• 제목/요약/키워드: Gait performance

검색결과 263건 처리시간 0.023초

The immediate effects of patellar taping on balance and gait ability in individuals with chronic stroke

  • Shin, Jin;Mun, Mee-Hyang;Chung, Yijung
    • Physical Therapy Rehabilitation Science
    • /
    • 제3권2호
    • /
    • pp.125-133
    • /
    • 2014
  • Objective: The aim of this study is to investigate the effect of patellar taping on balance and gait abilities in chronic stroke patients. Design: Randomized placebo-controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recruited from R hospital. These study subjects were randomized to the experimental group (n=15) or placebo group (n=15). In the experimental group, patellar taping was applied while for the placebo group, placebo taping was applied. The Balance System SD was used for measuring dynamic standing balance in these two groups. In addition, the GAITRite (CIR System Inc.) system was utilized for calculating gait performance in these patients. Results: After application of taping, the patellar taping group showed a significant decrease in dynamic standing balance in their sway area (p<0.05). However, in the placebo group, there was no significant difference in dynamic standing balance ability and gait ability before and after application of taping. Comparison of the patellar taping group and placebo group showed significant differences in dynamic standing balance ability and gait performance (p<0.05). Conclusions: From the results of this study, it appears that application of patellar taping in chronic stroke patients significantly improved dynamic standing balance ability and gait ability in these patients. Based on these results, patellar taping is thought to be useful in real clinical settings where there are many chronic patients who are in need of improvement in their balance and gait ability.

The Effects of Sciatic Nerve Mobilization on Hamstring Flexibility, Lower Limb Strength and Gait Performance in Patients With Chronic Stroke

  • Shin, Yun-hyeok;Chon, Seung-chul
    • 한국전문물리치료학회지
    • /
    • 제22권4호
    • /
    • pp.8-16
    • /
    • 2015
  • The purpose of this study was to evaluate the effects of mobilization of the sciatic nerve on hamstring flexibility, lower limb strength, and gait performance in patients with chronic stroke. This study was a randomized clinical trial with a crossover design. Sixteen subjects were recruited for this study. The subjects were randomly divided into two intervention groups and underwent either of the following two interventions: sciatic nerve mobilization or static stretching of the hamstring. We assessed hamstring flexibility, lower limb strength, and gait performance using a digital inclinometer, a hand-held dynamometer, and the 10-meter walk test, respectively. Subjects had a 24-hour rest period between each session in order to minimize carryover effects. Measurements for each test were assessed prior to and immediately after the intervention sessions. Using a two-way analysis of variance test with repeated measures, data from the two trials were analyzed by comparing the differences between both techniques. The level of statistical significance was set at .05. Sciatic nerve mobilization resulted in significantly better knee extensor strength (p=.023, from $15.32{\pm}5.98$ to $18.16{\pm}6.95kg$) and knee flexor strength (p=.011, from $7.80{\pm}4.80$ to $8.15{\pm}4.24kg$) in the experimental group than in the control group. However, no significant effects of static stretching of the hamstring were observed on hamstring flexibility from the ankle plantar flexion (p=.966) and ankle neutral positions (p=.210) and on gait performance (p=.396). This study indicated that the sciatic nerve mobilization technique may be more effective in muscle activation of the knee extensor muscle and knee flexor muscle than hamstring static stretching technique in patients with chronic stroke.

체중심 가속도와 풋스위치를 이용한 편마비 환자의 시공간 보행인자 검출 (Detection of spatia-temporal gait parameter for hemiplegic patients based on an accelerometer and footswitches (Preliminary study))

  • 이효기;이경중;김영호;박시운
    • 대한전기학회:학술대회논문집
    • /
    • 대한전기학회 2005년도 학술대회 논문집 정보 및 제어부문
    • /
    • pp.542-544
    • /
    • 2005
  • This paper describes the detection of spatio-temporal parameter using an accelerometer and footswitches to evaluate a symmetry and balance of hemiplegic patients. We detected gait data using a 3-axis accelerometer that mounted between L3 and IA intervertebral area and footswitches made by FSR-Sensor attached insole. To minimize the error of the gait parameters to be detected incorrectly in case of using only accelerometer, we enhancement the performance of detection by measuring an accelerometer and foots witches data at the same time. So, it was possible to detect more accurate gait parameters. As a result, we can confirm the symmetry and balance of hemiplegic patients. In the future. these results could be used to evaluate the walking ability in hemiplegic patients in clinical pratice.

  • PDF

Mulligan 테이핑 프로그램이 건강한 성인의 보행에 미치는 효과 (Effect of a Mulligan Taping Programon Gait Parameters in Healthy Adults)

  • 마상렬;이수연
    • PNF and Movement
    • /
    • 제11권1호
    • /
    • pp.63-68
    • /
    • 2013
  • Purpose : The purpose of this study was to examine changes in spatiotemporal gait parameters(STGPs) in healthy adults before and after a immediate intervention of a Mulligan taping program(MTP). Methods : A total of 12 healthy adults(mean age, 20.82 years; age range, 19-24 years) participated in the study. performance was assessed by recording changes in the STGPs using GaitRite. comparisons of changes in the STGPs at pre-intervention and at dischange were analyzed using the Wilcox signed rank test and Mann-Whithney U test. Results : There was a significant improvement in the outcome measures of STGPs(stride length, velocity) after immediate of MTP(p<0.05). However, no significant different pre-test and post-test step width, toe angle(p>0.05). Conclusion : Participants in a MTP improves STGPs, thereby increasing the ability of healthy adults to maintain gait. MTP appears to be a safe and efficacious, noninvasive treatment modality for patients with knee joint disease.

얼굴과 발걸음을 결합한 인식 (Fusion algorithm for Integrated Face and Gait Identification)

  • Nizami, Imran Fareed;Hong, Sug-Jun;Lee, Hee-Sung;Ann, Toh-Kar;Kim, Eun-Tai;Park, Mig-Non
    • 한국지능시스템학회:학술대회논문집
    • /
    • 한국지능시스템학회 2007년도 추계학술대회 학술발표 논문집
    • /
    • pp.15-18
    • /
    • 2007
  • Identification of humans from multiple view points is an important task for surveillance and security purposes. For optimal performance the system should use the maximum information available from sensors. Multimodal biometric systems are capable of utilizing more than one physiological or behavioral characteristic for enrollment, verification, or identification. Since gait alone is not yet established as a very distinctive feature, this paper presents an approach to fuse face and gait for identification. In this paper we will use the single camera case i.e. both the face and gait recognition is done using the same set of images captured by a single camera. The aim of this paper is to improve the performance of the system by utilizing the maximum amount of information available in the images. Fusion is considered at decision level. The proposed algorithm is tested on the NLPR database.

  • PDF

Modeling and Posture Control of Lower Limb Prosthesis Using Neural Networks

  • Lee, Ju-Won;Lee, Gun-Ki
    • Journal of information and communication convergence engineering
    • /
    • 제2권2호
    • /
    • pp.110-115
    • /
    • 2004
  • The prosthesis of current commercialized apparatus has considerable problems, requiring improvement. Especially, LLP(Lower Limb Prosthesis)-related problems have improved, but it cannot provide normal walking because, mainly, the gait control of the LLP does not fit with patient's gait manner. To solve this problem, HCI((Human Computer Interaction) that adapts and controls LLP postures according to patient's gait manner more effectively is studied in this research. The proposed control technique has 2 steps: 1) the multilayer neural network forecasts angles of gait of LLP by using the angle of normal side of lower limbs; and 2) the adaptive neural controller manages the postures of the LLP based on the predicted joint angles. According to the experiment data, the prediction error of hip angles was 0.32[deg.], and the predicted error of knee angles was 0.12[deg.] for the estimated posture angles for the LLP. The performance data was obtained by applying the reference inputs of the LLP controller while walking. Accordingly, the control performance of the hip prosthesis improved by 80% due to the control postures of the LLP using the reference input when comparing with LQR controller.

활동관찰 훈련이 편마비 환자의 보행지수에 미치는 영향 (The Effect of Action Observation on Gait in Hemiparesis Patients)

  • 김진섭
    • 한국산학기술학회논문지
    • /
    • 제13권8호
    • /
    • pp.3610-3617
    • /
    • 2012
  • 본 연구는 활동관찰 훈련이 편마비 환자의 보행에 미치는 영향에 대하여 평가하였다. 본 연구에 참여자는 실험군 10명과 대조군 10명으로 무작위로 배정되었다. 두 그룹 모두 중추신경계 발달 치료를 6주 동안 1회당 1시간씩 주당 6회 훈련을 받았다. 실험군은 활동 관찰훈련을 6주 동안 1회당 10분씩 주당 3회를 중추신경계 발달치료와 병행하여 훈련받았다. 실험군과 대조군은 보행속도, 마비측 보장, 비마비측 보장, 마비측 활보장, 비마비측 활보장, 두발지지기, 분속수, 일어나 걸어가기 검사를 평가하였다. 활동관찰 훈련을 실시한 그룹에서 편마비 환자의 보행속도, 마비측 보폭, 마비측 활보장, 분속수, 일어나 걸어가기 검사에서 유의하게 향상되었다. 위의 결과를 통하여 활동관찰 훈련은 편마비 환자의 보행 능력을 향상하는 데 효과가 있음을 확인하였다. 따라서 활동관찰 훈련 결과는 편마비 환자들에게 유용하고 적절한 훈련으로 제안할 수 있을 것이다.

Gait-Based Gender Classification Using a Correlation-Based Feature Selection Technique

  • Beom Kwon
    • 한국컴퓨터정보학회논문지
    • /
    • 제29권3호
    • /
    • pp.55-66
    • /
    • 2024
  • 성별 분류 기술은 법의학, 감시 시스템, 인구 통계 연구 등 다양한 분야에서 활용될 수 있기 때문에, 연구자들로부터 많은 관심을 받고 있다. 남성과 여성의 보행 사이에는 서로 구별되는 특징이 있다는 것이 기존 연구들에서 밝혀지면서, 3차원 보행 데이터에서 성별을 분류하는 다양한 기술들이 제안됐다. 하지만, 기존 기술들을 사용해 3차원 보행 데이터로부터 추출한 보행 특징 중에는 서로 유사 또는 중복되거나 성별 분류에 도움이 되지 않는 특징들도 있다. 이에 본 연구에서는 상관관계 기반 특징 선별 기술을 활용해, 성별 분류에 도움이 되는 특징들을 선별하는 방법을 제안한다. 그리고 제안하는 특징 선별 기술의 효용성을 입증하기 위해서, 인터넷상에 공개된 3차원 보행 데이터 세트(Dataset)를 활용하여 제안하는 특징 선별 기술을 적용하기 전과 후에 대해 성별 분류 모델들의 성능을 비교 분석하였다. 실험에는 이진 분류 문제에 적용할 수 있는 여덟 가지의 머신러닝 알고리즘(Machine Learning Algorithms)을 활용하였다. 실험 결과, 제안하는 특징 선별 기술을 사용하면 성별 분류 성능은 유지하면서, 특징의 개수를 82개에서 60개까지, 22개를 줄일 수 있다는 것을 입증하였다.

시각차단 균형훈련이 뇌졸중 환자의 보행기능에 미치는 영향 (The Effects of Balance Training with Visual Cue Deprivation on Gait Function in Patients with Stroke)

  • 문성준;김용욱;김태호
    • 대한물리의학회지
    • /
    • 제7권4호
    • /
    • pp.411-421
    • /
    • 2012
  • PURPOSE: The purpose of this study was to investigate the effect of balance rehabilitation training with the visual cue deprivation on gait function in stroke patients in comparison with balance training without the visual cue deprivation. METHODS: Twenty two stroke patients participated in this study. Patients were randomly assigned to one of the two balance training program with and without the visual cue deprivation. Balance training session for each group lasted 50 minutes, 3 times a week for a total of 6 weeks. Gait function was measured with the Functional Gait Assessment (FGA), the self-selective comfortable gait speed (CGS), the maximal gait speed (MGS), and the Gait Analysis System. Temporal and spatial gait parameters of each evaluation were measured before and after the balance training program respectively. RESULTS: After the program, the visual cue deprivation group improved significantly in the FGA, the CGS, the gait velocity, the step time, the step length, the stride length, and the Functional Ambulation Performance (FAP) in comparison with the balance training group with the visual cue (p<.05). CONCLUSION: The gait function of the participants with the visual cue deprivation showed more improvement after the balance training program compared to the patients group without the visual cue deprivation, Therefore, the balance training program with the visual cue deprivation may be useful for rehabilitation of patients with chronic stroke.

정지신호과제의 수행에 따른 보행정지 시 다리 근전도 및 지면반발력 비교 (Comparison of Lower Extremity Electromyography and Ground Reaction Force during Gait Termination according to the Performance of the Stop Signal Task)

  • 구동균;권중원
    • PNF and Movement
    • /
    • 제20권1호
    • /
    • pp.135-145
    • /
    • 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.