• The Journal of Korean Physical Therapy
• /
• 제27권1호
• /
• pp.24-29
• /
• 2015

Purpose: The purpose of this study was to investigate the effect of lower limb training using a sliding rehabilitation machine on the foot motion and stability in stroke patients. Methods: Thirty participants were allocated to two groups: Training group (n=15) and Control group (n=15). Subjects in the control group received physical therapy for 30 minutes, five times per week, and those in the training group received lower limb training using a sliding rehabilitation machine for 30 minutes, five times per week, with physical therapy for 30 minutes, five times per week, during a period of six weeks. Heel rotation, hallux stiffness, foot balance, metatarsal load, toe out angle, and subtalar joint flexibility were measured by RS-scan. Results: Significant improvement of the foot motion (hallux stiffness, meta load) and the foot stability (toe out angle, subtalar joint flexibility) was observed in the training group. Conclusion: This study demonstrated that lower limb training using a sliding rehabilitation machine is an effective intervention to improve the foot motion and stability.

• The Journal of Korean Physical Therapy
• /
• 제22권3호
• /
• pp.55-59
• /
• 2010

Purpose: This study was designed to investigate the effect of a water exercise program on the pennation angle of the lower-limb muscle in women in their 20s. Methods: Ten female subjects were randomly divided into two groups, with 5 subjects exercising in water 0.7 m deep and 5 subjects exercising in water 1.4 m deep. They did the water exercising program for 40 minute per day, 3 days per week, for total 6 weeks. We measured the pennation angle of lower-limb muscle using ultrasonography. All measurements for each group were performed at pre-training and after 6 weeks of training. Results: The pennation angle was compared before and after the water exercise period for each group, and statistically significant changes within each group in measurements of the rectus femoris and tibialis anterior (p<0.05). However, there was no significant difference in muscle architecture by water depth (p>0.05) between the two groups. Conclusion: These results show that the pennation angle of the lower-limb muscle of women in their 20s changed after 6 weeks of participating in a water exercise program, but these changes were not dependent on the depth of the water in which the exercises were performed.

• Journal of Mechanical Science and Technology
• /
• 제19권spc1호
• /
• pp.371-376
• /
• 2005

Relative contributions of lower extremity joints on the support moment were investigated in this study. Three-dimensional gait analyses were performed in normal walking and in unexpected step-down walking. For both gait studies, inverse dynamics were performed to obtain each joint moment of the lower extremity, which was applied to the forward dynamics simulation to determine the contributions on the support moment at different phases of walking. The forward dynamic simulation results showed that, in normal walking, the ankle plantar flexors contributed significantly during single-limb-support. However, the ankle plantar flexors, knee extensors and hip extensors worked together during double-limb-support. In unexpected step-down walking, the important contributors on the support of the body during single-limb-support were not only ankle plantar flexors but also knee extensors. This study, analyzing the relative contributions of the lower limb joint moments for the body support, would be helpful to understand different unexpected walking conditions and compensatory mechanisms for various pathological gaits.

• Journal of Acupuncture Research
• /
• 제19권2호
• /
• pp.128-136
• /
• 2002

Objective : The purpose of this study was to evaluate water distribution differences of the right and left low limb in patients who had low back pain with sciatica or not. Methods : Water distribution differences of the right and left low limb by body composition(INBODY 2.0, Biospace, seoul, korea) were analysed in the views of groups(low back pain with and without sciatica) and duration of disease. Results : 1. In the case of low back pain patient, there was no significance in variance of water distribution of the right and left lower limbs regardless of suffering period, but significance difference in patients that have suffered low back pain with one side sciatica showed according to suffering period. 2. Within 2 weeks, there was no significant deflection between low back pain with and without sciatica in water distribution of the right and left lower limbs, More than 2 weeks significant deflection showed. Conclusion : Loss of lower limb's muscle that ensue in contracting a disease period was observed in Low Back Pain with Sciatica. The continuos studies about pathological change of lower limb in low back pain have to be perfomed.

• 대한정형도수물리치료학회지
• /
• 제18권2호
• /
• pp.77-85
• /
• 2012

Background: This study has conducted an experiment on 14 disabled hemiplegia (female) introduced from D rehabilitation welfare center, sorted out subjects who will enthusiastically and sincerely follow the experiment for 8 weeks (before-after), and grouped them into control group (7 people), and aquatic exercise program group (7 people). After researching the effect of application of exercise program to hemiplegia on physical function and length of lower limb, we have come to the following conclusion. In case of hemiplegia, we have concluded that aquatic exercise program can aid muscle strengthening and lower limb since aquatic exercise program activates physical function and deep muscle, showing a positive influence on muscular strength and flexibility, and a significant influence on balance of lower limb. This result is considered to make people recognize the importance of rehabilitation exercise when making a program for daily life activity, injury prevention, and treatment for hemiplegia, and we believe that such reference will be proposed as a theoretical basis for application of aquatic exercise program to hemiplegia, and further be a great aid to similar studies.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1997년도 추계학술대회
• /
• pp.9-13
• /
• 1997

The present study was designed to develop the functional electrical stimulation system in order to restore motor function of paralytic patients. We attempt to establish adequate stimulus parameters for the recovery of work unction in lower limb paralysis patients and to develop the electrical stimulation system, which is effective to protect foot drop in these patients. In our animal and human experiment, adequate stimulus condition for surface electrode on the lower limb were 0.2-0.3ms at the duration and 50 Hz, which contain 600Hz train pulse. This parameter has efficiently prevented the foot drop from lower limb paralysis, decreased muscle fatigue and induced powerful contraction of lower limb muscle.

• 대한통합의학회지
• /
• 제5권3호
• /
• pp.49-55
• /
• 2017

Purpose: The purpose of this study was to investigate effect of open kinetic chain exercise on the motor function of the lower limb in middle school soccer players. Method: The subjects consisted of 14 soccer players who attend middle school in Gwangju. All subjects received open kinetic chain exercise for 3 weeks. The muscle strength of the ankle was measured by a commander muscle tester. Postural control ability was measured using a hopping test. All measurements for each subject were conducted pre-intervention and 3 weeks post-intervention. Result: There were significant differences post-intervention in the muscle strength and-the postural control ability of the open kinetic chain exercise group(p<.05). Conclusion: Open kinetic chain exercise had a significant positive effect on the motor function of the lower limb in soccer players. Therefore, open kinetic chain exercise may prevent and resolve injury with careful management while soccer players are training or playing games. It could be helpful to extend the lives of athletes and improve their records.

• 대한의용생체공학회:의공학회지
• /
• 제32권2호
• /
• pp.93-104
• /
• 2011

The purpose of this study was to investigate lower-limb joint torque of the two groups as it changed by somatosensory stimulation during the descent down three stairs of different heights and to describe the difference between the two groups, which are young people group and elderly people group. Subjects of each groups climbed down a stair at four stimulation conditions, which are non-stimulation, tibialis anterior tendon stimulation, achilles tendon stimulation, tibialis anterior - achilles tendon stimulation. Motion capture data were collected using 3D optoelectric motion tracking system that utilizes active infrared LEDs, near infrared sensor and force plate. The obtained motion capture data was used to build 3D computer simulation model. The results show that lower-limb joint torque of the two groups changed with somatosensory stimulation as they descended the stairs and the joint torque of the two groups differed from each other.

• 대한통합의학회지
• /
• 제7권2호
• /
• pp.165-179
• /
• 2019

Purpose : The purpose of this study is to improve the stroke patient's gait ability by applying a closed or kinetic chain lower limb exercise Methods : The study subjects were 48 hospitalized hemiplegic patients who agreed to participate in the study. 48 subjects went through the intervention: 24 in the experimental group and 24 in the control group. One set consisted of 10 repeats of the exercise. The subjects performed three sets of the exercise once a day, 5 times a week, for 6 weeks. Results : TUG and FGA were significantly improved in the experimental group. The spatio-temporal gait variables in the experimental group all showed significant improvement. In the control group, velocity, cadence, and double limb support showed significant improvement, Trunk sway angle showed significant improvement in all three axes in both groups. Conclusion : The results of this study indicate that a more positive effect in terms of improvement of the stroke patient's gait ability will be seen for closed rather than open kinetic chain lower limb resistance exercise.

• 대한물리의학회지
• /
• 제16권4호
• /
• pp.1-11
• /
• 2021

PURPOSE: Lumbosacral orthosis (LSO) is often used to help manage low back pain because it is economical and effective. This study examined the effects of flexible and semirigid LSOs on the lower-limb joint angles in walking in patients with chronic low back pain. METHODS: The effects of the lumbosacral orthosis during gait on the sagittal, frontal, horizontal planes and the change in lower limb angle were examined in fourteen chronic low back pain patients who walked without wearing a LSO, wearing a flexible LSO, and wearing a semirigid LSO in random order for three-dimensional motion analysis. RESULTS: The flexion of the hip and knee joints decreased more significantly during walking with an LSO than without one. The genu valgum angles were reduced in the stance phase more during walking with an LSO than without one. The external rotation of the knee joints in the stance phase increased more during walking with an LSO than without one. CONCLUSION: The angles of the lower-limb joints of patients with chronic low back pain are affected by walking with an LSO, and the effects increased as the LSO stiffened.