• Journal of Korean Physical Therapy Science
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• v.9 no.1
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• pp.129-134
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• 2002

The aim of this study is to present the basic reference data of age and specipic gait parameters for Hemiplegia Patients. The basic gait parameters were extracted from 10 Adult Hemiplegia Patients, 5 left Hemiplegia Patients and 5 right Hemiplegia Patients, 50 to 60 years of age using VICON 512 Motion Analyzer. The results were as follows; 1) The mean Cadence of the left to the right hemiplegia were $75.81{\pm}28.10\;steps/min$, to $68.47{\pm}9.93\;steps/min$. 2) The mean Walking Speed of the left to the right hemiplegia were $0.45{\pm}0.28\;m/s$, to $0.44{\pm}0.14\;m/s$. 3) The mean Stride Length of the left to the right hemiplegia were $0.66{\pm}0.31\;m$, to $0.76{\pm}0.17m$. 4) The mean. maximal angles of joint on the pelvic tilt for different right or left hemiplegia were $8.59{\pm}5.13^{\circ}$, to $11.85{\pm}5.23^{\circ}$.(p>0.05) 5) The mean maximal angles of joint on the hip flexion motion for different right or left hemiplegia were $23.98{\pm}8.45^{\circ}$, to $25.81{\pm}5.39^{\circ}$.(p>0.05) 6) The mean maximal angles of joint on the knee flexion motion for different right or left hemiplegia were $29.52{\pm}10.24^{\circ}$, to $28.38{\pm}14.48^{\circ}$.(p>0.05) 7) The mean maximal angles of joint on the ankle dorsiflexion motion for different right or left hemiplegia were $14.68{\pm}5.03^{\circ}$, to $9.90{\pm}7.26^{\circ}$.(p>0.05) 8) The mean maximal angles of joint on the ankle plantarflexion motion for different right or left hemiplegia were $2.10{\pm}5.17^{\circ}$, to $8.63{\pm}5.81^{\circ}$.(p>0.05)

• Physical Therapy Korea
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• v.10 no.1
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• pp.29-35
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• 2003

Body weight support treadmill training is a new and promising therapy in gait rehabilitation of patients with hemiplegia. The purpose of this study was to identify the effects of body weight support treadmill training on gait and standing balance in patients with hemiplegia. Eighteen patients with hemiplegia participated in the study. A 10 m-timed walk test, measurements of step length and standing balance score were administered. Intervention consisted of body weight support treadmill training five times a week for 2 weeks. The data were analyzed by paired t-test. Body weight support treadmill training scoring of standing balance, step length and 10 m-timed walk test showed a definite improvement. Body weight support treadmill training offers the advantages of task-oriented training with numerous repetitions of a supervised gait pattern. The outcomes suggest that patients with hemiplegia can improve their gait ability and standing balance through body weight support treadmill training.

• Physical Therapy Korea
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• v.5 no.3
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• pp.42-47
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• 1998

Patients with hemiplegia usually show different body weight distribution as compared with normal subjects. Asymmetrical posture during static stance has been identified as a common problem in patients with hemiplegia. The purpose of this study was to identify the effects of vision and visual feedback on body weight distribution while standing under three conditions: eyes-closed, eyes-open and visual feedback condition. Fourteen patients with hemiplegia participated in the study. Their body weight distribution during standing for 20 seconds was measured by Limloader. The data were analysed by repeated measure of one-way ANOVA. The weight bearing on the paretic limb in the eyes-open condition was significantly higher than that of the eyes-closed condition. The weight bearing on the parietic limb in the visual feedback condition was significantly higher than that of the eyes-open condition. These results suggest that patients with hemiplegia can improve their symmetrical stance ability using visual feedback.

• The Journal of Korean Physical Therapy
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• v.13 no.3
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• pp.693-699
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• 2001

The use of AFO in the management of patients with hemiplegia has been somewhat controversial. The purpose of the study was to identify the influence of the plastic ankle foot orthoses(AFO) on the characteristics of pelvic tilt in the patients with hemiplegia. Sixteen hemiplegic patients participated. The angle of pelvic tilt were measured using the BROM II . Results showed that the hemiplegia who weared plastic AFO, the angle of pelvic tilt was significantly less than not weared subjects. However. duration of wearing a plastic AFO and the degree of spasticity were not affected to the angle of pelvic tilt. Therefore the patients with hemiplegia should consider using the brace for the right purpose, also need to maintain the mobility of ankle joint while wearing the plastic AFO.

• Journal of Korean Physical Therapy Science
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• v.10 no.1
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• pp.7-17
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• 2003

The purpose of this study was to investigate the effect of the involved lower limb weight bearing training on symmetrical weight supporting rate improvement and gait characteristics of patients with hemiplegia including their gait velocity, cadence, stride length, step length of the non affected side, step length of the affected side, foot angle of the non affected side, foot angle of the affected side, base of support, and so on. The subject of the study was 28 men and women patients with hemiplegia from 22 to 77 age, among patients who doctor diagnosed as hemiplegia due to stroke or traumatic brain injury, were possible to do independent gait more than 45m without others assistance, the flexion contracture of hip pint was less than $15^{\circ}$, did not have contracture for knee pint and one more than $5^{\circ}$ for ankle joint, did not have contraindication for exercise or gait did not show visual defect due to brain injury. The patients, the subject of the study, were classified into 14 patients of treatment. group applying continuous involved weight bearing with general therapeutic exercise and 14 patients of control group applying general therapeutic exercise, and then analyzed their gait before and after exercise. Temporal distance gait analysis(Boening, 1977) was used to analyze their gait, and ink foot-print was applied as one of measurement methods. However, it was statistically signifiant in the change rate(%) of gait characteristics, and treatment group's patients with hemiplegia had been highly changed in gait characteristics in comparison with control group. From the above-mentioned results, could find that continuous involved weight bearing training for patients with hemiplegia was effective to improve their gait ability and it could increase the ability in comparison with general exercise.

• Journal of Korean Physical Therapy Science
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• v.1 no.1
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• pp.129-134
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• 1994

The purpose of this study is to conduct a retrospective chart audit of initial physical therapy evaluation to determine the incidence of sitting imbalance and its relationship to the side of weakness in hemiparetic patients. A review of the records of 36 patients revealed that the left side was predominantly affected in 17 patients and the right side in 19 patients. Ages, time since onset, and proportion of men and women did not difer between the left and right hemiparetic patients. About half patients(52.8%) could sit independently, but 64.7% of those with left-sided weak-ness and 31.6% of those with right-sided weakness could not. A chi-sequare analysis revealed a significant relationship between the side of weakness and independent sitting balance(p<0.1). Patients with left hemiplegia are more likely to have difficulty with independent sitting balance(p<0.1). Patient with left hemiplegia are more likely to have difficulty with independent sitting than patients with right hemiplegia, which may affect their progress in rehabilitation.

• Journal of Korean Physical Therapy Science
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• v.6 no.4
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• pp.229-240
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• 1999

I examined the isokinetic knee extension mean torque in 30 patients with hemiplegia and 30 healthy subjects matched by age, sex, height, and weight at knee extension velocities of $30^{\circ},\;60^{\circ},\;90^{\circ}$, and $120^{\circ}$/sec. The purpose of this study is as follows: first, to compare isokinetic data between the involved and uninvolved side of patients and healthy subjects. secondly, to determine whether the relative decreases in knee extension mean torque at velocities greater than $30^{\circ}$/sec were different on the two sides. Mean torque of quadriceps on both sides of patients with hemiplegia was significantly less than the mean torque of muscle of healthy subjects at various speeds. Relative decreases in knee extension mean torque differed between speeds, but not between sides. Torque at speed greater than $30^{\circ}$/sec were correlated significantly with the torque at $30^{\circ}$0/sec. These finding indicated that isokinetic testing can provide objective information about quadriceps muscle performance in hemiplegia, and suggested that hemiplegia may have difficulty in moving forcefully at higher speeds than $30^{\circ}$/sec because they are weak. Therapeutic intervention, therefore, might be most beneficial when they are directed toward helping patients with hemiplegia activate their muscle weakness.

• The Journal of Korean Physical Therapy
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• v.14 no.3
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• pp.129-135
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• 2002

The aim of this study is to present the basic reference data of age and specipic gait parameters for Hemiplegia Patients. The basic gait parameters were extracted from 30 Adult Hemiplegia Patients and 30 normal adult, 50 to 60 years of age using VICON 512 Motion Analyzer. The results were as follows; 1) The mean Cadence of the adult to the hemiplegia were $108.50\pm11.67$ steps/min, to $77.57\pm22.71$ steps/min. 2) The mean Walking Speed of the adult to the hemiplegia were $1.07\pm0.18m/s$, to $0.44\pm0.14m/s.$. 3) The mean Stride Length of the adult to the hemiplegia were $1.17\pm0.12m$, to $0.69\pm0.21m.$ 4) The mean maximal angles of joint on the pelvic tilt for different adult or hemiplegia Were $7.60\pm3.91.,\;to\;9.63\pm4.94.\;(P<0.05)$ 5) The mean maximal angles of joint on the hip flexion motion for different adult or hemiplegia were $29.53\pm5.03.,\;to\;25.30\pm9.94.\;(p<0.05)$ 6) The mean maximal angles of joint on the knee flexion motion for different adult or hemiplegia were $56.36\pm5.81.,\;to\; 41.64\pm17.21.(P<0.05)$ 7) The mean maximal angles of joint on the ankle dorsiflexion motion for different adult or hemiplegia were $16.65\pm2.72.,\;to\;16.53\pm7.45$(P>0.05) 8) The mean maximal angles of joint on the ankle plantarflexion motion for different adult or hemiplegia were $7.11\pm5.42.,\;to\;2.81\pm6.14.$(p<0.05)

• The Journal of Korean Physical Therapy
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• v.16 no.2
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• pp.44-53
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• 2004

Treadmill training is a new promising therapy in gait rehabilitation of patients with hemiplegia. The purpose of this study was to identify the effect of treadmill training on walking speed and gait endurance in patients with chronic hemiplegia. The subject of this includes twenty patients, who had suffered from chronic hemiplegia and were in the K rehabilitation center; each ten patients were randomly assigned to experimental or control group. Among twenty patients, one group of ten for experiment was treated with progressive speed increase treadmill ambulation traing besides conventional physical therapy(SITAT) while the rest ten for the controlled group was treated with conventional physical therapy(CPT) only, for 8 weeks alike. Before and after the foregoing 8 weeks training, walking velocity and gait endurance were measured to both groups. The data were analyzed by paired t-test. The results of this study are as follows; The SITAT and CPT showed the significant difference in walking velocity and gait endurance. As compared the rehabilitation of dependent varibles between the SITAT and CPT, SITAT showed the significant difference in walking velocity and gait endurance. The outcome suggest that patient with chronic hemiplegia can improve their walking velocity and gait endurance throught treadmill training.

• Journal of Korean Physical Therapy Science
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• v.10 no.1
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• pp.18-29
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• 2003

The purpose of this study by examine the effect of visual neglect on hemiplegia motor recovery are showing trouble which can be raised by visual neglect and helping the patient's ADL and functional recovering. Among the patients who are being taken physical therapy in many other hospitals in Busan From February 1st 2002 to august 31st, we chose 20 patients as control group who did not have symptoms of visual neglect and 20 other patients who did have as case group. We used Albert's test and line bisection as visual neglect test, and MAS as motor recovery. The average age of the patient group is 51.55 and that of control is 44.9. The men's rate is higher than women' s in both groups. Although the rate of left hemiplegia is higher than right hemiplegia in case group, that of right hemiplegia is higher than left hemiplegia in control group. There is much lesion site of basal ganglia in case group. There is the most amount of transformation of MAS when visual neglect is shorter than 1.5centimeter. Each change of MAS point before and after therapy in case group and control group is revealed $6.5{\pm}4.37$ and $12.5{\pm}5.95$.