• 제목/요약/키워드: Walking Program

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요가운동이 뇌졸중 환자의 균형과 보행속도에 미치는 영향 (The Effects of Yoga Exercise on Balance and Gait Velocity in Stroke Patient)

  • 송현승;김진영
    • 한국산학기술학회논문지
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    • 제14권1호
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    • pp.294-300
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    • 2013
  • 이 연구는 요가운동이 뇌졸중 환자에게 자가 운동 프로그램으로의 가능성을 확인하고자 요가운동을 적용하여 정적균형, 동적균형, 보행속도를 측정하였다. 뇌졸중으로 편마비 진단을 받은 입원 환자 18명을 대상으로 대조군과 요가운동군에 각각 9명씩 배정하여 주 3회 60분씩 8주간 요가운동을 실시하였다. 정적균형은 Tetrax를 사용하여 안정성지수(무게중심의 이동)와 체중분포지수를, 동적균형은 functional reach test(FRT)와 dynamic gait index(DGI)를, 보행속도는 10미터 보행 검사를 실시하였다. 그 결과 요가운동군에서 무게중심의 이동과 체중분포의 안정성, FRT와 DGI의 유의한 향상을 보였다. 대조군에서는 유의한 차이를 보이지 않았다. 보행속도에는 두 군 모두 유의한 차이를 보이지 않았다. 이는 요가운동이 뇌졸중 후 균형능력이 상실된 환자에게 체계적인 자가 운동 프로그램으로 적용 가능하다고 사료된다.

표면 전극용 기능적 전기자극 시스템의 개발 및 하반신 마비환자의 보행 (Development of a Transcutaneous FES System and Its Application to Paraplegic Walking)

  • 송동진;이정한;강곤
    • 대한의용생체공학회:의공학회지
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    • 제24권6호
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    • pp.523-531
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    • 2003
  • 본 연구에서는 표면 전극을 사용하는 8채널 전기자극 시스템을 개발하였고. 이 시스템을 이용하여 하반신 마비한자의 근력강화를 위한 전기자극 엑서사이즈와 FES 보행을 하였다. 본 연구에서 개발한 전기자극 시스템은 컴퓨터 프로그램, 전기자극기, 그리고 컴퓨터 프로그램과 전기자극기를 연결하는 통신부분으로 구성되어 있다. 컴퓨터 프로그램에서는 마우스를 이용하여 임의의 자극 패턴을 손쉽게 구성하고 편집학 수 있으며 이렇게 구성/편집된 자극 패턴은 동원곡선(recruitment curve)을 통하여 자극 파라미터로 변환된다. 자극 파라미터는 직렬통신을 이용하여 전기자극기에 전달된다. 전기자극기는 주제어부에 1개, 각 채널에 1개씩 총 9개의 마이크로프로세서로 구성되어 있다. 주제어부의 마이크로프로세서가 컴퓨터 프로그램과 통신을 하고 각 채널의 마이크로프로세서를 제어한다. 본 연구에서 개발한 기능적 전기자극 시스템으로 하반신 마비환자에게 100주 동안 전기자극 엑서사이즈를 실시한 결과 근력, 다리둘레, 그리고 피로저항성의 증가를 볼 수 있었다. 전기자극 엑서사이즈로 무릎신근(knee extensor muscle)이 체중을 지지한 수 있을 정도로 증가한 후에 FES 보행을 시작하였고, 현재 2분 동안 50m 이상 보행할 수 있다.

Physiological and psychological effects of nature-based outdoor activities on firefighters in South Korea

  • Sang-Eun Lee;Heon-Gyo Kwon;Jisu Hwang;Hyelim Lee;Dawou Joung;Bum-Jin Park
    • 농업과학연구
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    • 제51권1호
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    • pp.9-23
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    • 2024
  • This study investigates the physiological and psychological effects of a nature-based outdoor activity program in an environment reflecting the characteristics of forest and coastal areas on 30 firefighters (average age: 40.4 ± 9.8 years) who are frequently exposed to dangerous situations. Blood pressure, pulse pressure, and heart rate variability were used as physiological measurement indicators, and the Korean versions of PANAS (positive affect and negative affect schedule), WEMWBS (Warwick-Edinburgh mental well-being scale), and PRS (perceived restorativeness scale) were used as psychological measurement indicators. For four days and three nights, the participants experienced programs at Hallyeohaesang Nature Center and the surrounding mountains, seas, and islands, utilizing forest resources such as trekking on forest trails, walking barefoot, taking aromatic footbaths, meditating in forest oxygen domes, and lying on relaxation chairs, and programs utilizing marine resources such as taking a boat to an island, walking on forest trails with seascape views, and sailing on a yacht. Participants' systolic blood pressure and pulse pressure decreased, and participants' positive emotions increased and negative emotions decreased after the program. There was a statistically significant increase in mental well-being and perceived restorative environment. Through this study, it was found that nature-based outdoor activity programs based on forest and marine resources are effective in physiological and psychological stability of firefighters. It is hoped that the results of this study will be applied to other high-risk workers for PTSD, who have high stress levels, by combining forest healing and marine healing, and expanding the scope and diversity of programs in more diverse environments and conditions.

Gait Training Strategy Focusing on Perceptual Learning for Improved Gait Capacity in Stroke Survivors

  • Jung, Jee Woon
    • The Journal of Korean Physical Therapy
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    • 제32권5호
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    • pp.283-289
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    • 2020
  • Objective: The purpose of this study was to determine the force of lower extremities, the change in walking ability on the ground by applying a walking training program based on perceptual learning to improve gait capacity of chronic stroke patients. Method: This study included Twenty-four patients with chronic stroke. Using a perceptual-based gait training, the experimental group trained twice a day for 30 minutes each time, 5 times a week, for a total of 8 weeks. The control group underwent ground gait training that excluded the element of a perceptual training for 30 minutes, 5 times a week for 8 weeks. Results: In the two groups, the maximum forefoot pressure after intervention was significantly different in both the LEPGT and GGT (p<0.05). The maximum midfoot pressure was significantly different in LEPGT (p<0.05). There was a significant difference in the maximum heel pressure after intervention between the two groups (p<0.05). As a result of comparing the change in step length and stride length after intervention in the two groups, there was a significant difference between the two groups (p<0.05). Conclusion: Both gait training programs was found that gait training based on perceptual learning and ground gait training were the training for improving the functional gait of stroke patient. Perceptual learning gait training utilizing intensive perceptual awareness was the training for improving gait capacity within the period than ground gait training.

보행 시 지지면 급변에 따른 연령별 운동학적 반응 형태 비교 (Comparison of Gait Pattern during the Support Phase after Perturbation According to Age)

  • 천영진;신인식
    • 한국운동역학회지
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    • 제21권3호
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    • pp.281-288
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    • 2011
  • The purpose of this study was to analyze the difference in reaction patterns during the support phase after perturbation in gait according to different age. A total of 12 subjects participated; 5 elderly and 7 adults(control), to investigate the differences between normal and perturbed gait. The step length didn't change during normal and perturbed gait but was longer in the control group. There was no difference in the step width. When the right foot was perturbed, the control group's left foot speed was faster than the elderly group's which was to maintain stability. The elderly flexed both right and left knees more than the control group. After the perturbation, the elderly group had a larger trunk anterior flexion. With the larger flexion of both legs of the elderly group it shows that the lack of knee flexion strength is a factor, that could cause falling and so a prevention program should focus on strengthening the quadriceps. With the excessive trunk flexion after the perturbation by the elderly group observed, it is suggested that while walking everyday a good routine of walking with an upright posture should be developed.

도시공간구조 유형별 초등학교 통학로 실태 및 안전도 영향규명 연구 (An Investigation on Actual Condition and the Influence of Safety on Elementary School Road by Types of Urban Spatial Structure)

  • 김태호;김승현;이수일
    • 한국안전학회지
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    • 제28권5호
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    • pp.71-77
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    • 2013
  • This Study aims at investigating actual condition on attending school road of children and analyzing empirically the characteristics of cognition and the influence of safety on school road. This study findings are as follows : 1) Walking alone to go to school is the highest rates among Commuting Mode, and Commuting distance to school is nearly doubles than range of school zone(300 m). 2) Among characteristics of urban spatial structure affecting on influence classify safety of school road, 'Commuting Distance' has been drawn to most influential variable. Especially, there are 4 types classified by commuting distance and it became obvious that the longer the distance, the lower the safety score(under 127 m=76.9 points, Over 451 m=58.3 points). 3) As a result of investigating the influence of Safety on attending school road, Vehicle commuting speed urder 127 m as internal of school zone, and Walking and crossing convenience over 451 m as external of school zone have a lot of influence on safety cognition on school road. Therefore Safety on school road should be considering the commuting distance to school among surrounding characteristics, needed for improvement plan and program based on real safety cognition of children.

수술 전 슬관절 치환술 환자의 규칙적 운동 관련인자 (Factors Affecting Regular Exercise among Patients with Osteoarthritis before Total Knee Replacement)

  • 유지형;이해정
    • 동서간호학연구지
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    • 제21권1호
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    • pp.43-51
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    • 2015
  • Purpose: This study was to identify factors to regular exercise among patients with osteoarthritis prior to total knee replacement. Methods: For this cross-sectional descriptive study, the data were collected using questionnaires from 136 patients scheduled for total knee replacement from July 2014 to December. This study aimed to analyse regular exercise status, intensity of physical activity, and factors affecting regular exercise. Results: Twenty two percent of patients expecting for total knee replacement are performing regular exercise and the intensity of it was very low. The use of walking aids, 6-minute walk test, self efficacy for exercise and pain, and quality of life (mental) were significantly associated with regular exercise before surgery. Factors affecting regular exercise were self efficacy for exercise (OR=1.059, CI=1.037-1.091) and 6 minutes walking distance (OR=1.007, CI=1.001-1.014). Conclusion: The results suggest that pre-surgery programs for physical activity and self efficacy were necessary for patients expecting total knee replacement. Regular exercise program could be beneficial for better outcomes after total knee replacement.

3차원 동작인식기술을 적용한 어린이 교통안전교육 체감형 기능성 게임디자인 연구 (A Study of the Physical Experience Using Serious Game Design Traffic Safety Education for Children applied using 3D Depth Gesture Recognition Technology)

  • 장창익
    • 한국게임학회 논문지
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    • 제12권6호
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    • pp.5-14
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    • 2012
  • 일상생활을 살아나가면서 발생하는 안전사고 중에 어린이에게 가장 위협적인 사고는 보행 중 발생하는 교통사고이다. 사고발생 후의 대책이나 처리보다 사고를 미연에 방지하기 위해 어린이 스스로 몸을 유지할 수 있는 안전에 대한 바른 습관 및 태도를 형성시켜주는 교통안전 교육이 강조되야 한다. 본 논문에서는 기능성게임으로서 교통안전교육을 가장 효율적으로 학습할 수 있는 방안의 하나로 어린이의 몸을 활용해 교통안전 준수체험 교육훈련을 할 수 있는 체감형 교통안전교육게임을 설계해보고 3차원 동작인식기술을 다양한 기능성게임에 적용할 수 있는 가능성을 제시하였다.

협응이동훈련이 아동의 자세 불균형과 보행에 미치는 영향 : 단일사례설계 (Effect of Coordinative Locomotor Training on Postural Imbalance and Gait in Children : A Single Subject Design)

  • 이정아;김진철
    • 대한물리의학회지
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    • 제14권3호
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    • pp.63-71
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    • 2019
  • PURPOSE: This study was examined the effects of coordinative locomotor training (CLT) on the postural imbalance and gait in children. METHODS: Four children were sampled as subjects. A single subject study (A-B-A') was conducted by measuring the following: baseline five sessions;, intervention phase, 15 sessions;, and postline (A') five sessions. The research period was eight weeks. The CLT program consisted of warming-up exercise, main exercise, and finishing exercise, and it was performed for one hour per day. A oneleg standing test (OLST) was performed determine the static balance. A functional reach test (FRT) was performed determine the reactionary balance. To determine the dynamic balance, the time up and go test (TUG) was performed. A 10m walking test (10 MWT) was performed to determine the walking ability. A statistical test was performed through descriptive statistics to present the average and standard deviation, and the variation rate was compared using a visual analysis method with graphs. RESULTS: As a result of CLT application, all four subjects improved the OLST, FRT, TUG, and 10 MWT compared to the intervention period baseline, and postline period. CONCLUSION: CLT appeared to improve the posture imbalance and gait in children.

PNF를 이용한 보행 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 영향(단일사례설계) (Effect of Gait Training Using PNF on Balance and Walking Ability in Person with Chronic Stroke(Single Subject Design))

  • 이문규;윤태원;김윤환;임재헌
    • PNF and Movement
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    • 제10권1호
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    • pp.43-52
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    • 2012
  • Purpose : The purpose of this study was to observe the effect of a gait training using PNF on a gait and balance ability of a person with chronic stroke. Methods : The subject was left hemiplegia due to cerebral infarction. The subject participated in PNF gait training session as well as baseline for 30 minutes a day for 4 weeks. we used the 10-meter walking test(10MWT), figure-8-of walk test(F8WT), dynamic gait index(DGI) for measuring the gait ability and four square step test(FSST), Berg balance scale(BBS) for measuring the balance ability through the whole sessions. Results : The gait ability was enhanced compared to first baseline, as measured by 10MWT(27.3%), F8WT(36.6%), DGI(8 points increased). The balance ability was improved compared to first baseline, as measured by FSST(49.1%), BBS(10 points increased). The increase was maintained in second baseline session. Conclusion : The PNF gait training program is helpful to enhance the adaptation of the gait and balance according to the various environmental demands.