• 제목/요약/키워드: Knee moment

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외측 쐐기 깔창이 골관절염 환자의 내반슬에 미치는 영향에 관한 고찰 (A Review of Effects of Osteoarthritic Patient with a Varus Deformity of the Knee on Laterally Wedged Insole)

  • 이상용;신형수;배정수
    • 대한정형도수물리치료학회지
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    • 제11권1호
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    • pp.65-73
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    • 2005
  • Osteoarthritis has been considered a disease of the elderly because it is uncommon before the age of 40 years and is seen in approximately 80% of United States citizens older than 65 years. general population on kuri city in korea revealed that prevalence of knee osteoarthritis is 10.2%, increasing with age. High level of physical activity in men and age, post-menopause and obesity in women can be risk factor. Osteoarthritis is no evidence that a acquired process initiated much earlier in life through mechanical, metabolic, genetic, or other origins. A high tibial osteotomy alters static lower extremity alignment thereby decreasing medial compartment loading. As well, conservative treatment strategies, such as knee braces and valgus heel wedges, affect lover limb mechanics and attempt to reduce medial compartment loading. It was hypothesized that valgus heel wedges and modified orthoses would shift the center of pressure laterally on the foot during level walking, reducing the moment arm of the adduction moment in the frontal plane, thereby resulting in a decrease in the knee adduction moment. In the 1980s, the effect of wearing a laterally wedged insole on osteoarthritic patients with a varus deformity of the knee was firsted, and since then, kinematic and kinetic analyses concerning this condition have mainly focused on a static standing position. Since the early 1990s, the beneficial effect of wearing a laterally wedged insole to treat osteoarthritis of the knee has also been reported in dynamic conditions, but these studies did not answer the question of the kinematic and kinetic mechanisms that resulted in the reduced symptoms in patents with knee osteoarthritis. therefore, the effect of wearing laterally wedged insole has not been sufficiently studied.

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Novel pin jointed moment connection for cold-formed steel trusses

  • Mathison, Chris;Roy, Krishanu;Clifton, G. Charles;Ahmadi, Amin;Masood, Rehan;Lim, James B.P.
    • Steel and Composite Structures
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    • 제31권5호
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    • pp.453-467
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    • 2019
  • Portal frame structures, made up of cold-formed steel trusses, are increasingly being used for lightweight building construction. A novel pin-jointed moment connector, called the Howick Rivet Connector (HRC), was developed and tested previously in T-joints and truss assemblage to determine its reliable strength, stiffness and moment resisting capacity. This paper presents an experimental study on the HRC, in moment resisting cold-formed steel trusses. The connection method is devised where intersecting truss members are confined by a gusset connected by HRCs to create a rigid moment connection. In total, three large scale experiments were conducted to determine the elastic capacity and cyclic behaviour of the gusseted truss moment connection comprising HRC connectors. Theoretical failure loads were also calculated and compared against the experimental failure loads. Results show that the HRCs work effectively at carrying high shear loads between the members of the truss, enabling rigid behaviour to be developed and giving elastic behaviour without tilting up to a defined yield point. An extended gusset connection has been proposed to maximize the moment carrying capacity in a truss knee connection using the HRCs, in which they are aligned around the perimeter of the gusset to maximize the moment capacity and to increase the stability of the truss knee joint.

Anterior Cruciate Ligament Injury is Unlikely to Occur when Performing a Stable Weight Lifting Operation

  • Moon, Youngjin;Moon, Jeheon
    • 한국운동역학회지
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    • 제28권4호
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    • pp.199-205
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    • 2018
  • Objective: The purpose of this study was to examine the effect of increase in barbell weight on closely related variable to the anterior cruciate ligament (ACL) injury which are knee joint kinematics, joint load, joint moment, and maximum load attainment point during snatch of the weight lifting. Method: The subjects of the study were 10 male Korean national weight lifting athletes (69 kg 5, 77 kg 5; age: $21.80{\pm}3.91yrs.$, height: $168.00{\pm}4.06cm$, weight: $75.00{\pm}4.02kg$, career: $7.8{\pm}3.99yrs.$, snatch records: $168{\pm}4.06kg$). The weight of the barbell during the snatch operation was set at 70%, 75% and 80% of the highest records for each subject studied. Results: The result obtained from the one-way repeated measure ANOVA are as follows: With increased barbell weight, the extension moment of the left knee joint was higher in the 80% condition than the 70% (p<.001). However, other variables were not statistically significant difference. According to the factor analysis of the variables related to maximum load attainment point of the ACL major injury variables, the first sub-factor was the internal shear force, the posterior shear force, the abduction moment, and the muscle activity of the VL. The second sub-factor was the extension moment of the knee joint, compressive force, adduction moment, and the third sub-factor was the muscle activity of BF. Conclusion: These results indicate that the possibility of ACL injury can be lowered when performing a stable snatch movement.

골프스윙, 드롭랜딩, 컷팅 동작 시 슬관절 모멘트 분석 (Knee Joint Moment during Golf Swing, Drop-landing, and Cutting Maneuver)

  • 김기현;임영태;박준성
    • 한국응용과학기술학회지
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    • 제37권2호
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    • pp.296-302
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    • 2020
  • The purpose of this study was to assess knee joint loading in the target knee during a golf swing compared to loading rates of high impact activities such as cutting and drop landings. Nine healthy competitive golfers completed golf swings with the target foot both straight and externally rotated 30 degrees, as well as drop landings and cutting maneuvers. Motion capture data was collected at 240 Hz and ground reaction force data was collected at 2400 Hz. The frontal and transverse knee moments were examined using repeated measures ANOVA through SPSS. The abduction moments were higher in golf swings as compared to the other high impact activities (p=.010), while the external rotation moments were lower (p=.003). There were no significant differences between externally rotated and neutral golf swings. These results suggest moments applied to the knee during a golf swing are similar to those applied during a high impact activity.

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

  • 김태현;염창홍
    • 한국운동역학회지
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    • 제23권1호
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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.

계단 오르기와 내리기 동안 다축범위(multi-radius) 무릎인공관절 수술자의 운동역학적 비교분석 (A Biomechanical Comparative Analysis of the Multi-Radius Total Knee Arthroplastry System for Go up Stair and Go down Stair)

  • 진영완;유병인;곽이섭
    • 한국운동역학회지
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    • 제16권1호
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    • pp.31-41
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    • 2006
  • The primary purpose of a TKA is to restore normal knee function Therefore, ideally, a TKA should: (a) maintain the natural leverage of the knee joint muscles to ensure generating adequate knee muscle moments to accomplish daily tasks such as rising from climbing stairs; (b) provide adequate knee joint stability. A 16-channel MyoResearch XP EMG system was used to collect the differential input surface electromyography signals VM, VL, RF, BF, ST during climbing/descending stair tests. A Peak Motion Measurement System was used to collect the kinematic and kinetic data. AKIN-COM Ill isokinetic dynamometer was used for EMG of VM, VL, RF, BF and ST during maximal voluntary contraction. I Quadriceps EMG results for the VM of the passed 1year group limb demonstrated significant less RMS EMG than that of the passed 3year group limb $60^{\circ}-15^{\circ}$ of knee flexion(p<0.05). The VL of the passed 1year group limb also demonstrated significants less RMS EMG than that of the passed 3year group limb from $60^{\circ}-45^{\circ}$ of knee flexion(p<0.05). Similar to the VM and VL, the RF of the passed 1year group limb showed less RMS EMG than that of the passed 3year group limb from $60^{\circ}-30^{\circ}$ do knee flexion(p<0.05). Hamstring EMG results for the BF of the passed 1year group limb demonstrated less RMS EMG than that of the passed 3year group limb from $75^{\circ}-15^{\circ}$ of knee flexion(p<0.05). The passed 1year group limb tended to have less ADD displacement(p<0.071) than that of the passed 3year group limb. There was no significant difference of the ABD displacement between the passed 1year group and the passed 3year group limbs(p<0.73). The passed 3year group used compensatory adaptation movement strategies to compensate for the strength deficit of passed 3year group limbs. The passed 3year group limb also increased the quadriceps muscle activation level to produce more knee extension moment to compensate for the short quadriceps moment arm. The passe 3year group limb might have an unstable knee joint in the medio-Iateral direction during the climbing/descending by showing a tendency of more ADD displacement and greater hamming co-activation EMG than the passed 1year group limbs. The TKA design was not able to help the knee joint to produce adequate knee extension moment with less quadriceps muscle effort. I think that old man needs continuous exercise for muscle strength.

비만인들의 보행속도와 하지관절모멘트에 대한 상관관계 분석 (Correlation Between Walking Speeds and Lower Extremities Joint Moment in Obese)

  • 신성휴;김태완;권문석
    • 한국운동역학회지
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    • 제16권3호
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    • pp.105-115
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    • 2006
  • The purpose of this study is to elucidate the mechanical characteristics of lower extremity joint movements at different walking speeds in obese people and suggest the very suitable exercise for obese person's own body weight and basic data for clinical application leading to medical treatment of obesity. This experimental subjects are all males between the ages of 20 and 30, who are classified into two groups according to Body Mass Index(BMI): one group is 15 people with normal body weight and the other 15 obese people. Walking speed is analysed at 3 different speeds ($1.5^m/s$, $1.8^m/s$, $2.1^m/s$) which is increased by $0.3^m/s$ from the standard speed of $1.5^m/s$. We calculated joint moments of lower extremity during stance phase through video recording and platform force measurement.Two-way ANOVA(Analysis of Variance, Mix) is applied to get the difference of moments according to walking speeds between normal and obese groups. Pearson's Correlation Analysis is applied to look into correlation between walking speeds and joint moments in both groups. Significance level of each experiment is set as ${\alpha}=.05$. As walking speed increases maximum ankle plantar flexion moment in the stance phase is smaller in obese group than in normal group, which is suggestive of weak toe push-off during terminal stance in obese group, and the highest maximum ankle plantar flexion moment in obese group during the middle speed walking($1.8^m/s.$). Maximum ankle dorsal flexion moment in obese group is relatively higher than in normal group and this is regarded as a kind of compensatory mechanism to decrease the impact on ankle when heel contacts the floor. Maximum knee flexion and extension moments are both higher in normal group with an increase tendency proportional to walking speed and maximum hip flexion and extension moments higher in obese group. In summary, maximum ankle plantar flexion moment between groups(p<.025), maximum knee moment not in flexion but in extension(p<.001) within each group according to increasing walking speed, and maximum hip flexion and extension moment(p<.001 and p<.004, respectively according to increasing walking speed are statistically significant but knee and hip moments between groups are not. Pearson correlation are different: high correlation coefficients in maximum knee flexion and extension moments, in maximum hip extension moment but not hip flexion, and in maximum ankle dorsal flexion moment but not ankle plantar flexion, in each group. We suspect that equilibrium imbalance develops when the subject increases walking speed and the time is around which he takes his foot off the floor.

Knee brace가 설치된 모멘트저항골조의 내진성능 (Seismic Performance of a Knee-Braced Moment Resisting Frame)

  • 최현훈;김진구
    • 한국구조물진단유지관리공학회 논문집
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    • 제9권1호
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    • pp.171-180
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    • 2005
  • 본 연구에서는 기름이나 가스의 송유관을 지지하기 위하여 일반적으로 사용되는 3층의 Knee brace가 설치된 모멘트저항골조(KBMRF)의 내진성능을 평가하였다. KBMRF의 하중-변위 관계를 관찰하기 위하여 비선형 정적 pushover 해석을 수행하였다. 최대층간변위가 층높이의 1.5%에 도달하였을 때 보와 기둥과 같은 주요 구조부재는 탄성상태를 유지하는 것으로 나타났다. UBC-97의 설계스펙트럼에 부합되도록 조정한 8개의 지진기록을 이용하여 비선형 동적시간이력해석을 수행한 결과에 따르면, 최대층간변위는 구조물 높이의 1.5% 변위한계보다 작았고 기둥은 탄성적으로 거동하였다. 따라서 본 연구에서 고려한 KBMRF 구조물의 내진성능은 내진설계기준에서 규정한 모든 요구사항을 만족하는 것으로 나타났다.

Analysis of Lower Extremity Joint Moment and Power during Squat in Female Patients with Genu Varum

  • Jeong, Ji-Man;Lim, Bee-Oh
    • 한국운동역학회지
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    • 제26권4호
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    • pp.407-412
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    • 2016
  • Objective: The aim of this study was to analyze the net joint moment and joint power of the lower extremity during squat in female patients with genu varum. Method: Eight female patients with genu varum were asked to do regular squats, and their net joint moment and joint power were compared to those of another eight female participants with straight legs. Their video recordings and ground reaction force data were analyzed to be used as a theoretical evidence of squatting effectively for female patients with genu varum. Results: Squats had a higher impact on internal knee joint rotation and ankle joint flexion moments in the genu varum group than in the straight leg group due to their weak and short hip joint muscles. Conclusion: There is a need to develop a squat movement that is appropriate for women with genu varum in order to distribute overload efficiently among the hip, knee, and ankle joints and to strengthen the muscles in a balanced way.

On the characteristics and seismic study of Hat Knee Bracing system, in steel structures

  • JafarRamaji, Issa;Mofid, Massood
    • Steel and Composite Structures
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    • 제13권1호
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    • pp.1-13
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    • 2012
  • In this study, a new structural bracing system named 'Hat Knee Bracing' (HKB) is presented. In this structural system, a special form of diagonal braces, which is connected to the knee elements instead of beam-column joints, is investigated. The diagonal elements provide lateral stiffness during moderate earthquakes. However the knee elements, which is a fuse-like component, is designed to have one plastic joint in the knee elements for dissipation of the energy caused by strong earthquake. First, a suitable shape for brace and knee elements is proposed through elastic studying of the system and several practical parameters are established. Afterward, by developing applicable and highly accurate models in Drain-2DX, the inelastic behavior of the system is carefully considered. In addition, with inelastic study of the new bracing system and comparison with the prevalent Knee Bracing Frame system (KBF model) in nonlinear static and dynamic analysis, the seismic behavior of the new bracing system is reasonably evaluated.