• 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.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.3
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• pp.69-78
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• 2021

Purpose : The purpose of this study was to investigate the effect of stair exercise and Kegel combined exercise on the maximum voluntary ventilation (MVV) and limits of stability (LOS). Methods : 23 female students participated in this experiment. MVV was measured with a spirometer. The LOS was measured with a Biorescue. Subjects were randomly assigned to two groups. 12 subjects were assigned to the experimental group and 11 subjects were assigned to the control group. The experimental group performed 5 minutes of stair exercise and 5 minutes of Kegel exercise. The control group performed 10 minutes of stair exercise. After 5 minutes of exercise, 1 minute of rest was provided. Both groups exercised for 5 minutes according to the metronome beat 130 during the stair exercise. After 5 minutes of rest after exercise, MVV and LOS were measured again in the same way. The measurement sequence was also randomly alternated. Results : Significant differences were found within and between groups in the experimental group in MVV (p<.05). In LOS, significant differences were confirmed in left, right, forward, backward, and total LOS in the experimental group (p<.05). In the control group, there were significant differences in left, forward, and total LOS (p<.05). However, there was no significant difference between groups (p>.05). Conclusion : Based on the results of this study, it was confirmed that the stairs and Kegel combined exercise had a positive effect on MVV and LOS. However, in the short term, it was found that the stair and Kegel combined exercise was insufficient in time and the threshold of exercise to show the difference between groups in LOS. Therefore, additional research should be conducted by modifying the limitations of this study.

• Journal of the Korean Society of Physical Medicine
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• v.10 no.4
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• pp.9-14
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• 2015

PURPOSE: Low-intensity exercise with restriction of blood flow has been proposed as an alternative exercise to secure the disadvantage of a high-intensity resistance exercise. However, studies of how affects the muscle using functional exercise are lacking. Thus, the purpose of this study was to investigate knee extensor muscle strength during stair exercise of functional exercise with leg blood flow restriction. METHODS: Twenty two healthy young adults with no history of musculoskeletal or neurogical disorder were participated in this study. participant were randomized into either non-restriction group(11 subject) or restriction group (11 subject). The restriction blood cuff attached to the proximal end of the leg. Measurement of knee extensor strength was used by cybex dynamometer. Data analyzed in independent t-test and paired t-test. RESULTS: Knee extensor muscle strength was significantly different between groups. Also, there were significant differences in the strength of knee extensor within the group. CONCLUSION: This study found that stair exercise with restriction of blood flow did influence to knee extensor muscle strength. These results will also be able to promote the effect of increasing the muscle power applied to functional exercise. Henceforth, studies will be made in the intervention method that can be applied to health vulnerable person.

• The Journal of Korean Physical Therapy
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• v.25 no.6
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• pp.393-398
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• 2013

Purpose: The purpose of this study was to compare muscle activation patterns of lower extremities in stroke patients during stepper climbing, stair-up, and level-ground gait conditions by surface electromyography (EMG). Methods: Subjects included 19 hemiplegic patients comprehensive rehabilitation center for inpatients with stroke. Surface EMG was used to measure the subjects' medial gastrocnemius (GCM), tibialis anterior (TA), biceps femoris (BF), and rectus femoris (RF) activity as they took six steps during stepper climbing, stair-up, and level-ground gait conditions. Results: There was no significant difference in the BF or RF muscle activity for the stepper climbing, stair-up, and level-ground gait conditions. However, there were significant differences in the medial GCM and TA muscle activity between each condition on the patients' hemiplegic side(p<0.05). There was significant difference in the medial GCM, TA, RF, and BF muscle activity between each condition on the patients' non-hemiplegic side (p<0.05). Conclusion: As a result, the overall muscle activity during the level-ground gait was higher than the stair-up condition, and the muscle activity during the stair-up condition was higher than the muscle activity during the stepper climbing condition. As one of the many methods used for gait training, we suggest that the stepper exercise could be applied at an earlier stage in the gait training process.

• PNF and Movement
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• v.15 no.1
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• pp.105-113
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• 2017

Purpose: The purpose of this case study was to examine the effects of an intervention based on the concept of proprioceptive neuromuscular facilitation (PNF) on the weight-supporting ability, fear of falling, and stair-walking ability of stroke patients. Methods: One pretest, three intervention sessions, and one posttest were conducted. In the tests, weight-supporting ability, manual muscle strength, the fear of falling, and the time to go up and down a 'ㄱ'-shaped stair-walking machine were measured and compared. The intervention was implemented for 30 minutes per day for three days in combination with general rehabilitation. The intervention was planned and implemented based on the concept of PNF, and the goal was for the subjects, after their consent, to walk backward down the stairs. Results: After the intervention, functional improvement was seen in weight-supporting ability and the fear of falling felt when walking down the stairs. Whereas the subjects could not perform the task of walking down the stairs on the 'ㄱ'-shaped stair-walking machine in the pretest, they could perform the task in the posttest, and their stair-climbing speed was greater than before the intervention. Conclusion: This study verified that a PNF-based intervention can improve stroke patients' weight-supporting ability and stair-walking ability. Therefore, this intervention can be clinically applied to stroke patients.

• Physical Therapy Korea
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• v.13 no.3
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• pp.10-17
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• 2006

The purpose of this study was to determine the consequence of resistance strengthening exercise on the hip flexor and extensor performed to improve functional mobility in stroke patients more than six months post stroke. Seventeen patients were randomized into two groups. Both groups received conventional physical therapy for six weeks. In addition, the experimental group performed eccentric resistance strengthening exercise in the hip flexor and extensor using an isokinetic dynamometer. The hip flexor and extensor strength, stair up and down mobility, timed get up and go (TUG), 10 m gait velocity, and functional reach were repeatedly measured at baseline, three weeks, and six weeks after treatment. The results were as follows: 1. The experimental group improved more remarkably in the hip flexor and extensor strength, stair up and down mobility, and the 10 m gait velocity after three weeks and six weeks of treatment (p<.05), 2. The control group improved significantly in the hip flexor and extensor strength, and 10 m gait velocity after three weeks of treatment (p<.05), 3. At each three and six week point, the experimental group made greater gains in hip flexor and extensor strength, stair up and down mobility, and 10 m gait velocity than the control group (p<.05). In conclusion, it is desirable to perform resistance strengthening exercises combined with conventional physical therapy to improve functional mobility in chronic stroke patients.

• Korean Journal of Applied Biomechanics
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• v.20 no.3
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• pp.267-275
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• 2010

The purpose of this study was to investigate the effects of balance ability improvement exercise program which applied to the elderly people for increasing balance, stability and range of motion. Ten elderly people and ten university students were recruited as the subjects. Kinematic data were collected by seven real-time infrared cameras while subjects walk stair descent as a pre-test. Korean folk dance exercise program was applied to the elderly for 12 weeks. Same experiment on stair descent walk was performed as post-test. Results indicated that CM movement and selected joint angle patterns of elderly group after treatment changed to the similar patterns of young group. However, ankle joint angle and vertical GRF of elderly group after treatment also increased compared to those of the elderly group before treatment. This might be explained by the fact that elderly used a different walking strategy which maximize support base for increasing stability. Overall, these results indicated that the exercise treatment may affect to adapt and improve the gait pattern of stair descent of elderly people.

• Journal of The Korean Society of Integrative Medicine
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• v.2 no.3
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• pp.57-63
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• 2014

Purpose : The purpose of this study was to identify the muscle activity of leg during stair down in the subjects with flatfoot and normal foot. Methods : The fourteen subjects with the flatfoot group and the fifteen subjects with the normal foot group volunteered for this study. All subjects descended the stairs that the height was 20cm and consisted 25 stairs. The target muscles for recording muscle activity were posterior fiber of gluteus medius, vastus medialis and vastus lateralis oblique, semitendinosus and biceps femoris, tibialis anterior, and medial and lateral fiber of gastrocnemius muscles. The muscle activity was recorded using the wireless EMG system. Results : The flatfoot group had significantly lower the muscle activity of posterior fiber of gluteus medius than the normal foot group in stance phase during stair down(p<.05). The flatfoot group had significantly higher the muscle activity of biceps femoris and tibialis anterior than the normal foot group in swing phase during stair down(p<.05). Conclusions : This study proposed that the subject with flatfoot should train the strengthening exercise for posterior fiber of gluteus medius.

• Journal of the Korea Society of Computer and Information
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• v.24 no.1
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• pp.159-166
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• 2019

Recently, the advanced development of smart devices has increased the interest in health-care, and many people are paying more attentions to disease prevention than disease treatment. Among these prevention methods, the bare body movement has received much attention, and especially walking exercise is attracting much attention because it is enjoyable without any restrictions on place and time. Walking exercise is generally divided into two types: walking on the ground and climbing the stairs. Walking up the stairs consumes much more calories compared to walking on the ground. These walking exercises have the advantage that they can be easily performed by male and female without special equipments or economic considerations. However, there is a lack of applications and systems that accurately determine such walking and stair walking and measure momentum according to stair walking. In this paper, we designed and implemented a real-time walking status analysis system using smartwatch's, pedometer, smartphone's barometer and beacons.

• Journal of the Korea Safety Management & Science
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• v.11 no.2
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• pp.103-110
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• 2009

The purpose of this study is to suggest a proper tread of stairs using kinematic factors and moments of the lower-limb joints in the stair decent with the 3 different treads with boimechanical method in ergonomics. 9 subjects (body masses; $59.41{\pm}7.49$, $64.03{\pm}6.65$, $67.26:{\pm}7.58$, heights; $160.50{\pm}6.35$ ages; $31.22{\pm}2.99$; parity; $1.67{\pm}0.71$) participated in three experiments that were divided by physiological symptoms (the early (0-15 weeks), middle (16-27 weeks) and last (18-39 weeks). and they walked at self-selected pace on 4 staircases 3 trials. As extending the pregnancy period, cadence was shorter but cycle time were longer more and more. As extending treads of stair decent during pregnancy, speed, stride lengths and cycle time were increased. As extending the treads of stair decent, hip and ankle moments increased but knee moments decreased in sagittal plane. There were increasing or decreasing of moments by means of treads. These changes may account for relation between the treads of stair and moments in pregnant women. The main changes of pregnant women were joint moments and kinematic factors during pregnancy period because pregnancy makes them physical changes. It is possible that joints have connection with compensation each other to maximize stability and to control gait motion. In conclusion, we suggest that the tread of stair is longer than 26cm tread. and exercise programs to improve muscle activity were necessary where joint moments were small.