• Title/Summary/Keyword: 관절 가동 범위

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Rehabilitative Effect of Intramuscular Electrostimulation after Reconstruction of Medial Patellar Luxation in Small Sized Dog (소형견의 내측 슬개골 탈구 정복술 후 근육 내 전기자극의 재활효과)

  • Lee, Shinho;Lee, Joo-Myoung;Park, Hyunjung;Won, Sangcheol;Cheong, Jongtae
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.16-21
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    • 2015
  • Medial patellar luxation (MPL) of dog is one of the most common joint diseases. This study performed to know rehabilitative effect after reconstruction as application with intramuscular electrostimulation (IMES) on the cranial part of sartorius muscle. In this study, the 12 dogs with operated medial luxation divided into electrostimulation group (n = 8) and no electrostimulation group (n = 4) measured affected sided range of motion, muscle mass, lameness score and weight bearing for hospitalization 2 weeks. IMES group showed significant results after operation on 5th day (p < 0.01). Except lameness score, IMES group showed significant results on 10th day (p < 0.05). As results, in small sized dog after reconstruction of MPL, IMES on the cranial part of sartorius muscle considered a great help in the initial rehabilitation.

The Effects of Joint Mobilization with Combined Exercise Therapy of Sling on Post-traumatic Adhesive Capsulitis Patient: A Case Report (외상 후 유착성 견관절낭염 환자에서 관절가동술을 병행한 슬링 운동치료의 효과 : 단일사례연구)

  • Kwon, Won-An;Kim, Youn-Joung;Kwon, Hye-Mi;Kim, En-Ji;Park, Woo-Kyung;Shin, Hye-Won;Oh, Joung-Ik;Woo, Joung-Hee;Lee, Da-Hye;Lee, En-young;Jung, En-Ju;Jung, Jae-Young;Jung, Hyun-Kyung;Choi, Bo-Young;Heo, Eun-Young;Lee, Jae-Hong
    • PNF and Movement
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    • v.10 no.2
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    • pp.9-16
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    • 2012
  • 본 연구는 43세 남성 환자의 관절가동술과 슬링을 이용한 유착성 관절낭염 환자의 치료사례를 조사하여 그 과정과 결과를 알아보고자 하였다. 어깨통증장애지수(shoulder pain and disability index) 측정과 어깨관절의 굽힘(flexion), 벌림(abduction), 바깥돌림(external rotation), 안쪽돌림(internal rotation)에 대한 관절가동범위를 측정하여 비교하였으며 견관절 주위에 비스테로이드 소염진통 주사 1회, 약물치료를 병행하며 주 3회 8주간 보존적인 물리치료인 온습포(hot pack)와 간섭파(ICT), 관절가동술, 그리고 슬링을 이용한 운동치료를 실시하였다. 결과는 관절가동술과 슬링운동치료의 적용이 유착성 관절낭염 환자의 통증을 줄이고 관절가동범위를 증진시키는데 효과가 있는 것으로 판단된다.

Immediate Effect of Patterned Sensory Enhancement (PSE) on Upper Limb Function after Stroke (패턴화된 감각 증진(PSE)이 뇌졸중 환자의 상지 기능에 미치는 즉각적 영향)

  • Han, Soo Jeong;Kwon, Ae Ji;Park, Hye Young
    • Journal of Music and Human Behavior
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    • v.11 no.1
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    • pp.1-19
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    • 2014
  • The purpose of this study was to investigate the immediate effect of Patterned Sensory Enhancement (PSE) technique on the motor function of the affected upper limb in hemiplegic stroke patients by comparing the use of PSE and simple rhythmic cue. A total of 16 stroke patients were recruited from rehabilitative hospitals. The participants were assigned to the experimental group (n = 8) and control group (n = 8). While performing six different upper limb motions, musical stimuli applying the PSE technique was presented for the experimental group and simple rhythmic cue using the metronome was applied for the control group. The results showed that while the significantly increased range of motion (ROM) was found in the experimental group with the immediate use of PSE (p < .05), the control group did not show no significant change. This study implies that the use of musical elements in cueing for upper limb motion immediately leads to significant improvement in ROM by providing sufficient temporal, spatial, and dynamic information for expected motor performance.

Application of Hinged Transarticular External Skeletal Fixator (HTAESF) for Proximal Tibial Physeal Fracture in a Dog (개의 근위 경골 성장판 골절에서 경첩 관절경유 외고정의 적용)

  • Kim, Kwan;Heo, Su-Young;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.29 no.6
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    • pp.502-505
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    • 2012
  • An 8-month-old, 3.5 kg intact female Toy Poodle was presented for non-weight-bearing lameness on left hindlimb. In radiological testing, left proximal tibal type II Salter-Harris physeal fracture and fibular fracture were seen. Following open reduction, the fracture was stabilized with cross-pins, tension band wires, and a hinged transarticular external skeletal fixator (HTAESF). The range of the HTAESF was increased to $25^{\circ}$ at 7 days postsurgery and to $70^{\circ}$ at 14 days post-surgery. The HTAESF was removed 3 weeks after surgery. At 6 weeks post-surgery, the fracture was successfully healed with no complications and the patient recovered a normal gait. Seven months post-surgery, the patient had a normal gait and a normal stifle joint range of motion compared to the contralateral normal limb. This is a case in which the combined use of cross-pins, tension band wires, and HTAESF was successful for treatment of a proximal tibial physeal fracture in a dog. It is thought that these methods are beneficial for stability of fracture site and recover of joint's normal range of motion through early joint movement.

The Effects of Dogbi(ST35) & Sulan Moxibustion on Knee Joint Pain, Range of Motion and Discomfort during ADL in the Aged (독비와 슬안 뜸요법이 노인의 무릎 관절통증, 가동범위 및 일상생활활동 불편감에 미치는 효과)

  • Park, Jeong-Sook;Kwon, Soon-Jo;Kwon, Young-Sook
    • Journal of Korean Academy of Nursing
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    • v.36 no.1
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    • pp.189-196
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    • 2006
  • Purpose: The purpose of this research was to test the effects of ST35 & Sulan moxibustion on knee joint pain, range of motion, and discomfort during Activies of Daily Living (ADL) in elderly with knee joint pain. Method: A nonequivalent control group pre-post test research design was used. Thirty four elderly who had knee joint pain were studied. Of them, sixteen were in the experimental group and eighteen the control group. The instruments used for this study were NRS, goniometer, and a modified ADL questionnaire developed by Lee. Result: The pain scores of right & left knee joint after moxibustion were significantly different between the experimental group and the control group (Right: F=26.27, p=0.000, Left: F=20.77, p=0.000). Right and left knee ROM scores were significantly different between the experimental group and the control group after moxibustion (Right: F=10.74, p=0.003, Left: F=9.239, p=0.005). Discomfort during ADL scores were significantly different between the experimental group and the control group after moxibustion (F= 32.31, p=0.000). Conclusion: It is necessary that nurses provide the elderly with knee joint pain with moxibustion to reduce joint pain and to increase knee ROM as an alternative therapy.

The Level of Pain, Gait Speed, and ROM in Community-dwelling Older Adults with Knee Joint Pain (슬관절통이 있는 재가노인의 통증과 보행속도 및 관절가동범위)

  • Kim, Kye-Ha;Lee, Jin-Min
    • Research in Community and Public Health Nursing
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    • v.28 no.2
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    • pp.156-164
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    • 2017
  • Purpose: The purpose of this study is to investigate the level of pain, gait speed, and ROM (Range of motion) in community-dwelling older adults with knee joint pain. Methods: A convenience sample of 160 participants living in G city were recruited. Elderly people who suffer from knee joint pain with a pain level ${\geq}5$ during the last one year on a visual analogue scale were included in the study. The data were collected from June to August 2016. All statistical analyses were performed using IBM SPSS ver. 22.0. Results: Participants' pain was 6.81 by VAS. The mean gait speed was 13.9 sec/10m. The ROM of left knee and right knee were $54.06^{\circ}$ and $56.50^{\circ}$, respectively. The level of pain was different according to gender (t=-4.87, p<.001), economic status (t=3.51, p=.032), diseases (t=5.23, p<.001), diagnosis of arthritis (t=3.86, p<.001), region of knee joint pain (F=9.30, p<.001), duration of pain occurrence (F=13.82, p<.001), and limp (F=3.58, p<.001). The level of knee joint pain and gait speed had significant correlations. Conclusion: The gait speed in older adults is an important variable that should be taken into account in the assessment of their level of knee joint pain.

Influence on Intra-limb Coordination in Individuals Wearing a Knee Extension Constraint Brace during Walking (무릎 신전 제한형 보조기 착용이 보행 시 하지 내 협응에 미치는 영향)

  • Chang, Yoonhee;Jeong, Bora;Kang, Sungjae;Ryu, Jeicheong;Kim, Gyu Seok;Mun, Museong;Ko, Chang-Yong
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.3
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    • pp.207-214
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    • 2016
  • The aim of this study was to evaluate Influence on intra-limb coordination in individuals wearing knee brace during walking. Seven healthy male adults ($32.3{\pm}2.7$ years old, $175.2{\pm}3.8cm$, $76.2{\pm}8.7kg$) participated. They wore knee brace or didn't wear any knee brace and were asked to walk along a 10 m long walkway. Spatiotemporal parameters, angles of the lower limbs, and intra-limb continuous relative phase (CRP) were measured and calculated. No differences of spatiotemporal parameters were shown (all p > 0.05). There were no changes in the angle and its range of motion (ROM) in the hip for the subjects as wearing knee brace, while ROM ($65.5{\pm}3.7^{\circ}$ vs. $60.5{\pm}3.5^{\circ}$, p < 0.05) of the angle and maximum flexion angles (stance: $31.9{\pm}4.6$ vs. $25.6{\pm}5.5$, swing: $76.7{\pm}3.1$ vs. $68.9{\pm}3.4$, all p < 0.05) in the knee significantly decreased. No changes in ROM of angle in the ankle were shown, whereas maximum dorsiflexion decreased ($22.4{\pm}2.6$ vs. $19.2{\pm}2.1$, p < 0.05) and maximum plantarflexion increased ($9.5{\pm}3.0$ vs. $15.7{\pm}2.2$, p<0.05). There were no changes in most of CRP between joints. CRP between the hip and knee joints decreased ($93.0{\pm}7.8$ vs, $84.7{\pm}4.9$, p < 0.05). Most of CRP standard deviation increased (between the hip and ankle joint during swing: $25.1{\pm}6.7$ vs. $32.4{\pm}1.9$, between the knee and ankle joint during stance: $46.0{\pm}12.9$ vs. $80.1{\pm}31.1$, between the knee and ankle joint during swing: $34.5{\pm}4.1$ vs. $37.6{\pm}3.1$, all p < 0.05). These results indicated that wearing knee brace affected joint angle and intra-limb coordination, but less affected gait features.

Effect of Knee Joint Injury on Biomechanical Factors during the Uchi-mata (허벅다리걸기 시 무릎 관절 부상이 운동역학적 요인들에 미치는 영향)

  • Hyun Yoon
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.4
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    • pp.642-649
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    • 2023
  • The purpose of this study was to analyze the effects of knee joint injury experiences of judo players on kinematic factors and center of pressure factors during uchimata. Among right-handed male college judo players specializing in uchimata, 13 people who had a knee joint injury experience(age, 20.69.1±0.75 years; height, 172.85±4.81 cm; body mass, 74.92±5.51 kg; and career, 8.92±0.95 years) and 13 people who did not have a knee joint injury experience(age, 21.08.1±0.76 years; height, 172.54±6.32 cm; body mass, 76.62±9.09 kg; and career, 9.46±0.94 years) within the last 2 years were divided into two groups and participated as subjects. The two groups were evaluated for differences in ankle, knee, and hip joint angle variables, COP range, and velocity components during uchimata. As a result of the study, the EIG group showed smaller values in the knee joint flexion angle at E3 and the hip joint extension angle at E4 during uchimata than the NIG group. In addition, the EIG group showed lower values in the range of motion of the COP and forward movement velocity of the COP in the one-leg support phase than the NIG group.

Acupuncture Stimulation on LR3 Reduced Shoulder Pain Caused by Upper Trapezius Rigidity. A Case Report (상부 승모근 경직으로 유발된 견비통에 대한 태충혈 자침의 효과 1례)

  • Lee, Hey-Jin;Lee, Nam-Heon;Son, Chang-Gue;Cho, Jung-Hyo
    • Journal of Haehwa Medicine
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    • v.25 no.1
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    • pp.63-69
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    • 2016
  • 이 임상례는 근육 경직으로 인한 견비통에 태충혈이 유효함을 제시하고 있다. 환자의 주관적인 만족도를 평가하기 위해 점수식 평점 척도(Numerical rating scale;NRs)를 측정하였고 어깨 경직의 객관적인 호전 정도를 평가하기 위하여 양측 견정혈의 통증 통각 역치(Pressure pain threshold;PPT)와 어깨 외전력, 어깨관절의 외전시 가동범위(Range of motion;ROM)을 측정하였다. 양측 태충혈에 15분간 유침 후 NRS는 5에서 2로 감소하였다. 치료 전 왼쪽 견정혈의 PPT는 19N이었고 오른쪽은 22N이었다. 치료 후 왼쪽 견정혈의 PPT는 22N이었고 오른쪽은 27N이었다. 치료 전 견관절의 외전력은 왼쪽에서 29N, 오른쪽에서 22N으로 측정되었다. 치료후 견관절의 외전력은 왼쪽에서 33N, 오른쪽에서 22N으로 측정되었다. 견관절 ROM은 치료 전과 후 동일하게 왼쪽 관절 170도, 오른쪽 관절 165도로 나타났다. 결론적으로, 태충혈 자극은 어깨의 경직을 해소하고 어깨 근력을 강화하는 것으로 나타났다. 또한 그것은 상부 승모근의 압통을 감소시킬 수 있다. 이러한 측면에서, 태충혈의 효과에 대해서 보다 추가적인 연구가 필요할 것으로 보인다.

The Effects of Motor Control and Strengthening Exercise on Secondary Shoulder Impingement Syndrome at Postmastectomy (운동조절과 근력강화 운동이 유방절제술 후 견관절의 기능부전으로 유발된 견관절 충돌 증후군에 미치는 영향)

  • Bae, Young-Hyeon;Lee, Suk-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2240-2250
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    • 2012
  • This study was to identify treatment effects of the shoulder control and strengthening exercise, on the subjects with secondary shoulder impingement syndrome at postmastectomy. The subjects were patients who visited our hospital due to secondary shoulder impingement syndrome(1-2 stage) at postmastectomy and they randomly allocated to two groups: a shoulder control and strengthening group (n=10) and a conservative therapy group (n=10). Both groups received conservative therapy for 5 sessions (40 minutes per week) for 4week. The shoulder control and strengthening exercises group practiced additional motor control and strengthening exercises for 60 minutes. Values of handgrip strength, pain(visual analog scale), upper extremity circumference, Disabilities of the Arm, Shoulder and Hand questionnaire, range of motion were compared with those of the conservative therapy group. There were significant differences in the amount of change of the range of motion and Disabilities of the Arm, Shoulder and Hand scale between the two groups (p<.05), however as a measure of handgrip strength, pain(visual analog scale), upper extremity circumference did not show a significant differences. These results suggest that a motor control and strengthening exercise program is feasible, secure and suitable for secondary shoulder impingement syndrome at postmastectomy.