• Title/Summary/Keyword: 슬관절 각도

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The Effect of He-Ne IR Laser Therapy on The Healing of Acute Septic Knee Arthritis in Rat (흰쥐의 화농성 슬관절염 치유에 He-Ne IR레이저 처치의 효과)

  • 김재영;노민희;고진복
    • Biomedical Science Letters
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    • v.6 no.3
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    • pp.223-228
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    • 2000
  • The purpose of this study was to find out the effect of He-Ne, IR laser therapy for 4 and 10 minutes on healing of septic arthritis. Sprague-Bawley rats (212.1$\pm$10 g) were randomly assigned to one control and three arthritis groups. Septic arthritis groups were divided into arthritis control, 4 or 10 minute laser therapy groups. Arthritis was experimentally induced by intraperitoneally administration of staphylococcus aureus in citrate buffer(pH 4.3). These result were obtained as follows: AST, LDH, ALP, CK activities and IgG concentration in 10 minute laser group were signifantly increased compare with those in the arthritis group. AST, LDH and CK activities in 4 minute laser group were significantly decreased compare with those in the arthritis group. We think that laser therapy in 4 minute may effective on the healing of septic arthritis. And we will have to study of the effect of laser therapy on healing mechanism, appropriate time of septic arthritis.

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Muscle Strength Ratio and Q-angle in Patients With Osteoarthritis of The Knee: A Comparative Study With Healthy Persons (슬관절 골관절염 환자의 슬관절 주위근의 근력비와 Q-각과의 관계)

  • Kim, Suhn-Yeop
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.45-54
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    • 2005
  • The quadriceps-angle (Q-angle) and the ratio of hamstring/quadriceps (H/Q) are important for the stability of the knee and for protection from excessive stress. The aim of this study was to examine the association between Q-angle and H/Q ratio with and without knee osteoarthritis. We compared knee osteoarthritis patients with symptom-free women. The mean age of the patients in the arthritis group (25 women, osteoarthritis) was 59.7 years. The non-arthritis group consisted of 25 women with a mean age of 55.2 years. Of the 25 women with osteoarthritis, 5 had the condition in their left knee, 5 had it in their right knee, and 15 had it on both sides. There was no significant difference in the knee Q-angle of the left and right knees of the arthritis group and the non-arthritis-group (p>.05). The strength of all the muscles around the involved right knee in the arthritis group was significantly weaker than that of the non-arthritis group (p<.05). However, in the left knee, only the strength of the knee extensors and internal rotators was significantly weaker than that of the non-arthritis group (p<.05). The Q-angle was not associated with the H/Q ratio and internal rotators/external rotators ratio of the involved knee in the arthritis group (p>.05). Neither was the Q-angle associated with the pain level of an involved knee in the arthritis group (p>.05). The knee pain was not associated with the H/Q ratio of the involved knee in the arthritis group (p>.05). The Q-angle was not associated with the ratio of H/Q and pain level of the involved knee in the osteoarthritis women.

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Resolution Evaluation of a Pinhole Collimator according to the Aperture Diameter using Micro Deluxe Phantom (Micro Deluxe Phantom을 통한 핀홀 콜리메이터 초점의 직경별 분해능 평가)

  • An, Byung Ho;Yeon, Joon Ho;Kim, Soo Young;Choi, Sung Wook
    • The Korean Journal of Nuclear Medicine Technology
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    • v.19 no.1
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    • pp.3-11
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    • 2015
  • Purpose It is hard to obtain high quality images of knee and T.M joint because of a lot of soft tissues in the knee and T.M joint area. Most conventional system for high resolution scintigraphy was used by 4 mm aperture pinhole collimator. Performance comparison of high-resolution pinhole SPECT for Micro deluxe phantom using conventional system. the aim of this study is to evaluate performance of each aperture according to the diameter size and the usefulness of 24-hour delayed bone scintigraphy. Materials and Methods In this study 6 mm, 8 mm diameter pinhole collimators were mounted on Siemens E.CAM systems. In order to evaluate performance evaluation of each aperture and Micro Deluxe phantom was used for performance comparison of conventional SPECT system, Projection data were obtained with 9 degree increment per 30 second. Transverse images were reconstructed using dedicated OSEM algorithm with recovery of detector blurring. $^{99m}Tc-HDP$ source was used for 24-hour delayed bone scintigraphy. Results The knee joint images obtained with 24-hour delay were improved more than those obtained with 3-hour delay in our study. The 6 mm and 8 mm pinhole collimators FWHM have improved by 28% SNR and Uniformity have improved by 35%, Contrast has improved by 7% in 24-hour delayed knee joint image. While in 24-hour delayed T.M joint image of the 6 mm and 8 mm pinhole collimators FWHM have decreased by 60% SNR has decreased by 20% and Uniformity has decreased by 25%, Contrast has decreased significantly. Conclusion Pinhole collimators with 6 mm and 8 mm diameter could offer a superior performance for 24-hour delayed bone scintigraphy. The use of 24-hour delayed image provides additional benefits for pinhole scintigraphy of knee joint. Therefore, we expect that it is useful for precise diagnosis of knee joint and it is applicable to others joint imaging.

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Reconstruction of Anterior Cruciate Ligament in Adolescent (청소년기에 시행한 전방십자인대 재건술)

  • Song Eun Kyoo;Shim Sang Don;Kim Hyung Jong;Kim Hyung Won
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.101-108
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    • 2002
  • Purpose: To evaluate the clinical results of anterior cruciate ligament (ACL) reconstruction and to know the results of physeal injury by transphyseal tunnel in adolescents who had remaining growth potential. Materials and Methods : This study involved 12 patients under 19 years old out of 445 patients, who underwent ACL reconstruction between 1993 and 2001. The mean age at the time of operation was 15.9 $(13.1\~16.9)$ years and fellow-up period was 45.1 $(24\~120.6)$ months in avrarge. Autologous quadrupled hamstring tendon was used as graft in 11 cases and bone-patellar tendon-bone in 1 case. Clinical results were evaluated by Lysholm Knee Scoring Scale, range of motion and return to preinjury sports activities. Radiologic results were evaluated by $Telos^{\circledR}$ device. Bone maturity were analyzed by chronological age, standing height and the width of growth plate in AP and lateral view of knee joint at preoperatively. The growth disturbances were evaluated by measuring femorotibial angle, anatomical and mechanical lateral distal femoral angle, mechanical medial proximal tibial angle and leg length and by comparing those of uninjured site in last follow-up teleoroentgenogram. Results : The mean Lysholm Knee score was 51 $(25\~63)$points preoperatively and 98 $(94\~100)$ points at last follow up. The mean anterior displacement of the tibia by using $Telos^{\circledR}$ device was improved from 13.5 $(6\~27)$ mm to 2.9 $(1\~4)$ mm and there were no significant instabilities of the knee in all cases. There were no leg length discrepancies over 1 cm and no statistically significant abnormal alignment of the knee joint in all cases. Conclusion: ACL reconstruction using transphyseal tunnel for restoring stability and knee function is assumed as a good mettled of treatment without significant leg length discrepancy and abnormal alignment of the knee joint.

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Generation of Motor Velocity Profile for Walking-Assistance System Using Humanoid Robot Model (휴머노이드 로봇 모델을 이용한 보행재활 훈련장치의 견인모터 속도 파형 생성)

  • Choi, Young-Lim;Choi, Nak-Yoon;Park, Sang-Il;Kim, Jong-Wook
    • Journal of the Korean Institute of Intelligent Systems
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    • v.22 no.5
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    • pp.631-638
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    • 2012
  • This work proposes a new method to generate velocity profile of a traction motor equipped in a rehabilitation system for knee joint patients through humanoid robot simulation. To this end, a three-dimensional full-body humanoid robot model is newly constructed, and natural human gait is simulated by applying to it reference joint angle trajectories already published. Linear velocity is derived from distance data calculated between the positions of a thigh band and its traction motor at every sampling instance, which is a novel idea of this paper. The projection rule is employed to kinematically describe the humanoid robot because of its high efficiency and accuracy, and measured joint trajectories are used in simulating human natural gait referring to Winter's book. The attained motor velocity profile for a certain position in human body will be applied to our walking-assistance system which is implemented with a treadmill system.

Radiofrequency thermal Shrinkage for Elongated Anterior Cruciate Ligament after Anterior Cruciate Ligament Reconstruction (전방십자인대 재건술 이후 이완된 전방십자인대에 시행한 고주파 에너지 열 수축)

  • Kim, Yeung-Jin;Chun, Churl-Hong;Kim, Tae-Kyun;Yang, Hwan-Deok;Kim, Hyoung-Joon;Kim, Young-Jin
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.1
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    • pp.27-32
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    • 2008
  • Purpose: To evaluate the clinical results of the patients who underwent radiofrequency thermal shrinkage (RFTS) for treatment of anterior cruciate ligament (ACL) laxity after ACL reconstruction. Material and Methods: From October 1999 to March 2006, we performed 133 cases of ACL reconstruction. Among them we experienced 16 patients who had the laxity of reconstructed ACL in second look arthroscopy. Mean follow-up was 20.4 months. Mean age was 33.5 years. 12 cases were male and 4 cases were female. The elongated ACL were treated by bipolar radiofrequency energy with an output of grade II. Subjective and objective parameters were utilized in analyses, such as: the mean range of motion, Lysholm knee score, Tegner activity score, Lachman test, IKDC score. Wilcoxon signed-rank test was used to perform the data analysis. P<0.05 was considered to be statistically significant. Results: Postoperative mean Lysholm knee score (preop: $82.2{\pm}5.2(77{\sim}85))$ (P=0.04), postop: $85.2{\pm}4.8$(82-90)) and anterior displacement by the Telos stress test (preop: $5.4{\pm}4.6(3{\sim}10)mm$, postop: $2.1{\pm}1.9(0{\sim}4)mm)$ (P=0.02), Lachman's test, and IKDC scores (P=0.04) demonstrated significant differences statistically compared to the preoperative. There were no statistical differences in mean range of motion, Tegner activity scale. Conclusions: Arthroscopic shrinkage for the ACL laxity after ACL reconstruction with radiofrequency device showed good clinical results and was applicable operative technique.

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Kinematic Analysis of Samdan Didimsae Movement for Jajinmori Jangdan (자진모리장단에 따른 한국무용3단 디딤새 동작에 관한 운동학적 분석)

  • Ahn, Wan-Sik
    • Korean Journal of Applied Biomechanics
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    • v.18 no.1
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    • pp.203-212
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    • 2008
  • The purpose of this study is to propose appropriate model for 3 staged Didimsae movement to Jajinmori rhythm and to provide information for ideal foot step movements. For the locational change of body center, the height of body center is lowered at the moment of forward step and during forward intersection of the feet, forward direction linear motion is converted to vertical motion to maintain stability. Speed change of body center reduces flow of body on step forward moment and controls rapid forward movement for stabled movement and position when preventing fast forward horizontal direction movement of centroid speed while knee joint and foot joint are vertically risen for heel bone contacts the ground. For angle changes of joints, in order to prevent hyperextension of lower leg, hip joint is extended and knee joint is curved to secure stability of movement for smooth curves and extension. When centroid of foot joint is moved from top of the feet to whole foot sole and when left foot makes dorsal curve, stabled movement is accomplished.

Acupuncture Therapy Literature Study on the Knee Rheumatoid Arthritis (류마티스성 슬관절염(膝關節炎)의 침구치료(鍼灸治療)에 관한 문헌고찰)

  • Kim, Moo-jin;Yoon, Jong-hwa;Kim, Kyung-ho;Lee, Seung-deok;Kim, Kap-sung
    • Journal of Acupuncture Research
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    • v.22 no.1
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    • pp.191-201
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    • 2005
  • Objective : The purpose of this study is to arrange the literature about a acupuncture therapy on the knee rheumatoid arthritis. Methods : We arrange fifty kinds of literature about a acupuncture therapy of knee joint, knee arthritis, Results : Acupucture point at G30, G34, S36, LI11, B4O, G39, G38, LI4 used frequently for the acupuncture therapy Conclusion : B, G, S, Sp of merdians used frequently for the acupuncture therapy.

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The Study about Internal Reliability and Correlation among Assessment Instruments of Knee OA (퇴행성 슬관절염 환자 평가 설문도구의 내적 신뢰도, 상관성에 관한 연구)

  • Ryu, Seong-ryong;An, Kyung-eh;Seo, Byung-kwan;Kang, Jung-won;Lee, Sang-hoon;Lee, Jae-dong;Choi, Do-young;Kim, Keon-sik;Lee, Doo-ik;Lee, Yun-ho
    • Journal of Acupuncture Research
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    • v.22 no.3
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    • pp.271-280
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    • 2005
  • Objective : The aim of this study is to evaluate internal reliability and correlation among assessment instruments of knee OA. Methods : Data were obtained from 85 patients with knee OA. They were asked to answer VAS pain scale, two disease-specific questionnaires (WOMAC and LFI) and one instrument about health-related quality(KHAQ). Reliability was assessed using cronbach`s alpha. Correlation was assessed by examining the pearson`s correlation coefficients. Results : Cronbach`s alpha of all Index except WOMAC stiffness subscale.(6679) exceeded the value of 0.70. A good correlation was obtained between WOMAC Subscales (especially Pain Subscale) and LFI (.726

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The Comparison of Expert with Non-Expert EMG during Perform Back-round Kicking of Taekwondo (태권도 뒤후려차기 동작시 숙련자와 비숙련자의 근전도 비교)

  • Kim, Jae-Woo
    • The Journal of Korean Institute for Practical Engineering Education
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    • v.3 no.1
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    • pp.200-205
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    • 2011
  • This research is first to analyze an electomygram reaction of the lower limbs among the muscles used during a back-round kicking of Taekwondo, second to analyze the relationship between the muscles of the kicking limb and those of the supporting limb, third to compare EMG activity of expert with novice. Measured muscles are as follows; rectus fermoris which control flexion and stretching of femora and knee joints, vastus medialis and vastus lateralis, which control flexion and stretching of legs, and biceps fermoris, which control stretching of femora, bending of knee joints and abduction of the crus. The electomygram reaction of all these selected muscles were analyzed. Three kicks were performed, and electomygram of each of kicks were measured. Then, electomygram reaction of the best kick was used for electomygram analysis.

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