• Title/Summary/Keyword: Stair Design

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Reliability and validity of the patellofemoral disability index as a measure of functional performance and subjective pain in subjects with patellofemoral pain syndrome

  • Alshaharani, Mastour Saeed;Lohman, Everett Bernell;Bahjri, Khaled;Harp, Travis;Alameri, Mansoor;Daher, Noha S.
    • Physical Therapy Rehabilitation Science
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    • v.7 no.2
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    • pp.61-66
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    • 2018
  • Objective: Patellofemoral pain syndrome (PFPS) is a condition that is characterized by patellar discomfort or pain that is aggravated during certain activities such as ascending/descending stairs. The Patellofemoral Disability Index (PDI) was developed to assess the effect of pain on functional activities in individuals with PFPS. The objectives of the current study were to determine the internal consistency, test-retest reliability, and validity of this index. Design: Cross-sectional study. Methods: Forty-one subjects who had PFPS with a mean age of $28.8{\pm}5.0years$ and a mean body mass index of $25.6{\pm}4.7kg/m^2$ participated in the study. All subjects were concurrently enrolled in a clinical trial for which they were instructed to complete hamstring-resistance exercises for 4 weeks. Over the course of the intervention, they completed both the PDI and the Oswestry Disability Index (ODI) at baseline after two weeks, and after four weeks. Pearson correlation coefficient was used to assess the criterion validity. Cronbach's ${\alpha}$ was used to examine the internal consistency. Intraclass correlation coefficients with 95% confidence interval were computed to examine test-retest reliability. Results: Subjects' responses within both the PDI and the ODI yielded Pearson correlation coefficient values that were positive and highly significant (range, 0.73-0.97; p<0.001). There was a high level of internal consistency (Cronbach's ${\alpha}{\geq}0.8$), with the exception of stair climbing (Cronbach's ${\alpha}=0.65$). Intraclass correlation ranged from 0.87 to 0.92, indicating high levels of test-retest reliability. Conclusions: The PDI is a valid, reliable, and feasible method of assessing pain and functional ability in patients with PFPS.

Numerical Simulation on Smoke Movement in Multi-Compartment Enclosure Fires under Pressurized Air Supply Conditions (급기가압 조건에서 복합 구획 공간 화재의 연기 거동에 대한 수치해석 연구)

  • Ko, Gwon Hyun
    • Fire Science and Engineering
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    • v.32 no.6
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    • pp.15-21
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    • 2018
  • This study examined the flow characteristics of fire smoke under pressurized air ventilation conditions by carrying out fire simulations on multi-compartment enclosure, including room, ancillary room and stair case. Fire simulations were conducted for the air-leakage test facility, which was constructed to measure the effective leakage area and aimed to improve the understandings of fire and smoke movement by analyzing the overall behaviors of fire smoke flow and pressure distributions of each compartment. The simulation results showed that the heat release rate of the fires was controlled sensitively by the amount of air supplied by the ventilation system. An analysis of the velocity distributions between the room and ancillary room showed that fire smoke could be leaked to the ancillary room through the upper layer of the door, even under pressurized air supply conditions. From these results, it was confirmed that the fire size and spatial characteristics should be considered for the design and application of a smoke control system by a pressurized air supply.

A Comparative Analysis of Preference for Pedestrian Ramp on Recommended Angle of Slop and Stairs (보행자를 위한 권장 경사의 경사로와 계단의 선호도 비교분석)

  • Park, Changbae
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.35 no.3
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    • pp.59-66
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    • 2019
  • In recent years, urban regeneration is focused on smart and pedestrian oriented development utilizing various mobility technology. The characteristics of walkways needs to reflect such development orientations. This research is the first step to find an adequate slope for ramp replacing stairs and shared by pedestrians, personal mobilities and powered wheelchairs. It aims to check if ramps on a recommended degree of angle by general guidelines are more preferred than stairs and find out what make difference of such preferences. Two surveys were conducted at $9^{\circ}$ and $9.6^{\circ}$ ramps coexisted with stairs at sequential and parallel location. The study on the survey result found that the general evaluation of $9^{\circ}$ ramp was better than $9.6^{\circ}$ ramp but $9^{\circ}$ ramp was not preferred than stairs while $9.6^{\circ}$ ramps was preferred. The difference of preferences was related to characteristics of stairs. The stair with shorter tread and riser next to $9^{\circ}$ ramp was evaluated much better than stairs next to $9.6^{\circ}$ ramp. Therefore the research concludes that $10.0^{\circ}$ which many guidelines recommend for the maximum slop of a ramp was not adequate for a ramp to replace stairs as a preferred means of vertical circulation. In addition the research found that the preference was sensitive to moving direction and gender especially in regards to comfort of stairs and safety of ramp. Most pedestrians chose a means of vertical circulation based on its comfort but pedestrian's evaluation of safety was most different based on moving direction.

The Effect of adding Hip Abductor Strengthening to Conventional Rehabilitation on Muscular Strength and Physical Function following Total Knee Replacement

  • Kim, San-Han;Park, Hye-Kang;Lee, Wan-Hee
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.16-23
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    • 2022
  • Objective: This study aimed to investigate the effect of adding hip abductor strengthening to conventional rehabilitation on muscle strength and physical function following total knee replacement (TKR) for knee osteoarthritis. Design: Randomized controlled trial Methods: Thirty-five participants were randomly allocated to exercise groups I (n=18) and II (n=17). Group I underwent hip abductor training and conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. Group II underwent conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. The participants in both groups also received continuous passive motion therapy for 15 min per day, 5 days per week for 4 weeks. To investigate the effect of the intervention, the Biodex dynamometer was used to measure the peak torque of both knee extensors and hip abductors. This study used the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) to assess physical function, as well as the figure-of-8 walk test (F8W) and the stair climb test (SCT). Results: According to the interventions, exercise groups I and II showed significantly improved muscle strength and KOS-ADLS, F8W, and SCT scores (p<0.001). Compared with that of exercise group II, exercise group I showed significantly improved hip abductor strength (p<0.001) and KOS-ADLS, F8W, and SCT scores (p<0.05). Conclusions: The results of this study indicate that the combination of hip abductor strengthening and conventional rehabilitation is an effective exercise method to increase hip abductor muscle strength and physical function after TKR.

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.

Analysis of User′s Satisfaction to the Small Urban Spaces by Environmental Design Pattern Language (환경디자인 패턴언어를 통해 본 도심소공간의 이용만족도 분석에 관한 연구)

  • 김광래;노재현;장동주
    • Journal of the Korean Institute of Landscape Architecture
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    • v.16 no.3
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    • pp.21-37
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    • 1989
  • Environmental design pattern of the nine Small Urban Spaces at C.B.D. in City of Seoul are surveyed and analyzed for user's satisfaction and behavior under the environmental design evaluation by using Christopher Alexander's Pattern Language. Small Urban Spaces as a part of streetscape are formed by physical factors as well as visual environment and interacting user's behavior. Therefore, user's satisfaction and behavior at the nine Urban Small Spaces were investigated under the further search for some possibilities of application of those Pattern Languages. A pattern language has a structure of a network. It is used in sequence, going through the patterns, moving always from large patterns to smaller, always from the ones which create comes simply from the observation that most of the wonderful places of the city were not blade by architects but by the people. It defines the limited number of arrangements of spaces that make sense in any given culture. And it actually gives us the power to generate these coherent arrangement of space. As a results, 'Plaza', 'Seats'and 'Aecessibility' related design Patterns are highly evaluated by Pattern Frequency, Pattern Interaction and their Composition ranks, thus reconfirm Whyte's Praise of urban Small Spaces in our inner city design environments. According to the multiple regression analysis of user's evaluation, the environmental functions related to the satisfaction were 'Plaza', 'Accessibility' and 'Paving'. According to the free response, user's prefer such visually pleasing environmental design object as 'Waterscape' and 'Setting'. In addition to, the basic needs in Urban Small Spaces are amenity facilities as bench, drinking water and shade for rest.

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A Study on the Implementation of an Agile SFFS Based on 5DOF Manipulator (5축 매니퓰레이터를 이용한 쾌속 임의형상제작시스템의 구현에 관한 연구)

  • Kim Seung-Woo;Jung Yong-Rae
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.42 no.1
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    • pp.1-11
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    • 2005
  • Several Solid Freeform Fabrication Systems(SFFS) are commercialized in a few companies for rapid prototyping. However, they have many technical problems including the limitation of applicable materials. A new method of agile prototyping is required for the recent manufacturing environments of multi-item and small quantity production. The objectives of this paper include the development of a novel method of SFFS, the CAFL/sup VM/(Computer Aided Fabrication of Lamination for Various Material), and the manufacture of the various material samples for the certification of the proposed system and the creation of new application areas. For these objectives, the technologies for a highly accurate robot path control, the optimization of support structure, CAD modeling, adaptive slicing was implemented. However, there is an important problem with the conventional 2D lamination method. That is the inaccuracy of 3D model surface, which is caused by the stair-type surface generated in virtue of vertical 2D cutting. In this paper, We design the new control algorithm that guarantees the constant speed, precise positioning and tangential cutting on the 5DOF SFFS. We develop the tangential cutting algorithm to be controlled with constant speed and successfully implemented in the 5DOF CAFL/sup VM/ system developed in this paper. Finally, this paper confirms its high-performance through the experimental results from the application into CAFL/sup VM/ system.