• Title/Summary/Keyword: 관절 가동 범위

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Shoulder Range of Motion in Postmastectomy Patients (유방암 절제술 후 환자의 어깨관절 가동범위 조사)

  • Eom, Ae-Yong;Lee, Eun-Ok
    • Asian Oncology Nursing
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    • v.4 no.1
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    • pp.62-70
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    • 2004
  • The purpose of this study was to use as a basic data to develop suitable nursing intervention program and decide an appropriate intervention time after assessing shoulder range of motion in postmastectomy from 2 weeks to 3 month. 147 patients are chosen as study subject among patients who were in recovery of 2weeks, 1month, 2months and 3 months after surgical operation which is modified radical mastectomy. Data were collected at oncology medicine local and general surgery local in Seoul National University Hospital from May, 2003 to October, 2003. The range of motion of the shoulder(flexion, extension, abduction, internal rotation, external rotation) were examined. Analysis of data that shoulder range of motion average and standard deviation, percentage of the unaffected side and affected side compare with normal shoulder range of motion. Paired t-test was adopted to analyze the difference between affected side and unaffected side. Conclusion from this study is as following, 1. The most serious problem was external rotation (0.56%) and internal rotation is the next (19.9%) in 5 kinds of shoulder range of motion in 2 weeks after surgical operation 2. There was no difference in internal rotation after post operation 3 months but there were differences and shown to recover more than 90% in flexion and abduction. Also shoulder function incresed in flextion less than 80% and more than 80% in external rotation. As this study finding was shown that shoulder range of motion did not get back perfectly except of internal rotation and extension in point of 3 months after breast cancer surgical operation. External rotation was specially shown the lowest result so it is needed to exercise for improving their physical functioning recovery in postmastectomy patients. And it is suggested to study for helping to postmastectomy patients' physical and psycosocial functions with the early rehabilitation program which is based on these results.

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Effect of whole body cryotherapy with spinal decompression on lumbar disc herniation by functional assessment measures (기능적 평가 측정을 통하여 전신냉기치료와 척추 감압기 적용이 요추 추간판 탈출증 환자에게 미치는 효과)

  • Ma, Sang-Yeol
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.6
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    • pp.1101-1108
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    • 2010
  • This study was conducted to investigate whether whole body cryotherapy and spinal decompression have effectiveness on the pain, lumbar flexion range of motion, and global perceived effect scale in patients with lumbar disc herniation. Thirty subjects were participated in this study. And they were all randomly divided into whole body cryotherapy and spinal decompression group. To evaluate the effects of whole body cryotherapy and spinal decompression, subjects were evaluated by using visual analogue scale, lumbar flexion range of motion, and global perceived effect scale. The assessment parameters were evaluated before, after 2 weeks treatments. And we received a consent form whole body cryotherapy subjects. The results of paired t-test, independent t-test, and ANCOVA analysis of variance showed that pain, lumbar flexion range of motion, global perceived effect scale were significantly improved after than before therapy in whole body cryotherapy group. So we conclude that whole body cryotherapy has effectiveness on the pain, lumbar flexion range of motion, and global perceived effect scale in patients with lumbar disc herniation.

Multi-player Contents for Upper Limb Rehabilitation based on VR (VR 기반의 상지 재활 훈련용 멀티플레이 콘텐츠)

  • Shin, Sung-Wook;Lee, Hyeok-Min;Moon, Ho-Sang;Chung, Sung-Taek
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.3
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    • pp.115-120
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    • 2019
  • Hemiplegic patients who suffered from a stroke struggle with a deterioration in upper limb functions, which can both be psychologically and physically discomforting; this can also limit patients' daily tasks involving any upper limb motions. In this study, we developed an assistive device for hemiplegic patients to improve their upper limb functions. It was manufactured to train patients by using their grip strength and the range of motion of the arm. Furthermore, we produced game contents in virtual reality to induce users' immersion and interaction. It was configured as a multi-player game to help ease the mental burden of receiving the training alone, hence allowing the patient and the caregiver to join the rehabilitation training simultaneously. The assistive device and game contents developed in this study enables patients and caregivers to easily check the degree of improvements in upper limb function by viewing quantitative analysis and visualized results.

A Comparative Analysis of Two Inflatable Kayak's Effect on Players and Kayak Performances (두 종류 공기주입식 카약 보트의 성능 비교 및 선수 수행력 비교 분석)

  • Lee, Chong-Hoon;Park, Yong-Hyun;Nam, Ki-Jeong
    • 한국체육학회지인문사회과학편
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    • v.53 no.2
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    • pp.531-540
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    • 2014
  • The purpose of this study was to investigate the differences between two inflatable kayak by recording performance related variables during the kayak forward stroke motion. A total of 5 elite high school kayak players were recruited to participate while their kinematics and muscle activations were recorded while performing inside their high school swimming pool. Boat velocity, boats swaying angle, the average angular velocity and were used to evaluate the boats performance. The player's trunk rotational range of motion, knee flexion-extension angle range of motion, maximum trunk rotation angle, the knee flexion-extension angular velocity, and the upper and lower limb muscle activations were calculated and analyzed for the player's efficiency evaluation. There were no significantly different variables for the player's kinematics and their muscle activations for the two conditions. The B kayak was significantly faster than the A kaya. In addition there were no significant differences between the remaining variables for the two kayaks. In conclusion, the B kayak was faster than the A kayak, but neither of the kayaks had an influence on the player's performance variables.

A Study of the McKenzie Exercise of the Cervical : Systematic Review (경추부위 멕켄지운동에 대한 연구)

  • Lee, Hyojeong;Woo, Sunghee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.10a
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    • pp.652-654
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    • 2021
  • Objectives : The purpose of this study is to investigate the effectiveness of McKenzie Exercise of cervical part Method : A case-controlled clinical trial was searched for the effect of McKenzie Exercise on the cervical part. From 2015 to June 2021, 8 studies were selected from the RISS database published in Korea. The selected studies included an experimental group with McKenzie Exercise and a control group with general physical therapy and stretching Results : McKenzie Exercise, ROM, muscle activion, pain, posture were improved. Conclusion : This study summarizes the results of applying McKenzie Exercise of cervical part. This study suggests for cervical function who wants to intervene in McKenzie Exercise of cervical part.

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Convergence Study of Wearing Head-Mounted Display on Cervical Range of Motion, Neck Muscles Thickness, and Pain (헤드 마운티드 디스플레이 착용이 목 관절가동범위와 목 근육 두께 및 통증에 미치는 융합연구)

  • Oh, So-Hyun;Choung, Sung-Dae;Shim, Jae-Hoon;Yang, No-yul
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.277-285
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    • 2020
  • The purpose of this study was to evaluate the effects of wearing Head-Mounted Display (HMD) on the cervical range of motion (CROM), neck muscle thickness, and pain in healthy young adults. The HMD group(male=16, female=7) was asked to perform sitting comfortably in a backless chair with hands on their knees with the HMD was worn on their heads to watch the video for 30 minutes. The control group(male=15, female=8) was asked to sit in the same posture as the HMD group for 30 minutes. CROM, neck muscle thickness, and pressure pain threshold (PPT) of both the upper trapezius and levator scapulae were measured before and after intervention. CROM and PPT of the upper trapezius and levator scapulae in the HMD group were significantly decreased and the thickness of the muscles in the HMD group were significantly increased more than in the pre-test (p<.05). There was no significant difference in CROM, muscle thickness, and PPT in the control group. Wearing HMD for a long time can cause a decrease in CROM and PPT and an increase in muscle thickness, and there is a risk of developing musculoskeletal disorders in the neck and shoulder. Therefore, this study recommends maintaining the correct posture of the neck and shoulder and using HMD only for an appropriate time.

The Effect of Manual Joint Mobilization on Pain, ROM, Body Function and Balance in Patients with Knee Osteoarthritis (슬관절 골관절염환자에서 도수 관절가동술이 통증, 관절가동범위, 신체기능과 균형능력에 미치는 효과)

  • Lee, Nam-Young;Kwon, Chun-Suk;Song, Hyun-Seung
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.91-99
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    • 2015
  • PURPOSE: The purpose of this study was to investigate effect of the manual joint mobilization to the patients with knee osteoarthritis and to determine the effect of pain, range of motion, body function and balance after applying it. METHODS: The thirty participants who complained the knee pain were randomly assigned to control (Con) group (n=15) that received the general physical therapy and experimental (Exp) group (n=15) that received the applied the manual joint mobilization and the general physical therapy three times per week, 30 minutes per day for four weeks. It measured the visual analogue scale (VAS), the range of motion (ROM), body function (WOMAC) and balance (TUG). RESULTS: It showed the significantly different between the control group and experiment group in VAS, ROM and WOMAC. After 4 weeks, the experiment group was significantly different from other group in VAS, ROM and WOMAC. But the measurement of balance did not show the significantly difference within group and between groups. CONCLUSION: This results suggest that Manual joint mobilization was effective in pain, ROM, function in patient with knee osteoarthritis.

Effectiveness of Individualized Upper Extremity Exercise Program for Patients after Mastectomy (유방절제술 후 환자를 위한 맞춤형 상지 운동프로그램 효과)

  • Lim, Kyung Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.313-323
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    • 2018
  • This study was conducted to develop an individualized upper extremity exercise program for patients after mastectomy and evaluate its effectiveness. A nonequivalent control-group pretest-posttest design was used for this investigation. Research participants were patients with breast cancer who underwent mastectomy at two university hospitals (experimental group, n=17; control group, n=16). The experimental group received an individualized upper extremity exercise program three times a week for 7 weeks. Data were analyzed by the ${\chi}^2-test$, Fisher's exact test, Mann-Whitney U-test and Wilcoxon Signed Rank test using SPSS WIN 21.0. Inter-group comparison revealed significant differences between pre-test and post-test in hands behind the back, flexion, abduction, external rotation, internal rotation, and grip strength. Moreover, the experimental group showed significant improvements in hands behind the back, flexion, abduction, external rotation, internal rotation, and grip strength relative to the control. In conclusion, the individualized upper extremity exercise program was shown to be an effective intervention to improve physical functions in upper limbs and shoulders. Therefore, this program should be applied to patients after mastectomy in clinics since many patients have suffered from decreased physical functions in upper extremities.

The Effects of Coordinative Locomotor Training Program for Life-Care Promotion on Balance of Obese Elderly Women (라이프케어 증진을 위한 협응적 이동훈련 프로그램이 비만 여성노인의 균형에 미치는 영향)

  • Lee, Dong-Ryul
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.1
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    • pp.17-25
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    • 2020
  • The purpose of this study was to examine the effects of coordinative locomotor training (CLT) program on the balance for the promotion of life care of elderly obese women. Ten participants of elderly obese women who were able to walk independently without surgery experience of lumbar, hip or knee joint within the past year were recruited and under went the pretest, CLT (20 sessions), followed by the post-test. The test included BMI test using In-body, joint kinematics using myoVIDEO, muscle activation using surface EMG test (erector spinae (ER), external oblique abdominalis (EO), quadriceps femoris (Quad), hamstring muscle (Ham)) and balance tests including dynamic balance test using forced treadmill, Berg balance scale (BBS) and timed up go (TUG). The CLT program was conducted 60 minutes a day, 5 days a week, over 4 weeks period. As a result of this study, The the trunk and hip joints kinematics during the stance and swing phases of gait were a statistical significance levels were set at p <0.05. The ER and EO muscle activation were significantly improved after intervention (p <0.05). The length of gait line and single support line of change of center of pressure (COP) were significantly increased after intervention (p <0.05). The BBS and TUG were also significantly enhanced after intervention (p <0.05). The results of this study showed that CLT program for the improvement of life care had significant effects on improving postural instability, muscle weakness, reduced balance ability and falling risk of obese elderly women. Therefore, it is recommended to apply CLT program to improve life-care through improving balance ability and preventing fall of obese elderly women.

Evaluation of Elderly and Disable walker Using Bromechanical Human Model (생체역학 모델을 이용한 노인 및 장애인용 보행기 평가)

  • Shin, Jun Ho;Park, Yong Hyun;Kim, Young-Kwan;Kim, Yoon Hyuk
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.263-264
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    • 2011
  • 본 연구에서는 한국인 표준체형과 유사한 사람의 의료 영상 자료를 이용하여 인체 골격계 모델을 개발하였다. 이를 동역학 해석 상용 소프웨트어인 RecurDynTM에 탑재하여 인체 시뮬레이션 모듈을 개발하였고 타당성을 검증을 거친 후 노인의 앉기-서기 및 보행 동작해석에 적용하였다. 노인이 보행기(elderly walker)를 사용하여 앉기-서기 동작을 할 때 하지관절 기구학의 변화는 미비하였으나 보행 시 각 관절의 가동범위가 감소하였고 동작시간이 증가하였다. 또한 근전도 해석결과 일부 발목 주변 근육들과 햄스트링 근육에서 근활성치가 줄거나 활성시간이 줄었다. 이러한 변화는 보행기를 이용한 보행 때 하지의 기여도가 감소했기 때문에 발생하는 현상으로 생각된다. 본 연구를 통해 얻어진 시뮬레이션 기술은 다양한 인체 정보 콘텐츠분야에 널리 활용될 것으로 생각된다.

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