• Title/Summary/Keyword: 관절가동 범위

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Effect of Accelerated Rehabilitation with Anti-Gravity Treadmill Exercise on Ankle Joint Function After Surgery of Modified Brostrom Operation in Chronic Ankle Instability Patients (변형된 Brostrom 수술 후, Anti-gravity treadmill 가속재활운동이 만성발목불안정성 환자의 발목기능 회복에 미치는 영향)

  • Choi, In-Hyuk;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.228-235
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    • 2019
  • The purpose of this study was to investigate the effect of 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise on VAS, ROM, isokinetic myofunction, and dynamic stability after surgery of modified brostrom operation in chronic ankle instability patients. The subjects of this study were 12 chronic ankle instability patients who underwent modified Brostrom operation(MBO) by the same doctor. 6 weeks' accelerated rehabilitation program is scheduled to perform for 60min, everyday, and also anti-gravity program performed for 15~30min, everyday. The visual analog scale(VSA) and significantly decreased(p<.001) and ROM in all of dorsal flexion, plantar flexion, inversion and eversion significantly increased(p<.05) after 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise. Both inversion and eversion peak torque at $60^{\circ}/sec$(p<.001, p<.01) and at $180^{\circ}/sec$(p<.001) significantly increased after 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise respectively. In muscle defect, although inversion(p<.01) and eversion(p<.001) at $60^{\circ}/sec$ and inversion(p<.01) at $180^{\circ}/sec$ significantly decreased, eversion at $180^{\circ}/sec$ tended to decrease but did not change significantly after 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise. The dynamic stability significantly increased after 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise(p<.001). These results suggest that 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise has positive effect of VAS, ROM, isokinetic myofunction, and dynamic stability after surgery of modified brostrom operation in chronic ankle instability patients. Therefore, we consider that the accelerated rehabilitation with anti-gravity treadmill exercise, which is safely and fast method, has effect on more faster recovery of ankle stability, play ground and normal daily activities.

Shoulder Range of Motion According to Sagittal, Coronal and Scapular Plane and Humeral Rotation (견관절 운동면과 상완골 회전에 따른 견관절 가동범위의 차이)

  • Kim, Yong-Wook;Cha, Deuk-Young;Lee, Ji-Yong
    • Physical Therapy Korea
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    • v.3 no.1
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    • pp.32-39
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    • 1996
  • For effective rehabilitation of the shoulder, physical therapists must have correct knowledge of shoulder movements. The purpose of this study was to determine the relationship between shoulder movements and the rotation of the humerus in the sagittal, coronal and scapular planes. Fifty normal subjects(25 male, 25 female) were tested using a Dualar-plus digital goniometer and an air-splint. The subjects performed active shoulder elevation in each plane with the humerus rotated in both medial and lateral directions. The range of motion(ROM) of the glenohumeral joint was measured three times. The paired t-test was used to determine the difference in ROM between medial and lateral rotation of the humerus. Results showed that, in the sagittal and the coronal planes, there was a significant difference(p < 0.01) in ROM of the shoulder between medial rotation and lateral rotation which was greater. But in the scapular plane, there was no difference between medial and lateral rotation. Physical therapists should consider these results when the goal of treatment is to increase ROM of the shoulder.

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The Initial Effect of Deltoid Inhibition Taping on Shoulder Pain, Function, Strength Level and Range of Motion in Patients With Shoulder Impingement Syndrome (견관절 충돌증후군 환자에 대한 삼각근 억제 테이핑이 견부 통증과 기능수행 수준, 근력, 관절가동범위에 미치는 즉각적 영향)

  • Han, Gee-Sung;Kim, Suhn-Yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.3
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    • pp.341-351
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    • 2011
  • Purpose : The purpose of this study was to determine the initial effects of deltoid inhibition taping to Pain, Function, Strength, ROM in shoulder impingement syndrome (SIS). Methods : This study is 28 patients(male 16, female 12) with shoulder impingement syndrome(SIS).The experimental group received deltoid inhibition taping and the control group had sham taping. Outcome variables measured degree of pain, disability, strength, and range of motion at pre-post intervention. The changes between pre-post interventions are analyzed by a repeated measure ANOVA test. Results : Pain and disability index significantly decreased (p<.05), and the rate of change in pain and disability level of the experimental group increased significantly more than control group (p<.05). Strength and range of motion significantly increased (p<.05), but the rate of change of the two groups showed no significant difference (p>.05). Conclusion : These results suggest that deltoid inhibition taping was initial effective in decreasing pain and disability in SIS patients.

Effects of the Flex-OA Functional Shoe and the Standardized Shoe on Ranges of Hip and Knee Joint During Gait in Healthy Individuals (정상 성인에서 Flex-OA 기능성 신발과 일반 신발이 보행 중 엉덩관절과 무릎관절의 가동범위에 미치는 효과)

  • Kim, Yongwook
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.3
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    • pp.33-42
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    • 2018
  • Purpose : The purpose of this study was to investigate the characteristics of the Flex-OA shoe, a specific functional shoe, in terms of the range of motion (ROM) of hip and knee joint during walking when compared to a standardized shoe. Methods : Twenty-six healthy adults (18 males, 6 females) participated in this study. Subjects performed 8 walking trials consisting of two different shoe conditions to evaluate the hip and knee ROM using a three-dimensional motion capture system. Visual 3D motion analysis software was finally used to coordinate the kinematic data. Result : The total ROM and maximal abduction range of the hip joint in the coronal planes when wearing the Flex-OA shoe were significantly increased during walking compared to wearing a standard shoe (p<.05). On the other hand, significantly increased ROM was observed in the sagittal plane when wearing the Flex-OA shoe in the knee joints compared to a standard shoe (p<.05). Conclusion : Although clinical application of the specific functional shoe has known clearly positive effects on knee moments, the results of this study could provide important clues to explain the background of these effects in terms of the hip and knee joints when applying a specific functional shoe.

Factors influencing on the Quality of Life in Older Adults after Total Knee Replacement: The Relevance to Pain, Range of Motion, Depression, Social Support and Sense of Coherence (슬관절전치환술을 받은 노인의 삶의 질 영향 요인: 통증, 관절가동범위, 우울, 사회적 지지, 통합성과의 관련성)

  • Yu, Mijin;Kim, HeeJung
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.494-503
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    • 2017
  • Purpose: This study is to grasp factors influencing the quality of life in older adults after total knee replacement. Methods: This study was conducted with 165 older adults who had TKR at four orthopedic hospitals in D city. Data were analyzed using one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression with SPSS 19.0 software. Results: Pain and depression were negatively correlated with range of motion, social support, while sense of coherence was positively correlated with quality of life. Sense of coherence (43%, ${\beta}=.40$), pain (8%, ${\beta}=-.30$), and depression (3%, ${\beta}=-.20$) on the Physical Component Summary in the quality of life have significant explanatory power of 54%. Sense of coherence (49%, ${\beta}=.44$), social support (6%, ${\beta}=.25$), and depression (3%, ${\beta}=-.22$) on the Mental Component Summary in the quality of life have significant explanatory power of 58%. Conclusion: This study suggests developing a program to improve the quality of life in older adults who had TKR, considering factors such as sense of coherence.

The Effects of Static Stretching and Evjenth-Hamberg Stretching on Range of Motion of Knee Joint (정적 스트레칭과 에비안스-함베르크 스트레칭이 슬관절의 관절가동범위의 변화에 미치는 영향)

  • Lee, Hyun-Hee;Yook, Dong-Won;Ko, Wi-Sug;Park, Yoon-Shick;Lee, Han-Woo
    • Physical Therapy Korea
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    • v.12 no.2
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    • pp.37-43
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    • 2005
  • The purpose of this study was to examine the effects of static stretching and Evjenth-Hamberg stretching the on range of motion (ROM) of the knee joint. The subjects were composed of twenty healthy males without weight-training experience. The ROM of the knee joint was measured by using an En-Knee. Three tests (performed on the 1st week, 4th week, and 8th week) were conducted to examine the change of each variable. Data were analyzed with a $2{\times}3$ analysis of variance (group${\times}$test) for repeated measures on last factor through SPSS 10.0. The data analysis revealed the change in the ROM was dependent on the stretching method. The results were as follows: The ROM was improved in both methods by each time, but the E-HS was more improved than the SS. In conclusion, this study indicated that the E-HS is more efficient than the SS on the ROM of the knee joint.

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The Immediate Effects of Active Ankle ROM exercise on Passive Straight Leg Raising (족관절의 능동 관절가동범위 운동이 수동 하지직거상에 미치는 즉각적 영향)

  • Sim, Hyun-Po;Yoon, Hong-Il;Lee, Jun-Yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.2
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    • pp.40-47
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    • 2010
  • Purpose : To exam the effects of active ankle range of motion(ROM) exercise on sciatic nerve movement and provide the evidence that use it to patients with hypomobile sciatic nerve as a nerve mobilization technique. Methods : The subjects consist of 32 asymptomatic healthy adults(male; 15, female; 17) who have limited passive straight leg raising(PSLR) ranges below 70 degrees. First, examiner measures PSLR angles at three times. Then, subject was instructed perform the active ankle ROM exercise(dorsiflexion and plantarflextion) at limited angle. After each subject completed the active ankle ROM exercise, return the starting position and examiner measures the PSLR angles at three times again. Results : First, PSLR range was no significant differences between dominant and non-dominant leg(p >.05). Second, active ankle ROM exercise significantly increased PSLR range by mean of degrees(p <.05). Third, there was no learning effects among the measurement trials(p >.05). Conclusion : These data show that active ankle ROM exercise can mobilize the sciatic nerve. Therefore, it can be applied to patients with hypomobile sciatic nerve(sliding dysfunction) as a neural mobilization technique.

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The Effects of Taping Therapy on the ROM and VAS in Adhesive Capsulitis (유착성 관절낭염 환자에 대한 테이프 적용이 관절가동범위와 통증감소에 미치는 영향)

  • Lee Mun-hwan;O Seong Tae;Park Rae-joon
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.223-238
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    • 2003
  • The purpose of this study was to assess the effectiveness of taping therapy for adhesive capsulitis patients. The subjects were consisted of 40, male 18, female 22, average age was 59 years old. To find out the effectiveness of taping therapy, we sampled 20 patients treated with H/P, electrical therapy and scapular pattern & hold-relax technique of PNF(control group), and 20 patients treated same as control group with taping therapy(experimental group). The results were as follow : 1. There was a statistical significance of shoulder flexion, abduction, external rotation and VAS in both group(P<0.05). 2. There was not statistical significance of shoulder flexion and external rotation(P>0.05), but abduction had a statistical significance between taping group and non-taping group(P<0.05). 3. VAS was observed a statistical significance between 3rd and 4th post treatment(P<0.05). These results are imply that taping therapy has a effectiveness of shoulder motion and VAS for adhesive capsulitis.

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The effect of motion according to general coordination manipulation treatment on cervical (경추의 전신조정술 관절치료가 관절가동범위에 미치는 영향)

  • Kim Hyoung-Su;Kim Eun-Young;Koo Bong-Oh;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.90-102
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    • 2003
  • Purpose: The purpose of this study is to search effect that GCM joint treatment gets to range of motion of cervical, lumbar, trunk and anke. And cervical gets in ankle joint. Methods: Estimated body deformity using GCM body type assesment chart then measured range of motion of each region. After control group did as act freely after do experiment pre measurement control group did post measurement. After control group did as act freely after do experiment premeasurement, control group did postmeasurement. Each region was measured by measurer who each subject person differs. Experimental group did GCM joint treatment and all measurements each region by measurer who each subject person differs three times measure postmeasurement after premeasurement. When measure with each measurement, measured after leave and walk time interval for 10 minutes. Result: For the analysis of the result of experiment, the results is change amount comparison increased to keep in mind except cervical flexion and both ankle joint's dorsiflexion after experiment of experimental group. In experimental group, cervical, lumber and ankle joint of range of motion was significantly increased(p<.05).

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The Effect of Ankle Strengthening Exercise who Old Man Have fall Down Experience on Pain, ROM and Balance Ability (발목관절 강화운동이 낙상경험이 있는 노인의 통증, 관절가동범위, 균형능력에 미치는 효과)

  • An, Mock
    • Journal of Korean Physical Therapy Science
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    • v.18 no.3
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    • pp.79-86
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    • 2011
  • Background : The purpose of this study was to investigate on the ankle pain, Range of Motion(ROM) and balance ability with old man have fall down experience used to ankle strengthening exercise for 6 weeks. We introduced ankle strengthening exercise in this study in order to recover the pain, ankle ROM and balance ability. Methods : Twenty-four old mans have fall down experience were included for the study. Among them, twelve old mans(experimental group) were ankle strengthening exercise and physical science methods(H/P, TENS, U/S), another twelve old mans(control group) were treated by physical science methods(H/P, TENS, U/S). Each group made use of Visual Analogue Scale(VAS) to pain and goniometer to ankle ROM and Berg Balance Test(BBS) to balance ability to compare the possible changes of pain, ROM and balance ability in two groups after treatment. Results : In experimental group, pain reduced, ankle ROM has increased in dorsi-flexion, plantar-flexion and balance ability has increased for 6 weeks. In control group, pain reduced, ankle ROM has not changed in dorsi-flextion, plantar-flextion and balance ability has not changed for 6 weeks. Conclusion : According to the results, we concluded that ankle strengthening exercise for 6 weeks is effective for reducing pain and increasing ankle ROM and balance ability. Therefore, we thought the old man have fall dawn experience need ankle strengthening exercise for prevention repeatedly fall down.

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