• 한국노년학
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• v.30 no.3
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• pp.843-853
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• 2010

The purpose of this study is to find out the characteristics of elderly pedestrian accidents and to suggest policy implications to enhance the level of elderly pedestrian safety. Although much efforts has made to enhance traffic safety environment, pedestrian traffic accidents among elderly population are not significantly decreased. This is mainly because current traffic safety measures do not much consider the characteristics of elderly pedestrians in the aspects of physical and psychological conditions. Main findings from vehicle-pedestrian traffic accident data and survey are as follows. First elderly pedestrians have high probability of traffic accident near crosswalks or cross streets rather than on crosswalk or cross streets. Second they need more green light time for crossing the streets. Third, they feel motor cycles running on the side walk and parked vehicles on the side walk are the most dangerous factors. Forth, general drivers do not have reasonable understanding for the walking behaviors of elderly pedestrians. Fifth, elderly pedestrians frequently need to rest while walking. Sixth, elderly people do not see clearly or understand traffic signs. Finally, many elderly pedestrians experience accidents or inconvenience while walking on the sidewalk.

• KIEAE Journal
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• v.9 no.1
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• pp.31-38
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• 2009

The purpose of this study is to present direction in outdoors space planning and design after direction through user characteristic analysis through spectacle component establishment of culture art center outdoors space through on-the-site analysis and literature investigation to culture art center of Seoul city and capital region 17 places in this research. The data was collected from classification and bisection kind, subdivision kind, and great classification composed to 17 items. User satisfaction side and Variable that is looked below satisfaction than average appeared to bench, pergola, sculpture facilities, pavement facilities, border facilities. And these facilities were analyzed dissatisfaction. When see satisfaction model, when make up culture art center or similar facilities in local government hereafter because parking facilities and rest area cause big effect in satisfaction, is judged that is item to consider most preferentially. In most case, parking lot security from outdoors space, resting place security, security of field performance facilities etc. taking a serious view because tendency that users see performance or use most vehicles except neighborhood walking area for a rest, a walk etc.. is trend. But, is judged that physical side so that can feel satisfaction as space security of quantitative side is important but users utilize substantially and side that is the program are more important in hereafter.

• Journal of International Academy of Physical Therapy Research
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• v.10 no.2
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• pp.1774-1778
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• 2019

Background : Methods of wearing a baby carrier have suggested; however, there have been no studies suggesting ideal ways. Objective : To investigate muscular fatigue and balance of the waist during baby carrier are worn on the front, the side, and the back of the body. Design: Randomized controlled clinical trial (single blind) Methods : The subjects of this study were 20 healthy men and women in their 20s, who underwent tests of muscular fatigue and balance of the waist bones based on types of wearing baby carrier. Electromyogram (EMG) patches were attached to the L2 and the L4 for testing muscular fatigue, while a device for measuring proprioceptive senses was used to assess balance ability. The measurements were performed before wearing the baby carrier and after 30 minutes of normal walking. The methods of wearing the baby carrier included wearing on the front, the side, and the back of the body. Results : The time taken to adjust the balance was shorter than other types of wearing during the baby carrier were worn on the side, and the ratio of lumbar flexion and relaxation was shown insignificant. Conclusions : These results suggested that wearing the carriers on the side was most effective on reducing fatigue and enhancing balance ability of the waist.

• PNF and Movement
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• v.9 no.3
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• pp.25-29
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• 2011

Purpose : We investigated the effect of anti-flexion taping at the proximal interphalangeal joints on the gait in stroke patients with clawing toe. Methods : Nineteen patients (mean age $63.26{\pm}9.16$ years) with clawing toe were studied. Gait performance was measured under two different conditions : (1) non-tape (2) application of tape. Gait velocity, step time and stride length were examined with the GAITRite system Results : Compared to the non-tape control condition, step time of the hemiparetic side increased significantly after the application of tape(p=0.03). There was no significant mean differences between the taped and control conditions for stride length of the hemiparetic side and velocity. Conclusion : Whilst the anti-flexion tape at the proximal interphalangeal joints changed the walking by providing significant step time effect, positive changes were noted in stride length of the hemiparetic side after tape application. These findings indicate that anti-flexion tape procedures do not significantly alter stride length of the hemiparetic side and velocity.

• Physical Therapy Rehabilitation Science
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• v.3 no.1
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• pp.49-54
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• 2014

Objective: This study aimed to identify how various applications of weight bearing on the affected side of hemiplegia patients affect the ability of balance keeping of the affected leg and the gait parameters. Design: Cross-sectional study. Methods: Eighteen patients with hemiplegia participated in this study. There were twelve males and six females. This study investigated the effects of the single-leg stance exercise on dynamic balance, weight bearing, and gait ability compared with four conditions. Dynamic balance and weight bearing were measured using the step test (ST) of the affected side in stroke patients. In addition, gait parameters were measured using the optogait system for analysis of the spatial and temporal parameters of walking in stroke patients. Results: This study investigated the effect of the single leg stance exercise on the paralysis side. The ST showed significant findings for all conditions (p<0.05). Therefore, knee extension and flexion exercise on the affected side single-leg stance (condition 4) significantly improved dynamic balance and weight bearing on the affected side (p<0.05). In the condition of moving the knee joint in a single-leg stance was discovered that the stance phase time significantly increased more than in the condition of supporting the maximal voluntary weight on the affected side (p<0.05). Conclusions: Single-leg stance on the paralysis side with knee flexion and extension increased symmetry in weight bearing during stance phase time. This study suggests that single-leg stance exercises augments improved gait function through sufficient weight bearing in the stance phase of the affected side.

• The Journal of Korean Physical Therapy
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• v.9 no.1
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• pp.127-145
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• 1997

The purpose of this study wa9 to analyse the gait patterns of two female children with hemiplegic cerebral palsy by using the three-dimensional video motion analysis technique. Case 1 has mild spastic hemiplegia on the right side while Case 3 has moderate spastic hemiplegia on the left side. A group of 10, normal female children of the same age(7-8 years old) were selected as the control group for comparison. Time and distance variables as well as the Center of Mass displacement, and the pelvic and joint motions in three anatomical planes were analysed for this purpose. The following observations were made through the analysis : Case 1 revealed an asymmetrical gait pattern in which the step length of the unaffected side was shorter than that of the affected side, which wan a result of the effort to minimize loading on the affected leg by shortening the swing phase of the unaffected leg. Case 1 scored similar phase ratios, cadence and walking velocity to the normal group. A slight posterior tilt of the pelvis was observed throughout the gait cycle. Less hip and knee flexion than the normal group was observed, and demonstrated hyperextension of the knee in the terminal stance phase. The main problem in case 1 originated from the insufficient dorsiflexion of the affected foot during the swing phase. Therefore, Case 1 has difficulty with foot clearance in the swing phase. Usually, this is compensated for by using exessive hip abduction and medial rotation in conjuction with trunk elevation as well as increased vortical displacement of the center of mass. Case 1 revealed a foot-flat initial contact pattern. Case 2 was characterized by a consistent retraction ef the affected aide of the body througout the gait cycle, As a result, an asymmetrical gait pattern with increased stance phase ratios of the unaffected side was observed. In spite of this the step lengths of both sieds were similar. Case 2 scored lower cadence and walking speed than the normal group with lower gait stability. The main problem in Case 2 originated from an excessive plantaflexion of the affected foot which, in turn, rebutted in high hip and knee flexion. Hyperextension of the knee was observed at mid-stance, and execessive anterior tilt of the pelvis throughout the gait cycle was noticed. A gait pattern with high hip abduction and medial circumduction was maintained for the stability in the stance phase and foot clearance in the swing phase. Case 2 revealed a forefoot-contact initial contact pattern.

• Journal of the Korean Society for Precision Engineering
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• v.32 no.10
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• pp.879-883
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• 2015

Conventional gait rehabilitation requires at least three therapists in a traditional rehabilitation training program. Several robots have been developed to reduce human burden and increase rehabilitation efficacy. In this study, we present a lower-limb wearable robot (WA-H) for gait rehabilitation of hemiplegia patients, and propose a protocol of 12 weeks gait rehabilitation training program using WA-H. To identify the efficacy of the robot and protocols, we conducted a clinical study with two actual hemiplegia patients and observed a chronological change of ambulation ability through four assessments. We discovered the progression of results by 6 minute walking test, TUGT (Timed Up and Go Test), SPPB (Short Physical Performance Battery), BBS (Berg Balance Test), and Fugl-Meyer score. The torques generated in the normal side and paralyzed side of the patient became similar, indicating rehabilitation. The result also showed the walking of the paralysis patient improved and imbalance motion had considerable improved performance.

• Korean Journal of Applied Biomechanics
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• v.16 no.3
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• pp.165-172
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• 2006

The purpose of this study was to determine effects of 12-week wearing of unstable shoe on the standing posture and gait mechanics. Nine healthy men were asked to wear the unstable shoes for 12-week and walk for 30 minute everyday. Their standing posture and gait mechanics were measured before and after treatment. Standing posture was measured for each side(anterior, posterior, lateral) for standing position. And gait analysis was measured joint angle of a right lower limb between first right heel contact and second right heel contact. Kinematic data were collected using video camera at 30 frame per seconds. Statistical analysis was paired t-test(p<.05) to compare before training with after that. A head tilt angle was significantly decreased for posterior side(p<.05). The angle of between center of line and surface was significantly decreased at midstance and take off during walking(p<.05). Ankle dorsiflexion significantly increased at heel contact2(p<.05) and ankle plantarflexion significantly increased at midstance and midswing(p<.05). The increase of ankle dorsiflexion showed that our results consisted with previous study. In conclusion, there was not large significant difference in static standing posture but joint angle of lower limb represented many changes with increasing of ankle motion during walking. These were of benefit to body by increasing leg muscle activity but it was necessary for man having a ankle problem to consider. Further studies concerning optimum outsole angle of unstable shoes are necessary.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.4
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• pp.231-240
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• 2019

Purpose : This study aimed to determine whether resistance exercise using elastic bands for 6 weeks could improve the muscle strength, muscle tone, balance and gait among stroke patients. Methods : A total of 11 stroke patients who had agreed to participate in the study were randomly divided into 3 groups receiving elastic band resistance training on their less affected side (experimental group 1, n=4), affected side (experimental group 2, n=3), and both the sides (experimental group 3, n=4). Muscle strength, muscle tone, balance and gait were assessed using a hand-held dynamometer, the modified ashworth scale (MAS), the berg balance scale (BBS), and G-walk respectively, before and after training. Wilcoxon signed-rank test was used to analyze intergroup changes after the intervention, whereas the Kruskal Wallis H test, and Mann-Whitney U test were used to analyze intergroup changes in all variables. Results : Strength in all the muscle, except for the flexor and extensor muscles in the affected knees, was increased in all the groups, however, no significant difference was observed. No change in the muscle tone (MAS) was found in any group. All the groups showed increased BBS scores walking speed, and walking symmetry following training, although, the differences were not significant. Changes in the affected step length of experimental group 1 were significantly greater than those of experimental group 3, whereas changes in the affected step length in experimental group 3 were significantly greater than those of experimental group 2. Conclusion : Our results suggest that resistance exercise using elastic bands are a potential intervention for improving lower extremity muscle strength, balance, and gait among stoke patients.

• Journal of environmental and Sanitary engineering
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• v.12 no.3
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• pp.41-49
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• 1997

In South Korea since 1970s the rapid development of economic growth has brought about "Urbanization" in many areas and also raised the level of people's life in many ways. At the same time, however, the industrialization and overpopulated districts in many areas have caused the problems of air pollution in necessary. Among those air pollution, in particular, in large cities has become more serious since 1990s than before. Air pollution, like TSP and SO$_{x}$ caused by heating, generation of electric power and industrialization in 1980s, showed as that of the type of an underdeveloping country and was not hazardous enough to people in the least. Unfortunately, in 1990s NO$_{x}$, CO and O$_{3}$ caused by the soaring numbers of many types of cars have exhausted air pollutant more hazardous as the same air pollution type of many developed countries. So, the purpose of this study would be to analyze the changes of concentration of NO$_{x}$ and CO on environmental air by traffic volume and from the side drive way to the degree of distance in Sungnam City, and recognize the citizens' consciousness to air pollution and suggest the best walking point in part, and plan to design the reasonable use of cars and finally make the air quality improve toward the better-ment in part. From the research result we can know that people walking in the street would be protected from the hazardous air pollutant caused by the cats if they walk apart from a drive way as far as they can in the street. Accordingly, it might, to minimize th affect of air pollution, be thought to be desirable that the consideration of in introduction the system that the vehicle using the diesel engine motor should use the centered-lane aparted from road. Another to be desirable is that along side the road, the trees inhaled the pollution should be planted.