• 한국운동역학회지
• /
• 제31권1호
• /
• pp.30-36
• /
• 2021

Objective: The objective of the present study was to analyze the relationship between strength of the lower extremity's joints and their local dynamic stability (LDS) of gait in elderly women. Method: Forty-five elderly women participated in this study. Average age, height, mass, and preference walking speed were 73.5±3.7 years, 153.8±4.8 cm, 56.7±6.4 kg, and 1.2±0.1 m/s, respectively. They were tested torque peak of the knee and ankle joints with a Human Norm and while they were walking on a treadmill at their preference speed for a long while, kinematic data were obtained using six 3-D motion capture cameras. LDS of the lower extremity's joints were calculated in maximum Lyapunov Exponent (LyE). Correlation coefficients between torque of the joints and LyE were obtained using Spearman rank. Level of significance was set at p<.05. Results: Knee flexion torque and its LDS was negatively associated with adduction-abduction and flexion-extension movement (p<.05). In addition, ratio of the knee flexion torque to extension and LDS was negatively related to internal-external rotation. Conclusion: In conclusion, knee flexion strength should preferentially be strengthened to increase LDS of the lower extremity's joints for preventing from small perturbations during walking in elderly women.

• 한국운동역학회지
• /
• 제27권1호
• /
• pp.45-52
• /
• 2017

Objective: The aim of this study was to investigate the periodicity of the lower extremity joint flexion/extension angle to compare the local stability between young and elderly women during walking on a treadmill. Method: Eighteen young women (mean $age=21.2{\pm}1.6y$; mean $mass=57.1{\pm}6.1kg$; mean $height=1.61{\pm}0.04m$) and 18 elderly women (mean $age=66.4{\pm}1.2y$; mean $mass=55.4{\pm}8.3kg$; mean $height=1.56{\pm}0.04m$) participated in this study. Approximate entropy (ApEn) was used to determine the periodicity in the lower limb joint angles. Results: The ApEn values of the two groups were statistically greater in the surrogate data test than in the original time series data (p<.05). The periodicity of the hip and ankle flexion/extension angles decreased in the elderly women group compared with the young women group (p<.05). The periodicity of the lower extremity joint flexion/extension angle showed that the ankle joint increased dominatingly in both groups (p<.05); the hip joint decreased compared with the knee joint in the young women group; and the knee joint decreased compared with the hip joint in the elderly women group (p<.05). Conclusion: These results suggest that the lower extremity joint flexion/extension angles of the young and elderly women during walking contained random noises as well as biological signals. In addition, the differences in the periodicity in the lower extremity joint between the young and elderly women may provide some insight in predicting potential falls and be used as a characteristic indicator for determining local stability in elderly women during walking.

• 한국운동역학회지
• /
• 제21권2호
• /
• pp.123-129
• /
• 2011

The purpose of this study was to compare and analyze the effect of twelve-week Taekwondo and walking exercises on the double-leg balance control by dividing elderly females into Taekwondo, walking exercise and control groups. In total, 30 elderly females were randomly divided into Taekwondo, walking exercise, and control groups, with 10 subjects in each group. Subjects participating in this study were 10(age $69.4{\pm}5.8$ years), 10(age $71.4{\pm}7.6$ years) and 10(age $70.6{\pm}4.8$ years) in the three groups, respectively. Although the AP measures were not significantly different among the groups and times, the ML RMS distance and ML velocity, among the ML measures showed a significant difference among the groups and times. Average velocity and 95% confidence ellipse area were also significantly different among the groups and times. Twelve-week Taekwondo and walking exercises were found to be effective in improving static balance control. Future studies on the development of a Taekwondo intervention program tailored for the elderly with many subjects conducted by using a long-term training program are expected.

• 대한교통학회지
• /
• 제34권5호
• /
• pp.409-420
• /
• 2016

한국은 2026년에 초고령화 사회(super aged society)로 진입될 것으로 예상된다. 그럼에도 불구하고 보행은 인간의 기본적인 이동권리라는 측면에서 교통약자의 대부분을 차지하는 고령자의 안전하고 편리한 이동권리 확보는 가장 기초적인 복지로 중요하지만 간과되기 싶다. 이러한 측면에서 본 논문에서는 교통시설물을 설계시 활용을 위한 고령자의 보행특성을 분석하여 제시하였다. 운동 역학적인 보행변수들을 일반인과 비교한 결과, 모든 변수들이 일반인에 비하여 약 75% 수준으로 분석되었다. 고령자는 일반인에 비하여 보행속도가 느리고, 어깨의 움직임이 적은 대신 발목의 움직임이 많으며, 발을 낮게 들며, 지면반발력이 크게 작용되는 등의 보행변수별 보행특성이 조사되었다. 또한 고령자 집단은 집단 안에서도 보행변수별로 서로 차이가 크며, 이를 walking Balance Muscles Factor별로 2개 혹은 3개로 집단화가 가능함을 군집분석을 통하여 알아보았다. 이와 같은 고령자 보행특성은 보도, 경사 및 단차 등의 교통시설물 설계에 활용될 수 있을 것이다.

• 한국재난정보학회 논문집
• /
• 제17권3호
• /
• pp.543-555
• /
• 2021

연구목적: 본 연구는 보행교통사고 사망사고 중 많은 비중을 차지하고 있는 무단횡단 보행자의 보행특성을 분석하는데 목적이 있다. 연구방법: 분석 방법은 영상장비를 이용하여 무단횡단 보행자의 자료를 수집한 후, 고령자와 비고령자의 무단횡단 특성에 대한 빈도분석과 통계적 검증을 수행하였다. 연구결과:고령자와 비고령자의 무단횡단 특성에 차이가 있는 것으로 나타났으나, 보행속도의 경우, 유의미하지 않는 결과가 도출되었다. 그러나 고령자 중 보행이 어려운 그룹은 그렇지 않은 그룹에 비해 보행속도가 낮은 것으로 나타났다. 결론: 무단횡단은 연령대 및 보행능력에 의한 문제가 아닌 불법행위에 대한 인지 및 사고 위험에 대한 안전불감증이 원인 중 하나로 안전 교육과 무단횡단 다발 구간에서 운전자의 주의를 요구하는 보행자 정보 제공이 필요할 것으로 판단된다.

• 재활복지공학회논문지
• /
• 제8권4호
• /
• pp.299-303
• /
• 2014

최근 노년인구의 증가로 이동 보조기기의 수요가 증대되고 있다. 이동 보조 기기 중 하나인 보행보조기의 수요도 늘고 있다. 보행보조기란 고령자나 환자들 같은 지역 이동이 불편한 사람들의 체중을 분담 받아 보행을 도와주는 기기이다. 본 논문에서는 현재 수동 보행보조기에 전동 기능을 탑재하여 사용자들의 보행을 도와주는 전동 보행보조기를 제작하였다. 또한 장거리 이동시 차에 실어 이동 시킬 수 있도록 경량의 접이식 구조를 적용하여 설계 및 제작 하였다.

• 보건교육건강증진학회지
• /
• 제27권4호
• /
• pp.73-81
• /
• 2010

Objectives: The purpose of this study was to evaluate the effects of 12 weeks walking exercise program participation on changes in aging-related hormones concentration in elderly men. Methods: 16 elderly men(above 65 years old) were participated in 12 weeks walking exercise program by group types(exercise group ; n=8 & control group ; n=8), and their aging-related hormones(GH, testosterone and melatonin) levels were assessed before program(0 week) and after program(12 weeks). Regularly walking exercise program(field walking exercise) performed for 12 weeks(3days/week, 60~70min/day, HRR 55~65%). All data were expressed as mean and standard deviation by using SPSS/$PC^+$(ver. 13.0) program, and to evaluate the differences before and after treatment by groups, data were analyzed by paired t-test(a${\leq}$.05) and 2-way ANOVA was performed to examine the differences between groups and within groups by variables. Results and Conclusion: The conclusions obtained from this study were as follows ; In growth hormone. testosterone and melatonin response after 12 weeks exercise was increased significantly in walking exercise group(p<.01; p<.001; p<.001). And in result of 2-way ANOVA analysis for group, exercise, group${\times}$exercise, as compared with the exercise, there is significant difference in all items. Interaction effect of between group and exercise is difference significantly on GH(F=5.915, p<.05), testosterone(F=15.117, p<.01) and melatonin(F=8.131. p<.01) in all groups. We observed a direct relationship(positive improvement) between the regular physical activity and aging-related hormones(growth hormone, testosterone and melatonin concentrations) in elderly men.

• 지역사회간호학회지
• /
• 제30권1호
• /
• pp.47-56
• /
• 2019

Purpose: This study was performed to evaluate effects of a stim-up matt walking exercise program on balance and gait of the frail elderly. Methods: A total of 37 elderly people recruited from S city were randomly assigned to the experimental group (n=22) and control group (n=15). The stim-up matt walking exercise program was offered twice a week for 8 weeks. Data were analyzed by SPSS 21.0. Results: The dynamic balance ability Timed Up and Go test of the experimental group was significantly faster than that of the control group (t=21.72, p<.001). The static balance ability open-eye standing test (t=44.15, p<.001) and close-eye standing test (t=9.01, p=.005) also showed increase in effects of the experimental group. In the walking ability, gait cycle (t=2.48, p=.018), cadence (t=-2.21, p=.034) and gait speed (t=-2.78, p=.009), positive effects were on. However, no statistically significant differences were found in stride length and double support. At the ankle joint range left ankle plantar flexion (t=3.92, p<.001) and left ankle dorsal flexion (t=4.51, p<.001) were higher in the experimental group than in the control group, and also right ankle plantar flexion (t=2.79, p=.008) and right ankle dorsal flexion (t=2.92, p=.006) increased in the experimental group. Conclusion: The significance of this study is that the stim-up matt walking exercise program for the frail elderly proves to be useful for improving balance and walking.

• 대한물리치료과학회지
• /
• 제16권4호
• /
• pp.67-74
• /
• 2009

Background: This study had been carried out with 20 elderly subjects as its object for about one month from November 3, 2008 to December 14, 2008 in order to observe the effect of Underwater Treadmill on the elderly's walking and balance ability. Methods: Subjects were assigned either experimental group (n=10) or the control group (n=10), experimental group received Underwater Treadmill program (30 min per course, 3days a week for 6weeks). Subjects were assessed for muscle power (Nicolas Manual Muscle Test), balance (Functional Reach Test), gait ability (Time Up and Go, 10M walking test) before experiments and after experiments. Results: The results of this study were as follows; 1. After underwater treadmill exercise, the change of isometric contraction indicated a beneficial increase on lower extremity muscle power of experimental group and functional test of balance function; FRT, TUG indicated beneficial difference between groups. 2. beneficial difference between groups in walking speed of hourly index change of walking function. 3. between muscle power and balance, gait ability, we could find out there's high correlation ship between lower extremity muscle power increasing and balance and gait ability of the elderly. Conclusion: Aerobic exercise using underwater treadmill effects on muscle power strengthening of the elderly, and because of this, increase of lower extremity muscle power is very helpful not only to improvement of balance ability, but also to improvement of gait ability, so it will be used as a physical therapy program on clinic and used as an exercise program for protecting the elderly from falling down very well.

• 한국전문물리치료학회지
• /
• 제15권1호
• /
• pp.54-60
• /
• 2008

The purpose of the study was to investigate the effectiveness of self-paced walking exercises in elderly women with hypertension, hyperglycemia, and hypercholesterolemia. Thirty-eight elderly women with hypertension, hyperglycemia, and hypercholesterolemia (16 hypertension, 11 hyperglycemia, 11 hypercholesterolemia), aged between 65 and 80, were invited to participate in this study. Each subject participated in a self-paced walking exercise five times a week for twelve weeks from 26 June to 16 September 2006. The changes between pre- and post-exercise were analyzed using the analysis of a paired t-test with the SPSS version 12.0 package program. There were significant decreases in systolic blood pressure (p<.01) and diastolic blood pressure (p<.05), blood glucose(p<.05), and cholesterol in the blood (p<.01). These results show that self-paced walking exercises may be helpful in treating elderly women with hypertension, hyperglycemia, and hypercholesterolemia.