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6 Case Reports on Parkinson's Disease Patients Treated by Sasang Constitutional Medicine: Focused on Stance and Gait Analysis (사상의학적(四象醫學的)으로 접근한 파킨슨 증후군 환자 치험 6례 : 균형 및 보행분석을 중심으로)

  • Koh, Young-Mee;Kwak, Jin-Young;Park, Jung-Hwan;Ahn, Taek-Won
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.2
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    • pp.182-201
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    • 2017
  • Objectives Gait disorders are incapacitating symptoms of Parkinson's disease(PD). Here, we report improvements of patients diagnosed with PD treated by Sasang Constitutional Medicine, focused on gait and balance analysis. Methods The patients diagnosed with PD were treated on the basis of Sasang Constitutional Medicine, and their stance and gait status were analyzed by zebris Medical GmbH. To evaluate other general symptoms related with PD, GAS scale, NRS scale, H&Y scale and UPDRS were used. Results Stride length, velocity, stance phase, lateral symmetry were improved in all 6 patients. Other symptoms related to Parkinson's disease were reduced, along with the improvements in GAS scale, NRS scale, H&Y scale and UPDRS score. Conclusion This case study showed Sasang Constitutional Medicine is effective in various symptoms of Parkinson's disease. Especially in regard to the stance and gait status, the improvements were assessed accurately with Gait analysis.

A Study of the Relationship Between Normal Adults' Resting Calcaneal Stance Position and Postural Sway (정상 성인 휴지종골 입각각도와 자세동요와의 관련성 연구)

  • Lee, Wan-Hee;Lee, Seung-Won
    • Journal of Korean Physical Therapy Science
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    • v.11 no.2
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    • pp.5-17
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    • 2004
  • The purpose of this study was to investigate the relationship between normal adults' resting calcaneal stance position(RCSP) and postural sway. Subjects were 70 normal adults(34 men and 36 women) in their twenties who attend S. University. Postural sway during a single limb stance was measured using the CMS 10 Measuring System when subjects positioned on the balance trainer in their bare foot. RCSP while subjects were standing on the glass plate was measured using the angle tinder after subjects were positioned in prone to divide equally lower leg and calcaneus using the goniometer. The result was as follows. There were significant weak positive correlations between RCSP and postural sway(r=0.362, p<0.01), the leg of the small RCSP within a subject has the small postural sway index($X^2=43.758$, p<0.001). There was no significant difference between groups of rearfoot valgus(RCSp<$2^{\circ}$) and those of rearfoot varus (RCSp>$2^{\circ}$) in the postural sway. In conclusion, there is a weak relationship between increasing the absolute value of RCSP and increasing postural sway.

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Analysis of Upper Limb Joint Angle of Tennis Forehand Stroke (테니스 포핸드 스트로크의 상지관절각도 분석)

  • Kang, Young-Teak;Seo, Kuk-Woong;Sun, Sheng;Lee, Joong-Sook
    • Korean Journal of Applied Biomechanics
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    • v.17 no.3
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    • pp.115-124
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    • 2007
  • The purpose of this study was to analyze the kinematics variables of upper limb joint during forehand stroke by swings patterns. Eight high school tennis players were chosen for the study, who have never been injured for last six months, in Busan. They performed horizontal swing and vertical swing that it was done each five consecutive trial in the condition of square, semi-open and open stance. It was filmed by 6 video camera and used with 3-dimensional motion analyzer system. The following kinematic variables were analyzed in relation to angle of joint(shoulder, elbow and wrist joint). The conclusion were as follow: 1. The angle of right shoulder joint represented all event that both swing were shown similar pattern in swing type and stance pattern. 2. All event in the angle of elbow joint had consistent with that except E2, horizontal and vertical swings in square stance. 3. All event in the angle of wrist joint was show to similar pattern except E2, horizontal and vertical swing in open stance.

The Comparison of Plantar Foot Pressure in Normal Side of Normal People, Affected Side and Less Affected Side of Hemiplegic Patients During Stance Phase (보행 중 입각기 시 정상 성인과 편마비 환자의 환측과 건측의 족저압 분포 비교)

  • Yoon, Hyang-Woon;Lee, Sang-Yeol;Lee, Hyun-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.2
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    • pp.87-92
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    • 2009
  • Objects:The purpose of this study is to investigate the values of foot pressure of the stance phase during a gait cycle in hemiplegic gait. Method:42 patients who had a stroke and 42 healthy adults were evaluated by the RSscan system to analyze the stance phase of hemiplegic gait. The stance phase was evaluated as plantar foor pressure. Results:1) Foot plantar pressure of toe area, affected side and less affected side showed low distribution of the plantar foot pressure which is lower than plantar foot pressure of normal adults(p<0.05). 2) Foot plantar pressure of metatarsal area, showed significantly differences among hemiplesic patient's affected side and less affected side and distribution of plantar foot pressure of normal adults(p<0.05). 3) Foot plantar pressure of heel area, hemiplesic patients' affected side and less affected side showed lower distribution of the plantar foot pressure than plantar foot pressure of normal adults(p<0.05). Conclusion:The results of this study suggest that not only affected side but also less affected side in hemiplegic patients showed significantly differences in distribution of the plantar foot pressure of normal adults.

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Gyro Signal Processing-based Stance Phase Detection Method in Foot Mounted PDR

  • Cho, Seong Yun;Park, Chan Gook
    • Journal of Positioning, Navigation, and Timing
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    • v.8 no.2
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    • pp.49-58
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    • 2019
  • A number of techniques have been studied to estimate the position of pedestrians in indoor space. Among them, the technique of estimating the position using only the sensors attached to the body of the pedestrian without using the infrastructure is regarded as a very important technology for special purpose pedestrians such as the firefighters. In particular, it forms a research field under the name of Pedestrian Dead Reckoning (PDR). In this paper, we focus on a method for step detection which is essential when performing PDR using Inertial Measurement Unit (IMU) mounted on a shoe. Many researches have been done to detect the stance phase where the foot contacts the ground. Most of these methods, however, have a way to detect the specific size of the sensor signal and require thresholds for these methods. This has the difficulty of changing these thresholds if the user is different. To solve this problem, we propose a stance phase detection method that does not require any threshold value. It is expected that this result will make it easier to commercialize the technology because PDR can be implemented without user-dependent parameter setting.

Correlation between Trunk Stabilization Muscle Activation and Gait Parameters (몸통 안정화 근육과 보행요소의 상관관계)

  • Chae, Jung-Byung;Jung, Ju-Hyeon
    • PNF and Movement
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    • v.17 no.1
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    • pp.111-118
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    • 2019
  • Purpose: This study aimed to investigate the correlation between trunk stabilization muscle activation and the parameters of gait analysis in healthy individuals. Methods: Thirty healthy adults (15 male, 15 female) with no history of lower back pain (LBP) or current musculoskeletal and neurological injuries were studied. Trunk stabilization muscle activation (e.g., external oblique, internal oblique, transverse abdominis, erector spinae) were assessed using surface electromyography. To analyze gait, we measured temporal parameters (e.g., gait velocity, single support phase, double support phase, swing phase, and stance phase) and a spatial parameter (e.g., H-H base of support). Results: A statistically significant correlation was found between the internal oblique, transverse abdominis, and erector spinae muscle activity and gait velocity, single support phase, double support phase, swing phase, and stance phase. No statistically significant correlation was found between the external oblique muscle activity and the gait velocity, single support phase, double support phase, swing phase, and stance phase. No statistically significant correlation was found between the external oblique, internal oblique, transverse abdominis, and erector spinae muscle activity and the spatial parameter. Conclusion: This study demonstrated that a relationship exists between trunk stabilization muscle activation and temporal parameter (i.e., gait velocity, single support phase, double support phase, swing phase, and stance phase) during gait analysis. Therefore, the trunk's stabilizer muscles play an important role in the gait of healthy individuals.

The Effect of Animal Physiotherapy on Balance and Walking in Dog with Sciatic Nerve Injury and Degenerative Joint Disease, Case Report

  • Lee, Shinho;Cha, Yuri
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.279-284
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    • 2022
  • Objective: This study was conducted to confirm the effect of physiotherapy on the balance and walking in dog with sciatic nerve injury and degenerative arthritis of stifle joints. Design: Single case study Methods: The dog walked abnormally for six months and was administrated in S animal hospital. The dog's right hindlimb was operated for cranial cruciate ligament repair and the dog had been taking a nonsteroidal anti-inflammatory analgesic before being refered. There was severe degenerated osteoarthritis in the right hindlimb. During stance and walking, the right hindlimb was often shown partial weight bearing. The dog's left hindlimb was shown plantigrade stance and walking. The radiograph was shown an intact calcaneal tendon in the left hindlimb. In the neurologic examination, sciatic nerve injury in the left hindlimb was confirmed. The dog was treated using muscle strengthening, proprioceptive exercise, underwater treadmill and Laser therapy two, or three times a week for 3 months. At the 10th and 17th treatment, it was evaluated through stance and gait analyzer system to measure dog's balance and walking. Results: 3 months following physiotherapy, the dog's balance was improved in center of pressure(COP). And peak vertical force(PVF), vertical impulse(VI) was increased in right hindlimb and double stance was decreased. Conclusions: Physiotherapy may have improved the prognosis in this dog with severe osteoarthritis and sciatic nerve injury. This study suggested that animal physiotherapy is a valuable way to improve balance and walking.

Relationship between 3D Ground Reaction Force and Leg Length Discrepancy during Gait among Standing Workers

  • Kim, Yong-Wook
    • PNF and Movement
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    • v.20 no.1
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    • pp.59-66
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    • 2022
  • Purpose: The aim of this research was to verify the relationship between three-dimensional (3D) ground reaction force (GRF) and severity of leg length discrepancy (LLD) while walking at a normal speed. It used a 3D motion analysis system with force platforms in standing workers with LLD. Methods: Subjects comprising 45 standing workers with LLD were selected. Two force platforms were used to acquire 3D GRF data based on a motion analysis system during gait. Vicon Nexus and Visual3D v6 Professional software were used to analyze kinetic GRF data. The subjects were asked to walk on a walkway with 40 infrared reflective markers attached to their lower extremities to collect 3D GRF data. Results: The results indicated the maximal force in the posterior and lateral direction of the long limb occurring in the early stance phase during gait had significant positive correlation with LLD severity (r = 0.664~0.738, p <0.01). In addition, the maximal force medial direction of the long limb occurring in the late stance phase showed a highly positive correlation with the LLD measurement (r = 0.527, p <0.01). Conclusion: Our results indicate that greater measured LLD severity results in more plantar pressure occurring in the foot area during heel contact to loading response of the stance phase and the stance push-off period during gait.

Assessment of Single-leg Stance Balance Using COP 95% Confidence Ellipse Area (COP 95% Confidence Ellipse Area를 이용한 외발서기 균형 평가)

  • Youm, Chang-Hong;Park, Young-Hoon;Seo, Kuk-Woong
    • Korean Journal of Applied Biomechanics
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    • v.18 no.2
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    • pp.19-27
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    • 2008
  • The purpose of this study was to investigate of assessment of the ability of balance control using COP 95% confidence ellipse area while executing single-leg stance with eyes open and eyes closed through GRF system. The subjects participated in this study were 7 female yoga group and 7 female control group. The yoga training affected to improve the ability of balance control because the yoga group's COP AP and ML standard deviation and COP 95% confidence ellipse area were smaller than control group in both a single-leg stance with eyes open and eyes closed. Visual affected to the ability of balance control in a single-leg stance. I consider COP 95% confidence ellipse area as a high variable for determining the ability of balance control, and therefore suggest that additional studies for various groups and subjects will be required in the future.

Effects of Induced Fatigue of Ankle Joint Muscle on the Capability and Recovery of Postural Control during Single-Leg Stance (발목 관절 근육의 유도된 피로가 외발서기 자세제어 능력과 회복에 미치는 영향)

  • Youm, Chang-Hong;Kim, Tae-Hyeon
    • Korean Journal of Applied Biomechanics
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    • v.22 no.2
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    • pp.219-228
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    • 2012
  • The purpose of this study was to investigate how induced fatigue of the ankle joint muscles affects the capability and recovery of postural control during single-leg stance in healthy adults. The study population included 22 randomly recruited men and women. Postural control was performed on single-leg stance with eyes open. Ankle joint muscle was fatigued by repeated heel raises. According to the results of this study, for the anteroposterior variables, both men and women showed significantly increased center of mass velocity and decreased center of pressure 95% edge frequency immediately after fatigue. For the mediolateral variables, both men and women showed significantly increased center of mass velocity and decreased center of pressure 95% edge frequency immediately after fatigue. For the total variables, both men and women showed significantly increased center of mass averaged-velocity immediately after fatigue, and also, the center of pressure 95% confidence ellipse area significantly increased in women. Postural control variables were not significantly different for men and women at any time (Pre, P0, P10, and P20). In conclusion, the gender does not affect the capability and recovery after induced fatigue of ankle joint muscles. The effect of fatigue found for the anteroposterior and the mediolateral variables in both men and women. Furthermore ankle joint muscle fatigue led to change of postural control strategy from an ankle joint strategy towards a hip joint strategy. These changes are believed to damage postural control. The ankle joint muscle recovered from fatigue within 20 min during single-leg stance.