• 대한건축학회논문집:계획계
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• 제35권1호
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• pp.127-138
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• 2019

This study was to evaluate the walking speed of elderly people by using the travel route big data collected by travel diary and smart phone application. We analyzed the change of walking behavior in the residential street environments of the elderly whether they had a company or not. We interpreted the meaning based on previous studies. In addition, the characteristics of elderly people's use of the residential street environment were analyzed by comparing the change in spatial speed according to the companion. The result reveals that the usage patterns of the residential street environments change depending on whether they were accompanied or not. First, the elderly tend to do more social activities while walking alone than when they were accompanied. When they were accompanied the social activities occur in empty lot near the residential area. However, the social activities of the elderly occur in open space such as neighborhood park or playground while walking alone. Finally, This study has strength that it empirically analyzes the elderly's walking behavior and usage paths in small outdoor spaces, including residential streets.

• 기독교교육논총
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• 제75권
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• pp.127-152
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• 2023

연구 목적 : 본 연구는 이론과 실제를 다룬 다양한 문헌들을 바탕으로 아직 한국교회에 널리 소개되지 않은 기독교 영성훈련의 하나인 '래버린스 걷기'를 고찰하고 그 활용 방안을 제안하는 연구이다. 연구 내용 및 방법 : 이에 본 연구는 먼저 래버린스 걷기가 무엇인지를 역사적으로 고찰하여 래버린스 걷기가 바닥에 설치된 주로 하나의 경로를 가진 래버린스 위를 걸으면서 기도나 묵상을 하는 중세에 있었던 영성수련이었고 현재의 래버린스 걷기는 수백 년간 명맥이 끊겼던 전통을 20세기 중후반에 다시 재해석해서 실천해 온 것임을 밝힌다. 이어서 예수님의 고난과 구원, 세례, 순례, 정화 등을 상징하는 래버린스를 걷는 활동은 준비하기, 기도나 묵상을 하면서 걷기, 중심에 머물기, 돌아 나오기, 기록하고 나누기의 다섯 단계의 과정으로 구성됨을 설명한다. 이처럼 순례, 걷기, 기도, 묵상 등이 어우러진 래버린스 걷기는 일상으로부터의 벗어남, 하나님과의 만남 및 동행, 평안과 치유의 경험, 자아와 삶의 성찰, 삶의 변화를 위한 결단, 공동체의식의 함양 등의 의미와 역할을 지니고 있어 한국교회에서도 성도들의 신앙과 영성의 성숙을 도울 수 있기에 그 활용의 가치가 높다고 볼 수 있다. 결론 및 제언 : 이에 본 연구는 한국교회가 다양한 방법으로 기도를 실천하는 의미에서 예식 및 교회 활동의 일부로, 또 순례를 구현하는 차원에서 정적이며 비언어적 활동인 래버린스 걷기를 적극적으로 활용할 것을 제안한다. 이때 한국교회는 래버린스 걷기의 적절한 목적을 선정하고 래버린스를 제작하고 설치할 때 다양한 유의사항을 고려하며 몇 가지 중요한 규칙을 준수할 필요가 있다.

• 척추신경추나의학회지
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• 제14권2호
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• pp.77-88
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• 2019

Objectives : The purpose of this study was to show the effectiveness of Chuna Manual Therapy applied to a osteoporosis patient with gait disturbance due to lower limb fracture surgery. Method : We focused on Chuna therapy accompanied with acupuncture, herbal medicine, moxibustion, cupping treatment and rehabilitation exercise. This case was assessed using the Visual Analogue Scale (VAS), Pain Free Walking Distance (PFWD), Berg Balance Scale (BBS), and Modified Barthel Index (MBI). Result : This patient showed improvement on the VAS from 6 to 3, PFWD from 0 m to 2000 m using a walker and 50 m by self-walking, BBS from 2 to 28, and MBI from 56 to 89. Moreover the walking state improved from gait disturbance to self-walking. Conclusion : This study suggests that Chuna therapy could be used to improve gait disturbance in patients with osteoporosis and lower limb fracture surgery.

• Physical Therapy Rehabilitation Science
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• 제13권1호
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• pp.43-52
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• 2024

Objective: This study aimed to investigate the impact of a 12-week combined cognitive and physical exercise program on cognitive and physical functions in older adults diagnosed with mild cognitive impairment (MCI). Design: A one-group pretest-posttest study. Methods: Twelve participants with MCI engaged in a weekly 60-minute session of combined cognitive and physical exercise program. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA), while physical function was evaluated through measures of muscle strength, postural balance, and walking capabilities. Muscle strength assessments included the arm curl test, handgrip strength, and the 5 sit-to-stand test. Postural balance was evaluated using the one-leg stance test, timed up-and-go test, functional reach test, and four square step test. Walking function was analyzed through a gait analysis device. Pre- and post-intervention measurements were compared to determine the effects of the exercise program. Results: The results demonstrated significant improvements in MoCA, arm curl test, timed up-and-go test, walking speed, and cadence following the 12-week intervention (p<0.05). MoCA scores revealed enhanced cognitive performance, while measures of muscle strength, including the arm curl test, exhibited significant changes. Improvements in timed up-and-go test scores indicated enhanced mobility, accompanied by increased walking speed and cadence, as evidenced by gait analysis. Conclusions: This study suggests that a structured 12-week program incorporating both cognitive and physical exercises can lead to meaningful improvements in cognitive and physical functions among older adults with MCI.

• 한국ITS학회 논문지
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• 제15권1호
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• pp.39-51
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• 2016

본 연구는 고령자의 스마트폰 이용률 증가에 따라, 고령자가 활용이 가능한 ICT(정보통신기술) 기반의 맞춤형 보행보조기술 개발을 제시하고 이에 대한 사용자 니즈(needs)를 규명하고자 하였다. 맞춤형 보행보조서비스의 형태는 햅틱(진동 및 촉각정보)을 통한 보행안내지원 서비스와 자동 및 셀프 SOS 시스템, 그리고 접근차량의 정보알람 서비스가 포함된 웨어러블(Wearable) 보행안내 보조 장치를 기반으로 한다. 이러한 서비스의 실효성을 검토하기 위하여 189명의 잠재적 고령자와 고령자를 대상으로 그들이 가지는 보행에 관한 심리적 태도 및 각 서비스에 대한 선호도, 그리고 보행안내 보조 장치에 대한 WTP (willingness to pay)를 조사 및 분석하였다. 또한 조사된 변수를 통해 요인분석(Factor analysis)을 수행하였으며 여기서 도출된 요인간 상관관계 파악을 위해 경로모형 (path model)을 추정하였다. 분석된 결과를 통해 연령대에 적합한 보행보조 장치의 맞춤형 서비스의 방향을 제시하였으며, 이는 제품화된 기술에 대한 활용범위를 증대시키고 궁극적으로 고령자의 보행 안전성을 향상시킬 수 있을 것으로 판단된다.

• 인터넷정보학회논문지
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• 제20권4호
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• pp.47-53
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• 2019

일반적으로 어지럼증은 여러 가지 복합적인 원인에 의해서 발생하지만 그 중에서 신경계에 속하는 전정계통의 기능 장애에 의한 증상이 가장 환자에게 심한 증상으로 다가오며, 구역질과 구토를 동반하게 된다. 이러한 어지럼증에 대한 치료는 약물요법, 수술요법, 재활치료 등이 있으며, 약물요법이나 수술요법은 대체적으로 후유증의 위험 때문에 재활치료요법인 전정재활훈련을 많이 시행하고 있다. 전정재활훈련은 안구훈련, 자세안정훈련, 보행훈련 등이 있는데 그 중 보행훈련은 의사 또는 전문치료사의 감독하에 일정한 공간에서 진행되므로 시간적, 공간적 부담이 가중되어 환자들이 훈련을 진행기 불편한 단점을 가진다. 이를 해결하고자 본 논문에서는 증강현실 기술을 활용해 사용자가 직접 보행재활훈련을 진행 할 수 있는 보행훈련 콘텐츠를 구현하였다. 추후 어지럼증 환자를 대상으로 한 임상시험을 통해 의료 환경에서 사용 가능한 어지럼증 재활 콘텐츠로 활용 가능할 것으로 기대한다.

• 대한물리의학회지
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• 제19권3호
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• pp.91-101
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• 2024

PURPOSE: This study examined the effects of balance exercises accompanied by ankle fixation on the healthy side on the balance control ability and gait of patients with subacute stroke. METHODS: The study was conducted on 23 patients with subacute stroke. Eleven people were assigned randomly to the experimental group who performed balance exercises with ankle fixation on the healthy side, and 12 were assigned to the control group who performed balance exercises without ankle fixation. The intervention was conducted for 30 minutes three times a week for four weeks. The Berg Balance Scale, a weight-bearing ratio measurement, was performed to evaluate the balance ability before and after intervention. The gait symmetry, walking speed, cadence, step length, and 10-meter walk test were conducted to evaluate the walking ability. RESULTS: A significant difference in the Berg Balance Scale was observed between before and after the intervention in the experimental group. A comparison of the two groups also revealed a significant difference. Significant differences in the gait symmetry, walking speed, and step length measurements were observed before and after the intervention in the experimental group, and significant differences in the gait symmetry and step length measurements were observed between the two groups. CONCLUSION: Through this study, balance exercises with the healthy side ankle fixed showed qualitative improvement in the balance and walking ability, suggesting future directions for the rehabilitation treatment of stroke patients.

• 대한한방내과학회지
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• 제27권4호
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• pp.975-983
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• 2006

Degenerative arthritis is characterized by progressive degenerative change, particularly change occurring to the joint due to the burden of body weight. Arthritis means inflammation occurring to the joint: it causes pain and limits exercise involving movement of the joint. Edema is not a disease but a condition which is accompanied by progression of a certain disease. Degenerative arthritis patients also have various diseases and mostly brings edema. Even though the cause is known to be abrasion of the joints, there are many cases in which walking difficulties are caused by pressure and pain due to edema. We found patients with walking difficulties caused by pain and increase of pressure in the joints walk better after treatment of both the pain and edema.

• Journal of Yeungnam Medical Science
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• 제40권4호
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• pp.343-351
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• 2023

Diabetic foot is one of the most devastating consequences of diabetes, resulting in amputation and possibly death. Therefore, early detection and vigorous treatment of infections in patients with diabetic foot are critical. This review seeks to provide guidelines for the therapy and rehabilitation of patients with moderate-to-severe diabetic foot. If a diabetic foot infection is suspected, bacterial cultures should be initially obtained. Numerous imaging studies can be used to identify diabetic foot, and recent research has shown that white blood cell single-photon emission computed tomography/computed tomography has comparable diagnostic specificity and sensitivity to magnetic resonance imaging. Surgery is performed when a diabetic foot ulcer is deep and is accompanied by bone and soft tissue infections. Patients should be taught preoperative rehabilitation before undergoing stressful surgery. During surgical procedures, it is critical to remove all necrotic tissue and drain the inflammatory area. It is critical to treat wounds with suitable dressings after surgery. Wet dressings promote the formation of granulation tissues and new blood vessels. Walking should begin as soon as the patient's general condition allows it, regardless of the wound status or prior walking capacity. Adequate treatment of comorbidities, including hypertension and dyslipidemia, and smoking cessation are necessary. Additionally, broad-spectrum antibiotics are required to treat diabetic foot infections.

• 대한정형도수물리치료학회지
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• 제22권1호
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• pp.9-15
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• 2016

Background: This study was conducted to investigate the effects of unstable modified wall squat exercises accompanied by abdominal drawing-in on the gait variables of healthy adults. Methods: The total number of subjects was 30, and 15 were randomly placed in the training group (TG) and 15 in the control group (CG). To determine the gait variables of TG and CG, step length difference (SLD) stance phase difference (STPD), swing phase difference (SWPD), single support difference (SSD), and step time difference (STD) were measured using OptoGait, a gait analysis system. Results: When the pre-intervention and post-intervention results of TG and CG were compared, statistically significant differences in SLD, STPD, SWPD, SSD and STD of TG were seen. Conclusion: Unstable modified wall squat exercises accompanied by abdominal drawing-in might help reduce the deviation between left and right gait variables during walking.