• 한국화재소방학회논문지
• /
• 제13권3호
• /
• pp.35-42
• /
• 1999

건물 화재 시 인명안전설계의 목표는 피난에 필요한 최소한의 시간을 확보하는 것이다. 본 논문에서는 적정 피난 설계를 위하여 다음과 같은 내용을 연구하였다.-국내 사무소 건물의 거주밀도 분포를 조사 분석하였다. -고층 사무소 건물에서 대피훈련을 시행하여 예상 피난시간을 관측하였다. -피난전용 프로그램의 하나인 SIMULEX를 적용하여 컴퓨터 피난모델의 특성과 적용상의 한계를 연구하였다. -거주밀도와 파난시간과의 상관성을 분석하였다. 연구 결과 국내 사무소 건물의 거주밀도는 총 바닥면적(Gross Area)기준으로 13.14$m^2$/인 -22.69$m^2$/인이며 평균 19.72$m^2$/인 (193ft\sup 2\인)으로 조사되었다. (95% 신뢰도 기준) 또한 고층 사무소 건물의 대피훈련과 SIMULEX 모델 결과를 비교하여 피난시간에 큰 차이가 나타나 현 모델의 가정과 계산 방법에 한계가 있음을 보여주었다. 한편, 거주밀도와피난시간과의 분석 결과, 동일용도에서도 차이를 보이고 있어 용도별 거주밀도 기준 마련이 시급한 것으로 판단된다.

• PNF and Movement
• /
• 제16권1호
• /
• pp.27-32
• /
• 2018

Purpose: This study examined changes in gait speed and stride length after an intervention involving simultaneous scapular and pelvic patterns of proprioceptive neuromuscular facilitation in a hemiplegic patient. Methods: A 58-year-old woman with left hemiplegia who had complained of slowness of gait speed and weakness of leg strength took part in an intervention involving scapular postdepression patterns on the affected side and pelvic postdepression patterns on the nonaffected side. The intervention was performed with the patient lying on her left side, in a half kneeling position, and in a standing posture. Rhythmic initiation was used for teaching the movements to the patient and improvement of kinesthesia, and a combination of isotonic was employed for increasing strength and irradiation of the scapula and pelvic movement. The intervention took place for 30 min. It was implemented twice a day, 5 days a week, for 3 weeks. After three repetitions, the average time taken to complete the 10-m walk test (10 MWT), in addition to stride length, was measured to determine gait speed. Results: After the 3-week program, the patient's performance in the 10 MWT improved from 21.7sec to 17.1sec, and her stride length improved from 31.4cm to 38.7cm. Conclusion: The results showed that trunk movement exercise, especially coordinative movements of the scapula and pelvis can improve gait speed and stride length by increasing trunk stability and mobility. A combination of pelvic and scapular patterns can facilitate trunk rotation, thereby improving gait speed and stride length.

• 한국임상수의학회지
• /
• 제29권2호
• /
• pp.198-201
• /
• 2012

한달 된 한우 수송아지가 오른쪽 뒷다리 체중부하를 못하는 문제를 가지고 전북동물의료센터에 내원하였다. 방사선검사와 CT 검사 상에서 Salter-Harris III형의 먼쪽 정강뼈 성장판 골절로 진단하였다. 개방골절정복 후 교차핀을 이용하여 고정한 후 임시 외부 골격 고정장치를 이용하여 5주 동안 추가적인 지지를 실시하였다. 수술 5주 후 방사선사진 검사에서 골절된 뼈의 유합이 관찰 되었다. 수술2년 후 과도한 움직임 뒤에 미약한 체중부하 파행이 관찰 되었지만, 거의 정상 수준으로 보행이 가능하였다. 송아지에서 이와 같은 증례는 매우 드물고 교차핀과 추가적인 임시 외부 골격 고정장치를 이용한 골절 정복법은 먼쪽 정강뼈 골절 치료에 유용하게 사용될 거라고 생각 된다.

• 한국보건간호학회지
• /
• 제19권2호
• /
• pp.371-381
• /
• 2005

Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.

• 대한족부족관절학회지
• /
• 제6권2호
• /
• pp.161-166
• /
• 2002

Purpose: To evaluate the effectiveness of distraction arthroplasty as treatment for moderate or severe ankle osteoarthritis Materials and Methods: Thirteen patients who underwent distraction arthroplasty using the Ilizarov external fixator were available. We removed osteophytes around the ankle before applying the external fixator. We encourage the patients to do active range of motion exercise and to walk with cruch. Follow-up averaged 15 months (range, 10-31 months). Both the patients' postoperative satisfaction and the radiographic joint space were retrospectively evaluated. Results: The duration from applying the external fixator to remove was 12 weeks. Breakage of the wire applied to the forefoot occurred in 2 cases. All patients satisfied with the postoperative clinical results. The ankle joint space averaged $1.6{\pm}0.2mm$ in pre-operative, $4.2{\pm}0.9mm$ in post-Ilizarov external fixator's removal, and $2.3{\pm}0.3mm$ in last follow-up ankle lateral view. Conclusion: We think that distraction arthroplasty with external fixator is useful operative method for the moderate or severe ankle osteoarthritis.

• 한국정보통신학회:학술대회논문집
• /
• 한국정보통신학회 2017년도 추계학술대회
• /
• pp.185-188
• /
• 2017

고령화 인구 증가와 대비되는 노인의 낮은 건강 수명을 극복하기 위한 건강 증진은 필수적이다. 따라서 노인의 사망 위험 중 높은 비중을 차지하는 낙상을 예방하기 위한 하체 근력 강화 운동이 중요하다. 본 본문에서는 노인이 자연환경 속에서 운동을 한다고 느낄 수 있는 홈 트레이닝 콘텐츠를 개발을 목표로 하였다. 이를 위해 키넥트 센서를 사용하여 골격 모델의 특정 점을 추출하고 특징벡터를 생성하여 사용자의 운동 횟수를 인식하였다. 제안하는 게임 모델을 사용하여 운동 능력 테스트를 수행하고 이를 기반으로 개인의 능력에 맞는 운동을 처방 받아 운동을 수행할 수 있다.

• 한국임상수의학회지
• /
• 제24권3호
• /
• pp.414-418
• /
• 2007

2.8살 된 암컷 비글종 개 (체중 11kg)가 운동 불내성과 간헐적인 실신증상을 보여 내원하였다. 청진상 불규칙하게 불규칙한 심장박동과 지속적인 맥박결손이 청진되었다. 심전도상에 3도 방실차단 소견이 관찰되었다. 환자는 임상증상 개선을 위하여 경정맥을 통한 영구적인 박동조절기(pacemaker)를 장착하였다. 그 결과 환자는 더 이상 실신증상을 보이지 않았고 주인과 함께 산책을 나갈 수 있을 만큼 임상증상이 개선되었다. 현재까지 박동조절기 장착과 관련된 합병증 없이 잘 생존하고 있다.

• 한국전자통신학회논문지
• /
• 제14권5호
• /
• pp.1009-1018
• /
• 2019

본 연구에서는 표면근전도 측정기 기반의 재활의료기기의 설계 및 구현에 관한 내용을 기술한다. 재활시스템은 BLDC모터와 모터 드라이브를 이용하여 제어된다. BLDC모터 드라이브는 동작제어를 하며, 속도는 외부 서보모터를 통해 드라이브를 제어한다. 또한 모터 외부에 결합된 포텐쇼미터는 모터에 의해 회전하는 부하 위치 정보를 전달한다. 재활 알고리즘은 환자가 일정 각도 범위에서 주기적인 수축 이완 재활운동을 속도단계별로 실행하며 재활운동 시 사용자 설정 단계에 따른 모터를 활용하여 $0{\sim}120[^{\circ}]$의 최대각도로 제한하여 제어한다. 보행 알고리즘은 양쪽 안쪽넓은근에 부착된 표면근전도 측정기로 획득한 신호의 차이 값을 이용하여 근전도 신호가 낮은 다리에 모터제어로 보상해주며 보행운동 시 모터와 표면근전도 측정기를 활용하여 $0{\sim}88[^{\circ}]$의 최대각도로 제한하여 제어한다.

• Physical Therapy Rehabilitation Science
• /
• 제7권2호
• /
• pp.88-93
• /
• 2018

Objective: Elevated cholesterol levels contribute to changes of the arterial endothelial permeability. Hyperlipidemia promotes atherosclerosis and is associated with an increased risk of stroke incidence. The purpose of this study was to investigate the effects of having a history of hyperlipidemia prior to a stroke incidence on postural balance, anticipatory dynamic postural control, gait endurance and gait performance in individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: Fifty-two adults who were diagnosed with stroke 6 months ago or more were enrolled in this study. They were divided into two different groups according to hyperlipidemia history before stroke. All participants were assessed with the Activities-specific into Balance Confidence (ABC) scale, Berg Balance scale (BBS), Dynamic Gait Index (DGI), Timed Up and Go test (TUG), and the 6-minute walk test (6MWT). An independent t-test was used to analyze the difference between the hyperlipidemia group and non-hyperlipidemia group. Results: After analysis, the BBS, TUG, and 6MWT scores were significantly different between the hyperlipidemia and non-hyperlipidemia group, but not the ABC and DGI scores. Conclusions: The results of this study show that having a history of hyperlipidemia before stroke affects static and dynamic postural balance performance, anticipatory dynamic postural balance, and gait endurance in individuals with chronic hemiparetic stroke. Based on the results of this study, we also suggest treatment for hyperlipidemia should be implemented throughout the therapeutic interventions, such as pharmacological or exercise programs, in order to restore the physical function of stroke survivors.

• PNF and Movement
• /
• 제15권1호
• /
• pp.77-84
• /
• 2017

Purpose: This study aimed to investigate the effect of visual feedback training-for gradual weight shift in sit-to-stand training-on the balance and walking abilities of chronic hemiplegia patients. Methods: Twenty patients with chronic hemiplegia volunteered to participate in this study. The experimental group received visual feedback for gradual weight shift in the sit-to-stand training, while the contrast group followed the standard process for the sit-to-stand training. The evaluation of the balance and walking ability was conducted with the functional reach test (FRT), Berg balance scale (BBS), five time sit-to-stand (FTSTS) test, timed up and go (TUG) test, 10 m walk test (10MWT), balancia, activities-specific balance confidence (ABC) scale, and falls efficacy scale (FES). Results: In the results before and after intervention, there was a significant difference in TUG, 10MWT, ABC, and FES in the visual feedback training group (p < 0.05). In the control group, there was a significant difference in the 10MWT and ABC (p < 0.05). Also, in the evaluation of the postural fluctuations, the control group data showed a significant increase in Covar. The visual feedback group showed a significant difference in the W average. Conclusion: The visual feedback training group showed some improvement in terms balance and walking ability and on the ABC scale and FES. Therefore, if the diagonal progressive weight bearing exercise is combined with the various patterns and basic principles of PNF, it may be a more efficient intervention method.