• 제목/요약/키워드: side walking

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Xylazine과 Tiletamine/Zolazepam(Zoletil$\circledR$)의 투여 농도 변화가 개의 마취에 미치는 영향 (Anesthetic Effects of the Xylazine-Tiletamine/Zolazepam(Zoletil$\circledR$) Combination in Dogs)

  • 김준일;장환수;장광호
    • 한국임상수의학회지
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    • 제21권2호
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    • pp.168-171
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    • 2004
  • The effects of alterations of dose of xylaznie (X) and Zoltil$\circledR$ (TZ) on canine anesthesia were examined. Experimental groups were divided into three (Group 1: X 1.1 mg/kg and TZ 10 mg/kg, Group 2: X 1.65 mg/kg and TZ 7.5 mg/kg, Group 3: X 2.2 mg/kg and TZ 5 mg/kg), and each had 5 dogs. A femoral artery was catheterized for measurement of blood pressure, and baseline value was measured. The dogs were sedated with xylazine intramuscularly, then after 10 minutes TZ were injected intravenously. Mean arterial blood pressures (MAP), duration of analgesia, mean arousal time (MAT) and mean walking time (MWT) after TZ injection were measured, and the depth of analgesia and the quality of recovery were scored. The values of MAP were recorded from the time of pre-xylazine injection to arousal. Duration of analgesia and was assessed by tail clamping test, and which were done at 10 minutes intervals after TZ injection. The decreases of MAP from 40 minutes after TZ injection were significant (p<0.05). In group 2, MAP at 20 minutes, and from 40 minutes to arousal were significantly decreased (p<0.05). In group 3, MAP were significantly decreased from 40 minutes. MAT were 62.2$\pm$9.2 minutes in group 1, 60.2$\pm$7.5 minutes in group 2, and 71.0$\pm$6.9 minutes in group 3. MAT in group 3 was significantly increased compared with group 2 (p<0.05), and the differences of MWT among each groups were not significant (p>0.05). The scores of quality of recovery were significantly lowered in group 3 compared with group 1 or group 2, which means the side effects of recovery were less occurred. Thus, it was considered that the combination X 2.2 mg/kg IM and TZ 5 mg/kg IV is more effective to surgical procedures and to prevent long and rough recovery of Zoletil anesthesia.

훌라후프를 이용한 체중이동훈련이 뇌졸중 환자의 체중이동변화와 보행에 미치는 영향: 단면 예비연구 (The Effect of Weight-shift Training with Hula Hoop on Weight Shift Change and Gait in Stroke Patients: A Cross - Sectional Pilot Study)

  • 고연주;이한숙
    • 대한물리의학회지
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    • 제12권1호
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    • pp.9-14
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    • 2017
  • PURPOSE: To evaluate the effect of weight shift training with Hula Hoop on weight shift change and gait in stroke patients. METHODS: Ten stroke patients were enrolled in this study, and randomly divided into 2 groups. The study group underwent weight shift training with Hula Hoop, while the control group received general physical therapy that included weight shift training. All the studies were performed over a period of 4 weeks. Before and after the intervention, plantar pressure and performance in the 10 m walk test (10MWT) were assessed. Wilcoxon signed ranks test was used to compare the change from before to after the intervention in each group. The differences between the study and control groups were analyzed by using the Mann-Whitney test. RESULTS: After 4 weeks of intervention, the change in weight shift and performance in the 10MWT from before to after the experiment showed no statistical significance (p>.05). In addition, the comparison between the groups showed no significance in terms of weight-shift change, and performance in the 10MWT (p>.05). CONCLUSION: Although the difference was not statistically significant, the degree of improvement was similar to that attained with the conventional exercise treatment related to weight- shift training. During the course of the treatment, the patients received feedback through repeated training by themselves. Weight-shift training with Hula Hoop would be effective in improving the walking ability and weight-shifting on the paralyzed side of stroke patients. In the future, the effectiveness of this training would need to be validated.

편마비 환자의 트레드밀과 체중지지의 트레드밀 훈련이 균형능력 및 보행능력에 미치는 영향 (The Effect of Treadmill and Body Weight Support Treadmill Training on Balance and Gait Ability in Hemiplegia Patients)

  • 김성철;허영구
    • 대한물리치료과학회지
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    • 제25권1호
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    • pp.31-43
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    • 2018
  • Purpose: The purpose of this study is to investigate and to verification of changes that the effect of treadmill and body weight support treadmill training on balance and gait ability for sub-acute stroke patients during 4 week. Method: 16 subjects who was diagnosed stroke were divided into 2 groups(8-treadmill training group, 8-body weight support treadmill group) by randomized control trial. Both training programs were consisted with 40 minuted, 5 times a week for 4 weeks and after training programs. Analysis: We analysed effects and changes on balance and gait ability. Analyses were performed using PASW ver. 18.0 and results were reported as mean ${\pm}$ standard deviation (S.D.). To investigate within group comparisons and to verification on effects of exercise, we did paired t test and repeated measured ANOVA test. Significance was set at p<.05. Result: Both training programs showed positive changes in Limit of Stability but significant results which is area of hemiside, area of intact side, area of posterior, total area were reported in body weight support treadmill training group. Changes of Berg Balance Scale was significantly increase and it had significant correlation between groups. Changes of 6 Minutes Walking Test was significant increase in both groups but there was no significant changes on Foot print and Romberg test. Conclusion: After considering all factors, both training programs showed effect on improvement of balance and gait ability in sub-acute stroke patients, but body weight support treadmill training group had better improvement in dynamic balance than treadmill training group. For the increase of balance and gait ability in sub-acute stroke patients, we need to continues study on difference of treadmill and body weight support treadmill and then we will give stroke patients a better satisfaction if we develop and provide a rehabilitation program for improvement of balance and gait ability.

하악 이부 확장술 시 나타나는 합병증의 치험례 (A CASE REPORT OF COMPLICATIONS DURING MANDIBULAR TRANSVERSE SYMPHYSIS WIDENING)

  • 서충환;강경화;최문기
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제30권5호
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    • pp.480-488
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    • 2008
  • Orthodontists often treat cases which are difficult to treat with conventional orthodontics. In such cases, it could be treated with surgical procedures with the help of an oral surgeon. Especially, transverse deficiency of the mandible can be corrected by widening the transverse width of mandibular symphysis, using distraction osteogenesis. Transverse widening of mandibular sympysis is known as a safe treatment but still complications could occur during the treatment. We are reporting some complications of cases that mandibular symphysis transverse widening were applied. Some cases showed complications because of the inappropriate osteotomy line. Since straight vertical osteotomy line was inclined to the left, only the left bony segment was likely to expand. According to bio-mechanical considerations, it will be better to perform a step osteotomy, cutting the eccentric area of the alveolar crest and the centric area of the basal symphyseal area. Complications could also occur by the failure of the distraction device. The tooth borne distraction device was attached on the lingual side of the tooth with composite resin. During the distraction period, it was impossible to obtain appropriate distraction speed and rhythm because of frequent fall off of the distraction device. Therefore, distraction device should be attached firmly with orthodontic band or bone screw, etc. Tooth mobility increasement could also occur as a complication. 'Walking teeth phenomenon' was observed during the distraction period, showing severe teeth mobility and pain during mastication. These symptoms fade out during the consolidation period. Since the patient could feel insecure and uncomfortable, it should be notified to the patient before the procedure. Finally, alveolar crestal bone loss could occur. Alveolar crestal bone loss occurred because of lack of distraction device firmness and teeth trauma caused by lower lip biting habit. Therefore, adequate firmness of the distraction device and habit control will be needed.

대전시 일부 대학생들을 대상으로 한 체중조절 프로그램 수행연구 (Performance of Weight Control Program on University Students in Daejeon)

  • 이준호;후해원
    • 한국지역사회생활과학회지
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    • 제27권3호
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    • pp.477-493
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    • 2016
  • This research was conducted to investigate the performance of a weight control program in university students in Daejeon during 3 months from November 2014 to February 2015. This program measured body measurement and composition analysis, nutritional education, and counseling every month. The status of students' weight control was surveyed before and after the program. The participants were 17 males (24.5 years old) and 15 females (20.8 years old). Their weights before the program were 78.2 kg (male) and 57.2 kg (female), whereas after the program, weights were 77.6 kg (male) and 56.2 kg (female). Weight reduction in students was 53.1%, and weight increase was 40.6% by the weight control program. Body mass index (BMI) tended to decrease after the program. Body fat % and muscle masses were not significantly different by program practice. Body image decision of females showed mainly 'normal' status while that of male was 'over fatty constitution', Before and after the program, the most prevalent method of weight control was exercise for all students. The most selected exercise was 'walking and jogging' during the program. For the most effective weight control method, female acknowledged both 'reducing amount of meals' and 'increasing exercise' while males selected 'increasing exercise.' On the side effects of weight control, over 40% of all students chose 'no experience' and 'loss of volition'. The degree of student's goal achievement was largely 20 ~-20% compared with their goal weights. Accordingly, this program didn't show significant effects. For effective weight control, it is recommended to conduct nutritional education. Students can exercise regularly and control diet to sustain a healthy and satisfactory body status.

유아의 동작 교육을 위한 실루엣 기반 동작 추정 (Silhouette-based Motion Estimation for Movement Education of Young Children)

  • 신영숙;김혜정;이정욱;이경미
    • 한국콘텐츠학회논문지
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    • 제8권4호
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    • pp.273-284
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    • 2008
  • 동작은 유아의 신체적, 사회적, 인지적 발달에 매우 중요한 요소이다. 본 논문에서는 유아의 신체에 적절한 동작 추정 방법을 제안한다. 본 논문에서는 동작교육에 필요한 동작 중에서 걷기, 뛰기, 앙감질의 이동동작과 구부리기, 뻗기, 균형잡기, 회전하기의 비이동 동작을 대상으로 한다. 제안된 시스템은 두 대의 카메라에서 획득된 프레임에서 조명 보정, 배경 제거, 모폴로지 실행 등의 과정을 통해 실루엣을 추출한다. 실루엣 특징으로 면적, 가로세로 비율, 발의 위치, 7개의 Hu moments를 사용한다. 또한 지역 특징으로 실루엣을 $5{\times}3$으로 나누어 각 영역의 면적과 움직임을 사용한다. 동작 추정을 위해서, 추출된 특징에 확률 전파를 적용하였다. 본 논문에서 제안된 알고리즘은 마커없이 유아들의 기본 동작을 추정함으로써 동작교육을 위한 가상 학습공간에서 실감형 인터페이스로 사용될 수 있는 가능성을 보여주고 있다.

RBF 신경망을 이용한 실루엣 기반 유아 동작 인식 (Silhouette-based motion recognition for young children using an RBF network)

  • 김혜정;이경미
    • 인터넷정보학회논문지
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    • 제8권3호
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    • pp.119-129
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    • 2007
  • 본 논문에서는 두 대의 카메라를 직각으로 배치하여 얻은 동영상에서 인체의 실루엣을 이용하여 동작을 인식하는 방법을 제안한다. 제안된 시스템은 실루엣에서 전역 특징과 지역 특징을 추출하며, 이 특징들은 정적인 프레임에만 있느냐에 따라 정적 특징과 동적 특징으로 다시 나뉜다. 추출된 특징들은 RBF 신경망을 훈련시키기 위해 사용된다. 제안된 신경망은 정적 특징을 입력층으로 보내고, 동적 특징은 인식을 위한 추가적인 특징으로 이용한다. 본 논문에서 제안된 신경망 동작 인식 시스템은 유아들의 동작 교육에 적용되었다. 동작 교육을 위해 제시되는 기본 동작은 걷기, 뛰기, 앙감질 등의 이동 동작과 구부리기, 뻗기, 균형 잡기, 회전하기 등 비 이동 동작으로 구분된다. 제안된 시스템은 동작교육을 위해 7가지 기본 동작을 학습시킨 신경망으로 성공적으로 동작 인식을 하였다. 제안된 시스템은 유아의 공간감각 계발을 위한 동작교육 시스템에 활용될 수 있다.

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보행자의 시계영역에 따른 가로의 환경색채 분석 (An Analysis of the Environmental Color in Urban Street by Pedestrian Visual Fields Area)

  • 김선영
    • 한국실내디자인학회논문집
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    • 제26권6호
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    • pp.53-61
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    • 2017
  • Cityschumers experience the urban with the visual perception while walking an average speed of 4km per hour. At this time, recognition of the color field accounts for more than 70%. Therefore, in this paper the environmental color of urban street is examined by dividing the pedestrian visual field area. In the urban street, the area of the visual field area of the pedestrian is divided into Ground Plane, Roadside, Canopy and Building Wall. In addition, we observe and color survey the environmental color of Exhibition Road, which is the northern side space of South Kensington in London, which adopted the world's first shared space. The color of the visual filed area was dominated as YR, GY, Y, PB. The Ground Pland was dominated by the YR. The reason for this is that the color of the floor has changed due to the shadows of surrounding architecture and facilities. Roadside was dominated in various ways such as GY, BG, PB, B and P. Canopy was mainly composed of PB, GY, etc. It was found that the material color of the lower part of the architecture was reflected. The architecture wall was affected by the reflectance and absorption rate of the transparent material. The first image that comes to mind when thinking about the urban is the street where pedestrians walk, feel and enjoy themselves. Therefore, it is suggested that various policy frameworks for managing and managing urban planning professionals may be different from the perceptions of pedestrians active in mega cities.

가방의 휴대 형태와 무게 변화에 따른 보행 분석 (Gait Analysis According to the changes of the carrying type and weight of bag)

  • 김찬규;이병훈
    • 한국산학기술학회논문지
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    • 제14권1호
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    • pp.199-205
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    • 2013
  • 본 연구는 네 가지의 가방 휴대방법에 따라 세 가지 가방의 무게를 달리하여 보행의 변화를 분석하고자 시행하였다. 20명의 건강한 성인이 연구에 참여하였다. 첫 번째 조건은 한쪽 어깨에 가방을 메고 보행하였고, 두 번째 조건은 한쪽으로 가로질러 가방을 매고 걸었다. 세 번째 조건은 양쪽 어깨에 가방을 메고 걸었고, 네 번째 조건은 한쪽 손으로 가방을 들고 걸었다. 각 네 가지 조건에 모든 대상자가 참가하였고, 오른쪽 신발에 SmartStep의 깔창을 깔고 오른쪽 발목에는 압력제어장치를 묶었다. 모든 대상자는 각각 4가지 조건에서 2.5 kg, 5 kg, 7.5 kg의 무게를 지닌 가방을 휴대하여 10 m를 걸었다. 각 조건에서 2.5 kg, 5 kg, 7.5 kg의 가방의 무게에 따라 입각기 비율, 유각기 비율과 보행속도는 통계학적으로 유의한 차이가 있었다.

뇌졸중 환자들의 한국판 Tinetti-보행 척도의 측정자간·절대적 신뢰도와 동시 타당도 (Inter-rater·absolute Reliability and Concurrent Validity of Tinetti-gait Scale (Korean version) in Stroke Patients)

  • 안승헌;이동건;이윤복;이규창
    • 대한물리의학회지
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    • 제9권2호
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    • pp.201-211
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    • 2014
  • PURPOSE: The purpose of this study was to investigate the inter-rater absolute reliability and the concurrent validity of the Tinetti-gait scale that was translated into Korean for chronic stroke patients. METHODS: Fifty-two patients with post-stroke participated in this study. Inter-rater reliability was analyzed by Intraclass Correlation Coefficient ($ICC_{3,1}$) and Kappa coefficient, and absolute reliability was analyzed by the Standard Error of Measurement (SEM), and the Minimal Detectable Change (MDC). Concurrent validity was analyzed by correlating between the Tinetti-gait scale and physical functions. The physical functions were measured by using the Dynamic Gait Index(DGI), 10m walking test(10WT), One Leg Standing Test of affected/non-affected side(OLST), Sit to Stand test(STS), (Fugl Meyer assessment of Lower Extremity(FM-LE). RESULTS: The inter-rater reliability of the Tinetti-gait scale was high; $ICC_{(3,1)}=.91$ (95% CI=.85~.95) (very reliable), the range of Kappa coefficient were .73~.92 (substantial~good). The inter-rater agreement of the each item in Tinetti-gait scale ranged from .74 to .92 (95 % CI=.59~.95) (reliable~very reliable). The SEM and MDC were .56 and 1.55, respectively. In the results of concurrent validity, there were moderate positive correlation between Tinetti-gait scale and DGI (r=.78), 10WT (r=.74), OLST (r=.65~.73), FM-LE (r=67). And there was moderate negative correlation between Tinetti-gait scale and STS (r=-79) (p<.01). CONCLUSION: The Tinetti-gait scale(Korean version) was a reliable and valid tool to measure gait ability in patients with chronic stroke. Thus, it could be a useful tool for examining a gait ability of post-stroke patients. Further study should be conducted to investigate the usability to predict fall risk of post-stroke patients of the Tinetti-gait scale.