• Title/Summary/Keyword: Lower Extremities

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Effects of Different Shoe Heel Heights on the Kinematic Variables of the Lower Extremities during Walking on Slopes by healthy adult women

  • Yang, Yong-pil
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.3
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    • pp.21-27
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    • 2019
  • PURPOSE: This study examined the changes in the kinematic variables during walking on a downhill ramp according to the shoe heel height. METHODS: The subjects were 10 adult women with no history of musculoskeletal disorders who agreed to participate in the study. Data were collected using a motion analysis system (VICON) consisting of six infrared cameras. The slope was 120 cm in width, 200 cm in length, and 15 in inclination. To confirm the change in gait parameters (stride length, gait speed) and lower extremity joint angle according to the heel heights of the shoes, flat, 5 cm, and 10 cm heel shoes were prepared and walked alternately. RESULTS: As a result, both the stride length and walking speed showed significant differences according to the heel height between flat and 10 cm (p<.05). In the sagittal plane, there was no significant difference in the hip joint and knee joint, but a significant difference was observed in all events in the ankle joint on all heel heights (p<.05). In particular, the heel strike and mid stance events showed significant differences among all height conditions (p<.05). No significant difference was observed in any of the joint angle changes in the frontal plane (p>.05). CONCLUSION: As the shoe heel height increased, the instability increased and efforts to secure the stability were made, leading to a shortened stride length, walking speed, and angle of the ankle joint.

Effects of Maximum Repeated Squat Exercise on Number of Repetition, Trunk and Lower Extremity EMG Response according to Water Depth

  • Jang, Tae Su;Lee, Dong Sub;Kim, Ki Hong;Kim, Byung Kwan
    • International Journal of Internet, Broadcasting and Communication
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    • v.13 no.1
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    • pp.152-160
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    • 2021
  • The purpose of this study was to investigate the difference in the number of repetitions and the change in electromyographic response during the maximum speed squat exercise according to the depth conditions and the maximum speed squat exercise according to the time of each depth. Ten men in their 20s were selected as subjects and the maximum speed squat was performed for one minute in three environmental conditions (ground, knee depth, waist depth). We found that the number of repetitions according to the depth of water showed a significant difference, and as a result of the post-mortem comparison, the number of repetitions was higher in the ground condition and the knee depth than in the waist depth. And the muscle activity of rectus abdominis, erector spinae, rectus femoris, biceps femoris was increased during ground squat exercise, activity of all muscle was decreased during knee depth squat exercise, and activity of rectus abdominis, erector spinae, biceps femoris, tibialis anterior, gastrocnemius was decreased during waist depth squat. In conclusion, muscle activity of lower extremities during squat exercise in underwater environment can be lowered as the depth of water is deep due to buoyancy, but muscle activity of trunk muscles can be increased rather due to the effect of viscosity and drag.

Effects of Kinematics and Kinetics of the Lower Extremities Joint during Drop Landing in Adult Women with Patellofemoral Pain Syndrome (슬개대퇴동통증후가 성인 여성의 드롭랜딩 시 하지 주요관절의 운동역학적 변화에 미치는 영향)

  • Jeon, Kyoungkyu;Yeom, Seunghyeok
    • Korean Journal of Applied Biomechanics
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    • v.31 no.1
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    • pp.64-71
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    • 2021
  • Objective: This study investigated the different in isokinetic peak strength of the knee joint, and kinetics and kinematics in drop landing pattern of lower limb between the patellofemoral pain syndrome (PFPS) patients and normal. Method: 30 adult females were divided into the PFPS (age: 23.13±2.77 yrs; height: 160.97±3.79 cm, weight: 51.19±4.86 kg) and normal group (age: 22.80±2.54 yrs, height: 164.40±5.77 cm, weight: 56.14±8.16 kg), with 15 subjects in each group. To examine the knee isokinetic peak strength, kinematics and kinetics in peak vertical ground reaction force during drop landing. Results: The knee peak torque (Nm) and relative strength (%) were significantly weaker PFPS group than normal group. In addition, PFPS group had significantly greater hip flexion angle (°) than normal group. Moreover, normal group had significantly greater moment of hip abduction, hip internal rotation, and left ankle eversion than PFPS group, and PFPS group had significantly greater moment of knee internal rotation. Finally, there was significant differences between the groups at anteroposterior center of pressure. Conclusion: The PFPS patients had weakened knee strength, and which can result in an unstable landing pattern and cause of more stress in the knee joints despite to effort of reduce vertical ground reaction force.

Extraction of Motor Modules by Autoencoder to Identify Trained Motor Control Ability

  • LEE, Jae-Hyuk
    • Journal of Wellbeing Management and Applied Psychology
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    • v.5 no.2
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    • pp.15-19
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    • 2022
  • Purpose: This pilot study aimed to clarify features of motor module during walking in exercise experts who experienced lately repeated training for sports skill. To identify motor modules, autoencoder machine learning algorithm was used, and modules were extracted from muscle activities of lower extremities. Research design, data and methodology: A total of 10 university students were participated. 5 students did not experience any sports training before, and 5 students did experience sports training more than 5 years. Eight muscle activities of dominant lower extremity were measured. After modules were extracted by autoencoder, the numbers of modules and spatial muscle weight values were compared between two groups. Results: There was no significant difference in the minimal number of motor modules that explain more than 90% of original data between groups. However, in similarity analysis, three motor modules were shown high similarity (r>0.8) while one module was shown low similarity (r<0.5). Conclusions: This study found not only common motor modules between exercise novice and expert during walking, but also found that a specific motor module, which would be associated with high motor control ability to distinguish the level of motor performance in the field of sports.

Effect of the Combined Application of Mulligan Taping and Flossing Band on Muscle Activity and Balance Ability in Chronic Ankle Instability Patients

  • Jeong, Hyochang;Park, SeJin;Yu, Seunghun
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.127-135
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    • 2022
  • Objective: The purpose of this study was to investigate the effects of combining Mulligan taping and flossing bands on lower limb muscle activity and static and dynamic balance. Design: A randomized controlled trial. Methods: Sixty-eight patients with chronic ankle instability were randomized into three groups that were treated with Mulligan taping (MT, n=22), flossing band (FB, n=23) and Mulligan taping combined with flossing band (MT+FB, n=23), and various parameters were compared before and after the intervention. The muscle activity of the lower extremities, including the tibialis anterior, peroneus longus and medial of gastrocnemius muscles was measured using BTS FREE EMG 1000, while the static and dynamic balance were measured using the Biorscuue balance measuring equipment. Results: There was a significant difference in muscle activity of the tibialis anterior muscle, before and after the intervention, in the MT group (p<0.01), FB (p<0.001) and MT+FB (p<0.001). There was also a significant difference in the muscle activity of the tibialis anterior muscle in the MT+FB group when compared with that in MT and FB groups (p<0.05). We also observed a significant difference in the dynamic balance all the groups (p<0.001). Conclusions: Therefore, combining Mulligan taping and flossing bands for patients with chronic ankle instability may improve dynamic balance and tibialis anterior muscle activity.

The Effect of the Modified Bent Arm Torando Exercises to Weight Movement and Muscle Activity when Doing Drive Swing Motion from the Top to Impact Section

  • Bae, Sang Kyu;Yun, Su Bin;Kim, Jong Won;Lee, Jong Kyung;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.149-154
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    • 2022
  • Purpose: The purpose of this study was to investigate effects of the modified bent arm tornado exercise on weight shift movement and muscle activity of the impact section in the top of the drive swing. Methods: Twenty subjects were divided professional golfer group and amateur golf group. Subjects were required to complete following modified bent arm tornado exercise. The activity and weight shift of the gluteus group and lower extremity muscles between the two groups were measured and the Wilcoxon rank test was analyzed. Results: The distribution of weight shift in the professional golfer group was higher than that of the amateur golfer group (p<0.05). During the golf downswing of the professional golfer group, muscle activation of the lower extremities was higher than that of the amateur golfer group (p<0.05). The distribution of weight shift after exercise by the amateur golfer group was higher than before (p<0.05). Conclusion: We could confirm was increased significantly of muscle activity and weight shift by applying modified bent arm tornado exercise through this study. This result suggests that exercise is needed to improve weight shift.

Effect of Complex Korean Medical Treatment on Spinal Epidural Hematoma: A Case Report

  • Youn Young Choi;Young Kyung Kim;Eun Sol Won;Chae Hyun Park;Hwa Yeon Ryu;Jae Hui Kang;Hyun Lee
    • Journal of Acupuncture Research
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    • v.40 no.1
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    • pp.78-89
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    • 2023
  • This paper presents the clinical outcome of an 82-year-old female who experienced sudden back pain combined with lower limb paresthesia and weakness after epidural steroid injection. The magnetic resonance imaging of the thoracolumbar spine showed a spinal epidural hematoma (SEH) extending from T8 to L4. She was treated non-operatively in the traditional Korean medicine (TKM) hospital. The patient's progress was assessed using the Numerical Rating Scale (NRS), American Spinal Injury Association (ASIS), Spinal Cord Independence Measure version III (SCIM III), and self-reported symptoms. During the 22-day hospitalization period,the NRS score decreased from 7 to 2 points, the motor score on the ASIS scale increased from 65 to 95 points. The subjective sense of lower extremities was felt by 1 increased to 8. The SCIM III score increased from 32 to 69 points. These results suggest that TKM could effectively reduce pain and aid the rehabilitation of patients with SEH.

Fire Acupuncture for Varicose Veins in the Lower Extremities: A Review of Randomized Controlled Trials

  • Onyou Jo;Jiyoon Lee;Sangmin Park;Jaewook Shin;Saerom Choi;Seongyong Choi
    • Journal of Acupuncture Research
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    • v.40 no.3
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    • pp.177-187
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    • 2023
  • Varicose veins have a substantial burden on individuals' aesthetics and overall quality of life. The current body of research on Korean medical interventions for varicose veins is limited in Korea, and exploration into clinical trends is lacking. This review specifically analyzed fire acupuncture, which is an understudied intervention in Korea that demonstrated efficacy in alleviating pain and paralysis while promoting tissue regeneration. A comprehensive investigation of the China National Knowledge Infrastructure database was conducted, utilizing terms such as "varicose vein," "fire needle," "fire acupuncture," "burning acupuncture," "burning needle," "huǒzhēn," "xiàzhī jìngmài," and "jìngmài qūzhāng." This review included 14 studies investigating the role of fire acupuncture in treating varicose veins. We extracted variables, including age, sex, disease duration, intervention method, treatment frequency, treatment period, acupoints, and outcomes. Fire acupuncture appeared as the primary intervention method, followed by general acupuncture. The protruding part of varicose veins is the main treatment area for fire acupuncture, while the acupoints BL57 and ST36 were most frequently utilized for general acupuncture. Treatment results revealed significant improvement in all studies. However, there are limitations, such as scarce studies, limited side effects studies, and potential bias. Consequently, extensive and well-structured future studies are necessary to demonstrate the role of fire acupuncture in varicose veins.

A Study of Gait Patterns in Patients with Low Back Pain (요통환자의 보행패턴에 관한 연구)

  • Lee, Cu-Rie
    • Journal of Korean Physical Therapy Science
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    • v.5 no.1
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    • pp.573-581
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    • 1998
  • Gait is a highly complex activity in which many variables can be observed and measured. Walking is a repetitious sequence of limb to move the body and to maintain stability. Normal gait is rhythmic and characterized by alternating propulsive and retropulsive motions of the lower extremities. Pathological gait patterns have four functional categories (deformity, muscle weakness, impaired control, pain). The purpose of this study was to assess the quantitive gait variables(the width of the base, length of a step, stride length, cadence, velocity) in patients with low back pain. Patients walked more slowly, took shorter steps and did not show the symmetrical gait patterns.

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ANGIONEUROTIC EDEMA REVIEW OF REFERENCES AND A CASE REPORT (혈관신경성부종의 문헌적 고찰 및 증례 보고)

  • Kim, Onn;Seo, Bo-Young;Kim, Sung-Moon;Rim, Jae-Suk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.231-236
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    • 1989
  • Angioneurotic edema is rarely seen in dental practice and manifested by acute attacks of swelling of the extremities, face, airway, or abdominal visera, occuring spontaneously and suddenly or secondary to trauma. Two types are recognized : hereditary and nonhereditary. Prophylatic therapy may be used by fresh frozen plasma or antifibrinolytic agents in hereditary type. Good supportive care for acute attacks, together with a knowledge of course of the disease, can prevent asphyxiation from airway obstruction. A case of acute angioneurotic edema of the facial area in a 19-year-old man is presented in conjunction with a review of the literature. Angioneurotic edema attacks him acutely after the extraction of the lower, right 3rd molar.

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