• Title/Summary/Keyword: Walking function

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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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Use of Support Vector Regression in Stable Trajectory Generation for Walking Humanoid Robots

  • Kim, Dong-Won;Seo, Sam-Jun;De Silva, Clarence W.;Park, Gwi-Tae
    • ETRI Journal
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    • v.31 no.5
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    • pp.565-575
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    • 2009
  • This paper concerns the use of support vector regression (SVR), which is based on the kernel method for learning from examples, in identification of walking robots. To handle complex dynamics in humanoid robot and realize stable walking, this paper develops and implements two types of reference natural motions for a humanoid, namely, walking trajectories on a flat floor and on an ascending slope. Next, SVR is applied to model stable walking motions by considering these actual motions. Three kinds of kernels, namely, linear, polynomial, and radial basis function (RBF), are considered, and the results from these kernels are compared and evaluated. The results show that the SVR approach works well, and SVR with the RBF kernel function provides the best performance. Plus, it can be effectively applied to model and control a practical biped walking robot.

The Effects of Dual Task Training According to Variability of Walking Environment on Balance, Gait and Function of Stroke Patients (보행환경 가변성에 따른 이중과제 훈련이 뇌졸중 환자의 균형, 보행 및 기능에 미치는 영향)

  • Kim, Su-Jin;Lee, Hyo-Jeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.2
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    • pp.23-33
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    • 2021
  • Purpose : This study aimed to investigate the effects of dual-task training according to the variability of the walking environment on balance, gait, and function in patients with stroke. Methods : Twenty-five patients with stroke were randomly assigned to experimental group I (n=12) and experimental group II (n=13). Experimental group I and II performed obstacle and non-obstacle walking training, respectively, along with cognitive tasks for 21 minutes per session, 3 times a week for 6 weeks. Both groups received additional general physical therapy for 30 minutes per session. The functional reach test (FRT), gait analyzer (G-Walk), and functional independence measure (FIM) were used to evaluate balance, gait and function of pre- and post-interventions, respectively, while gait cadence, gait velocity, and stride length were evaluated using a gait analyzer. Results : In the within-group comparison of FRT, all the two groups showed significant post-intervention improvements (p<.05). In within-group comparison of gait cadence, all the two groups showed significant post-intervention improvements (p<.05). In within-group comparison of gait velocity, all the two groups showed significant post-intervention improvements (p<.05). In within-group comparison of stride length, experimental group I showed significant post-intervention improvements (p<.05), while experimental group II did not show significant post-intervention improvements (p>.05). In within-group comparison of FIM scores, experimental group I showed significant post-intervention improvements (p<.05), while experimental group II did not show significant post-intervention improvements (p>.05). There was a significant difference in the change of FIM scores pre- and post-intervention (p<.05) in the between-group comparison. Conclusion : The results of this study show that dual-task training with cognitive tasks and walking training can improve the balance, gait and function of patients with stroke, and obstacle walking training is effective for improving functions including activities of daily living compared to non-obstacle walking training.

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.

Effects of Brisk Walking & Muscle Strengthening Exercise Using Thera-band on Pain, Fatigue, Physical Function, and Disease Activity in Patients with Rheumatoid Arthritis (걷기운동 및 Thera-Band를 이용한 하지근육 강화운동이 류마티스 관절염 환자의 통증, 피로, 신체적 기능정도 및 질병활성도에 미치는 효과)

  • Lee, Eun-Nam
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.1
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    • pp.84-93
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    • 2001
  • The effects of brisk walking & muscle strengthening exercise on pain, fatigue, physical function & disease activity were examined in 28 patients with rheumatoid arthritis. Research design was a quasi-experimental study of non-equivalent control group pretest-posttest design. 14 for the experimental group and 14 for the control group were selected from the out patients on rheumatoid arthritis clinic of Dong-A University Hospital. The experimental group underwent 16 weeks of brisk walking and muscle strengthening exercise using Thera-Band. Pain, fatigue, physical function & disease activity was measured before and after 16 weeks of exercise. At baseline test, Fatigue & physical function score between groups were significantly different. So differences with in experimental group(baseline versus follow up) were compared with differences within the control group by Mann-Whitney test. There were significant differences between groups in the difference score on pain (U=6.50 p<.001) and fatigue (U=26.5 p<.01). For the experimental group, the score on the pain & fatigue was significantly decreased but no changed for the control group. Also there was a significant differences between groups in the difference score of the physical function (U=22.5 p<.001). For the experimental group, the score of the physical function has been significantly in creased. However, for the control group, it has been no changed. But there were no significant differences between groups in the ESR (erythrocyte sedimentation rate) and the CRP (C-reactive protein)level. In summary, brisk walking & muscle strengthening exercise led to significant improvements in pain, fatigue, and physical function without exacerbating disease activity in patients with rheumatoid arthritis.

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Effect of the Combined Use of FES and Over ground Walking with Partial Body-Weight Support on Walking and Balance Competency in Patients with Chronic Strokes (FES와 부분적인 체중지지를 결합한 지상보행훈련이 만성 뇌졸중 환자의 보행과 균형에 미치는 영향)

  • Wang, Gye-Seok;Yoon, Se-Won;Cho, Woon-Su;Kim, Yong-Nam
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.10 no.1
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    • pp.15-22
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    • 2012
  • Purpose : We investigated the effects of the combined use of FES and over ground walking with partial body-weight support (PBWS) on walking function and balance control in people with chronic strokes. Methods : Twenty-seven people who were ambulatory after chronic strokes were evaluated. The exercise's intervention consisted of the combined use of FES and over ground walking with PBWS and general exercise groups. The FES + PBWS group and general exercise group consisted on a-20-minute session per day, 3 times a week during a 4 week period. The evaluation was carried out before, after, and two weeks after the exercise intervention. Outcome measures were a 6 Minute Walk Test, 6-Meter walk Test, Timed Up and Go Test, and a Balance Test, measured before and after the exercise interventions at a-2 week follow up. Results : The endurance was significantly increased in both the FES+PBWS group and general exercise group (p<0.05). Significant increase on the gait velocity was observed in both the FES+PBWS group and general exercise group (p<0.05). The TUG was significantly different in both the FES + PBWS group and general exercise group (p<0.05). However there were no differences in both the between-group & interaction. The stability index was significantly different in both the FES + PBWS group and general exercise group (p<0.05). Conclusion : In conclusion, the combined use of FES and over ground walking with PBWS led to an improvement in walking function and balance control. Thus, it is possible to combine the use of FES and over ground walking with PBWS for physical therapy intervention to improve walking function and balance control. It is suggested to apply this intervention in the clinical field.

The Relationship of Health-related Variables with Regular Walking Exercise in the Elderly based on: The Korea National Health and Nutrition Examination Survey(KNHNES) (노인들의 걷기 운동과 건강관련 변인과의 관계)

  • Choi, Yeon Hee;Lee, Choon Ji
    • Journal of Korean Public Health Nursing
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    • v.27 no.1
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    • pp.5-15
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    • 2013
  • Purpose: The purpose of this study was to determine factors related to regular walking exercise in the elderly using KNHNES data. Method: The study subjects, a total of 1437 adults over age 65, were classified into two groups based on their type of walking exercise: regular walking exercise group or irregular walking exercise group. The study variables were measured using scale physiological function, mental health status, chronic disease and quality of life. Results: The data was analyzed by $x^2$-test, t-test, and logistic regression using the SPSS 18.0 program. The factors related to regular walking exercise were male (OR=0.628, 95%CI=0.503-0.783), subjective health state (OR=0.832, 95%CI=0.751-0.921), thoughts of suicide (OR=0.753, 95%CI=0.586-0.967), hypoHDL-cholesterolemia (OR=0.742, 95%CI=0.591-0.930), and stroke (OR=0.604, 95%CI=0.366-0.997). Conclusion: The findings indicate that regular walking exercise in the elderly is related to physiological function, mental health status, and chronic disease. Therefore, providing for the education and awareness of health promotion for the elderly will may improve the quality of life in old age.

A Development of a Dynamic Load Function for a composite Deek Floor System (합성데크를 사용한 바닥판의 동적하중 이론식 개발)

  • 김태윤
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 1999.04a
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    • pp.127-134
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    • 1999
  • Vibration problem occurring at the metal deck floor system not only reduces the serviceability of a building but also reduces the usability of a floor system. Most problem occurring at the metal deck floor results from the human movement such as walking and running. However the vibration induced by running does not occur continuously except the special case. therefore the floor vibration due to walking was only considered on this paper,. Vibration occurring due to human walking was measured and the corresponding load function was derived through the Fast Fourier Transform(FFT)

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The Comparison of Different of Normal Development Walking and Walking Characteristics of Children with Spastic Cerebral Palsy (보행의 정상발달 및 요소와 경직형 뇌성마비 아동의 보행 특성의 비교 연구)

  • Oh Tae-young
    • The Journal of Korean Physical Therapy
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    • v.9 no.1
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    • pp.195-204
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    • 1997
  • The Purpose of this study was to compare the different of normal development and walking characteristics of children with spastic cerebral palsy, and to guide theraputic approach for improve on walking. Key contributions from normal development of standing and walking, abnormol walking pattern of children with spastic cerebral palsy are studies. Spastic cerebral palsy includes an increased factors of problem in standing, walking : These are deformity of lowerextremities, arm used for balancing, asymmetic walking, abnormal walking patterns, build .up Treatment goal is to normal walking patterns. and to prevent secondary deformity. In this study, normal walking is very important factors in daily activities, then to recovery function of children with cerebral palsy, its need more adapted several method.

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Comparison of Underwater and Overground Treadmill Walking Exercise to Improve Gait and Physical Function in People After Stroke

  • Park, Si-Eun;Lee, Mi-Joung;Yoon, Bum-Chul;Lee, Byung-Hee;Shin, Hee-Joon;Choi, Wan-Suk;Park, Sung-Kyu;Jeon, Hye-Mi;Moon, Ok-Kon;Lee, Suk-Hee;Min, Kyoung-Ok
    • Journal of International Academy of Physical Therapy Research
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    • v.1 no.2
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    • pp.120-125
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    • 2010
  • The purpose of this study was to compare the effects of treadmill walking in underwater and overground which affects gait and physical function of people who have had a stroke. Twenty people after a stroke who have become hemiplegic over 6 months were participated. Participants were divided into two groups: underwater treadmill group(UTG) and overground treadmill group(OTG). The intervention was done 4 times per weeks for 6 weeks and 1 session lasted for 30 minutes. Gait and physical function elements were measured at baseline, at the middle(3 weeks) and at the end of the intervention(6 weeks). For the elements of gait, walking velocity, affected stance phase, affected weight bearing were assessed. For the elements of physical function, Short Form 8(SF-8) health survey was used. The result of this study showed that both groups improved similarly in walking velocity. However participants in UTG improved more than those in OTG in affected stance phase(p<.05), affected weight bearing(p<.05) and emotional aspect(p<.001). Based on the results of this study, it can be suggested that treadmill walking both in underwater and on the ground can be effective in improving hemiplegic gait and physical function of people who have had a stroke. The result also suggest that the underwater treadmill exercise can be more effective than overground treadmill in restoration of gait in people after stroke.

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