Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Stair Climbing Using Wearable Robot Bot Fit's Resistance

  • Jang-hoon Shin (Applied Physical Therapy Lab, Department of Physical Therapy, College of Future Convergence, Sahmyook University) ;
  • Hwang-Jae Lee (Bot Fit T/F, New Biz T/F, Samsung Electronics) ;
  • Dokwan Lee (Bot Fit T/F, New Biz T/F, Samsung Electronics) ;
  • Wan-hee Lee (Applied Physical Therapy Lab, Department of Physical Therapy, College of Future Convergence, Sahmyook University)
  • Received : 2024.05.29
  • Accepted : 2024.06.27
  • Published : 2024.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The purpose of this study is to confirm the exercise effect when combining wearable exercise assist robot, Bot fit's resist mode (Samsung Electronics) and stair climbing. Design: Cross-section study Methods: Targeting 53 adults and seniors, foot pressure and muscle activity were measured when climbing 3-story stairs using foot pressure measurement equipment (W-insole Science System) and surface muscle activity measurement equipment (sEMG; FreeEMG, BTS Bioengineering, Italy) using Bot Fit's resist mode. All subjects were measured without wearing Bot Fit, and the data between the two conditions were compared and analyzed. Results: The front area(p<0.01) and middle area(p<0.05) foot pressures of adults significantly increased when wearing the Bot fit. Frontal area foot pressure significantly increased in elderly people with knee arthritis and obesity(p<0.05). The gastrocnemius activity in all subjects significantly decreased after wearing Bot Fit(p<0.01). In elderly people with knee arthritis, the muscle activity of the rectus femoris was significantly reduced(p<0.05)., and in obese elderly people, the muscle activity of the gastrocnemius muscle was significantly reduced(p<0.05). Conclusions: Based on the results of this study, it is possible to induce correct stair climbing posture when climbing stairs using Bot fit resistance mode. In particular, it is expected to be an effective exercise for strengthening muscle endurance by increasing the activity of the rectus femoris muscle.

Keywords

Acknowledgement

This study was supported by Samsung Electronics (202400020001).

References

  1. Grinin L, Grinin A, Korotayev A. Global Aging: An Integral Problem of the Future. How to Turn a Problem into a Development Driver? Reconsidering the Limits to Growth: A Report to the Russian Association of the Club of Rome: Springer; 2023. p. 117-35. 
  2. Papadopoulou SK. Sarcopenia: a contemporary health problem among older adult populations. Nutrients. 2020;12(5):1293. 
  3. Meier NF, Lee D-c. Physical activity and sarcopenia in older adults. Aging Clin Exp Res. 2020;32:1675-87. 
  4. Scarborough DM, Krebs DE, Harris BA. Quadriceps muscle strength and dynamic stability in elderly persons. Gait Posture. 1999;10(1):10-20. 
  5. Ahmadiahangar A, Javadian Y, Babaei M, Heidari B, Hosseini S, Aminzadeh M. The role of quadriceps muscle strength in the development of falls in the elderly people, a cross-sectional study. Chiropr Man Therap. 2018;26:1-6. 
  6. Kooiker L, Van De Port IG, Weir A, Moen MH. Effects of physical therapist-guided quadriceps-strengthening exercises for the treatment of patellofemoral pain syndrome: a systematic review. J Orthop Sports Phys Ther. 2014;44(6):391-402. 
  7. Paffenbarger Jr R, Lee IM, Leung R. Physical activity and personal characteristics associated with depression and suicide in American college men. Acta Psychiatrica Scandinavica. 1994;89:16-22. 
  8. Boreham CA, Wallace WF, Nevill A. Training effects of accumulated daily stair-climbing exercise in previously sedentary young women. Prev Med. 2000;30(4):277-81. 
  9. Shin J-h, Byeon N, Yu H, Yun G, Kim H, Park H-K, et al. CLINICAL EFFECTS OF WALKING EXERCISE PROGRAM FOR OLDER ADULTS APPLIED WITH AN EXERCISE ASSIST ROBOT (BOT FIT): A randomized Controlled Trial. J Bodyw Mov Ther. 2024. 
  10. Shin J-h, Byeon N, Yu H, Yun G, Kim H, Lim S, et al. Effect of 4-weeks exercise program using wearable hip-assist robot (EX1) in older adults: one group pre-and post-test. BMC Geriatr. 2023;23(1):724. 
  11. Fernandez M, Gobartt AL, Balana M, Group CS. Behavioural symptoms in patients with Alzheimer's disease and their association with cognitive impairment. BMC Neurol. 2010;10:1-9. 
  12. Barbero M, Merletti R, Rainoldi A. Atlas of muscle innervation zones: understanding surface electromyography and its applications: Springer Science & Business Media; 2012. 
  13. Stoquart G, Detrembleur C, Lejeune T. Effect of speed on kinematic, kinetic, electromyographic and energetic reference values during treadmill walking. Neurophysiologie Clinique/Clinical Neurophysiology. 2008;38(2):105-16. 
  14. Kang B-R, Her J-G, Lee J-S, Ko T-S, You Y-Y. Effects of the computer desk level on the musculoskeletal discomfort of neck and upper extremities and EMG activities in patients with spinal cord injuries. Occup Ther Int. 2019;2019. 
  15. Rao S, Carter S. Regional plantar pressure during walking, stair ascent and descent. Gait Posture. 2012;36(2):265-70. 
  16. Raspudic V, editor Analysis of vertical ground reaction force and center of pressure during stair climbing. CMBEBIH 2019: Proceedings of the International Conference on Medical and Biological Engineering, 16-18 May 2019, Banja Luka, Bosnia and Herzegovina; 2020: Springer. 
  17. Segel JD, Crawford S, editors. Anatomy of the COP gait line and computer-aided gait analysis. PM's Tech Forum/Orthotics & Biomechanics; 2014: Podiatry Management Philadelphia, PA. 
  18. Mitchell RJ, Lord SR, Harvey LA, Close JC. Associations between obesity and overweight and fall risk, health status and quality of life in older people. Aust N Z J Public Health. 2014;38(1):13-8. 
  19. Ozturk ZA, Turkbeyler IH, Abiyev A, Kul S, Edizer B, Yakaryilmaz FD, et al. Health-related quality of life and fall risk associated with age-related body composition changes; sarcopenia, obesity and sarcopenic obesity. Intern Med J. 2018;48(8):973-81. 
  20. Watanabe K, Kouzaki M, Moritani T. Effect of aging on regional neuromuscular regulation within human rectus femoris muscle during stair ascent and descent. Gait Posture. 2017;52:26-32. 
  21. Andriacchi T, Andersson G, Fermier R, Stern D, Galante J. A study of lower-limb mechanics during stair-climbing. JBJS. 1980;62(5):749-57. 
  22. Takahashi S, Hoshino M, Ohyama S, Hori Y, Yabu A, Kobayashi A, et al. Relationship of back muscle and knee extensors with the compensatory mechanism of sagittal alignment in a community-dwelling elderly population. Sci Rep. 2021;11(1):2179. 
  23. McGibbon CA, Krebs DE. Compensatory gait mechanics in patients with unilateral knee arthritis. The Journal of rheumatology. 2002;29(11):2410-9.