• Title/Summary/Keyword: Overuse Syndrome

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The Differences in Patellofemoral Compression Force with Different Height (드롭랜딩 시 높이에 따른 슬개대퇴 압박력의 차이)

  • Cho, Joon-Haeng;Kim, Kyoung-Hun;Moon, Gon-Sung;Lee, Sung-Cheol
    • Korean Journal of Applied Biomechanics
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    • v.21 no.3
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    • pp.335-343
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    • 2011
  • Patellofemoral pain syndrome is the most common problem involving the knee, accounting for 25% of knee injuries. Repetitive, overuse activities cause increased force at the patellofemoral joint, resulting in pain during flexion and extension activities. Most research have been conducted in exploring the patellofemoral compressive force in gait, squat and lunges, even though in real cases, possibilities in landing exist. The purpose of this study was to compare the differences in patellofemoral compressive force according to two different height. Sixteen collegiate male students(age: 22.25 ${\pm}$ 3.30 yrs, height: 177.25 ${\pm}$ 4.44 cm, weight: 77.50 ${\pm}$ 8.18 kg) were chosen. The subjects performed drop landings in 45 cm, 60 cm. The findings demonstrated that higher height showed peak knee extension moment, quadriceps contraction force, patellofemoral compressive force with increased VGRF. Regarding the patellofemoral joint compressive force, it increased by quadriceps contraction force with knee flexion during landing, yet, it showed no difference in maximal knee flexion. To minimize patellofemoral joint stress and reduce the likelihood of developing PFPS, we recommend that predesigned quadriceps and hip muscle group strengthening are needed during conditioning and training.

Effects of Rear-Foot Wedged Insoles on the Foot Pressure in Walking (발 뒤축 내·외측 경사진 안창이 족부압력에 미치는 영향)

  • Ryu, Taebeum;Chae, Byungkee;Lim, Wansoo;Choi, Hwa Soon;Chung, Min K.
    • Journal of Korean Institute of Industrial Engineers
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    • v.34 no.1
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    • pp.90-97
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    • 2008
  • Wedged insoles are frequently used to reduce the pains caused by the knee arthritis or the foot overuse syndrome. The present study analyzed the effect of wedged rear-foot insoles on the foot pressure in walking. Three medially wedged insoles with three angles (5, 8 and 15") and three laterally wedged insoles with the same angles were made, and a flat insole were prepared. Ten healthy males in twenties walked in a specified line with each insole. Center of pressure (COP), relative vertical force and maximum force on anatomical areas were analyzed from the measured foot pressure data. At heel contact, medially wedged insoles significantly increased the pressure of the medial foot side (COP moved medially by 2-5 mm and maximum pressure of 1st metatarsal head increased by 110-120% relative to the flat insole), In contrast, laterally wedged insoles significantly increased the lateral side pressure (COP moved laterally by 1-5 mm and the ratio of $2^{nd}$ metatarsal head pressure to $1^{st}$ metatarsal head increased by 0.5-2.0 relative to the flat insole). At toe off, both wedged insoles significantly increased the pressure of the medial foot side (COP moved medially by 0.5-10 mm and the ratio of $1^{st}$ metatarsal head pressure to $5^{th}$ metatarsal head increased by 2.0 relative to the flat insole). Especially, the laterally wedged insoles significantly increased the relative vertical force (6-12%) of the rear-foot more than the flat insole.

Lateral plantar nerve entrapment combined with a chronic plantar fasciitis in a basketball player -A case report- (농구선수에서 발생한 만성 족저근막염이 동반된 외측 족저 신경 압박증 -증례 보고-)

  • Lee, Kyung-Tai;Kim, Jun-Beom;Young, Ki-Won;Kim, Jin-Su;Park, Young-Uk
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.121-124
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    • 2010
  • In athletes, repetitive low-energy impacts in plantar lesion lead often to tendinitis, stress fracture, or overuse syndrome. The major cause of heel pain in athletes is plantar fasciitis. And it is most often attributable to repetitive low energy impact, but the vast majority patients with heel pain achieve symptomatic relief with conservative treatment and return to full activities. Not commonly, Nerve entrapment may be occurred from repetitive low energy trauma in athletes, and is not as easily diagnosed. The authors observed a basketball player who complained of chronic heel pain that do not respond to conservative treatment, he had the lesions both plantar fasciitis and lateral plantar nerve entrapment. The authors described an unusual mechanism of entrapment of the lateral plantar nerve combined with a chronic plantar fasciitis in a basketball player and reported with review of literature.

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Comparison of Smartphone Addiction, Anterior Head Posture, Quality of Life, and Headache Impact according to the Presence or Absence of Tension Headaches in College Students (대학생들의 긴장성 두통 유무에 따른 스마트폰 중독, 전방 머리 자세, 삶의 질, 두통 영향 및 두통 장애 지수 비교)

  • Kim, Chihwan;Lee, Donggeon
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.117-123
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    • 2020
  • Purpose : VDT (visual display terminal syndrome) can affect individuals who monitor or who work or play using video screens, including those of smartphones. In general, headache symptoms from overuse of these screens can appear due to eye fatigue, muscle pain in the joints of wrists or fingers, and muscle pain in the neck or shoulders. Many studies in the literature have supported standards that seek to prevent these symptoms. The incidence of musculoskeletal diseases caused by the use of smartphones is expected to increase rapidly, particularly among children and young adults, and these diseases are expected to develop into a societal problem. Therefore, in this study we investigate whether tension headaches that develop from smartphone usage can affect forward neck posture, neck pain, and quality of life. Methods : A total of 93 students from University participated in this study. We divided participants into two groups, those with tension headaches (n = 25) and those without (n = 68) and took forward neck measurements. Headaches were classified according to criteria from the International Headache Society and involved bilateral headache position, quality of pressing or tightening pain, mild or moderate pain intensity, and none due to daily physical activity. We surveyed participants using the smartphone addiction diagnosis questionnaire, the Neck Disability Index (NDI), the Headache Impact Test (HIT-6), and the Quality of Life Questionnaire. Results : Although we found no significant differences in tension headaches due to smartphone addiction diagnosis (p = 0.25), SF-36 life quality assessment (p = 0.06), and cranio-vertebral angle (p = 0.07), we found significant differences from the HIT-6 and the NDI (p <.05). Conclusion : Tension headaches are not correlated with smartphone addiction, quality of life, and forward neck angle but do have a correlation with the degree of cervical dysfunction and the effects of the headaches.

Acute Compartment Syndrome Induced by Rhabdomyolysis Due to Antipsychotic Drug Overuse (항정신병 약물 과량 복용 후 발생한 횡문근융해증으로 인한 급성 구획증후군)

  • Hwang, Seok-Ha;Hong, Sung-Ha;Suh, Seung-Pyo;Kim, Joo-Young
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.276-280
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    • 2020
  • A 49-year-old male was found unconscious at his accommodation and visited the emergency room. He was on antipsychotic and antidepressant drugs (vortioxetine hydrobromide, mirtazapine, sertraline hydrochloride, quetiapine, and alprazolam) for schizophrenia and major depression. At the time of discovery there were signs of overdose of the drugs around the patient. A physical examination revealed, pain, pallor, and edema in the left buttocks and lateral thigh. Active ankle movements below the left ankle were not possible and sensations in the tibia and peroneal nerves were lost. The pressure in the buttock compartment was measured at 42 mmHg. Magnetic resonance imaging revealed edema and high intensity signals in the left hip muscles and surrounding soft tissue. An emergency fasciotomy was performed and partial restoration of the lower extremity sensation and muscle strength were achieved after 24 hours.

The study about the cause of the Korean professional pitchers' injury and its classification (한국 프로야구투수들의 부상 발생원인 및 분류에 관한 연구)

  • Nam Joung-Chul;Kim Sang-Su;Lee Dong-Ho
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.172-182
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    • 2002
  • Objectives: We did research in the cause of the Pitchers' injury and their recovery process to make a detailed injury list for the purpose of finding the cause of the Korean professional pitchers' injury and its classification. We drew the conclusion through the results as following. Methods: We posed a question to the 80 pitchers playing in the first team of the eight Korean professional baseball team and analyzed the 62 pieces of question paper except the paper having a mistake. We used SAS/PC statistical package in analyzing the data. Results: In the frequency of the pitchers' shoulder injury in the last three years, the injured of all the players were 61.3$\%$ and the injury free players were 28.7$\%$. The cause of the injury was 45.2$\%$ wrong pitching motion, which was the highest value. For the shape of a pain when injured, the reverberation ache feeling when he is hit in the weight commanded an absolute majority as 19.4$\%$. Those who had muscular pain were 17.7$\%$, which was felt mostly at the pitching motion. The most trouble name of the injured shoulder was bicepstendinitis as 16.1$\%$ while the injury of shoulder joint was the lowest as 1.6$\%$. As the most widely used treatment, 25.8 percent of all the players had taken an electronical thraphy after injury. 14.5 percent of the players who had an injury to the shoulder told that they have an operation and 85 percent of them didn't. As a sort of the operation, a repairing of labrum was 44.4 percent, which is the highest value and the 77.8 percent pitchers are performing a normal pitching through rehabilitation after the operation and 22.2 percent of them are undergoing rehabilitation training. Conclusion: The research have shown that the main cause of the injury, concerning the Korean professional pitchers throwing lots of ball in both matches and practices, is overuse syndrome, bad mechanism, muscle weakness and instability of balance. I think that the role of trainer, physical therapy, and team physician taking charge of the players' injury must learn physical test method by heart exactly to check up the state of the injury definitely at the initial phase. Moreover, when the cause of the injury part after a close examination is discovered, the scientific and good surgery is essential to the rehabilitation success and making a classification of shoulder instability is useful to make a operation plan as well as the players' rehabilitation, treatment.

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An Analysis of Swimming Injuries and Their Rehabilitation (근육 골격계의 질환 및 재활분석(수영선수를 중심으로))

  • Kim, Kwi-Baek;Ji, Jin-Gu;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.32 no.4
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    • pp.325-330
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    • 2022
  • While swimming is a very popular competitive sports activity, swimming injuries are unique due to the repetitive nature of the swimming stroke and demanding training programs that can result in upper limb overuse. Therefore, the primary objective of this review was to analyze swimmers' injury areas, injury types by stroke type, and swimming rehabilitation, as well as to discuss safety management for improving swimming performance. In this study, the injuries incurred in swimming events were discussed in the order of upper limb injuries (neck, shoulder, arm, and wrist), lower limb injuries (knee and ankle), and waist injuries. An analysis by stroke type found that shoulder injuries occurred most often with freestyle, backstroke, and butterfly strokes, followed by rotator cuff injury, impingement syndrome, and SLAP (superior labral tear from anterior to posterior) lesions. Knee injuries were associated with the breaststroke, whereas spinal cord injuries occurred with the breaststroke and butterfly stroke. Finally, back injuries were associated with the butterfly stroke. During the freestyle stroke, the shoulder undergoes repetitive overhead movement; hence, shoulder and musculoskeletal pain are the most common and well-documented complaints of swimmers. For safety management, coaches and instructors must ensure that athletes do sufficient warm-up and cool-down exercises to avoid injuries. In case of an injury, they should be familiar with first aid measures so that secondary damage can be prevented with its quick application. In addition, coaches and instructors need to be trained in injury prevention and treatment so that they can provide appropriate rehabilitation treatment for athletes. Although swimming-related injuries cannot be completely eliminated, to reduce them to a minimum, leaders need the knowledge to apply scientific and systematic training principles and methods individualized for each athlete.