• Title/Summary/Keyword: Lower-limb

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Incidence and Risk Factors of Ipsilateral Foot and Lower Limb Reamputation in Diabetic Foot Patients (당뇨족 환자에서 동측 족부 및 하지 재절단술의 발생빈도 및 위험인자)

  • Choi, Sun-Jin;Lee, Chang-Bum;Kim, Myoung-Soo;Ha, Jeong-Han;Park, Hyung-Taek
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.1
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    • pp.7-12
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    • 2011
  • Purpose: To evaluate the incidence and risk factors of ipsilateral reamputation after lower limb amputation in the patient with diabetic foot lesions. Materials and Methods: Between May 2005 and June 2009, 88 patients who underwent lower limb amputation were analyzed. Group 1 consisted of 73 patients who didn't have a ipsilateral reamputation after lower limb amputation and group 2 consisted of 15 patients who underwent reamputation. We compared several factors between two groups, such as age, gender, BMI, ABI, Wagner classification, wound culture, site of amputation, vascular surgery, the period of diabetes mellitus, chronic renal failure. Results: Fifteen (17%) of 88 patients had a ipsilateral limb reamputation and 13 patients (87%) of them underwent reamputation within 6 months. When we compared the two groups, average age was 59.3 (range, 48-74 years); 62.9(range, 44-78 years). Age was significantly associated with reamputation rate (p=0.02) and no reamputation after initial amputation above ankle joint was found. Other factors did not show statistically difference between both groups. Conclusion: There were no significant difference between diabetic limb amputation and reamputation group in our concerned risk factors except age and amputation level. There should be careful consideration when determine level of amputation in diabetic foot lesions especially in elder patients.

Influence of Standing Balance With External Rotation Angle of the Hemiplegia Leg (편마비환자의 환측 하지 외회전 정도가 기립균형에 미치는 영향)

  • Lee Dong-Wook;Kwak Kil-Hwan;Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.173-188
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    • 2003
  • The two groups each consisting of 28 people who had an adult hemiplegia due to a brain injury received two different methods of exercises to reduce the angle to which the affected lower limb rotates externally. The comparisons between the two groups were made for the changes of the angle in external rotations measured between pre and post test. The static balance index values taken during pre and post tests were also compared. In addition, the correlations of the angle to which the affected lower limb rotates externally with static balance index values were analyzed. The result were as follows: 1. A statistical analysis indicated that in group one having taken simple R.O.M exercises, the angle to which the affected lower limb rotates externally and the static balance index values were both significantly different between pre and post test (P<.01). 2. A statistical analysis indicated that in group two having taken a pattern movement, both the angle to which the affected lower limb rotates externally and static balance index values were significantly different between pre and post test (P<.01). 3. A significant difference between simple R.O.M exercises group and pattern movement exercises groupwas shown only for the angle to which affected limb rotates externally not for static balance index values (P<.01), 4. Pearson correlation coefficient for the angle to which the affected limb rotates externally with static balance index values was found to be significant only in pattern movement exercises group (P < .05).

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The Influenc on Ambulation of the Difference in Muscle Strength on Hamstring Muscle of Hemiplegic Patients (편마비 환자의 슬건근의 근력의 차이가 보행에 미치는 영향)

  • Yoon, Jang-Soon
    • Journal of Korean Physical Therapy Science
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    • v.12 no.4
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    • pp.69-77
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    • 2005
  • The purpose of this study is to estimate how much the motility of affected and unaffected lower limb respectively would have effects on their ambulation through comparing the difference between their affected and unaffected lower limb and studying the correlation between such difference and their ambulation. In addition, the study also intends to find out remedial measures suitable for improving their ambulation with relevant physical treatment. To do this, a quantitative electromyogram(QEMG) test was done to hamstring of affected and unaffected lower limb so as to yield IP values. Based on such IP values, RMS(root mean square) values as the total sum of IP values were found with QEMG analysis system (made by Medelec Co.) and then the ambulation depending on the difference in muscular strength were analyzed by ink-foot print method as well as the corresponding statistics were processed by T-test through SPSS. The differences in muscular strength of hamstring in unaffected limbs of hemiplegic patients only affect stride length. It was statistically significant. The effect of difference in muscular strength of the hamstring in affected limb of hemiplegic patients on their ambulation was very different between strong and weak group in terms of walking velocity, step per minute, stride and step length, showing statistically significant difference(p<.05). Although there was a difference in the step length of the affected limb, it was not statistically significant(p>.05). For the unaffected hamstring, there were significant differences of stride length between in unaffected limb and in affected limb. For the affected hamstring, there were also significant differences in walking velocity, step per minute, stride and step length. Besides, it was found that the difference of the muscular strength between strong and weak group was at the highest.

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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.

Regional Variation in the Incidence of Diabetes-Related Lower Limb Amputations and Its Relationship with the Regional Factors (당뇨병 합병증으로 인한 하지 절단율의 지역적 변이 및 지역 특성 요인과의 관계 분석)

  • Won, Sung Hun;Kim, Jahyung;Chun, Dong-Il;Yi, Young;Park, Suyeon;Jung, Kwang-Young;Park, Gun-Hyun;Cho, Jaeho
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.3
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    • pp.121-130
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    • 2019
  • Purpose: To investigate the spatial distribution of diabetes-related lower limb amputations and analyze the relationship between the spatial distribution of diabetes-related lower limb amputations and regional factors. Materials and Methods: This study was performed based on the data from the Korean Health Insurance Review and Assessment Service, in 2016. The unit of analysis was the administrative districts of city·gun·gu. The dependent variable was the age- and sex-adjusted incidence of diabetes-related lower limb amputations and the regional variables were selected to represent two aspects: socioeconomic factors, and health and medical factors. Along with traditional ordinary least square (OLS) regression analysis, geographically weighted regression (GWR) was applied for spatial analysis. Results: The age- and sex-adjusted incidence of diabetes-related lower limb amputation varied according to region. OLS regression showed that the incidence of diabetes-related lower limb amputation had significant relationships with the health and medical factors (number of healthcare institution and doctors per 100,000 population). In GWR, the effects of regional factors were not consistent. Conclusion: The spatial distribution of the incidence of diabetes-related lower limb amputations and the effects of regional factors varied according to the regions. The regional characteristics should be considered when establishing health policy related to diabetic foot care.