• 제목/요약/키워드: stairs walking

검색결과 118건 처리시간 0.025초

만성 뇌졸중 환자에서 피질 척수로와 운동 능력의 상관관계 연구 (The Functional Role of the Corticospinal Track in Relation to Motor Functions in Chronic Stroke Patients)

  • 여상석
    • PNF and Movement
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    • 제12권3호
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    • pp.143-150
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    • 2014
  • Purpose: The corticospinal tract (CST) is known to be an important pyramidal tract for walking and motor function. However, very little is known about the functional role of the CST in the recovery of motor function. In the current study, we investigated the relation between the CST and motor function in chronic hemiparetic stroke patients. Methods: Fifty-four patients and 20 normal subjects were recruited. The Functional Ambulation Category (FAC) was used in measurement of the walking ability. We classified patients into three groups according to the ability to walk independently: group A, patients who could not walk independently (FAC: 0-2); group B, patients who could walk independently (FAC: 3); and group C, patd walk functionally (stairs and uneven surfaces, FAC 4-5). The Motricity Index (MI) was used to measure the motor function of the affected upper and lower extremities (maximum score: 100). The fractional anisotropy (FA) value, apparent diffusion coefficient (ADC) value, and fiber volume of the CST were used for the diffusion tensor imaging (DTI) parameters. Results: In terms of the CST of the unaffected hemisphere, the FA value of group A was significantly lower than that of normal controls (p <0.05). The fiber volume of group C was significantly higher than that of normal controls (p <0.05). In contrast, the ADC values of all patient groups and the control group did not show any difference (p >0.05). In terms of lower MI and total MI, significant differences were observed between all patient groups (p <0.05). In addition, significant differences in terms of the upper MI scores were observed between groups A and C and between groups B and C (p <0.05); however, no significant difference was observed between groups A and B (p>0.05). Conclusion: The increased fiber volume of the CST in the unaffected hemisphere appears to be related to functional walking ability in chronic stroke patients. This result would be useful for elucidation of the neural recovery mechanism of walking and the investigation of new modalities for the recovery of walking following a stroke with CST injury.

도시 노인들의 걷기활동 참여에 영향을 주는 물리적 환경요인 분석 (Analysis of Environmental Correlates with Walking among Older Urban Adults)

  • 이형숙;안준석;전승훈
    • 한국조경학회지
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    • 제39권2호
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    • pp.65-72
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    • 2011
  • 일상적인 걷기활동과 신체활동은 노인들이 건강한 삶을 유지하는데 필수적인 활동으로, 걷기활동을 지원하고 참여를 촉진할 수 있는 물리적 환경의 제공의 중요성이 점점 커지고 있다. 본 연구는 도시 노인의 걷기활동의 참여 실태를 파악하고, 노인들의 걷기운동 수행과 관련성이 있는 개인적, 물리적 환경요인을 파악하는 것을 목표로 하였다. 이를 위해 수도권 지역의 60세 이상 노인을 대상으로 한 심층면접을 통하여, 일주일 동안의 이동목적이나 운동목적의 걷기활동 참여빈도와 시간을 측정하였으며, 행동변화 단계모델을 바탕으로 보다 정확한 걷기운동 수행 현황을 고찰하였다. 또한 공원 접근성, 보행로 시설, 교통시설 등 물리적 환경에 대한 인식과 만족도 및 평소 걷기활동에 장애가 되는 물리적인 요인들을 조사하였다. 분석결과, 과반수가 넘는 노인들이 규칙적인 걷기운동을 실천하고 있었으며, 행동변화 단계에 있어서는 6개월 이상 걷기운동을 지속하는 유지단계의 노인들 비율도 높았다. 걷기 운동장소로 선호되고 있는 곳은 도보권 내의 공원이나 산책로, 아파트 단지 등이 많았으며, 유료시설의 체육시설이나 실내 운동기구 이용은 상대적으로 낮았다. 또한 걷기운동 빈도에 유의적인 영향을 미치는 물리적 환경 요인으로는 공원접근성, 교통안전, 신호등, 가로등이 있었으며, 소득이 상대적으로 적은 노인들은 걷기운동에 대한 선호도가 보다 높은 것으로 파악되었다. 노인들은 교통안전에 대한 만족도를 매우 낮게 평가하였고, 교통사고에 대한 우려가 걷기활동에 있어 큰 장애가 되고 있는 것으로 조사되어, 노인시설을 중심으로 한 안전한 노인보행환경 개선이 시급한 것으로 나타났다. 본 연구는 도시 노인들의 일상적인 걷기활동 지원 및 증진을 위한 근린환경의 제공, 노인들의 걷기활동 지원 프로그램 마련에 필요한 기초자료를 제공할 수 있을 것으로 판단된다.

동작에 따른 타이트스커트의 뒤트임 분량에 대한 연구 -보행시와 계단 승강시 - (A Study on the Size of the Back Slit for Tight Skirts - In the Case of Walking on the Floor or Stairways -)

  • 김정숙
    • 한국의류학회지
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    • 제16권4호
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    • pp.485-493
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    • 1992
  • Three kinds of tight skirts, slim type, straight type, and semi-tight type were investigated to obtain necessary information about the size of the back slit. Fourteen college students put on these experimental clothes and walked on the flat floor, going up and down the stairs. The dimensions of the back slit were measured by width and length. The stride length was taken from the record of footprints of walking. The correlation between the body measurement, stride length and the size of the back slit was studied. As a result of this experiment, the findings are as follows: 1. The size of the back slits differed from each skirt type at the level of p<0.001. In the case of walking on the floor, the average dimension of the back slit was 14.0 cm long 5.0 cm wide for the slim type,9.5 cm long 2.8 cm wide for the straight type and 2.1 cm long 0.5 cm wide for the semi-tight type. 2. In the case of walking on the stairways, the average dimension of the back slit was 16.0 cm long 5.8 cm wide for the slim type, 12.4 cm long 3.9 cm wide for the straight type and 3.1 cm long 1.1 cm wide for the semi-tight type. 3. The correlation between the height (stature, waist height, knee height) and the size of back slit was 0.3 to 0.6. The correlation between the girth (waist, hip) and the size of back slit was 0.3 to -0.5. 4. The correlation between the stride length and the size of back slit was 0.76 for the slim skirt, 0.56 for the straight skirt, 0.28 for the semitight skirt.

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고관절 내회전 보행이 둔부 근육과 척추 기립근의 근활성도에 미치는 영향 (Effects of the Hip Internal Rotation Gait on Gluteal and Erector Spinae Muscle Activity)

  • 권오윤;원종혁;오재섭;이원휘;김수정
    • 한국전문물리치료학회지
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    • 제13권1호
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    • pp.24-31
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    • 2006
  • The purpose of this study was to identify the effect of the hip internal rotation on gluteal and erector spinae muscle electromyographic (EMG) activity during treadmill walking. Eleven healthy subjects were recruited. All subjects performed treadmill walking while maintaining the hip in neutral position (condition 1) and in internal rotation (condition 2). Surface EMG activity was recorded from four muscles (gluteus maximus (GM), gluteus medius (GMED), tensor fascia latae (TFL), and erector spinae (ES)) and the hip internal rotation angle was measured using a three dimensional motion analysis system. The gait cycle was determined with two foot switches, and stance phase was normalized as 100% stance phase (SP) for each condition using the MatLab 7.0 program. The normalized EMG activities according to the hip rotation (neutral or internal rotation) were compared using a paired t-test. During the entire SP of treadmill walking, the EMG activities of GM in condition 1 were significantly greater than in condition 2 (p<.05). The EMG activities of TFL and ES in condition 2 were significantly greater than in condition 1 (p<.05). The EMG activities of the GMED in condition 1 were significantly greater than in condition 1 (p>.05) except for 80~100% SP. Further studies need randomized control trials regarding the effect of hip internal rotation on the hip and lumbar spine muscle activity. Kinetic variables during gait or going up and down stairs are also needed.

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이족 로봇의 계단 보행에서 Real-Coded Genetic Algorithm 의 융합 기술의 사용 (The usage of convergency technology for ROGA algorithm application on step walking of biped robot)

  • 이정익
    • 한국융합학회논문지
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    • 제11권5호
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    • pp.175-182
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    • 2020
  • 계단 보행 시 로봇의 최적 궤도 계산은 유전자 알고리즘과 계산 토크 컨트롤러를 사용하여 수행되었다. 첫째, 생식, 교배, 돌연변이로 이루어진 실시간 유전 알고리즘 (RCGA)을 사용하여 총 에너지 효율이 최소화되었다. 보폭의 시작과 끝, 그리고 조인트, 각도, 각속도 위치 어셈블리 관련 재현성 조건은 선형 제약이다. 다음은 고르지 못한 제약은 코너 스윙 다리와 계단의 외부와의 충돌을 막기 위한 조건, 운동 학적 특이성을 막기 위한 무릎 관절의 조건 및 진행 방향의 안전은 보장되지 않음 이란 조건을 따른다. 마지막으로, 각 관절의 각도 궤도는 염색체를 근사 계수를 가지는 4차 다항식에 의해 정의된다. 이것은 보통 도보를 의미한다. 이 연구에서는 최적의 궤도의 에너지 효율을 7개의 링크로 구성된 7자유도의 2족 로봇을 통한 컴퓨터 시뮬레이션을 통해 분석했다.

대학주변 원룸형 다가구주택에 있어서 거주자 평가에 의한 소음실태분석 (The Analysis on the Present Condition of Noise of the Residents Subjective Responses in One-Room Type Multi-Family Housing around Campus)

  • 최윤정
    • 대한가정학회지
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    • 제41권10호
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    • pp.1-13
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    • 2003
  • The purpose of this study is to make clear the present condition and the reason of noise in one-room ape multi-family housing around the campus by residents' subjective responses. The respondents are 104 residents living in one-room ape multi-family housing around the campus. The results are as follows. 1) The residents show relatively non-positive responses at evening and night on the present condition of noise in outdoor and indoor of building or indoor of house unit. 2) The types of outdoor noise of building are checked frequently are 'talking loudness' and 'traffic noise'. 'Walking and talking sounds in stairs and corridors' among the types of indoor noise of building shows highest percentage. They answer 'living equipment noise' and 'water hammer' as major types of indoor noise of house unit.

계단규격에 대한 생리학적 평가 (A physiological assessment of stair dimensions)

  • 명노해;이순요;김형범
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1995년도 추계학술대회논문집
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    • pp.87-90
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    • 1995
  • Biomechanical can physchological approaches have provided the optimum stair dimensions but physiological approach has never been used in assessing the common method of assessing the optimum stair dimension. Therefore, this study was conducted to investigate the validity of the physiological measure of heart rate in assessing the optimum stair dimensions. Sixteen subjects were asked to walk up three different stairs with their normal walking speed. The results showed that the physiological approach with the heart rate difference was found to be valid in assessing the optimum stair dimension. The optimum stair dimension from this study (riser length for 185 mm and tread length for 310 mm) was chosen because it was similar to optimum dimension by the psychological approach (Irvine et al., 1990).

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노인의 기능 평가 및 관련요인 (Function Evaulation and Related factors in The Elderly)

  • 강점덕;김종봉
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.813-820
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    • 2001
  • Objectives: The objective of this study was to investigate function evaulation and related factors in the elderly. Methods: Korean version of ADL and IADL were measured for 40 normal in the Elderly in July 15-20. 2000. Their ages were 65 or more in years. 14 items from Modified Barthel Index and 14 items from Modified Lambeth Disability Screening Questionnaire were used. Results: The frequency of disability was the highest in Heavy homework(85.0%) folliwed by Walking on level 50 yards or moer(5.0%), Up&down stairs for 1 flight(5.0%) in 28 items from Modified Barthel Index and Modified Lambeth Disability Screening Questionnaire. Conclusions: Results indicated that no smoking and drinking at onset had high Modified Barthel Index. Modified Lambeth Disability Screening Questionnaire was associated with age.

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계단의 적정치수 계획에 관한 연구 -계단에서의 안전을 위한 단높이, 단너비, 경사도의 최소치수를 중심으로- (A Study on the Design of Optimum Dimension of Staircase -Focused on the Minimum Dimension of Riser, Tread and Slope for Safety on Staircase-)

  • 김용환
    • 한국주거학회논문집
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    • 제14권5호
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    • pp.105-116
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    • 2003
  • The purpose of this study is to suggest the method of prevention of staircase accidents, and to make housing environment better through researching the dimension of a housing staircase for Korean. The scope and method of this thesis is to investigate the dimension limits of a staircase (slope, minimum width of tread, maximum height of riser), and to analyze the characteristics of foot condition (jutting rate, foot angle, ball joint, nosing clearance, clearance distance) using the experiment which takes a photograph of foot motion during walking stairs. The results of this thesis are as follows. The slope of a staircase in house is $32.3^{\circ}$$^{\circ}$-$42.1^{\circ}$$^{\circ}$. The riser should be less than 190 mm. The minimum size of tread is 210 mm and proper size is 270 mm.

노년기 생활기능 감소와 주거이동에 관한 연구 -미국의 70세 이상 노인들을 대상으로- (The Effect of Decline in Functional Ability on Relocation among the American Elderly aged 70 or older)

  • 전경숙
    • 한국주거학회논문집
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    • 제14권5호
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    • pp.117-128
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    • 2003
  • The purpose of this study is to investigate the effect of functional ability on relocation among the elderly. Longitudinal data from the Asset and Health Dynamics among the Oldest Old (1993, 1995) were analyzed for 6,225 respondents aged 70 or older. Among functional ability measures, difficulties in advanced activities of daily living (i. e., making telephone calls, taking medications, and managing money), lower body activities (i. e., walking several blocks, climbing one flight of stairs, pulling or pushing large objects, and carrying over 10 pounds), and household activities of daily living (i. e., preparing hot meals and shopping for groceries) were the predictors of increased residential move. Difficulties in basic activities of daily living (i. e., bathing, dressing, getting in and out, and using the toilet) were strongly related to increased entrance into an institutional care facility. Efforts to enhance the independent living of the elderly in the community setting should target the compensation of these functional difficulties.