Journal of the Korean Academy of Clinical Electrophysiology (대한임상전기생리학회지)

The Korean Academy of Clinical Electrophysiology (대한임상전기생리학회)
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Analysis of Current Traffic Signals for Pedestrians according to the Walking Times of Stroke Patients

뇌졸중 환자의 보행시간에 대한 현 신호체계 분석

  • Lee, Dong-Jin (Department of Physical Therapy, Gwangju Health College University) ;
  • Na, Eun-Ye (Department of Physical Therapy, Gwangju Health College University) ;
  • Park, Sun-Mi (Department of Physical Therapy, Gwangju Health College University) ;
  • Park, Se-Jin (Department of Physical Therapy, Gwangju Health College University) ;
  • Park, El-Lim (Department of Physical Therapy, Gwangju Health College University) ;
  • Park, Wan-Seo (Department of Physical Therapy, Gwangju Health College University) ;
  • Bae, Woo-Ri (Department of Physical Therapy, Gwangju Health College University) ;
  • Baek, Hwa-Shin (Department of Physical Therapy, Gwangju Health College University) ;
  • Seo, Kyung-Tae (Department of Physical Therapy, Gwangju Health College University) ;
  • Seo, Dong-Hyun (Department of Physical Therapy, Gwangju Health College University) ;
  • Ahn, Sung-Woo (Department of Physical Therapy, Gwangju Health College University)
  • 이동진 (광주보건대학교 물리치료학과) ;
  • 나은예 (광주보건대학교 물리치료학과) ;
  • 박선미 (광주보건대학교 물리치료학과) ;
  • 박세진 (광주보건대학교 물리치료학과) ;
  • 박엘림 (광주보건대학교 물리치료학과) ;
  • 박완서 (광주보건대학교 물리치료학과) ;
  • 배우리 (광주보건대학교 물리치료학과) ;
  • 백화신 (광주보건대학교 물리치료학과) ;
  • 서경태 (광주보건대학교 물리치료학과) ;
  • 서동현 (광주보건대학교 물리치료학과) ;
  • 안승우 (광주보건대학교 물리치료학과)
  • Received : 2012.10.24
  • Accepted : 2012.11.30
  • Published : 2012.12.31
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Abstract

Purpose : This study investigated the validity of crosswalk signal time length with regards to elderly stroke patients. Methods : We recruited 60 elderly adults sixty years of age or older for our study. The participants were divided into three groups.Group A consisted of 20 healthy participants with no walking aids. Group B consisted of 20 stroke patients with no walking aids. Group C consisted of 20 stroke patients using a cane as a walking aid. We measured the walking times of participants for 7 m, 14 m and 21 m lengths. Results : Using an independent t test, there was a statistically significant difference in the walking times between Group A and Group B for all lengths. There was a statistically significant difference in the walking times between Group A and Group C for all lengths. There was no statistically significant difference in the walking times between Group B and Group C. There was a statistically significant difference between the three group when using ANOVA. Conclusion : From the results of this study, we infer that the signal times at crosswalks are inappropriate for elderly stroke participants who use a cane as a walking aid. Therefore further research should be conducted to determine the appropriate amount of additional time needed for the elderly to safely cross the street.

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References

  1. Korea National Statistical Office. Statistical report cause of death in 2008. 2009;1-9.
  2. Cauraugh JH, Kim S. Two coupled motor recovery protocols are better than one: electromyogramtriggered neuromuscular stimulation and bilateral movements. Stroke. 2002;33(6):1589-94. https://doi.org/10.1161/01.STR.0000016926.77114.A6
  3. Brandstater ME, de Bruin H, Gowland C et al. Hemiplegic gait: analysis of temporal variables. Arch Phys Med Rehabil. 1983;64(12):583-87.
  4. Yoon P, Park TH, Lee JH et al. A study on convenience movement for living transportation of mobility handicapped. Reg Dev. 2011;42(2):91-104.
  5. Lim TO. A study on policy to secure right mobility for the disabled. Sookmyung Women's University. Dissertation of Master's Degree. 2005.
  6. Ashford NJ. The provision of transport for the handicapped. Ergonomics. 1979;22(2):189-97. https://doi.org/10.1080/00140137908924603
  7. Friedman PJ. Gait recovery after hemiplegic stroke. Int Disabil Stud. 1990;12(3):119-22. https://doi.org/10.3109/03790799009166265
  8. Perry J, Garrett M, Gronley JK et al. Classification of walking handicap in the stroke population. Stroke. 1995;26(6):982-89. https://doi.org/10.1161/01.STR.26.6.982
  9. Park YJ, Son HC, Park JK et al. A new proposal of pedestrian time. Jouranal of Korean Society of Transportation. 2001;19(3):7-18.
  10. Lee CH. Improvenent for pedestrian environment of older pedestrians. Hanbat University. Dissertation of Master's Degree. 2008.
  11. Kim WH. The effects of clinical characteristics of chronic stroke patient on physiological cost index during walking. Journal of the Korean Academy of University Trained Physical Therapists. 2006;13(1):32-37.
  12. Green J, Forster A, Bogle S et al. Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomized controlled trial. Lancet. 2002;359(9302):199-203. https://doi.org/10.1016/S0140-6736(02)07443-3
  13. Turnbull GI, Charteris J, Wall JC. A comparison of the range of walking speeds between normal and hemiplegic subjects. Scand J Rehabil Med. 1995;27(3):175-82.
  14. Bohannon RW, Hoton MG, Wikholm JB. Importance of four variables of walking to patients withs troke. Int J Rehabil Res. 1991;14(3):246-50. https://doi.org/10.1097/00004356-199109000-00010
  15. Dean E, Ross J. Relationships among cane fitting, function, and falls. PhysTher. 1993;73(8):494-500.
  16. Carlsoo S. The initiation of walking. Acta Ant. 1966;65(1):1-9. https://doi.org/10.1159/000142864
  17. Joyce BM, Kirby RL. Canes, crutches and walkers. Am Fam Physician. 1991;43(2):535-42.
  18. Delisa JA, Gans BM. Rehabilitation medicine: Principle and practice. 2nd ed. Philadelphia, J.B. Lippincott Co. 1993:1-10.
  19. Kuan TS, Tsou JY, Su FC. Hemiplegic gait of stroke patients: the effect of using a cane. Arch Phys Med Rehabil. 1999;80(7):777-84. https://doi.org/10.1016/S0003-9993(99)90227-7
  20. Chen CL, Chen HC, Wong MK et al. Temporal stride and force analysis of cane-assisted gait in people with hemiplegic stroke. Arch of Phys Med Rehabil. 2001;82(1):43-48. https://doi.org/10.1053/apmr.2001.18060
  21. Blount WP. Don't throw away the cane. 1956. J Bone Joint Surg Am. 2003;85-A(2):380.
  22. Aminzadeh F, Edwards N. Exploring senior's views on the use of assistive devices in fall prevention. Public Health Nurs. 1998;15(4):297-304. https://doi.org/10.1111/j.1525-1446.1998.tb00353.x
  23. Lee HK. A study on problems and improvement plans of access of the ambulatory stroke patients. Chonju University. Dissertation of Master's Degree. 2003.
  24. National Police Agency. Traffic signal management manual. 2005.
  25. Rhea CK, Wutzke CJ, Lewek MD. Gait dynamics following variable and constant speed gait training in individuals with chronic stroke. Gait & Posture. 2012;36(2):332-334. https://doi.org/10.1016/j.gaitpost.2012.03.014
  26. Otter AR, Geurts AC, Mulder H et al. Abnormalities in the temporal patterning of lower extremity muscle activity in hemiparetic gait. Gait& Posture. 2007;25(3):342-352. https://doi.org/10.1016/j.gaitpost.2006.04.007
  27. Laufer Y, Dickstein R, Resnik S. Weight-bearing shifts of hemiparetic and healthy adults upon stepping on stairs of various heights. Clin Rehabil. 2000;14(2):125-29. https://doi.org/10.1191/026921500674231381
  28. Corcoran PJ, Jebsen RH, Bregnelmann GL et al. Effects of plastic and metal leg braces on speed and energy cost of hemiparetic ambulation. Arch Phys Med Rehabil. 1970;51(2):69-77.
  29. Burdett RG, Borello-France D, Blatchly C et al. Gait comparison of subjects with hemiplegia walking unbraced, with ankle-foot orthosis and with airstirrup brace. Phys Ther. 1988;68(8):1197-203
  30. Wade DT, Wood VA, Heller A et al. Walking after stroke. Measurement and recovery over the first 3 months. Scand J Rehabil Med. 1987;19(1):25-30.
  31. Kerrigan DC, Todd MK, Della Croce U et al. Biomechanical gait alterations independent of speed in the healthy elderly: Evidence for specific limiting impairments. Archives of Physical Medicine and Rehabilitation. 1998;79(3):317-22. https://doi.org/10.1016/S0003-9993(98)90013-2
  32. Cromwell RL, Newton RA, Forrest G. Influence of vision on head stabilization strategies in older adults during walking. J Gerontol A boil Sci Med Sci. 2002;57(7):442-48. https://doi.org/10.1093/gerona/57.7.M442