• 제목/요약/키워드: normal gait

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팔 흔들기가 정상인의 보행에 미치는 영향 (The Effect of Arm Swing on Gait in Healthy Adults)

  • 정화수;최수희;박선자;오혜진;조화영
    • 디지털융복합연구
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    • 제12권11호
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    • pp.451-459
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    • 2014
  • 본 연구는 정상 성인의 팔 흔들기 종류에 따른 보행 시 운동역학적인 변화를 알아보기 위해서 실시하였다. 정상 성인 대학생 45명을 대상으로 정상 팔 흔들기, 한 팔 흔들기, 두 팔 움직임 없음 보행, 인위적인 팔 흔들기의 4가지 팔 흔들기 종류에 따라 실험을 진행하였다. 이들의 운동역학적인 변화를 알아보기 위해 3차원적 관절 운동역학적 변화 검사인 6-camera Vicon MX motion analysis system을 통해 보행 변수를 측정하였다. 팔 흔들기에 따른 운동역학적인 매개 변수들인 각 관절에서 보행속도, 엉덩관절 일률, 말기 디딤기의 수직 지면반발력에서 유의한 차이를 보였다(p<.05). 이러한 연구결과는 팔 흔들기 종류에 따라서 정상인과 환자들의 치료와 평가를 위한 지침으로서 임상에서 사용할 수 있을 것으로 생각된다.

정상 성인의 운동 형상학적 보행 분석 (Analysis of Kinematic Parameters of Gait in Normal Subject)

  • 정화수
    • 한국산학기술학회논문지
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    • 제15권5호
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    • pp.2989-2995
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    • 2014
  • 본 연구는 정상 성인의 팔 움직임 종류에 따른 운동형상학적인 변화를 알아보기 위함이다. 45명의 정상 성인을 대상으로 네 가지 팔 움직임 종류인, 정상 팔 움직임 보행, 한 팔 움직임 보행, 두 팔 움직임 억제 보행, 파워 보행의 순서대로 실시하였다. 실험 대상자가 10m의 보행거리를 자연스럽게 걷는 동안 3차원 보행분석기인 Vicon동작 분석기의 6MX3카메라를 이용해서 측정을 하였다. 이 실험의 자료는 2010년 6월부터 8월까지 수집되었다. 팔 움직임에 따른 운동 형상학적 보행변수의 변화는 정상과 비교해 시상면에서 오른쪽 골반, 엉덩관절의 관절 운동범위, 관상면에서 골반, 엉덩관절, 허리부위에 관절 운동범위, 횡단면에서는 골반, 가슴부위, 허리부위의 관절 운동범위에서 차이를 나타냈다(p<.05). 본 연구의 결과 팔 움직임의 형태에 따라 보행을 하게 되면 운동 형상학적 변화를 나타내고, 이러한 연구 결과는 임상에서 정상인과 환자들의 보행 비교 자료로 사용될 수 있을 것이다.

환경조건에 따른 보행 시 낙상 위험 여성 노인과 정상 여성 노인의 생체역학적 변인 비교 연구 (A Comparative Study on Biomechanical Variables of Elderly Women and Elderly Women at Risk of Fall in Gait by Environmental Conditions)

  • Kim, Tae-Whan;Kim, Dae-Hyun;Min, Seok-Ki;Cho, Eun-Hyung;Lee, Jin-Seok
    • 한국운동역학회지
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    • 제31권3호
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    • pp.189-198
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    • 2021
  • Objective: The aim of this study is to investigate the effect of biomechanical variables on gait according to indoor and outdoor environmental conditions in elderly women at risk of falling. Method: 26 elderly women aged 70 years or older, and consisted of 13 elderly people with a walking speed of less 1.0 m/s and 13 people in the fall risk group as normal groups. Depending on the purpose of the study, physical examination and psychological questionnaire were prepared, and then walking was performed in an indoor/outdoor environment, and the gait pattern, muscle activity, and plantar pressure results were compared and analyzed in the elderly females through a 2 group × 2 environment 2-way repeted ANOVA analysis. Results: The gait variable showed an interaction effect the cadence. The muscle variables showed interaction effects in the rectus femoris and tibialis anterior muscles, and the interaction effects of the plantar pressure variables were confirmed in the forefoot and midfoot of the contact area, and the midfoot of the mean pressure. Conclusion: These results indicate that both groups are exposed to falls risk when gait in an outdoor environment, but the fall risk group has a higher risk of falls in both the gait pattern, muscle activity, and plantar pressure variables. The results of this study are considered to be helpful as basic data and development of exercise programs to prevent falls.

다양한 색상 정보에 대한 적응과 갑작스런 제거가 정상 성인의 보행 중 족저압력에 미치는 영향 (Effects of Adaptation and Sudden Remove of Various Color Information on Plantar Foot Pressure during Gait in Normal Adults)

  • 이상열;최수홍;이수경
    • 대한물리의학회지
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    • 제6권4호
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    • pp.391-396
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    • 2011
  • Purpose : The Purpose of this study is to investigate the values of foot pressure during gait cycle according to adaptation and sudden remove of various color information. Methods : Participants who met the criteria for this study (n=13). RS-Scan was used to measure plantar foot pressur according to Five kinds of color information in this study. Results : The adaptation of various color information is no statistically significant on all area. But sudden remove of various color information is statistically significant on T2-5, M5 and MF area. Conclusion : The results of this study suggest that sudden remove of various color information reduces the ability of balance during gait in normal adults. And these results means that increase risk of falling down according to sudden remove of various color information.

심폐기능 허약자를 위한 보행보조장치 제어기 개발 (Development of Walking Assistant Controller for Patients with Weakness in Cardiopulmonary System)

  • 강성재;김규석;박세훈;문무성;서수원;김진국;류제청
    • 재활복지공학회논문지
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    • 제4권1호
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    • pp.23-28
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    • 2010
  • 심폐기능 허약자의 경우 다른 보행기능은 정상이지만 산소 공급에 문제가 발생된 경우로서, 에너지 소모를 최소한으로 줄여주는 보행보조 시스템이 필요하다. 심폐기능 허약자의 보행을 원활히 보조하기 위하여 본 연구에서는 고관절에 부착된 DC모터를 이용하여, 보행시 고관절 굴곡 및 신전을 제어하는 시스템을 고안하였다. 두 개의 모터를 좌우 고관절에 부착되어 정상 보행패턴을 기준으로 고관절의 굴곡과 신전의 설정각도를 정의하고 보행을 보조한다. 실험결과 보행보조에 의한 에너지 소모도 감소는 14.8%이었다.

만성 발목 불안정성 환자군과 정상인 군의 발바닥 감각기능 저하에 따른 운동학적 보행 패턴의 변화 (Plantar Hypoesthesia Alters Gait Kinematics Pattern in Individuals with and without Chronic Ankle Instability)

  • Kang, Tae Kyu;Lee, Sae Yong;Lee, Inje;Kim, Byong Hun;Jeong, Hee Seong;Kim, Chang Young
    • 한국운동역학회지
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    • 제31권2호
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    • pp.79-86
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    • 2021
  • Objective: The purpose of this study was to identify the effect of reduced plantar cutaneous sensation on gait kinematics during walking with and without CAI. Method: A total of 20 subjects involved in this study and ten healthy subjects and 10 CAI subjects participated underwent ice-immersion of the plantar aspect of the feet before walking test in this study. The gait kinematics were measured before and after ice-immersion. Results: We observed a before ice-immersion on plantar cutaneous sensation, CAI subject were found to reduced ankle dorsiflexion, knee external rotation, hip adduction, and internal rotation compared to control subject. After ice-immersion, CAI subjects were found to reduce knee external rotation, hip adduction. However, no significant ankle joint kinematics. Conclusion: While walking, gait pattern differences were perceived between groups with and without plantar cutaneous sensation. The results of the study may explain the abductions in the hip angle movements in CAI patients at initial contact compared to healthy subjects in the control group when plantar cutaneous sensation was reduced. A change in proximal joint kinematics may be a conservative strategy to promote normal gait patterns in CAI patients.

모래주머니를 이용한 팔목과 몸통의 무게 증가가 만성 뇌졸중 환자들의 보행에 미치는 영향 (The Effect of Wrist and Trunk Weight Loading using Sandbags on Gait in Chronic Stroke Patients)

  • Park, Sangheon;Lim, Hee Sung;Yoon, Sukhoon
    • 한국운동역학회지
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    • 제31권1호
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    • pp.50-58
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    • 2021
  • Objective: This study aimed to determine the effect of wrist and trunk weight loading using sandbags in stroke patients in order to provide the quantitative data for enhancement of gait movement. Method: Twelve stroke patients, who have been diagnosed with hemiplegia over a year ago, were participated in this study. All subjects were asked to perform normal walking [N], wrist sandbag walking [W], wrist & trunk sandbag walking [WT], and both wrist sandbag walking [B] and both wrist & trunk sandbag walking [BT], respectively. Eight infrared cameras were used to collect the raw data. Gait parameters, arm swing, shoulder-pelvic kinematics, and lower extremity joint angle were calculated to examine the differences during walking. Results: As a result, there were no significant differences in the gait parameters, shoulder-pelvis, and lower extremities joint angles, but significant differences were found in the range of motion and the anteversion in arm swing. Conclusion: Wrist and trunk weight loading using sandbags affected the movement of the upper extremities only while it did not affect the movement of the lower extremities. It implies that it can reduce the risk of falling caused by a sudden movement change in lower extremities. In addition, the wrist and trunk weight loading using sandbags can induce changes in movement of the upper extremities independently and contribute to functional rehabilitation through resistance training.

Relationships Between the Transfemoral Socket Interface Pressure and Myoelectric Signal of Residual Limb During Gait

  • Hong, J.H.;Lee, J.Y.;Chu, J.U.;Lee, J.Y.;Mun, M.S.
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2002년도 추계학술대회 논문집
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    • pp.1070-1073
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    • 2002
  • The biomechanical interaction between the stump and the prosthetic socket is critically important to achieve close-to-normal ambulation. Many investigators suggested that the pressure changes during gait of transfemoral amputees are closely related to the prosthetic alignment, the socket shape, the stump size, and the residual muscle activity. The effects of the prosthetic alignment, the socket shape, and the stump size on the interface pressure were investigated previously. However, there is no report how the residual muscle activities in the transfemoral stump affect the socket interface pressure characteristics during gait. Since designs of socket fur lower limb amputees need to consider the socket interface pressure characteristics, the interface pressure patterns by the residual muscle activities during gait should be investigated. In this study, myoelectric signals (MES) and socket interface pressure in residual limb of transfemoral amputees were measured during the stance and swing phases of gait. For the purpose, specially designed quadrilateral sockets that MES electrodes could be instrumented were fabricated. A total of two transfemoral amputees were participated in the experiments. The measured temporal MES amplitude and interface pressure in knee flexor (biceps femoris) and extensor (rectus femoris) had significant correlations (P < 0.05). Based on the test results, It was suggested that the residual muscle activity of transfemoral amputees stump is an important factor affecting socket pressure changes during walk.

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편마비 환자의 대칭적 체중부하 유도를 위한 청각적 피드백 보행훈련 시스템 개발 및 평가 (Development and Evaluation of the Auditory Feedback Gait Training System Induced Symmetrical Weight-Bearing in Hemiplegic Patients)

  • 권용찬;이현주;태기식
    • 재활복지공학회논문지
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    • 제6권2호
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    • pp.23-30
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    • 2012
  • 본 연구에서는 로드셀 센서를 활용하여 편바미 환자의 환측에 부하되는 체중부하에 따른 청각적 피드백을 적용한 대칭 보행유도와 보행패턴 분석이 가능한 무선 보행훈련 시스템을 개발하였다. 또한 개발된 시스템의 유효성을 검증하기 위해 정상인군 및 편마비군 대상자에게 수행한 임상실험을 진행하였으며, 각 대상군마다 피드백 적용 후 보행 속도와 체중 부하량, 그리고 보행 시 입각기비율과 분속수가 증가하였음을 확인하였다. 연구 결과를 토대로 편마비 환자 뿐만 아니라 대칭적 체중부하가 요구되는 다양한 하지 질환자들에 대한 임상실험을 확대하고 장기간 훈련의 효과를 관찰한다면, 본 연구에서 개발된 청각적 대칭 체중부하 피드백 보행 시스템은 다양한 패턴 분석과 함께 보행 향상을 위한 기기 적용이 가능할 것으로 기대된다.

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