• Title/Summary/Keyword: 보행 변수

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The Relevance Between Gross Motor Function Measurement (GMFM) and the Spatiotemporal Parameters of Gait in Children With Cerebral Palsy (뇌성마비 아동에서 대동작기능평가(GMFM)와 보행의 시공간적 변수와의 관계)

  • Lee, Jung-Lim;Cho, Sang-Hyun;Kwon, Oh-Yun;Lee, Young-Hui
    • Physical Therapy Korea
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    • v.8 no.1
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    • pp.20-34
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    • 2001
  • This paper presents the relevance between GMFM and the spatiotemporal parameters of gait in children with cerebral palsy. Twenty-one children ($73.11{\pm}30.06$ months) with cerebral palsy participated in this study. GMFM was performed and spatiotemporal parameters of gait were measured by foot print gait analysis. A correlation analysis was used to investigate the correlation between GMFM scores and spatiotemporal parameters of gait. A linear regression analysis was employed to find how much each gait spatiotemporal parameters could be predicted from GMFM scores. The total GMFM scores was significantly correlated with walking speed, cadence, and stride length. Dimensions D (standing) and E (walking, running, and jumping) were more significantly correlated with gait spatiotemporal parameters than dimensions A (lying and rolling), B (sitting), and C (crawling and kneeling). The GMFM scores were useful for predicting spatiotemporal parameters. However, it is difficult to predict the status of gait development using GMFM scores because GMFM scores and gait spatiotemporal parameters are only measured as quantities not qualities. In the field, it is easily found that many children with cerebral palsy are unable to walk in any way. Consequently, gait analysis cannot be performed in many cases. Therefore, it is more reasonable to investigate the influence of GMFM on spatiotemporal parameters, rather than vice versa.

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Estimation of Traffic Safety Improvement by Applying a Traffic Control Device (교통통제장치 적용에 따른 교통안전도 향상에 관한 연구)

  • Nam Baek;Lee Chul-Gi;Lee Sang-Soo;Oh Young-Tae;Yu Tae-Ho
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.5 no.1 s.9
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    • pp.55-63
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    • 2006
  • Speeding is one of the major causes of traffic accidnets in urban areas. Driver feedback sign(DFS) is a traffic control device that can be used for many traffic environments including work zones, school zones, and roadways. In this paper, the effectiveness of DFS was evaluated through a field study using speed data collected from before and after study periods. In addition traffic safety improvement was also quantitatively estimated using the variance of speed data collected. Staistical test results showed that the speed difference was statistically significant, and the distribution of speed data was also shifted greatly. Therefore, it was concluded that installing the DFS in roadways might lead to unifomity of speed of traffic flow, thus, potential safety improvement might be expected.

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A Study on the discomfortable feeling's appraisals of driver for the instant brightness fluctuation of the Vehicle's Headlamps (전조등의 순간적 밝기 변동에 대한 운전자의 불쾌감 평가 연구)

  • Lee, Chang-Mo;Lim, Tae-Young;Min, Jea-Woong;Lim, Jun-Chae;An, Ok-Hee;Kim, Hyun-Ji;Kim, Hoon
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2007.11a
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    • pp.17-22
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    • 2007
  • 차량에서 전조등의 밝기 변화가 운전자의 장애물 인식능력을 저하시키고, 운전자에게 불쾌감과 스트레스를 제공한다면 운전자 및 보행자의 안전에 위협이 될 수 있다. 그러므로 차량 전조등의 밝기변화 패턴에 영향을 미치는 전조등의 전압과 시간을 변수로 하여, 순간적으로 밝기변동이 발생하였을 경우, 연령대별(20/60대)로 운전자가 느끼는 심리적인 반응(불쾌감)이 어떠한 경향을 갖는지를 파악하는 것이 중요하다. 따라서 본 논문에서는 운전자의 야간 주행시 전조등의 밝기변동에 대한 경향을 파악하기 위해 전조등의 밝기변동 영상을 제작한 다양한 전조등의 밝기패턴(전압패턴 A/B)을 제공하여 본 시험을 위한 1차 예비 시험을 실시하였다. 예비시험 결과, 전압패턴 A에 대해서는 전압과 시간변이 대해서 모두 영향을 받는 것으로 나타났으며, 반면, 전압패턴 B의 경우에 있어서는 시간변이 보다 전압변이가 더 큰 요소로 작용하는 것으로 나타났다. 또한 불쾌감을 느끼는 것을 수치적으로 표현하였을 경우에, 전압패턴 A보다 B패턴에서 더 많은 불쾌감을 느끼는 것으로 파악되었다. 현재, 본 연구는 진행중에 있으며, 앞으로, 2차/3차 예비시험을 통해, 연령대별 시인능력평가 및 심리적 반응 평가, 도로조명의 유무에 따른 운전자의 시인능력 평가, 그리고 전조등의 밝기변동 빈도 수에 대한 심리적 반응을 모의시험하고 경향을 파악하고 있으며, 이를 통해서 본 시험을 준비중에 있다.

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Effects of Ankle Joint Mobilization With Movement on Lower Extremity Muscle Strength and Spatiotemporal Gait Parameters in Chronic Hemiplegic Patients (만성 편마비 환자의 발목에 적용한 능동운동을 동반한 관절가동술이 하지근력과 보행의 시공간적 변수에 미치는 영향)

  • An, Chang-Man;Won, Jong-Im
    • Physical Therapy Korea
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    • v.19 no.3
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    • pp.20-30
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    • 2012
  • The purpose of this study was to determine the effect of ankle joint mobilization with movement (MWM) on the range of motion (ROM) in the ankle, on the muscle strength of lower extremities, and on spatiotemporal gait parameters in chronic hemiplegic patients. Fifteen subjects with chronic stroke were divided into two groups: an experimental group (8 subjects) and a control group (7 subjects). Both groups attended two or three sessions of physical therapy each week. The experimental group also attended additional MWM training sessions three times a week for five weeks. For both groups, the ROM of the ankle, the muscle strength of the lower extremities, and the spatiotemporal gait parameters in paretic limbs were evaluated before and after the training period. The results showed that the experimental group experienced more significant increases than did the control group in terms of passive (6.10%) and active (21.96%) ROM of the ankle, gait velocity (12.96%), and peak torque, of the knee flexor (81.39%), the knee extensor (24.88%), and the ankle plantar flexor (41.75%)(p<.05). These results suggest that MWM training in patients with chronic stroke may be beneficial in increasing ROM in the ankle, muscle strength in the lower extremities, and gait speed.

Comparison of Spatio-temporal Gait Parameters between Paretic and Non-paretic Limb while Stepping over the Different Obstacle's Heights in Subjects with Stroke (편마비 환자의 장애물 높이에 따른 마비측과 비마비측 하지의 시공간적 보행변수 비교)

  • Han, Jin-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.1
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    • pp.69-74
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    • 2014
  • PURPOSE: The aim of this study is to compare the spatio-temporal gait parameters between paretic and non-paretic limb while stepping over the different obstacle's heights in subjects with stroke. METHODS: Nine subjects with stroke were participated in this study. Subjects were asked to step over obstacles with a different height. 8 camera motion analysis system(Motion Analysis Corporation, Santa Rosa, USA) was used to measure spatio-temporal parameters. The two way repeated measurement ANOVA was used to compare spati-temporal gait parameters between paretic and non-paretic limbs while stepping over a different obstacle's height(0cm, 10cm, 20cm). RESULTS: Step width, velocity, single supoort time, and double support time were not different among obstacle's height(p>0.05) but stride length, step length, and cadence were significantly different(p>0.05). In stride length, cadence, and double support time, the interactions between obstacle's heights and limbs were not different(p>0.05) but it was significantly different in velocity, step length, and single support time(p<0.05). Velocity, stride length, cadence, and double support times were not different between paretic limb and non-paretic limb(p>0.05) but step length and single support times were significantly different between paretic limb and non-paretic limb(p<0.05). CONCLUSION: These results show that there are differences with spatio-temporal gait parameters among obstacle's heights and between paretic and non-paretic limb during obstacle crossing in subjects with stroke.

Effect of virtual reality training using 3-dimensional video gaming technology on spatiotemporal gait parameters in older adults (삼차원 가상현실 운동 프로그램이 노인의 시공간적 보행변수에 미치는 효과)

  • Lee, Yongwoo
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.61-69
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    • 2016
  • PURPOSE: This study was conducted to investigate the effect of the virtual reality training (VRT) using 3-dimensional video gaming technology on spatiotemporal gait parameters in older adults. METHODS: The study participants were divided into two groups: the VRT group and the control group. Those in the VRT group were enrolled in a VRT, which was conducted for 60 min per day, two times a week, during the 6-week research. The Wii-Fit balance board game was used for the VRT intervention. The VRT consisted of 6 different types of games, namely, jogging, swordplay, ski jump, hula hoop, tennis, and step dance. A 3-dimensional TV was used for 3-dimensional display. Participants in both the groups received 3 sessions of fall prevention education, at the first, third, and fifth weeks. Their gait parameters were measured by using OptoGait. RESULTS: After 6 weeks of the VRT, the spatial gait parameters of the participants, that is stride length and step length, were significantly improved compared with those of the control group participants (p<0.05). The temporal gait parameters, such as velocity, cadence, stride time, and step time, also showed improvement after the completion of the VRT training (p<0.05). Both the temporal and spatial gait parameters of the VRT group participants showed improvement after 6 weeks of the program compared with those of the control group participants (p<0.05). CONCLUSION: The VRT using 3-dimensional video gaming technology might be beneficial for improving gait parameters to prevent falls among older adults.

Reliability and Validity of a Smartphone-based Assessment of Gait Parameters in Patients with Chronic Stroke (만성 뇌졸중 환자에서 스마트폰을 이용한 보행변수 평가의 신뢰도와 타당도)

  • Park, Jin;Kim, Tae-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.19-25
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    • 2018
  • PURPOSE: Most gait assessment tools are expensive and require controlled laboratory environments. Tri-axial accelerometers have been used in gait analysis as an alternative to laboratory assessments. Many smartphones have added an accelerometer, making it possible to assess spatio-temporal gait parameters. This study was conducted to confirm the reliability and validity of a smartphone-based accelerometer at quantifying spatio-temporal gait parameters of stroke patients when attached to the body. METHODS: We measured gait parameters using a smartphone accelerometer and gait parameters through the GAITRite analysis system and the reliability and validity of the smartphone-based accelerometer for quantifying spatio-temporal gait parameters for stroke patients were then evaluated. Thirty stroke patients were asked to walk at self-selected comfortable speeds over a 10 m walkway, during which time gait velocity, cadence and step length were computed from smartphone-based accelerometers and validated with a GAITRite analysis system. RESULTS: Smartphone data was found to have excellent reliability ($ICC2,1{\geq}.98$) for measuring the tested parameters, with a high correlation being observed between smartphone-based gait parameters and GAITRite analysis system-based gait parameters (r = .99, .97, .41 for gait velocity, cadence, step length, respectively). CONCLUSION: The results suggest that specific opportunities exist for smartphone-based gait assessment as an alternative to conventional gait assessment. Moreover, smartphone-based gait assessment can provide objective information about changes in the spatio-temporal gait parameters of stroke subjects.

다양한 중량물 운반(carrying) 유형에서의 최대허용 하중에 대한 비교평가

  • 이관석;박희석;서치원
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1995.04a
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    • pp.813-821
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    • 1995
  • 본 연구의 목적은 심리육체적 방법(Psychophysical method)을 이용하여 다양한 중량물운반 유형에서의 최대허용하중을 구하는 것이며 이의 타당성을 생리학적 방법(physiological method)을 이용하여 검토하는 것이다. 또한, 인체측정과 근력측정 자료를 이용하여 각 운반유형에서의 최대허용 하중을 예측하는 모형을 개발하고자 한다. 본 연구에서는 네 가지의 운반유형(Front carrying, One-hand side carrying, Two-hands side carrying 그리고 Back carrying)과 두가지의 보행 속도 (50.0 그리고 79.2 m/min)를 주요변수로 8가지의 작업에 대해 무작위로 선택하여 각 작업에 대한 최대허용 하중을 시간과 경비의 감소측면에서 폭넓게 사용되고 있는 심리육체적 방법으로 구하였다. 피실험자는 운반작업의 경력이 있는 실제 작업자군(n=7)과 그렇지 않은 학생군(n=10)으로 구분하여 건강한 남성 피실험자를 대상으로 연구를 실시하였다. 주실험전에 인체측정과 근력측정을 실시하였다. 이후에 심리육체적 방법과 생리학적 방법을 실시간(on-line)으로 실시하였다. 연구결과로 학생군과 작업자군간의 신체조건은 뚜렷한 차이를 보이지 않았으나 근력은 작업자가 우월하였다. 심리육체적 방법을 사용하여 도출된 최대허용 하중은 학생군, 작업자군 모두 운반유형의 변화에 따라 유의함을 보였다.(학생군:p=.0001 작업자군:p=.0001). 반면에 속도의 변화는 유의하지 않았다(학생군:p=.7954 작업자군:p=.9231). 또한 학생군과 작업자군 모두 Back carrying에서 가증 큰 하중을 운반하였다(학생군:8.16kg 작업자군:12.9kg). 심박수를 이용한 생리학적 연구에서는 평균 심박수가 거의 100 이하를 유지하므로써 피실험자들이 8시간 작업기준으로 보아 무리가 없는 최대허용 하중을 결정하였음을 보였다. 또한 각 운반작업에 대한 최대허용 하중을 예측하는 회귀모형을 제시하였다.

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Factor Analysis of Accident Types on Urban Street using Structural Equation Modeling(SEM) (구조방정식모형을 활용한 단속류 시설의 교통사고 유형별 유발요인 분석)

  • Kim, Sang-Rok;Bae, Yun-Gyeong;Jeong, Jin-Hyeok;Kim, Hyeong-Jin
    • Journal of Korean Society of Transportation
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    • v.29 no.3
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    • pp.93-101
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    • 2011
  • In 2008, Korea has observed total 215,822traffic accidents Although the number has decreased since then, the crash rate is still higher than those of other advanced countries. In particular, high rate of pedestrian accidents occurred on urban streets is recognized as a serious problem. The previous studies, however, are not entirely considerate of accident factors by accident type. Inspired by the fact, this study analyzes factors affecting traffic accident by accident type. Using the accident data collected on urban streets in Seodaemun-gu, this paper classifies the accidents into two groups (i.e., vehicle-vs-vehicle and vehicle-vs-person crashes), and analyzes relationships between severity and exogenous variables. For the analysis, Structural Equation Modeling (SEM) is employed to estimate relationships among exogenous factors of traffic accident by each type on urban streets. The resulting model reveals that roadway related factors are highly correlated with the severity of vehicle-vs-vehicle crashes whereas environment factors are with vehicle-vs-person crashes.

Effects of Performing Dual Task on Temporospatial Gait Variables in Subjects With Subacute Stroke (아급성기 뇌졸중 환자의 이중 과제 수행이 보행의 시·공간적 변수에 미치는 영향)

  • Jang, Young-Min
    • PNF and Movement
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    • v.15 no.3
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    • pp.361-371
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of performing a dual task on gait velocity, temporospatial variables, and symmetry in subjects with subacute stroke. Methods: The study included 14 independent community ambulators with gait velocity of 0.8m/s. The Korean mini-mental state examination, the Berg balance scale, the Trunk impairment scale, and the Fugl-Meyer assessment scale were used to recruit homogeneous subjects. Subjects performed a single task (10m ambulation at a comfortable speed) and a dual task (10m ambulation at a comfortable speed while carrying a water-filled glass). Gait variables were examined with the OptoGait system. Results: The findings of this study were as follows: 1) Gait velocity decreased significantly in the dual-task condition as compared to the single task condition. 2) There were no significant differences between the paretic and non-paretic stances. 3) Paretic swing decreased significantly in the dual-task condition as compared to the single task condition. 4) The non-paretic, double-limb support phase increased significantly in the dual-task condition as compared to the single- task condition. 5) There was no significant difference in temporal symmetry. 6) Non-paretic step length decreased significantly in the dual-task condition as compared to the single-task condition. 7) There was no significant difference in spatial symmetry. Conclusion: Performing dual tasks decreases gait velocity, paretic swing phase, and non-paretic step length, while it increases non-paretic double limb support. In addition, although there is no difference in temporospatial symmetry, there is high inter-subject variability in temporospatial symmetry. Thus, dual tasks should be selected in accordance with the functional level of the hemiplegic patient, and inter-subject variability of the individual should be considered when dual tasks are considered for gait-training of hemiplegic patients.