• 한국전문물리치료학회지
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• 제26권1호
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• pp.1-7
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• 2019

Background: The Microsoft Kinect which is a low-cost gaming device has been studied as a promise clinical gait analysis tool having satisfactory reliability and validity. However, its accuracy is only guaranteed when it is properly positioned in front of a subject. Objects: The purpose of this study was to identify the error when the Kinect was positioned at a $45^{\circ}$ angle to the longitudinal walking plane compare with those when the Kinect was positioned in front of a subject. Methods: Sixteen healthy adults performed two testing sessions consisting of walking toward and $45^{\circ}$ obliquely the Kinect. Spatiotemporal outcome measures related to stride length, stride time, step length, step time and walking speed were examined. To assess the error between Kinect and 3D motion analysis systems, mean absolute errors (MAE) were determined and compared. Results: MAE of stride length, stride time, step time and walking speed when the Kinect set in front of subjects were investigated as .36, .04, .20 and .32 respectively. MAE of those when the Kinect placed obliquely were investigated as .67, .09, .37, and .58 respectively. There were significant differences in spatiotemporal outcomes between the two conditions. Conclusion: Based on our study experience, positioning the Kinect directly in front of the person walking towards it provides the optimal spatiotemporal data. Therefore, we concluded that the Kinect should be placed carefully and adequately in clinical settings.

• 한국재난정보학회 논문집
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• 제17권3호
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• pp.543-555
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• 2021

연구목적: 본 연구는 보행교통사고 사망사고 중 많은 비중을 차지하고 있는 무단횡단 보행자의 보행특성을 분석하는데 목적이 있다. 연구방법: 분석 방법은 영상장비를 이용하여 무단횡단 보행자의 자료를 수집한 후, 고령자와 비고령자의 무단횡단 특성에 대한 빈도분석과 통계적 검증을 수행하였다. 연구결과:고령자와 비고령자의 무단횡단 특성에 차이가 있는 것으로 나타났으나, 보행속도의 경우, 유의미하지 않는 결과가 도출되었다. 그러나 고령자 중 보행이 어려운 그룹은 그렇지 않은 그룹에 비해 보행속도가 낮은 것으로 나타났다. 결론: 무단횡단은 연령대 및 보행능력에 의한 문제가 아닌 불법행위에 대한 인지 및 사고 위험에 대한 안전불감증이 원인 중 하나로 안전 교육과 무단횡단 다발 구간에서 운전자의 주의를 요구하는 보행자 정보 제공이 필요할 것으로 판단된다.

• 한국재난정보학회 논문집
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• 제18권3호
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• pp.495-506
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• 2022

연구목적: 일반적으로, 사람들은 일상생활 속에서 자신이 어떻게, 어디서 걷는지 등에 대해 많은 관심을 기울이지 않는 경향이 있다. 하지만, 심각한 화재나 지진이 일어났을 때, 사람들은 가능한 한 빨리 위험지역에서 벗어나려고 노력한다. 만일 사람들이 비상상황에서 의사결정 이론에 근거하여 탈출하게 된다면, 사상 자는 크게 줄어들게 될 것이다. 본 연구는 심리학적인 관점과 인지과학의 관점으로 인간의 행동을 보다 구체적으로 이해하고자 한다. 연구방법: 본 연구에서는 유튜브, CCTV 등에서 얻은 비상상황에서의 영상자료를 수집하여 상황별 사람들의 보행 특성을 분류하였다. 연구결과: 비상상황에서의 보행자의 속도나 방향 전환이 평상시와 전혀 다른 특징을 가지는 것으로 나타났다. 재난 발생 시 탈출 방향이 주로 한 방향이기 때문에, 방향전환이 적으며, 평균 보행속도가 상대적으로 높은 것으로 나타났다. 분석결과, 평상시에서의 인간의 행동은 살면서 학습한 습관에 기반하지만 비상 상황의 경우, 원초적인 본능에 기반하는 것으로 나타났다. 결론 : 본 연구에서 활용된 방법론과 연구 결과는 비상상황에서 사람들의 보행 행태에 대한 시뮬레이션과 분석에 활용 될 수 있을것으로 판단된다.

• Physical Therapy Rehabilitation Science
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• 제13권1호
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• pp.43-52
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• 2024

Objective: This study aimed to investigate the impact of a 12-week combined cognitive and physical exercise program on cognitive and physical functions in older adults diagnosed with mild cognitive impairment (MCI). Design: A one-group pretest-posttest study. Methods: Twelve participants with MCI engaged in a weekly 60-minute session of combined cognitive and physical exercise program. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA), while physical function was evaluated through measures of muscle strength, postural balance, and walking capabilities. Muscle strength assessments included the arm curl test, handgrip strength, and the 5 sit-to-stand test. Postural balance was evaluated using the one-leg stance test, timed up-and-go test, functional reach test, and four square step test. Walking function was analyzed through a gait analysis device. Pre- and post-intervention measurements were compared to determine the effects of the exercise program. Results: The results demonstrated significant improvements in MoCA, arm curl test, timed up-and-go test, walking speed, and cadence following the 12-week intervention (p<0.05). MoCA scores revealed enhanced cognitive performance, while measures of muscle strength, including the arm curl test, exhibited significant changes. Improvements in timed up-and-go test scores indicated enhanced mobility, accompanied by increased walking speed and cadence, as evidenced by gait analysis. Conclusions: This study suggests that a structured 12-week program incorporating both cognitive and physical exercises can lead to meaningful improvements in cognitive and physical functions among older adults with MCI.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2008년도 추계학술대회 논문집
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• pp.645-646
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• 2008

• 대한정형도수물리치료학회지
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• 제21권2호
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• pp.39-46
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• 2015

Background: The purpose of this study was to investigate the influence of short-term treadmill walking with high-heeled shoes on electromyography activities of the medial gastrocnemius, lateral gastrocnemius and tibialis anterior in healthy young females. Methods: Fifteen healthy females were recruited for this study. To measure muscle activation, the subjects were asked in random order to walk on a treadmill using either high-heeled shoes or barefoot conditions. The shoe heel height for high-heeled walking was 7 cm. The walking speed on the treadmill was 4 km/h, and the inclination rate of the treadmill was 10%. The subjects performed treadmill walking in the barefoot and high-heeled walking conditions for 5 minutes. Electromyography data were collected from the tibialis anterior, medial gastrocnemius, lateral gastrocnemius, and soleus on both firm and foam surfaces and during eyes-open and-closed conditions while standing. Results: Tibialis anterior activity was significantly different before and after the walking task while standing on a foam surface with eyes closed (p<.05). Conclusion: This finding suggests that the activity of the tibialis anterior may be lowered after high-heeled walking. Therefore, high-heeled shoes contribute to harmful effects at the ankle joints, increasing the risks of falling and musculoskeletal injury.

• 한국운동역학회지
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• 제20권1호
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• pp.33-39
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• 2010

The purpose of this study was to investigate the changes in walking pattern of the elderly during inclined walkway with uneven surfaces and level walking. 10 young($26.3{\pm}1.3$ years, $174.3{\pm}5.3\;cm$, $69.5{\pm}9.5\;kg$) and 13 elderly($72.4{\pm}5.2$ years, $164.5{\pm}5.4\;cm$, $66.1{\pm}9.6\;kg$) male subjects were participated in the experiment. Experiment consisted of 2 walking conditions: horizontal and inclined walkway with uneven surfaces. 3D motion capturing system were used to acquire and analyze walking motion data with sampling frequency of 120 Hz. To compare differences between conditions, kinematic variables(walking speed, stance-swing ratio, hip joint angle, knee joint angle, ankle joint angle, pelvic rotation angle) were used. Results showed that there were some changes of elderly walking pattern in inclined walkway with uneven surfaces: hip joint(adduction and rotation) and pelvic movement pattern. These changes by inclination and surface may affect gait pattern of young subjects as well as elderly subjects. However, in case of elderly it revealed more unstable gait than the young. Further study is necessary to clarify changes in walking pattern for elderly by considering various gait variables including head movement and various walkway conditions.

• 대한기계학회논문집A
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• 제35권5호
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• pp.503-515
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• 2011

보행 재활 훈련용 보행보조 로봇을 개발하고, 시제품의 운동학적 특성을 평가하였다. 이 보행보조 로봇은 고관절(hip), 슬관절(knee), 족관절(ankle) 등으로 구성되며, 각 관절은 감속기가 포함된 모터에 의해 구동된다. 인체 보행 운동을 이론적으로 해석하여, 보행 운동 중 각 관절의 각도 변위를 계산하는 식을 구하였고, 계산된 각도 변위를 로봇 구동기에 입력하였다. 트레드밀(treadmill) 위에서의 실험을 통해 다양한 보행 속도(walking speed) 및 보폭(stride)에서 각 관절의 출력 각도 변위를 측정하고 입력 값과 비교하였다. 입력 각도 변위와 출력 각도 변위의 차이가 고관절에서는 5.22%, 슬관절에서는 2.97% 이내로 일치함을 확인하여, 설계대로 보행보조 로봇이 작동함을 입증하였다.

• 한국전문물리치료학회지
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• 제14권3호
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• pp.23-31
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• 2007

The purpose of this study was to determine the influence of high-heeled shoes on walking of obese women as it was already proven an extrinsic factor of knee osteoarthritis in women with normal weight. In this study the aimed therefore in particular was to utilize high-heeled shoes in proving it's causal influence on knee osteoarthritis by measuring the angle and torque of the knee joint. Fifteen obese women (BMI>25 $kg/m^2$) were measured in their twenties. Each angle and torque of their knee joints during walking on 6.5 cm high-heeled shoes and with a bare feet, were compared with each other and analyzed with a 3D motion analysis system. There was no significant difference in walking speed, cadence and stride length between the two conditions. However, there was a significant increase in a double limb support time and the stance phase when walking on high-heeled shoes as when walking with bare feet. The peak knee flexion angle and peak knee varus torque was higher when walking on high-heeled shoes than with bare feet. On the contrary, the peak knee flexion angle in the swing phase was not statistically different. The prolongation of peak knee varus torque was also proven. There was a significant increase in peak knee varus torque in the initial and last stance phases during walking on high-heeled shoes as compared to walking on bare feet. Through the above results, it was proven that when obese women walked on high-heeled shoes, rather than with bare feet, peak knee flexor and varus torque increased along with the changes of the in knee joint angle. Therefore, the influence of high-heeled shoes might be a significant intrinsic factor in knee osteoarthritis of obese women.

• 전기학회논문지
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• 제65권2호
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• pp.349-353
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• 2016

The purpose of this study was to investigate possible age differences in the attenuation of acceleration in the upper body (from pelvis through shoulder to head) during fast walking. Thirty young and 29 elderly subjects participated in this study. Wireless acceleration sensors were attached on head, shoulder, and pelvis. Subjects performed two trials of fast walking on a treadmill, where the fast speed was defined as 1.5 times of the comfortable speed. Root-mean-squared (RMS) accelerations of each axis were compared with age group and sensor position as independent factors. In the AP direction, the pelvis acceleration was greater in the young and the shoulder-to-head attenuation was also greater in the young (p<0.001), so that the head acceleration was comparable between age groups (p=0.581). In the ML direction, the pelvis acceleration was greater in the young and also the pelvis-to-shoulder attenuation was greater in the young (p<0.001), so that the head acceleration was greater in the elderly group (p<0.001). Insufficient attenuation ML acceleration in the elderly resulting in the greater acceleration in the head may deteriorate the balance control which utilize feedback signals from the sensory organs in head, e.g., vestibular and visual systems.