• 제목/요약/키워드: LOWER LIMB

검색결과 898건 처리시간 0.03초

하지에 생긴 양성 일지성 근위축 2예 (Two Cases of Benign Monomelic Amyotrophy of the Lower Extremities)

  • 이동국
    • Annals of Clinical Neurophysiology
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    • 제2권2호
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    • pp.125-129
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    • 2000
  • Benign monomelic amyotrophy(BMA) is an uncommon cause of progressive mildly disabling atrophy and weakness of a limb. It predominantly affects the distal upper limb of young men. I present two men with BMA of the lower extremities. Although the disorder seemed clinically confined to a arm or leg, I confirmed by electromyography evidence of denervation in the other extremities. I reviewed the literatures and discuss the differential diagnosis. BMA is a diagnosis of exclusion that requires consideration in men with unilateral arm or leg atrophy and weakness.

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Extra-anatomic Aortic Bypass for the Management of Mid-Aortic Syndrome Caused by Takayasu arteritis

  • Yun, Jae Kwang;Kim, Joon Bum
    • Journal of Chest Surgery
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    • 제48권1호
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    • pp.70-73
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    • 2015
  • Lower limb ischemia caused by multiple stenosis of the thoracoabdominal aorta is one of the rare clinical manifestations of Takayasu arteritis. The optimal management of such mid-aortic syndrome related with Takayasu arteritis has not been established to date. Here we report a case of extra-anatomic aortic bypass through minimally invasive techniques to treat lower limb ischemia caused by Takayasu arteritis.

Role of IL-15 in Sepsis-Induced Skeletal Muscle Atrophy and Proteolysis

  • Kim, Ho Cheol;Cho, Hee-Young;Hah, Young-Sool
    • Tuberculosis and Respiratory Diseases
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    • 제73권6호
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    • pp.312-319
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    • 2012
  • Background: Muscle wasting in sepsis is associated with increased proteolysis. Interleukin-15 (IL-15) has been characterized as an anabolic factor for skeletal muscles. Our study aims to investigate the role of IL-15 in sepsis-induced muscle atrophy and proteolysis. Methods: Mice were rendered septic either by cecal ligation and puncture or by intraperitoneal injection of lipopolysaccharide (LPS, 10 mg/kg i.p.). Expression of IL-15 mRNA and protein was determined by reverse transcriptase polymerase chain reaction and Western blot analysis in the control and septic limb muscles. C2C12 skeletal muscle cells were stimulated in vitro with either LPS or dexamethasone in the presence and absence of IL-15 and sampled at different time intervals (24, 48, or 72 hours). IL-15 ($10{\mu}g/kg$) was intraperitoneally administered 6 hours before sepsis induction and limb muscles were sampled after 24 hours of sepsis. Cathepsin L activity was determined to measure muscle proteolysis. Atrogin-1 and muscle-specific ring finger protein 1 (MuRF1) expressions in limb muscle protein lysates was analyzed. Results: IL-15 mRNA expression was significantly lower in the limb muscles of septic mice compared to that of controls. Cathepsin L activity in C2C12 cells was significantly lower in presence of IL-15, when compared to that observed with individual treatments of LPS or dexamethasone or tumor necrosis factor ${\alpha}$. Further, the limb muscles of mice pre-treated with IL-15 prior to sepsis induction showed a lower expression of atrogin-1 and MuRF1 than those not pre-treated. Conclusion: IL-15 may play a role in protection against sepsis-induced muscle wasting; thereby, serving as a potential therapeutic target for sepsis-induced skeletal muscle wasting and proteolysis.

고유수용성신경근촉진법의 상하지 협응 운동이 여성노인의 균형능력에 미치는 효과 (The Effects of Upper and Lower Limb Coordinated Exercise of PNF for Balance in Elderly Woman)

  • 조혁신;신효섭;방대혁
    • PNF and Movement
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    • 제13권4호
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    • pp.189-196
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    • 2015
  • Purpose: This study aimed to examine the effects of proprioceptive neuromuscular facilitation (PNF) upper and lower limb coordinated exercises on balance in elderly women. Methods: The study was conducted with 27 elderly women who were at least 65-year-old. The subjects were randomly assigned to a PNF upper and lower limb coordinated exercise group consisting of 14 subjects and an aero step balance exercise group consisting of 13 subjects, and the exercises were performed for 30 minutes, three times per week, for eight weeks. One Leg Stance Tests (OLST), Functional Reaching Tests (FRT), Four Square Step Tests (FSST), and Timed Up and Go (TUB) tests were conducted before and after the exercises to evaluate the subjects' static balance ability and dynamic balance ability. Among the collected data, the subjects' general characteristics were evaluated using descriptive statistics, the intra-group differences of the test results before and after the intervention were compared using paired sample t-tests, and the inter-group differences in the results before and after the intervention were evaluated using independent sample t-tests. The statistical significance level was set to 0.05. Results: Among the OLST, FRT, FSST, and TUG tests, the experimental group showed positive FSST results that were statistically significantly greater than the control group; the results of the other tests were also more positive for this group, but the differences between the groups were not statistically significant. The magnitude of the effects for both groups was clinically significant. Conclusion: Since inter-limb coordinated exercises for PNF applied to elderly women were found to produce good results for both static balance ability and dynamic balance ability, these exercises can be used in exercise programs to improve balance in elderly women.

Comparison of Lower Limb Muscle Activities by Various Angles of a Medio-lateral Ramp During Gait

  • Lee, Sang-Yeol;Ahn, Soo-Hong
    • 대한물리의학회지
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    • 제12권3호
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    • pp.93-98
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    • 2017
  • PURPOSE: This study investigated the activities of lower limb muscles according to the angle of a medio-lateral ramp while walking to promote awareness of the risks associated with a medio-lateral ramp. METHODS: This study was conducted on 20 healthy male adults. The muscle activities of the vastus medialis oblique (VMO), vastus lateralis oblique (VLO), tibialis anterior (TA) and peroneus longus (PL) were measured while the subjects were walking on a 3 m medio-lateral ramp. Five angles (flat, $2^{\circ}$, $5^{\circ}$, $10^{\circ}$, and $15^{\circ}$) were selected for the angle conditions of the experiment on a medio-lateral ramp. The activities were measured during the stance phase only in the middle cycle of a three-cycle walking experiment. The mean value obtained from the three walking tests was used for the analysis. RESULTS: Results showed that walking on a mediolateral ramp required more muscle activities than walking on a flat surface, through which balanced walking was achieved. CONCLUSION: Walking on a medio-lateral ramp requires proper muscle activation and control, without which the risks of injury to the joints of the lower limbs and falls are likely to increase. Therefore, special attention should be given to older people and the disabled under the condition of traversing a ramp.

Effects of Resistance and Resistance & Stabilization Exercises on the Strength of Lumbar and Lower Limbs of the Elderly

  • Choi, Seok Joo;Kim, Jong Woo;Hwang, Byeong Jun
    • 국제물리치료학회지
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    • 제4권2호
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    • pp.611-617
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    • 2013
  • The purpose of this study is to identify the effective lumbar area exercise program to prevent falls of the elderly by dividing 14 female elders over 65 living in Daegu into two groups such as resistance exercise group and resistance & stabilization exercise group, and applying a 60 minute exercise program three times a week for 12 weeks. The followings are the results. First, both of resistance exercise and resistance & stabilization exercise brought improvement of lumbar strength and there was no significant difference between two groups. Second, there was no significant difference in lower limb strength in resistance exercise group but resistance & stabilization exercise group showed significant increase in lower limb flexor strength. To make a summary of the above results, it can be said that 12 weeks' resistance & stabilization exercise is effective to the lumbar strength and lower limb strength of the elderly. Accordingly, if combining resistance exercise and stabilization exercise appropriately, we can build a successful preventive program which even the elderly who cannot perform resistance exercise easily can follow.

Modeling and Posture Control of Lower Limb Prosthesis Using Neural Networks

  • Lee, Ju-Won;Lee, Gun-Ki
    • Journal of information and communication convergence engineering
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    • 제2권2호
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    • pp.110-115
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    • 2004
  • The prosthesis of current commercialized apparatus has considerable problems, requiring improvement. Especially, LLP(Lower Limb Prosthesis)-related problems have improved, but it cannot provide normal walking because, mainly, the gait control of the LLP does not fit with patient's gait manner. To solve this problem, HCI((Human Computer Interaction) that adapts and controls LLP postures according to patient's gait manner more effectively is studied in this research. The proposed control technique has 2 steps: 1) the multilayer neural network forecasts angles of gait of LLP by using the angle of normal side of lower limbs; and 2) the adaptive neural controller manages the postures of the LLP based on the predicted joint angles. According to the experiment data, the prediction error of hip angles was 0.32[deg.], and the predicted error of knee angles was 0.12[deg.] for the estimated posture angles for the LLP. The performance data was obtained by applying the reference inputs of the LLP controller while walking. Accordingly, the control performance of the hip prosthesis improved by 80% due to the control postures of the LLP using the reference input when comparing with LQR controller.

Differences in EMG of Trunk and Lower Limb According to Attack Method and Phase During Volleyball

  • Jeong, Hwan Jong;Baek, Gwang Eon;Kim, Ki Hong
    • International Journal of Internet, Broadcasting and Communication
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    • 제13권1호
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    • pp.143-151
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    • 2021
  • The purpose of our study is to confirm the trend of the muscle activity of the trunk and lower limb muscles by the attack method and phase during volleyball exercise. To achieve this purpose, spike serve and spike were conducted for 9 male middle school students, and at that time, it was divided into four phase, such as run jump, take off, impact, and follow, and the rectus abdominis, erector spine, and left rectus femoris, left biceps femoris, left anterior tibialis, left gastrocnemius midialis, right rectus femoris, right biceps femoris, right anterior tibialis, right gastrocnemius midialis, were examined. Spike serve and spike were each performed three times, and randomly cross-allocated to extract accurate data. We was no difference in all muscles according to the attack method, and the muscle activity of the rectus abdominis was highest in the impact phase and the muscle activity of the vertebral spine muscle was highest in the close-up phase. In addition, all of the measured left and right lower limb muscles showed the highest muscle activity between the assisted devices. As a result, We found out that regardless of the method of spike serve and spike, the lower limbs in the run-up phase for a high jump, the vertebrae in the take off phase, the preparation phase for hitting the ball strongly, and in the impact phase at the moment of hitting the ball. It can be seen that it exerts the greatest power in the rectus abdominis.