• 제목/요약/키워드: Elderly walking

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건강체조 프로그램이 낙상경험 여성노인의 보행능력, 우울 및 삶의 질에 미치는 효과 (The Effects of Health Exercise Program on Walking ability, Depression and WHOQOL-BREF in the Fall experienced Women Elderly)

  • 김영희
    • 한국산학기술학회논문지
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    • 제11권10호
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    • pp.3726-3732
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    • 2010
  • 본 연구는 낙상을 경험한 여성 노인에게 적합하도록 구성된 건강체조 프로그램을 12주간 적용하여 노인들의 보행능력, 우울 및 삶의 질의 변화를 확인하고자 함이다. 본 연구의 자료는 2007년 4월에서 6월 동안 낙상 경험이 있는 여성노인 70명을 대상으로 수집하였다. 대상자에게 적용한 12주간 건강체조 프로그램은 보행능력을 향상시키기 위해 개발되었다. 수집된 자료는 빈도 및 백분율, paired t-test 등으로 분석한 결과는 다음과 같다. 첫째, 12주간 건강체조 프로그램을 적용한 대상자의 보행능력을 측정하는 지표 중 '의자에서 일어나 앉기(t=2.291, p=.025)', '오른발 한발서기(t=2.236, p=.029)', '전후 보폭(t=4.015, p=.000)'에서 유의한 증가를 보였다. 둘째, 노인의 우울은 통계적 유의한 차이가 없었으나(t=1.044, p=.300) 삶의 질은 유의한 차이(t=3.528, p=.001)를 보였다. 삶의 질 하부영역에서는 전반적인 삶의 질(t=2.93, p=.005), 신체적(t=3.039, p=.003), 심리적(t=2.481, p=.016), 사회적(t=2.531, p=.014), 환경영역 (t=4.259, p=.000)에서 유의한 차이를 보였다. 따라서 근지구력 및 균형 감각을 향상시키는데 중재법으로 12주간 건강체조 프로그램을 제안하고자 한다.

인지기능 감퇴가 있는 노인의 이중 과제 보행과 인지기능과의 상관성에 대한 체계적 문헌 고찰 (The Correlation between Gait and Cognitive Function in Dual-task Walking of the Elderly with Cognitive Impairment: A Systematic Literature Review)

  • 신재연;김예진;김지수;민수빈;박재니;배재한;서희은;신희선;유영은;임주영;장지수;조영우;이한숙
    • 대한물리의학회지
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    • 제17권1호
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    • pp.93-108
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    • 2022
  • PURPOSE: This review sought to confirm the correlation between dual-task gait and cognitive function in cognitively impaired and healthy older adults. METHOD: We used four databases (DBs), Pubmed, Cochrane library, Kmbase, and Koreamed. Searches were carried out according to the PICOS method, P (participants) were the elderly (above 65 years) with cognitive decline, I (intervention) was walking with dual tasks, C (control group) comprised the elderly without cognitive decline, O (outcome) was the correlation between gait and cognitive function and S (study) was the cross-sectional study. For the methodological quality assessment of each study, we used the Quality Assessment Tool for Observation Cohort and Cross-Sectional Studies provided by the National Institutes of Health (NIH). RESULTS: A total of 10 articles were included in this systematic review. For the components of gait, we used pace, rhythm, and variability and we observed that mild cognitive impairment mostly causes low gait performance while performing dual tasks. Among the 10 articles, 9 articles studied pace, of which 7 showed significant results. However, 2 were not significant. Also, 1 article that studied rhythm and 3 articles that studied variability showed significant results. The methodological quality of the 10 studies was fair. CONCLUSION: Gait pace was found to have a high correlation between memory, which is a cognitive ability, and overall cognitive function. It was observed that older adults with mild cognitive impairment have reduced gait pace in single-task walking, and further decrease in dual-task gait pace shows the correlation between memory and gait pace during walking.

공동체 문화 활성화를 위한 APT단지 부대복리시설 계획에 관한 연구 (A Study on the Service Facilities Plan for APT Community Culture Activation)

  • 이광영;조진만
    • 한국주거학회논문집
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    • 제19권2호
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    • pp.55-62
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    • 2008
  • This study is researched to provide design guidelines of service facilities and programs that apartment residents want along with the increased quality of life. This study is signifiant because it sought effective methods to activate the com-munity culture through service facilities in apartment complexes and the design standard and planning direction for residents. The study results are as follows. In the result of the correlations analysis and multiple regression analysis for the importancy of service facilities in apartment complexes, the following orders were considered as important factor; man-ager office, open space, resident community facility, elderly people meeting and activity facility, walking paths, resident athletic facility, a children's playground, library, and rest areas in the complex. and result of the correlations analysis and multiple regression analysis is the following: service facilities whole importance (y) = 1.413$+0.262^*{\times}1$ (manager office importance)$+0.271^*{\times}2$ (open space importance) $+0.185^*{\times}3$ (resident community facility importance) $+0.136{\times}4$ (elderly people meeting and activity facility importance)$+0.036^*{\times}5$ (walking paths importance) $+0.031^*{\times}6$ (resident athletic facility importance) + $(-0.042)^*{\times}7$ (a children's playground importance) + $(-0.045)^*{\times}8$ (library importance) + $(-0.0097)^*{\times}9$ (rest areas importance).

전동 보행보조기의 편의성 향상을 위한 제어기 설계 (Design of the control Algorithm for Improvement of the Convenience the Active-type Walking Aid)

  • 이동광;공정식;고민수;강성재;이석민;이응혁
    • 재활복지공학회논문지
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    • 제5권1호
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    • pp.17-25
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    • 2011
  • 본 논문은 전동 보행보조기의 편의성 향상을 위한 최적의 제어 이득을 찾고 제어 알고리즘을 설계하였다. 최근 노인의 인구가 의료 기술의 발달로 급속히 증가되고 있으며, 다양한 이동형 보행보조기구는 삶의 질을 개선하기 위해 개발되고 있다. 이러한 이동형 제품 중 수동형 보행보조기는 노인의 보행의 힘을 도와주는 전동모터를 가지고 있지 않아 노인들이 충분한 근력이 없기 때문에 경사로 및 문의 문턱 등 고르지 않는 지형에서 이동하는데 제안사항이 있다. 이러한 상황을 극복하기 위해 전동타입의 보행보조기를 개발하였다. 전동형 보행보조기는 수동형과 다르게 사용자가 조작을 해야 모터가 구동되는 구조이다. 이러한 구조는 사용자가 조작을 잘못 하였을 경우 상당한 불편함을 사용자에게 준다. 이러한 전동형 보행보조기를 수동형 보행보조기와 비교하여 조작의 편의성을 판단하고 기준을 만들어 사용자의 편의성에 대하여 제어 값을 변경하면서 사용자 편의성을 개선하였다. 본 논문에서는 보행의지를 인식하고 편의성의 성능을 측정할 수 있는 방법인 햅틱 센서를 소개하며 편의를 개선하는 제어 알고리즘을 제안한다. 또한 편의성의 평가는 COV(Center of Vehicle)와 사용자의 COP(Center of Position)과의 차이의 변화를 통해 상대적인 편의성을 평가하였다. 전동 타입 보행보조기와 새로운 측정방법을 도입하여 모든 과정을 실험을 통하여 확인 하였다.

노인의 기능 평가 및 관련요인 (Function Evaulation and Related factors in The Elderly)

  • 강점덕;김종봉
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.813-820
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    • 2001
  • Objectives: The objective of this study was to investigate function evaulation and related factors in the elderly. Methods: Korean version of ADL and IADL were measured for 40 normal in the Elderly in July 15-20. 2000. Their ages were 65 or more in years. 14 items from Modified Barthel Index and 14 items from Modified Lambeth Disability Screening Questionnaire were used. Results: The frequency of disability was the highest in Heavy homework(85.0%) folliwed by Walking on level 50 yards or moer(5.0%), Up&down stairs for 1 flight(5.0%) in 28 items from Modified Barthel Index and Modified Lambeth Disability Screening Questionnaire. Conclusions: Results indicated that no smoking and drinking at onset had high Modified Barthel Index. Modified Lambeth Disability Screening Questionnaire was associated with age.

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가정간호환자의 일상생활작동수행능력 변화에 대한 연구 (A study on Changes in ADL Functioning of Residents in Taejon City)

  • 최명한
    • 가정간호학회지
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    • 제4권
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    • pp.53-64
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    • 1997
  • This study was done to investigate the ADL differences between before and after home care. For this survey, the Barthel index, an ADU(activities of daily living) assessment, and general history questions were asked. Functional performance, i.e. ADL, was studied in a population a total of 56 men and women aged 65 and older from the city of Taejon. Among the independent subjects, women, 73 years of age and older, married status, 1-2 times taking home care per month, the case answering 'Quite' about satisfactory of home care, elderly dwelling with others and who have helper and spouse, elderly having a snack regularly, are statistically significant. Also ADL differences were found in grooming, getting in and out chair, getting on and off toilet, walking 500 meters on the level. Further studies should evaluate the activities of daily living to predict important disability-related outcomes.

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재난약자시설의 화재사례 분석을 통한 피난대책 개선에 관한 연구 (A Study on the Improvement of Evacuation Measures through the Analysis of Fire Incident in the Facility of People Vulnerable to Disaster)

  • 진승현;김혜원;이병흔;권영진
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2018년도 춘계 학술논문 발표대회
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    • pp.78-79
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    • 2018
  • The facilities of domestic elderly people are getting higher in the facility due to the rapid increase of the elderly population. Elderly people ability to evacuate the facility such as cognition and walking ability is very low. Therefore, it is necessary to secure the safety of evacuation in case of fire, but the evacuation safety measures in case of domestic fire accidents are insufficient. This study is to identify the problems of the safety of evacuation through the fire case analysis and to propose the measures against it.

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보행보조차 손잡이 높이에 따른 노인들의 건강생활의 변화 : 상태불안과 심박수, 낙상효능감을 중심으로 (Changes in the Health Life of the Elderly Through the Handle Height of Walking Assistant Vehicle Article : Emphasizing on State Anxiety, Heart Rate and Fall Efficacy)

  • 손성민;곽성원
    • 한국엔터테인먼트산업학회논문지
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    • 제14권7호
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    • pp.519-528
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    • 2020
  • 본 연구의 목적은 보행보조차 손잡이 높이에 따른 노인들의 상태불안과 심박수, 낙상효능감의 변화를 분석하는 데 있다. 연구대상은 정상노인 32명이다. 보행보조차는 유모차 형태로 손잡이 높이를 대상자들의 신장의 48%를 기준으로 설정하였으며, 손잡이 높이를 5%씩 감소시켜, 48, 43, 38 %로 구성하였다. 상태불안 평가는 한국판 상태불안 척도를 활용하였으며, 심박수 평가는 Fitbit Charge 2 손목형 심박수 측정기를 활용하였다. 낙삭효능감 평가는 한국판 낙상효능감 척도를 활용하였다. 그 결과, 보행보조차 손잡이 높이에 따라 상태불안과 심박수는 통계적으로 유의미한 증가가 나타났으며, 낙상효능감은 통계적으로 유의미한 감소가 나타났다. 사후검정 결과에서도 상태불안과 낙상효능감의 분석결과 각각의 보행보조차 손잡이 높이에 따라 통계적으로 유의미한 차이가 나타났으며, 심박수의 분석결과 48, 43%의 손잡이 높이와 38%의 손잡이 높이 간의 통계적으로 유의미한 차이가 나타났다. 따라서, 노인들의 보행보조차 사용시 상태불안과 심박수를 감소시키고 낙상효능감을 향상시키기 위해서, 보행손잡이 높이를 적절하게 위치하여야 할 것이며, 보행보조차 사용자 전체 신장의 48%의 위치로 조정하여야 할 것이다.

노인의 동통에 관한 조사연구 (A Descriptive Study on Pain of Elderly)

  • 김주희;양경희;이현주
    • 대한간호학회지
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    • 제26권4호
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    • pp.878-888
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    • 1996
  • The main purpose of this study was getting related to the pain charactristic data of elderly. It contains past and present health status, daily living activity level, pain frequency, causes, pain area, pain intensity, pain worse causes, and pain releave causes, pain management methods. The subject were 79 elderly whose age were over 65 years old. They were lived in their home environment. Half of them were resident of middle range city at province and the others were Seoul city. The data was collected from Dec. 1st. 1995 to Jan. 30th. 1996. Interviews were held with semi-structured questionaire after pilot study by researchers. Pain measurement tool were used graphic rating scale and Abstract of Korean Pain Language Scale. To analize the subject's general characteristics, past and present health status, daily living activity level, characteristics about pain, pain management methods statistical SPSS for win frequency were employed. The findings were as follows ; 1. There were 33(41.8%) male and 46(58.2%) female Below 69 year old were 20(25.3%), 70-79 year old were 42(53.2%), over 80 year old were 17(21.5%), mean age was 74(from 65 to 89). 2. Buddhist were 24(30.4%), Christian were 29(36. 7%), the other religious status or non religians were 26 (32.9%). 3. Past good health status were 63(79.7%), not so good status were 6(7.6%). Present good health status were 19(24.1%), moderated health status were 6(7.6%), not so good status were 14(17.7%). 4. Daily living activity limitation were 39(49.4%), nonlimitation of activity were 5(6.3%). 5. Walking limitation were 3(3.8%), nonlimitation walking were 52(65,8%). 6. Insomnia was 23(29.1%), no difficult were 38(48.1%). 7. Chronic pain complaints were 64(81%), diseases causes of pain were 25(31.6%), bad health behavior causes of pain were 27(34.2%). 8. Most pain area were back 30(29.4%), leg 17(16.7%), knee 16(15.7%), arm 13(12.7%), teeth, chest and head were each 5(4.9%), loin, trunk were each 4(3.9%), the other areas were 3(3%). 9. Pain intensity was 3.49(mean) by Korean Language Scale, 6.59(mean) by graphic rating scale. Sensitive pain was 3.5(47.9%), affective pain was 3(20.8%) It was high pain level and sensitive pain. 10. Most pain worse causes moving was 35(44.3%), pain relieving causes rest was 29(36.7%), 11. Pain management method were medication 40(42.1%), physiotherapy 23(24.2%), hospital 12(12.6%), the others 7(7.4%), none 13(13.7%). The conclusion ; Present health status of eldery was not so good. Almost half of them have some diseases. Most common diseases of eldery were arthristis, respitatory and heart problems. Foully nine percent of elderly had limitation of daily living activities. Eighty one percent of eldely had chronic pain. Most of them was back pain (30%). Pain intensity was high(score over 3.5). The worsening pain causes was moving and releiving causes was rest. Pain management method were pain medication, physiotherapy. Therefore, Nursing care plan for the elderly have to focus on pain because majority of elderly have chronic high level of pain related to the arthritis.

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노인의 우울증과 여가활동의 상관성에 관한 연구 - 대구시 북구를 중심으로 - (A Study on the Correlation between the Types of Leisure Activity and Depression in the Elderly - in Bukgu District, Daegu City -)

  • 권원안;김한수
    • The Journal of Korean Physical Therapy
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    • 제20권4호
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    • pp.51-59
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    • 2008
  • Purpose: The aim of this study was to evaluate the correlation between the types of leisure activity and Korean form of geriatric depression score in the elderly. Methods: We surveyed elderly (>60 years old) people who participated in leisure activities using interviews in Bukgu district, Daegu city. Data collection was performed from 1 - 31 May, 2008. The data was analyzed with SPSS 12.0 program, which was used for descriptive statistics and Pearson correlation analysis. Results: Common leisure activities scored 'often' and 'very often' were family conversations, offspring visiting, eating out, plant cultivation, entertainment, conversation, walking or jogging, and TV or radio. It was investigated at the rate of 19.2% in the moderate depression and 8.3% in the severely depression. Depression positively associated with newspaper or magazine, family conversation, offspring visiting, social service, movie & theater, exercise and tour. Conclusion: Most elderly people surveyed indicated they were depressed, which should recommend significant leisure activities for elderly to reduce depression in Bukgu district, Daegu city.

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