• Title/Summary/Keyword: stair down

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Effects of Resistance Strengthening Exercise for the Hip Flexor and Extensor on Functional Improvement in Chronic Stroke Patients (고관절근력강화운동이 뇌졸중환자의 기능증진에 미치는 효과)

  • Kang, Kwon-Young;Lee, Wan-Hee
    • Physical Therapy Korea
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    • v.13 no.3
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    • pp.10-17
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    • 2006
  • The purpose of this study was to determine the consequence of resistance strengthening exercise on the hip flexor and extensor performed to improve functional mobility in stroke patients more than six months post stroke. Seventeen patients were randomized into two groups. Both groups received conventional physical therapy for six weeks. In addition, the experimental group performed eccentric resistance strengthening exercise in the hip flexor and extensor using an isokinetic dynamometer. The hip flexor and extensor strength, stair up and down mobility, timed get up and go (TUG), 10 m gait velocity, and functional reach were repeatedly measured at baseline, three weeks, and six weeks after treatment. The results were as follows: 1. The experimental group improved more remarkably in the hip flexor and extensor strength, stair up and down mobility, and the 10 m gait velocity after three weeks and six weeks of treatment (p<.05), 2. The control group improved significantly in the hip flexor and extensor strength, and 10 m gait velocity after three weeks of treatment (p<.05), 3. At each three and six week point, the experimental group made greater gains in hip flexor and extensor strength, stair up and down mobility, and 10 m gait velocity than the control group (p<.05). In conclusion, it is desirable to perform resistance strengthening exercises combined with conventional physical therapy to improve functional mobility in chronic stroke patients.

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System Design and Control of an Autonomous Stair Climbing Robot

  • Kim, Dong-Hwan;Hong, Young-Ho;Kim, Sangsu;Jwa, Geun-Ho
    • 제어로봇시스템학회:학술대회논문집
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    • 2002.10a
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    • pp.104.3-104
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    • 2002
  • A quadruped stair robot introduced here plays a role in monitoring and moving some place where an operator can not reach or when he may not keep watching. It has several features that travels and poses variable position by four caterpillars and quadruped typed arms, transmits an image and command data via RF wireless and network communication. The robot can balance itself when it moves up and down on a slope by using the quadruped mechanism. The robot vision scans ahead before it moves, and the captured image is transferred to a main computer via a RF image module. The main computer analyzes the obstacle, and when it is found the obstacle, the robot avoids from the obstacle and keep moving f...

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Evaluation of Human Body Effects during Activities of Daily Living According to Body Weight Support Rate with Active Harness System (동적 하네스 체중지지율에 따른 일상생활 동작 시 인체영향평가)

  • Song, Seong Mi;Yu, Chang Ho;Kim, Kyung;Kim, Jae Jun;Song, Won Kyung;Hong, Chul Un;Kwon, Tae Kyu
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.1
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    • pp.47-57
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    • 2016
  • In this paper, we measured human body signals in order to verify a active harness system that we developed for gait and balance training. The experimental procedure was validated by tests with 20 healthy male subjects. They conducted motions of Activities of Daily Living(ADL)(Normal Walking, Stand-to-Sit, Sit-to-Stand, Stair Walking Up, and Stair Walking Down) according to body weight support rates (0%, 30%, 50% of subjects' body weight). The effectiveness of the active harness system is verified by using the results of foot pressure distribution. In normal walking, the decrease of fore-foot pressure, lateral soleus muscle and biceps femoris muscle were remarkable. The result of stand-to-sit results motion indicated that the rear-foot pressure and tibialis anterior muscle activities exceptionally decreased according to body weight support. The stair walking down show the marked drop of fore-foot pressure and rectus femoris muscle activities. The sit-to-stand and stair walking up activities were inadequate about the effect of body weight support because the velocity of body weight support system was slower than male's activity.

Stability Analysis of the Excavation Slope on Soft Ground using Sheet Pile (널말뚝을 이용한 연약지반 굴착사면의 안정해석)

  • Kang, Yea Mook;Cho, Seong Seop;Lee, Dal Won
    • Korean Journal of Agricultural Science
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    • v.23 no.1
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    • pp.13-24
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    • 1996
  • The following results were obtained by analyzing the displacement, strain and stability of ground at the soft ground excavation using sheet pile. 1. Before setting the strut, the horizontal displacement was large on the upper part of excavated side, but after setting the strut, it showed concentrated phenomenon while being moved to go down to the excavated side. 2. After setting the strut, the displacement of sheet pile was rapidly decreased about a half compared with before setting the strut. The limitation of excavation depth was shown approximately GL-8m after setting double stair strut. 3. Maximum shear strain was gradually increased with depth of excavation, and local failure possibility due to shear deformation at the bottom of excavation was decreased by reinforcement of strut. 4. Maximum horizontal displacement of sheet pile at GL-7.5m was shown 0.2% of excavation depth in elasto-plastic method, and 0.6% in finite-element methods, and the maximum displacement was occurred around the bottom of excavation. 5. To secure the safety factor about penetration depth in the ground of modeling, D/H should be more than 0.89 in the case of one stair strut, and more than 0.77 in the case of double stair strut. 6. The relation of safety factor and D/H about the penetration depth was appeared, Fs=0.736(D/H) + 0.54 in the case of one stair strut, and Fs=0.750(D/H) + 0.62 in the case of double stair strut.

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An Investigation of the Effect of the Height of Wteps on the Joint Moment of Lower Extremities of the Elderly While Walking Downstairs (노인의 계단 내려가기 동작 시 계단 높이와 하지 관절 모멘트와의 관계 연구)

  • Eun, Seon-Deok
    • Korean Journal of Applied Biomechanics
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    • v.16 no.4
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    • pp.31-38
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    • 2006
  • The purpose of this study was to investigate the effect of changing the steps height on the joint moment of lower extremity in stair-descent activity of elderly persons. Data were collected by 3-D cinematography and force platform. 9 male elderly subjects in the 60s and 70s participated in this study. All subjects performed a stair-descent in four different heights of stairs (10, 14, 18, 22cm) having 5 step staircase. The results were as follows. 1. For the step height of 22cm the maximum. plantarflexion moment was the smallest and the largest for the step height of 14cm. 2. There was not a statistical difference shown for the extension moment of the knee joint for the different height of steps. 3. There was not a statistical difference shown for the flexion moment of the hip joint for the varying height of steps but on average for the 18cm step this increased rapidly. 4. The smallest maximum. value for inversion moment was revealed for the step height of 10cm and this increased significantly for the step height of 22cm. 5. The smallest maximum. value for abduction moment of the hip joint was revealed for the step height of 10cm and this increased significantly for the step height of 22cm. 6. There was no significant difference shown for the maximum. abduction moment for the hip joint. The main conclusion is that there is a huge difference in the moment of the lower extremities for the elderly while walking down a stairs with a step height above 18 cm and that this moment increased or decreased rapidly under a condition of step height being 22cm. With the results from this research and related research of elderly walking upstairs it can be shown that the step height has a large role in the safety for the elderly.

The Effects of 12 Week Balance Ability Improvement Exercise to the Changes of Selected Joint Angles and Ground Reaction Forces during Down Staircase Walking (노인대상 12주간 균형능력 향상 운동이 계단 내리기 보행 시 주요 관절각 및 지면반력 변화에 미치는 영향)

  • Park, Yang-Sun;Kim, Eui-Hwan;Kim, Tae-Whan;Lee, Yong-Sik;Lim, Young-Tae
    • Korean Journal of Applied Biomechanics
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    • v.20 no.3
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    • pp.267-275
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    • 2010
  • The purpose of this study was to investigate the effects of balance ability improvement exercise program which applied to the elderly people for increasing balance, stability and range of motion. Ten elderly people and ten university students were recruited as the subjects. Kinematic data were collected by seven real-time infrared cameras while subjects walk stair descent as a pre-test. Korean folk dance exercise program was applied to the elderly for 12 weeks. Same experiment on stair descent walk was performed as post-test. Results indicated that CM movement and selected joint angle patterns of elderly group after treatment changed to the similar patterns of young group. However, ankle joint angle and vertical GRF of elderly group after treatment also increased compared to those of the elderly group before treatment. This might be explained by the fact that elderly used a different walking strategy which maximize support base for increasing stability. Overall, these results indicated that the exercise treatment may affect to adapt and improve the gait pattern of stair descent of elderly people.

The Analysis of GRF and joint angles of young and older adult by Vibration Stimulation on the Ankle-Joint in stair-descent activity (족관절에 인가한 진동자극이 계단 하강 동작에서 청년과 노인의 관절각도와 지면반발력에 미치는 영향)

  • So, H.J.;Kwak, K.Y.;Kim, S.H.;Yang, Y.S.;Kim, N.G.;Kim, D.W.
    • Journal of Biomedical Engineering Research
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    • v.32 no.1
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    • pp.61-73
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    • 2011
  • The purpose of this study was to investigate changes in the center of pressure (COP), ground reaction force (GRF) and joint angles of elderly people and young people while stair-descent. The participants in this experiment were 5 elderly people and 5 young people, each of which was asked to descend stairs of three different heights (8 cm, 16 cm, and 32 cm). As they climbed down the stairs, they received vibration stimulation on the lower limb. The change of COP, GRF and joint angles were analyzed during the standing phase. COP decreased as the Achilles tendon and tibialis anterior tendon were vibrated. Vertical GRF increased as the Achilles tendon was vibrated, and the joint angle differed according to vibration stimulation conditions. These results mean that ankle joint, knee joint and hip joint were influenced by the vibrations on the lower limb as the participants descended the stairs. It was concluded that the vibration stimulation on the lower limb allowed the participants to efficiently climb down the stairs.

Trajectory Optimization for Biped Robots Walking Up-and-Down Stairs based on Genetic Algorithms (유전자 알고리즘을 이용한 이족보행 로봇의 계단 보행)

  • Jeon Kweon-Soo;Kwon O-Hung;Park Jong-Hyeon
    • Journal of the Korean Society for Precision Engineering
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    • v.23 no.4 s.181
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    • pp.75-82
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    • 2006
  • In this paper, we propose an optimal trajectory for biped robots to move up-and-down stairs using a genetic algorithm and a computed-torque control for biped robots to be dynamically stable. First, a Real-Coded Genetic Algorithm (RCGA) which of operators are composed of reproduction, crossover and mutation is used to minimize the total energy. Constraints are divided into equalities and inequalities: Equality constraints consist of a position condition at the start and end of a step period and repeatability conditions related to each joint angle and angular velocity. Inequality constraints include collision avoidance conditions of a swing leg at the face and edge of a stair, knee joint conditions with respect to the avoidance of the kinematic singularity, and the zero moment point condition with respect to the stability into the going direction. In order to approximate a gait, each joint angle trajectory is defined as a 4-th order polynomial of which coefficients are chromosomes. The effectiveness of the proposed optimal trajectory is shown in computer simulations with a 6-dof biped robot that consists of seven links in the sagittal plane. The trajectory is more efficient than that generated by the modified GCIPM. And various trajectories generated by the proposed GA method are analyzed in a viewpoint of the consumption energy: walking on even ground, ascending stairs, and descending stairs.

Clinical Feasibility of Wearable Robot Orthosis on Gait and Balance Ability for Stroke Rehabilitation: A Case Study

  • Shin, Young-Il;Yang, Seong-Hwa;Kim, Jin-Young
    • The Journal of Korean Physical Therapy
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    • v.27 no.2
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    • pp.124-127
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    • 2015
  • Purpose: The emphasis on gait rehabilitation after stroke depends on training support through the lower limbs, balance of body mass over the changing base of support. However, muscle weakness, lack of control of lower limb, and poor balance can interfere with training after stroke. For this case study report, a wearable robot orthosis was applied to stroke patients in order to verify its actual applicability on balance and gait ability in the clinical field. Methods: Two stroke patients participated in the training using the wearable robot orthosis. Wearable robot orthosis provides patient-initiated active assistance contraction during training. Training includes weight shift training, standing up and sitting down, ground walking, and stair up and down Training was applied a total of 20 times, five times a week for 4 weeks, for 30 minutes a day. Gait ability was determined by Stance phase symmetry profile, Swing phase symmetry profile, and velocity using the GAITRite system. Balance ability was measured using the Biodex balance system. Results: Subjects 1, 2 showed improved gait and balance ability with mean individual improvement of 72.4% for velocity, 19.4% for stance phase symmetry profile, 9.6% for swing phase symmetry profile, and 13.6% for balance ability. Conclusion: Training utilizing a wearable robot orthosis can be useful for improvement of the gait and balance ability of stroke patients.

Comparative of Quadriceps Muscle Activity during Stair Gait depending on Short-time Sitting and Gender (단시간 착석과 성별에 따른 계단보행 시 대퇴사두근 근활성도 비교분석)

  • Sangha Park;Duhyun Kim;Sabin Chun;Qian Qian;Taegyu Kim;Young Hoon Kim;Jae Myoung Park;Jong Chul Park
    • Korean Journal of Applied Biomechanics
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    • v.33 no.1
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    • pp.10-16
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    • 2023
  • Objective: The purpose of this was to find out the muscle activity of the quadriceps femoris by gender when sitting on a chair while performing stairs gait (US; Up-stairs, DS; Down-stairs). Method: 13 male subjects (age: 22.00 ± 1.68 yrs, height: 174.85 ± 6.10 cm, weight: 68.15 ± 9.83 kg) and 15 female subjects (age: 21.17 ± 1.58 yrs, height: 168.20 ± 5.55 cm, weight: 55.73 ± 6.94 kg) participated in this study. The study used wireless three channel EMG. Results: In this study, there was no gender difference in quadriceps femoris activity during the US and DS periods, and there was no significant difference between the male group before and after postural maintenance during the US and DS periods. The quadriceps muscle of the female group also did not show a significant difference before and after US sitting. However, the vastus medialis muscle activity during DS in the female group was significantly lower after application than before application of maintaining a sitting posture (p<.05). There was no interaction effect between the 15-minute sitting position application and gender. Conclusion: Our results demonstrate that sitting in a chair affects the transient functioning of the quadriceps muscle in women. Therefore, emphasize the need for active rest when sitting in a chair for long periods of time.