• Title/Summary/Keyword: WALKING

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Cut-off Value for Body Mass Index in Predicting Surgical Success in Patients with Lumbar Spinal Canal Stenosis

  • Azimi, Parisa;Yazdanian, Taravat;Shahzadi, Sohrab;Benzel, Edward C.;Azhari, Shirzad;Aghaei, Hossein Nayeb;Montazeri, Ali
    • Asian Spine Journal
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    • v.12 no.6
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    • pp.1085-1091
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    • 2018
  • Study Design: Case-control. Purpose: To determine optimal cut-off value for body mass index (BMI) in predicting surgical success in patients with lumbar spinal canal stenosis (LSCS). Overview of Literature: BMI is an essential variable in the assessment of patients with LSCS. Methods: We conducted a prospective study with obese and non-obese LSCS surgical patients and analyzed data on age, sex, duration of symptoms, walking distance, morphologic grade of stenosis, BMI, postoperative complications, and functional disability. Obesity was defined as BMI of ${\geq}30kg/m^2$. Patients completed the Oswestry Disability Index (ODI) questionnaire before surgery and 2 years after surgery. Surgical success was defined as ${\geq}30%$ improvement from the baseline ODI score. Receiver operating characteristic (ROC) analysis was used to estimate the optimal cut-off values of BMI to predict surgical success. In addition, correlation was assessed between BMI and stenosis grade based on morphology as defined by Schizas and colleague in total, 189 patients were eligible to enter the study. Results: Mean age of patients was $61.5{\pm}9.6years$. Mean follow-up was $36{\pm}12months$. Most patients (88.4%) were classified with grades C (severe stenosis) and D (extreme stenosis). Post-surgical success was 85.7% at the 2-year follow-up. A weak correlation was observed between morphologic grade of stenosis and BMI. Rates of postoperative complications were similar between patients who were obese and those who were non-obese. Both cohorts had similar degree of improvement in the ODI at the 2-year followup. However, patients who were non-obese presented significantly higher surgical success than those who were obese. In ROC curve analysis, a cut-off value of ${\leq}29.1kg/m^2$ for BMI in patients with LSCS was suggestive of surgical success, with 81.1% sensitivity and 82.2% specificity (area under the curve, 0.857; 95% confidence interval, 0.788-0.927). Conclusion: This study showed that the BMI can be considered a parameter for predicting surgical success in patients with LSCS and can be useful in clinical practice.

An Analysis Model on Passenger Pedestrian Flow within Subway Stations - Using Smart Card Data - (지하철역사내 승객보행흐름 분석모형 - 교통카드자료를 활용하여 -)

  • Lee, Mee Young;Shin, Seongil;Kim, Boo Won
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.17 no.6
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    • pp.14-24
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    • 2018
  • Pedestrian movement of passengers using smart card within stations can be divided into three types of activities - straight ride and alight, line transfer, and station transfer. Straight ride and alight is transfer activity for which the card terminal and embarking line are identical. In this case, straight ride occurs at the origin station and straight alight occurs at the destination station. Line transfer refers to activity in which the subway line embarked on by the passenger is different from that which is disembarked. Succinctly, line transfer is transfer at a middle station, rather than at origin or destination stations. Station transfer occurs when the card terminal line and embarking line are different. It appears when station transfer happens at the origin station as starting transfer, and at the destination station as destination transfer. In the case of Metropolitan smart card data, origin and destination station card terminal line number data is recorded, but subway line data does not exist. Consequently, transportation card data, as it exists, cannot adequately be used to analyze pedestrian movement as a whole in subway stations. This research uses the smart card data, with its constraints, to propose an analysis model for passenger pedestrian movement within subway stations. To achieve this, a path selection model is constructed, which links origin and destination stations, and then applied for analysis. Finally, a case study of the metropolitan subway is undertaken and pedestrian volume analyzed.

The Effect of Inline Skate Program on Physical Fitness(PAPS-D) Improvement of Student with Developmental Disability (인라인스케이트 프로그램이 발달장애 학생들의 건강체력(PAPS-D) 향상에 미치는 효과)

  • Chol, Jae-Yong;Kim, Ji-Sun
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.2
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    • pp.541-550
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    • 2019
  • This study is aimed to find out the effect of PAPS-D on physical fitness of developmental disabled students who participated of Inline skate program. The subject of this study was 10 middle and high school students diagnosed as developmental disability. The subject attended a total of 32 classes twice a week for 16 weeks and the class was 1 hour each time. Improvement of physical fitness was assessed based on PAPS-D program developed by the Department of Education science in 2016 except for obesity measurement; cardio pulmonary function (walking in 6 minutes), flexibility (seated forward bend, clasped hand behind the back), muscle function (sit-up) and agility (standing long jump). To find out the interaction between control group and experimental group, two-way repeated measure ANOVA was used. As a result, there was a statistically significant relation in cardio pulmonary function and agility but not in flexibility and muscle function. 3 variables (cardio pulmonary function, flexibility and muscle function) among 4 variables showed positive effect of Inline skate program on physical fitness while one variable which was agility showed decreased result in post-test. Based on the results of three variables that were found to have improved in the pre post-examination, the result of this study indicates positive effect of Inline skating program on physical fitness of developmentally disabled students.

Development of Street Crossing Assistive Embedded System for the Visually-Impaired Using Machine Learning Algorithm (머신러닝을 이용한 시각장애인 도로 횡단 보조 임베디드 시스템 개발)

  • Oh, SeonTaek;Jeong, Kidong;Kim, Homin;Kim, Young-Keun
    • Journal of the HCI Society of Korea
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    • v.14 no.2
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    • pp.41-47
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    • 2019
  • In this study, a smart assistive device is designed to recognize pedestrian signal and to provide audio instructions for visually impaired people in crossing streets safely. Walking alone is one of the biggest challenges to the visually impaired and it deteriorates their life quality. The proposed device has a camera attached on a pair of glasses which can detect traffic lights, recognize pedestrian signals in real-time using a machine learning algorithm on GPU board and provide audio instructions to the user. For the portability, the dimension of the device is designed to be compact and light but with sufficient battery life. The embedded processor of device is wired to the small camera which is attached on a pair of glasses. Also, on inner part of the leg of the glasses, a bone-conduction speaker is installed which can give audio instructions without blocking external sounds for safety reason. The performance of the proposed device was validated with experiments and it showed 87.0% recall and 100% precision for detecting pedestrian green light, and 94.4% recall and 97.1% precision for detecting pedestrian red light.

A Biomechanics-Based Ergonomic Analysis for Footware Development (풋웨어 개발을 위한 생체역학 기반 인간공학적 분석 : B-boy 신발 개발을 중심으로)

  • Hah, Chong-Ku;Jang, Young-Kwan;Kim, Jin-Hyun
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.140-147
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    • 2019
  • The purpose of this study is to find biomechanical parameters for optimal shoes production through an ergonomic usability assessment of five existing types of shoes preferred by B-BOY. Ten experts and ten non-experts participated in the experiment, and 12 infrared cameras (Qualis, Oqus), force plate (Kistler, 9286AA) and foot pressure plate (Zebris Gmbh, Zebris PDM-System) were used to obtain the data. The results of the study are as follows. First, P shoes with a friction coefficient of 0.38 and a free moment of 0.32 N/m/kg are desirable in terms of traction capability and safety. Second, on the cushion, it was found that the N shoes 2.51 N, sec/kg and non-expert, and 2.86 N and sec/kg were suitable. Third, it is deemed appropriate for C shoes with a forefoot average pressure of 10.11 KPa (right), 10.05 KPa (left), and V shoes with a rearfoot average pressure of 8.4 KPa (right) and 8.36 KPa (left). In conclusion, the combination of the structure and material of V shoes should be developed for traction and stability, N shoes for cushion, and walking balance for C and V shoes.

Factors Affecting Depression in the Elderly Over 65 Years in Korea: Using Andersen's Behavioral Model (한국 65세 이상 노인의 우울증에 영향을 미치는 요인 : 앤더슨 모형을 활용한 융합적 연구)

  • Park, Hyo-Eun;Seo, In Soon
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.83-95
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    • 2019
  • The purpose of this study was to comprehensively investigate predictive factors influencing on geriatric depression of the elderly by applying the Andersen's Behavioral Model of Health Service Use,. The research data was focused on the final analysis of 3,585 elderly population aged 65 or older among 21,724 participants in the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. Hierarchical logistic regression analysis was conducted to multivariate analysis method of the variables for possible depression by the Andersen's Behavioral Model of Health Service Use. As a result of hierarchical regression analysis, there was a negative correlation of 0.49 times(0.31-0.78) for males. In addition, there was a positive correlation of pain 1.56 times(1.05-2.31), stress 0.55 times(1.10-2.19), walking exercise 1.44 times(1.03-2.00) and outpatient use 1.48 times(1.10-1.98). Therefore, differentiated support according to the gender of the community residents is necessary, and stress intervention or additional support for exercise is required.

Sign System Design Guideline of Outdoor Fitness Equipments for Seniors (노년층을 대상으로 한 야외운동기구 사용설명 사인 디자인 가이드라인 제안)

  • Shin, A-Reum;Jung, Eui-Tay
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.271-279
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    • 2019
  • The life expectancy of people has been steadily extended due to the improvement of living standards and the development of medical technology. Besides, the low birth rate and long life expectancy decrease the youth population while the elderly population is steadily increasing. Many elderly people have enough time and financial allowance, and the interest in health care is increased all over society. There are also increasing numbers of elderly people who exercise lightly in the playgrounds and parks such as running and walking. Outdoor fitness equipment that can be easily seen in neighbourhood parks, public spaces, etc. can be good health promotion tools that can be easily accessed in the daily life of the elderly. Outdoor fitness equipment Description Signs require a design that takes into account the declining vision of older users. Proper design is also important for the prevention of safety accidents in use. The purpose of this study is to find out the perception of the elderly about outdoor fitness exercise equipment sign system and to find the problem of recognition. To do this, we conduct user observation and interview surveys for the elderly. As a result, the emphasis of the caveat or problems with the size of the writing were pointed out, and it was necessary to explain the picture rather than the text. Also, there was a high demand for refraining from using foreign words, using universal words and including motor effects in signs. Based on the results of the user observation and interviews, we propose guidelines for the use of outdoor exercise equipment.

Implementation of Smart Device-Based on Platform for the Visually Impaired (시각 장애인을 위한 스마트 장치 기반 플랫폼 구현)

  • Lee, Ook;Choi, Jung-Woon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.538-549
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    • 2019
  • This study suggests a new platform in which VI can communicate with their guardians who serve as a system administrator optimizing personal characteristics. In terms of interaction between platform components, this study can contribute to enhancing stability of walking by giving substantial information to VI through server processing and setups of guardians with real-time interaction to VI through server processing and setups of guardians with real-time interaction. Therefore, developing smart phone applications can facilitate both portability and cost effectiveness, by the users' downloading the application and registration. In terms of guardians' cost, this system is cost-effective because they can access to the administration system through personal computers or smart phones, not through specialized system devices. This system is web-based, which automatically communicates with the surroundings of, such as provides the guardians with the necessary information or approaches to the danger through IoT devices, which results in enhancing safety. Moreover, it is possible for guardians to utilize the personalized platform since the system not only senses personal characteristics but also sends a number of information to VI. a new platform makes it possible for guardians to provide electronic support and interaction with the application with the application users, which contributes to systematic and safe walk for VI.

A Study on the Awareness of Visitors to King Mu Trekking Course Program of Iksan (익산 무왕길 탐방프로그램 이용자의 인식에 대한 연구)

  • Park, Yool-Jin
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.36 no.4
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    • pp.80-93
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    • 2018
  • The following results could be obtained from the research on awareness and satisfaction of the tourists who joined the program 'A Journey in Search of King Mu's Road'. With regard to awareness of the site tour program, tourists replied that they participated in the program mainly because of their interest in education for their children. They expressed great needs for the municipal government office to maintain walkways, signboards and guide maps as well as to reinforce safety facilities as a measure to increase satisfaction with the site tour on the part of visitors and tourists. In terms of satisfaction with operation and management of the site tour program, the contents of the program were highly appreciated while it turned out necessary to rediscover garden culture resources and to develop and operate an expanded internal tour course for tourists to look around inside the relics by utilizing the recently excavated Baekje historical resources. As a consequence, it might be expected possible to experience and educate the local history and garden culture thanks to the historical culture and environmental values that have been preserved in the Baekje cultural circles. Moreover, the importance of walking trips will be recognized for its effects to allow those who get tired from daily life to come into contact with nature, practice self-reflection and care for their health as well.

Therapeutic Intervention to Reduce Spasticity (경련성 감소를 위한 치료적 중재 연구)

  • Lee, Jung-Ho
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.5
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    • pp.427-436
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    • 2019
  • This study investigated the effect of extracorporeal shock wave therapy on the knee angle, MAS, and TUG of the affected side in patients with hemiplegic strokes. This study selected 20 patients who received rehabilitation treatment at a hospital after having been diagnosed with stroke. The control group (n=10) received the general physiotherapy (proprioceptive neuromuscular facilitation), and the experimental group (n=10) applied the extracorporeal shock wave therapy (ESWT) to the injured limb after PNF treatment. This study used an integrated kinematics analyzer (4D-MT, Relive, Korea) to analyze walking, timed up and go test to evaluate the dynamic balance ability of patients, and MAS to evaluate the spasticity. In the study results, knee angle were significantly different in all groups(p<0.05) but there was no significant difference between the groups(p>0.05). In the study results, TUG were significantly different in all groups(p<0.05) but there was no significant difference between the groups(p>0.05). Based on the results of this study, I hope that more detailed research will proceed.