• Title/Summary/Keyword: Joint ROM

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Relationships among Lower Extremity Muscle Circumference, Proprioception, ROM, Muscle Strength, and Balance Control Ability in Young Adults

  • Shin, Young-Jun;Kim, Seong-gil
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.168-174
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    • 2022
  • Purpose: The purpose of this study was to analyze the correlation between balance control ability and leg circumference, proprioception, range of motion (ROM), and muscle strength in young adults. Methods: The subjects of this study were 30 university students who were enrolled in D university in Gyeongbuk province. We measured the dynamic balance and static balance using the Biorescue. The muscular strengths of the hip, knee, and ankle joints were measured using a muscle contraction dynamometer. The ROM and proprioception were measured using an inclinometer. Pearson correlation analysis was used to test the correlations between balance control ability and variables. Results: Sway length was significantly correlated with knee and hip joint muscle strength, ROM, and proprioception of hip and ankle joints (p<0.05). Sway speed was significantly correlated with ROM and proprioception in hip joints (p<0.05). Limit of stability was significantly correlated with muscle strength and ROM in ankle joints, and proprioception in hip, knee, and ankle joints (p<0.05). Conclusion: The sway length was most related to hip extension and ankle joint plantar flexion in the range of motion and ankle joint plantar flexion in proprioception. Overall, balance training for young adults will be of effective help if the treatment focuses on the knee and hip joints, range of motion and the ankle and hip joints' proprioception.

Effects of a Balance Taping on Pain and ROM of the Knee Joint in the Elderly with Lower Limbs Arthritis (밸런스테이핑이 하지 관절염 노인의 하지통증과 무릎관절가동범위에 미치는 효과)

  • Park, Ka-Yoon;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.22 no.3
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    • pp.312-321
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    • 2010
  • Purpose: The purpose of this study was to investigate the effects of balance taping on pain and Range of Motion (ROM). ROM of the knee joint in the elderly with lower limbs arthritis. Methods: This study was a nonequivalent pretest-posttest design, quasi-experimental study. An experimental group of 35 elderly and a control group of 35 elderly were assigned. Subjects responses to the Visual analogue Scale (VAS) and range of motion scores as measured by a joint goniometer. Data were analyzed by, t-test and repeated measures ANOVA. Results: In the experimental treatment group, the pain score was significantly decreased from 6.46 to 2.09 after balance taping (p<.001). In addition, knee joint ROM of the experimental group was significantly increased from 114.80 to 121.92 after balance taping (p=.003, p<.001, p<.001). Conclusion: This is a very important study as it is an excellent treatment that nurses can utilize and these data support the efficacy of the method.

Range of Motion and Isokinetic Strength of Hip Joint in the College Women with Idiopathic Genu Vara (특발성 내반슬 여대생의 고관절 가동범위와 등속성 근력)

  • Kim, Che-Young;Lim, Seung-Kil
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.210-217
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    • 2014
  • This study is to present objective data for the approaches of therapeutic exercise for the correction of genu varum by making an analysis and a comparison of the hip joints' ROM and isokinetic muscles of the female college students with straight legs with those of a female college student with idiopathic genu varum. Additionally, the state of the adductor muscle's thighs and the deep muscles of the subjects with bowed legs were experimented and the equipment's effect and applicability was reviewed through the process of the movement of newly developed exercise equipment, Balloa(2013, Balloa/Adonia/Korea). As a result, a person with genu varum needs the height increasing method for increasing external rotation ROM of a hip joint and requires the exercise techniques to strengthen external rotator muscles and to inhibit the activity of internal rotator muscles of a hip joint. Balloa increases the external rotation ROM of a hip joint and strengthens gluteal muscles, deep muscles, and adductor muscles, and the equipment's function of muscle strengthening shows that the equipment is an effective corrective exercise for the patients of genu varum.

Effects of Artificial Leg Length Discrepancies on the Dynamic Joint Angles of the Hip, Knee, and Ankle During Gait

  • Kim, Yong-Wook;Jo, Seung-Yeon;Byeon, Yeoung-In;Kwon, Ji-Ho;Im, Seok-Hee;Cheon, Su-Hyeon;Kim, Eun-Joo
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.53-61
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    • 2019
  • PURPOSE: This study examined the dynamic range of motion (ROM) of the hip, knee, and ankle joint when wearing different shoe sole lifts, as well as the limb asymmetry of the range according to the leg length discrepancy (LLD) during normal speed walking. METHODS: The participants were 40 healthy adults. A motion analysis system was used to collect kinematic ROM data. The participants had 40 markers attached to their lower extremities and were asked to walk on a 6 m walkway, under three different shoe lift conditions (without an insole, 1 cm insole, and 2 cm insole). Visual3D professional software was used to coordinate kinematic ROM data. RESULTS: Most of the ROM variables of the short limbs were similar under each insole lift condition (p>.05). In contrast, when wearing a shoe with a 2 cm insole lift, the long limbs showed significant increases in flexion and extension of the knee joint as well as; plantarflexion, dorsiflexion, pronation, eversion, and inversion of the ankle joint (p<.05). Of the shoes with the insole lifts, significant differences in all ROM variables were observed between the left and right knees, except for the knee internal rotation (p<.05). CONCLUSION: As the insole lift was increased, more ROM differences were observed between the left and right limbs, and the asymmetry of the bilateral lower limbs increased. Therefore, appropriate interventions for LLD are needed because an artificial mild LLD of less than 2.0 cm could lead to a range of musculoskeletal problems of the lower extremities, such as knee and ankle osteoarthritis.

Rotation Control of Shoulder Joint During Shoulder Internal Rotation: A Comparative Study of Individuals With and Without Restricted Range of Motion

  • Min-jeong Chang;Jun-hee Kim;Ui-jae Hwang;Il-kyu Ahn;Oh-yun Kwon
    • Physical Therapy Korea
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    • v.31 no.1
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    • pp.72-78
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    • 2024
  • Background: Limitations of shoulder range of motion (ROM), particularly shoulder internal rotation (SIR), are commonly associated with musculoskeletal disorders in both the general population and athletes. The limitation can result in connective tissue lesions such as superior labrum tears and symptoms such as rotator cuff tears and shoulder impingement syndrome. Maintaining the center of rotation of the glenohumeral joint during SIR can be challenging due to the compensatory scapulothoracic movement and anterior displacement of the humeral head. Therefore, observing the path of the instantaneous center of rotation (PICR) using the olecranon as a marker during SIR may provide valuable insights into understanding the dynamics of the shoulder joint. Objects: The aim of the study was to compare the displacement of the olecranon to measure the rotation control of the humeral head during SIR in individuals with and without restricted SIR ROM. Methods: Twenty-four participants with and without restricted SIR ROM participated in this study. The displacement of olecranon was measured during the shoulder internal rotation control test (SIRCT) using a Kinovea (ver. 0.8.15, Kinovea), the 2-dimensional marker tracking analysis system. An independent t-test was used to compare the horizontal and vertical displacement of the olecranon marker between individuals with and without restricted SIR ROM. The statistical significance was set at p < 0.05. Results: Vertical displacement of the olecranon was significantly greater in the restricted SIR group than in the control group (p < 0.05). However, no significant difference was observed in the horizontal displacement of the olecranon (p > 0.05). Conclusion: The findings of this study indicated that individuals with restricted SIR ROM had significantly greater vertical displacement of the olecranon. The results suggest that the limitation of SIR ROM may lead to difficulty in rotation control of the humeral head.

Combined Effect of Joint Mobilization and Active Stretching on Gait Speed and Ability after Stroke

  • Go, Junhyeok;An, Hojung
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.2
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    • pp.2359-2364
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    • 2021
  • Background: Patients with stroke have limited ankle range of motion (ROM) due to soft tissue abnormalities around the ankle and thus experience functional impairment. Increased muscle tension and reduced ankle ROM impair gait and hinder the activities of daily living. Joint mobilization and stretching are effective interventions that improve gait performance by enhancing the ankle ROM. Objectives: To investigate the effects of ankle joint mobilization and calf muscle stretching on gait speed and gait performance in patients with stroke. Design: This was a randomized controlled trial. Methods: Twenty patients with stroke patients were randomized into two groups. The joint mobilization group (JMG) underwent anteroposterior mobilization of the talocrural joint and the joint mobilization stretching group (JMSG) underwent calf muscle stretching in addition to joint mobilization. Gait speed and gait parameters were measured using the 10-meter walk test and the GAITRite. Results: Both the JMG and JMSG groups showed significant improvements in gait speed, affected-side step length, and cadence after the intervention (P<.05). Conclusion: Joint mobilization and stretching were effective interventions for improving gait performance by enhancing ankle function in patients with stroke.

Development of ROM Measurement Device capable of IoT-based Real-time Monitoring for Rehabilitation Patients (재활환자를 위한 IoT 기반의 실시간 모니터링이 가능한 ROM 측정 장치 개발)

  • Kang, Min-Soo
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.4
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    • pp.111-116
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    • 2018
  • In this thesis, the range of motion of the joint was measured using a flexible sensor without using a goniometer, and the measured values were transferred to a smart device. Current range of joint motion measurement is measured by a person using a goniometer. Since the method of measuring by a person is different according to the measuring method and position of the measuring person, it is difficult to make consistent measurement, and an error may occur. The sensor for measurement is a flexible sensor that measures the resistance value that changes according to the movement of the joint. The sensed value can be transmitted to the smart device wirelessly through the ROM sensor node. Also, the sensed analog values were converted to digital values using an ADC. The converted value can be transmitted to the smart device wirelessly through the sensor node. The developed ROM measuring device can perform more consistent measurement than the measurement using general articulator and real time monitoring by interlocking with smart device, so that rapid diagnosis according to the movement of the joint can help the patient's rapid treatment and rehabilitation medical advancement will be.

Shortening Scarf Osteotomy for Treatment of Hallux Rigidus Deformity (단축 Scarf 절골술을 이용한 무지 강직증의 치료)

  • Lee, Yeong Hyeon;Ahn, Gil Yeong;Nam, Il Hyun;Lee, Tae Hun;Lee, Yong Sik;Kim, Dae Geun;Lee, Young Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.4
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    • pp.152-157
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    • 2016
  • Purpose: To evaluate the effect of shortening scarf osteotomy on pain relief and range of motion (ROM) of the first metatarsophalangeal joint in hallux rigidus patients. Materials and Methods: Twenty-three cases of 19 patients who had been treated with shortening scarf osteotomy for the hallux rigidus between January 2007 and December 2013 were reviewed. The mean follow-up period was 21.4 months, and the mean age was 59.2 years. The first metatarsal bone was shortened until the ROM of the first metatarsophalangeal joint was greater than $80^{\circ}$ or $40^{\circ}$ of dorsiflexion. The length shortened by scarf osteotomy was measured. The authors also measured and compared the joint interval difference of the standing foot using an anteroposterior radiography. Moreover, the difference of ROM of the first metatarsophalangeal joint between the preoperative and final follow-up periods was also compared. The clinical results were evaluated and compared using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system and visual analogue scale (VAS) score. Results: The mean shortening length was about 6.5 mm (range, 4~9 mm). The joint space has been increased to 1.8 mm, and the ROM of the first metatarsophalangeal joint has also been increased to $18.4^{\circ}$ after the operation. In three cases, the postoperative ROM has been decreased to less $10^{\circ}$. The AOFAS score has been improved from 41.7 (range, 32~55) to 86.2 (range, 65~95), and the VAS score was also decreased from 3.7 (range, 3~5) to 1.3 (range, 0~3). Two cases have shown no decrease in pain even after the operation. Conclusion: Shortening scarf osteotomy was found to decrease joint pain by decompressing the pressure of the first metatarsophalangeal joint. This osteotomy also helped improve the ROM of the first metatarsophalangeal joint. Shortening scarf osteotomy can be considered one of the effective methods for joint preservation.

A Case Study Of Patients With Knee Joint Pain Treated With Rubiae Radix Pharmacopuncture (천초약침 치료를 병행한 슬관절 통증 환자에 대한 증례 보고)

  • Lee, Jin-Bok;Cho, Yi-Hyun;Im, Jeong-Gyun;Kim, Jong-Uk;Yook, Tae-Han;Song, Beom-Yong
    • Journal of Pharmacopuncture
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    • v.13 no.3
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    • pp.109-120
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    • 2010
  • Objective : This study was to investigate the clinical effect of Rubiae Radix pharmacopuncture on knee joint pain. Methods : The patients were treated by Rubiae Radix pharmacopuncture, Acupuncture, herbal medicine. To evaluate the effect of the treatment, The patient's symptoms were assessed by Visual Analogue Scale(VAS) Score, Knee injury and osteoarthritis outcome score(KOOS) and physical examinations. Results : In all cases, the pain was reduced significantly according to improvement of VAS score, KOOS and active Range Of Motion(ROM) of knee joint. VAS score and KOOS of all cases were decreased. In two cases, ROM of knee joint has improved. But in one case, ROM of knee joint has still been restricted. But there are no noticeable changes in physical examinations. Conclusion : These results suggest that Rubiae Radix pharmacopuncture might be an effective method to treat patients with knee joint pain. But, It's necessary to have more observations and experiments with Rubiae Radix pharmacopuncture.

Relationship between Hip Medial Rotation Range of Motion and Weight Distribution in Patients with Low Back Pain

  • Kim, Sang-Kyu;Kim, Won-Bok;Ryu, Young-Uk
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.3
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    • pp.279-284
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    • 2014
  • PURPOSE: This study intended to verify whether there was actual correlation between weight-bearing asymmetry and a limitation in hip joint rotation range in patients with low back pain. METHODS: Thirty five low back pain patients voluntarily participated this study. For each participant, hip joint medial rotation symmetry rate and the weight-bearing symmetry rate were calculated. The correlation between the two variables was investigated. RESULTS: A decrease in the left hip joint medial rotation range of motion (ROM) was observed more often than a reduction in the right hip joint medial rotation ROM. However, similar number between right and left side was observed in ground reaction force more weighted. The coefficient between the passive hip joint medial rotation symmetry rate and the weight loading symmetry ratio was -0.19 (p < 0.05). CONCLUSION: The present study demonstrated a weak correlation between the hip joint medial rotation ROM and the weight distribution of both feet. Such result suggests that careful evaluation by separating each element is needed in treating patients with low back pain. Future research should take into account asymmetric alignment and abnormal movement in different joints of the body as well as asymmetry in the bilateral hip joint rotation and the unilateral weight supporting posture.