• Title/Summary/Keyword: 관절 가동 범위

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The Effects of an Early Knee Joint Exercise Education Program on Pain, Knee Range of Motion, and Satisfaction in Patients after Undergoing Total Knee Replacement Arthroplasty (슬관절 전치환술 후 조기 슬관절 운동 교육 프로그램이 통증, 슬관절가동범위, 환자만족도에 미치는 영향)

  • Shin, Yi Seul;Lee, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.283-292
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    • 2018
  • Purpose: This study was conducted to evaluate the effects of early knee joint exercise education program on pain, knee ROM, and satisfaction among patients with a total knee replacement arthroplasty. Methods: An experimental study with non-equivalent groups was conducted using 32 patients for an experimental group and 32 patients for a control group. The experimental group received knee joint exercise education including systemic continuous passive motion (CPM) exercise and knee exercise. The control group received conventional CPM exercise. Pain, flexion and flexion contracture range of motion, and patient satisfaction were evaluated by $x^2$ test, Fisher's exact test, t-test, and repeated measures ANOVA using the SPSS 23.0 Windows program. Results: There were a significant improvement in patients' knee flexion and satisfaction in the experimental group compared to the control group. There was no significant difference in pain and flexion contracture between the two groups. Conclusion: The findings suggest that the proposed education program is efficient and effective when providing nursing care after a total knee replacement arthroplasty.

The Effect of Running Speed and Slope on the Lower Extremity Biomechanics (달리기 속도와 경사가 하지관절의 생체역학에 미치는 영향)

  • Kim, Jongbin
    • Journal of Convergence for Information Technology
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    • v.10 no.4
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    • pp.160-167
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    • 2020
  • This study analyzes the effects of changes in running velocity and slope on the biomechanical factors of the lower limb joints. For this purpose, 15 adult males in their 20s ran according to changes in running speed (2.7, 3.3 m/s) and slope ( -9°, -6°, 0°, 6°, 9°) on the treadmill, and their running characteristics (stride length, stride frequency). The range of motion of the lower limb joint and the vertical ground reaction force were greater in UR (p <.05), and the moment of the lower limb joint, braking force, thrust and load factor was large in DR (p <.05). In joint power, the ankle joint was greater in DR, and hip joint was greater in the UR (p <.05). These results show that the injuries of the ankle joint will be greater than other cases when running DR at a speed of 3.3 m/s.

A Home-Based Remote Rehabilitation System with Motion Recognition for Joint Range of Motion Improvement (관절 가동범위 향상을 위한 원격 모션 인식 재활 시스템)

  • Kim, Kyungah;Chung, Wan-Young
    • Journal of the Institute of Convergence Signal Processing
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    • v.20 no.3
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    • pp.151-158
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    • 2019
  • Patients with disabilities from various reasons such as disasters, injuries or chronic illness or elderly with limited body motion range due to aging are recommended to participate in rehabilitation programs at hospitals. But typically, it's not as simple for them to commute without help as they have limited access outside of the home. Also, regarding the perspectives of hospitals, having to maintain the workforce and have them take care of the rehabilitation sessions leads them to more expenses in cost aspects. For those reasons, in this paper, a home-based remote rehabilitation system using motion recognition is developed without needing help from others. This system can be executed by a personal computer and a stereo camera at home, the real-time user motion status is monitored using motion recognition feature. The system tracks the joint range of motion(Joint ROM) of particular body parts of users to check the body function improvement. For demonstration, total of 4 subjects with various ages and health conditions participated in this project. Their motion data were collected during all 3 exercise sessions, and each session was repeated 9 times per person and was compared in the results.

Effect of kinesio taping on ankle strength, movement and function in patients with common peroneal nerve paralysis (키네지오 테이핑이 온종아리신경 마비를 가진 환자의 발목관절의 근력, 움직임 및 기능에 미치는 영향)

  • Park, Si Eun;Cho, Kyun-Hee;Park, Shin Jun
    • Journal of Industrial Convergence
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    • v.18 no.1
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    • pp.59-64
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    • 2020
  • The effect of kinesio taping in patients with common peroneal nerve paralysis (PNP) have not been investigated. This purpose of this study was to evaluate the effects of kinesio taping on patients with common PNP. Ten subjects who had common PNP were included in this study. Kinesio taping was applied to the ankle joint (direction of dorsiflexion and eversion). The measurements were by manual muscle test (MMT; tibialis anterior, peroneus longus), active ROM (ankle dorsiflexion, eversion), pain (visual analogue scale (VAS), pressure pain threshold (PPT)), and balance (one leg standing). Subjects were assessed at baseline and 8 weeks of intervention. In the results, all subjects showed improvements in MMT, active ROM, Pain and balance at the 8-week. These findings are considered to be effective in applying kinesio taping on ankle joint in common PNP patients.

Analysis and Training Contents of Body Balance Ability using Range of Motion of Lumbar Spine and Center of Body Pressure (요추 관절가동범위와 신체압력중심을 이용한 신체균형능력 분석 및 훈련 콘텐츠)

  • Goo, Sejin;Kim, Dong-Yeon;Shin, Sung-Wook;Chung, Sung-Taek
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.1
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    • pp.279-287
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    • 2019
  • In this paper, we attempted to analyze the balance ability of the body by measuring changes in body motion and plantar pressure distribution. So we developed a program that can measure and analyze range of motion and center of body pressure using inertial measurement unit(IMU) and FSR(Force Sensing Resistor) sensor, we also produced a contents that can help improve the balance ability. The quantitative values of range of motion and center of body pressure measured by this program are visualized in real time so that the user can easily recognize the results. In addition, the contents were designed to be adjusted according to the direction of improving the balance ability by adjusting the difficulty level based on the measured balance information. This can be achieved by increasing the concentration and participation will by using visual feedback method that proceeds while watching moving objects according to the user's motion.

Comparison of Kinetic Variables and Muscle Activity of Ankle Joint During Walking in Subjects With and Without Diabetic Plantar Ulcers (보행 시 정상인과 당뇨병성 족부궤양 환자의 족관절 운동역학적 변수와 근활성도 비교)

  • Kwon, Oh-Yun;Choi, Kyu-Hwan
    • Physical Therapy Korea
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    • v.8 no.4
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    • pp.45-61
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    • 2001
  • 본 연구는 보행주기 동안 정상인과 당뇨병성 족부궤양 환자의 족관절 운동역학적 변수와 족관절 근육들의 근활성도에 차이가 있는지 알아보기 위하여 실시하였다. 본 연구의 대상자는 당뇨병성 족부궤양이 있는 환자 9명(남자: 6명, 여자: 3명)과 성, 연령, 체중으로 짝짓기(matching)시킨 대조군 9명이었다. 3차원 동작분석기, 힘판, 표면 근전도를 이용하여, 보행주기 동안 족관절의 관절가동범위, 모멘트(moment), 일률(power), 그리고 내측가자미근, 전경골근, 비복근의 근수축 개시시간(onset time)과 종료시간(cessation time)을 측정하였다. 정상군과 비교하여 당뇨병성 족부궤양군의 보행속도는 느렸고, 입각기 기간이 길었으며, 족관절의 가동범위가 적었고, 족관절 최대 족저굴곡 모멘트와 일률이 정상군에서보다 유의하게 낮았다. 보행주기에서 당뇨병성 족부궤양군에서 내측 가자미근과 비복근의 근수축 개시시간은 유의하게 빨랐으며, 전경골근과 비복근의 근수축 종료시간은 유의하게 지연되었다. 당뇨병성 족부궤양 환자군의 족관절 근육에서 동시수축(co-contraction)이 증가되고, 보행속도가 느리며, 입각기 기간이 증가하였다. 이러한 보행특성의 차이는 족부 감각손실에 따른 보행의 안정성을 유지하기 위한 보행전략 때문으로 판단된다. 앞으로 이러한 비정상적인 보행특성이 당뇨병성 족부궤양에서 발생하는 비정상적인 족저부 압력분포과 족부궤양 발생과 어떤 관계가 있는지 알아보는 연구가 필요할 것이다.

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The Effects of 'Resistance Flexion MS(Mobility Stability) Movement' on the Pain of the Rheumatoid Arthritis ('저항굴곡MS운동'이 류마티스 관절염 통증에 미치는 영향)

  • Park, Min Seon;Choi, Sung Ok
    • Proceedings of the Korea Contents Association Conference
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    • 2018.05a
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    • pp.291-292
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    • 2018
  • 이 연구의 목적은 대상자의 팔과 다리를 연구자가 잡아당기고, 저항을 준 상태로 대상자가 대상자의 몸통으로 가져가는 수동적 가동범위의 운동인 '저항굴곡MS운동'이 코어를 강화시켜주는 운동임을 증명한다. 또한 본 연구의 목적은 누군가의 작은 도움이 근육강화와 유연성은 물론 관절의 기능회복에 도움을 주며 류마티스 관절염 통증완화에 미치는 영향을 알아보고자하는데 있다.

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Effect of Lumbar Stabilizing Exercise SEBT Training on Isometric Lumbar Strength, Dynamic Balance Ability and Range of Motion in Open Laser Lumbar Microdisectomy Patients (미세 현미경 레이저 요추 디스크 절제술 환자의 요부안정화운동과 SEBT 트레이닝이 등척성 요부근력과 동적균형능력, 관절가동범위에 미치는 영향)

  • Jeon, Ho-Min;Kim, Jung-Hoon;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.212-220
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    • 2020
  • This study examines the effects on isometric lumbar extension strength, dynamic balance ability, and range of motion, after administering 8 weeks SEBT exercise (dynamic balance exercise) and Lumbar Stabilizing exercise, to open laser lumbar microdiscectomy patients. Totally, 14 patients who underwent preservation treatment for 6 weeks after undergoing open laser lumbar microdiscectomy, were enrolled for the study. Patients were randomly assigned to the Lumbar Stabilizing Exercise Group (LSG, n=7) and SEBT Exercise + Lumbar Stabilizing Exercise Group (SGLS, n=7). Results indicate that isometric lumbar extension strength ratio significantly decreases after 8 weeks rehabilitation exercise in both the LSG (p=0.007) as well as SLSG (p=0.024) groups. Normalized reach distance of the three directions in the Y-balance test to examine the dynamic balance capability showed a significant increase in both groups. The dynamic balance capability showed significant increase to the left (LSG, p=0.010; SLSG, p=0.002) and right (LSG, p=0.002; SLSG, p=0.002). Moreover, significant increase was also obtained in the range of joint operation, in both LSG (p=0.006) and SLSG (p=0.017) groups. These results indicate that both groups of rehabilitation exercise achieve positive outcomes on the isometric lumbar extension strength, range of motion, and dynamic balance ability. However, some results suggest that the SEBT program is likely to have a better efficacy.

Effect of Backward Walking Exercise on ROM, VAS score and Proprioception in Anterior Cruciate Ligament Reconstruction Patients (전방십자인대 재건술 환자의 후방보행 재활운동이 관절의 가동범위 및 통증점수, 고유수용성감각에 미치는 영향)

  • Moon, Dae-Hyung;Oh, Du-Hwan;Zhang, Seok-Am;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.522-529
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    • 2016
  • This study examined the effects of 4-weeks of backward walking exercise on ROM, VAS (Visual Analogue Scale) score and proprioception in anterior cruciate reconstruction patients. Fourteen subjects were randomly assigned to either a backward walking group (BWG, n=7) or a control group (CON, n=7) and then participated in rehabilitation program for 4 weeks. The ROM of the flexion significantly decreased in both groups (BWG, p<0.001 vs CON, p<0.01), while ROM of extension significantly decreased only in the BWG (p<.05) post exercise, but no significant difference was observed between groups. Additionally, VAS score decreased significantly in both groups (P<0.001) and BWG was lower than CON post exercise (p<0.001). Finally, proprioception decreased significantly in both groups (BWG, p<0.001 vs CON, p<0.05), but did not differ significantly between groups. These results suggest that the 4 week backward walking rehabilitation program improves ROM, VAS score, and proprioception and has positive effects on functional recovery of anterior cruciate ligament reconstruction patients.