• Title/Summary/Keyword: NORMAL WALKING

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Radiological Evaluation on Dislocation of the Hip with Spastic Cerebral Palsy (경직형 뇌성마비 아동의 고관절 탈구에 대한 방사선학적 평가)

  • Kim, Jeong-Hwan;Kim, Yong-Nam
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.1
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    • pp.9-17
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    • 2004
  • The purpose of this study are to determine the proper radiographic measurements for hip deformity in spastic cerebral palsy patients, and the correlation of hip deformity with neurological involvement, ability of ambulation. Thirty children with cerebral palsy(22 males, 8 females) were evaluated by measurement of the migration index, acetabular index, center edge angle from bilateral hip APs(anterior posterior view). The result are as follows; 1. The incidence of hip dislocation, among the thirty children fifteen children were found to be dislocated, and more significantly high in non-walking group than in walking group(p<0.05) and in quadriplegia than in diplegia(p<0.05). 2. When compared to normal hip and dislocation hip, the migration index was significantly higher(p<0.01) and the center edge angle was lower in the dislocation hip than in the normal hip. 3. Correlation of radiological findings in right and left hip, the migration index and the center edge angle were highly correlated(p<0.01). We recommand regular intervals X-ray study for early diagnosis and management of hip dislocation in spastic cerebral palsy.

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Modeling and Posture Control of Lower Limb Prosthesis Using Neural Networks

  • Lee, Ju-Won;Lee, Gun-Ki
    • Journal of information and communication convergence engineering
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    • v.2 no.2
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    • pp.110-115
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    • 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.

Development of a 2-DOF Ankle Mechanism for Gait Rehabilitation Robots (보행 재활 로봇을 위한 2자유도 족관절 기구 개발)

  • Heo, Geun Sub;Kang, Oh Hyun;Lee, Sang Ryong;Lee, Choon-Young
    • Journal of Institute of Control, Robotics and Systems
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    • v.21 no.6
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    • pp.503-509
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    • 2015
  • In this paper, we designed and tested an ankle joint mechanism for a gait rehabilitation robot. Gait rehabilitation programs are designed to improve the natural leg motion of patients who have lost their walking capabilities by accident or disease. Strengthening the muscles of the lower-limbs and stimulation of the nervous system corresponding to walking helps patients to walk again using gait assistive devices. It is an obvious requirement that the rehabilitation system's motion should be similar to and as natural as the normal gait. However, the system being used for gait rehabilitation does not pay much attention to ankle joints, which play an important role in correct walking as the motion of the ankle should reflect the movement of the center of gravity (COG) of the body. Consequently, we have designed an ankle mechanism that ensures the safety of the patient as well as efficient gait training. Also, even patients with low leg muscle strength are able to operate the ankle joint due to the direct-drive mechanism without a reducer. This safety feature prevents any possible adverse load on the human ankle. The additional degree of freedom for the roll motion achieves a gait pattern which is similar to the normal gait and with a greater degree of comfort.

Single-Plane Fluoroscopic Three-Dimensional Kinematics of Normal Stifle Joint in Beagle Dogs

  • Kim, Hyungkyoo;Jeong, Jaemin;Seo, Jeonhee;Lee, Young-Won;Choi, Ho-Jung;Park, Jiyoung;Jeong, Seong Mok;Lee, Haebeom
    • Journal of Veterinary Clinics
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    • v.34 no.5
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    • pp.318-324
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    • 2017
  • The objective of this study was to establish kinematic reference ranges for the femorotibial (FT) joint and the patellofemoral (PF) joint in healthy small-breed dogs by measuring 3D kinematics at the walk. Single-plane fluoroscopy was used to image the stifle joints of five healthy beagle dogs while the dogs were walking. 3D bone models of the femur, patella, and tibia were reconstructed by computed tomography scanning of the beagle dogs' hind limbs. The shape-matching technique was used to measure kinematic data from the fluoroscopic images and the 3D bone models. The cranial translation of the tibia during walking was inversely proportional to the FT joint flexion. There were significant correlations between the patellar motion and the tibial motion. The FT joint flexion had a strong correlation with the patellar proximodistal translation and flexion. Additionally, the tibial mediolateral translation had a strong correlation with the patellar shift and tilt. In this study, normal in vivo 3D FT joint and PF joint kinematics were demonstrated, and the average kinematic parameters were determined in walking beagle dogs.

Effects of Trunk-Stabilization Exercise Program on Static and Dynamic Balance of Elderly With History of Leprosy Patients According to Sole Sensory Conditions (체간안정화 운동프로그램이 한센병력노인의 발바닥 감각상태에 따른 정적·동적 균형에 미치는 영향)

  • Jung, Soon-Mi
    • Physical Therapy Korea
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    • v.18 no.1
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    • pp.18-27
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    • 2011
  • This study was to investigate the positive effects of specially designed trunk-stabilization exercise program on lower extremity balance of elderly with history of leprosy. In this participants, lower extremity functions has been undermined by the development of damage in peripheral nerves. A total of 40 elderly with history of leprosy were divided into 2 groups of equal size ($n_{1,\;2}=20$): a group that participated in the exercise program, and a control group that did not exercise but did continue to engage in normal daily activities (including walking). The exercise group exercised for 60 minutes 2 days a week for 12 weeks. Static balance ability was measured by asking study participants to a one leg standing test: dynamic balancing ability was measured with a tandem walking test and a timed up-and-go test. The participants in the exercise program and the control group were tested before and after completion of the exercise program for comparison, and then divided according to their ability to feel sensory in the soles of their feet into the categories of normal sensory group: group with sensory loss in one foot: and group with sensory loss in both feet. The participants in the exercise program showed a positive, statistically significant difference in static balance compared with the control group (p<.05) as measured using the one leg standing test. Similarly, the participants in dynamic balance (p<.05) as measured using the tandem walking and timed up-and-go tests. Finally, these improvements were related to the severity of sensory loss in the soles of the feet for all study participants.

A Study on Control of Walking Assistance Robot for Hemiplegia Patients with EMG Signal (EMG 신호로 반신불수 환자의 보행 보조로봇 제어에 관한 연구)

  • Shin, D.S.;Lee, D.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.55-62
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    • 2013
  • The exoskeleton robot to assist walking of hemiplegia patients or disabled persons has been studied in this paper. The exoskeleton robot with degrees of freedom of 2 axis has been developed and tested for joint motion. The obtained EMG signal from normal person was analyzed and the control signal was extracted from it for convenient and automotive performance of assistance robot to help hemiplegia patient walks as normal person does. the purpose of using FES(Functional Electrical Stimulation) for hemiplegia patient's walk is to restore damaged body function by this, but this could give fatal electrical shock to patients by wrong use or cause quick fatigue in muscle by continuous stimulation. The convenient movement of hemiplegia patients with minimum muscle fatigue was looked possibly by operation of assistance robot exoskeleton using control signal. and the walking assistance exoskeleton robot seemed works more efficiently than using FES stimulator. The experiment in this study was performed based on usual motion in our life like walking, standing-up, sitting-down, and particularly feedback control system using Piezo sensor along with button switch was applied for smooth swing motion in walking. The experiment also shows that hemiplegia patients can move conveniently by using electromyogram signal of healthy leg for the operation signal of assistance robot system attached at damaged symmetrical leg.

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Comparison of Barefoot and Shod Gait Cycle for Adult Women (성인 여성의 맨발 보행과 운동화 착용 보행 시 주기 비교)

  • Kim, In-Bae;Park, Tae-Sung;Kang, Jong-Ho
    • Journal of Convergence for Information Technology
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    • v.8 no.1
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    • pp.9-14
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    • 2018
  • The purpose of this study was to privide basic data for footwear development according to walking mechanics by comparing gait cycle difference between barefoot walking and walking shoes. The walking period was measured in 30 normal adult women with no foot deformity and abnormality. The first subject walked in sneakers and measured the cycle. And then, the subjects walked barefoot and the period was measured to obtain data. The data were taken form corresponding paired T-test. The results were as follows: In barefoot walking, the stance phase left side(p <.001), right side(p <.005), the loading response left side(p <.009), right side(p <.002) ), the pre-swing left side(p <.002), right side (p <.011), the double stance phase(p <.004) were increased and the mid-stance left side (p <.016), right side(p. 001), the swing phase left side(p<.001) was decreased. This suggests that barefoot walking increases the input of various senses of the foot, which makes stable walking possible. It is necessary to improve shoes based on the walking cycle in the future.

Characteristics of Transmission of Floor Vibration and Floor Impact Noise Due to Human Activities (거주자의 거동으로 발생하는 바닥진동의 층간 전달 및 바닥충격음의 음압레벨 특성 평가)

  • Lee, MinJung;Choi, HyunKi
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.27 no.1
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    • pp.5-13
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    • 2017
  • Noise complaints among neighbors in apartment building are mainly caused by floor impact noise that is structure born noise due to occupant induced floor vibration. To control this noise problems many researchers have investigated floor systems and finishing materials. Light-weight impact noise affects by finishing materials, but heavy-weight impact noise induced by heel impacts during normal walking or jumping of children is concerned with structural system and floor vibration. To figure out the characteristics of floor impact noise and transmission of floor vibration due to human activities, vibration tests were conducted in apartment buildings. Impact hammer, heel drop and walking activities were loaded at center of upstairs living room, and accelerations of slabs for both upstairs and downstairs and sound pressure levels for downstairs were measured. The acceleration ratio of transmitted floor vibration to downstairs and human induced vibration in upstairs was between 0.5 and 1.0 according to slab size, wall, and load type. And floor impact noise occurred in the range of natural frequency of slab.

Wearable and Motorized Crutch Control System (착용형 전동 목발 제어시스템)

  • Yoon, Dukchan;Jang, Giho;Choi, Youngjin
    • The Journal of Korea Robotics Society
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    • v.9 no.3
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    • pp.133-139
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    • 2014
  • This paper proposes a wearable and motorized crutch control system for the patients using the conventional crutches. The conventional crutches have a few disadvantages such as the inconvenience caused by the direct contact between the ground and the armpit of the patients, and unstable gait patterns. In order to resolve these problems, the motorized crutch is designed as a wearable type on an injured lower limb. In other words, the crutch makes the lower limb to be moved forward while supporting the body weight, protecting the lower limb with frames, and rotating a roller equipped on the bottom of the frames. Also the crutch is controlled using the electromyography and two force sensing resistor (FSR) sensors. The electromyography is used to extract the walking intention from the patient and the FSR sensors to classify the stance and swing phases while walking. As a result, the developed crutch makes the patients walk enabling both hands to be free, as if normal people do.

Postural Control Strategies on Smart Phone use during Gait in Over 50-year-old Adults (50세 이상 성인의 보행 시 스마트폰 사용에 따른 자세 조절 전략)

  • Yu, Yeon Joo;Lee, Ki Kwang;Lee, Jung Ho;Kim, Suk Bum
    • Korean Journal of Applied Biomechanics
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    • v.29 no.2
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    • pp.71-77
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    • 2019
  • Objective: The aim of this study was to investigate postural control strategies on smart phone use during gait in over 50-year-old adults. Method: 8 elderly subjects (age: $55.5{\pm}3.29yrs$, height: $159.75{\pm}4.20cm$, weight: $62.87{\pm}8.44kg$) and 10 young subjects (age: $23.8{\pm}3.19yrs$, height: $158.8{\pm}5.97cm$, weight: $53.6{\pm}5.6kg$) participated in the study. They walked at a comfortable pace in a gaitway of ~8 m while: 1) reading text on a smart phone, 2) typing text on a smart phone, or 3) walking without the use of a phone. Gait parameters and kinematic data were evaluated using a three-dimensional movement analysis system. Results: The participants read or wrote text messages they walked with: slower speed; lesser stride length and step width; greater flexion range of motion of the head; more flexion of the thorax in comparison with normal walking. Conclusion: Texting or reading message on a smart phone while walking may pose an additional risk to pedestrians' safety.