• Title/Summary/Keyword: Passive Joint

Search Result 239, Processing Time 0.027 seconds

Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty (슬관절 전치환술 후 세라밴드 운동프로그램이 수술 후 통증, 슬관절 굴곡각도 및 심리적 지수에 미치는 효과)

  • Yun, Ji Yeong;Lee, Jong Kyung
    • Journal of Korean Academy of Nursing
    • /
    • v.45 no.6
    • /
    • pp.823-833
    • /
    • 2015
  • Purpose: The purpose of the study was to investigate the effects of the Thera-Band exercise program following total knee arthroplasty. Methods: The research design for this study was a nonequivalent control group non-synchronized design. Participants were 30 patients for the experimental group and 30 patients for the control group. The experimental group participated in the Thera-Band exercise program in addition to conventional CPM (continuous passive motion) exercise. The control group received conventional CPM exercise only. Outcome measures were pain, knee flexion range of motion, CRP, and psychological parameters (self-efficacy and fear of falling). Data were analyzed using ${\chi}^2$-test, Fisher's exact test, t-test, and repeated measure ANOVA with SPSS/PC version 21.0. Results: There were significant improvement in self-efficacy, and decreases in pain, and fear of falling in the experimental group compared to the control group. However, no significant differences were found between the two groups for CRP and knee flexion ROM. Conclusion: The Thera-Band exercise program gave an additional benefit over the conventional CPM exercise for patients following total knee arthroplasty, and is recommended for use as an effective nursing intervention for patients after total knee arthroplasty.

The Immediate Effect of Soft Tissue Mobilization Before Mobilization with Movement on the Ankle Range of Motion, Muscle Tissue, Balance in Stroke Patients (움직임을 동반한 관절가동술 적용 전 시행된 연부조직가동술이 뇌졸중 환자의 족관절 가동범위, 근 조직, 균형에 미치는 즉각적인 효과)

  • Jang, Woo-seok;Choi, Soon-ho
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.26 no.1
    • /
    • pp.37-46
    • /
    • 2020
  • Background: The present study aimed to investigate the immediate effects of Soft Tissue Mobilization (STM) before Mobilization with Movement (MWM) on ankle ROM, pennation angle, balance in stroke patients. Methods: A total of 22 subjects were randomly assigned to one of two groups: the experimental group and the control group. The experimental group received intervention STM before MWM. STM was applied for one minute, MWM was applied one set of six times, in a total 3 sets. The passive ankle joint range of motion (ROM) was measured using a goniometer, the pennation angle was measured using RUSI, and the balance was measured using Timed Up & Go Test. Results: The ROM of the ankle dorsi-flexion, muscle tissue (pennation angle) and balance were significantly increased. Conclusion: In this study, it was confirmed that the ankle dorsi-flexion ROM, pennation angle of the medial gastrocnemius muscle, and balance were significantly improved in the group where STM was performed before the MWM intervention. Therefore, the physiotherapists should consider these results in their intervention. If MWM is applied to stroke patients, applying STM first is a better intervention.

Development of Inpipe Inspection Robot System (배관 검사 로봇 시스템 개발)

  • Baek, Sang-Hun;Ryu, Seong-Mu;No, Se-Gon;Choe, Hyeok-Ryeol
    • Transactions of the Korean Society of Mechanical Engineers A
    • /
    • v.25 no.12
    • /
    • pp.2030-2039
    • /
    • 2001
  • Recently, various inpipe inspection robots are developed and its effective values are increased in industrial use. However, it is so difficult to make a inpipe inspection robot system which has flexible mobility and accuracy of inspection in pipelines. Especially, it is very important to know the exact crack position. In this paper, we are to present a lately developed inpipe inspection robot system which can resolve the above Problems. The robot is configured as an articulated structure like a snake. Two active driving vehicles are located in front and rear of the inspection robot respectively and passive modules such as a nondestructive testing module and a control module are chained between the active vehicles. Special feature of the robot system is a ground interface, which is able to show informations of robot and pipelines. By using this, so called virtual map in this paper, user is able to know the pipelines'feature and crack position.

A Study of Various Factors Influencing Standing Balance of Independent Ambulatory Hemiparetic Patients (편마비 환자의 기립균형에 영향을 주는 요인에 관한 연구)

  • Kwon Hyuk-Cheol
    • The Journal of Korean Physical Therapy
    • /
    • v.1 no.1
    • /
    • pp.15-25
    • /
    • 1989
  • The purpose of this study was to determine the factors influencing the standing balance of independent ambulatory hemiparetic patients. The subjects of this study were 30 hemiparetic patients (18 males, 12 females) being treated as admitted or out patients at Severance Hospital Medical Center, all of whom agreed to participate in the study. In order to assure the statistical significance of the results, the paired t-test aid a Pearson's correlation were applied at the .05 level of significance. The results were as follows. 1. The difference in maintenance time of standing balance on a stable and unstable support surface was significant at the .05 level. 2. The difference in maintenance time of standing balance according to the control of visual and acoustic stimuli was significant at the .05 level. 3. The presence or absence of passive joint motion sense influenced the standing balance maintenance time. 4. There was no significant difference in the maintenance standing balance of the sound tower leg standing conditions according to spasticity, but the paretic lower leg standing conditions were significantly different (p<.05). This type of evaluation should be more widely used in the field of evaluating standing balance with hemiparetic patients. However, more extensive study and reports on various factors of standing balance are needed.

  • PDF

Reliaility of Goniometric Measurements of Shoulder Joint Range of Motion (측각기를 사용한 견관절 운동범위 측정의 신뢰도에 관한 연구)

  • Lee, So-Joon;Hur, Young-Gu
    • Journal of Korean Physical Therapy Science
    • /
    • v.8 no.1
    • /
    • pp.917-921
    • /
    • 2001
  • The purpose of this study was to examine the difference in measurements of passive range of motion(PROM) of shoulder when motions are assessed in sitting, as compared with supine and the intratester and intertester reliabilities for goniometric measurements of shoulder PROM using two different sizes of goniometers. * A thesis submitted to the committee of Graduate School of Public Health, Chungnam National University in partial fulfillment of the requirements for the degree of Master of Public Health conferred in February 2001. Fifty one adult male subjects were measured three times, in random order, for the six shoulder motions(flexion, extension, abduction, adduction, external rotation, and internal rotation) while sitting and supine by three different therapists. Data were analyzed to determine intraclass correlation coefficients (ICCs) and paired "t" values between trials for measurements with different goniometer and betweensitting and supine trials. There was statistical difference in measurement of shoulder motion between supine and sitting position and no statistical difference in goniometric type. The intratester intraclass correlation coefficients (ICCs) for all motions ranged from .87 to .98. The ICCs for the intertester reliability of PROM measurements of all shoulder motion ranged from .26 to .89. These findings suggest that reliable measures of PROM of the shoulder can be obtained using standard goniometry in a proper position.

  • PDF

Changes in pain, swelling, and range of motion according to physical therapy intervention after total knee arthroplasty in elderly patients

  • Noh, Eun-Kyung;An, Chang-Sik
    • Physical Therapy Rehabilitation Science
    • /
    • v.4 no.2
    • /
    • pp.79-86
    • /
    • 2015
  • Objective: This study was carried out to compare changes in pain, swelling and range of motion (ROM) between the two groups according to physical therapy intervention. Design: Randomized controlled trial. Methods: There were a total of 20 elderly subjects ages 65-75 years old who have been admitted to the hospital for a total knee arthroplasty. After surgery, the experimental group (n=10) carried out quadriceps femoris muscle strengthening exercise, hamstring stretching exercises and gastrocnemius stretching exercise with a physical therapist for 30 minutes and additionally, received ice pack therapy for 20 minutes once a day. The control group (n=10) carried out continuous passive motion for 30 minutes and received ice pack therapy for 20 minutes once a day. The experimental group and control group carried out each intervention program for 2 weeks 3 times a week. The Visual Analogue Scale was used to assess pain, tape measurements were taken to assess swelling, and a steel goniometer was used to assess knee joint ROM. Results: As a result, the experimental group showed a statistically significant decrease in the pain and swelling, and a significant increase in knee flexion ROM after the intervention, compared to the control group (p<0.05). There was a significant improvement in pain, edema, and knee flexion and extension ROM in all subjects after intervention (p<0.05). Conclusions: According the results of this study, exercise in the experimental group is effect on the pain, swelling and ROM for total knee arthroplasty.

A Study of Restricted Cervical Rotation Test; in the View of Manual Muscle Test (경추회전제한검사법에 대한 소고; 근육검사법 관점에서)

  • Ahn, Seong-Hun;Lee, Young-Jun;Sohn, In-Chul
    • Journal of TMJ Balancing Medicine
    • /
    • v.2 no.1
    • /
    • pp.8-12
    • /
    • 2012
  • Objectives: It has been reported to continue that temporomandibular joint balancing medicine (functional cerebrospinal therapy; FCST) is effective in treating incurable diseases in clinic recently. FCST is based on the results of restricted cervical rotation test, it means that the results of restricted cervical rotation test has a very high reliability on test results. Methods: This study has the aim to understand restricted cervical rotation test method and to use well with high technical skill. So manual muscle test method which was based on the upper limb lifting resistance test method are compared with restricted cervical rotation test method and had been discussed. Results: Results are that restricted cervical rotation test by using the passive motion of arrested persons (patients) have high the reliability and accuracy. Conclusions: It is concluded that restricted cervical rotation test is the new type of manual muscle tests and the results of test are very high the reliability and accuracy so that the acquirement of test method is helpful in clinic practically.

  • PDF

Physical Therapy and Rehabilitation of Complex Regional Pain Syndrome in Shoulder Prosthesis

  • Celik, Derya;Demirhan, Mehmet
    • The Korean Journal of Pain
    • /
    • v.23 no.4
    • /
    • pp.258-261
    • /
    • 2010
  • We report a 66-year-old woman with complex regional pain syndrome (CRPS) 1 treated with combined medical and active physical therapy. She was diagnosed with CRPS 1 following partial shoulder prosthesis due to proximal humerus fracture. Despite continuous medication and physical therapy, there was no improvement in her pain and functional outcome. Her overall pain was decreased by stellate ganglion block 3 times in two weeks conducted during the second month of the follow-up period. Following the ganglion blockades, pain and the other symptoms were decreased intermittently but range of motion (ROM) and functional status were not satisfied as much as expected. After the third month of follow-up, her passive and active ROM of the shoulder joint was increased after application of manipulation under general anesthesia. In conclusion, because CRPS 1 remains one of the most difficult pain syndromes, early diagnosis and treatment are important to have adequate functional results from physical therapy. Manipulation under general anesthesia may be an additional effective treatment tool to obtain functional improvement in some patients diagnosed with CRPS 1.

A Review of Conception and Developmental Process of Stretching in Sports Physical Therapy (스포츠 물리치료에서의 스트레칭의 개념 및 발달과정)

  • Chang Chung-Hoon;Jeong Dong Hyeog;Lee Rae Joon
    • The Journal of Korean Physical Therapy
    • /
    • v.14 no.4
    • /
    • pp.423-440
    • /
    • 2002
  • The purpose of this study is to investigate the conception and developmental process of stretching in sports physical therapy. This study is to find conception of stretching, feature and effect, principles and fundamental rule, consideration of enforcement and developmental process in order to use the basic material which is very helpful in the every field and the scene of sports needing stretching. Flexibility is the ability to move muscles and joints through their full ranges of motion. Flexibility is developed by stretching. About player who insufficiency of flexibility, patient and disabled person who restrict of range of motion, older adult who reduce of flexibility, promote of flexibility for upgrading stability and efficiency of body on the based of scientific principles is completed by stretching. The method of stretching has been developed with passive stretching, CR, PNF stretching, PIC stretching, MET stretching in the order. The effects that we can get through stretching are as follows : 1. Enhance physical fitness. 2. Optimize learning, practice and performance of many types of skilled movement. 3. Increase mental and physical relaxation. 4. Promote development of body awareness. 5. Reduce risk of joint sprain or muscle strain. 6. Reduce risk of back problem. 7 Reduce muscular soreness. 8. Reduce the severity of painful menstruation for female athletes. 9. Reduce muscular tension. 10. Advance recognition of body.

  • PDF

Effects of Taping Therapy and Passive Range of Motion Exercises on Shoulder joint, Hand dexterity in Elderly (테이핑요법이 노인의 견관절 통증과 관절가동범위, 손의 민첩성에 미치는 효과)

  • Ro, Hyo-Lyun
    • Proceedings of the KAIS Fall Conference
    • /
    • 2010.05b
    • /
    • pp.851-854
    • /
    • 2010
  • 본 연구는 견관절 통증이 있는 노인을 대상으로 테이핑 요법과 수동적 관절가동범위운동이 견관절의 통증, 관절 가동력, 손의 민첩성에 미치는 효과를 확인하기 위하여 실시하였다. 연구대상자는 B시의 D복지관을 이용하는 65세의 이상의 노인들 중 견관절 통증을 호소하는 노인 40명이었고 연구기간은 4주간 총12회로 테이핑 요법과 수동적 관절가동범위운동을 적용하였다. 연구를 시작하기 전과 후에 견관절의 통증, 견관절의 가동범위, 손의 민첩성을 측정하였다. 통증정도는 시각적 상사척도를 사용하여 측정하였고, 견관절의 가동범위는 인체각도기를 사용하여 측정하였다. 유의수준은 p<.05로 설정하였다. 그 결과, 테이핑과 수동적 관절가동범위 운동을 적용 후에 노인의 견관절 통증은 감소하였고 견관절의 가동력과 손의 민첩성이 증가하였다. 노인의 견관절 통증의 감소정도와 손의 민첩성 정도는 테이핑군과 관절 범위운동군 간에 차이가 나타나지 않았다. 노인의 견관절 가동범위의 변화정도는 관절범위운동군보다 테이핑군에서 견관절 신전과 외전에서 관절의 범위가 증가하는 정도가 더 큰 것으로 나타났다. 따라서 테이핑요법과 수동적 관절범위운동은 노인의 견관절 통증을 감소시키고, 관절가동범위, 손의 민첩성과 같은 신체적인 기능의 개선을 가져온다고 할 수 있겠다. 또한 테이핑의 적용이 견관절 운동범위 증가에는 더 효과적이라고 할 수 있다.

  • PDF