• 제목/요약/키워드: stairs walking

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고유수용성 신경촉진법에서 CPG를 이용한 뇌손상자 보행훈련전략 (Gait Training Strategy by CPG in PNF with Brain Injured Patients)

  • 배성수
    • The Journal of Korean Physical Therapy
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    • 제17권1호
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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.

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장애유형별 편의시설에 대한 평가 및 개선요구에 관한 연구 (A Study on the Disabled′s Assessment of Accommodation Facilities and Needs for Improving the Facilities)

  • 이연숙;장윤정;이기정
    • 한국실내디자인학회논문집
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    • 제26호
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    • pp.112-120
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    • 2001
  • This study investigated the extend to which the facilities satisfactorily accommodate people with different disabilities and their specific needs for improving the facilities. Systematic interviews were conducted with 90 disabled people using the non-propertionate stratified cluster random sampling method. Frequency analysis, Chi-square tests, Duncan tests, and analysis of variance(ANOVA) were employed for data analysis. The findings indicated that the respondents' assessment of accommodations and needs for improving accommodations differed by the type of disabilities. People with physical disabilities were the least satisfied with stairs, followed by seating in stadiums and/or theaters. For people with visual disabilities, the lack of guidance and information facilities was the most difficult problem. People with hearing disabilities often pointed out difficulties in using public telephones. meanwhile, people with physical disabilities asked for easy access to assistive devices and improved mobility-related circumstances. yet people with visual disabilities expected to improve way-finding relevant issues, such as detectable warnings on walking surfaces and guidance and information facilities, whereas people with hearing disabilities desired to develop hearing-aid equipments, such as TDD and assistive listening systems.

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Trajectory Generation and Dynamic Control of Planar Biped Robots With Curved Soles

  • Yeon Je-Sung;Kwon O-Hung;Park Jong-Hyeon
    • Journal of Mechanical Science and Technology
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    • 제20권5호
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    • pp.602-611
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    • 2006
  • This paper proposes a locomotion pattern and a control method for biped robots with curved soles. First, since the contact point of a supporting leg may arbitrarily move back and forth on the ground, we derived the desired trajectory from a model called the Moving. Inverted Pendulum Model (MIPM) where the Zero Moment Point (ZMP) exists at the supporting point and can be moved intentionally. Secondly, a biped robot with curved soles is an under-actuated system since the supporting point contacting with a point on the ground has no actuator during the single supporting phase. Therefore, this paper proposes a computed-torque control for this under-actuated system using decoupled dynamic equations. A series of computer simulations with a 7-DOF biped robot with curved soles shows that the proposed walking pattern and control method are effective and allow the biped robot to walk fast and stably, and move more like human beings. Also, it is shown that the curved sole shape has superior energy consumption compared to flat soles, and greater efficiency in ascending and descending the stairs.

노인의 우울증과 일상생활동작능력의 관련성 (Correlation of Depression and Activities of Daily Living in the Elderly)

  • 정순미;박래준;노효련
    • The Journal of Korean Physical Therapy
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    • 제22권2호
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    • pp.31-38
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    • 2010
  • Purpose: We investigated the relationship of depression and the ability to engage in activities of daily living in the elderly. Methods: Subjects (n = 182) were 60 years or older and who attended the Senior College of Gimhae Senior Welfare Center. We collected data via a questionnaire, through a Self- recording method and through individual interviews. We collected data on personal and general characteristics, level of depression, and activities of daily living. Results: Among all subjects, 51.1% reported having depressionMild depression was reported by 29.7% (54 subjects), moderate depression by 13.2% (24 subjects), and severe depression by 8.2% (15 subjects). Activities of daily living, including walking, climbing stairs, standing from a chair and sitting on and using toilets, using a telephone, bathing, shopping, cleaning house, and managing money were significantly lower in elderly subjects who were depressed (p<0.05). The greater the level of depression, the less able they were to engage in activities of daily living. Conclusion: These findings may help us achieve early detection of depression in the elderly and provide mediated arbitration so that they can have better health condition and greater ability to engage in activities of daily living.

아파트의 내부 생활소음레벨 및 소음종류 실태 (Present Condition on Noise Level and Types Including Residents' Living Noise in Apartment Units)

  • 최윤정
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2008년도 춘계학술발표대회 논문집
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    • pp.427-430
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    • 2008
  • The present study is a preliminary research improving the dwelling quality of apartment house as a kind of multi-family housing. The purpose of the study is to find out the present condition on noise level and types including residents' living noise in apartment units. The method was field survey consisted of field measurements on equivalent noise level, observation on noise type, and interview on residents' responses. The results are as follows. 1) Averages of indoor noise levels of subject houses were measured as $43.9{\sim}62.2\;dB(A)_{Leq5min}$, the average of each house except one was higher than the permissible level, 45 dB(A). 2) The noise types observed were mostly residents' living noise and classified as 'water hammer', 'living equipment noise', 'noise by family', 'hood noise', and 'kitchen noise' in own unit, 'walking and talking noise in stairs and corridors', 'noise by neighborhood house', 'noise by the upper story' in building, and outdoor noise. 3) The residents show slightly non-positive responses at 'noise by the upper story', 'noise by neighborhood house', 'water hammer', and 'noise by family'. Therefore, it is required to plan for preventing deterioration of the sound environment quality by residents' living noise in own unit as well as by neighborhood houses.

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무릎 관절 근육 피로와 과체중이 착지 시 하지 관절의 각변위와 모멘트에 미치는 영향 (Effects of Knee Joint Muscle Fatigue and Overweight on the Angular Displacement and Moment of the Lower Limb Joints during Landing)

  • 김태현;염창홍
    • 한국운동역학회지
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    • 제23권1호
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    • pp.63-76
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    • 2013
  • The purpose of this study was to investigate the effects of knee joint muscle fatigue and overweight on the angular displacement and moments of the lower limb joints during landing. Written informed consent forms, which were approved by the human subject research and review committee at Dong-A University, were provided to all subjects. The subjects who participated in this study were divided into 2 groups: a normal weight group and an overweight group, consisting of 15 young women each. The knee joint muscle fatigue during landing was found to increase the dynamic stability by minimizing the movements of the coronal and horizontal planes and maintaining a more neutral position to protect the knee. The effect of body weight during landing was better in the normal weight group than in the overweight group, with the lower limbs performing their shock-absorbing function in an efficient manner through increased sagittal movement. Therefore, accumulated fatigue of knee joint muscles or overweight may be highly correlated with the increase in the incidence of injury during landing after jumping, descending stairs, and downhill walking.

이족보행로보트의 구동부 및 제어부의 설계에 관한 연구 (A study on the driver and controller design of the biped robot)

  • 심인섭;김주한;김동준;김갑일
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1995년도 하계학술대회 논문집 B
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    • pp.871-873
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    • 1995
  • The purpose of this paper is to design and construct the compact type joint driver and controller of the biped robot. This biped robot will be designed to be suitable for the practical usages and applications in the work environment, which is not plat floor, like a stairs by taking the stand-alone style that equipped all the parts except power sources. Generally, highly nonlinear motion dynamics of the biped robot is realized to linear approximations by installing a high-ratio speed reducer at each joint and dividing motions into a several piecewise linear motions, which is realized by the digital controller design techniques. This biped robot has symmetrical structure to get the stable walking ability and also the hierachical structure to control each joint as well. That is, all of the joint controllers are connected to the main controller in the composition of overall controllers. The driver and controller of each joint uses PI controller that compensate the velocity and position errors by the data of the encoder. And the signal characteristics of each joint controller forms a trapezoid speed profile which is predefined by the values of direction, maximum velocity and position.

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대학 캠퍼스 보행자 이동패턴과 보행네트워크간의 상호관련성 (The Relationship between the Pedestrian Movement Pattern and the Pedestrian Network at a University Campus)

  • 이유미;신행우
    • 교육시설 논문지
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    • 제21권2호
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    • pp.25-32
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    • 2014
  • Many Korean university campuses are located on hilly terrain where the hierarchy of the path system is unclear. Therefore, it is difficult to analyze the pedestrian network through space syntax, in which only horizontal direction changes are considered as depths of space. The purpose of this study is to compare pedestrian movement patterns and space syntax analysis in order to find their relevance to each other and the relationship between them. We conducted a survey regarding the most-visited buildings and pathways at S-University, which is located on a hilly area in Seoul. The survey results were compared with the Space Syntax integration map by regression analysis. For the segments where the relationship between pedestrian volume and integration was weak, field observations were conducted. As a result, topographical aspects, functional aspects, and location aspects were observed as the main influential factors. In addition, the research proposes that adding an extra axial line per vertical directional change can potentially compensate for the low relevance of stairs. This study suggests the possibility and the necessity of three-dimensional space syntax programs and emphasizes the importance of campus planning for the pedestrian environment.

신축성 데님 청바지의 패턴 연구 (The Development of Jeans Pattern for Stretch Denim Fabrics)

  • 어미경;서미아
    • 한국의상디자인학회지
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    • 제9권3호
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    • pp.191-203
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    • 2007
  • The purpose of this study was to present a making method of jeans pattern with high fitness after deriving the appropriate shrinkage rate by material and washing process. According to the result of the exterior evaluation of test jeans, all 6 jeans were rated high with scores close to 3.5. Following the evaluation of satisfaction of usage by physical movement, the highest ranking was in the order of walking with normal steps, back bending $90^{\circ}$, chair sitting, climbing stairs and squatting. The shrinkage rate by physical area showed the highest score in the order of pants length, waist circumference, thigh circumference, knee circumference, hem circumference, hips circumference. In addition, the shrinkage rate was higher in warp direction than weft direction after washing finishing. As for the result of addition and reduction of pattern measurements by parts of jeans, waist circumference was $3.1{\sim}5.1cm$, hips circumference was $-1.2{\sim}4.2cm$, thigh circumference was $-0.9{\sim}3.1cm$ and pants length was $3.4{\sim}6.1cm$. That is, this results showed a wide range of addition and reduction according to material and washing finishing.

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혈액투석환자의 근감소증 관련요인 (Factors Associated with Sarcopenia among Hemodialysis Patients)

  • 신혜윤;민혜숙
    • 중환자간호학회지
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    • 제15권1호
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    • pp.24-34
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    • 2022
  • Purpose : This descriptive survey aims to identify the prevalence of factors associated with sarcopenia among hemodialysis patients. Methods : The study subjects were 137 patients with chronic kidney failure undergoing hemodialysis in three artificial kidney centers in B and Y cities. Data were collected from August 1 to September 30, 2020, using the SARC-F (Strength, Assistant walking, Rising from a chair, Climbing stairs, Falls) questionnaire, Mini Nutritional Assessment-Short Form (MNA-SF), International Physical Activity Questionnaire (IPAQ-SF), Bioelectrical Impedance Analysis (BIA), and a grip dynamometer. The collected data were analyzed using t-tests, crossover analysis, and logistic regression using the IBM SPSS 23 program. Results : The prevalence of sarcopenia among hemodialysis patients, determined using the SARC-F questionnaire, was 16.1%. The associated factors of sarcopenia among hemodialysis patients were found to be gender (OR=6.44, p =.002), age (OR=1.07, p =.015), nutritional status (OR=10.37, p =.027), and albumin level (OR=0.10, p =.014). These findings are supported by an explanatory power of 46.3% (p =.597). Conclusion : The identified risk factors for sarcopenia in hemodialysis patients were; sex, age, nutritional status, and albumin level. The findings of this study can serve as clinical evidence for the development of an intervention program for preventing and managing sarcopenia in patients undergoing hemodialysis.