• 한국응용과학기술학회지
• /
• 제37권2호
• /
• pp.206-213
• /
• 2020

보행 시 하이힐 굽 높이에 따른 구간별 차이를 비교하고, 하지관절의 가동범위가 보행 시간에 미치는 영향을 알아보고자 하였다. 20대 여대생 10명이 연구에 참여하였고, 굽 높이에 따라 3차원 보행분석을 통하여 변인을 산출하였다. 통계방법으로 세가지 굽높이에 따른 차이는 일원변량분석을 실시하였고, 보행시간이 하지관절에 미치는 영향은 다중회귀분석을 실시하였다. 연구결과로 보행 시 구간 2는 굽이 높을수록 보행시간이 길게 나타났지만, 구간 3은 굽이 높을수록 보행시간이 짧게 나타났다. 보행시간이 하지관절 가동범위에 미치는 영향을 분석한 결과 구간 2는 1 cm에서 발목관절, 무릎관절, 5 cm는 발목관절의 가동범위가 클수록 보행시간이 길어졌다. 구간 3은 1 cm에서 고관절 가동범위가 클수록 보행시간이 길어졌고, 10 cm는 발목관절 가동범위가 작을수록 보행시간이 길어졌다. 따라서 굽 높이 신발의 경우 발목관절의 제어가 중요성이 변인으로 판단된다.

• 대한물리치료과학회지
• /
• 제7권2호
• /
• pp.607-613
• /
• 2000

Objective: This study is designed to examine how an application of a kinesio taping to the foot drop of a hemiplegic patient affects the functional recovery of a gait. Method: The patient was a man with left hemiplegia of about 11 months' duration. a single subject design (ABAB design) was used to investigate the timing difference at a stance phase between an unaffected side and an affected side in the gait ability of the hemiplegic patient by using the kinesio taping. The study was divided into four phase: an initial base-line, an experimental, a second base-line, and second experimental phase. Result: The timing difference at a stance phase between an unaffected side and an affected side in the gait was decreased in the case of the affected side by following the result of applying the kinesio taping to a lower extremity. Conclusion: The kinesio taping applied to the foot drop of a hemiplegic patient affects the improvement of the gait ability.

• Journal of Magnetics
• /
• 제20권2호
• /
• pp.129-132
• /
• 2015

The aim of the present study was to examine whether repetitive transcranial magnetic stimulation (rTMS) can improve gait ability of acute stage stroke patients. This study was conducted with 39 subjects who were diagnosed as having a hemiparesis due to stroke. The experimental group included 20 subjects who underwent repetitive transcranial magnetic stimulation and the control group included 19 subjects who underwent sham therapy. The stroke patients in the experimental group underwent conventional rehabilitation therapy and rTMS was applied daily to the hotspot of the lesional hemisphere. The stroke patients in the control group underwent sham rTMS and conventional rehabilitation therapy. Participants in both groups received therapy five days per week for four weeks. Temporospatial gait characteristics, such as stance phase, swing phase, step length in affected side, velocity, and cadence, were assessed before and after the four week therapy period. A significant difference was observed in post-treatment gains for the step length in the affected side, velocity, and cadence between the experimental group and control group ( p < 0.05). However, no significant differences were observed between the two groups on stance phase and swing phase ( p > 0.05). We conclude that rTMS may be beneficial in improving the effects of acute stage stroke on gait ability.

• PNF and Movement
• /
• 제16권2호
• /
• pp.179-185
• /
• 2018

Purpose: This study aimed to analyze the visual and spatial elements of the gait of a stroke patient who had diverse ankle weight loads applied, according to weight changes. Methods: The subject was a 57-year-old stroke patient diagnosed and hospitalized with a left intracerebral hemorrhage. A weight equivalent to 0%, 1%, and 2% of his body weight was applied to the area 5cm upward from the ankle using a Velcro strap. He was then trained on a treadmill, receiving a six-minute walk test to evaluate his gait ability. A gait analyzer was used to collect visual and spatial elements, such as gait distance, gait velocity, cadence, step length, stride length, and swing phase, according to a weight load equivalent to 0%, 1%, and 2% of his body weight. Results: According to the results of applying 0%, 1%, and 2% of his body weight on the ankle, except for gait velocity, his gait distance, cadence, step length, stride length, and swing phase were higher when 1% of his body weight was applied compared to 0% or 2% of his body weight. Conclusion: Applying a weight equivalent to 1% of the body weight to the ankle positively affected the visual and spatial element of the gait and heightened the efficiency of exercise during treadmill training, a gait-training tool generally used for stroke patients. However, the result is difficult to generalize because the number of subjects was small with only one subject.

• The Journal of Korean Physical Therapy
• /
• 제9권1호
• /
• pp.127-145
• /
• 1997

The purpose of this study wa9 to analyse the gait patterns of two female children with hemiplegic cerebral palsy by using the three-dimensional video motion analysis technique. Case 1 has mild spastic hemiplegia on the right side while Case 3 has moderate spastic hemiplegia on the left side. A group of 10, normal female children of the same age(7-8 years old) were selected as the control group for comparison. Time and distance variables as well as the Center of Mass displacement, and the pelvic and joint motions in three anatomical planes were analysed for this purpose. The following observations were made through the analysis : Case 1 revealed an asymmetrical gait pattern in which the step length of the unaffected side was shorter than that of the affected side, which wan a result of the effort to minimize loading on the affected leg by shortening the swing phase of the unaffected leg. Case 1 scored similar phase ratios, cadence and walking velocity to the normal group. A slight posterior tilt of the pelvis was observed throughout the gait cycle. Less hip and knee flexion than the normal group was observed, and demonstrated hyperextension of the knee in the terminal stance phase. The main problem in case 1 originated from the insufficient dorsiflexion of the affected foot during the swing phase. Therefore, Case 1 has difficulty with foot clearance in the swing phase. Usually, this is compensated for by using exessive hip abduction and medial rotation in conjuction with trunk elevation as well as increased vortical displacement of the center of mass. Case 1 revealed a foot-flat initial contact pattern. Case 2 was characterized by a consistent retraction ef the affected aide of the body througout the gait cycle, As a result, an asymmetrical gait pattern with increased stance phase ratios of the unaffected side was observed. In spite of this the step lengths of both sieds were similar. Case 2 scored lower cadence and walking speed than the normal group with lower gait stability. The main problem in Case 2 originated from an excessive plantaflexion of the affected foot which, in turn, rebutted in high hip and knee flexion. Hyperextension of the knee was observed at mid-stance, and execessive anterior tilt of the pelvis throughout the gait cycle was noticed. A gait pattern with high hip abduction and medial circumduction was maintained for the stability in the stance phase and foot clearance in the swing phase. Case 2 revealed a forefoot-contact initial contact pattern.

• 대한한방내과학회지
• /
• 제37권6호
• /
• pp.990-997
• /
• 2016

Objectives: This study observed changes in gait pattern according to the motor grade of the paretic lower limb in patients with basal ganglia stroke who are in the subacute phase. Methods: We used the Manual Muscle Test (MMT) to evaluate the motor grade of the paretic lower limb of 21 patients with subacute basal ganglia stroke and then divided them into two groups based on the MMT results. Stroke patients with a motor grade above Gr. III were put in group I (15 people) and those with a grade less than Gr. III in group II (6 people). We also estimated spatiotemporal factors using treadmill gait analysis equipment. The values were gait velocity, step length, step time, double support phase, and cadence. The first measure was conducted during the early period of admission and the second was between four and five weeks after admission. Results: In Group I, the gait velocity and step length of both legs significantly increased. In Group II, the step length and step time of the paretic side and the gait velocity tended to decrease, but not significantly. The step length of the paretic side in Group II was significantly longer than that in Group I at the first measure. The step time of the paretic side in Group I was significantly shorter than that in Group II and gait velocity and cadence in Group I were significantly higher than in Group II at the second measure. Conclusions: The gait parameters of all stroke patients improved in terms of time. In addition, the changes in gait pattern were different depending on the motor grade of the paretic lower limb.

• 한국산학기술학회논문지
• /
• 제12권12호
• /
• pp.5766-5772
• /
• 2011

본 연구는 아킬레스 건염 환자들과 정상인들을 대상으로 보행 선형지표와 고관절, 슬관절, 그리고 족관절의 모멘트 변화를 조사하여 아킬레스 건염에 의한 보행의 역학적 변화를 구명하고 아킬레스 건염을 예방하기 위한 예측인자들을 찾고자 실시되었다. 연구의 대상자는 아킬레스 건염 환자 20명과 비슷한 신체조건을 가진 건강한 정상인 20명이며, 대상자가 맨발 상태에서 힘판의 중앙 부분을 밟고 지나가도록 13 m의 거리를 편안한 속도로 5회 왕복하도록 하였다. 또한 대상자가 보행하는 동안 3차원 동작분석 장비를 이용하여 고관절, 슬관절, 그리고 족관절 모멘트를 산출하였다. 수집된 자료들을 SPSS 12.0 소프트웨어를 사용하여 분석하였다. 연구의 결과 아킬레스 건염 환자들의 고관절은 입각기 초기에 신전 모멘트가 감소하였고, 중후반에는 굴곡 모멘트가 감소하였다. 또한 슬관절에서는 입각기 초기부터 지속적인 굴곡 모멘트의 감소가 나타났으며 후기에는 신전 모멘트의 감소를 보였다. 그리고 족관절은 입각기 중반에 저측굴곡 모멘트가 감소하였으며 말기에는 배측 굴곡 모멘트가 감소하였다. 정상인과 비교해 아킬레스 건염 환자들에게서 보행의 역학적인 변화가 두드러지게 나타났으며, 임상에서는 아킬레스 건염 환자의 보행에 대한 변화를 세밀하게 파악하여 치료적 접근을 시도해야 할 것으로 보인다. 그리고 앞으로의 연구에서는 아킬레스 건염 환자에게서 나타나는 역학적인 변화에 대한 조사가 더 이루어져야 할 것이다.

• 대한물리의학회지
• /
• 제16권2호
• /
• pp.71-79
• /
• 2021

PURPOSE: Chronic low back pain is one of the main factors that affect the quality of life and cause problems of gait and balance in elderly people. This study investigated the correlation between the Oswestry disability index (ODI), Berg balance scale (BBS), and kinematic data measured while analyzing the gait of elderly people with chronic back pain. METHODS: A total of 29 subjects participated in this study. The ODI, BBS, and kinematic data of lower extremities were measured while walking. All data were analyzed using Pearson's correlation coefficients and the significance was measured at .05. RESULTS: ODI had a significant correlation with 1, 13, and 14 items of BBS (p < .05), and left hip external rotation and right ankle abduction respectively in the stance and swing phase of gait (p < .01). 13 items of BBS had a significant correlation with the right ankle abduction in the stance phase of gait (p < .01). In addition, 14 items of BBS had a significant correlation with right and left ankle abduction in the stance and swing phase of gait (p < .01). CONCLUSION: While attempting to predict chronic low back pain and balance issues, it may be useful to check the right ankle abduction in the stance and swing phase of gait. In the future, it would be helpful if some simple tests could be designed to assess balance in elderly people with chronic low back pain.

• 한국정밀공학회:학술대회논문집
• /
• 한국정밀공학회 2003년도 추계학술대회 논문요약집
• /
• pp.24-24
• /
• 2003

For the elderly, achieving a close-to-normal ambulation is important for activities of daily life. Recent researches of SE(Silver Engineering) restoring physical ability would help the elderly by developing the advanced gait assisting devices and orthoses. For the applications using the advanced technologies, the gait characteristics of the elderly must be understood. However, a few studies were performed to investigate the physiological or pathological gaits. The purpose of this study is to provide the gait analysis data and also to investigate relationships between alignment of the lower limb, foot progression angle and knee joint moments in the healthy elderly. By participating a total of 20 healthy elderly persons in this study, the following facts were found: 1) Cadence showed 114.8 steps/min, gait speed showed 1.05 m/s, time per a stride showed 1.06 sec, time per a step showed 0.53 sec, single-supporting phase was 0.41 sec, double-supporting phase was 0.24 sec, stride length was 1.04m, Step length was 0.56m; 2) The maximum knee flexion angle through swing phase showed left 46.82$^{\circ}$, right 40.19$^{\circ}$ and the maximum knee extension angle showed left -1.32$^{\circ}$, right 2.01$^{\circ}$. Knee varus showed left 26.90$^{\circ}$, right 30.93$^{\circ}$; 3) The maximum knee flexion moment showed left 0.363 Nm/kg, right 0.464 Nm/kg, The maximum knee extension moment showed left 0.389 Nm/kg, right 0.463 Nm/kg. The maximum knee adduction moment showed left 0.332 Nm/kg, right 0.379 Nm/kg. The maximum internal rotational moment showed left 0.13 Nm/kg, right 0.140 Nm/kg; 4) The subjects who had varus alignment of the lower extremity had statistically higher in knee adduction moment in mid stance phase; and 5) The subjects who had large foot progression angle had statistically lower in knee adduction moment in late stance phase.

• 한국운동역학회지
• /
• 제17권4호
• /
• pp.9-16
• /
• 2007

The purpose of this study was to analyze the effects of after aquatic exercise on gait in the Falls Experienced elderly. There were one group : Fall Experienced Elderly Women(n=8). They were tested on their gait (Elapse time of each phase, Stance time of limb, Stride length, Velocity of segment). we took video and analyzed their movement using Ariel Performance Analysis System and compared gait parameters. For data analysis, mean and standard deviation scores were calculated, and correspondence sample t-test and pearson's correlation analysis were used. First, after exercise is short than before exercise on Elapse time of each phase, fall-experience subjects showed meaningful total time. Second, after exercise is short than before exercise on Stance time of limb and Stride length, fall-experience subjects showed meaningful Stride length. Third, after exercise is fast than before exercise on Velocity of segment.