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Effect of Trans cranial Directed Current Stimulus on Temporal and Spatial Walking Capacity for Hemiparalysis Patients (경 두개 직류자극이 뇌졸중 환자의 시간적, 공간적 보행능력에 미치는 영향)

  • Lee, Yeon Seop;Jun, Hun Ju
    • Journal of Korean Physical Therapy Science
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    • v.29 no.3
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    • pp.75-84
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    • 2022
  • Background: This study was to investigate the effect of non-invasive transcranial direct current stimulation due to hemiplegic patients due to stroke on temporal and spatial gait ability. Design: Randomized sham controlled trial. Methods: For the study method, 42 patients with hemiplegia due to stroke were randomly assigned to 14 patients each, and the general walking group, tDCS walking group, and tDCS (sham) walking group were subjected to 5 times a week, 30 minutes a day, and 6 weeks. In the temporal gait variables of hemiplegic patients due to stroke, the effect of the gait time, gait cycle, single support, double support, swing phase, stance phase, gait speed, cadence were measured. In spatial variables, one step length and one step length were measured. Results: As a result of the study, the EG group significantly increased in the step time, gait velocity, and cadence of the paralysis side in the comparison of temporal walking variables between groups according to the application of tDCS of walking ability in hemiplegic patients due to stroke patients(p<.05). In the change in spatial walking variables between groups according to the application of tDCS, the step length and stride length of the EG group showed a significant increase. Both the comparison of temporal and spatial symmetry walking variables between groups according to tDCS application was not significant(p>.05) Conclusion: As a result, tDCS has an effective effect on the improvement of the gait ability of stroke patients. In particular, it is an effective method of physical therapy that can improve the cadence and speed of gait, which can be combined with the existing gait training to effectively increase the gait of hemiplegia due to stroke patients.

The Effects of Gait Ability in the Stroke Patients after Stair Gait Exercise and Lamp Gait Exercise (계단보행훈련과 경사로보행훈련이 뇌졸중 환자의 보행능력에 미치는 영향)

  • Seo, Kyo-Chul;Kim, Hyeun-Ae
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.3
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    • pp.397-406
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    • 2013
  • PURPOSE: The Purpose of this study was on determine whether stair gait exercise and lamp gait exercise might increase the gait ability of the patients with stroke METHODS: Fourty five patients with stroke were randomly assigned to plane gait exercise group(n=15) and ramp gait exercise group(n=15) and stair gait exercise group(n=15). During four weeks, each group participated thirty minutes for five times per week. Subjects were assessed using pre-value and post-value measurement gait ability(Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity). RESULTS: These finding suggest that stair gait exercise group was significant in Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity(p<.05). And lamp gait exercise group was only significant increase in Step time, Gait velocity(p<.05). In comparison of three group, stair gait exercise group was high gait ability than other two groups(p>.05). CONCLUSION: This study showed stair gait exercise group can be used to improve gait ability than other two groups. Thus it indicates that the stair gait exercise group will be more improved through the continued gait program.

The Effects of Visual Flow Speed's Modulation-Based Virtual Reality Program on Gait Function in Stroke Patients (시각 흐름 속도에 따른 가상현실 프로그램이 뇌졸중 환자의 보행에 미치는 영향)

  • Kang, Hyung-Kyu;Chung, Yi-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.247-253
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    • 2012
  • The purpose of this study was to evaluate the effects of a visual flow speed's modulation-based VR(virtual reality) program on gait function in stroke patients. Thirty one stroke patients were randomly selected at Dep. of Rehabilitation medicine of M hospital in Seoul. We carried out the gait analysis by dividing them with four conditions : one condition had applied without the visual flow modulation-based VR and another had done three visual flow speed's modulation-based VR(0.25, 1, 2 times). The gait analysis was used with GaitRite system. The data were collected using gait velocity, cadence, stride length, step length, single support time, and double support time during treatment. The results were as follows. First, the slow visual flow(0.25 times)-based VR program on the condition was significant decrease gait velocity, cadence, stride length, step length and increase single support time, double support time(p<.05). Second, the fast visual flow(2 times)-based VR program on the condition was significant increase gait velocity, cadence, stride length, step length, single support time on paretic lower limb and decrease single support time on non-paretic lower limb, double support time(p<.05). Third, the normal visual flow(1 times)-based VR program on the condition was not significant differ gait velocity, cadence, stride length, step length, single support time, double support time. In conclusion, the visual flow speed's modulation-based VR program improves gait function in chronic stroke patients.

Performance Improvement of a Pedestrian Dead Reckoning System using a Low Cost IMU (저가형 관성센서를 이용한 보행자 관성항법 시스템의 성능 향상)

  • Kim, Yun-Ki;Park, Jae-Hyun;Kwak, Hwy-Kuen;Park, Sang-Hoon;Lee, ChoonWoo;Lee, Jang-Myung
    • Journal of Institute of Control, Robotics and Systems
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    • v.19 no.6
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    • pp.569-575
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    • 2013
  • This paper proposes a method for PDR (Pedestrian Dead-Reckoning) using a low cost IMU. Generally, GPS has been widely used for localization of pedestrians. However, GPS is disabled in the indoor environment such as in buildings. To solve this problem, this research suggests the PDR scheme with an IMU attached to the pedestrian's waist. However, despite the fact many methods have been proposed to estimate the pedestrian's position, but their results are not sufficient. One of the most important factors to improve performance is, a new calibration method that has been proposed to obtain the reliable sensor data. In addition to this calibration, the PDR method is also proposed to detect steps, where estimation schemes of step length, attitude, and heading angles are developed. Peak and zero crossings are detected to count the steps from 3-axis acceleration values. For the estimation of step length, a nonlinear step model is adopted to take advantage of using one parameter. Complementary filter and zero angular velocity are utilized to estimate the attitude of the IMU module and to minimize the heading angle drift. To verify the effectiveness of this scheme, a real-time system is implemented and demonstrated. Experimental results show an accuracy of below 1% and below 3% in distance and position errors, respectively, which can be achievable using a high cost IMU.

The Effect of the Discontinuity Spacing/Length Ratio on Step-Path Failure of Jointed Rock Slopes (절리 암반 사면의 계단 경로 파괴에 미치는 불연속면 간격/길이 비의 영향)

  • Woon Sang Yoon
    • The Journal of Engineering Geology
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    • v.34 no.2
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    • pp.317-327
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    • 2024
  • When a non-persistent joint system is formed in a large-scale rock slope, slope failure may occur due to presence of a the stepped sliding surface. Such a surface can be divided into joint-to-joint sliding surfaces or joint-to-rock bridge sliding surfaces. In the latter case, the rock bridge provides shear resistance parallel to the joint and tensile resistance perpendicular to the joint. The load of the sliding rock can lead to failure of the rock bridge, thereby connecting the two joints at each ends of the bridge and resulting in step-path failure of the slope. If each rock bridge on a slope has the same length, the tensile strength is lower than the shear strength, resulting in the rock bridges oriented perpendicular to the joint being more prone to failure. In addition, the smaller the ratio of discontinuity spacing to length, the greater the likelihood of step-path failure. To assess the risk of stepped sliding on a rock slope with non-persistent joints, stability analysis can be performed using limit equilibrium analysis or numerical analysis. This involves constructing a step-path failure surface through a systematic discontinuity survey and analysis.

Effect Of The Separating Shear Layer on the Flow Over an Axisymmetric Backward-Facing Step (박리전단층이 축대칭 하향단흐름에 미치는 영향)

  • 부정숙;김경천;양종필
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.19 no.4
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    • pp.1102-1115
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    • 1995
  • An experimental study on the flow over the axisymmetric backward-facing step was carried out. The purpose of the present study is to investigate the effect of the boundary layer thickness at the separation point on the reattachment length and to understand the structure of the recirculating flows. Local mean and fluctuating velocity components were measured in the separating and reattaching axisymmetric turbulent boundary layer over the wall of convex cylinder placed in a water tunnel by using 2-color 4-beam fiber optics laser Doppler velocimetry. The study demonstrated that the reattachment length increases with increasing boundary layer thickness. It was also observed that the reverse flow velocity and turbulent kinetic energy decrease with an increase in the momentum thickness at the separation point. The measured velocity field suggests that the boundary layer thickness at the separation can affect definitely on the formation of corner eddy.

Numerical Computation of Turbulent Flow over a Backward Facing Step (후방 계단 주위의 난류 유동 수치 해석)

  • Van, Suak-Ho
    • Journal of Ocean Engineering and Technology
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    • v.10 no.3
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    • pp.44-49
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    • 1996
  • 후방계단(backward facting step) 주위의 난류 유동 특성을 수치 해석을 통해 파악하고자 하였다. 지배방정식은 2차 정도의 유한 차분 기법으로 이산화하였으며 비교차격자계를 사용하여 양해법으로 계산하였다. 난류 모형으로는 이층 모형(two-layer)을 사용하였고 압력 Poisson 방정식을 이용하여 압력과 속도를 연성 시켰다. Re=44,000인 경우에 대해 계산 결과로 부터 후방 계단 뒤의 속도 벡터, 유선, 압력 및 속도 분포, 재부착 길이(reattachment length)등의 실험치와 비교하였다. 본 계산에 사용한 수치 해석 기법은 박리등이 포함된 복잡한 난류 유동 현상을 잘 재현할 수 있음을 확인할 수 있었다.

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Immediate Effect of Fabric Ankle-Foot Orthosis on Spatiotemporal Gait Parameters in Children With Spastic Cerebral Palsy (패브릭 발목 보조기가 경직성 뇌성마비 아동의 시공간적 보행 변수에 미치는 즉각적인 효과)

  • Sim, Yon-Ju;Lee, Dong-Ryul;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.21 no.1
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    • pp.29-36
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    • 2014
  • The purpose of this study was to investigate the immediate effect of fabric ankle-foot orthosis on spatiotemporal gait parameters, compared to a barefoot condition in children with spastic cerebral palsy. Eleven children with spastic cerebral palsy participated in this study. Spatiotemporal gait parameters were measured with the GAITRite system. Fabric ankle-foot orthosis significantly improved Timed Up and Go test time and gait velocity. There was no significant difference in cadence. The step time significantly improved in both the more and less affected foot compared to the barefoot condition. The step length of the affected foot also significantly improved, but there was no significant difference in the step length of the less affected foot. There was significant improvement in the stride length of both the affected and less affected foot, but no significant difference in single stance or double stance. The fabric ankle-foot orthosis could improve stability, and selective control of the joint and promote better walking in children with cerebral palsy. Consequently, the fabric ankle-foot orthosis might be an alternative assistive device for neurological populations as a primary role instead of the typical ankle-foot orthosis.

Reliability of 3D-Inertia Measurement Unit Based Shoes in Gait Analysis (관성센서 기반 신발형 보행 분석기의 신뢰성 연구)

  • Joo, Ji-Yong;Kim, Young-Kwan;Park, Jae-Young
    • Korean Journal of Applied Biomechanics
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    • v.25 no.1
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    • pp.123-130
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    • 2015
  • Purpose : The purpose of this study was to investigate the reliability of 3D-inertia measurement unit (IMU) based shoes in gait analysis. This was done with respect to the results of the optical motion capturing system and to collect reference gait data of healthy subjects with this device. Methods : The Smart Balance$^{(R)}$ system of 3D-IMU based shoes and Osprey$^{(R)}$ motion capturing cameras were used to collect motion data simultaneously. Forty four healthy subjects consisting of individuals in 20s (N=20), 40s (N=13), and 60s (N=11) participated in this study voluntarily. They performed natural walking on a treadmill for one minute at 4 different target speeds (3, 4, 5, 6 km/h), respectively. Results : Cadence (ICC=.998), step length (ICC=.970), stance phase (ICC=.845), and double-support phase (ICC=.684) from 3D-IMU based shoes were in agreement with results of optical motion system. Gait data of healthy subjects according to different treadmill speeds and ages were matched to previous literature showing increased cadence and reduced step length for elderly subjects. Conclusion : Conclusively, 3D-IMU based shoes in gait analysis were a satisfactory alternative option in measuring linear gait parameters.

The Effect of Swimming and Low Power Laser on the Healing of the Freund's Complete Adjuvant Induced Arthritis in Rat (수영과 저출력 레이저 치료가 Freund's Complete Adjuvant 유발 흰쥐의 관절염 치유에 미치는 영향)

  • Park, Mi-Hee;Rho, Min-Hee;Kim, Jai-Young
    • Journal of Korean Physical Therapy Science
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    • v.13 no.1
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    • pp.7-20
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    • 2006
  • Purpose: This study was to find that what mechanism take effects that was Adjuvant Induced Arthritis in Sprague-Dawley rat and then treated the swimming and low power laser. Methods: Adjuvant Induced Arthritis was induced 24 Sprague-Dawley rat by the subcutaneous injection of a 0.2ml Freund's Complete Adjuvant into the right hind paw and right knee joint. Second injection used of 0.05ml Freund's Complete Adjuvant by same method. Arthritic rat were divided 3 groups; arthritic swimming group, arthritic laser group and case control group. The author performed several experimental tests which were the hind paw thickness, step length, knee joint space, activity of enzyme. Results: Hind paw thickness decreased in swimming and laser group. Left step length and knee joint space increased in swimming and laser. Conclusion: Swimming and low power laser therapy on the Adjuvant Induced Arthritis in rats does effective for the rheumatic arthritis therapy by decrease of hind paw thickness, increase of opposite side step length, increase of activity of albumin and IgG and increase of knee joint space.

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