• Title/Summary/Keyword: Knee

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The Spectral properties of Knee Joint Sounds (슬관절 청진음의 주파수 특성에 대한 연구)

  • Kim, Keo-Sik;Yoon, Dae-Young;Lee, Myung-Gwon;Song, Chang-Hun;Kim, Ji-Sun;Park, Seong-Su;Kim, Jong-Jin;Kim, Ji-Hun;Lee, Gil-Seong;Lee, Min-Hee;Chae, Min-Su;Kim, Min-Ju;Song, Chul-Gyu
    • Proceedings of the KIEE Conference
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    • 2004.11c
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    • pp.310-312
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    • 2004
  • The aim of this study was to analyze the characteristics of knee joint sound in frequency domain and classify the knee joint diseases. The spectral analysis of knee joint sounds was performed using LPC(Linear Predictive Coding) and Wigner-Ville distribution. Ten normal subjects and 5 patients with meniscal tearing were enrolled. Each subject was seated on a chair and underwent active knee flexion and extension for 60 seconds. Sampling frequency was 10kHz and electronic stethoscope and electro-goniometer were applied during the knee motion for data collection. The spectral analysis showed 3 peaks in both groups and the difference energy distribution in time-frequency domain. These results suggest that the diagnosis of knee joint pathology using the auscultation could be easier and more correct.

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The Pitch Perturbation of Knee Joint Sounds according to Angle movement (슬관절음의 각도별 피치 변동에 대한 분석)

  • Kim, Keo-Sik;Yoon, Dae-Young;Seo, Jeong-Hwan;Kim, Kyeong-Seop;Song, Chul-Gyu
    • Proceedings of the KIEE Conference
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    • 2004.11c
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    • pp.307-309
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    • 2004
  • In this study, we have evaluated and classified arthritic pathology using the auscultation of knee joint sound. Six normal persons and 11 patients with knee problem were enrolled. Six patients of Group 1 needed an orthopeadic surgery because of the ruptured wounds of meniscus or ACL(Anterior Cruciate Ligament) and 5 patients of Group 2 diagnosed as osteoarthritis. Subjects were taken knee flexion and extension being seated in a chair for 20 seconds which repeated 3 times. Also subjects stood up and sit down repeatedly in the same way. After the movement of knee was divided into 18 degrees, the pitch perturbation according to partial degrees was analyzed and the DTW(Dynamic Time Warping) method was applied for normalizing a time-axis and unpaired t-test was used for statistic results among groups. As a result, the amplitude and frequency perturbations of group 2 was higher than group 1(p<0.05) and showed a characteristic 'w-shape' in angle-amplitude graph. These results suggest that the analysis of knee joint sound might assist in early diagnosis of knee joint disease.

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The Relationship between Personality, Music Type and MVIC, Power for the Knee Extensor on Inducing Muscle Fatigue (근피로 유발 시 개인 성향과 음악형식에 따른 무릎 폄근의 최대수의적수축력, 일률 간 상관분석)

  • Yoon, Jung-Gyu
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.4
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    • pp.593-600
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    • 2013
  • PURPOSE: We investigated the relationship between personality, music type and MVIC, power for the knee extensor on inducing muscle fatigue. METHODS: The subjects of this study were 22 healthy students. MVIC(Maximum Voluntary Isometric Contraction) and power in knee extension was measured by PRIMUS RS. Personality types was measured by MBTI(Myers-Briggs Type Indicator) that is an instrument designed to provide descriptive profiles of personality types and preferences. The collected data were analyzed using the independent t-test, MANOVA and Pearson-test. RESULTS: There was no significant differences both MVIC and power of the knee extensor according to personality and music type. The power was significantly increased by increasing the MVIC during a knee extension on inducing muscle fatigue without music type(r= .786~.896). There was no significant correlation both MVIC and power of the knee extensor according to personality. CONCLUSION: There was a positive correlation between power and MVIC during a knee extension on inducing muscle fatigue without music type. There was no significant correlation both MVIC and power of the knee extensor according to personality.

The Factor of Knee Joint Function in Women (여성의 무릎관절 기능 영향요인)

  • Lee, Hyun-Ok;Yang, Kyung-Hye
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.2
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    • pp.67-75
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    • 2010
  • Purpose: The purpose of this is to identify the relationship among the age, body mass index(BMI) and exercise frequency(EF) with knee joint position sense in korean healthy women. Methods: Healthy women of 328 who participated in this study were tested knee joint position sense; reposition error was measured with a Myrin goniometer. Each reposition error was analyzed using descriptive statics, pearson correlation coefficients, and stepwise multiple regression. Results: The mean reposition error by age groups was significant decrease getting older. The mean reposition error by BMI groups was significant decrease getting higher. And the mean reposition error by EF groups was significant decrease getting lower. The knee joint position sense showed a significantly correlation with age(r=0.36, p=.00), BMI(r=0.34, p=.00) and EF(r=-0.50, p=.00). The most powerful predictor of knee joint position sense was EF. The reposition error according to stepwise multiple regression is $3.36+(-2.64){\times}EF+0.13{\times}age$, and account for 46%($R^2=0.46$) of the variance in the knee joint position sense. Conclusion: The older the women are, for prevent of knee injuries due to decreased joint position sense, regular exercise is essential factor.

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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.

The Effect of Electrical Muscle Stimulation Therapy on Chronic Knee Pain for Aged (노인의 만성 무릎 통증에 대한 전기 근육 자극요법의 적용 효과)

  • Sok, So-Hyune;Kim, Kwuy-Bun
    • Journal of East-West Nursing Research
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    • v.11 no.1
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    • pp.5-11
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    • 2005
  • Purpose: This study is to examine the effect of electrical muscle stimulation therapy on chronic knee pain for aged. Method: Design was randomized one-group pretest-posttest design. Samples were total 15 elderly on 60 years old and above with chronic knee pain. Measures were S-F McGill Pain Questionnaire and Arthritis Impact Measurement Scale for knee pain. Electrical muscle stimulation therapy, experimental treatment was applied on chronic knee pain for 4 weeks, 3 times/week, 15 min/time. Data were collected from half March 2005 to May 2005. Data were analyzed using SPSS PC+ 12 version. Descriptive statistics was used for analysis of general characteristics in sample, and paired t-test was used to analysis the effect of electrical muscle stimulation therapy. Results: After receiving the electrical muscle stimulation therapy chronic knee pain was significantly decreased (t=-29.163, P=.000 in S-F MPQ; t=-37.005, P=.000 in AIMS). Conclusion: Electrical muscle stimulation therapy can be a better effective primary nursing intervention on chronic knee pain for aged in community.

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A Systemic Review of Korean Medical Treatment Combined with Continuous Passive Motion Therapy on the Knee Joint Postoperative Rehabilitation (슬관절 수술 후 재활에 대한 Continuous Passive Motion 치료와 한의 병행치료의 체계적 문헌 고찰)

  • Ha, Hyun Ju;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.3
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    • pp.33-45
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    • 2017
  • Objectives The objective of this study is to report the evidence that continuous passive motion (CPM) therapy combined with Korean Medicine is effective for knee injuries. Methods We searched 2 Korean medical electronic databases, and 2 Chinese electronic databases to find randomized controlled clinical trials (RCTs) that treat knee injuries with Korean Medicine combined with CPM therapy. We selected studies by screening. We extracted data from selected RCTs, and analyzed RCTs by using Cochrane's Risk of bias criteria. Results 386 studies are searched, and 7 RCTs are selected. According to the study, several kinds of Korean Medicine such as hydrotherapy, decoction, acupuncture, moxibustion, and manual therapy are used with CPM therapy for the knee joint postoperative rehabilitation. We found the encouraging evidence that Korean Medicine and CPM combined therapy is more effective than single CPM therapy by alleviating pain, increasing range of motion, and improving knee function, etc. However, the risk of bias in most RCTs was judged to be uncertain. Conclusions Combination of Korean Medicine and CPM therapy can compensate the defect of single CPM therapy, and promotes the recovery of knee joint function.

Effects of Contralateral and Ipsilateral Cane Use on Knee Moment (동측과 반대편의 지팡이 사용에 대한 무릎의 모멘트 분석)

  • Lee, Hyun-Ok;Yang, Kyung-Hye;Kwon, Yu-Jeong
    • The Journal of Korean Physical Therapy
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    • v.26 no.2
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    • pp.117-122
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    • 2014
  • Purpose: The purpose of this study was to compare the effects of force of ipsilateral versus contralateral cane usage on knee moments in healthy young adults. Methods: A convenience sample of 10 subjects volunteered for this study. Subjects walked over a force plate under three different conditions; unaided and ipsilateral cane and contralateral cane. Analysis of data on moment of the knee joint and ground reaction force was performed using the OrthoTrak program. Results: Flexion moment of the knee was decreased with the contralateral cane, but increased with the ipsilateral cane compared with normal gait. Extension moment of the knee was decreased with the contralateral cane compared with normal gait(p<0.05) and it was showed a greater decrease with the contralateral cane than with the ipsilateral cane gait(p=0.00). Valgus moment of the knee joint was increased with the ipsilateral cane but decreased with the contralateral cane. Vertical ground peak force was decreased with the ipsilateral cane compared with normal gait (p<0.05). Conclusion: The following conclusions were drawn from our data. Contralateral cane gait is more efficacious for persons with weakness of knee extensors, however, for a patient with varus deformity, the cane should be used in the ipsilateral hand.

Case Report : 3 Cases of CPM Combined with Korean Medical Treatment for Knee Joint Rehabilitation (한방 치료를 병행한 슬관절 재활 CPM 증례보고 3례)

  • Ha, Hyunju;Kim, Myeongkyu;Lee, Chiho;Oh, Minseok
    • Journal of Haehwa Medicine
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    • v.25 no.1
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    • pp.15-26
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    • 2016
  • Objectives : The aim of this study was to report the cases of knee injury that are treated with both CPM and Korean medicine. Methods : We treated 3 patients who had knee joint pain and gait disturbance by knee injuries with Korean medicine and CPM treatment. We evaluated the outcomes by checking NRS, ROM, Lysholm knee score, walking state and other symptoms. Results : The NRS, ROM, Lysholm knee score, and other symptoms of 3 patients were improved before they. These results show possibilities of simultaneous treatment of Korean medicine and CPM. But there is a limit that the number of cases is not sufficient, and there was no long-term follow-up after discharge. Conclusions : Simultaneous treatment of Korean medicine and CPM has an effect on knee joint rehabilitation. Further studies are needed to prove the effectiveness of Korean medicine combined with CPM.

A Study on Osteoarthritis of The Knee And Associated Factors (퇴행성 슬관절염에 관련요인연구)

  • Kang, Jeom-Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.34-40
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    • 2008
  • Purpose: We defined osteoarthritis of the knee as knee pain and crepitus in over 40 years old. The usual clinical manifestation include pain, stiffness, crepitus and loss of function. Methods: We studied 40 cases of the degenerative arthritis of knee clinically. The body mass index(BMI, weight(kg)/height($m^2$) was used as a measure of obesity. Pain self assessment scale by Million Index in according to age, occupation, BMI. Results: Gender by pain self assessment scale was 6.5 in male and 6.6 in female(P<0.05). The prevalence rates obese was 40%. Occupation by pain self assessment scale was 7.0 in Sitting and 5.7 in Standing(P<0.05). Prevalence was increased with age by pain self assessment scale in aged 40-69 years. Conclusion: It has been known that the obesity is one of the predispsing factors of the primary degenerative arthritis of knee. A flexion weight bearing view of the knee obtained at $30^{\circ}$ to $40^{\circ}$ of the joint flexion may be more sensitive in assessing damages to hyaline cartilage because the knee flexion is an important component of the stance phase.

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