• 대한물리의학회지
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• 제6권4호
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• pp.437-445
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• 2011

Purpose : The purpose of this study was to analysis on diaphragm thickness and lung function of stroke patients by walking ability. Methods : We recruited thirty-five adults after stroke(20 male, 15 female) for our study. The subjects were divided into two groups; independent walking group(11 male, 9 female) and non-independent walking group(9 male, 6 female). Assessment of diaphragm thickness was performed using ultrasound in B-mode with a 7.5 MHz linea probe. During the experiment, the subject was seated in the chair. All subjects performed maximal expiratory flow maneuvers using a spirometer in order to determine the forced expiratory volume in 1 second ($FEV_1$), forced vital capacity(FVC), peak expiratory flow(PEF) and $FEV_1$/FVC. Chest expansion was measured with a tape-measure placed circumferentially around the chest wall at the xiphoid process. The collected data analyzed by independent t-test. Results : The diaphragm thickness were significant differences between the independent walking and nonindependent walking group. Values of forced vital capacity, forced expiratory volume at one second, peak expiratory flow in pulmonary function tests were significant differences between the independent walking and non-independent walking group. However, chest expansion were not significant differences in both of the group. Conclusion : This study showed that walking ability of stroke patients have influenced on diaphragm thickness and pulmonary function.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.517-525
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• 2022

Objective: The rehabilitation protocols for functional recovery have been emphasized after total knee arthroplasty, and Pilates is in the spotlight as a safe and easily modified exercise method. The purpose of this study was to investigate the effects of mat Pilates exercise on lower extremity function, postural balance, and walking in the individuals with total knee arthroplasty. Design: One group pretest-posttest design. Methods: Eighteen older women with unilateral total knee arthroplasty was recruited in the study. The subjects were evaluated on lower extremity function, postural balance, and walking before and after mat Pilates exercise. All subject performed one hour mat Pilates exercise, 3 times a week for 8 weeks. Mat Pilates exercises were focused on core stability and lower extremity strengthening and, more dynamic movements were added to increase the difficulty of movements every two weeks. The lower extremity function was measured using the Western Ontario and McMaster Osteoarthritis Index (WOMAC), knee joint position sense, and five times sit-to-stand test. Postural balance was assessed by single leg stance test, functional reach test, and timed up and go test. Walking was measured by OptoGait system to temporospatial parameter. Results: The lower extremity function, postural balance, and walking were significantly improved after mat Pilates exercise, except for five times sit-to-stand test (p<0.05). Conclusions: This study demonstrated that the mat Pilates exercise was a useful method to improve lower extremity function, postural balance, and walking in the older women with unilateral total knee arthroplasty.

• 대한간호학회지
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• 제43권4호
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• pp.536-546
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• 2013

Purpose: The purpose of this study was to determine whether walking exercise improved physical function in elderly people using meta-analysis. Methods: Medical and nursing literature databases were searched to identify the studies on the effectiveness of walking exercise on physical function. In the databases, there were 16 articles reporting 21 interventions. Overall effect sizes for three outcome variables, elders' physical function in lower limb muscle endurance, whole body endurance and upper body flexibility, were calculated. Effects of study characteristics on outcome variables were analyzed. Results: The meta-analysis showed that walking exercise generally had positive effects on CST (chair stand test), 6MW (6 min walking), and SRT (standing or sitting reach test) with overall weighted effect sizes of 1.06, 0.41 and 0.29 respectively. This study also showed that the chronic disease status of the elders, intervention methods, and type of residence had different effects on CST, 6MW and SRT. Conclusion: The results indicate that walking exercise improves physical function in elders. Walking exercise which can be done at any time and any location is indeed a very effective exercise for elderly people.

• 한국전문물리치료학회지
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• 제20권3호
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• pp.9-18
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• 2013

The study aimed to compare the effect of the treadmill walking training combined with obstacle-crossing (TWT-OC) and treadmill walking training (TWT) on the walking function of patients with chronic stroke. 29 subjects volunteered to participate in this study; they were randomly assigned to either TWT-OC group (15 subjects) or TWT group (14 subjects). Subjects from the TWT-OC group underwent a treadmill walking combined with obstacles-crossing for 30 minutes daily, three days a week for four weeks, whereas subjects from the TWT group received only a treadmill walking. The 10 m walk test (10MWT), 6-min walk test (6MWT), berg balance scale (BBS), timed up and go test (TUG), activities-specific balance confidence-Korean version (ABC-K), and walking ability questionnaire (WAQ) were measured before and after the 4-week training. The TWT-OC group showed significantly better functional mobility of walking and balance measured by 6MWT (p<.01), BBS (p<.01), and TUG scores (p<.05) when compared with those of the TWT group. Further, within-group comparison showed significant improvement in all variables (p<.01) except for 10MWT. These findings suggest that the TWT-OC and TWT may be helpful for improving the walking function of patients with chronic stroke, and the TWT-OC has probably more favorable outcomes for chronic stroke, however, further trials with wider range of subjects are warranted for generalization and clinical relevance.

• The Journal of Korean Physical Therapy
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• 제23권3호
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• pp.13-19
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• 2011

Purpose: In real life there are both straight-paths and curved-paths. To evaluate walking ability of both kinds, a figure-8 walking test (F8WT) was developed. The aim of this study was to validate the measure in hemiplegic patients with walking difficulties and to identify correlations of curved walking ability with straight walking ability, motor function, and walking performance ability. Methods: Twenty subjects participated in this study. Curved walking was measured by a F8WT. Straight walking ability was measured by a 10-meter walking test (10MWT). Dynamic balancea bility was measured by timed up and go (TUG) tests. Walking performance ability was measured using a modified motor assessment scale (MMAS). Motor function was measured by the Fugl-Meyer assessment (FMA) scale. Data were analyzed using Pearson correlation analysis. Linear regression analyses were performed to explore other functional tests in mobility ability by F8WT time, 10MWT (dependent variable). Results: There was a significant positive correlation of F8WT time with 10MWT and TUG. There was a significant negative correlation of F8WT time with MMAS and FMA-coordination. There was a significant positive correlation of 10MWT with TUG. There was a significant negative correlation of 10MWT with MMAS and FMA-coordination. The F8WT time for curved walking ability was attributed to 10MWT for straight walking ability as 94% level of contribution. Conclusion: The results suggest that the F8WT is a good instrument for measuring walking ability because there is a robust correlation of F8WT time with 10MWT, TUG, MMAS, and FMA-coordination in hemiplegic patients who, after stroke, have a mobility deficiency.

• 대한조선학회논문집
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• 제50권5호
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• pp.307-313
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• 2013

This paper presents a simulation for passenger ship evacuation considering determination of evacuating direction based on walking direction potential function. In order to determine walking direction of a passenger, his/her position in two dimensional plane was adopted as a design variable, and fixed boundaries such as walls and obstacles were adopted as constraints. To solve this optimum problem, a walking direction potential function was adopted as an objective function. This potential function was configured as a kind of penalty function and it contained two components. One is a potential function concerned with the distance to the destination, and other is a potential function based on the effect of walls and obstacles. To determine evacuating direction, this problem was solved by minimizing the walking direction potential function every unit time during the simulation. The crowd behavior of the passenger consisted of the flock behavior, a form of collective behavior of a large number of interacting passengers with a common group. With the proposed algorithm, the test problems in International Maritime Organization, Maritime Safety Committee/Circulation 1238(IMO MSC/Circ.1238) were implemented and the direction of passengers and total evacuation time was analyzed.

• 국제학술발표논문집
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• The 9th International Conference on Construction Engineering and Project Management
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• pp.863-870
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• 2022

Unsatisfactory urban walking environment stresses urban residents, and may cause mental illness and chronic diseases by reducing walking activities. Therefore, establishing a high-quality walking environment that can promote walking activities in urban residents has emerged as an important issue. The walking environment consists of various components, such as trees, stairs, streetlights, benches, signs, fences, and facilities, and it is essential to understand which components and their settings act as satisfiers or dissatisfiers for pedestrians, to create a better quality walking environment. Therefore, this study investigated pedestrian satisfaction and dissatisfaction as a function of various environmental components through a survey using walking environment images. The results revealed that most of the walking environment components except the braille block and treezone exhibited significant correlations with pedestrian satisfaction. Particularly, safety-related component (e.g., adjacent roads, parked cars, traffic cushions, and car separation), and landscape-related components (e.g., trees and green), as well as the material settings of landscape facilities (e.g., wooden fences, benches, stairs, and walkway surfaces) correlated with pedestrian satisfaction. The results of this study can contribute to the extraction of useful features to evaluate pedestrian satisfaction as a function of the walking environment. The research outcome is expected to assist in the effective arrangement of walking environment components and their settings, which will ultimately contribute to significantly satisfactory walking environment and encourage walking activities.

• 한국ITS학회 논문지
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• 제18권2호
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• pp.93-103
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• 2019

본 연구에서는 대전광역시 내의 보행로 2개소를 대상으로 보행 중 스마트폰 사용이 보행속도에 미치는 영향을 분석하였다. 분석을 위해 스마트폰 사용실태에 대한 영상자료를 취득하고 도로용량편람에서 제시한 보행자 서비스수준의 보행밀도를 기준으로 보행속도를 산정하였다. 보행속도에 미치는 영향을 분석하기 위한 방법으로는 기계학습을 통한 다중회귀분석과 의사결정나무(Decision tree)를 활용하였으며, 설명변수로는 성별, 스마트폰 미사용, 청각을 이용한 스마트폰 사용, 시각을 이용한 스마트폰 사용, 서비스수준A, 서비스수준B, 서비스수준C가 선정되었다. 분석결과 서비스수준C가 보행속도 변화에 가장 높은 영향을 미치는 것으로 나타났으며, 서비스수준C에서 시각을 활용해 스마트폰을 이용한 여성그룹이 가장 낮은 속도로 보행하는 것으로 나타났다. 특히 음악 감상이나 통화와 같은 청각을 이용한 유형보다 시각을 이용하는 경우 대부분의 경우에서 보행속도가 크게 저하되며 통계적으로 유의한 차이가 있음을 확인하였다.

• The Journal of Korean Physical Therapy
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• 제36권1호
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• pp.27-32
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• 2024

Purpose: This study was conducted to verify the effect of applying a pressure biofeedback unit on walking ability and knee joint function while performing knee joint extensor strengthening exercises using resistance exercise equipment in total knee replacement (TKR) patients. Methods: This study was conducted on twelve patients receiving rehabilitation treatment after being admitted to a rehabilitation hospital post-TKR. Of these, six were allocated to a feedback group with a pressure biofeedback unit, and the other 6 were allocated to a control group without a pressure biofeedback unit. The subjects performed an exercise program for 45 minutes per session, five times a week, for two weeks. Walking ability and knee joint function were evaluated and analyzed before and after exercise. Results: The feedback group showed significantly better improvements in walking speed, gait cycle, step length on the non-operation side, time on the foot on the operation side, K-WOMAC stiffness, and K-WOMAC function than the control group (p<0.05). Conclusion: When strengthening the knee joint extensor muscles using resistance exercise equipment in TKR patients, the provision of a pressure biofeedback unit was found to improve walking ability and knee joint function by inducing concentric-eccentric contraction of the knee joint extensor muscles. Therefore, the study shows that exercise based on the provision of a pressure biofeedback unit should be considered when strengthening knee joint extensor muscles to improve the walking ability and knee joint function of TKR patients in clinical practice.

• The Journal of Korean Physical Therapy
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• 제29권2호
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• pp.50-54
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• 2017

Purpose: This investigation aimed to determine the effects of treadmill training (TT) and high frequency chest wall oscillation (HFCWO) on pulmonary function and walking ability in stroke patients as well as propose an exercise program to improve cardiovascular function. Methods: Twenty hemiplegic stroke patients were randomized to either the control group (CG) (n=10) or the experimental group (EG), which received TT and HFCWO (n=10). Pulmonary function was quantitated using patient forced vital capacity (FVC) and forced expiratory volume at one second (FEV1) while walking speed was assessed by the 10m walking test (10MWT). Further, walking endurance was determined utilizing the 6-minute walk test (6MWT). Subjects of the EG performed the study protocol for 60 minutes, five times a week for six weeks; CG patients did not participate in regular exercise. To determine significance for the differences observed before and after exercise, within-group and between-group comparisons were conducted utilizing paired and independent t-tests, respectively, with the level of significance set at ${\alpha}=0.05$. Results: Within-groups, significant differences were observed in both FVC and FEV1 (p<0.01) following completion of the study protocol. Further, between-group comparisons demonstrated significant differences in both FVC (p<0.05) and FEV1 (p<0.01). Post-exercise, significant changes in the 10MWT and 6MWT score were observed between the EG and CG (p<0.01). Further, statistically significant differences were observed in 6MWT scores between-groups (p<0.05). Conclusion: The TT and HFCWO effectively improved pulmonary function and walking ability in subjects with stroke. The proposed program can be applied to stroke patients as a useful therapy.