• 제목/요약/키워드: Lower Limb Joint

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Changes of One-Leg Standing Balance of Ipsilateral and Contralateral Lower-Limb Following Unilateral Isokinetic Exercise of Ankle Joint in Young Adults

  • Son, Sung Min
    • The Journal of Korean Physical Therapy
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    • 제27권6호
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    • pp.430-433
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of a four week unilateral isokinetic exercise program applied to ankle on the one-leg stance balance performance of ipsilateral and contralateral lower-limbs. Methods: Subjects were randomly assigned to either a right ankle training program (n=12) or a control group (n=12). The training group received unilateral ankle isokinetic exercise of the dominant side for 4 weeks, whereas control group did not. Ipsilateral and contralateral one-leg balance were measured before and after intervention using the Biodex Balance System. Results: Improvements of stability scores, such as APSI, MLSI, and OSI, from pre-test to post-test were significantly different greater for the training group when the control. Conclusion: The results of this study suggest unilateral ankle strengthening exercise transfers benefit to the untrained limb by a cross-education effect, and that this type of exercise should be considered to improve one-leg standing balance of trained and untrained lower-limbs.

퇴행성(退行性) 관절염(關節炎)을 동반(同伴)한 비만인(肥滿人)의 한방비만치료(韓方肥滿治療) (Herbal Diet of Obese with Osteoarthristis)

  • 박병준
    • 한방비만학회지
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    • 제4권1호
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    • pp.201-211
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    • 2004
  • The treatment of obesity is increasingly becoming important to effective medical treatment, especially in case involving a degradation of the lower joints. A recent case placed two osteoarthritic obese patients who underwent arthroscopic surgery in a regiment of herbal diet. Alter 3-5 months of receiving this oriental treatment, the patients not only lost weight, but also showed significant reduction of joint inflammation and pain. It is true that obese patients with lower limb or osteoarthritis who have undergone normal obesity treatment regularly for 5 years or more will find the treatment becomes less effective over times. However, for patients suffering from lower limb pain or osteoarthristis, oriental obesity treatment, on the whole was effective in decreasing five key areas(5D). For this reason, it is necessary for oriental medicine to be given further study and consideration as an effective treatment of obesity.

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대퇴절단 환자의 보행 시 양하지의 운동학적 변인에 대한 variability 분석 (The Variability Analysis of the Kinematic Variables of the Lower Extremities During AK(above-knee) Amputee Gait)

  • 서욱현;류지선
    • 한국운동역학회지
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    • 제15권4호
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    • pp.131-142
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    • 2005
  • This study was investigated the stability of the AK amputee gait through analysing the variability on kinematic variables between the sound leg and the prosthetic limb. The one male, AK amputee who could walk for himself with his prosthetic limb was participated in this study. Six cameras of the MCU 240 and the QTM(Qualisys Track Manager) software were used for data collecting in this study. The relative angle of both segments was the difference between the absolute angle of the distal segment and the absolute angle of the proximal segment. The coupling angles between the prosthetic limb and the sound leg were caculated on the thigh Flexion/Extension in relative to the shank Flexion/Extension and the shank Flexion/Extension n relative to the foot Flexion/Extension. In order to evaluate the variability of segment and joint angle, C.V. was used, and to evaluate the variability for coupling angles, the Relative motion calculated by vector coding method of the continuous methods was used. As stated, the gait pattern of the prosthetic limb was almost similar gait pattern of the sound leg, but the prosthetic limb showed that the gait pattern of the sound leg and the prosthetic limb were not stable against the sound leg.

드롭랜딩 시 시선 방향의 차이가 하지관절의 안정성과 협응에 미치는 영향 (The Effects of Gaze Direction on the Stability and Coordination of the Lower Limb Joint during Drop-Landing)

  • Kim, Kewwan;Ahn, Seji
    • 한국운동역학회지
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    • 제31권2호
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    • pp.126-132
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    • 2021
  • Objective: The purpose of this study was to investigate how three gaze directions (bottom, normal, up) affects the coordination and stability of the lower limb during drop landing. Method: 20 female adults (age: 21.1±1.1 yrs, height: 165.7±6.2 cm, weight: 59.4±5.9 kg) participated in this study. Participants performed single-leg drop landing task on a 30 cm height and 20 cm horizontal distance away from the force plate. Kinetic and kinematic data were obtained using 8 motion capture cameras and 1 force plates and leg stiffness, loading rate, DPSI were calculated. All statistical analyses were computed by using SPSS 25.0 program. One-way repeated ANOVA was used to compared the differences between the variables in the direction of gaze. To locate the differences, Bonferroni post hoc was applied if significance was observed. Results: The hip flexion angle and ankle plantar flexion angle were significantly smaller when the gaze direction was up. In the kinetic variables, when the gaze direction was up, the loading rate and DPSI were significantly higher than those of other gaze directions. Conclusion: Our results indicated that decreased hip and ankle flexion angles, increased loading rate and DPSI when the gaze direction was up. This suggests that the difference in visual information can increase the risk of injury to the lower limb during landing.

내림 경사로 보행시 배낭 무게에 따른 하지 움직임의 운동역학적 분석 (Biomechanical Analysisz of Varying Backpack Loads on the Lower Limb Moving during Downhill Walking)

  • 채원식;이행섭;정재후;김동수
    • 한국운동역학회지
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    • 제25권2호
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    • pp.191-198
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    • 2015
  • Objective : The purpose of this study was to conduct biomechanical analysis of varying backpack loads on the lower limb movements during downhill walking over $-20^{\circ}$ ramp. Method : Thirteen male university students (age: $23.5{\pm}2.1yrs$, height: $175.7{\pm}4.6cm$, weight: $651.9{\pm}55.5N$) who have no musculoskeletal disorder were recruited as the subjects. Each subject walked over $20^{\circ}$ ramp with four different backpack weights (0%, 10%, 20% and 30% of body weight) in random order at a speed of $1.0{\pm}0.1m/s$. Five digital camcorders and two force plates were used to obtain 3-d data and kinetics of the lower extremity. For each trial being analyzed, five critical instants were identified from the video recordings. Ground reaction force, loading rate, decay rate, and resultant joint moment of the ankle and the knee were determined by the inverse dynamics analysis. For each dependent variable, one-way ANOVA with repeated measures was used to determine whether there were significant differences among four different backpack weight conditions (p<.05). When a significant difference was found, post hoc analyses were performed using the contrast procedure. Results : The results of this study showed that the medio-lateral GRFs at RHC in 20% and 30% body weight were significantly greater than the corresponding value in 0% of body weight. A consistent increase in the vertical GRFs as backpack loads increased was observed. The valgus joint movement of the knee at RTO in 30% body weight was significantly greater than the corresponding values in 0% and 10% body weight. The increased valgus moment of 30% body weight observed in this phase was associated with decelerating and stabilizing effects on the knee joint. The results also showed that the extension and valgus joint moments of the knee were systematically affected by the backpack load during downhill walking. Conclusion : Since downhill walking while carrying heavy external loads in a backpack may lead to excessive knee joint moment, damage can occur to the joint structures such as joint capsule and ligaments. Therefore, excessive repetitions of downhill walking should be avoided if the lower extremity is subjected to abnormally high levels of load over an extended period of time.

보행 시 하이힐 굽 높이에 따라 보행시간이 하지관절 가동범위에 미치는 영향 (The Effects of Range of Motion of Lower Limb on Gait time of Height of High Heeled Shoes in Gait)

  • 설정덕;우병훈
    • 한국응용과학기술학회지
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    • 제37권2호
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    • pp.206-213
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    • 2020
  • 보행 시 하이힐 굽 높이에 따른 구간별 차이를 비교하고, 하지관절의 가동범위가 보행 시간에 미치는 영향을 알아보고자 하였다. 20대 여대생 10명이 연구에 참여하였고, 굽 높이에 따라 3차원 보행분석을 통하여 변인을 산출하였다. 통계방법으로 세가지 굽높이에 따른 차이는 일원변량분석을 실시하였고, 보행시간이 하지관절에 미치는 영향은 다중회귀분석을 실시하였다. 연구결과로 보행 시 구간 2는 굽이 높을수록 보행시간이 길게 나타났지만, 구간 3은 굽이 높을수록 보행시간이 짧게 나타났다. 보행시간이 하지관절 가동범위에 미치는 영향을 분석한 결과 구간 2는 1 cm에서 발목관절, 무릎관절, 5 cm는 발목관절의 가동범위가 클수록 보행시간이 길어졌다. 구간 3은 1 cm에서 고관절 가동범위가 클수록 보행시간이 길어졌고, 10 cm는 발목관절 가동범위가 작을수록 보행시간이 길어졌다. 따라서 굽 높이 신발의 경우 발목관절의 제어가 중요성이 변인으로 판단된다.

태권도 자유 품새에 적용하기 위한 뛰어 앞차기 착지 동작의 상해 예방 전략 (Injury Prevention Strategies of Landing Motion of Jumping Front Kick to Apply Free Style Poomsae of Taekwondo)

  • Ryu, Sihyun
    • 한국운동역학회지
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    • 제30권1호
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    • pp.37-49
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    • 2020
  • Objective: The purpose of this study was to investigate the injury factors of Taekwondo jumping kick during landing phase according to the experience of injury and to suggest a stable landing movement applicable to free style Poomsae. Method: The participants were non-injury group (NG), n = 5, age: 20.5±0.9 years; height: 171.6±3.6 cm; body weight: 65.7±4.4 kg; career: 5.0±2.7 years. Injury group (IG), n = 9, age: 21.0±0.8 years; height: 170.9±4.6 cm; body weight: 67.1±7.0 kg; career: 8.6±5.0 years. The variables are impact force, loading rate, vertical stiffness, lower limb joint angle, stability, balance, and muscle activity in the landing phase. Results: NG was statistically larger than IG in the gluteus medius (p<.05). The impact force, loading rate and vertical stiffness decreased as the landing foot angle, the ROM of lower limb joint angle and COM displacement increased (p<.05). Conclusion: Based on the results, it means that the landing foot angle plays an important role in the impact reduction during landing phase. It is required the training to adjust the landing foot angle.

만성 족부 질환이 환측 하지의 골밀도에 미치는 영향 (Effect of Chronic Foot Disease to Bone Mineral Density of the Affected Lower Limb)

  • 주인탁;유종민;강민구;정진화
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.165-168
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    • 2010
  • Purpose: Pain or discomfort caused by foot diseases may lead to abnormal gait, resulting in decreased bone mineral density (BMD) of the affected lower limb. We analyzed the effect of foot affection to BMD and its clinical significance. Materials and Methods: Bilateral hip BMD was evaluated in 93 patients with unilateral chronic foot disease. To minimize statistical errors, we excluded patients with medical histories that had influence on BMD. Analysis was based on the results of BMD tests at the first visit. All patients denied past medical intervention for osteoporosis. The difference in density between bilateral limbs was determined by comparing BMDs of the neck, upper neck, trochanter and total area of hip. Results: Test results revealed the decrease of BMD in the lower limb with the affected foot, compared to the unaffected side. This decrease was significant in the area of the trochanter (p <0.05). There was no marked difference of BMD in relation with duration of affection, underlying disease or age. Pertaining the location of foot affection, the hindfoot group showed significant decrease in BMD compared to the forefoot group. The group with affection in bone and joint also showed a marked decrease in BMD compared to the soft tissue group (p <0.05). Conclusion: Pain and discomfort caused by chronic foot diseases can lead to a decrease in the BMD of the affected lower limb. This may increase the risk of complications such as osteoporotic fracture and muscular atrophy.