• 제목/요약/키워드: optimal walking

검색결과 122건 처리시간 0.028초

Receiver operating characteristic curve analysis of the timed up and go test as a predictive tool for fall risk in persons with stroke: a retrospective study

  • Lim, Seung-yeop;Lee, Byung-jun;Lee, Wan-hee
    • Physical Therapy Rehabilitation Science
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    • 제7권2호
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    • pp.54-60
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    • 2018
  • Objective: Persons with chronic stroke fall more often than healthy elderly individuals. The Timed Up and Go test (TUG) is used as a fall prediction tool, but only provides a result for the total measurement time. This study aimed to determine the optimal cut-off values for each of the 6 components of the TUG. Design: Retrospective study. Methods: Thirty persons with chronic stroke participated in the study. TUG evaluation was performed using a wearable miniaturized inertial sensor. Sensitivity, specificity, and predictive values were calculated using the Receiver Operating Characteristic (ROC) curve analysis for the measured values in each section. Optimal values for fall risk classification were determined. Logistic regression analysis was used to investigate the risk of future falls based on TUG. Results: The cut-off values of the 6 sections of the TUG were determined, as follows: sit-to-stand >2.00 seconds (p<0.05), forward gait >4.68 seconds (p<0.05), mid-turn >3.82 seconds (p<0.05), return gait >4.81 seconds (p<0.05), end-turn >2.95 seconds (p<0.05), and stand-to-sit >2.13 seconds (p<0.05). The risk of falling increased by 2.278 times when the mid-turn value was >3.82 seconds (p<0.05). Conclusions: The risk of falls increased by 2.28 times when the value of the mid-turn interval exceeded 3.82 seconds. Therefore, when interpreting TUG results, the predictive accuracy for falls will be higher when the measurement time for each section is analyzed, together with the total time for TUG.

유한요소 해석을 통한 실리콘 족적 센서의 감도 조절 및 설계 (Sensitivity Control and Design of the Silicone Foot Sensor Using FEM)

  • 성벽경;서형규;이진욱;권애란;김동환
    • 한국정밀공학회지
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    • 제31권11호
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    • pp.1041-1050
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    • 2014
  • A design and analysis for new foot sensor that measures pressure distribution while walking or running in daily life is introduced. In the process of the sensor design, the shape, mechanism composing of the sensor, and variables that dominate sensor's sensitivity are investigated. Through these variables analysis, an optimal shape and dimension were determined. The effects of variables on sensor's sensitivity and the relationship between each variable are proved by analyses and experiments.

가로수의 유형 및 성장을 고려한 보행로 조명환경 개선에 관한 시뮬레이션 연구 (A Simulation Study on the Improvement of Lighting Condition on Sidewalks Considering the Type and Growth of Roadside Trees)

  • 이종성;이석준
    • 대한안전경영과학회지
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    • 제15권3호
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    • pp.93-103
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    • 2013
  • In recently, a growing concern for the health of urban residents increased interests in a variety of outdoor activities simply be done in terms of cost and time. They are specially interested in low-impact and safe exercises around residential or working area. Walking is the one of easily doing exercise in daytime or nighttime near residential area. The sidewalks of boulevard near the residential area is the best place for exercise because of easy access and the green space with roadside trees. However, if the nighttime is not guaranteed the proper lighting condition, the possibility of exposure to crime and the threat to pedestrian safety can be increased. Because roadside trees are one of the potential obstacle for lighting condition, supplementary lightings are important to mitigate interruption for safety. To meet such a need, the purpose of this study is to propose a simulation approach which improves lighting condition on sidewalks of boulevard with variety of roadside trees. To do so, the simulation approach is applied for analyzing the interrupted condition by classified five standard types of roadside trees considering the growth of them and finding optimal layout of supplementary luminaires by lighting types. The results of this approach shows that it is useful for assessing the safety of pedestrian in nighttime.

고령자의 낙상예방을 위한 운동처방에 대한 고찰 (A Literature Review of Exercise Intervention for Fall Prevention in the Elderly)

  • 김미숙;이은남
    • 근관절건강학회지
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    • 제13권1호
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    • pp.7-19
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    • 2006
  • Falls are a major sources of death and injury in elderly people. Aged-related changes in the physiological systems which contribute to the maintenance of balance are well documented in older adults. These changes coupled with age-related changes in muscle and bone are likely to contribute to an increased risk of falls in this population. Regular exercise may be one way of preventing falls and fall-related fractures. However, the optimal exercise prescription to prevent falls has not yet been defined. On the literature review of exercise intervention for fall prevention in the elderly, exercise appeared to be a useful tool in fall prevention by improving fall risk factors. The optimum exercise prescription; moderate intensity frequency of 3-4 times per week, duration of 30-60minutes can contribute to decreased hazards and number of fall. Fall prevention protocol should include safety, falling effect, enjoyment, and easiness to follow for older people. Effective exercise programs suggested for fall prevention were such as weight-bearing exercise, resistance exercise, lower muscle strength with elastic band, swiss ball exercise walking, tai chi, and yoga.

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하천의 물리 환경성 평가체계의 적용 - 도시하천을 중심으로 - (An Application of Physico-Environmental Evaluation System of Stream - Focusing on urban streams -)

  • 정혜련;김기흥
    • 한국환경복원기술학회지
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    • 제20권1호
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    • pp.55-75
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    • 2017
  • The purpose of this study is to present the basic data for restoration of physical stream environment by analyzing habitat variables because habitat environment is changed due to the construction of waterfront space in urban streams. Assessment results of 10 habitat variables(three divisions) were almost same as optimal condition, in the reach of reference stream where there are no stream crossing structures and channel alteration. Assessment results of reaches in urban rivers, where streams were improved on water-friendly recreation activities, appeared to be marginal condition. Because habitat environment got worse due to stream improvement works such as construction of weir for water landscape, stepping stones for walking, low water revetment and high water revetment, and high water channel. In addition, in the case of mid gradient stream, the frequency of riffles was small or not existed because the intervals of the river crossing structures was short. In the case of mild stream types, the diversity of the pool was damaged due to the deposition of sludge in the upstream pool of weir and the installation of low water revetment.

Computed Tomography (CT) Simulated Fluoroscopy-Guided Transdiscal Approach in Transcrural Celiac Plexus Block

  • Kong, Yu Gyeong;Shin, Jin Woo;Leem, Jeong Gill;Suh, Jeong Hun
    • The Korean Journal of Pain
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    • 제26권4호
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    • pp.396-400
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    • 2013
  • Conventional transcrural CPB via the "walking off" the vertebra technique may injure vital organs while attempting to proximally spread injectate around the celiac plexus. Therefore, we attempted the CT-simulated fluoroscopy-guided transdiscal approach to carry out transcrural CPB in a safer manner, spreading the injectate more completely and closely within the celiac plexus area. A 54-year-old male patient with pancreatic cancer suffered from severe epigastric pain. The conventional transcrural approach was simulated, but the needle pathway was impeded by the kidney on the right side and by the aorta on the left side. After simulating the transdiscal pathway through the T11-12 intervertebral disc, we predetermined the optimal insertion point (3.6 cm from the midline), insertion angle (18 degrees), and advancement plane, as well as the proper depth. With the transdiscal approach, we successfully performed transcrural CPB within a narrow angle, and the bilateral approach was not necessary as we were able to achieve the bilateral spread of the injectate with the single approach.

아동 크기 휴머노이드 로봇의 개발 (Development of Child-Sized Humanoid Robot)

  • 이기남;박장현;유영재
    • 한국지능시스템학회논문지
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    • 제23권1호
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    • pp.24-28
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    • 2013
  • 이 논문에서는 아동 크기 휴머노이드 로봇의 설계 및 개발과정에 대하여 기술한다. 경량형 휴머노이드 로봇의 설계 개념을 제시하고, 3차원 설계 툴을 이용하여 1m 이상 크기 휴머노이드 로봇의 메커니즘을 설계하였다. 로봇의 구동을 위한 하드웨어는 제한된 로봇의 무게 내에서 최적의 성능을 낼 수 있도록 설계하였다. 3차원 설계 툴을 사용하여 설계한 로봇의 프레임 및 링크들은 가볍고 강도가 좋은 재료를 선정하고 정밀 가공을 통해 제작하였다. 제작된 아동 크기의 휴머노이드 로봇은 역기구학, 균형제어를 적용하여 기본 동작을 구현하고 그 성능을 실험을 통하여 확인하였다.

발목관절 조절각도가 절단환자의 보행에 미치는 영향 (Influence on amputee gait by the ankle joint alignment)

  • 김영호;양길태;임송학;장윤희;문무성
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.369-372
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    • 1997
  • Socket pressure distributions with gait analyses of a transfemoral and a transtibial prostheses were measured in order to assess an optimal socket fitting and unction. Ankle joint was aligned by the neutral and the dorsi/plantar flexed positions. Compared to dorsi and plantar flexed positions of ankle joint, cadence and walking speed increased with the neutral ankle joint alignment. Other gait parameters were close to the normative data with the neutral ankle joint alignment. For the transfemoral amputee, dorsiflexed alignment of the ankle joint created high pressure on the lateral aspect of the socket, on the other hand, plantarflexed alignment resulted in increased pressure on the medial aspect of the socket. For the transtibial amputee, dorsiflexed alignment of the ankle resulted in high pressure on the antero-lateral aspect of the socket during mid-stance, but plantarflexion of the ankle joint showed slight increases in pressure at the same location in the socket. The present study clearly demonstrated that malalignment of a prosthesis results in localized increasing pressure within the socket. Proper alignment of the prosthesis is required in order to acquire an appropriate socket-limb interface as well as the proper gait.

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다양한 험지 정찰을 위한 6족 보행 로봇 개발 (Development of a Hexapod Robot for Multi-terrain Reconnaissance)

  • 임승용;김종형;김형직
    • 한국생산제조학회지
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    • 제24권6호
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    • pp.667-674
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    • 2015
  • This paper describes the development of a prototype hexapod robot with six circular legs to overcome a variety of challenging terrains. The legs of the robot are very important for stability during walking, which are analyzed for determining the optimal design parameters through CAE tools. Its control system consists of three types of sensors, microprocessors, and communication modules for PC interface. The entire operation of the robot can be controlled and monitored using a PC. The experimental operations for three different roads verified the feasibility of the prototype robot for carrying out reconnaissance on multi terrain. In the near future, the prototype robot can be used for a military purpose of detecting and informing a potential risk in advance.

실활치 표백술 후 치관내 수복물의 미세누출에 관한 비교 (THE COMPARISON OF MICROLEAKAGE ON INTRACORONAL RESTORATION AFTER NON-VITAL BLEACHING)

  • 정재은;이희주;허복
    • Restorative Dentistry and Endodontics
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    • 제28권1호
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    • pp.57-63
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    • 2003
  • The purpose of the present study were to evaluate microleakage of a fourth generation dentin-bonding agent following a walking bleaching treatment, to determine the effect of temporary postbleaching dressing with calcium hydroxide on microleakage and to investigate the effect of delayed intracoronal restoration on microleakage. The results of this study were as follows : 1. Bleached groups showed more microleakage than unbleached group 2. Immediately restored group following bleaching procedure showed the highest microleakage score. 3. One-week delayed restorations showed less microleakage but there were no statistically significant difference between group II and III. 4. Provisional dressing with calcium hydroxide had no influence on microleakage. It is necessary to know the time that has elapsed from the bleaching treatment to the restoration procedure to achieve optimal seal, as well as to reduce the risk of microleakage in adhesive restoration.