• 제목/요약/키워드: double support phase

검색결과 54건 처리시간 0.03초

아급성 기저핵 뇌졸중 후 편마비 환자의 보행양상의 변화 : 후향적 연구 (Changes in the Gait Pattern of Hemiparetic Patients with Subacute Basal Ganglia Stroke: a Retrospective Study)

  • 홍해진;김철현;성강경;이상관
    • 대한한방내과학회지
    • /
    • 제37권6호
    • /
    • pp.990-997
    • /
    • 2016
  • Objectives: This study observed changes in gait pattern according to the motor grade of the paretic lower limb in patients with basal ganglia stroke who are in the subacute phase. Methods: We used the Manual Muscle Test (MMT) to evaluate the motor grade of the paretic lower limb of 21 patients with subacute basal ganglia stroke and then divided them into two groups based on the MMT results. Stroke patients with a motor grade above Gr. III were put in group I (15 people) and those with a grade less than Gr. III in group II (6 people). We also estimated spatiotemporal factors using treadmill gait analysis equipment. The values were gait velocity, step length, step time, double support phase, and cadence. The first measure was conducted during the early period of admission and the second was between four and five weeks after admission. Results: In Group I, the gait velocity and step length of both legs significantly increased. In Group II, the step length and step time of the paretic side and the gait velocity tended to decrease, but not significantly. The step length of the paretic side in Group II was significantly longer than that in Group I at the first measure. The step time of the paretic side in Group I was significantly shorter than that in Group II and gait velocity and cadence in Group I were significantly higher than in Group II at the second measure. Conclusions: The gait parameters of all stroke patients improved in terms of time. In addition, the changes in gait pattern were different depending on the motor grade of the paretic lower limb.

나선형 테이핑 적용이 만성 뇌졸중 환자의 보행능력 개선에 미치는 즉각적인 효과 (The immediate effects of spiral taping on improvement of gait ability in patients with chronic stroke)

  • 김동대;박신준
    • 디지털융복합연구
    • /
    • 제15권4호
    • /
    • pp.529-536
    • /
    • 2017
  • 본 연구의 목적은 마비측 다리에 나선형 방향으로 테이핑을 적용하여 뇌졸중 환자의 보행능력에 미치는 즉각적인 효과를 알아보고자 하였다. 뇌졸중 환자 42명을 각각 실험군(나선형 테이핑군) 21명과 대조군(넙다리네갈래근 테이핑군)21명으로 나누어 테이핑을 부착하였다. 두 집단 모두 10m 보행 검사(10 meter walk test)와 동적 보행 지수(Dynamic Gait Index; DGI), 가속도계(Accelerometer)를 이용한 시 공간적 보행변수 중 보행율(cadence), 속도(speed), 마비측 보행주기(gait cycle duration), 마비측 디딤기(stance phase duration), 마비측 양발 지기기(double support duration)를 측정하였다. 연구 결과 중재 전과 중재 후 두 집단 모두 10m 보행과 DGI 그리고 보행율, 보행속도에서 유의한 증가를 보였고 마비측 디딤기, 마비측 보행주기, 마비측 양발지지기에서 증가 및 감소하였지만 유의한 차이가 없었다. 두 집단간 변화량 차이는 유의한 차이가 없었다. 테이핑을 통한 뇌졸중 환자의 보행능력 변화에서 두 방법 모두 보행능력에 증가함을 알 수 있었다. 하지만 나선형 테이핑은 테이핑 절단 횟수가 적고 비교적 쉽게 적용이 가능하므로 가정에서 적용 시 보다 쉽게 적용할 수 있는 방법일 것이다.

The Effects of Simulated Mild Leg Length Discrepancy on Gait Parameters and Trunk Acceleration

  • Jung, Soo-jung;An, Duk-hyun;Shin, Sun-shil
    • 한국전문물리치료학회지
    • /
    • 제25권4호
    • /
    • pp.9-18
    • /
    • 2018
  • Background: Leg length discrepancy (LLD) leads to many musculoskeletal disorders and affects daily activities such as walking. In the majority of the population, mild LLD is a common condition. Nevertheless, it is still controversy among researchers and clinicians on the effects of mild LLD during gait, and available studies have largely overlooked this issue. Objects: The purpose of the present study is to investigate the effects of mild LLD on the gait parameters and trunk acceleration. Methods: A total of 15 female and male participants with no evidence of LLD of >.5 ㎝ participated in the present study. All participants walked under the following two conditions: (1) The non-LLD condition, where the participants walked in shoes of the same heel height; (2) A mild LLD condition induced by wearing a 1.5 ㎝ higher heel on the right shoe. The GAITRite system and tri-axial accelerometer were used to measure gait parameters and trunk acceleration. To compare the variation of each variable, a paired t-test was performed. Results: Compared to the non-LLD condition, step time and swing phase were significantly increased in the mild LLD condition, while stance phase, single support phase, and double support phase significantly decreased in the short limb (p<.05). In the long limb of the mild LLD condition, single support phase significantly increased, while swing phase significantly decreased (p<.05). Furthermore, significant decrease in the gait velocity and cadence in the mild LLD condition were observed (p<.05). In the comparison between both limbs in the mild LLD condition, the step time and swing phase of the short limb significantly increased compared with the long limb, while step length, stance phase, and single support phase of the long limb significantly increased compared with the short limb (p<.05). Additionally, trunk acceleration of all directions (anterior-posterior, medial-lateral, vertical) significantly increased in the mild LLD condition (p<.05). Conclusion: The results of the present study demonstrate that mild LLD causes altered and asymmetrical gait patterns and affects the trunk, resulting in inefficient gait. Therefore, mild LLD should not be overlooked and requires adequate treatment.

The Relationship among Stride Parameters, Joint Angles, and Trajectories of the Body Parts during High-Heeled Walking of Woman

  • Park, Sumin;Lee, Minho;Park, Jaeheung
    • 대한인간공학회지
    • /
    • 제32권3호
    • /
    • pp.245-252
    • /
    • 2013
  • Objective: This paper analyzes the changes on stride parameters, joint angles, and trajectories of the body parts due to high heels during walking and explains the causal relationship between the changes and high heels. Background: This study aims to indicate the comprehensive gait changes by high heels on the whole body for women wearing high heels and researchers interested in high-heeled walking. Method: The experiment was designed in which two different shoe heel heights were used for walking (1cm, 9.8cm), and twelve women participated in the test. In the experiment, 35 points on the body were tracked to extract the stride parameters, joint angles, and trajectories of the body parts. Results: Double support time increased, but stride length decreased in high-heeled walking. The knee inflexed more at stance phase and the spine rotation became more severe. The trajectories of the pelvis, the trunk and the head presented outstanding fluctuations in the vertical direction. Conclusion: The double support time and the spine rotation were changed to compensate instability by high heels. Reduced range of motion of the ankle joint influenced on the stride length, the knee flexion, and fluctuations of the body parts. Application: This study can provide an insight of the gait changes by high heels through the entire body.

방사능탐지용 CAYS 함침 이중구조 폴리설폰막의 형상 및 특성에 제막공정의 습도가 미치는 영향 (Vapor Exposure Effect of a Casting Solution on the Embedding and Radioactive Detection of CAYS in Double-layered Polysulffne Film)

  • 한명진;남석태;이근우;서범경
    • 멤브레인
    • /
    • 제15권3호
    • /
    • pp.198-205
    • /
    • 2005
  • 방사능 오염도 측정에 사용하기 위한 이중구조 고분자막이 폴리설폰과 세륨활성화된 이트륨실리케이트(CAYS)를 이용하여 제조되었다. 제조된 막은 순수 고밀도 고분자 지지층과 이에 제막된 고분자 용액의 상전환 공정에 의해 고형화된 CAYS 함침 활성층의 이중구조로 구성된다. 제막공정에서 대기방치 공정이 생략되었을 때 CAYS를 포함하는 활성층은 전형적인 비대칭 구조를 지니며, CAYS 입자들이 고분자 구조 사이에 박혀있는 형상을 지닌다. 제막공정에서 대기에 방치하는 시간이 증가할수록 막의 형상은 스폰지 구조를 띠며 CAYS는 고분자 구조로부터 분리되어 막 내부에 셀 같은 공간에 밀집되어 존재함을 보였다. 한편, 두 충 사의 계면형상은 고분자 고형화 과정에서의 상전환 속도와 밀접한 관련되었으며, 대기방치 시간의 증가에 따라 계면의 구분이 뚜렷하게 나타나지 않았다. 방사능 탐지 특성에서 스폰지 구조를 지니는 막의 고분자 구조는 방사성핵종이 통과할 수 없는 밀집된 형상을 지니면서 탐지효율의 감소를 초래하는 것으로 나타났다.

아급성기 뇌졸중 환자의 이중 과제 수행이 보행의 시·공간적 변수에 미치는 영향 (Effects of Performing Dual Task on Temporospatial Gait Variables in Subjects With Subacute Stroke)

  • 장영민
    • PNF and Movement
    • /
    • 제15권3호
    • /
    • pp.361-371
    • /
    • 2017
  • Purpose: The purpose of this study was to examine the effects of performing a dual task on gait velocity, temporospatial variables, and symmetry in subjects with subacute stroke. Methods: The study included 14 independent community ambulators with gait velocity of 0.8m/s. The Korean mini-mental state examination, the Berg balance scale, the Trunk impairment scale, and the Fugl-Meyer assessment scale were used to recruit homogeneous subjects. Subjects performed a single task (10m ambulation at a comfortable speed) and a dual task (10m ambulation at a comfortable speed while carrying a water-filled glass). Gait variables were examined with the OptoGait system. Results: The findings of this study were as follows: 1) Gait velocity decreased significantly in the dual-task condition as compared to the single task condition. 2) There were no significant differences between the paretic and non-paretic stances. 3) Paretic swing decreased significantly in the dual-task condition as compared to the single task condition. 4) The non-paretic, double-limb support phase increased significantly in the dual-task condition as compared to the single- task condition. 5) There was no significant difference in temporal symmetry. 6) Non-paretic step length decreased significantly in the dual-task condition as compared to the single-task condition. 7) There was no significant difference in spatial symmetry. Conclusion: Performing dual tasks decreases gait velocity, paretic swing phase, and non-paretic step length, while it increases non-paretic double limb support. In addition, although there is no difference in temporospatial symmetry, there is high inter-subject variability in temporospatial symmetry. Thus, dual tasks should be selected in accordance with the functional level of the hemiplegic patient, and inter-subject variability of the individual should be considered when dual tasks are considered for gait-training of hemiplegic patients.

Sensing Characteristics of Uncoated Double Cladding Long-period Fiber Grating Based on Mode Transition and Dual-peak Resonance

  • Zhou, Yuan;Gu, Zheng Tian;Ling, Qiang
    • Current Optics and Photonics
    • /
    • 제5권3호
    • /
    • pp.243-249
    • /
    • 2021
  • In this paper, the sensing characteristics of a double cladding fiber (DCF) long-period fiber grating (LPFG) to the surrounding refractive index (SRI) are studied. The outer cladding of the DCF plays the role of the overlay, thus, the mode transition (MT) phenomenon of DCF can be induced by etching the outer cladding radius instead of coating overlays. The response characteristics of the effective refractive index (ERI) of the cladding mode to the outer cladding radius are analyzed. It is found that in the MT range, the change rate of ERIs of cladding modes is relatively larger than that for other ranges. Further, based on the features of the mode transition region (MTR), the phase-matching curve of the 11th cladding mode is investigated, and the response of the DCF-LPFG to the SRI is characterized by the change of wavelength intervals between the dual peaks under different outer cladding radii. The numerical simulation results show that the SRI sensitivity is greatly improved, which is available to 3484.0 nm/RIU with the fitting degree 0.998 in the SRI range of 1.33-1.37. The proposed DCF-LPFG can provide new theoretical support for designing the DCF-LPFG refractive index sensor with excellent performances of sensitivity, linearity and structure.

Gait event detection algorithm based on smart insoles

  • Kim, JeongKyun;Bae, Myung-Nam;Lee, Kang Bok;Hong, Sang Gi
    • ETRI Journal
    • /
    • 제42권1호
    • /
    • pp.46-53
    • /
    • 2020
  • Gait analysis is an effective clinical tool across a wide range of applications. Recently, inertial measurement units have been extensively utilized for gait analysis. Effective gait analyses require good estimates of heel-strike and toe-off events. Previous studies have focused on the effective device position and type of triaxis direction to detect gait events. This study proposes an effective heel-strike and toe-off detection algorithm using a smart insole with inertial measurement units. This method detects heel-strike and toe-off events through a time-frequency analysis by limiting the range. To assess its performance, gait data for seven healthy male subjects during walking and running were acquired. The proposed heel-strike and toe-off detection algorithm yielded the largest error of 0.03 seconds for running toe-off events, and an average of 0-0.01 seconds for other gait tests. Novel gait analyses could be conducted without suffering from space limitations because gait parameters such as the cadence, stance phase time, swing phase time, single-support time, and double-support time can all be estimated using the proposed heel-strike and toe-off detection algorithm.

Fe-Cr-Ni 합금의 저온에서의 자기적 성질에 관한 연구 (A Study on the low temperature magnetic properties of Fe-Cr-Ni alloys)

  • 안병덕;김진옥;장경호;송기영
    • 한국자기학회지
    • /
    • 제3권4호
    • /
    • pp.277-283
    • /
    • 1993
  • 세개의 오스테 나이트계의 Fe-Cr-Ni 스테인레스 합금강들의 DC 자화율의 온도의존성을 4.2-300 K 온도영역에서 측정하였다. 측정결과 두개의 합금강들은 two-magnetic-phase 모델(spin glass와 초상자성)을 만족하였으며 나머지 하나는 자기적 2중 천이현상을 나타내었다. 또한 Ni/Cr의 비가 증가할수록 자화율의 최 대값이 증가하고 이 값을 나타내는 온도는 감소하였다.

  • PDF

이족보행로봇(IWR-III)의 지속적인 몸체 추진을 위한 걸음새 구현 (Gait Implementation of Biped Walking Robot(IWR-III) for continuous trunk motion)

  • 장충렬;최영하;최상호;김진걸
    • 대한전기학회:학술대회논문집
    • /
    • 대한전기학회 1998년도 추계학술대회 논문집 학회본부 B
    • /
    • pp.549-551
    • /
    • 1998
  • This paper deals with the new gait implementation of biped walking robot(IWR-III). In the case of using old gait. The trunk should be stopped during the phase changing time. But using new gait, the trunk moves continuously for all walking time. As a result, IWR-III has a walking gait similar to human being, and the motion of balancing joints can be reduced by the trunk ahead effect in the double support phase, moreover, ZMP tracking is improved, therefore the stability of IWR-III is improved. The trajectory is planned with a 5th order spline interpolation and stability of IWR-III is certified with a biped simulator.

  • PDF