• 제목/요약/키워드: Walking Pattern

검색결과 342건 처리시간 0.031초

재활운동에 참가한 뇌졸중 환자들의 걷기형태 비교 연구 (The Comparison Research on Walking Pattern of Rehabilitation Training Program Participants in Stroke Patients)

  • 진영완
    • 생명과학회지
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    • 제19권9호
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    • pp.1299-1303
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    • 2009
  • 뇌졸중 환 6명을 대상으로 발병후 3개월 지난 시기에 1차 실험을 실시하였고, 6개월 지난 시기에 2차 실험을 하여 뇌졸중환자들을 대상으로 운동학적변인, 각운동학적변인 그리고 지면반력과 발바닥의 압력분포를 알아보았다. 운동학적변인의 결과 통계적으로 유의한 차이는 나타나지 않았으나 6개월간 꾸준히 재활운동에 참가한 환자는 3개월 때 보다 훨씬 보폭(step length)이 크게 나타났으며(11.18 cm, 12.25 cm, p=0.58), 보폭의 빈도(step time) 또한 빠르게 나타났다(1.20 sec, 1.18 sec, p=0.53). 환측의 발만 지지면에 닿아 있는 시간(single support time)의 연구에서는 재활운동에 꾸준히 참가한 환자가 발을 지면으로부터 빨리 떼는 것으로 나타났다(34.97%, 29.02%, p=0.74). 환측다리 움직임의 빠르기를 나타내는 변인(cadence)에서는 1분당 움직임의 회수가 6개월 운동에 참가한 사람의 보폭회수가 3개월 운동에 참가한 사람의 보폭회수 보다 훨씬 빠르게 나타났다(21.04 step/min, 28.89 step/min, 0.27). 각 운동학변인에서는 통계적으로 모든 변인에서 유의한 차이는 나타나지 않았으나 평균의 비교에서 꾸준하게 6개월 동안 재활운동에 참가한 환자는 발목관절, 무릎관절 그리고 엉덩관절 모두의 가동범위가 크게 나타났다. 걷기동작에서 상해의 원인이되는 최초 접촉 순간의 충격력(impact force)의 비교에서는 6개월간 꾸준히 재활운동에 참가한 환자는 충격력이 작게 나타났다(1.20 N/kg, 1.13 N/kg, p=0.45). 전방으로의 추진력(anterior propulsion force)과 후방으로의 감속력(posterior braking force)은 통계적으로 유의한 차이(p=0.28, p=0.39)를 나타내지 않았으나 재활운동에 꾸준히 참가한 환자들은 전후방의 힘(0.10 N/kg, 0.15 N/kg; -0.12 N/kg, -0.18 N/kg)이 좋아지는 것을 볼 수 있었다. 걷기 동작 시 환측발의 최대 압력분포값은 통계적으로 유의한 차이(p=0.24)는 없었으나 6개월 재활훈련참가자(15.51 N/$cm^2$)가 3개월 재활훈련참가자(13.99 N/$cm^2$) 보다 지면을 더욱 가볍게 밟고 지나가는 것으로 나타났다. 위의 연구결과들을 바탕으로 볼 때 뇌졸중 환자들은 꾸준하게 재활운동에 참가하여야 하며 주위 사람들의 관심이 항상 필요하다고 사료된다.

Analyses of Plantar Foot Pressure and Static Balance According to the Type of Insole in the Elderly

  • Bae, Kang-Ho;Shin, Jin-Hyung;Lee, Joong-Sook;Yang, Jeong-Ok;Lee, Bom-Jin;Park, Seung-Bum
    • 한국운동역학회지
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    • 제26권1호
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    • pp.115-126
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    • 2016
  • Objective: The purpose of this study was to investigate plantar foot pressure and static balance according to the type of insole in the elderly. Methods: Thirteen elderly (mean age: $67.08{\pm}2.25years$, mean height: $159.63{\pm}9.64cm$, mean body weight: $61.48{\pm}9.06kg$) who had no previous injury experience in the lower limbs and a normal gait pattern participated in this study. Three models of insoles of the normal, 3D, and triangle types were selected for the test. The Pedar-X system and Pedar-X insoles, 3.3 km/h of walking speed, and a compilation of 20 steps walking stages were used to analyze foot-pressure distribution. Static balance test was conducted using Gaitview AFA-50, and balance (opening eyes, closing eyes) was inspected for 20 s. One-way ANOVA was conducted to test the significance of the results with the three insoles. p-value of less than .05 was considered statistically significant. Results: The mean foot pressure under the forefoot regions was the lowest with the 3D insole during treadmill walking (p<.05). The mean value under the midfoot was the highest with the 3D insole (left: p<.05, right: p<.01). The mean value under the rearfoot was the lowest with the 3D insole (p<.001). The maximum foot pressure value under the foot regions was the lowest on both sides of the forefoot with the 3D insole. A statistically significant difference was seen only in the left foot (p<.01). The maximum value under the midfoot was the highest with the 3D insole (p<.001). No statistically significant difference was detected on the values under the rearfoot. In the case of vertical ground reaction force (GRF), statistically significant difference was seen only in the left side rearfoot (p<.01). However, static balance values (ENV, REC, RMS, Total Length, Sway velocity, and Length/ENV) did not show significant differences by the type of insole. Conclusion: These results show that functional insoles can decrease plantar pressure and GRF under the forefoot and rearfoot. Moreover, functional insoles can dislodge the overload of the rearfoot and forefoot to the midfoot. However, functional insoles do not affect the static balance in the elderly.

세라밴드를 이용한 PNF 기법 적용이 65세 이상 여성노인의 균형과 보행에 미치는 영향 (The Effect of PNF Technique application Using Thera-Band on the Balance and Gait of Females over 65 years old)

  • 강달원;강미경;강은실;고유리;김다운;김대용;김정은;김원황;김자연;김환;정대인;김명훈;김상엽;이동진;김찬규;김현진
    • 대한물리치료과학회지
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    • 제18권1호
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    • pp.1-10
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    • 2011
  • Purpose: Study on the effect of the use of Proprioceptive Neuromuscular Facilitation(PNF) method by use of the direction and charge regulation which is the advantage of the Thera-band therapy on the walks and balances in old people and comparison with the result after applying the general PNF technique. Method: The study has been performed on 30 females over 65 years old. The study has been done by dividing the object group in 3 patterns, which are number 1, the comparison group of 10, two ones that are applied the PNF technique using Thera-band and third, the ones that are applied only the PNF technique. For the PNF and the Thera-band using PNF, we have divided the group into Combination of Isotonic technique and the Rhythmical stabilization technique according to the patient's acquaintance pattern and applied them to the patient's body. Evaluation was the balancing ability which was calculated by using the BIODEX Balance system / FRT and for the evaluation of walking ability, we have used the speed of walking for 10M / TUG. Result: In the comparison group of 10, the balancing ability and the walking ability did not change much before and after the experiment, which made it possible to compare the group with the other two easily(p>0.05). For the other two groups, we have recognized the enhancement both in the balancing ability and the walking ability, but they did not know much difference between themselves(p<0.05). Conclusion: Though there were not a big difference in the sense of improvement between the Thera-band using PNF and the PNF technique only, we could infer that these two therapy has enhanced much in the walking and balancing ability for people over 65 and through these result we can foresee that not only using the method shown in this study but also by using many advantages of Thera-band, we could diminish the tiredness of healer, enhance the efficiency of exercise in them and also by forming self training program for older people we could help them build the prevention program from falls.

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노인의 정보화 수준에 영향을 미치는 건강특성 연구 (The effect of health related characteristics on the use of information and communication technology of older adults)

  • 구본미;주익현
    • 한국노년학
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    • 제40권4호
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    • pp.729-746
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    • 2020
  • 노년기 건강과 삶의 질 증진을 목적으로 정보통신기술(Information and Communication Technology: ICT)을 개발하고, 효과적으로 활용하기 위해서는 사용자인 노인의 개인적 특성을 다각적으로 파악하는 것이 중요하다. 본 연구는 건강 관련 요인을 세부적으로 구분하여 노인의 건강특성과 연령집단별 정보화 수준을 비교하고, 정보화 수준에 영향을 미치는 건강특성을 연령집단별로 탐색하는 것을 목적으로 한다. 정보화 수준은 정보통신기술의 9가지 기능을 사용할 수 있는 능력으로 측정하였다. 본 연구는 2017년 노인실태조사 자료를 사용하였으며, 연구대상은 65세 이상 노인 총 10,058명이다. 분석결과, 첫째, 연령집단별로 정보화 수준의 차이를 살펴보면 전기 노인(65~74세)의 정보화 수준이 가장 높고, 그다음 중기 노인(75~84세), 후기 노인(85세 이상) 순이다. 둘째, 건강특성별로 정보화수준을 비교한 결과 진단받은 만성질환 수가 적을수록, 주관적 건강상태가 높을수록, 그리고 인지기능, 우울, 시력, 청력, 보행기능, IADL이 정상인 경우는 그렇지 않은 집단에 비해 정보화 수준이 높게 나타났다. 셋째, 노인의 정보화 수준에 영향을 미치는 유의미한 요인은 연령, 학력, 가구소득, 주관적 건강, 우울, 인지, 시력제한, 보행기능제한이었다. 넷째, 정보화 수준에 영향을 미치는 건강특성은 연령집단별로 차이가 존재하였다. 전기노인(65~74세)의 경우 주관적 건강, 우울, 인지기능, 보행기능제한, IADL장애가 유의미한 영향요인이며, 중기 노인(75~84세)의 경우는 주관적 건강, 우울, 인지기능, 시력제한, 청력제한, 보행제한이 유의미한 영향요인으로 나타났다. 후기 노인(85세 이상)은 정보화 수준이 다른 연령집단에 비해 매우 낮으며, 이에 따라 건강특성의 영향도 우울과 인지기능만 유의미하였다. 본 연구결과를 통해 노인의 건강관리와 삶의 질 증진을 위한 정보통신기술 개발 및 이를 활용한 개입프로그램을 마련할 때 다양한 건강특성에 대한 고려가 필요함을 제시하였다.

미니돼지 및 일반 돼지의 임신기, 분만 및 포유기 중의 모돈의 행동학적 특성 비교 (The Comparison of the Behavior between Miniature Pigs and Conventional Sows during Gestation to Lactation Period)

  • 강경원;최영환;김광호;김유용
    • Journal of Animal Science and Technology
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    • 제52권1호
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    • pp.57-64
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    • 2010
  • This study was conducted to compare the aspects of behavior between miniature pigs and conventional sows during gestation and lactation periods. Miniature pigs and conventional sows at 3 parity were used in this experiment with 4 pigs per treatment. The behavioral patterns and stereotyped behaviors were observed on day 60 and 90 of gestation, at farrowing, and on day 10 of lactation before and after the feeding. On 60 and 90 days of pregnancy, both treatments showed the tendency of frequent lateral lying rather than other postures. On ventral lying, eating and drinking, miniature pigs spent more time than conventional pigs at day 90 of gestation (P<0.01, P=0.0539, P<0.05, respectively). The occurrence of stereotyped behaviors included bar biting and bar mouth chewing. At 90 day of pregnancy was observed, conventional pigs was higher than miniature pigs (P<0.05). At farrowing, miniature pigs spent more time on ventral lying, standing and walking than conventional sows (P<0.05), however, there were more frequency of drinking and eating. And on day 10 of lactation, there was no significant difference in stereotyped behaviors between miniature pigs and conventional sows. In conclusion, miniature pigs were generally more sensitive than conventional sows although sows were reared in stall during gestation and lactation period and the behavioral pattern during lactating period showed the similarity between miniature pigs and conventional sows for protection of nursing pigs. In consideration of the general reproductive performance of conventional sows, the high sensitivity and stress of miniature pigs did not affect the reproductive performance of miniature pigs.

Carbon Catabolite Repression (CCR) of Expression of the XylanaseA Gene of Bacillus stearothermophilus No.236

  • Ha, Gyong-Sik;Choi, Il-Dong;Choi, Yong-Jin
    • Journal of Microbiology and Biotechnology
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    • 제11권1호
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    • pp.131-137
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    • 2001
  • Previous work has identified that only the catabolite responsive element A (creA; previously called cre-2) out of two potential cre sequences (cre-1: nucleotide +160 to +173 and cre-2: +173 to +186), recognized within the coding region of the xylanaseA gene (xynA) of Bacillus stearothermophilus No.236, was actually, was actually involved in the carbon catabolite repression(CCR) of xynA expression in B. subtilis. However, the level of CCR of xynA expression in the original B.stearothermophilus No.236 strain (70-fold repression). Therefore, to search for an additional cre element in the promoter region, the upstream region of the xynA gene was subcloned by chromosome walking, and as a result, another potential cre element (nucleotide -124∼-137; designated creB) was recognized in this region. The cre-like sequence revealed a high homology to the cre consensus sequence. The xylanase activity of B. subtilis MW15 bearing pWPBR14 (containing creA and creB) cultured in a medium containing xylose as the sole carbon source was about 7.7 times higher than that observed for the same culture containing glucose. B. subtilis MW15 bearing pWPBR23 (containing only creA) produced an activity about 2.4 times higher. This pattern of CCR was confirmed using derivatives of xynA::aprA fusion plasmids. Furthermore, a measurement of the amounts of the xynA transcript showed a similar pattern as that for the production of xylanase. In addition, the synthesis of xylanase in B. subtilis QB7115 [a catabolite control protein A (ccpA) mutant strain] carrying pWPBR14 was almost completely relieved from glucose repression. Together, these results lead to a conclusion that the CCR of the expression of the xynA gene is mediated by CcpA binding at creA and creB sites in B. subtilis.

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일상생활 동작 및 하네스 체중지지율에 따른 트레드밀 보행 시 하지 패턴에 관한 연구 (Study on Lower Extremities Activities Pattern of ADL and Treadmill Gait According to Harness Body-Weight Support Percentages)

  • 송성미;유창호;김경;김재준;송원경;홍철운;권대규
    • 재활복지공학회논문지
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    • 제9권4호
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    • pp.319-329
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    • 2015
  • 본 논문에서는 다자유도 동적 하네스 시스템 개발을 위해 일상동작에서와 트레드밀 보행 시 하네스 체중 지지에 따른 하지 동작 패턴에 관한 연구를 수행하였다. 건강한 성인 남성 5명을 대상으로 일상생활 동작과 하네스 체중지지에 따른 좌, 우 대퇴직근, 외측광근, 전경골근, 외측 비복근과 족압을 측정하였다. 실험 결과, 일상생활 동작 수행 시 EMG는 각 구분 동작들에 따른 특이적인 근육 활성을 나타내었다. 슬관절의 굴곡과 신전을 요하는 앉기, 서기, 계단 오르기, 계단 내리기 동작에서의 외측광근의 활성이 두드러졌다. 족압 분포의 경우 일상생활 동작 중 중력방향으로 내려오는 계단 내려오기 동작에서 가장 큰 족압 분포 값을 보였다. 수동형 하네스 체중 지지율이 증가에 따라 근육 활성도와 족압 분포 값은 감소하는 경향을 보였다. 이러한 결과를 토대로 체중지지를 통한 보행 훈련이 체중지지율 변화에 따라 다양한 환자 군에 적용 시킬 수 있을 것이다 판단된다.

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전신진동자극훈련을 병행한 PNF 결합패턴 훈련이 뇌졸중환자의 근력, 균형 및 보행에 미치는 효과 (The Effect of the PNF Pattern Combined with Whole-Body Vibration on Muscle Strength, Balance, and Gait in Patients with Stroke Hemiplegia)

  • 최광용;정희연;맹관철
    • PNF and Movement
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    • 제15권2호
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    • pp.185-194
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    • 2017
  • Purpose: The purpose of this study was to prove the effects of the PNF patterns combined with whole-body vibration (PWBV) training on muscle strength, balance, walking speed, and endurance in stroke patients. Methods: Sixteen subjects were randomly assigned to the PWBV group (n=8) and the whole-body vibration (WBV) group (n=8). The PWBV group performed PNF pattern exercises using sprinter combined with WBV, while the WBV group performed using squatting for 30 minutes. Both groups performed therapeutic interventions five days per week over a period of four weeks. The manual muscle test, timed up and go test (TUG), 10-meter walk test (10MWT), and six-minute walk test (6MWT) were used to assess the muscle strength, balance, and gait of the participants. The SPSS Ver. 19.0 statistical program was used for data processing. Statistical analysis included a pared t-test to compare the pre- and post-intervention, and an independent t-test was used to compare groups. The significance level was set as 0.05. Results: The PWBV group and WBV group showed significant improvements in the TUG, 10MWT, and 6MWT (P<0.05). Significant differences between the PWBV and WBV groups were found (P<0.05). Conclusion: The PWBV improved muscle strength, balance, gait speed, and endurance in stroke patients. Thus, PWBV may be suggested as a therapeutic intervention in patients with stroke hemiplegia.

고령자와 청장년층의 발바닥 압력분포에 따른 보행패턴 비교 분석 (Comparative Analysis on Gait Patterns of the Elderly and the Young Regarding to Foot Pressure)

  • 이경득;김대웅;유중현;김경훈;이태용;박광석;정기성;박승범
    • 한국운동역학회지
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    • 제21권1호
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    • pp.67-75
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    • 2011
  • The purpose of this study was to find the difference in gait patterns when elderly and young people walk by analyzing COP, Gait Line, Foot pressure pattern, and ensuring the original biomechanics technology of developing high performance footwear for the elderly. The subjects who took part in the test consist of 20 elderly people and 20 young people. The physical features of the elderly people that were recruited for the study are as below: 20 healthy male subjects(elderly people) with an average age of 75.43 yrs(S.D 6.46 yrs), weight of 68.10 kg(S.D 0.94 kg) and a height of 168.65 cm(S.D 1.47 cm). Foot pressure pattern data was collected using a EMED-AT system(Novel Gmbh, Germany) operating at the 50 Hz during walking. The results are as follow : COP route of the elderly leans to lateral compared to the young, and Gait Line from heel to toe is not clear and laterally curved. At the same time, a contact are aonthe midfoot is high compared to the young, and maximum force of the forefoot is low. As a result of analysis, in order to develop high performance footwear for the elderly, it is necessary to develop lasts and soles reflecting the elderly's gait patterns.

인간의 일상동작 인식을 위한 동작 데이터 모델링과 가시화 기법 (Activity Data Modeling and Visualization Method for Human Life Activity Recognition)

  • 최정인;용환승
    • 한국멀티미디어학회논문지
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    • 제15권8호
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    • pp.1059-1066
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    • 2012
  • 오늘날 스마트폰의 발전으로 스마트폰 내장 센서를 통해 사용자의 개인 정보를 쉽게 파악 할 수 있고 원한다면 사용자의 위치를 실시간으로 알아낼 수 있다. 그리하여 센서를 통해 추출된 데이터를 통해 동작인식과 생활 패턴 인식에 관한 연구가 급증하고 있다. 본 논문에서는 기존의 동작 인식 연구에서 추출되는 데이터를 정형화하기 위해 동작 데이터를 모델링하였다. 본 논문의 일상 동작 모델링은 이론적 분석이다. 동작을 크게 두 가지로 분류시켜 가속도 센서만으로 인식 가능한 기본 동작을 물리적 동작으로 정의하고 그 외 목적과 대상, 장소를 포함하는 모든 동작을 논리적 동작으로 분류시켰다. 모델링 된 데이터를 기반으로 각 동작의 특성에 맞게 가시화 하는 방안을 제안하였다. 본 연구를 통해 인간의 일상생활을 동작별로 간편하게 표준화 할 수 있고 기존의 동작 인식 연구에서 추출되는 동작 데이터를 사용자의 요구에 따라 가시화 할 수 있다.