• 제목/요약/키워드: KNEE JOINT TORQUE

검색결과 92건 처리시간 0.022초

뇌졸중 환자에서 슬관절 굴근의 등속성운동이 슬관절 근력 및 보행에 미치는 영향 (Effects of knee flexor isokinetic training on Knee muscles strength and walking speed in hemiplegia)

  • 장문헌
    • 대한물리치료과학회지
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    • 제7권2호
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    • pp.711-725
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    • 2000
  • The purpose of this study was to determine the effects of knee flexor isokinetic training on the mean peak torque of knee muscles and hamstrings-to-quadriceps ratio(H/Q ratio) in hemiplegia able to walk independently for more than 10 meters, to analyze the effect of torque increasing on functional aspects; fatigability and ambulation times, also. Forty-one adult subjects with hemiplegia secondary to a stroke partipated in this study. All participants were in/out patients at the College of Medicine, Pocheon CHA University, Pundang CHA General Hospital. The patients were allocated to two groups: one group exclusively for isokinetic maximal voluntary knee flexor training at $150^{\circ}$/sec(n=20) and the other exclusively for isokinetic maximal voluntary knee flexor training from $30^{\circ}$/sec to $150^{\circ}$/sec (n=21) gradually. The allocation was performed according to patient age, sex, affected side to minimize imbalance between the two training groups. Training was carried out from February 14th, 2000 to April 15th, 2000. Analysis of the data was done by means of t-test, x2-test, paired t-test, ANOVA, and multiple regression analysis. The results of this study were as follows: 1. There were no significant differences between the two groups in mean peak torque of knee muscles and relative decreases in knee extensor mean peak torque with increased knee flexor velocities before training (P<.05). 2.There was no significant differences between the two groups in the H/Q ratio, and no relative increases with increased knee flexor velocities before training. 3. there were significant changes in mean peak torque in group A after training(P<.05), but no significant differences as the velocity increased 4.there were significant changes in mean peak torque in group B after training(P<.05), but no significant differences as the velocity increased 5.there were no significant differences between the two groups, and no significant differences in mean peak torque increase rate between the groups with increased knee flexor velocities after training 6.H/Q ratio increased with increased knee flexor velocities between the two groups, but not statistically And there was no significant differences between the groups with increased knee flexor velocities 7.After training, Ambulation time and its decreasing rate decreased significantly in group B (P<.05) 8Before and after training, there was no significant differences between the groups in the fatiguability 9. In the multiple regression analysis, mean peak torque increase rate of the knee extensor and flexor were higher in group B than A(P<.05), and significantly higher with increased knee flexor velocities (P<.05) Also, training method influenced on Ambulation times decreases significantly(P<.05). Results indicated that knee flexor isokinetic training was effective to knee extensor and flexor mean peak torque increase in the hemiplegia able to walk independently for more than 10 meters. Therefore, we were able to conclude that gradual training from low to high velocity was more effective in the increase of mean peak torque of knee joint and decrease of Ambulation times than training only at high velocity.

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근전도 신호를 이용한 무릎 착용 로봇시스템 (Knee-wearable Robot System Using EMG signals)

  • 차경호;강수정;최영진
    • 제어로봇시스템학회논문지
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    • 제15권3호
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    • pp.286-292
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    • 2009
  • This paper proposes a knee-wearable robot system for assisting the muscle power of human knee by processing EMG (Electromyogram) signals. Although there are many muscles affecting the knee joint motion, the rectus femoris and biceps femoris among them play a core role in the extension and flexion motion, respectively, of the knee joint. The proposed knee-wearable robot system consists of three parts; the sensor for measuring and processing EMG signals, controller for estimating and applying the required knee torque, and actuator for driving the knee-wearable mechanism. Ultimately, we suggest the motion control method for knee-wearable robot system by processing the EMG signals of corresponding two muscles in this paper. Also, we show the effectiveness of the proposed knee-wearable robot system through the experimental results.

착지 높이와 무릎관절 근육 피로가 착지 후 방향 전환 동작 시 하지관절의 움직임에 미치는 영향 (Effects of Landing Height and Knee Joint Muscle Fatigue on Movement of the Lower Extremity during Cutting After Landing)

  • 김유경;염창홍
    • 한국운동역학회지
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    • 제25권3호
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    • pp.311-322
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    • 2015
  • Objective : The purpose of this study was to investigate the effects of landing height and knee joint muscle fatigue on the movement of the lower extremity during cutting after landing. Method : Subjects included 29 adults (age: $20.83{\pm}1.56years$, height: $172.42{\pm}9.51cm$, weight: $65.07{\pm}10.18kg$). The subjects were asked to stand on their dominant lower limb on jump stands that were 30 and 40 cm in height and jump from each stand to land with the dominant lower limb on a force plate making a side step cutting move at a $45^{\circ}$ angle with the non-dominant lower limb. The fatigue level at 30% of the knee extension peak torque using an isokinetic dynamometer. Results : The results showed that the difference of landing height increased maximum range of motion and angular velocity of hip, knee, and ankle joints in the sagittal plane, and in the angular velocity of motion of the hip joint in the sagittal plane. The maximum range of motion of the knee joint in the sagittal plane and the frontal plane decreased on landing from both heights after the fatigue exercise. The angular velocity of the hip joint in the sagittal plane, and the maximum range of motion of the hip joint in the transverse plane decreased for both landing heights after the fatigue exercise. The angular velocity of the hip joint in the frontal plane decreased for the 30 cm landing height after the fatigue exercise. On the other hand, the angular velocity and maximum range of motion of the ankle joint in the sagittal plane for both landing heights, and the angular velocity and maximum range of motion of the ankle joint in the frontal plane increased on landing from the 40 cm height after the fatigue exercise. Conclusion : Different landing heights of 30 and 40 cm and 30% fatigue of peak torque of knee extensor found a forefoot and stiff landing strategy, when cutting after landing. These results might be due to decline in the shock absorption capability of the knee joint and the movement capability related to cutting while increasing the contribution of the ankle joint, which may cause increased ankle joint injuries.

계단 보행을 위한 능동형 대퇴의지 무릎 관절의 설계 및 최적화 (Design and Optimization of an Knee Joint of Fully-active Transfemoral Prosthesis for Stair Walking)

  • 안형종;이광희;홍이;이철희
    • 재활복지공학회논문지
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    • 제10권1호
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    • pp.65-72
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    • 2016
  • 본 논문은 계단 보행 조건에서 작동할 수 있는 능동형 대퇴의지를 설계하고 구조 최적화를 통해 경량화를 진행하는 것을 목적으로 한다. 계단 보행 시 무릎에 걸리는 토크는 일반 보행에 비해 크므로 능동형 상대적으로 큰 토크를 낼 수 있는 동력 시스템이 필요하다. 또한 의지의 무게는 사용자의 착용감과 피로감과 연관이 되므로 의지의 경량화 설계 또한 필수적이다. 계단 보행 시 필요한 토크를 만들어내고 경량화와 소형화 구조를 적용하기 위해 플랫형 BLDC 모터를 사용하였다. 다양한 감속 장치를 이용해 필요 토크를 생성하고 작동각도 및 속도를 만족할 수 있게 감속비를 선정하였다. 구조 및 구동부 설계가 완료된 후 최적화를 통해 구조 경량화를 수행하였다. 계단 보행 시 나타나는 하중 조건을 고려하여 최적화를 수행하였으며, 해석 및 실험을 통해 최적화된 구조의 안정성을 검증하였다. 결과적으로 구조물의 강성은 유지하면서 위상 최적화와 형상 최적화를 통하여 무게를 감량하였으며, 공간 효율이 좋아졌다.

무릎손상 엘리트 배구선수에 관절가동운동이 무릎통증, 등속성 근력, 근긴장도, 근경직 개선에 미치는 효과 (Effect of joint mobilization on improvement of knee pain, isokinetic strength, muscle tone, muscle stiffness in an elite volleyball player with knee injury)

  • 왕중산;안호정;김용연
    • 한국산학기술학회논문지
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    • 제17권7호
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    • pp.326-333
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    • 2016
  • 본 연구는 무릎손상 엘리트 배구선수에 관절가동운동이 무릎통증, 등속성근력, 근긴장도, 근경직에 미치는 효과를 확인한 사례연구이다. 사례자는 왼쪽 무릎관절에 연골결손과 수술경험이 있고 평소 지속적인 통증과 운동 시 통증을 호소하였다. 연구기간은 2015년 8월 5일부터 12월 24일이며, 왼쪽 무릎관절에 관절가동술을 1일 1회 15분씩 총 8회 적용하였다. 연구의 측정은 시각적사상척도를 이용하여 무릎통증, 등속성 근력측정장비를 사용하여 넙다리네갈래근과 넙다리뒤근육 동심성 최대회전력, 근긴장도측정장비를 사용하여 손상쪽에 넙다리곧은근, 안쪽넓은근, 가쪽넓은근의 근긴장도와 근경직을 중재 전과 중재 후 실시하였다. 연구 결과, 단기간 관절가동운동이 손상 쪽 무릎통증 감소, 양쪽 넙다리네갈래근과 넙다리뒤근육 동심성 최대회전력의 증가, 손상 쪽 넙다리네갈래근의 근경직 증가에 긍정적인 효과가 있었다. 특히 손상 쪽 넙다리네갈래근의 경우 관절가동운동 횟수가 증가할수록 동심성 최대회전력이 크게 증가되어 손상 쪽과 정상 쪽 다리의 동심성 최대회전력의 차이가 크게 감소되었다. 하지만 손상 쪽 넙다리뒤근육/넙다리네갈래근의 근력 비율의 개선에는 효과가 없었다. 본 연구를 통해 엘리트 배구선수에 무릎통증, 등속성 근력, 근경직 개선을 위해 단기간에 관절가동운동이 효과적인 중재방법이 될 수 있지만 적절한 근력비율을 위해 트레이닝을 함께 실시할 필요가 있겠다.

전신진동운동이 20대 성인남녀의 슬관절 근기능과 근반응성에 미치는 영향 (Effect of Muscle Function and Muscular Reaction of Knee Joint in the Twenties on the Whole Body Vibration Exercise)

  • 강승록;정구영;배종진;민진영;유창호;김정자;권대규
    • 한국정밀공학회지
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    • 제30권7호
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    • pp.762-768
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    • 2013
  • This study investigated the effect of whole-body vibration on muscle function and muscular reaction in the knee joint. We recruited thirty healthy subjects and divided them into a training group, who experienced whole-body vibration, and a control group, who did not. The training group performed whole-body vibration exercises for 30 min per day, 3 days a week, for 8 weeks. We measured knee joint torque to estimate muscle strength and reaction, using BIODEX System 3. Knee joint peak torque and total work performed increased significantly in the training group, and muscle acceleration time decreased. These results suggest that stimulation by whole-body vibration can improve muscle strength and reaction by improving muscle tone and increasing blood temperature and flow speed in muscular fiber. Our results also indicate that 4 weeks of exercise with whole-body vibration is required to improve the reaction response, and six weeks to improve strength.

충격 감소 및 중력 보상을 위한 이족보행로봇의 무릎-골반 관절 설계 (Design of Knee-Pelvis Joint in the Biped Robot for Shock Reduction and Gravity Compensation)

  • 김영민;김용태
    • 전기학회논문지
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    • 제64권1호
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    • pp.136-142
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    • 2015
  • In the paper, a design method of knee and pelvis joint in the biped robot is proposed for shock absorption and gravity compensation. Similarly to the human's body, the knee joints of the biped robot support most body weight and get a shock from the landing motion of the foot on the floor. The torque of joint motor is also increased sharply to keep the balance of the robot. Knee and pelvis joints with the spring are designed to compensate the gravity force and reduce the contact shock of the robot. To verify the efficiency of the proposed design method, we develope a biped robot with the joint mechanism using springs. At first, we experiment with the developed robot on the static motions such as the bent-knee posture both without load and with load on the flat ground, and the balance posture on the incline plane. The current of knee joint is measured to analyze the impact force and energy consumption of the joint motors. Also, we observe the motor current of knee and pelvis joints for the walking motion of the biped robot. The current responses of joint motors show that the proposed method has an effect on shock reduction and gravity compensation, and improve the energy efficiency of walking motions for the biped robot.

Comparison between Isokinetic Peak Torque and Isotonic 1RM on the Knee Joint

  • Jaehyun Yoo
    • Physical Therapy Rehabilitation Science
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    • 제12권2호
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    • pp.201-205
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    • 2023
  • Objective: Resistance exercise is a necessary element to improve quality of life, and measurement and evaluation of muscle strength provide important information for prescription and management of rehabilitation and exercise programs. This study analyzed the correlation between direct and indirect 1RM for isokinetic maximum torque of the knee joint in order to provide useful information in the field of exercise programs. In addition, the flexion-extension ratio and the difference in left-right deviation were verified. Design: A cross-sectional study Methods: The subjects of this study were 33 healthy adult men and women without medical problems who participated in the health exercise class program at S University in Seoul. The correlation between isokinetic maximum torque and direct and indirect 1RM was analyzed, and a dependent t-test was performed to analyze the flexion-extension ratio and left-right deviation. Results: There was a high correlation between the isokinetic maximum torque and direct and indirect 1RM, and no statistically significant difference was shown between the test methods in the analysis of the flexion-extension ratio and left-right deviation. Conclusions: Isokinetic muscle function measuring equipment is expensive, so it is difficult to use it in local exercise rehabilitation and training sites. Through this study, it was found that direct and indirect 1RM isokinetic maximum torque showed a high correlation, and there was no difference in evaluating muscle function such as flexion-extension ratio and left-right deviation. Therefore, it is considered that the muscle function evaluation using 1RM in general field can be usefully utilized.

3D 밀착형 팬츠와 키네시오 테이핑이 무릎관절의 등속성 굴곡 운동 시 하지의 근기능에 미치는 영향 (Effects of 3D Compression Pants and Kinesio Taping on Isokinetic Muscular Function of Leg During Knee Joint Flexion Motion)

  • 최지영;박희근;이왕록;홍경희
    • 한국의류학회지
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    • 제40권2호
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    • pp.240-257
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    • 2016
  • This study determines the effect of 3D compression pants and Kinesio taping on muscular function of the leg during knee joint flexion and extension. Eight males participated in the experiment, wearing basic pants (BP), Kinesio taping on bare skin (KT), 3D compression pants with (KTP) and without Kinesio taping (CP). The test protocol for isokinetic muscular function was composed of four sets at three angular velocities (60, 180, $240^{\circ}/sec$) using Cybex 660. Peak torque and work per repetition of the lower limbs of eight males were analyzed from the result of Cybex. Agility and power of the subjects were examined from side step and sergeant jump. Peak torque, average power, work per repetition, force decay time of subjects wearing CP and KTP were significantly better than BP or KT, especially at low angular velocity of $60^{\circ}/sec$. The time to generate peak torque of subjects wearing BP was the longest, while the force-decay time of BP was the shortest. The application of Kinesio tape on skin did not increase muscle peak torque, work and power, but did shorten the time to generate peak torque.

복합운동처치가 태권도 선수의 슬관절 등속성 근 기능에 미치는 영향 (The Effect of Combined Exercise Training to Knee Joint Isokinetic Muscular Function in the Taekwondo Athlete)

  • 최경석
    • 생명과학회지
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    • 제18권1호
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    • pp.30-37
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    • 2008
  • 본 연구에서는 남자 고등부 태권도 선수들을 대상으로 하여 등장성운동과 등척성 등장성운동을 혼합하여 복합 훈련을 실시한 차이를 알아보기 위하여 등속성 근 기능 중 최대우력, 동측근력비율, 양측근력비율, 근지구력을 분석한 결과를 다음과 같은 결론으로 나타내었다. 첫째, 최대우력은 좌우측 신굴근 모두에서 등장성 운동집단에 비하여 복합 훈련집단이 유의하게 증가한 것으로 나타났다. 둘째, 동측근력비율, 근지구력은 두 집단 간에 유의한 차이는 나타나지 않았지만, 운동전후에 차이에 있어서는 두 집단 모두 유의하게 증가하였다. 셋째, 양측근력비율은 두 집단 간에 유의한 차이는 나타나지 않았지만, 운동전후에 차이에 있어서는 두 집단 모두 유의하게 감소하였다. 이러한 결과로서 태권도 선수들의 경기력 증가를 위한 주요 체력요소인 평형능력, 근 지구력의 향상을 위한 방법으로 등장성 운동과 복합훈련 중 어떠한 방법으로 실시하여도 근 기능을 향상 시킬 수 있는 운동법으로 생각된다. 그러나 등척성 운동과 등장성 운동을 복합적으로 실시하였을 경우 최대우력이 등장성운동을 실시한 집단에 비하여 유의하게 증가하는 현상으로 보면 태권도 발차기의 파워를 보다 증가시키기 위해서는 등장성 운동과 등척성을 복합적으로 실시하는 운동방법이 보다 효과적인 방법으로 생각된다.