• 대한의용생체공학회:의공학회지
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• 제35권1호
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• pp.8-13
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• 2014

In this paper, the gait imbalance evaluation algorithm based on temporal symmetry ratio using encoder is proposed. The device is attached to the hip joint in order to measure the angle during the normal gait. Using an angle data, the stance phase and swing phase was determined. And the value of TSR(temporal symmetry ratio) was calculated by stance phase and swing phase of gait cycle. For the comparative experiment, the conventional method of the foot pressure was measured at the same conditions. The results of statistical analysis, there was a significant difference (p < 0.05) when using encoder. The gait imbalance analysis using encoder is effective in determining the imbalance than using the existing method of pressure.

• 대한물리치료과학회지
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• 제20권1호
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• pp.69-75
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• 2013

Background : The purpose of this study was to investigate the effects of the kinesiologic factors of gait on symmetric load. Methods : The subjects were consisted normal 33 persons (10 males and 23 females). The kinds of weight of the bag was 0kg, 5kg and 7kg. The kinesiologic factors of gait measured by three dimensional motion analysis system and callibration marker. Callibration was ASIS, hip greater trochanter, knee lateral epicondyle on sagittal plane, ankle lateral malleolus on sagittal plane, toe 5th phalange. The changes kinesiologic factor were analyzed using one way ANOVA with SPSS 21.0 package program. Results : The weight of the bag was statistical significance on change of hip joint and knee joint(p<.05). The weight of the bag was no significance on change of ankle joint(p>.05). The right and left of the lower limbs was no significant(p>.05). Conclusion : This research provides weight of bag for the gait. This study showed that symmetric load does affect kinesiologic factors of gait. This indicates that there is an interaction that plays a crucial roles in the weight of bag and kinesiologic factors of gait.

• 산업경영시스템학회지
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• 제32권3호
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• pp.78-84
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• 2009

The purpose of this study was to compare gait patterns during pregnancy. Because of the changes in hormone levels and anatomical changes such as body mass, body-mass distribution, joint laxity, and musculotendinous strength that result from pregnancy, it was possible that there would be certain gait deviations associated with these changes. Three-dimensional gait analyses were performed from a self-selected pace, and six subjects(height : $163{\pm}5.3cm$, mass : $61.3{\pm}3.80kg$, $65.3{\pm}5.14kg$, $70.2{\pm}4.98kg$) participated in the three times(the early, middle and last years). 7 cameras(Proreflex MCU-240, Qualisys) and 2 force plates (Type 9286AA, Kistler) were used to acquire raw data. The parameters were calculated and analyzed with Visual-3D and Joint moments computed using inverse dynamics. In conclusion, pregnant women's gait patterns were changed during pregnancy period because pregnancy makes them physical changes. The main changes were joint moments and kinematic factors during pregnancy period. The pregnancy transformed normal gait pattern Into toe out position. Therefore, exercise programs to improve muscle activity were necessary where joint moments were small. The development of simulator should be studied for pregnant women's tailored shoes and accessories in future.

• The Journal of Korean Physical Therapy
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• 제34권3호
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• pp.98-103
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• 2022

Purpose: New therapeutic approaches have emerged to improve gait ability in patients with brain damage, such as action observation learning (AOT), auditory cueing, motor imagery etc. We attempted to investigate the effects of AOT with auditory cueing (AOTAC) on gait function in patients with stroke. Methods: The eighteen stroke patients with a unilateral hemiparesis were randomly divided into three groups; the AOTAC, AOT, and control groups. The AOTAC group (n=8) received training via observing a video that showed normal gait with sound of footsteps as an auditory cue; the AOT group (n=6) receive action observation without auditory stimulation; the control group (n=5) observed the landscape video image. Intervention time of three groups was 30 minutes per day, five times a week, for four weeks. Gait parameters, such as cadence, velocity, stride length, stance phase, and swing phase were collected in all patients before and after each training session. Results: Significant differences were observed among the three groups with respect to the parameters, such as cadence, velocity, stride length, and stance/swing phase. Post-hoc analysis indicated that the AOTAC group had a greater significant change in all of parameters, compared with the AOT and control groups. Conclusion: Our findings suggest that AOTAC may be an effective therapeutic approach to improve gait symmetry and function in patients with stroke. We believe that this effect is attributable to the change of cortical excitability on motor related to cortical areas.

• 한국전자통신학회논문지
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• 제11권2호
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• pp.215-222
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• 2016

걸음 인식과 그 활용에 대하여 연구가 활발하게 진행되고 있다. 본 연구는 보행자의 비정상적인 보행을 인식하는 방안을 제안한다. 기존의 정상적인 걸음을 인식하는 것이 신체활동을 측정하거나, 인증을 위한 것이었다면, 본 연구의 비정상적인 걸음 인지는 보행자의 생활안전 보장을 위한 것이다. 보행자가 스스로 자신의 취약한 상태를 인지하고 도움을 요청하지 못하는 상황이 있기 때문에, 근래의 IoT기술을 도입하여 본인의 인지와 자발적 도움 요청이 없더라도 위험과 어려움을 벗어날 수 있도록 하고자 함이다. 이에 본 연구는 3축 가속도 센서를 활용하여 보행자의 정상적인 걸음을 분석함으로써 정상적인 걸음이 유지되는 상태에 대한 범위를 정하고, 이후 3축 가속도 센서를 활용하여 걸음을 측정하여 그 결과를 정상적인 걸음 범위에 대조하여 정상과 비정상 여부를 판단하도록 한다. 정상적인 걸음을 유지하는 상태를 벗어날 때, 이를 비정상적인 걸음으로 인지하는 방안을 제안한다.

• Annals of Rehabilitation Medicine
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• 제39권6호
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• pp.897-904
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• 2015

Objective To investigate differences in plantar pressure distribution between a normal gait and unpredictable slip events to predict the initiation of the slipping process. Methods Eleven male participants were enrolled. Subjects walked onto a wooden tile, and two layers of oily vinyl sheet were placed on the expected spot of the 4th step to induce a slip. An insole pressure-measuring system was used to monitor plantar pressure distribution. This system measured plantar pressure in four regions (the toes, metatarsal head, arch, and heel) for three events: the step during normal gait; the recovered step, when the subject recovered from a slip; and the uncorrected, harmful slipped step. Four variables were analyzed: peak pressure (PP), contact time (CT), the pressure-time integral (PTI), and the instant of peak pressure (IPP). Results The plantar pressure pattern in the heel was unique, as compared with other parts of the sole. In the heel, PP, CT, and PTI values were high in slipped and recovered steps compared with normal steps. The IPP differed markedly among the three steps. The IPPs in the heel for the three events were, in descending order (from latest to earliest), slipped, recovered, and normal steps, whereas in the other regions the order was normal, recovered, and slipped steps. Finally, the metatarsal head-to-heel IPP ratios for the normal, recovered, and slipped steps were $6.1{\pm}2.9$, $3.1{\pm}3.0$, and $2.2{\pm}2.5$, respectively. Conclusion A distinctive plantar pressure pattern in the heel might be useful for early detection of a slip event to prevent slip-related injuries.

• Physical Therapy Rehabilitation Science
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• 제5권4호
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• pp.170-176
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• 2016

Objective: The purpose of this study was to compare the effect of ball kicking dual task gait training with the addition of a cognitive task with general treadmill gait training (TGT) on gait speed, gait endurance, functional gait, balance and balance confidence in patients with chronic hemiparetic stroke. Design: Randomized controlled trial. Methods: Fourteen stroke patients who volunteered to participate in this study were randomly divided into two groups with seven patients in each group: ball kicking dual task training (DTT) group and TGT group. The DTT group received ball kicking DTT with cognitive tasks consisted of three stages and the TGT group received TGT using normal walking speed, respectively, for 30 minutes per day 3 days per week for 4 weeks. Outcome assessments were made with the 10-meter walking test (10MWT), 6-minute walking test (6MWT), functional gait assessment (FGA), Berg balance scale (BBS), timed up and go test (TUG), and the activities-specific balance confidence (ABC) scale. Results: The DTT group showed more significant improvement in the 10MWT, 6MWT, FGA, BBS, TUG, and ABC than the TGT group (p<0.05). In addition, within groups comparison showed significant improvement in all variables (p<0.05). Conclusions: The findings suggest that both ball kicking dual task gait training and TGT improve gait performance and balance in patients with chronic hemiparetic stroke. However, ball kicking dual task gait training results showed more favorable outcomes than TGT for chronic hemiparetic stoke patients.

• 한국운동역학회지
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• 제22권3호
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• pp.333-339
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• 2012

Freezing of gait is a severely problem in people with Parkinson's disease. The purpose of this study was to investigate the muscle activities of adductor longus, gluteus medius, gluteus maximus, biceps femoris, rectus femoris, gastrocnemius, and tibialis anterior using Noraxon 8 channels EMG system during stop task in patients with Parkinson's disease. Seven parkinson's patients and age matched normal participants were recruited in the study. Filtered EMG signals were rectified, smoothed and integrated. To control for the altered timing and magnitude of activity, iEMG was normalized for time and peak value. The results indicated that the patients with Parkinson showed decreased gait cycle, stance phase, swing phase time, swing phase time ratio and increased stance phase time ratio than normal participants. The patients with Parkinson showed decreased gastrocnemius muscle activity time ratio, while increased tibialis anterior muscle activity time ratio than normal participants. During stance phase before stop, the patients with Parkinson showed relatively lower average and peak iEMG in anterior tibialis and gastrocnemius muscle than normal participants. During swing phase before stop, the patients with Parkinson showed relatively higher average iEMG in gastrocnemius muscle than normal participants. During stop phase, the patients with Parkinson showed relatively lower average and peak iEMG in anterior tibialis and gastrocnemius muscle than normal participants.

• 대한물리치료과학회지
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• 제2권1호
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• pp.383-392
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• 1995

The purpose of this investigation was to determine the intratester reliability of measurements obtained with 3 Dimensional Motion Analysis System(3DMAS) by tester on normal subject. Twenty subjects between the ages of 9 and 29(x=22) were evaluated with 3DMAS using a test-retest reliability procedure after a familiarization session. Computerized 3DMAS was done with 4 50 - Hz CCD cameras connected to the ELITE system(B. T. S., Italy) and kinetic data were collected from the AMTI force platform(AMTI., U. S. A). Data were analyzed by the Eliclinic software to obtain gait parameters, joint angles and joint internal moment and power. Test-retest revealed intraclass correlation coefficients from .80 to .99. A series of paired t-tests revealed no significant differences between test and retest values. Finally, it was concluded that tester with 3DMAS could obtain reliable measurements with 3DMAS for determining kinetic, kinematic and gait parameters in normal subjects.

• 한국정밀공학회지
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• 제29권7호
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• pp.730-736
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• 2012

Latest, many researchers do research on wearable robot. The purpose of the researches is very diverse, it will improve efficiency in the industry, taken to replace the many workers in the military field and taken to assist bodily functions run out by aging. However, there is no clear Differentiated strategy depending on the purpose for design and control of the wearable robot. Although a common purpose is to drive the robot by the sensor signal (intent signals), the optimization about the mechanism and control studies must be done according to the user's physical ability and purpose. In this study, the study's first phase for the development of wearable robotic gait rehabilitation, gait characteristics were analyzed elders and hemiplegia patients using a 3D gait analysis system (VICON512). As a result, asymmetric gait characteristics of the hemiplegia patients were found compared with the normal elderly.