• Korean Journal of Applied Biomechanics
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• v.30 no.1
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• pp.73-81
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• 2020

Objective: The purpose of this study is to analyze the effects of aquatic walking exercise on gait and balance parameters of elderly women. Method: 15 elderly people were recruited for this study (age: 73.20±5.19 yrs, height: 153.87±3.36 cm, mass: 60.33±5.73 kg). All variables were measured using Gaitview AFA-50. The variables were the heel contact time ratio, gait angle, and M/P change ratio for gait patterns and ENV, REC, RMS, Total Length, TLC, Sway velocity, and Length/ENV for balance abilities. A paired t-test and the Wilcoxon signed-rank test were carried out to verify the differences in the test scores after participating in the water walking program. The significance level for all statistical analyses was set to α=.05. Results: As for the changes in their walking function after the exercise, heel contact time ratio (p<.01) showed a statistical significance, while gait angle and M/P change ratio did not reveal statistically significant differences. In the test of balance ability on both feet and with eyes opened, statistical significance was found in ENV, REC, RMS, TLC (p<.01), and sway velocity (p<.05), while the test with eyes closed showed statistical significance in length/ENV as well as ENV, REC, RMS, sway velocity (p<.01) TLC, and total length (p<.05). As for the single-leg stance balance ability, ENV and REC revealed statistically significant differences. Conclusion: These results show that water walking is effective for improving the function of the ankle flexor muscles, providing stability to the ankle joint during walking and helping efficient walk. In addition, it is also expected to help prevent falls due to loss of balance by improving the stability of lower extremity muscles and trunk.

• Physical Therapy Korea
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• v.10 no.1
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• pp.77-95
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• 2003

Many factors affect foot and ankle biomechanics during walking, including gait speed and anthropometric characteristics. However, speed has not been taken into account in foot kinematics and kinetics during walking. This study examined the effect of walking speed on foot joint motion and peak plantar pressure during the walking phase. Eighty healthy subjects (40 men, 40 women) were recruited. Maximal dorsiflexion and excursion were measured at the first metatarsophalangeal joints during walking phase at three different cadences (80, 100, and 120 step/min) using a three dimensional motion analysis system (CMS70P). At the same time, peak plantar pressure was investigated using pressure distribution platforms (MatScan system) under the hallux heads of the first, second, and third metatarsal bones and heel. Maximal dorsiflexion and excursion and excursion at the ankle joint decreased significantly with increasing walking speed. Peak plantar pressure increased significantly under the heads of the first of the first, second, and third metatarsal bones, and heel with increasing walking speed: three was no change under the hallux. There were no significant changes in maximal dorsiflexion or excursion at the first metatarsophalangeal joint. The results show that walking speed should be considered when comparing gait parameters. The results also suggest that slow walking speeds may decrease forefoot peak plantar pressure in patients with peripheral neuropathy who have a high risk of skin breakdown under the forefoot.

• Korean Journal of Computational Design and Engineering
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• v.17 no.3
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• pp.149-155
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• 2012

The ankle over-pronation causes the mechanical overloading transferred to proximal areas (i.e. knees or hips) over time. Thus, the over-pronation is recognized as a contributory factor in a wide variety of musculo-skeletal pathologies in lower extremities. Commonly, over-pronated ankles are treated using specially designed insoles that support medial heels and correct the posture of lower limbs. However, the biomechanical effects of the insoles are not yet fully understood, so there still are controversies whether such insoles really have clinical significance. In this study, in order to verify the effects of insoles and determine the best shape of the insoles, we examined how the medio-lateral knee joint reaction force changes due to insole conditions through a case study about a subject. As a result, it is revealed that the medial heel post, which drastically reduced the peak medio-lateral knee joint reaction force, has significant effects on the gait of the over-pronated patients. However, in case that the arch support is combined together, the positive effect of the medial heel post may rather decrease.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2006.05a
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• pp.169-170
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• 2006

The purpose of this study was to evaluate the smoothness of the gait pattern according to shoe, walking speed, and slope. Eleven male university students used three types(running shoes, mounting climbing boots, elevated forefoot walking shoes) of shoes at various walking speeds(1.19, 1.25, 1.33, 1.56, 1.78, 1.9, 2.0, 2.11, 2.33m/s) and gradients (0, 3, 6, 10%) on a treadmill. Three-dimensional motion analysis (Motion Analysis Corp, Santa Rosa, CA, USA) was conducted with 4 Falcon high speed cameras. The results showed that elevated forefoot walking shoes had the lowest value of normalized jerk at the heel, which means that elevated forefoot walking shoes had the smoothest walking pattern at the heel. In contrast, elevated forefoot walking shoes had greater normalized jerk at the center of mass (COM) at most walking speeds, which means that the smoothness of gait pattern at the center of mass is the lowest for the elevated forefoot walking shoes. This movement at the COM might even have a beneficial effect of activating muscles in the back and abdomen more than other shoes.

• Journal of the Korean Society of Physical Medicine
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• v.17 no.1
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• pp.127-137
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• 2022

PURPOSE: This study sought to evaluate muscle activity and foot pressure during gait, and balance in female college students with genu valgum. METHOD: Participants were assigned based on their Q-angle to genu valgum group greater than 20° (GVG, n = 12), unilateral genu valgum group greater than 20° (UVG, n = 11), and control group (CON, n = 13). All subjects were evaluated for balance (Trace length, C90 area, C90 angle, and the Romberg test), muscle activity (gluteus medius; GM, tensor fasciae latae; TFL, vastus medialis; VM, vastus lateralis; VL, biceps femoris; BF, gastrocnemius; GCM and tibialis anterior; TA) and foot pressure (F/F ratio, R/F ratio, Hallux, 2~5 toe, 1st MT, 2~4 MT, 5th MT, Midfoot, M/heel, and L/heel) during gait. RESULTS: Romberg test showed significantly increased loss of balance in the UVG group compared with the CON. In the forward position, the imbalance was significantly increased in the UVG and GVG groups compared to the CON. Muscle activity of VL, GCM, and TA significantly increased in the GVG group compared with the CON. Static foot pressure, 1st MT significantly increased in the GVG compared to the CON group. The 5th MT significantly decreased in the CON compared with the GVG group. The R/F ratio significantly decreased in the GVG compared to the CON group. In dynamic foot pressure, the 2~5 toe significantly increased in the GVG compared with the UVG group. The left 5th MT significantly decreased in the UVG compared with the CON and GVG groups. CONCLUSION: These results indicate that genu valgum has a negative effect on balance, muscle activity, and foot pressure during gait in female college students.

• The Journal of the Society of Stroke on Korean Medicine
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• v.14 no.1
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• pp.61-70
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• 2013

■ Objectives The goal of this pilot study is to observe the change of gait pattern in a patient after peroneal nerve electrical stimulation(PNST). ■ Methods We analyzed the gait pattern of stroke patient using treadmill gait analysis system before and after PNST for seven weeks. The PNST was carried out for 20minutes every day except Sunday. In addition, the measurement was carried out every Saturday. At the fifth week, the PNST was not carried out to confirm whether the effect of PNST was disappeared immediately when PNST was not applied. ■ Results After PNST, while heel contact time and heel max force increased and forefoot and midfoot max force decreased, the gait parameters such as cadence, velocity, swing phase, stance phase, total double support, step length, stride length, step time, stride time and forefoot contact time, were not changed. ■ Conclusion Gait of a patient with cerebral stroke was changed positively after PNST.

• Journal of Haehwa Medicine
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• v.13 no.1
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• pp.287-293
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• 2004

Objective : The purpose of this study is to examine the clinical effect of Auricular Acupuncture therapy on ankle sprain Methods : This study was carried out on the 48 patients who had been treated at chonan oriental hospital from December 1st, 2003 to April 30th, 2004. 48 patients had a diagnosis of ankle sprain by x-ray or physical test. we treated 48 patients by Auricular Acupuncture therapy. Results and Conclusions 1. We operated Auricular Acupuncture on the foot point(발점), the ankle point(발목점), the heel point(발뒤꿈치점), the zero point(제로점)and the thalamus point(시상점). 2. The efficacy of Auricular Acupuncture therapy was 75% when we set a standard thing more than good(良好) 3. The Auricular Acupuncture therapy is effective of ankle sprain patients, but we thought that it needed to prove effect of Auricular Acupuncture therapy for efficient application by more clinical researches.

• Journal of the Ergonomics Society of Korea
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• v.18 no.2
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• pp.57-69
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• 1999

The primary objective of this research was to suggest the design dimensions of automotive seating package that has an important effect upon seating package design. To conduct the research, a set of manikin dimensions that are representative for Korean was determined by using a statistical scheme. With these dimensions, we generated nine manikins for male and female, respectively. Also, the preferred driving posture was investigated using the experimental setup. To find each joint angle for subjects, a driving monitoring system was developed and a three dimensional motion analysis system was employed. The joint angle for the subject was established and compared with related literature. With the generated manikins and each joint angle, the driving posture was simulated by using SAFEWORK that is a program to generate manikins. The positions and adjustable ranges from the accelerator heel point to the hip point and the steering wheel center point that are important variables in order to design seating package were suggested. Further research is needed to determine the seating package dimensions three dimensionally.

• Journal of the Ergonomics Society of Korea
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• v.11 no.1
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• pp.93-101
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• 1992

Gait parameters for the Korean normal adults were compared with sex and age. Time-distance measurements and ground reaction force parameters were studied in relation to walking speed. Regression analysis was performed to establish functional relations between walking speed and various gait parameters. It is found that cardence and stride length varied linearly with walking velocity whereas time of double support was inversely proportional to walking velocity. The amplitude of ground reaction force was increased with increasing velocities of gait due to the greater heel-strike force and toe-off forces associated with these higher velocities. The results of this study can be usefull utilized as basic data to design and evaluate prosthetic devices, and to detect abnormal gait performances.

• Journal of the Society of Naval Architects of Korea
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• v.40 no.2
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• pp.41-48
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• 2003

The human behavior is very important in development of simulation system for evacuation analysis. The walking speed of passenger is especially affected by dynamic effect and list due to damage and ship motion in wave. There are various methods to get an useful data for evacuation simulation. The onboard experimental approach is one of the most strong method. In this paper, the onboard experiment is performed to obtain human behavioral data. To realize ship trim and heel due to maritime casuality, the passage model for experiment is made. The experiment is carried out at dynamic and static condition respectively using the ship with passage model. The result is evaluated and it will be reflected in evacuation simulation tool.