• Title/Summary/Keyword: Walking-Assistance

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Layout Plan Analysis of Communal Outdoor Space and Welfare Facilities for Senior Apartment - Focusing on Segok District 4th Complex in Gangnam-gu - (고령자 맞춤 아파트의 옥외 공용공간 및 부대·복리 시설 배치계획 분석 - 강남구 세곡지구 4단지를 중심으로 -)

  • Lee, Jeong-Lim;Hong, Won-Hwa;Kim, Tae-Woo;Choi, Jin-Won
    • Journal of the Korean housing association
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    • v.24 no.1
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    • pp.33-40
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    • 2013
  • This study has examined layout of communal outdoor space and welfare facilities in the nation's very first senior apartment complex in Segok-dong, Gangnam-gu that has been developed by Seoul City. In order for this space to play a role as a center of communication: 1) A center space of community should be created at the point of intersection of main moving lines of pedestrians. 2) Hierarchical area should be set up between main moving lines of walking and communal outdoor space. 3) It should be designed in a way to reflect demands of seniors and be accommodated their activities and behaviors. 4) It should be functionally connected to local infrastructure facilities so that it can promote social exchanges among seniors. Points to be considered in welfare facilities: 1) They should be placed at the center of the complex to provide convenience to all seniors. 2) Area of senior citizen center should be subject to flexible legal regulation in light of the unique characteristics of the Complex. 3) in case that welfare facilities are installed in the same space, intermediate space is required to alleviate collision between private space and public space. 4) Senior assistance facilities should put more emphasis on running programs that make good use of the space than on securing the space itself.

The Effects of Changing the Respiratory Muscles and Acoustic Parameters on the Children With Spastic Cerebral Palsy (체간 조절을 통한 앉기 자세 교정이 경직형 뇌성마비 아동들의 호흡근과 음향학적 측정치들의 변화에 미치는 효과)

  • Kim, Sun-Hee;Ahn, Jong-Bok;Seo, Hye-Jung;Kwon, Do-Ha
    • Physical Therapy Korea
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    • v.16 no.2
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    • pp.16-23
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    • 2009
  • The purpose of this study was to investigate the effects postural changes on respiratory muscles and acoustic parameters of the children with spastic cerebral palsy. Nine children with spastic cerebral palsy who required assistance when walking were selected. The ages of the children ranged from 6 to 9 years old. The phonation of the sustained vowel /a/ and the voice qualities of each child such as fundamental frequency($F_0$; Hz), pitch variation (Jitter; %), amplitude variation (Shimmer; %) and noise to harmonic ratio (NHR) were analyzed by Multi-Dimensional Voice Program (MDVP). The muscle activity of three major respiratory muscles: pectoralis major muscle, upper trapezius muscle and rectus abdorminalis muscle, were measured by examining the root mean square (RMS) of the surface EMG to investigate the impact of changes in the adjusted sitting posture of each subject. However, the RMS of pectoralis major muscle showed a significant differences (p<.05). Secondly, there were no significant differences in $F_0$, Jitter and Shimmer between pre and post posture change, but there was a significant difference in NHR (p<.05). The data were collected in each individual; once prior and once after the sitting posture change. The data were analyzed by Wilcoxon signed ranks-test using SPSS version 14.0 for Windows. The findings of this study were as follows; Firstly, the RMS of upper trapezius and rectus abdorminalis muscle were not significant different between pre and post sitting posture changes. From the result, it is concluded that changes in the adjusted sitting posture decreases the abnormal respiratory patterns in the children with spastic cerebral palsy which is characterized by the hyperactivity of the respiratory muscles in breathing. Also, there is increased on the voice qualities in children with spastic cerebral palsy.

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Prospects for the Development of Rehabilitation Medical Robots (재활의료로봇의 발전 전망)

  • Moon, Jeong Eun;Cho, Yong Jin
    • Journal of Digital Convergence
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    • v.19 no.6
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    • pp.393-398
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    • 2021
  • As society becomes more complex and advanced, the risk of accidents is inevitably increased, and this is an opportunity to increase the occurrence of not only congenital disabilities but also acquired disabilities. In this situation, the use of rehabilitation robots, a complex of advanced technologies, is expected to increase steadily in the future. So the authors would take a look the technological trends and future development prospects of domestic and foreign rehabilitation robots. Until now, disability assistive robot technology has been mainly developed in the field of supporting disability with walking disabilities or work limitations rather than cognitive disabilities. However, another issue of population aging is that cognitive impairment has the potential to increase, so development of a disability assistance robot that secures user safety must be actively promoted. It is thought that empirical results should be derived and converged

Effect of pulmonary rehabilitation on patients with acute COVID-19: a single-center case series

  • Son Mi Lee;Min Woo Kim;Donghyun Shin;Songi Han;Ju Sun Oh
    • Journal of Yeungnam Medical Science
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    • v.40 no.3
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    • pp.297-301
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    • 2023
  • The coronavirus disease 2019 (COVID-19) pandemic has been ongoing for more than 2 years. Many patients who recover from severe acute respiratory syndrome coronavirus 2 infection continue to have aftereffects such as dyspnea and fatigue, which may lead to functional decline. Therefore, the need for managing these symptoms using methods such as pulmonary rehabilitation (PR) has emerged. The purpose of this study was to report the effectiveness of PR in five patients with acute COVID-19. PR was performed in patients with persistent dyspnea and oxygen demand after COVID-19. All five patients were able to maintain an independent functional status before COVID-19. However, after acute COVID-19, they were unable to walk independently and needed assistance for activities of daily living due to dyspnea and fatigue. Therefore, they were referred to rehabilitation units, and PR was performed. The modified Medical Research Council dyspnea scale, maximal expiratory pressure (MEP), 6-minute walking test, forced vital capacity, and grip strength were assessed before and after PR, and the results were compared. After PR, the parameters improved, except for the MEP in one patient (patient 3) and the grip strength in another patient (patient 4). After PR, two out of five patients returned to work and the other three returned home. Therefore, we conclude that PR is necessary for patients with acute COVID-19 with activity limitations.

A Study on Indoor Route Guidance at Railway Stations for the Transportation Vulnerable (교통약자의 철도역 실내 길안내 방안에 관한 연구)

  • Jae-Bum Shin;Seong-Cheol Kim
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.22 no.4
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    • pp.167-178
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    • 2023
  • Our society is rapidly changing, and there is a growing demand for various convenience services in our daily lives. Among these services, railway and subway stations require tailored wayfinding services to accommodate individuals with disabilities. Currently, signage and information desks are the primary means of navigation. However, individuals with disabilities often rely on assistance from others due to physical discomfort or cognitive impairments. In this paper, we propose a customized wayfinding system within railway stations to assist individuals with disabilities. This system aims to ensure safe and convenient mobility in complex indoor environments, including transfer facilities.

An Exploratory Study on the Use of Care Robots and Devices by Caregivers of Older Adults Residing in Facilities (시설 거주노인 돌봄 제공자의 돌봄 로봇 및 기기 활용에 관한 탐색적 연구)

  • Eun-Young Kwag;Gwi-Ryung Son Hong
    • The Journal of Korea Robotics Society
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    • v.18 no.4
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    • pp.392-402
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    • 2023
  • The purpose of this study was to conduct an exploratory and descriptive survey study design to examine 1) the physical difficulty by care task, 2) overall occupation-related physical burden by the characteristics of caregivers and care receivers, and 3) the level of help by the use of care robots and devices among formal caregivers working in facilities for older adults. In this study, 308 formal caregivers working in facilities were recruited from 8 nursing homes and 5 geriatric hospitals between Aug. 2021 and Sept. 2022 in South Korea. There were significant differences in ADLs between nursing homes and geriatric hospitals: eating, dressing, hygiene, transfer to bed, transfer to the toilet and walking. For each care item, the items the caregivers had the most difficulty ranked first were bathing, excretion assistance, and mobility support. The difference in occupation-related physical burden according to general characteristics was found to have statistically significant differences in female and bad perceived health. Among the 205 caregivers who had experience using care robots and devices, pressure ulcer prevention was the most experienced one, and those also were the most helpful and exercise aids were the least helpful. In order to reduce the physical burden on care providers, it is necessary to develop and introduce a care robots centered on the care site. Furthermore, national level public support systems are required to enable facilities to actively utilize care robots and devices.

Crosswalk Detection Model for Visually impaired Using Deep Learning (딥러닝을 이용한 시각장애인용 횡단보도 탐지 모델 연구)

  • Junsoo Kim;Hyuk Lee
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.17 no.1
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    • pp.67-75
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    • 2024
  • Crosswalks play an important role for the safe movement of pedestrians in a complex urban environment. However, for the visually impaired, crosswalks can be a big risk factor. Although assistive tools such as braille blocks and acoustic traffic lights exist for safe walking, poor management can sometimes act as a hindrance to safety. This paper proposes a method to improve accuracy in a deep learning-based real-time crosswalk detection model that can be used in applications for pedestrian assistance for the disabled at the beginning. The image was binarized by utilizing the characteristic that the white line of the crosswalk image contrasts with the road surface, and through this, the crosswalk could be better recognized and the location of the crosswalk could be more accurately identified by using two models that learned the whole and the middle part of the crosswalk, respectively. In addition, it was intended to increase accuracy by creating a boundary box that recognizes crosswalks in two stages: whole and part. Through this method, additional frames that the detection model did not detect in RGB image learning from the crosswalk image could be detected.

Activation plan of social safety network of the aged living alone - Focused on the aged using wireless paging system in Gwangyang-si - (독거노인의 사회안전망에 대한 활성화 방안 - 광양시 무선페이징시스템 대상자 중심으로 -)

  • Lee, Jae-Min
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.3
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    • pp.41-58
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    • 2009
  • Objective : The purpose of this study is to identify actual operations and issues of wireless paging system operation for the aged living alone as the end users of wireless paging system primarily in Gwangyang city, and thereby to explore possible advanced and integrated ways to promote social safety network for the aged. Methods : The survey tool used in this study was a structured questionnaire form consisting of question items. The researcher hereof conducted this survey by means of direct visit and interview during two seasons, i.e. from February to August, 2008 and from December 2008 to March 2009, respectively. Results : 1) For general demographic characteristics, it was found that 90.9% of all respondents were women and 61.2% of all respondents were at age 75 to 84. for health conditions, it was found that more than 90% of all respondents often took medicines due to their unhealthy body, and most of respondents suffered from musculoskeletal diseases 79.3% and circulatory diseases 61.6%. for walking capacity, it was found that 45.5% of all respondents used walking aids, and disable respondents (11.5% of all respondents) were represented primarily by those with physical disability (52.6% of disable respondents). for actual use of medical institutions, it was found 47.3% of all respondents relied on local clinics, since they preferred neighborhood hospitals or clinics they can trust for medical care. for social activities and supports, it was found that 43.6% respondents had 'needs for assistance at times' and 33.9% respondents have 'no need for assistance'. And it was found that the major difficulties in living alone at old age were represented primarily by health problems 37.8% and economic difficulties 33.5%. 2) For characteristics related to wireless paging system, it was found that 90.3% respondents used wireless paging system recommended by firemen, and 28.5% respondents used this system. and it was found that 59.6% respondents used this system once, and 85.2% respondents used it because of acute or chronic diseases. more than 90% respondents thought that they knew about wireless paging system and considered themselves safe, but 83.6% respondents didn't attach a remote control on their upper clothes, and even 49.1% respondents turned off the power of wireless paging system due to their concern about electricity bill and noise. 3) It was found that 83.6% respondents felt it necessary to use wireless paging system, and wireless paging users felt more satisfied with using the system than non-users, and 50.7% showed high satisfaction at certain psychological benefits like 'confidence in coping with critical situations' and 'a sense of relief'. In addition, it was found that some respondents who answered that 'they didn't turn off the paging system as they knew how it works' and those who answered that they knew 'how to use it' showed relatively high satisfaction. And some respondents who kept it well and felt it necessary also showed high satisfaction. 4) It was found that the level of satisfaction our respondents felt with using wireless paging system varied significantly availability($x^{2}$ = 12.759, p = .002), psychological advantages($x^{2}$ = 12.174, p = .002), knowledge about how to use system($x^{2}$ = 7.021, p = .016), power on/off($x^{2}$ = 13.221, p = .001), level of knowledge about system($x^{2}$ = 21.002, p = .000), maintenance($x^{2}$ = 9.871, p = .007) and level of necessity($x^{2}$ = 34.939, p = .000) on the statistical basis.

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Application of a Modified Triple Pelvic Osteotomy for Treatment of Hip Dysplasia in Dogs (개의 고관절 이형성 치료를 위한 변형 3중 골반 절골술의 적용)

  • Kim Young-Sam;Lim Ji Hey;Jung Chang-soo;Byeon Ye-eun;Kanaya Tomohiro;Nagaoka Katsuyoshi;Kweon Oh-kyeong
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.328-335
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    • 2005
  • The objective of this study was to evaluate tire effects of modified triple pelvic osteotomy(TPO). The procedures of modified TPO were composed of two iliac osteotomies and a pubic symphysiotomy at a tittle. Medical records of modified TPO treatment on 36 dogs and of unilateral TPO on 7 dogs were reviewed on the basis of signalment, body weight, operation time, Healing time of osteotomy sites and complications from October 2002 to September 2004. The values of clinical status and hip dysplasia, Norberg angle, percentage of femoral head coverage and pelvic diameter from radiographs taken preoperative, immediately postoperative, 2, 4, 8, 12 and 24 weeks after operation, respectively, were measured. In .unilateral TPO, the dogs could start standing without assistance from $3.0\pm1.0days$ and walking from $8.3\pm0.6days$ (n=3). Mean clinical grade before and 24 weeks after surgery were $2.2\pm0.42$(n=6) and $3.5\pm0.7$ (n=2), respectively. Mean operation time was $107.3\pm38.9$ minutes (n=4). In modified TPO, the dogs were seen to staff standing without assistance from $4.9\pm3.7$ days and walking from $7.3\pm4.8days$ (n=25). Mean clinical grade before surgery and 24 weeks after surgery were $2.3\pm1.5$ (n=27) and $3.2\pm0.7$)(n=9), respectively. Postoperative clinical grade significantly improved against preoperative clinical grade (P<0.01). Mean operation time was $143\pm42.8$ minutes (n=24). This was shorter than time f3r twice unilateral TPO. By comparison with preoperative values, postoperative mean radiographic grade, percentage of femoral head coverage and Norberg angle measured at the recheck time point significantly increased (P<0.01). Mean postoperative pelvic diameter was significantly larger than preoperative pelvic diameter in modified TPO (P<0.01) but not in unilateral TPO. These results indicated that modified TPO was effective technique for the treatment of hip dysplasia in dogs.

The Music Therapy Effects to Older Person's Emotions after Reminiscence Therapy Through Songs (노래를 중심으로 한 음악치료 회상 요법이 노인의 정서에 미치는 영향)

  • Choi, Ae-Na;Kwon, Hwan-Soon
    • Journal of Families and Better Life
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    • v.27 no.4
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    • pp.31-39
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    • 2009
  • The purpose of this study is to how the music therapy effects to older person's self-esteem feeling and a emotional mood improvement after reminiscence therapy through songs. The object of this research were 10 old men and women, age of 67 to 90 with dementia, and mental and physical dysfunction, but can be self-walking and the stool was made up in social welfare center in the Yuseong-gu, Daejeon-city, The experiment of the research was done from June 18th until July 18th, week 2 each 50 minutes the total 12 times. This study was an experiment, the treatment of a same group before and after treatment. Before the first session I check the self-esteem and emotional mood. And after the final 12th session, post-therapy examination was conducted the same tests. The tools of Self-esteem test is the self-esteem scale developed by Rosenberg(1965) and Jun Byung-se(1974), which was translated. Emotional state check tools developed by MoNair(1992), which was translated by Yun Jae-ryang, and it can also apply to the Korean older person has been modified by Shin yon-hee. The results of changing mood state to 3 factors are as follows: The score of anxiety-depression factor changes from 50.42($\pm$14.15) to 35.10($\pm$10.60), and this is statistically significant.(p<.05). The score of anger factor changes from 11.20($\pm$4.39) to 6.90($\pm$2.51), and this is statistically significant.(p<.01). The score of vitality factor Changes from 30.00($\pm$4.27) to 23.90($\pm$5.09), and this is Statistically significant.(p<.05). For this research, I selected older person's favorite songs which have a positive lyrics and bright melody. And This has significance in terms give positive effects to older person's emotion which influence on their self-esteem and better mood positively. In the clinical treatment for the elderly to improve the positive sentiment and give practical assistance on the basis of this research is done to the future, And I look forward to the future development of a variety of music therapy.