• Title/Summary/Keyword: Knee Joint

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Clinical Study of Acupucture Effect on Microtraumatic Injuries of the Knee Joint (슬관절 미세손상환자의 침치료에 관한 임상적 고찰)

  • Woo, Young-Min;Lee, Jin-Heon;Kim, Jean-Moon;Nam, Young
    • Journal of Acupuncture Research
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    • v.17 no.4
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    • pp.88-99
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    • 2000
  • Objectives : This study was performed to evaluate the clinical effect of acupuncture on microtraumatic injuries of the knee joint. Methods : Among the outpatients with knee joint pain who visited to Department of Acupuncture & Moxibustion, National Medical Center from February 2000 to September 2000, we selected 15 cases that showed normal finding in both X-ray and neurological examination, and that were categorized into microtraumatic injuries by the physical examination based on the Cyriax's orthopedic medicine. During acupuncture therapy, the patients were ordered to move involved side actively. The effect was assessed through questionnaires of CNRS(Cincinnati Knee Rating System). Results : We investigated 11 female and 4 male patients. The most common distribution of age was 30's(40%). The most commom duration of symtoms was from 3 to 5 months(40%). The most common microtraumatic injury was pes anserinus bursitis(33.3%), and followed by iliotibial band friction syndrome(20%), and patellar tendinitis(20%). In the CNRS, the mean number of before treatment was 60.6 and after was 66.5. 10 cases among the 15 patients were improved(66.6%). Conclusions : These results suggest that the acupuncture therapy combined with active movements of involved side was effective treatment modality on microtraumatic injuries of the knee joint.

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A Comparison of the Proprioception of the Knee Joint at Different Conditions in 20 Years of Age (20대 연령에서 다양한 조건에 따른 슬관절의 고유수용성 감각 비교)

  • Kwon, Oh-Yun;Choi, Houng-Sik
    • Journal of Korean Physical Therapy Science
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    • v.3 no.3
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    • pp.15-23
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    • 1996
  • The purpose of this study to evaluate and compare the proprioception of the dominant knee joint at different conditions in normal 20 years of age. The pripriocption was measured at sitting, supine, prone position with the eyes opened and the eyes closed. All were assessed with and without a knee brace around the knee by reproduction the position to which a joint has previously been placed. In this study, 24 rehabilitation therapy major students were assessed at Hansoe University. In this study applied the paired t-test and 1-way ANOVA to determine the statistical significance of results at 0.05 level of significance. The error average of proprioception was $4.65{\pm}2.95^{\circ}$ with the eyes closed and $4.08{\pm}1.14^{\circ}$ with the eyes opened in sitting position, $5.56{\pm}3.18^{\circ}$ with the eyes closed and $4.98{\pm}2.99^{\circ}$ with the eyes opened in supine position and $5.60{\pm}1.64^{\circ}$ with the eyes closed and $4.87{\pm}2.16^{\circ}$ with the eyes opened in prone position. There was no significantly difference the error average between the eyes opened group and the eyes closed group. There was no significantly difference the error average among the three positions. The error average decreased significantly in knee brace group at all conditions.

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Influence of Unilateral Muscle Fatigue in Knee and Ankle Joint on Balance and Gait in Healthy Adults

  • Lee, Na-Kyung;Kim, Young-Mi;Kim, Kyoung
    • The Journal of Korean Physical Therapy
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    • v.29 no.1
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    • pp.39-43
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    • 2017
  • Purpose: This study was to investigate the effects of unilateral muscle fatigue in knee and ankle joints on balance and gait in healthy adults. Methods: Exercise inducing muscle fatigue in the knee joint consisted of concentric and eccentric contraction of dominant knee extensors in healthy adults by using the Leg Extension Rehap exercise machine (HUR, Finland). Exercise inducing muscle fatigue in the ankle joint was composed of voluntary contractions and forced contractions of the dominant plantar flexors in healthy adults. Exercises to induce muscle fatigue in the knee and ankle joints were performed until the subject complained of fatigue or pain, the occurrence of muscle fatigue was confirmed by electromyography. We measured static and dynamic balance using the Good Balance system and gait performance by RS-scan. Results: Static and dynamic balance ability and spatial-temporal gait decreased significantly after muscle fatigue in knee and ankle joint. Conclusion: These results show that unilateral muscle fatigue of the lower extremities affected postural control and gait. Therefore, therapists and sport trainers should minimize the risks of fall and injuries related to unilateral muscle fatigue.

Snow-Man Shaped Nodular Tenosynovitis in the Knee - Case Report - (슬관절내에 발생한 눈사람 형태의 결절성 건활액막염 - 증례보고 -)

  • Lee, Geon-Woo;Lee, Kun-Su;Song, Sang-Ho;Kim, Myeong-Ku;Yun, Sang-Hyeon
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.1
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    • pp.44-47
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    • 1999
  • The authors describe one case of a 25-year-old male with nodular tenosynovitis in left knee joint who did not have a history of joint trauma. He had joint pain and restricted flexion of the left knee at 100 degrees. After arthroscopic excision of mass, symptom was relieved completely and the patient had gained full range of motion of the left knee. No recurrence of symptom and loss of motion of the left knee were noticed during follow up period for 12 months.

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Dynamic Analysis of Stair Climbing for the Above-knee Amputee with Musculoskeletal Models (근골격 모델을 이용한 대퇴절단환자의 계단보행에 대한 동역학 해석)

  • Bae, Tae-Soo;Kim, Shin-Ki;Mun, Mu-Seong
    • Journal of the Korean Society for Precision Engineering
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    • v.24 no.7 s.196
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    • pp.133-138
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    • 2007
  • It is important to understand the characteristics of amputee gait to develop more advanced prostheses. The aim of this study was quantitatively to analyze the stair climbing task for the above-knee amputee with a prosthesis and to predict muscle forces and joint moments at musculoskeletal joints by dynamic analysis. The three-dimensional musculoskeletal model of lower extremities was constructed by gait analysis and transformation software for one above-knee amputee and ten healthy people. The measured ground reaction forces and kinematical data of each joint by gait analysis were used as input data during inverse dynamic analysis. Lastly, dynamic analysis of above-knee amputee during stair climbing were performed using musculoskeletal models. The results showed that summed muscle farces of hip extensor of amputated leg were greater than those of sound leg but the opposite results were revealed at hip abductor and knee flexor of amputated leg. We could also find that the higher moments at hip and knee joint of sound leg were needed to overcome the flexion moment caused by body weight and amputated leg. In conclusion, dynamic analysis using musculoskeletal models may be a useful mean to predict muscle forces and joint moments for specific motion tasks related to rehacilitation therapy..

Effects of Knee Joint Muscle Fatigue and Overweight on the Angular Displacement and Moment of the Lower Limb Joints during Landing (무릎 관절 근육 피로와 과체중이 착지 시 하지 관절의 각변위와 모멘트에 미치는 영향)

  • Kim, Tae-Hyeon;Youm, Chang-Hong
    • Korean Journal of Applied Biomechanics
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    • v.23 no.1
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    • pp.63-76
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    • 2013
  • The purpose of this study was to investigate the effects of knee joint muscle fatigue and overweight on the angular displacement and moments of the lower limb joints during landing. Written informed consent forms, which were approved by the human subject research and review committee at Dong-A University, were provided to all subjects. The subjects who participated in this study were divided into 2 groups: a normal weight group and an overweight group, consisting of 15 young women each. The knee joint muscle fatigue during landing was found to increase the dynamic stability by minimizing the movements of the coronal and horizontal planes and maintaining a more neutral position to protect the knee. The effect of body weight during landing was better in the normal weight group than in the overweight group, with the lower limbs performing their shock-absorbing function in an efficient manner through increased sagittal movement. Therefore, accumulated fatigue of knee joint muscles or overweight may be highly correlated with the increase in the incidence of injury during landing after jumping, descending stairs, and downhill walking.

Development of Knee Weight-bearing Radiography Assist Device (무릎 체중부하 촬영 보조장치 개발)

  • Yon-Lae Kim;Young-Woo Yoon
    • Journal of radiological science and technology
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    • v.46 no.5
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    • pp.395-399
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    • 2023
  • The knee arthritis patients are generally performed standing position radiography. However, patients with pain caused by degenerative diseases or injuries in the knee have difficulty maintaining a standing position. Therefore, this study aims to develop a knee joint standing weight bearing projection assist device to solve these problems when patients undergo knee radiography due to various diseases. The design of the knee joint weight-bearing radiography assist device is carried out with 3D design and drawing production to secure basic data, electric support and frame manufacture. A fixed device for maintaining the patient's knee standing weight-bearing projection, an electric digital height device, a digital protractor, and a safety device were designed. The arm support is made of PVC with a cushion to relieve the impact and make it easier to remove debris. The digital electric device can be moved up and down according to the patient's height, and a remote control is attached. The safety device is made to be adjustable in size by attaching metal hooks on both sides of the frame and to shield the scrotum. A digital protractor was attached to the side frame to set the desired knee angle. When a self-made assist device was used to perform a knee joint standing weight bearing projection, it helped maintain arm support and lower extremities position. In addition, the height could be adjusted using an assist device during standing projections, which helped the patient maintain the position.

Analysis of Lower Limb Joint Angle and Rotation Angle of Tennis Forehand Stroke by Stance Pattern (스탠스 유형에 따른 테니스 포핸드 스트로크의 하지관절각도와 회전각도 분석)

  • Kang, Young-Teak;Lee, Kyung-Soon;Seo, Kuk-Woong
    • Korean Journal of Applied Biomechanics
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    • v.16 no.3
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    • pp.85-94
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    • 2006
  • The purpose of this study was to analyze the kinematics variables of during forehand stroke by stance patterns. Eight high school tennis players were chosen for the study, who have never been injured for last six months, in Busan. They performed horizontal swing and vertical swing that it was done each five consecutive trial in the condition of square, open and semi-open stance. It was filmed by 6 video camera and used with 3-dimensional motion analyzer system. The following kinematic variables were analyzed in relation to angle of segment( shoulder, hip and knee joint). The conclusion were as follow: 1. The angle of hip joint represented at impact that horizontal swing was not significant difference by stance patterns but vertical swing was increased in open stance than square and semi-open stance. 2. The angle of both knee was not significant difference between all stance types and swing patterns. 3. The angle of shoulder, hip and knee joint rotation showed that open stance was increased than square and semi-open stance in all swing types and event.

Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model (재가 무릎 골관절염 환자의 관절건강 자가관리 프로그램 개발 및 효과: IMB 모델 적용)

  • Kim, Young-il;Park, Jeong Sook
    • Research in Community and Public Health Nursing
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    • v.28 no.1
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    • pp.55-68
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    • 2017
  • Purpose: The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities. Methods: This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education. Results: Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group. Conclusion: The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients' procedures.

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.