• Title/Summary/Keyword: Falling index

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Correlations between Foot Sensory Impairment, Timed Up and Go Test and Berg Balance Scale, and Mental Activities for Prevention of Falling in Elderly People

  • Lee, Young-Ho;Jang, Seon-Jung;Kang, Gi-Beom;Choi, Ye-Seul;Hwang, Young-In
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.9-17
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    • 2019
  • PURPOSE: This research was designed to study the correlations between physical activities such as foot sensory impairment, balance and ambulatory abilities, as well as fall risk factors and mental activities such as cognitive performance and depression in order to provide fundamental data for the prevention of falling in the elderly. METHODS: A total of 36 elderly people over the age of 65 years who voluntarily joined the research were selected as subjects. Sensory perception in both feet was measured by using a monofilament in 10 parts with each part given one point. The points for each foot were integrated to analyze the correlations between physical and mental activities indices, and the results were analyzed by using Pearson's correlation coefficient. RESULTS: The results of this research show that the extent to which senses in feet were impaired was correlated to TUG, a functional activity index involved in tranfers, gait, and turning movements, which was correlated to BBS (balance index) as well as MMSE-K and K-GDS (mental activities index). BBS was interrelated to FES-K (physical activities index) and MMSE-K. The muscular strength of the right ankle dorsiflexor had mutual relations with FES-K. CONCLUSION: The results of this research indicate that TUG is widely correlated to foot sensory impairment as well as general physical and mental activities in elderly people. BBS was also shown to be correlated with TUG, FES-K, and MMSE-K. Thus, it might be necessary that TUG and BBS be included as two items in physical and mental check-ups for the elderly, and further studies on correlations using evaluation items for physical and mental activities should lead to the simplification of the evaluation criteria.

Rheological Characteristics of Flour Batters in the Presence of Mugwort Powder (쑥 분말을 첨가한 소맥분의 리올로지 특성에 관한 연구)

  • Lee, Hyun-Ja;Park, Sang-Hae;Kang, Kun-Og
    • The Korean Journal of Community Living Science
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    • v.20 no.2
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    • pp.231-237
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    • 2009
  • This study was conducted to investigate the effects of mugwort powder on two types of flour batters, i.e., medium and cake, using the Falling Number test, RVA test, alveogram, and farimogram. The mugwort powder was added at 3% and 5% on the medium and cake flour bases, respectively. The Falling Numbers of the medium and cake flour batters with mugwort powder were increased due to the alteration of the protein in the flour. Analysis of the RVA characteristics showed that the addition of mugwort powder did not have significant effects on the initial pasting temperature. Peak viscosity, holding strength, final viscosity, and set back values of the medium flour batter were not consistent, but those of the cake flour batter were decreased. The characteristics of the alveogram showed that the addition of mugwort powder increased the extensibility and the swelling index. Farinogram demonstrated that the addition of mugwort powder decreased the water absorption and improved the stability of the medium and cake flour batters.

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Condition Evaluation of the Pavement Foundations Using Multi-load Level FWD Deflections (다단계 하중 FWD를 사용한 도로기초 상태평가 연구)

  • Park, Hee-Mun;Kim, Richard Y.;Park, Seong-Wan
    • Journal of the Korean Geotechnical Society
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    • v.19 no.6
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    • pp.261-271
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    • 2003
  • A condition evaluation procedure for the pavement foundations using multi-load level Falling Weight Deflectometer(FWD) deflections is presented in this paper. A dynamic finite element program incorporating a stress-dependent material model, was used to generate the synthetic deflection database. Based on this synthetic database, the relationships between surface deflections and critical responses, such as stresses and strains in base and subgrade layers, have been established. FWD deflection data, Dynamic Cone Penetrometer(UP) data, and repeated load resilient modulus testing results used in developing this procedure were collected from the Long Term Pavement Performance (LTPP) and North Carolina Department of Transportation (NCDOT) database. Research effort focused on investigation of the effect of the FWD load level on the condition evaluation procedures. The results indicate that the proposed procedure can estimate the pavement foundation conditions. It is also found that structurally adjusted Base Damage Index (BDI) and Base Curvature Index (BCI) are good indicators for the prediction of stiffness characteristics of aggregate base and subgrade respectively. A FWD test with a load of 66.7 kN or less does not improve the accuracy of this procedure. Results from the study for the nonlinear behavior of a pavement foundations indicate that the deflection ratio obtained from multi-load level deflections can predict the type and quality of the pavement foundation materials.

The association between pain, balance, fall, and disability in patients with lumbar spinal stenosis with vascular claudication

  • Gunes, Musa;Ozmen, Tarik;Guler, Tugba Morali
    • The Korean Journal of Pain
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    • v.34 no.4
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    • pp.471-478
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    • 2021
  • Background: The effect of lumbar spinal stenosis (LSS) and peripheral vascular disease (PVD), which occurs with similar degenerative conditions, when seen together, has not been studied. The aim of this study is to examine and compare the relationship between pain, balance, disability, fear of falling, and kinesiophobia in LSS patients with intermittent vascular claudication (IVC). Methods: Seventy-two patients diagnosed with LSS using magnetic resonance imaging participated in this study. Thirty-five patients with IVC symptoms and showing vascular lesions by lower extremity venous and arterial Doppler ultrasonography imaging were included in the IVC-LSS group. The pain, static balance, dynamic balance, disability, fear of falling, and kinesiophobia were evaluated using the numeric rating scale, single leg stance test, Time Up and Go (TUG), the Oswestry Disability Index (ODI), Fall Efficacy Scale-International (FES-I), and Tampa Scale for Kinesiophobia (TSK), respectively. Results: Age and female sex were found to be higher in the IVC-LSS group (P = 0.024; P = 0.012). The IVC-LSS group had a shorter single leg stance time and TUG test duration, pain intensity, ODI, FES-I, and TSK scores were higher than patients with LSS (P = 0.001). Pain, fear of falling, and kinesiophobia were moderately correlated with disability in the IVC-LSS group. No relationship was found between pain and dynamic balance. Also, the pain was not related to kinesiophobia. Conclusions: The findings indicated that IVC causes loss of balance and an increase in pain, disability, fear of falling, and kinesophobia in patients with LSS.

Analysis of colliding index on impact behavior of RC columns under repeated impact loading

  • Tantrapongsaton, Warakorn;Hansapinyo, Chayanon;Wongmatar, Piyapong;Limkatanyu, Suchart;Zhang, Hexin;Charatpangoon, Bhuddarak
    • Computers and Concrete
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    • v.30 no.1
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    • pp.19-32
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    • 2022
  • This paper presents an investigation into the failure of RC columns under impact loadings. A numerical simulation of 19 identical RC columns subjected to single and repeated impact loadings was performed. A free-falling hammer was dropped at midspan with the same total kinetic energy input but varying mass and momentum. The specimens under the repeated impact test were struck two times at the same location. The colliding index, defined as the impact energy-momentum ratio, was proposed to explain the different impact responses under equal-energy impacts. The increase of colliding index from low to high indicates the transition of the impact response from static to dynamic and failure mode from flexure to shear. This phenomenon was more evident when the column had a greater axial load and was impacted with a high colliding index. The existence of the axial load had an inhibitory effect on the crack development and increased the shear resistance. The second impact changes the failure mode from flexural to brittle shear as found in the specimen with 20% axial load subjected to high a colliding index. Moreover, a deflection prediction equation based on the impact energy and force was limited to the low colliding index impact.

Structural assessment of Anti-Freezing Layer with use of Falling Weight Deflectormeter Deflection (Falling Weight Deflectormeter를 이용한 동상방지층의 구조적 특성 분석)

  • Lee, Moon-Sup;Kim, Boo-Il;Jeon, Sung-Il;Park, Hee-Mun
    • International Journal of Highway Engineering
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    • v.12 no.2
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    • pp.99-106
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    • 2010
  • Until now, the thickness design of anti-freezing layer has been empirically conducted using the frost depth determined from the freezing index. This approach cannot consider the structural properties of anti-freezing layer, which can cause the over-design of pavement structure. This paper presents results of structural evaluation of anti-freezing layer using the Falling Weight Deflectormeter (FWD) deflections. The FWD testing was directly conducted on top of the subbase layer located at the embankment, cutting, and boundary area of each section. It is observed from this testing that the center deflections of pavement structure with anti-freezing layer are smaller than those without anti-freezing layer. The deflection reduction rates are 15~55% in the embankment, 11~64% in the cutting, and 2~38% in the boundary, respectively. It was also found that the use of antifree zing layer enables to reduce the Surface Curvature Index (SCI) values up to 24 percent. Fatigue lives show that pavement structure with antifreezing layer are about two times higher than the those without anti-freezing layer. This fact indicates that the anti-freezing layer should be considered as a structural layer in the asphalt pavement system.

Effect of Tai-Chi on Grip Power, Pain and Fear of Falling in Elderly Person (태극권이 노인의 악력, 통증과 낙상공포에 미치는 효과)

  • Oh, Chung-uk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.631-636
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    • 2016
  • The purpose of this study was to test the effects of Tai Chi exercises on the grip power, pain and fear of falling in elderly persons. A quasi-experimental design was used. This study included 37 subjects who were living in C city. The subjects were divided into the experiment group (n=18) trained in the Tai Chi technique for 6 weeks and the control group (n=19). The experimental group practiced the 24 posture simplified form of Tai Chi for 6 weeks (5 times per day for 60 minutes each time). The effect of the treatment was measured by determining the grip power, pain and fear of falling before and after the 6 weeks of intervention. The experimental group showed a significant increase in grip power (P<0.001) and decrease in pain (P<0.001) compared to the control group. The fear of falling in the experimental group decreased significantly (P<0.002). Tai Chi exercises may be an effective intervention to prevent falling. The Tai Chi technique would therefore be a good method of improving the pain and body health index in elderly persons.

Effects of Knee Malalignment on Static and Dynamic Postural Stability

  • Chae, Yun-Won;Park, Ji-Won;Park, Seol
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.7-11
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    • 2015
  • Purpose: This study was conducted in order to determine the effects of knee malalignment including genu varum, valgum, and recurvatum on static and dynamic postural stability. Methods: A total of 80 subjects were enrolled in this study. Subjects who showed over 3 cm in the distance between the knees were classified as the genu varum group, and subjects who showed over 3 cm in the distance between the ankles were classified as the genu valgum group. Subjects who showed over 1 cm in the distance between the patella and a table in prone position were classified as the genu recurvatum group. Static and dynamic stability were measured as overall, anterioposterior, and mediolateral balance index using a Biodex Balance System. Results: This study showed that knee alignment affected static and dynamic postural stability. In particular, there were significant differences in the mediolateral stability index among genu varum, valgum group, and the other groups, but no differences in overall and anteriolateral stability index. Significant differences in the anterioposterior stability index were observed between genu recurvatum and the other groups, however, there were no differences in overall and mediolateral stability index. Conclusion: The findings were that knee malalignment affects postural stability toward a specific direction. Treatment to improve postural stability for treatment of knee malalignment or to prevent falling or injuries is needed and postural stability toward a specific direction according to the knee alignment conditions should be considered.

Effects of Immobilization of the Ankle and Knee Joints on Postural Stability in Standing (바로 선 자세에서 발목과 무릎관절의 고정이 자세안정성에 미치는 영향)

  • Hwang, Su-Jin;Woo, Young-Keun;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.15 no.1
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    • pp.30-37
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    • 2008
  • This study was designed to examine the effects of temporary immobilization of the ankle and knee joints on standing in healthy young adults with the use of a postural control mechanism. The subjects were twenty-four college students (12 males and 12 females, aged between 20 and 28). A Biodex balance system SD 950-302 and its software were used to measure indirect balance parameters in standing. Each subject underwent postural stability tests in 4-different joint conditions: free joints, ankle immobilization only, knee immobilization only, and ankle and knee immobilization. In addition, the postural stability test was conducted once with the subject's eyes open and once with the eyes closed conditions. For data analysis of the postural stability tests, the overall stability index, antero-posterior stability index, and medio-lateral stability index were recorded. The overall stability index (p=.000) and medial-lateral index (p=.003) were significantly greater different conditions with eyes closed in postural stability. Therefore, the eyes closed condition is expected to be used as an effective postural stability training for treatment planning in patients with unstable postures. In addition, training based on the dynamic multi-segment model can improve postural stability and is available to therapeutic programs, helping people with unstable balance to reduce their risk of falling.

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Predicting The Direction of The Daily KOSPI Movement Using Neural Networks For ETF Trades (신경회로망을 이용한 일별 KOSPI 이동 방향 예측에 의한 ETF 매매)

  • Hwang, Heesoo
    • Journal of the Korea Convergence Society
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    • v.10 no.4
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    • pp.1-6
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    • 2019
  • Neural networks have been used to predict the direction of stock index movement from past data. The conventional research that predicts the upward or downward movement of the stock index predicts a rise or fall even with small changes in the index. It is highly likely that losses will occur when trading ETFs by use of the prediction. In this paper, a neural network model that predicts the movement direction of the daily KOrea composite Stock Price Index (KOSPI) to reduce ETF trading losses and earn more than a certain amount per trading is presented. The proposed model has outputs that represent rising (change rate in index ${\geq}{\alpha}$), falling (change rate ${\leq}-{\alpha}$) and neutral ($-{\alpha}$ change rate < ${\alpha}$). If the forecast is rising, buy the Leveraged Exchange Traded Fund (ETF); if it is falling, buy the inverse ETF. The hit ratio (HR) of PNN1 implemented in this paper is 0.720 and 0.616 in the learning and the evaluation respectively. ETF trading yields a yield of 8.386 to 16.324 %. The proposed models show the better ETF trading success rate and yield than the neural network models predicting KOSPI.