• Journal of Biomedical Engineering Research
• /
• v.27 no.5
• /
• pp.245-249
• /
• 2006

The aim of this study is to design and develop the gait rehabilitation equipment that judge patient's movement of his/her center of gravity using pressure sensors, and to aid hemiplegic patients to balance themselves using an automatic stepper that changes the patient's center of gravity. It is hard to bear the weight on the affected side for hemiplegic patients. The gait rehabilitation equipment detects the footing phase of hemiplegic patient during training and moves the unaffected footing side of the stepper up and moves the affected footing side down simultaneously so that the patient's center of gravity can shift from unaffected side to affected side. The gait rehabilitation system was developed and applied for hemiplegic patients during exercise. Eight hemiplegic patients and one normal adult were studied. The developed gait rehabilitation system could judge not only the normal adult's intention but also the patient's intention to move his/her center of gravity. Even though the most of hemiplegic patients exercised in automatic mode and a few hemiplegic patients exercised in manual mode, the developed gait rehabilitation system can aid the hemiplegic patients to train more easily.

• Proceedings of the IEEK Conference
• /
• 2006.06a
• /
• pp.869-870
• /
• 2006

In this study, we proposed an algorithm which can detect the walking event in hemiplegic patient using three axis acceleration signal. Twenty hemiplegic patients were participated in an experiment on a level corridor. To evaluate the accuracy, we compared the time difference between the detected event and signal from FSR-Sensor. Consequently, the mean difference of 46.1ms was obtained and it suggests that the proposed method is effective to detect the walking event in hemiplegic patient. In future, these results could be used to evaluate the walking ability in hemiplegic patient in clinical practice.

• Journal of the Ergonomics Society of Korea
• /
• v.35 no.6
• /
• pp.493-501
• /
• 2016

Objective: This study analyzes the effect of angle conditions of rehabilitation equipment used for supporting hemiplegic patients on their rehabilitation training for standing action. The study was performed by adjusting the rear angle of seat inclination through a motion analysis. Background: Owing to a loss of muscle rigidity and degradation of muscle control ability, hemiplegic stroke patients suffer from asymmetrical posture, abnormal body balance, and degraded balance abilities due to poor weight-shifting capacity. The ability to shift and maintain one's weight is extremely essential for mobility, which plays an important role in our daily life. Thus, to improve patients' ability to maintain weight evenly and move normally, they need to undergo orthostatic and ambulatory training. Method: Using a motion analysis system, knee movements on both hemiplegic side and non-hemiplegic side were measured and analyzed in five angles ($0^{\circ}$, $10^{\circ}$, $30^{\circ}$, $50^{\circ}$, $70^{\circ}$) while supported by the sit-to-stand rehabilitation equipment. Results: The knee movements on both sides increased as the angle increased in angle support interval to support a hemiplegic patient's standing up position. In standing up interval, a hemiplegic patient's knee movement deviations on both sides decreased, and the movement differences between hemiplegic and non-hemiplegic legs also decreased as the angle increased. Conclusion: The results of this study showed that the rehabilitation effectiveness increases as the angle increases, leading to a balanced standing posture through the decrease of movement difference between hemiplegic and non-hemiplegic sides and an improved standing up ability through the increase of knee movement on both sides. However, angles higher than $50^{\circ}$ didn't provide a significant effect. Therefore, a support angle under $50^{\circ}$ was proposed in this study. Application: The results of this study are expected to be applicable to the design of sit-to-stand support equipment to improve the effectiveness of the rehabilitation process of hemiplegic patients.

• The Journal of Korean Physical Therapy
• /
• v.23 no.6
• /
• pp.55-59
• /
• 2011

Purpose: The aims of this study were to assess the degrees of foot abnormalities by comparing foot abnormalities after stroke using the FPI, and to investigate the relationship between the FPI and spasticity. Methods: 33 hemiplegic patients (patient group) and 39 healthy subjects (control group) were evaluated foot posture by the FPI. Spasticity in patient group was measured by the MAS. And the relationship between Foot posture and spasticity in patients group were investigated. Results: Hemiplegic feet in patients were supinated feet compare with non-hemiplegic feet in hemiplegic patients and the foot in control group. The degree of spasticity affected foot posture. Conclusion: Foot posture is related to stroke impairments, stroke patients with more severe spasticity have more severe foot abnormalities as supinated foot.

• The Journal of Korean Physical Therapy
• /
• v.21 no.3
• /
• pp.41-46
• /
• 2009

Purpose: This study investigated the change in plantar fascia thickness in hemiplegic and non-hemiplegic feet in stroke patients using an ultrasonographic evaluation. Methods: Sixteen hemiplegic and non-hemiplegic feet from 16 hemiplegic patients (patient group) and 16 feet from 8 healthy subjects (control group) were evaluated by ultrasonography. The sagittal sonograms were obtained in the prone position, and the plantar fascia thickness was measured at its insertion into the calcaneus. Results: The mean plantar fascia thickness was measured to be $4.5\pm0.8$mm in hemiplegic feet of the patient group, $3.4\pm1.0$mm for the contralateral non-hemiplegic feet and $2.8\pm0.3$mm for the control group. There was a statistically significant difference in plantar fascia between the hemiplegic feet and contralateral non-hemiplegic feet as well as between the contralateral non-hemiplegic feet and control group (p<0.01 and p<0.05, respectively). The plantar fascia thickness according to the Brunnstrom stage and modified Ashworth scale was increased significantly in the hemiplegic feet (p<0.01). Conclusion: These results show that the plantar fascia is overloaded in the hemiplegic and non-hemiplegic feet of stroke patients. A therapeutic approach should be considered for these patients.

• Journal of Korean Physical Therapy Science
• /
• v.15 no.1
• /
• pp.39-45
• /
• 2008

This study was undertaken to identify the influence which affect on gait speed and energy consumption regarding putting on arm sling during gait of the 40 hemiplegic patients selected from University Hospital and rehabilitation center in seoul during two months. The analysis of data was performed using the paired samples ttest to compare the differences of gait velocity, heart rate, oxygen consumption and oxygen cost in gait of preand post－ arm sling. The results of this study were as follows; 1. When comparing the result before putting on arm sling in the gait of hemiplegic patient, gait velocity after putting on arm sling was statistically significantly increased(p<.05). 2. When comparing the result before putting on arm sling in the gait of hemiplegic patient, heart rate after putting on arm sling was statistically significantly decreased(p<.05). 3. When comparing the result before putting on arm sling in the gait of hemiplegic patient, oxygen consumption per weight after putting on arm sling was statistically significantly decreased(p<.05). 4. When comparing the result before putting on arm sling in the gait of hemiplegic patient, oxygen consumption rate per weight after putting on arm sling was statistically significantly decreased(p<.05). When putting together the above result, the gait with arm sling in comparison with the gait without arm sling was to increase gait velocity, decrease heart rate, decrease oxygen consumption and was finally to decrease energy consumption in the gait of hemiplegic patient.

• Journal of Korean Physical Therapy Science
• /
• v.7 no.2
• /
• 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.

• Annals of Clinical Neurophysiology
• /
• v.6 no.1
• /
• pp.35-38
• /
• 2004

Background: The purpose of this study is to evaluate the difference between the hemiplegic patients and controls with the newly developed three demensional electrogoniometer gait analysis program. Methods: The basic kinematic data of hip, knee and ankle joints on the sagittal plane and of temporospatial gait parameters were obtained from 25 hemiplegic patients and 25 healthy adults with three-dimensional electrogoniometer Domotion$^{(R)}$ Results: Significant difference were observed between patients and controls in kinematic parameters. Mean maximal hip flexion of healthy adults and hemiplegic limb of patient was $32.89{\pm}1.8^{\circ}$ and $18.24{\pm}4.8^{\circ}$, maximal knee flexion was $50.32{\pm}2.4^{\circ}$ and $34.98{\pm}10.4^{\circ}$, maximal ankle dorsiflexion was $5.34{\pm}1.2^{\circ}$ and $1.22{\pm}2.8^{\circ}$, and maximal ankle plantar flexion was $15.63{\pm}2.0^{\circ}$ and $8.46{\pm}3.2^{\circ}$(p<0.05). Mean maximal hip flexion of healthy adults and unaffected limb of hemiplegic patient was $32.89{\pm}1.8^{\circ}$ and $28.36{\pm}6.6^{\circ}$, and maximal ankle plantar flexion was $15.63{\pm}2.0^{\circ}$ and $8.62{\pm}3.7^{\circ}$, respectively(p<0.05). Conclusions: The gait parameters of hemiplegic patients showed significant differences as compared with normal gait parameters with the using of three dimensional gait analysis with electrogoniometer.

• Journal of the Korean Society for Precision Engineering
• /
• v.27 no.2
• /
• pp.145-152
• /
• 2010

Gait phase detection is important for evaluating the recovery of gait ability in patients with paralysis, and for determining the stimulation timing in FES walking. In this study, three different motion sensors(tilt sensor, gyrosensor and accelerometer) were used to detect gait events(heel strike, HS; toe off, TO) and they were compared one another to determine the most applicable sensor for gait phase detection. Motion sensors were attached on the shank and heel of subjects. Gait phases determined by the characteristics of each sensor's signal were compared with those from FVA. Gait phase detections using three different motion sensors were valid, since they all have reliabilities more than 95%, when compared with FVA. HS and TO were determined by both FVA and motion sensor signals, and the accuracy of detecting HS and TO with motion sensors were assessed by the time differences between FVA and motion sensors. Results show of that the tilt sensor and the gyrosensor could detect gait phase more accurately in normal subjects. Vertical acceleration from the accelerometer could detect HS most accurately in hemiplegic patient group A. The gyrosensor could detect HS and TO most accurately in hemiplegic patient group A and B. Valid error ranges of HS and TO were determined by 3.9 % and 13.6 % in normal subjects, respectively. The detection of TO from all sensor signals was valid in both patient group A and B. However, the vertical acceleration detected HS validly in patient group A and the gyrosensor detected HS validly in patient group B. We could determine the most applicable motion sensors to detect gait phases in hemiplegic patients. However, since hemiplegic patients have much different gait patterns one another, further experimental studies using various simple motion sensors would be required to determine gait events in pathologic gaits.

• The Journal of the Society of Stroke on Korean Medicine
• /
• v.14 no.1
• /
• pp.49-60
• /
• 2013

■ Objectives The aim of this study is to analyze the change of gait pattern by the taping therapy in a hemiplegic patient. ■ Methods We conducted the taping therapy for 7 days to affected ankle joint of hemiplegic patient and analyzed the change of gait pattern using Treadmill Gait analysis equipment(Zebris Co.Ltd FDM-T) ■ Results In terms of affected side, cadence, total double support, step length and stance phase decreased, while swing phase and step time increased by taping therapy. In terms of unaffected side, step length increased by taping therapy. Center of pressure intersection point moved to posterior and affected side in cyclogram pattern. ■ Conclusion Taping therapy to affected ankle joint of hemiplegic patient would be advantages to gait improvement in hemiplegic patients.