• Title/Summary/Keyword: STEP-LENGTH

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경 두개 직류자극이 뇌졸중 환자의 시간적, 공간적 보행능력에 미치는 영향 (Effect of Trans cranial Directed Current Stimulus on Temporal and Spatial Walking Capacity for Hemiparalysis Patients)

  • 이연섭;전현주
    • 대한물리치료과학회지
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    • 제29권3호
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    • pp.75-84
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    • 2022
  • Background: This study was to investigate the effect of non-invasive transcranial direct current stimulation due to hemiplegic patients due to stroke on temporal and spatial gait ability. Design: Randomized sham controlled trial. Methods: For the study method, 42 patients with hemiplegia due to stroke were randomly assigned to 14 patients each, and the general walking group, tDCS walking group, and tDCS (sham) walking group were subjected to 5 times a week, 30 minutes a day, and 6 weeks. In the temporal gait variables of hemiplegic patients due to stroke, the effect of the gait time, gait cycle, single support, double support, swing phase, stance phase, gait speed, cadence were measured. In spatial variables, one step length and one step length were measured. Results: As a result of the study, the EG group significantly increased in the step time, gait velocity, and cadence of the paralysis side in the comparison of temporal walking variables between groups according to the application of tDCS of walking ability in hemiplegic patients due to stroke patients(p<.05). In the change in spatial walking variables between groups according to the application of tDCS, the step length and stride length of the EG group showed a significant increase. Both the comparison of temporal and spatial symmetry walking variables between groups according to tDCS application was not significant(p>.05) Conclusion: As a result, tDCS has an effective effect on the improvement of the gait ability of stroke patients. In particular, it is an effective method of physical therapy that can improve the cadence and speed of gait, which can be combined with the existing gait training to effectively increase the gait of hemiplegia due to stroke patients.

계단보행훈련과 경사로보행훈련이 뇌졸중 환자의 보행능력에 미치는 영향 (The Effects of Gait Ability in the Stroke Patients after Stair Gait Exercise and Lamp Gait Exercise)

  • 서교철;김현애
    • 대한물리의학회지
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    • 제8권3호
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    • pp.397-406
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    • 2013
  • PURPOSE: The Purpose of this study was on determine whether stair gait exercise and lamp gait exercise might increase the gait ability of the patients with stroke METHODS: Fourty five patients with stroke were randomly assigned to plane gait exercise group(n=15) and ramp gait exercise group(n=15) and stair gait exercise group(n=15). During four weeks, each group participated thirty minutes for five times per week. Subjects were assessed using pre-value and post-value measurement gait ability(Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity). RESULTS: These finding suggest that stair gait exercise group was significant in Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity(p<.05). And lamp gait exercise group was only significant increase in Step time, Gait velocity(p<.05). In comparison of three group, stair gait exercise group was high gait ability than other two groups(p>.05). CONCLUSION: This study showed stair gait exercise group can be used to improve gait ability than other two groups. Thus it indicates that the stair gait exercise group will be more improved through the continued gait program.

시각 흐름 속도에 따른 가상현실 프로그램이 뇌졸중 환자의 보행에 미치는 영향 (The Effects of Visual Flow Speed's Modulation-Based Virtual Reality Program on Gait Function in Stroke Patients)

  • 강형규;정이정
    • 한국산학기술학회논문지
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    • 제13권1호
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    • pp.247-253
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    • 2012
  • 본 연구는 시각흐름 속도에 따른 가상현실 프로그램이 뇌졸중 환자의 보행에 미치는 영향을 알아보고자 시행하였다. 연구 대상자는 서울시 소재 M재활전문병원에 입원 중인 뇌졸중 환자 중 무작위로 31명을 선정하였고 대상자는 가상현실 프로그램에 몰입하여 보행분석기 위에서 보행을 실시하였으며 가상현실 프로그램의 4가지 조건은 정상 보행과 0.25배, 1배, 2배의 시각흐름 속도변환 가상현실 프로그램으로 구성되었다. 중재동안 보행분석은 GaitRite보행분석시스템을 이용하여 보행 속도, 분속수, 활보장, 보장, 단하지지지 시간, 양하지지지 시간을 측정하였다. 그 결과 0.25배의 느린 시각흐름 가상현실 프로그램에서 연구 대상자는 보행속도, 분속수, 환측 활보장, 건측 활보장, 환측 보장, 건측 활보장이 통계적으로 유의하게 감소하였고(p<.05), 환측 단하지지지시간, 건측 단하지지지시간, 환측 양하 지지지시간, 건측 양하지지지시간이 통계적으로 유의하게 증가하였다(p<.05). 또한 2배의 빠른 시각흐름 가상현실 프로그램에서 연구 대상자는 보행속도, 분속수, 환측 활보장, 건측 활보장, 환측 보장, 건측 활보장, 환측 단하지지지시간이 유의하게 증가하였고(p<.05), 건측 단하지지지시간, 환측 양하지지지시간, 건측 양하지지지시간이 유의하게 감소하였다(p<.05). 따라서 가상현실 보행 프로그램의 적용 속도에 따라서 뇌졸중 환자의 보행 능력이 유의하게 차이를 나타낸다는 것을 알았다. 그러므로 뇌졸중 환자의 운동 프로그램을 계획할 때 보행 훈련 프로그램을 증가시킬 수 있는 다양한 훈련 프로그램이 요구된다.

저가형 관성센서를 이용한 보행자 관성항법 시스템의 성능 향상 (Performance Improvement of a Pedestrian Dead Reckoning System using a Low Cost IMU)

  • 김윤기;박재현;곽휘권;박상훈;이춘우;이장명
    • 제어로봇시스템학회논문지
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    • 제19권6호
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    • pp.569-575
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    • 2013
  • This paper proposes a method for PDR (Pedestrian Dead-Reckoning) using a low cost IMU. Generally, GPS has been widely used for localization of pedestrians. However, GPS is disabled in the indoor environment such as in buildings. To solve this problem, this research suggests the PDR scheme with an IMU attached to the pedestrian's waist. However, despite the fact many methods have been proposed to estimate the pedestrian's position, but their results are not sufficient. One of the most important factors to improve performance is, a new calibration method that has been proposed to obtain the reliable sensor data. In addition to this calibration, the PDR method is also proposed to detect steps, where estimation schemes of step length, attitude, and heading angles are developed. Peak and zero crossings are detected to count the steps from 3-axis acceleration values. For the estimation of step length, a nonlinear step model is adopted to take advantage of using one parameter. Complementary filter and zero angular velocity are utilized to estimate the attitude of the IMU module and to minimize the heading angle drift. To verify the effectiveness of this scheme, a real-time system is implemented and demonstrated. Experimental results show an accuracy of below 1% and below 3% in distance and position errors, respectively, which can be achievable using a high cost IMU.

절리 암반 사면의 계단 경로 파괴에 미치는 불연속면 간격/길이 비의 영향 (The Effect of the Discontinuity Spacing/Length Ratio on Step-Path Failure of Jointed Rock Slopes)

  • 윤운상
    • 지질공학
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    • 제34권2호
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    • pp.317-327
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    • 2024
  • 대규모 암반 사면에서 비연속성의 절리계가 발달할 때, 계단상 활동면에 의한 사면 파괴가 발생할 수 있다. 계단상 활동면은 절리-절리 활동면 또는 절리-암교 활동면으로 구분할 수 있으며, 절리-암교 활동면에서 암교는 절리와 평행한 전단 저항과 절리에 수직인 인장 저항을 제공한다. 계단 경로 파괴는 활동 암괴의 하중에 의해 암교의 파괴가 발생하여 암교 양단의 두 절리가 연결되며 발생한다. 암교의 길이가 동일하다면 암석의 인장강도가 전단강도에 비해 낮으므로 절리에 수직으로 형성된 암교가 파괴에 취약하며, 불연속면 간격/길이의 비가 작을수록 계단 경로 파괴의 가능성이 커진다. 비연속성의 절리가 발달하는 암반 사면의 계단상 활동 파괴 위험에 대한 평가를 위해서는 체계적인 불연속면 조사 및 분석을 통해 계단 경로 파괴면을 구성하여 한계 평형 해석 또는 수치 해석 등의 안정성 평가를 수행하여야 한다.

박리전단층이 축대칭 하향단흐름에 미치는 영향 (Effect Of The Separating Shear Layer on the Flow Over an Axisymmetric Backward-Facing Step)

  • 부정숙;김경천;양종필
    • 대한기계학회논문집
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    • 제19권4호
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    • pp.1102-1115
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    • 1995
  • An experimental study on the flow over the axisymmetric backward-facing step was carried out. The purpose of the present study is to investigate the effect of the boundary layer thickness at the separation point on the reattachment length and to understand the structure of the recirculating flows. Local mean and fluctuating velocity components were measured in the separating and reattaching axisymmetric turbulent boundary layer over the wall of convex cylinder placed in a water tunnel by using 2-color 4-beam fiber optics laser Doppler velocimetry. The study demonstrated that the reattachment length increases with increasing boundary layer thickness. It was also observed that the reverse flow velocity and turbulent kinetic energy decrease with an increase in the momentum thickness at the separation point. The measured velocity field suggests that the boundary layer thickness at the separation can affect definitely on the formation of corner eddy.

후방 계단 주위의 난류 유동 수치 해석 (Numerical Computation of Turbulent Flow over a Backward Facing Step)

  • ;반석호;김형태
    • 한국해양공학회지
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    • 제10권3호
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    • pp.44-49
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    • 1996
  • 후방계단(backward facting step) 주위의 난류 유동 특성을 수치 해석을 통해 파악하고자 하였다. 지배방정식은 2차 정도의 유한 차분 기법으로 이산화하였으며 비교차격자계를 사용하여 양해법으로 계산하였다. 난류 모형으로는 이층 모형(two-layer)을 사용하였고 압력 Poisson 방정식을 이용하여 압력과 속도를 연성 시켰다. Re=44,000인 경우에 대해 계산 결과로 부터 후방 계단 뒤의 속도 벡터, 유선, 압력 및 속도 분포, 재부착 길이(reattachment length)등의 실험치와 비교하였다. 본 계산에 사용한 수치 해석 기법은 박리등이 포함된 복잡한 난류 유동 현상을 잘 재현할 수 있음을 확인할 수 있었다.

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패브릭 발목 보조기가 경직성 뇌성마비 아동의 시공간적 보행 변수에 미치는 즉각적인 효과 (Immediate Effect of Fabric Ankle-Foot Orthosis on Spatiotemporal Gait Parameters in Children With Spastic Cerebral Palsy)

  • 심연주;이동률;이충휘
    • 한국전문물리치료학회지
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    • 제21권1호
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    • pp.29-36
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    • 2014
  • The purpose of this study was to investigate the immediate effect of fabric ankle-foot orthosis on spatiotemporal gait parameters, compared to a barefoot condition in children with spastic cerebral palsy. Eleven children with spastic cerebral palsy participated in this study. Spatiotemporal gait parameters were measured with the GAITRite system. Fabric ankle-foot orthosis significantly improved Timed Up and Go test time and gait velocity. There was no significant difference in cadence. The step time significantly improved in both the more and less affected foot compared to the barefoot condition. The step length of the affected foot also significantly improved, but there was no significant difference in the step length of the less affected foot. There was significant improvement in the stride length of both the affected and less affected foot, but no significant difference in single stance or double stance. The fabric ankle-foot orthosis could improve stability, and selective control of the joint and promote better walking in children with cerebral palsy. Consequently, the fabric ankle-foot orthosis might be an alternative assistive device for neurological populations as a primary role instead of the typical ankle-foot orthosis.

관성센서 기반 신발형 보행 분석기의 신뢰성 연구 (Reliability of 3D-Inertia Measurement Unit Based Shoes in Gait Analysis)

  • 주지용;김영관;박재영
    • 한국운동역학회지
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    • 제25권1호
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    • pp.123-130
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    • 2015
  • Purpose : The purpose of this study was to investigate the reliability of 3D-inertia measurement unit (IMU) based shoes in gait analysis. This was done with respect to the results of the optical motion capturing system and to collect reference gait data of healthy subjects with this device. Methods : The Smart Balance$^{(R)}$ system of 3D-IMU based shoes and Osprey$^{(R)}$ motion capturing cameras were used to collect motion data simultaneously. Forty four healthy subjects consisting of individuals in 20s (N=20), 40s (N=13), and 60s (N=11) participated in this study voluntarily. They performed natural walking on a treadmill for one minute at 4 different target speeds (3, 4, 5, 6 km/h), respectively. Results : Cadence (ICC=.998), step length (ICC=.970), stance phase (ICC=.845), and double-support phase (ICC=.684) from 3D-IMU based shoes were in agreement with results of optical motion system. Gait data of healthy subjects according to different treadmill speeds and ages were matched to previous literature showing increased cadence and reduced step length for elderly subjects. Conclusion : Conclusively, 3D-IMU based shoes in gait analysis were a satisfactory alternative option in measuring linear gait parameters.

수영과 저출력 레이저 치료가 Freund's Complete Adjuvant 유발 흰쥐의 관절염 치유에 미치는 영향 (The Effect of Swimming and Low Power Laser on the Healing of the Freund's Complete Adjuvant Induced Arthritis in Rat)

  • 박미희;노민희;김재영
    • 대한물리치료과학회지
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    • 제13권1호
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    • pp.7-20
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    • 2006
  • Purpose: This study was to find that what mechanism take effects that was Adjuvant Induced Arthritis in Sprague-Dawley rat and then treated the swimming and low power laser. Methods: Adjuvant Induced Arthritis was induced 24 Sprague-Dawley rat by the subcutaneous injection of a 0.2ml Freund's Complete Adjuvant into the right hind paw and right knee joint. Second injection used of 0.05ml Freund's Complete Adjuvant by same method. Arthritic rat were divided 3 groups; arthritic swimming group, arthritic laser group and case control group. The author performed several experimental tests which were the hind paw thickness, step length, knee joint space, activity of enzyme. Results: Hind paw thickness decreased in swimming and laser group. Left step length and knee joint space increased in swimming and laser. Conclusion: Swimming and low power laser therapy on the Adjuvant Induced Arthritis in rats does effective for the rheumatic arthritis therapy by decrease of hind paw thickness, increase of opposite side step length, increase of activity of albumin and IgG and increase of knee joint space.

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