• Title/Summary/Keyword: LOWER LIMB

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The Effects of Sensorimotor Training on Balance and Muscle Activation During Gait in Older Adults (감각운동훈련이 노인의 균형 및 보행에 미치는 영향)

  • Jeong, Tae-Gyeong;Park, Jeong-Seo;Choi, Jong-Duk;Lee, Ji-Yeun;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.23 no.4
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    • pp.29-36
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effect of 6-week sensorimotoor training on balance ability and lower limb muscle activation during gait in older adults. Methods: Twenty-four community-dwelling older adults between 65 and 90 years of age participated in this study. In the older adults of the experimental group (n=12), the sensorimotor training program was performed bare feet. General exercise was performed in the control group (n=12). Then, both groups exercised three times a week for forty minutes over a 6-week period. Balance ability was evaluated by One leg stand (OLS) test for determining the static balance and Timed Up & Go (TUG) test for determining the dynamic balance. In addition, muscle activation of the dominant lower limb tibialis anterior and gastrocnemius medialis muscles were measured by surface EMG to evaluate muscle activation during gait. Results: A significant improvement was seen in the one leg standing (OLS) time after exercise in both the sensorimotor training (SMT) group and general exercise (GE) group (p<0.05) and the change in the SMT group was greater than that in the GE group (p<0.05). A significant reduction was seen in the Timed Up & Go (TUG) test time after exercise in both the SMT group and GE group (p<0.05). Also, a significant increase was seen in muscle activation of tibialis anterior muscle after exercise in the SMT group (p<0.05), but no such significant increase was seen in the GE group (p>0.05). Conclusion: These results suggest that sensorimotor training improves the balance in older adults and has a more positive effect on muscular strength and gait. Sensorimotor training provided a variance of training environment and COG exercise of the body is thought to be a more effective exercise program that improves balance and gait ability in older adults.

Effects of Acupuncture at HT8·LR2 on Serum Lipid and Liver Function Induced by High Fat Diet in Rats (염전(捻轉)및 영수(迎隨) 사법(瀉法)에 의해서 시행된 소부(少府)·행간(行間) 침자(鍼刺)가 고지방식이(高脂肪食餌)로 유발된 비만(肥滿) 백서(白鼠)에 미치는 영향(影響))

  • Choi, Tae-Jin;Hwang, Moon-Hyeon;Ihm, Seon-Joo;Kim, Sung-Ok;Na, Chang-Su;Choi, Jin-Bong;Youn, Dae-Hwan
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.4
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    • pp.73-83
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    • 2008
  • Objectives : In this research, it was investigate that had effects on acupuncture techniques of $HT_{8}$(Shaofu) and $LR_{2}$(Xingjian) acupoints in high fat rats. We recorded data of weight gain, food intake, food efficiency, total cholesterol, triglyceride, AST, ALT, r-GTP, total bilirubin on rats fed high fat diet for 10 weeks. Methods : We divided experimental groups into four. Group of high-fat diet feeding and no treatment was control, group of high-fat diet feeding and acupuncture at $HT_{8}{\cdot}LR_{2}$ was Acu-1, group of high-fat diet feeding and acupuncture at $HT_{8}{\cdot}LR_{2}$ and rotated counter-clockwise 36times was Acu-2, high-fat diet feeding and acupuncture at $HT_{8}$(body direction)${\cdot}LR_{2}$(lower limb direction) and rotated counter-clockwise 36times was Acu-3. Results : In Acu-3 group, body weight on 2 weeks after starting acupuncture, food efficiency and the level of serum total cholesterol were decreased, and the level of HDL-cholesterol was increased. In Acu-1 group, the level of triglyceride was increased but ALT was decreased. Conclusions : These results suggest that treatment of acupuncture at $HT_{8}$(body direction)${\cdot}LR_{2}$(lower limb direction) and rotated counter-clockwise 36times may be having the influence on high fat by controlling the level of serum total cholesterol and HDL-cholesterol.

Anthropometric Analysis of Korean Helicopter Pilots for Helicopter Cockpit Design (헬리콥터 조종실 설계를 위한 헬리콥터 조종사 인체측정 및 분석)

  • Jung, Kih-Yo;Jo, Ja-Young;Jeong, Jeong-Rim;Park, Ji-Eun;Lee, Won-Sup;Uem, Joo-Ho;Lee, Joung-Hyo;Kang, Byung-Gil;Kim, Hee-Eun;Park, Sei-Kwon;You, Hee-Cheon
    • Journal of the Ergonomics Society of Korea
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    • v.27 no.4
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    • pp.37-44
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    • 2008
  • To design the cockpit of Korean helicopter, anthropometric data for Korean helicopter pilots as a target population is necessary. The present study measured the body sizes of Korean helicopter pilots to design the cockpit of Korean helicopter, and compared the measurements with those of Korean civilian and the US Army. The sample size was 100 which determined by a statistical analysis. Anthropometric measurements were collected for 100 samples (male = 94, female = 6; age group = 20~40) of Korean helicopter pilots by applying standard measurement protocol. To compare three anthropometric data, Korean civilian and US Army data were controlled by considering age group (20~40) and gender ratio (male: female = 9:1) of Korean helicopter pilots. The average body sizes of Korean helicopter pilots were mostly similar to those of Korean civilian, however, lower limb related variables (hip breadth, popliteal height and thigh clearance) and shoulder-to-elbow length were significantly greater (1~7%) at α=0.05. Furthermore, the average body sizes for Korean helicopter pilots regarding lower limb length and thickness were significantly smaller than those of the US Army (1~12%); however, the average body sizes for Korean helicopter pilots regarding upper body related variables (sitting height, sitting eye height, and acromial height) and hip breadth were significantly greater (0.7~1.9%). Lastly, size variability for Korean helicopter pilots was significantly smaller than those of Korean civilian and the US Army. Anthropometric data for Korean helicopter pilots of the present study was applied to design and evaluate a Korean helicopter cockpit.

Treatment of Venous Stasis Ulcer with $3M^{TM}$ $Coban^{TM}$ 2 Layer Compression System: A Case Report (두겹 압박방식 $3M^{TM}$ $Coban^{TM}$을 이용한 울혈성 정맥궤양의 치료: 증례보고)

  • Chu, Ho-Jun;Son, Dae-Gu;Kim, Jun-Hyung;Han, Ki-Hwan;Kim, Hyung-Tae
    • Archives of Plastic Surgery
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    • v.38 no.5
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    • pp.699-702
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    • 2011
  • Purpose: Venous stasis ulcer is the most severe form of chronic venous insufficiency and this commonly appears in the lower limb. Pharmacological therapy, reconstruction of the venous system, surgical management, cellular therapy and compression therapy are known as the treatments of venous stasis ulcer, but relapses are common, which make it a typical chronic wound. We report here on a case of recurrent venous stasis ulcer that healed with compression therapy without any other treatment. Methods: A 35-year-old man with a 13 years history of venous stasis had developed an ulcer on the distal third portion of the lower left limb which was developed 12-year before enrollment in this study. He had been treated with vacuum assist closure, 2 times of cell therapy and 3 times of skin graft for 8 years, but the lesion recurred. From November, 2008 compression therapy was done with the 3M $Coban^{TM}$ 2 Layer Compression System (3M, St. Paul, USA). The ulcer at that time was oval shaped and $3{\times}4$ cm in size. A comfort layer bandage was applied from the proximal phalanx of the great toe to the knee. A compression layer bandage was applied on the previous layer with it being overlapped one half the width of the comfort layer bandage. The dressing was changed every 4 days and the change was recorded with photography. Results: A total of 12 $Coban^{TM}$ 2 Layer Compression Systems were used. The size of the ulcer decreased to $2.5{\times}2.5$ cm in one month, to $2{\times}2$ cm in 2 months, it was $1{\times}1.8$ cm in size at 3 months and it completely healed in 4 months. Conclusion: The venous stasis ulcer was completely healed using the 3M $Coban^{TM}$ 2 Layer Compression System. This method was easy to apply, made the patient comfortable and it provided an excellent compression effect. As in the previous studies, this compression therapy has been proven to play an important role for the treatment and prevention of venous stasis ulcer.

Effect of lower extremity resistance exercise on gait performance in a patient with systemic lupus erythematosus with cerebral infarction and lower extremity vasculitis: a case study

  • Oh, Yongseop;Woo, Youngkeun
    • Physical Therapy Rehabilitation Science
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    • v.5 no.2
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    • pp.106-112
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    • 2016
  • Objective: This study was conducted to investigate the effects of resistant exercise on the gait performance of a patient with systemic lupus erythematosus (SLE) patient. Design: A case study. Methods: A 30-year-old male adult who had been diagnosed with systemic lupus erythmatosus (SLE) in April 2013, right middle cerebral artery infarction, and with left hemiplegia agreed to participate in this case study. Patient was unable to walk due to being affected with adynamia. Due to developing necrotizing vasculitis on the left lower extremity, patient underwent a myotomy on the left thigh. The patient was trained with a progressive resistant exercise program for 8 weeks. An intensity of 15 RM was used for the resistant exercises and the resistance level was increased progressively in order to improve the muscle power of the patient. Methods used to increase resistance included changing positions, providing mechanical resistance instead of manual resistance, transitioning from open kinetic chain to closed kinetic chain exercises, and changing the colors of the theraband to those with increase level of resistance. Outcome measures included the 5-repetition sit-to- stand test (5RSST), Timed Up & Go (TUG), and 10-meter walk test (10MWT). In addition, the GAITRite was used to assess the spatio-temporal gait variables, including gait speed, cadence, stride length of the left side, and double limb support pre and post-intervention. Results: The patient was able to perform sit-to- stand after two weeks of performing the resistant exercises. The patient was able to walk after 4 weeks, and the patient's overall gait performance had improved after 8 weeks. All of the variables had improved after each week. Conclusions: The results of this case study may be used to enhance future efforts to objectively evaluate resistant exercises during gait performance in persons affected by SLE.

The Effects of Lower Extremity Asymmetry on Performance of Vertical Jumping (하지의 비대칭성이 수직점프의 수행력에 미치는 영향)

  • Kim, Yong-Woon
    • Korean Journal of Applied Biomechanics
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    • v.18 no.1
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    • pp.179-190
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    • 2008
  • The purpose of this study was to identify whether or not in one-leg vertical jump of each limb asymmetry between both sides is present and to identify how the discrepancies between both limbs affect two-leg jumping performance, that is bilateral deficit. We had 13 healthy subjects perform one-leg jump for both sides and two-leg countermovement jump. The result of biomechanical analysis showed significantly difference of 4-7% in net impulses and work output between dominant and non-dominant one-leg jump and bilateral deficit of 24% when sum of those of each one-leg jump was compared with two-leg jump. But asymmetry in lower extremity was not significantly correlated with bilateral deficit. Two-leg jump could be characterized by relatively short propulsion time, long propulsion distance and high joint angular velocity compared with one-leg jump. These factors seemed to contribute to decreased performance in two-leg jump. Furthermore bilateral deficit was attributed to lower activities of extensor muscles found in two-leg jump.

Effect of Medial Wedge on Muscle Activity of Lower Limb in Healthy Adults During One Leg Standing (한 다리 서기 시 내측 쐐기(wedge)의 적용이 하지 근활성도에 미치는 영향)

  • Hong, Ji-A;Kim, Min-Hee;Jung, Doh-Heon;Lim, One-Bin;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.60-66
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    • 2011
  • Foot posture is important in the development of the musculoskeletal structure in the lower limbs because it can change the mechanical alignment. Although foot orthotics are widely used for the correction of malalignments in the lower extremities, the biomechanical effects of wedges have not yet been cleared. The aim of this study was to investigate whether medial wedges affect the electromyographic (EMG) activity of the knee and hip joints in healthy adults that are performing one leg standing. Seventeen healthy volunteers performed the one leg standing under two foot conditions: A level surface, and a $15^{\circ}$ medial wedge. The subjects' EMG data for the gluteus maximus (Gmax), gluteus medius (Gmed), tensor fasciae latae (TFL), biceps femoris (BF), vastus lateralis (VL), and vastus medialis oblique (VMO) were recorded, along with the surface EMG, and all were analyzed. The EMG activity of the Gmed and TFL had significantly decreased under the medial wedge condition during one leg standing. Further study is needed in order to investigate whether medial wedges influence the EMG activity and kinematic data of the knee and hip joints as well as the ankle joints in adults with flexible flatfoot, while they are performing one leg standing.

A study on the change of limb muscle atrophy by the period of limited activities following the heart surgery in congenital heart disease children (선천성 심장질환아의 수술후 활동제한 기간에 따른 사지근 위축 변화에 관한 연구)

  • Choe Myoung Ae
    • Child Health Nursing Research
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    • v.4 no.1
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    • pp.17-30
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    • 1998
  • In order to investigate the effects of a decreased activity on skinfold thickness, circumference and muscle strength of the extremities during the recovery period following heart surgery, skinfold thickness, circumference and muscle strength of the extremities were measured on days 0, 3, 6, and 9 following the surgery, and compared with those on the arrival day of intensive care unit. Skinfold thickness was measured using a skinfold caliper(Saehan Cor., Korea), circumference of the limbs were measured with a tape measure, upper extremity strength was determined using the Takei grip dynamometer and lower extremity strength was measured by pressing the flatfoot on an electronic digital health meter while tying on a bed. Results from this study were thus : 1. Skinfold thickness of triceps, quadriceps and gastrocnemius muscle on days 3, 6, 9 following the heart surgery was not significantly different from that of on the day of operation. 2. Circumference of midupperarm and midthigh on days 3, 6, 9 following the heart surgery was not significantly different from that of on the day of operation. Circumference of midcalf on days 3, 6 following the heart surgery was not significantly different from that of on the day of operation, while that of midcalf on day 9 following the surgery decreased significantly compared with that of on the day of operation. 3. Muscle strength of the upper extremity was not significantly different from that of on the day of operation, while that of the lower extremity on day 9 following the surgery decreased significantly compared with that of on the day of operation. From these results, it may be concluded that circumference and muscle strength of lower extremity can be decreased due to the postoperative inactivity following heart surgery in congenital heart disease children.

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Development of Wearable Body Weight Support System to Reduce Muscle Activity in Various Upright Tasks (다양한 직립 작업의 근육 활성도 경감을 위한 착용형 체중지지 시스템 개발)

  • Kim, Hwang-Guen;Pyo, Sang-Hun;Lee, Ho-Su;Yoon, Jung-Won
    • The Journal of Korea Robotics Society
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    • v.12 no.2
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    • pp.132-143
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    • 2017
  • While working in an industrial environment which requires extended periods of upright posture; workers tend to develop muscle fatigue due to the constant load on lower-limb muscles. In addition, when working while bending knees; muscle fatigue of lower back and hamstrings is increased due to the abnormal posture. This can lead to damage of muscles, induce musculoskeletal disorders, and reduce long-term working efficiency. Recent medical studies have shown that long-term working in an upright posture can induce musculoskeletal disorders such as foot fatigue, edema, pain and varicose veins. Likewise, medical and rehabilitation expenses have grown due to the increase in musculoskeletal conditions suffered by workers. For this problem, we aim to develop a device that can reduce the physical fatigue on the lower limbs by supporting the weight of workers during the extended periods of upright and bending postures in the industrial environments. In this paper, we have designed and manufactured a wearable weight support system; with a user intention algorithm that the users can maintain various postures. For validation of the developed system, we measured the muscle activity of the users wearing the system with EMG sensors.

Vertical Structures of Temperature and Ozone Changes in the Stratosphere and Mesosphere during Stratospheric Sudden Warmings

  • Kim, Jeong-Han;Jee, Geonhwa;Choi, Hyesun;Kim, Baek-Min;Kim, Seong-Joong
    • Journal of Astronomy and Space Sciences
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    • v.37 no.1
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    • pp.69-75
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    • 2020
  • We analyze the observations of temperature and ozone measured by the Microwave Limb Sounder (MLS) during the period of 2005-2016, to investigate the vertical structures of temperature and ozone in the stratosphere and mesosphere during stratospheric sudden warming (SSW). We compute the height profiles of the correlation coefficients between 55 height levels of MLS temperature anomalies and compare them with the results of Whole Atmosphere Community Climate Model simulations for three major SSWs. We also construct the temperature and ozone anomalies for the events to investigate the changes in the temperature and ozone distributions with height. There seems to always be a relatively weak but broad negative correlation between the temperature anomaly at 10 hPa and temperature anomalies over the entire mesosphere during the period before SSW events. However, this pattern gets stronger in the lower mesosphere but becomes a positive correlation in the upper mesosphere and lower thermosphere after the onset of SSW. We also found that the temperatures from the simulations show a similar trend to the observational results but with smaller variations and the transition height from negative to positive correlation in the mesosphere is much lower in the simulation than in the actual observations.