• Title/Summary/Keyword: Walking capacity

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The Effects of Gait Performance and Respiratory of Backward Walking in Body Weight Supported Treadmill on Incomplete Spinal Cord Injury: A Case Study (체중지지 트레드밀 후방 보행 훈련이 불완전 척수 손상 환자의 보행과 호흡에 미치는 효과: 단일사례연구)

  • Kim, Sung-Hoon;Choi, Jong-Duk
    • PNF and Movement
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    • v.11 no.2
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    • pp.103-110
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    • 2013
  • Purpose : The aim of study was to assess the effect of backward walking combined with body weight supported treadmill training for patients with spinal cord injury. Methods : Forced vital capacity(FVC), forced expiratory volume at one second(FEV1), peak expiratory flow(PEF) and FEV1/FVC ratio(FER) were measured with a spirometer for on subject of T12 spinal cord injury. 10 meter walking test(10MWT), timed up & go test(TUG) and 6-Minute walking test(6MWT) were the measured. Intervention consisted of backward walking combined with body weight supported treadmill training five times a week for 12 weeks. Results : The date of 10MWT, TUG, 6MWT were improved. Furthermore, the date of PEF, FEV1, FVC, FER showed a improvement. Conclusion : Backward walking combined with body weight supported treadmill training may be a better and more effective method for gait performance and respiratory on incomplete spinal cord injury.

The Effects of Walking-Support Program on the Pulmonary Ventilatory Functions of Elders Following Upper-abdominal Surgery (수술 후 보행지지 프로그램이 노인 상복부 수술환자의 폐 환기능 회복에 미치는 효과)

  • Park, Hyoung-Sook;Kim, Nam-Hee;Kim, Eun-Sim
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.2
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    • pp.214-222
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    • 2009
  • Purpose: The purpose of this study was to evaluate the effects of a walking-support program on the pulmonary ventilatory functions of elderly people who had undergone upper-abdominal surgery. Method: The study was a quasi-experimental research design. There were 26 partcipants who were admitted for upper-abdominal surgery to P University Hospital in B city. Walking exercise education was provided individually to the experimental group the day before their operation and 20 minutes a day for five days after the surgery using the 'Walking Exercise Guide Document'. Pulmonary ventilatory function was with FVC (Forced Vital Capacity), PEF (Peak Expiratory Flow), FEVI (Forced Expiratory Volume in 1 Second), FER (Forced Expiratory Ratio), Oxygen Saturation, and VAS (Visual Analog Scale). Results: The objective indexes of pulmonary ventilatory function were not significantly different between the two groups, but the subjective index was significantly different. Conclusion: With the above results, the walking support program could be an effective nursing intervention for improving pulmonary ventilatory function of surgical patients.

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Effects of Smartphone Usage on Walking Speed using Machine Learning Method (기계학습을 이용한 스마트폰 이용이 보행속도에 미치는 영향 분석)

  • Jin, Hye ryun;Do, Myung sik
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.18 no.2
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    • pp.93-103
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    • 2019
  • This study analyzed the impact of smartphone usage on walking speed during walking on two pedestrian walkways in Daejeon Metropolitan City. For the analysis, the video data about the actual use of smartphone was acquired and the walking speed was calculated based on the walking density of the pedestrian Level Of Service(LOS) presented in the Road Capacity Manual. Multiple regression analysis and decision tree using machine learning were used to analyze the impact of smartphone usage on walking speed, and as the explanatory variables, gender, disable smartphone, use of smartphone using auditory function, use of smartphone using visual function, LOS A, LOS B, LOS C were adopted. The result showed that LOS C had the highest impact on walking speed change and the women's group using their visual function was founded to have the slowest walking speed in LOS C. In particular, the author found that walking speed significantly decreased in the case of use of visual function rather than listening to music or the hearing on the phone.

A Study on the Optimal Gate Assignment with Transit Passenger in Hub Airport (허브 공항의 환승객을 고려한 최적 주기장 배정에 관한 연구)

  • Lee Hui Nam;Lee Chang Ho
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2003.05a
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    • pp.402-408
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    • 2003
  • Now many major airports in the world which operate strategic alliance or Hub & Spoke system have met capacity restriction and confusion problems. And the time and the walking distance for boarding to flight are important standard to measure customer convenience. And the effective gate assignment guarantees customers convenience as well as increasing airport capacity without expanding established airport equipments. So it can be a major concern to manage airports. So this paper formulate gate assignment problem in the hub airport not quadratic assignment problem but a improved single-period integer problem which is minimize local and transit passengers I walking distance. As a result, this study will present a method producing optimal gate assignment result using optimization software. We use real flights and gates data in the national airport, so we will compare a assignment results with a real airport assignment results and previous researches and analyze those results.

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Development of Torque Sensor for Measurement of Knee Joint Torque of Walking Assist Robot in Stroke Patients (뇌졸중환자 보행보조로봇의 무릎관절 토크측정을 위한 토크센서 개발)

  • Park, Jeong-Hyeon;Kim, Gab-Soon
    • Journal of Sensor Science and Technology
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    • v.27 no.2
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    • pp.105-111
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    • 2018
  • In this paper, a torque sensor is designed and fabricated to measure the knee joint torque of a walking assist robot for stroke patients. The torque sensor sensing part was modeled on the link of the part connected to the knee joint motor. The torque capacity of the knee joint was calculated by simulation and the size of the torque sensor sensing part was designed using the finite element method. The torque sensor was fabricated by attaching a strain gauge to the sensing part. Characteristic experiments were conducted to characterize the torque sensor, and the torque sensor was calibrated to utilize it for the control of the walking assist robot. As a result of the characteristics test, the reproducibility error and the nonlinearity error of the torque sensor were 0.03% and 0.04%, respectively. Therefore, it is considered that the developed torque sensor can be used to measure the torque applied to the knee joint when walking on a walking assist robot.

Validity and Reliability on the Walking Index for Spinal Cord Injury in the walking assessment of the SCI patient (척수손상환자에서 보행 기능 평가도구인 WISCI II의 타당도와 신뢰도)

  • Lee Hyoung-Soo;Jeong Chan-Ju;Yang Hoi-song;Shin Young-Il
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.142-151
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    • 2004
  • The purpose of this study was to determine the validity and the reliability of the WISCI II to ascertain its value in the walking function evaluation of spinal cord injury patient. The WISCI II consists of 20 variables with a total valus ranging from 6 to 20 score. A group of 23 spinal cord injury patient were included in this study. To determine the validity, kappa statistics between the WISCI II and SCIM II were measured. The result of this study are as follows: 1) In the validity study, the kappa statistics between the WISCI II and SCIM II were 0.79 and 0.84 for an initial total score and a discharge total score respectively, indicating a reasonable agreement between the two test. 2) In the reliability study, the Cronbach's alpha coefficient was 0.83 and 0.95 for total score indicating a good internal consistency. The finding suggest that the WISCI II demonstrated an acceptable validity and reliabilit for the evaluation of walking function capacity of spinal cord injury patient in clinical practice.

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Comparison of Two Treadmill Gait Training Techniques on the Gait and Respiratory Function in Stroke Patients

  • Park, Sung-Hun;Kim, Nan-Hyang;Cha, Yong-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.47-54
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    • 2020
  • PURPOSE: This study compared two different techniques of treadmill gait training, and evaluated the outcomes on gait and respiratory function in patients with hemiplegic stroke. METHODS: This was a single-blinded, randomized, controlled, comparative study, enrolling a total of 21 stroke patients in a rehabilitation hospital. Subjects were randomly assigned to either the treadmill walking training group with gradual speed increase (GSI group, n = 10), or treadmill walking training group with random speed changing (RSC group, n = 11). All participants performed 60 min of comprehensive rehabilitation therapy (5 × / week for 6 weeks). In additional, each group received either GSI or RSC treadmill walking training for 20 min (5 × / week for 6 weeks, total 30 sessions). Gait and respiratory function were measured before and after the 6-week training. RESULTS: Both groups showed significant improvements in the 10-m walking test, 6-minute walking test, timed up and go test, forced vital capacity (FVC), forced expiratory volume in 1 second, and maximal voluntary ventilation after training (p < .05). The GSI group showed a significantly greater increase in the FVC than the RSC group (+14.8 L vs. +12.5 L, p < .05). CONCLUSION: Both training methods can be effective for improving the walking and respiratory functions of stroke patients. However, our results indicate that treadmill walking training with gradual speed increase might be a more effective method for improving the respiratory function (FVC) than treadmill walking training with random speed changing.

Effect of Trans Cranial Directed Current Stimulus on Lower Extremity Muscle Activation and Walking Capacity for Hemiparalysis Patients (편마비 환자에게 적용된 경두개직류자극이 하지 근 활성도 및 보행능력에 미치는 영향)

  • Lee, Yeon-Seop
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.2
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    • pp.105-113
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    • 2022
  • Purpose: The purpose of this study is to investigate the effect of non-invasive transcranial direct current stimulation (tDCS) on muscle activity, including 10 m WT, TUG, and BBS, in hemiplegic stroke patients. Methods: This study was conducted on 42 inpatients diagnosed with hemiplegia due to stroke at hospital B in Daejeon for more than 6 months. Walking training was conducted for six weeks, five times a week for 30 minutes, with a general walking group (14 people), tDCS walking group (14 people), and tDCS (sham) walking group (14 people). Results: As a result of the study, the change in the muscle activity before and after tDCS intervention was significantly increased in the tibialis anterior muscle in the CG group. In the EG group, the erector spine (lumbar), rectus femoris, and tibialis anterior muscles significantly increased. In the SEG group, significant increases were observed in the rectus femoris and tibialis anterior muscles. Significant differences were found in the rectus femoris and tibialis anterior muscles in the comparison between groups after intervention according to tDCS application. Also, 10 m WT, TUG, and BBS were significantly increased in the CG, EG, and SEG groups after intervention, and there were significant differences in 10 m WT, TUG, and BBS in comparison between groups after intervention according to tDCS application. Conclusion: As a result, tDCS is an effective in improving the walking ability of stroke patients, and in particular, it effectively increases the muscle activity of the rectus femoris and tibialis anterior muscles, which act directly on walking, and also improves the speed and stability of walking. It is considered being an effective method to increase the gait of stroke patients by combining it with the existing gait training.

Walking test for assessing lung function and exercise performance in patients with cardiopulmonary disease (심폐질환 환자에서 걷기검사를 이용한 폐기능 및 운동기능의 평가)

  • Jung, Hye Kyung;Chang, Jung Hyun;Cheon, Seon Hee
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.6
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    • pp.976-986
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    • 1996
  • BACKGROUND : Dyspnea is common among patients with cardiopulmonary disease, and "daily disability" is defined as a functional impairment resulting from exercise intolerance. The maximal oxygen uptake(VO2max) during exhausting work is not only the best single physical indicator of the capacity of a man for sustaining hard muscular work, but also the most objective method by which one can determine the physical fitness of an individual as reflected by his cardiovascular system. However, the expense, time and personnel requirements make this procedure prohibitive for testing large group. The walking test is well-known type of exercise and it cost nothing to perform and have good reproducibility. Thus we performed the walking test and investigated correlations with spirometry, ABG and exercise test. METHOD: We observed the walking test and exercise test by cycle ergometer in 37 patients who visited our hospital because of dyspnea. Arterial blood gas analysis and spiromety, dyspnea index were performed, too. RESULT : (1) The VO2max was significantly lower in patients with COPD and cardiovascular disease than asthma and dyspnea on exertion group(p<0.05). The walking test distance was also lower in former. (2) The 12 minute walking test was significantly correlated with VO2max, PaCO2, FVC(%), FEV1(%) in all patients(p<0.05), and the walking test was only conelated with VO2max in patients with COPD(p<0.05). (3) In COPD patients, the VO2max was best correlated with FEV1(%) and FVC(%) and significantly correlated with walking test. But there was no correlation between walking test and FEV1(%) & FVC(%). (4) The 6 minute walking test was well correlated with 12 minute walking test(r=0.92. p<0.01). CONCLUSION : The walking test is the simple method for assessing exercise performance in patient with cardiopulmonary disease and a reliable indicator for VO2max. And the walking test is practical method for assessing on everyday disability rather than maximal exercise capacity. The 6 minute walking test is highly correlated with 12 minute walking test and a less exhausting for the patients and a time-saving for the investigator.

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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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    • v.32 no.5
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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.