• 제목/요약/키워드: Independent walking

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뇌졸중 환자의 보행시간에 대한 현 신호체계 분석 (Analysis of Current Traffic Signals for Pedestrians according to the Walking Times of Stroke Patients)

  • 이동진;나은예;박선미;박세진;박엘림;박완서;배우리;백화신;서경태;서동현;안승우
    • 대한임상전기생리학회지
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    • 제10권2호
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    • pp.7-14
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    • 2012
  • Purpose : This study investigated the validity of crosswalk signal time length with regards to elderly stroke patients. Methods : We recruited 60 elderly adults sixty years of age or older for our study. The participants were divided into three groups.Group A consisted of 20 healthy participants with no walking aids. Group B consisted of 20 stroke patients with no walking aids. Group C consisted of 20 stroke patients using a cane as a walking aid. We measured the walking times of participants for 7 m, 14 m and 21 m lengths. Results : Using an independent t test, there was a statistically significant difference in the walking times between Group A and Group B for all lengths. There was a statistically significant difference in the walking times between Group A and Group C for all lengths. There was no statistically significant difference in the walking times between Group B and Group C. There was a statistically significant difference between the three group when using ANOVA. Conclusion : From the results of this study, we infer that the signal times at crosswalks are inappropriate for elderly stroke participants who use a cane as a walking aid. Therefore further research should be conducted to determine the appropriate amount of additional time needed for the elderly to safely cross the street.

한국 중년의 대중교통 만족도에 따른 체질량지수에 대한 걷기 일수의 매개효과 (The Mediating effect of Public Transportation Satisfaction on Body Mass Index according to Walking days in Korea middle aged)

  • 김명관;이은주
    • 한국산학기술학회논문지
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    • 제19권6호
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    • pp.493-499
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    • 2018
  • 본 연구는 2015년 지역사회건강조사 자료를 사용하여 한국의 40~59세 중년의 대중교통 만족도에 따른 체질량지수(BMI)에 대한 걷기 일수의 매개효과를 파악하고자 하였다. 본 연구의 목적은 중장년층의 일상적인 걷기활동 지원 및 증진을 위한 근린환경의 제공, 걷기활동 지원 프로그램 마련에 필요한 기초자료를 제공하고자 한다. 지역사회건강조사 원시데이터의 228,558명 중 사용변수에 대해 결측값을 제거하고 40~59세 중년 85,344명을 최종분석 대상자로 선정하였다. 종속변수는 체질량지수(BMI)로 대중교통 만족도를 독립변수로 걷기 일수가 매개효과가 있는지에 대해 자료의 분석은 R 3.4.1로 시행하였다. Sobel test로 매개효과를 검증해 본 결과 대중교통 만족도가 증가하면 걷기 일수는 B=.010(p=.010)만큼 증가하였고, 대중교통 만족도가 증가하면 체질량지수는 B=-.052(p=.021)만큼, 걷기 일수는 B=-.038(p=.001) 감소하였다. 이에 따른 대중교통 만족도와 체질량지수에 대한 걷기 일수의 매개효과는 Sobel z=2.300(p=.021)로 대중교통 만족도가 증가하면 걷기 일수가 증가하고, 그로 인해 체질량지수가 감소하는 매개효과가 존재하는 것으로 나타났다. 대중교통 만족도를 높여 대중교통 이용을 증가시킴으로서 걷기 일수를 증가시키고 체질량지수를 감소시키기 위해서는 고찰에서 언급했던 대중교통 만족도 중 대중교통 요금의 적절성과 접근편리성을 지금 수준보다 더욱 향상시켜야 한다. 아직까지는 수도권이나 대도시를 벗어나 중소도시로 가게 되면 대중교통으로 목적지에 도달하는 것이 불편한 경향이 나타나므로 건강을 향상시키기 위해서는 대중교통 시스템의 개선이 필요하다.

라이프케어 증진을 위한 전신진동운동이 낙상위험 뇌졸중 환자의 균형 및 보행능력에 미치는 영향 (The Effect of Whole-Body Vibration Exercise for Life Care on Balance and Walking Ability in the Stroke Patient with Risk of Fall)

  • 한상우;박웅식;문경임;고대식
    • 한국엔터테인먼트산업학회논문지
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    • 제14권8호
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    • pp.437-445
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    • 2020
  • 본 연구는 라이프케어 증진을 위한 전신진동운동이 낙상위험 뇌졸중 환자의 균형 및 보행능력에 미치는 영향을 알아보았다. 본 연구의 대상자는 뇌졸중 환자 30명을 대상으로 전신진동운동군과 오타고운동군으로 15명씩 할당하여 균형능력은 버그균형척도(BBS)와 일어서서 걷기 검사(TUG), 보행능력은 10m 보행속도검사와 Tinetti 운동성 검사를 측정하여 운동 전과 운동 후, 군 간을 비교·분석하였다. 집단 내 운동 전·후의 차이를 비교하기 위해 대응표본 t-검정을 사용하였고, 집단 간의 차이를 비교하기 위하여 독립표본 t-검정을 실시하였다. 실험결과 두 군 모두 운동 전후 BBS와 Tinetti 운동성 검사는 유의하게 증가하였고, TUG와 10m 보행속도는 유의하게 감소하였다. 군 간 비교에서는 BBS, TUG, 10m 보행속도, Tinetti 운동성 검사 모두 유의한 차이가 있었다. 본 연구결과를 통해 라이프케어 증진을 위한 전신진동운동은 낙상위험 뇌졸중 환자의 균형능력과 보행능력을 개선하는데 영향을 미치는 것으로 사료된다. 따라서 낙상위험 뇌졸중 환자의 균형능력과 보행 능력을 향상을 통한 라이프케어 증진을 위해 전신진동운동 프로그램을 권장한다.

The Effects of Restrictions in Economic Activity on the Spread of COVID-19 in the Philippines: Insights from Apple and Google Mobility Indicators

  • CAMBA, Abraham C. Jr.;CAMBA, Aileen L.
    • The Journal of Asian Finance, Economics and Business
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    • 제7권12호
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    • pp.115-121
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    • 2020
  • This study aims to investigate the effects of restrictions in economic activity on the spread of COVID-19 in the Philippines. This research employs daily time-series data of confirmed new COVID-19 cases, Apple mobility trends (i.e., use of public transport to destinations, volume of people driving, and amount of walking to destinations) and Google community mobility (i.e., visits to transit stations, visits to workplaces, and staying-at-home) indicators covering the period February 17 to September 11, 2020. The analysis starts by establishing the correlation pattern of new confirmed COVID-19 daily infections to each independent variable. The results show negative linear correlation of the number of new COVID-19 daily infections with less visit to transit station, increase stay-at-home, less use of public transport, and less amount of walking to destinations. Interestingly, the number of new COVID-19 daily infections indicates some form of positive linear correlation with visits to workplaces and volume of people driving. Moreover, employing robust least square regression via the method of MM-estimation, major findings reveal that across mobility measures, staying-at-home has the highest impact on reducing the spread of COVID-19, followed by visiting transit stations less, less use of public transport, less amount of walking, and less workplace visits.

The analysis of Lower Limb Muscle Activity and Motion Analysis according to Normal Foot and Flatfoot during Walking

  • Yoon, Jung-Gyu;Yoo, Kyung-Tae;Lee, Ji-Hong;Park, Jae-Min;Min, Kyung-Ok;Choi, Jung-Hyun
    • 국제물리치료학회지
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    • 제3권1호
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    • pp.364-369
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    • 2012
  • The purpose of this study was to analyze lower limb muscle activity and 3D motion analysis according to change foot arch height during walking. We selected 9 young and healthy people who have been normal foot. And we selected 7 young and healthy people who have been flatfoot. So, people were divided into 2 groups and walked platform during 2 minutes twice for checked by 3D motion analysis. These data were characterized by EMG measurements of three muscles( tibialis anterior, medial and lateral gastrocnemius) while they were walking. The collected data were analyzed by Independent t test using the SPSS statistics program(Ver 12.0). In foot arch change, there were no significant difference in three muscles 3D motion analysis also found that there were no significant difference in joint angles. In this study was to analyze lower limb muscle activity and 3D motion analysis according to change foot arch, but there were no significant difference in 6 muscles neither joint angles.

건강한 성인과 경미한 지적장애를 가진 성인의 보행 중 운동학적 데이터 비교 (Comparison of Kinematic Data during Walking between Healthy People and Persons with Mild Intellectual Disability)

  • 진다현;황영인
    • PNF and Movement
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    • 제20권1호
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    • pp.19-29
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    • 2022
  • Purpose: The purpose of this study was to analyze the gait patterns of adults with intellectual disability and healthy adults based on collected kinematic data on the lower extremities and to investigate the gait patterns of intellectually disabled people by comparing the differences between the two groups. Methods: The participants were divided into in one group of healthy adults (n = 9) and one group with mild intellectual disabilities (n = 9). 3D motion analysis (Myomotion) was used to collect kinematic data from each group while the participants walked 3 times over 10 m. As a statistical method, each group's kinematic data during walking was analyzed and compared using an independent sample t-test. Results: Comparing the kinematic data of the lower extremities during walking between the group with mild intellectual disability and the healthy group, there were significant differences between the two groups in the hip and ankle joints in the stance and swing phases. Conclusion: The analysis suggests that people with intellectual disabilities have kinematic differences compared with healthy people. Based on the results of this study, it is necessary to conduct further research on rehabilitation programs for joint stabilization, exercise for increasing joint range of motion, muscle strengthening exercise, and proprioception training for people with intellectual disabilities with insufficient physical function.

정신지체 아동의 보행능력 향상을 위한 보봐스 접근법 : 개별실험연구 (The Bobath Approach for Walking Improvement on Child with Mental Retardation)

  • 노효련
    • 대한물리의학회지
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    • 제3권2호
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    • pp.113-119
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    • 2008
  • Purpose : In this case report, we demonstrated the improvement of gait ability on the child who has mental retardation with incomplete gait pattern. Methods : The subject was a 4 years old boy with mental retardation. We applied the Bobath approach to the subject. Treatments included to facilitate trunk alignment and stability, and to train weight bearing and shifting, to facilitate pelvis posterior-anterior movement, and to train walk especially stance phase and assist up-down stairs locomotion in environment similar to actual daily life. It was performed 24 sessions for 12 weeks. Results : With this treatment, he could accomplish dynamic standing stability and he could independent walk at the out door after 12 weeks. In gross motor function measure(GMFM), total motor function was improved to 85.6% from 75.7%. Conclusion : The gait ability of child with mental retardation was improved by using the bobath approach.

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시각장애인을 위한 스테레오 영상기반 보행환경정보안내 단말 플랫폼 개발 (An Implementation of Stereo Image Based Sighted Guiding Device Platform for the Visually Impaired)

  • 오봉진;박상헌;김주완
    • 대한임베디드공학회논문지
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    • 제13권2호
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    • pp.73-81
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    • 2018
  • This paper describes a device platform which the blind can wear to keep path and to get surrounding information during their independent walking. Compared to the existing technologies, the proposed device could be used indoors and outdoors, and maps need not be provided in advance. It is composed of a glasses type device equipped with image sensors, and a portable device that analyzes sensor data for sighted guiding. RGB images and depth images are extracted to generate a walking map based on feature points. It also can cope with the risk of collision with bollard, color cone by applying vertical obstacle detection technology based on floor detection.

속도-의존적 체중지지 트레드밀 보행이 뇌졸중 환자의 보행에 미치는 영향 (The Effect of Speed-dependent with Body Weight Supported Treadmill Training on the Ambulation of Stroke)

  • 김좌준;노민희;구봉오;안소윤
    • The Journal of Korean Physical Therapy
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    • 제17권3호
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    • pp.339-350
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    • 2005
  • This study is the quasi-experimental study on the gait training rehabilitation. The purpose of this study is to prepare the baseline data for most suitable of gait while we were scrutinizing how the walking characters, functional walking ability, gait quality of stroke patients were affected by the gait on BWSTT (Body Weight Supported Treadmill Training) through the change of treadmill velocity and body weight support. To accomplish this purpose, this study used thirty subjects, more than 3 months post stroke, for rehabilitation who were divided between two gait training groups they received the neurophysiological physical therapy. For 6 weeks, 5 times a week for 15 minutes per session, the BWSTT group participated in 30 sessions structured speed-dependent treadmill training with 30% body weight supported, and the ratio of body weight support was gradually decreased as the patients advanced the capability of more self-support. The OGT(Over Ground Training) group received the same quantity of equal sessions like BWSTT. Firstly, we measured the absolute improvement of walking velocity (m/s), capacity(min/m) and cadence(steps/min) among walking characters. Secondly, we measured the functional walking ability such as Functional Ambulatory Category(FAC, score out of 5), Modified Motor Assesment Scale(MMAS, score out of 6) and Gait Quality Chart(score out of 41). Data analysis was performed with using SPSS 10.0 win program. The descriptive analysis was used to obtain average and standard deviation. The independent t-test and the paired t-test were used to compare both the groups about pre and post training test. Treatment effects were established by pre and post assessment. Subjects tolerated the training well without side-effects. Therefore, the results of this study were as follows; 1. There was a more significant difference from the improvement of walking velocity(0.09m/s), endurance(4.53min/m), cadence(4.20steps/min), FAC(0.26score), MMAS(0.33 score) and hip joint and pelvic of gait quality(0.39 score) ever before in the BWSTT group(p<.05). 2. There was a more significant increase from the walking velocity(0.01m/s) in the OGT group(p<.05). 3. There was a more statistical significant increase from comparing the average of walking velocity in both groups ever before(0.42m/s in BWSTT group and 0.31m/s in OGT group)(p<.05). There was a statistical significant difference from the average of cadence in both groups(61.87step/min in BWSTT group and 3.60steps/min in OGT group)(p<.05). As we can see from above, the findings suggest that BWSTT may be more effective than the OGT for improving some gait parameters such as gait velocity and cadency. This conclusion also suggest that BWSTT is more effective for the improvement of gait of stroke patients.

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주거지역 가로환경 및 일상 걷기가 정신 건강에 미치는 영향 - 서울시 대상으로 - (Estimation of the Effects of Daily Walking Hours and Days on the Mental Health of Urban Residents - The Case in Seoul -)

  • 구본유;백승주;윤희연
    • 한국조경학회지
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    • 제52권1호
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    • pp.87-100
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    • 2024
  • 본 연구는 도시민의 가로환경 이용을 매개로 하여 주거지역 가로환경 질이 도시민의 정신 건강에 미치는 영향을 밝히고자 하였다. 영과잉 음이항 회귀모형을 통해 보행 활동과 가로환경이 도시민의 우울 증세에 미치는 영향을 확인하였다. 연구 범위는 2017년 대한민국 서울특별시로 한정하였으며, 우울 유병 증세를 종속 변수, 가로환경 변수 및 보행 변수, 개인 특성을 독립 변수로 이용하였다. 나아가, 가로 녹지와 보행 빈도의 상호작용 효과를 살펴, 녹지에서 걷는 행위가 정신 건강에 미치는 상승효과를 분석하였다. 연구 결과, 가로 녹지 면적 비율이 높을수록 우울증세가 나타나지 않았다. 보행 빈도가 높을수록 우울 증세가 나타나지 않거나, 우울 증세가 존재할 경우에도 약하게 나타났다. 또한, 가로 녹지에서의 보행 빈도가 늘어날수록 우울 증세가 약하게 나타나는 상호작용 효과를 확인하였다. 시각적 복잡성은 낮을수록 우울 증세가 나타나지 않았다. 본 연구는 도시민의 정신 건강 문제를 지역사회차원에서 다루는 데에 기여하며, 가로 녹지와 보행 빈도의 시너지 효과를 발견함으로써 주거지역 가로 녹지 환경이 도시민 정신 건강 증진에 미치는 중요성을 강조하였다.