• Title/Summary/Keyword: Joint range of motion

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Reliability of measurement devices for measuring the ankle joint motion (발목 관절 가동범위 측정을 위한 측정도구의 신뢰도 연구)

  • Hong, Wan-Sung;Kim, Gi-Won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.1-8
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    • 2009
  • Purpose: The purposes of this study were to establish the concurrent validity of the universal goniometer and electronic inclinometer for ankle joint of motion, and to determine the inter-tester and the intra-tester reliability of these two instruments. Methods: Subjects were instructed 25 healthy subjects. Ankle range of motion was measured on two separate occasions 2 or 3 days by two physical therapists. Ankle dorsiflexion and plantarflexion was by using an universal goniometer and an electronic inclinometer. Results: The Pearson product-moment correlation between the two instruments was 0.78~0.80. The ICCs for inter-tester reliability ranged from 0.63 to 0.73 for universal goniometer and ranged from 0.81 to 0.88 for electric inclinometer. The ICCs for intra-tester reliability showed a wide variation(ICC=0.61 to 0.86). Conclusion: These findings indicate that the two instruments are reliable instruments for measuring ankle joint range of motion. The results also indicate that the two instruments can be used interchangeably for measuring ankle motions.

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A Comparative Study on the Effectiveness of Symptom control between Heat and Cold therapy in Patients with Arthritis (관절염환자의 증상완화를 위한 온요법과 냉요법의 비교연구)

  • Kang, Hyun-Sook
    • Journal of muscle and joint health
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    • v.2 no.2
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    • pp.147-159
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    • 1995
  • Although there are many research studies on the effectiveness of heat and cold therapy for patients with arthritis at home or health care center, little attention has been paid to determining which therapy associates with season is effective for patients with chronic arthritis. The purpose of this study was to explore the effectiveness of heat and cold therapy associated with season for patients with arthritis. An experimental design using replications with intervention was employed. A total of 27 female arthritic patients were selected. Data were collected in summer and winter. Hot bag and ice bag were applied on each patient's knee for each 20 minutes alternatively. Joint pain, discomfort and range of motion were measured. Data were analyzed using paired t-test, and two-way ANOVA. The results of this study were ; 1. Joint pain Heat therapy was effective for pain relief, as compared with cold therapy. Heat therapy was more effective for pain relief in winter than in summer. Cold therapy was effective for pain relief, but there was no statistically significant difference of pain relief between summer and winter. 2. Discomfort Discomfort was decreased using heat therapy, whereas it was increased using cold therapy. Although discomfort was decreased using heat therapy in both summer and winter, there was no statistically significant difference of discomfort between summer and winter. Using cold therapy, discomfort was decreased in summer, but increased in winter. and season had effect on discomfort. 3. Range of motion Although there was no statistically significant difference between the range of motion for both heat and cold therapy, range of motion was Increased using both heat and cold therapy. In winter, range of motion was increased rather than in summer by using heat therapy. Using cold therapy, The range of motion was decreased in both summer and winter. There was no stastistically significant difference of range of motion between heat therapy and cold therapy. Furthermore, there was no statistically significant difference of range of motion between summer and winter. In conclusion, both heat and cold therapy were effective for pain relief, discomfort, and range of motion, especially heat therapy. Heat therapy was effective for pain relief, discomfort, and range of motion in winter, as compared with summer. Cold therapy, however, was effective for only pain relief in winter, The findings suggest the use of heat therapy for patients with arthritis especially in winter.

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Effect of the Underwater Ai-Chi Exercise Program on Hip Joint Mobility, Body Balance and Posture Change Based on Amount of the Physical Activity of College Students (수중 Ai-Chi 운동프로그램이 신체 활동량에 따른 대상자의 엉덩관절 가동성과 자세 및 균형에 미치는 영향 )

  • Ki-Won Nam;Se-Hun Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.89-96
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    • 2023
  • PURPOSE: To investigate the effects of the underwater Ai-Chi exercise on the joint range of motion, balance and posture. METHODS: Thirty-six college students (30 men, 6 women) were divided into a 'low physical activity' groups (Group I). and an 'appropriate physical activity' groups (Group II). The Ai-Chi underwater exercise was conducted three times a week for two weeks for both groups. A goniometer was used to measure the range of motion of the hip joint, and Y-Balance and the posture screen mobile were used to measure the stability of the lower extremities. RESULTS: An evaluation of the range of motion of the hip joint before and after the Ai-Chi exercise showed significant results in the low physical activity group. However, the flexural range showed a significant increase after exercise, but not significant result. In the comparison of the mean increase between groups, only the right hip joint showed a significant difference in both groups. Also, in the comparison of the Y balance test and posture screen test before and after exercise, both groups showed significant. CONCLUSION: The Ai-Chi underwater exercise helped improve the range of motion of the hip joint and the ability to balance. Also It helped improve posture alignment. In addition, although the increase in all physical activity groups lower than the appropriate physical activity groups was greater in all figures, the increase in the number of samples, the extension of the experimental period, and various variables could be obtained.

Characteristics of Elderly Drivers' Reach Motion to Seat Belt (고령운전자 시트 벨트 뻗침 거동 특성 분석)

  • Choi, Woo-Jin;Kwak, Seung-Ho;Choi, Hyung-Yun
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.1
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    • pp.73-82
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    • 2010
  • The purpose of this study is to understand motion characteristics of older drivers during reaching seat belt compared to young drivers and to provide design guidelines in order to reduce discomfort for the elderly. The whole body kinematics of each subject was captured using 12-camera motion analysis system. Subjective ratings on discomfort levels were obtained simultaneously using a questionnaire. This paper first presents the result of motion characteristics of elderly drivers' reach motion to seat belt. Compared to young drivers, older drivers performed seat belt reach motions less efficiently and moved slower due to mostly the movement error. Older drivers also made use of reduced joint range of motion in cervical left rotation, lumbar left rotation and right shoulder adduction, which can be explained by their reduced active range of motions (AROMs). To compensate for their reduced joint range of motion, older drivers rotated pelvis more.

Concurrent Validity of a Universal Goniometer and a Double Meter Inclinometer for Passive Range of Motion in Beagle Dogs

  • Heo, Su-Young;Park, Yun-Sik;Lee, Hae-Beam
    • Journal of Veterinary Clinics
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    • v.34 no.4
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    • pp.241-244
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    • 2017
  • The purpose of this study was to evaluate the concurrent validity of the double meter inclinometer (DMI) for passive joint range of motion (ROM) in beagle dogs and to compare these results to a universal plastic goniometer (UPG). Fifteen beagle dogs were recruited for this study. Joint ROM was evaluated twice with each device to calculate the intraobserver reliability. The intraclass correlation coefficient (ICC) values of the UPG were good to excellent (> 0.75) for all joint ROM tests. Similar results were obtained with the DMI. The ICC values of the DMI were good to excellent (> 0.75) except in extension of the tarsal joint (ICC = 0.69). The majority of the ICC results between each device were poor (< 0.50) with the exception of six joints. Our findings suggest that the inclinometer can be used for passive joint ROM in veterinary medicine. However, caution should be taken when comparing measured values of passive joint ROM obtained utilizing both the DMI and UPG.

Application of Joint Mobilizing Chuna Following Tibial Plateau Fracture Surgery: A Study of Two Cases (경골 고평부 골절 수술 후 관절가동추나의 적용: 증례보고 2례)

  • Cho, Eunbyul;Cho, Nam geun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.2
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    • pp.75-81
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    • 2020
  • Objectives The purpose of this study was to report the effect of Korean medicine treatment, including the application of joint mobilizing chuna, by reporting two cases after tibial plateau fracture surgery. Methods Two patients with tibial plateau fractures were treated using joint mobilizing chuna, myofascial chuna, acupuncture, and herbal medication. The effect of the treatments was evaluated using the range of motion, manual muscle test, numeric rating scale, and Korean Knee Injury and Osteoarthritis Outcome Score. Results In both cases, the range of motion, muscle strength, and pain were significantly improved. In particular, the range of motion for knee joint flexion increased by 47° in case 1 and 30° (right) and 42° (left) in case 2. Conclusions Korean medicine treatment, especially joint mobilizing chuna, may be an effective intervention for rehabilitation after tibial plateau fracture surgery.

Biomechanical Analysis of Soft Golf Swing (소프트 골프 스윙의 생체역학적 해석)

  • Kim Y.Y.;Kim S.H.;Kwon T.K.;Kim N.G.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.643-644
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    • 2006
  • The purpose of this study is to experimentally analyze swing motion with soft golf clubs and compare with that with normal golf clubs. Soft golf is newly devised recreational sport based on golf but focus on the playability for the elderly. The subject fur the experiment performed swing motion using a normal golf club and a soft golf club in turn. The swing motion of the subjects was tracked using an opto-electric three-dimensional motion analysis system. The results were compared against those obtained with a normal golf club. The range of motion was analyzed along with top head speed for two cases. It was found that higher club head speed could be achieved with reduced range of motion at lumbar joint using soft golf club when compared against the swing using regular club. The lower range of motion fur lumbar bending means reduced risk of injury at the joint. So, it is projected that we can reduce the risk of injury with soft golf while maintaining the club head speed.

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The Effects of an Early Knee Joint Exercise Education Program on Pain, Knee Range of Motion, and Satisfaction in Patients after Undergoing Total Knee Replacement Arthroplasty (슬관절 전치환술 후 조기 슬관절 운동 교육 프로그램이 통증, 슬관절가동범위, 환자만족도에 미치는 영향)

  • Shin, Yi Seul;Lee, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.283-292
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    • 2018
  • Purpose: This study was conducted to evaluate the effects of early knee joint exercise education program on pain, knee ROM, and satisfaction among patients with a total knee replacement arthroplasty. Methods: An experimental study with non-equivalent groups was conducted using 32 patients for an experimental group and 32 patients for a control group. The experimental group received knee joint exercise education including systemic continuous passive motion (CPM) exercise and knee exercise. The control group received conventional CPM exercise. Pain, flexion and flexion contracture range of motion, and patient satisfaction were evaluated by $x^2$ test, Fisher's exact test, t-test, and repeated measures ANOVA using the SPSS 23.0 Windows program. Results: There were a significant improvement in patients' knee flexion and satisfaction in the experimental group compared to the control group. There was no significant difference in pain and flexion contracture between the two groups. Conclusion: The findings suggest that the proposed education program is efficient and effective when providing nursing care after a total knee replacement arthroplasty.

A study of measurement on range of arm joint motion of Korean male in twenties (한국인 20대 청년의 팔 관절 동작범위 측정 연구)

  • 이영신;이석기;김철중;박세진
    • Journal of the Ergonomics Society of Korea
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    • v.15 no.1
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    • pp.39-52
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    • 1996
  • This paper measured the range of arm joint motion for Korean 54 males in twenties. The range of the arm joint motion of the subjects was measured directly using Goniometer and protractor. The number of the static and the dynamic anthropometric variables are seven and thirteen, respectively. The anthropometric data are analyzed by basic statistical analysis (four group), correlation analysis and regression analysis using commercial SAS program. The results of analysis are compared with American students anthropometric data by Laubach(1978). Thin subjects have larger movement angle as wrist flexion, wrist abduction, elbow flexion, and elbow wupination and have smaller as wrist adduction and shoulder flexion. Fat subjects have larger movement angle as shoulder flexion and are smaller wrist abduction, elbow flexion, pronation, shoulder extension, shoulder adduction, shoulder abduction, and shoulder medial rotation Korean are more flexible than American in wrist and ranges of elbow flexion and elbow rotation. The shoulder movement is similar to that of American, but shoulder flexion is less flexible.

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Effect of Cross-legged Sitting Posture on Joint Range of Motion: Correlation with Musculoskeletal Symptoms and Facial Asymmetry

  • Shin, Yeong hui
    • The Journal of Korean Physical Therapy
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    • v.34 no.5
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    • pp.255-266
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    • 2022
  • Purpose: This study sought to study the effects of cross-legged sitting posture on joint motion. It also examined the correlation between the changes in the joint range of motion, musculoskeletal symptoms, and facial asymmetry. Methods: The Acumar Digital Inclinometer (Lafayette Instrument Company, USA) was used to measure the range of motion (ROM). We measured the flexion and extension of the cervical, thoracic, and lumbar spine using a dual inclinometer, and measured the ROM of the shoulder and hip joint with a single inclinometer. The Likert scale questionnaire was used to investigate musculoskeletal symptoms and facial asymmetry. Results: The data analysis was performed using the Jamovi version 1.6.23 statistical software. After confirming the normality of the ROM with descriptive statistics, it was compared with the normal ROM through a one-sample t-test. Correlation matrix analysis was performed to confirm the association between facial asymmetry and musculoskeletal symptoms. The result of the one-sample t-test showed a significant increase in the thoracic spine extension and right and left hip external rotation (p<0.001***), while most other joints were restricted. As per the frequency analysis, facial asymmetry was found to be 81.70%. Conclusion: The independent variable, namely cross-legged sitting posture led to an increase in ROM. The study also suggests that facial asymmetry and musculoskeletal symptoms could occur. Therefore, to prevent the increase and limitation of ROM and to prevent the occurrence of facial asymmetry and musculoskeletal symptoms, it is suggested that the usual cross-legged sitting posture should be avoided.