• The Journal of Korean Physical Therapy
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• v.14 no.4
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• pp.45-54
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• 2002

The purpose of this study was to describe the gait pattern and parameters of the healthy elderly over 65years of age by the GATERite system. The subjects were sorted into two groups, depending on their sex: male and female. And female subjects were sorted into three groups, depending on their age. From time parameters and space parameters of gait cycle, between groups, the following results were made. The time parameters such as cadence, velocity, step time, single support and double support were the less the male than the female. And the higher age, the lower value except 80 age group, while no statistically significant. The space parameters(step length and stride length) were the longer the male than the female, and the higher age, the lower value while no statistically signigicant. The functional ambulation profile was high correlation with time and space parameters statistically significant.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.6 no.2
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• pp.23-30
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• 2012

In this study, we developed a wireless rehabilitation auditory feedback gait training system for symmetrical weight-bearing in patient with CVA. The device consists of an instantaneous shoe equipped with two load-cell sensors. Auditory feedback can be applied according to the weight-bearing. For gait patterns analysis, cadence, walking velocity, stance/swing phase ratio and gait cycle were examined. The clinical test with six healthy volunteers and two hemiplegic patients was performed applying the auditory feedback system. Both normal subjects and hemiplegic patients were increased strength on weight-bearing in affected limb, walking velocity, and cadence after biofeedback device. Also, the stance time with weight-bearing was increased while the swing time was decreased in gait phase. It can be expected that by using the feedback system, the patient with lower limb disorder will be able to reach a better quality of weight-bearing during gait.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.2
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• pp.105-108
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• 2021

Background : Hyperornithinemia-hyperammonemia-homocitrullinuria (HHH) syndrome is a rare, autosomal recessive metabolic disorder which is caused by genetic mutations that disrupt the urea cycle. It is characterized by variable clinical presentation and the age of onset. Patients may present with gait disturbance and progressive paraplegia and muscle tightness in the lower extremities. The use of botulinum toxin in metabolic disease has rarely been discussed. We describe a case of a 14-year-old-boy with HHH syndrome, who presented with a several - month history of gait disturbance and lower extremity weakness. Case presentation : A 14-year old male had a history of recurrent upper respiratory tract infections, occasional vomiting, loss of appetite, and general weakness, all of which started since he was 10 months old. He was diagnosed with HHH syndrome at one year of age. At the age of 14, he was referred for the assessment and treatment of his gait disturbance and aggravated weakness of the lower extremities. Brain MRI, electrodiagnostic study and blood test were performed to exclude any lesions related to neurologic dysfunction. Botulinum toxin type A were injected into muscles of adductor longus, adductor magnus, lateral and medial hamstring, and lateral and medial gastrocnemius muscle heads under needle electromyography guidance to reduce lower limb spasticity. Intensive physical therapy including gait training and stretching exercise of adductor and calf muscles were also provided. After intensive physical therapy and botulinum toxin injection to reduce lower limb spasticity, he was able to ambulate for 20 meters independently without any walking aids. There were no adverse events after the injection. Conclusion : Botulinum toxin injection is a safe and effective therapy for patients with HHH syndrome who suffer from gait disturbance.

• Annals of Rehabilitation Medicine
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• v.42 no.6
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• pp.872-883
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• 2018

Objective To replace camera-based three-dimensional motion analyzers which are widely used to analyze body movements and gait but are also costly and require a large dedicated space, this study evaluates the validity and reliability of inertial measurement unit (IMU)-based systems by analyzing their spatio-temporal and kinematic measurement parameters. Methods The investigation was conducted in three separate hospitals with three healthy participants. IMUs were attached to the abdomen as well as the thigh, shank, and foot of both legs of each participant. Each participant then completed a 10-m gait course 10 times. During each gait cycle, the hips, knees, and ankle joints were observed from the sagittal, frontal, and transverse planes. The experiments were conducted with both a camera-based system and an IMU-based system. The measured gait analysis data were evaluated for validity and reliability using root mean square error (RMSE) and intraclass correlation coefficient (ICC) analyses. Results The differences between the RMSE values of the two systems determined through kinematic parameters ranged from a minimum of 1.83 to a maximum of 3.98 with a tolerance close to 1%. The results of this study also confirmed the reliability of the IMU-based system, and all of the variables showed a statistically high ICC. Conclusion These results confirmed that IMU-based systems can reliably replace camera-based systems for clinical body motion and gait analyses.

• Journal of Institute of Control, Robotics and Systems
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• v.21 no.6
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• pp.518-523
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• 2015

This paper proposes a gait phase classifier using a Recurrent Neural Network (RNN). Walking is a type of dynamic system, and as such it seems that the classifier made by using a general feed forward neural network structure is not appropriate. It is known that an RNN is suitable to model a dynamic system. Because the proposed RNN is simple, we use a back propagation algorithm to train the weights of the network. The input data of the RNN is the lower body's joint angles and angular velocities which are acquired by using the lower limb exoskeleton robot, ROBIN-H1. The classifier categorizes a gait cycle as two phases, swing and stance. In the experiment for performance verification, we compared the proposed method and general feed forward neural network based method and showed that the proposed method is superior.

• Journal of KIISE:Software and Applications
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• v.33 no.5
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• pp.499-507
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• 2006

Recently human gait has been considered as a useful biometric supporting high performance human identification systems. This paper proposes a view-based pedestrian identification method using the dynamic silhouettes of a human body modeled with the Hidden Markov Model(HMM). Two types of gait models have been developed both with an endless cycle architecture: one is a discrete HMM method using a self-organizing map-based VQ codebook and the other is a continuous HMM method using feature vectors transformed into a PCA space. Experimental results showed a consistent performance trend over a range of model parameters and the recognition rate up to 88.1%. Compared with other methods, the proposed models and techniques are believed to have a sufficient potential for a successful application to gait recognition.

• Archives of design research
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• v.14 no.3
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• pp.211-220
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• 2001

The general characteristics of the elder gait are to show a tendency that stride length and cycle decrease compared with those of adult, then walk velocity decreases. Despite differences by age in design of elder footwear, the study on characteristics of elderly gait is few. This study aims to compare pressure distributions of elderly foot with those of young students by using EMED. The ground contact time on foot was longer than that of university students in Result. Elderly males and females have 1.12 times and 1.20 times greater maximum force over the whole areas on the foot during walking than that of younger males and females, respectively. The elderly have long ground contact time at the middle foot. The guidelines which should be considered in designing shoes for the elderly are proposed. The results can be applied to design of the elder footwear on the basis of ergonomics.

• 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.

• Journal of Korean Physical Therapy Science
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• v.26 no.2
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• pp.46-50
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• 2019

Background: The purpose of present study is to effect of arm swing on uphill road gait in healthy adults. Design: Cross-sectional study. Methods: This study was Participated in 15 healthy subjects. The subjects were allowed to walk uphill, about 10m from the line drawn on the floor. The subject stood at the starting line and started by pressing the start button with the signal "start", and I pressed Stop at the last incoming point. Walking with and without arm swing was measured twice in random draws. Results: Walking path with arm swing showed good results in walking path duration, cadence, speed, stride length, and Gait cycle duration rather than uphill walk without arm swing. Conclusion: As a results of this study, The arm swing is important in getting uphill.

• Korean Journal of Applied Biomechanics
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• v.29 no.1
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• pp.9-13
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• 2019

Objective: The aim of this study was to compare gait patterns of elementary school male students in higher grades according to their character styles. Method: 4 extroverted character male subjects (height: $141.35{\pm}7.75cm$, weight: $43.65{\pm}5.80kg$) and 4 introverted character male subjects (height: $145.38{\pm}8.94cm$, weight: $42.15{\pm}10.71kg$) participated in this study. Results: As for walk styles of elementary school male students in higher grades according to their character patterns, there was not significant differences in gait cycle, stride width, stride length and walking speed. According to examination of average ratio of maximum vertical ground reaction force according to their characters divided by weight, elementary school male students in higher grades with extroverted character showed 114.69% of weight and students with introverted character showed 122.82% of weight, which exhibited that students with introverted character had larger ratio as much as 8.13% than students with extroverted character. The statistical significance level was 0.000 showing significant difference. Conclusion: Our results indicated that male students in higher grades with introverted character press ground hard and walk with strong steps. On the other hand, male students with extroverted character walk with light steps.