• Journal of Sport and Applied Science
• /
• 제7권1호
• /
• pp.21-29
• /
• 2023

Purpose: This study was to investigate the effects of isometric exercise on muscle activity and body balance ability in asymmetrical walkers. Research design, data, and methodology: Twenty gait asymmetry people were divided to unilateral exercise group (UG, n=10) and bilateral exercise group (BG, n=10). UG were performed unilateral exercise for 60 minutes, three times a week, and 16 weeks, and BG were performed one side and then the other side alternately for 60 minutes, three times a week, and 16 weeks. Muscle activity and body balance ability were measured before, after 4 and 16 weeks isometric exercise. Moreover, SI (symmetry index; SI) was calculated from the measured value of SL (step length). Statistical analyses were conducted using one-way ANOVA and two-way ANOVA with repeated measures, a paired t-test, and multiple comparisons according to Scheffe. Results: In the muscle activity, ST decreased significantly in short step length(S-SL) and BG of LS compared to before isometric exercise(p<.05), and GCM decreased significantly in BG of S-SL(p<.05). As for body balance ability, the mSEBT-A difference between L-SL and S-SL was decreased significantly in UG(p<.05). And the respective total scores of L-SL and S-SL, mSEBT-PM and mSEBT-PL were increased significantly in BG(p<.05). Conclusions: As a result, in this study above, it was confirmed that isometric exercise improved muscle activity and body balance ability in asymmetrical walkers.

• 한국항해항만학회지
• /
• 제39권1호
• /
• pp.29-35
• /
• 2015

국내 여객선 이용자수는 매년 5% 이상 증가하여 2012년에는 1,453만명이 여객선을 이용하였으며, 동시에 해상재난 건수도 증가하였다. 재난예방단계에서 선내 승객의 피난가능성을 예측하고 재난상황에 대비한 안전피난 관련 기술을 개발하는 것은 매우 중요한 사안이다. 이에 본 연구는 일반 승객의 피난가능성 예측을 위한 선내 피난모델 개발을 위해 승선생활이 익숙하지 않고 재난대응과 관련된 정규교육을 받지 않은 일반인의 피난경로특성을 파악하였다. 본 83명이 참가한 본 실험에는 33가지 경로선택설문이 제시되었고 응답결과를 분석하면 다음과 같다. T, U, Y형의 2 분기경로에서 왼쪽 경로보다 오른쪽 경로를 선택하는 비율이 6~18% 높았다. 그러나 경로 상에 보행자 혹은 주행자가 있으면 보행자 혹은 주행자가 있는 경로를 선택하는 비율이 높아지며, 상대적으로 주행자가 이동하는 경로를 더욱 선호하였다. 'ㅓ', 'ㅏ'형의 2 분기경로, 3 분기경로에서는 직진경로를 선택하는 비율이 높았다. 이 경우에도 다른 사람을 따르는 경향이 나타났지만 그 보다는 직진경로를 선택하는 직진성이 더욱 강한 것으로 조사되었다. 또한 분기경로에서 상대적으로 밝은 경로를 선택하는 비율이 높았다. 계단에서는 같은 조건일 때 우측계단, 하향계단, 가까운 계단을 각각 더 선호하는 것으로 조사되었고, 일반 계단에 비해 에스컬레이터와 엘리베이터를 선택하는 비율은 매우 낮았다.

• 한국전문물리치료학회지
• /
• 제19권2호
• /
• pp.29-38
• /
• 2012

This study aimed to identify the asymmetry observed in the electromyography (EMG) activity patterns of selected trunk and thigh muscles between the affected and unaffected sides during the sit-to-stand movement in ambulatory patients with post-stroke hemiparesis. This study included 20 patients with post-stroke hemiparesis. The differences between stroke fast walkers (${\geq}8m/s$, 11 subjects) and stroke slow walkers (<8 m/s, 9 subjects) were compared. The activation magnitude and onset time of the multifidus, lumbar erector spinae, hamstrings, and quadriceps during the sit-to-stand movement were recorded through surface EMG. Moreover, the EMG activation magnitude and onset time ratios of each bilateral corresponding muscle from the trunk and leg were measured by dividing the relevant values of the unaffected side by those of the affected side. In all the subjects, the activation magnitudes of the multifidus, hamstring, and quadriceps on the affected side significantly decreased compared to those on the unaffected side (p<.05). The onset time of muscle activity in the affected side was markedly delayed for the multifidus and quadriceps during the task (p<.05). The activation magnitude ratios of the quadriceps were markedly decreased in the stroke slow walkers as compared to those in the stroke fast walkers. These findings indicate that the asymmetry in the multifidus, hamstring, and quadriceps muscle activation patterns in patients with post-stroke hemiparesis may be due to the excessive muscle activation in the unaffected side to compensate for the weakened muscle activity in the affected side. Our findings may provide researchers and clinicians with information that can be useful in rehabilitation therapy.

• 보건교육건강증진학회지
• /
• 제28권4호
• /
• pp.63-77
• /
• 2011

Objectives: This study identifies the meaning of walking and its facilitating factors and barriers from the perspective of urban walkers in Seoul. Methods: The participants consisted of twelve people who either lived or worked in Gangnam district of Seoul. The study applied the data collection process featured in the photovoice, in which the participants took photographs and shared their stories through focus group interviews. Results: Walking is regarded as one of the easiest types of physical activity. While walking, participants find mental tranquility, communication opportunities, and a chance to step back from their everyday lives. Facilitating factors include: access to walking-friendly venues and attractive surrounding environments; the participant's assimilation into the surrounding area; having the feeling of ease and relaxation; and friends and family to walk together. Barriers consist of physical factors such as street design and the busy urban streets, insensitive traffic and low civic awareness, and personal situational factors. Conclusions: The benefit of walking exceeds beyond those of physical health promotion. Actions to encourage walking in urban areas should address the multiple meanings perceived by their citizens.

• 한국인터넷방송통신학회논문지
• /
• 제17권3호
• /
• pp.99-105
• /
• 2017

도시가 발전함에따라 도로시스템이 매우 복잡해진다. 따라서 현대인은 목적지를 찾아가기 위해 내비게이션에 의존하고 있으며, 심지어 길을 걷거나 자전거를 이용하는 경우에도 내비게이션의 도움이 필요하다. 일반적인 내비게이션은 차안에 설치되어 있거나 스마트폰의 앱으로 있기 때문에 걷거나 자전거를 타면서 사용하는 것은 매우 불편하다. 또한 장애인의 경우 보행 시 사용하기에는 거의 불가능 하다. 이 논문에서 우리는 보행자나 자전거 통행자들이 사용하기에 편리한 손목에 착용하는 내비게이션 시스템을 제안하고, 아두이노를 이용한 손목 내비게이션의 설계와 구현에 대하여 기술하였다. 이러한 시스템은 일반 보행자뿐만 아니라 장애인들도 사용할 수 있어 그들이 사회활동에 참여하는데 크게 기여할 것이다.

• 대한인간공학회지
• /
• 제28권2호
• /
• pp.17-26
• /
• 2009

In this study, anthropometric analysis and usability evaluation for four-wheeled walker were carried out and then ergonomics design guidelines were proposed. In anthropometric analysis, design factors of four-wheeled walker were firstly identified and anthropometric design guidelines were made using Korean human scales. Design suitability for two typical four-wheeled walkers was analyzed in based on anthropometric design guidelines. Usability evaluation for two typical walkers was also performed through observation method and expert evaluation. Several usability problems were identified and design solutions were proposed for the design improvement of four-wheeled walker. Finally a design model of four wheeled walker considering analysis results was proposed.

• 한국운동역학회지
• /
• 제26권3호
• /
• pp.309-314
• /
• 2016

Objective: There are no guidelines for choosing appropriate gait assistive devices. The aim of this study was to evaluate gait assistive devices in patients with Parkinson's disease. Method: We evaluated 15 individuals with Parkinson's disease who did or did not use one of two different devices including canes and two-wheeled walkers. Data were collected using the GAITRite system. Results: Participants in the group using canes and two-wheeled walkers had significantly increased double support time and decreased gait velocity, normalized gait velocity, and stride length compared with those who did not. Participants who used a two-wheeled walker had significantly decreased gait velocity, normalized gait velocity, and stride length compared with those who used a cane. Furthermore, participants who used a two-wheeled walker had significantly decreased coefficients of variation for step time, stride length, and swing time compared with those who used a cane. Conclusion: Our results indicated that the two-wheeled walker offered the most consistent advantages for decreasing the risk of falling.

• 한국전문물리치료학회지
• /
• 제13권2호
• /
• pp.35-42
• /
• 2006

The walker provides stability for walking for people whose lower extremities are disabled. It is important to measure and determine the appropriate height of a walker to conserve energy and to improve function. The purposes of this study were to examine effects of walker height and gait velocity on triceps, latissimus dorsi muscle activation, and energy expenditure index (EEI) during ambulation with a walker. Fifteen healthy subjects participated in this study. Each subject was assigned a walker with one of three heights (high, standard, lower height) and of two gait velocities (comfortable gait velocity or fast gait velocity). Electromyographic data were collected from triceps and latissimus dorsi, and EEI was determined from each condition. Two-way repeated analysis of variance (ANOVA) was used to determine the statistical significance. Post hoc comparison was performed with the Bonferroni test. The results of this study were summarized as follows: 1. There was a significant difference in the %MVIC of triceps among different walker height factors. Post hoc comparison revealed that %MVIC of dominant triceps brachii was more significantly increased in patients who used the higher walker than those who used the lower walker (p<.05). 2. There were significant differences in the %MVIC of the latissimus dorsi among different walker height factors and gait velocity factors. Post hoc comparison revealed that the %MVIC of dominant latissimus dorsi was also more significantly increased in patients who used the higher walker than those who used the lower walker (p<.05) and in those who used the faster gait velocity than those who used the slower gait velocity (p<.05). 3. There were significant differences in the EEI among different walker height factors and gait velocity factors. Post hoc comparison revealed that the EEI was significantly increased among those who used higher and lower walkers compared with the standard walker. The EEI was also more significantly increased among those who used the fast gait velocity than those who used the slower gait velocity (p<.05). It has been concluded that increased muscle activation in triceps and latissimus dorsi was required when the walker height increased and that more energy was exp ended when the gait velocity increased. Therefore, from the findings of this study, it is recommended that walker height be adjusted according to the purposes of gait training and that healthy subjects conserve energy when ambulating with standard walkers in a comfortable gait velocity.

• 대한물리치료과학회지
• /
• 제3권4호
• /
• pp.147-152
• /
• 1996

Therapeuticre rehabilitation of young children has often included the use of walker as mobility aids. Traditional walkers have four vertical legs, a horizontal bar in front of child, and horizontal bars on either side which also serve as hand grip. Child pushes it. It is called 'anterior walker'. 'Posterior walker' have been introduced which the child pull along behind himself during ambulation. The purpose of this investigation was to compare specific gait characteristics of children with developmental disability, while they ambulated with anterior and posterior walker. Using the posterior walker, specific gait characteristics improve than using anterior walker.

• 대한물리의학회지
• /
• 제7권3호
• /
• pp.339-348
• /
• 2012

Purpose : The purpose of this study is to compare muscle activations of neck, trunk and leg in cerebral palsy of spastic diplegia with genu recurvatum and knee flexion contracture, when using anterior and posterior walkers. Methods : We selected 21 cerebral palsy and received the written consent to participate in this study. The inclusion criteria for participation required patients to have spastic diplegic CP; to be between 3~6 years of age, to have a GMFCS III grade, to have no botulinum toxin injection and orthopedics surgery within before six months starting the study. Measurements of muscle activities (sternocleidomastoid, splenius capitis, rectus abdominis, erector spinea, gluteus maximus, rectus femoris, medial hamstring and calf muscles) were evaluated anterior and posterior walker ambulations. Statistical evaluation of these data were accomplished by utilizing the paired t-test and independent t-test by SPSS 20.0 program. Significance level was set at p<.05. Results : The following results were obtained. There was significant difference on muscle activation of neck, trunk and legs(soleus except) in anterior and posterior walkers. There was no significant difference in muscle activation of neck but significant difference in muscle activation of trunk, legs between genu recurvatum and knee flexion contracture(rectus abdominis, medial hamstring when using anterior walker, rectus abdominis, erector spinea, gluteus maximus, medial hamstring when using posterior walker). Conclusion : The conclusion of this study is the different knee joint forms would have different effect on muscle activation of trunk and legs while cerebral palsy of spastic diplegic ambulated with anterior walker and posterior walker.