• Title/Summary/Keyword: 보행변수

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The Variations in Gait Parameters and the Muscle Activities on the Non-Affected Side of the Shoulder Girdle According to Arm Sling Type in Patients with Hemiplegia (팔걸이 형태에 따른 편마비 환자의 보행 변수 및 비마비측 견갑대의 근활성도 변화)

  • Lee, Og-Kyung;An, Duk-Hyun;Yoo, Won-Gyu;Oh, Jae-Seop;Yoon, Ji-Yeon
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.77-86
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    • 2010
  • The purpose of this study was to investigate the variations in gait parameters in terms of the type of arm sling used in hemiplegic patients. Ten patients with hemiplegia and ten healthy adults participated in this study and walked at self-selected speeds on a GAITRite-instrumented carpet. The activities of the opposite shoulder girdle muscle including the latissimus dorsi, anterior deltoid, and posterior deltoid were simultaneously recorded using surface EMG during gait. They were randomly assigned a condition: without an arm sling, a single strap arm sling, a Harris hemi arm sling, a Rolyan humeral cuff arm sling, and a Bobath roll arm sling. The following gait variables were analyzed: the temporo-spatial parameters of velocity, step length, stride length, swing phase, stance phase, single support, step time and toe in/toe out. The statistical analysis was one-way ANOVA with repeated measures to compare the variation of each variable. In comparison of parameters in each trial in the hemiplegia group, the non-affected side stride length, single support, and toe in/toe out resulted in statistically significantly changes (p<.05). But without an arm sling group did not show any gait parameter differences with arm slings. This study found that several arm slings varied gait patterns in patients with hemiplegia and in healthy adults. In the EMG analysis, the Rolyan humeral cuff arm sling and the Bobath roll arm sling were higher muscle activity for the latissimus dorsi muscle than did the single strap ann sling. Further study should examine the problems that appeared in patients who worn arm slings by focusing on a larger number of subjects and by studying the variety of responses in more detail using an assessment tool that measures variation.

The effect of Physical Environment on the depressive symptom of Middle-aged and Older adults : Focusing on the Mediating effects of Social Capital and Sense of Coherence (도시의 물리적 환경이 중고령자의 우울에 미치는 영향 : 사회적 자본과 통합성의 매개효과를 중심으로)

  • Jung, Eunhee;Chai, Choulgyun;Moon, Hani;Song, Na Kyoung
    • Korean Journal of Social Welfare Studies
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    • v.49 no.2
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    • pp.181-209
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    • 2018
  • This study aims to examine the relationship between physical environment and depression symptoms of middle-aged and older adults in metro city. To verify correlates of community environment and depression, mediating effect model structured by social capital and sense of coherence(SOC) were used. For the purpose, a survey was conducted aged 48 - 70 from the local community centers and senior welfare centers in Seoul, and the total collected cases were 331. After data cleaning, total 309 cases were used. The structured equation modeling applied to analyse the direct and indirect effects. The findings were followed : First, the community environment did not directly affect level of depression. Second, in the indirect effect analysis, social capital was not statistically significant, thus indirect effect was confirmed only through the SOC. To be specific, the higher the satisfaction of the physical environment increased SOC, and decreased the level of depression. The results of this study shed lights on practical interventions to promote mental health of the middle-aged and older adults those who are exposed to poor community environment.

Factors Affecting Depression in the Elderly Over 65 Years in Korea: Using Andersen's Behavioral Model (한국 65세 이상 노인의 우울증에 영향을 미치는 요인 : 앤더슨 모형을 활용한 융합적 연구)

  • Park, Hyo-Eun;Seo, In Soon
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.83-95
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    • 2019
  • The purpose of this study was to comprehensively investigate predictive factors influencing on geriatric depression of the elderly by applying the Andersen's Behavioral Model of Health Service Use,. The research data was focused on the final analysis of 3,585 elderly population aged 65 or older among 21,724 participants in the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. Hierarchical logistic regression analysis was conducted to multivariate analysis method of the variables for possible depression by the Andersen's Behavioral Model of Health Service Use. As a result of hierarchical regression analysis, there was a negative correlation of 0.49 times(0.31-0.78) for males. In addition, there was a positive correlation of pain 1.56 times(1.05-2.31), stress 0.55 times(1.10-2.19), walking exercise 1.44 times(1.03-2.00) and outpatient use 1.48 times(1.10-1.98). Therefore, differentiated support according to the gender of the community residents is necessary, and stress intervention or additional support for exercise is required.

Evaluation of Applicability for 3D Scanning of Abandoned or Flooded Mine Sites Using Unmanned Mobility (무인 이동체를 이용한 폐광산 갱도 및 수몰 갱도의 3차원 형상화 위한 적용성 평가)

  • Soolo Kim;Gwan-in Bak;Sang-Wook Kim;Seung-han Baek
    • Tunnel and Underground Space
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    • v.34 no.1
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    • pp.1-14
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    • 2024
  • An image-reconstruction technology, involving the deployment of an unmanned mobility equipped with high-speed LiDAR (Light Detection And Ranging) has been proposed to reconstruct the shape of abandoned mine. Unmanned mobility operation is remarkably useful in abandoned mines fraught with operational difficulties including, but not limited to, obstacles, sludge, underwater and narrow tunnel with the diameter of 1.5 m or more. For cases of real abandoned mines, quadruped robots, quadcopter drones and underwater drones are respectively deployed on land, air, and water-filled sites. In addition to the advantage of scanning the abandoned mines with 2D solid-state lidar sensors, rotation of radiation at an inclination angle offers an increased efficiency for simultaneous reconstruction of mineshaft shapes and detecting obstacles. Sensor and robot posture were used for computing rotation matrices that helped compute geographical coordinates of the solid-state lidar data. Next, the quadruped robot scanned the actual site to reconstruct tunnel shape. Lastly, the optimal elements necessary to increase utility in actual fields were found and proposed.

Falls among Community Dwelling Elderly People: Prevalence and Associated Factors (일부 농촌지역 노인들의 낙상발생과 관련된 요인)

  • Cho, Young-Chae;Yoon, Hyun-Suk
    • Journal of agricultural medicine and community health
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    • v.29 no.2
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    • pp.223-235
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    • 2004
  • Objectives: This study was to evaluate the actual condition of falls among community-dwelling elderly people and its related factors to prepare for the establishment of comprehensive prevention programs of senior population. Methods: The study subjects included 460 home residents over 65 years in a district of Chungnam Province and interviews were given to all of them, asking about experiences of falls and their related factors. The analysis of study results came to the following conclusions. Results: The rate of falls among total subjects was 35.5%. With the percentage by age and sex, over 70's and female were significantly higher than male(p=0.000) and under 69 (p=0.008). The groups with poor visual acuity and hearing ability had higher rate of falls than the normal groups based on their health status. In terms of place they experienced falls, out-door occurrence accounted for 53.4% of total falls, which was higher 46.6% of in-door. By season when falls are experienced, "winter" showed the greatest rate, and by time of the day, evening had the highest rate. By causes of falls, "Slippery ground"accounted for 30.5% and "Tumbled over" 23.5% of total falls, respectively, showing the major role of environmental causes for falls. For individual factors, "Irritability" and "Carelessness" occupied 11.3%, 10.8% of total falls, respectively. The Odds Ratios for falls in women was 2.19 times higher than in men, and those in 70's are 2.01 times higher than in 60's, and those with abnormal BMI was 3.68 times higher than in normal groups, and those with perceived symptoms was 1.94 times higher than those without. Conclusions: It is suggested that more consideration should be directed toward taking comprehensive and systematic prevention measures ranging from setting-up the injury-protective environments to allowing senior citizens to have competence in ADL activity as well as proper general health conditions, considering the higher rate of falls for elderly persons in a rural part of this country than that of western countries and the greater proportion of falls which can be ascribed to environmental factors.

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