• 제목/요약/키워드: Knee Joint

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수중운동이 관절염 환자의 하지근력, 관절각도 및 통증에 미치는 영향 (Effect of Aquatic Exercise Program on Lower Limbs, Muscle Strength, Knee Joint Flexion and Pain Changes of Arthritis Patients)

  • 이영옥;최명한;김종임;이태용
    • 근관절건강학회지
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    • 제5권2호
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    • pp.222-237
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    • 1998
  • In an attempt to investigate the effect of long-term aquatic exercise program on lower limbs' muscle strength, knee Joint flexion, pain reduction and weight changes with aquatic exercise program. Forty three women with arthritis were pre and post tested for changes of muscle strength, range of motion, weight and pain. This data was collected from April 1, 1997 to February 24, 1998. The mean age was 52.5. Statistically significant in lower limbs' muscle strength with an aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in knee joint flexion with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in pain reduction with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in weight changes with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 6 weeks after experiment. As a conclusion, aquatic exercise programs for the patients with arthritis require at least 12 weeks and a variety of aquatic exercise programs for the effective control should be developed.

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Nonlinear FES Control of Knee Joint by Inversely Compensated Feedback System

  • Eom Gwang-Moon;Lee Jae-Kwan;Kim Kyeong-Seop;Watanabe Takashi;Futami Ryoko
    • International Journal of Control, Automation, and Systems
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    • 제4권3호
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    • pp.302-307
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    • 2006
  • The aim of applying Functional Electrical Stimulation (FES) is to restore a person's motor function by directly supplying the controlled electrical currents to the site of the paralyzed muscles. However, most clinically utilized FES systems have adapted an open-loop control scheme. Recently the closed-loop control scheme has been considered for setting up the FES system, but due to the inherent nonlinearities in the musculoskeletal system, the nonlinearities were not fully compensated and it caused the oscillatory responses for tracking the output variables. In this study, a nonlinear controller model that has two inverse compensation units is proposed with the compromising feedback linearization method and this will eventually be used to design the FES control system for stimulating a knee joint musculoskeletal system.

고해상도 초음파로 추시된 슬관절 내측측부인대 점액낭염에 대한 증식치료의 효과 (Effects of Prolotherapy on Medial Collateral Ligament Bursitis of the Knee Joint Identified with High Resolution Ultrasound)

  • 김응록
    • 대한정형외과학회지
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    • 제54권5호
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    • pp.469-473
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    • 2019
  • 슬관절 내측 통증은 정형외과 영역에서 흔한 문제이다. 초음파를 통하여 내측측부인대 점액낭염, 내측 반월상 연골 낭종, 내측측부인대 퇴행성 변화, 내측 반월상 연골의 탈출 등을 확인할 수 있다. 증식치료는 무릎의 내측 통증을 주소로 내원한 환자에서 효과적인 치료법이다. 내측측부인대 점액낭염 환자에게 증식치료 시행 후 근골격계 초음파로 추시하여 점액낭염의 호전을 관찰한 증례를 보고하고자 한다.

이중 내측 활막추벽 증후군 - 1예 보고 - (Double Medial Plica Syndrome - Case Report -)

  • 손종민;장주해;하난경;조성태;황정택
    • 대한관절경학회지
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    • 제10권1호
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    • pp.108-111
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    • 2006
  • 저자들은 우 슬관절에 발생한 이중 내측 활막추벽 증후군 환자를 경험하였기에 보고한다. 일반적으로 활막추벽 증후군은 전형적인 증상이나 통증이 없을수 있으며, 다양한 골관절 증상을 유발하는 다른 슬내장증의 원인들과 감별진단이 요구된다. 결정적인 진단에는 MRI와 관절경술이 필요하며, 증상이 있는 경우 관절경적 제거술에 의해 증상의 호전이 이루어진다고 보고된다. 본 환자는 앉거나 계단을 오를 때, 우 슬관절 동통을 호소하였고, MRI상 전형적인 이중 내측 활막추벽이 관찰되어 관절경적 절제술을 시행하였다. 술후 환자는 만족스러운 임상호전을 보였다.

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드롭랜딩 시 높이에 따른 슬개대퇴 압박력의 차이 (The Differences in Patellofemoral Compression Force with Different Height)

  • 조준행;김경훈;문곤성;이성철
    • 한국운동역학회지
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    • 제21권3호
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    • pp.335-343
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    • 2011
  • Patellofemoral pain syndrome is the most common problem involving the knee, accounting for 25% of knee injuries. Repetitive, overuse activities cause increased force at the patellofemoral joint, resulting in pain during flexion and extension activities. Most research have been conducted in exploring the patellofemoral compressive force in gait, squat and lunges, even though in real cases, possibilities in landing exist. The purpose of this study was to compare the differences in patellofemoral compressive force according to two different height. Sixteen collegiate male students(age: 22.25 ${\pm}$ 3.30 yrs, height: 177.25 ${\pm}$ 4.44 cm, weight: 77.50 ${\pm}$ 8.18 kg) were chosen. The subjects performed drop landings in 45 cm, 60 cm. The findings demonstrated that higher height showed peak knee extension moment, quadriceps contraction force, patellofemoral compressive force with increased VGRF. Regarding the patellofemoral joint compressive force, it increased by quadriceps contraction force with knee flexion during landing, yet, it showed no difference in maximal knee flexion. To minimize patellofemoral joint stress and reduce the likelihood of developing PFPS, we recommend that predesigned quadriceps and hip muscle group strengthening are needed during conditioning and training.

슬관절전치환술 후 연속수동운동(CPM)과 연속능동운동(CAM) 적용이 관절 고유수용감각에 미치는 영향 (The Effect of Continuous Passive Motion and Continuous Active Motion on Joint Proprioception After Total Knee Replacement)

  • 양진모;김선엽
    • 대한물리치료과학회지
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    • 제17권1_2호
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    • pp.41-52
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    • 2010
  • Purpose: The purpose of this study was to compare the effects of continuous passive motion(CPM) and continuous active motion(CAM) on proprioception of the knee after total knee replacement(TKR). Methods: Twenty patients with TKR were randomly allocated into two groups, the CPM group(n=10) and the CAM group(n=10). All subjects were evaluated for levels of pain, passive range of motion and angle reproduction of the knee. An angle reproduction test was used to assess the proprioceptive deficit. Two types of angle reproduction test were used: a passive angle reproduction(PAR) test and an active angle reproduction(AAR) test. The relevant examinations were performed before and after intervention(on the 5th day and the 10th day). The statistical significance were calculated using a t-test and a one-way repeated ANOVA. Results: A pre-intervention significant difference was not found between the two groups. Significantly better results were before and after the intervention at 10 days, for the PAR(flexion direction) test; however, only in the CAM group. There were no significant difference, either before or after the intervention, for the AAR test(flexion and extension direction) in both group. Both groups experienced similar levels of pain and passive range of knee motion before and after the intervention. Conclusion: This study revealed that CAM was a better effect to restore position sense of the knee joint after TKR.

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Change in Kinetics and Kinematics during 1-Footed Drop Landing with an Increase in Upper Body Weight

  • Lee, Jin-Taek;David, O'Sullivan
    • 한국운동역학회지
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    • 제21권1호
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    • pp.1-7
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    • 2011
  • The purpose of this study was to investigate changes in kinetic and kinematic variables associated with an increase in upper body weight. Eighteen healthy male university students($175.96{\pm}4.19\;cm$, $70.79{\pm}8.26\;kg$) participated. Eight motion analysis cameras(Qualysis Oqus 500) and 2 force AMTI platforms(Advanced Mechanical Technologies Inc. OR6-7, US) were used to record motion and forces during the drop landing at a frequency of 120 Hz and 1200 Hz, respectively. QTM software(Qualisys Track Manager) was used to record the data, and the variables were analyzed with Visual 3D and Matlab 2009. For the drop landing, a box of $4{\times}2{\times}0.46\;m$ was constructed from wood. Knee and ankle maximum flexion angle, knee flexion angle, knee and ankle angle at landing, time for maximum ankle flexion after landing, and time for maximum knee flexion after landing were calculated. There was a significant change in the time for maximum and minimum ground force reaction and the time for maximum dorsal flexion after landing(p<.05) with increasing weight. There was no significant change for the hip, knee, and ankle ROM, whereas there was an increase in the angle ROM as the weight increased, in the order of ankle, knee, and hip ROM. This result shows that the ankle joint ROM increased with increasing weight for shock attenuation during the drop landing. There was a trend for greater ankle ROM than knee ROM, but there was no clear change in the ROM of the hip joint with increasing weight. In conclusion, this study shows the importance of ankle joint flexibility and strength for safe drop landing.

엉덩관절-우세 넙다리뒤근 운동과 무릎관절-우세 넙다리뒤근 운동이 넙다리뒤근 근력과 관절가동범위, 기능적 수행 수준에 미치는 영향 비교: 무작위 중재 시험 (Comparison of Effect of Hip-dominant vs Knee-dominant Hamstring Strengthening Exercises on the Muscle Strength, Range of Movement, and Functional Performance Level: A Randomized Intervention Trial)

  • 김현;김진택;김선엽
    • 대한정형도수물리치료학회지
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    • 제30권2호
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    • pp.13-26
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    • 2024
  • Background: The most common form of injury in soccer is a hamstring strain. Eccentric bias exercises are crucial for reducing injury risk and improving sprinting performance. The purpose of this study was to compare a 4-week hip-dominant hamstring strengthening exercise program (HDE) with a knee-dominant hamstring strengthening exercise program (KDE) in youth soccer players. Method: The sample (n=31) was randomly divided into two groups: HDE (n=17) and KDE (n=14), with soccer players in HDE performing hip joint-dominant hamstring strengthening exercises and those in KDE performing knee joint-dominant hamstring strengthening exercises. Each intervention was conducted three times per week for four weeks. The outcome measures included the hamstring strength test (isometric strength test, eccentric strength test), knee joint range of motion (90/90 active knee extension; AKE) test, lower limb function test Y-balance test and Agility T-test. Results: Following the intervention, both groups showed significant improvement in isometric and eccentric hamstring strength on both dominant and non-dominant sides (p<.05). The AKE test showed significant improvement in the dominant leg (p<.05) and non-dominant leg only in KDE. The agility test significantly improved in HDE (p<.05). There was a slight improvement in the Y-balance test score; however, the difference was not statistically significant. There were no differences between the two groups in the values before, and after the intervention for all items. Conclusion: The hip-dominant and knee-dominant hamstring strengthening exercise should be coordinated and used based on the environment during hamstring injury prevention training.

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관절 역학과 협응이 최대 수직 점프의 개인내 수행차에 미치는 영향 (Effect of Joint Kinetics and Coordination on the Within-Individual Differences in Maximum Vertical Jump)

  • 김용운;서정석;한동욱
    • 한국운동역학회지
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    • 제22권3호
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    • pp.305-314
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    • 2012
  • The purpose of this study was to investigate the effects of joint kinetics and coordination on within-individual differences in maximum vertical jump. 10 male subjects aged 20 to 30 performed six trials in maximum vertical jump and with based on jump height the good(GP) and bad(BP) performances for each subject were compared on joint kinetics of lower extremity and coordination parameters such as joint reverse and relative phase. The results showed that maximum moment, power, and work done of hip joint and maximum moment of ankle joint in GP were significantly higher than that in the BP but no significant differences for the knee joint. We could observe a significant difference in joint reverse timing between both conditions. And also the relative phase on ankle-knee and ankle-hip in GP were significantly lower than that in the BP, which means that in GP joint movements were more in-phase synchronized mode. In conclusion, mechanical outputs of hip and ankle joints had an effect on within-individual differences in vertical jump and the inter-joint coordination and coordination including sequence and timing of joint motion also might be high influential factors on the performances within individual.