• Title/Summary/Keyword: 굴곡/신전

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Effects of the Symmetric Upper Extremity Motion Trainer on the Motor Function Recovery after Brain Injury: An fMRI Study (뇌손상 후 운동신경기능 회복에 대한 대칭형 상지 운동기구의 효과: 기능적 뇌 자기공명영상 연구)

  • Tae Ki-Sik;Choi Hue-Seok;Song Sung-Jae;Kim Young-Ho
    • Progress in Medical Physics
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    • v.16 no.1
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    • pp.1-9
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    • 2005
  • The effect of the developed symmetric upper extremity motion trainer on the cortical activation pattern was investigated in three chronic hemiparetic patients using both fMRI and Fugl-Meyer test. The training program was performed at 1 hr/day, 5 days/week during 6 weeks. Fugl-Meyer tests were performed every two weeks during the training. fMRI was performed at 3T scanner with wrist flexion-extension in two different tasks before and after the training program: the only unaffected hand movement (Task 1) and passive movements of affected hand by the active movement of unaffected hand (Task 2). fMRI studies in Task 1 showed that cortical activations decreased in ipsilateral SMC but increased in contralateral SMC. Task 2 showed cortical reorganizations in bilateral SMC, PMA and SMA. Therefore, it seems that the cortical reorganization in chronic hemiparetic patients can be induced by the training with the developed symmetric upper extremity motion trainer.

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Normal Range of Shoulder Motion and Fluoroscopic Analysis of Motion Fraction (정상인의 견관절 운동범위 및 방사선 투시기를 이용한 운동분율측정)

  • Choi Chang-Hyuk;Yun Gi-Hyun
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.221-229
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    • 1998
  • We measured, with manual goniometer, the active and passive arc of motion of the shoulder in 31 healthy male subjects who were right-hand dominant and who ranged in age from twenty to thirty-one years. Among ten directions through the four motion plane, the range of motion on the dominant side were significantly smaller than those on the non-dominant side in the motion of six directions. We also measured the motion fraction of the glenohumeral and scapulothoracic movement using fluoroscope in 30-degree intervals of arm elevation in the scapular plane. The ratio of glenohumeral to scapulothoracic movement(θGH/θST) was 1.6 for the full range of motion in scapular plane. At the lower angles of abduction, scapulothoracic movement was slight compared with glenohumeral movement. The motion fraction of scapulothoracic joint was increased from 60-degree to 150 degree of arm angle especially between 120 to 150 degree. During arm elevation, scapula was also extended from 42 degrees to 20 degrees tilting as well as internal rotation. The measuring technique of glenohumeral to scapulothoracic movement(θGH/θST) with fluoroscopy could be applied to the simple radiographic measurement at the out-patient clinic in order to identify the pathology and recovery of shoulder motion after treatment.

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Pathophysiology of Stiff Elbow (주관절 강직의 병태 생리)

  • Song, Hyun-Seok;Yoon, Hyung-Moon
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.286-292
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    • 2010
  • Purpose: Stability of joints and maintenance of range of motion are needed for optimum function. The most common complaint about the elbow joint is joint stiffness. Recent articles have reported good outcomes in the treatment of stiff elbow joints. However, deciding which procedure to use is always difficult. Materials and Methods: Morrey et al. reported that the functional range of motion of the elbow joint is $30-130^{\circ}$ of flexion-extension and $50^{\circ}C$ of supination and pronation. About 90% of daily activities are done using this range of motion. Stiff elbow joints can be classified according to the traumatic events that caused the problem or the location of the main pathology. Intraarticular pathology includes severe articular mismatch, intraarticular adhesions, loss of articular cartilage, mechanical blockade by osteophytes, loose bodies, and hypertrophied synovium. Extraarticular pathology includes severe capsular adhesion due to the trauma or to dislocation, contracture of the collateral ligaments or muscles, bony bridge. Results and Conclusions: The main pathology underlying the loss of extension is the fibrous contracture of the anterior capsule. In this pathology, an anterior capsulectomy would be helpful. The main pathology underlying the loss of flexion is the contracture of the posterior band of medial collateral ligament.

A Comparison of Physical Fitness of High School Ssirum Elite-players According to Their Weight Class (고등부 씨름선수의 체급별 기초·전문체력 비교분석)

  • Jung, Joo-Ha;Kim, Sung-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.162-169
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    • 2020
  • This study was conducted from November 25 to December 4, 2019, to unmask differences in physical fitness based on the weight class of high school Ssirum elite-players. A total of 28 high school Ssirum elite-players were compared and analyzed by measuring physical factors (muscle strength/power, agility, anaerobic power, aerobic ability, flexibility, and isokinetic muscle function) by weight class. Data were analyzed using SPSS ver. 23.0. One-way ANOVA was used for comparison between groups. There was no difference by weight class in terms of grip strength, sit-ups, sergeant jump, long jump, flexibility, side step, and reaction time. Evaluation of back muscle strength revealed that the group with more than 100 kg had greater strength than lower weight categories, whereas it was lower in the sit-ups, 20 m shuttle run and the relative values anaerobic power. Considering isokinetic muscle function, no difference was observed between the groups of back muscle strength and knee joint. The results of this study indicate that amongst the high school Ssirum elite-players, there is no difference in muscle power, flexibility, agility, and anaerobic average power per body weight, isokinetic trunk strength, and knee flexion strength, when evaluated according to weight class.

Effect of resistance training on joint flexibility and muscle strength of upper extremities of elderly with impaired cognition (탄력저항성운동 프로그램이 인지기능저하 노인의 상지유연성 및 근력에 미치는 효과)

  • Kim, Shinmi;Lee, Yunjung;Kim, Hwanjoong
    • 한국노년학
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    • v.29 no.3
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    • pp.987-1000
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    • 2009
  • The purpose of the study was to examine the effect of resistance training on joint flexibility and muscle strength of upper extremities of institutionalized elderly with impaired cognition. The study design was pretest-posttest control group study and inclusion criteria were elderly aged 65-year older, MMSE score 23 or less, ones who had no serious physical and/or mental problem except impaired cognition, and were capable to carry out resistance training. After consents were obtained participants were randomly assigned. Pre-post evaluation was performed by staff nurses trained beforehand. Among those 4-week study period, experiment was carried out during 5 consecutive days a week for 3 weeks. ROM and extension range of shoulder joints and muscle strength of shoulders and hands for both sides were measured. Flexion, extension, abduction range of right shoulder joint was significantly improved. Flexion and extension muscle strength of left side shoulder and abduction muscle strength of both sides of shoulder were significantly improved. With the study result, it could be concluded that resistance training has therapeutic effects on joint flexibility and muscle strength. More studies adopted longer experimental period to evaluate timing of effect and extinction to refine the protocol are called for.

Effect of Heat Stress of Extreme Heat Lever on Muscle functionand Muscle Injury Markers in Elderly Women (열 스트레스가 여성노인들의 근기능 및 근손상에 미치는 영향)

  • Park, Sok;Lee, Chone Ho;Back, Seung Ok;Shin, Yong Up;Kim, Jung Suk;Cho, Young Wung;Lee, Young Jun
    • 한국노년학
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    • v.30 no.3
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    • pp.793-802
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    • 2010
  • The purpose of this study was to examine the influence of extreme heat on muscle function and muscle injury marker in elderly women. The subjects of this study were eight post-menopausal elderly women without any metabolic disease. All eight subjects were asked to perform the knee joint isokinetic exercise using isokinetic equipment (cybex) in the laboratory and experimental temperature within laboratory was adjusted to two conditions: extreme heat temperature(33±0.5℃) and normal temperature(20±0.5℃) maintained in 50±3% humidity conditions. Each experimental exercise was monitored and analyzed the change of HSP70, LDH and CK. Muscular functions (peak torque, total work, percentage of peak torque body weight, fatigue index, average power and total work) were significant differences at exercise between temperatural conditions (p<.05). In extreme heat temperature, muscular injury markers (HSP70, LDH and CK) were increased, threfore resulted in significantly higher than normal temperature(p<.05). These results show that extreme heat temperature can decrease muscle function in elderly women.

Dorsalis Pedis Tendocutaneous Delayed Arterialized Venous Flap in Hand Reconstruction (지연처치후 동맥화된 족배 정맥 건피판을 이용한 수부의 재건)

  • Cho, Byung-Chae;Lee, Dong-Hoon
    • Archives of Reconstructive Microsurgery
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    • v.8 no.1
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    • pp.56-63
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    • 1999
  • We report two patients whose acute soft tissue and tendon defects in the hand were treated by the dorsalis pedis tendocutaneous delayed arterialized venous flap between 1994 and 1997. The surviving surface area was 100% in both patients. The flap size was $10{\times}10cm\;and\;6{\times}6cm$. At two weeks postoperatively, active flextion and passive extension commenced, and progressive resistance exercises were performed for an additional 5 weeks. Flaps showed a similar color match and skin texture compared with the normal skin of the hand. Advantages of the tendocutaneous delayed arterialized venous flap are developing a larger flap than can be obtained with pure venous flap or arterialized venous flap, increasing survival rate of the arterialized venous flap which permits using a composite flap, preservation of main artery of the donor site, taking thin non-bulky tissue and easy elevation without deep dissection. The disadvantages are the requirement of a two stage operation, donor site scarring and weak extension of the toe.

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Improving Evaluation of the Basket-to-Handstand Mount by a Technical Training Program on Parallel Bars (평행봉 Basket to Handstand 기술 훈련 프로그램 적용을 통한 향상도 평가)

  • Lee, Chong-Hoon;Back, Jin-Ho
    • Korean Journal of Applied Biomechanics
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    • v.19 no.4
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    • pp.719-728
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    • 2009
  • In this study, a training program was conducted to improve the performance of the basic movement of the basket-to-handstand mount. After completion of the training program, the kinematic comparison of the before and after effects were investigated to provide scientific data about this technique. It is recommended that during P1, the center of body mass at the back should push the hip joint to flex quickly, and the shoulder joint should be maintained at a maximum angle. During P2, the body's center of mass must be accelerated so as to create enough momentum to rise efficiently for this, quick extension of both the hip and the shoulder is required. For safety during P3, it is advised that the speed upwards must be increased and that the hands, shoulders, and hip joint must be extended, as in the posture of a handstand. These results stress to coaches the importance of the bodies speed during the ascent in the motion.

Kinetic comparative analysis of tennis backhand stroke for interdisciplinary convergence research (학제간 융합연구를 위한 테니스 백핸드 스트로크 동작의 운동역학적 비교 분석)

  • Cha, Jung-Hoon
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.373-380
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    • 2015
  • This study which was conducted on male tennis player on one hand(OH) & two hand(TH) backhand stroke and how both motion differed on low extremity movement with each feature analyzed in detail, the result as follow. The motion of TH based on resultant velocity, appeared to be a higher than OH, which was important variable in determining the ball speed. Contrary to TH where the player minimized the motion in the lower body and finalized a stroke through the turn of the trunk as if sticking the ball closed to the body, OH was carried out such that the player appeared to chase the ball. Whereas in OH, the knee joint extension moment was not found to be larger than TH, the opposite result came out for abduction moment and internal rotation moment. In the case of hip joint, consisted of extension, abduction and internal rotation moment, the outcome emerged to be greater for TH with conspicuous difference in abduction moment. Flection moment for TH overwhelmed in TH though both adduction and external rotation moment brought about similar outcome for both strokes.

Effects of Taping Therapy and Passive Range of Motion Exercises on Shoulder joint, Hand dexterity in the Elderly (테이핑요법과 수동적 관절범위운동이 노인의 견관절과 손의 민첩성에 미치는 영향)

  • Ro, Hyo-Lyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.7
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    • pp.2468-2474
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    • 2010
  • The purpose of this study was to investigate the effects of taping therapy and passive range of motion exercises for the elderly aged 65 above with shoulder pain and limited of range of motion. This study was a nonequivalent control group pretest-posttest design. Data were collected about shoulder pain, range of motion, hand dexterity from 40 of elderly(exp.:20, con.:20) in B city from August to September, 2009. Collected data were analyzed using SPSS Win 12.0. Shoulder pain was significantly decreased. Range of motion which was flexion, extension, abduction, horizontal abduction. and hand dexterity were significantly increased in the taping group and PROM group. Shoulder pain and hand dextrity was non significantly between taping group and PROM group. Range of motion which was extension more increased taping group than PROM group. It was proven that taping therapy and PROM was effective for shoulder pain, articular range of motion and hand dexterity.