• 제목/요약/키워드: foot index

검색결과 210건 처리시간 0.025초

뒤로 걷기 운동에 따른 뇌졸중 편마비 환자의 균형능력 및 보행능력의 변화 (Changes in Balance and Gait Following Backward Walking Exercise in Hemiplegic Stroke Patients)

  • 신규현;강순희
    • 대한물리의학회지
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    • 제12권2호
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    • pp.21-31
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    • 2017
  • PURPOSE: The purpose of this study was to identify whether backward walking exercise was more effective than conventional physical therapy for balance and gait in hemiplegic stroke patients. METHODS: Eighteen patients with chronic stroke were randomly assigned to the experimental (n=9) or control (n=9) group. The experimental and control group performed backward walking exercise and conventional physical therapy, respectively, for 8 weeks. Stability Index (SI) and Weight Distribution Index (WDI) during standing were assessed using the Tetrax Balance System. The Timed Up and Go (TUG) test and Korean version of the Berg Balance Scale (K-BBS) were used to evaluate balance and fall risk. Walking speed, stride length, and step length on the affected side were measured using the 10-Meter Walk and ink foot printing tests. Wilcoxon signed-rank and Mann-Whitney U tests were used for within- and between- group comparisons, respectively. RESULTS: The experimental group showed significantly higher changes in SI (p<.01), WDI (p<.01), TUG (p<.001), and BBS score (p<.001) following intervention compared with the control group. The experimental group also showed significantly greater improvements in walking speed (p<.01), stride length (p<.001), and step length on the affected side (p<.001) after intervention compared with the control group. CONCLUSION: Backward walking exercise is an effective intervention to improve balance and gait in hemiplegic stroke patients.

목표 ZMP 궤적 기반 휴머노이드 로봇 이족보행의 최적 관절궤적 생성 (Optimal Joint Trajectory Generation for Biped Walking of Humanoid Robot based on Reference ZMP Trajectory)

  • 최낙윤;최영림;김종욱
    • 로봇학회논문지
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    • 제8권2호
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    • pp.92-103
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    • 2013
  • Humanoid robot is the most intimate robot platform suitable for human interaction and services. Biped walking is its basic locomotion method, which is performed with combination of joint actuator's rotations in the lower extremity. The present work employs humanoid robot simulator and numerical optimization method to generate optimal joint trajectories for biped walking. The simulator is developed with Matlab based on the robot structure constructed with the Denavit-Hartenberg (DH) convention. Particle swarm optimization method minimizes the cost function for biped walking associated with performance index such as altitude trajectory of clearance foot and stability index concerning zero moment point (ZMP) trajectory. In this paper, instead of checking whether ZMP's position is inside the stable region or not, reference ZMP trajectory is approximately configured with feature points by which piece-wise linear trajectory can be drawn, and difference of reference ZMP and actual one at each sampling time is added to the cost function. The optimized joint trajectories realize three phases of stable gait including initial, periodic, and final steps. For validation of the proposed approach, a small-sized humanoid robot named DARwIn-OP is commanded to walk with the optimized joint trajectories, and the walking result is successful.

칠갑산의 식생 (Vegetation of Mt. Chil-gab)

  • Koh, Jae Kee;Yang-Jai Yim
    • The Korean Journal of Ecology
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    • 제10권1호
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    • pp.33-42
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    • 1987
  • The forest vegetation of Mt. Chil-gab was studied from 1983 to 1984. By Z-M method, the actual vegetation was classified into 8 communities and 1 plantation; Quercus variabilis, Q. variabilis-Styrax obassia, Q variabilis-Q. dentata, Q. varisbilid-Q. mongolica, Q. acutissima-Q. variabilis, Zelkova serrata-Styrax japonica, Capinus laxiflora, Pinus densiflora community and Larix leptolepts plantation (on the mountain foot) community. The plant communities of Q. variabilis and S. japonica as edaphic climax, in terms of the isopleth line of warmth index. Based on the data of vegetation survey and environmental analysis, the actual vegetation map and potential natural vegetation map were perpared with scale of 1/25, 000.

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인체모델을 사용한 승차감의 정량적 평가에 관한 연구 (A Study on the Evaluation of Ride Comfort using Human Model)

  • 김광석
    • 한국기계기술학회지
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    • 제13권3호
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    • pp.57-64
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    • 2011
  • Vibrations on the floor in a car are transmitted to the foot, hip, and back from the seat. Human body recognizes these vibrations, but the sensitivity for each vibration is different. To evaluate these vibrations, RMS(root mean square) of accelerations, VDV(vibration does value) are commonly used. The ride comfort evaluation is usually carried out by experiments of real cars which are expensive. The purpose of this paper is to briefly review the status of several ride vibration standards and criteria having relevance to construction machinery vehicles and to suggest recommendations for the effective use of such criteria in vehicle / component development.

The Highest Dosage Combination Activity Screening from the Leaf Fraction of Melastoma malabathricum with Antibiotic Gentamicin and Ciprofloxacin

  • Sari, Rafika;Pratiwi, Liza;Apridamayanti, Pratiwi
    • 대한약침학회지
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    • 제25권2호
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    • pp.101-105
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    • 2022
  • Objectives: This study aims to determine the Fractional Inhibitory Concentration Index (FICI) of combinations of Melastoma malabathricum leaf fraction with ciprofloxacin or gentamicin against pathogenic bacteria, Escherichia coli, Staphylococcus aureus, and Bacillus cereus, isolated from Diabetic Foot Ulcer (DFU) patients. Methods: We tested concentrations of 45%, 55%, 65%, and 75% of gentamicin and ciprofloxacin using dilution and agar diffusion methods. The combination of M. malabathricum leaf extract with these antibiotics was tested in vitro against all three bacteria. Results: The combination of M. malabathricum leaf extract and ciprofloxacin gave a FICI value of 0.5, indicating synergistic antibacterial activity against the test bacteria. Conclusion: The results show that the antibacterial effect of a combination of high doses of the leaf extract with either antibiotic is greater than that of the leaf extract and the antibiotics in single use.

불완전 척수손상 후의 자동보행훈련 (Auto-Walking Training After Incomplete Spinal Cord Injury)

  • 정재훈
    • 한국전문물리치료학회지
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    • 제10권3호
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    • pp.81-90
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    • 2003
  • This study was conducted to assess the effects of the gait training method in incomplete spinal cord injured persons using an auto-walking machine. Persons with incomplete spinal cord injury level C or D on the American Spinal Injury Association impairment scale participated for eight weeks in an auto-walking training program. The gait training program was carried out for 15 minutes, three times per day for 8 weeks with an auto-walking machine. The foot rests of the auto-walking machine can be moved forward, downward, backward and upward to make the gait pattern with fixed on crank. The patient's body weight is supported by a harness during waking training. We evaluated the gait speed, physiologic cost index, motor score of lower extremities and the WISCI (walking index for spinal cord injury) level before the training and after the forth and eighth week of walking training. 1. The mean gait speed was significantly increased from .22 m/s at pre-training to .28 m/s after 4 weeks of training and .31 m/s after 8 weeks of training (p=.004). 2. The mean physiologic cost index was decreased from 4.6 beats/min at pre-training to 3.0 beats/min after 4 weeks and 2.0 beats/min after 8 weeks of training, but it was not statistically significant (p=.140). 3. The mean motor score of lower extrernities was significantly increased from 29.8 to 35.8 after 8 weeks of training (p=.043). 4. The mean WISCI level was significantly increased from level 10 to level 19 after 8 weeks of training (p=.007). The results of this study suggest that the gait training program using the auto-walking machine increased the gait speed, muscle strength and galt pattern (WISCI level) in persons with incomplete spinal cord injury. A large, controlled study of this technique is warranted.

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시트-인체 해석 모델링과 차량 주행 시험을 통한 차량 승차감 평가와 시트 지수의 비교 및 분석 (Comparison and Analysis for Evaluation of Ride and SEAT Index through Theoretical Seat-Human Body Model and Vehicle Test)

  • 손인석;김정훈;강연준
    • 한국자동차공학회논문집
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    • 제17권4호
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    • pp.1-9
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    • 2009
  • A simplified model of seat-human body is presented to analyze vibrations of human body on a seat of vehicle. The theoretical model having seven degrees-of-freedom is composed of the inter-connected masses, springs and dampers. Until now, evaluation of ride comfort has been usually performed only through vehicle tests. This study aims to complement shortcomings of conventional vehicle tests in evaluation of ride comfort by using the theoretical model. The acceleration values of the human body are obtained from frequency response functions of the theoretical model. Thereafter, Ride and SEAT indexes are acquired by considering response characteristics of the human body for the 12 axes that are presented in BS 6841. A vehicle test is carried out to measure the acceleration values for the three parts of the human body such as upper body, hip and foot. Ride and SEAT indexes of the vehicle test are also obtained by considering the response characteristics of the human body, of which results are compared with the values from the theoretical model. It is found that the theoretical results are in good agreement with the experimental results.

기능적 전기자극을 적용한 트레드밀 보행 훈련이 편마비 환자의 보행 속도와 보행 지구력, 에너지 소모지수에 미치는 영향 (Effect of Treadmill Training with FES on Walking Velocity, Gait Endurance, and Energy Expenditure Index of Hemiplegia Patients)

  • 이형수;신영일;김명훈
    • 대한물리치료과학회지
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    • 제10권2호
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    • pp.7-16
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    • 2003
  • The purpose of this study was to investigate the effect of Treadmill Training with FES(TTF) on walking velocity, gait endurance, and energy expenditure index(EEI) of hemiplegia patients with foot drop. Two subjects with hemiplegia participated in this study. They took walking excercise 5 times per week for 8 weeks. One time excercise spent 30minutes. The theraputic effect was evaluated by how many seconds they needed to walk 10 meters, how far they could walk for 12 minutes, and how much they spent energy in walking for 12 minutes. Two cases were examined before, after 4 week, and after 8 week, walking training. The results of this study are as follows; 1) Walking velocity : Case 1 increased from 0.52m/sec before walking training to 0.83m/sec after 8 weeks. Case 2 increased from 0.58m/sec to 0.92m/sec. 2) Gait endurance : Case 1 increased from 383.23m to 625.53m. Case 2 increased from 410.19m to 693.47m. 3) EEI : For comfortable walking condition, Case 1 decreased from 0.98beats/min to 0.71beats/min, and Case 2 decreased from 0.93beats/min to 0.68beats/min. For maximum walking condition, Case 1 decreased from 0.93beats/min to 0.67beats/min, and Case 2 decreased from 0.91beats/min to 0.61beats/min. The findings suggest that hemiplegia patients can improve their walking velocity, gait endurance and energy expenditure index through TTF.

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인코더를 이용한 2축 각도 기반 보행 불균형 평가 시스템 연구 (A Study on Gait Imbalance Evaluation System based on Two-axis Angle using Encoder)

  • 심현민;김유현;조우형;권장우;이상민
    • 제어로봇시스템학회논문지
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    • 제21권5호
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    • pp.401-406
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    • 2015
  • In this study, the gait imbalance evaluation algorithm based on two axes angle using encoder is proposed. This experiment was carried out to experiment with a healthy adult male to 10 people. The device is attached to the hip and knee joint in order to measure the angle during the gait. Normal and imbalance gait angle data were measured using an encoder attached to the hip and knee joints. Also, in order to verify the reliability of estimation of asymmetrical gait using hip and knee angle, it was compared with the result of asymmetrical gait estimation using foot pressure. SI (Symmetry Index) was used as an index for determining the gait imbalance. As a result, normal gait and 1.5cm imbalance gait were evaluation as normal gait through SI using an encoder. And imbalance gait of 3cm, 4cm, and 6cm were judge by imbalance gait. Whereas all gait experiments except normal gait were evaluation as imbalance gait through SI using the pressure. It was possible to determine both the normal gait and imbalance gait through measurement for the angle and the pressure.

경거골유합술 후 발생하는 불유합과 관련된 인자에 대한 분석 (Analysis about Associated Factors of Nonunion Following Tibiotalar Arthrodesis)

  • 이준영;김보선;이정우
    • 대한족부족관절학회지
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    • 제21권3호
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    • pp.98-103
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    • 2017
  • Purpose: The aim of this study was to analyze the factors related to nonunion in tibiotalar arthrodesis. Materials and Methods: Eighty cases of ankle arthritis treated with tibiotalar arthrodesis in our hospital from November 2008 to November 2015 with more than one year follow up were analyzed. Simple anteroposterior and lateral radiographs after 6 and 12 months of surgery were analyzed. Union was defined as more than 50% connection of the trabecular bone at the ankle joint surface in the anteroposterior and lateral radiographs. The nonunion group was defined as no signs of union with persistent pain 9 months after surgery. The surgical approach, type of used screw, preoperative and postoperative ankle alignment, body mass index (BMI), bone mineral density, and patients' prior history were compared between the two groups. Results: There were 69 union cases and 11 nonunion cases. In the patient factors, the gender and BMI was related to nonunion (p<0.05). The mean preoperative and postoperative ankle alignment in the nonunion group was $9.93^{\circ}{\pm}6.92^{\circ}$ and $5.43^{\circ}{\pm}3.35^{\circ}$ respectively, and $9.80^{\circ}{\pm}7.55^{\circ}$ and $5.63^{\circ}{\pm}3.45^{\circ}$ in the union group, respectively; the difference was not statistically significant (p>0.05). In the technical factors, the transfibular approach showed a better relationship but the association was not significant (p<0.05). In 40 cases of the transfibular approach, 12 cases used cancellous screws, and 4 cases showed nonunion due to screw breakage. Conclusion: Technical factors, such as the surgical approach and the type of screw used can be a risk factor in nonunion. In addition, patients' factors, such as gender and BMI, must be considered to reduce the nonunion rate.