• Title/Summary/Keyword: normal gait

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Development of a Novel Step Detection Algorithm for Gait Evaluation of Patients with Hemiplegia Based on Trunk Accelerometer (뇌졸중으로 인한 편마비 환자의 보행평가를 위한 체중심 가속도센서 기반의 새로운 보 검출 알고리즘 개발)

  • Lee, Hyo-Ki;Hwang, Sung-Jae;Cho, Sung-Pil;Lee, Dong-Ryul;You, Sung-Hyun;Lee, Kyoung-Joung;Kim, Young-Ho;Chung, Ha-Joong
    • Journal of Biomedical Engineering Research
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    • v.30 no.3
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    • pp.213-220
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    • 2009
  • In this study, we have developed a novel step detection algorithm for gait evaluation of patients with hemiplegia based on trunk accelerometry device. For this, we have used a bandpass filter and a least square acceleration (LSA) filter which is characterized by emphasizing the peak or valley point of the acceleration signals for each 3-axis accelerometer signals. To evaluate the algorithm, the detected steps by developed algorithm and real steps by the motion analysis system were compared. As a result, we could obtain the sensitivity of 96.44%, the specificity of 99.94% and the accuracy of 99.90% for the patients' data sets and the sensitivity of 100%, the specificity of 99.93% and the accuracy of 99.93% for the normal data sets. In conclusion, the developed algorithm is useful for the step detection for patients with hemiplegia as well as normal subjects.

Effect of a Elderly Walker on Joint Kinematics and Muscle Activities of Lower Extremities Using a Human Model (인체 모델을 이용한 노인 보행기의 하지관절 기구학과 근활성에 미치는 영향)

  • Shin, Jun-Ho;Kim, Yoon-Hyuk
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.11
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    • pp.1243-1248
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    • 2011
  • The purposes of this study were to develop a dynamic model of a human and to investigate the effect of a walker on an elderly subject's motions, such as sit-to-stand (STS) motion and normal gait, by using this model. A human model consisting of 15 segments and 14 joints was developed, embedded in $RecurDyn^{TM}$, and connected through a Simulink$^{(R)}$ interface with collected motion data. The model was validated by comparisons between joint kinematic results from inverse dynamics (Matlab$^{(R)}$-based in-house program) and from $RecurDyn^{TM}$ simulation during walking. The results indicate that the elderly walker induced a longer movement time in walking, such that the speed of joint flexion/extension was slower than that during a normal gait. The results showed that the muscle activities of parts of the ankle and hamstring were altered by use of the elderly walker. The technique used in this study could be very helpful in applications to biomechanical fields.

Repeatability of a Multi-segment Foot Model with a 15-Marker Set in Normal Children

  • Kim, Eo Jin;Shin, Hyuk Soo;Lee, Jae Hee;Kyung, Min Gyu;Yoo, Hyo Jeong;Yoo, Won Joon;Lee, Dong Yeon
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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    • pp.484-490
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    • 2018
  • Background: The use of three-dimensional multi-segment foot models (3D MFMs) is increasing since they have superior ability to illustrate the effect of foot and ankle pathologies on intersegmental motion of the foot compared to single-segment foot model gait analysis. However, validation of the repeatability of the 3D MFMs is important for their clinical use. Although many MFMs have been validated in normal adults, research on MFM repeatability in children is lacking. The purpose of this study is to validate the intrasession, intersession, and interrater repeatability of an MFM with a 15-marker set (DuPont foot model) in healthy children. Methods: The study included 20 feet of 20 healthy children (10 boys and 10 girls). We divided the participants into two groups of 10 each. One group was tested by the same operator in each test (intersession analysis), while the other group was tested by a different operator in each test (interrater analysis). The multiple correlation coefficient (CMC) and intraclass correlation coefficient (ICC) were calculated to assess repeatability. The difference between the two sessions of each group was assessed at each time point of gait cycle. Results: The intrasession CMC and ICC values of all parameters showed excellent or very good repeatability. The intersession CMC of many parameters showed good or better repeatability. Interrater CMC and ICC values were generally lower for all parameters than intrasession and intersession. The mean gaps of all parameters were generally similar to those of the previous study. Conclusions: We demonstrated that 3D MFM using a 15-marker set had high intrasession, intersession, and interrater repeatability in the assessment of foot motion in healthy children but recommend some caution in interpreting the hindfoot parameters.

Control Algorithm of a Wearable Walking Robot for a Patient with Hemiplegia (편마비 환자를 위한 착용형 보행 로봇 제어 알고리즘 개발)

  • Cho, Changhyun
    • The Journal of Korea Robotics Society
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    • v.15 no.4
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    • pp.323-329
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    • 2020
  • This paper presents a control algorithm for a wearable walking aid robot for subjects with paraplegia after stroke. After a stroke, a slow, asymmetrical and unstable gait pattern is observed in a number of patients. In many cases, one leg can move in a relatively normal pattern, while the other leg is dysfunctional due to paralysis. We have adopted the so-called assist-as-needed control that encourages the patient to walk as much as possible while the robot assists as necessary to create the gait motion of the paralyzed leg. A virtual wall was implemented for the assist-as-needed control. A position based admittance controller was applied in the swing phase to follow human intentions for both the normal and paralyzed legs. A position controller was applied in the stance phase for both legs. A power controller was applied to obtain stable performance in that the output power of the system was delimited during the sample interval. In order to verify the proposed control algorithm, we performed a simulation with 1-DOF leg models. The preliminary results have shown that the control algorithm can follow human intentions during the swing phase by providing as much assistance as needed. In addition, the virtual wall effectively guided the paralyzed leg with stable force display.

Floor Slipperiness Effect on the Biomechanical Study of Slips and Falls

  • Myung, Ro-Hae;Smith, James L.;Lee, Soon-Yo
    • Journal of Korean Institute of Industrial Engineers
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    • v.22 no.3
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    • pp.337-349
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    • 1996
  • A study was conducted to find the possible relationship between slip distance and dynamic coefficient of friction (DCOF) through the biomechanical study of slips and falls using a broader variety of floors and levels of slipperiness than those used before. Four different floor surfaces covering the full range of floor slipperiness (with and without on oil contaminant) were prepared for ten subjects with each walking at a fixed velocity. The results showed that slip distance and heel velocity had a decreasing trend while stride length had a increasing trend as DCOF increased. The contaminant effect overpowered floor slipperiness effect because a higher DCOF surface with oil contaminant created longer slip distance than the lower DCOF with dry floor. Normal gait pattern and suggested heel velocity (10 to 20 cm/sec) were seen on dry floors but abnormally longer stride length and 5 to 10 times faster heel velocity were found an oily floors. In other words, faster heel velocity (greater than 10 to 20 cm/sec) is recommended to measure DCOF on oily floors because the assumption of normal gait was no longer valid.

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Kinetic gait analysis in a small sized dog with congenital shoulder luxation (소형견의 선천성 어깨관절 탈구에 관한 운동역학적 보행 분석)

  • ShinHo Lee;Chung Hui Kim;Jae-Hyeon Cho
    • Korean Journal of Veterinary Service
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    • v.46 no.2
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    • pp.175-179
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    • 2023
  • This study was conducted to find out the compensation strategy through kinetic gait analysis by comparing dog with congenital luxation of the shoulder joint and normal dog. Ground reaction forces were recorded for all limbs while normal poodle dog and poodle dog with shoulder joint luxation was allowed to walk on an instrumented platform. The dogs were evaluated for maximal vertical force (MVF), body load distribution (BLD), and symmetry index (SI). The MVF was increased in the contralateral forelimb of luxated shoulder joint. The SI was also increased in a dog with dislocated shoulder joints in the forelimbs. For BLD, the maximum load distribution increased centrally, but the total load distribution decreased in the ipsilateral forelimb paw. In contrast, total load distribution was increased in the contralateral forelimb paw. During forelimb lameness, changes in weight-bearing load showed compensatory load redistribution. These biomechanical changes may lead to changes in the musculoskeletal system in a dog with luxated shoulder.

Treatment of Soft Tissue Defect on Ankle or Dorsum of Foot with Extended Gracilis Muscle Free Flap (확장된 박근 유리 피판을 이용한 족관절 및 족배부 연부조직 결손의 치유)

  • Kim, Sug Won;Kim, Kwang Seop;Seo, Dong Wan;Lee, Hoon Bum;Chung, Yoon Kyu
    • Archives of Reconstructive Microsurgery
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    • v.9 no.2
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    • pp.147-153
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    • 2000
  • Soft tissue defects of the dorsum of foot and ankle can be covered from skin graft to free tissue transfer. The extent of injury which may be complex including the exposure of paratenons or bones requires free flap reconstruction. Some of the precautions for reconstruction are providing minimal bulkiness and well conforming to irregular contour thus making normal footwear possible. Though the muscle flap having its advantages and versatility, the fascial flap such as temporoparietal fascial flap has been considered the choice for reconstruction of the dorsum of foot and ankle. The purpose of our study is to utilize the advantages and versatility of the muscle flap as a first choice for reconstruction for the defects involving the dorsum of foot and ankle. The gracilis muscle with its anatomic and donor characteristics, it can be utilized to maximal effect by expanding its slim muscle width removing the epimysium and reducing its bulk by muscle atrophy through denervation. We present our experience with ten cases of reconstruction for the dorsum of foot and ankle using the gracilis muscle free flap. Results were satisfactory without flap loss, skin loss and infection. The contour and aesthetic aspect of the foot was satisfactory. Gait analysis showed near normal gait without limitations from everyday activities. Normal footwear was tolerable in all the cases. The keys to consider in the reconstruction of the dorsum of foot and ankle are appropriate bulkiness, conforming to its contour and able to apply normal footwear. With minimal donor morbidity and satisfying results, the extended gracilis muscle should be considered as the first line for reconstruction of the ankle and dorsum of foot.

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A Study on the Quantitative Rehabilitation Extent Evaluation Method Using High-Order Function Waveform Analysis of EMG Signal (근전도 신호의 고차함수분석법을 이용한 정량적 재활정도 평가에 관한 연구)

  • Moon, D.J.;Kim, J.Y.;Noh, S.C.;Choi, H.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.4
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    • pp.305-312
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    • 2014
  • In this study, in order to quantitatively confirm walking rehabilitation degree, we analyzed EMG pattern simulated abnormal gait and normal gait by applying a curve fitting. We calculated the suitable high-order function for EMG signal, and classified them into 5 groups by using cluster analysis. Depending on the distance from normal pattern group, we listed the pattern group and then the distribution of each variables were confirmed. The amplitude-decreased pattern was the most similar to the normal pattern, but the reversed pattern showed the lowest similarity. Due to the smaller overlapping range, the distribution of the groups were possible to classify using the value of variable. The standard deviation of each term coefficient was compared to indicate the quantitative rehabilitation extent, and the higher value was confirmed as the pattern is close to the normal pattern. Consequently, the representation of quantitative rehabilitation extent is expected to contribute to the more effective rehabilitation method study.

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Development of a Powered Knee Prosthesis using a DC Motor (DC 모터를 이용한 동력 의족 시스템 개발)

  • Kim, Won-Sik;Kim, Seuk-Yun;Lee, Young-Sam
    • Journal of Institute of Control, Robotics and Systems
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    • v.20 no.2
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    • pp.193-199
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    • 2014
  • In this paper, we present an overview of the structure of a lab-built powered knee prosthesis and the control of it. We build a powered prosthesis prototype on the basis of previous researches and aim at obtaining the essential technology related with its control. We adopt the slider-crank mechanism with a DC motor as an actuator to manipulate the knee joint. We also build an embedded control system for the prosthesis with a 32-bit DSP controller as a main computation unit. We divide the gait phase into five stages and use a FSM (Finite State Machine) to generate a torque reference needed for each stage. We also propose to use a position-based impedance controller for driving the powered knee prosthesis stably. We perform some walking experiments at fixed speeds on a tread mill in order to show the feature of the built powered prosthesis. The experimental results show that our prosthesis has the ability to provide a functional gait that is representative of normal gait biomechanics.

A Kinetic Analysis of the Lower Extremity on the Normal and Abnormal Specificity of Walking on Stair for Twenties (이십대 청년의 정상 및 비정상 계단보행특성에 따른 하지의 운동역학적 분석)

  • Kim, Young-Ji;Lee, Young-Shin;Kim, Chang-Won
    • Korean Journal of Computational Design and Engineering
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    • v.16 no.6
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    • pp.391-396
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    • 2011
  • Gait is walking attitude and indicating state. The body's gait is a good mix in the center of body mechanics and exercises to wake up gently at the same time switch is a pass which is complicated at legs various joints. The shifting action what swing phase and stance phase rhythmic movement of body. One from piece moves with different dot. Especially plain walking and stair walking as a vehicle has been used frequently. Characteristics of the stair walking while the balanced the horizontal and vertical movement. Stair walking often takes place in everyday. It requires large range more than walking at plain in the moment and joint range of gait motion. And consistently applied to joints and various types of loads at legs joint may involve joint disorders. In this study, spastic cerebral palsy existing artificial limbs for disabled people when developing calibration equinus deformity patients induce muscle pain when walking on stairs independently, to reduce the research. Comparing the characteristics of the walking up the stairs for analysis patellofemoral joint pain as a result it is to provide engineering data.