• 재활복지공학회논문지
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• 제8권4호
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• pp.259-265
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• 2014

본 논문은 보행의지를 파악하기 위해 IR 센서 기반 보행보조기를 이용하여 보행 시 슬관절 전방변위 측정과 하지의 근육활성도를 고찰하였다. 슬관절 전방변위 측정을 위해 보행보조기에 IR센서를 장착하였고, 근전도 (Bagnoli-8ch, Delsys Inc, USA)장비를 이용하여 대퇴직근, 대퇴이두근, 전경골근, 비복근을 측정 하였다. 실험에 참가한 피험자들은 성인 8명(나이 $23.7{\pm}0.5years$, 신장 $175.4{\pm}2.3cm$, 체중 $70.6{\pm}5.6kg$)이며 매주 30분씩 총 3주간 진행되었다. 보행 시 경사조건과 보행 속도의 증가에 따라서 슬관절 전방변위가 변화되는 결과를 확인할 수 있었다. 또한 근육활성도 결과, 전방경사 시 대퇴부 근육의 활성도가 증가하였고 후방경사 시 하퇴부 근육이 많이 활성화 되어 IR센서 결과와 유사한 경향을 확인할 수 있었다.

• 대한인간공학회지
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• 제34권5호
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• pp.363-375
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• 2015

Objective: This study aims to recognize the risk of current traffic systems and to investigate a method to decrease risk by doing exercise using an elastic-band and cognitive rehabilitation. Background: The existing traffic system usually focuses on the ordinary citizens, which may not be appropriate to the elderly. It may affect the cognition and walking speed of the elderly. This study tries to examine whether cognition and muscle training is appropriate to improve their vulnerability. Therefore this study will provide human ergonomics - based basic data in relation to the elderly to identify the risk of current signal system and to mitigate the risk. Method: A total of 30 elderly participants were divided into two groups: experimental and control groups. Experimental group (n=15) was trained to strengthen their muscles and to promote cognition, whereas control group (n=15) was not. The training was conducted twice a week for three weeks. To strengthen muscles, a yellow colored elastic-band was used, and a computer program for cognitive rehabilitation was used to develop cognition. In the experimental group, there were significant differences between pre and post exercises However, the control group didn't show any significant difference. The increase in cognition and walking speed was found in the experimental group, whereas there were no differences in the control group. Statistically there was no significant difference between the two groups. Results: The results of this study show that the exercise program using the elastic-band gave a positive effect on gait training thanks to the development of muscle power and balance. Conclusion: This study did not show any statistical difference or significant differences between the two groups, since time was restricted, we believe. Application: The results of the walking speed will help to prevent traffic collision.

• 제어로봇시스템학회논문지
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• 제16권10호
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• pp.939-947
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• 2010

With the rising numbers of elderly and disabled people, the demand for welfare services using a robotic system and not involving human effort is likewise increasing. This study deals with a mobile-robot system combined with a BWS (Body Weight Support) system for gait rehabilitation. The BWS system is designed via the kinematic analysis of the robot's body-lifting characteristics and of the walking guide system that controls the total rehabilitation system integrated in the mobile robot. This mobile platform is operated by utilizing the AGV (Autonomous Guided Vehicle) driving algorithm. Especially, the method that integrates geometric path tracking and obstacle avoidance for a nonholonomic mobile robot is applied so that the system can be operated in an area where the elderly users are expected to be situated, such as in a public hospital or a rehabilitation center. The mobile robot follows the path by moving through the turning radius supplied by the pure-pursuit method which is one of the existing geometric path-tracking methods. The effectiveness of the proposed method is verified through the real experiments those are conducted for path tracking with static- and dynamic-obstacle avoidance. Finally, through the EMG (Electromyography) signal measurement of the subject, the performance of the proposed system in a real operation condition is evaluated.

• 한국운동역학회지
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• 제18권4호
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• pp.49-57
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• 2008

이 연구는 고령자를 대상으로 탄성저항운동을 수행하였을 경우 운동 전 후로 보행 시 지면반력 신호 크기와 이들의 variability에 어떠한 영향을 미치는 가를 구명하고자 하였다. 이를 위하여 여성 고령자 12명을 대상으로 12주간 탄성저항운동을 실시하였으며, 운동 전 후로 보행 시 3방향 지면반력 신호의 주파수 크기와 variability 값을 산출하였다. FFT(fast Fourier transform)를 이용하여 주파수 분석을 하였으며, PSD(power spectral density)를 계산하였다. 총 대상자들의 변이 계수(SD/Mean*100)을 이용하여 집단 간 variability를 계산하였다. 그 결과 다음과 같은 결론을 얻었다. 지면반력 신호의 주파수 크기는 좌우 방향에서 운동 전보다 운동 후에 작은 값을 보였으며, 통계적으로도 유의한 차이(p<.05)가 나타났다. 지면반력 신호의 variability에서는 좌우 방향에서 운동 전보다 운동 후에 큰 값이 나타났으며, 통계적으로도 유의한 차이(p<.05)가 나타났다.

• 인터넷정보학회논문지
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• 제12권3호
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• pp.17-26
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• 2011

본 논문에서는 3축 가속도 센서를 이용하여 사람이 보행 시 발생하는 센서 데이터를 획득하여 실시간 걸음 수 검출이 가능한 웨어러블 디바이스를 개발하였다. 피험자 59명을 대상으로 트레드밀에서 Actical 과 본 연구에서 개발된 디바이스를 착용 후 36분 동안 테스트 프로토콜에 따라 느리게 걷기, 걷기, 빠르게 걷기, 천천히 뛰기, 뛰기, 빠르게 뛰기 등의 다양한 걸음 속력에서 테스트를 진행하였다. 3축 가속도 센서의 X, Y, Z축 출력 값을 하나의 대표 값으로 처리하는 신호벡터크기(Signal Vector Magnitude : SVM)를 사용하였다. 또한 정확한 걸음 수를 검출하기 위해 휴리스틱 알고리즘(Heuristic Algorithm : HA)을 제안하고 적응적인 임계값 알고리즘(Adaptive Threshold Algorithm : ATA), 적응적인 잠금 구간 알고리즘(Adaptive Locking Period Algorithm : ALPA)을 제안한다. 실험결과 제안하는 알고리즘의 걸음 수 인식률은 97.34%로 Actical의 인식률(91.74%)보다 5.6%향상 되었다.

• 융합신호처리학회논문지
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• 제16권1호
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• pp.15-21
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• 2015

본 논문에서는 시각장애인이 안내견과 함께 보행 중 환경적 요소와 상황에 따른 인지를 도와주기 위한 안내견 하네스 행동 알림 시스템을 구현하였다. 이를 위하여 안내견의 하네스 안장에 IMU(inertial measurement unit)모듈 및 가속도센서 다리벨트를 장착하였으며, 이로부터 출력되는 정보를 이용하여 안내견의 보폭추정과 자세판단을 수행하였다. 구현된 시스템의 성능을 평가하기 위하여 안내견이 인지하고 있는 자세를 오르막 계단 자세, 내리막 계단 자세, 오르막길, 내리막길 및 평지와 정지 상태로 나누웠으며 시각장애인의 안전을 위한 행동인 불복종명령 상태을 포함한 7가지의 행동에 대한 판별 실험을 수행하였다. 그 결과 안내견 행동 규칙 인식 성공률은 평균 92.78%로 나타났으며, 안내견 하네스 행동알림 시스템의 실제 적용 시 유용성을 확인하였다.

• 대한핵의학회지
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• 제32권6호
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• pp.534-541
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• 1998

We describe a 27-year-old man who developed gait disturbance and dysarthria 2 years after the onset of cardinal symptoms of Behcet's disease. Positron emission tomography with $^{18}F$-fluorodeoxyglucose revealed severe hypometabolisrn in the cerebellum, in accordance with cerebellar symptoms and signs of the patient. However, single-photon emission tomography with $^{99m}Tc$-HMPAO and $^{99m}Tc$-ECD did not disclose significant perfusion abnormalities in the brain. Routine brain magnetic resonance imaging did not show signal abnormalities. The findings of imaging studies compared with neurological manifestations of the patient are discussed.

• Journal of Korean Neurosurgical Society
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• 제52권3호
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• pp.250-253
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• 2012

We report a rare case of cerebellar liponeurocytoma with an unusually aggressive histopathology. A 49-year-old man presented with a four-month history of headache, vertigo, and progressive swaying gait. Magnetic resonance imaging showed a $3{\times}3.5cm$ sized relatively well-demarcated round mass lesion in the fourth ventricle, characterized by high signal intensity on T2-weighted images. Postcontrast images revealed strong enhancement of the solid portion and the cyst wall. The patient underwent suboccipital craniectomy and tumor removal. The pathologic diagnosis was cerebellar liponeurocytoma. Adjuvant radiotherapy was offered due to concerns related to the high proliferative index (Ki-67, 13.68%) of the tumor. At the last routine postoperative follow-up visit (12 months), the patient complained of no specific symptom and there was no evidence of tumor recurrence. However, longterm follow-up and the analysis of similar cases are necessary because of the low number of reports and the short follow-up of cases.

• Journal of Korean Neurosurgical Society
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• 제56권5호
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• pp.436-440
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• 2014

Sarcoidosis is a systemic disease of unknown etiology that may affect any organ in the body. The nervous system is involved in 5-16% of cases of sarcoidosis. Here, we report a case of intramedullary sarcoidosis presenting with delayed spinal cord swelling after laminoplasty for the treatment of compressive cervical myelopathy. A 56-year-old woman was admitted to our hospital complaining of upper extremity pain and gait disturbance. The patient had undergone laminoplasty for compressive cervical myelopathy 3 months previously. Follow-up magnetic resonance imaging revealed a large solitary intramedullary lesion with associated extensive cord swelling, signal changes, and heterogeneous enhancement of spinal cord from C2 to C7. Spinal cord biopsy revealed non-necrotizing granulomas with signs of chronic inflammation. The final diagnosis of sarcoidosis was based upon laboratory data, imaging findings, histological findings, and the exclusion of other diagnoses. Awareness of such presentations and a high degree of suspicion of sarcoidosis may help arrive at the correct diagnosis.

• Journal of Korean Neurosurgical Society
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• 제56권6호
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• pp.513-516
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• 2014

We report a case of cervicomedullary compression by an anomalous vertebral artery treated using microsurgical decompression with intraoperative monitoring. A 68-year-old woman presented with posterior neck pain and gait disturbance. MRI revealed multiple abnormalities, including an anomalous vertebral artery that compressed the spinal cord at the cervicomedullary junction. Suboccipital craniectomy with C1 laminectomy was performed. The spinal cord was found to be compressed by the vertebral arteries, which were retracted dorsolaterally. At that time, the somatosensory evoked potential (SSEP) changed. After release of the vertebral artery, the SSEP signal normalized instantly. The vertebral artery was then lifted gently and anchored to the dura. There was no other procedural complication. The patient's symptoms improved. This case demonstrates that intraoperative monitoring may be useful for preventing procedural complications during spinal cord microsurgical decompression.