목적: 본 논문의 목적은 연구 문헌 중 요통 환자에게 보행운동을 적용한 무작위 대조군 실험설계를 메타 분석을 하여 통증과 장애지수에 대한 효과를 알아보고자 하였다. 방법: 본 논문은 다음 데이터베이스에서 검색하였다: Google scholar, PubMed, Sciencedirect, KISS, RISS, NDSL. 지난 10년간 영어나 한국어로 된 논문 중, 요통이 있는 환자들이 보행운동을 하였을 때, 통증과 장애지 수를 연구한 논문들을 검색하였다. 이 논문에는 (1) 요통이 있는 환자, (2) 중재에는 보행운동이 포함되며, (3) 평가 지표에는 통증과 장애지수가 포함되었다. 최종 결과로 35개의 논문을 확인하였고, 그중 15개의 논문이 충족되었다. 결과: 본 논문은 요통 환자를 대상으로 보행운동을 중재로 주었을 경우의 논문 15편을 최종적으로 선정하 였고 분석하였다. 통증과 장애지수와 관련되어 각각 12개의 논문을 분석하였다. 통증과 관련된 12개의 논문의 효과 크기는 중간의 효과 크기나 나타났고, 장애지수와 관련된 12개의 논문의 작은 효과 크기가 있었다. 결론: 보행운동은 요통 환자들의 통증을 감소시키고 장애지수를 줄이는데 유의미한 효과가 있다. 따라서 보 행운동은 요통을 지닌 사람들에게 긍정적인 영향을 미칠 것으로 사료된다.

본 연구의 목적은 신체 전신 운동인 맵시 운동 프로그램을 중년여성들에게 8주간 적용하여 보행 시 수직 지면반력 크기, 발생시간, 압력 중심 요인들에 미치는 영향을 분석하는데 있었다. 본 연구의 피험자로 운동군 13명(연령, 41±4.4 세; 신장, 162.5±5.8 cm; 체중, 57.8±6.7 kg; 신체질량지수, 21.9±2.4 kg/m2), 대조군 12명(연령, 41.1±5.6 세; 신장, 160.9±5.5 cm; 체중, 576.2±8.1 kg; 신체질량 지수, 21.7±2.9 kg/m2) 총 25명이 참여하였다. 운동군은 7영역 23종 77동작의 맵시운동 프로그램을 8주간 주 3회 실시하였다. 보행 시 지면반력 요인들의 검증을 위하여 Two-way repeated measures ANOVA 를 실시하였으며, 사후검증은 bonferroni adjustment로 분석하였다(a=.05). 맵시 운동 프로그램의 운동군은 보행 시 FMWA와 FPO 시점까지의 소요 시간, FMWA와 FPO에서 발생한 수직 지면반발력 그리고 AP 방향 COP의 RMS 요인들에서 대조군에 비해 상대적으로 큰 수치를 나타내었다. 그러므로 8주간의 맵시 운동 프로그램은 보행을 수행하는 중년여성들의 가속과 감속 운동 기능을 향상시킨 것으로 나타났다.

Background: Stroke is one of the most common diseases responsible for physical disabilities. In addition to their physical and occupational therapy, the self-exercise programs were developed for patients with hemiplegia to increase the intensity of their therapeutic exercise. Objects: The purpose of this study was to assess the effect of a customized self-exercise program (CSP) to walking function on improving stroke survivors’ muscle strength and ambulation function. Method: To test the effect of the self-exercise program, the following tests were conducted: The functional ambulation category (FAC), Tinetti performance-oriented mobility assessment gait part (POMA-G), timed up and go (TUG), 10-meter walk, and 2-minute walk. The study included 161 consenting stroke patients (FAC score>1) from a randomized, screened sample of 217. The CSP group participated in a 30-minute CSP each day for 10 weeks in addition to completing a routine rehabilitation program. The control group received only a routine rehabilitation program. All the subjects were monitored by a therapist once a week and had to submit an exercise checklist at the end of each session. Result: The strength of the participants’ upper and lower extremity muscles showed no significant differences between the CSP group and the control group. The FAC score and POMA-G also showed no significant differences. However, there were significant differences in the TUG, 10-meter walk test, and 2-minute walk test (p<.05). Conclusion: The findings of this study suggest that a CSP may improve gait-related function in stroke survivors.

본 연구는 고령에 접어들고 있는 베이비부머 집단의 보행 운동용 스마트 스포츠웨어 및 스포츠 애플리케이션에 대한 수용태도를 분석하고 베이비부머 집단의 특성에 맞는 스마트 워킹웨어 및 연동 애플리케이션 개발방향을 제시하는 것이다. 연구 방법은 조사연구로 설문지법을 사용하였으며 측정 도구는 기존 스마트 스포츠웨어와 스포츠 애플리케이션의 디자인, 기능성 사용성에 대한 수용태도를 묻는 문항 등으로 구성되었으며, 조사대상은 50세 이상 65세 미만의 베이비부머 집단을 대상으로 진행됐다. 연구결과를 요약하면 다음과 같다. 베이비부머 소비자들은 스 마트 스포츠웨어의 기능 및 성능안전성에 대해 긍정적으로 인식하나 관리 및 내구성에 대한 우려가 있어 스마트 스포츠웨어의 내구성 및 편의성 개선방향 및 사후 처리에 대한 고려가 필요하다. 스포츠 애플리케이션의 경우 새로운 정보를 얻을 수 있는 교육적인 기능으로 인식하며, 인지용이성 및 접근성에 대해 젊은 세대에 비하여 어려움을 느끼는 것으로 나타났다. 본 연구 결과를 바탕으로 베이비부머 소비자의 보행운동용 워킹웨어의 디자인 및 기획 방향으로는 ‘일반 스포츠웨어 디자인의 일상적 디자인’, ‘소비자의 선호가 반영된 기능’, ‘관리의 편의성 및 내구성을 높인 디자인’ 등을, 보행운동용 애플리케이션의 기획 방향으로는 ‘쉬운 스포츠 애플리케이션 구성’, ‘교육적 운동 콘텐츠 구성’ 등을 제시하였다.

Background: Genu varum is also known as bow leg. It is a deformity wherein there is lateral bowing of the legs at the knee. it does give rise to pain, and persistent bowing can often give rise to discomfort in knees, hips and ankles. Objects: This study investigated the effect of narrow squats on the knee joint during a gait and distance between the knees of person with genu varum. Methods: This study analyzed 23 patient with genu varum that grade Ⅲ, 12 narrow squat group and 11 genenal squat group in motion analysis laboratory. The subjects of experiment took gait before and after intervention, the range of joint motion, moment of knee joint adduction, power, distance of the knees were measured. And in order to make an analysis between groups, an paiered t-test and independent t-test was carried out. For statistical significance testing, it was decided that significance level α be .05. Results: It was shown that the group of narrow squat exercise significantly decreased in distance of knees (p<.05),In moment of adduction of knee joint, it was shown to significantly decrease in two groups (p<.05), was significantly decreased in adduction, abduction, and rotation (p<.05). In relation of peak-knee adduction moment and valgus angle, there was significant decrease in narrow squat group (p<.05). Conclusion: When the above result of study were examined, a narrow squat exercise given to the genu varum patients significantly decreased the distance between the knees, range of knee adduction and abduction, knee adduction moment, knee power. And stability gains through the decrease of excursion of knee medial part be effective for the correction of genu varum deformation.

본 연구에서는 고강도 운동 후 전신진동이 근피로도 감소와 심박회복율에 미치는 효과를 알아보고자 하였다. 피험자 는 총 20명으로 진동을 제공받는 그룹과 진동을 제공받지 않는 그룹으로 구성되어 있다. 고강도 운동은 경사 8.5도와 보행속도 4km/h를 30분간 제공하였고, 그룹별 진동유무별 의자형 진동기 위에서 30분간 휴식을 취하였다. 전신진동자 극은 10Hz의 진동주파수와 5mm의 진폭을 제공하였다. 진동유무별 피로도 감소와 심박안정화 효과를 검증하기 위해 혈중 젖산농도와 실시간 심박수 변화를 측정하였다. 실험결과, 진동을 제공받는 그룹에서 95.2% 수준의 더 큰 근피로도 감소결과와 50.67%의 더 빠른 심박회복율 결과를 보였다. 이는 고강도 운동 후 전신진동이 근육속 혈관을 지속적으로 자극하여 운동 후 초과산소섭취를 빠르게 해소하고 혈액순환 기능을 증진시켜 피로도를 감소시킨다. 고강도 운동 후 전신진동을 이용한 휴식은 노약자나 여성들에게 운동 후 다른 육체적 활동 없이 마무리운동으로 긍정적 효과를 기대할 수 있다.

The aim of this study was to investigate kinematic mechanism of gait different road conditions(dry vs. oil) in order women. For this study, twenty older women and ten young women participated in this research. twelve infrared cameras were used to collect data. It appeared that the gait strategies of older women were slower velocity and higher CoM than young women. Depending on road conditions, gait velocities of dominant muscle older women on dry surface were faster than dominant sense older women, but those of them were inverse on oil surface. The slip displacement of dominant muscle older women was less than young women, but the slip displacement of dominant sense older women was greater than young women. In case of blind during stance phase on oil surface, the rotational motion of the ankle and knee joints were increased. In conclusion, older women were subjected to self-organization theory and phase shift in dynamic theory.

The purpose of this study was to evaluate the effect of dual-task training with cognitive effort on the walking and balance functions of chronic stroke patients. The study included 14 chronic stroke patients, who were randomly divided into the experimental group (EG) and control group (CG), each with 7 patients. The EG performed the dual-task training with cognitive effort 3 times a week, 30 minutes for 4 weeks, where as the CG performed single-task training three times a week, for 30 minutes for 4 weeks. Outcome assessments were made with 10 m walk test, timed up and go test, 6 minutes walk test, and Berg balance scale. In within-group comparison, subjects from the EG showed significant differences in all variables (p<.05), while subjects from the CG showed only significant differences in 6 minutes walk test, and Berg balance scale (p<.05). Further, there was significant difference in the improvement rate of 10 m walk test. The findings suggest that the dual-task with cognitive effort may be beneficial for improving walking and balance functions of patients with chronic stroke.

The purpose of this study was to determine the effect of ankle joint mobilization with movement (MWM) on the range of motion (ROM) in the ankle, on the muscle strength of lower extremities, and on spatiotemporal gait parameters in chronic hemiplegic patients. Fifteen subjects with chronic stroke were divided into two groups: an experimental group (8 subjects) and a control group (7 subjects). Both groups attended two or three sessions of physical therapy each week. The experimental group also attended additional MWM training sessions three times a week for five weeks. For both groups, the ROM of the ankle, the muscle strength of the lower extremities, and the spatiotemporal gait parameters in paretic limbs were evaluated before and after the training period. The results showed that the experimental group experienced more significant increases than did the control group in terms of passive (6.10%) and active (21.96%) ROM of the ankle, gait velocity (12.96%), and peak torque, of the knee flexor (81.39%), the knee extensor (24.88%), and the ankle plantar flexor (41.75%)(p<.05). These results suggest that MWM training in patients with chronic stroke may be beneficial in increasing ROM in the ankle, muscle strength in the lower extremities, and gait speed.

The purpose of this study was to evaluate the effects of bridging stabilization exercise on balance ability and gait performance in elderly women. The subjects of this study were thirty-one elderly women over 65 years old in HongSung-Gun Senior Citizen Welfare Hall. The subjects were randomly assigned into one of three groups (trunk stabilization exercise on the mat, whole body vibration, and Swiss ball) and participated in each exercise program three times a week for 4 weeks. Each exercise began in the bridging position. The dynamic balance and gait were measured by limit of stability area using force plate, Berg Balance Scale (BBS), and Timed Up and Go Test (TUG). The results were as follows: 1) The limit of stability in three groups increased significantly in anterior-posterior and medial-lateral lean after 4-weeks intervention (p<.05). 2) There were no significant differences in the limit of stability among three groups after 4-weeks intervention (p>.05). 3) The BBS and TUG in three groups increased significantly after 4-weeks intervention (p<.05). 4) There were significant differences among three groups in BBS. Post-hoc test showed that Swiss ball exercise group was significantly higher than the mat and whole body vibration groups. 5) There were no significant differences TUG among three groups after 4-weeks intervention (p>.05). In conclusion, this study suggested that 4 weeks of the bridging stabilization exercises were effective on balance and gait in all three groups. Particularly Swiss ball exercise group showed higher improvement than two other exercise groups (mat, whole body vibration group).

The purpose of this study was to compare gait patterns during pregnancy. Because of the changes in hormone levels and anatomical changes such as body mass, body-mass distribution, joint laxity, and musculotendinous strength that result from pregnancy, it

The range of motion (ROM) of ankle dorsiflexion in older women was associated with gait abnormalities and the risk of falls. The purpose of this study was to investigate the effect of self-stretching exercise on the flexibility of the plantar flexors of the ankle and the characteristics of gait in healthy elderly women. Fifteen participants were assigned randomly into an exercise (n=8) or control (n=7) group. The exercise group attended a self-stretching program approximately 30 minutes for 3 days per week for 4 weeks. The active ankle dorsiflexion ROM and gait measurements were taken prior to beginning the stretching program and 1 day after the last stretching day. Results showed that the active ankle dorsiflexion ROM was significantly increased in the exercise group than in the control group after the stretching program (p<.05). However, gait parameters, including gait speed, cadence, and stride length were not significantly different between the two groups (p>.05). The results suggest that a 4-week self-stretching program is capable of provoking a significant increase in ankle dorsiflexion ROM in elderly, community-dwelling women. Additional research is needed to investigate the effect of gait-specific exercise combined with stretching exercise on gait ability.

The limited walking ability after a stroke restricts a patient's independent mobility at home and in the community. It also brings about significant social handicaps. Therefore, it is necessary to improve walking ability in community-dwelling persons with stroke. The purpose of this study was to evaluate the effectiveness of gait training and muscle strengthening exercise of lower extremities in persons with chronic stroke. Nineteen community-dwelling individuals with stroke participated in this program. The exercise program lasted for seven weeks, with a 1-hour program twice per week, and it consisted of balance training, gait training, and strengthening of lower extremities. The outcome of the program was assessed by the gait speed, Wisconsin Gait Scale (WGS), Berg Balance Scale (BBS), and Stroke Impact Scale (SIS). Significant effects were found for the WGS, BBS, and mobility and hand function domain of the SIS (p<.05). It was found that short-term gait training exercise could improve quality of gait, balance, and mobility. Therefore, a more effective exercise program is required for community-based persons with stroke.

본 연구는 하퇴의지 착용자와 정상 성인간의 시간-거리, 운동형상학 변수를 조사하고 비교하기 위하여 실시하였다. 연구 대상자는 외상으로 인한 하퇴 절단자로서 내골격식 하퇴의지를 착용하고 독립적으로 보행이 가능한 20명과 연령, 신장으로 짝짓기한 대조군(matched control group) 20명이 참여하였다. 보행분석은 Vicon Clinical Manager Software (VCM)를 내장한 PC에 5개의 카메라가 연결되어 있는 Vicon 512

본 연구는 보행주기 동안 정상인과 당뇨병성 족부궤양 환자의 족관절 운동역학적 변수와 족관절 근육들의 근활성도에 차이가 있는지 알아보기 위하여 실시하였다. 본 연구의 대상자는 당뇨병성 족부궤양이 있는 환자 9명(남자: 6명, 여자: 3명)과 성, 연령, 체중으로 짝짓기(matching)시킨 대조군 9명이었다. 3차원 동작분석기, 힘판, 표면 근전도를 이용하여, 보행주기 동안 족관절의 관절가동범위, 모멘트(moment), 일률(power), 그리고 내측가자

The objective of this study was to identify the effects of pelvic tilting exercise on gait patterns of hemiplegic patients. The subjects of this study were 31 hemiplegic in- and out-patients of the Rehabilitation Hospital, Yonsei University Medical Center, from September 24, 1997 through November 5, 1997. Pre- and post-treatment change in gait patterns were measured using a ink foot-print. The data were analyzed by the paired t-test, one-way ANOVA, and independent t-test. The findings were as follows: The difference in gait patterns between pre- and post-treatment was statistically significant, with an increase in gait velocity to 7.98 cm/sec post-treatment; an increase in cadence to 7.29 steps/min; a narrowing of the base of support to 1.33 cm; an increase in step length of 3.92 cm on the less affected side and 3.73 cm on the more affected side; an increase in stride length of 5.82 cm on the less affected side and 5.92 cm on the more affected side(statistically not significant in foot angle). In relation to sex, age, cause of stroke, and laterality of paralysis, the difference in gait patterns between pre- and post-treatment was not statistically significant. Where there was no significant difference of the effects of pelvic exercise regarding the degree of spasticity, the presence of a decrease in proprioception, and the duration of treatment. In conclusion, hemiplegic pelvic tilting exercise was found to have transmitting positive effect in improving gait patterns.

The purpose of this study was to determine the effects of pelvic and lower extremity exercise on the gait in 25 patients(11 men, 14 women) with hemiplegia. Their mean age was 65.2 years and the mean post-onset duration was 8.7 months. Each participant received a total of 15 sessions of PNF(five times per week), and each session lasted 40 minutes and consisted of 2 procedures(20 minutes each). The first procedure was pelvic anterior elevation and posterior depression pattern. And the second procedure was lower extremity flexion-adduction with knee flexion pattern. Results showed significant progressive improvement in gait speed and cadence after each 5 session period(5th, 10th, 15th session) compared with pre-treatment data(P<0.05). Furthermore improvements were noted in stride length.

The purpose of this study was to analyse the subtalar joint movement characteristics in human stance phase. The data of subtalar joint movement patterns are collected by CTA(calcaneus to tibia angle) measurements. CTA is defined as a angle formed between the bisect of the posterior shank and bisect of the posterior heel, as determined by placement of the retroreflective markers. The angle measured in degrees. The participants are 74 healthy individuals (37 men and 37 women) who have no orthopedic and neurological impairment, aged from 19 to 29 years(mean 22.95). Prior to participation, each subjecct informed the procedures of experiment from researcher and assistant researcher. The equipments of this study are walking grid, marking tapes, goniometer, video camera, monitor and ink for foot print are used in the study. In order to determine the statistical significance of result, the paired t-test and Pearson correlation were applied at the 0.05 level of significance. The results were as follows : 1. The reliability of measured CTA value are showed a high correlation, ranged from .86 - .94. 2. The mean value of step width are 7.67cm in men and 6cm in women. So, significant difference between men and women in 0.05 level of significance. 3. There was significant difference between man and women's TOA(toe out angle)(p<0.05). 4. The CTA of female's is more higher than male's one, however not statistical difference between man and women(p>0.05). 5. The CTA is reduced according to increasing TOA(p<0.05).

본 연구는 중추신경계의 일부분으로서 신체의 자세 및 자발적 움직임의 조절과 평형을 유지하는 기능을 담당하는 소뇌에 이상이 있는 환자를 대상으로 댄스-기반 운동치료 프로그램이 환자의 균형과 보행능력의 재학습에 어떠한 영향을 주는지 조사하였다. 연구의 참가한 소뇌질환 환자는 유전적 원인으로 인해소뇌의 신경세포가 사멸하여 그 크기가 감소하는 소뇌위축증(cerebellar atrophy)으로 진단을 받고 그로인한 운동장애인 운동실조증(ataxia)을 보인 1명의 환자를 대상으로 하였다. 연구 대상자는 파트너 댄스인 탱고 스텝에 기반을 둔 운동치료 프로그램에 8주에 걸쳐 매주 3회씩 한번에 90분씩 진행하는 수업에 참가하였다(총 24회). 연구 결과, 댄스에 기반을 둔 운동 치료 프로그램에 참여한 소뇌성 운동실조증 환자의 평지 보행 능력 측정에서의 보폭 길이가 증가하였으며 보간 너비가 감소한 것으로 나타났다. 또한 보행 주기 중 한 다리 지지기 비율과 균형 능력의 향상과 같은 긍정적 상호작용도 나타났다. 보다 기능적인 보행 능력을 평가하는 장애물 넘기 보행에서는 장애물을 넘기 직전의 움직임 동결 시간이 감소하였으며, 장애물을 넘기 전 선행하는 발의 이륙거리와 장애물 통과 속도는 초기에 비해 사후 검사에서 증가하는 양상을 나타냈다. 이러한 결과는 댄스-기반 운동치료 프로그램 훈련이 소뇌성 운동실조증 환자에게 적용되었을 때 정상적인 보행주기 패턴의 재정립과 균형 능력의 회복에 긍정적인 영향을 줄 수있음을 보여준다.

This paper presents a motion planning strategy for legged robots using locomotion primitives in the complex 3D environments. First, we define configuration, motion primitives and locomotion primitives for legged robots. A hierarchical motion planning method based on a combination of 2.5 dimensional maps such as an obstacle height map, a passage map, and a gradient map of obstacles to distinguish obstacles. A high-level path planner finds a global path from a 2D navigation map. A mid-level planner creates sub-goals that help the legged robot efficiently cope with various obstacles using only a small set of locomotion primitives that are useful for stable navigation of the robot. A local obstacle map that describes the edge or border of the obstacles is used to find the sub-goals along the global path. A low-level planner searches for a feasible sequence of locomotion primitives between sub-goals. We use heuristic algorithm in local motion planner. The proposed planning method is verified by both locomotion and soccer experiments on a small biped robot in a cluttered environment. Experiment results show an improvement in motion stability.