• 제목/요약/키워드: FallPhysical function

검색결과 77건 처리시간 0.029초

한국의 고령자 생체능력 조사로 안전한 운전면허 적성검사 강화 연령 추정 (Survey and Analysis of Vitality of the Senior to Safe Driving License in Korea)

  • 이준;방한나;이상조
    • 한국재난정보학회 논문집
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    • 제18권3호
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    • pp.622-635
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    • 2022
  • 연구목적: 우리나라 인구구조의 변화로 고령자 운전자비율이 높아지고 있으며, 초고령사회로 전환되어 향후 더욱 많은 고령자가 운전을 할 것으로 기대되고 있다. 최근에는 고령자의 교통사고 증가에 따라 사회적 문제가 되고 있는 현실적 문제점을 가지고 있다. 본 연구에서는 연령에 따른 종합적 신체변화를 분석하고, 운전면허의 정밀 적성검사 연령을 추정하고자 한다. 연구방법: 본 연구에서 연령별 운전자의 신체 기능 저하의 의학적 특징을 면밀히 분석해 보았는데 신체적인 면과 인지적인 면에서 나이가 들어감에 따라 전반적으로 기능이 저하됨을 보았다. 그 중에서도 다양한 부분들이 70대 이후에 급격하게 떨어짐을 보이는데, 이는 의학적 측면에서 70세 이후를 고령자라 지칭할 수 있다는 것을 시사하는 것이며, 또한 우리나라 고령자의 안전운전을 위한 다양한 정책을 모색할 때 70세 이상을 기준으로 보고 수립해가야 한다고 판단할 수 있다. 연구결과: 인지기능 및 판단능력의 연령대별 변화추이를 볼 때 70세 이후에는 신체적 능력이 모두 급격히 떨어지는 것을 확인할 수 있었다. 특히, 운전능력에 필요한 시각, 청각, 신체적 기능은 70세 이후에는 극히 일부만이 운전이 가능한 것으로 보이기 때문에, 운전면허 제도와 적성검사 등의 정밀한 분석이 70세 부터는 더욱 신중히 이루어져야 할 것으로 나타났다. 결론: 운전자의 운전능력을 생체능력을 중심으로 고찰하여 고령운전에 중에서 차량운전행태에 영향을 줄 수 있는 위험 연령대를 찾고자 하였다. 향후 고령운전자를 위한 정책과 신체적 차이점을 이해하는데 도움이 될 것으로 기대한다.

상지 및 하지절단 환자의 의지보행훈련 증례연구 (A Case Study of Prosthetic Ambulation Training for Upper and Both Lower Extremity Amputated Patient)

  • 홍도선;박창주
    • 대한물리치료과학회지
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    • 제7권1호
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    • pp.367-375
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    • 2000
  • The purpose of this study is to announce the present condition, walking training, and adaptable training of a limb amputated patient. The study is a successful report of the limb amputated patient through the medical treatment of the physical therapy. A cause of the limb amputated patient, a truck driver, was that the patient was hit by a train when the driver alight from the truck. Then, the driver was surgical operated on left AK (Above Knee) amputation and left AE (Above Elbow) amputation by orthopedics at the Young Dong Severance Hospital on Dec.7, 1996. Two weeks after the operation (Dec., 22, 1996), the patient was trained at the Yonsei Medical Center Physical Therapy Hospital for the walking and temper adjust training. It was possible to do a flat surface walking and a slope surface walking without helping due to the patients optimistic personal character and motivation. However, the patient struggled to a dull surface walking and his weak endurance. the patient has several problems when the patient wears artificial legs and hands, fears on fall down, and mentally worries on noise when he walks. It is necessary to approach for this problems by many fields of the helpers, such as Rehabilitation medical doctor, physical therapist, occupational therpist, artificial limbs makers, psychologists, and etc. Therefore, in order for recovering from the amputated parts function after the surgical operation, more approved reports have to be for the amputated patients due to increasing traffic accidents, industrial disaster, cancer, diabetes, obstacles of the peripheral nervous system, and etc.

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Environmental Factors Influencing the Prevalence of Falls in South Korea

  • Kim, Beomryong;Do, Kwangsun;Yim, Jongeun
    • Physical Therapy Rehabilitation Science
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    • 제11권1호
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    • pp.66-77
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    • 2022
  • Objective: This study is a systematic review conducted to analyze the environmental factors that cause falls in the older adult. Design: Systematic review Methods: The study was conducted by searching the Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), and Data Base Periodical Information Academic (DBpia) databases for literature published in South Korea up to July 2020. A total of 12 studies were selected for analysis based on the inclusion and exclusion criteria. Results: The results of the analysis revealed that all the selected literature were surveys and the study subjects were 65 years of age and above. The sample size ranged from a minimum of 95 subjects to a maximum of 3,278. A total of eight tools were used to measure the environmental factors associated with falls. The prevalence and recurrence of falls increase with age and deterioration of health. Older adult individuals who experience falls encounter difficulties in recovering from impaired physical function and disability; moreover, in severe cases, falls may lead to death. Falls are largely associated with a combination of intrinsic and extrinsic (i.e., environmental) factors. The purpose of this study was to assess potential extrinsic risk factors for falls. Falls occur in indoor environments, such as washrooms, bathrooms and living rooms, and outdoor environments, including roads and stairways, depending on the season, time of day, and use of ambulatory aids. In such environments, falls are mainly caused by slipping and stuttering. Conclusions: Therefore, as the rate of fall is influenced by several factors, extrinsic factors should be improved by developing comprehensive accident prevention programs that address the improvement of environmental risk factors around places of residence to reduce risk factors among the older adult, who, especially, are at a high risk for falls.

Experimental Studies on Wet Scavenging of Atmospheric Aerosols by Rain Drops

  • Park Jeong-Ho;Suh Jeong-Min;Choi Kum-Chan
    • Journal of Korean Society for Atmospheric Environment
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    • 제21권E3호
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    • pp.87-94
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    • 2005
  • Wet scavenging by rain drops is a most important removal process of air pollutants. In order to study the scavenging mechanisms of aerosol particles, the characteristics of chemical components in the rain water were examined as a function of the amount of rainfall. Rain water were collected continuously and separated into the soluble and insoluble components. The elemental concentrations in both components were determined by a PIXE analysis. The physical and chemical characteristics of atmospheric aerosols during the rainfall events were measured simultaneously. The elemental concentrations in rain water decreased substantially just after rain started and then gradually declined in subsequential rain fall exceeding 1.0 mm. The large particles were scavenged more easily than the fine particles. Fe, Ti and Si in rain water were in high insoluble state. Contrarily, almost whole of S was dissolved in rain water.

대장암환자 치료와 신체기능과의 관련 요인 (Factors Influencing Physical Function and Treatment of Colorectal Cancer Patients)

  • 이성란
    • 한국산학기술학회:학술대회논문집
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    • 한국산학기술학회 2010년도 춘계학술발표논문집 2부
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    • pp.915-918
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    • 2010
  • 본 연구는 대장암환자 치료와 신체기능과의 관련요인을 규명하고자 시도되었다. 2009년 12월 15일부터 2010년 1월 30일까지 한 종합병원 외과에 내원한 대장암환자 110명을 대상으로 설문조사를 하였다. 자료분석은 치료시점과 신체기능과의 관련요인은 ANOVA를 이용하여 분석하였으며 방사선치료 시기 및 장루유무 등과 신체기능과의 요인은 t-test로 하였다. 연구결과 첫째, 치료시점은 성기능에서 유의한 차이를 보였다(F=3.482, p<0.05), 둘째, 오심구토, 식욕저하, 치료부작용은 복원수술 전, 성기능은 복원수술 후에 유의하게 높게 나타났다(p<0.05). 셋째, 장루유무의 경우 성적만족은 장루가 없는 경우가 63.40점으로 장루가 있는 경우의 45.69점 보다 높은 반면 배뇨문제에서는 장루가 있는 경우가 28.17점으로 장루가 없는 경우의 14.69점보다 유의하게 높은 불편감을 가진 것으로 나타났다.(t=1.548, p<0.05). 결론적으로 대장암 환자 치료의 신체기능을 향상하기 위해서는 기능상태와 증상불편감을 개선시킬 수 있는 중재프로그램의 개발과 적용에 관한 연구가 필요하다.

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현대 실내디자인에 나타나는 섹슈얼리티에 관한 연구 (A Study on the Sexuality in Contemporary Interior Design)

  • 이세영;신홍경
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 2004년도 추계학술발표대회 논문집
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    • pp.128-132
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    • 2004
  • Researches for sex consist feminism which manage academically, also variously in the fields of medicine, psychology, politics, society, philosophy, culture research etc. Moreover, sex has become that can no fall in art, dancing, fashion, literature, play movie, mass media, all art fields. About the proposition of sex, even the intellectuals tended to consider sexual love and bodily problem of sexual desire until the mid-20th century. Nevertheless, passing over physical function, man and woman, society, cultural situation and the various concept which contains the differences finally clearly have come in 21th century. Therefore, on this study, find out the relationship between interior design and sexuality and sexual expressional type. Also, through analyzing aspects which is expressed in popular culture, clear new interior design under the concept and characteristic of sexuality.

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${\ll}$영추(靈樞).근결(根結)${\gg}$ 에 대한 연구(硏究)

  • 금경수;정헌영;김남수;장종열
    • 대한한의학원전학회지
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    • 제13권1호
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    • pp.74-101
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    • 2000
  • Geungyul(根結) means roots and nodes of meridians. If human body gets damaged by energy which each seasons has, the meridians get some troubles. Healing for symptom, meridians consist of root, stay, follow, inpouring and node of acupuncture points should be in harmony. 1. This chapter explain roots and node parts of each meridian, acupuncture points name and root, stay, follow, inpouring of acupuncture points which in arm and leg of three Yin and Yang. 2. The opening, closing, axis function, the symptom, and the needling of both meridians of Yin and Yang are explained. 3. The method that predicts the rise-and-fall of visceral energy and the time of death by using an order of pulse and intermittent pulse is explained. 4. It is explained that since the physical condition of the rich and the poor are different, the method using a needling for each person to be healed, such as the deep-and-shallow and the quick-and-slow, are different. 5. It is explained that the excess and the deficiency in the energy of shape should be considered when a acupuncture is given.

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노인의 균형유지 능력에 영향을 미치는 요인 (Factors Related to Balance Ability in Healthy Elderly)

  • 김원호;이충휘;정보인;조상현
    • 한국전문물리치료학회지
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    • 제5권3호
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    • pp.21-33
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    • 1998
  • The purposes of this study were to ascertain differences of the sensory system, central processing system, effector system, and balance ability according to general characteristics (sex, fall experience, and age), and to identify the contributions of the sensory, central processing, and effector system to balance ability in 83 healthy elderly subjects. The subjects were elderly (over 60 years) who live in Wonju City. All subjects participated in six tests (position sense test, visual acuity, vestibular stepping test, Mini-Mental Status Exam-Korea, strength of dorsiflexors, and Berg Balance Test). Collected data were analyzed by the independent t-test, one-way ANOVA, and stepwise multiple regression. The results were as follows: 1. The results of the six tests according to sex showed that vestibular function was significantly better in women than in men. But visual acuity, cognitive function, strength of dorsiflexors, and balance ability were significantly better in men than in women (p<0.05). 2. There were no significant differences in position sense, visual acuity, vestibular function, cognitive function, strength of dorsiflexors, and balance ability between fallers and non-fallers (p>0.05). 3. However, the results of the six tests according to age (group A: 60-69 years, group B: 70-79 years, group C: 80-89 years) showed significant differences in five tests. In the Scheff$\acute{e}$ test, position sense, visual acuity, and cognitive function showed significantly different results between in group A and group C: the strength of the dorsiflexors was significantly different between in group A and group B, and balance ability was significantly different between in group A and group C, and between in group B and group C (p<0.05). 4. Cognitive function and position sense were positively associated with balance ability. Their power of explanation regarding balance ability was 38% (p<0.05). These results suggest that cognitive function and position sense play an important role in balance ability. This would seem to suggest that programs for evaluation or improvement of elderly's balance ability in the elderly should consider cognitive function and position sense.

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전방머리자세와 중립자세에 대한 인위적 자세변화가 호흡에 미치는 영향 (Effect of the Changes in Forward Head Posture and Neutral Head Posture on Respiratory)

  • 배원식;이건철;박승욱;백용현
    • 대한통합의학회지
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    • 제5권1호
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    • pp.67-74
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    • 2017
  • Purpose : Forward head posture is typical neck disorders occur in all people. And this attitude causes a shortening and weakening of the muscles in the body. It also causes excessive extension acts as a reward. This attitude has to change if the pain occurs around the neck and shoulders, and are subjected to unusual stress. Patients with chronic neck pain associated with forward head posture was found to be the more severe the fall of the respiratory, forward head posture poor quality of much breath. The purpose of this study was to compare the effect of changes in forward head posture and neutral head posture on respiratory. Method : Forty volunteers were participated in study and divided into two groups [forward head posture group (n=20) and neutral head posture group (n=20)]. We measured cervical alignment with global postural system to find out a forward head posture. Respiratory function was measured with a SPIROVIT SP-1 equipment and we found out a forced vital capacity (FVC), forced expiratory volume at one second (FEV1) and FEV1/FVC. A pared t-test was used to determine a statistical significance for the pulmonary function variation and a independent t-test was used to determine a statistical significance in the two groups. Results : In the experimental group, FVC and FEV1 were significantly higher in the artificial neutral head posture than in the forward head posture. In the control group, FVC and FEV1 were significantly higher in the neutral head posture than in the forward head posture. FVC, FEV1, and FEV1/ FVC were significantly higher in the neutral head posture of control group than the artificial neutral head posture of experimental group and higher in the artificial forward head posture of control group than the forward head posture of experimental group. Conclusion : In conclusion, neutral head posture is considered to be an important factor in correct posture and improvement of lung function and continuous study of posture correction program for posture imbalance will be needed.

시니어 낙상예방을 위한 기능성 서포터 착용에 따른 근기능 및 균형감각과 피로회복에 미치는 영향 연구 (Impact of Wearing Functional Supporters that Prevent Seniors from Falling on Muscle Function, Sense of Balance, and Overcoming Fatigue)

  • 엄성흠;장선우;박문환;이승재
    • 한국의류산업학회지
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    • 제24권1호
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    • pp.156-163
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    • 2022
  • Loss of leg muscle and muscle weakness, which are caused by aging, affect muscle function and sense of balance. As a way of preventing seniors from falling, we developed the idea of wearing functional supporters based on graduated compression technique and in the form of a taping supporter. Their impact on power, sense of balance, overcoming fatigue, and subjective wearing sensation was investigated. The following results were obtained. After wearing functional compression supporters, body temperature increased from 24.5 ± 0.5℃ to 26.3 ± 0.6℃. Calf size, which assesses the level of edema, decreased from 26.1 ± 1.8cm to 25.7 ± 1.8cm. The result of dynamic balance test, which helps estimate the fall prevention effect, increased from 6.4 ± 0.9sec to 7.1 ± 0.6sec. Lactate level, which indicates the level of fatigue, decreased from 8.1 ± 0.6mmol/L to 7.3 ± 0.8mmol/L. Standing long jump record, which assesses power, increased from 110.1 ± 3.1cm to 112.0 ± 2.8cm. Standing on one leg with eyes closed, which assesses sense of balance, increased from 4.2 ± 1.1sec to 6.5 ± 0.8sec. Ankle angle, which assesses joint stability, increased from 75.3 ± 4.0° to 80.1 ± 1.7°. In metabolism and physical performance testing, which assesses keep, the score increased from 26.3 ± 1.7 to 28.8 ± 1.2. Muscle supporting score, which assesses joint stability, increased from 7.3 ± 0.6 to 7.8 ± 0.4. In the category of body type, which assesses wearing sensation and body shaping function, the score increased from 5.7 ± 1.4 to 6.4 ± 1.2