• Title/Summary/Keyword: STAIRS

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The Effects of Circuit Obstacle Group Gait Training on Gait and Emotion in Stroke Patients (순환식 장애물 집단 보행 훈련이 뇌졸중 환자의 보행 능력과 정서에 미치는 효과)

  • Kim, Chul-Min;Lee, Ho-Jung;Choi, Myeong-Su;Song, Ju-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.125-135
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    • 2012
  • Purpose : This study is designed to demonstrate the effects of circuit obstacle group gait training on walking ability and emotion in stroke patients. Methods : Twenty one patients with stroke were participated in this study. The subjects were divided into control group(n=10) and experimental group(n=11). Circuit obstacle group gait training consisted of walking around obstacles, walking over obstacles, walking up and down slopes and walking up and down stairs. Circuit obstacle group gait training was conducted five times per week, 1 hour per session, for 6 consecutive weeks. At pre-test and post-test, subjects were tested with 10 m walking test, timed up and go test, up and down 4 stairs test, depression and self esteem. Results : After 6 weeks of research, the experimental group showed statistically significant difference in all items when comparing prior to training and after training (p<.05), but the control group showed statistically significant difference in items other than depression and self esteem(p<.05). In the comparison between the two groups, the experimental group showed higher improvement than the control group in the 10 m walking test, timed up and go test, and up and down 4 stairs test, and there was statistically significant difference in decrease of degree in depression between the experimental group and control group(p<.05). Conclusion : This study have shown that circuit obstacle group gait training improves walking ability and emotion in stroke patients.

Comparative of Quadriceps Muscle Activity during Stair Gait depending on Short-time Sitting and Gender (단시간 착석과 성별에 따른 계단보행 시 대퇴사두근 근활성도 비교분석)

  • Sangha Park;Duhyun Kim;Sabin Chun;Qian Qian;Taegyu Kim;Young Hoon Kim;Jae Myoung Park;Jong Chul Park
    • Korean Journal of Applied Biomechanics
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    • v.33 no.1
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    • pp.10-16
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    • 2023
  • Objective: The purpose of this was to find out the muscle activity of the quadriceps femoris by gender when sitting on a chair while performing stairs gait (US; Up-stairs, DS; Down-stairs). Method: 13 male subjects (age: 22.00 ± 1.68 yrs, height: 174.85 ± 6.10 cm, weight: 68.15 ± 9.83 kg) and 15 female subjects (age: 21.17 ± 1.58 yrs, height: 168.20 ± 5.55 cm, weight: 55.73 ± 6.94 kg) participated in this study. The study used wireless three channel EMG. Results: In this study, there was no gender difference in quadriceps femoris activity during the US and DS periods, and there was no significant difference between the male group before and after postural maintenance during the US and DS periods. The quadriceps muscle of the female group also did not show a significant difference before and after US sitting. However, the vastus medialis muscle activity during DS in the female group was significantly lower after application than before application of maintaining a sitting posture (p<.05). There was no interaction effect between the 15-minute sitting position application and gender. Conclusion: Our results demonstrate that sitting in a chair affects the transient functioning of the quadriceps muscle in women. Therefore, emphasize the need for active rest when sitting in a chair for long periods of time.

Comparison of Ankle Angle and Lower extremity Muscle Activities Between Forefoot Strike, Heelfoot strike During the Stair Ascent Walking (계단 오름 보행 시 전족, 후족 착지 방법에 따른 하지의 근활성도와 발목 각도 비교)

  • Jun-Su Kim;Hyun-Jun Kim;Sang-Yeol Lee
    • PNF and Movement
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    • v.22 no.1
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    • pp.31-41
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    • 2024
  • Purpose: The purpose of this study is to compare lower extremity muscle activities and ankle joint angles between different foot strike patterns (forefoot strike, heelfoot strike) during stair ascent walking. Methods: The subjects of this study were 22 males who walked in each foot strike pattern on ascent stairs at a speed of 85 beats/min. During stair walking with the two types of foot strike patterns, the muscle activities of the rectus femoris, tibialis anterior, medial gastrocnemius, hamstring, and gluteus medius were measured. Additionally, ankle joint angles for inversion, eversion, dorsi flexion, and plantar flexion were recorded. Each participant underwent the experiment three times, with the foot strike pattern randomized. Results were averaged according to the foot strike pattern. Results: Significant differences in ankle angles were observed across all phases according to foot strike pattern. Muscle activities in the lower extremities showed significant differences in all phases except the swing 1 phase. Moreover, differences in foot movement trajectory were noted depending on the foot strike pattern. Conclusion: Walking on ascent stairs elicited differences in lower extremity muscle activities and ankle joint angles based on foot strike pattern. These findings can serve as foundational data for selecting a suitable foot strike pattern tailored to individual patient conditions when training patients in walking on ascent stairs.

A Study on the Design Criteria of Pedestrian Facility (Stairs) by Motion Analysis of Walking Parameters in the Elderly (고령자 보행변수 실측을 통한 보행시설물 설계기준 정립 1: 고령자 보행특성을 고려한 계단 챌면 높이 연구)

  • ROH, Chang-Gyun;PARK, Bum Jin
    • Journal of Korean Society of Transportation
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    • v.35 no.5
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    • pp.396-408
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    • 2017
  • In Korea, the number of elderly has been increasing rapidly. So it is also expected that the economic activity and the trip frequency of the elderly will increase. On the other hand, elderly related accidents such as falls during walking are steadily increasing and the satisfaction about pedestrian environment of elderly is very low. In this paper, we found one of the reasons for these dissatisfaction in pedestrian facility, which is not considering the walking ability (about 75% of non-elderly person) of the elderly. So, we analyze the kinematic walking characteristics of the elderly with the motion analysis system, when the elderly use stairs. As a result of analysis of various walking variables, the current standard for stairway height in Korean law (18cm) requires excessive force to elderly so it was difficult for elderly to keep the balance of the body in ascending and descending walk of stairs. In this paper, we propose the stair design criteria through the cluster analysis of walking parameters reflecting the gait characteristics of the elderly. This change is not a big for non-elderly person, but it can promote more socioeconomic activities for the elderly.

Risk Analysis According to the Installation of Fire Doors on Direct Stairs in the Event of a Fire in an Old Apartment (노후 아파트 화재 시 직통계단의 방화문 설치 여부에 따른 위험성 분석)

  • Lee, Sang Im;Kong, Ha-Sung
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.869-878
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    • 2021
  • This study is a study on 11-story apartments that increase the event of fires in old apartments where building-related laws and regulations are not retroactively applied. As a result of analyzing the risk of installing fire doors in Improvement Scenario 2-4, assuming that fire doors are installed as basic scenario 1 in the existing situation where fire doors are not installed at the entrance of direct stairs. In basic scenario 1, the visible distance to the entrance of the direct staircase due to the spread of smoke was 260 seconds. Improvement scenarios 3 to 4 with fire doors installed open 300 seconds after the fire was recognized, and when the fire doors were installed at the entrance of the direct stairs, the visibility to the entrance of the statistics team was less than 600 seconds. In this case, the visibility was 600 seconds at the time of installation of the fire door, and scenarios 3 to 4 increased 56.6% compared to scenario 1, lowering the risk of evacuation by more than 50%. In order to eliminate the risk of non-installation of direct statistical groups that increase the risk of smoke spread, building-related laws such as the Fire Fighting Act shall be retroactively applied when installing a direct stairway entrance or balcony folding evacuation system. The improvement caused by the installation of fire doors has numerically proven the necessity of fire doors during evacuation, and the importance of maintaining fire doors can be grasped.

Functional Independence Measure of Disabled Persons Living at Home in Rural Community (농촌지역 재가장애인의 일상생활 수행능력 실태조사)

  • Yi, Chung-Hwi;Park, Kyoung-Hee;Lee, Hyun-Ju
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.49-61
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    • 2000
  • Although the availability of home care rehabilitation services have been greatly increased since community-based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled persons living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapists. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly-disabled persons whose ages were 61 years old or above, and 69.5% of respondents has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self-feeding, urination, defecation, and comprehension ability were mildly dependent. These results revealed that functional evaluation/treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.

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The Gender Difference in the Occupational Hazards and Injuries of Cleaning Workers and Janitors

  • Choi, Chang Lyul
    • Journal of the Ergonomics Society of Korea
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    • v.36 no.5
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    • pp.411-420
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    • 2017
  • Objective: The purpose of this study is to analyze the accident characteristics according to the gender of the injured workers in building cleaning and to reflect them in the Industrial Accident Prevention Policy. Background: An analysis of industrial accidents is an essential process for establishing systematic industrial accident prevention measures. In order to establish industrial accident prevention measures for workers effectively, it is necessary to analyze accident characteristics by job type for workers who do the same work. Method: In this study, we analyzed the accident characteristics of 1,645 janitors who were approved of work-related injuries in 2015. We also analyzed the characteristics according to gender by dividing them into worker-related factors and accident-related factors. Results: The accidents caused to the janitors showed different characteristics according to gender, age, work experience, agency of accident, and distribution of original cause materials. In other words, 70.2% occurred to workers over 60 years old and 56.2% occurred to unskilled workers with less than a year of work experience. In the case of accident pattern, 79.1% occurred in tripping (slip) hazards, and 68.2% of accidents occurred on the floor (including the ground) and the stairs, indicating that the accident occurred most frequently during cleaning work on the floor or stairs. Conclusion and Application: The results of the study on the accident characteristics of the janitors can be used as basic data for systematic preventive measures against accidents occurring to the elderly female workers in the service industry.