Search

To accurately predict and monitor an individual’s health, accurate information on the changing patterns of the individual’s physiological signals is required. In this study, obesity parameters were analyzed using regression analysis based on the physiological signals of individuals who performed continuous exercise. To this end, three healthy adult subjects participated in the experiment, and their health management was analyzed by monitoring changes in health information parameters while they performed continuous exercise with daily activities over a long period of time. Subjects’ exercise parameters included heart rate were collected through smart watches, and their specified obesity parameters were measured using a smart scale. The analysis results showed that weight and body fat decreased and muscle composition increased in conjunction with the amount of exercise for two subjects who performed continuous exercise while conducting daily activities. For one subject who did not perform any specific exercise, however, the weight and body muscle rate tended to increase slightly and the body fat rate tended to decrease slightly. It was found that continuous exercise improved the subjects’ ability to adapt to exercise, thereby increasing Max BPM and reducing weight. Performing continuous exercise while conducting daily activities appears to improve physical measures of health, as it decreases weight and body fat rate and increases body muscle rate. Health management analysis based on the physiological data collected from smart devices is expected to play a role in keeping the human body healthy.

Background Accurate detection of the intended movement direction of a patient plays an important role in the development of a training system for gait rehabilitation and enables to increase the effect of gait rehabilitation training. Objective This study investigated the detection of the intended movement of a user to operate a ceiling rail-based rehabilitative training system with accurate timing. Methods To detect the movement direction intention of a user, two potentiometers were used to measure the movement direction in the anterior, posterior, and left and right directions of the user when operating the driving motor of the rehabilitative training system. A simple test mock-up with two potentiometers was fabricated, and the experiments were conducted to determine the effect of the direction of movement on the measured values of potentiometers. A direction measurement algorithm was developed to control the driving motor of the rail-based gait rehabilitative training system. Results The intended movement direction of the user could be predicted for eight directions by combining the "positive value, 0, negative value" of each measured value of the two potentiometers. Further, the developed algorithm was effectively used to control the driving function to assist the walking, sitting-standing, and climbing up-down the step activities in daily life. Conclusions The movement intention detection function for users developed in this paper can be used to effectively control a rehabilitative training system for patients with hemiplegia to improve gait movement and posture balance, thereby improving their function of activities of daily living.

The body weight support (BWS) system that allows a patient to support his or her body weight in step-wise fashion, depending on their physical condition, is an important intervention that assists individuals with gait disabilities in their gait rehabilitation. In this paper, we measured human body signals in order to verify a rehabilitation system using active harness that we developed for gait and balance training based on ceiling-rail platform. 20 healthy participants were performed to conduct daily activities related to lower limbs. They did a kind of motions related to daily life (Normal Walking, Stand-to-Sit, and Stair Walking Down) according to variation of body weight support rates (0%, 30%, 50% of subject’s body weight). The effectiveness of the weight supporting on healthy people is analyzed by the muscular activities and foot pressure distribution. In normal walking, the decrease of fore-foot pressure, lateral soleus muscle and biceps femoris muscle were remarkable. The result of stand-to-sit results motion indicated that the rearfoot pressure and tibialis anterior muscle activities exceptionally decreased according to body weight support. The stair walking down results indicate the marked drop of fore-foot pressure and rectus femoris muscle activities. Based on these results, a function of weight supporting is very helpful to improve the gait ability of people with gait disorder.

This study was to provide independent exercise loads in rowing exercise machine, on the improvement of muscle strength imbalance. We recruited twenty four subjects who exhibited one side's muscle strength is bigger in more of greater than 20% than other on one side. One group was dominant left side and the other group was dominant right side. Subjects performed the rowing exercise in electric load deviation rowing machine (Robo.gym, Humonic Co., Ltd, Daegu, Korea). The exercise was progressed to four sets a day including twenty five repetitions per set, and three days a week, for a total of eight weeks. Measurements consist of evaluation of muscular activity, joint torque in the elbow, shoulder. Exercise load deviation adapted that difference value of muscle strength between left and right side arms multiply 1RM% and its plus 1-RM 75% in each side. The result showed that the level of muscle imbalance significantly decreased in shoulder and elbow joint by adapting exercise load deviation. We found out that exercise load deviation provided to the positive effect both muscle strength and endurance at the same time. As a result of this study, rowing exercise using the exercise load deviation is effective in improving muscle strength imbalance.

This study investigated the feasibility of the Infrared (IR) sensor-based walking aids for detecting the gait intention. To compensate for the defects of Force Sensing Resistors (FSRs) or force sensors, such as the velocity control problem on gait slopes, we used IR sensors to investigate knee joint anterior displacement in order to recognize the gait intention. We also measure leg muscle activities and foot pressure, in order to verify our investigation. We placed two IR sensors on the rollator center to sense left and right leg walking intentions. We took EMG signals of four leg muscles, and analyzed them. Foot pressure analysis parameters were the measured force and mean pressure. We conducted experiments on twenty young healthy adults. The results show that knee joint anterior displacement increases according to gait slope and velocity. We confirm similar results of knee joint anterior displacement through the IR sensors.

This study shows the improvement of muscle activity and muscle strength imbalance in the lower extremities through independent exercise loads in vibration platform. Twenty females of age 20 participated in this study. The subjects were divided into WBV group, with more than 10% of muscle strength imbalance between left and right the lower extremities, and control group, with less than 10% of muscle strength imbalance between left and right the lower extremities. As the prior experiment showed, different exercise postures provide different muscular activities. As a result, the highest muscular activity was found to be in the low squat posture. Therefore, the LS posture was selected for the exercise in this experiment. Vibration intensities were applied to dominant muscle and non-dominant muscle, and the vibration frequency was fixed at 25Hz for the WBV group. The control group was asked to perform the same exercise as the WBV group, without stimulated vibration. This exercise was conducted for a total of 4 weeks. As a result, the WBV group which showed an average deviation of 16% before the experiment, tended to decrease approximately to 5%. In this study, vibration exercise using load deviation is shown to be effective in improving the muscle strength imbalance.

This study intended to identify the effect of the long time whole body vibration exercise on the muscle function and postural balance. The twenties subjects in young people were recruited, and they were classified into WBV and Non-WBV groups. The vibration exercise was conducted 30 minutes a day for 4 days a week for a total 8 weeks, and the vibration protocol were 25Hz frequency and 5mm amplitude. To verify the muscle function according to the long time vibration exercise, the isokinetic muscle function of the knee joint torque was evaluated, while the total work of maximal peak torque to evaluate the enhancement effect of muscular strength, as well as the average power, angle to peak torque, and acceleration time to evaluate the muscular reaction, was analyzed. Also, changes in COP were measured and analyzed to research the functional change of the postural balance. As a result of the experiment, the Non-WBV group did not show changes in the muscular function and postural balance function, while the WBV group showed increased muscular function by 29.11%(maximal peak torque: 17.91%, total work: 26.78%, average power: 39.11%, angle to peak torque: 25.21%, acceleration time: 36.51%), and increased postural balance function by 64.76%.

The purpose of this study was to evaluate muscle function and basal physical fitness in relation to muscle balance pattern using rowing machines. Twenty four subjects participated in this study, using three different rowing machines. Rowing exercises were performed for twenty-five times a set, four sets a day, 3 days a week, for 8 weeks. Biodex system 3(Biodex Medical Systems Co., New York, USA) was used to measure joint torques in the elbow, shoulder, lumbar and knee of subjects, for analyzing muscle function. The evaluation of basal physical fitness included body composition, muscle strength, muscle endurance, muscle reaction, agility, flexibility and explosive power. Before the experiment, significant differences of joint torques in the elbow, shoulder, lumbar and knee were present between subjects in the group. After the rowing exercise, significant improvement in every joint was witnessed. All aspects of basic fitness increased significantly, and the most improvement was observed in muscle strength from the joint torque results. As shown in the following results, every joint it was evident to have improved by more than 30% with the use of dependent load deviation type over the previously used water load method. This means that it is more effective for enhancing muscle strength and endurance to keep the muscle balance using dependent load deviation. The human body maintains motor coordination of muscle contraction during exercise. The muscle balances in the upper-lower and left-right arms could assist with effective activation of motor coordination. In this paper, an exercise method using dependent load deviation was demonstrated to be more efficient for improving muscle imbalance and strengthening muscles.

This paper presented the 8-weeks training effects of training system based on an unstable platform and a visual interactive system for improving the ability of postural control. To confirm the effects of the training, fifteen elderly volunteers took part in a series of balance training using this system. Fifteen elderly volunteers as the control group compared with the training group. To evaluate the effects of the training, the relevant parameters such as the time of timed up and go (TUG) test, the transfer limits of the different directions, the sway path of center of pressure (COP), and the root mean square (RMS) of COP in anteroposterior (AP) direction and mediolateral (ML) direction, concentric isokinetic strength of ankle and knee joints were measured from pre-training to post-training. The results showed that the training system could successfully assess the gradual improvement of the postural control capability of the volunteers in the system and showed a possibility of improving balance capability of the volunteers. Moreover, the significant improvement in the postural capability of the elderly suggested that the elderly could benefit more from the training using the system for the improvement of the ability of postural control.

In this paper, we are interested in the characteristics of a knee joint when the knee extension motion was assisted by a powered knee orthosis using a muscular stiffness force feedback. For this purpose, we developed the powered knee orthosis with an artificial pneumatic actuator, which is intended for the assistance and the enhancement of muscular activities of lower limbs. The objective of this study was to confirm the effectiveness of the powered knee orthosis that generated a knee extension torque in the motion related to a knee joint. Twenty healthy subjects participated in this study and their lower limb muscular activities were measured to identify the effectiveness of the powered knee orthosis during sit-to-stand (STS) and squat motion. The muscular activities between with and without assistance of knee extension motion were compared and analyzed for the assistance characteristics of the powered knee orthosis. To generate the knee extension torque, the knee orthosis was controlled using muscular stiffness force (MSF) feedback that is controlled by muscular activities of the vastus intermedius muscle that mainly related to the knee extension motion. For analysis of muscular activities, the surface electromyography of the muscles related to the knee extension motion, i.e., RF, vastus lateralis, vastus medialis and vastus intermedius muscles in lower limbs of the right side were recorded and biodex dynamometer was used to measure the maximal concentric isokinetic strength of the knee extensors. The experimental result showed that muscular activities in lower limbs with the assistance of the powered knee orthosis was reduced by 25.62% in rectus femoris muscle and 29.82% in biceps femoris muscle, respectively and knee extension torque of an knee joint wearing knee orthosis was increased by 17.68% in averaged peak torque. Based on the effectiveness of the powered knee orthosis, weaken elder people may have benefited from the knee extension motion augmented by the powered knee orthosis during activity of daily living, e.g., stair ascent.

The purpose of this study was to investigate the effect of indoor horse riding exercise equipment on the young people in their twenties. We classified the effects into flexibility, muscle strengthening, and muscular reaction. Subjects performed horse riding exercise using SRider (Neipplus Co. & Chonbuk National Univ, Korea) that we developed. Twenty male and twenty female subjects were included and they had no experience with horse riding as an exercise and no medical history of falling. Exercise was performed for 45 min a day and 3 days a week during 8 weeks in a constant temperature and humidity environment. Once a week, we conducted the bodyeffect measurements. We measured forward trunk flexion and backward trunk extension to verify the improvement of flexibility. We also measured lumbar joint torque using the BIODEX System3 to verify the improvement of muscle strength and reaction. Our results of flexibility showed that values of forward trunk flexion and backward trunk extension after the exercise were higher than those before the exercise. It also presented that the stimulated three-dimensional movement of the horse riding exercise activated joints and muscles not usually used. Besides, the continuous movement of horse riding can reduce muscle tonus and relax stiff muscles. The muscle strengthening and muscular reaction results showed that peak lumbar joint torque after the exercise was higher than that before the exercise. We found that the horse riding exercise using indoor equipment improved flexibility, muscle strength, and muscular reaction. Moreover, we hope that this work will help us understand the exercise characteristic of this equipment.

The Interest in disease prevention and rehabilitation is increasing depending on increase of patients with spinal. This is being developed using the spine stabilization device is being studied. So far studies have only evaluated the effect on trunk stabilization exercises but analysis of human movement patterns for active movement and passive movement did not. We assessed the muscle activity of trunk and leg muscle during passive and active tilt mode on eight tilt directions at tilt angle of 30° using 3-D dynamic postural balance training system. We performed experimental study on the muscular activities of trunk muscle about rectus abdominis, external obliques, latissimus dorsi, erector spinae, and leg muscle about rectus femoris, Biceps femoris, Tibialis Anterior, gastrocnemius. As a result, muscle activation was different depending on the direction of movement and pattern. The results indicate that various patterns of spinal stabilization exercise system could be applied to an effective training of chronic low back pain patients.

It is necessary to develop a rehabilitation robot for the assistance of movement of the ankle joint and the enhancement of ankle muscular activities during walking for the elderly. A powered ankle exoskeleton with an artificial pneumatic muscle has been designed to provide powered assistance in the plantarflexion motion of the ankle joint. The objective of this study was to confirm the effectiveness of the powered ankle exoskeleton for the plantarflexion torque of the ankle joint. Fifteen healthy and fifteen elderly people used a wearable ankle exoskeleton during the plantarflexion motion of the ankle joint. Participants were assessed with three parameters to confirm the effectiveness of the system: a) maximal voluntary isokinetic plantarflexion torque using a Biodexdynamometer, b) muscular activities of the lower limbs, c) correlation of the agonist muscle and plantar torque during plantarflexion motion of the ankle joint. The assistance of the plantarflexion motion of the ankle joint is determined by the plantarflexion torque of the artificial pneumatic muscle of the powered ankle exoskeleton, and the assistant timing was decided the detection of subject’s movement intention that they did plantarflexion motion of the ankle joint. We developed a muscular stiffness force sensor to detect the activation of the soleus muscle for feed-forward control of the ankle exoskeleton. The experimental results show that the muscular stiffness force of the soleus muscle with feed-forward control was decreased, and the plantarflexion torque of the ankle joint while only wearing the ankle exoskeleton was decreased, but the plantarflexion torque with feed-forward control was increased. The amount of increasing with feed-forward control is higher than that of decreasing only wearing the exoskeleton. Based on the effectiveness of the system with the healthy participants, the elderly may have benefited from the plantarflexion motion augmented by the powered ankle exoskeleton.

The purpose of this study was to verify the validation of effect on improvement of muscle strength unbalance according to exercise load deviation during rowing exercise. We performed evaluation of muscular activity and joint torque before the test. We recruited twenty subjects who one side`s muscle strength is bigger in more 20% than other side. Subjects divided two groups. One is dominant left side and the other was dominant right side. Subjects performed rowing exercise in electric load deviation rowing equipment (Robo.gym, Humonic Co., Ltd., Daegu, Korea). Exercise performed four sets a day including 25 times a set, and three days a week. Measurements consist of evaluation of muscular activity and joint torque. Exercise load deviation adapted that different value of muscle strength in both arms multiplied 1RM% and added 1RM 50%. The results in adapted load deviation showed that the differences of maximal peak torque in 22.75% were getting increase significantly during exercise in 5.72%. This interpreted that rowing exercise with loading deviation types could provide muscle strength and muscular endurance exercise in same time for balance. Our study found out that loading deviation could provide muscle strength and muscular endurance exercise for improving muscle unbalance.

We were investigating the muscle strength and aerobic function effect on the aged according to active and passive load using compact cycle system. We recruited twenty old participants and they performed shoulder rotating, upper cycling and lower cycling exercise. We measured the muscular activity, respiratory gas analysis and body heat. The result of muscular activity showed that the passive load could cause muscular activity at 15.4–65.9% compared to active load. We thought that the passive exercise could provide the prevention of spasticity and maintain effect of remaining muscle function in the elderly by caused muscular activity over 50%. The result of oxygen consumption showed that it is the active exercise that used the bigger oxygen consumption at 42.4% during lower cycling. We thought that the active exercise used the big muscles of lower limbs including trunk muscles during lower cycling. The result of body temperature showed that it rises with increase in oxygen consumption and heart rate, and it increased the bigger for lower cycling. The foundation of this study could apply to fundamental research for developing exercise load of indoor rehabilitation exercise system with convenience and easy use to the elderly.

This research was performed to assess the effects of angled whole body vibration on muscle activity of the lower limbs, by examining adults in their twenties during squat exercises, taking into account two variables of exercise intensity (vibration frequency and gradient). Twenty healthy males in their twenties with previous experience of more than 6 month's weight training and no past medical history were included in this study. The experiment was performed by participating in squat exercises which consisted of 3 sets (1 set = 5 seconds x 3 repetitions of exercise), and the muscle activities of the Rectus Femoris, Vastus Lateralis, Vastus Medialis were measured with variation in the gradients of 0°, 10°, and 20°, and vibration frequencies of 20, 30, and 40 Hz. At 30 and 40 Hz, the vastus lateralis showed the highest change in muscle activity, while activity of the vastus medialis also increased significantly. Analysis of muscle activity according to the gradient showed a significant increase of the vastus lateralis at 20°, while the highest muscle activity at 20° was observed for the vastus medialis. In comparison of the change in lower limb muscle activity according to simultaneous stimulation, at a gradient of 10°, high activity was shown in muscle, while at 20°, high muscle activities were produced at 40 Hz in the vastus lateralis, 40 Hz in the rectus femoris, and both 30 and 40 Hz in the vastus medialis.

The aim of this study is to verify the effect of indoor horse riding exercise on basal physical exercise and lumbar muscular function. The subjects included were 20 healthy females, who participated in the horse riding exercise using SRider (Rider Co. & ChonbuK National Univ, Korea) for 30 minutes per day, 3 days per week, over a period of 8 weeks. The subjects were divided into 4 groups as follows, with 10 subjects in each group: Postural Balance Exercise mode (PBE), Abdomen Exercise mode (ADE), Whole body Exercise mode (WBE), and Multiple Exercise (MTE). Isokinetic muscular function test was performed before and after the horse riding exercise, to assess the effect of horse riding on basal physical exercise and lumbar muscular function. The test result on basal physical exercise and isokinetic muscular function showed improvements with variable degree in the back muscle strength, maximum joint torque, total work, and muscular acceleration time. The result signifies that the horse riding is an antagonistic exercise mainly performed on waist and abdomen area, and the machine induces persistent muscle contraction and causes myotonic induction enhancing the muscle strength. Indoor horse riding exercise proved its effectiveness for senior or the disabled people who need muscle exercises but have difficulties performing outdoor activities.

This study investigated the characteristics of dynamic postural responses when subjects attempted to maintain an upright standing position on a support plate during continuous sinusoidal perturbation in the anterior-posterior direction. Fif- teen healthy young subjects participated in the experiment. Body movement patterns during the perturbation were captured and analyzed using a 3D motion analysis system (APAS 3D motion analysis, Ariel Dynamics Inc.). Seven markers were at- tached on the subject's body to measure and analyze the motion patterns. The markers were positioned at the head, chest, hip, right knee, left knee, right ankle, and left ankle. Five different frequencies of motion were applied to the support surface: 0.1, 0.5, 1.0, 1.5, and 2.0 Hz with a 4-cm path of motion at the base. The experiments measured dynamic postural responses in a condition were subjects had their eyes open. The results showed that the median frequency of the knee and ankle increased in all frequency bands. Following an increase in the frequency of the perturbation, the postural control strategy was changed from the ankle strategy to a combined strategy. These experimental results could be applied to the dynamic postural training for the elderly and to rehabilitation training for patients to improve their ability for postural control.

We propose a rehabilitation training system for postural control using a tilting bed, a visual display and a force plate. Conventional rehabilitation systems for postural control have not been applicable to the patients who have to be lying in bed all the time. The rehabilitation training using those systems is only possible when the patient can stand up by himself or herself. Moreover, there did not exist any device that could provide the sense of balance or the sensation of walking to the patients in bed. The software for the system consists of the training part and the analysis part. The training part has been developed to provide various training scheme that help improve postural control ability of the subjects via repeated training of moving COP. The training consists of the COP maintaining training and the COP movement training in mediolateral, anterior-lateral, and posterior-lateral directions. The analysis part performs the assessments on the COP moving time, COP maintaining time, and mean absolute deviation before and after training for different tilt angles of the bed. Through the experiments ten subjects with the system, we tried to find the effectiveness of the advanced early rehabilitation training system. The results showed that this system is an effective system for early rehabilitation training and that our system can be used as clinical equipment.

There developed a lower limb orthosis with a pneumatic rubber actuator, which can assist and improve the muscular activities in the lower limb of the elderly. For this purpose, the characteristics of the lower limbs muscle activities for various pressures in the pneumatic actuator for the lower limb orthosis was investigated. To find out the characteristics of the muscle activities for various pneumatic pressures, it analyzed the flexing and extending movement of the knees, and measured the lower limbs muscular power. The subjects wearing the lower limbs orthosis were instructed to perform flexing and extending movement of the knees. The variation in the air pressure of the pneumatic actuator was varies from one kgf/cm 2 to four kgf/cm 2 . The muscular power was measured by monitoring electromyogram using MP100 (BIOPAC Systems, Inc.) and detailed three-dimensional motions of the lower limbs were collected by APAS 3D Motion Analysis system. Through this study, it expected to find the most suitable air pressure for the improvement of the muscular power of the aged.

It proposed a new early rehabilitation training system for postural control using a tilting bed, a visual display and a force plate. The conventional rehabilitation systems for postural control can't be applied to the patients lying in bed because the rehabilitation training using those systems is only possible when the patient can stand up by himself or herself. Moreover, there did not exist any device that could provide the sense of balance or the sensation of walking to the patients in bed. The software for the system consists of the training program and the analysis program. The training program was designed to improve the ability of postural control of the subjects by repeated training of moving the center of pressure (COP) applied to the forceplate. The training program consists of the COP maintaining training and the COP movement training in horizontal, vertical, 45° and -45° directions. The analysis program consists of the COP moving time analysis modules, the COP maintaining time analysis module. Through the experiments with real people, it verified the effectiveness of the new early rehabilitation training system. The results showe that this system is an effective system for early rehabilitation training and that our system might be useful as clinical equipment.

In this study, a new cycle ergometer system using a magneto-rheological (MR) rotary brake was developed to improve muscular strength and reduce asymmetric pedaling characteristics for the rehabilitation of hemiplegia patients. For evaluation of this cycle ergometer, the characteristics of lower limb muscles were analyzed according to three factor of cycle system with MR rotary brake: (1) the electrical current of MR rotary brake, (2) the intensity and duration of cycling, (3) the application of visual feedback. The results showed that muscle activity was significantly different for various levels of current applied to the MR rotary brake. A higher current was associated with a higher integrated electromyography (IEMG) of the lower limb muscle. In low-intensity and long-term condition, IEMG of RF, TA, VL and VAS increased in the late stage of exercise (compared to the early stage), however, decreased in high-intensity and short term condition. The asymmetry of pedaling between the dominant and non-dominant leg was 19.63% in the non-visual feedback mode and 1.97% in the visual feedback mode. Therefore, our new cycle system using an MR brake with real time control of mechanical resistance can be used to enhance muscle strength in patients with hemiplegia and elderly people. Increased muscular activity of the lower limbs in patients with hemiplegia and the elderly is expected with low-intensity training over a long-term period.