목적 : 본 연구의 목적은 보행시 상체의 움직임 변화를 알아보기 위하여 연구하였다. 방법 : 30명의 대상자들이 본 연구에 참여하였고, 모든 대상자들은 보행 시 상체의 움직임을 측정하 였다. 대상자들은 서로 다른 4가지의 타입의 보행을 실시하였다. 1) 앞으로 걷기(FW), 2) 뒤로 걷기 (BW), 3) 팔의 흔들림 없이 걷기(NS), 4) 뒷짐지고 걷기(HBB). 본 연구는 6대의 카메라를 사용한 3차 원 동작분석기를 사용하여 운동형상학적 자료를 수집하였다. 결과 : 척추의 관절움직임 관상면 시상면 횡단면, 흉부의 관절움직임 시상면 횡단면, 흉부의 움직임 관상면 시상면 횡단면에서 유의한 차이를 보였다. 그러나 흉부의 관절움직임 관상면에서는 유의하지 않았다. BW 는 FW와 비교하였을 때 척추의 관절움직임 관상면 시상면 횡단면, 흉부의 관절움직임 시상면 횡단면, 흉부의 움직임 관상면 시상면 횡단면에서 유의한 차이를 보였다. NS는 FW와 비교하 였을 때 척추의 관절움직임 관상면 횡단면, 흉부의 관절움직임 횡단면, 흉부의 움직임 관상면 시상면 에서 유의한 차이를 보였으며, HBB는 FW와 비교하였을 때 척추의 관절움직임 관상면 시상면 횡단 면, 흉부의 관절움직임 시상면, 흉부의 움직임 횡단면에서 유의한 차이를 보였다. 결론 : 우리는 각 보행형태에 따른 상체의 움직임 변화를 제공한다. 그리고 이 연구를 통해 뒤로 걷 기 시 척추의 시상면 관절범위와 흉부의 시상면 횡단면 관절범위, 흉부의 앞-뒤 움직임이 증가하는 것을 발견할 수 있었으며, 척추의 관상면과 횡단면의 관절범위, 흉부의 안쪽-가쪽, 위쪽-아래쪽으로 의 움직임은 감소하는 것을 발견할 수 있었다. 보행 형태에 따라 몸통 움직임은 다르게 나타나며 필 요에 따라 선택적 보행을 할 수 있을 것으로 사료된다.

This study aimed to identify the asymmetry observed in the electromyography (EMG) activity patterns of selected trunk and thigh muscles between the affected and unaffected sides during the sit-to-stand movement in ambulatory patients with post-stroke hemiparesis. This study included 20 patients with post-stroke hemiparesis. The differences between stroke fast walkers (, 11 subjects) and stroke slow walkers (<8 m/s, 9 subjects) were compared. The activation magnitude and onset time of the multifidus, lumbar erector spinae, hamstrings, and quadriceps during the sit-to-stand movement were recorded through surface EMG. Moreover, the EMG activation magnitude and onset time ratios of each bilateral corresponding muscle from the trunk and leg were measured by dividing the relevant values of the unaffected side by those of the affected side. In all the subjects, the activation magnitudes of the multifidus, hamstring, and quadriceps on the affected side significantly decreased compared to those on the unaffected side (p<.05). The onset time of muscle activity in the affected side was markedly delayed for the multifidus and quadriceps during the task (p<.05). The activation magnitude ratios of the quadriceps were markedly decreased in the stroke slow walkers as compared to those in the stroke fast walkers. These findings indicate that the asymmetry in the multifidus, hamstring, and quadriceps muscle activation patterns in patients with post-stroke hemiparesis may be due to the excessive muscle activation in the unaffected side to compensate for the weakened muscle activity in the affected side. Our findings may provide researchers and clinicians with information that can be useful in rehabilitation therapy.

The purpose of this study was to investigate the variations in gait parameters in terms of the type of arm sling used in hemiplegic patients. Ten patients with hemiplegia and ten healthy adults participated in this study and walked at self-selected speeds on a GAITRite-instrumented carpet. The activities of the opposite shoulder girdle muscle including the latissimus dorsi, anterior deltoid, and posterior deltoid were simultaneously recorded using surface EMG during gait. They were randomly assigned a condition: without an arm sling, a single strap arm sling, a Harris hemi arm sling, a Rolyan humeral cuff arm sling, and a Bobath roll arm sling. The following gait variables were analyzed: the temporo-spatial parameters of velocity, step length, stride length, swing phase, stance phase, single support, step time and toe in/toe out. The statistical analysis was one-way ANOVA with repeated measures to compare the variation of each variable. In comparison of parameters in each trial in the hemiplegia group, the non-affected side stride length, single support, and toe in/toe out resulted in statistically significantly changes (p<.05). But without an arm sling group did not show any gait parameter differences with arm slings. This study found that several arm slings varied gait patterns in patients with hemiplegia and in healthy adults. In the EMG analysis, the Rolyan humeral cuff arm sling and the Bobath roll arm sling were higher muscle activity for the latissimus dorsi muscle than did the single strap ann sling. Further study should examine the problems that appeared in patients who worn arm slings by focusing on a larger number of subjects and by studying the variety of responses in more detail using an assessment tool that measures variation.