• Title/Summary/Keyword: 낙상측정

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The Change of Physical Function and Obstacle Gait on Otago Exercise in Patients with Stroke (오타고 운동에 따른 뇌졸중환자의 신체기능 및 장애물 보행의 변화)

  • Ko, Dae-Sik;Jung, Dae-In
    • Proceedings of the Korea Contents Association Conference
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    • 2013.05a
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    • pp.223-224
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    • 2013
  • 이 연구는 뇌졸중환자를 대상으로 낙상예방을 위하여 오타고운동과 요부안정화운동을 실시하고 신체기능 및 장애물 보행의 변화를 측정하였다. 뇌졸중환자 20명을 대상으로 신체기능은 근력, 균형능력을 측정하였고, 장애물 보행은 장애물 극복속도와 최대수직여유를 측정하여 운동 전과 운동 후, 각 운동군 간을 비교분석하였다. 근력은 30초 의자에서 앉았다 일어나기, 균형은 FRT와 TUG 검사, 그리고 장애물 보행은 장애물 극복속도와 최대수직여유로 측정하였다. 실험결과 운동 후 ?고운동군은 요부안정화운동군에 비해 FRT와 장애물 극복속도는 유의하게 증가되었으며, TUG는 유의하게 감소되었다. 결론적으로 오타고 운동이 뇌졸중 환자의 신체기능 및 장애물 보행에 긍정적인 영향을 미친다.

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Evaluation of the Humpty Dumpty Falls Scale: An Analysis of Electronic Medical Records (소아 낙상위험 측정도구 (Humpty Dumpty Falls Scale) 평가: 전자의무기록을 이용하여)

  • Cho, Yun Hee;Kim, Young Ju
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.2
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    • pp.142-150
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    • 2019
  • Purpose: The aim of this study was to evaluate the efficiency of the Humpty Dumpty Falls Scale as one of the falls risk assessment tools, and also to evaluate risk factors as predictors of falls in pediatric patient populations. Methods: In a retrospective, case-control design with data from the electronic medical records of 13 pediatric patients who fell and 1,941 who did not fall before matching and 429 who did not fall after matching by gender, age, diagnosis, and length of stay. Results: All the variables showed no significant differences after matching. At the cutoff score of 13, sensitivity, specificity, negative and positive predictive values were 92.3%, 37.1%, 99.9%, and 0.01%, respectively. The area under the Receiver Operating Characteristics was 0.597. The results from the logistic regression showed that the pediatric inpatient population who had higher risk scores was significantly associated with falls. The odds ratios ranged from 1.31 to 4.71 with 90% confidence interval. Conclusion: The saturation impairments criterion as one of the diagnostic parameter was negatively associated with falls, but the relative risk score was higher than the other criteria. Therefore, it seems that the diagnostic parameter seems to be required to verify results through large sample studies.

Staticposture stability evaluation of female elderly using stability evaluation device (균형능력 평가 장치를 이용한 여성노인의 정적자세안정성 평가)

  • Kim, Tae-Hyung;Yi, Jae-Hoon;Oh, Seong-Geun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5518-5524
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    • 2011
  • The purpose of this study is to investigate the change of balance ability on aging by measuring balance ability of elderly females whose age is over 65. The subjects are ten elderly women (the mean age: 71.9) able to walk without assistants, the assistant equipments and drug dependence and ten young healthy women (the mean age: 23.2). We measured stability index (ST), Fourier index (F), weight distribution (WD), weight distribution index (WDI), synchronization index (SI) and fall index (FI) by using Tetrax (Tetra-ataxiometric Posturography). In result, STs and Fs at the low frequency region (F1) represented the significant difference between two groups at all postures with PO (pillow with eye open) exception (p<.01). Fs at the other frequency regions (F2~F8) represented the significant difference between two groups (p<.05). WDI of the elderly women represented the higher values than the young women at all postures but there are the significant difference at PO and PC (pillow with eye closed) only. These results may be due to age-related ability decline of somatesthesia, vestibular organ, central nervous system.

Effects of an exercise program to strengthen the musculoskeletal system on the body of elderly women (근골격계 강화를 위한 운동 프로그램이 노인 여성의 신체에 미치는 영향)

  • Jung-Ho Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.41-47
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    • 2023
  • This study was conducted to determine the effect of an exercise program applied to prevent musculoskeletal changes that occur due to aging on pain, muscle strength, balance ability, and falling efficacy in elderly women. An exercise program including quadriceps setting exercise, bridge exercise, resistance band exercise, and foam roller exercise was applied to elderly women aged 65 years or older once a week for 8 weeks. A visual analog scale was used to evaluate pain, muscle strength was evaluated using a digital muscle strength meter, balance ability was measured using the Berg balance scale, and fear of falling was evaluated using the fall efficacy scale. As a result of the study, compared to before the experiment, pain in the lower back and knee area was significantly reduced, the strength of the quadriceps femoris and gluteus maximus was significantly increased, and balance ability and falling efficacy were significantly improved. In conclusion, application of a program that includes various exercise methods has a positive effect on the physical activity of elderly women by strengthening the musculoskeletal system. Additionally, in order to prevent physical changes due to aging, an exercise program that includes various exercise methods that can strengthen the musculoskeletal system should be applied.

The Difference of Weight Distribution Index in Elderly People According to Gender (노인의 성별에 따른 체중분포 차이)

  • Yoon, Se-Won;Kwon, Hye-Min;Kang, Yang-Hoon
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.103-110
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    • 2012
  • 연구목적 : 본 연구는 노인의 성별이 낙상에 영향을 줄 수 있는 체중분포지수에 미치는 차이를 알아보고자 한다. 연구방법:광주광역시 소재 빛고을 노인건강타운 물리치료실을 이용하는 65세 이상 66명(남성 33명, 여성 33명) 노인을 대상으로 남성노인 평균연령은 70.97세, 여성노인 평균연령은 71.39세로 모든 대상자는 TETRAX의 체중분포지수(weight distribution index; WDI)를 이용하여 성별에 따라 그 차이를 비교 분석하였다. 측정 방법 은 안정된 발판에서 눈을 뜨고 정면을 향한 자세, 안정된 발판에서 눈을 감고 정면을 향한 자세, 불안정한 발판에서 눈을 뜨고 정면을 향한 자세, 불안정한 발판에서 눈을 감고 정면을 향한 자세, 안정된 발판에서 눈을 감고 고개를 오른쪽으로 돌린 자세, 안정된 발판에서 눈을 감고 고개를 왼쪽으로 돌린 자세, 안정된 발판에서 눈을 감고 고개를 뒤로 젖힌 자세, 안정된 발판에서 눈을 감고 고개를 숙인 자세로 측정하였고, 분석방법은 SPSS version 12.0을 이용하여 통계처리 하였고, 남녀 간의 안정성지수와 체중분포지수의 평균차이 검정은 독립표본 t-검정을 실시하였다. 통계학적 유의성을 검증하기 위해 ${\alpha}$는 유의수준 0.05로 하였다. 연구결과 : 성별에 따른 WDI비교에서 불안정한 발판과 안정된 발판에서 눈을 뜬 상태와 감은 상태에 정면을 향한 자세, 안정된 발판에서 눈을 감고 고개를 왼쪽과 오른쪽으로 돌린 자세에서 유의한 차이가 있었으나 안정된 발판에서 고개를 뒤로 젖힌 자세와 고개를 숙인자세에서는 유의한 차이는 없었다. 결론 : 본 연구의 결과를 바탕으로 성별에 따른 노인의 WDI에 영향을 미칠 수 있는 요인을 파악하여 낙상예방프로그램 기초자료로 활용 될 것으로 생각된다.

The Effect of Exercise Program for Prevention of Falling on Physical Fitness, Posture and Fall Prevention Self-Efficacy for Elderly Women (넘어짐 예방 운동이 여성노인의 체력, 자세, 낙상효능감에 미치는 영향)

  • Son, Nam Jeong;Yi, Kyung Ock;An, Ju Yeun
    • 한국노년학
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    • v.37 no.1
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    • pp.237-250
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    • 2017
  • The purpose of this study is to analyze the effects of exercise program for prevention of falling on physical fitness, posture and fall prevention self-efficacy for elderly women. 30 females above the age of 65 were subjects for this study. Over an twelve week period, 14women in the experimental group performed exercise 2 times a week for 60 minutes per session. 16women in the control group didn't participate in the exercise program. The independent variable was a exercise program for prevention of falling. Dependent variables were physical fitness, posture and fall prevention self-efficacy. Prevention of falling exercise program is consisted of an elastic band using exercise and Korean dance movement exercise. Physical fitness consisted of grip strength, upper and lower body endurance, cardiovascular endurance, flexibility, balance, coordination. The posture was measured the static posture when standing, using a high-resolution camera, body style to automatically measure the distance and angle(M-zen, Korea). Posture was measured in both the coronal and sagittal plane via reference board. Fall prevention self-efficacy was measured via questionnaire using the Korea Falls Self-Efficacy Scale (FES-K). The physical fitness, posture and fall prevention self-efficacy were measured twice with pre and post exercise, and the difference between groups with Wilcox signed rank test, and the group-specific post verification was carried out with U-validated methods (Mann Whitney U test). Statistical significance level was verified by setting the p<.05. Lower body endurance, cardiovascular endurance, flexibility, balance and coordination significantly increased in the experimental group. The control group was no significant increase in physical fitness variables. shoulder slope angle, pelvic slope angle(coronal/sagittal), leg length difference, scapular inferior angle and left/right calcaneus angle significantly decreased in the experimental group. Both the experimental group and control group were no significant increase in fall prevention self efficacy. The prevention of falling exercise program for elderly women indicated the positive changes in physical fitness(except grip strength) and posture(except upper body slope). However, there are no significant differences of falling prevention self-efficacy between the both group. Thus, the prevention of falling exercise program for the elderly has been proved that it is highly efficient on improving physical fitness and posture proofreading. However, we still need to consider supplement exercise for grip strength and upper body slope.

Implementation of Medical Care System based on Home Network (홈 네트워크 방식의 헬스 케어 시스템 구현)

  • Kim, Jeong-Lae;Lee, Woo-Chul;Ko, Yun-Seok
    • The Journal of the Korea institute of electronic communication sciences
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    • v.6 no.6
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    • pp.987-991
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    • 2011
  • In this paper, a health care system is implemented which can identify the parameter for moving body after exercising based on home network. This system has catched a signal for physical condition of body data using data acquisition mechanism such as a data acquisition module, a data signal processing module and a feedback module. The composition has a functions of displacement point for a BMI and WDI, that the basic parameter measure to base on the heart rate, temperature. There are checked physical condition of body exercising to compounded a physical condition of sensory organ. There are to keep the lookout for the body condition that to estimate a health care with a physical organ through a exercise.

Wearable Based User Danger Situation Discerning System (웨어러블 기반 사용자 위험상황 식별 시스템)

  • Yu, Dong-Gyun;Hwang, Jong-Sun;Kim, Han-Kil;Kim, Han-Kyung;Jung, Hoe-Kyung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.10a
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    • pp.792-793
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    • 2016
  • Recent studies on a fusion of health care system and the information and communication technology of wearable is being developed Anytime and anywhere without being constrained to measure the biological information of the user. However existing wearable monitors the measured biological information. If the user is hard to deal with for the event of dangerous situations. In this paper, it proposes a system that identifies the status of a user to correct the problem it utilizes sensors and algorithms to measure the biological information. This enables the user will be able to respond quickly to dangerous situations. In the event of a dangerous situation, such as falling or stumbling sends an emergency alert to a designated guardian.

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Work Environment Monitoring of Workers Using Wearable Sensor and Helmet (착용형 센서와 헬멧을 이용한 작업자의 작업환경 모니터링)

  • Gu, Ye-Jin;Kim, Jong-Jin;Chung, Wan-Young
    • Journal of the Institute of Convergence Signal Processing
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    • v.20 no.2
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    • pp.91-98
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    • 2019
  • Accidents of worker that occur in isolated places are difficult to rescue, unlike general construction accidents. There is a problem of communication limitation when an accident occurs in an isolated place. Also, it is difficult to search the accident place due to the absence of CCTV. In order to solve these problems, this paper proposes a device that combines IoT technology with a safety helmet, which must be worn in the workplace. The proposed device additionally designs and implements a real-time PPG(Photoplethysmography) sensor, body temperature sensor, accelerometer sensor and a camera sensor on the helmet. The proposed helmet system allows the user and the control center to monitor the state of the worker. In addition, when an abnormal biological signal or fall occurs to the worker, the image is transmitted to the control center. By using the proposed system, it is possible to check the status of the worker in real time, so that it has an advantage that it can cope with the accident quickly.

Validity and Reliability Assessment of the Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain (간호과정 적용 평가도구의 타당도 및 신뢰도 조사 - 욕창, 낙상예방 및 통증 간호를 중심으로 -)

  • Kim, Keum Soon;Kim, Jin A;Choi, Yun Kyoung;Kim, Yu Jeong;Song, Mal Soon;Kim, Eul Soon
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.3
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    • pp.5-23
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    • 2010
  • Purpose: This study was conducted to determine the validity and reliability of performance measurement tools based on the nursing process for prevention and management of pressure ulcers, falls and pain. Methods: The performance measurement tools were reviewed by a panel of experts and refined on the basis of the panel's suggestions. The validity of the performance measurement tools was measured by surveying hospital nurses. The reliability of these tools was tested by having nursing experts use the tools in five nursing units to assess nursing performance in prevention and management of pressure ulcers, falls and pain. Results: The performance measurement tools in this study were found to be acceptable as tools to evaluate quality of nursing care in pressure ulcers, falls and pain. The reliability of the performance measurement tools was acceptable. Conclusion: These results indicate that the performance measurement tools developed in this study are valid and reliable instruments to monitor and improve quality of nursing care in prevention and management of pressure ulcers, falls and pain.