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The Effects of Robot Assisted Gait Training on Kinematic Factors of the Stroke Patients (로봇보조 보행훈련이 뇌졸중 환자의 운동학적 요인에 미치는 효과)

  • Kim, Sung-Chul;Kim, Mi-Kyong;Yang, Dae-Jung
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.91-99
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    • 2022
  • Purpose : The goal of this study is to examine the effect of robot assisted gait training (RAGT) on the kinematic factors (temporospatial gait parameters, gait cycle ratio, and gait line length) of gait in stroke patients. Methods : The subjects of this study were 24 stroke patients selected by inclusion criteria. Participants were randomly allocated to two groups: robot assisted gait training (n=11) and general neurological physical therapy group (n=11). In the robot-assisted gait training group, robot-assisted gait training was mediated for 30 minutes a day in addition to general neurological physical therapy. The general neurological physical therapy group was mediated by general neurological physical therapy for 30 minutes a day in addition to general neurological physical therapy. The number of interventions was 5 times a week for 5 weeks. In order to compare the kinematic factors of walking between the two groups, gait analysis was performed before and after 5 weeks of training using the Zebris gait analysis system. Results : As a result of the gait analysis of the two groups, there were significant differences in temporospatial gait variables (step length, stride length, step width, step time, stride time), gait cycle ratio (swing phase, stance phase) and gait line length. However, there was no significant difference in the cadence (temporospatial gait parameters) in the robot assisted gait training group compared to general neurological physical therapy group. Conclusion : It is considered to be a useful treatment for stroke patients to promote the recovery of gait function in stroke patients. Based on the results of this study, continuous robot assisted gait training treatment is considered to have a positive effect on gait ability, the goal of stroke rehabilitation. In the future, additional studies should be conducted on many subjects of stroke patients, the kinematic factors of the legs according to the severity of stroke and treatment period, and the effect of gait training.

The Effect of Arm Swing on Gait in Post-Stroke Hemiparesis (팔 흔들기가 뇌졸중으로 인한 편마비 환자의 보행에 미치는 영향)

  • Kim, Jin-Seop;Kwon, Oh-Hyoun
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.95-101
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    • 2012
  • Purpose : The purpose of this study was to investigate the variations in gait parameters according to arm swing use in post stroke hemiparesis. Methods : Sixteen patients participated in this study and walked at self-selected speeds on a Rs-scan systems. The were randomly assigned conditions: self-selected arm swing, constraint arm swing, emphasis arm swing. Results : In the comparison of parameters in each trial, both affected step length, non affected step length, affected stride length, non affected stride length, affected single support time, and non affected single support time were significantly increased and double support time was significantly decrease in emphasis arm swing when compared with both self-selected arm swing and constraint arm swing(p<.05). However, Asymmetrical ratio was significantly increased in both emphasis arm swing and self-selected arm swing when compared constraint arm swing(p<.05). Conclusion : Therefore, In this study, gait rehabilitation of patients with hemiplegia depending on what you need to apply the arm swing is considered.

The Effectiveness of the Use of Custom-Made Foot Orthotics on Temporal-Spatial Gait Parameters in Children With Spastic Cerebral Palsy

  • Kim, Sung-Gyung;Ryu, Young-Uk
    • Physical Therapy Korea
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    • v.19 no.4
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    • pp.16-23
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    • 2012
  • This study examined the effects of custom-made foot orthotics on the temporal-spatial gait parameters in children with cerebral palsy. Twenty spastic bilateral cerebral palsy (spastic CP) children (11 boys and 9 girls) participated in this study. GAITRite was used to examine the velocity, cadence, step length differential, step length, stride length, stance time, single support time, double support time, base of support, and toe angle while walking with and without foot orthotics. The differences in temporal-spatial parameters were analyzed using paired t-test. The significance level was set at .05. The velocity, cadence, both step lengths, both stride lengths, both bases of support and right toe angle significantly increased when the children with spastic CP with foot orthotics compared to without foot orthotics (p<.05). The step length differential between the two extremities, left stance time and left single support time, significantly decreased with foot orthotics (p<.05). Right stance time, right single support time, both double support times and left toe angle showed little change (p>.05). This study demonstrated that foot orthotics were beneficial for children with spastic CP as a gait assistance tool.

Effects of Three Exercise Programs on the Length of Pectoralis Minor and Forward Head Posture (3가지의 운동프로그램이 작은가슴근의 길이와 머리전방자세에 미치는 영향)

  • Yang, Hoesong;Jeong, Chanjoo;Yoo, Youngdae;Heo, Jaewon
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.3
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    • pp.21-28
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of three exercise programs on forward head posture. Methods: Ninety-five individuals were recruited to assess the of the pectoralis minor muscle. Of these, 36 individuals with pectoralis minor muscles were selected and randomly divided into three groups: a functional massage group, a stretching group, and a stretching and muscle strengthening group. The exercise program consisted of sessions four times per week for two weeks. The length of pectoralis minor and the activity of the trapezius muscles were measured using electromyography. Forward head posture was assessed using the craniovertebral angle (CVA) and the cranial rotation angle (CRA) pre-, during and post-treatment. Result: Significant improvements were observed in pectoralis minor length, CRA, and CVA post-treatment in all groups (p<0.05, p<0.01, p<0.001). However, only the activity of the lower trapezius demonstrated a statistically significant difference post-treatment. There were no significant differences between the groups. Conclusion: The findings of this study suggest that all three exercise programs were effective in improving forward head posture and the length of pectoralis minor post-treatment.

Active cancellation of phase noise induced by an optical fiber for delivery of optical frequency standard (광섬유를 통한 광 주파수 전송에서 광 위상 잡음의 능동 제거)

  • Lee, Won-Kyu;Kim, Jae-Wan;Ryu, Han-Young;Kim, Eok-Bong
    • Korean Journal of Optics and Photonics
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    • v.18 no.1
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    • pp.44-49
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    • 2007
  • We have transferred a narrow-linewidth $1.5{\mu}m$ laser beam through a 525 m fiber network with excellent transfer stability. The fiber-induced optical phase noise during the fiber transmission is cancelled by configuring a noise-canceling servo. The transfer instability was $2{\times}10^{-17}$ at 1 s of averaging time. We quantitatively analyzed the transferred optical frequency in the frequency domain and in the time domain.

Study for gait improvement of hemiplegic patients using Functional Electrical Stimulation (FES를 이용한 편마비 환자의 보행증진에 대한 연구)

  • Yang, Hoi-Song;Kim, Kwang-Soo;Lee, Hae-Deck
    • Journal of Korean Physical Therapy Science
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    • v.4 no.4
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    • pp.539-548
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    • 1997
  • The purpose of this study was to determine the effects of FES on the clinical test patients who had disturbance gait due to cereberal vascular accident. The subjects for study were 16 hemiplegic patients (9 Male and 7 Female) who can gait with or without device. Their average age was 55 and they received average of 20.19 month of treatment collected data analysis was completed by using one-way analysis variable(ANOVA), Pearson ($-1{\leq}r{\geq}1$). The results were as follows : 1) There was difference in four variable (stride length,gait speed,gait cadence) between at the biginning and at the end of the treatment of FES (p<0.01). 2) There was relationship in capacity of activity between MAS and stride length (r = 0.751), gait speed (r = 0.689) but no relationship gait cadence (r = 0.236). 3) Age revealed relationship of stride length (r = -0.727), gait speed (r = -0.725), gait cadenc (r = -0.362). 4) There was no relationship in months post-CVA with MAS (r = 0.171), stride length (r = -0.110), gait speed (r = -0.096), gait cacedce (r = -0.154).

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Spatiotemporal Gait Parameters That Predict the Tinetti Performance-Oriented Mobility Assessment in People With Stroke

  • Jeong, Yeon-gyu;Kim, Jeong-soo
    • Physical Therapy Korea
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    • v.22 no.4
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    • pp.27-33
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    • 2015
  • The purpose of this study was to find which spatiotemporal gait parameters gained from stroke patients could be predictive factors for the gait part of Tinetti Performance-Oriented Mobility Assessment (POMA-G). Two hundred forty-six stroke patients were recruited for this study. They participated in two assessments, the POMA-G and computerized spatiotemporal gait analysis. To analyze the relationship between the POMA-G and spatiotemporal parameters, we used Pearson's correlation coefficients. In addition, multiple linear regression analyses (stepwise method) were used to predict the spatiotemporal gait parameters that correlated most with the POMA-G. The results show that the gait velocity (r=.67, p<.01), cadence (r=.66, p<.01), step length of the affected side (r=.49, p<.01), step length of the non-affected side (r=.53, p<.01), swing percentage of the non-affected side (r=.47, p<.01), and single support percentage of the affected side (r=.53, p<.01) as well as the double support percentage of the non-affected side (r=-.42, p<.01) and the step-length asymmetry (r=-.64, p<.01) correlated with POMA-G. The gait velocity, step-length asymmetry, cadence, and single support percentage of the affected side explained 67%, 2%, 2%, and 1% of the variance in the POMA-G, respectively. In conclusion, gait velocity would be the most predictive factor for the POMA-G.

A Study on Body type Characteristics of Mongolian Women (몽골 성인 여성의 체형특성에 관한 연구)

  • Im, Soon;Kim, Sang-Hee
    • Journal of the Korea Fashion and Costume Design Association
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    • v.9 no.3
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    • pp.75-85
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    • 2007
  • This study analyzes characterization and classification of body types of Mongolian women. 100 adult subjects within the 20 to 49 age group were studied. The physical measurements of the research subjects come up to a total of 50 items. Data was statistically analyzed with SPSS program using basic statistics, t-test, one-way ANOV A, Duncan-test, factor analysis and cluster analysis. The conclusions are as follows. In the result of factors analysis in physical measurements of Mongolian women, 7 factors such as on the obesity of body, the vertical size of body, hip length, the bust from back length, the bust from front length, the ankle size and the shoulder size were extracted. The accumulated contributory rate of these was 70.7%. The cluster analysis for the comparison of the body types, by categorizing the body types produced three types. Mongolian women were grouped as those with the short stature and light weight, the medium stature and heavy weight, the tall stature and medium weight. The comparison of 50 items in physical measurements between Korean women and Mongolian women resulted in the differences in 39 items. While the height items including stature between them showed negligible differences, most of the length items relating to breadth, circumference, depth and obesity showed differences, which were big.

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Effect of Deep Lumbar Muscle Stabilization Exercise on the Spatiotemporal Walking Ability of Stroke Patients

  • Ahn, Jongchan;Choi, Wonho
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.4
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    • pp.1873-1878
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    • 2019
  • Background: Walking is a complex activity. The main components of walking include balance, coordination, and symmetrical posture. The characteristics of walking patterns of stroke patients include slow walking, measured by gait cycle and walking speed. This is an important factor that reflects post-stroke quality of life and walking ability. Objective: This study aimed to examine the effect of deep lumbar muscle stabilization exercise on the spatiotemporal walking ability of stroke patients. Design: Quasi-experial study Methods: The experiment was conducted 5 times per week for 4 weeks, with 30 minutes per session, on 10 subjects in the experimental group who performed the deep lumbar muscle stabilization exercise and 10 subjects in the control group who performed a regular exercise. Variables that represent the spatiotemporal walking ability (step length, stride length, step rate, and walking speed) were measured using GAITRrite before and after the experiment and were analyzed. Results: There was a significant difference in the pre- and post-exercise spatiotemporal walking ability between the two groups (p<.05). Furthermore, there was a significant difference in the step rate and walking speed between the two groups (p<.05). Conclusions: Deep lumbar muscle stabilization exercise is effective in improving the walking ability of stroke patients. Therefore, its application will help improve the spatiotemporal walking ability of stroke patients.

Effects of Robotic Gait Training with Lower Extremity Restraint on Static Balance, Lower Extremity Function, Gait Ability in Subacute Stroke Patients

  • Kang, Yun-Su;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.10 no.3
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    • pp.270-277
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    • 2021
  • Objective: The purpose of this study is to compare the effect of static balance, lower extremity function, and gait ability between a lower extremity restrain robot gait training and a general robot gait training in subacute stroke subjects. Design: Two-group pretest-posttest design. Methods: A total of 12 subacute stroke patients were randomly divided into an Experimental group (n=6) and a control group (n=6). Both groups were performed for four weeks, three times a week, for 20 minutes. To compare the Static balance function, the center of pressure (COP) path-length and COP velocity were measured. The Fugl-Meyer assessment lower extremity (FMA-LE) were evaluated to compare the Lower Extremity function. 2D Dartfish Program and 10 Meter Walking Test (10 MWT) on Gait ability were evaluated to compare the gait function. Results: In the intra-group comparison, Experimental groups showed significant improvement in COP path-length, velocity, Lower Extremity Function, 10 MWT, Cadence, by comparing the parameters before and after the intervention (p<0.05). Comparison of the amount of change between groups revealed significant improvement for parameters in the COP path-length, velocity, Lower extremity function, 10 MWT by comparing the parameters before and after the intervention (p<0.01). Conclusions: The Experimental group showed enhanced efficacy for variables such as COP path-length, velocity, Lower extremity function, 10 MWT as compared to the control group.