• 제목/요약/키워드: 보행 역학

검색결과 238건 처리시간 0.024초

골반 부전 골절의 임상 양상과 치료 결과 (Clinical Features and Outcomes of Pelvic Insufficiency Fractures)

  • 서용민;김영창;김지완
    • 대한골절학회지
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    • 제30권4호
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    • pp.186-191
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    • 2017
  • 목적: 이번 연구의 목적은 고령 인구의 골반 부전 골절에 대한 방사선적, 역학적 특징과 임상 경과를 알아보는 것이다. 대상 및 방법: 2010년 3월부터 2017년 5월까지 골반 부전 골절 환자를 대상으로 후향적 조사를 시행하였다. 환자의 인구학적 정보, 골밀도, 골표지자를 조사하였다. 단순 방사선 촬영과 컴퓨터 단층촬영을 비교하였다. 임상 경과 평가를 위해 이환된 합병증과 골절 6개월 이후 보행 능력을 비교하였다. 결과: 연구 대상 총 42명의 평균 나이는 76.5세였고, 1명을 제외하고는 모두 여성이었다. 초진 병원이 타 병원인 5예 중 골절 진단을 받지 못한 경우가 3예였다. 단순 방사선 사진에서 발견된 골절 외 컴퓨터 단층촬영에서 추가로 골절이 발견된 경우가 81.0%였다. 모두에서 보존적 치료를 시행하였다. 골절 후 보행 시작까지 걸린 시기는 평균 2.8주였으며 42명 중 1예를 제외한 전체 예(97.6%)에서 수상 전 보행 상태로 회복이 가능하였다. 결론: 골반 부전 골절을 진단하는 경우 단순 방사선 사진으로는 제한점이 있는 것을 확인하였다. 골반 부전 골절은 보존적 치료로 좋은 결과를 얻을 수 있었으며, 치명적인 합병증이 비교적 적게 발생하였다.

조도와 주로 변화가 노인 여성 보행 시 낙상 관련 운동역학적 위험요인에 미치는 영향 (Effects of Changes in Illumination Level and Slope on Fall-Related Biomechanical Risk Factors While Walking for Elderly Women)

  • 전현민;박상균
    • 한국운동역학회지
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    • 제25권4호
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    • pp.413-421
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    • 2015
  • Objective : The purpose of this study was to investigate biomechanical changes of the lower limb including dynamic stability with changes in illumination (300Lx, 150Lx, and 5Lx) and slope (level and $15^{\circ}$ downhill) as risk factors for elderly falls. Method : Fifteen elderly females were selected for this study. Seven infrared cameras (Proreflex MCU 240: Qualisys, Sweden) and an instrumented treadmill (Bertec, USA) surrounded by illumination regulators and lights to change the levels of illumination were used to collect the data. A One-Way ANOVA with repeated measures using SPSS 12.0 was used to analyze statistical differences by the changes in illumination and slope. Statistical significance was set at ${\alpha}=.05$. Results : No differences in the joint movement of the lower limbs were found with changes in illumination (p>.05). The maximum plantar flexion movement of the ankle joints appeared to be greater at 5Lx compared to 300Lx during slope gait (p<.05). Additionally, maximum extension movement of the hip joints appeared to be greater at 5Lx and 150Lx compared to 300Lx during slope gait (p<.05). The maximum COM-COP angular velocity (direction to medial side of the body) of dynamic stability appeared to be smaller at 150Lx and 300Lx compared to 5Lx during level gait (p<.05). The minimum COM-COP angular velocity (direction to lateral side to the body) of dynamic stability appeared smaller at 150Lx compared to 5Lx during level gait (p<.05). Conclusion : In conclusion, elderly people use a stabilization strategy that reduces walk speed and dynamic stability as darkness increases. Therefore, the changes in illumination during gait induce the changes in gait mechanics which may increase the levels of biomechanical risk in elderly falls.

차도용 칼라 역청 혼합물의 적용성 연구 (Applicability of Color Bituminous Mixtures for Highway Pavement)

  • 도영수;오성균;최영규;김광우
    • 한국도로학회논문집
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    • 제6권4호
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    • pp.91-100
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    • 2004
  • 본 연구는 차도용 칼라 역청 콘크리트의 적용성을 평가하기 위하여 수행되었다. 칼라 역청 포장은 차도가 아닌 보행자 도로나 자전거 도로에 사용되어 왔다 본 연구에서 바인더 개질 및 혼합물 강성의 증진을 위하여 두 가지폴리머가 사용되었다. 또한 갭입도 혼합물에서 나타나는 침강현상을 방지하기 위하여 폐신문지를 사용하였다 마샬안정도, 간접인장강도, 동결-융해 및 인공노화 처리 전 후의 인장강도비, 소성변형 저항성, 피로수명을 측정하였다. LDPE 개질된 칼라 역청 콘크리트는 일반 아스팔트 혼합물에 비해 높은 안정도와 인장강도를 나타냈으며, 특히 소성변형 저항성에서 많은 향상을 가져왔다. Rosin 개질된 칼라 역청 콘크리트는 일반 아스팔트 혼합물보다 높은 안정도와 동결융해저항성을 보였으며, 특히 간접인장강도에서 많은 향상을 보였다. LDPE +Rosin의 개질은 거의 대부분의 역학적 특성의 증가를 가져왔다. 따라서 본 연구에서 사용된 칼라 역청 콘크리트 혼합물은 기존 AP-3를 사용한 아스팔트 콘크리트 혼합물과 비교해 역학적 특성이 비슷하였으며, 모든 혼합물은 차도용 시방 규정을 만족하였다. 그리고, 이를 LDPE와 Rosin으로 개질할 경우 포장의 공용성능이 더욱 향상될 것으로 보여 차도용으로 충분히 사용 가능함을 확인하였다.

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12주간의 불안정성 신발 착용이 직립 자세 및 보행역학에 미치는 영향 (Effects of 12-week Wearing of the Unstable Shoes on the Standing Posture and Gait Mechanics)

  • 박기란;안송이;이기광
    • 한국운동역학회지
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    • 제16권3호
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    • pp.165-172
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    • 2006
  • The purpose of this study was to determine effects of 12-week wearing of unstable shoe on the standing posture and gait mechanics. Nine healthy men were asked to wear the unstable shoes for 12-week and walk for 30 minute everyday. Their standing posture and gait mechanics were measured before and after treatment. Standing posture was measured for each side(anterior, posterior, lateral) for standing position. And gait analysis was measured joint angle of a right lower limb between first right heel contact and second right heel contact. Kinematic data were collected using video camera at 30 frame per seconds. Statistical analysis was paired t-test(p<.05) to compare before training with after that. A head tilt angle was significantly decreased for posterior side(p<.05). The angle of between center of line and surface was significantly decreased at midstance and take off during walking(p<.05). Ankle dorsiflexion significantly increased at heel contact2(p<.05) and ankle plantarflexion significantly increased at midstance and midswing(p<.05). The increase of ankle dorsiflexion showed that our results consisted with previous study. In conclusion, there was not large significant difference in static standing posture but joint angle of lower limb represented many changes with increasing of ankle motion during walking. These were of benefit to body by increasing leg muscle activity but it was necessary for man having a ankle problem to consider. Further studies concerning optimum outsole angle of unstable shoes are necessary.

석문일월무예 음양보법의 숙련성에 따른 보행 패턴의 하지 운동학 및 운동역학적 특성 (A Study of Motor Expertise about Kinematic and Kinetic Characteristics of Lower Extremity in the Seokmun Ilwol Martial Art Yin-yang Bo Gait Pattern)

  • 박복희;김기형
    • 한국운동역학회지
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    • 제24권3호
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    • pp.239-248
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    • 2014
  • The purpose of this study was to quantify kinematic and kinetic characteristics of Yin-yang Bo gait according to their motor expertise, one of the Seokmun Ilwol martial art gait patterns. Yin-yang Bo gait pattern shows initial forefoot contact instead of heel contact, and increased time of stance phase time, internal-external rotation of ankle-knee-hip joints and pelvic. It aims to produce and store the more energy through continuous homeostasis of center of gravity (COG) and performance of stretch-shortening cycle. Some of these characteristics also were similar to the gait modification strategies for reducing knee adduction moment such as toe-out progression, medial thrust, internal rotation of hip joint. To identify the characteristics, four factors of expert Yin-yang Bo gait performance group were compared to that of none expert group; 1) angles of COG displacement and rotation 2) distal joint pre-rotation in internal-external rotation of ankle-knee-hip joints and pelvic, 3) invariability pelvic potential and pelvic segment total energy 4) knee abduction moment. Six healthy(three male) subjects participated in the experiment to perform Yin-yang gait pattern. Three-dimensional and force plate data were collected. Kinematic and kinetic data were compared between two groups using t-tests. Results showed that 1) the peak point of COG internal rotation angle was reduced in expert group, 2) kneeexternal and hip joint -internal and pelvic rotation angle peak frames were more near points in expert group.

임신 기간 및 출산 후의 임산부 보행의 역학적 에너지 변화 (Comparison of Pregnant Women's Mechanical Energy between the Period of Pregnancy and Postpartum)

  • 하종규;이재훈
    • 한국운동역학회지
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    • 제20권4호
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    • pp.387-393
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    • 2010
  • The purpose of this study was to compare pregnant women's gait parameters and mechanical energies caused by changes in hormone levels and anatomical features such as body mass, body-mass distribution, joint laxity, and musculo-tendinous strength from pregnancy to postpartum. Ten subjects (height: $161{\pm}6.5cm$, mass: $62.7{\pm}10.4\;kg$, $66.4{\pm}9.3\;kg$, $68.4{\pm}7.7\;kg$, $57.2{\pm}7.7\;kg$) participated in the four times experiments (the first, middle, last term and after birth) and walked ten trials at a self-selected pace without shoes. The gait motions were captured with Qualisys system and gait parameters were calculated with Visual-3D. Pregnant women's gait velocities were decreased during the pregnancy periods, but increased after birth. Stride width and cycle time were increased during pregnancy, but decreased after birth. Thigh energy (77.4%) was greater than shank energy (19.06%) or feet (3.54%) about total energy of the lower limbs. Their feet (Left R2=0.881, Right R2=0.852) and shank (Left R2=0.318, Right R2=0.226) energies were significantly increased (positive correlation), but double limb stance time (DLST, R2=0.679) and body total energy (R2=0.138) were decreased (negative correlation) for their velocities. These differences suggest that thigh segment may be a dominant segment among lower limbs, and have something to do with gait velocities. Further studies should investigate joint power and joint work to find energy dissipation or absorption from pregnancy period to postpartum.

성인 척추질환자의 발균형 및 보행형태에 대한 운동역학적 분석 (Kinetic Analysis of Foot Balance and Gait Patterns in Patients with Adult Spinal Disease)

  • Park, Jae Soung;Lee, Joong Sook
    • 한국운동역학회지
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    • 제29권1호
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    • pp.23-32
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    • 2019
  • Objective: The aim of this study was to provide kinematic data on the characteristics of spinal disease patients by comparing and analyzing kinematic variables related to foot balance and gait pattern of spinal disease. Method: The subjects of the study included 40 adult men and 60 adult women who visited the hospital in Busan. Patients who were diagnosed with spinal disease by a physician through X-ray examination were selected as subjects for the diagnosis of vertebral disc herniation, spinal stenosis, spinal disease diagnosed with spinal disease and the general public. Left and right foot pressure and contact area were checked by Gaitview pro meter. X-ray photographs were taken with a Zen-2090 mobile fluoroscopy under physicians' direct participation. One-way ANOVA was performed to compare the differences between the kinematic variables and post-hoc was performed by the Duncan method. Results: The difference in contact area between the left foot and the right foot was $115.30{\pm}14.15cm^2$ in the left side and $124.25{\pm}13.65cm^2$ in the left side in the spinal disease patients. The difference in pressure between the left and right side of the spinal disease patients was wider than that of the general people. Especially, the right side of the spinal disease patients showed a larger area of left foot contact than the general population. Conclusion: Spinal disease patients have wider contact area of the left foot than those of the general population. In the case of right spinal disease, the left foot support area is widened due to pain. In the gait, women showed slightly more posterior body center than men, and the upper body muscle imbalance and immobilization due to the spinal disease caused imbalance of the muscles moving to the lower limb, It was analyzed to inhibit movement.

환경조건에 따른 보행 시 낙상 위험 여성 노인과 정상 여성 노인의 생체역학적 변인 비교 연구 (A Comparative Study on Biomechanical Variables of Elderly Women and Elderly Women at Risk of Fall in Gait by Environmental Conditions)

  • Kim, Tae-Whan;Kim, Dae-Hyun;Min, Seok-Ki;Cho, Eun-Hyung;Lee, Jin-Seok
    • 한국운동역학회지
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    • 제31권3호
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    • pp.189-198
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    • 2021
  • Objective: The aim of this study is to investigate the effect of biomechanical variables on gait according to indoor and outdoor environmental conditions in elderly women at risk of falling. Method: 26 elderly women aged 70 years or older, and consisted of 13 elderly people with a walking speed of less 1.0 m/s and 13 people in the fall risk group as normal groups. Depending on the purpose of the study, physical examination and psychological questionnaire were prepared, and then walking was performed in an indoor/outdoor environment, and the gait pattern, muscle activity, and plantar pressure results were compared and analyzed in the elderly females through a 2 group × 2 environment 2-way repeted ANOVA analysis. Results: The gait variable showed an interaction effect the cadence. The muscle variables showed interaction effects in the rectus femoris and tibialis anterior muscles, and the interaction effects of the plantar pressure variables were confirmed in the forefoot and midfoot of the contact area, and the midfoot of the mean pressure. Conclusion: These results indicate that both groups are exposed to falls risk when gait in an outdoor environment, but the fall risk group has a higher risk of falls in both the gait pattern, muscle activity, and plantar pressure variables. The results of this study are considered to be helpful as basic data and development of exercise programs to prevent falls.

MBTI 검사지를 이용한 선호지표별 보행변수의 비교 분석 (Comparision and analysis about gait parameters based on personality types through MBTI Test)

  • 박성현;김정태
    • 한국운동역학회지
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    • 제14권3호
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    • pp.37-47
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    • 2004
  • This study was designed to understand gait pattern on the MBTI personality types by analyzing and figuring out specific charges, which includes analyzing gait parameter which was shown in walking movement. The personality types was measured by the standard MBTI(Myers- Briggs Type Indicator) test and gait analysis make used of GAITRite program. The objects of research were convenience sampled student of M College. Temporal and spatial parameters were calculated based on the MBTI personality types test using measured data, 68 items and SPSS pc/program was conducted to find out specific changes and obtainted the results as follows. There was not found significant in rate of swing phase and stance phase, step length, stride length, base of support, toe in/out between Extraversion group and Introversion group. But Extraversion group was significantly higher than Introversion group in velocity and cadence(p<.05). Sensing group was significantly more than iNtuiton group in cadence. There was not found significant in all parameter between Thinking group and Feeling group, Judging group and Perceiving group.

Canopy Model 적용을 통한 도심지 풍환경 예측 CFD 시뮬레이션 결과의 보정 (Modification of CFD results for Wind Environment in Urban area with Tree Canopy Model)

  • 정수현;홍인표;최종규;송두삼
    • 한국태양에너지학회 논문집
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    • 제32권spc3호
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    • pp.185-193
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    • 2012
  • Recently rapid urbanization facilitates development of high-rise building complex including apartment and office building in urban area. Many problems related with high -rise building are reported. Especially, unpleasant strong winds in pedestrian area are frequently encountered around the high-rise building. CFD simulation methods are used to analyze the wind environment of pedestrian level in high-rise building block. However, the results show differences between CFD and measurement. This difference is attributed to improper use of CFD. Conventional CFD simulation for wind environment around high-rise building does not describe the effect of trees, shrubs and plants near ground which affect the wind environment of pedestrian level. Canopy model can be used to reproduce the aerodynamic effects of trees, shrubs and plants near ground. In this paper, CFD simulation methods coupled with the tree canopy model to predict wind environment of pedestrian level in high-rise residential building block were suggested and the validity was analyzed by comparison between measurement and CFD results.