• 제목/요약/키워드: Walking-Assistance

검색결과 88건 처리시간 0.027초

고령자 맞춤 아파트의 옥외 공용공간 및 부대·복리 시설 배치계획 분석 - 강남구 세곡지구 4단지를 중심으로 - (Layout Plan Analysis of Communal Outdoor Space and Welfare Facilities for Senior Apartment - Focusing on Segok District 4th Complex in Gangnam-gu -)

  • 이정림;홍원화;김태우;최진원
    • 한국주거학회논문집
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    • 제24권1호
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    • pp.33-40
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    • 2013
  • This study has examined layout of communal outdoor space and welfare facilities in the nation's very first senior apartment complex in Segok-dong, Gangnam-gu that has been developed by Seoul City. In order for this space to play a role as a center of communication: 1) A center space of community should be created at the point of intersection of main moving lines of pedestrians. 2) Hierarchical area should be set up between main moving lines of walking and communal outdoor space. 3) It should be designed in a way to reflect demands of seniors and be accommodated their activities and behaviors. 4) It should be functionally connected to local infrastructure facilities so that it can promote social exchanges among seniors. Points to be considered in welfare facilities: 1) They should be placed at the center of the complex to provide convenience to all seniors. 2) Area of senior citizen center should be subject to flexible legal regulation in light of the unique characteristics of the Complex. 3) in case that welfare facilities are installed in the same space, intermediate space is required to alleviate collision between private space and public space. 4) Senior assistance facilities should put more emphasis on running programs that make good use of the space than on securing the space itself.

체간 조절을 통한 앉기 자세 교정이 경직형 뇌성마비 아동들의 호흡근과 음향학적 측정치들의 변화에 미치는 효과 (The Effects of Changing the Respiratory Muscles and Acoustic Parameters on the Children With Spastic Cerebral Palsy)

  • 김선희;안종복;서혜정;권도하
    • 한국전문물리치료학회지
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    • 제16권2호
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    • pp.16-23
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    • 2009
  • The purpose of this study was to investigate the effects postural changes on respiratory muscles and acoustic parameters of the children with spastic cerebral palsy. Nine children with spastic cerebral palsy who required assistance when walking were selected. The ages of the children ranged from 6 to 9 years old. The phonation of the sustained vowel /a/ and the voice qualities of each child such as fundamental frequency($F_0$; Hz), pitch variation (Jitter; %), amplitude variation (Shimmer; %) and noise to harmonic ratio (NHR) were analyzed by Multi-Dimensional Voice Program (MDVP). The muscle activity of three major respiratory muscles: pectoralis major muscle, upper trapezius muscle and rectus abdorminalis muscle, were measured by examining the root mean square (RMS) of the surface EMG to investigate the impact of changes in the adjusted sitting posture of each subject. However, the RMS of pectoralis major muscle showed a significant differences (p<.05). Secondly, there were no significant differences in $F_0$, Jitter and Shimmer between pre and post posture change, but there was a significant difference in NHR (p<.05). The data were collected in each individual; once prior and once after the sitting posture change. The data were analyzed by Wilcoxon signed ranks-test using SPSS version 14.0 for Windows. The findings of this study were as follows; Firstly, the RMS of upper trapezius and rectus abdorminalis muscle were not significant different between pre and post sitting posture changes. From the result, it is concluded that changes in the adjusted sitting posture decreases the abnormal respiratory patterns in the children with spastic cerebral palsy which is characterized by the hyperactivity of the respiratory muscles in breathing. Also, there is increased on the voice qualities in children with spastic cerebral palsy.

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재활의료로봇의 발전 전망 (Prospects for the Development of Rehabilitation Medical Robots)

  • 문정은;조용진
    • 디지털융복합연구
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    • 제19권6호
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    • pp.393-398
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    • 2021
  • 사회가 복잡해지고 고도화 될수록 사고의 위험 또한 늘어날 수밖에 없고, 이는 선천적 장애 뿐 아니라 후천적 장애의 발생을 높이는 계기가 되고 있다. 이러한 상황에서 첨단기술의 복합체인 재활 로봇의 활용은 앞으로 꾸준히 늘어나게 될 전망이다. 이에 저자들은 국내·외 재활 로봇의 기술 동향과 향후 발전 전망에 대한 살펴보고자 한다. 지금까지의 장애 보조 로봇 기술은 보행 장애나 작업제한 장애 지원영역에서 주로 발전을 이루어왔다. 그러나 인구의 고령화는 인지장애 대상자가 늘어날 것이라는 점을 잠재하고 있기 때문에 사용자의 안전성을 확보한 장애 보조 로봇 개발이 추진되어야 하고, 이를 위해 다양한 형태의 임상연구를 통해 재활 로봇의 치료 효과에 대한 실증적 결과들이 도출, 융합되어야 할 것이라 생각된다.

Effect of pulmonary rehabilitation on patients with acute COVID-19: a single-center case series

  • Son Mi Lee;Min Woo Kim;Donghyun Shin;Songi Han;Ju Sun Oh
    • Journal of Yeungnam Medical Science
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    • 제40권3호
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    • pp.297-301
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    • 2023
  • The coronavirus disease 2019 (COVID-19) pandemic has been ongoing for more than 2 years. Many patients who recover from severe acute respiratory syndrome coronavirus 2 infection continue to have aftereffects such as dyspnea and fatigue, which may lead to functional decline. Therefore, the need for managing these symptoms using methods such as pulmonary rehabilitation (PR) has emerged. The purpose of this study was to report the effectiveness of PR in five patients with acute COVID-19. PR was performed in patients with persistent dyspnea and oxygen demand after COVID-19. All five patients were able to maintain an independent functional status before COVID-19. However, after acute COVID-19, they were unable to walk independently and needed assistance for activities of daily living due to dyspnea and fatigue. Therefore, they were referred to rehabilitation units, and PR was performed. The modified Medical Research Council dyspnea scale, maximal expiratory pressure (MEP), 6-minute walking test, forced vital capacity, and grip strength were assessed before and after PR, and the results were compared. After PR, the parameters improved, except for the MEP in one patient (patient 3) and the grip strength in another patient (patient 4). After PR, two out of five patients returned to work and the other three returned home. Therefore, we conclude that PR is necessary for patients with acute COVID-19 with activity limitations.

교통약자의 철도역 실내 길안내 방안에 관한 연구 (A Study on Indoor Route Guidance at Railway Stations for the Transportation Vulnerable)

  • 신재범;김성철
    • 한국ITS학회 논문지
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    • 제22권4호
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    • pp.167-178
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    • 2023
  • 철도나 지하철 역사의 경우 교통약자가 편리하게 역사 내 시설물을 이용할 수 있도록 주변 환경을 고려한 맞춤형 길 안내 서비스를 필요로 하는데, 현재 철도역에서 열차 승차, 환승 등이 복잡하다. 넓은 실내에서 안내는 대부분 표지판, 전광판 등을 통하거나, 안내데스크에서 직접 문의를 통하여 이루어지는 경우가 많다. 그러나, 장애인, 노약자 등 교통약자는 신체적 불편, 인지력 저하, 언어 소통의 불편함 등으로 역무원 등과 같이 주변 사람들의 직접적인 도움을 통하여 이루어지고 있다. 본 논문에서는 기존에 활용하던 개별 위치 측위 기법이 아닌 여러 형태의 다중 위치 측위 기법을 결합하는 AI 융·복합 측위 기술을 적용하여 교통약자 유형에 따라 최적화된 이동 가능한 경로 제공으로 맞춤형 실내 길안내서비스 제공방안을 연구하였다. 이처럼 철도역사 내에서 환승시설 등 복잡하고 넓은 실내 공간에서 교통약자의 보편적 이동편의 제공을 위해서 복잡한 철도역 환경에서도 안전하고 편리하게 장애 유형별 맞춤형 길 안내 서비스를 제공할 수 있는 시스템구축 방안을 제시하고자 한다.

시설 거주노인 돌봄 제공자의 돌봄 로봇 및 기기 활용에 관한 탐색적 연구 (An Exploratory Study on the Use of Care Robots and Devices by Caregivers of Older Adults Residing in Facilities)

  • 곽은영;홍(손)귀령
    • 로봇학회논문지
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    • 제18권4호
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    • pp.392-402
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    • 2023
  • The purpose of this study was to conduct an exploratory and descriptive survey study design to examine 1) the physical difficulty by care task, 2) overall occupation-related physical burden by the characteristics of caregivers and care receivers, and 3) the level of help by the use of care robots and devices among formal caregivers working in facilities for older adults. In this study, 308 formal caregivers working in facilities were recruited from 8 nursing homes and 5 geriatric hospitals between Aug. 2021 and Sept. 2022 in South Korea. There were significant differences in ADLs between nursing homes and geriatric hospitals: eating, dressing, hygiene, transfer to bed, transfer to the toilet and walking. For each care item, the items the caregivers had the most difficulty ranked first were bathing, excretion assistance, and mobility support. The difference in occupation-related physical burden according to general characteristics was found to have statistically significant differences in female and bad perceived health. Among the 205 caregivers who had experience using care robots and devices, pressure ulcer prevention was the most experienced one, and those also were the most helpful and exercise aids were the least helpful. In order to reduce the physical burden on care providers, it is necessary to develop and introduce a care robots centered on the care site. Furthermore, national level public support systems are required to enable facilities to actively utilize care robots and devices.

딥러닝을 이용한 시각장애인용 횡단보도 탐지 모델 연구 (Crosswalk Detection Model for Visually impaired Using Deep Learning)

  • 김준수;이혁
    • 한국정보전자통신기술학회논문지
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    • 제17권1호
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    • pp.67-75
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    • 2024
  • 복잡한 도시 환경에서 횡단보도는 보행자의 안전한 이동을 위해 중요한 역할을 한다. 하지만 시각 장애인에게는 횡단보도가 큰 위험 요소가 될 수 있다. 안전한 보행을 위한 점자 블록이나 음향 신호등과 같은 보조 시설들이 존재하지만, 부실한 관리로 인하여 때로는 오히려 안전을 저해하는 요소로 작용할 수 있다. 본 논문에서는 시각 장애인의 보행 보조를 위한 애플리케이션에 활용할 수 있는 딥러닝 기반 실시간 횡단보도 탐지 모델에 정확도 향상을 위한 방법을 제안한다. 횡단보도 이미지의 흰색 줄이 도로 표면과 대조를 이루는 특성을 활용하여 이미지를 이진화하고, 이를 통해 횡단보도를 더 잘 인식할 수 있게 하고 횡단보도 전체와 중간 부분을 각각 학습한 두 가지 모델을 활용하여 횡단보도의 위치를 더 정확하게 파악할 수 있도록 하였다. 또한 횡단보도를 인식하는 경계 상자를 전체와 부분의 두 단계로 생성하여 정확도를 높이고자 하였다. 이러한 방법을 통해 횡단보도 횡단 영상에서 RGB 이미지 학습에서 탐지 모델이 탐지하지 못한 프레임들을 추가로 탐지할 수 있었다.

독거노인의 사회안전망에 대한 활성화 방안 - 광양시 무선페이징시스템 대상자 중심으로 - (Activation plan of social safety network of the aged living alone - Focused on the aged using wireless paging system in Gwangyang-si -)

  • 이재민
    • 한국응급구조학회지
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    • 제13권3호
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    • pp.41-58
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    • 2009
  • Objective : The purpose of this study is to identify actual operations and issues of wireless paging system operation for the aged living alone as the end users of wireless paging system primarily in Gwangyang city, and thereby to explore possible advanced and integrated ways to promote social safety network for the aged. Methods : The survey tool used in this study was a structured questionnaire form consisting of question items. The researcher hereof conducted this survey by means of direct visit and interview during two seasons, i.e. from February to August, 2008 and from December 2008 to March 2009, respectively. Results : 1) For general demographic characteristics, it was found that 90.9% of all respondents were women and 61.2% of all respondents were at age 75 to 84. for health conditions, it was found that more than 90% of all respondents often took medicines due to their unhealthy body, and most of respondents suffered from musculoskeletal diseases 79.3% and circulatory diseases 61.6%. for walking capacity, it was found that 45.5% of all respondents used walking aids, and disable respondents (11.5% of all respondents) were represented primarily by those with physical disability (52.6% of disable respondents). for actual use of medical institutions, it was found 47.3% of all respondents relied on local clinics, since they preferred neighborhood hospitals or clinics they can trust for medical care. for social activities and supports, it was found that 43.6% respondents had 'needs for assistance at times' and 33.9% respondents have 'no need for assistance'. And it was found that the major difficulties in living alone at old age were represented primarily by health problems 37.8% and economic difficulties 33.5%. 2) For characteristics related to wireless paging system, it was found that 90.3% respondents used wireless paging system recommended by firemen, and 28.5% respondents used this system. and it was found that 59.6% respondents used this system once, and 85.2% respondents used it because of acute or chronic diseases. more than 90% respondents thought that they knew about wireless paging system and considered themselves safe, but 83.6% respondents didn't attach a remote control on their upper clothes, and even 49.1% respondents turned off the power of wireless paging system due to their concern about electricity bill and noise. 3) It was found that 83.6% respondents felt it necessary to use wireless paging system, and wireless paging users felt more satisfied with using the system than non-users, and 50.7% showed high satisfaction at certain psychological benefits like 'confidence in coping with critical situations' and 'a sense of relief'. In addition, it was found that some respondents who answered that 'they didn't turn off the paging system as they knew how it works' and those who answered that they knew 'how to use it' showed relatively high satisfaction. And some respondents who kept it well and felt it necessary also showed high satisfaction. 4) It was found that the level of satisfaction our respondents felt with using wireless paging system varied significantly availability($x^{2}$ = 12.759, p = .002), psychological advantages($x^{2}$ = 12.174, p = .002), knowledge about how to use system($x^{2}$ = 7.021, p = .016), power on/off($x^{2}$ = 13.221, p = .001), level of knowledge about system($x^{2}$ = 21.002, p = .000), maintenance($x^{2}$ = 9.871, p = .007) and level of necessity($x^{2}$ = 34.939, p = .000) on the statistical basis.

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개의 고관절 이형성 치료를 위한 변형 3중 골반 절골술의 적용 (Application of a Modified Triple Pelvic Osteotomy for Treatment of Hip Dysplasia in Dogs)

  • 김영삼;임지혜;정창수;변예은;김곡우;영강승호;권오경
    • 한국임상수의학회지
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    • 제22권4호
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    • pp.328-335
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    • 2005
  • 개의 양측성 고관절 이형성을 치료하기 위해 실시하는 슬로컴의 편측 3중 골반 절골술을 개선하기 위해 고안된 변형 3중 골반 절골술의 효과에 대해 알아보고자 본 연구를 실시하였다. 변형 3중 골반 절골술은 양측 장골 절골술과 치골결합 절골술을 동시에 실시하는 방법이다. 변형 3중 골반 절골술을 실시한 36마리와 편측 3중 골반 절골술을 실시한 7마리의 개에 대한 품고, 체중, 수술 시간, 골 유합기간, 복합증 등의 자료를 조사, 기록하였다 임상 증상과 고관절 이형성의 등급, Norberg angle, percentage of femoral head coverage, 골반 직경에 대해 수술 전, 직후, 수술 후 2, 4, 8, 12, 24주에 각각 측정, 기록하였다. 편측 3중 골반 절골술을 실시한 개체의 평균 연령과 체중은 각각 $9.0\pm4.9$개월, $24.8\pm7.5kg$ (n=7)이었다. 수술 후 평균 $3.0\pm1.0$일에 스스로 일어서고 $8.3\pm0.6$일부터는 걸을 수 있었다(n=3). 수술 전과 24주 후의 평균 임상 증상 등급은 각각 $2.2\pm0.42$ (n=6), $3.5\pm0.7$ (n=2)이었다. 평균 수술 시간은 $107.3\pm38.9$분 (n=4)이었다. 변형 3중 골반 절골술을 실시한 개체의 평균 연령과 체중은 각각 $8.7\pm3.0$개월, $26.9\pm7.6kg$ (n=36)이었다. 이중 25마리는 수술 후 평균 $4.9\pm3.7$일부터 스스로 일어날 수 있었고 평균 $7.3\pm4.8$일 후부터 보행이 가능하였다 변형 3중 골반 절골술을 실시한 개체의 수술 전과 24주 후의 평균 임상 증상 등급은 각각 $2.3\pm1.5$ (n=27), $3.2\pm0.7$ (n=9)로 수술 전보다 유의적으로 개선되었다.(P<0.01). 평균 수술 시간은 $143\pm42.8$분(n=24)으로 두 번의 편측 3중 골반 절골술보다 단축되었다 변형 3중 골반 절골술을 실시한 개체의 수술 전 방사선학적 평균 고관절 등급은 양측 모두 $3.2\pm0.9$이었고 수술 직후의 좌 우측 평균 고관절 등급은 각각 $2.7\pml.1,\;2.7\pm0.9$ (n=36) 이었다. 수술 직후와 2, 4, 8, 12, 24주 후의 고관절 등급이 수술 전에 비하여 유의적으로 개선된 것을 확인하였다.(P<0.01). 수술 후 정기적인 검사 시에 측정한 Norberg angle, percentage of femoral head coverage도 수술 전과 비교해 유의성 있게 증가하였다(P<0.01). 변형 3중 골반 절골술 직후의 평균 골반직경은 수술 전의 골반직경보다 유의적으로 증가하였으며(P<0.01)(n=36) 수술 후 평균 9.3L2.7주에 절골선 유합이 종료되었다(n=21). 반면 편측 3중 골반 절골술을 실시한 경우에는 수술 후 골반경이 수술 전과 비교해 증가하지 않았다. 변형 3중 골반 절골술후에 장액종 형성(1마리), 스크류 변위(4마리), 스크류 부러짐(1마리), 편측성 신경마비(1마리) 등의 부작용이 발생하였다. 이상의 결과를 토대로, 변형 3중 골반 절골술은 개의 고관절 이형성의 효과적인 치료 방법이라 사료된다.

노래를 중심으로 한 음악치료 회상 요법이 노인의 정서에 미치는 영향 (The Music Therapy Effects to Older Person's Emotions after Reminiscence Therapy Through Songs)

  • 최애나;권환순
    • 가정과삶의질연구
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    • 제27권4호
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    • pp.31-39
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    • 2009
  • The purpose of this study is to how the music therapy effects to older person's self-esteem feeling and a emotional mood improvement after reminiscence therapy through songs. The object of this research were 10 old men and women, age of 67 to 90 with dementia, and mental and physical dysfunction, but can be self-walking and the stool was made up in social welfare center in the Yuseong-gu, Daejeon-city, The experiment of the research was done from June 18th until July 18th, week 2 each 50 minutes the total 12 times. This study was an experiment, the treatment of a same group before and after treatment. Before the first session I check the self-esteem and emotional mood. And after the final 12th session, post-therapy examination was conducted the same tests. The tools of Self-esteem test is the self-esteem scale developed by Rosenberg(1965) and Jun Byung-se(1974), which was translated. Emotional state check tools developed by MoNair(1992), which was translated by Yun Jae-ryang, and it can also apply to the Korean older person has been modified by Shin yon-hee. The results of changing mood state to 3 factors are as follows: The score of anxiety-depression factor changes from 50.42($\pm$14.15) to 35.10($\pm$10.60), and this is statistically significant.(p<.05). The score of anger factor changes from 11.20($\pm$4.39) to 6.90($\pm$2.51), and this is statistically significant.(p<.01). The score of vitality factor Changes from 30.00($\pm$4.27) to 23.90($\pm$5.09), and this is Statistically significant.(p<.05). For this research, I selected older person's favorite songs which have a positive lyrics and bright melody. And This has significance in terms give positive effects to older person's emotion which influence on their self-esteem and better mood positively. In the clinical treatment for the elderly to improve the positive sentiment and give practical assistance on the basis of this research is done to the future, And I look forward to the future development of a variety of music therapy.