• 제목/요약/키워드: Knee Joint

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스쿼트 동작 시 수동적 발목 가동범위와 무릎 관절 운동역학적 변인 간 상관성 분석 (Analysis of correlation between passive ankle movement range and knee joint kinetic variables during squat movement)

  • 이재우;박준성;임영태;권문석
    • 한국응용과학기술학회지
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    • 제37권3호
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    • pp.509-515
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    • 2020
  • 본 연구의 목적은 딥 스쿼트 동작 시 발목 관절 유연성이 무릎 관절의 운동역학적 요인들간의 관련성을 분석하는데 있었다. 본 연구는 최근 1년간 하지 근골격계 병력이 없는 성인 남성 19명과 여성 8명이 연구대상자로 참여하였다. 딥 스쿼드 시 발목 관절 유연성과 하지 관절의 운동역학적 요인들과 상관관계를 검증하기 위해 pearson의 적률상관계수(pearson's correlation coefficient)를 이용하였고(SPSS 24.0, Armonk, NY, USA), 통계적으로 유의미한 상관성을 나타낸 변인들은 단순회기분석(simple regression analysis)을 실시하였으며, 유의 수준은 .05로 설정하였다. 본 연구를 통해 발목 관절 유연성과 무릎 관절의 압력을 결정하는 최대 관절모멘트와 관절반발력 요인들 간의 관련성을 확인할 수 있었다. 그러므로 근력 트레이닝 시 딥 스쿼트와 같은 무릎 관절에 많은 부하를 발생시킬 수 있는 운동을 적용할 때 개인에 신체적 특성 중 발목 관절의 유연성의 정도를 확인하는 것은 신체의 안정성과 무릎 관절의 상해 위험성을 감소시킬 수 있는 운동 강도를 설정하는데 도움이 될 수 있을 것으로 기대한다.

봉약침치료(蜂藥鍼治療)의 퇴행성슬관절염(退行性膝關節炎)에 대한 임상적(臨床的) 고찰(考察) (The Clinical Study on Bee Venom Acupuncture Treatment on Osteoarthritis of Knee Joint)

  • 이성노;홍서영;조현철;변임정;송호섭;김기현
    • Journal of Acupuncture Research
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    • 제20권5호
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    • pp.73-81
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    • 2003
  • Objective : The study was performed to evaluate the effect of treatment for Osteoarthritis of knee joint by using Bee Venom Acupuncture that is well known for anti-inflammatory and analgesic effect. Methods: We investigated 50 cases of patient with Osteoarthritis of knee joint from 1st July 2001 to 31st December 2002, 50 cases of patient with Osteoarthritis in knee joint treated at the department of acupuncture & moxibustion of Kyung-Won University Oriental Hospital were randomly selected for two group. One group was treated by Bee Venom Acupuncture therapy, the other group was treated by Filiform Acupuncture therapy. We studied nine-point scale and improvement degree of the grade of clinical symptoms. Results: 1. In the results of treatment, 88% were above "Good" of Bee Venom Acupuncture and 68% in Filiform Acupuncture . 2. In the nine-point scale. Bee Venom Acupuncture was more effective than Filiform Acupuncture. 3. In the improvement degree of the grade of clinical symptoms. Bee Venom Acupuncture was more effective than Filiform Acupuncture. Conclusions: In the treatment of Osteoarthritis of knee joint. Bee Venom Acupuncture can be regarded as more effective treatment than Filiform Acupuncture in the clinical practice. This is expected to be available for clinical use.

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침(鍼)과 봉약침(蜂藥針) 복합치료(複合治療)의 퇴행성(退行性) 슬관절염(膝關節炎)에 대한 임상적(臨床的) 연구(硏究) (The Clinical Study on Bee Venom Acupuncture Treatment on Osteoarthritis of Knee Joint)

  • 임정아;김성남;이성용;문형철;신민섭;김희준;구성태;최선미;김성철
    • 대한약침학회지
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    • 제8권2호
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    • pp.29-37
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    • 2005
  • Objective : This study is performed for the purpose of examining into the efficacy of the Bee Venom Acupuncture Treatment for Osteoarthritis of Knee Joint. Methods : We investigated 25 cases of patients with Osteoarthritis of Knee Joint from 1st June 2005 to 13th July 2005. The 25 patients were taken Bee Venom Acupuncture over three times irregularly. Treatment efficiency was monitored through VAS (Visual Analog Scale) and improvement degree of the grade of clinical symptoms. Conclusions : We brought to the conclusion that the Bee Venom Acupuncture has possibility to be efficient to cure the Osteoarthritis of Knee Joint patients. So we suggest the possibility to use this new remedy for the Osteoarthritis of Knee Joint.

비탄력 테이핑이 슬개대퇴관절 통증증후군 환자의 슬개건 통증과 슬관절부 근력, 보행에 미치는 영향 비교 (Comparison of the Effects of Non-elastic Taping on Patellar tendon Pain, Knee Muscle Strength and Gait in Patients with Patellofemoral Joint Pain Syndrome)

  • 정상모;정영준;안승원
    • 대한정형도수물리치료학회지
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    • 제25권2호
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    • pp.39-46
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    • 2019
  • Background: Ground repulsion or impact on the ground during daily activities, sports, or occupational activities may cause injury to the knee when walking. Non-elastic taping is effective in treating these problems in previous studies. Non-elastic taping strengthens the structure of the soft tissues of the injured knee joint to maintain constant tension, improves muscle rearrangement and function, and improves proprioception. Based on previous studies, we intended to see the therapeutic changes of non-elastic taping in patients with patellofemoral joint pain syndrome. Methods: The non-elastic taping application method was applied to the patient three times for five hours for one week. Non-elastic taping was applied to the patellar tendon with little space above the skin segment of the patellar femur, with both sides fixed by taping. Muscle strength and gait change were evaluated with non-elastc taping. Results: The knee flexion, extension strength and gait evaluation of the knee joint with inelastic taping showed significant differences after treatment. There was a significant difference in the comparison between the two groups after the treatment method was applied (p<.05). Conclusion: As a result, this study confirms that the non-elastic taping method applied for the treatment of patellar femoral joint pain syndrome is effective in the treatment.

의지 보행시 의지 무게 분포가 근골격계에 미치는 영향 (Effects of Prosthetic Mass Distribution on Musculoskeletal System during Amputee Gait)

  • 배태수;최환;김신기;문무성
    • 한국정밀공학회지
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    • 제24권8호통권197호
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    • pp.130-137
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    • 2007
  • The optimized prosthetic mass distribution was a controversial problem in the previous studies because they are not supported by empirical evidence. The purpose of the present study was to evaluate the effect of prosthetic mass properties by modeling musculoskeletal system, based on the gait analysis data from two above-knee amputees. The joint torque at hip joint was calculated using inverse dynamic analysis as the mass was changed in knee and foot prosthetic components with the same joint kinematics. The results showed that the peak flexion and abduction torque at the hip joint were 5 Nm and 15 Nm when the mass of the knee component was increased, greater than the peak flexion and abduction torque of the control group at the hip joint, respectively. On the other hand, when the mass of the foot component was increased, the peak flexion and abduction torque at the hip joint were 20 Nm and 15 Nm, greater than the peak flexion and abduction torque of the control, respectively. The hip flexion torque was 4.71-fold greater and 7.92-fold greater than the hip abduction torque for the knee mass increase and the foot mass increase on the average, respectively. Therefore, we could conclude that the effect of foot mass increase was more sensitive than that of knee mass increase for the hip flexion torque. On the contrary, the mass properties of the knee and foot components were not sensitive for the hip abduction torque. In addition, optimized prosthetic mass and appropriate mass distributions were needed to promote efficiency of rehabilitation therapy with consideration of musculoskeletal systems of amputees.

쪼그려 앉았다 서기 동작 시 몸통의 무게 변화가 몸통 움직임과 무릎 관절 모멘트에 미치는 영향 (The Effect of Trunk Motion and Knee Joint Moment during Deep Stand to Sit and Sit to Stand According to the Trunk Weight Increase)

  • 권문석;김상규;신성휴
    • 한국운동역학회지
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    • 제17권4호
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    • pp.89-98
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    • 2007
  • The purpose of this study was to evaluate the trunk motion and knee joint moment during deep stand to sit and sit to stand according to the trunk weight increase. These experimental subjects were 9 males, who had no skeletal muscular disease. They were performed a SATS(stand to sit), STS(sit to stand) according to the trunk weight increase. Trunk weight increase were classified into 4 bearing trunk weight of 0%, 8%, 16%, 24% of the subject' weight. 1-way(4) RM ANOVA is applied to get the difference of trunk displacement movements and knee joint moments according to he trunk weight increase. significant level of each experiment is set as $\alpha$=.05. 1. Significant difference was classified into 3 bearing trunk weight of 0%, 16%, 24% in maximum forward backward displacement of trunk COM(center of mass). Significant difference was classified into 4 bearing trunk weight of 0%, 8%, 16%, 24% in maximum upward downward displacement of trunk COM during the SATS, STS. 2. Significant difference was classified into 4 bearing trunk weight of 0%, 8%, 16%, 24% in maximum extension knee joint moment. Significant difference was classified into 2 bearing trunk weight of 0%, 16% in maximum internal rotation knee joint moment during the SATS, STS. Therefore we expect that biomechanical model of this study will used to study for mechanical characteristics of obese people.

슬관절 각도에 따른 교각운동이 하지근 활성도에 미치는 영향 (The Effect of Lower Extremity Muscle Activity on Bridging Exercise According to the Knee Joint Angle)

  • 김경환;기경일;윤혜진
    • PNF and Movement
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    • 제9권1호
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    • pp.21-29
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    • 2011
  • Purpose : The purpose of this study was to assess the effects of the lower extremity muscle activity on bridging exercise according to the knee joint angle. Methods : Twenty-five healthy adults volunteered to participate in this study. Subjects were required to complete following four bridging exercises; knee joint flexion $120^{\circ}$, $90^{\circ}$, $60^{\circ}$, $45^{\circ}$. Surface electromyography from selected lower extremity muscles was normalized to maximum voluntary isometric contraction. Muscle activity was measured by QEMG-4 system (LXM 3204, Laxtha Korea). A repeated measures of one-way ANOVA was used to determine the influence of bridging exercise on muscle activity for each muscle and descriptive statistics was used to determine muscle ratio. Results : The biceps femoris of all bridging exercises showed significantly(p<.05). The vastus medialis and lateralis of all bridging exercises showed significant excepted $120^{\circ}$(p<.05). The rectus femoris of all bridging exercises showed no significant. Median of vastus medialis/rectus femoris ratio of $120^{\circ}$ was 2.03, $90^{\circ}$ was 2.16, $60^{\circ}$ was 2.67, $45^{\circ}$ was 4.10. Median of vastus lateralis/rectus femoris ratio of $120^{\circ}$ was 1.70, $90^{\circ}$ was 1.70, $60^{\circ}$ was 2.08, $45^{\circ}$ was 2.58. Median of vastus medialis/vastus lateralis ratio of $120^{\circ}$ was 1.26, $90^{\circ}$ was 1.50, $60^{\circ}$ was 1.52, $45^{\circ}$ was 1.47. Conclusion : Angular motion decreasing with knee joint flexion made increase biceps femoris and vastus medialis activation. This result will be use knee joint stabilizing exercises during bridging or unstable surface training and biceps femoris strength training.

정상 성인에서 Flex-OA 기능성 신발과 일반 신발이 보행 중 엉덩관절과 무릎관절의 가동범위에 미치는 효과 (Effects of the Flex-OA Functional Shoe and the Standardized Shoe on Ranges of Hip and Knee Joint During Gait in Healthy Individuals)

  • 김용욱
    • 대한통합의학회지
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    • 제6권3호
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    • pp.33-42
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    • 2018
  • Purpose : The purpose of this study was to investigate the characteristics of the Flex-OA shoe, a specific functional shoe, in terms of the range of motion (ROM) of hip and knee joint during walking when compared to a standardized shoe. Methods : Twenty-six healthy adults (18 males, 6 females) participated in this study. Subjects performed 8 walking trials consisting of two different shoe conditions to evaluate the hip and knee ROM using a three-dimensional motion capture system. Visual 3D motion analysis software was finally used to coordinate the kinematic data. Result : The total ROM and maximal abduction range of the hip joint in the coronal planes when wearing the Flex-OA shoe were significantly increased during walking compared to wearing a standard shoe (p<.05). On the other hand, significantly increased ROM was observed in the sagittal plane when wearing the Flex-OA shoe in the knee joints compared to a standard shoe (p<.05). Conclusion : Although clinical application of the specific functional shoe has known clearly positive effects on knee moments, the results of this study could provide important clues to explain the background of these effects in terms of the hip and knee joints when applying a specific functional shoe.

노인여성의 계단 내려오기 시 무릎 관절 테이핑이 슬개대퇴 압박력에 미치는 영향에 관한 연구 (Study of Effects on Taping of Knee Joint for Patellofemoral Compressive Force During Stair Descent in Elderly Women)

  • 문곤성;김택훈
    • 한국전문물리치료학회지
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    • 제22권3호
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    • pp.12-22
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    • 2015
  • The purpose of this study was to investigate the effect of taping on knee joint for patellofemoral compressive force (PCF) during stair descent for elderly women. Ten healthy elderly women voluntarily participated in this study. A three-dimensional motion analysis system and force plates were used to analyze the movements of the joints for the lower extremities. The results were as follows: There were no significant differences for the maximum PCF, maximum quadriceps contraction force and maximum knee extension moment (p>.05) but, there was a pattern decreasing all values with the taping during stair descent. There were significant differences for the knee and ankle angle on the event of maximum PCF (p<.05) and there was a pattern decreasing all values with the taping during stair descent. Therefore, taping on the knee would be effective to relieve the pain like patellofemoral pain syndrome in the knee joint.

슬관절 전치환술 후 한방 재활치료 프로토콜 적용의 임상적 효과: 증례 보고 (The Clinical Effect of Korean Medical Rehabilitation Protocol for Total Knee Replacement: A Report of 4 Cases)

  • 한수연;김미현;박은상;강준혁;김동영
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.219-231
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    • 2020
  • The objective of this study is to propose a Korean medical rehabilitation protocol for total knee replacement (TKR) and to report its effectiveness. This study was conducted as a retrospective study which analyzes the medical records of 4 patients undergoing Korean medical rehabilitation with protocol and continuous passive motion exercise for more than two weeks after TKR. We evaluated the outcome checking physical examination findings of the knee joint, numeric rating scale (NRS), Lysholm knee score (LKS) and walking state. After the treatment, we observed that the function of knee joint, NRS, LKS, walking state of patients were improved. This study showed that Korean medical rehabilitation protocol has effect on knee joint recovery after TKR. The limitation of this study was the insufficient number of cases and short-term follow up. Further studies should be done steadily to report the effectiveness of a Korean Medical rehabilitation protocol for TKR.