• Title/Summary/Keyword: walking limitation

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Knee Strength and Ankle Range of Motion Influencing Gait Velocity and Gait Asymmetry in Patients With Chronic Stroke (만성 뇌졸중 환자의 보행속도와 보행 비대칭에 영향을 미치는 무릎근력과 발목 관절가동범위)

  • Won, Jong-Im;An, Chang-Man
    • Physical Therapy Korea
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    • v.22 no.2
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    • pp.1-10
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    • 2015
  • The common features of walking in patients with stroke include decreased gait velocity and increased asymmetrical gait pattern. The purpose of this study was to identify important factors related to impairments in gait velocity and asymmetry in chronic stroke patients. The subjects were 30 independently ambulating subjects with chronic stroke. The subjects' impairments were examined, including the isokinetic peak torque of knee extensors, knee flexors, ankle plantarflexors, and ankle dorsiflexors. Passive and active ranges of motion (ROM) of the ankle joint, ankle plantarflexor spasticity, joint position senses of the knee and ankle joint, and balance were examined together. In addition, gait velocity and temporal and spatial asymmetry were evaluated with subjects walking at their comfortable speed. Pearson correlations and multiple regressions were used to measure the relationships between impairments and gait speed and impairments and asymmetry. Regression analyses revealed that ankle passive ROM and peak torque of knee flexors were important factors for gait velocity ($R^2=.41$), while ankle passive ROM was the most important determinant for temporal asymmetry ($R^2=.35$). In addition, knee extensor peak torque was the most significant factor for gait spatial asymmetry ($R^2=.17$). Limitation in ankle passive ROM and weakness of the knee flexor were major contributors to slow gait velocity. Moreover, limited passive ROM in the ankle influenced the level of temporal gait asymmetry in chronic stroke patients. Our findings suggest that stroke rehabilitation programs aiming to improve gait velocity and temporal asymmetry should include stretching exercise for the ankle joint.

A Study on the Joint Controller for a Humanoid Robot based on Genetic Algorithm (유전 알고리즘을 이용한 휴머노이드 로봇의 관절 제어기에 관한 연구)

  • Kong, Jung-Shik;Kim, Jin-Geol
    • Journal of the Korean Institute of Intelligent Systems
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    • v.17 no.5
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    • pp.640-647
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    • 2007
  • This paper presents a joint controller for a humanoid robot based on genetic algorithm. h humanoid robot has basically instability during walking because it isn't fixed on the ground. Moreover nonlinearities of the joints increase its instability. If one of them isn't satisfied, the robot may fall down at the ground during walking. To attack one of those problems, joint controller is proposed. It can perform tracking control preciously and reduce the effect of nonlinearities by gear, limitation of the input voltage, coulomb friction and so on. This controller is based on fuzzy-sliding mode controller (FSMC) and compensator and control gains are searched by a proposed genetic algorithm. It can reduce the effect by nonlinearities. Also, to improve the tracking performance, the proposed controller has motion controller. From the given controller, a humanoid robot can moved more preciously. Here, all the processes are investigated through simulations and it is verified experimentally in a real joint system for a humanoid robot.

The Effect of Functional Impairment on Limitation of Flexion and Extension in Patients with Knee Osteoarthritis (퇴행성 슬관절염 환자의 굴곡 및 신전 제한이 기능 장애에 미치는 영향)

  • Park, Seung-Kyu;Park, Rae-Joon;Kim, Tae-Yeol
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.643-651
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    • 2001
  • Osteoarthritis(OA) is a widespread, slowly developing disease with a high prevalence rate increasing with age. The most common big joints involved in OA is the knee, where the disease particulary strikes, causing difficulties in rising from a chair. climbing stairs, kneeling. standing, and walking. The primary complaints of these patients include pain, stiffness. instability, and loss of function. The purpose of this study was to assess the impact of self-reported symptoms and limited flexion, and limited extension on functional impairment in patients with knee osteoarthritis. In the data collection, a total of 206 who had visited the physiotherapy unit at six different departments of orthopedics were interviewed in K City from June to September, 2000. The results of the study summarized are as fellows: 1. There was a significant difference among different degree group of limited flexion(p<0.05). A group difference was demonstrated between <5 ${\sim}$ 15 and 16 > (F=16.21, p<0.05). In the relationship between the degree of limited flexion and the level of functional impairment, the h igher the range of limited flexion, the lower the level of functional impairment. 2. In the relationship between the degree of limited extension and the level of functional impairment, a group difference was revealed between the non-limitation group and the <10 and 11 < However, no significant difference was noted between 11 ${\sim}$ 20 and 21 >(F= 13.37, p<0.05). In conclusion, finding above suggest that functional impairment is closely correlated with limited tlexion and extenion

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The Relationship between Yangsaeng and General Health Status : Based on 2008-2010 Korean National Health and Nutrition Examination Survey (2008-2010년 국민건강영양조사 자료를 활용한 한의학 양생법과 전반적인 건강수준과의 관계)

  • Cheon, Chun-Hoo;Park, Jeong-Su;Park, Sun-Ju;Nam, Koong-Won;Lee, Je-Yeol;Jo, Jae-Kyung;Shin, Yong-Cheol;Ko, Seong-Gyu
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.3
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    • pp.119-128
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    • 2012
  • Objective : The aim of this study is to investigate the relationship between Yangsaeng and general health status. Methods : In this study, we used data from the combined 2008-2010 Korean National Health and Nutrition Examination Survey(KNHANES). Mental Yangsaeng was measured by stress recognition and depression. Food Yangsaeng was measured by breakfast skipping and mixed grain diet. Life style Yangsaeng was measured by sleeping time and working pattern. Exercise Yangsaeng was measured by walking and exercise. We defined general health status as EQ-5Dindex, EQ-5Dvas, frequency and day of lying in a sickbed in last one month and activity limitation. Results : Mental Yangsaeng, food Yangsaeng, life style Yangsaeng and exercise Yangsaeng have 8 factors. Most of factors significant correlation with EQ-5Dindex, EQ-5Dvas, frequency and day of lying in a sickbed in last one month and activity limitation. Conclusion : Yangsaeng and general health status have positive correlation.

Effectiveness of Combined Korean Medicine on Traumatic Spinal Cord Injury: A Case Report

  • Choi, Ji-Won;Bae, Ji-Min;Kim, Jae-Kyu;Lee, Byung-Ryul;Yang, Gi-Young
    • The Journal of Korean Medicine
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    • v.38 no.4
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    • pp.110-117
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    • 2017
  • Objectives: This study aims to evaluate the clinical effectiveness of a Korean medicine treatment on a traumatic spinal cord injury. Metohds : A 44-year-old male patient who had suffered a traumatic spinal cord injury was treated for two months. The effectiveness of complex Korean medicine treatments was measured using the Numeric Rating Scale (NRS) and the Manual Muscle Test (MMT). Result : We found that the NRS of pain caused by numbness was decreased from 7 to 0-1, and the overall motor measured by the MMT was also improved. The patient's walking state was changed from wheelchair ambulation to walker ambulation. Conclusion : Based on this finding, complex Korean medicine treatments may be effective in treating patients' pain, controlling paresthesia, and aiding the recovery function of activities in daily living. However, because of the limitation of our study, further high-quality research should be conducted.

Effective Vibration Control of Existing Footbridge Using Tuned Mass Damper (TMD를 이용한 기존 보도교의 효율적 진동제어)

  • 최석정;유문식;안상구;박찬희
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2003.11a
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    • pp.263-269
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    • 2003
  • This paper describes the vibration control using a tuned mass damper(TMD) for the existing footbridge. The footbridge connecting driveway to the Stadium is the simple steel box-girder bridge with the main span length of 44.6m. This footbridge has light weight(=25.3kN/m) and pedestrians walking on the footbridge were found to induce resonance at the fundamental mode of the structure, resulting in unacceptable accelerations in it. Taking into account economical and constructional benefits, TMD was designed to damp the vibrations of the modes next to the natural frequency caused by a pedestrian, with a limitation criteria of vertical amplitude. A set of two 500kgf vertical TMDs was manufactured by KR and installed into the railings next to the central section of this footbridge. The installation of TMDs reduced the peak acceleration in the meeting box to less than 90%. It is hoped that the study will present bridge engineers with a measure of retrofitting footbridges to make them more friendly to users.

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Interactive Locomotion Controller using Inverted Pendulum Model with Low-Dimensional Data (역진자 모델-저차원 모션 캡처 데이터를 이용한 보행 모션 제어기)

  • Han, KuHyun;Kim, YoungBeom;Park, Byung-Ha;Jung, Kwang-Mo;Han, JungHyun
    • Journal of Korea Multimedia Society
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    • v.19 no.8
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    • pp.1587-1596
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    • 2016
  • This paper presents an interactive locomotion controller using motion capture data and inverted pendulum model. Most of the data-driven character controller using motion capture data have two kinds of limitation. First, it needs many example motion capture data to generate realistic motion. Second, it is difficult to make natural-looking motion when characters navigate dynamic terrain. In this paper, we present a technique that uses dimension reduction technique to motion capture data together with the Gaussian process dynamical model (GPDM), and interpolates the low-dimensional data to make final motion. With the low-dimensional data, we can make realistic walking motion with few example motion capture data. In addition, we apply the inverted pendulum model (IPM) to calculate the root trajectory considering the real-time user input upon the dynamic terrain. Our method can be used in game, virtual training, and many real-time applications.

Evaluation of Vehicle and Pedestrian Environments using Grey System Theory (Grey System Theory를 이용한 차량 및 보행환경 통합평가)

  • Lee, Jin-Gak;Son, Yeong-Tae;Han, Sang-Jin;Park, Jin-Yeong;Lee, Sang-Hwa
    • Journal of Korean Society of Transportation
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    • v.28 no.4
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    • pp.141-156
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    • 2010
  • In this paper, understanding there is a limitation with a comprehensive and network approach for the evaluation of existing vehicle and pedestrian environments, the authors focus on developing an integrated approach to assessing these environments. The network evaluation here means the assessment at a three-dimensional level that includes evaluation methods of lines/axes in a spatial concept as well as integration of evaluation indicators being used for vehicles and the walking environment. Grey System Theory (GST) was applied based on the theoretical background for network and comprehensive integrated evaluation, and the evaluation of the vehicle and pedestrian environment was performed by assigning target areas to walking preference zones. As a result of the comprehensive evaluation and analysis by GST, even if the service level is the same as the operating indicators (Highway Capacity Manual) of the vehicle and pedestrian environment, or relatively better, it was identified that the total score could be varied over Grey Category because the observed data are calculated after considering the weights between evaluation indicators by the range of Grey Category on the comprehensive evaluation. Considering comprehensively these points, although the indicators on the operation of roads are relatively good, in the event that the indicators on the safety of roads are bad, it was known that the scores over Grey Category also could be changed. The result is that this evaluation method can be used to evaluate the network concept per lane (per axis) as well as to diagnose the current state by type of urban street in the future.

Gait Phase Recognition based on EMG Signal for Stairs Ascending and Stairs Descending (상·하향 계단보행을 위한 근전도 신호 기반 보행단계 인식)

  • Lee, Mi-Ran;Ryu, Jae-Hwan;Kim, Sang-Ho;Kim, Deok-Hwan
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.3
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    • pp.181-189
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    • 2015
  • Powered prosthesis is used to assist walking of people with an amputated lower limb and/or weak leg strength. The accurate gait phase classification is indispensable in smooth movement control of the powered prosthesis. In previous gait phase classification using physical sensors, there is limitation that powered prosthesis should be simulated as same as the speed of training process. Therefore, we propose EMG signal based gait phase recognition method to classify stairs ascending and stairs descending into four steps without using physical sensors, respectively. RMS, VAR, MAV, SSC, ZC, WAMP features are extracted from EMG signal data and LDA(Linear Discriminant Analysis) classifier is used. In the training process, the AHRS sensor produces various ranges of walking steps according to the change of knee angles. The experimental results show that the average accuracies of the proposed method are about 85.6% in stairs ascending and 69.5% in stairs descending whereas those of preliminary studies are about 58.5% in stairs ascending and 35.3% in stairs descending. In addition, we can analyze the average recognition ratio of each gait step with respect to the individual muscle.

ACMs-based Human Shape Extraction and Tracking System for Human Identification (개인 인증을 위한 활성 윤곽선 모델 기반의 사람 외형 추출 및 추적 시스템)

  • Park, Se-Hyun;Kwon, Kyung-Su;Kim, Eun-Yi;Kim, Hang-Joon
    • Journal of Korea Society of Industrial Information Systems
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    • v.12 no.5
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    • pp.39-46
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    • 2007
  • Research on human identification in ubiquitous environment has recently attracted a lot of attention. As one of those research, gait recognition is an efficient method of human identification using physical features of a walking person at a distance. In this paper, we present a human shape extraction and tracking for gait recognition using geodesic active contour models(GACMs) combined with mean shift algorithm The active contour models (ACMs) are very effective to deal with the non-rigid object because of its elastic property. However, they have the limitation that their performance is mainly dependent on the initial curve. To overcome this problem, we combine the mean shift algorithm with the traditional GACMs. The main idea is very simple. Before evolving using level set method, the initial curve in each frame is re-localized near the human region and is resized enough to include the targe region. This mechanism allows for reducing the number of iterations and for handling the large object motion. The proposed system is composed of human region detection and human shape tracking modules. In the human region detection module, the silhouette of a walking person is extracted by background subtraction and morphologic operation. Then human shape are correctly obtained by the GACMs with mean shift algorithm. In experimental results, the proposed method show that it is extracted and tracked efficiently accurate shape for gait recognition.

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