GAIT ANALYSIS OF NORMAL KOREAN CHILDREN : GAIT MATURATION
S. W. Kim, C.I Park, Y.C. Kim, J.C. Shin, S.H. Cho, J.S. Park (Yonsei University, Seoul, Korea)
In order to investigate the process of gait maturation and to acquire the normative data in Korean children, three dimensional gait analysis using the Vicon 370 motion analysis system for test group of 72 normal Korean children between 1 and 6 years old were done with control group of 41 normal Korean adults.
The results were as follows. Speed, step length, step time and cadence changed with significant correlations with changes of actual leg length (p<0.05); and the single limb support time reached adult level much earlier than the double support time. Both reciprocal arm swing and initial heel contact were observed in most of the children by age of 2 or 3. From the kinematic data, we found that the time for maturation were quite different among the three observational planes and also among the major lower extremity joints in concern. The pelvis, hip, knee and ankle motions in sagittal planes and proxinal motion in coronal planes reached the adult pattern usually by age of 2 or 3. In contrast, the knee motion in coronal plane and all motions in transverse plane did not reach the adult pattern by age of 6.
STRUCTURE OF STROKE REHABILITATION IN SWEDEN AND JAPAN
Hidetoshi Takahashi, Gunnar Grimby (Goeteborg University, Goeteborg, Sweden), Naoichi Chino (Keio University, Tokyo, Japan)
The purpose of this study is to compare stroke rehabilitation within Rehabilitation Medicine in Sweden and Japan with respect to patient characteristics, management and outcome variables. Functional Independence Measure (FIM) was used as an ADL assessment scale. The study was composed of 243 stroke patients in Sweden and 102 in Japan under 65 years old of age at onset. The result showed that Swedish patients were admitted and discharged significantly earlier than Japanese patients. Patients in both nations showed significant improvements during the rehabilitation stay. Some FIM physical items such as bathing, bath transfer and locomotion were significantly difficult in the Japanese patients than in the Swedish patients at the time of admission and discharge. In FIM cognitive items, social interaction in Japanese patients was significantly easier than Swedish patients at the time of admission and discharge. We believe that these results may be, at least partially, due to differences in life style and culture between the two nations.