• The Journal of Korean Physical Therapy
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• 제11권1호
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• pp.95-102
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• 1999

In hemiplegic gait, walking speed is an important factor to evaluate treatment effect. The purpose of this study was to describe and compare kinematic variables during differant speed hemiplegic gaits. Six hemiplegic patients(47-69 years old) after stroke and age - matched six volunteers in good health(51-61 years old) were studied. The patients were sorted into two groups, depending on their self - speed of walking : fast speed group(3 patients, $0.74\pm0.14m/s$) and slow speed group(3 patients, $0.29\pm0.09m/s)$. The results were following. 1. In the hip joint, the fast group had lower mean value than normal but had similar pattern to normal. The slow group had continuous flexed pattern. 2. In the knee joint, the fast group had similar mean value and pattern to normal. The slow group had continuous flexed pattern. 3. In the ankle joint, the two group had dorsiflexed pattern. The fast group had similar pattern to normal. Thus, the fast group was similar gait pattern to normal.

• 지역사회간호학회지
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• 제28권1호
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• pp.78-87
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• 2017

Purpose: The purpose of this study is to identify factors influencing the quality of life of the elderly living alone and living with their families with regard to their health statuses and health behavior experiences. Methods: We used source data from the 2014 Community Health Survey. The subjects of this study included some elderly people aged 65 and over, and analyzed the data of 13,373 elders living alone and 13,322 elders living with family. Results: Factors influencing the quality of life of the elderly living alone and living with their families include gender, age, education, household income, current occupation, subjective stress level, depression, number of diagnosed diseases, walking exercise, the experience of health screening, and the experience of not having necessary medical services (p<.001). Region was a significant variable influencing the quality of life of the elderly living with their families (p<.001). Conclusion: In order to improve the quality of life of the elderly, it is necessary to provide sound conditions for working, emotional support, walking exercise and promotion of health screening, and to supplement the environment and institution for them to receive necessary medical services.

• 한국지능시스템학회논문지
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• 제23권4호
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• pp.360-365
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• 2013

본 연구에서는 발끝 궤적을 미리 설계하지 않고, CPG(Central Pattern Generator)를 이용하여 동적으로 생성할 수 있는 기법을 제안한다. 생성된 발끝 궤적은 CPG 의 진동적인 출력에 따라 가변적인데, 이는 발끝 궤적이 CPG 진동적인 출력 신호의 맵핑 함수로 주어지기 때문이다. 이를 통해 환경에 적응적인 궤적을 생성할 수 있는 토대를 마련할 수 있다. 제안된 기법의 효율성을 검증하기 위해서, Webots 시뮬레이션을 통해 휴머노이드 로봇 Nao에 대한 실험을 수행하고, 성능과 동작 특성을 분석한다.

• 한국운동역학회지
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• 제21권3호
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• pp.309-315
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• 2011

The purpose of this study was to evaluate the effect of asymmetric muscle force in lower extremity on dynamic balance during walking. Sixteen elementary students(age: 12.3${\pm}$0.7 yrs, height: 149.4${\pm}$9.7 cm, weight 40.6${\pm}$7.8 kg) who have no musculoskeletal disorder were recruited as the subjects. Temporal parameters, M-L inclination angle of XCoM-CoP, M-L and A-P CoP, loading rate, and decay rate were determined for each trial. For each dependent variable, a independent-sample t-test was performed to test if significant difference existed between each conditions(p<.05). The displacement of antero-posterior COP during RTO-LHC1 in SG was siginificantly smaller than corresponding value in AG. In contrast, the displacement of medio-lateral COP during RTO-LHC1 in SG was greater than those of AG. It seems that imbalance of muscle force may result in increasing the medio-lateral stance in order to minimize the instability. We found that the asymmetric muscle force in the lower extremity may be a reason for the awkward control of impact force.

• 한국ITS학회 논문지
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• 제7권2호
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• pp.26-36
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• 2008

현재 우리나라의 보행 신호시간 산정방법은 토지이용 행태 및 보행자의 특성을 고려하지 않고 동일한 모형 및 변수값을 적용하고 있다. 본 연구에서는 보행자의 이동에 따른 보행 안전성 확보와 보행환경 개선을 위하여 토지이용 및 보행자 특성을 고려한 보행신호시간 산정 모형을 개발하였다. 우선, 모형에 영향을 주는 변수를 보행속도, 인지-반응시간, 여유시간 등으로 세분화하였고, 현장조사를 통하여 이들 변수들에 대한 대표값을 추정하였다. 그리고 추정된 결과를 이용하여 토지이용 및 가로횡단 특성을 고려한 보행신호시간 모형들을 개발하여 제시하였다. 본 연구에서 제시된 자료는 향후 관련연구의 참고자료로 사용될 수 있고, 제시된 모형은 기존의 획일적인 모형과 비교하여 다양한 선택이 가능하다는 장점이 있다. 또한 보행자의 행태를 반영하여 개발되었으므로 제시된 모형을 적용하여 보행자의 보행환경을 개선할 수 있다고 판단된다.

• Annals of Clinical Neurophysiology
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• 제4권1호
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• pp.44-50
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• 2002

Introduction : Orthostatic tremor develops in the legs while standing up with no weakness, pain or imbalance in the leg and the tremor is characteristically not observed when walking. However there have been some confusions about orthostatic tremor in several aspects. For the past ten years, we have observed 4 patients with orthostatic tremor. In each case tests were performed to investigate the following three important areas of inquiry about orthostatic tremor. Firstly, whether this disorder is an independent diagnostic entity or a variant of essential tremor. Secondly, whether the progress of this disorder is specifically related with standing posture. Lastly, the nature of the pathophysiologic mechanism behind the appearance of the tremor when standing after the lapse of a certain latent period and its disappearance upon the commencement of walking. Methods : Our 4 cases of orthostatic tremor were studied clinically, electrophysiologically, and pharmacologically. Electrophysiological tests included tremor spectrum test and electromyography. Results : We observed the presence of this tremor in several other tonic postures, as well as its absence, in a vertically lifted position from all our cases. Our cases registered a variable tremor frequency between 5 and 12 Hz according to the tremor spectrum test and EMG. Furthermore all our 4 cases demonstrated patterns of both synchronous EMG activity and alternating EMG activity at various times in homologous muscles of both legs. Orthostatic tremor was improved significantly with propranolol as well as clonazepam. Conclusions : From the results of our study we drew the following conclusions. It is probable that orthostatic tremor is simply a variant of essential tremor rather than being an independent diagnostic entity and that in most cases its development is specifically related with muscle contraction rather than merely with the act of standing. Furthermore we discovered a clue in the previously described neural control mechanism that the nuclear bag fibers in the muscle spindle have lag time of several seconds in their response to muscle strength and that their baseline does not reset fully in rapidly moving muscle. This neural control mechanism could offer sufficient explanation for the phenomena of tremor appearance when standing and disappearance when walking in orthostatic tremor.

• 한국지능시스템학회논문지
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• 제21권2호
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• pp.159-164
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• 2011

본 연구에서는 4절 링크 이론(four-bar linkage mechanism)과 얀센 메커니즘(Jansen mechanism)을 기반으로 다관절 보행 로봇(multi-legged walking robot)인 게(crab) 로봇을 제작하고, 게 로봇의 움직임에 대하여 기구학적인 해석을 제시한다. 제작된 게 로봇은 영상 획득을 위하여 카메라를 장착하였고, 장애물 회피를 위하여 3조의 초음파 센서를 가지고 있다. 또한 RF통신으로 외부에 영상 정보를 전달하며, Blue-tooth 통신 모듈을 장착하여 외부로부터 부여된 임무를 수행할 수 있다. 게 로봇의 설계와 제작을 하기 위해서 필요로 하는, 로봇 다리의 움직임을 알기 위해서는 관절 변수와 다리 끝단의 위치 및 자세와의 관계를 얻어야 한다. 따라서, 제안된 기구학적 해석은 로봇의 설계와 제작에 있어서 많은 도움을 주며 중요한 과정이다.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.78-86
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• 2020

Background: Flat-footed persons with collapsed medial longitudinal arch lose flexibility after skeletal maturity, resulting in several deformities and soft tissue injuries. Although arch support taping is usually applied in the clinic to support the collapsed arch, research on the use of different types of tape for more efficient arch support in flat-footed persons is lacking. Objects: The purpose of this study was to examine three conditions (barefoot, kinesio tape, and dynamic tape) and compare their effects on static and dynamic balance in persons with asymptomatic flexible flatfoot. Methods: Twenty-two subjects (9 females and 13 males) with asymptomatic flexible flatfoot participated in this study. The subjects performed the Y-balance test to measure the composite reach score. The subjects also performed a 30-second standing test to measure the center of pressure (COP) path length and a walking test to measure anteroposterior and lateral variability using the Zebris FDM system. One-way repeated-measures analysis of variance compared the three conditions applied to the subjects' feet for each balance variable. Results: The composite reach score significantly increased following the application of dynamic tape compared with barefoot and that of kinesio tape compared with barefoot. There was no significant difference in the COP path length during standing among the three conditions. Anteroposterior and lateral variability during walking significantly with dynamic tape application compared with barefoot. Conclusion: The results of this study suggest that, in persons with asymptomatic flexible flatfoot, application of kinesio tape and dynamic tape may be effective in increasing the composite reach score in Y-balance test, whereas application of dynamic tape may be effective in reducing anteroposterior and lateral variability during walking.

• Spatial Information Research
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• 제22권6호
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• pp.81-90
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• 2014

본 연구는 선행연구에서 주요요인으로 도출되었던 가로의 물리적 환경, 접근성, 밀도, 다양성 등의 보행증진요인을 기반으로 가로차원의 변수가 가로활성화에 영향을 미치는지 분석해 보았다. 또한 Jacobs(1961)가 중요하다고 언급했던 업종의 다양성과 Ray Oldenburg(1989), Richard MacCormac(1983)이 주장했던 특정 공간이 가로활성화에 미치는 영향을 살펴보고자 하였다. 본 논문에서는 가로활성화 영향요인 모형을 업종별 유형으로 구분하여 분석해 본 결과, Jacobs(1961)가 주장했던 기본적인 가로 환경, 접근성, 밀도, 다양성 등의 보행증진요인은 주중과 주말의 모형에서 거의 유사한 것으로 나타났지만, Ray Oldenburg(1989), Richard MacCormac(1983)이 주장했던 주요 업종은 주중과 주말에 따라 가로활성화에 영향을 주는 정도가 차이가 있음을 도출했다.

• 한국운동역학회지
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• 제17권3호
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• pp.173-180
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• 2007

The purpose of study was to compare plantar pressure during walking wearing the curved rear balance and normal shoes. Twelve university students(height: $177.2{\pm}4.6cm$, weight: $68.4{\pm}5.8kg$, age: $26.2{\pm}1.6yrs.$) who have no known musculoskeletal disorders were recruited as the subjects. Plantar foot pressures were evaluated using the Tekscan's pressure measurement systems while subjects walked upright position wearing the curved rear balance and normal shoes in random order at a speed of 1.3 m/s. The contacting dimension, the mean plantar pressure, and the peak plantar pressure were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions (p<.05). As a result, the curved rear balanced shoes showed as large as 38 up to 50 % of area at the rear side of feet than the normal shoes when measuring the contact area with upright position. In the distribution of average pressure, the curved rear balanced shoes displayed fairly low pressure compared to other normal shoes in general except for one area, which is M2, and especially, the measured pressures at the both rear (M1) and middle (M5) side of feet were low and statically significant. The contact area of the curved rear balanced shoes when walking was significantly larger at the rear (M1) and fore (M6, M7) side of feet. When considering pressure distribution at walking, low pressure was detected at the rear side of feet with the curved rear balanced shoes and at the fore side of feet for other normal shoes. The results showed that the contacting dimension of the curved rear balance shoes that acts between shoes and feet was higher than the corresponding value for the normal shoes in general; therefore it would reduce the pressure to the feet by allowing the each sole of the foot on the ground evenly.