• Title/Summary/Keyword: Passive Joint

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Comparison of the Effects of Wii Balance Games and Mirror Self-Balancing Exercises on Knee Joint Proprioception and Balance in Chronic Stroke Patients (Wii 균형 게임과 자가 거울 균형 운동이 만성 뇌졸중 환자의 균형 및 무릎관절 고유수용성 감각에 미치는 효과 비교)

  • Sim, Gyeong-seop;Jeon, Hye-seon
    • Physical Therapy Korea
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    • v.24 no.1
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    • pp.30-40
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    • 2017
  • Background: Many studies have reported positive results of the various mirror training and virtual reality games in improving dynamic standing balance and posture adjustment in chronic stroke patients. However, no systematic study has been conducted to compare the effects of virtual reality games and the mirror balance training. Objects: The purpose of this study was to compare the effectiveness of Wii balance games and Mirror Self-Balancing Exercises in improving proprioception of knee joint and standing balance of people with chronic stroke. Methods: Twenty patients with chronic stroke volunteered for this study. The subjects were randomly divided into a Wii balance games group and a Mirror Self-Balancing Exercises group with 10 patients in each group. Each training was performed for 30 mins a day for 4 days. In addition to the balance training, 30 mins neuro-developmental-treatment based routine physical therapy was given to both groups. Proprioception was measured using two continuous passive motion devices, and static balance was measured using a Wii balance board. Dynamic balance assessment tools included the Berg Balance Scale, Dynamic Gait Index, and Timed Up-and-Go test. Results: All measured variables before and after the experimental results showed a significant improvement in both groups (p<.05). Only the improvement of the affected knee proprioception appeared to be significantly greater in the Wii balance game group (p<.05). However, other variables did not differ between the groups (p>.05). Conclusion: The findings suggest that both Wii balance games and Mirror Self-Balancing Exercises may be helpful for improving the proprioception of knee joint and the balance of patients with chronic stroke.

The Effects on the range of motion of joint with Gliding-Mobilization of the patients of adhesive capsulitis of the shoulder (Gliding-Mobilization이 견관절유착성관절낭염 환자의 관절가동범위에 미치는 영향)

  • Jung, Byeong-Ok;Ma, Sang-Yeol;Kim, Keun-Jo;Ahn, Byung-Heon
    • Journal of Korean Physical Therapy Science
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    • v.13 no.4
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    • pp.27-34
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    • 2006
  • Purpose : The purpose of this study is to prove the increasing range of motion of joint to the patients of adhesive capsulitis of the shoulder applied the gliding-mobilization. Subjects and methods : The subjects are patients of adhesive capsulitis of the shoulder who have limited range of motion due to capsular pattern on the shoulder. The subjects are volunteer patients without a history of neuromuscular problems and randomly distributed into two groups. 15 experimental subjects(4 male, 11 female) received therapy with gliding-mobilization applied on limited shoulder joint and a second group with 15 control subjects(6 male 9 female) was treated by physiological passive range of motion therapy. The data were analyzed with paired t-test to determine striking differences depending on the course of treatment. Result : 1) In the group treated by gliding-mobilization the range of motion in shoulder flexion was increased in accordance to the course of treatment, and paired t-test showed striking differences(p<.05). 2) The range of motion in shoulder extension was increased in accordance to the course of treatment, and paired t-test showed striking differences(p<0.05). 3) The range of motion in shoulder abduction was increased with serise of treatment, and paired t-test showed striking differences(p<0.05). Conclusion : The gliding-mobilization increases the range of motion of the patient of adhesive capsulitis of the shoulder.

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The Effect of Novel Stretching on the Range of Motion and Acromio-Humeral Distance in Patients with Glenohumeral Internal Rotation Deficits with Posterior Shoulder Tightness (노벨 스트레칭과 관절가동술이 어깨 후방 뻣뻣함으로 인한 어깨관절 안쪽돌림 결핍 환자의 관절가동범위와 봉우리-위팔뼈 거리에 미치는 영향)

  • Yong-Tae, Kim;Sang-Bin, Lee
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.3
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    • pp.33-40
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    • 2022
  • Background: The cross-body and the sleeper stretches have been used to improve posterior shoulder tightness (PST). However, such stretching techniques may not always help achieve scapular stability and may even aggravate patient's symptoms. Therefore, a new stretching technique (passive glenohumeral internal rotation with bridging) was developed as a more effective method that may allow for greater scapular stability without aggravating the symptoms. Thus, this study aimed to examine and compare this novel stretching technique to determine its effect on the range of motion (ROM) and acromio-humeral distance (AHD) in patients with glenohumeral internal rotation deficits (GIRD) with posterior shoulder tightness. Methods: A total of 30 symptomatic patients with asymmetrical GIRD were randomly assigned to two groups: the novel stretching group (n=15) and the joint mobilization group (n=15). The intervention was conducted twice a week for a total of four weeks. The ROM of shoulder internal rotation was measured by a goniometer and the AHD was evaluated by an X-ray before and after the intervention. Results: Both the treatments improved ROM and AHD in patients with GIRD (p<.05). However, the improvements in internal rotation ROM and AHD in the novel stretching group were significantly greater than that of the subjects in the mobilization group. There was a significant difference between the two groups (p<.05). Conclusion: These results show that both novel stretching and joint mobilization improved ROM and AHD in patients with GIRD with PST. However, novel stretching was more effective than joint mobilization.

Analysis and Design of a Novel 4-DOF High-Speed Parallel Robot (4자유도 고속 병렬 로봇의 해석 및 설계)

  • Kim, Han Sung
    • Journal of the Korean Society of Industry Convergence
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    • v.19 no.4
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    • pp.206-215
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    • 2016
  • Delta parallel robots are now widely used for high-speed applications. However, typical Delta robots, such as ABB Flexpicker suffer from rotating axis with passive prismatic joint subjected to critical speed and so requiring careful maintenance. In this paper, a novel 4-DOF high-speed parallel robot with four legs is presented, which consists of three legs with 90 degree arrangement for translational motions and one remaining leg with rack & pinion gears for rotational motion. The inverse kinematics, velocity, acceleration, statics, and inverse dynamics have been analyzed. From the workspace analysis and inverse dynamics simulation for 0.43 sec cycle time, the 4-axis parallel robot prototype with 12kg payload has been designed. In the future research, computed torque control methods will be developed for the prototype.

Study on Propeller Grinding Applied by a High Stiffness Robot (고감성 로봇을 이용한 프로펠러 연삭에 관한 연구)

  • Lee, M.K.;Park, B.O.;Park, K.W.
    • Journal of the Korean Society for Precision Engineering
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    • v.14 no.12
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    • pp.56-65
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    • 1997
  • This paper presents the robot program for propeller grinding. A robot manipulator is constructed by combining a parallel and a serial mechanism to increase high sitffness as well as workspace. The robot program involves inverse/direct kinematics, velocity mapping, Jacobian, and etc. They are cerived in efficient formulations and implemented in a real time control. A velocity control is used to measure the hight of a propeller blade with a touch probe and a position control is performed to grind the surface of the blade.

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Elbow Orthopaedic Physical Therapy (주관절의 정형 물리치료)

  • Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.1 no.1
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    • pp.65-74
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    • 1995
  • There is no line of demarcation between the shoulder and elbow regions. Pain In the arm may originate at the shoulder with reference downwards or less often at the elbow with reference upwards. Most pains indicated by the patient at the elbow or forearm have a local origin, since at the more distal part of the upper limb the capacity for correct localization is good. Once it is clear that the elbow region is at fault, the joint and the muscles about it are tested by ten movements. 1. Four. Passive extension, flexion, pronation, supination-full range, LOM, painful, painless. 2. Four. Resisted extension, flexion, pronation, supination-strong, weak, painful, painless. 3. Two. Resisted flexion, extension at the wrist-painful, painless. The muscles that perform theses two movements arise from the humeral epicondyles and a lesion in either often causes pain felt at the elbow although the tissuse affected is not functionally a part of the elbow (i. e. Tennis elbow and Golfer's elbow).

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A Review of tissue changes caused by joint immobilization and classification of contracture (관절고정에 의한 조직변화와 구축의 분류에 대한 고찰)

  • Yoon, Sang-Jib;Lee, Joon-Hee
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.727-734
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    • 2001
  • Contracture is defined as the lack of full passive range of motion resulting from pint, muscle or soft tissue limitationprolonged Pint immobilization will result in stress and stretch deprivation and gradual development of contracture. the tissue changes caused by immobilization may be categorized as cellular modeling, ground substance and collagen response, and tissue response. contracture can be divided into three categories according to the anatomical location of pathological changes :arthrogenic, myogenic, soft tissue contractures Therapeutic approach of contracture is thermal or cold agents application, stretch or restoration of length, traction, manipulation, mobilization positioning and restoration of function. The purpose of this article is to review current concepts of mechanical properties and synthesis of collagen tissue and the underlying pathomechanics as it relates to evaluation and treatment of contracture.

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The Energy Efficiency of Walking Method for Quadruped Walking Robot (4 족 보행로봇의 보행방법에 대한 에너지효율)

  • Shin, Chang-Rok;Kim, Jang-Seob;Park, Jong-Hyeon;Yoo, Hong-Hee
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.882-887
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    • 2008
  • In this paper, the dependency of energy efficiency on the walking/running pattern and the walking/running period is analyzed though simulations of walk, trot and gallop. A quadruped animal has its own original features in the walking pattern and the walking period for adaptation to the environment. The robot model used in the simulations has three active joints and one passive spring-loaded joint at each leg, which is based on the actual quadruped robot, HUNTER (Hanyang UNiversity TEtrapod Robot), developed in the lab. Also included is the dependency of energy efficiency on the walking period in trot.

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Analysis of the Workspace of Cubic Parallel Manipulator (육면형 병렬기구의 작업공간 해석)

  • Choi, Woo-Chun;Jung, Tae-Joong
    • Proceedings of the KSME Conference
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    • 2000.11a
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    • pp.795-800
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    • 2000
  • In a parallel manipulator, there are three constraints that determine workspace: link length constraint, passive joint angle constraint, and interference among links. Generally, the link length constraint is the most dominant. The interference among links is, however, also an important parameter in designing a desired parallel manipulator. In this study, the interference among links is mathematically modeled by considering the links as a line and a cylinder of radius of twice the link radius, and a new algorithm is suggested to check if arbitrary two links interfere each other or not. The workspace of a cubic parallel manipulator is illustrated in a 2D space satisfying the three constraints.

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A Clinical Case of the Korean Medical Treatment for the Patient with Ligamentum Teres Tear of the Hip (고관절 원형인대 파열 환자에 대한 한의학적 치료: 증례보고)

  • Lee, Dong Hyun;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.155-162
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    • 2022
  • The purpose of this clinical case is to evaluate the efficacy of the Korean medical treatment on a ligamentum teres tear of the hip. One patient, admitted to Daejeon Jaseng Hospital of Korean Medicine was diagnosed with a ligamentum teres tear of the hip by hip magnetic resonance imaging. We treated the patient using the Korean medical treatments, including acupunture, pharmacopuncture, herbal medication, and cupping. We measured the numerical rating scale (NRS), passive range of motion (PROM) and the changes of symptoms. After 13 days, NRS decreased from 8 to 1 respectively, PROM of hip joint has recovered, and the symptoms of the patient improved. In conclusion, this study shows that Korean medical treatment might be effective in treating the patient with a ligamentum teres tear of the hip.