• 제어로봇시스템학회논문지
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• 제16권10호
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• pp.939-947
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• 2010

With the rising numbers of elderly and disabled people, the demand for welfare services using a robotic system and not involving human effort is likewise increasing. This study deals with a mobile-robot system combined with a BWS (Body Weight Support) system for gait rehabilitation. The BWS system is designed via the kinematic analysis of the robot's body-lifting characteristics and of the walking guide system that controls the total rehabilitation system integrated in the mobile robot. This mobile platform is operated by utilizing the AGV (Autonomous Guided Vehicle) driving algorithm. Especially, the method that integrates geometric path tracking and obstacle avoidance for a nonholonomic mobile robot is applied so that the system can be operated in an area where the elderly users are expected to be situated, such as in a public hospital or a rehabilitation center. The mobile robot follows the path by moving through the turning radius supplied by the pure-pursuit method which is one of the existing geometric path-tracking methods. The effectiveness of the proposed method is verified through the real experiments those are conducted for path tracking with static- and dynamic-obstacle avoidance. Finally, through the EMG (Electromyography) signal measurement of the subject, the performance of the proposed system in a real operation condition is evaluated.

• 대한간호학회지
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• 제41권1호
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• pp.18-25
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• 2011

Purpose: This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis. Methods: A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks. Results: Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035). Conclusion: The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.

• 대한물리치료과학회지
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• 제24권1호
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• pp.38-48
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• 2017

Background: This study was carried out to find out general characteristics and health-related behaviors of elders aged 65 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at Cheju city, with males and females was scaled 1 : 3. Methods: To collect data for study, the field survey was conducted from March 20 to October 31, 2016 with questionaire. Results: This study are as follows; 65.0% of the subjects were 65-75 years old, while 35.0% were 75years old or over, 20.5% of them were illterate, 46.5% could read and write Korean, graduated from elementary school, and 11.5% middle school or higher level. 28.5% of subjects perceived their current health status, 46.0% of men and 38.0% of women as fair, In general elderly men perceived their health status better than elderly women. Among the subjects, 62.0% of men and 57.0% of women reported that they experienced one or more illnesses during the last year. 76.0% of men and 33.0% of women were current smokers. 55.0% of current smokers. 55.0% of current make smokers smoked 11-12 cigarettes per day and 53.2% of current female smokers smoked less than 10 cigarettes per day. 76.0% of men and 37.3% of women drank alchol currently. 56.0% of men and 34.7% of women practiced regular exercise for their health maintenance and promotion. In general, 38.5% of subjects needed other's assistance for doing one or more Activites such as doing heavy home work, Walking up and down stairs or walking half a mile. Common disease of the subjects were hypertention, depenerative arthritis and diabetes mellitus in order. Conclusion: This study ADL activity are significant effect.

• 한국게임학회 논문지
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• 제11권6호
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• pp.43-52
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• 2011

본 연구진에서 개발 및 효과성을 연구한 '팔도강산'은 집에서 즐기는 전국명승지 구경을 컨셉으로 하는 여가활용 및 노인 복지형 게임이며 팔걸이와 발판 컨트롤러를 이용하는 사용자의 걷기행위를 통해서 진행하는 게임이다. 개발된 게임을 통해서 기대하는 효과성은 상호 협력과 경쟁을 통한 운동 체감성의 대리만족과, 노인들이 게임플레이를 통해서 얻는 활동력 및 지적기능 유지 등의 놀이치료 효과이다. 천안 노인종합복지관에서 65세 이상 노인 309명을 대상으로 테스트 실험한 결과 전체 실험자의 76.1%가 게임플레이에 전반적으로 만족한다고 답변하였고, 게임의 흥미도는 5점 만점에 평균 4.13점으로 조사되었다. 다시 게임을 플레이하겠냐는 질문에서 전체 응답자중 89.4%가 긍정적인 반응으로 설문에 응답했다. 노인들을 위한 관용성과 체감성이 살려진 기능성 게임을 개발하였음을 발견했다.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2005년도 추계학술대회 논문집
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• pp.73-77
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• 2005

To design senior housing that support residents' health is one of the comtemporary issues in Korea. As elderly people became more healthful and reach, people became interested in the health and health promotion. This trend encouraged this research study. The objectives of this study are: to analyze the middle aged people's opinions and behaviors related to health issues, and to suggest design considerations for senior housing. The survey used questionnaire from 476 residents living in Seoul and Gyeong-Gi area. The analysis used descriptive statistics, one-way anova and t-test. Primary findings are as follows: (1) Most of the respondents considered that their health state is 'good' and mental health is more important than physical health. (2) Many people exercise regularly for the promotion of health at a gym. (3) Results show that social relationship effect on health, and dietary life and walking medical examination account highly. (4) As the respondents are higher income and education level, the health-related behavior is more actively. Moreover the respondents who are women feel a great interest about health issues. These results suggest directions for planning of the senior housing. (1) Planning the space for the health-promoting behavior in the house or support a private gym-not a local facilities-. (2) Service for the information related health issues - medical examination, news of the health issues (3) Support the maintenance a good - social relationship (4) Consideration the space with health-related behavior like walking and dietary-life. The senior housing can reflect the health-related opinions and support health-related behavior of the elderly people.

• 한국정밀공학회지
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• 제33권9호
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• pp.761-768
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• 2016

Weight bearing is effective during rehabilitation of gait, in the elderly and disabled people. Various training devices using weight bearing function were developed along with treadmill walking; however, no device has been developed in conjunction to walking on the ground. Here, we designed a rail type frame of a gait rehabilitation system for body-weight support (BWS) function, and analyzed its mechanical safety in the static weight bearing condition of a vertical axis. Computational simulations were performed to analyze structure of the driving parts, which are connected with a rail and driving rollers and the lower plate of the BWS. Structural analyses showed the drivers and BWS were safe, when simulated at 135kg weight under static conditions. Thus, this rail type rehabilitation system can be used for gait training of the elderly and disabled.

• 한국노년학
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• 제40권3호
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• pp.543-563
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• 2020

사람들은 노화가 진행되고 신체기능이 저하될수록 집 안에서 머무는 시간이 길어지기 때문에 주택환경의 영향을 더 많이 받게 된다. 그동안 주택환경과 건강의 관련성에 관한 연구는 다수 진행되었으나, 신체기능이 저하된 노인의 장애 발생과 우울에 미치는 주택환경의 영향을 밝히는 연구는 부족하였다. 이에 본 연구는 보행기능제한과 장애, 그로 인한 장애와 우울의 관계에 영향을 미치는 주택환경의 조절 효과를 검증하는 것을 목적으로 한다. 본 연구는 2018년 서울시 노인실태조사 자료를 활용하였으며, 주요 변수에 결측치가 있는 응답자를 제외한 총 3,027명을 대상으로 분석을 수행하였다. 결과분석에는 로지스틱 회귀분석과 다중회귀분석을 사용하였다. 연구결과 첫째, 주택환경에 문제가 있다고 보고한 사람들은 그렇지 않은 사람들에 비해 보행기능제한(OR=1.487, 95% CI: 1.250 - 1.770), IADL장애(OR=1.594, 95% CI: 1.303 - 1.949)와 우울(OR=1.943, 95% CI: 1.553 - 2.430) 수준이 높게 나타났다. 둘째, 주택환경은 보행기능 제한이 도구적 일상생활수행능력(IADL) 장애에 미치는 영향을 조절하는 것으로 나타났다. 즉, 열악한 환경에 거주하며 보행기능제한을 경험하는 노인의 IADL장애 수준이 그렇지 않은 집단보다 높은 것을 알 수 있다. 셋째, 주택환경은 보행기능을 통제한 후에도, IADL장애가 우울에 미치는 영향을 조절하는 것으로 검증되었다. 이는 열악한 환경에 거주하는 IADL장애 노인의 우울 수준이 그렇지 않은 집단보다 높다는 것을 의미한다. 본 연구결과를 기반으로 노년기 장애와 우울을 예방하고, 자신의 집에 오래 머물러 살 수 있도록 지원하기 위한 개입전략으로서 노인의 신체적, 기능적 특성을 반영한 주택환경 개선사업의 필요성과 방향성을 제시하였다.

• 대한공간정보학회지
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• 제20권4호
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• pp.37-44
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• 2012

위급상황 발생시 국민의 안전을 위해 신속히 대피할 수 있는 대피소가 전국에 약 2만 5,724개소가 지정되어 있으며, 서울시의 경우 약 3,870개소가 지정되어 있다. 전국에 설치된 대피소는 신속한 대피를 위해 주변 반경 5분 이내에 도착할 수 있는 위치에 지정되어 있으며, 서울시의 대피소 수용능력은 서울인구의 285%를 수용할 수 있다. 하지만 문제는 보행자의 나이, 신장, 건강상태, 신체조건 등과 같은 개인차에 의한 보행속도를 고려하였을 경우 5분 이내에 도착할 수 있는 대피소가 얼마나 되는지는 알 수 없다. 또한 대피소의 공간적 배분 및 분포에 따라 수용 가능한 서비스 영역이 달라지며, 이에 따른 취약지가 발생 할 수 있다. 이에 본 연구에서는 선행연구사례를 통해서 보행자의 유형별 보행속도를 1m/s, 1.3m/s, 2m/s 정의하였고, 서울시에 지정된 대피소와 도로망을 이용하여 입지할당모형의 네트워크 분석을 실시하였다. 그 결과 서울시 행정구역별로 보행속도에 따른 대피소의 서비스 지역과 취약 지역을 알 수 있었으며, 노약자의 경우 대피소에 도달할 수 없는 취약 지역이 빠른 걸음의 성인남녀에 비해 2배 이상 큰 것으로 분석되었다.

• 산업융합연구
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• 제20권12호
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• pp.213-217
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• 2022

본 연구의 목적은 한국인 대상의 국민건강영양조사(2018년) 자료 중 30세 이상의 인구를 대상으로 나이, 신체활동 (걷기, 근력운동), 주관적 체형 인식, 체중의 변화가 주관적 건강 상태와의 관계를 알아보고자 하였다. 본 연구의 대상과 연구방법은 제7기 3차년도 국민건강영양조사 (2018년)를 이용한 이차분석연구이다. 나이, 1주일간 걷기 일수, 1주일간 근력운동 일수, 주관적 건강 상태, 주관적 체형 인식, 그리고 1년 동안 체중 변화 유무를 변수로 이용하여 주관적 건강 상태와의 상관성 분석을 SPSS를 활용하여 통계적 유의성 있는 결과를 활용하였다(p<.01). 7일(매일) 걷기를 한다는 응답율은 30-45세는 21.9%, 50-64세는 27.2% 그리고 65세 이상은 26.6%이며, 5일 근력운동을 한다는 응답율은 30-45세는 3.6%, 50-64세는 8.4% 그리고 65세 이상은 7.9%이다(p<.001). 주관적 건강 상태는 나이 (.091), 1주일간 걷기일수(.739), 1주일간 근력운동 일수 (.530), 주관적 체형인지(.256), 1년간 체중 변화(.303)에 대해서는 양의 상관관계가 있었다(p<.01). 본 연구에서는 주관적 건강 상태는 '나쁨'이라고 응답한 연령대는 65세 이상이 21.4%로 가장 높았으며, 그 다음으로는 50-64세는 15.7%, 30-45세는 11.0% 순으로 나타났다. 이는 걷기, 근력운동을 함으로써 주관적 건강 상태가 좋아질 것으로 기대할 수 있었다. 이러한 결과를 토대로 연령에 따른 개인의 주관적 건강 상태 향상을 위한 건강 관련 프로그램을 마련하는데 기초자료로 제공하고자 한다.

• 근관절건강학회지
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• 제9권1호
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• pp.18-27
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• 2002

Introduction : Exercise has been suggested as an important nursing strategy in which to help elderly maintain functional performance and to enhanced quality of life. Most of exercise study has been reported on fitness exercise such as walking, swimming, dance etc for health of elderly. There have been few reports about exercise on the promotion of small and fine movement of elderly. The purpose of this pilot study was to determine an effect of 6 weeks hand and finger exercise in home to improve hand muscle strength such as grip strength and finger pinch pressure. Materials and Methods Design: This pilot study was used one group pre and post-test design. Sample: Twelve elderly women above 60 years of age or older living in community were selected by convenient sampling. Procedure: Signed informed consent was obtained prior to participate in this study. The authors met elderly and taught hand and finger exercise, daily a week for 6 weeks, within 30 minutes per session. But exercise frequency and strength were not same. Instruments: Left and right grip strength were measured by Bulb Dynamometer(made in USA) and left and right pinch pressure were measured by Baseline Hydraulic Pinch Gauge(made in USA). Data analysis: Discriptive data analyses were performed on all variables. Wilcoxon matched-pairs Signed-Ranks test were used to find difference of grip strength and pinch pressure between pre and post exercise using SPSS 10.0 for Window. Results: Samples age ranged from 60 to 73, Mean age was 65.3. All were women. Ten elderly were diagnosed osteoarthritis and one had DM. After six weeks hand and finger exercise, Left and right grip strength were higher than those of before exercise(Z=-2.667, P<0.01 ; Z=-3.065, p<0.01). And left pinch pressure after hand and linger exercise were higher than that of before pinch pressure (Z=-2.315, p<0.05). But Right pinch pressure was not shown significant change(Z=-1.099, p>0.05). Conclusions: Although this study was limited by the sample size and design, the findings provide some important implications for community based exercise nursing intervention. Short term (six weeks) exercise of hand and linger is shown to be useful as nursing intervention to maintain routine daily activities such as eating, writing, grip something for elderly.