• The Journal of Korean Physical Therapy
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• v.17 no.1
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• pp.108-122
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• 2005

The gait training strategy in very important things for central nervous system(CNS) injury patients. There are many method and strategy for regaining of the gait who had CNS injury. A human being has central pattern generator(CPG) is spinal CPG for locomotion. It is a neural network which make the cyclical patterns and rhythmical activities for walking. Sensory input from loading and hip position is essential for CPG stimulation that makes the central neural rhythm and pattern generating structure. From sensory input, the proprioceptive information facilitate proximal muscles that controlled in voluntarily from cortical level and visual and / or acoustical information facilitate distal muscles that controlled voluntarily from subcortical level. Gait training method can classify that is functional level and structural level. Functional level includ level surface gait, going up and down the stair. It is important to facilitate a guide tempo in order to activate the central pattern generators. During the functional test or functional activities, can point out the poor period in gait that have to be facilitate in structural level. There are many access methods with patient position and potentiality. The methods are using of rhythmic initiation, replication and combination of isotonic with standing position. Clinically using it on weight transfer onto the stance leg, loading response, loading response and pre-swing, terminal stance, up and downwards stairs.

• The Journal of Korean Physical Therapy
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• v.27 no.2
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• pp.124-127
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• 2015

Purpose: The emphasis on gait rehabilitation after stroke depends on training support through the lower limbs, balance of body mass over the changing base of support. However, muscle weakness, lack of control of lower limb, and poor balance can interfere with training after stroke. For this case study report, a wearable robot orthosis was applied to stroke patients in order to verify its actual applicability on balance and gait ability in the clinical field. Methods: Two stroke patients participated in the training using the wearable robot orthosis. Wearable robot orthosis provides patient-initiated active assistance contraction during training. Training includes weight shift training, standing up and sitting down, ground walking, and stair up and down Training was applied a total of 20 times, five times a week for 4 weeks, for 30 minutes a day. Gait ability was determined by Stance phase symmetry profile, Swing phase symmetry profile, and velocity using the GAITRite system. Balance ability was measured using the Biodex balance system. Results: Subjects 1, 2 showed improved gait and balance ability with mean individual improvement of 72.4% for velocity, 19.4% for stance phase symmetry profile, 9.6% for swing phase symmetry profile, and 13.6% for balance ability. Conclusion: Training utilizing a wearable robot orthosis can be useful for improvement of the gait and balance ability of stroke patients.

• Journal of the Korean Society of Costume
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• v.67 no.3
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• pp.81-98
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• 2017

The purpose of this study is to provide basic information for the development of pants patterns with a high level of fit and comfort through calculating surface variations of lower body parts by movement, grouping them into factors, and analyzing how their surface variations link to one another. The achieved results will help determine essential elements for constructing pants patterns, such as key measurements of lower body parts, the amount of ease values and selection of fabrics, which should be taken into consideration for allowing better movement in clothing. The study required lower body 3D scanning of women for analysis, and 13 women between the ages of 20-24 participated in the scanning, which was done by using Artec Eva 3D scanner. Their scanned data were digitalized and converted to measure the values of their lower body surface length and girth in pre-determined positions such as walking, stair climbing and sitting on a chair. These measurements have been statistically analyzed through SPSS 21.0 to obtain the average amounts and rates of extension for each of the measurement item. Some of the highlighted study results are as follows: The surface length and girth measurements were grouped into 4 factors based on their average extension rates. The results from correlation analysis between measurement items within each factor demonstrated that common items linked to all the changes in the values of other items in the three movements. But in most cases, items were not always correlated with each other for different movements. The results also showed that there were correlations between girth measurements, length measurements, and girth and length measurements. Therefore, key measurements for daily pants should be determined within reasonable estimations between relevant measurement items, while the measurements for work pants, which often withstand certain postures or repetitive movements, may require measurement items that are appro priate for, and closely related to, certain movements or tasks.

• Korean Institute of Interior Design Journal
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• v.20 no.1
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• pp.3-13
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• 2011

The Korean society is recently becoming the aging society at an unprecedentedly rapid speed. Following the increase of the older population, their needs for special care is also rocketing. However, due to the increase of working women, nuclear-families, and old persons living alone, new facilities for the elderly such as nursing home are urgently needed. Thus, many nursing homes for the elderly are also rapidly providing. It is needed to examine if such nursing homes are properly designed for the dependent elderly to live. This study was carried out by the field observation using a checking sheet with measuring and taking photograph. The subjects were 12 nursing homes which gave positive responses for walking through their facilities. The items for observing and measuring were made based on the regulation on improving the facilities for the disabled, the elderly, and the pregnant. Whether each item fits the regulation or not was examined. The 9 areas in each nursing home were examined : entrance, hallway and corridor, stair, elevator, ramp, bed room, shower and locker room, bathroom, and rest room. It was founded that many accessible-related items were met. However, many supportive-related items such as ones for the visual disabled, and many supportive-related and accessible-related ones for bathroom, shower room, and restroom were unmet. In the process of this research, it was founded that the tool for evaluating the design of nursing home in terms of universal design should be developed.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.9 no.4
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• pp.319-329
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• 2015

The purpose of this paper is to analyze lower extremities pattern of daily activities and walking on the treadmill with passive body support system. The experiments will be used for basic research of developing active harness system. The experimental procedure has been validated on 5 healthy male subjects and we measured foot pressure and 8 section of lower limb muscles activities. The EMG results of ADL indicate that there have specific muscle activity patterns followed by each activities. The vastus lateralis muscle activities were highly seems on the activities that requires flection and extension of knee joint. The foot pressure value of stair descent activity was the highest due to the fact that it is come down to the direction of gravity. The results with the passive body weight support percentages show that the EMG and foot pressure values were declined according to increasement of the body weight support percentages. Therefore the body weight support system could apply gait rehabilitation system for various patients by changing the percentages of the body weight support.

• Journal of Korean Physical Therapy Science
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• v.11 no.3
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• pp.28-37
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• 2004

Background: Lumbar joint dysfunction is reported to be the main cause of lower back pain (LBP). The purpose of this study was to evaluate the effect of joint dysfunction on the postural balance of the lower hack and pelvis in different normal activities such as walking or stair management. Also it was studied whether the status of LBP (intensity and duration of LBP, length of treatment) contributes to die pelvic height difference (PHD) in various postures. Subjects: 28 patients with LBP and 32 normal adult volunteers, 60 years of age or younger, who came to the Community Health Center and orthopedic clinics in Incheon, South Korea. Methods: In order to determine the accuracy of the manual angulometer method in measuring the PHD, it was compared to the pelvic x-ray method in selected subjects. In the manual angulometer method, the arm of the angulometer was placed on the top of both iliac crests. The PHD was measured in static upright stance, then one-legged stance, on the affected leg or unaffected leg each time. Information regarding the disease status was obtained through interviews. Visual assessment scale was used to grade the intensity of LBP. Data analysis was performed using SPSS 10.0/PC program. Homogeneity between the two groups was tested by 2-test and t-test. To compare the PHD of the subgroups, we used t-test, F-test and two-way ANOVA. Relationships among dependent variables were analyzed by Pearson correlation analysis. Conclusion: In patients with LBP, lumbar joint dysfunction causes lumbar and pelvic postural asymmetry during normal activities.

• Journal of the Korea Society of Computer and Information
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• v.24 no.10
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• pp.33-39
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• 2019

In this paper, we propose a parametric model for analyzing the motion information obtained from the acceleration sensors to measure the activity of the human body. The motion of the upper body and the lower body does not occur at the same time, and the motion analysis method using a single motion sensor involves a lot of errors. In this study, the 3-axis accelerometer is attached to the arms and legs, the body's activity data are measured, the momentum of the arms and legs are calculated for each channel, and the linear predictive coefficient is obtained for each channel. The periodicity of the upper body and the lower body is determined by analyzing the correlation between the channels. The linear predictive coefficient and the periodic value are used as data to measure the type of exercise and the amount of exercise. In the proposed method, we measured four types of movements such as walking, stair climbing, slow hill climbing, and fast hill descending. In order to verify the usefulness of the parameters, the recognition results are presented using the linear predictive coefficient and the periodic value for each motion as the neural network input.

• Korean Journal of Applied Biomechanics
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• v.19 no.3
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• pp.435-448
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• 2009

The purpose of this study was to investigate the kinemaitc gait parameter of lower extremities with different gait conditions(level walking, stairs, ramp) in old adults. Fourteen healthy older adults participated in this study and kinematic data were measured using 3D motion analysis system(Vicon, Oxford Metrics, England). Statistical analysis was used one-way ANOVA to know the difference of lower extremities angle at each gait phase with a different gait conditions. In sagittal plane, pelvic anterior tilt increased in stairs and ramp climbing and hip and knee flexion increased in stairs climbing but ankle dorsiflexion increased in ramp climbing. In frontal plane, pelvic was up in stairs and hip abduction and adduction more changed in stairs climbing than level walking. Knee varus and ankle inversion increased in stair climbing. In horizontal plane, pelvic internal rotation increased in stairs and ramp climbing and knee internal rotation increased in stairs climbing but ankle external rotation increased in stairs climbing. This results was shown that the stairs and ramp climbing changed the kinematic gait parameters of lower extremities in healthy old adults.

• Fire Science and Engineering
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• v.32 no.6
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• pp.46-54
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• 2018

A total of 19 elevators for evacuation were installed in the Lotte World Tower and it is planned to operate the shuttle using the manual key from five refuge floors to the 1st floor in an emergency. In the event of a fire or other disaster, it is necessary to conduct intensive analysis to determine how much RSET reduction could be achieved using the evacuation elevator compared to the existing evacuation plans. When the optimal transportation sharing ratio by the evacuation elevators was 40% at the Lotte World Tower, the RSET of the evacuation scenario in parallel with the elevators in the entire building was calculated to be 1 hour and 2 minutes. The RSET of a conventional evacuation scenario (Walking along the stairs without using the elevators) was calculated to be 1 hour 29 minutes, therefore, the former evacuation scenario were found to have a shortening effect of approximately 27 minutes compared to the latter. On the other hand, to maintain this effect, each part of the evacuation route using the elevator must have the capability to protect the evacuee from any hazards caused by fires, such as smoke, flame, and radiant heat during the evacuation. Moreover, the evacuation route should be continuous from the residence position of the elevator user to the final evacuation site, and be recognized easily.

• Journal of the Korean Institute of Landscape Architecture
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• v.39 no.4
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• pp.39-48
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• 2011

Korea is rapidly becoming an aging society. This study aims to examine the existing conditions of outdoor living environments to assist a healthy lifestyle for senior citizens and to determine the most influential factor in a senior-friendly outdoor space as well as to suggest improvements in existing conditions focused on the prospective senior population. This study relied on two methods: a descriptive method of researching publications and related scholastic writings and an empirical study that included a survey of present conditions and interviews with the prospective seniors and senior citizens in Daejeon. Conditions of outdoor living environments for seniors were found to be more than adequate in general. But some factors evaluated as low must be carefully tailored for seniors. First, the study showed that seniors evaluated as highest the 'use of a walkway' for a stroll and stayed outside for 1~2 hours at a time. Many vehicles parked in walkways were the most inconvenient factors in going for a walk. Second, the study showed that the evaluation of outdoor space was about average and 'sociality' was evaluated as the lowest. Third, the study showed that men evaluated lower than women 4 items: 'use and convenience of a wheelchair', 'night lighting', 'discrimination of signage at nighttime' and 'trees'. Respondents above the age of 66 are more uncomfortable with items such as 'slippery walking surface', 'stair handrail', 'discrimination of signage at nighttime' and 'direction of apartment complex' while respondents above the age of 80 are more uncomfortable with items of 'slippery walking surface', 'stair handrail' and 'discrimination of signage at nighttime'. Fourth, the evaluation by existing housing patterns was statistically significant in 20 of 22 evaluated items. This means that residents in apartment complex evaluated as high these items in general. In this study, existing outdoor living environments for the elderly did not display any immediately serious issues in the overall evaluation items. Assuming, however, that the aging population will quickly increase in the next ten years, items which are evaluated as low in descriptive statistics and items which give inconvenience to the elderly above the age of 80 in particular will need to be the first areas to be improved.