• Title/Summary/Keyword: LOWER EXTREMITY

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The Efficacy of Ultrasound-Guided Lower Extremity Nerve Block in Trauma Patients (외상환자에서의 초음파 유도 하지 국소 신경차단술의 유용성)

  • Kwon, Sung Min;Oh, Jin-Rok;Shin, Ji Soo
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.87-90
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    • 2015
  • Purpose: We evaluated the efficacy of ultrasound-guided lower extremity nerve block in trauma patients. Methods: From July 2013 to April 2014, 17 patients with multiple trauma had lower extremity nerve block for immediate management of open wound in the lower extremity. We evaluated the patient satisfaction of the anesthesia and any complications related to the block. Results: During the lower extremity nerve block, incomplete nerve block occurred in one patient. This is the second case, the reason for this was the lack of technique. There was no anesthetic complications. Conclusion: Ultrasound-guided lower extremity nerve block in trauma patients is an effective anesthesia technique in the immediate management of open wound in lower extremities.

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The effects of elastic compression stockings on lower leg pain and edema in ward nurses (탄력압박스타킹 적용이 병동간호사의 하지통증과 하지부종에 미치는 효과)

  • Cho, Yu Ri;Kim, Hye Sook
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.3
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    • pp.275-285
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    • 2018
  • The purpose of this study was to examine the effect of the application of elastic compression stocking during the stand for a long hours of works on edema and pain of lower extremities in ward nurses. Methods: The experimental group was subjected to elastic pressure tights for 5 days from the beginning to the end, and lower extremity edema and ankle and calf circumference were measured. Results: "There are significant differences in lower extremity pain the experimental group of elastic compression stocking and control group" was supported(p<.001). "There are significant differences in lower extremity edema the experimental group of elastic compression stocking and control group" was supported (p<.001). Conclusion: Applying elastic pressure stocking as a method of management of lower extremity pain and lower extremity edema in ward nurses, relieving symptoms related to lower extremity pain and lower extremity edema during work. This is an effective way to prevent problems and improve the health of nurses and provide quality nursing care.

Analysis of Clinical Measurement Methods of Lower Extremity Alignment (하지정렬의 임상적 측정방법에 대한 분석)

  • Kong Hee-Kyung;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.2
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    • pp.17-21
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    • 2004
  • We need to study about lower extremity alignment because the structure dictates the function of lower extremity. Through lower extremity alignment assessment in static posture, we recognize abnormal structural conditions which could affect dynamic motion such as gait. To evaluate of lower extremity alignment provide so many useful information, but method of measurement is so limited. Therefore, this review will assist understanding for measurement of lower extremity alignment in static posture. From now on study about the objective measurement method must be achieved much more in physical therapy.

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Measurement Methods of Lower Extremity Alignment in Static Posture (정적 자세에서 하지정렬 측정방법에 관한 고찰)

  • Kong Hee-Kyung;Cho Hyun-Rae;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.1
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    • pp.1-8
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    • 2003
  • We need to study about lower extremity alignment because the structure dictates the function of lower extremity. Through lower extremity alignment assessment in static posture, we recognize abnormal structural conditions which could affect dynamic motion such as gait. To evaluate of lower extremity alignment provide so many useful information, but method of measurement is so limited. Therefore, this review will assist understanding for measurement of lower extremity alignment in static posture. From now on study about the objective measurement method must be achieved much more in physical therapy.

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Effects of Sit Up Exercise using Gym Ball Unit on Lower Extremity Muscle Strength (짐볼 크기에 따른 윗몸 일으키기 운동이 하지 근력에 미치는 영향)

  • An, Jung-Ae;Lee, Jin;Bang, Hyun-Soo
    • Journal of Korean Physical Therapy Science
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    • v.25 no.2
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    • pp.35-46
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    • 2018
  • Purpose: The purpose of this study is to examine the effects of sit-up exercise using gym ball unit on lower extremity strength. Method: Subjects consisted of 12 G University student (Male:6/Female:6) aged 23~26 years. The experiment progressed with 2 groups according to different size gym balls. and diameter of each gym ball is 45cm / 65cm. The measurement of strength of lower extremity was taken by isokinetic exercise machine(Biodex Medical, Inc, USA) Result: The results of this study were as follow. There were not different of Peak torque and Average Power between 65cm gymball and 45cm gymball. in other words using the 45cm gym ball and 65cm gym ball sit-up exercise were both effective for strengthening of lower extremity. Conclusion: Sit-up exercise on all of less than 65cm gym ball was effective for strengthening of lower extremity, furthermore it was helpful for keeping uprighting posture also it is affect on abdominal strengthening. As a result sit-Up Exercise Using Gym Ball is effective for a person with weak lower extremity and a person need uprighting posture.

Effects of Isokinetic Eccentric Training on Lower Extremity Muscle Activation and Walking Velocity in Stroke Patients

  • Park, Seung-Kyu;Kim, Je-Ho
    • The Journal of Korean Physical Therapy
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    • v.27 no.4
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    • pp.190-195
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    • 2015
  • Purpose: The aim of this study was to determine the effects of isokinetic eccentric training (IET) on lower extremity muscle activation and walking velocity according to slow velocity and fast velocity of isokinetic eccentric training in stroke patients. Methods: Thirty subjects were randomly divided into three groups: experimental group I (n=10), group II (n=10), and control group III (n=10). Each group was provided intervention under three conditions, as follows: isokinetic eccentric training + slow velocity (group I), isokinetic eccentric training + fast velocity (group II), and sit to stand training (group III). The training program was conducted for eight weeks (five times per week; 30 minutes per day). Subjects were measured on lower extremity muscle (vastus lateralis, vastus medialis, gastrocnemius) activation and walking velocity. Analysis of covariance (ANCOVA) were performed for comparison of lower extremity muscle activation and walking velocity between different intervention methods. Results: Significant difference in lower extremity muscle activation and walking velocity was observed in experimental group I and group II compared with the control group III (p<0.01). Results of post-hoc analysis showed a significant in lower extremity muscle activation and walking velocity in group I compared with group II and group III. Conclusion: Findings of this study suggest that slow velocity and fast velocity using isokinetic eccentric training may have a beneficial effect on improvement of lower extremity muscle activation and walking velocity in stroke patients.

The effects of wearing single strap hemisling of hemiplegic patient on lower extremity muscle activity (편마비 환자의 팔걸이 착용이 하지 근활성에 미치는 효과)

  • Chae, Jung-Byung;Jeon, Hye-Ri
    • PNF and Movement
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    • v.9 no.1
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    • pp.47-54
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    • 2011
  • Purpose : The purpose of this study was to investigate muscle activity of affected lower extremity by unaffected lower extremity exercise and tried to examine muscle activity of affected lower extremity of hemiplegic patients were caused by stroke according to wearing single strap hemisling or non-wearing. Methods : We measured muscle activity of affected lower extremity when wearing single strap hemisling to affected lower extremity or non-wearing according to unaffected lower extremity used MP 150 Eletromyogram. Results : 1) Muscle activity of gluteus medius muscle was the highest D1 before wearing single strap hemisling. 2) Muscle activity of hamstring muscle was the highest D3 after wearing single strap hemisling. 3) Muscle activity of quadriceps muscle was the highest D5 after wearing single strap hemisling. 4) Muscle activity of tibialis anterior muscle was the highest D1 after wearing single strap hemisling. 5) Muscle activity of soleus muscle was the highest D2 before wearing single strap hemisling. Conclusion : Wearing single strap hemisling of hemiplegic patients had effect on muscle activity of gluteus medius but didn't effect gluteus medius, hamstring, quadriceps, tibialis anterior muscle and soleus muscle.

Effects of the Proprioceptive Neuromuscular Facilitation Patterns Exercise and Protein Intake on Balance, Gait, and Lower Extremity Muscular Strength for Sarcopenia in the Elderly (고유수용성신경근촉진법 패턴 운동과 단백질 섭취가 근감소증 노인의 균형과 보행 및 다리 근력에 미치는 영향)

  • Park, Jae-Cheol;Lee, Dong-Kyu
    • PNF and Movement
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    • v.19 no.3
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    • pp.311-319
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    • 2021
  • Purpose: The study examined the effects of the proprioceptive neuromuscular facilitation pattern exercise and protein intake on balance, gait ability, and lower extremity muscular strength for sarcopenia in the elderly. Methods: A total of 30 elderly people (65~74years) with sarcopenia were recruited and randomized to Group I (n=10), Group II (n=10), and Group III (n=10). Their balance ability was measured using the functional reach test. Group I performed the proprioceptive neuromuscular facilitation pattern exercise and protein intake. Group II performed the proprioceptive neuromuscular facilitation pattern exercise. Group III performed protein intake. Their gait ability was measured using the Timed Up and Go test. Lower extremity muscular strength was measured using the Five Times Sit to Stand test. Results: As a result of comparison within groups, Group I and Group II showed a significant difference in balance, gait, and lower extremity muscular strength after the experiment (p<0.05), and Group I showed a more effectively significant difference than either Group II or Group III in balance, gait, and lower extremity muscular strength before and after the experiment (p<0.05). Conclusion: This study showed that the proprioceptive neuromuscular facilitation patterns exercise and protein intake was effective in balance, gait ability, and lower extremity muscular strength for sarcopenia in the elderly.

Comparison of the Repetitive Nerve Stimulation Test(RNST) Findings Between in Upper and Lower Extremity Muscles in Myasthenia Gravis (중증근무력증 진단시 상지와 하지근육들에서의 반복신경자극검사 양성률의 비교)

  • Jung, Yun Seuk;Lee, Jun;Lee, Se Jin;Hah, Jung Sang;Kim, Wook Nyeon
    • Journal of Yeungnam Medical Science
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    • v.17 no.2
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    • pp.129-136
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    • 2000
  • Background and Purpose: This study was undertaken to compare the sensitivity of the Repetitive Nerve Stimulation Test (RNST) between the upper and lower extremity muscles in myasthenia gravis(MG) patients. Material and Methods: The study population consisted of 20 normal persons(control group) and 10 MG patients(MG group). Using Stalberg's method. RNST was systemically performed in orbicularis oculi muscle. upper extremity muscles(flexor carpi ulnaris. abductor digiti quinti), and lower extremity muscles(tibialis anterior. extensor digitorum brevis. vastus medialis). Results: There were statistical differences of decremental response($mean{\pm}SD$) in orbicularis oculi and upper extremity muscles between the control and MG groups(p<0.05 or p<0.01). However, there was no statistical difference of decremental response($mean{\pm}SD$) to RNST in lower extremity muscles between the control and MG groups. There were highersensitivity in orbicularis oculi and upper extremity muscles than lower extremity muscles. Although positive reponse were detected in the lower extremity muscles, the positive response rates of lower extremity muscles were lower than o.oculi and upper extremity muscles. Conclusions: When the response rates of RNST in facial and upper extremity muscles are normal, may not be required RNST in lower extremity muscles.

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A biomechanical model of lower extremity for seated operators (착좌시 하지 동작의 생체역학적 모델)

  • 황규성;이동춘;최재호
    • Journal of the Ergonomics Society of Korea
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    • v.11 no.1
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    • pp.81-92
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    • 1992
  • A two-dimensional static biochemical model of lower extremity in the seated posture was developed to assess muscular activities of lower extremity required for a variety of foot pedal operations. We found that the double linear optimization method that has been used for modelling articulated body segments does no predict the forces generated by biarticular muscles reasonably, so the revised double linear optimization scheme was used to consider the synergistic effects of biarticular muscles in our model, assuming that the muscle forces are distributed proportionally based on their physiological cross sectional area. The model incorporated three rigid body se- gments with six muscles to represnet lower extremity. For the model validation, three male subjects performed the experiments in which EMG activities of six lower extremity muscles were measured. Predicted muscle forces were compare with the corresponding EMG amplitudes and it showed no statistical difference. The model being developed can be used to design and assess pedal and foot-related tool design.

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