• 제목/요약/키워드: 관절 가동 범위

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동영상 CD를 이용한 슬관절 전치환술 환자의 재활교육 프로그램이 관절가동범위 및 일상활동 수행에 미치는 효과 (Effects of a Video CD Rehabilitation Program for Total Knee Replacement on Range of Knee Angle and Activities of Daily Living Function)

  • 남문희;이정은
    • 한국의료질향상학회지
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    • 제16권1호
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    • pp.79-89
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    • 2010
  • Background : This study was identified the effects of a video CD Rehabilitation program on the range of knee angle and activities of daily living in patients with a total knee replacement Method : The data was collected from March 1 to May 31 2009 for the control group and from July 1 to September 31 2009 for the experimental group. The control and experimental groups contained 19 subjects each. A video CD Rehabilitation program configured to 8 minutes in length was shown 8 times every other day. Result : 1. On the day of Hemovac removal, the knee angle and CPM angle in the experimental group increased significantly, but they remained relatively constant on post operation day 21. 2. The activities of daily living were significantly different in the experimental group. Conclusion : 1. On the day of Hemovac removal, the knee angle and CPM angle in the experimental group increased significantly, but they remained relatively constant on post operation day 21. 2. The activities of daily living were significantly different in the experimental group.

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엉덩관절 수술 환자에서 스마트폰을 이용한 관절가동범위 측정의 신뢰도 및 타당도 연구 (The Reliability and Validity of Hip Range of Motion Measurement using a Smart phone Operative Patient)

  • 박선욱;김명수;배효선;차용호
    • 대한물리의학회지
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    • 제10권2호
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    • pp.1-7
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    • 2015
  • PURPOSE: The aims of this study were to assess the intra-tester and inter-tester reliability and validity of hip range of motion using a smart phone in hip operative patients. METHODS: Twenty-five patients (eight total hip arthroplasty and seventeen femur neck fracture) participated in this study. The range of motions in active and passive hip flexion, abduction and external rotation were measured with a goniometer and smart phone over two times by two observers. The intra-tester and inter-tester reliability were evaluated using the intraclass correlation coefficient (ICC2,1). The validity was measured by Pearson's correlation coefficient RESULTS: The intra-observer reliability was good in all measured items (ICC>0.78). The inter-observer reliability was high with ICC (>0.90). All correlation coefficients of smart phone and goniometer was greater than 0.85 and showed a significant positive correlation (p<0.01). CONCLUSION: The range of motion measurement with a smart phone showed acceptable reliability. Therefore, it could be convenient and have economical benefits to measure the range of motion of the hip joint using a smart phone.

스펜서 테크닉이 유착성 관절낭염 환자의 어깨관절 가동범위와 통증, 기능에 미치는 영향 (The Effects of Spencer Technique on the ROM, Pain, Function in Patients with Shoulder Adhesive Capsulitis)

  • 박기숙;정기용
    • 대한정형도수물리치료학회지
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    • 제24권2호
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    • pp.37-42
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    • 2018
  • Background: The Purpose of this study was to evaluate the value of Spencer technique on the range of motion (ROM), Pain, function in patients with shoulder adhesive capsulitis. Methods: subjects consisted of 30patients who were diagnosed shoulder adhesive capsulitis. All subjects are randomly assigned to 2groups: Spencer technique (ST) group (n=15), self assistive ROM exercise(S-A ROM E) group (n=15). The subjects performed an intervention program 30 minuets per day and was repeated 3 times a week for 4 weeks a total of 12 times. ROM of flexion, abduction, external rotation, internal rotation were measured using a goniometer. The visual analog scale (VAS), Shoulder pain and disability index (SPADI) were used to measure pain, functional ability. Results: In the intergroup comparisons after the intervention, ROM of flexion, abduction, internal rotation, VAS, SPADI were significantly different(p<.05). Spencer technique was more effective for improving ROM, pain, functional ability than self assistive ROM exercise. Conclusions: Our study suggest that considering Spencer technique for the patient with shoulder adhesive capsulitis. Further studies on Spencer technique are needed in the future.

키네시오 테이핑 방법이 만성 뇌졸중 환자의 발목관절 근긴장도, 균형 능력 및 관절가동범위에 미치는 영향 (Effect of Kinesio Taping Method on Ankle Muscle Tone, Balance Ability and Range of Motion in Chronic Stroke Patients)

  • 박영한;어영선
    • 대한물리의학회지
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    • 제16권1호
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    • pp.83-92
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    • 2021
  • PURPOSE: This study examined whether ankle joint stabilizing taping and muscle control taping influenced the ankle range of motion (ROM), muscle tone, and balance ability in chronic stroke patients. METHODS: Ten stroke patients were assigned randomly to experimental group 1 (joint stabilization taping n = 5) and experimental group 2 (Muscle control taping n = 5). After general physical therapy in both groups, ankle stabilization taping was applied to experimental group 1, and muscle control taping was applied to experimental group 2 three times a week for a total of six weeks (18 times). RESULTS: The muscle tone and stiffness of the gastrocnemius (GCM) showed significant differences between the experimental 1 and experimental 2 groups (p < .05). The Berg Balance Scale (BBS) and ROM also showed significant differences within the experimental 1 and experimental 2 groups (p < .05). The BBS and ROM also showed no significant differences between the experimental 1 and experimental 2 groups (p > .05). CONCLUSION: This study examined the muscle tone, balance, and ROM on the paraplegic side of stroke patients using kinesio taping, and the effect of the taping application method was confirmed from the preceding study. Therefore, it can decrease the paralysis side muscle tone and improve the ROM and balance ability.

구강내과영역에서 측두하악장애 환자의 Spiral Taping 치료 (The Spiral Taping Treatment on Temporomandibular Disorder in oral Medicine)

  • 김명희;이정훈
    • Journal of Oral Medicine and Pain
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    • 제36권1호
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    • pp.65-70
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    • 2011
  • 최근 저작, 개구장애, 두경부의 동통 및 관절 잡음을 나타내는 턱관절 기능장애 환자가 점차 증가 추세에 있다. 그러나 대부분의 치료가 기간대비효과 및 지속성이 떨어지는 단점을 가지고 있다. 또한, 고비용과 장기간의 치료와 구강 장착물의 이물감으로 인한 불편감 등으로 좋은 치료법으로 선호되기 힘든 상황이다. 테이핑 치료방법은 시행하기가 비교적 간단하고 부작용이 없어 안정성이 높으면서도 치료효과가 탁월하다. 본 연구에서는 최근 비교적 쉽게 환자를 치료하고, 치료에 따른 부작용 없는 테이핑 요법 중 Spiral Taping법을 이용하여 턱관절의 통증과 관절가동범위의 제한을 일으키는 근육에 비신축성 테이프를 적용하여 측두하악장애의 효율적인 치료의 기본적인 방향을 설정하여 구체적인 치료방법과 치료절차에 대해 알아보고자 하였다.

무릎관절 전치환술을 시행한 환자의 발목관절에 움직임을 동반한 관절가동술이 발목 관절가동범위, 균형, 보행에 미치는 영향 (The Effects of Ankle Mobilization with Movements on the Ankle Range of Motion, Balance, and Gait of Patients after Total Knee Arthroplasty)

  • 윤중대;이재남
    • 대한정형도수물리치료학회지
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    • 제27권1호
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    • pp.51-62
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    • 2021
  • Background: The purpose of this study was conducted to investigate the effects of the ankle mobilization with movement (MWM) technique on ankle dorsiflexion range of motion (ROM), balance, and gait in patients who underwent total knee replacement (TKR). Methods: Thirty patients with knee osteoarthritis were recruited and randomly divided into two groups: the experimental group (EG; n=15) and the control group (CG; n=15). For five days a week for 3 weeks, participants in the EG were treated with the ankle MWM technique and traditional total knee replacement (TKR) exercise, and those in the CG only performed traditional TKR exercises. The dorsiflexion ROM, balance, and gait of the patients were before and after exercise. Results: Balance system SD was used compare changes in dynamic balance. Patients in the EG group showed statistically significant differences after the intervention (p<.05). In addition, there was a statistically significant difference in dynamic balance between the EG and CG groups after the intervention (p<.05). STT-IBS was used to compare changes in velocity, step length, stride length, and ankle dorsiflexion ROM. Patients in the EG group showed statistically significant differences after the intervention (p<.05). In addition, there was a statistically significant difference in the velocity, step length, stride length, and ankle dorsiflexion ROM between the EC and CG groups after the intervention (p<.05). Conclusion: Our results showed that applying the ankle MWM technique with traditional TKR exercises improved ankle dorsiflexion ROM, dynamic balance, and gait in patients.

편마비 환자의 발목관절에 시행된 메이틀랜드 관절가동술과 움직임을 동반한 관절가동술이 관절가동범위, 정적 및 동적 균형, 족저압, 보행 능력에 미치는 영향에 관한 연구 (The Study on the Effects of Maitland Mobilization and MWM for Range of Motion, Static and Dynamic Balance, Plantar Pressure, Gait Ability Performed on the Ankle Joint of Hemiplegic Patients)

  • 이준용;심현보;최율정
    • 대한정형도수물리치료학회지
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    • 제28권1호
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    • pp.61-69
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    • 2022
  • Background: This study aimed to investigate the effect of maitland mobilization and mobilization with movement (MWM) applied to the ankle joint on ankle dorsiflexion range of motion (ROM), static and dynamic balance, plantar pressure, and gait ability. Methods: A total of 24 individuals were assigned to either the maitland mobilization group (n=12) or the MWM group (n=12). Dorsiflexion ROM, static and dynamic balance, plantar pressure, 10-meter walk test were measured before and 4 weeks after the intervention. Results: Both groups showed a significant difference in the evaluation after 4 weeks as the dorsiflexion ROM of the ankle increased (p<.05), and the sway length and sway area indicating static balance decreased (p<.05). Furthermore, the movement area showing dynamic balance showed a significant increase (p<.05), the plantar pressure difference between both feet significantly decreased (p<.05). In the 10-meter walk test, there was a significant difference as the time decreased (p<.05). However, no significant difference between the two groups was observed (p>.05). Conclusion: According to the results of this study where, maitland mobilization and MWM were applied to the ankle joint of hemiplegic patients for 4 weeks, we found no difference between the two groups. However, each technique was found to be effective for dorsiflexion ROM, static and dynamic balance, plantar pressure, and gait.

경부운동이 VDT 증후군 환자의 관절가동범위에 미치는 효과 (The Effect that Cervical Exercise has on Joint Range of Motion a VDT Syndrome Patient.)

  • 장철;최현석;배성수
    • The Journal of Korean Physical Therapy
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    • 제17권2호
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    • pp.1-10
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    • 2005
  • This study is going to have been recognized a change of Cervical range of motion with the object 40 persons who sat for many hours before computer. According to the therapy term, sling used joint mobility exercise and Mckenzie was executed by 20 persons Shared. The study results about the effect that Cervical exercise had on joint Range of motion of a VDT syndrome patient were as follows. 1. There was a similar difference a sling used in Cervical Range of motion of joint mobility exercise cure after one-week, two-weet and three-week. 2. The change Cervical Range of motion of Mckenzie exercise has not been after one-week and two-week but a similar difference happens after three-week. 3. There has not been difference between joint mobility exercise and Mckenzie exercise in cure ferm sling used.

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엉덩관절 가동범위에 따른 중간볼기근의 근활성도 비교 (Comparison of Gluteus Medius Muscle Electromyographic activity at different hip angles and motions)

  • 이태식
    • 대한물리치료과학회지
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    • 제19권4호
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    • pp.41-46
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    • 2012
  • Background : The purpose of this study was to investigate the electromyographic(EMG) amplitude of the gluteus medius muscle bilaterally at various hip angles and motions(flexion, extension and abduction). Methods : Thirty young with a mean(SD) age of 21.03(1.69) years performed hip motions(flexion, extension and abduction) while the surface EMG activity of the gluteus medius muscles was recorded bilaterally. Subjects were instructed to use the right lower limb during moving 3 different direction. Differences in EMG amplitudes in according with movement direction and angle were assessed by use of paired t-test analyses of variance for the right and left lower extremities. The alpha level was set at .05. Results : Gluteus medius muscle EMG activities in the both side were significantly greater for abduction at angles of 30 degrees than those for other motions at other angles. Conclusion : Hip abduction at angles of 30 degrees on the standing position may be effective in activating the gluteus medius muscle.

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2년 4개월 동안 수행한 복합운동프로그램이 뇌졸중 환자의 상지 기능 및 균형 능력에 미치는 영향: 사례연구 (Two Years and Four Month's Complex Exercise for Upper Extremity Function and Balance Proficiency of a Older Woman With Stroke : A Case-Study)

  • 이상헌;최유임
    • 한국산학기술학회:학술대회논문집
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    • 한국산학기술학회 2010년도 춘계학술발표논문집 2부
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    • pp.735-738
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    • 2010
  • 본 연구는 관절가동범위 및 근력강화운동, 반복적인 과제-지향적 활동으로 구성된 복합운동프로그램을 뇌졸중 환자에게 2년 4개월 동안 적용하여 상지 기능 및 균형 능력에 미치는 효과를 알아보고자 하였다. 연구대상자는 뇌졸중으로 인한 좌측 편마비 증상을 보이는 68세 여성으로 매 회기 1시간씩, 주 3회, 2년 4개월 동안 복합운동프로그램을 수행하였다. 대상자의 상지 기능은 브론스트롬의 손 회복 단계와 상지 회복단계, Fugl-Meyer Assessment of Motor Function, 뇌졸중 상지기능검사로, 균형 능력은 Tinetti Gait & Balance Scale로 평가하였다. 연구 결과 대상자의 상지 기능과 균형 능력이 유지 및 향상 되었다. 이를 통하여 만성 뇌졸중 환자에서 상지 및 균형 능력의 유지 및 증진을 위한 지속적인 복합 운동프로그램 수행의 유효성을 확인할 수 있었다.

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