, TC, HC, statistically significances were shown in obstacle height. Although significant training effects were not shown, all variables showed typical patterns and it was considered as efficient motion to overcome the height obstacles. (2) The anterior-posterior and vertical GRF of support leg during support phase were revealed in height effect but in training one. However, differences between Peak 1 and Peak 2 in vertical GRF increased as training period increased. (3) Knee and hip resultant joint moments were affected by training but ankle resultant moments remained unchanged.