• Title/Summary/Keyword: Dynamic walking

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Does the Wealthier Elderly Show Better Standing Balance? Socioeconomical Factors and Standing Balance of the Elderly Living in Rural and Urban Areas in South Korea

  • Yoon, Jang-whon
    • Physical Therapy Korea
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    • v.24 no.1
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    • pp.97-104
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    • 2017
  • Background: South Korea is one of fastest aging countries in the world. Poor balance and falls of the elderly are main health issues. Objects: The goal of this study was to understand the association between the socioeconomical factors and the standing balance of elderly living in the rural and urban area. Methods: One hundred sixty-six elderly participants who were older than 65 and were able to walk without an assistive device were recruited in the city of Gwangju and in the rural area of Jeonnam, South Korea. All participants performed the static and dynamic standing balance tests. Static standing balance was measured with chronometer in seconds while standing on one leg. Dynamic balance was tested with the timed up and go test (TUG), measured in seconds while getting up from a chair and walking 3 meters and back to sit. The static and dynamic standing balance was analyzed using analysis of variance and the Fisher's Least Significant Difference post hoc test. Results: Male participants from both areas had no difference in one leg standing and TUG. The female elderly living in rural area took shorter in TUG than females living in urban area. Age decreased the one leg standing time in both areas while did not affect the TUG significantly. As the monthly income increased, both of one leg standing and TUG increased in urban area, while the medium monthly income showed best performance (it was not statistically significant) in both of one leg standing and TUG in rural area. Conclusion: Socioeconomical factors affects differently the standing balance of the elderly living in rural and urban South Korea. Female living alone in urban area with low monthly income demonstrated worst standing balance in this study.

Effects of Calcaneus Fixation Taping on Quadriceps Angle and Lower Limb Muscles During Stairway Gait of a Patient with Patellofemoral Pain (무릎넙다리통증증후군 환자의 계단보행 시 발뒤꿈치뼈 교정 테이핑이 슬개대퇴각과 하지근육에 미치는 영향)

  • Oh, Kang-O;Lee, Sang-Yeol
    • PNF and Movement
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    • v.17 no.2
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    • pp.311-319
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    • 2019
  • Purpose: This study was conducted to determine the structural change in knees caused by quadriceps angle and the muscle activity in lower limbs. Indirect intervention was provided by using taping for stability in the ankle joints, which affected patellofemoral pain. Methods: The subjects in this study were 20 patients with patellofemoral pain who visited ${\bigcirc}{\bigcirc}{\bigcirc} $ Hospital in Busan. The visual analogue scale measured the dynamic quadriceps angle and the degree of pain felt by the patients while walking down stairs, which was a known factor of patellofemoral pain. In addition, muscle activities in the rectus femoris, vastus lateralis, vastus medialis, tibialis anterior, peroneus longus, and biceps femoris, which affect the knees and ankles, were measured using surface electromyography. The muscle activities were converted into %RVC for this study. The data obtained in this study were analyzed with the Wilcoxon signed-rank test using the SPSS Ver. 25.0 statistical program. The significance level ${\alpha}$ was 0.05. Results: The study results showed that the pain and dynamic quadriceps angle were significantly reduced statistically when applying the calcaneus fixation taping (p<0.05). Muscle activity in the lower limbs was significantly decreased in the vastus medialis, vastus lateralis, and tibialis anterior (p<0.05). Conclusion: The summary of the study results verified that the calcaneus fixation taping reduced the pain and dynamic quadriceps angle by providing stability in the ankle joints. It also produced efficient movement due to the difference in lower-limb muscle activity.

Preservation of the Posterior Ligaments for Preventing Postoperative Spinal Instability in Posterior Decompression of Lumbar Spinal Stenosis: Comparative Study between Port-Hole Decompression and Subtotal Laminectomy (요추부 척추관 협착증의 후방 감압술에서 후방 인대의 보존 여부와 술 후 척추 불안정성과의 연관성: 포트홀(Port-Hole) 감압술과 후궁 아전절제술 간 비교 연구)

  • Jung, Yu-Hun;Na, Hwa-Yeop;Choe, Saehun;Kim, Jin;Lee, Joon-Ha
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.71-77
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    • 2020
  • Purpose: To determine if sparing the interspinous and supraspinous ligaments during posterior decompression for lumbar spinal stenosis is significant in preventing postoperative spinal instability. Materials and Methods: A total of 83 patients who underwent posterior decompression for lumbar spinal stenosis between March 2014 and March 2017 with a minimum one-year follow-up period, were studied retrospectively. The subjects were divided into two groups according to the type of surgery. Fifty-six patients who underwent posterior decompression by the port-hole technique were grouped as A, while 27 patients who underwent posterior decompression by a subtotal laminectomy grouped as B. To evaluate the clinical results, the Oswestry disability index (ODI), visual analogue scale (VAS) for both back pain (VAS-B) and radiating pain (VAS-R), and the walking distance of neurogenic intermittent claudication (NIC) were checked pre- and postoperatively, while simple radiographs of the lateral and flexion-extension view in the standing position were taken preoperatively and then every six months after to measure anteroposterior slippage (slip percentage), the difference in anteroposterior slippage between flexion and extension (dynamic slip percentage), angular displacement, and the difference in angular displacement between flexion and extension (dynamic angular displacement) to evaluate the radiological results. Results: The ODI (from 28.1 to 12.8 in group A, from 27.3 to 12.3 in group B), VAS-B (from 7.0 to 2.6 in group A, from 7.7 to 3.2 in group B), VAS-R (from 8.5 to 2.8 in group A, from 8.7 to 2.9 in group B), and walking distance of NIC (from 118.4 m to 1,496.2 m in group A, from 127.6 m to 1,481.6 m in group B) were improved in both groups. On the other hand, while the other radiologic results showed no differences, the dynamic angular displacement between both groups showed a significant difference postoperatively (group A from 6.2° to 6.7°, group B from 6.5° to 8.4°, p-value=0.019). Conclusion: Removal of the posterior ligaments, including the interspinous and supraspinous ligaments, during posterior decompression of lumbar spinal stenosis can cause a postoperative increase in dynamic angular displacement, which can be prevented by the port-hole technique, which spares these posterior ligaments.

Effects of Recovery of Underwater Walking and Recovery of Underwater Sitting on Growth Hormone, Testosterone, Blood Lactate, Double product and Muscle Pain after Resistance Exercise (수중걷기회복과 수중앉기회복이 저항운동 후 성장호르몬, 테스토스테론, 혈중젖산농도, 심부담도 및 근통증에 미치는 영향)

  • Park, Jun-Sik;Jang, Tae-Soo;Jeong, Hwan-Jong;Kim, Ki-Hong
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.6
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    • pp.1646-1658
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    • 2020
  • In order to investigate the changes in growth hormone, testosterone, blood lactate, double product, and pain, this study conducted intensive weight training and circuit weight training with 60% intensity of 1RM for 7 men who had more than 6 months of resistance exercise and then performed Underwater Walking and Underwater Sitting with underwater recovery. Growth hormone was high in all exercise forms and recovery methods in order of after exercise, after recovery, and after stability, and testosterone was high in order of after exercise, after recovery, and stability. Blood lactate was higher in all exercise forms and recovery methods in order of after exercise, after recovery, and after stabilization, and dynamic recovery after concentration resistance exercise was lower than static recovery. Double product was higher in all types of exercise and recovery methods in order of after-exercise, after-recovery, and stability. Muscle pain decreased in the order of exercise, recovery, 24 hours, 48 hours, and 72 hours in all exercise forms and recovery methods. In the water environment, dynamic recovery is considered to be more effective in improving muscle fatigue than static recovery.

Simple and Efficient Methods for the Response Estimation of Building Structure Subjected to Human Induced Loads (무리하중을 받는 구조물의 간편하고 효율적인 응답추정)

  • Kim, Tae-Ho;Lee, Dong-Guen;Min, Kyung-Won
    • Journal of the Earthquake Engineering Society of Korea
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    • v.9 no.4 s.44
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    • pp.19-28
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    • 2005
  • Long span structures with low natural frequencies such as shopping malls, large offices, and assembly rooms may experience signification dynamic responses due to human activities. In many cases, the group activities are common thing in comparison with the single activity. The purpose of this study is to evaluate the responses of building structure subjected to group human loads using mode shapes. For this purpose, equations to estimate the magnitudes ol responses ol structure subjected to group walking loads are derived. And the correlation of loads is verified for identifying the relation of each human load composing of group human loads using two load cells. The method is proposed for evaluating the responses of structure subjected to group loads using mode shapes and correlation function related to each human loads. The effectiveness ol the proposed method is verified analytically using a simple beam and floor and experimentally on a footbridge measuring the structural response induced by group pedestrians for the case of synchronization or not. Results indicate that the amplitudes of group walking loads can be easily estimated if the mode shapes are available, and that the corresponding structural responses can be estimated easily by the simple response measurement using the proposed method.

Inferring Pedestrian Level of Service for Pathways through Electrodermal Activity Monitoring

  • Lee, Heejung;Hwang, Sungjoo
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.1247-1248
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    • 2022
  • Due to rapid urbanization and population growth, it has become crucial to analyze the various volumes and characteristics of pedestrian pathways to understand the capacity and level of service (LOS) for pathways to promote a better walking environment. Different indicators have been developed to measure pedestrian volume. The pedestrian level of service (PLOS), tailored to analyze pedestrian pathways based on the concept of the LOS in transportation in the Highway Capacity Manual, has been widely used. PLOS is a measurement concept used to assess the quality of pedestrian facilities, from grade A (best condition) to grade F (worst condition), based on the flow rate, average speed, occupied space, and other parameters. Since the original PLOS approach has been criticized for producing idealistic results, several modified versions of PLOS have also been developed. One of these modified versions is perceived PLOS, which measures the LOS for pathways by considering pedestrians' awareness levels. However, this method relies on survey-based measurements, making it difficult to continuously deploy the technique to all the pathways. To measure PLOS more quantitatively and continuously, researchers have adopted computer vision technologies to automatically assess pedestrian flows and PLOS from CCTV videos. However, there are drawbacks even with this method because CCTVs cannot be installed everywhere, e.g., in alleyways. Recently, a technique to monitor bio-signals, such as electrodermal activity (EDA), through wearable sensors that can measure physiological responses to external stimuli (e.g., when another pedestrian passes), has gained popularity. It has the potential to continuously measure perceived PLOS. In their previous experiment, the authors of this study found that there were many significant EDA responses in crowded places when other pedestrians acting as external stimuli passed by. Therefore, we hypothesized that the EDA responses would be significantly higher in places where relatively more dynamic objects pass, i.e., in crowded areas with low PLOS levels (e.g., level F). To this end, the authors conducted an experiment to confirm the validity of EDA in inferring the perceived PLOS. The EDA of the subjects was measured and analyzed while watching both the real-world and virtually created videos with different pedestrian volumes in a laboratory environment. The results showed the possibility of inferring the amount of pedestrian volume on the pathways by measuring the physiological reactions of pedestrians. Through further validation, the research outcome is expected to be used for EDA-based continuous measurement of perceived PLOS at the alley level, which will facilitate modifying the existing walking environments, e.g., constructing pathways with appropriate effective width based on pedestrian volume. Future research will examine the validity of the integrated use of EDA and acceleration signals to increase the accuracy of inferring the perceived PLOS by capturing both physiological and behavioral reactions when walking in a crowded area.

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Effects of Lumbar Stabilization Exercise on Static and Dynamic Balancing and Gait of Stroke Patients (뇌졸중 환자에 대한 요추부 안정화 운동이 정적, 동적균형 및 보행에 미치는 영향)

  • Choi, Won-Ho;Shin, Won
    • The Journal of the Korea Contents Association
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    • v.20 no.9
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    • pp.486-493
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    • 2020
  • The purpose of this study was to identify the effects of an exercise program for lumbar stabilization on static and dynamic balancing and gait of stroke patients. The subjects were 27 stroke patients, who were divided into an experimental group(n=14) and a control group(n=13). The exercise was conducted for 30 minutes a day, four times a week, and for six weeks. The variables included static and dynamic standing balance and gait, which were verified before and after the lumbar stabilization exercise. Using the IBM SPSS(19.0 version), data were analyzed with t-test and two-way ANOVA to validate the differences before and after the experiment and between the groups. The significance level was set at α = .05 and the results of this study are as follows. First, statistically significant differences were found in the static standing balance after the exercise (P< .05). Second, there were statistically significant differences in the dynamic standing balance after the exercise (P< .05). Third, statistically significant differences were found in the gait of the patients after the exercise (P< .05). In addition, the interactions between the two groups showed significant differences. These results suggest that stroke patients need a variety of lumbar exercises and that the lumbar stabilization exercise can improve physical treatment and health of the patients, having positive effects on their quality of life. Further studies are necessary to explore the applications of various lumber exercises.

Seismic safety assessment of eynel highway steel bridge using ambient vibration measurements

  • Altunisik, Ahmet Can;Bayraktar, Alemdar;Ozdemir, Hasan
    • Smart Structures and Systems
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    • v.10 no.2
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    • pp.131-154
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    • 2012
  • In this paper, it is aimed to determine the seismic behaviour of highway bridges by nondestructive testing using ambient vibration measurements. Eynel Highway Bridge which has arch type structural system with a total length of 216 m and located in the Ayvaclk county of Samsun, Turkey is selected as an application. The bridge connects the villages which are separated with Suat U$\breve{g}$urlu Dam Lake. A three dimensional finite element model is first established for a highway bridge using project drawings and an analytical modal analysis is then performed to generate natural frequencies and mode shapes in the three orthogonal directions. The ambient vibration measurements are carried out on the bridge deck under natural excitation such as traffic, human walking and wind loads using Operational Modal Analysis. Sensitive seismic accelerometers are used to collect signals obtained from the experimental tests. To obtain experimental dynamic characteristics, two output-only system identification techniques are employed namely, Enhanced Frequency Domain Decomposition technique in the frequency domain and Stochastic Subspace Identification technique in time domain. Analytical and experimental dynamic characteristic are compared with each other and finite element model of the bridge is updated by changing of boundary conditions to reduce the differences between the results. It is demonstrated that the ambient vibration measurements are enough to identify the most significant modes of highway bridges. After finite element model updating, maximum differences between the natural frequencies are reduced averagely from 23% to 3%. The updated finite element model reflects the dynamic characteristics of the bridge better, and it can be used to predict the dynamic response under complex external forces. It is also helpful for further damage identification and health condition monitoring. Analytical model of the bridge before and after model updating is analyzed using 1992 Erzincan earthquake record to determine the seismic behaviour. It can be seen from the analysis results that displacements increase by the height of bridge columns and along to middle point of the deck and main arches. Bending moments have an increasing trend along to first and last 50 m and have a decreasing trend long to the middle of the main arches.

Influence on the Ground Reaction Force Parameters According to Wearing Positions of Backpacks During Stair Ascending and Descending (계단 오르기와 내리기 시 가방착용 위치가 지면반력 파라미터에 미치는 영향)

  • Hyun, Seung-Hyun;Ryew, Che-Cheong
    • Korean Journal of Applied Biomechanics
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    • v.25 no.1
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    • pp.85-94
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    • 2015
  • Purpose : The purpose of this study was to investigate the influence on the ground reaction force parameters according to wearing positions of backpack for during stair ascending and descending. Methods : Participants selected as subject were consisted of young female(n=10) and performed stairs walks(ascending and descending) with 2 types of wearing position(front of trunk[FT], rear of trunk[RT]). Passive(Fz 1) and active(Fz 2) forces of the vertical GRF were determined from time function and frequency domain. Also shear forces(Fx, Fy 1, Fy 2), dynamic postural stability index(MLSI, APSI, VSI, DPSI), loading rate and center of pressure (${\Delta}COPx$, ${\Delta}COPy$, COP area) were calculated from time function and frequency domain. Results : Fx, Fy 1, Fy 2, and Fz 1 in GRF didn't show significant differences statistically according to the wearing positions of backpack(p>.05), but stair descending showed higher forces than that of stair ascending. Particularly, Fz 2 of stair ascending showed higher forces than that of stair descending(p<.001), RT types showed higher than that of FT types(p<.05). MLSI, APSI, VSI, and DPSI of stair descending showed the increased stability index than that of stair ascending(p<.05), MLSI of RT types showed the decreased stability index than that of FT types(p<.05). Loading rate didn't show significant differences statistically according to the wearing positions of backpack(p>.05), but stair descending showed higher loading rate than that of stair ascending(p<.001). Also, ${\Delta}COPx$ in stair descending showed the increased movement than that of stair ascending(p<.05). Conclusions : A backpack of 10 kg(10 kg(ratio of body weights $17.61{\pm}1.17%$) showed significantly change GRF parameters according to wearing positions during stair ascending and descending. If possible, we suggest that the dynamic stability, in case of stairs walking with a smaller weights can be further improved.

Theoretical Prediction of Dynamic Elastic Moduli and Attenuation Properties of Fiber-Reinforced Composite Materials (섬유강화 복합재료의 동탄성계수 및 감쇠특성의 이론적 예측)

  • 김진연;이정권
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.16 no.12
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    • pp.2328-2339
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    • 1992
  • The propagation of coherent time-harmonic elastic L-and SV-waves is studied in a medium with random distribution of cylindrical inclusions. The purpose of the research is to characterize the dynamic elastic moduli and the attenuation properties of fiber-reinforced composite materials. The cylindes representing the fibers are assumed to be distributed in parallel with each other and the direction of incident waves are normal to the cylinder axes. A multiple scattering formula using the single scattering coefficients in conjunction with the Lax's quasicrystalline approximation is derived from which the dispersion relation for such medium is obtained. In order to formulate the multiple scattering interaction between cylinders, the pair correlation functions are generated by the Monte Carlo simulation technique. From the numerically evaluated complex wavenumbers, the propagation speed of the average wave, the coherent attenuation and the effective elastic moduli are presented as functions of frequency and fiber volume fraction.