• Title/Summary/Keyword: asymmetric gait

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Effective Gait Imbalance Judgment Method based on Thigh Location (대퇴부 위치 기반 효과적인 보행 불균형 측정 방법)

  • Kim, Seojun;Kim, Yoohyun;Shim, Hyeonmin;Lee, Sangmin
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.63 no.4
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    • pp.541-545
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    • 2014
  • In this paper, the angle of the thighs that appear during walking condition to balance estimation to the left and right leg was occurred during normal walking. Get over to the limitations of gait analysis using image processing or foot pressure that was used a lot in the previous, the angle of the thigh were used for estimation of asymmetric gait. We implemented heathy five adult male to test targeting and gait and obtained cycle data from 10 times. For this research, Thigh-Angle measurement device were developed, and attached to in a position of $20^{\circ}$ for flexion and $15^{\circ}$ for extension to measure the angle of the thigh. Also, in order to verify the reliability of estimation of asymmetric gait using thigh-angle, it was compared with the result of asymmetric gait estimation using foot pressure. The results of this paper, using the thigh angle is the average of 16.84% higher than using pressure to accuracy of determine the gait imbalance.

Analysis of the Gait Characteristics and Interaction among Bilateral Lower Extremity Joints According to Shoe'S Heel Heights in Young Women (젊은 성인 여성의 구두 힐 높이 별 보행특성 및 하지관절 간 상호작용 비교분석)

  • Hyun, Seung-Hyun;Ryew, Che-Cheong
    • Korean Journal of Applied Biomechanics
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    • v.24 no.4
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    • pp.445-453
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    • 2014
  • The purpose of this study was to analyze the gait characteristics and interaction between lower extremity joints according to shoe's heel heights in young women. Participants were selected as subject consisted of young and healthy women (age: $23.71{\pm}1.49yrs$, height: $165.92{\pm}2.00cm$, body weight: $54.37{\pm}3.46kg$) and walked with 3 types of shoe's high-heel (0, 5, 9 cm). The variables analyzed consisted of the displacement of Y axis in center of mass ([COM]; (position, velocity), front rear(FR) and left right(LR) angle of trunk, lower extremity joint angle (hip, knee, ankle) and asymmetric index (AI%). The displacement of Y axis in COM position showed the greater movement according to increase of shoe's heel heights, but velocity of COM showed the decrease according to increase of shoe's heel heights during gait. The hip and knee angle didn't show significant difference statistically according to increase of shoe's heel height, but left hip and knee showed more extended posture than those of right hip and knee angle. Also ankle angle didn't show significant difference statistically, but 9 cm heel showed more plantarflexion than those of 5 cm and 0 cm. The asymmetric index (AI%) showed more asymmetric 9 cm heel than those of 0 cm and 5 cm. The FR and LR angle in trunk tilting didn't show significant difference statistically according to the increase of shoe's heel height during gait in young women.

Effect of Pilates Reformer Training on Gait Improvement of Subjects with Asymmetric Pelvic Rotation (필라테스 리포머 운동이 비대칭 골반 돌림을 가진 대상자의 보행 개선에 미치는 효과)

  • Moon, Ok-Kon;Han, Song-E
    • Korean Journal of Applied Biomechanics
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    • v.23 no.3
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    • pp.271-278
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    • 2013
  • The purpose of this study was to determine the effect of Pilates Reformer training on gait improvement of subjects with asymmetric pelvic rotation. The seven subjects with greater pelvic rotation in right swing were assessed twice, 4 weeks apart, during which there was submitted to a Pilates Reformer training (three 40 min session per week). The kinematic data consisted of pelvic rotation and flexion angle of hip and knee joint was measured during gait. In comparison between both leg swings, max, min and range values of pelvic rotation was not significantly difference. After training, range of pelvic rotation in right swing was significantly decreased, but in left swing was not. In comparison between both leg swings, the values of max of hip and knee joint angle was significantly difference. After training, max values of angle of knee joint in right swing was significantly increased, but in left swing was not. The result of this study revealed that Pilates Reformer training was effective in improving gait to symmetric pelvic rotation.

The Effect of Pelvic Inclination on Gait Elements and Weight Bearing of Healthy Adults

  • Cho, Sung-Hyoun;Kim, Cheol-Yong
    • Journal of International Academy of Physical Therapy Research
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    • v.2 no.2
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    • pp.294-300
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    • 2011
  • The purpose of this study was to investigate the influence of the static pelvic inclination and declination in the static standing position on weight bearing rate and gait elements. Fourteen healthy adults in their twenties were participated. Two groups of healthy adults were allocated in this study: above and below the average of pelvic tilt. The correlation between the pelvic inclination, weight bearing rate and gait elements were measured. There was a statistical correlation between the pelvic tilt and step. Also, there was a statistical difference when we compared anterior declination with swing period and posterior declination with step. There was an asymmetric correlation between pelvic tilt and step. However, there was no statistical difference between the groups above and below the average of pelvic tilt. This result indicates that dipper pelvic inclination doesn't affect the asymmetry of step.

The Relation between asymmetric weight-supporting and gait symmetry in patients with stroke (뇌졸중 환자의 체중지지 비대칭과 보행 대칭성의 관련성)

  • Lee, Yong-Woo;Shin, Doo-Chul;Lee, Kyoung-Jin;Lee, Seung-Won
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.2
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    • pp.205-212
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    • 2012
  • Purpose : The aim of this study was to investigate the relationship between weight-supporting asymmetry and gait symmetry in patients with stroke. Methods : Sixty two stroke patients with hemiplegia stood quietly with eye opens on a force platform to calculate weight-supporting asymmetry from vertical reaction force. The GAITRite was used to evaluate their gait parameters. The data were analyzed using Pearson correlation. Results : The results of this study was showed that the medio-lateral index (ML) was correlated with symmetry rate (SR), symmetry index (SI), and Gait asymmetry (GA) of step time and length but stronger correlation with spatial gait symmetry than temporal symmetry. In gait symmetry, step length has stronger correlation with weight-supporting asymmetry than step time. Conclusions : The results of this study shows weight-supporting asymmetry was correlated with more spatial gait symmetry than temporal symmetry.

The effect of a water exercise on gait characteristics in the elderly post stroke patients

  • Lim, Hee-Sung;Lee, Suk-Min
    • Physical Therapy Rehabilitation Science
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    • v.1 no.1
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    • pp.17-21
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    • 2012
  • Objective: To investigate the effect of long-term water exercise on gait parameters in the elderly post stroke patients. Design: One group pretest-posttest design. Methods: Twenty elderly post stroke patients (age: $56.5{\pm}10.1$ years, height: $168.6{\pm}5.8cm$, body mass: $69.3{\pm}6.9kg$, handicapped level: $2.5{\pm}0.8$) participated in this study. Participants took part in gait training of 1 hour per day, three days per week, for three months. Participants' gaits were analyzed to find the effect of 3 months water exercise by a 3-D motion analysis with 8 infrared camera and 1 force plate (sampling frequency: 100 and 1,000 Hz, respectively). A paired t-test was used to find the significance with significant level as 0.05. Results: Gait velocity, step length & step width significantly increased, and asymmetric index for gait parameters significantly decreased after the water exercise (p<0.05). Conclusions: The water exercise effectively affect on patients' gait ability and electromyography analysis will be needed further study.

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Study on Gait Analysis of Elders and Hemiplegia Patients using 3D Motion Analysis (고령자 및 편마비 환자의 3 차원 동작분석을 통한 보행 특성에 관한 연구)

  • Jang, Hye-Youn;Han, Jung-Soo;Han, Chang-Soo
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.7
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    • pp.730-736
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    • 2012
  • Latest, many researchers do research on wearable robot. The purpose of the researches is very diverse, it will improve efficiency in the industry, taken to replace the many workers in the military field and taken to assist bodily functions run out by aging. However, there is no clear Differentiated strategy depending on the purpose for design and control of the wearable robot. Although a common purpose is to drive the robot by the sensor signal (intent signals), the optimization about the mechanism and control studies must be done according to the user's physical ability and purpose. In this study, the study's first phase for the development of wearable robotic gait rehabilitation, gait characteristics were analyzed elders and hemiplegia patients using a 3D gait analysis system (VICON512). As a result, asymmetric gait characteristics of the hemiplegia patients were found compared with the normal elderly.

Effects of kinesio taping on the gait parameters of children with cerebral palsy: a pilot study

  • Jung, Sun-Hye;Song, Sun-Hae;Kim, Da-Rye;Kim, Seul-Gi;Park, Ye-Jin;Son, Yeon-Jung;Lee, GyuChang
    • Physical Therapy Rehabilitation Science
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    • v.5 no.4
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    • pp.205-209
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    • 2016
  • Objective: Children with spastic diplegic cerebral palsy show weakness especially in the lower-extremity rather than upper-extremity muscles and display characteristics such as asymmetric alignment, deficits in postural control or balance ability, and slow walking speed. Various therapeutic interventions are applied to children with cerebral palsy, of which taping is widely used in the field of rehabilitation, however, there are few studies of the effects of kinesio taping on gait patterns of children with cerebral palsy. The present study investigated the effects of kinesio taping on gait parameters of children with cerebral palsy. Design: Cross-sectional study. Methods: Four children with spastic diplegia participated in this study. The participants' gait parameters while walking 10 m with and without kinesio taping (tibialis anterior, quadriceps femoris, and gluteus maximus) were recorded. Gait parameters including gait velocity, cadence, step length, stride length, single support time, and double support time were evaluated using the GAITRite. Mean values were obtained after having the subjects walk three times in each condition with a 5-minute rest period between each condition. The order of each condition was assigned randomly. Results: There were significant improvements in gait velocity, step length, stride length, and single support time of the right leg with kinesio taping condition compared to the without kinesio taping condition taping (p<0.05). However, there were no significant differences in cadence, single support time of the left leg, or double support time. Conclusions: The results show that kinesio taping may have a positive effect for improving gait parameters of children with spastic diplegia. However, its usefulness in the rehabilitation of children with cerebral palsy needs to be further investigated.

Effects of Unilateral Step Treadmill Training on the Gait Speed and Recovery of Gait Symmetry in Patients with Chronic Stroke (편측성 걸음걸이 트레드밀 훈련이 만성 뇌졸중 환자의 보행 속도와 대칭성 회복에 미치는 효과)

  • Lee, Ji-Yeon;Chon, Seung-Chul
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.145-151
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    • 2022
  • Purpose : Stroke patients exhibit abnormal walking patterns such as slow walking speed and asymmetrical walking values. The recovery of symmetrical walking in the stance phase using a treadmill means improvements in walking speed and asymmetrical walking. The purpose of this research was to investigate the effect of unilateral step treadmill training (USTT) on gait speed and the recovery of symmetrical walking in chronic stroke patients. Methods : Fifteen patients (11 men and 4 women) with chronic stroke participated in this study. The 10-meter walk test (10MWT) and GAITRite system were used to determine the intervention-related changes in gait speed and symmetrical walking values such as non-paretic step length (NSL), non-paretic step time (NST), paretic single-support time (PSST), step length asymmetry (SLA), and step time asymmetry (STA) after USTT. All participants completed USTT and underwent measurements at 3 different times: at pretest, posttest, and the follow-up test. Repeated-measures analysis of variance was used to compare walking speed and asymmetrical walking values. The statistical significance level was set at p<.05. Results : Walking speed by 10MWT (p<.05) showed significant improvements after USTT as follows: at pretest and posttest (p<.05), posttest and follow-up test (p<.05), and pretest and follow-up test (p<.05). Recovery of symmetrical walking patterns such as NSL (p<.05), NST (p<.05), and SLA (p<.05) were observed after USTT. However, no significant improvements were found in PSST (p>.05) and STA (p>.05) in symmetrical gait. Conclusion : This study suggests that USTT may have a positive effect on walking speed and symmetrical walking patterns in chronic stroke patients. Thus, this study contributes to the existing knowledge about the usefulness of USTT for the effective management of patients with chronic stroke. Further studies are needed to generalize these findings.