• Title/Summary/Keyword: Lower Extremity

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A nonlinear optimization model of lower extremity movement in seated foot operation (비선형 최적화기법을 이용한 하지근력 예측 인체공학 모형)

  • 황규성;정의승;이동춘
    • Journal of the Ergonomics Society of Korea
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    • v.13 no.2
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    • pp.65-79
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    • 1994
  • A biomechanical model of lower extremity in seated postures was developed to assess muscular activities of lower extremity involved in a variety of foot pedal operations. The model incorporated four rigid body segments with the twenty-four muscles to represent lower extremity. This study deals with quasi-static movement to investigate dymanic movement effect in seated foot operation. It is found that optimization method which has been used for modeling the articulated body segments does not predict the forces generated from biarticular muscles and antagonistic muscles reasonably. So, the revised nonlinear optimization scheme was employed to consider the synergistic effects of biarticular muscles and the antagonistic muscle effects from the stabilization of the joint. For the model validation, three male subjects performen the experiments in which EMG activities of the nine lower extremity muscles were measured. Predicted muscle forces were compared with the corresponding EMG amplitudes and it showed no statistical difference. For the selection of optimal seated posture, a physiological meaningful criterion for muscular load sharing developed.

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Effects of Core Exercise Using Pressure Biofeedback Unit on Muscle Strength of Lower Extremity (생체자기 측정 기구를 이용한 코어 운동이 하지 근력에 미치는 영향)

  • An, Jung-Ae;Kim, Kyong-Hun
    • Journal of Korean Physical Therapy Science
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    • v.24 no.2
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    • pp.17-26
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    • 2017
  • Purpose: The importance of core exercise on muscle activation of the lower extremity has been studied. This study investigated the effects of core exercise using pressure biofeedback unit on muscle strength of lower extremity. Method: Fourteen healthy young adults (7 males and 7 females) were recruited. They were randomly separated two groups and performed core exercise using pressure biofeedback unit of one set for three minutes, 10sets per day for three weeks. Result: The mean of muscle strength of lower extremity, maximum power of muscle and peak TQ/BW in core exercise group significantly increased after core exercise using bio feedback unit (p<.05). Conclusion: These findings suggest that core exercise using pressure biofeed-back unit may help improving of muscle strength of lower extremity in young adults.

Combined Free Flap in Reconstruction of Lower Extremity with Large Soft Tissue Defect (복합 유리 피판을 이용한 광범위한 연부 조직 결손 하지의 재건)

  • Hahn, Soo-Bong;Park, Hong-Jun;Kang, Ho-Jung
    • Archives of Reconstructive Microsurgery
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    • v.8 no.2
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    • pp.120-129
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    • 1999
  • There were many difficulties in the treatment of extensive, massive, and composite defect in the lower extremity until early 1980's. Recently, microscopic reconstruction of wide soft tissue defect is popularized. But, the combined flap, which requires wide coverage of lower extremity after soft tissue sarcoma excision or traffic accident, is still challenging to the orthopaedic surgeons. We experienced 12 cases of combined scapular and latissimus dorsi flap from 1983 to 1997 in the lower extremity reconstruction of soft tissue defect with satisfactory result. There were no serious donor site complications such as functional disturbance of shoulder joint.

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The Study Used Brog's Scale on the Lower Extremity Supporter (주관적 작업부하를 이용한 하체 서포터 평가에 관한 연구)

  • Kim, Yu-Chang;Chang, Eon-June
    • Journal of the Korean Society of Safety
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    • v.23 no.5
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    • pp.105-110
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    • 2008
  • This study focused on the decreased effect of the work load on using the lower extremity supporter in kneeling posture. Fatigue measures included subjective discomfort ratings through the use of the Borg's CR-10 scale based parameters. The resting period and work method were considered as independent variables. The break time conditions are grouped into 10 seconds after work for 1 min and not exist break time. The method of work conditions are divided into four types. There are kneeling with the lower extremity supporter, kneeling with the knee protector, just kneeling and squatting. The result of the ANOVA of the shift value of subjective discomfort showed the followings: 1) There were differences as regards to the method of the work, the break time and the part of body($p{\leq}0.05$). 2) The lower extremity supporter showed the least subjective discomfort in other part of body except the upper leg.

Endovascular Treatment for Lower Extremity Deep Vein Thrombosis: An Overview

  • Kyung Ah Kim;Sun Young Choi;Ran Kim
    • Korean Journal of Radiology
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    • v.22 no.6
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    • pp.931-943
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    • 2021
  • Lower extremity deep vein thrombosis (DVT) is a serious medical condition that can result in local pain and gait disturbance. DVT progression can also lead to death or major disability as a result of pulmonary embolism, postthrombotic syndrome, or limb amputation. However, early thrombus removal can rapidly relieve symptoms and prevent disease progression. Various endovascular procedures have been developed in the recent years to treat DVT, and endovascular treatment has been established as one of the major therapeutic methods to treat lower extremity DVT. However, the treatment of lower extremity DVT varies according to the disease duration, location of affected vessels, and the presence of symptoms. This article reviews and discusses effective endovascular treatment methods for lower extremity DVT.

The Effect of Trunk Muscle Activity on Applied Normal Timing According to Angular Motion in PNF Patterns (PNF 패턴에서 각도에 따른 Normal Timing의 적용이 체간 근육활성에 미치는 영향)

  • Kim, Kyung-Hwan;Youn, Hye-Jin;Park, Sung-Hun;Lim, Jin-Woo
    • PNF and Movement
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    • v.13 no.2
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    • pp.81-88
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    • 2015
  • Purpose: The purpose of this study was to analyze the effect of normal timing according to angular motion in PNF patterns on electromyography (EMG) activity in rectus abdominis, internal oblique abdominal muscle, external oblique abdominal muscle, and erector spinae. Methods: Ten healthy adults volunteered to participate in this study. The participants were required to complete following two PNF extremity patterns; upper extremity extension- adduction-internal rotation pattern with $180^{\circ}$, $90^{\circ}$, $30^{\circ}$ and lower extremity flexion- adduction-external rotation pattern with $0^{\circ}$, $60^{\circ}$, $90^{\circ}$. A paired t-test was used to determine the influence of the two PNF patterns on muscle activity in each muscle. Descriptive statistics were used to determine the ratio of local muscle activity to global muscle activity. Results: In terms of their effect on applied normal timing, the upper and lower extremity pattern significantly affected the rectus abdominis, internal oblique, external oblique, and erector spinae (p < .05). The upper extremity pattern (at an extension angle of $30^{\circ}$) and the lower extremity pattern ((at a flexion angle of $90^{\circ}$) influenced the rectus abdominis, internal oblique, external oblique, and erector spinae (p < .05). Conclusion: The effect of the upper and lower extremity patterns on applied normal timing was significant in that these patterns increased trunk muscle activation. The upper extremity pattern (at an extension angle of $30^{\circ}$) and the lower extremity pattern (at a flexion angle of $90^{\circ}$) increased trunk muscle activation. Normal timing is required to increase trunk muscle strength and extremity movement.

Lower Extremity Edema and Pain of Nurses and the Effect of Self Leg Massage (간호사의 근무로 인한 하지부종과 통증 발생 및 자가다리마사지 효과)

  • Oh, Jin-A;Yoon, Chae-Min
    • Journal of Korean Academy of Nursing
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    • v.38 no.2
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    • pp.278-286
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    • 2008
  • Purpose: This study was done to compare edema and pain after completing a nurse's daily shift and to examine the effects of self leg massage which was usually used for reducing nurses' lower extremity edema and pain after their shift. Methods: The research design was a nonequivalent control group pretest-posttest design. Study subjects were 81 nurses who took a self leg massage program created by the researcher. Self leg massage was done 15 times during 3 weeks. Data were collected from September 21 to October 31, 2007. The level of lower extremity edema was measured by ankle and calf circumference by a tapeline in cm and the pain score was measured by using a subjective numbering rating scale. Data were analyzed with the SPSS 12.0 program using statistics of repeated measures ANOVA. Results: There was a statistically significant difference in pain according to the department. There was a statistically significant difference in lower extremity edema and pain in nurses after their shift and self leg massage. Conclusion: Self leg massage was effective for relieving nurses' lower extremity edema and pain. Therefore, it is proposed that standardized self leg massage should be applied as a method for nurses' lower extremity edema and pain.

The Effects of Whole Body Vibration Exercise on Balance and Lower Extremity Muscle Activity in Stroke Patients (전신진동운동이 뇌졸중 환자의 균형 및 하지 근활성도에 미치는 영향)

  • Kim, Je-Ho
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.266-272
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    • 2013
  • Purpose: The purpose of this study was to determine the influence of whole body vibration (WBV) exercise on balance and lower extremity muscle activity according to different intensity of vibration in stroke patients. Methods: Thirty subjects were randomly divided into three groups: experimental group II (n=10), III (n=10), and control group I (n=10). Each subject was exposed to three WBV conditions, as follows: 1. no WBV (group I), 2. 10 Hz (group II), 3. 30 Hz (group III) in semi squat position. The exercise program was conducted for six weeks (five times per week; 16 minutes per day). Subjects were measured on balance (limited of stability: LOS) and lower extremity muscle activity. Results: Significant difference in balance and lower extremity muscle activity was observed in the experimental group (II, III), compared with the control group (I). Results of post-hoc analysis, showed a significant difference in balance (LOS) in on group II and group III compared with group I, but no significant difference in on group II compared with group III, and a significant difference in lower extremity muscle activity in on group II and group III compared with group I, and a significant difference on in group II compared with group III. Conclusion: WBV exercise may be helpful in improvement of balance and lower extremity muscle activity in stroke patients.

The Effects of leg length difference on Low Back Pain and joint stiffness (하지길이 차이가 요통과 관절경직에 미치는 영향)

  • Kim Dong-Hyun;Kim Suk-Bum;Baek Su-Jeong;Nam Tae-Ho;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.55-63
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    • 2002
  • Human body balances right and left leg centering around pelvis and spine. Therefore, imbalance of lower extremity means disequilibrium of the body. The difference of lower extremity length can cause a number of clinic symptoms including scoliosis, low back pain, sacroiliac pain, and sports injury. In this study, we tried to analyze low back pain and joint stiffness resulting from the difference of lower extremity length. The subjects were 80 male students who are 20-25 years old. The results of this study were as following: 1. Low back pain depending on the difference of lower extremity length One group which the difference of lower extremity length is above 12mm showed average different length as 18.0mm, the other group which one is below 12mm showed as 6.3mm. A group of above 12mm had more severe low back pain than a group of below 12mm. 2. Joint stiffness depending on the difference of lower extremity length A group of above 12mm had more severe joint stiffness than a group of below 12mm.

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A Case Study of a Female Patient with Patellofemoral Pain Syndrome for Effect of Hip Joint Traction and Hip Posterolateral Muscles Strengthening on Knee Pain, Range of Motion, and Lower Extremity Function Scale (슬개대퇴통증 증후군 환자에게 적용한 고관절 견인과 근력 강화 운동이 무릎 통증, 관절가동범위, 하지기능에 미치는 영향-사례 연구)

  • Hong, Hyun-Pyo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.1
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    • pp.35-38
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    • 2014
  • Background: The case study examined the effect of a hip joint traction and hip posterolateral muscles strengthening on knee pain, range of motion, and lower extremity function scale of patients with patellofemoral pain syndrome (PFPS). Although PFPS has previously been attributed to quadriceps dysfunction, more recent research has linked this condition to impairment of the hip musculature and kinematic. Methods: Subject is a 27-years-old female with PFPS. Performed hip joint traction with belt and posterolateral muscles(hip abductors, external rotators) strengthening for 4 weeks, 3 times a week, once a day. Before and after the therapy, measurements were made on the visual analog scale (VAS) and of the ROM, and a lower extremity functional scale (LEFS) was conducted. Results: The results showed positive changes in VAS and range of motion and lower extremity functional scale. First VAS of knee changed from 6 to 2. Second hip joint range of motion showed that internal rotation recored from $53^{\circ}$ to $58^{\circ}$ and external rotation recorded from $32^{\circ}$ to $37^{\circ}$. Third The lower extremity functional scale showed before therapy of 44; after therapy, 63. Conclusion: The hip joint traction and hip posterolateral muscles strengthening was effective in alleviating knee pain, increasing ROM and Lower extremity functional scale of the PFPS patients.