• Title/Summary/Keyword: walking rehabilitation

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Design of Carbon Composite Prosthetic Feet using Finite Element Methods (유한요소 해석기법을 이용한 탄소복합소재 인공발의 설계)

  • Cho, Hyeon Seok;Cha, Gook Chan;Park, Jin Kook;Kim, Shin Ki;Lee, Suk Min;Mun, Mu Sung;Kim, Chang Bu
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.7
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    • pp.769-776
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    • 2013
  • The dynamic compliance characteristics of a prosthetic foot midgait are very important for natural performance in an amputee's gait and should be in a range that provides natural, stable walking. In this study, finite element analysis (FEA) and classical laminate theory were used to examine the mechanical characteristics of a carbon-epoxy composite laminate prosthetic foot as a function of variation in the lamination composition. From this analysis, an FEM model of a prosthetic keel, made from the composite material, was developed. The lamination composition of the keel was designed for improved stiffness. The prototype product was fabricated using an autoclave. Vertical loading response tests were performed to verify the simulation model. The results of the experiments were similar to those from simulations below the loading level of the gait, suggesting use of the proposed simulation model for prosthetic keel design.

The Correlations between Gait Speed and Muscle Activation or Foot Pressure in Stroke Patients (뇌졸중 환자에서 보행 속도와 근활성도 및 족저압의 상관관계)

  • Chang, Jong-Sung;Lee, Sang-Yeol;Lee, Myung-Hee;Choi, Yong-Won;Lee, Hyun-Min;Oh, Hyen-Ju
    • The Journal of Korean Physical Therapy
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    • v.21 no.3
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    • pp.47-52
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    • 2009
  • Purpose: To examine the correlation between the gait speed and muscle activation or foot pressure in stroke patients. Methods: Twenty five functionally ambulant stroke patients (male/female: 15/10, mean age: $57.65\pm2.30$) were enrolled in this study. The patients were asked to walk on a plate at a self-selected and comfortable speed. Three walking trials were obtained and then averaged for data analysis. The gait speed and foot pressure were measured from a RS-Scan system. Activation of the quadriceps femoris muscle and biceps hamstring muscle (%RVC) were recorded using ProComp $Infiniti^{TM}$. Results: There was a significant positive correlation between Hamstring muscle activation (%RVC) and gait speed. The gait speed correlated with the foot pressure of the lateral metatarsal zone (M3-5) in the affected side. There was a correlation between the gait speed and the foot pressure of the lateral metatarsal (M3-5) and heel (medial, lateral) zone in the less-affected side. Conclusion: The gait speed is related to hamstring muscle activation and the characteristics of foot pressure. This information was observed in both the affected and less-affected sides, suggesting that rehabilitation programs should be implemented on both sides.

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Physiotherapy Management for COVID-19 (코비드-19와 물리치료적 접근)

  • Han, Yun-A;Roh, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.3
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    • pp.135-147
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    • 2020
  • PURPOSE: The purpose of this paper is to provide a review of physiotherapy intervention for patients with COVID-19 during their hospital admission and post-discharge. METHODS: The recommendations and guidelines of physiotherapy management, medical management, and general information of the WHO, Australian Physiotherapist, European Respiratory Society, British Thoracic Society, and American Thoracic Society were reviewed. RESULTS: This paper contains general information on COVID-19, including medical management, and the importance of physiotherapy approaches including an assessment of the patients' function, such as the 6-minute walking test, five sit to stand or sit to stand for one minute to measure their function as their recovery journey. The patients' quality of life, anxiety, and depression should be considered. Physiotherapy management should be based on an assessment of the patient's presenting impairments, including inclusion and exclusion of physiotherapy intervention. The paper also approaches step by step with the disease progress, from an intensive care unit, the general ward in the acute phase, through to the rehabilitation ward if needed, and post-discharge as an outpatient.. CONCLUSION: The paper has a limitation due to the unknown factor of the natural history of COVID-19. Depending on the patients' recovery journey and the rehabilitation needed, any physiotherapy interventions should focus on what the patients' need on their journey to recovery, e.g., pulmonary, cardiac, neurological, and general rehabilitation. In addition, applying personal protection equipment for treating physiotherapists is a mandatory requirement because this protects from the transmission of COVID-19.

The Effect of Exercise Adaptive Training on Motor Function after Experimental brain ischemia in Rats (실험적 뇌허혈로 인한 편마비 흰쥐에서 운동 적응 훈련이 기능 회복에 미치는 영향)

  • Kwon, Young-Shil;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.529-535
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    • 2001
  • The purpose of this study was to test that the exercise adaptive training enhance behavioral outcome significantly after focal brain ischemia in rats. After occlusion of middle cerebral artery in rats, they were housed in individual standard cages fur 24 hours. The control group was sacrificed 24 hours after ischemic event. The experimental group I was housed in standard cages for 7days. The experimental group ll was housed in enriched environment and had got exercise adaptive training fur 7days. The rats were examined five motor behavioral tests. In motor behavioral tests :postural reflex test, limb placement test, beam-walking test, rotarod test, horizontal wire test. The outcomes of control group and group I were significantly lower than the group II. The conclusion was that exercise adaptive training induced functional repair.

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The 2 Case Report with Hemiplegic gait and foot drop after Cardiovascular Accident improved by Taping therapy (뇌졸중 후유증으로 인한 족하수(Foot drop)의 예방과 치료에 첩대 요법을 병행한 환자 치험 2례)

  • Choi, In-Ho;Hwang, Jin-Woo;Yoo, Sang-Min;Jung, Jae-Jung;Lee, Yong-Hyun;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.49-60
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    • 2006
  • This study report foot drop patients, who improved by taping therapy. We applied therapy and check ROM, walking ability, MMT. It is considered that this therapy is meaningful for Foot drop.

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Biomechanical evaluations of four different AK prostheses by using GRF(Ground Reaction Force) and energy consumption at Stance Phase (입각기에서의 지면반발력과 에너지 소모를 이용한 대퇴의지별 생체역학적 평가)

  • Kim, S.M.;Park, C.I.;Choi, S.O.;Shin, J.C.;Kim, D.Y.;Kim, N.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.82-83
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    • 1998
  • In this study, variation of ground reaction force and energy consumption are investigated while walking with four different AK prostheses in order to obtain basic biomechanical data for developing AK prosthesis for Korean. It is a important information to investigate ground reaction force(GRF) and energy consumption to evaluate efficiency and stability of the prostheses.

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The Effect of Symmetrical Standing Posture in Cerebral Palsied Children after Visual and Auditory Feedback Training (시각 및 청각 되먹임을 통한 뇌성마비 아동의 좌우 대칭척 서기 자세 훈련 효과)

  • Kim, You-Hyun;Park, Koan-Su;Cheon, Mee-Hye;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.1 no.1
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    • pp.17-24
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    • 1994
  • Biofeedback devices have been used successfully to improve head control and symmetrical walking in cerebral palsied children. Biofeedback of postural sway was investigated as a therapeutic technique to reduce postural abnormality in 24 selected children with cerebral palsy. Subjects were evaluated their weight distribution of both sides during their standing before and after the visual and auditory feedback training. The effectiveness of biofeedback was compared to conventional physical therapy practices in reestabilishing symmetrical standing in cerebral palsied children. Our study found biofeedback was effective in training symmetrical standing posture.

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A Case Report on Conservative Treatments with Chuna manual therapy on patient who has Failed Back Surgery Syndrome owing to herniated intervertebral lumbar disc with scoliosis (측만이 동반된 요추 추간판 탈출증 수술 실패 증후군 환자에 대한 추나요법 병행치료 증례보고)

  • Ryu, Ho-sun;Kim, Mihye
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.13 no.2
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    • pp.65-73
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    • 2018
  • Objectives : To verify Korean Medicinal Combination Treatments for patients who have Failed Back Surgery Syndrome along with scoliosis Methods : We used Acupuncture, Chuna manual therapy, Pharmacoacupuncture, Herbal medication. We measured Numeral Rating Sacle(NRS), Pain-Free walking distance(PFWD) and Oswestry Disability Index(ODI) score to evaluate the treatment effects. Results : Patients' LBP & Rt.leg pain NRS, PFWD and ODI score were improved. Conclusions : Traditional Korean medicine can be effective for FBSS patients along with scoliosis.

Comparison Gait Analysis of Normal and Amputee: Filtering Graph Data Based on Joint Angle

  • Junhyung Kim;Seunghyun Lee;Soonchul Kwon
    • International journal of advanced smart convergence
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    • v.12 no.3
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    • pp.61-67
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    • 2023
  • Gait analysis plays a key role in the research field of exploring and understanding human movement. By quantitatively analyzing the complexity of human movement and the various factors that influence it, it is possible to identify individual gait characteristics and abnormalities. This is especially true for people with walking difficulties or special circumstances, such as amputee, for example. This is because it can help us understand their gait characteristics and provide individualized rehabilitation plans. In this paper, we compare and analyze the differences in ankle joint motion and angles between normal and amputee. In particular, a filtering process was applied to the ankle joint angle data to obtain high accuracy results. The results of this study can contribute to a more accurate understanding and improvement of the gait patterns of normal and amputee.