• Title/Summary/Keyword: LOWER LIMB

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Correlation Between Functional Movement Screen Scores, Lower Limb Strength, Y-Balance Test, Grip Strength, and Vertical Jump and Incidence of Injury Due to Musculoskeletal Injury Among Abu Dhabi Police Recruits

  • Hamad Alkaabi;Everett Lohman;Mansoor Alameri;Noha Daher;Aleksandar Cvorovic;Hatem Jaber
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.222-228
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    • 2023
  • Objective: Training-related injuries and attrition put an additional burden on police and military institutions. Preventing and minimizing musculoskeletal injuries is the primary concern of the Abu Dhabi Police. Therefore, this study aimed to evaluate the correlation between functional movement screen, lower-limb strength, Y-balance test, grip strength and vertical jump and the incidence of musculoskeletal injuries among Abu Dhabi police recruits. Design: Observational analytical study. Methods: An observational study was conducted on 400 male police recruits of Abu Dhabi Police Academy. Physical performance was assessed before the 16-weeks basic police training. Spearman's correlation evaluated the correlation between the performance parameters and the outcome measures and logistic regression predicted the risk factors associated with musculoskeletal injuries. Results: 149 (34.4%) participants reported at least one injury during the basic police training. Comparison between injured and non-injured participants showed significant difference in mean right Y-balance, back-leg-chest dynamometer, and vertical jump (p=0.02, p=0.02, and p=0.04, respectively). Spearman's correlation showed a significant negative correlation between risk of injury and back-leg-chest dynamometer and right Y balance (ρ= -0.11, p=0.03). Logistic regression showed that back-leg-chest dynamometer and right Y balance were significant predictors of injury (p =.036 and p=0.037; Odds ratio=0.96; 95% CI (0.92, 0.99) and Odds ratio=0.99; 95% CI (0.98,0.99). Conclusions: Our findings suggest functional movement screen and grip strength may not independently predict injury rates, balance and lower-limb strength needs to be considered in injury prevention strategies to reduce musculoskeletal injuries.

Lower Extremity Stiffness Characteristics in Running and Jumping: Methodology and Implications for Athletic Performance

  • Ryu, Joong Hyun
    • Korean Journal of Applied Biomechanics
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    • v.28 no.1
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    • pp.61-67
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    • 2018
  • Objective: The human body is often modelled as a spring-mass system. Lower extremity stiffness has been considered to be one of key factor in the performance enhancement of running, jumping, and hopping involved sports activities. There are several different classification of lower extremity stiffness consisting of vertical stiffness, leg stiffness, joint stiffness, as well as muscle and tendon stiffness. The primary purpose of this paper was to review the literature and describe different stiffness models and discuss applications of stiffness models while engaging in sports activities. In addition, this paper provided a current update of the lower extremity literature as it investigates the relationships between lower extremity stiffness and both functional performance and injury. Summary: Because various methods for measuring lower extremity stiffness are existing, measurements should always be accompanied by a detailed description including type of stiffness, testing method and calculation method. Moreover, investigator should be cautious when comparing lower extremity stiffness from different methods. Some evidence highlights that optimal degree of lower extremity stiffness is required for successful athletic performance. However, the actual magnitude of stiffness required to optimize performance is relatively unexplored. Direct relationship between lower extremity stiffness and lower extremity injuries has not clearly been established yet. Overall, high stiffness is potentially associate risk factors of lower extremity injuries although some of the evidence is controversial. Prospective injures studies are necessary to confirm this relationship. Moreover, further biomechanical and physiological investigation is needed to identify the optimal regulation of the lower limb stiffness behavior and its impact on athletic performance and lower limb injuries.

Changes in Body Surface Lines Caused By Lower Limb Movements in Designing Slacks (II) (슬랙스 설계를 위한 하지동작에 따른 체표선 변화 2)

  • Cho Sung-Hee
    • Korean Journal of Human Ecology
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    • v.7 no.3
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    • pp.35-48
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    • 2004
  • In this study, by determining lower limb movements which cause significant changes in body surface lines, body parts with the greatest maximum expansion and contraction rate respectively were illustrated in descending order. Using unmarried female university students aged 18 - 24 as subjects, a total of 32 body surface categories (15 body surface lines and 17 body surface segment lines) were measured in one static and 9 movement poses. In particular, expansion and contraction levels and rates were measured and used in the analysis. The analysis first involved the calculation of the average measurement per body part in body surface line in static pose as well as of the average expansion and contraction levels and rates in 9 lower limb movements. Two-way MANOVA and multiple comparison analysis (Tukey) were conducted on movements and individual somatotypes regarding measurement per body part and expansion and contraction rates. Movements which cause measurements of body surface lines differed significantly in body surface line in static pose versus in movement were then identified. Among average expansion and contraction rates in such movements, maximum average expansion and contraction levels, maximum average expansion and contraction rate, and classes of expansion and contraction rate were determined per body part. The results of this study are as follows. First, 5 lower limb movements; F2, F5, F6, F7, F8, which caused significant changes in body surface lines were determined and illustrated in table 4. Second, the levels, rates, and classes of expansion and contraction rate per body part are illustrated in Tables 5 and 6. Body parts with the greatest maximum expansion rate were, in descending order: upper segment of center back leg line, upper segment of inner leg line, middle segment of center front leg line, posterior crotch length, anterior knee girth, anterior thigh girth, center back leg line, girth at crotch height, anterior midway thigh girth, hip girth, anterior crotch length, knee girth, waist girth, inner leg line, thigh girth, and crotch length. Those with the greatest maximum contraction rate were, in descending order: anterior crotch length, upper segment of center front leg line, lower segment of center back leg line, center front leg line, and posterior thigh girth. The maximum expansion rates and maximum contraction rates, which ranged from 2.05 to $35.95\%$ and from -0.20 to $-30.16\%$ respectively, were classified per body part into 4 ABCD classes. The body part with maximum expansion was the upper segment of the center back leg line at vertical body surface line, expanding by $35.95\%$ or 16.03cm in F5 flexion movement. In contrast, the body part with maximum contraction was the anterior crotch length at vertical body surface line, contracting by $-30.16\%$ or -10.54cm in F5 flexion movement. Both, however, were the body parts to expand or contract the most among all horizontal and vertical body surface lines.

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Changes in Body Surface Lines Caused By Lower Limb Movements in Designing Slacks (I) (슬랙스 설계를 위한 하지동작에 따른 체표선 변화 1)

  • Cho Sung-Hee
    • Korean Journal of Human Ecology
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    • v.7 no.3
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    • pp.15-33
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    • 2004
  • A precise understanding of the human form in static pose serves as the basis of designing clothing. When the human body is in motion, however, even an article of clothing designed to fit the human form in static pose can pull and change, thus restricting the body. In order to increase the fit of the clothing, which may be termed the second skin, its form and measurements therefore must be determined in correlation not only with the formal characteristics of the human body, in static pose but also with its functional characteristics in motion, as caused by the movements of the human body. In this study, the motion factor was selected as the primary basis for designing slacks with good fit in both static and moving states. By indentifying the areas in which lower limb movement cause significant changes in body surface lines, we suggest several application methods for designing slacks. Using unmarried female university students aged 18 - 24 as subjects, a total of 32 body surface categories (15 body surface lines and 17 body surface segment lines) were measured in one static and 9 movement poses. In particular, expansion and contraction levels and rates were measured and used in the analysis. The analysis first involved the calculation of the average measurement per body part in body surface line in static pose as well as of the average expansion and contraction levels and rates in 9 lower limb movements. Two-way MANOVA and multiple comparison analysis (Tukey) were conducted on movements and individual somatotypes regarding measurement per body part and expansion and contraction rates. Body parts whose measurements of body surface lines differed significantly in body surface line in static pose versus in movement were then identified. The results of this study are as follows. First, changes in body surface lines caused by lower limb movements were significant in all body surface lines of the lower trunk, both horizontal and vertical, with the exception of abdomen girth, midway thigh girth, ankle girth, hip length, and posterior knee girth. Second, significantly expanded 10 body surface lines in moving pose were detected and illustrated in table 4. These body parts should be studied in designing or pattern designing, especially for close-fitting pants, in using stretch fabric, and in sensory evaluation of good fit during movement.

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The Variability Analysis of the Kinematic Variables of the Lower Extremities During AK(above-knee) Amputee Gait (대퇴절단 환자의 보행 시 양하지의 운동학적 변인에 대한 variability 분석)

  • Seo, Uk-hyeon;Ryu, Ji-seon
    • Korean Journal of Applied Biomechanics
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    • v.15 no.4
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    • pp.131-142
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    • 2005
  • This study was investigated the stability of the AK amputee gait through analysing the variability on kinematic variables between the sound leg and the prosthetic limb. The one male, AK amputee who could walk for himself with his prosthetic limb was participated in this study. Six cameras of the MCU 240 and the QTM(Qualisys Track Manager) software were used for data collecting in this study. The relative angle of both segments was the difference between the absolute angle of the distal segment and the absolute angle of the proximal segment. The coupling angles between the prosthetic limb and the sound leg were caculated on the thigh Flexion/Extension in relative to the shank Flexion/Extension and the shank Flexion/Extension n relative to the foot Flexion/Extension. In order to evaluate the variability of segment and joint angle, C.V. was used, and to evaluate the variability for coupling angles, the Relative motion calculated by vector coding method of the continuous methods was used. As stated, the gait pattern of the prosthetic limb was almost similar gait pattern of the sound leg, but the prosthetic limb showed that the gait pattern of the sound leg and the prosthetic limb were not stable against the sound leg.

The effect of lower limb muscle synergy analysis-based FES system on improvement of the foot drop of stroke patient during walking: a case study (하지 근육 시너지 분석 기반의 FES 시스템이 보행 시 뇌졸중 환자의 족하수 개선에 미치는 영향: 사례 연구)

  • Lim, Taehyun
    • Journal of the Korean Society of Industry Convergence
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    • v.23 no.3
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    • pp.523-529
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    • 2020
  • Foot drop is a common symptom in stroke patients due to central nervous system (CNS) damage, which causes walking disturbances. Functional electrical stimulation (FES) is an effective rehabilitation method for stroke patients with CNS damage. Aim of this study was to determine the effectiveness of 6 weeks FES walking training based lower limb muscle synergy of stroke patients. Lower limb muscle synergies were extracted from electromyography (EMG) using a non-negative matrix factorization algorithm (NMF) method. Cosine similarity and cross correlation were calculated for similarity comparison with healthy subjects. In both stroke patients, the similarity of leg muscle synergy during walking changed to similar to that of healthy subjects due to a decrease in foot drop during. FES walking intervention influenced the similarity of muscle synergies during walking of stroke patients. This intervention has an effective method on foot drop and improving the gait performance of stroke patients.

Wearable and Motorized Crutch Control System (착용형 전동 목발 제어시스템)

  • Yoon, Dukchan;Jang, Giho;Choi, Youngjin
    • The Journal of Korea Robotics Society
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    • v.9 no.3
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    • pp.133-139
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    • 2014
  • This paper proposes a wearable and motorized crutch control system for the patients using the conventional crutches. The conventional crutches have a few disadvantages such as the inconvenience caused by the direct contact between the ground and the armpit of the patients, and unstable gait patterns. In order to resolve these problems, the motorized crutch is designed as a wearable type on an injured lower limb. In other words, the crutch makes the lower limb to be moved forward while supporting the body weight, protecting the lower limb with frames, and rotating a roller equipped on the bottom of the frames. Also the crutch is controlled using the electromyography and two force sensing resistor (FSR) sensors. The electromyography is used to extract the walking intention from the patient and the FSR sensors to classify the stance and swing phases while walking. As a result, the developed crutch makes the patients walk enabling both hands to be free, as if normal people do.

The analysis of Lower Limb Muscle Activity and Motion Analysis according to Normal Foot and Flatfoot during Walking

  • Yoon, Jung-Gyu;Yoo, Kyung-Tae;Lee, Ji-Hong;Park, Jae-Min;Min, Kyung-Ok;Choi, Jung-Hyun
    • Journal of International Academy of Physical Therapy Research
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    • v.3 no.1
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    • pp.364-369
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    • 2012
  • The purpose of this study was to analyze lower limb muscle activity and 3D motion analysis according to change foot arch height during walking. We selected 9 young and healthy people who have been normal foot. And we selected 7 young and healthy people who have been flatfoot. So, people were divided into 2 groups and walked platform during 2 minutes twice for checked by 3D motion analysis. These data were characterized by EMG measurements of three muscles( tibialis anterior, medial and lateral gastrocnemius) while they were walking. The collected data were analyzed by Independent t test using the SPSS statistics program(Ver 12.0). In foot arch change, there were no significant difference in three muscles 3D motion analysis also found that there were no significant difference in joint angles. In this study was to analyze lower limb muscle activity and 3D motion analysis according to change foot arch, but there were no significant difference in 6 muscles neither joint angles.

Knowledge, Health Belief, and Preventive Behavioral Intention related to Venous Thromboembolism (VTE) of the Patients with Lower Limb Musculoskeletal System Disorders (근골격계 하지손상환자의 정맥혈전색전증 관련 지식과 건강신념 및 예방행동의도)

  • Yang, Hye Jin;Kang, Hee-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.4
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    • pp.531-541
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    • 2013
  • Purpose: This study was done to examine the relationship among knowledge, health belief, and preventitive behavioral intention related to venous thromboembolism (VTE) in patients with lower-limb musculoskeletal disorders. Methods: This transversal descriptive study looked at 145 adult patients with lower-limb musculoskeletal disorders, who were hospitalized in C hospital in G city. Data were collected from September 29 to October 6, 2012. Knowledge, health belief and preventitive behavioral intention were measured by structured questionnaires. Date were analyzed by descriptive statistics, one-way ANOVA, independent t-test, and Pearson correlation, using the SPSS program. Results: The mean score of knowledge related to VTE was low. The mean scores of health belief and preventitive behavioral intention related to VTE were moderate or higher than average. Preventitive behavioral intention positively correlated with knowledge, perceived benefit, and health motivation. Whereas, there was a negative correlation between preventitive behavioral intention and perceived barriers. Conclusion: These results suggest that developing a health care program which is able to enhance knowledge, perceived benefit, and health motivation related to VTE and reduce perceived barriers, is essential in order to promote preventitive behaviors.

Effect of Gender Difference on the Functional Asymmetry during Preferred Walking Speed

  • Hyun, Seunghyun;Ryew, Checheong
    • International journal of advanced smart convergence
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    • v.9 no.2
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    • pp.49-57
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    • 2020
  • We have not identified on what gender difference during gait at a pace of one's preferred velocity effects on the function of bilateral lower limb. This study was undertaken to investigate a difference of gait strategy by gender during gait at a one's preferred velocity of participants of adult male and female (n=20). Cinematographic data for motion analysis, ground reaction force (GRF) variables, and muscle volume of lower limb were analyzed. Significant difference of variables on movement of center of mass whole body, joint angle and moment of lower limb, and ground reaction force were tested by 2-way ANOVA analysis (P<0.05). Male group showed more muscle volume than female, and both showed more volume in dominant leg than non-dominant. Main effect by bilateral leg during gait showed higher difference in right than left leg in change of vertical position of center of mass (maximal, minimal). Main effect by gender in vertical change of position and velocity of center of mass showed higher difference in male than female (maximal, minimal). Hip joint showed more flexed and extended angle in male than female, and also dorsiflexion of ankle and flexion moment of knee and hip joint showed higher in male than female group. Therefore, this result was assumed that dominant showed furthermore more contribution for propulsive function than non-dominant leg. Gender difference showed in strategy controlling of biomechanical characteristics, and perhaps influenced by muscle volume.