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    보행속도의 변화가 만성 뇌졸중 환자 지팡이의 수직력과 마비측 발의 체중지지에 미치는 영향 = The Effect of Change in Gait Speed on Vertical Force of the Cane and Distribution of Affected Foot in the Persons with Chronic Stroke

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    https://www.riss.kr/link?id=A60203976

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose The purpose of this study was to analyze weight bearing of cane and affected foot at different speeds during walking. Methods Thirteen subjects (6 males, 7 females) with stroke enrolled in the study. A foot sensor and an instrumented cane were integrated to analyze the vertical peak force on the affected foot and the cane. Results The applied vertical peak force on the cane were 12.02±4.80% (slow speed), 7.97±3.95% (comfortable speed), and 6.86±3.30% (fast speed) body weight, respectively. The results indicated significantly lower vertical peak force on the affected foot in the low speed walking condition when compared to the fast walking (p<.05) and the comfortable walking (p<.05) conditions. The correlations between TUG and vertical peak force on the cane and affected foot were .71, and -.70 (p<.01). There was a higher correlation between the vertical peak force on the cane and affected foot were -.87(p<.01). Conclusion In conclusion, slower walking speed applied greater vertical peak force on the cane, On the contray, slower walking speed applied less vertical peak force on the affected foot. Further studies, duration of force should be measured at different speeds during walking in lower and higher functioning hemiparetic subjects, as its use may mask underlying gait impairment.
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    Purpose The purpose of this study was to analyze weight bearing of cane and affected foot at different speeds during walking. Methods Thirteen subjects (6 males, 7 females) with stroke enrolled in the study. A foot sensor and an instrumented cane were...

    Purpose The purpose of this study was to analyze weight bearing of cane and affected foot at different speeds during walking. Methods Thirteen subjects (6 males, 7 females) with stroke enrolled in the study. A foot sensor and an instrumented cane were integrated to analyze the vertical peak force on the affected foot and the cane. Results The applied vertical peak force on the cane were 12.02±4.80% (slow speed), 7.97±3.95% (comfortable speed), and 6.86±3.30% (fast speed) body weight, respectively. The results indicated significantly lower vertical peak force on the affected foot in the low speed walking condition when compared to the fast walking (p<.05) and the comfortable walking (p<.05) conditions. The correlations between TUG and vertical peak force on the cane and affected foot were .71, and -.70 (p<.01). There was a higher correlation between the vertical peak force on the cane and affected foot were -.87(p<.01). Conclusion In conclusion, slower walking speed applied greater vertical peak force on the cane, On the contray, slower walking speed applied less vertical peak force on the affected foot. Further studies, duration of force should be measured at different speeds during walking in lower and higher functioning hemiparetic subjects, as its use may mask underlying gait impairment.

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    참고문헌 (Reference)

    1 Kodesh E, "Walking speed, unilateral leg loading, and step symmetry in young adults" 35 (35): 66-69, 2012

    2 Dickstein R, "Vertical force loaded on walking canes in hemiparetic patients" 1 (1): 113-118, 1993

    3 Podsiadlo D, "The timed up and go: Atest of basis fuctional mobility for frail elderly persons" 39 (39): 142-148, 1991

    4 Polese JC, "The effects of walking sticks on gait kinematics and kinetics with chronic stroke survivors" 27 (27): 131-137, 2012

    5 Buurke JH, "The effect of walking aids on muscle activation patterns during walking in stroke patients" 22 (22): 164-170, 2005

    6 Laufer Y, "The effect of walking aids on balance and weight-bearing patterns of patients with hemiparesis in various stance positions" 83 (83): 112-122, 2003

    7 Olney SJ, "Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: a regression approach" 74 (74): 872-885, 1994

    8 Chen CL, "Temporal stride and force analysis of cane-assisted gait in people with hemiplegic stroke" 82 (82): 43-48, 2001

    9 Kim CM, "Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke" 18 (18): 23-28, 2003

    10 Ada L, "Strengthening interventions increase strength and improve activity after stroke: a systematic review" 52 (52): 241-248, 2006

    1 Kodesh E, "Walking speed, unilateral leg loading, and step symmetry in young adults" 35 (35): 66-69, 2012

    2 Dickstein R, "Vertical force loaded on walking canes in hemiparetic patients" 1 (1): 113-118, 1993

    3 Podsiadlo D, "The timed up and go: Atest of basis fuctional mobility for frail elderly persons" 39 (39): 142-148, 1991

    4 Polese JC, "The effects of walking sticks on gait kinematics and kinetics with chronic stroke survivors" 27 (27): 131-137, 2012

    5 Buurke JH, "The effect of walking aids on muscle activation patterns during walking in stroke patients" 22 (22): 164-170, 2005

    6 Laufer Y, "The effect of walking aids on balance and weight-bearing patterns of patients with hemiparesis in various stance positions" 83 (83): 112-122, 2003

    7 Olney SJ, "Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: a regression approach" 74 (74): 872-885, 1994

    8 Chen CL, "Temporal stride and force analysis of cane-assisted gait in people with hemiplegic stroke" 82 (82): 43-48, 2001

    9 Kim CM, "Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke" 18 (18): 23-28, 2003

    10 Ada L, "Strengthening interventions increase strength and improve activity after stroke: a systematic review" 52 (52): 241-248, 2006

    11 Bohannon RW, "Strength of lower limb related to gait velocity and cadence in stroke patients" 38 (38): 204-206, 1986

    12 Hodt-Billington C, "Should trunk movement or footfall parameters quantify gait asymmetry in chronic stroke patients?" 27 (27): 552-558, 2008

    13 Dean E, "Relationships among cane fitting, function, and falls" 73 (73): 494-500, 1993

    14 Shumway-Cook A, "Predicting the probability for falls in communitydwelling older adults using the timed up & go test" 80 (80): 896-903, 2000

    15 Nadeau S, "Plantarflexor weakness as a limiting factor of gait speed in stroke subjects and the compensating role of hip flexors" 14 (14): 125-135, 1999

    16 Studenski S, "Physical performance measures in the clinical setting" 51 (51): 314-322, 2003

    17 Krakauer JW, "Motor learning: its relevance to stroke recovery and neurorehabilitation" 19 (19): 84-90, 2006

    18 Horváth M, "Kinematic and kinetic analyses of gait patterns in hemiplegic patients" 1 (1): 25-35, 2001

    19 Schmid A, "Improvements in speed-based gait classifications are meaningful" 38 (38): 2096-2100, 2007

    20 Kuan TS, "Hemiplegic gait of stroke patients: the effect of using a cane" 80 (80): 777-784, 1999

    21 Brandstatter ME, "Hemiplegic gait analysis of temporal variables" 64 (64): 583-587, 1983

    22 Mastos M, "Goaldirected training: linking theories of treatment to clinical practice for improved functional activities in daily life" 21 (21): 47-55, 2007

    23 Bohannon RW, "Gait performance of hemiparetic stroke patients: selected variables" 68 (68): 777-781, 1987

    24 Tinetti ME, "Fear of falling and low selfefficacy: a case of dependence in elderly persons" 48 : 35-38, 1993

    25 Aminzadeh F, "Exploring seniors’ views on the use of assistive devices in fall prevention" 15 (15): 297-304, 1998

    26 Laufer Y, "Effects of one-point and four-point canes on balance and weight distribution in patients with hemiparesis" 16 (16): 141-148, 2002

    27 Chiu SL, "Effect of walking speed on inter-joint coordination differs between young and elderly adults" 45 (45): 275-280, 2012

    28 Ely DD, "Effect of cane on variables of gait for patients with hip disorders" 57 (57): 507-512, 1977

    29 Beaman CB, "Differences in self-selected and fastest-comfortable walking in post-stroke hemiparetic persons" 31 (31): 311-316, 2010

    30 Bohannon RW, "Correlation of knee extensor muscle torque an spasticity with gait speed in patients with stroke" 71 (71): 330-333, 1990

    31 Jonkers I, "Capacity to increase walking speed is limited by impaired hip and ankle power generation in lower functioning persons post-stroke" 29 (29): 129-137, 2009

    32 Bateni H, "Assistive devices for balance and mobility: benefits, demands, and adverse consequences" 86 (86): 134-145, 2005

    33 Nadeau S, "Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke" 78 (78): 123-130, 1999

    34 Hsu AL, "Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke" 84 (84): 1185-1193, 2003

    35 Bobath B, "Adult Hemiplegia Evaluation and Treatment, 3rd ed" Heinnemann 1990

    36 Murray MP, "A survey of the time, magnitude and orientation of forces applied to walking sticks by disabled men" 48 (48): 1-13, 1969

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    학술지 인용정보

    학술지 인용정보
    기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
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