• Title/Summary/Keyword: 신전이

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Correction of Distal Interphalangeal Joint Extension Lag Using Spiral Oblique Retinacular Ligament Reconstruction (나선빗인대 재건을 이용한 원위지관절 신전장애의 교정)

  • Moon, Kyung Hwan;Kim, Jin Soo;Lee, Dong Chul;Ki, Sae Hwi;Roh, Si Young;Yang, Jae Won
    • Archives of Plastic Surgery
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    • v.33 no.4
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    • pp.480-484
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    • 2006
  • Purpose: A lot of surgical techniques were tried to correct extension lag of distal interphalangeal joint. Spiral oblique retinacular ligament reconstruction is the one of correction techniques. Methods: From January 2004 to January 2005, a total of 13 extension lag of distal interphalangeal joint corrections were performed using spiral oblique retinacular ligament reconstruction for 11 patients. After dorsal incision exposing from base of distal phalanx to proximal phalanx, the new ligament(half of lateral band or graft tendon) lies distally at the dorsum of the distal phalanx and passes volarly and proximally along the side of the middle phalanx and anterior and obliquely across the front of the proximal interphalangeal joint to the opposite side of the digit at the proximal phalanx. Results: 5 of 6 mallet finger deformities and 7 swan neck deformities were corrected, which were both extension lag of distal interphalangeal joint and hyperextension of proximal interphalangeal joint. Conclusion: As a result, spiral oblique retinacular ligament reconstruction is an effective and recommendable method for correction of mallet finger deformity and swan neck deformity.

Isokinetic Effect of the Extensors and Flexors in Total Knee Replacement Patients (슬관절전치환술 환자의 슬관절 신전근 및 굴곡근에 대한 등속성운동 효과)

  • Bae, Sung-Soo;Nam, Kun-Woo;Lee, Keun-Heui
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.19-31
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    • 2001
  • The twenty one individuals with total knee replacement who were admitted to Kang-Dong Hospital for comprehensive physical therapy were studied in order to demonstrate the effectiveness of an isokinetic test program using the Cybex 6000 machine. The subjects were divided into three groups with the isometric exercise group receiving isometric exercise. the isokinetic eccentric exercise group, and isokinetic eccentric exorcise group receiving isokinetic exercise(eccentric. concentric) to knee flexors and extensors muscles for a six weeks period using the Cybex 6000. The results were follow :1 . The peak torque was increased significantly in the flexors and extensors of the isokinetic conccentric exorcise among three groups(p<.05). 2. The progress of peak torque was increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups(p<.05). 3. The total work was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups(p<.05). 4. The progress of total work was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups(p<;.05). 5. The ratio of endurance was not increased significantly in all three groups. 6. The extensors in the peak torque was likely to recover rapidly than the flexors. 7.The average R.O.M in the pre-exercise and post-exercise was not different significantly in all three groups. According to the above results, In the muscle strength recovery for total knee replacement patients, isokinetic concentric exercise group was significantly greater than the isokinetic eccentric and isometric exercise groups after a six weeks training.

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Analysis of the Efficacy of Acupuncture for Chronic Low Back Pain Based on the Relationship Between Trunk Flexors and Extensors (요부 굴곡과 신전운동의 관점에서 분석한 만성요통의 침치료 효과)

  • Kim, Eu-Gene;Park, Won-Hyung;Cha, Yun-Yeop
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.4
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    • pp.557-565
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    • 2012
  • The purpose of this study was to examine the effect of acupuncture on trunk flexors compared with trunk extensors in patients with chronic low back pain. The experimental group was treated with acupuncture on trunk flexors. The control group was treated with acupuncture on trunk extensors. Acupuncture treatment was performed 12 sessions over the course of 6 weeks. Volunteers who satisfied the requirements were enrolled in the study. Chronic low back pain was evaluated based on the VAS for bothersomeness, VAS for pain intensity at every treatment and 8, 12 and 24 weeks after starting the treatments, and ODI, SF-36 and BDI before and after treatments and 8, 12 and 24 weeks after starting the treatments. The VAS score for bothersomeness significantly decreased after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for bothersomeness in the experimental group decreased more rapidly than that of the control group with statistical significance (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI significantly improved after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI in the experimental group showed more rapid improvement than those of the control group. But, there were no statistical significances. Treating trunk flexors using acupuncture was more effective in decreasing the degree of bothersomeness caused by chronic low back pain than treating trunk extensors with acupuncture. There is a need to perform further studies.

The Effects of Varying Degrees of Backrest on Abdominal Muscles and Back Extensor Activation During Lower Extremity Exercise (하지운동 시 등받이의 각도가 복근과 요부 신전근의 활성도에 미치는 영향)

  • Cynn, Won-Suk;Lee, Young-Rok;Chang, Young-Jin;Choi, In-Yong
    • Physical Therapy Korea
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    • v.11 no.1
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    • pp.19-25
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    • 2004
  • The purpose of this study was to investigate the effects of backrests of varying degrees ($90^{\circ}$, $100^{\circ}$, $110^{\circ}$) on three abdominal muscles (upper rectus abdominis, external oblique, internal oblique) and back extensor activation during lower extremity exercise. The three different conditions during bilateral knee extention exercise were: (1) leaning on a chair with a $90^{\circ}$ backrest, (2) leaning on a chair with a $100^{\circ}$ backrest, (3) leaning on a chair with a $110^{\circ}$ backrest. Fifteen healthy muscle subjects (mean age=24.2 years [SD=2.96], mean height=175.6 cm [SD=7.46], mean weight=69.1 kg [SD=7.36]) with no history of neuromusculoskeletal disease voluntarily participated in this study. Electromyography was used to collect muscle activation, and the muscle activation was expressed as a percentage of maximal voluntary isometric contraction (%MVIC). Repeated one-way analysis of variance (ANOVA) was used to determine the statistical significance. The results were as follows: (1) upper rectus abdominis, external oblique, internal oblique activation measured significantly lower. (2) measured significantly lower when lower degree.

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Comparison Analysis of Muscle Strength and Asymmetry according to Bowler Injury Experience and Type (볼링 선수 상해 경험과 유형에 따른 근력과 비대칭 비교 분석)

  • Byun, Ho-Jin
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.423-432
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    • 2018
  • The purpose of this study was to investigate the differences in upper and lower strengths and symmetry between upper body injury group, lower body injury group and non-injury group of bowling athletes. The subjects were the upper body injury group (UG), n = 16, the low body injury group (LG), n = 8, the non injury group, [NG], n = 15). The isometric strength of the bowler was measured using Manual Muscle Tester 01165 (Lafayette Instrument Company, USA) and the symmetry index (SI) was calculated. The results were as follow. The symmetry index of hip extension strength and hip external rotation strength was statistically larger in NG than LG (p <.05). The above results suggest that lower body strength and bilateral symmetry was closely related to injuries of the lower body. In order to prevent injury of the bowler, strengthening of lower body strength and symmetrical training are needed.

Development of Knee Ankle Foot Orthosis for Gait Rehabilitation Training using Plantaflexion and Knee Extension Torque (족저굴곡과 무릎 신전 토크를 이용한 보행 재활 훈련용 장하지 보조기 개발)

  • Kim, Kyung;Kim, Jae-Jun;Heo, Min;Jeong, Gu-Young;Ko, Myoung-Hwan;Kwon, Tae-Kyu
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.10
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    • pp.948-956
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    • 2010
  • The purpose of this study was to test the effectiveness of a prototype KAFO (Knee-Ankle-Foot Orthosis) powered by two artificial pneumatic muscles during walking. We had previously built powered AFO (Ankle-Foot Orthosis) and KO (Knee Orthosis) and used it effectively in studies on assistance of plantaflexion and knee extension motion. Extending the previous study to a KAFO presented additional challenges related to the assistance of gait motion for rehabilitation training. Five healthy males were performed gait motion on treadmill wearing KAFO equipped with artificial pneumatic muscles to power ankle plantaflexion and knee extension. Subjects walked on treadmill at 1.5 km/h under four conditions without extensive practice: 1) without wearing KAFO, 2) wearing KAFO with artificial muscles turned off, 3) wearing KAFO powered only in plantaflexion under feedforward control, and 4) wearing KAFO powered both in plantaflexion and knee extension under feedforward control. We collected surface electromyography, foot pressure and kinematics of ankle and knee joint. The experimental result showed that a muscular strength of wearing KAFO powered plnatarfexion and knee extension under feedforward control was measured to be lower due to pneumatic assistance and foot pressure of wearing KAFO powered plnatarfexion and knee extension under feedforward control was measured to be greater due to power assistance. In the result of motion analysis, the ankle angle of powered KAFO in terminal stance phase was found a peak value toward plantaflexion and there were difference of maximum knee flexion range among condition 2, 3 and 4 in mid-swing phase. The current orthosis design provided plantaflexion torque of ankle jonit in terminal stance phase and knee extension torque of knee joint in mid-swing phase.

The Effects of Korean medicine treatment on Foot drop with common peroneal neuropathy patient: A Case Report (족관절 염좌에 따른 비골신경 신전 손상 환자에 대한 근에너지기법과 한의종합치료 병행 증례보고)

  • Ryu, Won-Hyung;Kim, Doo-Ri;Lee, Jiyun;Lee, Yunha;Chai, Jiwon;Chung, Jai-Hyeon;Moon, Hee-Young;Park, Ji-Won
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.67-76
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    • 2019
  • Objectives : The purpose of this study was to explore the effectiveness of Korean medicine treatment and the Muscle Energy Technique on foot drop through a case study with a patient with common peroneal neuropathy. Methods : A patient with severe foot drop after an ankle sprain was hospitalized and treated with acupuncture and traditional medicine and the Muscle Energy Technique. The effect of the treatment was evaluated with the Numeric Rate Scale(NRS), dorsiflexion angle evaluation, and the Manual Muscle Test (MMT). Results : The results of the NRS, dorsiflexion angle evaluation and MMT showed greatly improvementwith results changing from 8 to 2, 0 to 15, and Grade 2 to Grade 4, respectively. Conclusions : This study suggests that Korean medicine treatment and the Muscle Energy Technique could be effective treatments for foot drop with common peroneal neuropathy. However further clinical studies are needed to establish a definite conclusion.

Failure of Cross-Pin Femoral Fixation after Anterior Cruciate Ligament Reconstruction - A Case Report - (전방십자인대 재건술후 대퇴골 경골핀 고정의 실패 - 증례보고 -)

  • Lee Kee-Byoung;Kwon Duck-Joo;Ji Yong-Nam
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.1
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    • pp.92-95
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    • 2003
  • A 34-year-old man with ACL total rupture due to slip down injury, had received ACL reconstruction using autogenous hamstrings tendon with cross-pin femoral fixation. Postoperative course was as usual. But postoperative 3 months later, he complained posterolateral knee pain, recurrent effusion and mild instability. He was managed repeatitive aspiration and nonsteroid antiinflammatory drugs but was failed to relieve symptoms & signs. In CT scans, perforation of posteromedial femoral cortex of lateral femoral condyle was found. In second look arthroscopy, two pieces of broken femoral cross pin were found in between tibiofemoral Joint which was badly injured cartilage. We considered malposition of pins was the main cause of failure. We propose that femoral tunnel must be made more acute angle and femoral cross-pin guide must be positioned more external rotation 10-20 degree than transepicondylar axis made confirm the cross-pin tunnel position in order to avoid posterior cortex perforation and early failure.

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Change in Gait Parameters by Arm Sling Types in Healthy Adults (팔걸이 형태에 따른 정상인의 보행변수 변화)

  • Lee, Ok-Kyoung;An, Duk-Hyun
    • The Journal of the Korea Contents Association
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    • v.10 no.5
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    • pp.267-276
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    • 2010
  • The purpose of this study was to investigate the variations in gait parameters according to arm slings used in healthy adults. Twenty healthy adults (9 males, 11 females) participated in this study and walked at self-selected speeds on a GAITRite-instrumented carpet. They were randomly assigned conditions: without an arm sling, a care sling, a Harris hemi arm sling, a CVA sling, and a Rolyan humeral cuff sling. The following gait parameters were analyzed: the temporo-spatial parameters of gait velocity, swing phase, single support, cadence. In the comparison of parameters in each trial, step length was statistically significantly changed(p=.002). The right step length was significantly decreased in the Harris hemi arm sling and increased in the Rolyan humeral cuff sling when compared with no sling. This study found that several different types arm slings varied gait pattern in healthy adults.

Effects of Service Quality on Relationship Quality and Customer Retention in Internet Shopping Mall -Aimed at Chinese Customer- (인터넷쇼핑몰의 서비스품질이 관계품질 및 고객유지에 미치는 영향 -중국 소비자를 대상으로-)

  • Li, Xin-Tian;Peng, Peng
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.856-865
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    • 2013
  • The customer retention of internet shopping mall become important nowadays as internet shopping mall is expanding quickly. In this situation, the present study aims to analyze the components of internet shopping mall service quality and it's relationship with satisfaction, and retention. The CRM is a very important point for company marketing, it is also necessary to construct trust and commitment. Especially it has been recognized that when we deal with online shopping, the correlation with customers is very important. At this point one purpose of this study is to find out those effects on satisfaction of the service quality. Another purpose is to find the factors which effect retention. Structural equation modeling is used to test the model building in this paper based on the data from survey of 223 online shopping mall customers. The results in the study provide our supports to the model and indicate that: first, service quality has a positive effect on satisfaction. Second, satisfaction, trust and commitment have strong relations and they affect customer retention in the internet shopping mall service.