• Title/Summary/Keyword: Knee

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The Isokinetic Evaluation of Knee Extensors and Flexors in the Normal Subjects for Those Twenties (20대 정상 성인의 무릎관절 폄근 및 굽힘근에 대한 등속성 운동 평가)

  • Yu, Chang-Seon;Chang, Soo-Kyung
    • The Journal of Korean Physical Therapy
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    • v.25 no.4
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    • pp.167-173
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    • 2013
  • Purpose: To obtain the isokinetic normative data of isokinetic laboratory of department of Rehabilitation Medicine in the normal subjects for those twenties of Korea. Methods: A total of 228 volunteers participated in this study and isokinetic evaluation of knee extensors and flexors at speed $60^{\circ}/sec$ BIODEX System 3 Isokinetic Dynamometer was performed in 128 males and 100 females. Results: In the normal subjects for those twenties, Normative data were presented. Absolute muscle strength of knee-extensors and knee-flexors, Relative muscle strength, bilateral muscle strength deficit, and flexor/extensor strength ratio were presented. Conclusion: Those results expect that it will be available for patients with 20's knee diseases to apply as the basic materials for the muscle function improvement of knee extensors and flexors.

Development of Three-Dimensional Contact Model of Human Knee Joint During Locomotion (보행 중 인체 슬관절의 3차원 접촉 모델 개발)

  • Kim, Hyo-Shin;Park, Seong-Jin;Mun, Joung-Hwan
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.11 s.176
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    • pp.182-189
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    • 2005
  • The human knee joint is the intermediate joint of the lower limb that is the largest and most complex joint in the body. Understanding of joint-articulating surface motion is essential for the joint wear, stability, mobility, degeneration, determination of proper diagnosis and so on. However, many studies analyzed the passive motion of the lower limb because of the skin marker artefact and some studies described medial and lateral condyle of a femur as a simple sphere due to the complexity of geometry. Thus, in this paper, we constructed a three-dimensional geometric model of the human knee from the geometry of its anatomical structures using non-uniform B-spline surface fitting as a study for the kinematic analysis of more realistic human knee model. In addition, we developed and verified 6-DOF contact model of the human knee joint using $C^2$ continuous surface of the inferior region of a femur, considering the relative motion of shank to thigh during locomotion.

A Method to Describe and Analyze Human Knee Joint Motion (인체 무릎 관절의 굴신 운동 해석 기법)

  • Moon, Byung-Young;Son, Kwon;Park, Jung-Hong;Seo, Jung-Tak
    • Journal of the Korean Society for Precision Engineering
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    • v.20 no.10
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    • pp.233-239
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    • 2003
  • Three dimensional joint motion data were obtained using X-ray and precise magnetic sensors. Six metal markers were inserted on the femur and the tibia to set the coordinate system. Two magnetic position sensors were used to record motion data and these positions were transformed into the knee motion. The quadriceps muscle was extended in an automatic manner by an extraction machine. Results of the knee joint motion were the same as the clinical data. The proposed method is found to be reasonable in describing the knee motion so that these motion data can be used to simulate the normal knee joint.

Analysis of Range-of-Motion in Continuous Passive Motion Rehabilitation (무릎관절 재활 운동기기의 운동범위 분석)

  • Park, Won-Man;Kim, Yoon-Hyuk
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1515-1517
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    • 2008
  • The purposes of this study were to measure the ranges of motion in knee joint and during continuous passive motion(CPM) treatment and to computationally calculate joint angles at the knee joint dependent on the CPM machine design and its application. Four CPM machines and eleven candidates were recruited for this study. Experimental and numerical studies have been peformed to calculate the range-of-motion of CPM machines. From the experimental measurements, the average range of motions at the knee joint for the CPM machine #1, #2, #3, and #4 were lower than the manufactures suggested values due to improper alignments of the hip and knee joints to the CPM machines. Different design of CPM machine generated different outcomes of the ROM at the knee joints during CPM. The experiments and kinematic simulation in this study could be used to provide useful guidance in the treatment of CPM after joint surgery.

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Total Knee Arthroplasty (슬관절 전 치환 성형술)

  • Lee, Dong-Chul;Sohn, Wook-Jin
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.1-11
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    • 2004
  • Total knee arthroplasty has become a common procedure for treatment of severe osteoarthritis, rheumatoid arthritis and post-traumatic arthritis. In the past, failure of total knee arthroplasty was commonly attributable to aseptic loosening, often associated with component malalignment, soft tissue imbalance. With improved surgical instrumentation and soft tissue balancing techiniques, failure secondary to mechanical loosening has been minimal. But surgeons are still dissatisfied with implant malalignment. Correct tibiofemoral alignment seems to be particularly important since it is generally agreed that axial deviation and imprecise implantation may lead to loosening of the implant component. Navigation systems and robotic techniques could potentially solve problems of imprecision in traditional total knee arthroplasty. It is expected that the success rate and longevity of total knee arthroplasty will be improved during the twenty first century.

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The Natural History of Anterior Cruciate Ligament Deficient Knee (전방십자인대 손상 슬관절의 자연적 병의 경과)

  • Kim, Hyoung-Soo
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.41-46
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    • 1997
  • The natural history of the anterior cruciate ligament(ACL)-deficient knee remains controversial. although numerous investigation have tried to ascertain the course that the knee would follow once the ACL has lost functional integrity. An extensive review of the literature performed according to symptoms. physical examinations, associated surrounding tissue injuries. returns to activity level and radiological changes in the knee joint. An active individual with a non-functioning ACL was susceptible to injury to the menisci and deteriorate the articular cartilage, followed radiographic changes. An activity levels in general also changed after injury. The most common symptom was pain. But instability varied in these individuals. Conclusively we believe that all these factors will eventually, if not initially, result in a symptomatic knee. which will result in significant limitations to the individual's desired level. So we recommend an aggressive approach in person who desired to return to a relatively active life style in young person as well as in middle aged individuals who have significant symptomatic ACL deficient knee.

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Development of a Model for the Estimation of Knee Joint Moment at MVC (MVC 상태에서의 무릎관절 모멘트 추정을 위한 모델 개발)

  • Nam, Yoon-Su;Lee, Woo-Eun
    • Journal of Biomedical Engineering Research
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    • v.29 no.3
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    • pp.222-230
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    • 2008
  • This paper introduces a method of estimating the knee joint moment developed during MVC. By combining the Hill-type muscle model and analytic results on moment arm and musculotendon length change as a function of hip and knee joint angle, the knee joint moment at a specific knee joint angle during MVC is determined. Many differences between the estimated results and the experimental data are noted. It is believed that these differences originate from inaccurate information on the muscle-tendon parameters. The establishment of exact values for the subject's muscle parameters is almost impossible task. However, sensitivity analysis shows that the tendon slack length is the most critical parameter when applying the Hill-type muscle model. The effect of a change of this parameter on the muscle length force relationship is analyzed in detail.

Effect of kinesio taping on gait function in elderly individuals with knee osteoarthritis: A pilot study

  • Park, Jaeyoung;Paik, Youngrim;Oh, Donghwan
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.3
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    • pp.1830-1833
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    • 2019
  • Background: Knee osteoarthritis (OA) causes not only pain during walking but also walking disorders. Therefore, intervention for older patients with OA is important. Objective: To study investigated the effects of kinesio taping (KT) on pain and walking ability in elderly persons with knee OA. Design: One group, pre-post design Methods: This study enrolled 12 community-dwelling elderly people with knee OA. KT was applied on the surrounding structures, including the patellar and bilateral lateral ligaments. Assessment was made using the visual analog scale and GAITRite system to measure pain and walking ability during KT and non-KT conditions. Results: In this study, compared to the non-KT condition, the KT condition showed a significant improvement in walking ability and pain reduction during walking (velocity, cadence, step length, and stride length) (p < 0.05). Conclusion: This study demonstrated that knee KT has a positive effect on pain reduction and walking ability of the elderly with OA.

The Effect of Knee Joint Traction Therapy on Pain, Physical Function, and Depression in Patients with Degenerative Arthritis

  • Lee, Dong Kyu
    • The Journal of Korean Physical Therapy
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    • v.31 no.5
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    • pp.317-321
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    • 2019
  • Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint traction therapy, and the control group, who underwent general physical therapy (15 patients per group). Pain was measured using the visual analogue scale (VAS), physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) index, and depression was measured using the Beck depression inventory (BDI). The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for VAS, WOMAC and BDI after the experiment (p<0.05). In comparison between the two groups, the experimental group in which knee joint traction was applied showed more significant change in VAS, WOMAC and BDI than the control group (p<0.05). Conclusion: This study showed that knee joint traction therapy was effective in improving pain, physical function, and depression in patients with degenerative arthritis.

Comparison of Changes in the Muscle Activity of the Quadriceps Femoris Muscle in Relation to the Angles of the Knee Joint on Closed Kinetic Chain (닫힌 역학적 사슬운동에서 무릎관절 각도에 따른 넙다리네갈래근의 근활성도 변화 비교)

  • An, Seong-Ja
    • PNF and Movement
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    • v.10 no.3
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    • pp.25-31
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    • 2012
  • Purpose : This study was intended to compare muscle activity in relation to knee joint angles on closed kinetic chain. Methods : A total of 13 subjects consisting of 5 adult males and 8 adult females were made to make movements maintaining knee joint angles at $30^{\circ}$, $45^{\circ}$ and $90^{\circ}$ on closed kinetic chain and the muscle activity occurring in their vastus medialis, rectus femoris and vastus lateralis was measured. Statistical data were analyzed using oneway ANOVA. Results : On closed kinetic chain, the muscle activity of the vastus medialis, rectus femoris and vastus lateralis increased the most at $90^{\circ}$ among the knee joint angles with statistically significant differences(p<0.05). Conclusion : On closed kinetic chain, it could be seen that as the angle of the knee joint increased, the muscle activity increased.