• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2019년도 춘계학술대회
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• pp.49-52
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• 2019

보도의 점자블록은 시각장애인의 자율적인 보행을 위해서 필수적인 시설물이다. 시각장애인은 발바닥 감각과 지팡이를 이용하여 점자블록을 확인하면서 보행하는데, 점자블록에서 이탈하는 경우에는 다시 점자블록을 만날 때까지 어려움을 겪게 된다. 본 논문에서는 보행자가 착용한 웨어러블 영상 센서를 이용하여 점자블록을 따라서 보행하는지를 판단함으로써 시각장애인의 보행을 유도하는 알고리즘을 제안한다. 이를 위해 점자블록의 기울기를 특징으로 선정하였으며, 3-line detector 구조를 도입하여 프레임마다 점자블록의 좌우 기울기와 전방 연속성을 판단한다. 진행 도중에 점자블록이 끊어지거나 분기되는 상황에 대응하기 위한 공간 필터링과 시각장애인의 보행 도중에 발생하는 상하좌우의 움직임에 대응하기 위한 시간 필터링을 사용하여 기울기를 안정한다. 실제 도로 및 실내에서 획득한 영상을 사용한 모의 실험을 수행하였으며 제안 알고리즘을 통해 보행자의 진행 방향 및 이탈 정도에 대한 판단이 가능함을 확인하였다.

• 한국산림과학회지
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• 제103권3호
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• pp.503-509
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• 2014

이 연구는 노인들을 대상으로 산림 걷기 운동이 어떻게 기능적 체력과 보행형태에 영향을 미치는지를 규명하고자 하는데 목적이었다. 본 연구를 위하여 37명의 노인들이 참여하였으며 산림 걷기 운동 집단(n=19, $66.34{\pm}4.31$세)과 실내 트레드밀 걷기 운동 집단(n=18, $67.18{\pm}2.78$세)으로 구분되어, 12주간 주에 3회 80분 씩 각각 산림 걷기 운동과 실내 트레드밀 걷기 운동에 참여하였다. 기능적 체력(근력, 지구력, 유연성, 민첩성/평형성, BMI)과 보행형태(보행박자, 보행속도, 보행안정성) 검사는 12 주간 프로그램 전과 후에 측정되었다. 자료 분석을 위하여 평균과 표준편차가 이용되었으며, 독립 t-test와 반복 이원변량분석이 이용되었다. 그 결과, 12주간의 산림 걷기 운동을 실시한 집단이 실내에서 트레드밀 걷기 운동한 집단보다 하지 근력, 허리 유연성, 민첩성/동적 평형성, 그리고 심폐지구력에서 더 크게 향상을 보였다. 그러나 상지 근력, 견관절 유연성, BMI에서는 두집단 모두 똑같은 향상을 보였다. 둘째, 12주간의 산림 걷기 운동을 실시한 집단이 실내에서 트레드밀 걷기 운동한 집단보다 보행박자, 보행속도, 보행안정성에서 더 유의한 향상을 보였다. 따라서 본 연구는 감각-운동신경의 기능적 통합에 기초한 산림 걷기 운동이 노인들의 기능적 체력과 보행형태를 효율적으로 향상시키고, 나아가서 생활을 더 역동적으로 만들며, 낙상을 예방하는 효과적인 운동방법이 될 수 있음을 제안한다.

• 제어로봇시스템학회논문지
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• 제17권8호
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• pp.814-823
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• 2011

Nowadays many neurological diseases such as stroke and Parkinson diseases are continually increasing. Orthotic devices as well as exoskeletons have been widely developed for supporting movement assistance and therapy of patients. Robotic knee orthosis can compensate stiff-knee gait of the paralyzed limb and can provide patients consistent assistance at wearable environments. With keeping a robotic orthosis wearable, however, it is not easy to develop a compact and safe actuator with fast rotation and high torque for consistent supports of patients during walking. In this paper, we propose a novel kinematic model for a robotic knee orthosis to drive a knee joint with independent actuation during swing and stance phases, which can allow an actuator with fast rotation to control swing motions and an actuator with high torque to control stance motions, respectively. The suggested kinematic model is composed of a hamstring device with a slide-crank mechanism, a quadriceps device with five-bar/six-bar links, and a patella device for knee covering. The quadriceps device operates in five-bar links with 2-dof motions during swing phase and is changed to six-bar links during stance phase by the contact motion to the patella device. The hamstring device operates in a slider-crank mechanism for entire gait cycle. The kinematics and velocity/force relations are analyzed for the quadriceps and hamstring devices. Finally, the adequate actuators for the suggested kinematic model are designed based on normal gait requirements. The suggested kinematic model will allow a robotic knee orthosis to use compact and light actuators with full support during walking.

• 한국전문물리치료학회지
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• 제13권3호
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• pp.18-23
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• 2006

The limited walking ability after a stroke restricts a patient's independent mobility at home and in the community. It also brings about significant social handicaps. Therefore, it is necessary to improve walking ability in community-dwelling persons with stroke. The purpose of this study was to evaluate the effectiveness of gait training and muscle strengthening exercise of lower extremities in persons with chronic stroke. Nineteen community-dwelling individuals with stroke participated in this program. The exercise program lasted for seven weeks, with a 1-hour program twice per week, and it consisted of balance training, gait training, and strengthening of lower extremities. The outcome of the program was assessed by the gait speed, Wisconsin Gait Scale (WGS), Berg Balance Scale (BBS), and Stroke Impact Scale (SIS). Significant effects were found for the WGS, BBS, and mobility and hand function domain of the SIS (p<.05). It was found that short-term gait training exercise could improve quality of gait, balance, and mobility. Therefore, a more effective exercise program is required for community-based persons with stroke.

• 대한의용생체공학회:의공학회지
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• 제27권6호
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• pp.301-309
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• 2006

The main purpose of this study is to derive a regression equation that predicts the individual differences in activity energy expenditure (AEE) using accelerometer during different types of activity. Two subject groups were recruited separately in time: One is a homogeneous group of 94 healthy young adults with age ranged from $20\sim35$ yrs. The other subject group has a broad spectrum of physical characteristics in terms of age and fat ratio. 226 adolescents and adults of age ranged from $12\sim57$ yrs and fat ratio from $4.1\sim39.7%$ were in the second group. The wireless 3-axis accelerometers were developed and carefully fixed at the waist belt level. Simultaneously the total calorie expenditure was measured by gas analyzer. Each subject performed walking and running at speeds of 1.5, 3.0, 4.5, 6.0, 6.5, 7.5, and 8.5 km/hr. A generalized sensor-independent regression equation for AEE was derived. The regression equation was developed fur walking and running. The regression coefficients were predicted as functions of physical factors-age, gender, height, and weight with multivariable regression analysis. The generalized calorie estimation equation predicts AEE with correlation coefficient of 0.96 and the average accuracy of the accumulated calorie was $89.6{\pm}7.9%$.

• 중환자간호학회지
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• 제4권1호
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• pp.65-73
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• 2011

Purpose: This study was to develop and evaluate stability and effects of an early exercise program for patients with open heart surgery. Methods: The subjects of this study were 30 patients who had either a coronary bypass surgery or a valvular heart surgery at a tertiary hospital in Seoul. The data was collected by observation and measurement from October 1, 2004 to November 15, 2004. Results: The early exercise program developed for this study consisted of range of motion exercise and walking. Intensity of walking was 1~3 METs and increased progressively to daily target distance. During exercise, the subjects were monitored heart rate, blood pressure and RPE (Rating of Perceived Exertion). The mean FIM (Functional Independent Measurements) score of subjects was significantly improved after the early exercise program. However, several complaints such as dizziness or pain were also reported. Most complaints were associated with chest tube and RPE. Conclusion: The early exercise program can help to recover patients' physical activities after surgery, and can be applied to most patients. Patients' RPE, dizziness and pain was possible limitations, therefore, active pain control and prevention of accidents for patients would be needed.

• Journal of Acupuncture Research
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• 제40권3호
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• pp.281-292
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• 2023

This study presents the cases of a 67-year-old female with an isolated left sacral fracture and a 69-year-old female with fractures in sacrum 1, 2, and the left pubic bone. Both patients exhibited marked improvement following integrative Korean medicine treatment, encompassing acupuncture, acupotomy, pharmacopuncture, herbal medicine, moxibustion, and cupping therapy. The treatment's efficacy was assessed using the numerical rating scale (NRS) scores, range of motion (ROM) in the lumbar spine, and alterations in gait and walking distance. Case 1 demonstrated an enhanced ROM and achieved independent walking after 29 days of treatment. Case 2 improved in both ROM and NRS score and could walk independently after 49 days of treatment. Significantly, radiological images showed notable changes in both cases following treatments. The study indicates that integrative Korean medicine treatment could provide clinical advantages to individuals suffering from sacral fractures.

• 대한물리치료과학회지
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• 제18권2호
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• pp.29-40
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• 2011

Purpose: The purpose of this study was to analyze the changes of parameters of foot contact by various carrying a pack methods during walking. Method: The subjects were consisted of normal forty four persons (males 30, females 14, mean age 23). The carrying a pack methods were classified into five conditions: carrying no bag(Con 1), carrying a backpack(Con 2), carrying a shoulder bag(Con 3), carrying a cross bag(Con 4), carrying a one-hand bag(Con 5). All subjects were participated in these five condition and measured foot pressure by F-scan system during walking. Then foot contact time, foot contact area, foot contact length and width were measured and analyzed. The repeated one-way analysis of variance (ANOVA) was used to get difference between conditions and independent t-test was used to get difference between left and right foot within condition. Result: In the comparison of parameters of foot, contact time, contact area and mid foot width were significantly different between conditions(p<.05), and in both foot contact time at condition 5 showed the most significant reduction(p<.05). In the comparison of parameters of foot between left and right foot within condition, every conditions were not significantly different(p>.05). Conclusion: In this study various carrying methods changed the parameters of foot contact and showed significant difference in some articles between carrying methods. However, asymmetric load of pack by carrying methods didn't affected symmetry of parameters of foot contact between left and right foot.

• Physical Therapy Rehabilitation Science
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• 제6권4호
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• pp.176-181
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• 2017

Objective: The timed up and go (TUG) test is method used to determine the functional mobility of persons with stroke. Its reliability, validity, reaction rate, fall prediction, and psychological characteristics concerning ambulation ability have been validated. However, the relationship between TUG performance and community ambulation ability is unclear. The purpose of this study was to investigate whether the TUG performance time could indicate community ambulation levels (CAL) differentially in persons with chronic stroke. Design: Cross-sectional study. Methods: Eighty-seven stroke patients had participated in this study. Based on the self-reporting survey results on the difficulties experienced when walking outdoors, the subjects were divided into the independent community ambulation (ICA) group (n=35) and the dependent community ambulation group (n=52). Based on the area under the curve (AUC), the discrimination validity of the TUG performance time was calculated for classifying CAL. The Binomial Logistic Regression Model was utilized to produce the likelihood ratio of selected TUG cut-off values for the distinguishing of community ambulation ability. Results: The selected TUG cut-off values and the area under the curve were <14.87 seconds (AUC=0.871, 95% confidence interval=0.797-0.945), representing a mid-level accuracy. Concerning the likelihood ratio of the selected TUG cut-off value, it was found that the group with TUG performance times shorter than 14.87 seconds showed a 2.889 times higher probability of ICA than those with a TUG score of 14.87 seconds or longer (p<0.05). Conclusions: The TUG can be viewed as an assessment tool that is capable of classifying CAL.

• 한국운동역학회지
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• 제21권3호
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• pp.309-315
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• 2011

The purpose of this study was to evaluate the effect of asymmetric muscle force in lower extremity on dynamic balance during walking. Sixteen elementary students(age: 12.3${\pm}$0.7 yrs, height: 149.4${\pm}$9.7 cm, weight 40.6${\pm}$7.8 kg) who have no musculoskeletal disorder were recruited as the subjects. Temporal parameters, M-L inclination angle of XCoM-CoP, M-L and A-P CoP, loading rate, and decay rate were determined for each trial. For each dependent variable, a independent-sample t-test was performed to test if significant difference existed between each conditions(p<.05). The displacement of antero-posterior COP during RTO-LHC1 in SG was siginificantly smaller than corresponding value in AG. In contrast, the displacement of medio-lateral COP during RTO-LHC1 in SG was greater than those of AG. It seems that imbalance of muscle force may result in increasing the medio-lateral stance in order to minimize the instability. We found that the asymmetric muscle force in the lower extremity may be a reason for the awkward control of impact force.