• 제목/요약/키워드: Knee

검색결과 3,608건 처리시간 0.032초

골연골종을 동반한 퇴행성 슬관절염에 구법(灸法)이 미치는 영향 (Effect of Moxibustion Therapy on the Degenerative Arthritis of Knee Joint with Osteochondroma)

  • 오명진;송호섭
    • Journal of Acupuncture Research
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    • 제29권6호
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    • pp.111-117
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    • 2012
  • Objectives : This study was done for reporting effect of moxibustion therapy on the degenerative arthritis of knee joint with osteochondroma. Methods : Two patient with degenerative arthritis of knee joint with osteochondroma was treated by moxibustion therapy. We applied moxibustion therapy three times a day for 12 days(three days per week). To investigate effectiveness of treatment we used visual analogue scale, Korean Western Ontario and McMaster Universities. Results : 1. The moxibustion therapy deceased knee joint pain. 2. As a result of evaluation by visual analogue scale, Korean Western Ontario and McMaster Universities the score marked lower than before treatment and after treatment. Conclusion : Moxibustion therapy decreased knee joint pain that patient have degenerative arthritis of knee joint with osteochondroma.

MR 감쇠기를 이용한 무릎 관절 의족의 제어 (Control of an above-knee prosthesis using MR damper)

  • 김정훈;오준호
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2000년도 제15차 학술회의논문집
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    • pp.244-244
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    • 2000
  • We proposed the above-knee prosthesis using rotary MR damper in which knee joint is semi-actively controlled by microprocessor. Dissipation torque in the knee joint can be controlled by the magnetic field which is induced by applying current to a solenoid, Tracking control of knee joint angle was tested by 3-DOF Leg simulator. The experimental results show that the proposed above-knee prosthesis system had good performance in swing phase tracking and repetitive controller in conjunction with a computed control law and PD control law, reduced RMS tracking error as the repetitions of tracking. Moreover, desired knee angle trajectory was generated based on the estimation of gait period with the gyro signal and the tracking control was performed.

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최단 거리 삼각형 패치 형성법을 이용한 무릎 관절의 3차원 형상 모델링과 시뮬레이션 (Modeling and Simulation of Human Knee Joint in Three Dimension By Using the Method of Optimal Triangular Patches)

  • 문병영;손권;김광훈;서정탁
    • 한국정밀공학회지
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    • 제20권12호
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    • pp.205-212
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    • 2003
  • Many people are exposed to accidents by vehicles or sports. The most frequent injuries by these accidents is concerned with a knee joint. The three-dimensional surface model of a knee is needed for dynamic analysis of knee motion and knee reconstruction. three-dimensional motion data of a knee joint were obtained using X-ray and precise magnetic sensors. The surface data of a femur and a tibia were obtained using cross-sectional pictures by CT. The three-dimensional surface models of a femur and a tibia were made by the method of optimal triangular patch. Using obtained motion data, we simulated the motion of three-dimensional knee joint model.

정상 성인 여성의 무릎관절 위치감각 (The Knee Joint Position Sense in Healthy Women)

  • 양경혜;이현옥
    • PNF and Movement
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    • 제8권1호
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    • pp.31-39
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    • 2010
  • Purpose : The purpose of this study is to ascertain whether age, body mass index(BMI) and exercise frequency(EF) are correlated with knee joint position sense in healthy women. Methods : Healthy women of 150 who participated in this study were tested knee joint position sense; each reposition error was analyzed according to the age, BMI and EF. Reposition error was measured with a Myrin goniometer. Results : The age groups, BMI groups and EF groups demonstrated significant differences of the knee joint position sense. The older the healthy women are, the higher BMI is, and the lower EF is, the more decreased knee joint position sense has become. Conclusion : The older the women are, the higher BMI is, and the lower EF is, the more decreased the knee joint position sense in healthy women is. Therefore it needs to be considered to require management of obesity and regular exercise for prevention of knee injuries due to decreased joint position sense.

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Novel computational approaches characterizing knee physiotherapy

  • Kim, Wangdo;Veloso, Antonio P.;Araujo, Duarte;Kohles, Sean S.
    • Journal of Computational Design and Engineering
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    • 제1권1호
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    • pp.55-66
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    • 2014
  • A knee joint's longevity depends on the proper integration of structural components in an axial alignment. If just one of the components is abnormally off-axis, the biomechanical system fails, resulting in arthritis. The complexity of various failures in the knee joint has led orthopedic surgeons to select total knee replacement as a primary treatment. In many cases, this means sacrificing much of an other-wise normal joint. Here, we review novel computational approaches to describe knee physiotherapy by introducing a new dimension of foot loading to the knee axis alignment producing an improved functional status of the patient. New physiotherapeutic applications are then possible by aligning foot loading with the functional axis of the knee joint during the treatment of patients with osteoarthritis.

무릎관절 각도가 발목 근육의 근전도 활동에 미치는 영향 (Influence of the Knee Angles on the Electromyographic Activites and Fatigue of the Ankle Muscles in Healthy Subjects)

  • 유경석;김택연
    • 대한정형도수물리치료학회지
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    • 제12권1호
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    • pp.16-26
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    • 2006
  • The purpose of this study was to investigate the influence of the various knee angles and ground state on the muscular activities and fatigue of the ankle muscles by integrated electromyograms (iEMG) and median frequency of tibialis anterior (TA), peroneus longus (PL), flexor digitorum longus (FDL) and gastrocnemius (GC). Ten healthy male subjects were participated into stable and balance ball sessions at four angles of knee joint. The surface electromyograms (sEMG) were recorded from the TA, PL, FDL and GC on stable and balance ball with full weight bearing at four knee angles of $0^{\circ}$, $15^{\circ}$, $30^{\circ}$ and $45^{\circ}$. The time serial data of the surface electromyographic signals were transformed into integrated and frequency serial data by fast fourier transformation. On the stable ground, the iEMG signals of the TA, PL, FDL and GC were significantly higher at $45^{\circ}$ and $30^{\circ}$ of knee angles than $0^{\circ}$ and $15^{\circ}$ of knee flexion (p<0.05). On the balance ball, the iEMG of the TA, PL, FDL and GC were significantly higher at $45^{\circ}$ and $30^{\circ}$ of knee angles than $0^{\circ}$ and $15^{\circ}$ of knee flexion (p<0.05). The median frequency of the TA, PL, FDL and GC were significantly lower at $45^{\circ}$ and $30^{\circ}$ of knee angles than $0^{\circ}$ and $15^{\circ}$ of knee on the stable ground (p<0.05). On the balance ball, also the median frequency of the TA, PL, FDL and GC were significantly lower at $45^{\circ}$ and $30^{\circ}$ of knee angles than $0^{\circ}$ and $15^{\circ}$ of knee flexion (p<0.05). The iEMG of the TA, PL, FDL and GC were significantly higher on the balance ball at $0^{\circ}$, $15^{\circ}$, $30^{\circ}$ and $45^{\circ}$ of knee angles compared with stable ground. The median frequency of the TA, PL, FDL and GC were significantly lower on the balance ball at $0^{\circ}$, $15^{\circ}$, $30^{\circ}$ and $45^{\circ}$ of knee angles compared with stable ground. These results indicate that the ground conditions and angles of the knee joint involved to muscular activities and fatigue of ankles muscles, may performed at first on stable ground and then balance ball in order to $0^{\circ}$, $15^{\circ}$, $30^{\circ}$ and $45^{\circ}$ of knee flexion.

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The Effects of Different Angles of Wedged Insoles on Knee Varus Torque in Healthy Subjects

  • Jung, Do-Young;Kwon, Oh-Yun;Yi, Chung-Hwi;Kim, Young-Ho;Kim, Jang-Hwan
    • 한국전문물리치료학회지
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    • 제11권4호
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    • pp.31-41
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    • 2004
  • The purpose of this study was to examine the effect of the angle of a wedged insole on knee varus torque during walking. Fifteen healthy subjects were recruited. Knee varus torque was measured using three-dimensional motion analysis (Elite). Knee varus torque was normalized to gait cycle (0%: initial contact; 100%: ipsilateral initial contact) and stance phase (0%: initial contact; 100%: ipsilateral toe off). The average peaks of knee varus torque during the stance phase of the gait cycle according to the different insole angles (10 or 15 degrees) were compared using one-way ANOVA with repeated measures. The results showed that in the early stance phase, the average peak knee varus torque increased significantly for both the medial 10 and 15 degree wedged insole conditions and decreased significantly for both the lateral 10 and 15 degree wedged insole conditions as compared with no insole (p<.05). However, there were no significant differences between the 10 and 15 degree wedged insole conditions with either the medial or lateral wedged insole (p>.05). In the late stance phase, the average peak knee varus torque increased significantly for the medial 10 and 15 degree wedged insole conditions (p<.05), but not for the lateral 10 and 15 degree wedged insole conditions as compared with no insole (p>.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and lateral compartment forces in the knee varus-valgus deformity. Further studies of the effects of wedged insole angle on knee varus torque in patients with medial-lateral knee osteoarthritis are needed.

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다리관절, 다리-팔 이음뼈, 허리뼈의 불균형을 가진 휜다리에 대한 전신조정술 관절중재모형의 교정효과 (Effects of the General Coordinative Manipulation Joint Intervention Model in Correcting Distort Leg with Imbalance of the Lower Extremity Joint, Pelvic and Shoulder Girdles, and Lumbar Spine)

  • 문상은
    • 대한통합의학회지
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    • 제8권3호
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    • pp.1-10
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    • 2020
  • Purpose : The purpose of this study is to analyze the corrective effect of the general coordinative manipulation (GCM) joint intervention model on distort leg with imbalance of the lower extremity joints, pelvic and shoulder girdles, and lumbar spine. Methods : The study used a comparative analysis of the size of the distort leg and the imbalance of the lower extremity joints, pelvic and shoulder girdles, and lumbar spine before and after the application of the GCM joint intervention model. A total of 31 subjects from movement center G and the department of physical therapy at university M were selected as research subjects, and they were divided into two groups. The GCM joint intervention model was applied to 18 subjects in the bow knee group and 13 subjects in the knock knee group. The two groups received daily intervention three times a week for four weeks. The corrective effect of the GCM joint intervention model for each type of distort leg was compared and analyzed. Results : The effects of the GCM joint intervention model in correcting bow knee and knock knee with knee deformation and imbalance of the lower extremity joints, pelvic and shoulder girdles, and lumbar spine were significant in most domains (p<.05). The correlation between the bow knee and knock knee groups showed significance in most domains (p<.05). Conclusion : The GCM joint intervention model showed significant corrective effect in the bow knee and knock knee groups in terms of knee deformation, lower extremity joints, pelvic and shoulder girdles, and lumbar spine (p<.05).

Comparison of Knee Extensor and Hip Extensor Strength According to Wall Squat Performance

  • Jung, Sung-hoon;Kim, Moon-hwan;Hwang, Ui-jae;Kim, Jun-hee;Kwon, Oh-yun
    • 한국전문물리치료학회지
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    • 제24권1호
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    • pp.79-85
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    • 2017
  • Background: The wall squat is considered an effective exercise because it can reduce the knee load and prevent excessive lumbar movement. However, the relationship between wall squat performance and strength of knee extensors and hip extensors remained unclear. Objects: The purpose of this study was to compare the strengths of the knee extensors and hip extensors between groups with low and high wall squat performance. Method: Nineteen males (low performance group: 9 subjects, high performance group: 10 subjects) participated in this study and performed wall squats. The subjects who were performing less than 30% of the average wall squat count were classified into the low wall squat performance group (less than or equal to 4 times) and the subjects who performed more than 30% of the average wall squat count were classified into the high wall squat performance group (greater than or equal to 8 times). Knee extensor and hip extensor strength were measured with a strength measurement system. An independent t-test was used to compare the strengths of the knee extensors and hip extensors between the groups with low and high wall squat performance. Results: The ratios of knee extensor and hip extensor strength to bodyweight were greater in the high wall squat performance group than in the low wall squat performance group (knee extensors: p<.001; hip extensors: p=.03). In the high- and low-performance groups, the ratios of knee extensor strength to bodyweight were $42.74{\pm}5.72$ and $30.76{\pm}8.54$, respectively, and the ratios of hip extensor strength to bodyweight were $31.95{\pm}10.61$ and $20.66{\pm}11.25$, respectively. Conclusion: Our findings suggest that knee extensor and hip extensor strength are needed for high wall squat performance. Thus, exercise to increase the knee and hip extensors strength can be recommended to improve squat performance.

단계별 무릎 재활을 위한 근전도 및 관성센서 피드백 기반 외골격 시스템 개발 (Development of a Knee Exoskeleton for Rehabilitation Based EMG and IMU Sensor Feedback)

  • 김종운;김가을;지영범;이아람;이현주;태기식
    • 대한의용생체공학회:의공학회지
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    • 제40권6호
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    • pp.223-229
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    • 2019
  • The number of knee-related disease patients and knee joint surgeries is steadily increasing every year, and for knee rehabilitation training for these knee joint patients, it is necessary to strengthen the muscle of vastus medialis and quadriceps femoris. However, because of the cost and time-consuming difficulties of receiving regular hospital treatment in the course of knee rehabilitation, we developed knee exoskeleton using rapid prototype for knee rehabilitation with feedback from the electromyogram (EMG) and inertia motion unit (IMU) sensor. The modules was built on the basis of EMG and an IMU sensor applied complementary filter, measuring muscle activity in the vastus medialis and the range of joint operation of the knee, and then performing the game based on this measurement. The IMU sensor performed up to 97.2% accuracy in experiments with ten subjects. The functional game contents consisted of an exergaming platform based on EMG and IMU for the real-time monitoring and performance assessment of personalized isometric and isotonic exercises. This study combined EMG and IMU-based functional game with knee rehabilitation training to enable voluntary rehabilitation training by providing immediate feedback to patients through biometric information, thereby enhancing muscle strength efficiency of rehabilitation.