• 대한통합의학회지
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• 제11권3호
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• pp.147-157
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• 2023

Purpose : Stroke patients exhibit considerable variations in gait patterns. Stroke patients generally show abnormal muscle tone and gait. This study was performed to evaluate the effects of treadmill gait training combined with muscle tone control technique (TM) on gait ability in patient with chronic stroke. Methods : A single-blind, randomized controlled trial was conducted with 36 patient with chronic stroke. They were randomly allocated 2 groups; treadmill gait training combined with muscle tone control technique group (TM group; n=18) and conservative treatment group (CG group; n=18). The TM group received 15 minutes muscle tone control technique and 15 minute treadmill gait training. In the conservative treatment group received 30 minutes conservative physical therapy. Each group performed 30 minutes a day 3 times a week for 8 weeks. The primary outcome gait ability were measured by gait measurement system (Optogait, Microgate, Italy) and 10 m walking test (10MWT). An independent t-test was used to statistically analyze the pre-test and pos-ttest gait ability results. Results : Both groups demonstrated significant improvement of outcome in gait ability during intervention period. TM group showed significant differences in gait ability as compared to the CG groups (p<.05). TM group showed significant differences in 10MWT as compared to the CG groups (p<.05). Our results showed that TM was more effective on gait ability in patients with chronic stroke. Conclusion : Our findings of this study confirmed that the treadmill gait training combined with muscle tone control technique provided significant improvements on gait ability in patient with chronic stroke. Therefore treadmill gait training combined with muscle tone control technique may positive influenced gait ability. This study will be able to be used as an intervention data for recovering gait ability in patients with chronic stroke.

• 한국운동역학회지
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• 제21권4호
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• pp.495-501
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• 2011

The purpose of this study was to develop the inertial sensor module system to detect gait event using single angular rate sensor(gyroscope), and evaluate the accuracy of this system. This sensor module is attached at the heel and gait events such as heel strike, foot flat, heel off, toe off are detected by using proposed automatic event detection algorithm. The developed algorithm detect characteristics of pitch data of the gyroscope to find gait event. To evaluate the accuracy of system, 3D motion capture system was used and synchronized with sensor module system for comparison of gait event timings. In experiment, 6 subjects performed 5 trials level walking with 3 different conditions such as slow, preferred and fast. Results showed that gait event timings by sensor module system are similar to that by kinematic data, because maximum absolute errors were under 37.4msec regardless of gait velocity. Therefore, this system can be used to detect gait events. Although this system has advantages of small, light weight, long-term monitoring and high accuracy, it is necessary to improve the system to get other gait information such as gait velocity, stride length, step width and joint angles.

• PNF and Movement
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• 제20권1호
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• pp.135-145
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• 2022

Purpose: The purpose of this study was to investigate the association between cognitive and motor inhibition by comparing muscle activity and ground reaction force during unplanned gait termination according to reaction time measured through the stop-signal task. Methods: Sixteen young adults performed a stop-signal task and an unplanned gait termination separately. The subjects were divided into fast and slow groups based on their stop-signal reaction time (SSRT), as measured by the stop-signal task. Electromyography (EMG) and ground reaction force (GRF) were compared between the groups during unplanned gait termination. The data for gait termination were divided into three phases (Phase 1 to 3). The Mann-Whitney U test was used to compare spatiotemporal gait parameters and EMG and GRF data between groups. Results: The slow group had significantly higher activity of the tibialis anterior in Phase 2 and Phase 3 than the fast group (p <0.05). In Phase 1, the fast group had significantly shorter time to peak amplitude (TPA) of the soleus than the slow group (p <0.05). In Phase 2, the TPA of the tibialis anterior was significantly lower in the fast group than the slow group (p <0.05). In Phase 3, there was no significant difference in the GRF between the two groups (p >0.05). There were no significant difference between the two groups in the spatiotemporal gait parameters (p >0.05). Conclusion: Compared to the slow group, the fast group with cognitive inhibition suppressed muscle activity for unplanned gait termination. The association between SSRT and unplanned gait termination shows that a participant's ability to suppress an incipient finger response is relevant to their ability to construct a corrective gait pattern in a choice-demanding environment.

• 대한인간공학회지
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• 제25권2호
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• pp.33-42
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• 2006

It is important to analyze the characteristics of normal gait in clinical and biomechanical aspects. Although gait characteristics can be varied by anthropometric, racial and cultural factors, normal gait studies have been performed mostly for Western people. The present study conducted a gait analysis for Korean young adults and compared the gait characteristics with those of Western people for the establishment of Korean normal gait data. A total of thirty-two adults in twenties(20 males and 12 females) were participated in the gait experiment and their spatio-temporal and kinematic/kinetic gait characteristics were analyzed. The comparison of the gait characteristics between Korean and Western people, revealed that the stride length and walking speed of Korean were significantly smaller than those of Western people by 0.1~0.3m and 0.15~0.40m/s respectively. And the knee abduction moment of Korean was larger than that of Western people, while the other moments(such as hip flexion/extension moments, abduction/adduction moments, and knee flexion/extension moments) were smaller than those of Western people. The ranges of joint angles between the gait studies were largely different with each other, but most of motion patterns and excursions were similar.

• 한방재활의학과학회지
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• 제24권3호
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• pp.149-155
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• 2014

Objectives This study was designed to investigate the correlation between the difference of pelvic height and difference of gait balance. Methods 62 cases of patients who received treatment from January 2011 to March 2014 for abnormal postures were analyzed. Their difference of pelvic height were estimated by whole spine X-ray analysis and gait balance were estimated by Treadmill Gait Analysis system. The data were analyzed to find out correlation between difference of pelvic height and difference of gait balance, and correlation between the position of pelvic tilt and gait balance higher side. Pearson correlation and Chi-square analysis were used. Results Pelvic height heigher side were more left than right side, and gait balance higher side were also more left than right side. Difference of pelvic height and difference of gait balance had a positive linear relationship, but there was no significant correlation. The position of pelvic tilt had significant correlation with gait balance higher side. Conclusions The position of pelvic tilt had significant correlation with gait balance higher side and difference of pelvic height had no significant correlation with difference of gait balance.

• 대한물리치료과학회지
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• 제4권4호
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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).

• 제어로봇시스템학회논문지
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• 제21권5호
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• pp.401-406
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• 2015

In this study, the gait imbalance evaluation algorithm based on two axes angle using encoder is proposed. This experiment was carried out to experiment with a healthy adult male to 10 people. The device is attached to the hip and knee joint in order to measure the angle during the gait. Normal and imbalance gait angle data were measured using an encoder attached to the hip and knee joints. Also, in order to verify the reliability of estimation of asymmetrical gait using hip and knee angle, it was compared with the result of asymmetrical gait estimation using foot pressure. SI (Symmetry Index) was used as an index for determining the gait imbalance. As a result, normal gait and 1.5cm imbalance gait were evaluation as normal gait through SI using an encoder. And imbalance gait of 3cm, 4cm, and 6cm were judge by imbalance gait. Whereas all gait experiments except normal gait were evaluation as imbalance gait through SI using the pressure. It was possible to determine both the normal gait and imbalance gait through measurement for the angle and the pressure.

• 한국정밀공학회지
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• 제22권3호
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• pp.170-178
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• 2005

The purpose of this study is to develop a gait-event detection system, which is necessary for the cycle-to-cycle FES control of locomotion. Proposed gait event detection system consists of a signal measurement part and gait event detection part. The signal measurement was composed of the sensors and the LabVIEW program for the data acquisition and synchronization of the sensor signals. We also used a video camera and a motion capture system to get the reference gait events. Machine learning technique with ANN (artificial neural network) was adopted for automatic detection of gait events. 2 cycles of reference gait events were used as the teacher signals for ANN training and the remnants ($2\sim5$ cycles) were used fur the evaluation of the performance in gait-event detection. 14 combinations of sensor signals were used in the training and evaluation of ANN to examine the relationship between the number of sensors and the gait-event detection performance. The best combinations with minimum errors of event-detection time were 1) goniometer, foot-switch and 2) goniometer, foot-switch, accelerometer x(anterior-posterior) component. It is expected that the result of this study will be useful in the design of cycle-to-cycle FES controller.

• 대한물리치료과학회지
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• 제15권3호
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• pp.1-8
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• 2008

The purpose of this study was to compare the relationship among the Dynamic Gait Index(DGI), Berg Balance Scale(BBS) scores, Timed Up & Go Test(TUG), and subject characteristics. The subjects were fifteen stroke with hemiplegia were chosen in the Konyang University Hospital. Dynamic balance was measured Dynamic Gait Index(DGI), and balance was measured using Berg Balance Scale(BBS). Timed Up & Go Test(TUG) was used to evaluate functional mobility. Data were analyzed using Spearman correlation. There was significant correlated among Dynamic Gait Index(DGI), Berg Balance Scale(BBS) and Timed Up & Go Test(TUG)(p<.01). The correlation among subject characteristics and Dynamic Gait Index(DGI), Berg Balance Scale(BBS), Timed Up & Go Test(TUG) score was significant result in r = -.527 from Dynamic Gait Index(DGI) and pathogenesis(p<.05). There were no significant statistical differences among the types of spasticity and Dynamic Gait Index(DGI), Berg Balance Scale(BBS), Timed Up & Go Test(TUG). The comparison among the sex, type of hemiplegia, pain, pathogenesis and Dynamic Gait Index(DGI), Berg Balance Scale(BBS), Timed Up & Go Test(TUG) score was significant result in pathogenesis(p<.05). The results of this study showed that there was high correlations among the Dynamic Gait Index(DGI) and balance test of people with stroke.

• 대한물리의학회지
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• 제13권3호
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• pp.19-25
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• 2018

PURPOSE: Most gait assessment tools are expensive and require controlled laboratory environments. Tri-axial accelerometers have been used in gait analysis as an alternative to laboratory assessments. Many smartphones have added an accelerometer, making it possible to assess spatio-temporal gait parameters. This study was conducted to confirm the reliability and validity of a smartphone-based accelerometer at quantifying spatio-temporal gait parameters of stroke patients when attached to the body. METHODS: We measured gait parameters using a smartphone accelerometer and gait parameters through the GAITRite analysis system and the reliability and validity of the smartphone-based accelerometer for quantifying spatio-temporal gait parameters for stroke patients were then evaluated. Thirty stroke patients were asked to walk at self-selected comfortable speeds over a 10 m walkway, during which time gait velocity, cadence and step length were computed from smartphone-based accelerometers and validated with a GAITRite analysis system. RESULTS: Smartphone data was found to have excellent reliability ($ICC2,1{\geq}.98$) for measuring the tested parameters, with a high correlation being observed between smartphone-based gait parameters and GAITRite analysis system-based gait parameters (r = .99, .97, .41 for gait velocity, cadence, step length, respectively). CONCLUSION: The results suggest that specific opportunities exist for smartphone-based gait assessment as an alternative to conventional gait assessment. Moreover, smartphone-based gait assessment can provide objective information about changes in the spatio-temporal gait parameters of stroke subjects.