• Title/Summary/Keyword: fall injury

검색결과 270건 처리시간 0.147초

회전근 간 병변: 불안정증과 강직 (Rotator Interval Lesion: Instability & Stiffness)

  • 오정환;박진영
    • Clinics in Shoulder and Elbow
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    • 제8권1호
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    • pp.5-8
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    • 2005
  • 회전근 간의 질환은 과거 강직과 불안정성에 대한 연구가 주종을 이루었다. 동결견에 대한 치료로 회전근 간을 절제하는 것도 치료의 한 방법으로 사용되어 왔다. 불안정성에 대한 치료 중 회전근 간의 봉합술은 아직은 다른 치료 방법을 시행하고 추가적인 관절 운동 범위의 감소가 필요할 때 사용할 수 있는 보조적인 방법으로 사용하는 것이 좋을 것으로 보인다. 그 외의 회전근 간 자체 파열 등의 병변이 발생할 수 있으므로 수술시 반드시 확인해야 하는 구조물로 사료된다.

수원지역 초등학교 학생의 구강악안면 외상에 관한 실태 조사 (Incidence of Oral and Maxillofacial Injuries of a Elementary School Children in Suwon City)

  • 정영찬;오상천;이상권;동진근
    • 구강회복응용과학지
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    • 제16권3호
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    • pp.229-236
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    • 2000
  • The purpose of this study was to analyze the prevalence of Oral and maxillofacial injuries of elementary school children in Suwon, Korea. The sample consisted of 850 boys and girls in a elementary school children in the city. This study conducted a survey by sending questionnaires to school-aged boys and girls, to study a condition of traumatic injuries of teeth. 1. The students who had a traumatic injuries in a oral & maxillofacial area are 125 persons(14.7%); boys 93 persons(21%), girls 32 persons (7.9%). 2. Incidence of traumatic injuries was 1 time 102 persons(81.6%), 2 times 14 persons(11.2%), others 9 persons(7.2%). 3. The causes of traumatic injuries were fall down 65.6%, blow 10.4%, sports 9.6%, traffic accidents 7.2%, tripping 3.2%, others 4%. 4. The distributions of sports related traumatic injuries were roller blade 7 persons, bicycle 2 persons, football 1 person, baseball 1 person, basketball 1 person. 5. Types of traumatic injuries were soft tissue injury(40.8%), tooth fracture(36.8%), extrusion(8.0%), jaw fracture(3.2%), others(11.2%).

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LS-DYNA 코드의 유체-구조 연성해석 기법을 이용한 자유낙하식 구명정의 가속도 응답 추정 (Estimation of Acceleration Response of Freefall Lifeboat using FSI Analysis Technique of LS-DYNA Code)

  • 배동명;자키;김학수;김주곤
    • 대한조선학회논문집
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    • 제47권5호
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    • pp.681-688
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    • 2010
  • During certification of freefall lifeboats, it is necessary to estimate the injury potential of the impact loads exerted on the occupants during water entry. This paper focused on the numerical simulation to predict the acceleration response during the impact of freefall lifeboats on the water using FSI(Fluid-Structure Interaction) analysis technique of LS-DYNA code. FSI problems could be conveniently simulated by the overlapping capability using Arbitrary Lagrangian Eulerian(ALE) formulation and Euler-Lagrange coupling algorithm of LS-DYNA code. Through this study, it could be found that simulation results were in relatively good agreement with experimental ones in the acceleration peak values, and that the loading conditions were very sensitive to the acceleration responses by the experimental and simulation results.

Variant pectoralis minor muscle: a case study with clinical relevance

  • Rohini Motwani;Ariyanachi Kaliappan;Mrudula Chandrupatla
    • Anatomy and Cell Biology
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    • 제55권4호
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    • pp.406-413
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    • 2022
  • The pectoralis minor (PMn) muscle originates from the third, fourth, and fifth ribs near the costochondral junctionusually and gets inserted on the medial margin and upper surface of the coracoid process of the scapula. To look at the morphological insertion patterns and sites of attachment of the PMn muscle in the donated cadavers. Over all 19 limbs were included in the study (9 right and 10 left). Out of 19 limbs, 10 belonged to female and 9 belonged to male cadavers. The cadavers were meticulously dissected to determine the morphological insertion types and location of the attachment of the muscle. Unusual pattern of insertion was observed in 6 limbs (31.6%) out of total 19 limbs included in the study. The variations we observed does not fall completely in the classification by Le Double, hence variations we observed can be considered as new and rare variant which to our knowledge is not reported in literature. We propose this new variant to be type 4 of Le Double classification. The potential of ectopic PMn tendon should be taken into consideration and tested out, especially in patients with shoulder discomfort and stiffening who have ruled out the more frequent diseases. For proper surgical planning, a preoperative magnetic resonance imaging or USG examination of the shoulder joint is required considering the prevalence of variation in the insertion pattern of PMn muscle. Preoperative identification of any abnormal PMn insertion can help to reduce the risk of iatrogenic tendon injury and post-operative problems.

유치와 영구치의 외상에 관한 연구 (A RETROSPECTIVE STUDY OF THE TRAUMATIC INJURIES IN THE PRIMARY AND PERMANENT TEETH)

  • 허수경;최남기;김선미;양규호;박지일
    • 대한소아치과학회지
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    • 제35권4호
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    • pp.642-651
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    • 2008
  • 본 연구는 2003년 1월부터 2007년 7월까지 전남대학교 병원 소아치과와 응급실에 치아 외상을 주소로 내원한 환자 570명(치아수: 1394개)을 대상으로 연령, 성별분포, 발생원인 및 장소, 손상 받은 치아의 위치 및 유형, 초진시 처치 등에 대한 조사를 통해 외상에 대한 적절한 진단과 치료에 도움이 되고자 시행하였다. 1. 성별에 따른 발생빈도는 1.9:1로 남자의 비율이 높았고, 나이에 따른 발생 빈도는 1세, $6{\sim}8$세, $17{\sim}18$세 때 높았다. 2. 외상의 원인은 유치열과 혼합치열에는 넘어진 경우가 가장 많았으며 영구치열에서는 교통사고와 싸움으로 인한 손상 빈도가 높았다. 외상을 입은 장소는 유치열은 집에서, 혼합치열, 영구치열에는 길에서 비율이 높았다. 3. 외상시 손상 받은 치아의 위치는 유치와 영구치 모두 상악 중절치의 비율이 높았다. 손상의 유형은 유치와 영구치 모두 치주조직의 손상이 많았는데, 유치는 아탈구, 진탕, 함입 순이었으며, 영구치는 아탈구, 진탕, 완전탈구 순이었다. 4. 초진시의 처치는 특별한 처치 없이 경과를 관찰하는 경우가 대부분이었으며, 유치는 33.1%, 영구치에서는 44.5%의 재 내원률을 보였다. 치주조직 손상 후 유치는 20.3%, 영구치는 26.6%의 치수 괴사율을 보였다.

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부산지역 산업인구의 사고사에 관한 역학적인 조사연구 (An Epidemiological Study on the Accidental Mortality in Various Industries in Busan Area)

  • 정영선
    • Journal of Preventive Medicine and Public Health
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    • 제10권1호
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    • pp.166-175
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    • 1977
  • 산업재해로 인하여 발생한 사망자들의 그 원인 및 특성을 파악하여 산업재해의 예방대책 수립에 도움이 되고져 과거 6년간의 부산지역 산업장에서 발생한 사망자들에 대한 조사연구를 실시하여 얻은 성적은 다음과 같다. 1. 6년간 발생한 총 사망자수는 361명으로 평균 사망율은 33.8이었다. 연도별로는 1974년이 52.9로 가장 높고 가장 낮은 연도는 1970년도로 13.8이었으며 업종별로는 전기 가스 수도업이 149.3, 건설업 83.9의 순위였으며 최저율을 보이는 업종은 제조업으로 18.3이였다. 2. 연령별 사망율로는 $20{\sim}29$세군이 43.0으로 최고였고 다음이 $40{\sim}49$세군으로 38.1, $30{\sim}39$세군 32.0, 50세 이상군 31.9의 순위였고 최저는 19세 이하군으로 17.9였다. 3. 근속연수별 누적사망자 수는 6개월 이하가 전체의60.4%, 1년 이하가 72.9%, 2년 이하가 83.1%로서 1년 이하의 근무경력을 가진 자가 대부분이었다. 4. 월별 발생분포로는 8월이 15.8%로 최고였고 2월이 5.8%로 최저였으며 요일별로는 금요일이 19.2%로 최고였고 최저는 월요일으로서 11.9%였다. 5. 재해원인별 분포는 차량에 의한 것이 28.3%, 추락 19.1%, 충돌 9.2%의 순위였으며 상병부위별로는 두부외상 44.6%, 전신외상 33.0%, 흉부외상 10.5%의 순위였으며 최저는 배부외상으로 1.9%이었고 상명 병별로는 뇌좌상 및 뇌출혈 39.4%, 골절 탈구 33.2%, 질식 8.0% 등의 순위였다. 6. 부상으로부터 사망까지의 기간별 누적사망자는 수상 당일 사망한 자가 74.2%, 3일 이내가 88.5%, 일주일 이내가 96.1%로서 대다수가 부상 후 일주일 이내에 사망하였다. 7. 1일 평균 임금별 누적사망자는 1,000원 미만이 56.8%, 2,000원 미만이 91.7%로 대다수가 2,000원이하였었고, 4,000원 이상인 자는 겨우 1.6%에 불과하였다.

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우리나라 대표적(代表的) 표본인구(標本人口)의 연간(年間) 손상(損傷) 및 중독발생율(中毒發生率)과 역학적(疫學的) 특성(特性) (National Survey of Injury and Poisoning on a Representative Sample Population of Koreans)

  • 김정순;김성수;장성칠
    • Journal of Preventive Medicine and Public Health
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    • 제27권3호
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    • pp.447-463
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    • 1994
  • Despite the public health importance of injury and poisoning in terms of its high mortality and incidence, epidemiologic information to be utilized are scarce in Korea. This study was carried out in 1990 on a representative sample population (about 55,000 persons) along with the 6th National Tuberculosis Prevalence Survey in order to estimate the magnitude of injury and poisoning occurrence and to identify its epidemiologic characteristics which can be aided for establishing preventive strategy. Pre-tested and structured Questionnaire was used by trained interviewer to collect data including general information of the person, various information on the injury and poisoning during the past one year such as time and place of its occurrence, its nature and external causes, type of medical institute attended, duration of treatment and outcome of the accident occured. In analysis of the data collected incidence rates per 1000 persons by sex, age group and its nature as well as external causes, and relative frequencies were calculated. The result obtained are as followings; 1. The incidence rate per 1000 was 30 for both sexes, 39 for male and 22 for female, male being 1.8 times more frequent than female. Age adjusted incidences were not much different from the crude rates. Age group specific rate curve showed bimodal shape in both sexes, small peaks in preschool children and higher peaks in older ages. The incidence rate per 1000 people by area was highest in Jeon-bug province (57/1000) and the lowest in Daegu city(11/1000). 2. The place where the injuries occured were road in 46%, within the boundary of house in 25%, and working place in 12% The injuries and poisoning had occured more frequently during the months from March to August of the year than other months. 3. The relatively frequent injuries by its nature were contusion with intact skin surface (19%), fracture of upper limb (13%), open wound of head, neck and trunk (12%) and fracture of lower limb (11%) among males; contusion with intact skin surface (28%), sprains and strains of joints and adjacent muscle (14%), fracture of upper limb (10%) and fracture of lower limb (9%) among females. Higher incidence rate among males than females were fracture of skull (4.5 times), open wound and fractures of limbs ($2{\sim}3$ times). Age specific rate of injuries and poisoning by its nature showed increasing pattern by age in fractures of upper and lower limbs and sprains & strains of joints whereas the age group of 30's showed highest incidence in open wounds of upper limb. Fractures of radius and ulna in upper limb, fractures of tibia & fibula and ankle in lower limb were most frequent among fractures of upper and lower limbs. The frequent injuries among sprains and strains of joints and adjacent muscles were that of ankle, foot and back, and among open wound were that of head and fingers. 4. Relative frequency of injuries and poisoning by external causes showed following order : other accidents (25%), accidental falls (23%), motor vehicle accident (22%) and other road vehicle accident (14%) among males and accidental falls (37%), motor vehicle accident (24%) and other accident (18%) among females. The external causes revealing higher incidences among males than females, were other road vehicle accident (4.8 times), vehicle accident not elsewhere classifiable (4.4 times), accidental poisoning (4.4 times), accidents due to natural and environmental factors (2.8 times), and sucide & self-inflicted injuries (2.8 times). Age specific incidence by external causes for frequent injuries showed that incidence of other accident steadily increased from 10's till age 50's; motor vehicle traffic accident increased from age 20's and dropped after age 60's; on the other hand accidental fall increased strikingly by age. The most frequent external causes among motor vehicle traffic accidents was motor vehicle traffic accident involving collision with pedstrain (69%), pedal cycle accident (30%) and other road vehicle accident (71%) among other road vehicle accidents; falls on same level from slipping, tripping or standing (44%) and other falls from one level to another among accidental falls; accidents caused by machinary (32%) for male and striking against or struck accidentally by objects or person for female among other accidents. 5. Seventy nine percent of the injuries and poisonings were treated in general hospital or hospital/clinic. The duration of treatment ranged from a few days to 123 weeks; the majority(52%) took under 2 weeks, 36% for $3{\sim}8$ weeks and 4% over 21 weeks. 6. The accident resulted in full recovery of normal healthy state in 62%, residual functional defects in 21% and on process of treatment in 16%.

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불량환경하(不良環境下)에서의 제초제(除草劑) 약해(藥害)와 경감기술(輕減技術) (Herbicidal Phytotoxicity under Adverse Environments and Countermeasures)

  • 권용웅;황형식;강병화
    • 한국잡초학회지
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    • 제13권4호
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    • pp.210-233
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    • 1993
  • The herbicide has become indispensable as much as nitrogen fertilizer in Korean agriculture from 1970 onwards. It is estimated that in 1991 more than 40 herbicides were registered for rice crop and treated to an area 1.41 times the rice acreage ; more than 30 herbicides were registered for field crops and treated to 89% of the crop area ; the treatment acreage of 3 non-selective foliar-applied herbicides reached 2,555 thousand hectares. During the last 25 years herbicides have benefited the Korean farmers substantially in labor, cost and time of farming. Any herbicide which causes crop injury in ordinary uses is not allowed to register in most country. Herbicides, however, can cause crop injury more or less when they are misused, abused or used under adverse environments. The herbicide use more than 100% of crop acreage means an increased probability of which herbicides are used wrong or under adverse situation. This is true as evidenced by that about 25% of farmers have experienced the herbicide caused crop injury more than once during last 10 years on authors' nationwide surveys in 1992 and 1993 ; one-half of the injury incidences were with crop yield loss greater than 10%. Crop injury caused by herbicide had not occurred to a serious extent in the 1960s when the herbicides fewer than 5 were used by farmers to the field less than 12% of total acreage. Farmers ascribed about 53% of the herbicidal injury incidences at their fields to their misuses such as overdose, careless or improper application, off-time application or wrong choice of the herbicide, etc. While 47% of the incidences were mainly due to adverse natural conditions. Such misuses can be reduced to a minimum through enhanced education/extension services for right uses and, although undesirable, increased farmers' experiences of phytotoxicity. The most difficult primary problem arises from lack of countermeasures for farmers to cope with various adverse environmental conditions. At present almost all the herbicides have"Do not use!" instructions on label to avoid crop injury under adverse environments. These "Do not use!" situations Include sandy, highly percolating, or infertile soils, cool water gushing paddy, poorly draining paddy, terraced paddy, too wet or dry soils, days of abnormally cool or high air temperature, etc. Meanwhile, the cultivated lands are under poor conditions : the average organic matter content ranges 2.5 to 2.8% in paddy soil and 2.0 to 2.6% in upland soil ; the canon exchange capacity ranges 8 to 12 m.e. ; approximately 43% of paddy and 56% of upland are of sandy to sandy gravel soil ; only 42% of paddy and 16% of upland fields are on flat land. The present situation would mean that about 40 to 50% of soil applied herbicides are used on the field where the label instructs "Do not use!". Yet no positive effort has been made for 25 years long by government or companies to develop countermeasures. It is a really sophisticated social problem. In the 1960s and 1970s a subside program to incoporate hillside red clayish soil into sandy paddy as well as campaign for increased application of compost to the field had been operating. Yet majority of the sandy soils remains sandy and the program and campaign had been stopped. With regard to this sandy soil problem the authors have developed a method of "split application of a herbicide onto sandy soil field". A model case study has been carried out with success and is introduced with key procedure in this paper. Climate is variable in its nature. Among the climatic components sudden fall or rise in temperature is hardly avoidable for a crop plant. Our spring air temperature fluctuates so much ; for example, the daily mean air temperature of Inchon city varied from 6.31 to $16.81^{\circ}C$ on April 20, early seeding time of crops, within${\times}$2Sd range of 30 year records. Seeding early in season means an increased liability to phytotoxicity, and this will be more evident in direct water-seeding of rice. About 20% of farmers depend on the cold underground-water pumped for rice irrigation. If the well is deep over 70m, the fresh water may be about $10^{\circ}C$ cold. The water should be warmed to about $20^{\circ}C$ before irrigation. This is not so practiced well by farmers. In addition to the forementioned adverse conditions there exist many other aspects to be amended. Among them the worst for liquid spray type herbicides is almost total lacking in proper knowledge of nozzle types and concern with even spray by the administrative, rural extension officers, company and farmers. Even not available in the market are the nozzles and sprayers appropriate for herbicides spray. Most people perceive all the pesticide sprayers same and concern much with the speed and easiness of spray, not with correct spray. There exist many points to be improved to minimize herbicidal phytotoxicity in Korea and many ways to achieve the goal. First of all it is suggested that 1) the present evaluation of a new herbicide at standard and double doses in registration trials is to be an evaluation for standard, double and triple doses to exploit the response slope in making decision for approval and recommendation of different dose for different situation on label, 2) the government is to recognize the facts and nature of the present problem to correct the present misperceptions and to develop an appropriate national program for improvement of soil conditions, spray equipment, extention manpower and services, 3) the researchers are to enhance researches on the countermeasures and 4) the herbicide makers/dealers are to correct their misperceptions and policy for sales, to develop database on the detailed use conditions of consumer one by one and to serve the consumers with direct counsel based on the database.

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시토키닌 활성물질 Thidiazuron 처리가 포도 '거봉'(Vitis labruscana)의 과립비대(果粒肥大) 및 품질(品質)에 미치는 영향(影響) (Effects of Synthetic Cytokinin, Thidiazuron, on Berry Size and Quality of 'Kyoho'(Vitis labruscana) Grapes)

  • 이재창;박일룡;이금선;김진국;황용수
    • 농업과학연구
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    • 제30권2호
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    • pp.115-122
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    • 2003
  • 본 실험은 새로운 비 purine계 사이토카이닌 활성 물질인 thidiazuron(TDZ)이 포도 '거봉'의 과립중 및 과실 품질에 미치는 영향을 조사하기 위하여 실시하였으며 대조 약제로 forchlorfenuron(CPPU)을 이용하였다. 생리적 낙화 후 5일의 TDZ를 처리는 과방의 무핵과립의 착립수를 증가시켜 과방중은 유의하게 증가하였으나 과립중은 증가하지 않았다. 그러나 낙화 후 10 또는 15일 처리는 무핵 과립의 착립수를 감소시켜 과립중이 유의하게 증가하였다. 따라서 TDZ처리는 생리적 낙과가 어느 정도 진행된 만개 10~15일 후에 처리하는 것이 유리하였다. GA $25mg{\cdot}L^{-1}$처리도 과립중 증가에 효과적이었으나 TDZ와 GA혼용 처리는 각 약제를 단용 처리할 때보다 과립중 증대 효과가 더욱 컸다. 두 약제간에는 TDZ가 대조약제인 CPPU가보다 과립비대 증진 효과가 더욱 컸으며 TDZ 처리 농도가 $20mg{\cdot}L^{-1}$에서도 약해는 발생하지 않았으나 착색과 성숙은 더욱 지연되는 것으로 나타나 적정 처리농도$5{\sim}10mg{\cdot}L^{-1}$이었다.

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전, 후방 기울기각을 이용한 노인의 보행안정성 평가 (Evaluation of the Elderly Gait Stability Using the Center of Mass and Center of Pressure Inclination Angles)

  • 윤석훈;김태삼;이재훈;류지선;권영후
    • 한국운동역학회지
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    • 제17권4호
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    • pp.99-106
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    • 2007
  • The gait instability in the elderly has been associated with age-related deterioration in physical strength and reducing the potential for elderly falls requires regular exercise. In 2005, National Center for Injury Prevention and Control(NCIPC) reported that most elderly falls occur during activities in daily living(ADL). To better reveal biomechanic mechanisms underlying age-related degeneration in gait stability, and to enhance the assessment of falls risk, an accurate quantification of a person's balance maintenance during locomotion is needed. Instantaneous orientation of the line connecting COP and COM can characterize whole body position with respect to the supporting foot during gait and the angle between this line and the vertical line passing through the COP known as a good assessment to detect the elderly gait instability. Therefore the purpose of this study was to investigate a 6-month walking exercise effects in reducing elderly fall risk factors by using COP-COM inclination angles. Twenty-two community-dwelling elderly participated this study. The participants performed a walking exercise(3 times/week, 1 hour/visit) for 6 months. Laboratory kinematics during walking was assessed at months 0, 3 and 6. Significant increased in gait velocity was found among periods(p=.011, $1.25{\pm}.03$, $1.32{\pm}.03$, and $1.39{\pm}.04\;m/s$ in 0-, 3-, and 6-month, respectively). Also, significant differences in anterior and posteriror inclination angles were found among the periods(p<.05; posterior inclination angles: $12.8{\pm}2.2$, $11.0{\pm}2.9$, & $10.9{\pm}1.9$; anterior inclination angles: $13.7{\pm}1.7$, $14.6{\pm}3.2$, & $1.46{\pm}.21$ in 0month, 3month, & 6month, respectively). These findings provide evidence of significant reduced fall risk factors of community-living older adults associated with a systematic walking program.