• Physical Therapy Korea
• /
• v.9 no.4
• /
• pp.45-52
• /
• 2002

이 연구의 목적은 수직착지시 성에 따른 슬관절 가동범위의 차이를 알아보는 것이다. 연구 대상자는 20대의 건강한 성인 48명(남자 25명, 여자 23명)이었다. 연구 대상자에게 40 cm 높이에서 한발로 뛰어내리도록 하고, 2차원 동작측정 기구인 CMS-HS를 이용하여 수직착지시 슬관절의 굴곡각도, 최대 슬관절 굴곡각도, 슬관절의 가동 범위, 각속도를 측정한 후, 남 여 두 집단간의 차이를 알아보았다. 이때 사용한 분석방법은 독립적인 두 표본 t-검정이었으며 축차적(stepwise) 다변량회귀분석을 이용하여 체중과 신장을 조절한 상태에서 남여 간에 차이가 있는지를 분석하였다. 그 결과 수직착지시 슬관절의 굴곡각도에서는 유의한 차이를 보이지 않았으나, 최대 슬관절 굴곡각도, 슬관절의 가동 범위, 각속도에는 유의한 차이가 있었다(p<.05). 체중과 신장이 조절된 조건 하에서 여자는 수직착지시 최대 슬관절의 굴곡각도와 슬관절의 가동범위가 남자보다 작았다. 이러한 결과를 통하여 수직착지시 여자가 남자보다 슬관절 손상의 빈도가 높은 이유 중의 하나는 여자가 슬관절을 덜 굴곡시킴으로 인해 바닥의 충격을 더 많이 받기 때문이라는 가능성을 발견하였다.

• The Journal of Korean Physical Therapy
• /
• v.12 no.2
• /
• pp.145-152
• /
• 2000

Pcak torque. angle of peak torque occurrence. total work, average power. endurance of the ankle plantar flexors were studied with the knee positioned $0^{\circ}\;and\;90^{\circ}$ flexion. Plantar flexors of 20 students were tested on Cybex 6000 dynamometer. The results were as fallows ; 1. The peak torque values were significantly higher with knee extension than knee $90^{\circ}$ flexion. 2. The angle of peak torque occurrence were earlier with knee extension than knee $90^{\circ}$ flexion, but no significant. 3. The total work were significantly higher with knee extension than knee $90^{\circ}$ flexion. at$30^{\circ}/sec$, but no significant at $90^{\circ}/sec$ 4. The endurance ratio were higher significantly with knee $90^{\circ}$ flex ion than knee extension 5. The mean average power were significantly higher with knee extension than knee $90^{\circ}$ flextion

• Physical Therapy Korea
• /
• v.10 no.4
• /
• pp.1-15
• /
• 2003

본 연구는 슬관전 신전 직전에 수행된 선행 슬관절 굴곡이 슬관절 신전근의 최대 근력발생 및 근육 활성도(activation)에 미치는 영향을 알아보기 위하여 실시되었다. 16명의 정상인이 Cybex II 등속운동기구에서 3가지 다른 운동 속도($100^{\circ}/s$, $200^{\circ}/s$, $300^{\circ}/s$)와 2가지 다른 근육 활성 조건(선행부하가 없는 조건과 선행부하 조건)에서 슬관절의 최대 신전을 수행하였다. 연구대상자들에게 선행부하 없는 조건에서는 $90^{\circ}$ 슬관절 굴곡 상태에서 $0^{\circ}$까지 최대 신전을 수행하도록 하였고, 선행부하 조건에서는 구심성 슬와부 근육의 구심성 수축으로 $0^{\circ}$에서 $110^{\circ}$까지 굴곡한 후, 다시 $0^{\circ}$까지 최대 신전을 하도록 요구하였다. 종속변인으로는 내측광근과 외측광근의 최대 근전도와 최대 신전근력을 측정하였다. 실험 결과 최대 근전도와 최대 근력 모두 선행부하 조건에서 높게 나타났으며, 운동 속도가 증가함에 따라 최대 근력은 감소하는 전형적인 최대 근력-운동속도 상관법칙이 본 실험에서도 나타났다. 또한 운동속도와 전환속도 간의 간섭이 없는 것으로 나타나, 슬관절 신전근에 선행부하(preloading)를 가하는 것이 최대 근력-운동속도 상관법칙(force-velocity relation)에 영향을 미치지 못하는 것으로 해석되었다. 선행부하로 인해 증가된 최대 근력 및 근 활성도의 증가는 주로 신경촉진에 의한 것으로 해석된다.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.11 no.2
• /
• pp.69-74
• /
• 2012

Purpose: By confirm the change of popliteal arterial position when extension or flexion of the knee and estimate the change of popliteal arterial position after posterior capsular release, we tried to know the position can minimize injury of popliteal artery during arthroscopic surgery and usefulness of posterior capsular release. Materials and Methods: Total of two middle-aged man and woman, fresh frozen cadavers as systemic, all four cases of the knee were included in this study. After the knee was flexed to 0 degrees, 30 degrees, 60 degrees, 90 degrees angle, we estimated distance from posterior tibial cortex to popliteal artery at articular surface, the distal 1 cm and 2 cm from articular surface. We performed posterior capsular release by arthroscopy, and estimated distance between posterior tibial cortex and popliteal artery in the same way. Results: Mean distance between popliteal artery and posterior tibial cortex was 6.3 mm (4.5~7), 4.6 mm (3.6~6), 4.9 mm (3.9~5.8) when knee flexion to 0 degrees at articular surface, distal 1 cm and 2 cm from articular surface each. When knee flexion to 30 degrees, it was 7.4 mm (5.2~9), 4.9 mm (3.6~7.2), 5.3 mm (3.8~6.6). When knee flexion to 60 degrees, it was 8.7 mm (5.4~11), 5.2 mm (4.9~7.3), 6.2 mm (5.4~9.6). When knee flexion to 90 degrees, it was 9.8 mm (5.8~12.1), 5.5 mm (5.1~7.4), 6.5 mm (5.4~10.7). After posterior capsule release, the distance was 6.5 mm (5.5~7.5), 5.8 mm (3.9~7.2), 5.2 mm (3.8~7.0) when knee flexion to 0 degrees, 7.7 mm (5.5~9,1), 7.1 mm (4.6~7.6), 5.5 mm (4.1~6.9) when knee flexion to 30 degrees, 8.9 mm (5.7~11.2), 8.5 mm (5.5~9.2), 6.4 mm (5.3~10.1) when knee flexion to 60 degrees and 10.2 mm (6.3~13.6), 9.5 mm (6.5~11), 6.6 mm (5.9~9.8) when knee flexion to 90 degrees. Conclusion: As knee joint is flexed, the distance from posterial tibial cortex to popliteal artery are increased beween knee joint articular surface and distal 2 cm from knee joint. So popliteal artery injury will be reduced at knee joint surgery. Posterior capsular release could also reduce popliteal artery injury by increasing distance between posterior tibial cortex and popliteal artery.

• The Journal of the Korea Contents Association
• /
• v.10 no.2
• /
• pp.268-276
• /
• 2010

This study was to investigate the knee joint flexion angle and the foot pressure during climbing with different slope. The 24 healthy subjects were participated. And foot pressure was investigated using Parotec system. The knee joint flexion angle were filmed to using a video camera on each slope($0^{\circ},\;3^{\circ},\;6{\circ},\;9^{\circ}$). And knee joint angle was investigated by Dartfish. The data were analyzed ANOVAs. In conclusion, there was significantly different that knee joint flexion angle related on each slope angle. In foot pressure, there was significantly different in lateral heel area(1 cell), medial midfoot area(9 cell), medial forefoot area(15, 16 cell) of left foot, and in lateral heel area(3 cell) of right foot. There was significantly different of foot pressure in lateral and medial heel when knee joint flexion angle is between $10^{\circ}$ and $20^{\circ}$. There was change of gait cycle according to walking slop angle increasing, and the initial contact phase was shorter, the foot pressure in lateral heel was lower.

• Journal of the Korea Convergence Society
• /
• v.13 no.5
• /
• pp.287-294
• /
• 2022

This study was conducted to verify the effect of elastic-taping on the strength, power, and endurance of muscles. Elastic-taping is widely used in sports for preventing injuries due to flexion and extension of the knee joints. The participants of this study were 10 male college students with no abnormalities in knee flexion and extension movements. The function of flexors and extensors of the knee joint were assessed using the isokinetic muscle function measurement equipment at angular velocities of 60°/sec, 5 times; 180°/sec, 5 times; 240°/sec, 25 times before and after applying Kinesio taping. It was observed that the average power of muscles after application of Kinesio taping during knee extension on the right side was significantly increased at angular velocity of 180°/sec (p=.010). During knee flexion, the average power was significantly increased at the right angular velocity of 180° /sec after Kinesio taping was applied (p=.016). In addition, at an angular velocity of 240°/sec, both left (p=.002) and right (p=.002) sides showed significant increase in total work done. The application of Kinesio taping to the rectus femoris and biceps femoris showed a positive effect on improving muscle power and endurance during knee joint exercise.

• Journal of the Korean Arthroscopy Society
• /
• v.9 no.2
• /
• pp.143-147
• /
• 2005

Purpose: In case of anterior cruciate ligament (ACL) reconstruction, graft tendon is generally fixed in tibial tunnel with knee extended. When reconstructing ACL using hamstring tendon, the authors aim to find out the effect of knee joint position during graft fixation on postoperative knee joint stability and range of motion. Materials and Methods: Prospective study was done on patients who have undergone ACL reconstruction using hamstring tendon from May 2002 to January 2003 We used Rigifix system (Mitek Product, Johnson and Johnson, USA) and Intrafix system for fixation. Thirty nine patients received ACL reconstruction during this period. Excluding 2 patients lost in the follow-up, 37 patients were analyzed. The mean follow-up period was 14 months $(13{\sim}25months)$. Knee position was decided alternatively without any bias. Clinical evaluation was based on Lachman test, pivot shift test, Lysholm score, IKDC(international knee documentation committee) assessment and side to side KT-1000 maximal manual arthrometer difference. Results: After the last follow-up, average postoperative Lysholm score was 93.1 poins(65-98points). According to IKDC score, 26 cases were normal, 10 cases were nearly normal, 1 case was abnormal and we had no case of severe abnormality. The mean difference from the normal side was 2.5 mm under maximal manual loading KT-1000 arthrometer. According to postoperative Lachman test, 32 cases were normal,2 cases were grade I and 1 case was grade II. There were 34 cases of normal, 2 cases of grade I and 1 case of grade II. When using maximal manual KT-1000 arthrometer side to side difference, the difference from the normal side while fixing the tibia at 20'knee flexion was 2.3 mm and at full extention the difference was 2.7 mm. The range of motion at postoperative 1 year showed 5 degree flexion contracture in 1 case at 20 degrees knee flexion and 10 degrees of flexion limitation was observed in 2 cases at full extension. Conclusion: When ACL reconstruction using autogenous hamstring tendon, anterior laxity showed no difference in its stability between two groups. Tibial side fixation at full extension may be helpful in preventing flexion contracture due to overconstrained graft tendon.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.2 no.1
• /
• pp.50-55
• /
• 2003

Purpose: To investigate the effects of an 8 weeks of plyometric training on the total work of knee and ankles Joint. Methods: Nine university man aged 20$\~$22 years was divided in 2 group. Exercisers (N=5) performing plyometrics (pike jump, double leg hop, double leg bound, single leg hop, stride jump cross over, alternate leg bound, box jump) for 8 weeks. Controls (N=4) maintained their usual activities. The total work of knee and ankle joint were tested prior to and after the training. Results: Plyometric training resulted in significantly greater in the total work of high speed of knee and ankle motion(p<0.05). Conclusions: The plyometric training were partially improved the total work of flexion and extension on the ankle joint. Also plyometric training could influence athletic performance.

• Journal of the Korean Arthroscopy Society
• /
• v.3 no.1
• /
• pp.44-47
• /
• 1999

The authors describe one case of a 25-year-old male with nodular tenosynovitis in left knee joint who did not have a history of joint trauma. He had joint pain and restricted flexion of the left knee at 100 degrees. After arthroscopic excision of mass, symptom was relieved completely and the patient had gained full range of motion of the left knee. No recurrence of symptom and loss of motion of the left knee were noticed during follow up period for 12 months.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.6
• /
• pp.2664-2671
• /
• 2012

This study aimed to investigate the relationship between physical characteristics and walking ability in the elderly population. Subjects were 77 elderly (38 men and 39 women) who are capable of walking independently with and without walking aids. Correlation and stepwise multiple linear regression analyses were used to analyze the relationship between physical characteristics (age, gender, height, weight, body mass index, muscle mass, waist/hip ratio, heart rate, vital capacity, flexibility, maximum oxygen consumption, one-leg standing time, and strength of knee flexor and extensor) and walking velocity of subjects. Age, height, vital capacity, one-leg standing time, and strength of knee flexor and extensor showed significant correlations with walking velocity of subjects (p<.05). Further, the strength of knee flexor explained 27% of the variance, and up to 32% of the walking velocity could be explained when the strength of knee extensor were added to the model. The findings suggest that walking velocity of elderly depends on the strength of lower limb's strength and a variety of physical characteristics.