• Title/Summary/Keyword: Flexor

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Effectiveness of Heel-Raise-Lower Exercise Combined with Taping in Patients with Stroke

  • Jung, Kyoungsim;Kim, Kyunghun;In, Taesung
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.113-118
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    • 2022
  • Objective: This study was conducted to investigate the effect of heel-raise-lower exercise on spasticity, strength, and gait speed after the application of tapingin patients with stroke. Design: Randomized controlled study Methods: The participants were randomly divided into the heel raise-lower exercise+taping (HREx+T) group and the heel raise-lower exercise (HREx) group, with 20 participants assigned to each group. Both groups performed heel lifting exercise 100 times a day 5 times a week for 6 weeks. HREx+T group additionally applied taping to the plantar flexor muscles. The spasticity of the ankle plantar flexors was measured using the composite spasticity score. A handheld dynamometer and a 10-m walk test were used to measure plantar flexor strength and gait speed, respectively. Results: Spasticity was significantly more improved in the HREx+T group than in the HREx group (p<0.05). Similarly, plantar flexor strength was significantly more improved in the HREx+T group than in the HREx group (p<0.05). Moreover, participants assigned to the HREx+T group showed significantly greater improvement in gait speed than those in the HREx group(p<0.05). Conclusions: Thus, heel-raise-lower training combined with taping may be used to improve the spasticity, muscle strength and gait speed in stroke patients.

Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations

  • Nirbhay Jain;Sean Saadat;Mytien Goldberg
    • Archives of Plastic Surgery
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    • v.50 no.2
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    • pp.216-219
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    • 2023
  • Neisseria gonorrhoeae is the most common sexually transmitted disease in the world and is known to cause disseminated disease, most commonly tenosynovitis. Classically, gonorrhea-associated tenosynovitis presents with concomitant dermatitis and arthralgias, though this is not always the case. N. gonorrhoeae-related tenosynovitis has become more commonly seen by hand surgeons. To aid in management, we present three cases of gonorrhea-induced tenosynovitis spanning a range of presentations with variable treatments to demonstrate the variety of patients with this disease. Only one of our patients had a positive gonococcal screening test and no patient had purulent urethritis, the most common gonorrhea-related symptom. A separate patient had the classic triad of tenosynovitis, dermatitis, and arthralgias. Two patients underwent operative irrigation and debridement, and one was managed with anti-gonococcal antibiotics alone. Though gonorrhea is a rare cause of flexor tenosynovitis, it must always be on the differential for hand surgeons when they encounter this diagnosis. Taking an appropriate sexual history and performing routine screening tests can assist in the diagnosis, the prescription of appropriate antibiotics, and potentially avoiding an unnecessary operation.

Flexor Digitorum Avulsion Secondary to Enchondroma of the Distal Phalanx (원위지골 내연골종에 이차적으로 발생한 심수지 굴곡건의 견열손상)

  • Moon, Sung Hoon;Hong, Chul Gie;Lee, Woon Sang;Park, Jin Woo
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.447-451
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    • 2019
  • This case report describes the unusual occurrence of a flexor digitorum profundus avulsion secondary to an enchondroma of the distal phalanx of the middle finger. The enchondroma was treated by simple curettage with an autogenous bone graft harvested from the olecranon. The avulsed bone fragment was reattached to the distal phalanx using the pull-out suture technique. Bony union and full function of the digit were achieved.

The Effects of Transcutaneous Electrical Nerve Stimulation on Sympathetic Nerve Activity in Delayed Onset Muscle Soreness (경피신경전기자극이 지연성근육통의 교감신경활동에 미치는 영향)

  • Park, Jang-Sung
    • The Journal of Korean Physical Therapy
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    • v.14 no.1
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    • pp.109-115
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    • 2002
  • This study conducts eccentric exercise ti non-dominant elbow flexor of 20 persons in order to examine the effects of transcutaneous electric nerve stimulation on sympathetic nerve activity in delayed onset muscle soreness, induces delayed onset muscle soreness, divides them into 10 persons respectively as experimental and control groups. And a stimulation for 2 min. with 100 pps is given to elbow flexor after repeated three times of 10 minutes rest, temperature, blood pressure and pulse are measured and as a result of two-way ANOVA, change of temperature didn't show a significant difference according to the elapse of times(p>0.05) and systolic pressure and pulses in showed a significant difference between experimental and control groups(p<0.05). These results suggest that transcutaneous electrical nerve stimulation has a direct or indirect influence on sympathetic nerve activity in delayed onset muscle soreness under a restricted condition of electrical stimulation.

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Treatment of Massive Defect in Achilles Tendon with Tendon Allograft: A Case Report (동종 건을 이용한 아킬레스건의 광범위 결손의 치료: 증례 보고)

  • Lee, Jung-Woo;Kim, Myung-Jin;Ahn, Jae Hoon;Byun, Chu-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.3
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    • pp.114-117
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    • 2015
  • Deep infection of Achilles tendon is one of the serious complications that occur after open repair of the tendon. It sometimes leads to a very large tendon defect during the course of treatment. We report on a case of massive defect in Achilles tendon, which was successfully treated with Achilles tendon allograft and flexor hallucis longus tendon transfer.

Recurrent carpal tunnel syndrome associated with extension of flexor digitorum muscle bellies into the carpal tunnel: A case series

  • Castillo, Rochelle;Sheth, Khushboo;Babigian, Alan;Scola, Christopher
    • Archives of Plastic Surgery
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    • v.45 no.5
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    • pp.474-478
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    • 2018
  • While the success or failure of carpal tunnel release ultimately depends on the interplay of a wide array of factors, a broad understanding of the normal anatomy of the carpal tunnel accompanied by awareness of the possible variations of the individual structures that make up its contents is crucial to optimizing surgical outcomes. While anatomic variants such as extension of the flexor digitorum muscle bellies have been described as a cause of primary carpal tunnel syndrome (CTS), there have been no reports depicting its association with recurrent CTS following initially successful carpal tunnel release, a finding with potentially significant prognostic implications that can aid in operative planning. In such cases where muscle extension is identified preoperatively, careful debulking of the muscle belly may be beneficial in improving long-term surgical outcomes.

Reflex Action of the Semicircular Canals on Cervical Extensor and Flexor Muscles in Cats

  • Kim, Jeh-Hyub;Park, Jong-Seong
    • The Korean Journal of Physiology
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    • v.26 no.2
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    • pp.151-157
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    • 1992
  • In urethane anesthetized cats, each vestibular semicircular canal nerve was electrically stimulated, and reflex responses of the cervical extensor and flexor (the splenius capitis and sternomastoid muscles) were recorded by means of electromyography. Stimulation of a unilateral (anterior, horizontal or posterior) canal nerve elicited excitation of the contralateral cervical muscles and inhibition of the ipsilateral ones; during the canal nerve stimulation, the two muscles in one side of the neck revealed synergistic responses. Based on these experimental results, we formulated a diagram showing the functional connections between the vestibular semicircular canals and the cervical muscles in the vestibulocollic reflex.

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Neuromuscular difference between normal subjects and low-back pain patients: Neural excitation measured by dynamic electromyography (정상인과 요통환자의 생체역학적 차이에 관한 연구:신경근육계의 동적 근전도 반응형태를 중심으로)

  • 김정룡
    • Journal of the Ergonomics Society of Korea
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    • v.14 no.2
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    • pp.1-14
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    • 1995
  • Neuromuscular difference between normal subjects and low-back pain patients has been identified in terms of neural excitation signal measured by Electromyography (EMG) under the dynamic flexion/extension trunk motion. Ten healthy subjects and ten low-back pain patients were recruited for this study. New parameters and normalization technique were introduced to quantify the muscle excitation pattern among the flexor-extensor pairs of muscles : rectus abdominis (RA)-erector spinae (ES at L1 and L5 level), external oblique (EO)-internal oblique (IO), rectus femoris (quadricep : QUD)-biceps femoris( hamstring : HAM), and tibialis anterior (TA)-gastrocnemius (GAS). Results indicated that the temporal EMG pattern such as peak timing difference between the hip flexor (QUD) and extensor (HAM) and the duration of coexcitation between ES at L5 and RA muscle pairs showed a statistically significant difference between normal subjects and low-back pain patients. Improtantly, this study presented a new technique to identify the dynamic muscle excitation pattern that canb be least affected by EMG-length-velocity relationship. Further study can performed to validate this method for clinical application to quantitatively identify the low-back pain patients in the future.

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