A power transmission device (100) comprising a first transmission (110) configured to receive a power from an input device (200); a second transmission (130) configured to deliver the power to an output device (500); and connecting unit (120) configured to connect the first power transmission unit and the second power transmission unit, and to deliver a pressure of a transfer fluid occurring due to the first power transmission unit to the second power transmission unit.A motion assistance device (10) comprising a driver (210) configured to mount to a user at a position corresponding to a proximal part of the user, and to generate a power;a joint assembly (400, 600) corresponding to a distal part of the user, the joint assembly configured to provide an assistance force to the user based on the power; anda power transmission device (100).