• Title/Summary/Keyword: Lower Extremities

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The Effect of Wrist and Trunk Weight Loading using Sandbags on Gait in Chronic Stroke Patients (모래주머니를 이용한 팔목과 몸통의 무게 증가가 만성 뇌졸중 환자들의 보행에 미치는 영향)

  • Park, Sangheon;Lim, Hee Sung;Yoon, Sukhoon
    • Korean Journal of Applied Biomechanics
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    • v.31 no.1
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    • pp.50-58
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    • 2021
  • Objective: This study aimed to determine the effect of wrist and trunk weight loading using sandbags in stroke patients in order to provide the quantitative data for enhancement of gait movement. Method: Twelve stroke patients, who have been diagnosed with hemiplegia over a year ago, were participated in this study. All subjects were asked to perform normal walking [N], wrist sandbag walking [W], wrist & trunk sandbag walking [WT], and both wrist sandbag walking [B] and both wrist & trunk sandbag walking [BT], respectively. Eight infrared cameras were used to collect the raw data. Gait parameters, arm swing, shoulder-pelvic kinematics, and lower extremity joint angle were calculated to examine the differences during walking. Results: As a result, there were no significant differences in the gait parameters, shoulder-pelvis, and lower extremities joint angles, but significant differences were found in the range of motion and the anteversion in arm swing. Conclusion: Wrist and trunk weight loading using sandbags affected the movement of the upper extremities only while it did not affect the movement of the lower extremities. It implies that it can reduce the risk of falling caused by a sudden movement change in lower extremities. In addition, the wrist and trunk weight loading using sandbags can induce changes in movement of the upper extremities independently and contribute to functional rehabilitation through resistance training.

A Study on Kinematic Analysis of Trunk and Lower Extremities in Stance Phase of Walking according to Turning Direction (보행 방향 전환 시 입각기 하지 및 체간의 운동형상학적 분석)

  • Oh, Tae-Young
    • The Journal of Korean Physical Therapy
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    • v.25 no.2
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    • pp.88-95
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    • 2013
  • Purpose: The purpose of this study was to conduct an analysis of kinematics of lower extremities and trunk in stance phase of walking according to turning direction. Methods: Ten university students (five male, five female) who were in their 20s (mean age was 20.6 years old) participated in this study. Participants did not have participants did not have any problem with skeletal muscular system. We used the "Qualisys motion capture system" for analysis of trunk and lower extremity movement in stance phase of walking according to turning direction. We collected data while subjects walked a distance of 10 m, and at the 6 m line, subjects were required to turn to the left side and the right leg was positioned in stance phase and the left leg was positioned in swing. For data analysis, the SPSS for Windows ver. 20.0 statistics program was used in performance of one way analysis of variance according to turning direction. Results: Significant difference of trunk and lower extremities was observed for turning direction according to walking cycle (p<0.05). Upper trunk movement showed a greater increase at three dimensions than lower trunk, and in heel off phase, pelvic movement showed a greater increase than lower trunk (p<0.05). In 45 degree and 90 degrees of turning direction, all movements of trunk and lower extremities were significantly different among three events of stance phase (p<0.05). Conclusion: We suggest that three-dimensional movement analysis of trunk and lower extremities during turning movement was very important in order to indicate increasing balance or walking ability for people with impaired movement or walking.

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

  • Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.2 no.2
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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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Motor Peripheral Neuropathy Involved Bilateral Lower Extremities Following Acute Carbon Monoxide Poisoning: A Case Report (급성 일산화탄소 중독 환자에서 발생한 양하지 말초 운동신경병증 1례)

  • Choi, Jae-Hyung;Lim, Hoon
    • Journal of The Korean Society of Clinical Toxicology
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    • v.13 no.1
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    • pp.46-49
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    • 2015
  • Carbon monoxide (CO) intoxication is a leading cause of severe neuropsychological impairments. Peripheral nerve injury has rarely been reported. Following are brief statements describing the motor peripheral neuropathy involved bilateral lower extremities of a patient who recovered following acute carbon monoxide poisoning. After inhalation of smoke from a fire, a 60-year-old woman experienced bilateral leg weakness without edema or injury. Neurological examination showed diplegia and deep tendon areflexia in lower limbs. There was no sensory deficit in lower extremities, and no cognitive disturbances were detected. Creatine kinase was normal. Electroneuromyogram patterns were compatible with the diagnosis of bilateral axonal injury. Clinical course after normobaric oxygen and rehabilitation therapy was marked by complete recovery of neurological disorders. Peripheral neuropathy is an unusual complication of CO intoxication. Motor peripheral neuropathy involvement of bilateral lower extremities is exceptional. Various mechanisms have been implicated, including nerve compression secondary to rhabdomyolysis, nerve ischemia due to hypoxia, and direct nerve toxicity of carbon monoxide. Prognosis is commonly excellent without sequelae. Emergency physicians should understand the possible-neurologic presentations of CO intoxication and make a proper decision regarding treatment.

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Effects of Foot Bath Therapy on Operating Room Nurses' Lower Extremities Edema, Stress, and Fatigue (족욕요법이 수술실 간호사의 하지 부종, 스트레스 및 피로에 미치는 효과)

  • Lee, Young Sin;Park, Hae Kyung;Kim, Hyun Jea;Jung, Yun Hee
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.1
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    • pp.102-112
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    • 2014
  • Purpose: The purpose of this study was to identify the effects of foot bath therapy on operating room (OR) nurses' lower extremities edema, stress, and fatigue. Methods: This study used a randomized control group non-synchronized design. The data were collected from August to October 2013, and a total of 50 OR nurses in an university hospital in U Metropolitan City participated in the study: 25 nurses for the experimental group and 25 for the control group. The experimental group received foot bath in which feet were soaked in $40^{\circ}C$ water and immersed up to ankle line for 20 minutes per a day for 12 times. Results: There were significant decrease in the calf edema, physical stress, and fatigue between pre and post foot bath therapy. Conclusion: The findings of this study show that foot bath had the effect in decreasing lower extremities edema, stress, and fatigue among OR nurses. Foot bath therapy, therefore, is suggested as a comfort and easy-to-use method in clinical setting to reduce OR nurses' lower extremities edema, stress, and fatigue.

Effects of Early Passive ROM Exercise on ROM of Lower Extremities and Foot Edema in Hemiplegia Patients with Stroke (조기 수동적 하지 관절운동이 뇌졸중 후 편마비 환자의 하지 관절가동범위와 발부종에 미치는 효과)

  • Lee, Joo Sun;Lee, Eun Ok;Lee, Eun Ju;Kim, Haeng Su
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.81-89
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of early passive range of motion (ROM) exercise on ROM of lower extremities and foot edema in hemiplegic patients after stroke. Methods: The data were collected between August 2009 and April 2010 from 11 patients in the experimental group and 13 in the control group. The passive ROM exercise was performed twice a day for 2 weeks. Results: In the experimental group, ROM of lower extremities (flexion of hip, flexion of knee and ankle) increased significantly compared to that of the control group. There was no significant difference in foot edema between the two groups. Conclusion: The results indicated that the early passive ROM exercise can improve the ROM of lower extremities, but not the foot edema in patients after stroke.

Effects of the use of elastic compression stockings among dental hygienists (치과위생사의 탄력압박스타킹 착용 효과)

  • Lee, Jeong-Hui;Park, Ji-Hye;Sakong, Joon
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.5
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    • pp.675-682
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    • 2018
  • Objectives: This study was performed to characterize edema of the lower extremities that occurs among hygienists during working hours, and to determine the effects of the use of elastic compression stockings. Methods: The study subjects were 40 dental hygienists working at a dental hospital in Daegu. Symptoms of edema of the lower extremities during working hours were characterized by measurement of calf and ankle circumference. Results: Calf and ankle circumference increased during working hours. The use of elastic compression stockings reduced edema of the lower extremities during working hours. Conclusions: Use of elastic compression stockings can reduce levels of lower extremity edema among dental hygienists.

Kinematic Difference between the Lower Limb Joints and the Lower Extremities Given Elderly Women's Walking through the Lower-limb Resistance Exercises (하지 저항운동을 통한 여성고령자 보행 시 하지관절 및 분절의 운동학적 차이)

  • Seo, Se-Mi
    • The Journal of the Korea Contents Association
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    • v.9 no.12
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    • pp.364-375
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    • 2009
  • The purpose of this study is to offer basic data for the fall prevention by analyzing the kinematic difference between the lower limb joints and the lower extremities in elderly people's walking given the lower-limb resistance exercises. For this, three-dimensional image analysis was carried out by selecting 7 elderly women from over 70s to under 80 years old. To obtain the three-dimensional location coordinates in the lower limb joints and the lower extremities, it shot with 100Hz/s by using MCU(Qualisys, Sweden) camera. The shot image gained raw data on the location coordinates by using QTM(Qualisys, Sweden). As a result of calculating three-dimensional angle by using program of Matlab 6.5, the following conclusions were obtained. Flexion and extension in the thigh and the lower-leg extremities were indicated to be big in motion of flexion after exercising at E5. Foot segment indicated statistical difference while showing eversion at E4. Knee joints showed flexion at E4 after exercising. Ankle joints showed statistical difference while indicating motion in inversion at E3 and in eversion at E4(p<.05).

Joint Angles Analysis of Intelligent upper limb and lower extremities Wheelchair Robot System (지능형 상 · 하지 재활 휠체어 로봇 시스템의 관절각도 분석)

  • Song, Byoung-Ho;Kim, Kwang Jin;Lee, Chang Sun;Lim, Chang Gyoon
    • Journal of Internet Computing and Services
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    • v.14 no.6
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    • pp.33-39
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    • 2013
  • When the eldery with limited mobility and disabled use a wheelchairs to move, it can cause decreased exercise ability like decline muscular strength in upper limb and lower extremities. The disabled people suffers with spinal cord injuries or post stroke hemiplegia are easily exposed to secondary problems due to limited mobility. In this paper, We designed intelligent wheelchair robot system for upper limb and lower extremities exercise/rehabilitation considering the characteristics of these severely disabled person. The system consists of an electric wheelchair, biometrics module for Identification characteristics of users, upper limb and lower extremities rehabilitation. In this paper, describes the design and configurations and of developed robot. Also, In order to verify the system function, conduct performance evaluation targeting non-disabled about risk context analysis with biomedical signal change and upper limb and lower extremities rehabilitation over wheelchair robot move. Consequently, it indicate sufficient tracking performance for rehabilitation as at about 86.7% average accuracy for risk context analysis and upper limb angle of 2.5 and lower extremities angle of 2.3 degrees maximum error range of joint angle.

Effects of Neuromuscular Training on Muscle Activity and Balance Ability in Badminton Club Members with Chronic Ankle Instability

  • Park, Sam-Heon
    • The Journal of Korean Physical Therapy
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    • v.28 no.4
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    • pp.243-248
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    • 2016
  • Purpose: This study was conducted to identify the effects of neuromuscular training performed on badminton club members' to improve muscle activity of the lower extremities and static and dynamic balance tests. Methods: The subjects were 20 badminton club members with chronic ankle instability who were randomly divided into a neuromuscular training group and a balance training group, each with 10 patients. Both exercises ware performed three days per week for 30 minutes a day over six weeks. Results: The neuromuscular training group showed increased muscle activity of the lower extremities compared to the balance training group. Neuromuscular training increased balance ability better than the balance training group, showing a significant difference and better efficiency of neuromuscular training when compared to balance training. Conclusion: This research evaluated neuromuscular training as an intervention for badminton club members with chronic ankle instability and compared the differences in muscle activity of the lower extremities and balance ability; as a result of the effective frequency for improving performance, there was a significant difference in muscle activity of lower extremities and balance ability of the neuromuscular training group and the control group.