• 제목/요약/키워드: 보행기능제한

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The effect of the home environment on the relationship among walking limitation, disability and depression of older people (주택환경이 노년기 보행기능제한, 장애 및 우울의 관계에 미치는 영향 연구)

  • Koo, Bon Mi;Lim, Yenjung;Chai, Choul Gyun
    • 한국노년학
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    • 제40권3호
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    • pp.543-563
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    • 2020
  • As people age and their physical functions are declined, they stay longer in the home, thus being more affected by the home environment. Many studies have shown the association between the home environment and health. However, little is known about the effect of the home environment on disability and depression of older people with functional limitation. This study, therefore, aimed to examine the moderating effect of the home environment on the pathway between walking limitation and instrumental activity of daily living(IADL) disability, and the relationship between IADL disability and depression. We performed logistic regression and multiple linear regression analyses with data on 3,027 participants from the 2018 Seoul Aging Survey. As results, first, older people who lived home with poor conditions showed a higher risk of walking limitation(OR=1.487, 95% CI: 1.250 - 1.770), IADL disability(OR=1.594, 95% CI: 1.303 - 1.949), and depression(OR=1.943, 95% CI: 1.553 - 2.430). Second, the home environment moderated the relationship between walking limitation and IADL disability. Older people with walking limitation who lived in poor housing condition experienced more IADL disability than others. Third, after controlling for walking limitation, the home environment had significant moderating effect on the relationship between IADL disability and depression. Elderly with IADL disability living in poor home experienced higher risk of depression. Based on these results, the study suggests the necessity of home modification intervention targeting functional limitation of older adults as strategy for preventing disability and depression, and enabling aging in place.

통합감각을 이용한 조기 재활 훈련 시스템 개발

  • 권대규;이석준;양길태;정성환;정우석;홍철운;김남균
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 한국정밀공학회 2004년도 춘계학술대회 논문요약집
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    • pp.293-293
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    • 2004
  • 최근 교통사고의 증가와 평균수명의 연장으로 인한 노인 인구의 급증으로 중추신경계의 기능에 손상을 초래하는 각종 질환들 즉 뇌졸중, 외상성 뇌손상, 뇌성마비 및 퇴행성 뇌질환 등이 더욱 많아지고 있다. 이러한 질환들은 뇌기능 장애로 인한 운동, 감각 및 인지능력 저하를 일으켜 보행과 일상생활 동작수행에 큰 장해를 초래하게 된다. 특히 보행능력의 장해는 일상생활 및 사회생활에 필요한 기동력을 제한하므로 결국 타인에 의존적이 되고 사회로부터 고립되는 심각한 기능장애를 일으키게 된다.(중략)

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The effect of health related characteristics on the use of information and communication technology of older adults (노인의 정보화 수준에 영향을 미치는 건강특성 연구)

  • Koo, Bon Mi;Joo, Ik Hyun
    • 한국노년학
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    • 제40권4호
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    • pp.729-746
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    • 2020
  • For the development and better use of information and communication technology(ICT) for promoting health and quality of life in older people, it is important to understand personal factors associated with ICT use. The aims of this study were to describe the pattern of ICT use according to health characteristics of elderly and to investigate significant factors related to ICT use among three age groups. The data of 2017 National Survey of Older Koreans was used for analysis and 10,058 of older adults aged 65 and over were included for study participants. As results, first, the young old(65~74) used more functions of ICT than the middle-old(75~84) and the old-old(85 and over). Second, ICT was more used among older people with good conditions in chronic disease, subjective health, cognition, depression, vision, hearing, walking and IADL. Third, higher prevalence of ICT use was significantly associated with age, education, household income, subjective health, depression, cognitive function, vision limitation and walking limitation. Fourth, factors influencing the use of ICT were a little different among three age groups. For the young-old(65~74), subjective health, depression, cognitive decline, walking limitation, and IADL disability were significant factors affecting on ICT use. For the middle-old(75-84), subjective health, depression, cognitive decline, vision, hearing, and walking limitation were related with their ICT use. For the old-old(85 and over), only cognitive function and depression were associated with their ICT use. Based on these results, this study suggested the need to consider multiple health conditions for developing and using ICT for older adults.

Implementation of a walking-aid light with machine vision-based pedestrian signal detection (머신비전 기반 보행신호등 검출 기능을 갖는 보행등 구현)

  • Jihun Koo;Juseong Lee;Hongrae Cho;Ho-Myoung An
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • 제17권1호
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    • pp.31-37
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    • 2024
  • In this study, we propose a machine vision-based pedestrian signal detection algorithm that operates efficiently even in computing resource-constrained environments. This algorithm demonstrates high efficiency within limited resources and is designed to minimize the impact of ambient lighting by sequentially applying HSV color space-based image processing, binarization, morphological operations, labeling, and other steps to address issues such as light glare. Particularly, this algorithm is structured in a relatively simple form to ensure smooth operation within embedded system environments, considering the limitations of computing resources. Consequently, it possesses a structure that operates reliably even in environments with low computing resources. Moreover, the proposed pedestrian signal system not only includes pedestrian signal detection capabilities but also incorporates IoT functionality, allowing wireless integration with a web server. This integration enables users to conveniently monitor and control the status of the signal system through the web server. Additionally, successful implementation has been achieved for effectively controlling 50W LED pedestrian signals. This proposed system aims to provide a rapid and efficient pedestrian signal detection and control system within resource-constrained environments, contemplating its potential applicability in real-world road scenarios. Anticipated contributions include fostering the establishment of safer and more intelligent traffic systems.

Change in Gait Parameters by Arm Sling Types in Healthy Adults (팔걸이 형태에 따른 정상인의 보행변수 변화)

  • Lee, Ok-Kyoung;An, Duk-Hyun
    • The Journal of the Korea Contents Association
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    • 제10권5호
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    • pp.267-276
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    • 2010
  • The purpose of this study was to investigate the variations in gait parameters according to arm slings used in healthy adults. Twenty healthy adults (9 males, 11 females) participated in this study and walked at self-selected speeds on a GAITRite-instrumented carpet. They were randomly assigned conditions: without an arm sling, a care sling, a Harris hemi arm sling, a CVA sling, and a Rolyan humeral cuff sling. The following gait parameters were analyzed: the temporo-spatial parameters of gait velocity, swing phase, single support, cadence. In the comparison of parameters in each trial, step length was statistically significantly changed(p=.002). The right step length was significantly decreased in the Harris hemi arm sling and increased in the Rolyan humeral cuff sling when compared with no sling. This study found that several different types arm slings varied gait pattern in healthy adults.

Implementation of the Visually Impaired Travel Aids System through Unions of RFID and Braille Block (RFID와 점자블록 결합을 통한 시각장애인 보행보조 시스템 구현)

  • 주창욱;김두용;신동범;김병수;민홍기;한영환;이응혁
    • Proceedings of the IEEK Conference
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    • 대한전자공학회 2003년도 하계종합학술대회 논문집 V
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    • pp.2907-2910
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    • 2003
  • 시각장애인의 보행을 보조할 목적으로 설치된 점자보도블록은 보행방향과 정지 정보를 제공하지만, 현재 위치에 대한 정보는 제공 할 수 없어서 보행 보조물로써의 기능이 매우 제한되어 있다. 본 연구에서는 최근 IT 기술중 하나인 RFID(Radio Frequency Identification)를 내장한 새로운 개념의 점자보도블록과 이를 활용하여 보행을 유도할 수 있는 시스템을 제안하고자 한다. 점자보도블록에는 RFID 태그와 안테나를 삽입하여 현재 위치에 대한 정보를 저장하며, 백색지팡이에는 이 정보를 읽어 들이기 위한 리더기를 설치한다. 현재위치에 대한 정보는 PDA로 전송되어 해당되는 음성정보를 시각장애인에게 전달하게 된다. 제안된 시스템을 통해 시각장애인은 타인의 도움 없이 현재 자신이 위치한 곳에 대한 정보를 얻고, 올바른 곳으로 보행중인지를 판단할 수 있게 되므로, 시각장애인의 보행권과 사회활동권등 복지 증진에 효과가 있을 것이다.

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Utility of Gait Analysis and Functional Assessment of Prosthetic Reconstruction in Bone Tumor around the Knee (슬관절 주위에 발생한 골종양 환자에서 종양 대치물을 이용한 재건술 후 기능적 평가 및 보행 분석의 유용성)

  • Lee, Jin-Ho;Seol, Young-Jun;Jung, Sung-Taek
    • The Journal of the Korean bone and joint tumor society
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    • 제18권2호
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    • pp.51-58
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    • 2012
  • Purpose: This study attempts to know functional results and gait analysis usefulness in patients with bone tumor around knee joint tumors who underwent prosthesis knee joint reconstruction. Materials and Methods: Retrospective study was conducted with 7 patients out of 30 patients who underwent prosthesis knee joint reconstruction after wide marginal excision for bone tumor around knee in orthopedics of this hospital from 2001 to 2010. Functional assessment and gait analysis were perforemed. Results: For the SF-36 score, while 'role physical' and 'role emotional' items showed 100% (100 points) high scores individually, general health, physical function, vitality, and social function showed low scores. The mean score of MSTS was 88.1% (23.8 points [17-27]), indicating a relatively high score. For the gait analysis, mean gait velocity was 97.2 m/s, mean cadence was 105.6 step/min, mean stride length was 111.3 m, mean step length was 61.5 cm, swing phase was 39.8%cycle, stance phase was 60.1%cycle, mean single limb support was 37.1%cycle, mean double limb support was 13.0%cycle, and mean push off was 60.7%cycle. Conclusion: It is expected that prosthesis reconstruction after wide marginal excision for bone tumor around knee has relatively good functional results. Gait analysis was considered one of method which showed gait phase and assessed functional ability objectively by quantitative assessment post operative patient condition. It might help treatment and post operative rehabilitation planning with the functional assessment.

Analysis of Spatio-Temporal Parameters of Gait in Elderly by Various Walking Pathways Width (보행경로 너비에 따른 노인의 시 · 공간적 보행 분석)

  • Son, Ho-Hee;Kim, Eun-Jung
    • The Journal of the Korea Contents Association
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    • 제13권10호
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    • pp.444-451
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    • 2013
  • The purpose of this study was to investigate the changes in temporospatial variables in healthy elderly and healthy adults during usual walking, narrow base walking and centerline-guided walking. Twenty healthy elderly and nineteen healthy adults were participated in this study. In each conditions, the subjects were walked on a 6m walkway at comfortable self-selected speeds under three conditions : (1) usual walking, (2) walking within a 50% of the distance between the subject's ASIS (3) walking along a centerline. GAITRite system was used for kinematic analysis to assess the temporospatial variables. There were no significant changes in healthy adults(p>.05), but walking speed, cadence, H-H base support, functional ambulation performance were significantly decreased progressively as pathway narrowed in elderly adults(p<.05). The results show that elderly people had more difficulty with walking on narrow pathway for fear of falling. This study provides data for use in basic research into safe walking and preventing falling for elderly.

The Analysis of Movement of Old People in the Crossing-Facilities (횡단시설에서 고령자의 거동분석)

  • 정헌영
    • Proceedings of the KOR-KST Conference
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    • 대한교통학회 1998년도 Proceedings 제34회 추계 학술발표회
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    • pp.301-310
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    • 1998
  • 사람들은 나이가 들어감에 EK라 건강상태와 신체적 기능이 쇠퇴한다. 그래서 대부분의 고령자들은 이동이 제한되고, 교통시스템의 이용에 어려움을 겪게 된다. 본 연구는 60세 이상의 고령자를 대상으로 횡단보도, 육교와 같은 횡단시설의 이용에 대한 고령자들의 교통특성을 분석하는 것을 목적으로 하고 있다. 이를 위해서 본 연구에서는 실태조사와 설문조사를 행하여 고령자들의 횡단보도, 육교 등의 횡단시설의 이용현황을 파악하였다. 또한, 고령자들의 연령, 성별 건강상태, 보행능력, 계단승하강능력 등의 개인속성들 사이의 관련성을 분석하였다. 분석결과, 고령자들의 횡단시설이용이 그들의 건강상태와 신체적 기능의 장애로 인해 매우 제한된다는 것을 보여주고 있어, 고령자의 신체기능 및 교통수단 이용특성을 고려한 교통시설의 정비 및 확충이 필요함을 알 수 있었다.

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A Balanced Approach to the Planning and Design of Urban Streets (보행자와 자동차를 동시에 고려한 도시 가로의 균형적 계획 및 설계에 관한 연구)

  • Kim, Yong-Seok;Choe, Jae-Seong
    • Journal of Korean Society of Transportation
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    • 제24권6호
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    • pp.55-64
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    • 2006
  • Pedestrians and vehicle users ate competing for limited space in urban streets. Therefore, strategical planning and design should be considered to balance the needs placed on urban streets. The study suggested a way to put this concept in to practice by comparing level of service(LOS) of pedestrians and vehicles in the planning and design stage. Also. the study considered the priority among two users basing on the land use characteristics and the functional hierarchy of the streets. In order to overcome the lack or prediction or survey of pedestrian demands in design process, new pedestrian LOS applicable to sidewalk design was suggested based on the comfort linked with the physical limitation. The comparison of the suggested way and the existing way provided at the end of the paper.