• Title/Summary/Keyword: 관절 가동 범위

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Effects of a Balance Taping on Pain and ROM of the Knee Joint in the Elderly with Lower Limbs Arthritis (밸런스테이핑이 하지 관절염 노인의 하지통증과 무릎관절가동범위에 미치는 효과)

  • Park, Ka-Yoon;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.22 no.3
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    • pp.312-321
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    • 2010
  • Purpose: The purpose of this study was to investigate the effects of balance taping on pain and Range of Motion (ROM). ROM of the knee joint in the elderly with lower limbs arthritis. Methods: This study was a nonequivalent pretest-posttest design, quasi-experimental study. An experimental group of 35 elderly and a control group of 35 elderly were assigned. Subjects responses to the Visual analogue Scale (VAS) and range of motion scores as measured by a joint goniometer. Data were analyzed by, t-test and repeated measures ANOVA. Results: In the experimental treatment group, the pain score was significantly decreased from 6.46 to 2.09 after balance taping (p<.001). In addition, knee joint ROM of the experimental group was significantly increased from 114.80 to 121.92 after balance taping (p=.003, p<.001, p<.001). Conclusion: This is a very important study as it is an excellent treatment that nurses can utilize and these data support the efficacy of the method.

The Effect of PROM and AAROM Exercise After TKA on Increasing the Knee Range of Motion (슬관절 전치환술 후 수동 및 능동 보조 관절가동범위운동이 슬관절 가동범위 증가에 미치는 영향)

  • Kim, In-Bok;Kim, Yoon-Seong
    • Journal of Korean Physical Therapy Science
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    • v.16 no.4
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    • pp.11-17
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    • 2009
  • Background: The purpose of this study was to find out the real truth of the effect of PROM (Passive range of motion) and AAROM (Active assistive range of motion) exercise on increasing the knee flexion. This randomized, controlled trial examined whether or not the incorporation of PROME(passive range of motion exercise) to a postoperative rehabilitation protocol would offer a better clinical outcome after TKA (Total knee arthroplasty) Method: The subject (n=36) measured range of motion (ROM).18 consecutive patients who underwent TKAs at SNUH dept. OS received PROME for knee by a physical therapist during the physiotherapy sessions and not for the other 18 patients who underwent TKAs received No-PROME (AAROME) for knee by herself. Result: There were significant differences in the PROME group, No-PROME group ROM progress width And there were significant differences in the PROME group between No-PROME group ROM improvement width. Conclusion: This study demonstrates that the incorporation of PROME does offer additional clinical benefits to the patients after TKA. Our findings may suggest that encouraging patients to perform PROM exercises would be a better option and that physiotherapy session by a physical therapist holds good even now.

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Effects of Early Passive ROM Exercise on ROM of Lower Extremities and Foot Edema in Hemiplegia Patients with Stroke (조기 수동적 하지 관절운동이 뇌졸중 후 편마비 환자의 하지 관절가동범위와 발부종에 미치는 효과)

  • Lee, Joo Sun;Lee, Eun Ok;Lee, Eun Ju;Kim, Haeng Su
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.81-89
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of early passive range of motion (ROM) exercise on ROM of lower extremities and foot edema in hemiplegic patients after stroke. Methods: The data were collected between August 2009 and April 2010 from 11 patients in the experimental group and 13 in the control group. The passive ROM exercise was performed twice a day for 2 weeks. Results: In the experimental group, ROM of lower extremities (flexion of hip, flexion of knee and ankle) increased significantly compared to that of the control group. There was no significant difference in foot edema between the two groups. Conclusion: The results indicated that the early passive ROM exercise can improve the ROM of lower extremities, but not the foot edema in patients after stroke.

Correlation Between Pectoralis Minor, Shoulder Mobility and Neck Range of Motion on Rounded Shoulder Posture for Life-Care Increase in Women University Student (여대생의 라이프 케어 증진을 위한 둥근 어깨 자세의 작은가슴근, 어깨가동성과 목 관절가동범위의 상관연구)

  • Seo, Tae-Hwa;Kim, Min-Sun;Jeong, Yeon-Woo
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.239-246
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    • 2019
  • This study aims to examine the correlation between pectoralis minor, shoulder mobility, and neck range of motion on rounded shoulder posture for Life-care increase in Women university student. The 80 female adults with rounded shoulder posture were selected for this study. Measurements of shoulder height were obtained by measuring the rounded shoulder posture using a caliper. To measure the length of pectoralis minor, a tape measure was used to measure from the point where the 4th rib and sternum meets to the inferior medial side of coracoid process. Shoulder mobility was measured by holding fists in both hands, then raising one side of the elbow until the palm on that side can be placed on the back, while lowering the other side of the elbow until the back of the hand on that side can be placed on the back. Neck range of motion was used to measure the neck movement including the flexion and the extension, lateral flexion to the right or to the left, and rotation to the right or to the left. The results of this study showed that there are significant negative correlations between pectoralis minor index, shoulder mobility, and neck range of motion in rounded shoulder posture(p<0.05). From these results, in female students with rounded shoulder, the lateral flexion of the neck to the left decreased as the left shoulder mobility increased, the neck extension decreased as the right pectoralis minor shortened, and the rotation of the neck to the left decreased as the left shoulder mobility increased.

Reliability Study on Hip Joint Range of Motion Measurement by Smartyphone Inclinometer (Smartphone Inclinometer를 이용한 엉덩관절 가동범위 측정 신뢰도 연구)

  • Bae, sea-hyun;Kim, gi-do;Lee, young-shin;Hwang, jin-a;Kim, kyung-yoon
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.399-400
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    • 2015
  • 본 연구는 스마트폰 Inclinometer와 수동 고니오미터를 사용하여 대학생 50명을 대상으로 엉덩관절 운동범위를 검사자 6명이 측정하여 검사자간의 신뢰도를 알아보고자 하였다. 측정결과 높음에서 매우 높은 수준의 신뢰도가 보여, 스마트폰 Inclinometer를 이용한 관절 운동범위 측정값은 수동 고니오미터를 대체 할 수 있을 것으로 생각된다.

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Effects of Gastrocnemius Stretching on α-Motor Neuron Excitability and Ankle Joint Active Dorsiflexion Range of Motion (비복근 스트레칭이 α-운동 신경원 흥분도와 족관절 능동 배측굴곡 가동범위에 미치는 영향)

  • Kim, Jong-Soon
    • The Journal of the Korea Contents Association
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    • v.9 no.9
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    • pp.278-286
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    • 2009
  • The aims of this study were to determined whether excitability of the $\alpha$-motor neuron is modulated by stretching and this changes were associated with flexibility of the muscle. In this study, $\alpha$-motor neuron excitability was measured by using the Hmax/Mmax ratio of the gastrocnemius H-reflex, and muscle flexibility was measured with the range of motion of the ankle dorsiflexion. The gastrocnemii of 10 healthy volunteers were stretched for 4 minutes(2 minutes stretching, 1 minute rest, and 2 minutes stretching) in each session by manual force. The Hmax/Mmax ratio of the H-reflex, as well as the range of motion of the ankle dosiflexion was measured through four different conditions: before stretching, as soon as after $1^{st}$ stretching, as soon as after $2^{nd}$ stretching and at 48 hours after $2^{nd}$ stretching. Excitability of the $\alpha$-motor neuron was decreased significantly after $1^{st}$ and $2^{nd}$ stretching(p<0.05). Furthermore, the range of the dorsiflexion was increased significantly after $1^{st}$ and $2^{nd}$ stretching(p<0.05). However, the excitability of the $\alpha$-motor neuron and range of the dorsiflexion at 48 hours after $2^{nd}$ stretching were not different from those of before stretching. These results suggest that reduced $\alpha$-motor neuron excitability of the gastrocnemius and increased flexibility of the ankle dorsiflexion would be followed by activation of the type III mechanoreceptor which around the ankle joint and the Golgi tendon organ in the gastrocnemius.

Application of Joint Mobilizing Chuna Following Tibial Plateau Fracture Surgery: A Study of Two Cases (경골 고평부 골절 수술 후 관절가동추나의 적용: 증례보고 2례)

  • Cho, Eunbyul;Cho, Nam geun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.2
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    • pp.75-81
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    • 2020
  • Objectives The purpose of this study was to report the effect of Korean medicine treatment, including the application of joint mobilizing chuna, by reporting two cases after tibial plateau fracture surgery. Methods Two patients with tibial plateau fractures were treated using joint mobilizing chuna, myofascial chuna, acupuncture, and herbal medication. The effect of the treatments was evaluated using the range of motion, manual muscle test, numeric rating scale, and Korean Knee Injury and Osteoarthritis Outcome Score. Results In both cases, the range of motion, muscle strength, and pain were significantly improved. In particular, the range of motion for knee joint flexion increased by 47° in case 1 and 30° (right) and 42° (left) in case 2. Conclusions Korean medicine treatment, especially joint mobilizing chuna, may be an effective intervention for rehabilitation after tibial plateau fracture surgery.

Accelerometry of Upper Extremity During Activities of Daily Living in Healthy Adults (정상인에서 일상생활활동 수행시 상지의 가속도 분석)

  • Kim, Tae-Hoon;Park, Kyung-Hee
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.1
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    • pp.23-31
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    • 2014
  • Objective : The objectives of this study were to compare the variables from Fitmeter accelerometer with them from CMS-70P(Zebris Medizintechnik Gmbh, Germany) and to suggest the availability the accelerometer in the field of occupational therapy. Methods : Twenty participants performed calling, drinking water, washing face and spooning and we measured Sum of Single Vector Magnitude(SSVM) and range of motion(ROM) on the wrist and elbow joints. Results :With respect to the wrist and elbow joints, SSVM and ROM differed significantly according to the task(calling, drinking water, washing face and spooning)(p<.001; p<.001; p<.001; p<.001). As for the wrist joint, SSVM and ROM did not show the significant correlation(p>.05) but as for the elbow joint, SSVM and ROM did show the significant correlation according to the task(p<.01; p<.001; p<.01; p<.05). With regard to the SVM-difference of wrist and elbow joints, calling and washing showed the significant difference (p<.001; p<.05) but drinking and spooning did not show the significant difference(p>.05; p>.05). Conclusion : We suggest that Fitmeter accelerometer would be use to record the kinematic variables during performance of ADL and it can compensate the function of CMS-70P as for the elbow joint than the wrist joint.

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Effect of Accelerated Rehabilitation with Anti-Gravity Treadmill Program : Isokinetic Myofuction and Functional Score of Knee Joint, ROM, and VAS Score in Meniscus Repair Patients (Anti-Gravity Treadmill Program을 적용한 가속재활의 효과 : 반월상연골 봉합술 환자의 슬관절 등속성 근기능 및 기능점수와 관절의 가동범위, 통증지수)

  • Cho, Han-Su;Oh, Du-Hwan;Lee, Jin-Wook;Zang, Seok-Am;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.46-54
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    • 2016
  • This study was conducted to investigate the effects of participation in the accelerated rehabilitation with an anti-gravity treadmill program for 16 weeks on isokinetic myofunction and functional score of knee joint, ROM, and VAS score in meniscus repair patients. A total of 10 male adult patients who underwent meniscus repair by the same doctor were investigated in this study. Both extension and flexion peak torque at $60^{\circ}/sec$ and $180^{\circ}/sec$ significantly increased (p<0.001, p<0.01), while under muscle deficit, extension and flexion peak torque at $60^{\circ}/sec$ and extension peak torque at $180^{\circ}/sec$ significantly decreased (p<0.01, p<0.05). ROM in extension significantly decreased (p<0.05), whereas ROM in flexion significantly increased (p<0.01) in response to the program. VAS score significantly decreased (p<0.001) and lysholm scores significantly increased after completion of the program (p<0.001). These results suggest that 16 weeks of the anti-gravity treadmill accelerated rehabilitation program improves isokinetic muscle strength and functional score of knee joint, ROM, and VAS score in meniscus repair patients. Therefore, the anti-gravity treadmill accelerated rehabilitation program, which is a more scientific and effective method than conventional rehabilitation, leads to faster recovery of paly ground and normal daily activities.

The Effects of Kinesio Taping on the Pain and Functional Improvement in Patients With Degenerative Arthritis (키네시오 테이핑이 퇴행성관절염 환자의 통증 및 기능회복에 미치는 효과)

  • Son, Gil-Soo;Lee, Moon-Hwan;Lee, Chang-Ryeol;Nam, Hyoung-Chun
    • Korean Journal of Applied Biomechanics
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    • v.18 no.1
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    • pp.45-52
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    • 2008
  • This study was conducted to investigate the effects of kinesio taping on the pain and functional improvement of patients with degenerative arthritis. 40 female patients were participated in this study. To evaluate the effects of taping therapy we calculated pain, range of motion, and get up and go(GUG) test. The results were as follow: Pain of experimental and control group were significantly decreased after than before treatment, but there was significant difference between experimental and control group. ROM of experimental and control group were significantly increased after than before treatment, but there was significant difference between experimental and control group. Time of GUG of experimental and control group were significantly decreased after than before treatment, but there was significant difference between experimental and control group. And Steps of GUG was significantly decreased only experimental group. So we think that kinesio taping have effectiveness on the pain and functional improvement in patients with degenerative arthritis.