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Comparative Study of Gait Stability Using COM-COP Inclination Angle Changes of Elderly
조병찬(Byeong Chan Cho),배태수(Tae Soo Bae) Korean Society for Precision Engineering 2021 한국정밀공학회지 Vol.38 No.7
The current method of gait analysis has several limitations for determining gait stability, such as a complicated preparation process, repeated experimental procedures that are time-consuming, and financial burden of experiments. This study investigated whether gait stability could be analyzed using only the COM-COP (Center of Mass-Center of Pressure) inclination angle connecting COM and COP. COM and COP coordinates were obtained from a motion analysis system for a total of 40 elderly and young subjects. The COM-COP inclination angle that changed in real time during level walking was then analyzed to obtain gait stability on each of sagittal and frontal planes using these coordinates. As a result, the gait symmetry index on the sagittal plane did not show a statistically significant difference between young and elderly subjects (First Step, p = 0.189; Second Step, p = 0.711). On the frontal plane, elderly subjects showed 0.39 degrees (p = 0.058) and 0.5 degree (p = 0.03) larger side-to-side sway angles in the first and second steps than young subjects, respectively. Gait stability can be analyzed using a more simplified experimental method with minimum amount of data in future gait analysis.
배태수(Tae Soo Bae),조병찬(Byeong Chan Cho),한재웅(Jae Woong Han) Korean Society for Precision Engineering 2019 한국정밀공학회지 Vol.36 No.10
Safe pre-operative traction applied and maintained to the fractured site in fracture reduction surgery is crucial. However, existing traction techniques performed by clinicians or manual traction devices are not elaborate and have no traction force information considering differences in patients’ bodies. The purpose of this study was to evaluate joint loads of fractured sites as pre-operative traction forces considering body mass index (BMI) during fracture reduction surgeries using a robotassisted device. We developed a lower-extremity dummy model to measure joint loads at hip, knee, ankle, and fractured sites. In 240 cases, four BMI types, six traction forces and two fractured sites were used. Results showed that joint load on major joints decreased as BMI increased. Additionally, joint load increased proportionally in the fractured tibia, but showed inverse tendency in the fractured femur. Control errors of up to 20% in repetitive control and approximately 30% in random control were measured, in comparison to estimated joint loads. Control error increased as traction force decreased. It is possible that applicability of robot systems to safe and precise surgical assistance can be validated. More precise traction control and real-time traction load monitoring technology will enable replacement of traction techniques in the near future.