• 제목/요약/키워드: Continuous Passive Movement

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Median Frequency Analysis of Shoulder Muscles Using EMG Power Spectrum Analysis After Rotator Cuff Repair

  • Kang, Jeong-Il;Moon, Young-Jun
    • International Journal of Contents
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    • 제10권3호
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    • pp.90-95
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    • 2014
  • The purpose of this study was to analyze the changes in muscle fatigue by using electromyography (EMG) measurements of the median frequency of shoulder muscles of patients who underwent rotator cuff repair, and to provide basic data for efficient exercise methods during rehabilitation after the repair. In the study, 24 male and 8 female patients who underwent rotator cuff repair performed continuous passive shoulder joint motion for 3 weeks and the median frequency of their shoulder muscles before and after the repair were compared using measurements by EMG. The infraspinatus, supraspinatus, and serratus anterior muscles showed significant differences in the changes in the median frequency before and after the repair. Significant differences were also found in the median frequency of the three muscles both before and after the repair. Additionally, the middle deltoid muscle had a lower median frequency than the supraspinatus muscle before the repair and the infraspinatus muscle had a lower median frequency than the middle deltoid muscle after the repair. It is expected that these results will serve as important data in developing rehabilitation exercise programs for the infraspinatus, supraspinatus, and serratus anterior muscles by compensating the middle deltoid muscle with the lowest muscle fatigue after the rotator cuff repair erase.

동영상 CD를 이용한 슬관절 전치환술 환자의 재활교육 프로그램이 관절가동범위 및 일상활동 수행에 미치는 효과 (Effects of a Video CD Rehabilitation Program for Total Knee Replacement on Range of Knee Angle and Activities of Daily Living Function)

  • 남문희;이정은
    • 한국의료질향상학회지
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    • 제16권1호
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    • pp.79-89
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    • 2010
  • Background : This study was identified the effects of a video CD Rehabilitation program on the range of knee angle and activities of daily living in patients with a total knee replacement Method : The data was collected from March 1 to May 31 2009 for the control group and from July 1 to September 31 2009 for the experimental group. The control and experimental groups contained 19 subjects each. A video CD Rehabilitation program configured to 8 minutes in length was shown 8 times every other day. Result : 1. On the day of Hemovac removal, the knee angle and CPM angle in the experimental group increased significantly, but they remained relatively constant on post operation day 21. 2. The activities of daily living were significantly different in the experimental group. Conclusion : 1. On the day of Hemovac removal, the knee angle and CPM angle in the experimental group increased significantly, but they remained relatively constant on post operation day 21. 2. The activities of daily living were significantly different in the experimental group.

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시각적 되먹임의 제공에 따른 일어서기 훈련이 무릎관절 전치환술 환자의 다리 근력과 균형 능력에 미치는 영향 (The Effects of Sit-to-Stand Training with Visual Feedback on the Strength and Balance Ability Patients with Total Knee Replacement)

  • 박진;박한규
    • PNF and Movement
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    • 제19권1호
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    • pp.9-17
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    • 2021
  • Purpose: This study aims to verify the effectiveness of sit-to-stand training with visual feedback to improve balance ability and knee extensor strength of total knee replacement patients. Methods: In this study, 15 patients with total knee replacement participated in this study. Subjects were assigned to two groups: a feedback group (experimental group)(n = 8) and a control group (n = 7). They all received 30 min of continuous passive motion (CPM) and sit-to-stand training for 15 min five times per week for two weeks. Knee extensor and balance ability were measured. Knee extensor was measured by Biodex system 3; balance ability was measured by Balancia software. Results: After the intervention, there was a significant difference in the strengthening of the knee extensor muscles in the feedback group, area 95%, weight distribution of the affected side, and the sit-to-stand test repeated five times (p < 0.05). Conclusion: The results of this study showed that sit-to-stand training with visual feedback was more effective in increasing knee extensor muscle strength and balance ability than the sit-to-stand training without visual feedback. Therefore, in order to improve the knee extensor muscle and the balance of total knee replacement patients, it is necessary to consider providing visual feedback during sit-to-stand training.

미세전류치료와 초음파치료가 슬관절전치환술 후 통증경감과 기능회복에 미치는 영향 (The Effects of Microcurrent Treatment and Ultrasound Treatment on the Pain Relief and Functional Recovery after Total Knee Replacement)

  • 조운수;김용남;김용성;황태연;진희경
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.118-126
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    • 2012
  • Purpose: The purpose of this study was to investigate pain relief and functional recovery after total knee replacement. Methods: The treatment was performed by dividing individuals into a control group ($n_1=5$), ultrasound treatment group ($n_2=5$), and micro-current treatment group ($n_3=5$). The control group applied the hot pack for 15 minutes, Transcutaneous Electrical Nerve Stimulation (TENS) for 15 minutes, and Continuous Passive Movement (CPM) for 40 minutes. The ultrasound therapy group applied the frequency of 1 MHz, intensity of 1.0 $W/cm^2$ for five minutes following the same treatment as the control group. The micro-current therapy group applied the intensity of 25 ${\mu}A$, and pulsation frequency 5 pps for 15 minutes following the same treatment as the control group. After treatment, Visual Analogue Scale (VAS), Korean Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Berg Balance Scale (BBS), Range of Movement (ROM) and wound length was measured. Results: VAS showed significant effect in the control group and micro-current therapy group during the treatment period. According to the treatment of K-WOMACK, BBS, ROM, and Healing wounds showed main effects between groups. Conclusion: According to the results of this study, data showed improvement of pain relief, wound healing effects, and range of motion recovery. Thus, these selected treatments were effective after total knee replacement. In other words, electrical treatment continues to influence pain relief and functional recovery after total knee replacement.

Effect of Game-Based Balance Training with CIMT on Pain, Muscle Strength, Range of Motion and Dynamic Balance in Female Patients with Total Knee Replacement

  • Lee, Hyo Bin;Choi, Ho Suk;Shin, Won Seob
    • The Journal of Korean Physical Therapy
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    • 제30권5호
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    • pp.159-165
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    • 2018
  • Purpose: The aims of this study were to determine if game-based training with constraint-induced movement therapy (CIMT) is effective in improving the balance ability in female patients with a total knee replacement, and to provide clinical knowledge of CIMT game-based training that allows the application of total knee replacement. Methods: Thirty-six patients who had undergone a total knee replacement were assigned randomly to CIMT game training (n=12), general game training (n=12), and self-exercise (n=12) groups. All interventions were conducted 3 times a week for 4 weeks. All patients used a continuous passive motion machine 5 times a week and 2 times a day for 4 weeks. The visual analog scale (VAS), muscle strength of knee flexion and extension, and range of motion (ROM) of knee flexion and extension were assessed, and the functional reach test (FRT), and timed up and go (TUG) test were performed to evaluate the balance ability. Results: All 3 groups showed significant improvement in the VAS, knee flexion and extension muscle strength, FRT, and TUG test after the intervention (p<0.05). Post hoc analysis revealed significant differences in FRT, and TUG of the CIMT game training group compared to the other group (p<0.05). Conclusion: Although the general game training and CIMT game training improved both the knee extension muscle strength and dynamic balance ability, CIMT game training had a larger effect on dynamic balance control.

장소특정적 연극-퍼포먼스 연구 - 한국의 공연작품들을 중심으로 - (A study on the site-specific theatre-performance - focused on the Korean performances -)

  • 신현숙
    • 한국연극학
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    • 제49호
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    • pp.171-208
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    • 2013
  • Site-specific performance is always the real on-site work taking place at the site. Hence, it deals with the reality, in other words, the time of creation and formation. And it creates value and meaning through the interaction and continuous direct communication process between the performers, audience and the local residents. In this performance, the audience's status as the passive observer changes. They become the co-agent who actively lead and complete the performance through their own experience. We have examined the The Working Methods of Site-specific Performance and Aesthetics of Effect through four Korean performances ; Marie, An aesthetic experiment of site as the storyteller; Heterotopia and Urban Movement Research or Play: We Will Move Your Sofa, as performances which have Revealed history, politics, institution engraved in the site ; A Song of Mandala and Miracle, as a ritualistic site-specific performance at the historic site. Some remarks on Site-specific performance ; First, In Site-specific performance, the habitus peculiar to the stage art and the mode of reception are changed. Second, a new mode of theatrical communication requires creator and audience to have a sharp aesthetic sensibility and to change one's perceptual habit. Third, Site-specific performance can act as a demonstration for the viewpoints of political activism through what could be called a dramatic close-up effect. Fourth, Site-specific performance also has the risk of merely becoming an unfocused and scattered performance or degenerating into a pseudo-sightseeing. To avoid this, an in-depth study of the site and its socio-cultural context, and the clear motivation with which one is trying to reveal and tell from the site must be indispensable. As the co-agent, the audience should also be aware and think about what the given performance signifies today.

PNF 팔 패턴의 각도 변화가 척추세움근의 근 긴장도 변화와 방산의 효과에 미치는 영향 (The Effect of Elector Spine Muscle Tone Using Irradiation According to the Angular Motion of a Proprioceptive Neuromuscular Facilitation (PNF) Arm Pattern)

  • 양재만;이상무;이정훈
    • PNF and Movement
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    • 제18권3호
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    • pp.435-444
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    • 2020
  • Purpose: This study aimed to compare the elector spine muscle tone using the irradiation of the proprioceptive neuromuscular facilitation (PNF) arm pattern according to angular motion. Methods: Thirty subjects participated in this study. Elector spine muscle tone was measured using a Myotonpro device while in the sitting position according to the angular motion (70°, 100°, 130°) of the PNF arm pattern using a D1 flexion pattern. Each angular motion of the PNF arm pattern was performed with a continuous passive motion (CPM). The change in elector spine muscle tone was statistically evaluated using a repeated one-way ANOVA test. Post-hoc analysis was performed using the Bonferroni method. Results: The results revealed a significant change in elector spine muscle tone when performing the PNF arm pattern using D1 flexion pattern. Specifically, the elector spine muscle tone had significantly increased at 100° and 130° motion in the PNF arm pattern when compared to the initial muscle tone (p < 0.05). No significant muscle tone changes were noted for any of the angular motions of the PNF upper arm pattern (p > 0.05). Conclusion: The results of this study indicate a positive increase in elector spine muscle tone with irradiation of the PNF upper arm pattern exercise with 100° or 130° angular motion. The minimum angle at which the effect of the irradiation of the PNF arm pattern could be seen was 100°.

장흥댐에 설치되어 있는 어도와 담수어류의 이용 분석 (Freshwater Fish Utilization of Fishway Installed in the Jangheung Dam)

  • 윤주덕;김정희;주기재;서진원;;장민호
    • 생태와환경
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    • 제44권3호
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    • pp.264-271
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    • 2011
  • 댐이나 보와 같은 하천내 구조물의 건설시 어도의 설치는 어류의 이동에 있어서 중요한 역할을 한다. 탐진강에 건설되어 있는 장흥 다목적댐에는 어류의 상류로 이동을 원활히 하기 위해 엘리베이터식 어도에 포함되는 트럭식 댐체어도가 방류구 옆쪽에 위치하고 있다. 이러한 종류의 어도는 효율적으로 어류를 포집하기 위한 트랩이 함께 설치된다. 본 연구에서는 장흥댐에 설치되어 있는 어도 트랩의 어류 이용정도를 파악하기 위하여 PIT telemetry 방식을 적용, 총 15종 254개체의 어류에 tag을 삽입하여 모니터링을 하였다. 붕어, 떡붕어, 돌고기, 갈겨니, 피라미, 눈동자개 6종 36개체가 감지되어 14.2%의 감지율을 나타냈다. 붕어가 43개체 중 19개체가 감지되어 44.2%로 가장 높은 감지 비율을 보였고 돌고기는 14.3%의 비율을 나타냈으며, 갈겨니와 피라미는 각각 5%와 7.7%의 감지 비율을 나타냈다. 일부 개체들은 한번에 어도내로 이동하지 않고 장기간에 걸쳐 꾸준히 신호가 감지되었다. 이동한 개체들과 이동하지 않은 개체들 사이에 크기 (전장, 체장, 체중)는 차이가 없었으며(Mann-Whitney U test, p>0.05), 주로 댐에서 방류가 이루어지는 시간에 트랩으로 이동하는 것으로 파악되었다 (Mann-Whitney U test, p<0.001). 시간대별 분석에서는 주로 야간시간대보다 주간시간대에서 더 높은 감지빈도를 보였다(Mann-Whitney U test, p<0.001). 본 연구의 결과에 의하면, 어류가 트랩으로 이동하는 데는 방류시간과 같은 외적인 요소와 각 종별 생태적 특성(산란기, 주행성, 야행성)이 중요한 역할을 하고 있었다. 따라서 어류의 어도 이용율을 높이기 위해서는 어류의 생태적 특성을 고려하여 방류량과 더불어 방류시간, 방류시간대를 적절하게 변화시키는 전략적 방류가 필요할 것으로 판단된다.