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      뇌졸중 편마비 장애인 보행 시 건측과 환측 간 하지의 생체역학적 비교분석 = Comparison Analysis of Kinematics of Lower Extremity Between the Paretic side and Non-Paretic side when Gait for People with Stroke

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      https://www.riss.kr/link?id=A108533003

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      다국어 초록 (Multilingual Abstract)

      Stroke and cerebral disease are the head cause of death and chronic disability in worldwide, and hemiplegia is one of most common disabilities. The asymmetry gait is a general symptom of stroke hemiplegic people. The need to identify of kinematic variable on paretic side and non-paretic side during asymmetry gait. These asymmetrical gait variable a representative technique for accurate identifying is 3D motion analysis. The 3D motion analysis technology is can be used as objective indicator and the direction of perscription and treatment can be selected rationally through the derivation of various variables. Therefore, the aim of this study is to compare the gait parameters and kinematic variables of the lower extremity for people with stroke using three-dimensional motion capture system. The result of the study, it was showed that non-paretic side supported on the ground for a long time than paretic side in gait and relatively fast(p<.05). Also, it was found that the movement of the non-paretic side lower extremity joint was greater than of the paretic side in gait cycle(p<.05). This is considered to compensate for limited movement in paretic side for stiffness and muscular weakness. Based on the result of this study, it is expected that basic data can be used for doctor and therapist to support the rehabilitation sports programs and rehabilitation therapy for people with stroke.
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      Stroke and cerebral disease are the head cause of death and chronic disability in worldwide, and hemiplegia is one of most common disabilities. The asymmetry gait is a general symptom of stroke hemiplegic people. The need to identify of kinematic vari...

      Stroke and cerebral disease are the head cause of death and chronic disability in worldwide, and hemiplegia is one of most common disabilities. The asymmetry gait is a general symptom of stroke hemiplegic people. The need to identify of kinematic variable on paretic side and non-paretic side during asymmetry gait. These asymmetrical gait variable a representative technique for accurate identifying is 3D motion analysis. The 3D motion analysis technology is can be used as objective indicator and the direction of perscription and treatment can be selected rationally through the derivation of various variables. Therefore, the aim of this study is to compare the gait parameters and kinematic variables of the lower extremity for people with stroke using three-dimensional motion capture system. The result of the study, it was showed that non-paretic side supported on the ground for a long time than paretic side in gait and relatively fast(p<.05). Also, it was found that the movement of the non-paretic side lower extremity joint was greater than of the paretic side in gait cycle(p<.05). This is considered to compensate for limited movement in paretic side for stiffness and muscular weakness. Based on the result of this study, it is expected that basic data can be used for doctor and therapist to support the rehabilitation sports programs and rehabilitation therapy for people with stroke.

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      참고문헌 (Reference)

      1 강동헌 ; 박지영 ; 은선덕, "지역사회 기반 그룹운동 프로그램이 뇌졸중 환자의 운동기능과 삶의 질에 미치는 영향 - 무작위 대조 시험 연구 -" 국가미래기술경영연구소 7 (7): 101-123, 2022

      2 석혁기 ; 이금주 ; 정영수, "성인 남자 뇌졸중환자의 조기 재활운동이 신체 평형능력과 보행기능에 미치는 영향" 국가미래기술경영연구소 6 (6): 77-89, 2021

      3 Kim, W. -S., "Upper extremity functional evaluation by Fugl-Meyer assessment scoring using depth-sensing camera in hemiplegic stroke patients" 11 (11): e0158640-, 2016

      4 Faria-Fortini, I., "Upper extremity function in stroke subjects: relationships between the international classification of functioning, disability, and health domains" 24 (24): 257-265, 2011

      5 Chaudhuri, S., "The effect of shoe lifts on static and dynamic postural control in individuals with hemiparesis" 81 (81): 1498-1503, 2000

      6 Langhorne, P., "Stroke rehabilitation" 377 (377): 1693-1702, 2011

      7 Yavuzer, G., "Repeatability of lower limbthree-dimensional kinematics in patients with stroke" 27 (27): 31-35, 2008

      8 Latorre, J., "Reliability and comparison of Kinect-based methods for estimating spatiotemporal gait parameters of healthy and post-stroke individuals" 72 : 268-273, 2018

      9 Kim, S. H., "Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study" 16 (16): 1-8, 2019

      10 Simonsen, E. B., "Redistribution of joint moments during walking in patients with drop-foot" 25 (25): 949-952, 2010

      1 강동헌 ; 박지영 ; 은선덕, "지역사회 기반 그룹운동 프로그램이 뇌졸중 환자의 운동기능과 삶의 질에 미치는 영향 - 무작위 대조 시험 연구 -" 국가미래기술경영연구소 7 (7): 101-123, 2022

      2 석혁기 ; 이금주 ; 정영수, "성인 남자 뇌졸중환자의 조기 재활운동이 신체 평형능력과 보행기능에 미치는 영향" 국가미래기술경영연구소 6 (6): 77-89, 2021

      3 Kim, W. -S., "Upper extremity functional evaluation by Fugl-Meyer assessment scoring using depth-sensing camera in hemiplegic stroke patients" 11 (11): e0158640-, 2016

      4 Faria-Fortini, I., "Upper extremity function in stroke subjects: relationships between the international classification of functioning, disability, and health domains" 24 (24): 257-265, 2011

      5 Chaudhuri, S., "The effect of shoe lifts on static and dynamic postural control in individuals with hemiparesis" 81 (81): 1498-1503, 2000

      6 Langhorne, P., "Stroke rehabilitation" 377 (377): 1693-1702, 2011

      7 Yavuzer, G., "Repeatability of lower limbthree-dimensional kinematics in patients with stroke" 27 (27): 31-35, 2008

      8 Latorre, J., "Reliability and comparison of Kinect-based methods for estimating spatiotemporal gait parameters of healthy and post-stroke individuals" 72 : 268-273, 2018

      9 Kim, S. H., "Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study" 16 (16): 1-8, 2019

      10 Simonsen, E. B., "Redistribution of joint moments during walking in patients with drop-foot" 25 (25): 949-952, 2010

      11 Luo, G., "Random forest–based classsification and analysis of hemiplegia gait using low-cost depth cameras" 58 (58): 373-382, 2020

      12 Dunning, K., "Peroneal stimulation for foot drop after stroke: a systematic review" 94 (94): 649-664, 2015

      13 Handley, A., "Movement disorders after stroke" 38 (38): 260-266, 2009

      14 Allen, J. L., "Motor module generalization across balance and walking is impaired after stroke" 122 (122): 277-289, 2019

      15 Miéville, C., "More symmetrical gait after split-belt treadmill walking does not modify dynamic and postural balance in individuals post-stroke" 41 : 41-49, 2018

      16 Ferraris, C., "Monitoring of gait parameters in post-stroke individuals : a feasibility study using RGB-D sensors" 21 (21): 5945-, 2021

      17 Wright, R., "Metronome cueing of walking reduces gait variability after a cerebellar stroke" 7 : 84-, 2016

      18 Patterson, K. K., "Longitudinal changes in poststroke spatiotemporal gait asymmetry over inpatient rehabilitation" 29 (29): 153-162, 2015

      19 Gao, D., "Kinect-Based Gait Assessment Method for Hemiplegic Patients" 30-35, 2021

      20 Sheikh, M., "Investigating the relationship between spatiotemporal gait variability and falls self-efficacy in individuals with chronic stroke" 38 (38): 543-551, 2022

      21 Roger, V. L., "Heart disease and stroke statistics—2011 update: a report from the American Heart Association" 123 (123): e18-e209, 2011

      22 Saini, V., "Global epidemiology of stroke and access to acute ischemic stroke interventions" 97 (97): S6-S16, 2021

      23 Feigin, V. L., "Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010" 383 (383): 245-255, 2014

      24 Patterson, K. K., "Evaluation of gait symmetry after stroke: a comparison of current methods and recommendations for standardization" 31 (31): 241-246, 2010

      25 Briggs, R., "Chronic stroke disease" 77 (77): C66-C69, 2016

      26 Srivastava, S., "Assist-as-needed robot-aided gait training improves walking function in individuals following stroke" 23 (23): 956-963, 2014

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