• Title/Summary/Keyword: Falling risk

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Evaluation of Gait Assistive Devices in Patients with Parkinson's Disease

  • Kim, Mi-Young;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.26 no.3
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    • pp.309-314
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    • 2016
  • Objective: There are no guidelines for choosing appropriate gait assistive devices. The aim of this study was to evaluate gait assistive devices in patients with Parkinson's disease. Method: We evaluated 15 individuals with Parkinson's disease who did or did not use one of two different devices including canes and two-wheeled walkers. Data were collected using the GAITRite system. Results: Participants in the group using canes and two-wheeled walkers had significantly increased double support time and decreased gait velocity, normalized gait velocity, and stride length compared with those who did not. Participants who used a two-wheeled walker had significantly decreased gait velocity, normalized gait velocity, and stride length compared with those who used a cane. Furthermore, participants who used a two-wheeled walker had significantly decreased coefficients of variation for step time, stride length, and swing time compared with those who used a cane. Conclusion: Our results indicated that the two-wheeled walker offered the most consistent advantages for decreasing the risk of falling.

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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A Study on Air-Conditioning System for Excavator using Forced Exhaust (강제배기를 이용한 굴삭기 공기조화 시스템에 관한 연구)

  • Hwang, J.H.;Jeong, C.S.;Ko, J.H.;Yang, S.Y.
    • Journal of Drive and Control
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    • v.10 no.2
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    • pp.23-29
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    • 2013
  • The excavator is used in a variety of construction environments. There are many kinds of risk like falling rocks or harmful dust. The excavator cabin protects the operator not only from these harmful environments but also provides a comfortable working environment. By the way, the excavator cabin consumes a lot of energy for cabin air conditioner. For this reason, the research is required to reduce energy consumption. This study suggests the air conditioning system for excavator using forced exhaust. First, the forced exhaust system simulated by AMESim tool and surveyed the applicability. Using AMESim simulation, it was investigated the effect of cabin inside temperature by intake flow rate and intake air temperature. The experiment executed using the 1.5 ton excavator and field tested according to the intake flow rate. Finally, verified the applicability on the air conditioning system for excavator using forced exhaust.

Prevalence and Associated Factors of Falls in the Elderly Community (지역사회 재가 노인의 낙상에 영향을 미치는 요인)

  • Paek, Kyung-Won;Song, Hyun-Jong;Jung, Yoon-Seok;Moon, Hae-Won;Cho, Joon-Pil
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.1
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    • pp.47-54
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    • 2001
  • Objectives : To analyze factors associated with elderly falls in a community dwelling, a comparatively important, but somewhat neglected, health mailer. Methods : Data came from personal interview surveys using a questionnaire of 552 people aged 65 or older living in a community. Socioeconomic, and health related characteristics were investigated as independent variables and experiences of falling in the previous year as the dependent variable. Results : 118(21.4%) of the elderly subjects experienced a fall in the previous year. 24 subjects experienced more than two falls, accounting for 20.3% of the elderly fall victims studied. Factors affecting the falls were families living together, level of daily activity, heart disease, and aconuresis;, therefore an elderly person who lives alone, lives independently, has heart disease, or suffers urinary incontinence had a demonstrated increased chance of failing. Conclusion : Groups at risk for luting included elderly persons living alone, living independently, suffering heart disease, or experiencing urinary incontinence. When an elderly fall prevention program is developed and implemented, these results should be considered.

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Agricultural Accidents in Farm Workers (일 지역 농업인의 농작업 재해사고)

  • Kim, Hann-Sook;Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.18 no.4
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    • pp.643-650
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    • 2007
  • Purpose: This study was to obtain information regarding to agricultural accidents in farm workers in the Kyungpook area. Methods: A questionnaire survey was carried out for 528 workers from the 1st to 31st of March, 2007. Frequency, percentage, mean and chi-square test with the SPSS program were used to analyze the data. Results: The causes of agricultural accidents include falling(29.0%), overseeing(18.9%), traffic accident(17.4%), putting between machinery(11.7%), crashing(5.3%), fire (0.6%) in the order of frequency. Injuries from agricultural accidents include fracture(44.7%) cerebral bleeding (10.4%), amputation(7.0%), airway obstruction (2.3%) burn(1.9%), drug addiction(1.9%) in the order of frequency. The largest proportion of the subjects of hospital treatment were in their 50s and belonged to the group of high-level economic state. Agricultural machinery collision was the most frequent cause among the subjects of hospital treatment. Conclusion: These results suggest that carelessness can be a potential risk factor for agricultural accidents in farm workers. These findings may give useful information for developing agricultural accident prevention programs for farm workers.

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Fall Detection System based Internet of Things (사물인터넷 기반의 낙상 감지 시스템)

  • Jeong, Pil-Seong;Cho, Yang-Hyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.11
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    • pp.2546-2553
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    • 2015
  • Falling can happen to anyone, anywhere at anytime and especially it is one of the risk factor that can lead causes of death of persons aged 65 and over. Recently, the study of fall detection mechanisms as a smart healthcare service based on the IoT(Internet of Things) are being actively investigated. In this paper, we implement a fall detection system using arduino as a smart sensor communicates with a smart device. When transmitting the information of the acceleration on a sensor smart sensor with a BLE(Bluetooth Low Energy), the smart device processing and analyzing this information. and determines a fall situation. A fall detection system based on the Internet of Things which using smart sensor and smart device, has the advantage of being able to overcome the mobility and portability constraints.

A Protection Circuit for the Power Supply of a Gas Discharge Lamp

  • Kim, Ho-Sung;Kim, Jong-Hyun;Baek, Ju-Won;Yoo, Dong-Wook;Jung, Hye-Man;Kim, Hee-Je
    • Journal of Power Electronics
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    • v.10 no.6
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    • pp.777-783
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    • 2010
  • In order to drive gas discharge lamps, DC-AC converters with a LCC resonant tank, whose output voltage is adjusted by a variable frequency control are frequently used. However, when they are activated by varying the operating frequency, converters are frequently damaged by unstable operation, due to the rising and falling of the operating frequency near the resonant frequency. To solve this problem, a simple protection circuit for the power supply of a gas discharge lamp is proposed in this paper. This circuit senses the primary current of the main transformer. Using this protection circuit, the operating frequency of the lamp driving inverter system is kept close to and on the right side of the resonant frequency and the inverter is always operated in the ZVS condition. The resulting stable variable frequency operation allows various gas discharge lamps to be tested without the risk of damaging the main switches, because the protection circuit can protect the power MOSFETs of bridge converters from abnormal conditions. The validity and effectiveness of the proposed protection circuit are verified through the experimental results.

Effect of Kinesiology Taping for Ankle Instability in Stroke Patients

  • Oh, Donghwan;Park, Jaeyoung;Kim, Jinuk
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.1
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    • pp.1950-1953
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    • 2020
  • Background: Ankle instability usually occurs after stroke, and contributes to unsafe walking and associated risk of falling in the affected patients. Objective: To investigate the effects of kinesiology taping (KT) on gait and balance ability (center of pressure, CoP) in patients with ankle instability after stroke. Design: One group, pre-post design. Methods: A total of 11 patients with ankle instability after stroke were enrolled. In all subjects, the gait and balance ability were assessed under 2 conditions: KT and barefoot. Gait and balance ability was assessed using GAITRite system and FDM-S platform. Results: Comparison between KT and barefoot condition, KT condition was significantly higher in velocity, cadence, step length, and stride length than barefoot condition (P<.05). KT condition was significantly lower in CoP path length and sway speed than barefoot condition (P<.05). Conclusion: KT indicated potential as a helpful method for walking and balancing ability in patients with ankle instability after stroke. Therefore, this study recommends KT as an option applicable to the stroke with ankle instability.

An Experimental Study on the Stiffness Change of Scaffold Working Plate caused by Damage of Cross-beam (보재의 손상에 따른 비계용 작업발판의 강성 변화에 대한 실험적 연구)

  • Sung, Yong-won;Kang Min-guk;Won, Jeong-Hun
    • Journal of the Korean Society of Safety
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    • v.36 no.5
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    • pp.27-35
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    • 2021
  • This study investigated the change in stiffness and deflection of a scaffold working plate caused by damage to a cross-beam in the plate. Experiments were conducted considering various load and damage conditions of cross-beams. A cross-beam falling off from the working plate was considered damaged. The load-displacement curves of specimens at the center of the uniform load showed that the working plate stiffness decreased by 14.66%-1.89%, depending on the load interval due to the damage of one cross-beam. A reduction in the stiffness of 33.94%-40.76% resulted from the damage of two cross-beams. Moreover, the displacement increased by an average of 25% when one cross-beam was damaged and an average of 65% when two cross-beams were damaged. Therefore, damage to the cross-beam in the working plate can potentially cause accidents and harm workers. As the load increases, the risk of an accident due to the aforementioned damage also increases because the stiffness remarkably decreases with the load increase. Further, the damage to the cross-beam mainly reduces the stiffness but increases the displacement rather than the strength of the working scaffold plate.

The Relationship between Status of Chronic Disease and Fall Experience in Korean Elderly: Based on 2015 Community Health Survey (한국 노인의 만성질환과 낙상경험과의 관련성: 2015년 지역사회건강조사를 기반으로)

  • Byeon, Kyeonghyang;Nam, Younghee
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.1
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    • pp.113-126
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    • 2019
  • Objectives: The purpose of this study is to understand the relevance of chronic disease conditions and fall experience among people aged 65 and older. and use them as basic data to reduce the risk of falling. Methods: The study selected 26,122 men and 37,777 women aged 65 and over as final subjects of the study, using raw data from the Community Health Survey in 2015. The statistical analysis used SAS 9.4 USA. Results: About 20% of those aged 65 and older experienced a fall, with one in five elderly people experiencing a fall, and the ratio of men to women was 3:7, women higher than men. As the age grew, the lower the level of education, the more senior citizens who lived alone occurred falls. In addition, the incidence of falls was higher when the number of chronic diseases was more than three. The incidence of falls was 1.1-1.5 times higher depending on chronic diseases. Conclusion: The development of education and exercise programs for preventing fall of senior citizens aged 65 and older is required and further study is needed.