• Title/Summary/Keyword: Joint training

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Effects of Pelvic Tilt Training using Inclinometer on Joint Position Sense and Postural Alignment in Patients with Chronic Stroke

  • Gu, Ja-Shin;Choi, Sung-Jin;Choi, Ho-Suk;Shin, Won-Seob
    • The Journal of Korean Physical Therapy
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    • v.28 no.1
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    • pp.33-38
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    • 2016
  • Purpose: The aim of this study was to determine the effectiveness of pelvic tilt training using an inclinometer on joint position sense and postural alignment in individuals with stroke. Methods: Thirty-one subjects with chronic stroke were divided into two groups: the experimental group (16 subjects) and the control group (15 subjects). Subjects in both groups received neuro-developmental therapy five times per week. In addition, the patients in the experimental group also received pelvic tilt training using an inclinometer for 30 minutes, 3 times a week for 4 weeks. Maximal range of anterior, posterior pelvic tilt and joint position sense were used to evaluate pelvic tilt motion. Image analysis was performed for evaluation of postural alignment on in standing position. Results: Significant difference in Iimprovement of pre- and post-intervention of joint position sense was observed showed significant difference (p<0.05) in all groups. Experimental groups showed sSignificant differences in maximal range of posterior pelvic tilt in on the paretic side were observed in the experimental groups compared to with the control group (p<0.05). Conclusion: These findings suggest that pelvic tilt training using an inclinometer may help to improve range of pelvic tilt and joint position sense of stroke patients.

Effect of Cryotherapy on Muscle Strength and Balance on the Ankle Joint in Patients with Stroke

  • Park, Jin
    • The Journal of Korean Physical Therapy
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    • v.33 no.2
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    • pp.91-96
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    • 2021
  • Purpose: This study investigated the effects of cryotherapy on the ankle joint muscle strength and balance ability in stroke patients with ankle joint muscles. Methods: In this study, 20 patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a cryotherapy group (10 patients) and a control group (10 patients). The cryotherapy group performed sit-to-stand training for 15 minutes and then cryotherapy for the minutes. In the control group, after sit-to-stand training for 15 minutes, blocked cryotherapy was provided for three minutes. In both groups, the interventions were provided five times a week for three weeks. The strength of the ankle joint muscles was measured before and after the training using the Biodex systems 3. The static balance ability was measured using balancia software, and the dynamic balance ability was measured by performing the sit-to-stand test (FTSST) five times. Results: After the training periods, the cryotherapy group showed significant improvement in the ankle dorsiflexor strength, ankle plantarflexor strength, weight distribution of the affected side, and FTSST compared to the control group (p<0.05). Conclusion: Based on these results, cryotherapy could be considered an effective method to improve the strength of ankle joint muscles. Cryotherapy improves muscle strength as it increases the motor neuron excitability. Therefore, cryotherapy may be considered to improve the strength of the ankle joint muscles of stroke patients.

Reliability of the Joint Neutral Position and Measurement Methods of the Ankle Joint Complex Range of Motion (발목관절 복합체의 가동범위 측정을 위한 중립위치와 측정방법의 신뢰도)

  • Hong, Wan-Sung;Kim, Gi-Won
    • The Journal of Korean Physical Therapy
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    • v.23 no.4
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    • pp.45-51
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    • 2011
  • Purpose: To determine the correct measurement methods of the ankle joint complex range of motion for measuring the neutral position and evaluate the rater reliability. In addition, the impact of training on the rater reliability was also assessed. Methods: The subjects were eleven healthy women, who were evaluated by two physical therapists and one physical therapist recorded the results of the study. Standard goniometer was used as the measurement tool. The ankle and subtalar joint neutral position and the active range of motion of the ankle and subtalar joint were measured. Intra-rater reliability and inter-rater reliability measures were analyzed with intraclass correlation coefficients. Results: Intra-rater reliability and inter-rater reliability ranged from high to medium for the neutral position of the ankle joint complex. Intra-rater reliability for dorsiflexion and plantarflexion measurements was medium, while the inter-rater reliability was high. The range of motion of the subtalar joint was measured, and the intra-rater reliability and inter-rater reliability were low and medium, respectively Also, the intra-rater reliability was increased with formal training of the measurement techniques. Intra-rater reliability was reduced in case the raters had not undertaken the training. Conclusion: In summary, the results obtained with the measurement tools and joint measurement of position, indicate the consistency of repeated measurements made by the same observers. Under the same circumstances along with repetition of the same measurement technique during training caused an increase in the rater reliability of formally trained raters.

Effects of 8week Plyometric training on power, dynamic balance and joint position sensory in Taekwondo demonstrator (8주간의 플라이오메트릭 훈련이 대학 태권도 시범선수의 순발력, 동적 평형성 및 관절 위치감각에 미치는 영향)

  • Choi, Kwang Wong;Lee, Seoak Jun;Park, Woo-Young
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.4
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    • pp.1107-1116
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    • 2021
  • The purpose of this study investigate the effects of 8 weeks plyometric training on power, dynamic balance and joint position sensory in Taekwoondo demmonstrators. Twenty healthy collegiate Taekwoondo demonstrators were randomly assigned to either an exercise group (Ex=10), and a control group (Con=10), Ex group completed the plyometric training in three times a week, 60 minute for 8 weeks. Testing before and after training include the Sargent jump, standing long jump, back muscle strength, Dynamic balance and joint position sensory. Sargent jump, standing long jump and back muscle strength were significantly development(p<.05). And dynamic balance were significantly exercise effect in posterolateral(p<.01) and posteromedial(p<.05). Not only but also, joint position sensroy were significantly exercise effect in left food 15°(p<.01) and 45°(p<.05). The results of the study showed that 8 weeks of plyometric training had a positive effect on the power, dynamic balance and joint position sensory in Taekwondo demonstrator.

Ultrasound and clinical findings in the metacarpophalangeal joint assessment of show jumping horses in training

  • Yamada, Ana Lucia M.;Pinheiro, Marcelo;Marsiglia, Marilia F.;Hagen, Stefano Carlo F.;Baccarin, Raquel Yvonne A.;da Silva, Luis Claudio L.C.
    • Journal of Veterinary Science
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    • v.21 no.3
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    • pp.21.1-21.14
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    • 2020
  • Background: Physical exercise is known to cause significant joint changes. Thus, monitoring joint behavior of athletic horses is essential in early disorders recognition, allowing the proper management. Objectives: The aims of this study were to determine the morphological patterns, physical examination characteristics and ultrasound findings of show jumping horses in training and to establish a score-based examination model for physical and ultrasound follow-ups of metacarpophalangeal joint changes in these animals. Methods: A total of 52 metacarpophalangeal joints from 26 horses who were initially in the taming stage were evaluated, and the horses' athletic progression was monitored. The horses were evaluated by a physical examination and by B-mode and Doppler-mode ultrasound examinations, starting at time zero (T0), which occurred concomitantly with the beginning of training, and every 3 months thereafter for a follow-up period of 18 months. Results: The standardized examination model revealed an increase in the maximum joint flexion angles and higher scores on the physical and ultrasound examinations after scoring was performed by predefined assessment tools, especially between 3 and 6 months of evaluation, which was immediately after the horses started more intense training. The lameness score and the ultrasound examination score were slightly higher at the end of the study. Conclusions: The observed results were probably caused by the implementation of a training regimen and joint adaptation to physical conditioning. The joints most likely undergo a pre-osteoarthritic period due to work overload, which can manifest in a consistent or adaptive manner, as observed during this study. Thus, continuous monitoring of young athlete horses by physical and ultrasound examinations that can be scored is essential.

The Comparative Study with Isokinetic and Isotonic Exercise Knee Joint Involved Side in Hemiplegia Patients (편마비 환자들의 환측 슬관절 중심으로 등속성 및 등장성 운동 비교연구 -Cybex II+ Isokinetic Dynamometer를 이용한 평가를 기준으로-)

  • Chae, Soo-Sung;Jun, Gun-Sik;Moon, Sung-Ki
    • Journal of Korean Physical Therapy Science
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    • v.1 no.1
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    • pp.165-173
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    • 1994
  • The purpose of this study was to find out the effect of muscular strength of quadriceps, hamstring of knee joint to isokintic, isotonic exercise treatment in stroke. Data was collected from 80 stroke from January 10. 1994 to april 10, 1994 in a Chungnam university hospital. The results were as follows; 1. Peak torque was higher isokinetic than isotonic excercise group both in quadriceps and hamstring of knee joint, 6 weeks, 8 weeks 10 weeks showed statistically significant in isokinetic exercise training group. 2. Total work was high isokinetic than isotonic exercise group both in quadricaps and hamstring of knee joint, 10 weeks 12 weeks showed statistically significant in isokinetic exercise training group. 3. Average peak torque and total work was higher isokinetic than isotonic excercise group both in quadriceps and hamstring of knee joint, showed statistically significant in isokinetic exercise training group (p<0.05).(p<0.01). Isokinetic and isotonic exercise treatment were needed for sutable walk training in stroke. But I think that better method was isokinetic exercise treatment in muscular strength and endurance.

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The STCW Manila Amendments and its Challenges to the Far East

  • Chae, Chong-Ju
    • Journal of Navigation and Port Research
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    • v.38 no.3
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    • pp.193-202
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    • 2014
  • The comprehensive review of the STCW 1978, as amended in 1995 and associated Code was carried out from 2006 to 2010. These amendments will have a certain degree of impact on Maritime Education and Training(MET) institutes in terms of education and training of seafarer worldwide. Particularly, the Far East region countries are effected more than other regions since they covered about 30% of officers and 37% ratings in the world. In view of these facts this dissertation conceived to analyze the problems in the Far East main seafarer supply countries faced the implementation of "STCW Manila Amendments" To analyze these problems, this dissertation carried out questionnaire research to 7 targeted main MET of major Far East seafarer supply countries. After research this dissertation suggests the possible solutions such as, Joint On-Board Training Center; Joint Asia Maritime E-learning Systems; methods to reducing work-load, ship inspection burden and determine mandatory minimum safety manning standards in a safe way; technical cooperation fund to installation of training equipment; and clarify vague terminology of STCW Manila Amendments, to solve problems identified through the questionnaires.

A Study of Joint Therapy (관절치료에 관한 연구)

  • Bae, Sung-Soo;Lee, Myung-Hee;Lee, Sang-Yeul;Yoon, Chang-G.
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.121-125
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    • 2008
  • Purpose : The objective of this study was conducted to find out the treatment of joint problems. Methods : This is a literature study with books, seminar note and international course books. Results : Passive oscillation and distraction movement therapy is only joint mobilization and pain control. In the joint therapy need muscle strengthening, training of eccentrical control and neurophysiological therapy for joint mobility, stability, stability of mobility and skill. Conclusion : Joint therapy is not only joint mobility but also strengthening of soft tissue. Need the neurophysiological therapy those are use of ventromedial motor nucleus and dorsolateral motor nucleus, reciprocal inhibition, eccentrical muscle contraction training, proprioceptors and exteroceptor for structures and functional activities. For the pain control, reduce swelling, keeping GAGs and functional activities need direct and indirect therapy.

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Effects of sensory stimulation on upper limb strength, active joint range of motion and function in chronic stroke virtual reality training

  • Kim, Dong-Hoon;Lee, Suk-Min
    • Physical Therapy Rehabilitation Science
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    • v.9 no.3
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    • pp.171-177
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    • 2020
  • Objective: This study aimed to investigate the upper limb strength, active joint range of motion (AROM), and upper limb function in persons with chronic stroke using virtual reality training in combination with upper limb sensory stimulation. Design: Two-group pretest-posttest design. Methods: 20 subjects were divided into two groups of 10, the sensory motor stimulation and virtual reality training (SMVR) and virtual reality training (VR) groups. The training was conducted for 30 minutes per session, three times a week for 8 weeks.The participants' upper limb strength was measured via the hand-held dynamometer, joint angle AROM was measured via dual inclinometer, function was measured using the Jebson-Taylor hand function test and the manual function test. Results: Significant differences were observed in all groups before and after the training for upper extremity strength, AROM, and function (p<0.05). Between the two groups, the SMVR group showed significant improvement in muscle strength, AROM, and Jebsen-Taylor hand function test scores compared with the VR groups (p<0.05). Conclusions: In this study, we confirmed that sensory stimulation and VR had positive effects on upper extremity strength, AROM, and function of persons with chronic stroke. The results suggest that in the future, VR in combination with sensory stimulation of the upper limb is likely to become an effective method (a rehabilitation training program) to improve the upper limb function of persons with chronic stroke.

Effect of Pilates Reformer Training on Gait Improvement of Subjects with Asymmetric Pelvic Rotation (필라테스 리포머 운동이 비대칭 골반 돌림을 가진 대상자의 보행 개선에 미치는 효과)

  • Moon, Ok-Kon;Han, Song-E
    • Korean Journal of Applied Biomechanics
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    • v.23 no.3
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    • pp.271-278
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    • 2013
  • The purpose of this study was to determine the effect of Pilates Reformer training on gait improvement of subjects with asymmetric pelvic rotation. The seven subjects with greater pelvic rotation in right swing were assessed twice, 4 weeks apart, during which there was submitted to a Pilates Reformer training (three 40 min session per week). The kinematic data consisted of pelvic rotation and flexion angle of hip and knee joint was measured during gait. In comparison between both leg swings, max, min and range values of pelvic rotation was not significantly difference. After training, range of pelvic rotation in right swing was significantly decreased, but in left swing was not. In comparison between both leg swings, the values of max of hip and knee joint angle was significantly difference. After training, max values of angle of knee joint in right swing was significantly increased, but in left swing was not. The result of this study revealed that Pilates Reformer training was effective in improving gait to symmetric pelvic rotation.