• 한국운동역학회지
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• 제18권2호
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• pp.75-83
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• 2008

본 연구의 목적은 보행 속도의 차이에 따른 최대 관절 모멘트와 최대 모멘트 발생 시점의 관절 각도 상관관계를 규명하는데 있다. 8명의 $20{\sim}30$대 남성을 대상으로 보행 속도의 3가지 단계(1.5m/s, 1.8m/s, 2.1m/s)를 나누어 속도에 따른 보행을 실시하여 얻어진 결론은 다음과 같다. 1. 보행 속도가 증가함에 따라 무릎 최대 신전 모멘트는 증가하였고, 굴곡, 외전 모멘트는 큰 영향을 받지 않았다. 2. 최대 신전 모멘트가 발생하는 시점의 무릎 관절 각도는 굴곡의 움직임이 커졌으나, 다른 무릎 관절 각도에는 변화가 없었다. 3. 힙 최대 신전, 굴곡, 외전 모멘트는 증가하였다. 4. 최대 굴곡과 신전 모멘트가 발생하는 시점의 힙 관절 각도의 신전과 굴곡의 증가 현상을 보였으나, 최대 외전 모멘트가 발생하는 시점의 무릎 관절 각도에는 변화가 없었다. 5. 무릎 최대 신전, 굴곡, 외전 모멘트와 무릎 관절 각도를 least square method를 이용하여 적합도 검사를 실시한 결과 R2값이 높게 나타나 상관관계의 설명력이 높았다. 이렇게 근사된 곡선의 근사식은 보행 속도에 따른 무릎 관절의 평가 자료로 이용될 것으로 기대된다.

• Archives of Reconstructive Microsurgery
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• 제11권1호
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• pp.11-18
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• 2002

Large soft tissue defects around the knee joint are known to significantly diminish joint function. Severe soft tissue defects on the anterior aspect of the knee joint especially bring on significant joint motion limitation. Although simple split skin grafts can cover the skin defect, the progressing scar contracture of the grafted skin causes joint stiffness. One of the best solutions of large soft tissue defects around the knee joint is covering the defect with a good quality skin flap. Separated flaps with one vascular pedicle are good candidates for covering anterior and posterior aspects of the joint for example. Authors performed 12 cases of combined scapular and latissimus dorsi free flaps from 1984 to 2000. Among them, we experienced 5 cases of knee joint defect covering using the double free flap for coverage of the soft tissue defect with preservation of the knee joint function and satisfactory results. The system of flaps based on the subscapular artery and vein provides a variety of composite free flaps. The possible flaps that can be harvested based on this single vascular pedicle include the scapular and parascapular skin flap, the serratus anterior and latissimus dorsi muscular flap, the lateral scapular bone flap, the latissimus dorsi-rib flap, and the serratus anterior-rib flap. This combined flap is available for multiple tissue defects or complex defects because it can be incorporated with skin, muscle and bone flaps. A main advantage is the independent vascular pedicles of each component, which allow freedom in orientation of each components. Consequently it can be freely applied to any form of three dimensional defects on the upper and lower extremities. The combination of scapular cutaneous flap and latissimus dorsi musculocutaneous flap can be resurfaced for massive cutaneous defects on the extremities. We report the use of the combined scapular and latissimus dorsi free flap in five patients to reconstruct massive defects on the extremities with resultant improved joint function. There was no flap failure and minimal complications and disadvantages. The anatomy of this flap is reviewed and the indication and advantages are discussed. All of the five flaps survived and there was no scar contracture affecting the joint motion.

• Journal of Acupuncture Research
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• 제23권4호
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• pp.15-20
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• 2006

Objectives : This study was to evaluate the effect of Bee venom-Acupuncture on knee joint with osteoarthritis. Methods : We investigated 30 cases of patients with osteoarthritis of knee joint. We flip a coin and divide into two groups. Bee venom-acupuncture was performed at one group, and the other group didn't do it. We evaluated the treatment effect of each group by using the WOMAC score. Results : 1. As a result of evaluation by using the WOMAC, the score after treatment was marked higher than that before treatment within each group. 2. After treatment, Bee venom-Acupuncture group showed significant difference on WOMAC score compared with acupuncture group. Conclusion : These results suggested that Bee venom-Acupuncture treatment should be more effective in the patient with osteoarthritis of knee joint.

• Journal of Acupuncture Research
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• 제21권3호
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• pp.249-264
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• 2004

Objective : This study is designed to find out the effects of Sulguanjul-Bang No.1 on osteoarthritis in knee joint. Methods : 45 patients with symptomatic osteoarthritis of the knee joint were enrolled in a short term 8-week open clinical trial. The 45 patients were taken Sulguanjul-bang No.1 two times a day before meals for 8 week. After 8 week treatment period, the following parameters were analyzed ; Visual analogue Scale(VAS) as first effective parameter, Lysholm index score, patient's global assessment, passive movement range of the knee joint. Results : Sulguanjul-bang No.1 treatment led to significant improvement in the pain and symptoms of osteoarthritis as determined by all efficacy measures. After 8 weeks of therapy, there was significant improvement in VAS and Lysholm index; squat, sit down and up, crepitaion, swelling. The range of motion was improved in 6 of 9 cases. The improvement in patient's global assessment was seen in 84%. Conclusion : Sulguanjul-bang No.1 was very beneficial effect in pain relief and improvement functions on osteoarthritis.

• 센서학회지
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• 제27권2호
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• pp.105-111
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• 2018

In this paper, a torque sensor is designed and fabricated to measure the knee joint torque of a walking assist robot for stroke patients. The torque sensor sensing part was modeled on the link of the part connected to the knee joint motor. The torque capacity of the knee joint was calculated by simulation and the size of the torque sensor sensing part was designed using the finite element method. The torque sensor was fabricated by attaching a strain gauge to the sensing part. Characteristic experiments were conducted to characterize the torque sensor, and the torque sensor was calibrated to utilize it for the control of the walking assist robot. As a result of the characteristics test, the reproducibility error and the nonlinearity error of the torque sensor were 0.03% and 0.04%, respectively. Therefore, it is considered that the developed torque sensor can be used to measure the torque applied to the knee joint when walking on a walking assist robot.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2005년도 심포지엄 논문집 정보 및 제어부문
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• pp.51-53
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• 2005

Considerable noise is sometimes associated with degeneration of the hee joint surface. Such noise may indicate roughness or softening of the cartilage surfaces, and may be a useful index for early disease. In this study, we have evaluated arthritic pathology using the acoustical analysis of knee joint sounds. During sitting and standing periods, subjects' active knee flexion and extension were monitored. Fundamental frequency, mean amplitude of pitch, jitter and shimmer were analyzed according to the position and the joint angle. The result showed that the fundamental frequency of the 2nd patient group and standing position was higher than the others, and that the pitch of sounds changed unstably. These results suggest that an analysis of knee joint sound might assist non-invasive diagnosis of an articular pathology.

• Journal of Mechanical Science and Technology
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• 제18권2호
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• pp.211-220
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• 2004

It is well known that the geometry of the articular surface has a major role in determining the position of articular contact and the lines of action for the contact forces. The contact force calculation of the knee joint under the effect of sliding and rolling is one of the most challenging issues in this field. We present a 3-D human knee joint model including sliding and rolling motions and major ligaments to calculate the lateral and medial condyle contact forces from the recovered total internal reaction force using inverse dynamic contact modeling and the Least-Square method. As results, it is believed that the patella, muscles and tendon affect a lot for the internal reaction forces at the initial heel contact stage. With increasing flexion angles during gait, the decreasing contact area is progressively shifted to the posterior direction on the tibia plateau. In addition, the medial side contact force is larger than the lateral side contact force in the knee joint during normal human walking. The total internal forces of the knee joint are reasonable compared to previous studies.

• 대한물리치료과학회지
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• 제1권1호
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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.

• 동의생리병리학회지
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• 제24권6호
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• pp.1117-1128
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• 2010

The purpose of this study is to know recent studies about conservative treatment of osteoarthritis in knee joint. We reviewed and analyzed 71 theses published by korean research institution since 2000. These theses were classified by year, field of study and subject. The results of this study are as follows. 1. We found 24 oriental medical theses about osteoarthritis in knee joint since 2000. 2. Classified by the major field of study, the journal of korea acupuncture and moxibustion society accounted for 17 pieces in oriental medical journals. 3. In oriental medicine, the most subject is acupuncture(19 pieces). 13 pieces in it is about pharmacopuncture. 4. 47 theses are published in medical journals after 2000. 5. 35 associations dealt with this theme, the korean society of physical medicine is major. 6. Most subject is kinesitherapy, followed by pharmacotherapy, massotherapy, taping therapy, physiotherapy and insole. We found several therapies were effective through oriental and western medical theses. Combined oriental medicine and western conservative therapy like kinesitherapy make better effect on osteroarthritis of knee joint.

• 로봇학회논문지
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• 제8권1호
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• pp.8-19
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• 2013

One of the important issues for structural and electrical specifications in developing a robot is to determine lengths of links and motor specifications, which need to be appropriate to the purpose of robot. These issues become more critical for a gait rehabilitation robot, since a patient wears the robot. Prior to developing an entire gait rehabilitation robot, designing of a 1DOF assistive knee joint of the robot is considered in this paper. Human gait motions were used to determine an allowable range of knee joint that was rotated with a linear type actuator (ball-screw type) and links. The lengths of each link were determined by using an optimization process, minimizing the stroke of actuator and the total energy (kinetic and potential energy). Kinetic analysis was performed in order to determine maximum rotational speed and maximum torque of the motor for tracking gait trajectory properly. The prototype of 1 DOF assistive knee joint was built and examined with a impedance controller.