• Title/Summary/Keyword: 수동적 관절운동

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Development of Rehabilitation Medicine Device for Compound Joint Motion (복합관절 운동용 재활의료기기)

  • 정성훈;유범상;김남균;박상민;송문상
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.704-708
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    • 2004
  • The RMD(Rehabilitation Medicine Device) with CJM(Compound Joint Motion) is the lower limb unit muscular strengthening promotion rehabilitation medicine device for patients of joint orthopedic operation or the deficient elder of ability to walk, the handicapped. Since the products for the rehabilitation medicine device have limited to the simplicity linear motion, those do not give efficient the lower unit muscular strengthening effects. This device which was under the development gives to exercise of hip joint and knee joint with user's selection at once, get out of the simplicity linear motion. Also it will be contributed to a field of rehabilitation medicine and a mobility aid technology of the deficient elders of ability to walk, the handicapped.

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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.

Analysis of correlation between passive ankle movement range and knee joint kinetic variables during squat movement (스쿼트 동작 시 수동적 발목 가동범위와 무릎 관절 운동역학적 변인 간 상관성 분석)

  • Lee, JaeWoo;Park, JunSung;Lim, Young-Tae;Kwon, Moon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.3
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    • pp.509-515
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    • 2020
  • The purpose of this study was to analyze the correlation between passive ankle movement range and knee joint kinetic variables during squat movement. In this study, a total of 27 subjects participated in this study, 19 men and 8 women, who had no history of the musculoskeletal system of the lower extremity. To verify the correlation between the ankle joint flexibility and the knee joint kinetic variables during deep squat, it was performed pearson's correlation coefficient and variables showing statistically significant correlation were performed by simple regression analysis at a significant level of α .05. Through this study, the relationship between the peak joint moment and joint reaction force factors that determine ankle joint flexibility and knee joint pressure was confirmed. Therefore, when applying an exercise that can generate a lot of load on the knee joint such as deep squats during strength training, checking the degree of flexibility of the ankle joint among physical characteristics to the individual may reduce the stability of the body and the risk of injury to the knee joint. It is expected to be helpful in setting the intensity of exercise that can be done.

Biomechanical Analysis of the Human Foot by Using Passive Elastic Characteristics of Joints (관절의 수동탄성특성을 이용한 족부의 생체역학적 해석)

  • 김시열;최현기
    • Journal of the Korean Society for Precision Engineering
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    • v.21 no.1
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    • pp.197-204
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    • 2004
  • In this study we presented kinematic and kinetic data of foot joints using approximated equations and partial plantar pressure during gait. The maximum angular displacements of each tarsometatarsal joint were found to range from 4$^{\circ}$to 7$^{\circ}$ and the maximum moments were from 200Nㆍcm to 1500Nㆍcm. It was relatively wide distribution. Foot kinematic data calculated from the approximated equations, which were represented by the correlation between moment and angular displacement, and the data from motion analysis were similar. We found that the movements of foot joint were mainly decided by the passive characteristics of the joint when ground reaction force acts. The method of kinematic and kinetic analysis using approximated equations which is presented in this study is considered useful to describe the movements of foot joints in gait simulations.

Design of Snake Robot and Snakelike Locomotion (뱀형 로봇의 설계 및 주행 알고리즘)

  • Lee, Duck-Jai;Lee, Chang-Hoon;Kim, Yong-Ho
    • Proceedings of the KIEE Conference
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    • 2003.11b
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    • pp.7-10
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    • 2003
  • 뱀형 로봇은 자유도보다 액추에이터의 수가 적은 논홀로믹 구속조건(nonholonomic constraint)을 가지며, 단순한 신체구조 이지만 초-여유자유도 구속조건(hyper-redundant constraint)을 이용해서 기밀한 운동과 다양한 기능을 만들어내는 특징을 가지고 있다. 본 논문에서는 6개의 관절로 각 링크가 2차원 상에서 직렬로 연결된 뱀형 로봇의 기구설계 및 기구학과 동력학을 바탕으로 설계된 기구에 대해 해석하여 운동방정식을 유도하여 추진원리와 운동원리에 관하여 알아본다. 기본적인 운동 메커니즘을 해석하여 구현한 알고리즘을 제작한 로봇에 적용하여 추진 원리와 운동원리를 검증한다. 실험용 로봇은 링크 중앙에 법선 방향으로 마찰력이 발생할 수 있도록 수동바퀴를 가지고 있으며, PC와 RF(Radio Frequency)로 직렬통신을 하며 PC에서의 운동 명령의 조작에 의해 전진, 후진, 좌/우 방향으로 회전을 할 수 있도록 운동 알고리즘을 적용할 수 있도록 제작되었다. 특징으로는 일반적으로 토크를 입력으로 하지 않고 각도를 입력으로 하여 관절을 제어하고 있다는 점이 있으며, 운동방정식 또한 이에 대한 관계를 바탕으로 유도한 것이다.

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Correlation Between Joint Angular Displacement and Moment in the Human Foot (인체 족부관절의 각변위와 모멘트의 상관관계)

  • 김시열;신성휴;황지혜;최현기
    • Journal of Biomedical Engineering Research
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    • v.24 no.3
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    • pp.209-215
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    • 2003
  • The goal of this study was to investigate the relationship between kinematic and kinetic characteristics of foot joints resisting ground reaction force. Passive elastic joint moment and angular displacement were obtained from the experiment using 3 cameras and force plate. The relationship between joint angle and moment was mathematically modeled by using least square method. The ranges of motion of joints ranged from 5$^{\circ}$ to 7$^{\circ}$ except metatarsophalangeal joint. In the study, we presented simple mathematical models that could relate joint angle and plantar pressure. From this model, we can got the kinematic data of joints which is not available from conventional motion analysis. Furthermore, the model can be used not only for biomechanical model which simulates gait but also for clinical evaluation.

Outcome in Impingement Syndrome of the Shoulder According to Presence of Stiffness (견관절 충돌 증후군 환자에서 강직 여부에 따른 치료 결과)

  • Moon, Gi-Hyuk;Lee, Jae-Wook;Yoo, Moon-Jib;Park, Jin-Young
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.1
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    • pp.45-50
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    • 2004
  • Purpose: The purpose of this study is to compare the outcome of operative results in the impingement syndrome of the shoulder with and without the stiffness. Material and Method: Seventy-six patients who had the impingement syndrome without stiffness were evaluated, and treated with the subacromial decompression and 24 patients who had the impingement syndrome with stiffness, were treated with the subacromial decompression and the manipulation. The average follow-up period was 32 months. Result: The impingement syndrome of the shoulder with stiffness was more severe in the preoperative pain and worse in ASES score than without stiffness. The postoperative pain and ASES score improved in the both group. The satisfactory groups were 67% in the group with stiffness and 80% without stiffness. The satisfactory rate was 83% in the group with stiffness and 93% without stiffness. The satisfactory groups with diabetes were 47% in the group with stiffness and 81% without stiffness. Forward elevation, exeternal rotation at the side and internal rotation improved in both groups postoperatively and there were no statistically significant differences postoperatively External rotation was restricted statistically in the group with stiffness. Conclusion: Although patients may not regain the full range of motion, the technique of manipulation followed by arthroscopic subacromial decompression offers good pain relief and satisfactory functional recovery for the impingement syndrome with stiffness. However preoperative counseling is necessary for the impingement syndrome combined with diabetes and stiffness due to poor out come.

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Biomechanics of the Elbow (주관절의 생역학)

  • Moon, Jun-Gyu
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.141-145
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    • 2010
  • Purpose: Understanding elbow biomechanics is necessary to understand the pathophysiologic mechanism of elbow injury and to provide a scientific basis for clinical practice. This article provides a summary of key concepts that are relevant to understanding common elbow injuries and their management. Materials and Methods: The biomechanics of the elbow joint can be divided into kinematics, stability and force transmission through the elbow joint. Active and passive stabilizers include bony articular geometry; soft tissues provide joint stability, compression force and motion. Results and Conclusion: Knowledge of elbow biomechanics will help (i) advance surgical procedures and trauma management, (ii) develop new elbow prostheses and (iii) stimulate future research.

The Clinical Usefulness of the Minimal Invasive Ulno-humeral Arthroplasty in the Patients with Mild to Moderate Elbow Arthritis (경도 및 중등도 주관절 관절염 환자에서 최소 침습적 척골-상완 관절 성형술의 임상적 유용성)

  • Kim, Bo-Kun;Shin, Hyun-Dae;Kim, Kyung-Cheon;Cha, Soo-Min
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.73-79
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    • 2011
  • Purpose: To evaluate of the clinical usefulness of minimal invasive ulnohumeral arthroplasty in patients with mild to moderate elbow arthritis. Materials and Methods: From January 2000 to December 2008, twenty-nine patients with mild to moderate elbow arthritis underwent minimal invasive ulnohumeral arthroplasty. Among these patients, we reviewed the cases of 24 patients for whom we had follow-up data for at least 1 year. There were 20 males and 4 females with a mean age of 53 years (range: 31~69). We excluded patients with preoperative ulnar neuropathy symptoms and investigated the mean operation time, the joint range of motion, the time required until the start of joint exercise, and the Mayo elbow performance score (MEPS). Results: Passive and active joint exercises were started in an average of 1.8 days (range: 1~4) after surgery; the mean operation time was 38 minutes (range: 25~55). The elbow joint range of motion was 25-104 degrees (extension 0~70, flexion 80~130) preoperatively and was improved 40 degrees on average to 14-133 degrees (extension 0~45, flexion 90~150) after a year of follow up. The average time required until the start of joint exercise was 1.6 days (range: 1~5). MEPS were excellent in 9 cases and good in 5 cases after a year of follow up. Although there was 1 case of delayed wound healing and 7 cases of postoperative edema, they improved spontaneously. Conclusion: For patients with mild to moderate elbow arthritis, minimal invasive ulnohumeral arthroplasty is a clinically useful surgery since its operation time is short, early joint exercise is possible, and pain is mild.

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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